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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K
(Mark One)
☒
ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
For the Fiscal Year Ended December 31, 2021
OR
☐
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES AND EXCHANGE ACT OF 1934
For the transition period from to
Commission File Number: 001-38473
Evelo Biosciences, Inc.
(Exact name of registrant as specified in its charter)
Delaware
(State or other jurisdiction of
incorporation or organization)
2834
(Primary Standard Industrial
Classification Code Number)
46-5594527
(I.R.S. Employer
Identification No.)
620 Memorial Drive,
Cambridge, Massachusetts 02139
(617) 577-0300
(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)
Securities registered pursuant to Section 12(b) of the Act:
Title of each class
Common Stock, par value $0.001 per share
Trading Symbol(s)
EVLO
Name of each exchange on which registered
Nasdaq Global Select Market
Securities registered pursuant to Section 12(g) of the Act: None
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ☐ No ☒
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Securities Act. Yes ☐ No ☒
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12
months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to the filing requirements for the past 90 days. Yes ☒ No ☐
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§
232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth
company. See the definitions of “large accelerated filer,” “accelerated filer”, “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.:
Large accelerated filer
Non-accelerated filer
☐
☒
Accelerated filer
Smaller reporting company
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial
accounting standards provided pursuant to Section 13(a) of the Exchange Act ☐
Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over financial
reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report. ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act.) Yes ☐ No ☒
The aggregate market value of the registrant's voting and non-voting common stock held by non-affiliates was approximately $413.7 million based on the closing price of the
registrant’s common stock on June 30, 2021, the last business day of the registrant's most recently completed second fiscal quarter. The calculation excludes shares of the registrant’s
common stock held by current executive officers, directors and stockholders that the registrant has concluded are affiliates of the registrant. This determination of affiliate status is not a
determination for other purposes.
As of March 21, 2022, there were 53,643,263 shares of the registrant's common stock outstanding.
Portions of the registrant’s definitive proxy statement for its 2022 annual meeting of stockholders, which the registrant intends to file pursuant to Regulation 14A with the
Securities and Exchange Commission not later than 120 days after the registrant’s fiscal year ended December 31, 2021, are incorporated by reference into Part III of this Annual Report
on Form 10-K.
DOCUMENTS INCORPORATED BY REFERENCE
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SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS
TABLE OF CONTENTS
Item 1.
Item 1A.
Item 1B.
Item 2.
Item 3.
Item 4.
Item 5.
Item 6.
Item 7.
Item 7A.
Item 8.
Item 9.
Item 9A.
Item 9B.
Item 9C.
Item 10
Item 11.
Item 12.
Item 13.
Item 14.
Item 15.
Item 16.
Business
Risk Factors
Unresolved Staff Comments
Properties
Legal Proceedings
Mine Safety Disclosures
PART I
PART II
Market for Registrant's Common Equity, Related Stockholder Matters and Issuers Purchases of Equity Securities
Reserved
Management's Discussion and Analysis of Financial Condition and Results of Operations
Quantitative and Qualitative Disclosures about Market Risk
Financial Statements and Supplementary Data
Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
Controls and Procedures
Other Information
Disclosure Regarding Foreign Jurisdictions that Prevent Inspections
PART III
Directors, Executive Officers and Corporate Governance
Executive Compensation
Security Ownership of Certain Beneficial Owners and Management and Related stockholder Matters
Certain Relationships and Related Transactions, and Director Independence
Principal Accountant Fees and Services
PART IV
Exhibits and Financial Statement Schedules
Form 10-K Summary
SIGNATURES
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SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS
This Annual Report on Form 10-K contains forward-looking statements, including within the meaning of Section 27A of the Securities Act of 1933,
as amended (the "Securities Act"), and Section 21E of the Securities Exchange Act of 1934, as amended (the "Exchange Act"). All statements other
than statements of historical fact are “forward-looking statements” for purposes of this Annual Report on Form 10-K. These statements involve
known and unknown risks, uncertainties and other important factors that may cause our actual results, performance or achievements to be
materially different from any future results, performance or achievements expressed or implied by the forward-looking statements.
In some cases, you can identify forward-looking statements by terminology such as “anticipate,” “believe,” “could,” “estimate,” “expect,” “intend,”
“may,” “plan,” “potential,” "target," “predict,” “project,” "contemplate," “should,” “will,” “would” or the negative or plural of those terms or other similar
expressions.
Forward-looking statements may include, but are not limited to, statements about:
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our status as a development-stage company and our expectation to incur losses in the future;
our ability to continue as a going concern, our future capital needs and our need to raise additional funds;
our estimates regarding our expenses including research and development costs, future revenues, and anticipated future capital requirements;
our future results of operations, financial position, business strategy and prospective products;
our ability to build a pipeline of product candidates and develop and commercialize drugs;
our ability to develop therapeutic interventions;
plans and objectives of management for future operations and the future results of anticipated products;
our ability to enroll patients and volunteers in clinical trials, timely and successfully complete those trials and receive necessary regulatory
approvals;
timing and plans for clinical trials and product candidate approvals;
the timing, progress, receipt and release of data from our ongoing and planned clinical trials and the potential use of those candidates to treat
various indications;
our ability to establish our own manufacturing facilities and to receive or manufacture sufficient quantities of our product candidates;
our expectations regarding the potential safety, efficacy or clinical utility of our product candidates;
the impact of the COVID-19 pandemic on our operations, including our preclinical studies and clinical trials, and the continuity of our business;
our ability to protect and enforce our intellectual property rights;
federal, state, and foreign regulatory requirements, including regulation of our product candidates by the U.S. Food and Drug Administration
(the "FDA");
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the likelihood of regulatory filings and approvals;
our ability to obtain and retain key executives and attract and retain qualified personnel;
activities related to strategic collaborations and anticipated revenue therefrom;
our ability to successfully manage our growth; and
developments relating to our competitors and our industry.
Factors that may cause actual results to differ materially from current expectations include, among other things, those set forth in “Summary Risk
Factors” and Part I, Item 1A. “Risk Factors,” below and the reasons described elsewhere in this Annual Report on Form 10-K. Any forward-looking
statement in this Annual Report on Form 10-K reflects our current view with respect to future events, speaks only as of the date of this Annual
Report on Form 10-K, and is subject to these and other risks, uncertainties and assumptions. Given these uncertainties, you should not rely on
these forward-looking statements as predictions of future events. Although we believe that the expectations reflected in the forward-looking
statements are reasonable, our information may be incomplete or limited and we cannot guarantee future results. Moreover, we operate in an
evolving environment. New risk factors and uncertainties may emerge from time to time, and it is not possible for management to predict all risk
factors and uncertainties. Except as required by law, we assume no obligation to update or revise these forward-looking statements for any reason,
even if new information becomes available in the future.
This Annual Report on Form 10-K also contains estimates, projections and other information concerning our industry, our business and the markets
for certain drugs and consumer products, including data regarding the estimated size of those markets, their projected growth rates and the
incidence of certain medical conditions. Information that is based on estimates, forecasts, projections or similar methodologies is inherently subject
to uncertainties and actual events or circumstances may differ materially from events and circumstances reflected in this information. Unless
otherwise expressly stated, we obtained these industry, business, market and other data from reports, research surveys, studies and similar data
prepared by third parties, industry, medical and general publications, government data and similar sources and we have not independently verified
the data from third party
sources. In some cases, we do not expressly refer to the sources from which these data are derived.
In this Annual Report on Form 10-K, unless otherwise stated or as the context otherwise requires, references to “Evelo,” “we,” “us,” “our” and similar
references refer to Evelo Biosciences, Inc. and our wholly owned subsidiaries. This Annual Report on Form 10-K also contains references to our
trademarks and to trademarks belonging to other entities. Solely for convenience, trademarks and trade names referred to, including logos, artwork
and other visual displays, may appear without the ® or TM symbols, but such references are not intended to indicate, in any way, that their
respective owners will not assert, to the fullest extent under applicable law, their rights thereto. We do not intend our use or display of other
companies’ trade names or trademarks to imply a relationship with, or endorsement or sponsorship of us by, any other companies.
SUMMARY RISK FACTORS
Our business is subject to numerous risks and uncertainties, including those described in Part I, Item 1A. “Risk Factors” in this Annual Report on
Form 10-K. You should carefully consider these risks and uncertainties when investing in our common stock. Principal risks and uncertainties
affecting our business include the following:
• We are a development-stage company and have incurred significant losses since our inception. We expect to incur losses for the foreseeable
future and may never achieve or maintain profitability. Moreover, our limited operating history may make it difficult to evaluate the success of our
business to date and to assess our future viability.
• We have identified conditions and events that raise substantial doubt about our ability to continue as a going concern. We will need additional
funding in order to complete development of our product candidates and commercialize our products, if approved. If we are unable to raise
capital when needed, we will be forced to delay, reduce or discontinue our product development programs or commercialization efforts.
• Our product candidates are based on targeting SINTAX™, the small intestinal axis, which is an unproven approach to therapeutic intervention.
• We are dependent on the success of our investigational product candidates. If the investigational product candidates do not successfully
complete clinical development or receive regulatory approval, our business may be harmed.
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The regulatory approval process is lengthy, expensive and uncertain, and we may be unable to obtain regulatory approval for our product
candidates under applicable regulatory requirements of the United States and/or internationally. The denial or delay of any such approval would
delay commercialization of our product candidates and adversely impact our ability to generate revenue, our business and our results of
operations.
• We rely, and will continue to rely, on third parties to conduct the clinical trials for our product candidates, and those third parties may not perform
satisfactorily, including failing to meet deadlines for the completion of such trials.
• We do not have our own manufacturing capabilities and rely, and will continue to rely, on third parties to produce clinical supplies and, if
approved, commercial supplies of our product candidates. This reliance on third parties increases the risk that we will not have sufficient
quantities of our product candidates or such quantities at an acceptable cost, which could delay, prevent or impair our development or
commercialization efforts.
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If we are unable to establish our own sales, marketing and distribution capabilities, or enter into agreements with third parties to sell and market
our product candidates, we may not be successful in commercializing our product candidates if and when they are approved, and we may not
be able to generate any revenue.
The successful commercialization of our product candidates will depend in part on the extent to which governmental authorities and health
insurers establish coverage, adequate reimbursement levels and pricing policies. Failure to obtain or maintain coverage and adequate
reimbursement for our product candidates, if approved, could limit our ability to market those products and decrease our ability to generate
revenue.
• We face substantial competition, which may result in others discovering, developing or commercializing drugs before or more successfully than
we do.
• Our product candidates may cause undesirable side effects or have other properties that could delay or prevent
their regulatory approval, cause us to suspend or discontinue clinical trials, limit the commercial profile of an approved label, or result in
significant negative consequences following marketing approval, if any.
If we are unable to adequately protect our proprietary technology, or obtain and maintain issued patents which are sufficient to protect our
product candidates, other companies could compete against us more directly, which would have a material adverse impact on our business,
results of operations, financial condition and prospects.
The COVID-19 pandemic has adversely impacted, and may continue to adversely impact, our business, including our preclinical studies and
clinical trials, results of operations and financial condition.
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Item 1. Business
Overview
PART I
Evelo Biosciences is discovering and developing a new class of orally delivered investigational medicines that are intended to act on cells in the
small intestine to produce therapeutic effects throughout the body. The target cells in the small intestine play a central role in governing human
immune, metabolic and neurologic systems. We refer to this biology as the small intestinal axis, or SINTAX™. We have built a platform to discover
and develop novel oral medicines which target the small intestinal axis. By harnessing the small intestinal axis, we have the potential to transform
healthcare via medicines that have the potential to be effective, safe, convenient and affordable and to thereby treat patients at all stages of
diseases and to treat patients globally.
Our first product candidates are orally delivered pharmaceutical preparations of naturally occurring, specific single strains of microbes or microbial
extracellular vesicles. In preclinical models, our product candidates engaged immune cells in the small intestine and drove changes in systemic
biology without any observed systemic exposure. We have observed in clinical trials and preclinical studies that our approach led to modulated
immune responses throughout the body by acting on the small intestinal axis. Our most advanced product candidate, EDP1815, is being developed
for the treatment of inflammatory diseases. Additional product candidates in development include EDP1867 and EDP2939 for the treatment of
inflammatory disease.
Orally delivered SINTAX medicines have the potential to address patient needs at all stages of disease due to their potentially superior
characteristics over current therapies:
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In preclinical models, our product candidates have acted through multiple clinically relevant and validated biological pathways. By acting on
multiple pathways simultaneously, we believe our product candidates could impact disease in ways that are not possible with current single-
target or dual-target therapies.
• Our data suggest that our product candidates for inflammatory diseases have the potential to resolve disease causing inflammation whilst
preserving immunity, a significant potential benefit. Anti-inflammatory therapies often cause significant immune suppression.
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EDP1815 has been administered in approximately 480 human subjects as of March 11, 2022, and been generally well tolerated in clinical trials
to date. EDP1815 and our other product candidates are derived from naturally occurring, specific single commensal strains of human bacteria,
have not shown systemic exposure in clinical trials to date, and have been observed to be cleared from the body with no colonization of the gut.
• Our product candidates are formulated as oral medicines, which most patients prefer over injectable biologics and burdensome application of
topical medicines.
• We have developed robust manufacturing processes for EDP1815, allowing for large scale production and the potential for global, room-
temperature stable distribution of EDP1815 at affordable prices.
• We believe our discovery and development of oral SINTAX medicines has the potential to be more efficient than other product classes such as
cell therapy, monoclonal antibodies and small molecules. We believe that our product candidates will not require the lengthy target validation
and compound discovery requirements of conventional drug discovery. In turn, we believe that SINTAX medicines provide a clear pathway to
successfully achieving our mission to treat patients at all stages of disease, across the globe.
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Our Strategy
Our goal is to create and develop a new class of therapies that has the potential to transform the treatment of a broad range of diseases by
targeting SINTAX.
Key elements of our strategy:
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Explore the full potential of SINTAX to create an expansive and diversified product portfolio. We believe targeting SINTAX has
applicability across a broad range of disease areas and we are committed to pursuing opportunities in which our platform has the potential to
transform their treatment. Our initial focus is on inflammatory diseases and oncology. We intend to expand into other disease areas, such as
autoimmune diseases, respiratory diseases, neuro-inflammation and degeneration, allergy, neurobehavior, cardiovascular disease and
diseases of metabolism. We also see the potential for early disease interception and intervention, and the ability to impact inflammation driven
aging.
• Develop best-in-class therapies to improve outcomes across various stages of disease. We intend to develop best-in-class orally
delivered therapies and explore the potential of SINTAX medicines across the full spectrum of disease severity, including in patients with mild
and moderate forms of disease. We intend to pursue what we believe to be the inherent advantages of SINTAX medicines to enable use in all
stages of disease.
• Advance and scale our SINTAX medicine platform. We plan to continue to invest in our platform, which integrates microbiology, immunology
and computational biology capabilities. We intend to expand the diversity of our microbial library and enhance our proprietary in vitro and in vivo
assays to optimize selection of our future product candidates. Our manufacturing processes are designed to ensure the quality and scalability of
our product candidates. We plan to continue to invest in novel methods for process development, manufacturing and formulation for our
SINTAX medicine. In the future, we intend to invest in commercial scale manufacturing. We plan to leverage the efficiency of our integrated
capabilities to accelerate the clinical development of product candidates.
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Expand our intellectual property to protect our platform and product candidates. We have exclusive rights to our technologies including
issued composition of matter and method of use patents in the United States relating to some of our product candidates. We intend to pursue
patent protection for our scientific innovations and to maintain a strong and broad estate of patents and trade secrets in the United States and
other geographies.
• Collaborate to realize the potential of SINTAX medicines. We intend to continue to seek collaborations with academic groups, biotech and
pharmaceutical companies to realize the value of our broad platform and extend the range of our development activities and disease areas in a
timely and cost-effective manner. We plan to commercialize products in multiple geographies both on our own and with collaborators.
The Immune System and the Use of Immunotherapy in Disease
Immunology and Current Immunotherapy
The immune system consists of many different cell types that act together as a coordinated system constantly scanning for, identifying and
responding to both human and microbial signals. Immune cells, including different types of T-cells, circulate throughout the body via the lymphatic
system searching for signs of disease or infection. When this immune surveillance is functioning correctly, immune cells recognize and destroy both
pathogens and cancer cells. However, when the immune system responds excessively, diseases such as psoriasis, rheumatoid arthritis, atopic
dermatitis, asthma, inflammatory bowel disease and multiple sclerosis can result. Conversely, an inadequate immune system response may allow
various types of cancer and infections to progress unchecked.
Advances in our understanding of how the immune system affects a broad spectrum of disease has resulted in the development of
immunotherapies, which are medicines that reduce, suppress, elicit or amplify specific immune responses. Antibody-based immunotherapies for
inflammatory diseases and oncology have fundamentally changed the treatment landscape for patients. For example, anti-TNFα antibodies are
widely used to treat moderate to severe stages of many inflammatory diseases. In 2020, three of the twenty top selling drugs worldwide were anti-
TNFα antibodies, with HUMIRA alone generating worldwide annual net sales of $20.4 billion. In oncology, checkpoint inhibitor antibodies, including
those targeting the programmed cell death protein/ligand 1, or PD-1/PD-L1
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pathways, block the tumor’s ability to suppress the immune response. They have improved the treatment of many cancers and are expected as a
class to reach peak annual net sales of $30 billion by 2025. While existing immunotherapies have been successful in treating inflammatory diseases
and oncology, there remains a substantial unmet need for patients.
Emergence of a Broad New Opportunity in Immunotherapy
Until recently, immunotherapeutic approaches have largely ignored one of the body’s naturally-evolved routine immunological processes and its
associated immune organ — the gut, and specifically the small intestine. Immunomodulation through the small intestine has the potential to address
certain limitations of current immunotherapies by acting on multiple naturally evolved and clinically relevant pathways. We believe this novel
approach presents advantages, including potentially minimizing adverse events, enhancing patient convenience and targeting multiple immune
pathways simultaneously. We believe that a novel class of therapeutics with these attributes has the potential to be transformative in treating a
broad range of immune-mediated diseases. Furthermore, we believe this approach could also expand the use of immunotherapies for the treatment
of patients with earlier stages of disease.
SINTAX is Central to Human Biology and Immunology
The small intestine is the largest part of the immune system. Specific types of immune cells, such as dendritic cells and macrophages, are resident
in the tissue of the small intestine. They sample specific contents in the interior of the small intestine, which is called the lumen. These immune cells
then migrate to lymph nodes where they condition other important immune cells, including T-cells. These conditioned T-cells then travel throughout
the body via the lymphatic system to impact disease. We believe SINTAX provides an opportunity for immunomodulation throughout the body after
oral delivery of products that remain physically restricted to the lumen and lymphoid tissues of the gut. Immunomodulation via SINTAX may
represent an underappreciated opportunity to drive therapeutically relevant immune responses throughout the body.
SINTAX, Microbes and Microbial Extracellular Vesicles
Microbes in the human gut are single-cell organisms that have co-evolved with the human immune system. Many human immune cells are
programmed to sense and respond to microbes that they contact in the small intestine. Research in mucosal immunology has revealed that
microbial interactions in the small intestine can drive activity in SINTAX.
Multiple mechanisms for direct interactions between microbes and immune cells in the small intestine have been demonstrated. We believe that
dendritic cells and macrophages in the lymphoid tissues of the small intestine are key target cells of immunomodulatory microbes. The small
intestine has a large surface area and thin and diffuse mucus layer, which allows for close contact between microbes and immune cells. Dendritic
cells are a specialized type of immune cell that survey the body’s tissues, detecting and presenting antigens to T-cells. Macrophages can take on
many functional forms depending on the conditioning of their environment in the body and are important for both anti-inflammatory and anti-tumor
immunity. Immune cells, such as dendritic cells and macrophages, can extend protrusions through junctions between epithelial cells in the lining of
the small intestine. These protrusions come into direct contact with and sample the microbial contents of the small intestine lumen. These immune
cells then migrate to mesenteric lymph nodes where they come into contact with T-cells. Dendritic cells and macrophages that have been primed by
exposure to microbes in the gut, condition T-cells within the mesenteric lymph node and push them towards an inflammatory or immunoregulatory
phenotype depending on the specific strain of the microbe. Conditioned T-cells continue to move through the body via the lymphatic system to other
parts of the body where they may act in local tissue to modulate an immune response.
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Several of our academic collaborators have explored the functional consequences of the interactions between immune cells and single strains of
microbes in the gut. Veena Taneja, Ph.D. and Joseph Murray M.D. of the Mayo Clinic showed that an orally administered strain of Prevotella
histicola modulated immune function in mouse models of rheumatoid arthritis, multiple sclerosis, Type I diabetes, and celiac disease. In the field of
immuno-oncology, Thomas Gajewski, M.D., Ph.D. and his group at the University of Chicago conducted an experiment in which a single strain of
orally administered Bifidobacterium had equivalent activity to an anti-PD-L1 antibody and additive activity in combination in a mouse model of
melanoma. We believe these and other examples from the academic literature support our theory that single strains of microbes can act on SINTAX
to suppress or activate immune responses throughout the body. Our clinical data to date also support this theory.
As an extension of our platform, we are evaluating microbial extracellular vesicles (“EVs”) as a next wave of product candidates targeting SINTAX.
EVs are lipoprotein nanoparticles that are naturally secreted by multiple cell types, including certain bacterial cells. EVs are a core component of
host-microbe communication and contain the pharmacologically active structural motifs that drive activity of single-strain microbes. We believe EVs
have the potential to enable stronger SINTAX activation and therapeutic efficacy through their smaller size and diffusion properties.
SINTAX medicines as a Potential New Class of Oral Biologic Medicines
Our company was founded to discover and develop therapies that act on SINTAX. We aim to develop therapies based on our observations on the
central role of the small intestine in modulating immune activity throughout the body and the equally important role of microbes as key modulators of
SINTAX.
We have developed the tools to isolate, select, and develop specific microbes that have historically been difficult to identify, isolate and culture. This
extends from microbial isolation to manufacturing. We have developed proprietary insights and tools that enhance our ability to produce
pharmaceutical compositions of microbes at scale. This allows us to deliver potentially therapeutic doses of appropriately formulated strains.
We are developing SINTAX medicines - whole, inactivated microbes and microbial EVs - to engage cells in the small intestine and drive changes in
systemic biology, by either downregulating or upregulating immune responses
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for the treatment of disease. SINTAX medicines are orally delivered pharmaceutical compositions of specific strains of microbes or EVs from
specific strains of microbes.
We believe key features and advantages of our SINTAX medicine candidates are:
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Single strain. Our product candidates are pharmaceutical compositions of single strains of microbes or EVs produced by single strains of
microbes that we have selected for their specific immunomodulatory properties. We extensively characterize the ability of our product
candidates to elicit a desired immunomodulatory effect.
• Orally administered formulation. We intend to deliver our initial product candidates orally in formulations designed for targeted release to
specific regions within the small intestine. Patients typically prefer oral administration to intravenous infusion, subcutaneous injection, and
topical administration, which we believe will facilitate the adoption of our SINTAX medicines, if approved.
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Limited systemic exposure. In preclinical studies, we observed that our product candidates had limited systemic exposure, that they cleared
from the gut within 24 to 48 hours and that colonization was not required for beneficial activity. We believe that these factors suggest that
SINTAX medicines may have limited systemic off-target side-effects. Our clinical data to date support this potential.
Action on multiple clinically relevant and validated pathways. Our preclinical data have shown that SINTAX medicines may act simultaneously
on multiple clinically relevant and validated biological pathways. The diseases we intend to treat are multifactorial, and we believe that our
potential therapies will be advantageous over single-target treatments. Additionally, our data suggest that SINTAX medicines resolve
inflammation whilst preserving immunity, a significant potential benefit compared to other anti-inflammatory therapies that often cause significant
immune suppression.
Given these expected features, we believe that SINTAX medicines may have a number of advantages in comparison to other immunotherapies
such as antibodies, cell therapies and small molecules.
SINTAX Medicine Platform
We have developed an integrated platform designed to identify individual strains of microbes capable of modulating the immune system by acting
on SINTAX when administered at pharmacologically active doses and appropriately formulated. We use the process development and formulation
capabilities of our platform to develop selected microbes and EVs as product candidates.
Our proprietary SINTAX platform is comprised of the following four key areas:
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Candidate discovery. We have assembled a proprietary library of diverse strains of microbes. The continuing accrual of strains in our library is
from human mucosal and small intestinal sources in order to benefit from the co-evolution of microbes and the human immune system. We also add
to our library through selective licensing agreements and collaborations with academic partners. The proprietary tools within our platform are
designed to identify and characterize selected microbes using in vitro, in vivo and ex vivo assays. Proprietary in vitro assays simulate the
interactions between microbes and human immune cells, allowing us to evaluate the immunological activity of each microbial strain in relevant
experimental systems. Our in vitro assays can screen hundreds of microbes, producing more than 150 data points per strain, including levels of pro-
inflammatory and anti-inflammatory cytokines and chemokines. This assists our comprehensive selection process to identify candidates for testing
in relevant animal models.
Product form. The activity of our SINTAX medicines observed in preclinical studies has been driven by engagement with and modification of
immune cells in the small intestine. This activity has not been reliant on engraftment (or colonization) as we have observed that our SINTAX
medicines passed through the gut and did not distribute around the body or engraft in the gut. Furthermore, this preclinical activity was observed to
be independent of the ability of our SINTAX medicines to replicate. From this observation, we believe that activity of SINTAX medicines is likely
driven by recognition of structural motifs on the surface of microbes or EVs by immune cells in the small intestine. Our candidate selection process
may include an additional manufacturing step for our whole-microbe candidates to develop them as non-replicating product candidates, such as
EDP1867. We are also developing reduced forms of our whole-microbe product candidates, for example in the form of EVs, to target SINTAX.
Preclinical studies suggest that this approach may further improve potency and activity and we anticipate the initiation of clinical development of
EDP2939, an EV product candidate, in 2022.
Formulation. In our first clinical trials, product candidates were formulated as capsules containing lyophilized powder for targeted release in the
small intestine. We have continued to explore potency and dose as it relates to formulation and have developed manufacturing processes that
increase the concentration of EDP1815. Additionally, we have developed a tablet formulation with the higher concentration of EDP1815, also for
targeted release in the small intestine. We are committed to continuously investing in formulation development to improve the potency and delivery
of our product candidates and enhance their ability to target and act on SINTAX.
Process development and manufacturing. Process development and manufacturing are critical for the translation of SINTAX medicines into
therapies. Our expertise and investments in laboratory and pilot scale development have allowed us to mitigate challenges inherent to
manufacturing SINTAX medicines at clinical scale.
Process development is integrated into our research activities, combining discovery and downstream development. We believe we have achieved
control of quality, identity, purity, and potency throughout the process of strain selection, fermentation, EV purification, formulation, and
pharmacology, with high yield. Importantly, we believe our manufacturing processes enable us to produce a drug substance that is
pharmacologically active in the form of a lyophilized powder, which is suitable for production in accordance with current Good Manufacturing
Practice ("cGMP"), Good Manufacturing Practice ("GMP"), and other similar foreign regulations. For each of our clinical product candidates, we
have observed therapeutic activity in lyophilized powder form and in compressed tablet form in relevant preclinical mouse models and, in the case
of EDP1815, in clinical trials using lyophilized powder in capsules.
We have been able to manufacture SINTAX medicines in a relatively short timeframe compared to other biologic therapies, which we believe may
accelerate our speed into the clinic. Additionally, we believe that we may be able to cost-effectively manufacture SINTAX medicines.
Product Development Strategy and Portfolio
We are advancing SINTAX medicines to potentially treat a spectrum of immune-mediated diseases, with an initial focus on inflammatory diseases.
We expect our initial clinical trials for our product candidates to provide information on safety, tolerability, pharmacodynamic responses and
biomarkers of immune response in multiple indications with different pathologies and sites of disease. This may allow for expansion into an
additional range of clinical indications, which could enable us to capture broader clinical value.
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Beyond our first wave of product candidates in inflammatory diseases, we are continuing to invest in the discovery of new candidates to build a
deep pipeline across a wide range of diseases, including in neuroinflammation, to leverage the broad potential of our platform. We also intend to
opportunistically collaborate to expand indications and accelerate development of programs where collaborators can contribute further disease-
specific expertise to our platform.
In addition to product candidates based on whole and inactivated microbes, which include EDP1815 and EDP1867, we continue to advance the
development of orally delivered EVs. EVs are lipoprotein nanoparticles naturally produced by some bacteria. EVs have the potential to enable
increased target engagement driven by their small size, as they are approximately 1/1,000 the volume of whole microbes. We have nominated two
EV clinical candidates, EDP2939 and EDP1908, for the treatment of inflammatory diseases and cancer, respectively, and anticipate initiating the
first-in-human clinical trial of EDP2939 in 2022.
th
Our ongoing and planned clinical trials for our current product candidates are illustrated below.
Inflammatory Diseases Portfolio
We have three candidates in development for inflammatory diseases. EDP1815 is a whole-microbe product candidate that completed a Phase 2
trial for the treatment of psoriasis in 2021, and is currently in a Phase 2 trial for the treatment of atopic dermatitis. Additionally, we advanced
EDP1867, an inactivated, whole-microbe product candidate, into a Phase 1b study in 2021 in patients with atopic dermatitis. EDP2939 is our first
product candidate based on EVs, and we anticipate initiation of clinical development of this product candidate in 2022.
EDP1815
EDP1815 is an investigational oral biologic being developed for the treatment of inflammatory diseases. It is a single strain of Prevotella histicola,
selected for its specific pharmacology.
Psoriasis and atopic dermatitis
Phase 2 clinical trial in psoriasis
In September 2021, we announced positive data from our Phase 2 trial of EDP1815 in psoriasis. This multicenter, randomized, double-blind,
placebo-controlled, dose-ranging Phase 2 trial was designed to evaluate three doses of an enteric coated capsule formulation of EDP1815 in adult
patients with mild and moderate psoriasis. The trial included a treatment phase (Part A) and an off treatment, follow-up phase (Part B). In Part A of
the trial, 249 patients were randomized in a 1:1:1 ratio to one of three parallel cohorts: 1 capsule, 4 capsules or 10 capsules. They were then
randomized in a 2:1 ratio to active or placebo prior to the start of dosing. Trial medication was taken once daily for 16 weeks, and patients were
followed for 4 weeks after treatment completion to week 20. Psoriasis Area and
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Severity Index (“PASI”) scores were assessed by both mean changes from baseline and responder rates. The primary endpoint was the mean
percentage change in PASI scores between treatment and placebo at 16 weeks. Secondary endpoints included the proportion of study patients who
achieved at least a 50% improvement in PASI from baseline at the week 16 timepoint (a "PASI-50" response), and other clinical measures of
disease such as Physicians Global Assessment ("PGA"), Body Surface Area ("BSA"), PGA x BSA, Psoriasis Symptom Inventory ("PSI"), and
Dermatology Life Quality Index ("DLQI").
The primary endpoint, the difference in mean percentage change in PASI scores from baseline at week 16 between treatment and placebo, was
prespecified as a Bayesian analysis. The Bayesian approach provides an estimate of the probability that EDP1815 was superior to placebo. The 16-
week primary endpoint gave probabilities that EDP1815 is superior to placebo ranging from 80% to 90% across the prespecified analyses and
cohorts.
The responder endpoint analysis evaluated the proportion of patients who achieved a PASI-50 (a meaningful clinical response) or greater reduction
in PASI score at week 16. As shown in the figure below, 25% to 32% of patients across the three EDP1815 treated cohorts achieved a PASI-50 or
greater reduction at week 16 compared to 12% on placebo. In cohorts 1 and 2, this difference in response rate was statistically significant (p <0.05).
Cohort 3 was not statistically significant, but directionally similar (25% vs. 12%). The pooled PASI-50 response across all three EDP1815 cohorts,
an exploratory analysis, was 29% vs. 12% for placebo and was also statistically significant with a p-value of 0.027. An increase in the number of
capsules of EDP1815 did not lead to a dose response.
*p<0.05.
PASI-50 responses at week 16. Statistically significant p-value (<0.05) for 2 of the 3 individual dose cohorts, and for all 3 cohorts when pooled
Additionally, several patients on EDP1815 achieved a PASI-75 response or better at week 16. For individuals who had a PASI-50 response or
better, consistent improvements in patient reported outcomes such as DLQI and PSI were observed as seen in the figure below.
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Responders in active cohort demonstrated improvements across multiple secondary endpoints. A "responder" was defined as an active patient who achieved PASI-50 or greater.
EDP1815 was observed to be well tolerated in Part A (treatment phase) of the Phase 2 trial. The safety data were comparable to placebo. Adverse
events ("AEs") classified as “gastrointestinal” were comparable between active and placebo groups, with no meaningful differences in rates of
diarrhea, abdominal pain, nausea, or vomiting. There were no drug related serious adverse events.
All patients in Part A of the Phase 2 trial had the option to enter Part B (extended follow-up phase, off-treatment) of the trial. The objective of Part B
was to assess durability of treatment response and incidence of rebound (for example, increase in PASI score to 125% of baseline value or above,
or onset of new pustular erythrodermic psoriasis within 3 months) following cessation of dosing. Patients in Part B were assessed during follow-up
visits at weeks 24 and 28. Only patients who had achieved a PASI-50 or greater at week 16 were also evaluated at week 40. Patients were not
permitted to start other psoriasis treatments or trials during Part B.
In February 2022, we announced data from Part B of the Phase 2 trial in psoriasis, which included durable and deeper clinical responses. Eighty-
three patients who had received EDP1815 in Part A entered Part B. Thirty of these 83 patients had achieved a PASI-50 or greater reduction at week
16 of Part A. Eighteen of the 30 patients remained at PASI-50 or greater at the end of Part B. Ten of the 30 patients had achieved a PASI-75 or
greater at the end of Part A and 5 remained at PASI-75 or greater at the end of Part B. These durable results were achieved without any new
psoriasis medication being used during this time. Nineteen of the 83 patients had achieved clear skin (PGA 0) or nearly clear skin (PGA 1) at the
end of Part A and of these, 9 remained at PGA 0/1 at the end of Part B.
Of the 30 patients who had reached a PASI-50 at the end of Part A and entered Part B, 10 had already achieved a PASI-75 response at week 16 in
Part A. Of the remaining 20 patients, 9 achieved a PASI-75 or greater response during the post-treatment period. These data, combined with the
durability data, suggest that longer dosing could lead to further deepening of the responses in some patients.
There were no drug related adverse events in Part B of the Phase 2 trial, with the additional finding of no flare or rebound following cessation of
dosing (which are often seen with other therapies for psoriasis).
In February 2022, we also announced the results of immunological biomarker analyses from Part A of the Phase 2 trial in psoriasis. We had
previously reported reductions in inflammatory cytokines in a Phase 1b trial of EDP1815 in mild and moderate psoriasis, and these data were
replicated in the Phase 2 psoriasis trial, with high statistical significance.
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Blood samples were taken from 96 patients at baseline and after 16 weeks of dosing with EDP1815 or placebo. The figures below show the
changes in pro-inflammatory cytokines interleukin 6 (IL-6), interleukin 8 (IL-8) and tumor necrosis factor (TNF). Each vertical bar represents the fold
change up or down from 0 in ex vivo stimulated cytokine production between the baseline and week 16 samples from a patient. Three different
stimuli were used on each sample and the results from all three stimuli are presented together in the figures, giving the aggregate N (sample)
numbers shown in the figures.
Treatment with EDP1815 led to a statistically significant reduction in the release of cytokines compared to placebo: IL-6 (p=0.0003), IL-8
(p=0.0007), and TNF (p=0.0037). The effect observed for EDP1815 may be clearly seen by the deep tail of reduced cytokine production on the left
of the distribution for each cytokine, which was absent in the placebo groups. There was no worsening compared to placebo on the right of the
distributions, resulting in the overall significant difference between EDP1815 and placebo.
In addition, skin biopsies of active lesions were taken from a subset of patients in the trial. Six of the patients who received EDP1815 and achieved
at least a PASI-50 response from baseline at week 16 had paired biopsies. RNAseq analysis of the biopsies showed reductions in transcript levels
for psoriasis-relevant cytokines interleukin 23 (IL-23), interleukin 12b (IL-12b), and interleukin 17 (IL-17) in these lesions between baseline and
week 16. The box plot below shows the median and interquartile ranges, as well as individual values of the cytokine expression levels in the skin, at
baseline and week 16. These data suggest that EDP1815 reduced inflammation in the skin by modulating multiple proinflammatory cytokines.
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We believe these data support the biology of the SINTAX and the development of a new potential class of medicine that is designed to act locally in
the small intestine to affect inflammation throughout the body. In the Phase 2 trial, there was no observed distribution of EDP1815 outside the gut.
Based on these data, we currently intend to move EDP1815 towards registration trials in psoriasis, following the completion of meetings with health
authorities.
Pediatric Investigation Plan for EDP1815 in Psoriasis
In February 2022, the European Medicines Agency ("EMA") agreed to our Pediatric Investigation Plan ("PIP") for EDP1815 in psoriasis, in
accordance with Regulation (EC) No 1901/2006 of the European Parliament and of the Council. The EMA agreement allows Evelo to include
patients 12–17 years old in Phase 3 trials, conduct a single clinical trial in patients 2–5 years old and 6–11 years old after the adult Marketing
Authorization Application ("MAA") has been submitted, and develop a pediatric formulation suitable for administration to patients 2–11 years old.
Furthermore, the EMA confirmed that juvenile toxicity studies are not required for EDP1815 and granted us a waiver from studying EDP1815 in
patients less than 2 years old.
Phase 1b and Phase 2 clinical trials in atopic dermatitis
In 2021, we reported preliminary clinical data from two cohorts of patients with mild and moderate atopic dermatitis in a Phase 1b randomized,
placebo-controlled, dose-escalating safety and tolerability trial of EDP1815. The primary endpoint was safety and tolerability. In the first readout, we
reported positive clinical data in a cohort of patients with mild and moderate atopic dermatitis (n=24), randomized 2:1 to receive EDP1815 in
capsules (8.0 x 10 total cells) or placebo for 56 days. This was the same concentration of EDP1815 that was used as one of the doses in our
Phase 2 trial in psoriasis. In the first Phase 1b trial cohort of patients with atopic dermatitis, EDP1815 was well-tolerated with no treatment-related
adverse events of moderate or severe intensity, and no serious adverse events. Secondary endpoints included a range of established markers of
clinical efficacy in atopic dermatitis, such as Eczema Area and Severity Index (“EASI”), the Investigator’s Global Assessment times body surface
area (“IGA* BSA”), and the SCORing Atopic Dermatitis (“SCORAD”) scores.
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Table 1
Clinical Measure
Treatment Difference between EDP1815 and Placebo Percentage Change at Day 56*
EASI
IGA*BSA
SCORAD
52% (p=0.062)
65% (p=0.022)
35% (p=0.068)
* Least Squares Mean Percentage Change From Baseline. Note that the Phase 1b trial was not powered to detect statistically significant outcomes on efficacy endpoints: p-values
presented are nominal values presented for illustrative purposes only.
The preliminary data showed consistent improvements in percentage change from baseline compared to placebo for all three clinical scores: EASI,
IGA*BSA, and SCORAD. In January 2022, in connection with locking the database for the Phase 1b trial, we further analyzed these preliminary
data and methodology used to report the SCORAD results from the first cohort of atopic dermatitis patients in the Phase 1b trial described above. In
the course of such review, we determined that the initial calculation of the SCORAD values was incorrect and we recalculated the SCORAD values.
The correct SCORAD values are shown in Table 1 above. The p-value change in SCORAD does not alter our prior belief that the SCORAD
secondary endpoint showed consistent improvement in percentage change from baseline compared to placebo. In addition, 7 out of 16 (44%)
patients treated with EDP1815 achieved an outcome of a 50% improvement from baseline in EASI score (an "EASI-50” response) by day 70,
compared with 0% in the placebo group, showing sustained improvement in those patients responding to EDP1815. In addition to physician-
reported clinical outcomes, patient-reported outcomes were also assessed. Treatment with EDP1815 resulted in clinically meaningful improvement
in DLQI and Patient-Oriented Eczema Measure (“POEM”). These patient-reported outcomes capture the important impact of the disease on
patients, including the domains of itch and sleep, both of which saw improvements in patients receiving EDP1815 in the trial. All five measures of
itch within the Pruritus-Numerical Rating Scale (“Pruritus-NRS”), SCORAD, POEM, and DLQI showed greater improvements in the treated group at
day 56 compared with placebo. We believe these results provide further evidence that modulating SINTAX has the potential to drive significant
clinical benefit without the need for systemic exposure.
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We reported data from a second cohort in the Phase 1b trial of 24 patients with moderate atopic dermatitis who were randomized in a 2:1 ratio, with
16 receiving a higher per capsule concentration formulation of EDP1815 (6.4 x 10 total cells) and 8 receiving a matching placebo once daily for
eight weeks. The primary objective was to assess the safety and tolerability of the higher per capsule concentration formulation of EDP1815 after
eight weeks of dosing. The secondary objective was to assess the clinical improvement in patients with moderate atopic dermatitis. All the patients
used an emollient twice daily for at least seven consecutive days immediately prior to day 1 and continued to use the background emollient
treatment twice daily throughout the trial. In this second cohort, EDP1815 was shown to be well-tolerated with no treatment-related adverse events
of moderate or severe intensity and no serious adverse events through eight weeks of dosing. An initial improvement in mean percent change in
EASI was observed at day 15 compared to placebo; however, the population mean change decreased over the remainder of the dosing period, and
there was no overall difference from placebo at the end of the dosing period. Given the difference in clinical effects observed between the two
cohorts in the Phase 1b trial, which were dosed with EDP1815 produced using different manufacturing processes, we are evaluating drug
substance produced using both manufacturing processes in our Phase 2 atopic dermatitis trial.
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In February 2022, we began dosing patients in a Phase 2 trial of EDP1815 in atopic dermatitis. The primary objective of this multicenter,
randomized, double-blind, placebo-controlled Phase 2 trial is to show superiority of EDP1815, dosed for 16 weeks, over placebo. The trial will enroll
patients with mild, moderate, and severe atopic dermatitis and will evaluate EDP1815 drug substance produced using two different manufacturing
processes. The primary endpoint will be the percent of patients who achieve an EASI-50 response at week 16. Secondary endpoints will include
several physician-reported outcomes, such as IGA and BSA, along with patient-reported outcomes such as DLQI, itch using the daily Pruritus-NRS,
and POEM. Patients will be randomized into one of three cohorts. Each cohort will include approximately 100 patients randomized in a 3:1 ratio (75
to EDP1815 and 25 to placebo) for a total of 300 patients. Cohort 1 will explore a daily dose of 1.6 x 10 total cells of EDP1815 or matching
placebo administered as two capsules once daily. Cohorts 2 and 3 will explore a daily dose of 6.4 x 10 total cells of EDP1815 or matching placebo
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administered as two capsules once daily or one capsule twice daily, respectively. The different dosages of drug (1.6 x 10 total cells and 6.4 x 10
total cells) are prepared from two different manufacturing processes. All patients will have the opportunity to join an open label extension trial once
they complete 16 weeks of dosing. Patients in the open label extension trial will receive EDP1815 for a further 36 weeks. Topline results from 16
weeks of dosing are anticipated in the first half of 2023.
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COVID-19
In March 2022, the Independent Data Monitoring Committee for the TACTIC-E clinical trial of EDP1815 for the treatment of hospitalized COVID-19
patients met for a scheduled review of data. No adverse signal was noted in the EDP1815 arm. However, we have concluded that the progressive
mildness of the COVID-19 pandemic makes yielding an outcome for EDP1815 unlikely. No further patients will be recruited. The trial will report once
all the data are complete. The TACTIC-E clinical trial was a Phase 2/3 randomized trial, sponsored by Cambridge University Hospitals NHS
Foundation Trust. The trial was investigating the safety and efficacy of certain experimental therapies in the prevention and treatment of life-
threatening complications associated with COVID-19 in hospitalized individuals at early stages of the disease. Previously in 2021, due to
recruitment issues, we closed a smaller US phase 2 trial evaluating the safety and efficacy of EDP1815 for the treatment of hospitalized patients
with newly diagnosed COVID-19.
Scintigraphy Studies
We continue to evaluate EDP1815 to ensure optimum delivery of the drug substance in the small intestine. As part of the delivery optimization
process, we are utilizing gamma scintigraphy imaging to assess delivery characteristics. An on-going Phase 1 single center clinical trial in healthy
human volunteers is assessing the release characteristics of capsules of EDP1815 by gamma scintigraphy. In March 2022, results from the Phase 1
trial showed that a capsule with an improved release profile was able to deliver EDP1815 higher up in the small intestine. In 17 of the human
volunteers studied, 15 (or 88%) showed that EDP1815 released in the jejunum, the upper part of the small intestine. Preclinical data, meanwhile,
have shown that the higher that EDP1815 is released in the small intestine, the greater the observed effect. We currently intend to evaluate this
capsule in patients in one or more suitable upcoming clinical trials.
We currently intend to evaluate EDP1815 in additional inflammatory disease indications. Potential indications include psoriatic arthritis, asthma,
allergy, axial spondylarthritis and rheumatoid arthritis.
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EDP1867
EDP1867 is an investigational, non-live pharmaceutical preparation of a single strain of Veillonella parvula, isolated from the ileum of a human
donor. It is made non-live by gamma-irradiation in the manufacturing process, which we believe makes it unable to colonize or persist in the gut, a
central design feature of SINTAX medicines. EDP1867 is currently in clinical development, and we believe it has the potential to treat a wide range
of inflammatory and neuroinflammatory diseases.
In preclinical studies, EDP1867 resolved multiple pathways of inflammation. This observed activity suggests a number of possible indications for the
development of EDP1867, including Th2-dependent inflammation which underlies atopic diseases such as atopic dermatitis, asthma and perennial
rhinitis.
Additionally, in October 2021, we presented further preclinical data for EDP1867 at the European Committee for Treatment and Research in Multiple
Sclerosis (“ECTRIMS”). In the relevant preclinical study, EDP1867 was tested in a relapsing-remitting autoimmune encephalomyelitis (“EAE”)
mouse model of neuroinflammation. Oral daily treatment with EDP1867 administered prophylactically or therapeutically reduced the severity of
disease as demonstrated by a decreased mean maximum score and a decreased incidence of relapse compared to placebo. Treatment with
EDP1867 reduced inflammation and demyelination in the spinal cord as shown in histopathological analysis. Transcriptional profiling of small
intestine tissue confirmed that EDP1867 upregulated genes in lymphocyte pathways that resolve inflammation, as well as genes associated with
intestinal homeostasis. We believe these data support the development of EDP1867 for the treatment of neuroinflammatory diseases.
We initiated our first Phase 1b clinical trial of EDP1867 in healthy volunteers and patients with moderate atopic dermatitis in February 2021 and
expect to report interim data in the second quarter of 2022.
EDP2939
EDP2939 is an investigational oral EV biologic being developed for the treatment of inflammatory diseases. In May 2021, we presented preclinical
data for EDP2939 at the American Association of Immunologists Meeting. In the preclinical mechanism of action study, mice undergoing a delayed-
type hypersensitivity (DTH) reaction against keyhole limpet hemagglutinin (KLH) were treated with EDP2939, EDP2939 in combination with different
blocking antibodies, or with placebo. These data suggest that the pharmacological activity of EDP2939 may require the stimulation of both the TLR2
receptor and IL-10 receptor signaling, in addition to lymphocyte homing from the systemic circulation to the intestinal lymphoid tissue. In-vitro,
EDP2939 induced TLR2-dependent release of IL-10. Fluorescent biodistribution analysis showed that EDP2939 was not detected outside the
gastrointestinal tract. We also did not observe any apparent adverse safety or tolerability issues in these preclinical studies. We believe these data
suggest that treatment with EDP2939 could result in broad-based resolution of inflammation and the establishment of immune homeostasis.
EDP2939 is the first EV product candidate we have nominated in our inflammation program. We anticipate initiation of clinical development in 2022,
and expect data from a cohort of patients with psoriasis will be available in the second half of 2023.
Inflammation Preclinical and Clinical Data
Each of the product candidates in our inflammation program has demonstrated the potential to simultaneously impact multiple pathways and
associated cytokines in preclinical assays, suggesting that they may have broader applicability than individual cytokine-directed therapies.
Specifically, the product candidates demonstrate efficacy in Th1, Th2 and Th17 preclinical models of inflammation. The clinical and biomarker data
from the EDP1815 trials suggest this preclinical activity translates to humans, with the biomarker data suggesting activity in Th1 driven
inflammation, atopic dermatitis (Th2 driven inflammation), and psoriasis (Th17 driven inflammation). Importantly, pre-clinical experiments and
human biomarker data from the EDP1815 Phase 1b and Phase 2 clinical trials in patients with psoriasis suggest that SINTAX medicines are
inflammation resolving and are not immunosuppressive.
Inflammation Development Strategy
We selected psoriasis and atopic dermatitis, the most common type of eczema, as indications for first-in-human studies based upon our preclinical
data, unmet need in large patient populations, the ease of access to patient tissue for biomarker analysis and the speed of clinical data readout.
Patients with mild and moderate disease represent between 80% and 90% of the patient population, which is estimated to represent more than 25
million people in the United States. We believe these patients are underserved by current treatments, including topical steroids, which either
inadequately control the inflammation, are not safe for long-term use, or are inconvenient and
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burdensome in application, leading to poor adherence and reduced efficacy in a real-world setting. The majority of novel therapies, including next
generation biologics for psoriasis targeting IL-17, IL-23 or IL4RA, two pro-inflammatory cytokines and a cytokine receptor, are only approved for
patients with moderate-to-severe disease. Even in the moderate and severe settings, a large majority of eligible patients do not receive biologics.
Many patients are uncomfortable with high-cost, injectable antibody therapies or with the toxicity concerns and monitoring requirements of systemic
immunosuppressants. There is a large need across the spectrum of disease severity, and especially for midline, pre-biologic patients, for a safe and
well-tolerated oral medicine that resolves the systemic inflammation that drives psoriasis and atopic dermatitis.
If our product candidates demonstrate placebo-like safety and tolerability and limited adverse events in clinical trials, they could open up a larger
market than the one currently treated by biologics. We also intend to broaden our studies to treat patients with moderate and severe inflammation,
potentially expanding this market opportunity further.
In preclinical mouse models, our inflammatory disease product candidates reduced systemic inflammation with equal or better activity than current
standard of care therapies. We believe that this observation may translate to broad activity across a variety of inflammatory diseases. We have
produced preclinical data in distinct mouse models that are driven by different immune mechanisms, suggesting that single SINTAX medicines may
impact multiple immune pathways.
Th1- and Th17-driven inflammation are implicated in psoriasis, joint inflammatory diseases and neuroinflammation, while Th2-driven inflammation
plays a larger role in atopic and allergic diseases. With current cytokine-directed therapies, agents are targeted towards a specific cytokine to
influence one or more of these pathways. For instance, Th1-driven inflammation can be controlled by TNFa or IL-6 inhibition, Th17-driven
inflammation can be controlled by IL-17 or IL-23 inhibition, and Th-2 driven inflammation can be controlled by IL-4 or IL-13 inhibition. In preclinical
studies, EDP1815 simultaneously modulated each of these inflammatory pathways.
Oncology Portfolio
We are developing SINTAX medicines for the treatment of multiple cancer types.
EDP1908
In December 2020, we announced EDP1908 as our lead product candidate in oncology following presentation of preclinical data at the Society for
Immunotherapy for Cancer meeting in November 2020. Preclinical data showed that orally administered EDP1908, an EV, resulted in superior
tumor growth control versus either the parent microbe or anti-PD-1 therapy, with an observed dose-dependent reduction in tumor growth.
Preclinical data suggest that EDP1908 is active through different immune mechanisms beyond those targeted by checkpoint inhibitors, such as PD-
1/PD-L1, or cytotoxic T-lymphocyte associated protein 4 (CTLA4) inhibitors. Research suggests that checkpoint inhibition prevents the
downregulation of the immune system induced by tumors. In preclinical models, we observed that EDP1908 stimulated upregulation of the immune
response to tumors. Oral administration of EDP1908 in preclinical mouse models resulted in robust, dose-dependent anti-tumor activity superior to
that of anti-PD-1 using different immune mechanisms. The effects were at least comparable to those reported in the literature for intratumorally
administered immune stimulators.
We believe that EDP1908, and possibly additional EV product candidates, have the potential to broaden the base of cancer immunotherapy and
augment current standard-of-care therapies. Treatment with EDP1908 in syngeneic mice suggested a variety of potential effects on innate and
adaptive immunity, including activated IFNg-positive cytolytic and helper lymphocytes, dendritic cells, and interferon gamma-induced protein 10 (IP-
10) levels in the tumor microenvironment. Fluorescent biodistribution analysis showed that EDP1908 was not detected outside the gastrointestinal
tract. These data suggest that EDP1908 activated immunity locally on host immune cells in the gut and triggered distal immune responses within
the tumor microenvironment, with no apparent adverse safety or tolerability issues. We believe that oral administration of EDP1908 has the potential
to offer an improved safety profile compared to systemically - or intratumorally - administered immunotherapy agents, as well as broader potential
for combination regimens with existing therapies.
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Manufacturing
We have developed proprietary methods for the manufacture of pharmacologically active whole microbes and EVs that are scalable and
transferable to GMP manufacturing facilities. Microbes are isolated, developed and purified in a manner analogous to the manufacture of
pharmaceutical drugs. The whole microbe and EV manufacturing process produces drug substance in a powder form that makes our product
candidates suitable for oral administration, for instance in the form of a capsule, tablet or powder. Additionally, we believe we have established
robust analytical methods to assess the identity, strength and purity of our product candidates. We expect that these controlled manufacturing
processes and analytical methods will allow us to produce and release GMP-compliant batches of drug substance with consistent quality.
Our internal manufacturing capabilities include production of non-GMP materials for in vitro and in vivo preclinical assessment of product
candidates. We currently use third-party contract manufacturing organizations (“CMOs”) for the production of drug substance and drug product for
clinical studies. Our internal personnel have GMP manufacturing experience to ensure efficient technology transfer and oversee the development
and manufacturing activities conducted by our CMOs. We currently have a contractual arrangement in place with one of our CMOs that will require
us to spend an aggregate minimum amount of 1.5 million Euros annually during each of 2022, 2023, and 2024. Our agreements with CMOs include
confidentiality and intellectual property provisions to protect our proprietary rights to our SINTAX medicine candidates.
We expect our CMOs to meet manufacturing requirements and drug supply demands required by our clinical studies. In some instances, we have
reserved resources from CMOs for the development and manufacture of our product candidates for near-term clinical programs. We believe that
these relationships are integral to ensuring reliable, high-quality drug supply for clinical development.
While we do not have a current need for commercial manufacturing capacity, we intend to evaluate both building internal capabilities and
contracting with CMOs at the appropriate time. In anticipation of a need for commercial supplies of EDP1815, we have established relationships
with CMOs who have the capacity to rapidly scale the manufacturing of EDP1815.
Process development and manufacturing are critical for the development of whole microbe and EV product candidates. We believe our internal
expertise and external partnerships have allowed us to address unique challenges associated with whole microbe and EV manufacturing. Some of
these major challenges include limited prior know-how in the field for novel microbes, strict anaerobic growth conditions required by many
commensal microbes and temperature and oxygen sensitivities that affect downstream processing.
Our proprietary methods for the manufacture of pharmacologically active SINTAX medicines address these three challenges. Many human
commensals are strict anaerobes with no development precedent. Process development of commensal microbes requires strong technical expertise
in microbiology and anaerobic fermentation. We are pioneering strict anaerobic bioprocessing technologies that can allow for rapid development of
robust manufacturing processes. We continue to optimize processes across a wide range of parameters in fermentation and formulation.
Our manufacturing processes consist of drug substance and drug product manufacturing. We have established expertise across all aspects of drug
substance manufacturing operations including cell banking, fermentation, cell separation and lyophilization. We have also advanced knowledge
related to drug product manufacturing and our drug product has demonstrated stability under long-term storage conditions. We will continue to
advance novel formulation technologies for enhanced delivery and activity in future trials.
Sales and Marketing
Given the current developmental stage of our product candidates and platform, we have not yet established a robust commercial organization. We
intend to commercialize our products globally and in multiple disease areas. We intend to do this both through selectively building our own sales
and marketing team and partnering or collaborating with third parties. In 2021, we hired a full-time chief commercial officer and have begun pre-
commercial activities.
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Intellectual Property
We strive to protect the proprietary technology that we believe is important to our business, including seeking and maintaining patents intended to
cover both our broad platform and individual product candidates. We seek to obtain domestic and international patent protection, and endeavor to
promptly file patent applications for new commercially valuable inventions. We also rely on trade secrets to protect aspects of our business that are
not amenable to, or that we do not consider appropriate for, patent protection.
We plan to continue to expand our intellectual property estate by filing patent applications directed to pharmaceutical compositions, methods of
treatment, methods of manufacture, methods of analysis, and methods for patient selection created or identified from our ongoing development of
our product candidates, as well as discoveries based on our proprietary platforms. Our success will depend on our ability to obtain and maintain
patent and other proprietary protection for commercially important technology, inventions and know-how related to our business, defend and enforce
any patents that we may obtain, preserve the confidentiality of our trade secrets, and operate without infringing the valid and enforceable patents
and proprietary rights of third parties. We also rely on know-how and continuing technological innovation to develop and maintain our proprietary
position and, in the future, may rely on or leverage in-licensing opportunities.
The patent positions of biopharmaceutical companies like us are generally uncertain and involve complex legal, scientific and factual questions. In
addition, the coverage claimed in a patent may be challenged in courts after issuance. Moreover, many jurisdictions permit third parties to challenge
issued patents in administrative proceedings, which may result in narrowing or even cancellation of patent claims. We cannot predict whether the
patent applications we are currently pursuing will issue as patents in any particular jurisdiction or at all, whether the claims of any patent
applications, should they issue, will cover our product candidates, or whether the claims of any issued patents will provide sufficient protection from
competitors or otherwise provide any competitive advantage, or, if challenged in courts or administrative proceedings, be determined to be invalid or
unenforceable.
Because patent applications in the United States and certain other jurisdictions are maintained in secrecy for 18 months or potentially even longer,
and because publication of discoveries in the scientific or patent literature often lags behind actual discoveries and patent application filings, we
cannot be certain of the priority of inventions covered by pending patent applications. Accordingly, we may not have been the first to invent the
subject matter disclosed in some of our patent applications or the first to file patent applications covering such subject matter, and we may have to
participate in interference proceedings or derivation proceedings declared by the United States Patent and Trademark Office (the "USPTO") to
determine priority of invention.
Patent Portfolio
Our patent portfolio includes patent applications in varying stages of prosecution in the United States and selected jurisdictions outside of the United
States. As of March 16, 2022, our patent portfolio consisted of sixteen issued U.S. patents, one European patent, one Singaporean patent, one
South African patent, and 67 patent families, which include composition, method of use, formulation, analytical method, and manufacturing process
claims, and three design patent families. Of the U.S. patents in our portfolio, 11 are owned by us, and five are exclusively licensed from the Mayo
Clinic Foundation for Medical Education and Research, an affiliate of Mayo Clinic (the "Mayo Clinic"). The European patent is owned by us, and the
Singaporean and South African patents are exclusively licensed from the University of Chicago. Of the patent families in our portfolio, 65 are owned
by us, one is exclusively licensed to us from the University of Chicago and one is exclusively licensed to us from the Mayo Clinic.
The patent portfolio includes patents and applications covering the following:
•
Formulation platforms in which applications that issue as a patent are expected to expire in 2038 to 2042.
• Manufacturing platforms in which applications that issue as a patent are expected to expire in 2041.
• Modality platforms in which applications that issue as a patent are expected to expire in 2038 to 2042.
•
•
Analytical methods in which applications that issue as a patent are expected to expire in 2042.
Inflammation portfolio:
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EDP1815, consisting of five issued U.S. patents in-licensed from the Mayo Clinic, covering compositions and methods of use (the patents
from the Mayo Clinic are expected to expire in 2030) and twelve patent families we own directed to compositions, methods of use,
formulations and manufacturing processes. Any applications claiming priority to these applications we own that issue as patents are
expected to expire in 2040 to 2043;
EDP1867, consisting of seven patent families we own directed to compositions, methods of use and formulations. Any applications claiming
priority to these applications that issue as patents are expected to expire in 2039, 2041 and 2042; and
EDP2939, consisting of four patent families we own directed to compositions and methods of use. Any applications claiming priority to these
applications that issue as patents are expected to expire in 2038, 2042 and 2043.
• Oncology portfolio:
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EDP1908, consisting of three patent families we own directed to compositions and methods of use. Any applications claiming priority to
these applications that issue as patents are expected to expire in 2041 and 2042.
An oral oncology platform exclusively licensed from the University of Chicago, consisting of 23 pending applications, one issued patent in
Singapore, and one issued patent in South Africa. Patents in this family are expected to expire in 2036.
Patent Term
The base term of a U.S. patent is 20 years from the filing date of the earliest-filed non-provisional patent application from which the patent claims
priority. The term of a U.S. patent can be lengthened by patent term adjustment, which compensates the owner of the patent for administrative
delays at the USPTO. In some cases, the term of a U.S. patent is shortened by terminal disclaimer that reduces its term to that of an earlier-expiring
patent.
The term of a U.S. patent may be eligible for patent term extension under the Drug Price Competition and Patent Term Restoration Act of 1984,
referred to as the Hatch-Waxman Act, to account for at least some of the time the drug is under development and regulatory review after the patent
is granted. With regard to a drug for which FDA approval is the first permitted marketing of the active ingredient, the Hatch-Waxman Act allows for
extension of the term of one U.S. patent that includes at least one claim covering the composition of matter of such an FDA-approved drug, an FDA-
approved method of treatment using the drug and/or a method of manufacturing the FDA-approved drug. The extended patent term cannot exceed
the shorter of five years beyond the non-extended expiration of the patent or fourteen years from the date of the FDA approval of the drug, and a
patent cannot be extended more than once or for more than a single product. During the period of extension, if granted, the scope of exclusivity is
limited to the approved product for approved uses. Some foreign jurisdictions, including Europe and Japan, have analogous patent term extension
provisions, which allow for extension of the term of a patent that covers a drug approved by the applicable foreign regulatory agency. In the future, if
and when our product candidates receive FDA approval, we expect to apply, if appropriate, for patent term extension on patents covering those
product candidates, their methods of use and/or methods of manufacture.
Trade Secrets
In addition to patents, we rely on trade secrets and know-how to develop and maintain our competitive position. We typically rely on trade secrets to
protect aspects of our business that are not amenable to, or that we do not consider appropriate for, patent protection. We protect trade secrets and
know-how by establishing confidentiality agreements and intellectual property assignment agreements with our employees, consultants, scientific
advisors, contractors and collaborators. These agreements provide that all confidential information developed or made known during the course of
an individual or entities’ relationship with us must be kept confidential during and after the relationship. These agreements also provide that all
inventions resulting from work performed for us or relating to our business and conceived or completed during the period of employment or
assignment, as applicable, shall be our exclusive property. In addition, we take other appropriate precautions, such as physical and technological
security measures, to guard against misappropriation of our proprietary information by third parties.
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License and Manufacturing Agreements
We are a party to several license agreements under which we license patents, patent applications and other intellectual property. The licensed
intellectual property includes composition of matter and methods of using monoclonal microbials. In some cases, licenses cover physical material in
the form of microbial strains. Certain diligence and financial obligations are tied to these agreements. Additionally, we are a party to manufacturing
agreements for committed resources and exclusivity. We consider the following agreements to be material to our business.
University of Chicago License Agreement
In March 2016, we entered into an exclusive license agreement with the University of Chicago. This agreement gives us an exclusive, worldwide,
sublicensable license to patent rights related to administration of microbes to treat cancer. Under this agreement, we may make, have made, use,
import, have sold, offer to sell, and sell microbial products to treat cancer in combination with checkpoint inhibitors. Many microbial genera are
covered by these patent rights. In addition, we have a non-exclusive, worldwide license to use technical information disclosed to us by the
University of Chicago for the development and commercialization of microbial products to treat cancer in combination with checkpoint inhibitors.
Under this agreement, we must use commercially reasonable efforts to develop and market licensed products. Commercially reasonable efforts can
be demonstrated by achieving specific milestones by specific dates.
Pursuant to the terms of the license agreement, we paid the University of Chicago an upfront fee of an amount less than $0.5 million and are
required to make low five-digit license maintenance fees on an annual basis, creditable against royalties owed in that given year. In addition, we
may owe the University of Chicago future milestone payments totaling an aggregate of approximately $60.9 million upon achievement of specific
milestones, the vast majority of which are associated with specific regulatory and commercial milestones.
The University of Chicago is entitled to receive low single-digit percentage royalties on annual net sales of products that fall under the licensed
patent rights on a country-by-country and product-by-product basis. The royalty percentage depends on the amount of annual net sales and
whether the product is covered by valid patent claims, un-published technical information, or published technical information. Our valid claims
royalty obligations to the University of Chicago will expire upon the later of (a) expiration of the last-to-expire valid claim covering the product, or (b)
the expiration of regulatory exclusivity of a product covered by the patent rights. Technical information royalty obligations will expire upon the earlier
of (a) fifteen years from first commercial sale of the applicable product, or (b) when a substantially similar product comes onto the market.
Under the license agreement, we have the right to sublicense licensed rights to third parties, provided that the sublicense agreement is consistent
with the terms of the original license and that we hold any sublicensees compliant. Should we enter a sublicense under these patent rights, we are
required to pay the University of Chicago a percentage of our sublicense revenue. The University of Chicago is entitled to percentages of sublicense
revenue in the low-to mid-teens depending on the stage of development of licensed products at the time the sublicense is entered.
The University of Chicago maintains control of patent prosecution, defense and maintenance on their patent rights. We are responsible for
reimbursing the University of Chicago for patent costs incurred. If we cease payment for patent prosecution, our patent rights will terminate and
revert to the University of Chicago. We have the first right, but not obligation, to control any post grant proceedings and to take action in the
prosecution or prevention of any infringement by a third party to patent rights.
The license granted by the University of Chicago is subject to any retained rights of the U.S. government in the patent rights and to retained rights of
the University of Chicago to use the patent rights for non-commercial research purposes. The license agreement will expire on a country-by-country
and product-by-product basis on the later of (a) expiration date of the last to expire licensed patents, or (b) a set number of years in the mid-teens
from first commercial sale of a licensed product. Prior to the expiration date, we may terminate the license with written notification to the University
of Chicago. Prior to the expiration date, the University of Chicago may terminate the agreement in whole or in part if we fail to make payments within
thirty days of receiving a written notice of missed payment, if we breach any material obligation of the agreement and do not cure such breach
within thirty days, if we become bankrupt or insolvent, or if we are dissolved or liquidated. The University of Chicago may also terminate the license
if we fail to show commercially reasonable efforts in meeting diligence milestones.
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License Agreement with the Mayo Clinic
In August 2017, we entered into an agreement with the Mayo Clinic to license intellectual property and a microbial strain. This agreement, as
amended, gives us an exclusive, worldwide, sublicensable license to patent rights related to compositions of matter and methods of using microbes
from specific species to treat autoimmune and inflammatory diseases. In addition to patent rights, this agreement, as amended, also includes an
exclusive, worldwide, sublicensable license to an immuno-modulatory microbial strain isolated from a human small intestinal sample by the Mayo
Clinic. Under the licensed patent rights and/or using the licensed microbial strains, we may make, have made, use, offer for sale, sell, and import
products containing microbes of specific species to treat autoimmune and inflammatory diseases. In addition, we have a non-exclusive, worldwide
license to use know-how disclosed to us by the Mayo Clinic related to the development and commercialization of products containing microbes of
specific species to treat autoimmune and inflammatory diseases. The licensed patents include multiple issued U.S. patents. Issued claims cover
compositions containing microbes from specified species and methods of using these compositions to treat autoimmune and inflammatory
diseases. EDP1815, one of our lead candidates in the inflammation program, contains a microbial strain licensed from the Mayo Clinic and is
covered by these patent rights. Under this agreement, we must use commercially reasonable efforts to bring licensed products to the market.
In consideration for the licenses, we paid the Mayo Clinic upfront payments totaling under $0.3 million. Beginning on the second anniversary of the
effective date, we owe the Mayo Clinic escalating annual license maintenance fees in the low- to mid-five digits. Annual license maintenance fees
count towards milestones and royalties owed in a given year. The Mayo Clinic is entitled to future clinical, approval and sales milestones. In
addition, we have agreed to pay the Mayo Clinic future milestone payments upon achievement of specific developmental, regulatory and
commercial milestones totaling a maximum of $59.1 million.
The Mayo Clinic is entitled to receive low single-digit percentage royalties on annual net sales of products that fall under the licensed patent rights
or contain the licensed microbial strains on a country-by-country and product-by-product basis. The royalty percentage depends on the amount of
annual net sales and whether the product is covered by valid patent claims or contains the licensed microbial strains. Royalties on products
containing the licensed microbial strains will only be due in countries where licensed products are not covered by valid claims. Our valid claims
royalty obligations to the Mayo Clinic will terminate on expiration of the last to expire valid claim covering the product. Royalty obligations on
products containing the licensed microbial strains will expire 15 years from the first commercial sale of the licensed product.
Under the license agreement, we have the right to sublicense licensed patent rights and the licensed microbial strains to third parties through
multiple tiers, provided that the sublicense agreement is on substantially the same terms as the original license and that we are responsible for the
performance of sublicensees. We must obtain the Mayo Clinic’s permission to grant any fully paid-up, royalty-free or exclusive sublicenses. We
have no financial obligations to the Mayo Clinic related to sublicenses.
The Mayo Clinic has the responsibility to prepare, file, prosecute or abandon its patent rights. We may provide prior comment and advice to the
Mayo Clinic and we are responsible for reimbursing the Mayo Clinic for past and future patent costs. If we cease payment for patent preparation,
filing or prosecution, our patent rights will terminate and revert to the Mayo Clinic. We have the first right, but not obligation, to control any post grant
proceedings and to take action in the prosecution or prevention of any infringement by a third party to patent rights.
The license granted by Mayo Clinic is subject to any retained rights of the US government in the patent rights and to retained rights of Mayo Clinic
to use the patent rights and licensed microbial strains for non-commercial research purposes, which excludes human use. The license to patent
rights will expire on a country-by-country and product-by-product basis upon the expiration date of the last to expire licensed patents. The license to
Mayo Clinic’s microbial strains will expire 15 years from first commercial sale of a product containing the licensed microbial strain. Prior to the
expiration date, Mayo Clinic may terminate the license if we fail to make payments within thirty days of receiving a written notice of missed payment,
if we breach any material obligation of the agreement and do not cure such breach within thirty days, if we become bankrupt or insolvent, or if we or
any sublicensee directly or indirectly brings suit against Mayo Clinic. Upon early termination of our license, any sublicensee that is not in material
breach of the agreement will have the right to retain its sublicense to the patent rights and microbial strains. We do not have the right to terminate
the agreement prior to the expiration date.
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Sacco Collaboration Agreement
In July 2019, we entered into a collaboration agreement with Sacco S.r.l. ("Sacco"), an affiliate of one of our contract manufacturing organizations.
Pursuant to the agreement, Sacco has agreed that it and its affiliates will, on an exclusive and worldwide basis for and on behalf of us, manufacture
and supply single strain, non-genetically modified microbes intended for oral delivery or oral use in pharmaceutical products for a period of five
years. Sacco and its affiliates may not manufacture and supply single strain, non-genetically modified microbes for oral delivery or oral use in
pharmaceutical products for itself or other parties, with the exception of pre-existing products for pre-existing customers. Under the terms of the
agreement, we have agreed to pay annual fees in the mid six digits to Sacco during the exclusivity period.
The agreement will remain in effect during the exclusivity period and may be terminated by (i) us upon written notice to Sacco if an independent
third-party representative concludes following an audit that Sacco or its affiliates are not in compliance with the exclusivity provisions of the
agreement, (ii) Sacco upon written notice to us if the manufacturing relationship has been inactive for a period of six consecutive months and there
are no services scheduled to be performed or products scheduled to be supplied within the next six months, or (iii) either party in the event of a
material breach of the agreement by the other party that remains uncured for 20 business days or the insolvency of the other party.
Cambrex Master Services Agreement
In December 2020, we entered into a development and clinical master services agreement with Halo Pharmaceutical, Inc. d/b/a Cambrex Whippany
(“Cambrex”). Pursuant to the agreement, Cambrex has agreed that it will perform manufacturing process development, manufacturing, packaging,
related analytical and storage services for us, as mutually agreed by the parties from time to time in work orders. Under the terms of the agreement,
we have agreed to pay service fees to Cambrex and to reimburse Cambrex for purchasing excipients, components, consumables, raw materials,
packaging and other items necessary for Cambrex to perform the services, as mutually agreed in a work order. We will supply active
pharmaceutical ingredients to Cambrex to enable it to perform the services.
At our request or upon expiration or termination of the agreement, Cambrex has agreed to provide technical assistance to us, at our cost, to
implement the technology transfer of the manufacturing processes developed by Cambrex under the agreement to us and of related analytical
testing methodologies to us or a third party designated by us.
Unless earlier terminated, the agreement will expire on the later of (i) five years from the effective date or (ii) six months after the expiration or
termination of all work orders. We may terminate the agreement or any work order at any time upon 60 days or 5 business days, respectively, prior
written notice to Cambrex. In addition, either party may terminate for an uncured material default or if the other party becomes bankrupt or insolvent.
The agreement contains customary representations, warranties and covenants by Evelo, indemnification obligations of Evelo and Cambrex, and
other obligations of the parties.
In February 2022, we amended the agreement to specify that affiliates of Cambrex may perform services under the terms of the agreement.
Collaboration
Meddist Company Limited
In March 2021, we announced a strategic collaboration to develop and commercialize our lead inflammation product candidate, EDP1815, in the
Middle East, Turkey, and Africa with Meddist Company Limited ("ALJ"), a company focused on accelerating access to affordable modern medical
care while addressing unmet medical needs in developing markets around the world.
Together, we and ALJ will work to address the significant disparity in access to medical care in the fastest-growing populations and growth
economies of the developing world. Africa’s population is projected to reach 1.7 billion by 2030 and 2.5 billion by 2050.
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Under the terms of the agreement, we received an upfront payment from ALJ. We will be primarily responsible for the development and
manufacturing of EDP1815 worldwide, whilst ALJ will be primarily responsible for development, regulatory submissions and commercialization
activities in the agreed-upon regions. ALJ and we will participate in a 50:50 profit share arrangement. See the notes, including Note 3, to our
consolidated financial statements in this Annual Report on Form 10-K for additional information regarding the commercialization and license
agreement with ALJ.
Competition
The biotechnology and pharmaceutical industries are characterized by rapid growth and a dynamic landscape of proprietary therapeutic candidates.
While we believe that our monoclonal microbial platform and candidates, coupled with our resources and industry expertise, give us a competitive
advantage in the field, we face competition from a variety of institutions, including larger pharmaceutical companies with more resources. Specialty
biotechnology companies, academic research institutions, governmental agencies, as well as public and private institutions are also potential
sources of competitive products and technologies.
In both inflammatory diseases and oncology, we anticipate intensifying competition as new therapies are approved and advanced technologies
become available. Many of our competitors, either alone or with strategic partners, have considerably greater financial, technical, and human
resources than we do. Competitors may also have more experience developing, obtaining approval for, and marketing novel treatments in the
indications we are pursuing. These factors could give our competitors an advantage over us in recruiting and retaining qualified personnel,
completing clinical development, and commercializing their products. Competitors that are able to obtain FDA or other regulatory approval for their
products more rapidly than we can for our products may also establish a stronger market position, diminishing our commercial opportunity. Key
considerations that would impact our capacity to effectively compete include the efficacy, safety, ease of use, as well as pricing and reimbursement,
of our products.
In autoimmune or inflammatory diseases, we may be challenged by a wide range of competitors. In later, more severe stages of disease, the
majority of competition will stem from companies marketing or developing injectable biologics and novel small molecule therapies, such as AbbVie
Inc., Johnson & Johnson, Pfizer Inc, Novartis International A.G., Regeneron Pharmaceuticals, Inc. Sanofi S.A., Bristol Myers Squibb, and Amgen
Inc. Potentially competing mechanisms of action include TNF, IL-4, IL-17, IL-23, JAK, TYK2, and PDE4 inhibitors. Novel delivery of biologics,
particularly via oral administration, and the entry of biosimilars will also add to competition within the therapeutic area. In more mild disease
segments, we may face competition from companies marketing or developing topical formulations of small molecules for inflammatory skin
diseases, including Pfizer Inc., Arcutis Biotherapeutics Inc., and Roivant Sciences Ltd.
Significant competition exists in the immuno-oncology field, where we are developing product candidates. Although our SINTAX medicine approach
is unique from most other existing or investigational therapies in immuno-oncology, we will need to compete with all currently or imminently available
therapies within the indications where our development is focused. Although there is a wide range of potentially competitive mechanisms, possible
synergies between these and SINTAX medicines will also be evaluated.
The main classes of immunotherapy that are available or are being evaluated by our competitors include:
• Checkpoint inhibitors: Agenus Inc., AstraZeneca plc, Bristol Myers Squibb, F. Hoffmann-La Roche A.G., Merck, Pfizer Inc., Regeneron
Pharmaceuticals Inc.; and
• Cell therapy: Bristol Myers Squibb, Gilead Sciences, Inc., and Novartis International A.G.
Government Regulation
Government Regulation in the United States
The FDA and other regulatory authorities at federal, state and local levels, as well as in foreign countries, extensively regulate, among other things,
the research, development, testing, manufacture, quality control, import, export, safety, effectiveness, labeling, packaging, storage, distribution,
record keeping, approval, advertising, promotion, marketing, post-approval monitoring and post-approval reporting of drugs and biologics such as
those we are developing. We, along with our contract manufacturers, will be required to navigate the various preclinical, clinical and commercial
approval requirements of the governing regulatory agencies of the countries in which we wish to conduct studies or seek approval for our product
candidates. The process of obtaining regulatory approvals
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and ensuring subsequent compliance with appropriate federal, state, local and foreign statutes and regulations requires the expenditure of
substantial time and financial resources.
In the United States, the FDA regulates drug and biologic products under the Federal Food, Drug and Cosmetic Act, its implementing regulations
and other laws, including, in the case of biologics, the Public Health Service Act. Our product candidates are subject to regulation by the FDA as
biologics. Biologics require the submission of a biologics license application ("BLA") and licensure, which constitutes approval, by the FDA before
being marketed in the United States.
The process required by the FDA before our biologic product candidates may be marketed in the United States generally involves the following:
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completion of preclinical laboratory tests and animal studies performed in accordance with the FDA’s good laboratory practice ("GLP")
requirements;
submission to the FDA of an investigational new drug application ("IND") which must become effective before clinical trials in the United States
may begin;
approval by an institutional review board (“IRB”), or ethics committee at each clinical site before the clinical trial is commenced;
performance of adequate and well-controlled human clinical trials to establish the safety, purity and potency of the product candidate for each
proposed indication, conducted in accordance with the FDA’s good clinical practice ("GCP") requirements;
preparation and submission to the FDA of a BLA after completion of all pivotal trials;
satisfactory completion of an FDA Advisory Committee review, if applicable;
a determination by the FDA within 60 days of its receipt of a BLA to file the application for review;
satisfactory completion of an FDA inspection of the manufacturing facility or facilities at which the product candidate is produced to assess
compliance with cGMP regulations, and to assure that the facilities, methods and controls are adequate to preserve the biological product’s
continued safety, purity and potency, and of selected clinical investigation sites to assess compliance with GCP; and
FDA review and approval of the BLA prior to any commercial marketing, sale or shipment of the product.
Preclinical and Clinical Trials
Once a product candidate is identified for development, it enters the preclinical testing stage. Preclinical studies include laboratory evaluations of
drug chemistry, formulation and stability, as well as studies to evaluate toxicity in animals, which must be conducted in accordance with GLP
requirements, when applicable. The results of the preclinical studies, together with manufacturing information and analytical data, are submitted to
the FDA as part of an IND. An IND is a request for authorization from the FDA to administer an investigational new drug to humans. The central
focus of an IND submission is on the general investigational plan and the protocol(s) for clinical trials. The IND automatically becomes effective 30
days after receipt by the FDA, unless the FDA, within the 30-day time period, raises concerns or questions about the conduct of the clinical trial,
including concerns that human research subjects will be exposed to unreasonable health risks, and imposes a clinical hold. In such a case, the IND
sponsor and the FDA must resolve any outstanding concerns before the clinical trial can begin. Submission of an IND may result in the FDA not
allowing clinical trials to commence or not allowing clinical trials to commence on the terms originally specified in the IND.
A separate submission to an existing IND must also be made for each successive clinical trial conducted during product development, and the FDA
must grant permission, either explicitly or implicitly by not objecting, before each clinical trial can begin. Progress reports detailing the results of the
clinical trials, among other information, must be submitted at least annually to the FDA and written IND safety reports must be submitted to the FDA
and the investigators for serious and unexpected suspected adverse events, findings from other clinical trials or animal or in vitro testing that
suggest a significant risk for human subjects and any clinically important increase in the rate of a serious suspected adverse reaction over that listed
in the protocol or investigator brochure.
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Clinical trials involve the administration of the product candidate to human subjects under the supervision of qualified investigators in accordance
with GCPs, which include the requirement that all research subjects provide their informed consent for their participation in any clinical trial. Clinical
trials are conducted under protocols detailing, among other things, the objectives of the clinical trial and the parameters and criteria to be used in
monitoring safety and evaluating effectiveness. Each protocol must be submitted to the FDA as part of the IND. An independent IRB for each
investigator site proposing to participate in a clinical trial must also review and approve the clinical trial and its informed consent form before it can
begin at that site, and the IRB must monitor the clinical trial until it is completed. The FDA, the IRB, or the sponsor may suspend or discontinue a
clinical trial at any time on various grounds, including a finding that the subjects are being exposed to an unacceptable health risk or that the trial is
unlikely to meet its stated objectives. Some clinical trials also include oversight by an independent group of qualified experts organized by the
clinical trial sponsor, known as a data safety monitoring board, which provides authorization for whether or not a trial may move forward at
designated check points based on access to certain data from the trial and may halt the clinical trial if it determines that there is an unacceptable
safety risk for subjects or other grounds, such as no demonstration of efficacy. There are also requirements governing the reporting of ongoing
clinical trials and clinical trial results to public registries.
For purposes of BLA approval, clinical trials are typically conducted in three sequential phases, which may overlap or be combined.
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Phase 1 - the investigational product is initially introduced into healthy human subjects or patients with the target disease or condition. These
trials are typically designed to test the safety, dosage tolerance, absorption, metabolism and distribution of the investigational product in
humans, the side effects associated with increasing doses, and, if possible, to gain early evidence of effectiveness.
Phase 2 - the investigational product is administered to a limited patient population with a specified disease or condition to evaluate the
preliminary efficacy, optimal dosages and dosing schedule and to identify possible adverse side effects and safety risks. Multiple Phase 2
clinical trials may be conducted to obtain information prior to beginning larger and more expensive Phase 3 clinical trials.
Phase 3 - the investigational product is administered to an expanded patient population to further evaluate dosage, to provide statistically
significant evidence of clinical efficacy and to further test for safety, generally at multiple geographically dispersed clinical trial sites. These
clinical trials are intended to establish the overall risk/benefit ratio of the investigational product and to provide an adequate basis for product
approval and physician labeling.
In some cases, the FDA may condition approval of a BLA on the sponsor’s agreement to conduct additional clinical trials to further assess the
biologic’s safety and effectiveness after BLA approval. Such post-approval clinical trials are typically referred to as Phase 4 clinical trials. Concurrent
with clinical trials, biotechnology companies usually complete additional animal studies and must also develop additional information about the
chemistry and physical characteristics of the biologic and finalize a process for manufacturing the biologic in commercial quantities in accordance
with cGMP requirements. The manufacturing process must be capable of consistently producing quality batches of the product candidate and
manufacturers must develop, among other things, methods for testing the identity, strength, quality and purity of the final biological product.
Additionally, appropriate packaging must be selected and tested and stability studies must be conducted to demonstrate that the product candidate
does not undergo unacceptable deterioration over its shelf life.
BLA Submission and FDA Review
Assuming successful completion of all required testing in accordance with all applicable regulatory requirements, the results of preclinical studies
and clinical trials, together with other detailed information, including extensive manufacturing information and information on the composition of the
biologic, are submitted to the FDA in the form of a BLA requesting approval to market the biologic for one or more specified indications. The BLA
must include all relevant data available from preclinical and clinical studies, including negative or ambiguous results as well as positive findings,
together with detailed information relating to the product’s chemistry, manufacturing, controls, and proposed labeling, among other things. Data can
come from company-sponsored clinical studies intended to test the safety and effectiveness of a use of the product, or from a number of alternative
sources, including studies initiated by investigators. The submission of a BLA requires payment of a substantial user fee unless a waiver is granted,
and the sponsor of an approved BLA is also subject to an annual program fee. Each BLA submitted to the
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FDA is reviewed for administrative completeness and reviewability within 60 days of the FDA’s receipt of the application. If the BLA is found to be
complete, the FDA will file the BLA, triggering a full substantive review of the application. The FDA may refuse to file any BLA that it deems
incomplete or not properly reviewable at the time of submission.
Once a BLA has been accepted for filing, under the Prescription Drug User Fee Act, the FDA has a goal of reviewing BLAs within ten months of the
60-day filing date for standard review or within six months for BLAs designated for priority review, but the overall time frame may be extended by
FDA requests for additional information or clarification. The FDA reviews a BLA to determine, among other things, whether the biological product is
safe, pure and potent and whether the facility or facilities in which it is manufactured meet standards designed to assure the product’s continued
safety, purity and potency. The FDA may refer the application to an advisory committee for review, evaluation and recommendation as to whether
the application should be approved. The FDA is not bound by the recommendation of an advisory committee, but it generally follows such
recommendations.
Before approving a BLA, the FDA will inspect the facility or the facilities at which the biologic product is manufactured, and will not license the
product unless cGMP compliance is satisfactory. The FDA may also inspect the sites at which the clinical trials were conducted to assess their
compliance with GCP requirements, and will not license the biologic unless compliance with such requirements is satisfactory.
After the FDA evaluates a BLA and conducts inspections of manufacturing facilities where the investigational product and/or its drug substance will
be produced, the FDA may issue an approval letter or a Complete Response Letter (“CRL”). An approval letter authorizes commercial marketing of
the product with specific prescribing information for specific indications. A CRL will describe all of the deficiencies that the FDA has identified in the
BLA, except that where the FDA determines that the data supporting the application are inadequate to support approval, the FDA may issue the
CRL without first conducting required inspections, testing submitted product lots, and/or reviewing proposed labeling. In issuing the CRL, the FDA
may recommend actions that the applicant might take to place the BLA in condition for approval, including requests for additional information or
clarification. The FDA may delay or refuse approval of a BLA if applicable regulatory criteria are not satisfied, require additional testing or
information and/or require post-marketing testing and surveillance to monitor safety or efficacy of a product.
If regulatory approval of a product is granted, such approval will be granted for particular indications and may entail limitations on the indicated uses
for which such product may be marketed. For example, the FDA may approve the BLA with a Risk Evaluation and Mitigation Strategy (“REMS”), to
ensure the benefits of the product outweigh its risks. A REMS is a safety strategy implemented to manage a known or potential serious risk
associated with a product and to enable patients to have continued access to such medicines by managing their safe use, and could include
medication guides, physician communication plans, or elements to assure safe use, such as restricted distribution methods, patient registries and
other risk minimization tools. The FDA also may condition approval on, among other things, changes to proposed labeling or the development of
adequate controls and specifications. Once approved, the FDA may withdraw the product approval if compliance with pre- and post-marketing
requirements is not maintained or if problems occur after the product reaches the marketplace. The FDA may require one or more Phase 4 post-
market studies and surveillance to further assess and monitor the product’s safety and effectiveness after commercialization, and may limit further
marketing of the product based on the results of these post-marketing studies.
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Expedited Development and Review Programs
The FDA maintains several programs intended to facilitate and expedite development and review of new drugs and biologics to address unmet
medical needs in the treatment of serious or life-threatening diseases or conditions.
For example, a product candidate is eligible for Fast Track designation if it is intended to treat a serious or life-threatening disease or condition and
demonstrates the potential to address unmet medical needs for such disease or condition. Fast Track designation applies to the combination of the
product candidate and the specific indication for which it is being studied. Fast Track designation provides increased opportunities for sponsor
meetings with the FDA during preclinical and clinical development, in addition to the potential for rolling review once a marketing application is filed,
meaning that the FDA may review portions of the marketing application before the sponsor submits the complete application, if the sponsor provides
a schedule for the submission of the sections of the BLA, the FDA agrees to accept sections of the BLA and determines that the schedule is
acceptable, and the sponsor pays any required user fees upon submission of the first section of the BLA.
In addition, a product candidate may be eligible for Breakthrough Therapy designation if it is intended to treat a serious or life-threatening disease or
condition and preliminary clinical evidence indicates that the product candidate may demonstrate substantial improvement over existing therapies
on one or more clinically significant endpoints, such as substantial treatment effects observed early in clinical development. Breakthrough Therapy
designation provides all the features of Fast Track designation in addition to intensive guidance on an efficient development program beginning as
early as Phase 1, and FDA organizational commitment to expedited development, including involvement of senior managers and experienced
review staff in a cross-disciplinary review, where appropriate.
Any product candidate submitted to the FDA for approval, including a product candidate with Fast Track or Breakthrough Therapy designation, may
also be eligible for additional FDA programs intended to expedite the review process, including Priority Review designation and Accelerated
Approval. A BLA is eligible for Priority Review if the product candidate is designed to treat a serious or life-threatening disease or condition, and if
approved, would provide a significant improvement in safety or effectiveness in the treatment, diagnosis or prevention of a serious disease or
condition.
Additionally, product candidates studied for their safety and effectiveness in treating serious or life-threatening diseases or conditions may receive
Accelerated Approval if they can be shown to have an effect on a surrogate endpoint that is reasonably likely to predict clinical benefit, or an effect
on a clinical endpoint that can be measured earlier than an effect on irreversible morbidity or mortality which is reasonably likely to predict an effect
on irreversible morbidity or mortality or other clinical benefit, taking into account the severity, rarity, or prevalence of the condition and the availability
or lack of alternative treatments. As a condition of accelerated approval, the FDA will generally require the sponsor to perform adequate and well-
controlled post-marketing clinical trials to verify and describe the anticipated effect on irreversible morbidity or mortality or other clinical benefit.
Products receiving accelerated approval may be subject to expedited withdrawal procedures if the sponsor fails to conduct the required post-
marketing clinical trials or if such trials fail to verify the predicted clinical benefit. In addition, the FDA currently requires as a condition for
accelerated approval pre-approval of promotional materials, which could adversely impact the timing of the commercial launch of the product.
Fast Track designation, Breakthrough Therapy designation, Priority Review designation and Accelerated Approval do not change the standards for
approval but may expedite the development or review process. Even if a product qualifies for one or more of these programs, the FDA may later
decide that the product no longer meets the conditions for qualification or decide that the time period for FDA review or approval will not be
shortened.
Orphan Drug Designation and Exclusivity
Under the Orphan Drug Act, the FDA may grant orphan designation to a drug or biologic intended to treat a rare disease or condition, defined as a
disease or condition with a patient population of fewer than 200,000 individuals in the United States, or a patient population greater than 200,000
individuals in the United States and when there is no reasonable expectation that the cost of developing and making available the drug or biologic in
the United States will be recovered from sales in the United States for that drug or biologic. Orphan drug designation must be requested before
submitting a BLA. After the FDA grants orphan drug designation, the generic identity of the therapeutic agent and its potential orphan use are
disclosed publicly by the FDA.
If a product that has orphan drug designation subsequently receives the first FDA approval for a particular active ingredient for the disease for which
it has such designation, the product is entitled to orphan product exclusivity,
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which means that the FDA may not approve any other applications, including a full BLA, to market the same biologic for the same disease or
condition for seven years, except in limited circumstances, such as a showing of clinical superiority to the product with orphan drug exclusivity or if
the FDA finds that the holder of the orphan drug exclusivity has not shown that it can assure the availability of sufficient quantities of the orphan
drug to meet the needs of patients with the disease or condition for which the drug was designated. Orphan drug exclusivity does not prevent the
FDA from approving a different drug or biologic for the same disease or condition, or the same drug or biologic for a different disease or condition.
Among the other benefits of orphan drug designation are tax credits for certain research and a waiver of the BLA application user fee.
A designated orphan drug many not receive orphan drug exclusivity if it is approved for a use that is broader than the disease or condition for which
it received orphan designation. In addition, orphan drug exclusive marketing rights in the United States may be lost if the FDA later determines that
the request for designation was materially defective or, as noted above, if a second applicant demonstrates that its product is clinically superior to
the approved product with orphan exclusivity or the manufacturer of the approved product is unable to assure sufficient quantities of the product to
meet the needs of patients with the rare disease or condition.
Post-Approval Requirements
Licensed biologics that are manufactured or distributed in the United States are subject to pervasive and continuing regulation by the FDA,
including, among other things, requirements relating to record keeping, periodic reporting, product distribution, advertising and promotion and
reporting of adverse experiences with the product. There is also a continuing, annual prescription drug product program user fee.
Any biologics manufactured or distributed pursuant to FDA approvals remain subject to continuing regulation by the FDA, including recordkeeping
requirements and reporting of adverse experiences associated with the product. Manufacturers and their subcontractors are required to register
their establishments with the FDA and certain state agencies, and are subject to periodic unannounced inspections by the FDA and certain state
agencies for compliance with ongoing regulatory requirements, including cGMP, which impose certain procedural and documentation requirements
upon BLA sponsors and their contract manufacturers. Failure to comply with statutory and regulatory requirements can subject a manufacturer to
possible legal or regulatory action, such as warning letters, suspension of manufacturing, product seizures, injunctions, civil penalties or criminal
prosecution.
Later discovery of previously unknown problems with a product, including adverse events of unanticipated severity or frequency, or with
manufacturing processes, or failure to comply with regulatory requirements, may result in revisions to the approved labeling to add new safety
information, requirements for post-market studies or clinical trials to assess new safety risks, or imposition of distribution or other restrictions under
a REMS. Other potential consequences include, among other things:
•
•
•
•
restrictions on the marketing or manufacturing of the product, complete withdrawal of the product from the market or product recalls;
fines, warning letters, untitled letters or holds on post-approval clinical trials;
refusal of the FDA to approve applications or supplements to approved applications, or suspension or revocation of product approvals;
product seizure or detention, or refusal to permit the import or export of products;
• mandated modification of promotional materials and labeling and the issuance of corrective information;
•
•
the issuance of safety alerts, Dear Healthcare Provider letters, press releases and other communications containing warnings or other safety
information about the product; or
injunctions or the imposition of civil or criminal penalties.
The FDA closely regulates the post-approval marketing and promotion of biologics, including standards and regulations for direct-to-consumer
advertising, off-label promotion, industry-sponsored scientific and educational activities, and promotional activities involving the internet and social
media. A company can make only those claims relating to safety and efficacy that are approved by the FDA. Physicians may prescribe legally
available biologics for uses that are not described in the product’s labeling and that differ from those tested by us and approved by the
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FDA. Such off-label uses are common across medical specialties. Physicians may believe that such off-label uses are the best treatment for many
patients in varied circumstances. The FDA does not regulate the behavior of physicians in their choice of treatments. The FDA does, however,
impose stringent restrictions on manufacturers’ communications regarding off-label use. Failure to comply with these requirements can result in
adverse publicity, warning letters, corrective advertising and potential civil and criminal penalties.
Biosimilars and Regulatory Exclusivity
As part of the Patient Protection and Affordable Care Act enacted in 2010, as amended by the Health Care and Education Reconciliation Act of
2010 (collectively the "ACA"), the Biologics Price Competition and Innovation Act (the "BPCIA") established an abbreviated pathway for the
approval of biosimilar and interchangeable biological products. The abbreviated regulatory pathway provides legal authority for the FDA to review
and approve biosimilar biologics based on their similarity to an existing brand product, referred to as a reference product, including the possible
designation of a biosimilar as interchangeable with a brand product.
Biosimilarity, which requires that there be no clinically meaningful differences between the biological product and the reference product in terms of
safety, purity, and potency, can be shown through analytical studies, animal studies, and a clinical trial or trials. Interchangeability requires that a
product is biosimilar to the reference product and the product must demonstrate that it can be expected to produce the same clinical results as the
reference product in any given patient and, for products that are administered multiple times to an individual, the biologic and the reference biologic
may be alternated or switched after one has been previously administered without increasing safety risks or risks of diminished efficacy relative to
exclusive use of the reference biologic.
Under the BPCIA the approval of a biosimilar product may not be made effective by the FDA until 12 years from the date on which the reference
product was first licensed. Moreover, the extent to which a biosimilar, once approved, will be substituted for a reference product in a way that is
similar to traditional generic substitution for non-biological drug products is not yet clear, and will depend on a number of marketplace and regulatory
factors that are still developing. In addition, the period of exclusivity provided by the BPCIA only operates against third parties seeking approval via
the abbreviated pathway, but would not prevent third parties from pursuing approval via the traditional approval pathway.
In addition, a biological product can also obtain pediatric market exclusivity in the United States. Pediatric exclusivity, if granted, adds six months to
existing exclusivity periods and patent terms. This six-month exclusivity, which runs from the end of other exclusivity protection or patent term, may
be granted based on the voluntary completion of a pediatric clinical trial in accordance with an FDA-issued “Written Request” for such a trial.
Government Regulation Outside of the United States
To market any product outside of the United States, we would need to comply with numerous and varying regulatory requirements of other countries
governing, among other things, clinical trials, marketing authorization, manufacturing, commercial sales and distribution of drugs and biologics.
Whether or not we obtain FDA approval for a product candidate, we must obtain the requisite approvals from regulatory authorities in foreign
countries prior to the commencement of clinical trials or marketing of the product candidates in those countries. The requirements and process
governing the conduct of clinical trials, product licensing, pricing and reimbursement vary from country to country. Failure to comply with applicable
foreign regulatory requirements may be subject to, among other things, fines, suspension or withdrawal of regulatory approvals, product recalls,
seizure of products, operating restrictions and criminal prosecution.
Non-clinical Studies and Clinical Trials
Similar to the United States, the various phases of non-clinical and clinical research in the European Union (“EU”) are subject to significant
regulatory controls.
Non-clinical studies are performed to demonstrate the health or environmental safety of new chemical or biological substances. Non-clinical studies
must be conducted in compliance with the principles of good laboratory practice (“GLP”) as set forth in EU Directive 2004/10/EC. In particular, non-
clinical studies, both in vitro and in vivo, must be planned, performed, monitored, recorded, reported and archived in accordance with the GLP
principles, which define a set of rules and criteria for a quality system for the organizational process and the conditions for non-
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clinical studies. These GLP standards reflect the Organization for Economic Co-operation and Development requirements.
Clinical trials of medicinal products in the EU must be conducted in accordance with EU and national regulations and the International Conference
on Harmonization (“ICH”) guidelines on Good Clinical Practices (“GCP”), as well as the applicable regulatory requirements and the ethical principles
that have their origin in the Declaration of Helsinki. If the sponsor of the clinical trial is not established within the EU, it must appoint an EU entity to
act as its legal representative. The sponsor must take out a clinical trial insurance policy and, in most EU countries, the sponsor is liable to provide
‘no fault’ compensation to any study subject injured in the clinical trial.
The regulatory landscape related to clinical trials in the EU has been subject to recent changes. The EU Clinical Trials Regulation (“CTR”), which
was adopted in April 2014 and repeals the EU Clinical Trials Directive, became applicable on January 31, 2022. Unlike directives, the CTR is
directly applicable in all EU member states without the need for member states to further implement it into national law. The CTR notably
harmonizes the assessment and supervision processes for clinical trials throughout the EU via a Clinical Trials Information System, which contains
a centralized EU portal and database.
While the Clinical Trials Directive required a separate clinical trial application (“CTA”) to be submitted in each member state to both the competent
national health authority and an independent ethics committee, much like the FDA and IRB respectively, the CTR introduces a centralized process
and only requires the submission of a single application to all member states concerned. The CTR allows sponsors to make a single submission to
both the competent authority and an ethics committee in each member state, leading to a single decision per member state. The CTA must include,
among other things, a copy of the trial protocol and an investigational medicinal product dossier containing information about the manufacture and
quality of the medicinal product under investigation. The assessment procedure of the CTA has been harmonized as well, including a joint
assessment by all member states concerned, and a separate assessment by each member state with respect to specific requirements related to its
own territory, including ethics rules. Each member state’s decision is communicated to the sponsor via the centralized EU portal. Once the CTA is
approved, clinical study development may proceed.
The CTR contains a three-year transition period. The extent to which ongoing and new clinical trials will be governed by the CTR varies. For clinical
trials whose CTA was made under the Clinical Trials Directive before January 31, 2022, the Clinical Trials Directive will continue to apply on a
transitional basis for three years. Additionally, sponsors may still choose to submit a CTA under either the Clinical Trials Directive or the CTR until
January 31, 2023 and, if authorized, those will be governed by the Clinical Trials Directive until January 31, 2025. By that date, all ongoing trials will
become subject to the provisions of the CTR.
Medicines used in clinical trials must be manufactured in accordance with GMP. Other national and EU-wide regulatory requirements may also
apply.
Marketing Authorization
In order to market our future product candidates in the EU, and in many other foreign jurisdictions, we must obtain separate regulatory approvals.
More concretely, in the EU, medicinal product candidates can only be commercialized after obtaining a marketing authorization (“MA"). To obtain
regulatory approval of a product candidate (including an investigational biological product) under EU regulatory systems, we must submit a MAA.
The process for doing this depends, among other things, on the nature of the medicinal product. There are two types of MAs:
•
"Centralized MAs” are issued by the European Commission, through the centralized procedure, based on the EMA’s Committee for Medicinal
Products for Human Use ("CHMP"), and are valid throughout the EU. The centralized procedure is compulsory for certain types of medicinal
product candidates such as: (i) medicinal products derived from biotechnology processes; (ii) advanced therapy medicinal products (“ATMPs”)
such as gene therapy, somatic cell therapy and tissue engineered products; (iii) medicinal products that contain a new active substance
indicated for the treatment of certain diseases, such as HIV/AIDS, cancer, neurodegenerative diseases, diabetes, autoimmune diseases and
other immune dysfunctions and viral diseases; and (iv) designated orphan medicines. For medicines that do not fall within these categories, an
applicant has the option of submitting an application via the centralized procedure, as long as the medicine concerned contains a new active
substance not yet authorized in the EU, is a significant therapeutic, scientific or technical innovation, or if its authorization would be in the
interest of public health in the EU. Under the centralized procedure the maximum timeframe for the evaluation of a MAA by the EMA is 210
days, excluding clock stops, when
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additional written or oral information is to be provided by the applicant in response to questions asked by the CHMP. Accelerated assessment
might be granted by the CHMP in exceptional cases, when a medicinal product is expected to be of a major public health interest, particularly
from the point of view of therapeutic innovation. The timeframe for the evaluation of an MAA under the accelerated assessment procedure is
150 days, excluding clock stops. Innovative products that target an unmet medical need and are expected to be of major public health interest
may be eligible for a number of expedited development and review programs, such as the PRIME scheme, which provides incentives similar to
the breakthrough therapy designation in the U.S. PRIME is a voluntary scheme aimed at enhancing the EMA’s support for the development of
medicines that target unmet medical needs. It is based on increased interaction and early dialogue with companies developing promising
medicines, to optimize their product development plans and speed up their evaluation to help them reach patients earlier. Many benefits accrue
to sponsors of product candidates with PRIME designation including, but not limited to, early and proactive regulatory dialogue with the EMA,
frequent discussions on clinical trial designs and other development program elements, and accelerated MAA assessment once a dossier has
been submitted. Importantly, a dedicated contact and rapporteur from the CHMP is appointed early in the PRIME scheme facilitating increased
understanding of the product at EMA’s committee level. An initial meeting initiates these relationships and includes a team of multidisciplinary
experts at the EMA to provide guidance on the overall development and regulatory strategies.
•
"National MAs", which are issued by the competent authorities of the EU member states and only cover their respective territory, are available
for product candidates not falling within the mandatory scope of the centralized procedure. Where a product has already been authorized for
marketing in an EU member state, this national MA can be recognized in another member state through the mutual recognition procedure. If the
product has not received a national MA in any member state at the time of application, it can be approved simultaneously in various member
states through the decentralized procedure. Under the decentralized procedure an identical dossier is submitted to the competent authorities of
each of the member states in which the MA is sought, one of which is selected by the applicant as the reference member state.
MAs have an initial duration of five years. After these five years, the authorization may be renewed for an unlimited period on the basis of a
reevaluation of the risk-benefit balance.
Data and Marketing Exclusivity
In the EU, new products authorized for marketing (i.e., reference products) generally receive eight years of data exclusivity and an additional two
years of market exclusivity upon receiving MA. If granted, the data exclusivity period prevents generic or biosimilar applicants from relying on the
preclinical and clinical trial data contained in the dossier of the reference product when applying for a generic or biosimilar MA in the EU during a
period of eight years from the date on which the reference product was first authorized in the EU. The market exclusivity period prevents a
successful generic or biosimilar applicant from commercializing its product in the EU until ten years have elapsed from the initial MA of the
reference product in the EU. The overall ten-year market exclusivity period can be extended to a maximum of eleven years if, during the first eight
years of those ten years, the MA holder obtains an authorization for one or more new therapeutic indications which, during the scientific evaluation
prior to their authorization, are held to bring a significant clinical benefit in comparison with existing therapies. However, there is no guarantee that a
product will be considered by the EU’s regulatory authorities to be a new chemical entity, and products may not qualify for data exclusivity.
Also in the EU, there is a special regime for biosimilars, or biological medicinal products that are similar to a reference medicinal product but that do
not meet the definition of a generic medicinal product, for example because of differences in raw materials or manufacturing processes. For such
products, the results of appropriate preclinical or clinical trials must be provided, and guidelines from the EMA detail the type of quantity of
supplementary data to be provided for different types of biological product. There are no such guidelines for complex biological products, such as
gene or cell therapy medicinal products, and so it is unlikely that biosimilars of those products will currently be approved in the EU. However,
guidance from the EMA states that they will be considered in the future in light of the scientific knowledge and regulatory experience gained at the
time.
Orphan Medicinal Products
The criteria for designating an "orphan medicinal product" in the EU are similar in principle to those in the United States. In the EU, a medicinal
product may be designated as orphan if: (1) it is intended for the diagnosis, prevention or treatment of a life-threatening or chronically debilitating
condition; (2) either (a) such condition affects no more than five in 10,000 persons in the EU when the application is made, or (b) the product,
without the benefits
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derived from orphan status, would not generate sufficient return in the EU to justify investment; and (3) there exists no satisfactory method of
diagnosis, prevention or treatment of such condition authorized for marketing in the EU, or if such a method exists, the product will be of significant
benefit to those affected by the condition.
In the EU, an application for designation as an orphan product can be made any time prior to the filing of the application for MA. Medicinal products
designated as an orphan entitle a party to financial incentives such as reduction of fees or fee waivers and access to the centralized procedure.
Once authorized, orphan medicinal products are entitled to ten years of market exclusivity for the approved therapeutic indication. During this ten-
year orphan market exclusivity period, no MAA shall be accepted and no MA shall be granted for a similar medicinal product for the same indication.
The period of market exclusivity is extended by two years for orphan medicinal products that have also complied with an agreed pediatric
investigation plan. No extension to any supplementary protection certificate can be granted on the basis of pediatric studies for orphan indications.
Orphan drug designation does not convey any advantage in, or shorten the duration of, the regulatory review and approval process.
The ten year market exclusivity may be reduced to six years if, at the end of the fifth year, it is established that the product no longer meets the
criteria for orphan designation, for example if the product is sufficiently profitable not to justify maintenance of market exclusivity or where the
prevalence of the condition has increased above the threshold. Additionally, MA may be granted to a similar product for the same indication at any
time if (i) the second applicant can establish that its product, although similar, is safer, more effective or otherwise clinically superior; (ii) the
applicant consents to a second orphan medicinal product application; or (iii) the applicant cannot supply enough orphan medicinal product.
Pediatric Development
In the EU, MAAs for new medicinal products have to include the results of trials conducted in the pediatric population, in compliance with a PIP
agreed with the EMA’s Pediatric Committee (“PDCO”). The PIP sets out the timing and measures proposed to generate data to support a pediatric
indication of the drug for which an MA is being sought. The PDCO can grant a deferral of the obligation to implement some or all of the measures of
the PIP until there are sufficient data to demonstrate the efficacy and safety of the product in adults. Further, the obligation to provide pediatric
clinical trial data can be waived by the PDCO when these data are not needed or appropriate because the product is likely to be ineffective or
unsafe in children, the disease or condition for which the product is intended occurs only in adult populations, or when the product does not
represent a significant therapeutic benefit over existing treatments for pediatric patients. Once the MA is obtained in all member states and study
results are included in the product information, even when negative, the product is eligible for a six-months supplementary protection certificate
extension (if any is in effect at the time of approval) or, in the case of orphan pharmaceutical products, a two year extension of the orphan market
exclusivity is granted.
Post-Approval Requirements
Similar to the United States, both MA holders and manufacturers of medicinal products are subject to comprehensive regulatory oversight by the
EMA, the European Commission and/or the competent regulatory authorities of the member states. The holder of a MA must establish and maintain
a pharmacovigilance system and appoint an individual qualified person for pharmacovigilance who is responsible for oversight of that system. Key
obligations include expedited reporting of suspected serious adverse reactions and submission of periodic safety update reports (“PSURs”).
All new MAA must include a risk management plan (“RMP”) describing the risk management system that we will put in place and documenting
measures to prevent or minimize the risks associated with the product. The regulatory authorities may also impose specific obligations as a
condition of the MA. Such risk-minimization measures or post-authorization obligations may include additional safety monitoring, more frequent
submission of PSURs, or the conduct of additional clinical trials or post-authorization safety studies.
The advertising and promotion of medicinal products is also subject to laws concerning promotion of medicinal products, interactions with
physicians, misleading and comparative advertising and unfair commercial practices. All advertising and promotional activities for the product must
be consistent with the approved summary of product characteristics, and therefore all off-label promotion is prohibited. Direct-to-consumer
advertising of prescription medicines is also prohibited in the EU. Although general requirements for advertising and promotion of medicinal
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products are established under EU directives, the details are governed by regulations in each member state and can differ from one country to
another.
The aforementioned EU rules are generally applicable in the European Economic Area (“EEA”), which consists of the 27 EU member states plus
Norway, Liechtenstein and Iceland.
Failure to comply with EU and member state laws that apply to the conduct of clinical trials, manufacturing approval, MA of medicinal products and
marketing of such products, both before and after grant of the MA, manufacturing of pharmaceutical products, statutory health insurance, bribery
and anti-corruption or with other applicable regulatory requirements may result in administrative, civil or criminal penalties. These penalties could
include delays or refusal to authorize the conduct of clinical trials or to grant MA, product withdrawals and recalls, product seizures, suspension,
withdrawal or variation of the MA, total or partial suspension of production, distribution, manufacturing or clinical trials, operating restrictions,
injunctions, suspension of licenses, fines and criminal penalties, any of which could be detrimental to our business.
Brexit and the Regulatory Framework in the United Kingdom
The United Kingdom (“UK”) left the EU on January 31, 2020, following which existing EU medicinal product legislation continued to apply in the UK
during the transition period under the terms of the EU-UK Withdrawal Agreement. The transition period, which ended on December 31, 2020,
maintained access to the EU single market and to the global trade deals negotiated by the EU on behalf of its members. The transition period
provided time for the UK and EU to negotiate a framework for partnership for the future, which was then crystallized in the Trade and Cooperation
Agreement (“TCA”) and became effective on the January 1, 2021. The TCA includes specific provisions concerning pharmaceuticals, which include
the mutual recognition of GMP inspections of manufacturing facilities for medicinal products and GMP documents issued, but does not foresee
wholesale mutual recognition of UK and EU pharmaceutical regulations.
EU laws which have been transposed into UK law through secondary legislation continue to be applicable as “retained EU law”. However, new
legislation such as the EU CTR will not be applicable. The UK government has passed a new Medicines and Medical Devices Act 2021, which
introduces delegated powers in favor of the Secretary of State or an ‘appropriate authority’ to amend or supplement existing regulations in the area
of medicinal products and medical devices. This allows new rules to be introduced in the future by way of secondary legislation, which aims to allow
flexibility in addressing regulatory gaps and future changes in the fields of human medicines, clinical trials and medical devices.
As of January 1, 2021, the Medicines and Healthcare products Regulatory Agency (“MHRA”) is the UK’s standalone medicines and medical devices
regulator. As a result of the Northern Ireland protocol, different rules will apply in Northern Ireland than in England, Wales, and Scotland, together,
Great Britain, (“GB”). Broadly, Northern Ireland will continue to follow the EU regulatory regime, but its national competent authority will remain the
MHRA. The MHRA has published a guidance on how various aspects of the UK regulatory regime for medicines will operate in GB and in Northern
Ireland following the expiry of the Brexit transition period on December 31, 2020. The guidance includes clinical trials, importing, exporting, and
pharmacovigilance and is relevant to any business involved in the research, development, or commercialization of medicines in the UK. The new
guidance was given effect via the Human Medicines Regulations (Amendment etc.) (EU Exit) Regulations 2019 (the “Exit Regulations”).
The MHRA has introduced changes to national licensing procedures, such as procedures to prioritize access to new medicines that will benefit
patients, including a 150-day assessment and a rolling review procedure. All existing EU MAs for centrally authorized products were automatically
converted or grandfathered into UK MAs, effective in GB (only), free of charge on January 1, 2021, unless the MA holder chooses to opt-out. In
order to use the centralized procedure to obtain a MA that will be valid throughout the EEA, companies must be established in the EEA. Therefore
after Brexit, companies established in the UK can no longer use the EU centralized procedure and instead an EEA entity must hold any centralized
MAs. In order to obtain a UK MA to commercialize products in the UK, an applicant must be established in the UK and must follow one of the UK
national authorization procedures or one of the remaining post-Brexit international cooperation procedures. The MHRA may rely on a decision taken
by the European Commission on the approval of a new (centralized procedure) MA when determining an application for a GB authorization; or use
the MHRA’s decentralized or mutual recognition procedures which enable MAs approved in EU member states (or Iceland, Liechtenstein and
Norway) to be granted in GB.
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Other Healthcare Laws
Pharmaceutical manufacturers are subject to additional healthcare regulation and enforcement by the federal government and by authorities in the
states and foreign jurisdictions in which they conduct their business. Such laws include, without limitation, the U.S. federal anti-kickback, fraud and
abuse, false claims, consumer fraud, pricing reporting, and transparency laws and regulations related to payments and other transfer of value made
to physicians and other healthcare providers, as well as similar state and foreign laws in the jurisdictions outside the U.S. Violation of any such laws
or any other governmental regulations that apply may result in penalties, including, without limitation, significant administrative, civil and criminal
penalties, damages, fines, additional reporting obligations and oversight if we become subject to a corporate integrity agreement or other agreement
to resolve allegations of non-compliance with these laws, the curtailment or restructuring of operations, exclusion from participation in governmental
healthcare programs and imprisonment.
Coverage and Reimbursement
Significant uncertainty exists as to the coverage and reimbursement status of any product candidates for which we obtain regulatory approval. In the
United States and markets in other countries, sales of any products for which we receive regulatory approval for commercial sale will depend, in
part, on the extent to which third-party payors and governments provide coverage, and establish adequate reimbursement levels for such products.
In the United States, third-party payors include federal and state healthcare programs, private managed care providers, health insurers and other
organizations. The process for determining whether a third-party payor will provide coverage for a product may be separate from the process for
setting the price of a product or for establishing the reimbursement rate that such a payor will pay for the product. Third-party payors may limit
coverage to specific products on an approved list, also known as a formulary, which might not include all of the FDA-approved products for a
particular indication. Third-party payors are increasingly challenging the price, examining the medical necessity and reviewing the cost-effectiveness
of medical products, therapies and services, in addition to questioning their safety and efficacy. We may need to conduct expensive pharmaco-
economic studies in order to demonstrate the medical necessity and cost-effectiveness of our products, in addition to the costs required to obtain
the FDA approvals. Our product candidates may not be considered medically necessary or cost-effective. A payor’s decision to provide coverage for
a product does not imply that an adequate reimbursement rate will be approved. Furthermore, one payor’s determination to provide coverage for a
product does not assure that other payors will also provide coverage for the product. Adequate third-party reimbursement may not be available to
enable us to maintain price levels sufficient to realize an appropriate return on our investment in product development.
Different pricing and reimbursement schemes exist in other countries. In the EU, governments influence the price of pharmaceutical products
through their pricing and reimbursement rules and control of national health care systems that fund a large part of the cost of those products to
consumers. Some jurisdictions operate positive and negative list systems under which products may only be marketed once a reimbursement price
has been agreed. To obtain reimbursement or pricing approval, some of these countries may require the completion of clinical trials that compare
the cost-effectiveness of a particular product candidate to currently available therapies. Other member states allow companies to fix their own prices
for medicines, but monitor and control company profits. The downward pressure on health care costs has become very intense. As a result,
increasingly high barriers are being erected to the entry of new products. In addition, in some countries, cross-border imports from low-priced
markets exert a commercial pressure on pricing within a country.
The marketability of any product candidates for which we receive regulatory approval for commercial sale may suffer if the government and third-
party payors fail to provide adequate coverage and reimbursement. In addition, emphasis on managed care in the United States has increased and
we expect will continue to increase the pressure on healthcare pricing. Coverage policies and third-party reimbursement rates may change at any
time. Even if favorable coverage and reimbursement status is attained for one or more products for which we receive regulatory approval, less
favorable coverage policies and reimbursement rates may be implemented in the future.
Healthcare Reform
In the United States and certain foreign jurisdictions, there have been, and we expect there will continue to be, a number of legislative and
regulatory changes to the healthcare system. The ACA substantially changed the way healthcare is financed by both governmental and private
insurers in the United States. By way of example, the ACA increased the minimum level of Medicaid rebates payable by manufacturers of brand
name drugs from 15.1% to
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23.1%; required collection of rebates for drugs paid by Medicaid managed care organizations; imposed a non-deductible annual fee on
pharmaceutical manufacturers or importers who sell certain “branded prescription drugs” to specified federal government programs; implemented a
new methodology by which rebates owed by manufacturers under the Medicaid Drug Rebate Program are calculated for drugs that are inhaled,
infused, instilled, implanted, or injected; expanded eligibility criteria for Medicaid programs; created a new Patient-Centered Outcomes Research
Institute to oversee, identify priorities in, and conduct comparative clinical effectiveness research, along with funding for such research; and
established a Center for Medicare Innovation at CMS to test innovative payment and service delivery models to lower Medicare and Medicaid
spending, potentially including prescription drug spending.
Since its enactment, there have been judicial, executive and Congressional challenges to certain aspects of the ACA. On June 17, 2021, the United
States Supreme Court dismissed a judicial challenge to the ACA without specifically ruling on the constitutionality of the ACA. Prior to the United
States Supreme Court’s decision, President Biden issued an executive order to initiate a special enrollment period from February 15, 2021 through
August 15, 2021 for purposes of obtaining health insurance coverage through the ACA marketplace.
Other legislative changes have been proposed and adopted since the ACA was enacted, including aggregate reductions of Medicare payments to
providers of 2% per fiscal year, which will remain in effect through 2030 with the exception of a temporary suspension from May 1, 2020 through
March 31, 2022 and a 1% reduction from April 1, 2022 through June 30, 2022, absent additional congressional action. In January 2013, the
American Taxpayer Relief Act of 2012 was signed into law, which, among other things, reduced Medicare payments to several providers, and
increased the statute of limitations period for the government to recover overpayments to providers from three to five years.
Moreover, there has recently been heightened governmental scrutiny over the manner in which manufacturers set prices for their marketed
products, which has resulted in several Congressional inquiries and proposed and enacted legislation designed, among other things, to bring more
transparency to product pricing, review the relationship between pricing and manufacturer patient programs and reform government program
reimbursement methodologies for pharmaceutical products. In addition, individual states in the United States have also become increasingly active
in implementing regulations designed to control pharmaceutical product pricing, including price or patient reimbursement constraints, discounts,
restrictions on certain product access and marketing cost disclosure and transparency measures and, in some cases, mechanisms to encourage
importation from other countries and bulk purchasing. Furthermore, there has been increased interest by third party payors and governmental
authorities in reference pricing systems and publication of discounts and list prices.
Data Privacy and Security Laws
Numerous state, federal and foreign laws, regulations and standards govern the collection, use, access to, confidentiality and security of health-
related and other personal information, and could apply now or in the future to our operations or the operations of our partners. In the United States,
numerous federal and state laws and regulations, including data breach notification laws, health information privacy and security laws and
consumer protection laws and regulations govern the collection, use, disclosure, and protection of health-related and other personal information. In
addition, certain foreign laws govern the privacy and security of personal data, including health-related data. Privacy and security laws, regulations,
and other obligations are constantly evolving, may conflict with each other to complicate compliance efforts, and can result in investigations,
proceedings, or actions that lead to significant civil and/or criminal penalties and restrictions on data processing.
Research and Development
We have dedicated a significant portion of our resources to our efforts to develop our product candidates. We incurred research and development
expenses of $83.6 million and $69.6 million for the years ended December 31, 2021 and 2020 respectively. We anticipate that a significant portion
of our operating expenses will continue to be related to research and development in 2022 as we continue to advance our product candidates
through clinical development.
Employees
As of March 14, 2022, we had 122 full-time employees, including 43 with M.D. or Ph.D. degrees. Of those full-time employees, 86 were engaged in
research and development. None of our employees is represented by a labor union or covered by a collective bargaining agreement. We consider
our relationships with our employees to be good.
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Corporate and Other Information
We were incorporated in Delaware in May 2014. Our principal executive offices are located at 620 Memorial Drive, Cambridge, Massachusetts
02139 and our telephone number is (617) 577-0300. Our website address is www.evelobio.com. Information contained on or accessible through our
website is not a part of this Annual Report on Form 10-K, and the inclusion of our website address in this Annual Report on Form 10-K is an inactive
textual reference only.
We file or furnish electronically with the U.S. Securities and Exchange Commission (the "SEC") our annual reports on Form 10-K, quarterly reports
on Form 10-Q, current reports on Form 8-K, proxy statements and other information. Our SEC filings are available to the public over the Internet at
the SEC's website at http://www.sec.gov. We make available on our website at www.evelobio.com, under "Investors," free of charge, copies of these
reports as soon as reasonably practicable after filing or furnishing these reports with the SEC.
Item 1A. Risk Factors.
Investing in our common stock involves a high degree of risk. You should carefully consider the risks described below, as well as the other
information in this Annual Report on Form 10-K, including our consolidated financial statements and the related notes and “Management’s
Discussion and Analysis of Results of Operations and Financial Condition,” before deciding whether to invest in our common stock. The occurrence
of any of the events or developments described below could harm our business, financial condition, results of operations and growth prospects. In
such an event, the market price of our common stock could decline, and you may lose all or part of your investment.
Risks Related to Our Financial Position and Need for Additional Capital
We are a development-stage company and have incurred significant losses since our inception. We expect to incur losses for the
foreseeable future and may never achieve or maintain profitability.
Since inception, we have incurred significant operating losses. Our net loss was $122.2 million and $93.7 million for the years ended December 31,
2021 and 2020, respectively. As of December 31, 2021, we had an accumulated deficit of $414.7 million. As noted below, we have identified
conditions and events that raise substantial doubt about our ability to continue as a going concern. Through December 31, 2021, we have financed
our operations through proceeds from equity offerings of our common stock, private placements of our preferred stock and borrowings under loan
and security agreements. We have devoted substantially all of our financial resources and efforts to developing our platform, identifying potential
product candidates and conducting preclinical and clinical trials. We are in the early stages of developing our product candidates, and we have not
completed the development of any product candidate. We expect to continue to incur significant expenses and operating losses for the foreseeable
future. We anticipate that our expenses will increase substantially as we:
•
•
•
•
seek to initiate additional and larger clinical trials of our product candidates;
seek to enhance our platform and discover and develop additional product candidates;
seek regulatory approvals for any product candidates that successfully complete clinical trials;
seek to establish a sales, marketing and distribution infrastructure and scale-up manufacturing capabilities to commercialize any products for
which we may obtain regulatory approval;
• maintain, expand and protect our intellectual property portfolio; and
•
add clinical, scientific, operational, financial and management information systems and personnel, including personnel to support our product
development and potential future commercialization efforts and to support our operations as a public company.
In addition, we anticipate that our expenses will increase substantially if we experience any delays or encounter any issues with any of the above,
including but not limited to failed studies, complex results, safety issues or other regulatory challenges.
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To become and remain profitable, we must succeed in developing and eventually commercializing products that generate significant revenue. This
will require us to be successful in a range of challenging activities, including completing preclinical testing and clinical trials of our product
candidates, discovering additional product candidates, obtaining regulatory approval for these product candidates and manufacturing, marketing
and selling any products for which we may obtain regulatory approval. We are only in the preliminary stages of most of these activities. We may
never succeed in these activities and, even if we do, may never generate revenue that is significant enough to achieve profitability.
Because of the numerous risks and uncertainties associated with pharmaceutical product and biological product development, we are unable to
accurately predict the timing or amount of increased expenses or when, or if, we will be able to achieve profitability. If we are required by the FDA or
other regulatory authorities to perform preclinical studies or clinical trials in addition to those currently expected, or if there are any delays in
completing our preclinical studies or clinical trials or the development of any of our product candidates, our expenses could increase and revenue
could be further delayed.
Even if we do achieve profitability, we may not be able to sustain or increase profitability on a quarterly or annual basis. Our failure to become and
remain profitable would depress our value and could impair our ability to raise capital, expand our business, maintain our research and development
efforts, diversify our product offerings or even continue our operations.
We will need additional funding in order to complete development of our product candidates and commercialize our products, if
approved. If we are unable to raise capital when needed, we could be forced to delay, reduce or discontinue our product development
programs or commercialization efforts.
We expect our expenses to increase in connection with our ongoing activities, particularly as we conduct clinical trials, build manufacturing capacity
and expand into additional therapeutic areas.
We expect that our existing cash and cash equivalents as of December 31, 2021 will enable us to fund our planned operating expenses and capital
expenditure requirements into the third quarter of 2022. We have based this estimate on assumptions that may prove to be wrong, and we could
use our capital resources sooner than we currently expect. Our future capital requirements will depend on many factors, including:
•
•
•
•
•
•
•
•
•
the progress and results of any ongoing and future clinical trials;
the cost of manufacturing clinical supplies of our product candidates, including EDP1815, EDP1867, EDP2939 and EDP1908;
the scope, progress, results and costs of preclinical development, laboratory testing and clinical trials for any other future product candidates;
the costs, timing and outcome of regulatory review of our product candidates;
the costs and timing of future commercialization activities, including manufacturing, marketing, sales and distribution, for any of our product
candidates for which we receive marketing approval;
the revenue, if any, received from commercial sales of our product candidates for which we receive marketing approval;
the costs and timing of preparing, filing and prosecuting patent applications, maintaining and enforcing our intellectual property rights and
defending any intellectual property-related claims;
the effect of competing technological and market developments; and
the extent to which we acquire or invest in businesses, products and technologies, including entering into licensing or collaboration
arrangements for product candidates.
Any additional fundraising efforts may divert our management from their day-to-day activities, which may adversely affect our ability to develop and
commercialize our product candidates. In addition, we cannot guarantee that future financing will be available in sufficient amounts or on terms
acceptable to us, if at all. Additionally, market volatility resulting from the COVID-19 pandemic or other factors could also adversely impact our ability
to access capital as
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and when needed. Moreover, the terms of any financing may adversely affect the holdings or the rights of our stockholders and the issuance of
additional securities, whether equity or debt, by us, or the possibility of such issuance, may cause the market price of our shares to decline. The
sale of additional equity, including any shares subject to warrants that we have previously issued or may in the future issue, or of convertible
securities, would dilute all of our stockholders. The occurrence of additional indebtedness could result in increased fixed payment obligations and
we may be required to agree to certain restrictive covenants, such as limitations on our ability to incur additional debt, limitations on our ability to
acquire, sell, or license intellectual property rights and other operating restrictions that could adversely impact our ability to conduct our business.
We could also be required to seek funds through arrangements with collaborators or others at an earlier stage than otherwise would be desirable
and we may be required to relinquish rights to some of our technologies or product candidates or otherwise agree to terms unfavorable to us, any of
which may have a material adverse effect on our business, operating results and prospects.
If we are unable to obtain funding on a timely basis, we may be required to significantly curtail, delay, or discontinue one or more of our research or
product development programs or the commercialization of any product candidates or cease our operations. In addition, we may be unable to make
milestone and royalty payments due under our intellectual property license agreements or other payments under our agreements with contract
research organizations ("CROs") and academic research collaborators, or expand our operations or otherwise capitalize on our business
opportunities, as desired, which could materially affect our business, financial condition and results of operations.
Our limited operating history may make it difficult to evaluate the success of our business to date and to assess our future viability.
Since our inception in 2014, we have devoted substantially all of our resources to identifying and developing our product candidates, building our
intellectual property portfolio, process development and manufacturing function, planning our business, raising capital and providing general and
administrative support for these operations. All of our product candidates are in clinical or preclinical development. We have not yet demonstrated
our ability to successfully complete a Phase 3 or other pivotal clinical trial, obtain regulatory approvals to commercialize a product, manufacture a
commercial scale product, or arrange for a third party to do so on our behalf, or conduct sales and marketing activities necessary for successful
product commercialization. Additionally, we expect our financial condition and operating results to continue to fluctuate significantly from quarter to
quarter and year to year due to a variety of factors, many of which are beyond our control.
Consequently, any predictions about our future success or viability may not be as accurate as they could be if we had a longer operating history.
We have identified conditions and events that raise substantial doubt about our ability to continue as a going concern.
We will be forced to delay or reduce the scope of our development programs, reduce our research and development costs and/or limit or cease our
operations if we are unable to obtain additional funding to support our current operating plan. We have identified conditions and events that raise
substantial doubt about our ability to continue as a going concern. As of December 31, 2021, we had $68.4 million in cash and cash equivalents.
Based on our available cash resources, we believe we do not have sufficient cash and cash equivalents on hand to support current operations for at
least one year from the date of issuance of the financial statements appearing within this Annual Report on Form 10-K. This condition raises
substantial doubt about our ability to continue as a going concern for at least one year from the date that our financial statements for the year ended
December 31, 2021 were issued. Nevertheless, our financial statements do not include any adjustments that might result from the outcome of this
uncertainty. We will need to raise additional capital to fund our future operations and remain as a going concern. There can be no assurance that we
will be able to obtain additional funding on acceptable terms, if at all. To the extent that we raise additional capital through future equity offerings, the
ownership interest of common stockholders will be diluted, which dilution may be significant. However, we cannot guarantee that we will be able to
obtain any or sufficient additional funding or that such funding, if available, will be obtainable on terms satisfactory to us. In the event that we are
unable to obtain any or sufficient additional funding, there can be no assurance that we will be able to continue as a going concern, and we will be
forced to delay, reduce or discontinue our product development programs or commercialization efforts.
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The terms of our loan and security agreements place restrictions on our operating and financial flexibility. If we raise additional capital
through debt financing, the terms of any new debt could further restrict our ability to operate our business.
Our loan and security agreement dated July 19, 2019 (as amended prior to June 16, 2021, the "2019 Credit Facility") with K2 Health Ventures
("K2HV") for $45.0 million was secured by a lien covering substantially all of our personal property, excluding intellectual property.
Contemporaneous with the closing of the first tranche of funding under the facility, we repaid the entire $15.0 million loan balance outstanding under
our prior loan and security agreement with Pacific Western Bank.
On June 16, 2021 (the "Amended Credit Facility Effective Date"), we further amended the 2019 Credit Facility (as so amended, the “Amended
Credit Facility”), pursuant to which (i) the existing $15.0 million third tranche commitment was replaced and superseded with a new $15.0 million
fourth tranche commitment, which we drew down on June 16, 2021, (ii) K2HV may convert up to $5.0 million of outstanding principal of the Loans
(as defined in the Amended Credit Facility) into shares of our common stock, (iii) the interest-only period is extended through February 28, 2023,
with the first amortization payment on March 1, 2023, (iv) includes an election to adjust the amortization schedule to be based on a 30-month
repayment period, and upon final payment or prepayment of the loans and we must pay a final payment equal to 4.8% of the aggregate original
principal amount of the loans borrowed which we elected on December 22, 2021, and (v) at our election, we may prepay the loans, subject to a
prepayment fee of 2% of the amount prepaid if such prepayment occurs no later than the 18-month anniversary of the Amended Credit Facility
Effective Date, or if the prepayment occurs after the 18-month anniversary of the Amended Credit Facility Effective Date but prior to the maturity
date, 1% of the amount prepaid. All of the other terms and conditions of the Amended Credit Facility remain unchanged and in full force and effect.
As of December 31, 2021, the outstanding principal balance under the Amended Credit Facility was $45.0 million. The Amended Credit Facility
contains customary representations, warranties, affirmative and negative covenants and events of default applicable to us and our subsidiaries.
If we default under the Amended Credit Facility, K2HV may accelerate all of our repayment obligations and exercise all of their rights and remedies
under the Amended Credit Facility and applicable law, potentially requiring us to renegotiate our agreement on terms less favorable to us or to
immediately cease operations. Further, if we are liquidated, lenders’ right to repayment would be senior to the rights of the holders of our common
stock to receive any proceeds from the liquidation. K2HV could declare a default upon the occurrence of any event, among others, that they
interpret as a material adverse effect or a change of control as delineated under the Amended Credit Facility, payment defaults, or breaches of
covenants thereby requiring us to repay the loan immediately or to attempt to reverse the declaration of default through negotiation or litigation. Any
declaration by K2HV of an event of default would significantly harm our business and prospects and could cause the price of our common stock to
decline. If we raise any additional debt financing, the terms of such additional debt could further restrict our operating and financial flexibility.
Risks Related to the Discovery, Development and Regulatory Approval of Our Product Candidates
We are early in our development efforts and may not be successful in our efforts to use our platform to build a pipeline of product
candidates and develop marketable drugs.
We are using our technology platform to harness the small intestinal axis, with an initial focus on developing therapies in immunology, specifically
inflammatory diseases, and also oncology. While we believe our preclinical studies and clinical trials to date have validated our platform to a degree,
we are at an early stage of development and our platform has not yet, and may never lead to, approvable or marketable products. We are
developing these product candidates and additional product candidates that we intend to use to treat broader immunological diseases, respiratory
diseases, neuro-inflammation and degeneration, liver diseases, type I diabetes, food allergy, neurobehavior, cardiovascular disease and diseases of
metabolism. We may have problems applying our technologies to these other areas, and our new product candidates may not demonstrate a
comparable ability in treating disease as our initial product candidates. Even if we are successful in identifying additional product candidates, they
may not be suitable for clinical development as a result of our inability to manufacture more complex oral biologics, limited efficacy, unacceptable
safety profiles or other characteristics that indicate that they are unlikely to be products that will receive marketing approval and achieve market
acceptance. The success of our product candidates will depend on several factors, including the following:
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•
•
•
completion of preclinical studies and clinical trials with positive results;
receipt of marketing approvals from applicable regulatory authorities;
obtaining and maintaining patent and trade secret protection and regulatory exclusivity for our product candidates;
• making arrangements with CMOs, or establishing our own, commercial manufacturing capabilities;
•
•
•
•
•
•
•
launching commercial sales of our products, if and when approved, whether alone or in collaboration with others;
entering into new collaborations throughout the development process as appropriate, from preclinical studies through to commercialization;
acceptance of our products, if and when approved, by patients, the medical community and third-party payors;
effectively competing with other therapies;
obtaining and maintaining coverage and adequate reimbursement by third-party payors, including government payors, for our products, if
approved;
protecting our rights in our intellectual property portfolio;
operating without infringing or violating the valid and enforceable patents or other intellectual property of third parties;
• maintaining an acceptable safety profile of the products following approval; and
• maintaining and growing an organization of scientists and business people who can develop and commercialize our products and technology.
If we do not successfully develop and commercialize product candidates based upon our technological approach, we will not be able to obtain
product revenue in future periods, which likely would result in significant harm to our financial position and adversely affect our stock price.
Our product candidates are designed to act on cells in the small intestine to produce systemic therapeutic effects with limited systemic
exposure. This biological interaction between the small intestine and the rest of the body may not function in humans the way we have
observed in mice and our drugs may not reproduce the systemic effects we have seen in preclinical data.
We believe our product candidates, including EDP1815, EDP1867, EDP2939 and EDP1908 have the potential to work by modulating systemic
responses via interactions with cells in the small intestine. Dosing to achieve sufficient exposure may require an inconvenient dosing regimen. Even
with a successful formulation and appropriate delivery profile to achieve proper exposure of our microbes to the small intestine, we may not get
sufficient or even any activity at the site of disease. This may be because our understanding of the mechanisms of the small intestine do not work in
humans the way we believe they do. Despite there being strong academic literature to support the concept and our observations in preclinical
studies in mice, these principles and the ability to use pharmaceutical preparations derived from single strains of microbes to modulate the immune
system and other systems has not yet been proven in humans.
Our product candidates are an unproven approach to therapeutic intervention.
All of our product candidates are based on targeting SINTAX. We have not, nor to our knowledge has any other company, received regulatory
approval for an oral therapeutic based on this approach. We cannot be certain that our approach will lead to the development of approvable or
marketable products. In addition, our product candidates may have different safety profiles and efficacy in various indications. Finally, the FDA or
other regulatory agencies may lack experience in evaluating the safety and efficacy of products based on singe strains of microbes, which could
result in a longer than expected regulatory review process, increase our expected development costs and delay or prevent commercialization of our
product candidates.
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Our platform relies on third parties for biological materials to expand our microbial library.
Our platform relies on third parties for biological materials, including human samples containing bacteria, to expand our microbial library. Some
biological materials have not always met our expectations or requirements, and any disruption in the supply of these biological materials could
materially adversely affect our business and ability to build our pipeline of product candidates. For example, if any supplied biological materials are
contaminated, we would not be able to use such biological materials. Although we have quality control processes and screening procedures,
biological materials are susceptible to damage and contamination. Improper storage of these materials, by us or any third-party suppliers, may
require us to destroy some or all of our raw materials or products.
Even if our product candidates do not cause off target adverse events, there may be immunotoxicity associated with the fundamental
pharmacology of our product candidates.
Our product candidates, including EDP1815, EDP1867, EDP2939 and EDP1908 are designed to work by modulating the immune system. While we
have observed limited systemic exposure in preclinical and clinical studies, the pharmacological immune effects we aim to induce are systemic.
Systemic immunomodulation from taking our product candidates could lead to immunotoxicity in patients, which may cause us or regulatory
authorities to delay, limit or suspend clinical development. Other immunomodulatory agents have shown immunotoxicity. This includes immune
suppressive agents, such as HUMIRA or REMICADE, which have shown an increased risk of infection or in rare instances certain types of blood
cancer. In the case of immune activating agents, such as YERVOY, induction of adverse auto-immune events has been observed in some patients.
Immunotoxicity in one program could cause regulators to view these adverse events as a class effect of our product candidates which may impact
the timing of the development of our pipeline of potential product candidates. Even if the adverse events are manageable, the profile of the drug
may be such that it limits or diminishes the possible number of patients who could receive our therapy.
Our product candidates may cause undesirable side effects or have other properties that could delay or prevent their regulatory
approval, limit the commercial profile of an approved label, or result in significant negative consequences following marketing approval,
if any.
Undesirable side effects caused by our product candidates could cause us or regulatory authorities to interrupt, delay or halt clinical trials and could
result in a more restrictive label or the delay or denial of regulatory approval by the FDA or comparable foreign regulatory authorities. Results of our
clinical trials could reveal a high and unacceptable severity and prevalence of side effects or unexpected characteristics. For example, some of our
product candidates may consist of live biological material that may remain viable in humans, which carries a risk of causing infections in patients.
Some infections may require treatment with antibiotics to eliminate the bacteria. All our product candidates are screened for antibiotic sensitivity but
it is possible that if antibiotic therapy does not eliminate the live biological material, a resistant version of our strain could emerge. These events,
while unlikely, could cause a delay in our clinical development and/or could increase the regulatory standards for the entire class of our product
candidates. In an instance where the infection risk of taking our product candidates is high, this may cause the benefit risk profile of therapy to be
non-competitive in the market and may lead to discontinuation of development of the product candidate.
In addition, it is possible that infections from our product candidates could be rare and not frequently observed in our clinical trials. In larger post
marketing authorization trials, however, data could show that the infection risk, while small, does exist. If unacceptable side effects arise in the
development of our product candidates, we, the FDA or comparable foreign regulatory authorities, the IRBs at the institutions in which our clinical
trials are conducted, or the data safety monitors could suspend or terminate our clinical trials, or the FDA or comparable foreign regulatory
authorities could order us to cease clinical trials or deny approval of our product candidates for any or all targeted indications. Treatment-related
side effects could also affect patient recruitment or the ability of enrolled patients to complete the trial or result in potential product liability claims. In
addition, these side effects may not be appropriately recognized or managed by the treating medical staff. We expect to have to train medical
personnel using our product candidates to understand the side effect profiles for our clinical trials and upon any commercialization of any of our
product candidates. Inadequate training in recognizing or managing the potential side effects of our product candidates could result in patient injury
or death. Any of these occurrences may harm our business, financial condition and prospects significantly.
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If any of our product candidates receives marketing approval, and we or others later identify undesirable side effects caused by such products, a
number of potentially significant negative consequences could result, including:
•
regulatory authorities may withdraw their approval of the product;
• we may be required to recall a product or change the way such product is administered to patients;
•
additional restrictions may be imposed on the marketing of the particular product or the manufacturing processes for the product or any
component thereof;
• we may be required to conduct post-marketing studies or clinical trials;
•
regulatory authorities may require the addition of labeling statements, such as a ‘‘black box’’ warning or a contraindication;
• we may be required to implement a risk evaluation and mitigation strategy or create a medication guide outlining the risks of such side effects
for distribution to patients or similar risk management measures;
• we could be sued and held liable for harm caused to patients;
•
•
the product may become less competitive; and
our reputation may suffer.
Any of the foregoing events could prevent us from achieving or maintaining market acceptance of the particular product candidate, if approved, and
result in the loss of significant revenues to us, which would materially and adversely affect our results of operations and business.
Companies with microbiome products or differing microbial products may produce negative clinical data which will adversely affect
public perception of our product candidates, and may negatively impact regulatory approval of, or demand for, our potential products.
Our product candidates are pharmaceutical compositions of commensal microbes. While we believe our approach is distinct from microbiome
therapies, negative data from clinical trials using microbiome-based therapies (e.g., fecal transplant) and other microbial therapies could negatively
impact the perception of the therapeutic use of microbial-based products. This could negatively impact our ability to enroll patients in clinical trials.
The clinical and commercial success of our potential products will depend in part on the public and clinical communities’ acceptance of the use of
therapeutic microbes. Moreover, our success depends upon physicians prescribing, and their patients being willing to receive, treatments that
involve the use of product candidates we may develop in lieu of, or in addition to, existing treatments with which they are already familiar and for
which greater clinical data may be available.
Adverse events in our preclinical studies or clinical trials or those of our competitors or of academic researchers utilizing therapeutic microbes, even
if not ultimately attributable to our product candidates, and the resulting publicity could result in increased governmental regulation, unfavorable
public perception, increased volatility in our stock price, potential regulatory delays in the testing or approval of our potential product candidates,
stricter labeling requirements for our product candidates that are approved, if any, and a decrease in demand for any such products.
Catastrophic loss of our master cell banks could significantly impair our ability to manufacture our product candidates.
Our product candidates require that we manufacture from master cell banks ("MCBs") our microbial strains. There is a possibility of a catastrophic
failure or destruction of our MCBs. This could make it impossible for us to continue to manufacture a specific product candidate or product.
Recreating and recertifying our MCBs is possible but not certain and could put at risk the supply of our product candidates for preclinical studies or
clinical trials or any products, if approved, to our customers.
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Clinical drug development involves a lengthy and expensive process, with an uncertain outcome. We may incur additional costs or
experience delays in completing, or ultimately be unable to complete, the development and commercialization of our product candidates.
All of our product candidates are currently in clinical or preclinical development. It is impossible to predict when or if any of our product candidates
will prove effective and safe in humans or will receive regulatory approval, and the risk of failure through the product development process is high.
Before obtaining marketing approval from regulatory authorities for the sale of any product candidate, we must complete preclinical development
and then conduct extensive clinical trials to demonstrate the safety and efficacy of our product candidates in humans. Clinical testing is expensive,
difficult to design and implement, can take many years to complete and is uncertain as to outcome. A failed clinical trial can occur at any stage of
testing. The outcome of preclinical testing and early clinical trials may not be predictive of the success of later clinical trials, and interim results of a
clinical trial do not necessarily predict final results. For example, in certain of our clinical trials, investigational drug products are being delivered in a
capsule for targeted release in the small intestine. This formulation has not previously been clinically tested, nor are we able to dose mice with a
capsule for targeted release in the small intestine. Our ongoing clinical trials will be the first time this formulation is tested, and we cannot assure
you that the results of this formulation will be consistent with the observations from our preclinical studies. A number of companies in the
pharmaceutical and biotechnology industries have suffered significant setbacks in advanced clinical trials due to adverse safety profiles or lack of
efficacy, notwithstanding promising results in earlier trials, and we cannot be certain that we will not face similar setbacks.
The results from earlier clinical trials of product candidates may not predict the results that will be obtained in subsequent subjects or in subsequent
human clinical trials of that product candidate. There can be no assurance that any trial will ultimately be successful or support further clinical
advancement of any given product candidate.
In addition, we cannot be certain as to the type and number of clinical trials the FDA or similar foreign regulatory authorities will require us to
conduct before we may successfully gain approval, referred to as licensure with respect to biological products in the United States, to market any of
our product candidates. Requirements for us to conduct more clinical trials than we anticipate for a given product candidate could cause us to incur
significant development costs, delay or prevent the commercialization of our products or otherwise adversely affect our business.
We may experience numerous unforeseen events during, or as a result of, clinical trials that could delay or prevent our ability to receive marketing
approval or commercialize our product candidates, including:
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regulators, IRBs or ethics committees may not authorize us or our investigators to commence a clinical trial or conduct a clinical trial at a
prospective trial site;
• we may experience delays in reaching, or fail to reach, agreement on acceptable clinical trial contracts or clinical trial protocols with prospective
trial sites;
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clinical trials of our product candidates may demonstrate undesirable side effects or produce negative or inconclusive results, and we may
decide, or regulators may require us, to conduct additional clinical trials or abandon product development programs;
the number of patients required for clinical trials of our product candidates may be larger than we anticipate, enrollment in these clinical trials
may be lower or slower than we anticipate, or patients may drop out of these clinical trials at a higher rate than we anticipate;
our CROs, CMOs and other third-party contractors may fail to comply with regulatory requirements or meet their contractual obligations to us in
a timely manner, or at all;
• we may have to, or regulators or IRBs may require, that we or our investigators suspend or terminate clinical trials of our product candidates for
various reasons, including noncompliance with regulatory requirements or a finding that the patients are being exposed to unacceptable health
risks;
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the cost of clinical trials of our product candidates may be greater than we anticipate;
the supply or quality of our product candidates or other materials necessary to conduct clinical trials of our product candidates may be
insufficient or inadequate;
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regulators may revise the requirements for approving our product candidates, or such requirements may not be as we anticipate; and
regarding trials managed by any future collaborators, our collaborators may face any of the above issues, and may conduct clinical trials in
ways they view as advantageous to them but potentially suboptimal for us.
If we are required to conduct additional clinical trials or other testing of our product candidates beyond those that we currently contemplate, if we are
unable to successfully complete clinical trials of our product candidates or other testing, if the results of these trials or tests are not positive or are
only modestly positive, or if there are safety concerns, we may:
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be delayed in obtaining marketing approval for our product candidates;
lose the support of any future collaborators, requiring us to bear more of the burden of developing certain microbial strains;
not obtain marketing approval at all;
obtain marketing approval in some countries and not in others;
obtain approval for indications or patient populations that are not as broad as we intend or desire;
obtain approval with labeling that includes significant use or distribution restrictions or safety warnings;
be subject to additional post-marketing testing requirements; or
have the product removed from the market after obtaining marketing approval.
In addition, disruptions caused by the COVID-19 pandemic may increase the likelihood that we encounter such difficulties or delays in initiating,
enrolling, conducting or completing our planned and ongoing clinical trials.
We could also encounter delays if a clinical trial is suspended or terminated by us, by the IRBs of the institutions in which such trials are being
conducted, by a data safety monitoring board or ethics committee for such trial or by the FDA or comparable foreign regulatory authorities. Such
authorities may impose such a suspension or termination due to a number of factors, including failure to conduct the clinical trial in accordance with
regulatory requirements or our clinical protocols, inspection of the clinical trial operations or trial site by the FDA or comparable foreign regulatory
authorities resulting in the imposition of a clinical hold, unforeseen safety issues or adverse side effects, failure to demonstrate a benefit from using
a drug, or changes in governmental regulations or administrative actions. For example, in September 2021 the FDA placed the IND for a Phase 2
atopic dermatitis trial of EDP1815 on clinical hold and requested that we amend our protocol to account for risks to patients that require their current
atopic dermatitis medications be discontinued, the manner in which safety data is collected, and defined study halting criteria. The FDA
subsequently lifted the clinical hold.
Further, conducting clinical trials in foreign countries, as we have in the past and may continue to do for our product candidates, presents additional
risks that may delay completion of our clinical trials. These risks include the failure of enrolled patients in foreign countries to adhere to the clinical
protocol as a result of differences in healthcare services or cultural customs, managing additional administrative burdens associated with foreign
regulatory schemes, as well as political and economic risks relevant to such foreign countries.
Our product development costs will increase if we experience delays in clinical testing or in obtaining marketing approvals. We do not know whether
any of our preclinical studies or clinical trials will begin as planned, will need to be restructured or will be completed on schedule, or at all. Significant
preclinical or clinical trial delays also could shorten any periods during which we may have the exclusive right to commercialize our product
candidates or allow our competitors to bring products to market before we do, potentially impairing our ability to successfully commercialize our
product candidates and harming our business and results of operations.
In addition, the FDA’s and other regulatory authorities’ policies with respect to clinical trials may change and additional government regulations may
be enacted. For instance, the regulatory landscape related to clinical trials in the EU recently evolved. The EU CTR” which was adopted in April
2014 and repeals the EU Clinical Trials Directive,
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became applicable on January 31, 2022. While the Clinical Trials Directive required a separate Clinical Trial Application (“CTA”) to be submitted in
each member state, to both the competent national health authority and an independent ethics committee, the CTR introduces a centralized
process and only requires the submission of a single application to all member states concerned. The CTR allows sponsors to make a single
submission to both the competent authority and an ethics committee in each member state, leading to a single decision per member state. The
assessment procedure of the CTA has been harmonized as well, including a joint assessment by all member states concerned, and a separate
assessment by each member state with respect to specific requirements related to its own territory, including ethics rules. Each member state’s
decision is communicated to the sponsor via the centralized EU portal. Once the CTA is approved, clinical study development may proceed. The
CTR entails a three-year transition period. The extent to which ongoing and new clinical trials will be governed by the CTR varies. For clinical trials
whose CTA was made under the Clinical Trials Directive before January 31, 2022, the Clinical Trials Directive will continue to apply on a transitional
basis for three years. Additionally, sponsors may still choose to submit a CTA under either the Clinical Trials Directive or the CTR until January 31,
2023 and, if authorized, those will be governed by the Clinical Trials Directive until January 31, 2025. By that date, all ongoing trials will become
subject to the provisions of the CTR. Compliance with the CTR requirements by us and our third-party service providers, such as CROs, may
impact our development plans.
It is currently unclear to what extent the UK will seek to align its regulations with the EU. The UK regulatory framework in relation to clinical trials is
derived from existing EU legislation (as implemented into UK law, through secondary legislation). On January 17, 2022, the MHRA, launched an
eight-week consultation on reframing the UK legislation for clinical trials. The consultation closed on March 14, 2022 and aims to streamline clinical
trial approvals, enable innovation, enhance clinical trials transparency, enable greater risk proportionality, and promote patient and public
involvement in clinical trials. The outcome of the consultation will be closely watched and will determine whether the UK chooses to align with the
regulation or diverge from it to maintain regulatory flexibility. A decision by the UK not to closely align its regulations with the new approach that will
be adopted in the EU may have an effect on the cost of conducting clinical trials in the UK as opposed to other countries and/or make it harder to
seek a marketing authorization in the EU for our product candidates on the basis of clinical trials conducted in the UK.
If we are slow or unable to adapt to changes in existing requirements or the adoption of new requirements or policies governing clinical trials, our
development plans may be impacted.
If we experience delays or difficulties in the enrollment of patients in clinical trials, our receipt of necessary regulatory approvals could
be delayed or prevented.
We may not be able to initiate or continue clinical trials for our product candidates if we are unable to locate and enroll a sufficient number of eligible
patients to participate in these trials as required by the FDA or similar regulatory authorities outside the United States. For example, we are
developing certain product candidates, such as EDP1815 and EDP1867, to treat inflammatory diseases including psoriasis and atopic dermatitis.
There are a limited number of patients from which to draw for clinical trials concerning any given indication.
Patient enrollment is also affected by other factors including:
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the severity of the disease under investigation;
the patient eligibility criteria for the trial in question;
the perceived risks and benefits of the product candidate under study;
the availability of other treatments for the disease under investigation;
the existence of competing clinical trials;
the efforts to facilitate timely enrollment in clinical trials;
our payments for conducting clinical trials;
the patient referral practices of physicians;
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the ability to monitor patients adequately during and after treatment; and
the proximity and availability of clinical trial sites for prospective patients.
Our inability to enroll a sufficient number of patients or volunteers for our clinical trials would result in significant delays and could require us to
abandon one or more clinical trials altogether. Enrollment delays in our clinical trials may result in increased development costs for our product
candidates, which would cause the value of our company to decline and limit our ability to obtain additional financing.
The COVID-19 pandemic has adversely impacted and may continue to adversely impact our business, including our preclinical studies
and clinical trials, and finances.
In 2020, a strain of novel coronavirus disease, COVID-19, was declared a pandemic and spread across the world, including throughout the United
States, Europe and Asia. The pandemic and government measures taken in response have had and continue to have a significant impact, both
direct and indirect, on businesses and commerce, as worker shortages have occurred, supply chains have been disrupted, facilities and production
have been suspended, and demand for certain goods and services, such as medical services and supplies, has spiked, while demand for other
goods and services, such as travel, has fallen. In response to the spread of COVID-19, we have adopted and continue to employ several flexible
business practices, including telecommuting and staggered work shifts in our laboratories, to protect our employees while continuing business
operations. In addition, due to the COVID-19 pandemic, enrollment of new patients into, and the retention of existing patients in, our on-going
clinical trials have been and continue to be impacted, due primarily to lower patient participation. As a result of the COVID-19 pandemic, we may
continue to experience disruptions and face new disruptions that could severely impact our business, preclinical studies and clinical trials, and
finances, including:
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delays in receiving approval from local regulatory authorities to initiate our planned clinical trials;
delays or difficulties in enrolling patients in our clinical trials;
delays or difficulties in clinical site initiation, including difficulties in recruiting clinical site investigators and clinical site staff;
delays in clinical sites receiving the supplies and materials needed to conduct our clinical trials, including interruptions in global shipping that
may affect the transport of clinical trial materials;
changes in local regulations as part of a response to the COVID-19 pandemic which may require us to change the ways in which our clinical
trials are conducted, which may result in unexpected costs, or to discontinue such clinical trials altogether;
diversion of healthcare resources away from the conduct of clinical trials, including the diversion of hospitals serving as our clinical trial sites
and hospital staff supporting the conduct of our clinical trials;
interruptions of key clinical trial activities, such as clinical trial site data monitoring, due to limitations on travel imposed or recommended by
governments, employers and others or interruption of clinical trial subject visits and study procedures (such as skin biopsies that are deemed
non-essential activities), which may impact the integrity of subject data and clinical trials endpoints;
risk that patients enrolled in our clinical trials will contract COVID-19 while the clinical trial is ongoing, which could impact the results of the
clinical trial, including by increasing the number of observed adverse events;
interruptions or delays in the operations of the FDA and similar regulatory authorities, which may impact review and approval timelines;
interruptions of, or delays in receiving, supplies of our product candidates from our CMOs due to staffing shortages, production slowdowns or
stoppages and disruptions in delivery systems;
limitations on employee resources that would otherwise be focused on the conduct of our preclinical studies and clinical trials, including
because of sickness of employees or their families or the desire of employees to avoid contact with large groups of people;
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refusal of the FDA or similar foreign regulatory authorities to accept data from clinical trials in affected geographies;
impacts from prolonged remote work arrangements, such as increased cybersecurity risks and strains on our business continuity plans; and
delays or difficulties with securities offerings due to disruptions and uncertainties in securities markets.
The COVID-19 pandemic continues to evolve. The extent to which the outbreak impacts our business, preclinical studies and clinical trials will
depend on future developments, which are highly uncertain and cannot be predicted with confidence, such as the ultimate geographic spread and
severity of the disease and its variants, the duration of the pandemic, travel restrictions and social distancing in the United States and other
countries, business closures or business disruptions and the effectiveness of actions taken in the United States and other countries to contain and
treat the disease. While the potential economic impact brought by and the duration of the COVID-19 pandemic may be difficult to assess or predict,
the widespread pandemic has resulted in, and may continue to result in, significant disruption of global financial markets, reducing our ability to
access capital, which could in the future negatively affect our liquidity. In addition, a recession or market correction resulting from the COVID-19
pandemic could materially affect our business.
We have conducted and may continue to conduct clinical trials for our product candidates in sites outside the United States, and the FDA
may not accept data from trials conducted in foreign locations.
We have conducted and may continue to conduct clinical trials outside the United States for our product candidates. The acceptance of study data
from clinical trials conducted outside the U.S. or another jurisdiction by the FDA or comparable foreign regulatory authority may be subject to certain
conditions or may not be accepted at all. In cases where data from foreign clinical trials are intended to serve as the sole basis for marketing
approval in the U.S., the FDA will generally not approve the application on the basis of foreign data alone, unless: (i) the data are applicable to the
U.S. population and U.S. medical practice; (ii) the trials were performed by clinical investigators of recognized competence and pursuant to GCP
regulations; and (iii) the data may be considered valid without the need for an on-site inspection by the FDA, or if the FDA considers such inspection
to be necessary, the FDA is able to validate the data through an on-site inspection or other appropriate means. In addition, even where the foreign
study data are not intended to serve as the sole basis for approval, the FDA will not accept the data as support for an application for marketing
approval unless the study is well-designed and well-conducted in accordance with GCP requirements and the FDA is able to validate the data from
the study through an onsite inspection, if deemed necessary. Many foreign regulatory authorities have similar approval requirements. In addition,
such foreign trials would be subject to the applicable local laws of the foreign jurisdictions where the trials are conducted. There can be no
assurance that the FDA or any comparable foreign regulatory authority will accept data from trials conducted outside of the U.S. or the applicable
jurisdiction. If the FDA or any comparable foreign regulatory authority does not accept such data, it would result in the need for additional trials,
which could be costly and time-consuming, and which may result in current or future product candidates that we may develop not receiving approval
for commercialization in the applicable jurisdiction or at all.
Interim, "topline" and preliminary data from our clinical trials that we announce or publish from time to time may change as more patient
data become available and are subject to audit and verification procedures that could result in material changes in the final data.
From time to time, we may publicly disclose preliminary or topline data from our preclinical studies and clinical trials, which is based on a preliminary
analysis of then-available data, and the results and related findings and conclusions are subject to change following a more comprehensive review
of the data related to the particular study or trial. We also make assumptions, estimations, calculations and conclusions as part of our analyses of
data, and we may not have received or had the opportunity to fully and carefully evaluate all data. As a result, the topline or preliminary results that
we report may differ from future results of the same trials, or different conclusions or considerations may qualify such results, once additional data
have been received and fully evaluated. Topline data also remain subject to audit and verification procedures that may result in the final data being
materially different from the preliminary data we previously published. For example, we previously disclosed certain SCORAD figures from a Phase
1b clinical trial that, upon further review and analysis, required modification in subsequent disclosure. As a result, topline and other preliminary data
should be viewed with caution until the final data are available and have been fully analyzed.
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From time to time, we may also disclose interim data from our preclinical studies and clinical trials. Interim data from clinical trials that we may
complete are subject to the risk that one or more of the clinical outcomes may materially change as patient enrollment continues and more patient
data become available. Adverse differences between topline, preliminary or interim data and final data could significantly harm our business
prospects. Further, disclosure of interim data by us or by our competitors could result in volatility in the price of our common stock.
Further, others, including regulatory agencies, may not accept or agree with our assumptions, estimates, calculations, conclusions or analyses or
may interpret or weigh the importance of data differently, which could impact the value of the particular program, the approvability or
commercialization of the particular product candidate or product and our company in general. In addition, the information we choose to publicly
disclose regarding a particular study or clinical trial is based on what is typically extensive information, and you or others may not agree with what
we determine is material or otherwise appropriate information to include in our disclosure.
If we are not able to obtain, or if there are delays in obtaining, required regulatory approvals, we will not be able to commercialize our
product candidates or will not be able to do so as soon as anticipated, and our ability to generate revenue will be materially impaired.
Our product candidates and the activities associated with their development and commercialization, including their design, testing, manufacture,
safety, efficacy, recordkeeping, labeling, storage, approval, advertising, promotion, sale and distribution, are subject to comprehensive regulation
and requirements by the FDA and other regulatory agencies in the United States, by legislative bodies in the EU and EU member states, and by
other regulatory authorities outside the United States. Failure to obtain marketing approval for a product candidate in any jurisdiction will prevent us
from commercializing the product candidate in that jurisdiction, and may affect our plans for commercialization in other jurisdictions as well. We
have not received approval to market any of our product candidates from regulatory authorities in any jurisdiction. We have only limited experience
in filing and supporting the applications necessary to gain marketing approvals and expect to rely on third parties to assist us in this process.
Securing marketing approval requires the submission of extensive preclinical and clinical data and supporting information to regulatory authorities
for each therapeutic indication to establish the product candidate’s safety and efficacy to such regulatory authorities’ satisfaction. Securing
marketing approval also requires the submission of information about the product manufacturing process to, and inspection of manufacturing
facilities by, the regulatory authorities. Our product candidates may not be effective, may be only moderately effective or may prove to have
undesirable or unintended side effects, toxicities or other characteristics that may preclude our obtaining marketing approval or prevent or limit
commercial use.
The process of obtaining marketing approvals, both in the United States and abroad, is expensive and may take many years. The scope and
amount of clinical data required to obtain marketing approvals can vary substantially from jurisdiction to jurisdiction, and it may be difficult to predict
whether a particular regulatory body will require additional or different clinical trials than those conducted by a sponsor, especially for novel product
candidates such as our product candidates. The FDA or other foreign regulatory authorities may delay, limit, or deny the approval of our product
candidates for many reasons, including: our inability to demonstrate that the clinical benefits of our product candidates outweigh any safety or other
perceived risks; the regulatory authority’s disagreement with the interpretation of data from nonclinical or clinical studies; the regulatory agency’s
requirement that we conduct additional preclinical studies and clinical trials; changes in marketing approval policies during the development period;
changes in or the enactment of additional statutes or regulations, or changes in regulatory review process for each submitted product application; or
the regulatory authority’s failure to approve the manufacturing processes or third-party manufacturers with which we contract. Regulatory authorities
have substantial discretion in the approval process and may refuse to accept a marketing application as deficient. In addition, varying interpretations
of the data obtained from preclinical and clinical testing could delay, limit or prevent marketing approval of a product candidate. Any marketing
approval we ultimately obtain may be limited or subject to restrictions or post-approval commitments that render the approved product not
commercially viable. Of the large number of drugs in development, only a small percentage successfully complete the FDA or other regulatory
approval processes and are commercialized.
Furthermore, our product candidates may not receive marketing approval even if they achieve their specified endpoints in clinical trials. Clinical data
are often susceptible to varying interpretations and many companies that have believed that their products performed satisfactorily in clinical trials
have nonetheless failed to obtain FDA or the applicable foreign regulatory agency approval for their products. The FDA or foreign regulatory
authorities may
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disagree with our trial design and our interpretation of data from nonclinical and clinical studies. Upon the review of data from any pivotal trial, the
FDA or applicable foreign regulatory agency may request that the sponsor conduct additional analyses of the data and, if it believes the data are not
satisfactory, could advise the sponsor to delay filing a marketing application.
Even if we eventually complete clinical testing and receive approval of a BLA or foreign marketing authorization for one of our product candidates,
the FDA or applicable foreign regulatory agency may grant approval contingent on the performance of costly additional clinical trials which may be
required after approval. The FDA or the applicable foreign regulatory agency may also approve our products for a more limited indication and/or a
narrower patient population than we originally request, and the FDA or applicable foreign regulatory agency may not approve the labeling that we
believe is necessary or desirable for the successful commercialization of our products. Any delay in obtaining, or inability to obtain, applicable
regulatory approval would delay or prevent commercialization of our product candidates and would materially adversely impact our business and
prospects.
The development of SINTAX medicines and their interactions with cells in the small intestine is an emerging field, and it is possible that the FDA or
other regulatory authorities or bodies could issue regulations or new policies in the future affecting our product candidates.
If we experience delays in obtaining approval or if we fail to obtain approval of our product candidates, the commercial prospects for our product
candidates may be harmed and our ability to generate revenues will be materially impaired.
We may expend our limited resources to pursue a particular product candidate or indication and fail to capitalize on product candidates
or indications that may be more profitable or for which there is a greater likelihood of success.
Because we have limited financial and managerial resources, we intend to focus on developing product candidates for multiple initial indications that
we identify as most likely to succeed, in terms of both regulatory approval and commercialization. As a result, we may forego or delay pursuit of
opportunities with other product candidates or for other indications that may prove to have greater commercial potential. Our resource allocation
decisions may cause us to fail to capitalize on viable commercial products or profitable market opportunities. Our spending on current and future
research and product development programs and product candidates for specific indications may not yield any commercially viable products. If we
do not accurately evaluate the commercial potential or target market for a particular product candidate, we may relinquish valuable rights to that
product candidate through collaboration, licensing or other royalty arrangements, in cases in which it would have been more advantageous for us to
retain sole development and commercialization rights to such product candidate.
A fast track designation by the FDA may not actually lead to a faster development or regulatory review or approval process.
We may seek fast track designation for some of our product candidates. If a drug or biologic is intended for the treatment of a serious or life-
threatening condition and nonclinical or clinical data demonstrate the potential to address unmet medical needs for this condition, the drug or
biologic sponsor may apply for FDA fast track designation. Fast track designation provides increased opportunities for sponsor meetings with the
FDA during preclinical and clinical development, in addition to the potential for rolling review once a marketing application is filed. The FDA has
broad discretion whether or not to grant this designation, and even if we believe a particular product candidate is eligible for this designation, we
cannot assure you that the FDA would decide to grant it. Even if we do receive fast track designation, we may not experience a faster development
process, review or approval compared to conventional FDA procedures. Fast track designation does not assure ultimate approval by the FDA. The
FDA may withdraw fast track designation if it believes that the designation is no longer supported by data from our product development program.
Additionally, similar considerations and concerns exist with respect to the pursuit of expedited regulatory approval pathways in jurisdictions outside
of the U.S.
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A breakthrough therapy designation by the FDA for our product candidates may not lead to a faster development or regulatory review or
approval process, and it does not increase the likelihood that our product candidates will receive marketing approval.
We may seek a breakthrough therapy designation for our product candidates. A breakthrough therapy is defined as a drug or biologic that is
intended to treat a serious or life-threatening disease or condition, and preliminary clinical evidence indicates that the drug or biologic may
demonstrate substantial improvement over existing therapies on one or more clinically significant endpoints. For drugs that have been designated
as breakthrough therapies, interaction and communication between the FDA and the sponsor can help to identify the most efficient path for clinical
development. Drugs designated as breakthrough therapies by the FDA receive all the Fast Track program features, including eligibility for rolling
review of BLA submissions.
Designation as a breakthrough therapy is within the discretion of the FDA. Accordingly, even if we believe one of our product candidates meets the
criteria for designation as a breakthrough therapy, the FDA may disagree and instead determine not to make such designation. In any event, the
receipt of a breakthrough therapy designation for a product candidate may not result in a faster development process, review or approval compared
to conventional FDA procedures and does not assure ultimate approval by the FDA. In addition, even if one or more of our product candidates
qualify as breakthrough therapies, the FDA may later decide that the products no longer meet the conditions for qualification and rescind the
designation. Additionally, similar considerations and concerns exist with respect to the pursuit of expedited regulatory approval pathways in
jurisdictions outside of the U.S.
Disruptions at the FDA and other government agencies caused by funding shortages or global health concerns could hinder their ability
to hire, retain or deploy key leadership and other personnel, or otherwise prevent new or modified products from being developed,
approved or commercialized in a timely manner or at all, which could negatively impact our business.
The ability of the FDA and comparable foreign regulatory authorities to review and or approve new products can be affected by a variety of factors,
including government budget and funding levels, statutory, regulatory, and policy changes, the FDA’s and comparable foreign regulatory authorities’
ability to hire and retain key personnel and accept the payment of user fees, and other events that may otherwise affect the FDA’s and comparable
foreign regulatory authorities’ ability to perform routine functions. Average review times at the FDA and comparable foreign regulatory authorities
have fluctuated in recent years as a result. In addition, government funding of other government agencies that fund research and development
activities is subject to the political process, which is inherently fluid and unpredictable. Disruptions at the FDA and other agencies such as the EMA,
following its relocation to Amsterdam and resulting staff changes, may also slow the time necessary for new drugs and biologics to be reviewed
and/or approved by necessary government agencies, which would adversely affect our business. For example, over the last several years, including
for 35 days beginning on December 22, 2018, the U.S. government has shut down several times and certain regulatory agencies, such as the FDA,
have had to furlough critical FDA employees and stop critical activities.
Separately, in response to the COVID-19 pandemic, in March 2020, the FDA announced its intention to postpone most inspections of foreign
manufacturing facilities, and on March 18, 2020, the FDA temporarily postponed routine surveillance inspections of domestic manufacturing
facilities. Subsequently, in July 2020, the FDA resumed certain on-site inspections of domestic manufacturing facilities subject to a risk-based
prioritization system. The FDA utilized this risk-based assessment system to assist in determining when and where it was safest to conduct
prioritized domestic inspections. Additionally, on April 15, 2021, the FDA issued a guidance document in which the FDA described its plans to
conduct voluntary remote interactive evaluations of certain drug manufacturing facilities and clinical research sites, among other facilities. According
to the guidance, the FDA may request such remote interactive evaluations where the FDA determines that remote evaluation would be appropriate
based on mission needs and travel limitations. In May 2021, the FDA outlined a detailed plan to move toward a more consistent state of inspectional
operations, and in July 2021, the FDA resumed standard inspectional operations of domestic facilities and was continuing to maintain this level of
operation as of September 2021. More recently, the FDA has continued to monitor and implement changes to its inspectional activities to ensure the
safety of its employees and those of the firms it regulates, as it adapts to the evolving COVID-19 pandemic. Regulatory authorities outside the
United States have adopted similar restrictions or other policy measures in response to the COVID-19 pandemic. If a prolonged government
shutdown occurs, or if global health concerns continue to prevent the FDA or other regulatory authorities from conducting their regular inspections,
reviews, or other regulatory activities, it could significantly impact the ability of the FDA or other regulatory authorities to timely review and process
our regulatory submissions, which could have a material adverse effect on our business.
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Risks Related to our Dependence on Third Parties and Manufacturing
We rely, and expect to continue to rely, on third parties to conduct our clinical trials, and those third parties may not perform
satisfactorily, including failing to meet deadlines for the completion of such trials.
We rely, and expect to continue to rely, on third parties, such as CROs, clinical data management organizations, medical institutions, clinical
investigators and potential pharmaceutical partners, to conduct and manage our clinical trials.
Our reliance on these third parties for research and development activities will reduce our control over these activities but does not relieve us of our
responsibilities. For example, we remain responsible for ensuring that each of our clinical trials is conducted in accordance with the general
investigational plan and protocols for the trial. Moreover, the FDA requires us to comply with regulatory standards, commonly referred to as good
clinical practices, for conducting, recording and reporting the results of clinical trials to assure that data and reported results are credible and
accurate and that the rights, safety and welfare of patients are protected. Other countries’ regulatory agencies also have requirements for clinical
trials with which we must comply. We also may be required in certain instances to register ongoing clinical trials and post the results of completed
clinical trials on government-sponsored databases, such as ClinicalTrials.gov, or similar foreign databases within specified timeframes. Failure to do
so can result in fines, adverse publicity and civil and criminal sanctions.
Furthermore, these third parties may also have relationships with other entities, some of which may be our competitors. If these third parties do not
successfully carry out their contractual duties, do not meet expected deadlines, experience work stoppages, terminate their agreements with us or
need to be replaced, or do not conduct our clinical trials in accordance with regulatory requirements or our stated protocols, we may need to enter
into new arrangements with alternative third parties, which could be difficult, costly or impossible, and our clinical trials may be extended, delayed,
or terminated or may need to be repeated. If any of the foregoing occur, we may not be able to obtain, or may be delayed in obtaining, marketing
approvals for our product candidates and may not be able to, or may be delayed in our efforts to, successfully commercialize our product
candidates.
We also expect to rely on other third parties to store and distribute drug product required by our clinical trials. Any performance failure on the part of
our distributors could delay clinical development or marketing approval of our product candidates or commercialization of our products, producing
additional losses and depriving us of potential product revenue.
We rely on third parties for the manufacture of our product candidates for preclinical and clinical testing and expect to continue to do so
for the foreseeable future. This reliance on third parties increases the risk that we will not have sufficient quantities of our product
candidates or that such quantities may not be available at an acceptable cost, which could delay, prevent or impair our development or
commercialization efforts.
We rely, and expect to continue to rely, on third parties for the manufacture of our product candidates for preclinical and clinical testing, as well as
for commercial manufacture if any of our product candidates receive marketing approval.
Reliance on third parties for the manufacture of our product candidates increases the risk that we will not have sufficient quantities of our product
candidates on a timely basis or at all, or that such quantities will be available at an acceptable cost or quality, which could delay, prevent or impair
our development or commercialization efforts.
We may be unable to establish agreements with third-party manufacturers on acceptable terms or at all. Even if we are able to establish
agreements with third-party manufacturers, reliance on third-party manufacturers entails additional risks, including:
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failure of third-party manufacturers to comply with regulatory requirements and maintain quality assurance;
breach of manufacturing agreements by the third-party manufacturers;
failure to manufacture our product according to our specifications;
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failure to manufacture our product according to our schedule or at all;
• misappropriation or disclosure of our proprietary information, including our trade secrets and know-how; and
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termination or non-renewal of agreements by third-party manufacturers at times that are costly or inconvenient for us.
Third-party manufacturers may not be able to comply with cGMP regulations or similar regulatory requirements outside the United States. Our
failure, or the failure of our third-party manufacturers, to comply with applicable regulations could result in sanctions being imposed on us, including
clinical holds, fines, injunctions, civil penalties, delays, suspension or withdrawal of approvals, license revocations, seizures or recalls of product
candidates or products, operating restrictions and criminal prosecutions, any of which could significantly and adversely affect supplies of our
products. Some of the contract manufacturers we rely on to produce our product candidates have never produced a FDA-approved therapeutic. If
our contract manufacturers are unable to comply with cGMP or similar foreign regulations or if the FDA or foreign regulatory authorities do not
approve their facility upon a pre-approval inspection, our product candidates may not be approved or may be delayed in obtaining approval. In
addition, there are a limited number of manufacturers that operate under cGMP or similar foreign regulations and that might be capable of
manufacturing our products. Therefore, our product candidates and any future product candidates that we may develop may compete with other
products for access to manufacturing facilities. Any failure to gain access to these limited manufacturing facilities could severely impact the clinical
development, marketing approval and commercialization of our product candidates.
Any performance failure on the part of our existing or future manufacturers could delay clinical development or marketing approval. We do not
currently have arrangements in place for redundant sources of clinical supplies for both drug substance and drug product. If our current contract
manufacturers cannot perform as agreed, we may be required to replace such manufacturers and we may be unable to replace them on a timely
basis or at all. Our current and anticipated future dependence upon others for the manufacture of our product candidates or products could delay,
prevent or impair our development and commercialization efforts. Moreover, as a result of the COVID-19 pandemic, third-party manufacturers may
be affected, which could disrupt their activities and, as a result, we could face difficulties and delays in the manufacture of our product candidates,
which may negatively affect our preclinical and clinical development activities.
We have no experience manufacturing our product candidates at commercial scale, and if we decide to establish our own manufacturing
facility, we cannot assure you that we can manufacture our product candidates in compliance with regulations at a cost or in quantities
necessary to make them commercially viable.
We may establish a manufacturing facility for our product candidates for production at a commercial scale. We have no experience in commercial-
scale manufacturing of our product candidates. We currently intend to develop our manufacturing capacity in part by expanding our current facility
or building additional facilities. This activity will require substantial additional funds and we would need to hire and train a significant number of
qualified employees to staff these facilities. We may not be able to develop commercial-scale manufacturing facilities that are adequate to produce
materials for additional later-stage clinical trials or commercial use.
The equipment and facilities employed in the manufacture of pharmaceuticals are subject to stringent qualification requirements by regulatory
agencies, including validation of facility, equipment, systems, processes and analytics. We may be subject to lengthy delays and expense in
conducting validation clinical trials, if we can meet the requirements at all.
Risks Related to Commercialization of Our Product Candidates and Other Legal Compliance Matters
Even if any of our product candidates receives marketing approval, it may fail to achieve the degree of market acceptance by physicians,
patients, hospitals, third-party payors and others in the medical community necessary for commercial success.
If any of our product candidates receives marketing approval, it may nonetheless fail to gain sufficient market acceptance by physicians, patients,
third-party payors and others in the medical community. For example, current psoriasis treatment involves the use of steroids and biologics that are
well established in the medical community,
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and physicians may continue to rely on these treatments. If our product candidates receive approval but do not achieve an adequate level of
acceptance, we may not generate significant product revenue and we may not become profitable. The degree of market acceptance of our
approved product candidates, if any, will depend on a number of factors, including:
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their efficacy, safety and other potential advantages compared to alternative treatments;
the clinical indications for which our products are approved;
our ability to offer them for sale at competitive prices;
their convenience and ease of administration compared to alternative treatments;
the willingness of the target patient population to try new therapies and of physicians to prescribe these therapies;
the strength of marketing and distribution support;
the availability of third-party coverage and adequate reimbursement for our product candidates;
the prevalence and severity of their side effects and their overall safety profiles;
any restrictions on the use of our products together with other medications;
interactions of our products with other medicines patients are taking; and
the inability of certain types of patients to take our product.
We currently have no sales organization. If we are unable to establish effective sales, marketing and distribution capabilities or enter into
agreements with third parties with such capabilities, we may not be successful in commercializing our product candidates if and when
they are approved.
We do not have a sales or marketing infrastructure and have no experience in the sale, marketing or distribution of our product candidates. To
achieve commercial success for any product for which we obtain marketing approval, we will need to establish a sales and marketing organization
or make arrangements with third parties to perform sales and marketing functions and we may not be successful in doing so.
In the future, we expect to build a focused sales and marketing infrastructure to market or promote our product candidates in the United States and
potentially elsewhere, if and when they are approved. There are risks involved with establishing our own sales, marketing and distribution
capabilities. For example, recruiting and training a sales force is expensive and time consuming and could delay any product launch. If the
commercial launch of a product candidate for which we recruit a sales force and establish marketing capabilities is delayed or does not occur for
any reason, we would have prematurely or unnecessarily incurred these commercialization expenses. This may be costly, and our investment would
be lost if we cannot retain or reposition our sales and marketing personnel.
Factors that may inhibit our efforts to commercialize our products on our own include:
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our inability to recruit, train and retain an adequate number of effective sales and marketing personnel;
the inability of sales personnel to obtain access to or educate physicians on the benefits of our products;
the lack of complementary products to be offered by sales personnel, which may put us at a competitive disadvantage relative to companies
with more extensive product lines;
unforeseen costs and expenses associated with creating an independent sales and marketing organization; and
the inability to obtain sufficient coverage and reimbursement from third-party payors and governmental agencies.
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Outside the United States, we may rely on third parties to sell, market and distribute our product candidates. We may not be successful in entering
into arrangements with such third parties or may be unable to do so on terms that are favorable to us. In addition, our product revenue and our
profitability, if any, may be lower if we rely on third parties for these functions than if we were to market, sell and distribute any products that we
develop ourselves. We likely will have little control over such third parties, and any of them may fail to devote the necessary resources and attention
to sell and market our products effectively. If we do not establish sales, marketing and distribution capabilities successfully, either on our own or in
collaboration with third parties, we will not be successful in commercializing our product candidates.
We face substantial competition, which may result in others discovering, developing or commercializing competing products before or
more successfully than we do.
The development and commercialization of new drug and biologic products is highly competitive and is characterized by rapid and substantial
technological development and product innovations. We face competition with respect to our current product candidates and will face competition
with respect to product candidates that we may seek to develop or commercialize in the future, including from major pharmaceutical companies,
specialty pharmaceutical companies and biotechnology companies worldwide. We are aware of a number of large pharmaceutical and
biotechnology companies, including AbbVie Inc., Agenus Inc., AstraZeneca plc, Bristol Myers Squibb, F. Hoffmann-La Roche A.G., Gilead Sciences,
Inc., Incyte Corporation, Johnson & Johnson, Merck, Novartis International A.G., Pfizer Inc. and Regeneron Pharmaceuticals, Inc., as well as
smaller, early-stage companies, that are pursuing the development of products, including microbial-based therapeutics in some instances, for
disease indications we are targeting. Some of these competitive products and therapies are based on scientific approaches that are the same as or
similar to our approach, and others may be based on entirely different approaches. Potential competitors also include academic institutions,
government agencies and other public and private research organizations.
Many of the companies and organizations against which we are competing or against which we may compete in the future have significantly greater
financial resources, established presence in the market and expertise in research and development, manufacturing, preclinical testing, conducting
clinical trials, obtaining regulatory approvals and reimbursement and marketing approved products than we do. Mergers and acquisitions in the
pharmaceutical and biotechnology industries may result in even more resources being concentrated among a smaller number of our competitors.
These third parties compete with us in recruiting and retaining qualified scientific, sales and marketing and management personnel, establishing
clinical trial sites and patient registration for clinical trials, as well as in acquiring technologies complementary to, or necessary for, our programs.
Our commercial opportunity could be reduced or eliminated if our competitors develop and commercialize products that are more effective, have
fewer or less severe side effects, are more convenient or are less expensive than any products that we may develop. Our competitors also may
obtain FDA or other regulatory approval for their products more rapidly than we may obtain approval for ours, which could delay us from obtaining
FDA or other regulatory approval to market our product candidates and result in our competitors establishing a strong market position before we are
able to enter the market, especially for any competitor developing a microbial-based therapeutic which will likely share our same regulatory approval
requirements. For more information, please see "Risk Factors - Our product candidates for which we intend to seek approval as biologic products
may face competition sooner than anticipated, which may delay us from marketing our product candidates." In addition, our ability to compete may
be affected in many cases by insurers or other third-party payors seeking to encourage the use of generic or biosimilar products.
Even if we are able to commercialize any product candidates, the products may become subject to unfavorable pricing regulations or
third-party coverage and reimbursement policies, any of which could harm our business.
Our ability to commercialize any product candidates successfully will depend, in part, on the extent to which coverage and reimbursement for these
products and related treatments will be available from government health administration authorities, private health insurers and other organizations.
Government authorities and third-party payors, such as private health insurers and health maintenance organizations, decide which medications
they will pay for and impact reimbursement levels.
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Obtaining and maintaining adequate reimbursement for our products may be difficult. We cannot be certain if and when we will obtain coverage and
an adequate level of reimbursement for our products by third-party payors. A primary trend in the U.S. healthcare industry and elsewhere is cost
containment. Government authorities and third-party payors have attempted to control costs by limiting coverage and the amount of reimbursement
for particular medications. Increasingly, third-party payors require that drug companies provide them with predetermined discounts from list prices
and are challenging the prices charged for drugs. In addition, reimbursement rates from private health insurance companies vary depending on the
insurance company, the insurance plan and other factors. We may also be required to conduct expensive pharmacoeconomic studies to justify
coverage and reimbursement or the level of reimbursement relative to other therapies. If coverage and reimbursement are not available or
reimbursement is available only to limited levels, we may not be able to successfully commercialize any product candidate for which we obtain
marketing approval, and the royalties resulting from the sales of those products may also be adversely impacted.
There may be significant delays in obtaining reimbursement for newly approved drugs, and coverage may be more limited than the purposes for
which the drug is approved by the FDA or similar regulatory authorities outside the United States. Moreover, eligibility for reimbursement does not
imply that a drug will be paid for in all cases or at a rate that covers our costs, including research, development, manufacture, sale and distribution.
Interim reimbursement levels for new drugs, if applicable, may also not be sufficient to cover our costs and may not be made permanent.
Reimbursement rates may vary according to the use of the drug and the clinical setting in which it is used, may be based on reimbursement levels
already set for lower cost drugs and may be incorporated into existing payments for other services. Net prices for drugs may be reduced by
mandatory discounts or rebates required by government healthcare programs or private payors and by any future relaxation of laws that presently
restrict imports of drugs from countries where they may be sold at lower prices than in the United States. Our inability to promptly obtain coverage
and adequate reimbursement rates from both government-funded and private payors for any approved products that we develop could have a
material adverse effect on our operating results, our ability to raise capital needed to commercialize products and our overall financial condition.
The regulations that govern marketing approvals, pricing, coverage and reimbursement for new drug products vary widely from country to country.
Current and future legislation may significantly change the approval requirements in ways that could involve additional costs and cause delays in
obtaining approvals. Some countries require approval of the sale price of a drug before it can be reimbursed. In many countries, the pricing review
period begins after marketing or product licensing approval is granted. In some foreign markets, prescription drug pricing remains subject to
continuing governmental control, including possible price reductions, even after initial approval is granted. As a result, we might obtain marketing
approval for a product in a particular country, but then be subject to price regulations that delay our commercial launch of the product, possibly for
lengthy time periods, and negatively impact the revenues we are able to generate from the sale of the product in that country. Adverse pricing
limitations may hinder our ability to recoup our investment in one or more product candidates, even if our product candidates obtain marketing
approval. There can be no assurance that our product candidates, if they are approved for sale in the United States or in other countries, will be
considered medically necessary or cost-effective for a specific indication, or that coverage or an adequate level of reimbursement will be available.
Product liability lawsuits against us could cause us to incur substantial liabilities and limit commercialization of any products that we
may develop.
We face an inherent risk of product liability exposure related to the testing of our product candidates in clinical trials and will face an even greater
risk if we commercially sell any products that we develop. If we cannot successfully defend ourselves against claims that our product candidates or
products caused injuries, we will incur substantial liabilities. Regardless of merit or eventual outcome, liability claims may result in:
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regulatory investigations, product recalls or withdrawals, or labeling, marketing or promotional restrictions;
decreased demand for any product candidates or products that we may develop;
injury to our reputation and significant negative media attention;
• withdrawal of clinical trial patients;
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significant costs to defend the related litigation;
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substantial monetary awards to trial participants or patients;
loss of revenue;
reduced resources of our management to pursue our business strategy; and
the inability to commercialize any products that we may develop.
Our current product liability insurance coverage and any product liability insurance coverage that we acquire in the future may not be adequate to
cover all liabilities that we may incur. We may need to increase our insurance coverage as we expand our clinical trials or if we commence
commercialization of our product candidates. Insurance coverage is increasingly expensive. We may not be able to maintain insurance coverage at
a reasonable cost or in an amount adequate to satisfy any liability that may arise.
Our product candidates for which we intend to seek approval as biologic products may face competition sooner than anticipated, which
may delay us from marketing our product candidates.
Even if we are successful in achieving regulatory approval to commercialize a product candidate faster than our competitors, we may face
competition from biosimilars. The Biologics Price Competition and Innovation Act (“BPCIA”) created an abbreviated approval pathway for biological
products that are biosimilar to or interchangeable with an FDA-licensed reference biological product. Under the BPCIA, an application for a
biosimilar product may not be submitted to the FDA until four years following the date that the reference product was first licensed by the FDA. In
addition, the approval of a biosimilar product may not be made effective by the FDA until 12 years from the date on which the reference product was
first licensed. During this 12-year period of exclusivity, another company may still market a competing version of the reference product if the FDA
approves a full BLA for the competing product containing the sponsor’s own preclinical data and data from adequate and well-controlled clinical
trials to demonstrate the safety, purity and potency of their product.
We believe that any of our product candidates approved as a biological product under a BLA should qualify for the 12-year period of exclusivity.
However, there is a risk that this exclusivity could be shortened due to congressional action or otherwise, or that the FDA will not consider our
product candidates to be reference products for competing products, potentially creating the opportunity for generic competition sooner than
anticipated. Other aspects of the BPCIA, some of which may impact the BPCIA exclusivity provisions, have also been the subject of litigation.
Moreover, the extent to which a biosimilar, once approved, will be substituted for any one of our reference products in a way that is similar to
traditional generic substitution for non-biological products is not yet clear, and will depend on a number of marketplace and regulatory factors that
are still developing.
In the EU, the European Commission has granted marketing authorizations for biosimilars pursuant to a set of general and product class-specific
guidelines for biosimilar approvals issued over the past few years. In the EU, upon receiving marketing authorization, new innovative products
generally receive eight years of data exclusivity and an additional two years of market exclusivity. If granted, data exclusivity prevents regulatory
authorities in the EU from referencing the innovator's data to assess a biosimilar application. During the additional two-year period of market
exclusivity, a biosimilar marketing authorization can be submitted, and the innovator's data may be referenced, but no biosimilar product can be
marketed until 10 years have elapsed from the initial authorization of the reference product in the EU. The overall 10-year of market exclusivity
period may be extended to a maximum of 11 years if, during the first eight of those 10 years, the marketing authorization holder obtains an approval
for one or more new therapeutic indications that bring significant clinical benefits compared with existing therapies. In addition, companies may be
developing biosimilars in other countries that could compete with our products. If competitors are able to obtain marketing approval for biosimilars
referencing our products, our products may become subject to competition from such biosimilars, with the attendant competitive pressure and
consequences.
Failure to obtain marketing approval in international jurisdictions would prevent our product candidates from being marketed abroad.
In order to market and sell our product candidates in the EU and many other jurisdictions, we or our collaborators must obtain separate marketing
approvals and comply with numerous and varying regulatory requirements. The approval procedure varies among countries and can involve
additional testing. The time required to obtain approval in foreign countries may differ substantially from that required to obtain FDA or other
applicable regulatory approval. Clinical trials conducted in one country may not be accepted by regulatory authorities in other countries. The
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regulatory approval process outside the United States generally includes all of the risks associated with obtaining FDA approval. In addition, in
many countries outside the United States, it is required that the product be approved for reimbursement before the product can be approved for sale
in that country. We or our collaborators may not obtain approvals for our product candidates from regulatory authorities outside the United States on
a timely basis, if at all. Approval by the FDA does not ensure approval by regulatory authorities in other countries or jurisdictions, and approval by
one regulatory authority outside the United States does not ensure approval by regulatory authorities in other countries or jurisdictions or by the
FDA. However, a failure or delay in obtaining regulatory approval in one country may have a negative effect on the regulatory process in others. We
may not be able to file for marketing approvals and may not receive necessary approvals to commercialize our products in any market.
Additionally, the EU pharmaceutical legislation is currently undergoing a complete review process in the context of the Pharmaceutical Strategy for
Europe initiative, launched by the European Commission in November 2020. A proposal for revision of several legislative instruments related to
medicinal products (potentially revising the duration of regulatory exclusivity, eligibility for expedited pathways, etc.) is expected to be adopted by
the European Commission by the end of 2022. The proposed revisions, once they are agreed and adopted by the European Parliament and
European Council (not expected before the end of 2024), may have a significant impact on the pharmaceutical industry in the long term.
Any product candidate for which we obtain marketing approval could be subject to post-marketing restrictions or withdrawal from the
market, and we may be subject to penalties if we fail to comply with regulatory requirements or if we experience unanticipated problems
with our products, when and if any of them are approved.
Any product candidate for which we obtain marketing approval, along with the manufacturing processes, post-approval clinical data, labeling,
advertising and promotional activities for such product, will be subject to the continual requirements of and review by the FDA and other regulatory
authorities. These requirements include submissions of safety and other post-marketing information and reports, registration and listing
requirements, cGMP and similar requirements relating to manufacturing, quality control, quality assurance and corresponding maintenance of
records and documents, requirements regarding the distribution of samples to physicians and recordkeeping. We and our contract manufacturers
will also be subject to continual review and periodic inspections to assess compliance with cGMP and similar requirements. Accordingly, we and
others with whom we work must continue to expend time, money and effort in all areas of regulatory compliance, including manufacturing,
production and quality control.
Even if marketing approval of a product candidate is granted, the approval may be subject to limitations on the indicated uses for which the product
may be marketed or to specific conditions of approval, including a requirement to implement a risk evaluation and mitigation strategy, which could
include requirements for a medication guide, communication plan, or restricted distribution system. If any of our product candidates receives
marketing approval, the accompanying label may limit the approved use of our drug, which could limit sales of the product.
The FDA and foreign regulatory authorities may also impose requirements for costly post-marketing studies or clinical trials and surveillance to
monitor the safety or efficacy of our approved products. The FDA and foreign regulatory authorities closely regulate the post-approval marketing
and promotion of drugs and biologics to ensure they are marketed only for the approved indications and in accordance with the provisions of the
approved labeling. The FDA and foreign regulatory authorities impose stringent restrictions on manufacturers’ communications regarding off-label
use, and if we market our products outside of their approved indications, we may be subject to enforcement action for off-label marketing. Violations
of the FDA’s or foreign regulatory authorities’ restrictions relating to the promotion of prescription drugs may also lead to investigations alleging
violations of federal, state, local or foreign health care fraud and abuse laws, as well as consumer protection laws.
In addition, if a regulatory agency or we later discover previously unknown problems with our products, such as adverse events of unanticipated
severity or frequency, problems with manufacturers or manufacturing processes, or failure to comply with regulatory requirements, the regulatory
agency may impose restrictions on the products or us, including requiring withdrawal of the product from the market. Any failure to comply with
applicable regulatory requirements may yield various problematic results, including:
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litigation involving patients taking our products;
restrictions on such products, manufacturers or manufacturing processes;
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restrictions on the labeling or marketing of a product;
restrictions on product distribution or use;
requirements to conduct post-marketing studies or clinical trials;
• warning letters;
• withdrawal of products from the market;
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suspension or termination of ongoing clinical trials;
refusal to approve pending applications or supplements to approved applications that we submit;
recall of products;
fines, restitution or disgorgement of profits or revenues;
suspension or withdrawal of marketing approvals;
damage to relationships with potential collaborators;
unfavorable press coverage and damage to our reputation;
refusal to permit the import or export of our products;
product seizure or detention;
injunctions; or
imposition of civil or criminal penalties.
Noncompliance with similar EU requirements regarding safety monitoring or pharmacovigilance can also result in significant financial penalties.
Similarly, failure to comply with U.S. and foreign regulatory requirements regarding the development of products for pediatric populations and the
protection of personal health information can also lead to significant penalties and sanctions.
Any government investigation of alleged violations of law could require us to expend significant time and resources in response and could generate
negative publicity. In addition, the FDA’s and foreign regulatory authorities' regulations, policies or guidance may change and new or additional
statutes or government regulations may be enacted that could prevent or delay regulatory approval of our product candidates or further restrict or
regulate post-approval activities. Any failure to comply with ongoing regulatory requirements may significantly and adversely affect our ability to
commercialize and generate revenues. If regulatory sanctions are applied or if regulatory approval is withheld or withdrawn, the value of our
company and our operating results will be adversely affected.
Our relationships with customers, physicians and third-party payors will be subject to applicable anti-kickback, fraud and abuse and
other healthcare laws and regulations, which could expose us to criminal sanctions, civil penalties, exclusion from governmental
healthcare programs, contractual damages, reputational harm and diminished profits and future earnings.
Healthcare providers, physicians and third-party payors will play a primary role in the recommendation and prescription of any product candidates
for which we may obtain marketing approval. Our future arrangements with third-party payors, physicians and customers may expose us to broadly
applicable fraud and abuse and other healthcare laws and regulations that may restrict the business or financial arrangements and relationships
through which we market, sell and distribute any products for which we obtain marketing approval. Restrictions under applicable federal, state and
foreign healthcare laws and regulations include the following:
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the federal Anti-Kickback Statute prohibits, among other things, persons from knowingly and willfully soliciting, offering, receiving or providing
remuneration, directly or indirectly, in cash or in kind, to induce or reward, or in return for, either the referral of an individual for, or the purchase,
order or recommendation of, any good or service, for which payment may be made under a federal healthcare program, such as Medicare and
Medicaid; a person or entity does not need to have actual knowledge of the statute or specific intent to violate the statute to have committed a
violation;
the false claims and civil monetary penalties laws, including the federal False Claims Act, which, among other things, impose criminal and civil
penalties, including through civil whistleblower or qui tam actions, against individuals or entities for knowingly presenting, or causing to be
presented, to the federal government, claims for payment that are false or fraudulent, knowingly making, using or causing to be made or used, a
false record or statement material to a false or fraudulent claim or from knowingly or making a false statement to avoid, decrease or conceal an
obligation to pay money to the federal government. In addition, the government may assert that a claim including items or services resulting
from a violation of the federal Anti-Kickback Statute constitutes a false or fraudulent claim for purposes of the federal False Claims Act;
the federal Health Insurance Portability and Accountability Act of 1996 imposes criminal and civil liability for executing a scheme to defraud any
healthcare benefit program or making false statements relating to healthcare matters; similar to the federal Anti-Kickback Statute, a person or
entity does not need to have actual knowledge of these statutes or specific intent to violate them to have committed a violation;
the federal Physician Payment Sunshine Act requires applicable manufacturers of covered drugs to report payments and other transfers of
value to physicians (defined to include doctors, dentists, optometrists, podiatrists and chiropractors), certain non-physician practitioners
(physician assistants, nurse practitioners, clinical nurse specialists, certified nurse anesthetists, anesthesiologist assistants and certified nurse
midwives) and teaching hospitals, and ownership and investment interests held by physicians and their immediate family members.
Manufacturers are required to submit reports to the government by the 90th day of each calendar year; and
analogous state and foreign laws and regulations, such as state anti-kickback and false claims laws, may apply to our business practices,
including but not limited to: research, distribution, sales or marketing arrangements and claims involving healthcare items or services
reimbursed by non-governmental third-party payors, including private insurers. State laws require pharmaceutical companies to comply with the
pharmaceutical industry’s voluntary compliance guidelines and the relevant compliance guidance promulgated by the federal government and
may require drug manufacturers to report information related to: payments and other transfers of value to physicians and other healthcare
providers, pricing information or marketing expenditures.
The risk of our being found in violation of these laws and regulations is increased by the fact that many of them have not been fully interpreted by
the regulatory authorities or the courts, and their provisions are open to a variety of interpretations. Any action against us for violation of these laws
and regulations, even if we successfully defend against it, could cause us to incur significant legal expenses and divert our management’s attention
from the operation of our business. The shifting compliance environment and the need to build and maintain a robust system to comply with multiple
jurisdictions with different compliance and reporting requirements increases the possibility that a healthcare company may violate one or more of
the requirements.
Efforts to ensure that our business arrangements with third parties will comply with applicable healthcare laws and regulations will involve
substantial costs. It is possible that governmental authorities will conclude that our business practices may not comply with current or future
statutes, regulations or case law involving applicable fraud and abuse or other healthcare laws and regulations. If our operations are found to be in
violation of any of these laws or any other governmental laws and regulations that may apply to us, we may be subject to significant civil, criminal
and administrative penalties, damages, fines, imprisonment, exclusion from government funded healthcare programs, such as Medicare and
Medicaid, and the curtailment or restructuring of our operations.
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Recently enacted and future legislation may increase the difficulty and cost for us to obtain marketing approval for and commercialize
our product candidates and affect the prices we may obtain.
In the United States and some foreign jurisdictions, there have been a number of legislative and regulatory changes and proposed changes
regarding the healthcare system that could prevent or delay marketing approval of our product candidates, restrict or regulate post-approval
activities and affect our ability to profitably sell any product candidates for which we obtain marketing approval.
In the United States, the Patient Protection and Affordable Care Act ("ACA") was intended to broaden access to health insurance, reduce or
constrain the growth of healthcare spending, enhance remedies against fraud and abuse, add new transparency requirements for the healthcare
and health insurance industries, impose new taxes and fees on the health industry and impose additional health policy reforms.
Among the provisions of the ACA that are of importance to our potential product candidates are the following:
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establishment of a new pathway for approval of lower cost biosimilars to compete with biologic products, such as those we are developing;
an annual, nondeductible fee payable by any entity that manufactures or imports specified branded prescription drugs and biologic agents;
an increase in the statutory minimum rebates a manufacturer must pay under the Medicaid Drug Rebate Program;
a new Medicare Part D coverage gap discount program, in which manufacturers must agree to offer 70% point-of-sale discounts off negotiated
prices;
extension of manufacturers’ Medicaid rebate liability;
expansion of eligibility criteria for Medicaid programs;
expansion of the entities eligible for discounts under the Public Health Service pharmaceutical pricing program;
a new requirement to annually report drug samples that manufacturers and distributors provide to physicians; and
a new Patient-Centered Outcomes Research Institute to oversee, identify priorities in and conduct comparative clinical effectiveness research,
along with funding for such research.
Since its enactment, there have been judicial, executive and Congressional challenges to certain aspects of the ACA. On June 17, 2021, the U.S.
Supreme Court dismissed the most recent judicial challenge to the ACA brought by several states without specifically ruling on the constitutionality
of the ACA. Prior to the Supreme Court’s decision, President Biden issued an executive order initiating a special enrollment period from February
15, 2021 through August 15, 2021 for purposes of obtaining health insurance coverage through the ACA marketplace. The executive order also
instructed certain governmental agencies to review and reconsider their existing policies and rules that limit access to healthcare. It is unclear how
healthcare reform measures enacted by Congress or implemented by the Biden administration, if any, will impact our business.
In addition, other legislative changes have been proposed and adopted since the ACA was enacted. In August 2011, the Budget Control Act of
2011, among other things, included aggregate reductions of Medicare payments to providers of 2% per fiscal year, which went into effect on April 1,
2013 and, due to subsequent legislative amendments, will remain in effect through 2030, with the exception of a temporary suspension from May 1,
2020 through March 31, 2022 and a 1% reduction from April 1, 2022 through June 30, 2022, unless additional Congressional action is taken. On
January 2, 2013, the American Taxpayer Relief Act of 2012 was signed into law, which, among other things, reduced Medicare payments to several
providers, including hospitals, and an increase in the statute of limitations period for the government to recover overpayments to providers from
three to five years. Further, in March 2021, the American Rescue Plan Act of 2021 was signed into law, which, among other things, eliminated the
statutory cap on drug manufacturers’ Medicaid Drug Rebate Program rebate liability, effective January 1, 2024. Under current law enacted as part of
the ACA, drug manufacturers’ Medicaid Drug Rebate
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Program rebate liability is capped at 100% of the average manufacturer price for a covered outpatient drug. These new laws may result in additional
reductions in Medicare and other healthcare funding and otherwise affect the prices we may obtain.
We expect that other healthcare reform measures that may be adopted in the future, may result in additional reductions in Medicare and other
healthcare funding, more rigorous coverage criteria, new payment methodologies and in additional downward pressure on the price that we receive
for any approved product. Any reduction in reimbursement from Medicare or other government programs may result in a similar reduction in
payments from private payors. The implementation of cost containment measures or other healthcare reforms may prevent us from being able to
generate revenue, attain profitability, or commercialize our product candidates, if approved.
Moreover, there has recently been heightened governmental scrutiny over the manner in which manufacturers set prices for their marketed
products. Individual states in the United States have become increasingly active in implementing regulations designed to contain pharmaceutical
and biological product pricing, including price or patient reimbursement constraints, discounts, restrictions on certain product access and marketing
cost disclosure and transparency measures. Legally mandated price controls on payment amounts by third-party payors or other restrictions could
harm our business, results of operations, financial condition and prospects. In addition, regional healthcare authorities and individual hospitals are
increasingly using bidding procedures to determine what pharmaceutical products and which suppliers will be included in their prescription drug and
other healthcare programs. This could reduce the ultimate demand for our product candidates, if approved, or put pressure on our product pricing,
which could negatively affect our business, results of operations, financial condition and prospects.
Legislative and regulatory proposals have been made to expand post-approval requirements and restrict sales and promotional activities for
pharmaceutical products. We cannot be sure whether additional legislative changes will be enacted, or whether the FDA regulations, guidance or
interpretations will be changed, or what the impact of such changes on the marketing approvals of our product candidates, if any, may be. In
addition, increased scrutiny by Congress of the FDA’s approval process may significantly delay or prevent marketing approval, as well as subject us
to more stringent product labeling and post-marketing testing and other requirements.
If we are slow or unable to adapt to changes in existing requirements or the adoption of new requirements or policies, or if we are not able to
maintain regulatory compliance, we may be subject to enforcement action and we may not achieve or sustain profitability.
We may be subject to the U.K. Bribery Act 2010 (the "Bribery Act"), the U.S. Foreign Corrupt Practices Act of 1977, as amended (the
"FCPA"), and other anti-corruption laws, as well as export control laws, import and customs laws, trade and economic sanctions laws
and other laws governing our operations.
Our operations may be subject to anti-corruption laws, including the Bribery Act, the FCPA, the U.S. domestic bribery statute contained in 18 U.S.C.
§201, the U.S. Travel Act, and other anti-corruption laws that apply in countries where we do business. The Bribery Act, the FCPA and these other
laws generally prohibit us, our employees and our intermediaries from authorizing, promising, offering, or providing, directly or indirectly, improper or
prohibited payments, or anything else of value, to government officials or other persons to obtain or retain business or gain some other business
advantage. Under the Bribery Act, we may also be liable for failing to prevent a person associated with us from committing a bribery offense. We
and our partners may operate in jurisdictions that pose a high risk of potential Bribery Act or FCPA violations, and we may participate in
collaborations and relationships with third parties whose corrupt or illegal activities could potentially subject us to liability under the Bribery Act,
FCPA or local anti-corruption laws, even if we do not explicitly authorize or have actual knowledge of such activities. In addition, we cannot predict
the nature, scope or effect of future regulatory requirements to which our international operations might be subject or the manner in which existing
laws might be administered or interpreted.
We may also be subject to other laws and regulations from time to time governing our international operations, including regulations administered
by the governments of the United States, the United Kingdom or elsewhere, and authorities in the European Union or elsewhere, including
applicable export control regulations, economic sanctions and embargoes on certain countries and persons, anti-money laundering laws, import and
customs requirements and currency exchange regulations, collectively referred to as the Trade Control laws.
There is no assurance that we will be completely effective in ensuring our compliance with all applicable anti-corruption laws, including the Bribery
Act, the FCPA or other legal requirements, including Trade Control laws. If we
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are not in compliance with the Bribery Act, the FCPA and other anti-corruption laws or Trade Control laws, we may be subject to criminal and civil
penalties, disgorgement and other sanctions and remedial measures, and legal expenses, which could have an adverse impact on our business,
financial condition, results of operations and liquidity. Likewise, any investigation of any potential violations of the Bribery Act, the FCPA, other anti-
corruption laws or Trade Control laws by the United Kingdom, United States or other authorities could also have an adverse impact on our
reputation, our business, results of operations and financial condition.
We may be subject to various laws relating to foreign investment and the export of certain technologies, and our failure to comply with
these laws or adequately monitor the compliance of our suppliers and others we do business with could subject us to substantial fines,
penalties and injunctions, the imposition of which on us could have a material adverse effect on the success of our business.
We may be subject to U.S. laws that regulate foreign investments in U.S. businesses and access by foreign persons to technology developed and
produced in the United States. These laws include section 721 of the Defense Production Act of 1950, as amended by the Foreign Investment Risk
Review Modernization Act of 2018, and the regulations at 31 C.F.R. Parts 800 and 801, as amended, administered by the Committee on Foreign
Investment in the United States, and the Export Control Reform Act of 2018, which is being implemented in part through Commerce Department
rule-making to impose new export control restrictions on “emerging and foundational technologies” yet to be fully identified. Application of these
laws, including as they are implemented through regulations being developed, may negatively impact our business in various ways, including by:
restricting our access to capital and markets; limiting the collaborations we may pursue; regulating the export our products, services, and technology
from the United States and abroad; increasing our costs and the time necessary to obtain required authorizations and to ensure compliance; and
threatening monetary fines and other penalties for non-compliance.
Governments outside the United States tend to impose strict price controls, which may adversely affect our revenues, if any.
In some countries, particularly the EU member states, the pricing of prescription drugs is subject to governmental control. In these countries, pricing
negotiations with governmental authorities can take considerable time after the receipt of marketing approval for a product. In addition, there can be
considerable pressure by governments and other stakeholders on prices and reimbursement levels, including as part of cost containment
measures. Political, economic and regulatory developments may further complicate pricing negotiations, and pricing negotiations may continue after
coverage and reimbursement have been obtained. Reference pricing used by various EU member states, and parallel distribution or arbitrage
between low-priced and high-priced member states, can further reduce prices. To obtain reimbursement or pricing approval in some countries, we
may be required to conduct a clinical trial that compares the cost-effectiveness of our product candidate to other available therapies. If coverage
and reimbursement of our products are unavailable or limited in scope or amount, or if pricing is set at unsatisfactory levels, our business could be
harmed, possibly materially.
If we fail to comply with environmental, health and safety laws and regulations, we could become subject to fines or penalties or incur
costs that could harm our business.
We are subject to numerous environmental, health and safety laws and regulations, including those governing laboratory procedures and the
handling, use, storage, treatment and disposal of hazardous materials and wastes. Our operations involve the use of hazardous and flammable
materials, including chemicals and biological materials. Our operations also produce hazardous waste products. We generally contract with third
parties for the disposal of these materials and wastes. We cannot eliminate the risk of contamination or injury from these materials. In the event of
contamination or injury resulting from our use of hazardous materials, we could be held liable for any resulting damages, and any liability could
exceed our resources. We also could incur significant costs associated with civil or criminal fines and penalties for failure to comply with such laws
and regulations.
Although we maintain workers’ compensation insurance to cover us for costs and expenses that we may incur due to injuries to our employees
resulting from the use of hazardous materials, this insurance may not provide adequate coverage against all potential liabilities. We do not maintain
insurance for environmental liability or toxic tort claims that may be asserted against us in connection with our storage or disposal of biological,
hazardous or radioactive materials.
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In addition, we may incur substantial costs in order to comply with current or future environmental, health and safety laws and regulations. These
current or future laws and regulations may impair our research, development or production efforts. Our failure to comply with these laws and
regulations also may result in substantial fines, penalties or other sanctions.
Risks Related to Our Intellectual Property
If we are unable to adequately protect our proprietary technology, or obtain and maintain issued patents which are sufficient to protect
our product candidates, others could compete against us more directly, which would have a material adverse impact on our business,
results of operations, financial condition and prospects.
Our success depends in large part on our ability to obtain and maintain patent and other intellectual property protection in the United States and
other countries with respect to our proprietary technology and products. We seek to protect our proprietary position by filing patent applications in
the United States and abroad related to our novel technologies and product candidates. We also rely on trade secrets to protect aspects of our
business that are not amenable to, or that we do not consider appropriate for, patent protection.
The patent prosecution process is expensive and time-consuming, and we may not be able to file and prosecute all necessary or desirable patent
applications at a reasonable cost, in a timely manner, or in all jurisdictions. It is also possible that we will fail to identify patentable aspects of our
research and development output before it is too late to obtain patent protection. It is possible that defects of form in the preparation or filing of our
patents or patent applications may exist, or may arise in the future, such as, with respect to proper priority claims, inventorship, claim scope or
patent term adjustments. If there are material defects in the form or preparation of our patents or patent applications, such patents or applications
may be invalid and unenforceable. Moreover, our competitors may independently develop equivalent knowledge, methods and know-how. Any of
these outcomes could impair our ability to prevent competition from third parties, which may have an adverse impact on our business, financial
condition and operating results.
Pursuant to our current and future license agreements with third parties, in some circumstances we may not have the right to control the
preparation, filing and prosecution of patent applications, or to maintain the patents, covering technology that we license from third parties. We may
also require the cooperation of our licensors to enforce any licensed patent rights, and such cooperation may not be provided or may be deficient.
Therefore, these patents and applications may not be prosecuted and enforced in a manner consistent with the best interests of our business.
Although we have numerous patent applications pending, we cannot provide any assurances that any of our pending patent applications will mature
into issued patents and, if they do, that such patents or our current patents will include claims with a scope sufficient to protect our product
candidates or otherwise provide any competitive advantage. For example, we are pursuing claims to compositions of certain bacterial populations.
Any claims that are issued may provide coverage for such compositions and/or their use. However, such claims would not prevent a third party from
commercializing alternative compositions that do not include the bacterial populations claimed in pending applications, potential applications or
patents that have issued or may issue. There can be no assurance that any such alternative composition will not be equally effective. These and
other factors may provide opportunities for our competitors to design around our patents, should they issue.
Moreover, other parties have developed or may develop technologies that may be related or competitive to our approach, and may have filed or
may file patent applications and may have received or may receive patents that may overlap or conflict with our patent applications, either by
claiming similar methods or by claiming subject matter that could dominate our patent position. In addition, the standards that the United States
Patent and Trademark Office ("USPTO") and other jurisdictions use to grant patents are not always applied predictably or uniformly and can
change. Similarly, the ultimate degree of protection that will be afforded to biotechnology inventions, including ours, in the United States and other
jurisdictions, remains uncertain and is dependent upon the scope of the protection decided upon by patent offices, courts, and lawmakers.
Publications of discoveries in the scientific literature often lag behind actual discoveries, and patent applications in the United States and other
jurisdictions are typically not published until 18 months after filing, or in some cases not at all. Therefore, we cannot know with certainty whether we
were the first to make the inventions claimed in any issued patents or pending patent applications, or that we were the first to file for patent
protection of such
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inventions, nor can we know whether those from whom we may license patents were the first to make the inventions claimed or were the first to file.
For these and other reasons, the issuance, scope, validity, enforceability and commercial value of our patent rights are subject to a level of
uncertainty. Our pending and future patent applications may not result in patents being issued which protect our technology or products, in whole or
in part, or which effectively prevent others from commercializing competitive technologies and products. Changes in the patent laws and/or
interpretation of the patent laws in the United States and other countries may diminish the value of our patents or narrow the scope of our patent
protection.
We may be subject to a third-party pre-issuance submission of prior art to the USPTO or become involved in derivation, reexamination, inter partes
review, ex partes reexamination, post-grant review or interference proceedings challenging our patent rights or the patent rights of others. An
adverse determination in any such submission, proceeding or litigation could reduce the scope of, or invalidate, our patent rights, allow third parties
to commercialize our technology or products and compete directly with us, without payment to us, or result in our inability to manufacture or
commercialize products without infringing third-party patent rights. For example, in February 2021, the European Patent Office informed us of a
notice of opposition by a third party for a patent issued to us. In July 2021, we filed a reply to the notice of opposition. The patent at issue does not
relate to our current product candidates.
Any limitation on the protection of the subject technology could hinder our ability to develop and commercialize applicable product candidates.
In addition, if the breadth or strength of protection provided by our patents and patent applications is threatened, it could dissuade companies from
collaborating with us to license, develop or commercialize current or future product candidates. Furthermore, an adverse decision in an interference
proceeding can result in a third party receiving the patent right sought by us, which in turn could affect our ability to develop, market or otherwise
commercialize our product candidates. The issuance, scope, validity, enforceability and commercial value of our patents are subject to a level of
uncertainty.
The patent position of biotechnology and pharmaceutical companies generally is highly uncertain, involves complex legal and factual questions and
has in recent years been the subject of much litigation. Due to legal standards relating to patentability, validity, enforceability and claim scope of
patents covering biotechnological and pharmaceutical inventions, our ability to obtain, maintain and enforce patents is uncertain and involves
complex legal and factual questions. Even if issued, a patent’s validity, inventorship, ownership or enforceability is not conclusive. Accordingly, rights
under any existing patent or any patents we might obtain or license may not cover our product candidates, or may not provide us with sufficient
protection for our product candidates to afford a commercial advantage against competitive products or processes, including those from branded
and generic pharmaceutical companies.
The degree of future protection for our proprietary rights is uncertain, and we cannot ensure that:
•
•
any of our pending patent applications, if issued, will include claims having a scope sufficient to protect our product candidates or any other
products or product candidates;
any of our pending patent applications will issue as patents;
• we will be able to successfully commercialize our product candidates, if approved, before our relevant patents expire;
• we were the first to make the inventions covered by any existing patent and pending patent applications;
• we were the first to file patent applications for these inventions;
•
•
•
others will not develop similar or alternative technologies that do not infringe or design around our patents;
others will not use pre-existing technology to effectively compete against us;
any of our patents, if issued, will be found to ultimately be valid and enforceable;
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•
third parties will not compete with us in jurisdictions where we do not pursue and obtain patent protection;
• we will be able to obtain and/or maintain necessary or useful licenses on reasonable terms or at all;
•
any patents issued to us will provide a basis for an exclusive market for our commercially viable products, will provide us with any competitive
advantages or will not be challenged by third parties;
• we will develop additional proprietary technologies or product candidates that are separately patentable; or
•
our commercial activities or products will not infringe upon the patents or proprietary rights of others.
Any litigation to enforce or defend our patent rights, even if we were to prevail, could be costly and time-consuming and would divert the attention of
our management and key personnel from our business operations. We may not prevail in any lawsuits that we initiate, and the damages or other
remedies awarded even if we were to prevail may not be commercially meaningful. Even if we are successful, domestic or foreign litigation, or
USPTO or foreign patent office proceedings, may result in substantial costs and distraction to our management. We may not be able, alone or with
our licensors or potential collaborators, to prevent misappropriation of our proprietary rights, particularly in countries where the laws may not protect
such rights as fully as in the United States. Furthermore, because of the substantial amount of discovery required in connection with intellectual
property litigation or other proceedings, there is a risk that some of our confidential information could be compromised by disclosure during this type
of litigation or other proceedings. In addition, during the course of this kind of litigation or proceedings, there could be public announcements of the
results of hearings, motions or other interim proceedings or developments or public access to related documents. If investors perceive these results
to be negative, the market price for our common stock could be significantly harmed.
If we fail to comply with our obligations in the agreements under which we may license intellectual property rights from third parties or
otherwise experience disruptions to our business relationships with our licensors, we could lose rights that are important to our
business.
We have entered into, and may be required to enter into in the future, intellectual property license agreements that are important to our business.
These license agreements may impose various diligence, milestone payment, royalty and other obligations on us. For example, we have entered
into exclusive license agreements with the University of Chicago and Mayo Clinic pursuant to which we are required to use efforts to engage in
various development and commercialization activities with respect to licensed products and are required to satisfy specified milestone and royalty
payment obligations. If we fail to comply with any obligations under our agreements with licensors, we may be subject to termination of the license
agreement in whole or in part or increased financial obligations to our licensors, in which case our ability to develop or commercialize products
covered by the license agreement will be impaired. Further, we may need to outsource and rely on third parties for many aspects of the clinical
development, sales and marketing of our products covered under our current and future license agreements. Delay or failure by these third parties
could adversely affect the continuation of our license agreements with our licensors.
In addition, disputes may arise regarding intellectual property subject to a license agreement, including:
•
•
•
the scope of rights granted under the license agreement and other interpretation-related issues;
the extent to which our technology and processes infringe intellectual property of the licensor that is not subject to the licensing agreement; and
our diligence obligations under the license agreement and what activities satisfy those obligations.
If disputes over intellectual property that we have licensed prevent or impair our ability to maintain our current licensing arrangements on acceptable
terms, we may be unable to successfully develop and commercialize the affected product candidates.
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The intellectual property which we have licensed from the University of Chicago and Mayo Clinic was discovered through government
funded programs and thus may be subject to federal regulations such as "march-in" rights, certain reporting requirements, and a
preference for U.S. industry. Compliance with such regulations may limit our exclusive rights, subject us to expenditure of resources
with respect to reporting requirements, and limit our ability to contract with non-U.S. manufacturers.
We have licensed certain intellectual property from the University of Chicago and Mayo Clinic. These agreements indicate that the rights licensed to
us are subject to the obligations to and the rights of the U.S. government, including those set forth in the Bayh-Dole Act of 1980. As a result, the
U.S. government may have certain rights to intellectual property embodied in our current or future therapeutics based on the licensed intellectual
property. These U.S. government rights in certain inventions developed under a government-funded program include a non-exclusive, non-
transferable, irrevocable worldwide license to use inventions for any governmental purpose. In addition, the U.S. government has the right to require
us to grant exclusive, partially exclusive, or nonexclusive licenses to any of these inventions to a third party if it determines that: (i) adequate steps
have not been taken to commercialize the invention; (ii) government action is necessary to meet public health or safety needs; or (iii) government
action is necessary to meet requirements for public use under federal regulations, also referred to as "march-in rights." While the U.S. government
has sparingly used, and to our knowledge never successfully exercised, such march-in rights, any exercise of the march-in rights by the U.S.
government could harm our competitive position, business, financial condition, results of operations and prospects. If the U.S. government
exercises such march-in rights, we may receive compensation that is deemed reasonable by the U.S. government in its sole discretion, which may
be less than what we might be able to obtain in the open market. Intellectual property generated under a government funded program is also
subject to certain reporting requirements, compliance with which may require us to expend substantial resources.
In addition, the U.S. government requires that any therapeutics embodying any invention generated through the use of U.S. government funding be
manufactured substantially in the United States. The manufacturing preference requirement can be waived if the owner of the intellectual property
can show that reasonable but unsuccessful efforts have been made to grant licenses on similar terms to potential licensees that would be likely to
manufacture substantially in the United States or that under the circumstances domestic manufacture is not commercially feasible. This preference
for U.S. manufacturers may limit our ability to contract with non-U.S. therapeutic manufacturers for therapeutics covered by such intellectual
property.
If we are unable to protect the confidentiality of our trade secrets and know-how, our business and competitive position would be
harmed.
In addition to seeking patents for some of our technology and product candidates, we also rely on trade secrets, including unpatented know-how,
technology and other proprietary information, to maintain our competitive position. We seek to protect these trade secrets, in part, by entering into
non-disclosure and confidentiality agreements with parties who have access to them, such as our employees, corporate collaborators, outside
scientific collaborators, contract manufacturers, consultants, advisors and other third parties. We also seek to enter into confidentiality and invention
or patent assignment agreements with our employees, advisors and consultants. Despite these efforts, any of these parties may breach the
agreements and disclose our proprietary information, including our trade secrets, and we may not be able to obtain adequate remedies for such
breaches. Our trade secrets may also be obtained by third parties by other means, such as breaches of our physical or computer security systems.
Enforcing a claim that a party illegally disclosed or misappropriated a trade secret is difficult, expensive and time-consuming, and the outcome is
unpredictable. In addition, some courts inside and outside the United States are less willing or unwilling to protect trade secrets. Moreover, if any of
our trade secrets were to be lawfully obtained or independently developed by a competitor, we would have no right to prevent them, or those to
whom they communicate, from using that technology or information to compete with us. If any of our trade secrets were to be disclosed to or
independently developed by a competitor, our competitive position would be harmed.
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Changes in patent law in the United States and other jurisdictions could diminish the value of patents in general, thereby impairing our
ability to protect our products.
As is the case with other biotechnology companies, our success is heavily dependent on intellectual property, particularly patents. Obtaining and
enforcing patents in the biotechnology industry involves both technological and legal complexity, and is therefore costly, time-consuming and
inherently uncertain. Patent reform legislation in the United States, including the Leahy-Smith America Invents Act (the" Leahy-Smith Act"), signed
into law on September 16, 2011, could increase those uncertainties and costs. The Leahy-Smith Act included a number of significant changes to
U.S. patent law. These changes included provisions that affect the way patent applications are prosecuted, redefine prior art and provide more
efficient and cost-effective avenues for competitors to challenge the validity of patents. In addition, the Leahy-Smith Act transformed the U.S. patent
system into a “first to file” system. The first-to-file provisions became effective on March 16, 2013. The Leahy-Smith Act and its implementation
could make it more difficult to obtain patent protection for our inventions and increase the uncertainties and costs surrounding the prosecution of our
patent applications and the enforcement or defense of our issued patents, all of which could harm our business, results of operations and financial
condition.
In addition, recent United States Supreme Court rulings have narrowed the scope of patent protection available in certain circumstances and
weakened the rights of patent owners in certain situations. From time to time, the U.S. Supreme Court, other federal courts, the United States
Congress, or the USPTO, may change the standards of patentability and any such changes could have a negative impact on our business.
Additionally, there have been recent proposals for additional changes to the patent laws of the United States and other countries that, if adopted,
could impact our ability to obtain patent protection for our proprietary technology or our ability to enforce our proprietary technology.
The U.S. Supreme Court has ruled on several patent cases in recent years, either narrowing the scope of patent protection available in certain
circumstances or weakening the rights of patent owners in certain situations. For example, in Association for Molecular Pathology v. Myriad
Genetics, Inc., the Supreme Court held that claims to isolated genomic DNA are not patentable, but claims to complementary DNA, or cDNA,
molecules, which are not genomic sequences, may be patent eligible because they are not a natural product. The effect of the decision on patents
for other isolated natural products is uncertain. Our current product candidates include natural products. Therefore, this decision and its
interpretation by the courts and the USPTO may impact prosecution, defense and enforcement of our patent portfolio. Depending on future actions
by the U.S. Congress, the U.S. courts, the USPTO and the relevant law-making bodies in other countries, the laws and regulations governing
patents could change in unpredictable ways that would weaken our ability to obtain new patents or to enforce our existing patents and patents that
we might obtain in the future.
Europe’s planned Unified Patent Court may in particular present uncertainties for our ability to protect and enforce our patent rights against
competitors in Europe. While that new court is being implemented to provide more certainty and efficiency to patent enforcement throughout
Europe, it will also provide our competitors with a new forum to use to centrally revoke our European patents. It will be several years before we will
understand the scope of patent rights that will be recognized and the strength of patent remedies that will be provided by that court. We will have
the right to opt our patents out of that system over the first seven years of the court, but doing so may preclude us from realizing the benefits of the
new unified court.
In addition to increasing uncertainty with regard to our ability to obtain future patents, this combination of events has created uncertainty with
respect to the value of patents, once obtained. Depending on these and other decisions by Congress, the federal courts and the USPTO, the laws
and regulations governing patents could change or be interpreted in unpredictable ways that would weaken our ability to obtain new patents or to
enforce any patents that may issue to us in the future. In addition, these events may adversely affect our ability to defend any patents that may
issue in procedures in the USPTO or in courts.
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Third parties may initiate legal proceedings alleging that we are infringing their intellectual property rights, the outcome of which would
be uncertain and could have a material adverse effect on the success of our business.
Our commercial success depends upon our ability, and the ability of our collaborators, to develop, manufacture, market and sell our product
candidates and use our proprietary technologies without infringing the proprietary rights of third parties. There is considerable intellectual property
litigation in the biotechnology and pharmaceutical industries. While no such litigation has been brought against us and we have not been held by
any court to have infringed a third party’s intellectual property rights, we cannot guarantee that our technology, products or use of our products do
not infringe third-party patents.
Numerous patents and pending applications are owned by third parties in the fields in which we are developing product candidates, both in the
United States and elsewhere. It is also possible that we have failed to identify relevant third-party patents or applications. For example, applications
filed before November 29, 2000 and certain applications filed after that date that will not be filed outside the United States remain confidential until
patents issue. Moreover, it is difficult for industry participants, including us, to identify all third-party patent rights that may be relevant to our product
candidates and technologies because patent searching is imperfect due to differences in terminology among patents, incomplete databases and the
difficulty in assessing the meaning of patent claims. We may fail to identify relevant patents or patent applications or may identify pending patent
applications of potential interest but incorrectly predict the likelihood that such patent applications may issue with claims of relevance to our
technology. In addition, we may be unaware of one or more issued patents that would be infringed by the manufacture, sale or use of a current or
future product candidate, or we may incorrectly conclude that a third-party patent is invalid, unenforceable or not infringed by our activities.
Additionally, pending patent applications that have been published can, subject to certain limitations, be later amended in a manner that could cover
our technologies, our products or the use of our products. We are aware of several pending patent applications containing one or more claims that
could be construed to cover some of our product candidates or technology, should those claims issue in their original form or in the form presently
being pursued.
The biotechnology and pharmaceutical industries are characterized by extensive litigation regarding patents and other intellectual property rights.
Other parties may allege that our product candidates or the use of our technologies infringe patent claims or other intellectual property rights held by
them or that we are employing their proprietary technology without authorization. We may become party to, or threatened with, future adversarial
proceedings or litigation regarding intellectual property rights with respect to our products and technology, including interference or derivation
proceedings before the USPTO and similar bodies in other countries. Third parties may assert infringement claims against us based on existing
intellectual property rights and intellectual property rights that may be granted in the future. If we were to challenge the validity of an issued U.S.
patent in court, such as an issued U.S. patent of potential relevance to some of our product candidates or methods of use, we would need to
overcome a statutory presumption of validity that attaches to every U.S. patent. This means that in order to prevail, we would have to present clear
and convincing evidence as to the invalidity of the patent’s claims. There is no assurance that a court would find in our favor on questions of
infringement or validity.
Patent and other types of intellectual property litigation can involve complex factual and legal questions, and their outcome is uncertain. If we are
found or believe there is a risk we may be found, to infringe a third party’s intellectual property rights, we could be required or may choose to obtain
a license from such third party to continue developing and marketing our products and technology. However, we may not be able to obtain any such
license on commercially reasonable terms or at all. Even if we were able to obtain a license, it could be non-exclusive, thereby giving our
competitors access to the same technologies licensed to us. We could be forced, including by court order, to cease commercializing the infringing
technology or product. In addition, we could be found liable for monetary damages, including treble damages and attorneys’ fees if we are found to
have willfully infringed a patent. A finding of infringement could prevent us from commercializing our product candidates or force us to cease some
of our business operations, which could materially harm our business. Claims that we have misappropriated the confidential information or trade
secrets of third parties could have a similar negative impact on our business.
Even if we are successful in proceedings defending our intellectual property, we may incur substantial costs and divert management time and
attention in pursuing these proceedings, which could have a material adverse effect on us. If we are unable to avoid infringing the patent rights of
others, we may be required to seek a license, defend an infringement action or challenge the validity of the patents in court, or redesign our
products. Patent litigation is costly and time-consuming. We may not have sufficient resources to bring these actions to a successful conclusion. In
addition, intellectual property litigation or claims could force us to do one or more of the following:
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•
•
•
•
cease developing, selling or otherwise commercializing our product candidates;
pay substantial damages for past use of the asserted intellectual property;
obtain a license from the holder of the asserted intellectual property, which license may not be available on reasonable terms, if at all; and
in the case of trademark claims, redesign or rename some or all of our product candidates or other brands to avoid infringing the intellectual
property rights of third parties, which may not be possible and, even if possible, could be costly and time-consuming.
Any of these risks coming to fruition could have a material adverse effect on our business, results of operations, financial condition and prospects.
Issued patents covering our product candidates could be found invalid or unenforceable or could be interpreted narrowly if challenged in
court.
Competitors may infringe our intellectual property, including our patents or the patents of our licensors. As a result, we may be required to file
infringement claims to stop third-party infringement or unauthorized use. This can be expensive, particularly for a company of our size, and time-
consuming. If we initiated legal proceedings against a third party to enforce a patent, if and when issued, covering one of our product candidates,
the defendant could counterclaim that the patent covering our product candidate is invalid and/or unenforceable. In patent litigation in the United
States, defendant counterclaims alleging invalidity and/or unenforceability are commonplace. Grounds for a validity challenge include alleged
failures to meet any of several statutory requirements, including lack of novelty, obviousness or non-enablement, or failure to claim patent eligible
subject matter. Grounds for unenforceability assertions include allegations that someone connected with prosecution of the patent withheld relevant
information from the USPTO, or made a misleading statement, during prosecution. Third parties may also raise similar claims before administrative
bodies in the United States or abroad, even outside the context of litigation. Such mechanisms include re-examination, post grant review and
equivalent proceedings in foreign jurisdictions, such as opposition proceedings. Such proceedings could result in revocation or amendment of our
patents in such a way that they no longer cover our product candidates or competitive products. The outcome following legal assertions of invalidity
and unenforceability is unpredictable. With respect to validity, for example, we cannot be certain that there is no invalidating prior art, of which we
and the patent examiner were unaware during prosecution. If a defendant were to prevail on a legal assertion of invalidity and/or unenforceability,
we would lose at least part, and perhaps all, of the patent protection on our product candidates. Moreover, even if not found invalid or
unenforceable, the claims of our patents could be construed narrowly or in a manner that does not cover the allegedly infringing technology in
question. Such a loss of patent protection would have a material adverse impact on our business.
Obtaining and maintaining our patent protection depends on compliance with various procedural, document submission, fee payment
and other requirements imposed by governmental patent agencies, and our patent protection could be reduced or eliminated for
noncompliance with these requirements.
Periodic maintenance fees on any issued patent are due to be paid to the USPTO and foreign patent agencies in several stages over the lifetime of
the patent and, in some jurisdictions, during the pendency of a patent application. The USPTO and various foreign governmental patent agencies
require compliance with a number of procedural, documentary, fee payment and other similar provisions during the patent application process.
While an inadvertent lapse can in many cases be cured by payment of a late fee or by other means in accordance with the applicable rules, there
are situations in which noncompliance can result in abandonment or lapse of the patent or patent application, resulting in partial or complete loss of
patent rights in the relevant jurisdiction. Noncompliance events that could result in abandonment or lapse of a patent or patent application include,
but are not limited to, failure to respond to official actions within prescribed time limits, non-payment of fees and failure to properly legalize and
submit formal documents. In such an event, our competitors might be able to enter the market, which would have a material adverse effect on our
business.
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We may be subject to claims challenging the inventorship or ownership of our patents and other intellectual property.
It is our policy to enter into confidentiality and intellectual property assignment agreements, including with our employees, consultants, contractors
and advisors. These agreements generally provide that inventions conceived by the party in the course of rendering services to us will be our
exclusive property. However, these agreements may not be honored and may not effectively assign intellectual property rights to us. For example,
even if we have a consulting agreement in place with an academic advisor pursuant to which such academic advisor is required to assign any
inventions developed in connection with providing services to us, such academic advisor may not have the right to assign such inventions to us, as
it may conflict with his or her obligations to assign all such intellectual property to his or her employing institution.
Litigation may be necessary to defend against these and other claims challenging inventorship or ownership. If we fail in defending any such claims,
in addition to paying monetary damages, we may lose valuable intellectual property rights, such as exclusive ownership of, or right to use, valuable
intellectual property. Such an outcome could have a material adverse effect on our business. Even if we are successful in defending against such
claims, litigation could result in substantial costs and be a distraction to management and other employees.
We may be subject to claims by third parties asserting that our employees or we have misappropriated their intellectual property, or
claiming ownership of what we regard as our own intellectual property.
Many of our employees were previously employed at universities or other biotechnology or pharmaceutical companies, including our competitors or
potential competitors. We may also engage advisors and consultants who are concurrently employed at universities or other organizations or who
perform services for other entities. Although we try to ensure that our employees, advisors and consultants do not use the proprietary information or
know-how of others in their work for us, we may be subject to claims that we or our employees, advisors or consultants have used or disclosed
intellectual property, including trade secrets or other proprietary information, of any such party’s former or current employer or in violation of an
agreement with another party. Although we have no knowledge of any such claims being alleged to date, if such claims were to arise, litigation may
be necessary to defend against any such claims.
In addition, while it is our policy to require our employees, consultants, advisors and contractors who may be involved in the development of
intellectual property to execute agreements assigning such intellectual property to us, we may be unsuccessful in executing such an agreement with
each party who in fact develops intellectual property that we regard as our own. Our and their assignment agreements may not be self-executing or
may be breached, and we may be forced to bring claims against third parties, or defend claims they may bring against us, to determine the
ownership of what we regard as our intellectual property. Similarly, we may be subject to claims that an employee, advisor or consultant performed
work for us that conflicts with that person’s obligations to a third party, such as an employer, and thus, that the third party has an ownership interest
in the intellectual property arising out of work performed for us. Litigation may be necessary to defend against these claims. Although we have no
knowledge of any such claims being alleged to date, if such claims were to arise, litigation may be necessary to defend against any such claims.
If we fail in prosecuting or defending any such claims, in addition to paying monetary damages, we may lose valuable intellectual property rights or
personnel. Even if we are successful in prosecuting or defending against such claims, litigation could result in substantial costs and be a distraction
to management.
If our trademarks and trade names are not adequately protected, then we may not be able to build name recognition in our markets of
interest and our business may be adversely affected.
Our registered or unregistered trademarks or trade names may be challenged, infringed, circumvented or declared generic or determined to be
infringing other marks. We may not be able to protect our rights to these trademarks and trade names, which we need to build name recognition
among potential collaborators or customers in our markets of interest. At times, competitors may adopt trade names or trademarks similar to ours,
thereby impeding our ability to build brand identity and possibly leading to market confusion. In addition, there could be potential trade name or
trademark infringement claims brought by owners of other registered trademarks or trademarks that incorporate variations of our registered or
unregistered trademarks or trade names. Over the long term, if we are unable to establish name recognition based on our trademarks and trade
names, then we may not be able to
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compete effectively and our business may be adversely affected. Our efforts to enforce or protect our proprietary rights related to trademarks, trade
names, domain names or other intellectual property may be ineffective and could result in substantial costs and diversion of resources and could
adversely impact our financial condition or results of operations.
We will not seek to protect our intellectual property rights in all jurisdictions throughout the world and we may not be able to adequately
enforce our intellectual property rights even in the jurisdictions where we seek protection.
Filing, prosecuting and defending patents on product candidates in all countries and jurisdictions throughout the world would be prohibitively
expensive, and our intellectual property rights in some countries outside the United States could be less extensive than in the United States,
assuming that rights are obtained in the United States and assuming that rights are pursued outside the United States. The statutory deadlines for
pursuing patent protection in individual foreign jurisdictions are based on the priority date of each of our patent applications. For some of the patent
families in our portfolio, including the families that may provide coverage for our lead product candidates, the relevant statutory deadlines have not
yet expired. Therefore, for each of the patent families that we believe provide coverage for our lead product candidates, we will need to decide
whether and where to pursue protection outside the United States. In addition, the laws of some foreign countries do not protect intellectual property
rights to the same extent as federal and state laws in the United States. Consequently, even if we do elect to pursue patent rights outside the United
States, we may not be able to obtain relevant claims and/or we may not be able to prevent third parties from practicing our inventions in all countries
outside the United States, or from selling or importing products made using our inventions in and into the United States or other jurisdictions.
Competitors may use our technologies in jurisdictions where we do not pursue and obtain patent protection to develop their own products and,
further, may export otherwise infringing products to territories where we have patent protection, but enforcement is not as strong as that in the
United States. These products may compete with our products and our patents or other intellectual property rights may not be effective or sufficient
to prevent them from competing.
Even if we pursue and obtain issued patents in particular jurisdictions, our patent claims or other intellectual property rights may not be effective or
sufficient to prevent third parties from so competing.
The laws of some foreign countries do not protect intellectual property rights to the same extent as the laws of the United States. Many companies
have encountered significant problems in protecting and defending intellectual property rights in certain foreign jurisdictions. The legal systems of
some countries, particularly developing countries, do not favor the enforcement of patents and other intellectual property protection, especially those
relating to biotechnology. This could make it difficult for us to stop the infringement of our patents, if obtained, or the misappropriation of our other
intellectual property rights. For example, many foreign countries have compulsory licensing laws under which a patent owner must grant licenses to
third parties. In addition, many countries limit the enforceability of patents against third parties, including government agencies or government
contractors. In these countries, patents may provide limited or no benefit. Patent protection must ultimately be sought on a country-by-country basis,
which is an expensive and time-consuming process with uncertain outcomes. Accordingly, we may choose not to seek patent protection in certain
countries, and we will not have the benefit of patent protection in such countries.
If our ability to obtain and, if obtained, enforce our patents to stop infringing activities is inadequate, third parties may compete with our products,
and our patents or other intellectual property rights may not be effective or sufficient to prevent them from competing. Accordingly, our intellectual
property rights around the world may be inadequate to obtain a significant commercial advantage from the intellectual property we develop or
license.
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Risks Related to Employee Matters and Managing Growth and Other Risks Related to Our Business
Our future success depends on our ability to retain key executives and to attract, retain and motivate qualified personnel.
We are highly dependent on Balkrishan (Simba) Gill, our President and Chief Executive Officer, as well as the other principal members of our
management, scientific and clinical teams. Although we have entered into agreements with our executive officers, each of them may terminate their
employment with us at any time. We do not maintain "key person" insurance for any of our executives or other employees.
Recruiting and retaining qualified scientific, clinical, manufacturing and sales and marketing personnel will also be critical to our success. The loss of
the services of our executive officers or other key employees could impede the achievement of our research, development and commercialization
objectives and seriously harm our ability to successfully implement our business strategy. Furthermore, replacing executive officers and key
employees may be difficult and may take an extended period of time due to the limited number of individuals in our industry with the breadth of skills
and experience required to successfully develop, gain regulatory approval of and commercialize products. Competition to hire from this limited pool
is intense, and we may be unable to hire, train, retain or motivate these key personnel on acceptable terms given the competition among numerous
pharmaceutical and biotechnology companies for similar personnel. We also experience competition for the hiring of scientific and clinical personnel
from universities and research institutions. In addition, we rely on consultants and advisors, including scientific and clinical advisors, to assist us in
formulating our research and development and commercialization strategy. Our consultants and advisors may be employed by employers other
than us and may have commitments under consulting or advisory contracts with other entities that may limit their availability to us. If we are unable
to continue to attract and retain high quality personnel, our ability to pursue our growth strategy will be limited.
We expect to expand our development and regulatory capabilities and potentially implement sales, marketing and distribution
capabilities, and as a result, we may encounter difficulties in managing our growth, which could disrupt our operations.
We expect to experience significant growth in the number of our employees and the scope of our operations, particularly in the areas of product
development, regulatory affairs, clinical affairs and manufacturing and, if any of our product candidates receives marketing approval, sales,
marketing and distribution. To manage our anticipated future growth, we must continue to implement and improve our managerial, operational and
financial systems, expand our facilities and continue to recruit and train additional qualified personnel. Due to our limited financial resources and the
limited experience of our management team in managing a company with such anticipated growth, we may not be able to effectively manage the
expansion of our operations or recruit and train additional qualified personnel. The expansion of our operations may lead to significant costs and
may divert our management and business development resources. Any inability to manage growth could delay the execution of our business plans
or disrupt our operations.
A variety of risks associated with operating internationally could materially adversely affect our business.
We currently have limited international operations, but our business strategy incorporates potentially expanding internationally if any of our product
candidates receive regulatory approval. Doing business internationally involves a number of risks, including but not limited to:
• multiple, conflicting and changing laws and regulations, such as privacy regulations, tax laws, export and import restrictions, employment laws,
regulatory requirements and other governmental approvals, permits and licenses;
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failure by us to obtain and maintain regulatory approvals for the use of our products in various countries;
additional potentially relevant third-party patent rights;
complexities and difficulties in obtaining protection and enforcing our intellectual property;
difficulties in staffing and managing foreign operations;
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complexities associated with managing multiple payor reimbursement regimes, government payors or patient self-pay systems;
limits in our ability to penetrate international markets;
financial risks, such as longer payment cycles, difficulty collecting accounts receivable, the impact of local and regional financial crises on
demand and payment for our products and exposure to foreign currency exchange rate fluctuations;
natural disasters, political and economic instability, including wars, terrorism and political unrest (e.g. the developing conflict between Russia
and Ukraine), outbreak of disease (e.g. the COVID-19 pandemic), boycotts, curtailment of trade and other business restrictions;
certain expenses including, among others, expenses for travel, translation and insurance; and
regulatory and compliance risks that relate to maintaining accurate information and control over sales and activities that may fall within the
purview of the U.S. Foreign Corrupt Practices Act, its books and records provisions, or its anti-bribery provisions, or other anti-bribery and anti-
corruption laws.
Any of these factors could significantly harm our future international expansion and operations and, consequently, our results of operations.
The United Kingdom’s withdrawal from the European Union may have a negative effect on global economic conditions, financial markets
and our business.
The UK left the EU on January 31, 2020, following which existing EU legislation continued to apply in the UK during a transition period under the
terms of the EU-UK Withdrawal Agreement. The transition period, which ended on December 31, 2020, maintained access to the EU single market
and to global trade deals negotiated by the EU on behalf of its members. The transition period provided time for the UK and EU to negotiate a
framework for partnership for the future, which was then crystallized in the Trade and Cooperation Agreement (“TCA”) which became effective on
January 1, 2021.
These developments, or the perception that any related developments could occur, have had and may continue to have a material adverse effect on
global economic conditions and the stability of global financial markets, and may significantly reduce global market liquidity and restrict the ability of
key market participants to operate in certain financial markets. Any of these factors could depress economic activity and restrict our access to
capital, which could have a material adverse effect on our business, financial condition and results of operations and reduce the price of common
stock.
The long term effects of Brexit will depend on the implementation and application of the TCA and any other relevant agreements between the UK
and the EU. EU laws which have been transposed into UK law through secondary legislation continue to be applicable as “retained EU law”.
However, new legislation will not be applicable. The UK government has passed a new Medicines and Medical Devices Act 2021, which introduces
delegated powers in favor of the Secretary of State or an ‘appropriate authority’ to amend or supplement existing regulations in the area of medical
devices. This allows new rules to be introduced in the future by way of secondary legislation, which aims to allow flexibility in addressing regulatory
gaps. There is a possibility that, over time, national laws will be amended and that consequently the regulatory framework in Great Britain will
diverge from that of the EU. As of January 1, 2021, the MHRA is the UK’s standalone medicines and medical devices regulator. As a result of the
Northern Ireland protocol, different rules will apply in Northern Ireland than in England, Wales, and Scotland, together, Great Britain. Broadly,
Northern Ireland will continue to follow the EU regulatory regime, but its national competent authority will remain the MHRA.
The uncertainty regarding new or modified arrangements between the United Kingdom and other countries following the withdrawal may have a
material adverse effect on the movement of personnel, goods, information or data between the United Kingdom and members of the EU and the
United States, including the interruption of or delays in imports into the United Kingdom of goods originating within the EU and exports from the
United Kingdom of goods originating there. For example, shipments into the United Kingdom of drug substance manufactured for us in the EU may
be interrupted or delayed and thereby prevent or delay the manufacture in the United Kingdom of drug product. Similarly, shipments out of the
United Kingdom of drug product to the United States or the EU may be
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interrupted or delayed and thereby prevent or delay the delivery of drug product to clinical sites. Such a situation could hinder our ability to conduct
current and planned clinical trials and have an adverse effect on our business.
Our business and operations may suffer in the event of information technology and other system failures or security breaches of or
unauthorized access to our systems.
We collect and maintain information in digital form that is necessary to conduct our business, and we are increasingly dependent on information
technology systems and infrastructure to operate our business. In the ordinary course of our business, we collect, store and transmit large amounts
of confidential information, including intellectual property, proprietary business information and personal information. It is critical that we do so in a
secure manner to maintain the confidentiality and integrity of such confidential information.
Despite the implementation of security measures, our information technology systems and those of our current and future partners, service
providers, contractors and consultants are vulnerable to attack and damage from computer viruses, unauthorized access, malware (e.g.
ransomware), natural disasters, terrorism, war, telecommunication and electrical failures, cyberattacks or cyber-intrusions, phishing attacks and
other social engineering schemes, employee theft or misuse, human error, fraud, denial or degradation of service attacks, and other security
breaches or unauthorized access by persons inside our organization or with access to our internal systems. The risk of a security breach or
disruption, particularly through cyberattacks or cyber-intrusions, including by computer hackers, foreign governments and cyber terrorists, generally
has increased as the number, intensity and sophistication of attempted attacks and intrusions from around the world have increased. In addition, our
systems safeguard important confidential data, including personal data regarding patients enrolled in our clinical trials. As a result of the COVID-19
pandemic, we may also face increased cybersecurity risks due to our greater reliance on internet technology and the number of our employees who
are working remotely, which may create additional opportunities for cybercriminals to exploit vulnerabilities. Furthermore, because the techniques
used to obtain unauthorized access to, or to sabotage, systems change frequently and often are not recognized until launched against a target, we
may be unable to anticipate these techniques or implement adequate preventative measures. We may also experience security breaches that may
remain undetected for an extended period. Even if identified, we may be unable to adequately investigate or remediate incidents or breaches due to
attackers increasingly using tools and techniques that are designed to circumvent controls, to avoid detection, and to remove or obfuscate forensic
evidence.
We and certain of our service providers are from time to time subject to cyberattacks and security incidents. While we do not believe that we have
experienced any significant system failure, accident or security breach to date, if such an event were to occur and cause interruptions in our
operations, it could result in a material disruption to our product development programs and our business operations. For example, the loss of
clinical trial data from completed or future clinical trials could result in delays in our regulatory approval efforts and significantly increase our costs to
recover or reproduce the data. Likewise, we rely on third parties to manufacture our product candidates and conduct clinical trials, and we have also
outsourced elements of our information technology infrastructure. Similar events relating to the computer systems of our third-party service
providers and vendors could make us vulnerable to disruptions in service and unauthorized access to our confidential or proprietary information,
and we could incur liability and reputational damage. Though immaterial to date and despite stringent precautions, we have in the past experienced,
and may in the future experience, the inadvertent disclosure of information by our third party service providers. To the extent that any disruption or
security breach were to result in a loss of, or damage to, our data or applications, or inappropriate disclosure of confidential or proprietary
information, we could incur liability and the further development and commercialization of our product candidates could be delayed. If such an event
were to occur and cause interruptions in our operations, it could result in a material disruption of our business. Furthermore, federal, state and
international laws and regulations can expose us to enforcement actions and investigations by regulatory authorities, and potentially result in
regulatory penalties, fines and significant legal liability, if our information technology security efforts fail. We may also be exposed to a risk of loss or
litigation and potential liability, which could materially and adversely affect our business, results of operations or financial condition and prospects.
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We rely on a set of cloud-based software services and access these services via the Internet for the vast majority of our computing,
storage, bandwidth, and other services. Any disruption of or interference with our use of our cloud-based services would negatively
affect our operations and could seriously harm our business.
We use several distributed computing infrastructure platforms for business operations, or what is commonly referred to as "cloud" computing
services and we access these services via the Internet. Any transition of the cloud services currently provided by an existing vendor to another
cloud provider would be difficult to implement and will cause us to incur significant time and expense. Given this, any significant disruption of or
interference with our use of these cloud computing services would negatively impact our operations and our business would be seriously harmed. If
our employees or partners are not able to access our cloud computing services or encounter difficulties in doing so, we may experience business
disruption. The level of service provided by our cloud computing vendors, including the ability to secure our confidential information and the
confidential information of third parties that is shared with us, may also impact the perception of our company and could seriously harm our
business and reputation and create liability for us. If a cloud computing service that we use experiences interruptions in service regularly or for a
prolonged basis, or other similar issues, our business could be seriously harmed.
In addition, a cloud computing service may take actions beyond our control that could seriously harm our business, including:
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discontinuing or limiting our access to its platform;
increasing pricing terms;
terminating or seeking to terminate our contractual relationship altogether;
establishing more favorable relationships with one or more of our competitors; or
• modifying or interpreting its terms of service or other policies in a manner that impacts our ability to run our business and operations.
Our cloud computing service providers have broad discretion to change and interpret their terms of service and other policies with respect to us, and
those actions may be unfavorable to us. Our cloud computing service providers may also alter how we are able to process data on the platform. If a
cloud computing service provider makes changes or interpretations that are unfavorable to us, our business could be seriously harmed.
Our efforts to protect the information shared with us may be unsuccessful due to the actions of third parties, software bugs, or other technical
malfunctions, employee error or malfeasance, or other factors. In addition, third parties may attempt to fraudulently induce employees or users to
disclose information to gain access to our data or third-party data entrusted to us. If any of these events occur, our or third-party information could
be accessed or disclosed improperly. Some partners or collaborators may store information that we share with them on their own computing
system. If these third parties fail to implement adequate data-security practices or fail to comply with our policies, our data may be improperly
accessed or disclosed. And even if these third parties take all these steps, their networks may still suffer a breach, which could compromise our
data.
Any incidents where our information is accessed without authorization, or is improperly used, or incidents that violate our policies, could damage our
reputation and our brand and diminish our competitive position. In addition, affected parties or government authorities could initiate legal or
regulatory action against us over those incidents, which could cause us to incur significant expense and liability or result in orders or consent
decrees forcing us to modify our business practices. Concerns over our privacy practices, whether actual or unfounded, could damage our
reputation and brand and deter users, advertisers, and partners from using our products and services. Any of these occurrences could seriously
harm our business.
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Actual or perceived failures to comply with applicable data protection, privacy and security laws, regulations, standards and other
requirements could adversely affect our business, results of operations, financial condition and prospects.
Legislation in various countries around the world with regard to cybersecurity, privacy and data protection is rapidly expanding and creating a
complex compliance environment. We are subject to many federal, state, and foreign laws and regulations, including those related to privacy, rights
of publicity, data protection, content regulation, protection of minors, and consumer protection. In the United States, HIPAA, as amended by the
Health Information Technology for Economic and Clinical Health Act of 2009, and regulations promulgated thereunder (collectively, “HIPAA”),
imposes, among other things, certain standards relating to the privacy, security, transmission and breach reporting of individually identifiable health
information. Most healthcare providers, including research institutions from which we obtain patient health information, are subject to privacy and
security regulations promulgated under HIPAA. While we do not believe that we are currently acting as a covered entity or business associate under
HIPAA and thus are not directly regulated under HIPAA, any person may be prosecuted under HIPAA’s criminal provisions either directly or under
aiding-and-abetting or conspiracy principles. Consequently, depending on the facts and circumstances, we could face substantial criminal penalties
if we knowingly receive individually identifiable health information from a HIPAA-covered healthcare provider or research institution that has not
satisfied HIPAA’s requirements for disclosure of individually identifiable health information.
Certain U.S. states have also adopted comparable privacy and security laws and regulations, which govern the privacy, processing and protection
of health-related and other personal information. Such laws and regulations will be subject to interpretation by various courts and other
governmental authorities, thus creating potentially complex compliance issues for us and our future customers and strategic partners. For example,
California has enacted the California Consumer Privacy Act (the "CCPA"), which took effect on January 1, 2020. The CCPA creates individual
privacy rights for California consumers and increases the privacy and security obligations of entities handling certain personal information. The
CCPA provides for civil penalties for violations, as well as a private right of action for data breaches that is expected to increase data breach
litigation. Additionally, the California Privacy Rights Act (the “CPRA”) was recently enacted in California. The CPRA significantly amends the CCPA
and will impose additional data protection obligations on covered companies doing business in California, including additional consumer rights
processes, limitations on data uses, new audit requirements for higher risk data, and opt outs for certain uses of sensitive data. It will also create a
new California data protection agency authorized to issue substantive regulations and could result in increased privacy and information security
enforcement. The majority of the provisions will go into effect on January 1, 2023, and additional compliance investment and potential business
process changes may be required. Similar laws have passed in Virginia and Colorado, and have been proposed in other states and at the federal
level, reflecting a trend toward more stringent privacy legislation in the United States.
We are also or may become subject to rapidly evolving data protection laws, rules and regulations in foreign jurisdictions. For example, the General
Data Protection Regulation (the “GDPR”), which became effective in May 2018, imposes stringent data protection requirements for processing the
personal data of individuals within the EEA. Companies that must comply with the GDPR face increased compliance obligations and risk, including
more robust regulatory enforcement of data protection requirements and potential fines for noncompliance of up to €20 million or 4% of the annual
global revenues of the noncompliant company, whichever is greater. Among other requirements, the GDPR prohibits the transfer of personal data
from the EEA to the United States and other jurisdictions that the European Commission does not recognize as having “adequate” data protection
laws unless a data transfer mechanism has been put in place. In July 2020, the Court of Justice of the European Union (the “CJEU”) limited how
organizations could lawfully transfer personal data from the EEA to the United States by invalidating the EU-US Privacy Shield for purposes of
international transfers and imposing further restrictions on the use of standard contractual clauses (“SCCs”). The European Commission published
revised SCCs for data transfers from the EEA on June 4, 2021. The revised clauses must be used for relevant new data transfers from September
27, 2021 onward; existing SCC arrangements must be migrated to the revised clauses by December 27, 2022. The new SCCs apply only to the
transfer of personal data outside of the EEA and not the United Kingdom; the United Kingdom Information Commissioner’s Office launched a public
consultation on its draft revised data transfers mechanisms in August 2021 and laid its proposal before Parliament, with the United Kingdom SCCs
expected to come into force in March 2022, with a two-year grace period. We will be required to implement the revised SCCs, in relation to relevant
existing contracts and certain additional contracts and arrangements, within the relevant time frames. There is some uncertainty around whether the
revised clauses can be used for all types of data transfers, particularly whether they can be relied on for data transfers to non-EEA entities subject
to the GDPR. These recent developments are likely to require us to review and amend the legal mechanisms by which we make and/ or receive
personal data transfers to/ in the United States. As supervisory authorities issue further guidance on personal data
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export mechanisms, including circumstances where the standard contractual clauses cannot be used, and/or start taking enforcement action, we
could suffer additional costs, complaints and/or regulatory investigations or fines, and/or if we are otherwise unable to transfer personal data
between and among countries and regions in which we operate, it could affect the manner in which we provide our services, the geographical
location or segregation of our relevant systems and operations, and could adversely affect our financial results.
Relatedly, following the United Kingdom’s withdrawal from the EEA and the EU, and the expiration of the transition period, from January 1, 2021,
companies have to comply with both the GDPR and the GDPR as incorporated into United Kingdom national law, the latter regime having the ability
to separately fine up to the greater of £17.5 million or 4% of global turnover. The relationship between the United Kingdom and the EU in relation to
certain aspects of data protection law remains unclear, and it is unclear how United Kingdom data protection laws and regulations will develop in the
medium to longer term. On June 28, 2021, the European Commission adopted an adequacy decision in favor of the United Kingdom, enabling data
transfers from EU member states to the United Kingdom without additional safeguards. However, the United Kingdom adequacy decision will
automatically expire in June 2025 unless the European Commission renews or extends that decision and remains under review by the Commission
during this period.
Although we work to comply with applicable laws, regulations and standards, our contractual obligations and other legal obligations, these
requirements are evolving and may be modified, interpreted and applied in an inconsistent manner from one jurisdiction to another, and may conflict
with one another or other legal obligations with which we must comply. Any failure or perceived failure by us or our employees, representatives,
contractors, consultants, collaborators, or other third parties to comply with such requirements or adequately address privacy and security concerns,
even if unfounded, could result in additional cost and liability to us, damage our reputation, and adversely affect our business and results of
operations.
Acquisitions or joint ventures could disrupt our business, cause dilution to our stockholders and otherwise harm our business.
We may acquire other businesses, products or technologies as well as pursue strategic alliances, joint ventures, technology licenses or investments
in complementary businesses. We have limited experience in completing such transactions. Any of these transactions could be material to our
financial condition and operating results and expose us to many risks, including:
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disruption in our relationships with future customers or with current or future distributors or suppliers as a result of such a transaction;
unanticipated liabilities related to acquired companies;
difficulties integrating acquired personnel, technologies and operations into our existing business;
diversion of management time and focus from operating our business to acquisition integration challenges;
increases in our expenses and reductions in our cash available for operations and other uses;
possible write-offs or impairment charges relating to acquired businesses; and
inability to develop a sales force for any additional product candidates.
Foreign acquisitions involve unique risks in addition to those mentioned above, including those related to integration of operations across different
cultures and languages, currency risks and the particular economic, political and regulatory risks associated with specific countries.
Also, the anticipated benefit of any acquisition may not materialize. Future acquisitions or dispositions could result in potentially dilutive issuances of
our equity securities, the incurrence of debt, contingent liabilities or amortization expenses or write-offs of goodwill, any of which could harm our
financial condition. We cannot predict the number, timing or size of future joint ventures or acquisitions, or the effect that any such transactions
might have on our operating results.
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Risks Related to Our Common Stock
The price of our common stock may be volatile and fluctuate substantially, which could result in substantial losses for purchasers of our
common stock, and we could be subject to securities class action litigation as a result.
Our stock price is likely to be volatile. The stock market in general and the market for smaller biopharmaceutical companies in particular have
experienced extreme volatility that has often been unrelated to the operating performance of particular companies. As a result of this volatility, you
may not be able to sell your shares of common stock at or above the price at which you purchase the shares. The market price for our common
stock may be influenced by many factors, including:
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the success of competitive products or technologies;
actual or anticipated changes in our growth rate relative to our competitors;
results of clinical trials of our product candidates or those of our competitors;
developments related to any future collaborations;
regulatory or legal developments in the United States and other countries;
adverse actions taken by regulatory agencies with respect to our preclinical studies or clinical trials, manufacturing or sales and marketing
activities;
any adverse changes to our relationship with third party contractors or manufacturers;
development of new product candidates that may address our markets and may make our existing product candidates less attractive;
changes in physician, hospital or healthcare provider practices that may make our product candidates less useful;
announcements by us, our collaborators or our competitors of significant acquisitions, strategic partnerships, joint ventures, collaborations or
capital commitments;
developments or disputes concerning patent applications, issued patents or other proprietary rights;
the recruitment or departure of key personnel;
the level of expenses related to any of our product candidates or product development programs;
failure to meet or exceed financial estimates and projections of the investment community or that we provide to the public;
press reports or other negative publicity, whether or not true, about our business;
the results of our efforts to discover, develop, acquire or in-license additional product candidates or products;
actual or anticipated changes in estimates as to financial results, development timelines or recommendations by securities analysts;
variations in our financial results or those of companies that are perceived to be similar to us;
changes in the structure of healthcare payment systems;
• market conditions in the pharmaceutical and biotechnology sectors;
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speculative trading in and short sales of our stock, as well as trading phenomena such as the “short squeeze”;
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general economic, industry and market conditions; and
the other factors described in this "Risk Factors" section.
Any of these factors may result in large and sudden changes in the volume and trading price of our common stock. In the past, securities class
action litigation has often been brought against a company following a decline in the market price of its securities. This risk is especially relevant for
us because biopharmaceutical companies have experienced significant stock price volatility in recent years. If we face such litigation, it could result
in substantial costs and a diversion of management’s attention and resources, which could harm our business.
Our executive officers, directors and principal stockholders, if they choose to act together, have the ability to control or significantly
influence all matters submitted to stockholders for approval.
Based on the number of shares of common stock outstanding as of December 31, 2021, our executive officers, directors and stockholders who own
more than 5% of our outstanding common stock and their respective affiliates hold, in the aggregate, shares representing approximately 70% of our
outstanding voting stock. As a result, if these stockholders were to choose to act together, they would be able to control or significantly influence all
matters submitted to our stockholders for approval, as well as our management and affairs. For example, these persons, if they choose to act
together, would control or significantly influence the election of directors and approval of any merger, consolidation or sale of all or substantially all of
our assets. They may also have interests that differ from yours and may vote in a way with which you disagree, and which may be adverse to your
interests. This concentration of ownership control may have the effect of delaying, deferring or preventing a change in control of our company, could
deprive our stockholders of an opportunity to receive a premium for their common stock as part of a sale of our company and might ultimately affect
the market price of our common stock.
A significant portion of our total outstanding shares are eligible to be sold into the market, which could cause the market price of our
common stock to drop significantly, even if our business is doing well.
Sales of a substantial number of shares of our common stock in the public market, or the perception in the market that the holders of a large
number of shares intend to sell shares, could reduce the market price of our common stock. Moreover, holders of an aggregate of approximately
18.4 million shares of our common stock as of December 31, 2021 have rights, subject to specified conditions, to require us to file registration
statements covering their shares or to include their shares in registration statements that we may file for ourselves or other stockholders, including
entities affiliated with Flagship Pioneering, until such shares can otherwise be sold without restriction under Rule 144 of the Securities Act or until
the rights terminate pursuant to the terms of the investors’ rights agreement between us and such holders. We have also registered and intend to
continue to register all shares of common stock that we may issue under our equity compensation plans. Once we register these shares, they can
be freely sold in the public market upon issuance, subject to volume limitations applicable to affiliates.
We have broad discretion in the use of our cash reserves and may not use them effectively.
Our management has broad discretion to use our cash reserves and could use our cash reserves in ways that do not improve our results of
operations or enhance the value of our common stock. The failure by our management to apply these funds effectively could result in financial
losses that could have a material adverse effect on our business, cause the price of our common stock to decline, and delay the development of our
product candidates. Pending their use, we may invest our cash reserves in a manner that does not produce income or that loses value.
We are an "emerging growth company" and a "smaller reporting company," and the reduced disclosure requirements applicable to
emerging growth companies and smaller reporting companies may make our common stock less attractive to investors.
We are an "emerging growth company" as that term is used in the Jumpstart Our Business Startups Act of 2012, (the “JOBS Act”) and may remain
an emerging growth company until the earlier of (1) the last day of the fiscal year (a) following the fifth anniversary of the completion of the initial
public offering of our common stock, or December 31, 2023, (b) in which we have total annual gross revenue of at least $1.07 billion, or (c) in which
we are deemed to be a large accelerated filer, which means the market value of our outstanding common stock that are held by non-affiliates
exceeds $700 million as of the prior June 30, and (2) the date on which we have issued more than $1.0
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billion in non-convertible debt during the prior three year period. For so long as we remain an emerging growth company, we are permitted and
intend to rely on exemptions from certain disclosure requirements that are applicable to other public companies that are not emerging growth
companies. These exemptions include:
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being permitted to provide only two years of audited financial statements, in addition to any required unaudited interim financial statements, with
correspondingly reduced "Management’s Discussion and Analysis of Financial Condition and Results of Operations" disclosure;
not being required to comply with the auditor attestation requirements in the assessment of our internal control over financial reporting;
not being required to comply with any requirement that may be adopted by the Public Company Accounting Oversight Board regarding
mandatory audit firm rotation or a supplement to the auditor’s report providing additional information about the audit and the financial
statements;
reduced disclosure obligations regarding executive compensation; and
exemptions from the requirements of holding a nonbinding advisory vote on executive compensation and shareholder approval of any golden
parachute payments not previously approved.
In addition, the JOBS Act provides that an emerging growth company can take advantage of an extended transition period for complying with new
or revised accounting standards. This allows an emerging growth company to delay the adoption of these accounting standards until they would
otherwise apply to private companies. We have elected to take advantage of this extended transition period.
We are also a smaller reporting company, and we will remain a smaller reporting company until the fiscal year following the determination that our
voting and non-voting common shares held by non-affiliates is more than $250 million measured on the last business day of our second fiscal
quarter, and our annual revenues are more than $100 million during the most recently completed fiscal year and our voting and non-voting common
shares held by non-affiliates is more than $700 million measured on the last business day of our second fiscal quarter. Similar to emerging growth
companies, smaller reporting companies are able to provide simplified executive compensation disclosure, are exempt from the auditor attestation
requirements of Section 404 of the Sarbanes-Oxley Act of 2002 ("Section 404") and have certain other reduced disclosure obligations, including,
among other things, being required to provide only two years of audited financial statements and not being required to provide selected financial
data, supplemental financial information or risk factors.
We have elected to take advantage of certain of the reduced reporting obligations, and may in the future take advantage of these or others. We
cannot predict whether investors will find our common stock less attractive if we rely on these exemptions. If some investors find our common stock
less attractive as a result, there may be a less active trading market for our common stock and our stock price may be reduced or more volatile.
Provisions in our restated certificate of incorporation and amended and restated bylaws could make an acquisition of our company,
which may be beneficial to our stockholders, more difficult and may prevent attempts by our stockholders to replace or remove our
current management.
Provisions in our restated certificate of incorporation and our amended and restated bylaws may discourage, delay or prevent a merger, acquisition
or other change in control of our company that stockholders may consider favorable, including transactions in which you might otherwise receive a
premium for your shares. These provisions could also limit the price that investors might be willing to pay in the future for shares of our common
stock, thereby depressing the market price of our common stock. In addition, because our board of directors is responsible for appointing the
members of our management team, these provisions may frustrate or prevent any attempts by our stockholders to replace or remove our current
management by making it more difficult for stockholders to replace members of our board of directors. Among other things, such provisions include
those establishing:
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a classified board of directors with three-year staggered terms, which may delay the ability of stockholders to change the membership of a
majority of our board of directors;
no cumulative voting in the election of directors, which limits the ability of minority stockholders to elect director candidates;
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the exclusive right of our board of directors to elect a director to fill a vacancy created by the expansion of the board of directors or the
resignation, death or removal of a director, which prevents stockholders from filling vacancies on our board of directors;
the ability of our board of directors to authorize the issuance of shares of preferred stock and to determine the terms of those shares, including
preferences and voting rights, without stockholder approval, which could be used to significantly dilute the ownership of a hostile acquirer;
the ability of our board of directors to alter our bylaws without obtaining stockholder approval;
the required approval of the holders of at least two-thirds of the shares entitled to vote at an election of directors to adopt, amend or repeal our
bylaws or repeal the provisions of our restated certificate of incorporation regarding the election and removal of directors;
a prohibition on stockholder action by written consent, which forces stockholder action to be taken at an annual or special meeting of our
stockholders;
the requirement that a special meeting of stockholders may be called only by the chairman of the board of directors, the chief executive officer,
the president or the board of directors, which may delay the ability of our stockholders to force consideration of a proposal or to take action,
including the removal of directors; and
advance notice procedures that stockholders must comply with in order to nominate candidates to our board of directors or to propose matters
to be acted upon at a stockholders’ meeting, which may discourage or deter a potential acquirer from conducting a solicitation of proxies to elect
the acquirer’s own slate of directors or otherwise attempting to obtain control of us.
Moreover, because we are incorporated in Delaware, we are governed by the provisions of Section 203 of the General Corporation Law of the State
of Delaware, which prohibits a person who owns in excess of 15% of our outstanding voting stock from merging or combining with us for a period of
three years after the date of the transaction in which the person acquired in excess of 15% of our outstanding voting stock, unless the merger or
combination is approved in a prescribed manner.
Our restated certificate of incorporation provides that the Court of Chancery of the State of Delaware will be the exclusive forum for
substantially all disputes between us and our stockholders and our bylaws designate the federal district courts of the United States as
the exclusive forum for actions arising under the Securities Act, which could limit our stockholders’ ability to obtain a favorable judicial
forum for disputes with us or our directors, officers or other employees.
Our restated certificate of incorporation specifies that, unless we consent in writing to the selection of an alternative forum, the Court of Chancery of
the State of Delaware will be the sole and exclusive forum for most legal actions involving any derivative action or proceeding brought on our behalf,
any action asserting a claim of breach of fiduciary duty owed by any director, officer, employee or stockholder to us or our stockholders, any action
asserting a claim arising pursuant to any provision of the General Corporation Law of the State of Delaware or any action asserting a claim
governed by the internal affairs doctrine. In addition, our bylaws provide that the federal district courts of the United States are the exclusive forum
for any complaint raising a cause of action arising under the Securities Act. We believe these provisions benefit us by providing increased
consistency in the application of Delaware law by chancellors particularly experienced in resolving corporate disputes and in the application of the
Securities Act by federal judges, as applicable, efficient administration of cases on a more expedited schedule relative to other forums and
protection against the burdens of multi-forum litigation. The provision may limit a stockholder’s ability to bring a claim in a judicial forum that it finds
favorable for disputes, and may have the effect of discouraging lawsuits, including those against our directors and officers. The enforceability of
similar choice of forum provisions in other companies’ certificates of incorporation and bylaws has been challenged in legal proceedings, and it is
possible that, in connection with any applicable action brought against us, a court could find the choice of forum provisions contained in our restated
certificate of incorporation or bylaws to be inapplicable or unenforceable in such action. If a court were to find the choice of forum provision
contained in our restated certificate of incorporation or bylaws to be inapplicable or unenforceable in an action, we may incur additional costs
associated with resolving such action in other jurisdictions, which could adversely affect our results of operations and financial condition.
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Because we do not anticipate paying any cash dividends on our capital stock in the foreseeable future, capital appreciation, if any, will be
your sole source of gain.
We have never declared or paid cash dividends on our capital stock. We currently intend to retain all of our future earnings, if any, to finance the
operation and expansion of our business. Therefore, you should not rely on an investment in our common stock as a source for any future dividend
income.
Our board of directors has significant discretion as to whether to distribute dividends. Even if our board of directors decides to declare and pay
dividends, the timing, amount and form of future dividends, if any, will depend on, among other things, our future results of operations and cash flow,
our capital requirements and surplus, our financial condition, contractual restrictions and other factors deemed relevant by our board of directors.
Accordingly, the return on your investment in our common stock will likely depend entirely on any future capital appreciation, if any, of our common
stock. There is no guarantee that our common stock will appreciate in value or even maintain the price at which you purchased our common stock.
Our ability to use net operating losses and research and development tax credits to offset future taxable income or tax liabilities may be
subject to certain limitations.
As of December 31, 2021, we had approximately $189.7 million and $187.1 million of federal and state net operating losses ("NOLs"), respectively.
The federal NOLs include $49.9 million which expire at various dates through 2036, and $139.7 million which carry forward indefinitely. Our ability to
use such federal NOLs to offset taxable income is limited to 80% of taxable income with respect to taxable years beginning after December 31,
2020. Our state NOLs expire at various dates through 2041. As of December 31, 2021, we had federal and state research and development tax
credits of $7.2 million and $3.3 million, respectively, which expire at various dates through 2041. A portion of these NOLs and the tax credit
carryforwards could expire unused and be unavailable to offset future taxable income or income tax liabilities, respectively. In addition, in general,
under Sections 382 and 383 of the Internal Revenue Code of 1986, as amended (the "Code"), a corporation that undergoes an "ownership change"
is subject to limitations on its ability to utilize its pre-change NOLs or tax credits to offset future taxable income or tax liabilities. For these purposes,
an ownership change generally occurs where the aggregate stock ownership of one or more stockholders or groups of stockholders who owns at
least 5% of a corporation’s stock increases its ownership by more than 50 percentage points over its lowest ownership percentage within a specified
testing period. Our existing NOLs or tax credits may be subject to limitations arising from previous ownership changes. In addition, future changes in
our stock ownership, many of which are outside of our control, could result in an ownership change under Sections 382 and 383 of the Code. Our
state NOLs or tax credits may also be limited or impaired under state law. Our ability to utilize our NOLs or tax credits is also conditioned upon our
attaining profitability and generating federal and state taxable income and income tax liabilities. We have incurred significant net losses since our
inception and, therefore, we do not know whether or when we will generate the federal or state taxable income or income tax liabilities necessary to
utilize our NOLs or tax credits. Accordingly, we may not be able to utilize a material portion of our NOLs or tax credits. In addition, we may be
required to pay federal income taxes due to the 80% limitation on utilization of certain federal NOLs to offset taxable income, even if we have
federal NOLs that are otherwise available for use.
General Risk Factors
We have incurred and expect to continue to incur increased costs as a result of operating as a public company, and our management will
be required to devote substantial time to new compliance initiatives and corporate governance practices.
As a public company, we have incurred and expect to continue to incur significant legal, accounting and other expenses that we did not incur as a
private company. These expenses will be even greater after we are no longer an emerging growth company and/or a smaller reporting company,
The Sarbanes-Oxley Act of 2002, the Dodd-Frank Wall Street Reform and Consumer Protection Act, the listing requirements of The Nasdaq Global
Select Market and other applicable securities rules and regulations impose various requirements on public companies, including establishment and
maintenance of effective disclosure and financial controls and corporate governance practices. Our management and other personnel need to
devote a substantial amount of time to these compliance initiatives.
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Moreover, these rules and regulations have increased our legal and financial compliance costs and made some activities more time consuming and
costly. For example, we expect that these rules and regulations may make it more difficult and more expensive for us to maintain director and officer
liability insurance, which in turn could make it more difficult for us to attract and retain qualified members of our board of directors.
We cannot predict or estimate the amount of additional costs we may incur or the timing of such costs. These rules and regulations are often
subject to varying interpretations, in many cases due to their lack of specificity, and, as a result, their application in practice may evolve over time as
new guidance is provided by regulatory and governing bodies. This could result in continuing uncertainty regarding compliance matters and higher
costs necessitated by ongoing revisions to disclosure and governance practices.
Pursuant to Section 404 of the Sarbanes-Oxley Act of 2002, we are required to furnish a report by our management on our internal control over
financial reporting. However, while we remain an emerging growth company, we will not be required to include an attestation report on internal
control over financial reporting issued by our independent registered public accounting firm. To achieve compliance with Section 404 within the
prescribed period, we are engaged in a process to document and evaluate our internal control over financial reporting, which is both costly and
challenging. In this regard, we will need to continue to dedicate internal resources, potentially engage outside consultants and adopt a detailed work
plan to assess and document the adequacy of internal control over financial reporting, continue steps to improve control processes as appropriate,
validate through testing that controls are functioning as documented and implement a continuous reporting and improvement process for internal
control over financial reporting. Despite our efforts, there is a risk that we will not be able to conclude, within the prescribed timeframe or at all, that
our internal control over financial reporting is effective as required by Section 404. If we identify one or more material weaknesses, it could result in
an adverse reaction in the financial markets due to a loss of confidence in the reliability of our consolidated financial statements.
Our failure to maintain effective control over financial reporting and disclosure controls and procedures could result in errors in our
financial statements, our failure to meet our reporting obligations, reduce investor confidence, and adversely impact our stock price.
As a public company, we are required to maintain effective disclosure controls and procedures and internal control over financial reporting, and to
report any material weaknesses in such internal controls. A material weakness is a deficiency, or combination of deficiencies, in internal control over
financial reporting, such that there is a reasonable possibility that a material misstatement of the annual or interim financial statements will not be
prevented or detected on a timely basis. In October 2021, we identified a material weakness relating to an insufficient process for confirming final
approvals for the release of reviewed and approved documentation, prior to filing such documentation with the SEC. This material weakness did not
result in any financial statement modifications, and there were no changes to our previously disclosed financial results. Additionally, in connection
with the preparation of our financial statements in this Annual Report on Form 10-K for the fiscal year ended December 31, 2021, we identified a
different material weakness relating to the review of certain financial transactions and the preparation and review of account reconciliations, which
was not performed using a sufficient level of precision and accuracy. No material financial statement misstatements were identified in relation to this
material weakness in our internal control over financial reporting. The remediation efforts that we take to address a material weakness need to be
completed and operating effectively for a sufficient period of time before we are able to deem such material weakness fully remediated. See Part II,
Item 9A “Controls and Procedures” for additional information about these material weaknesses and our remediation efforts.
If we identify other material weaknesses or identify deficiencies that individually or together constitute significant deficiencies or material
weaknesses, or if the additional controls and processes that we implement to remediate any identified material weaknesses prove to be insufficient,
our ability to accurately record, process, and report financial information and, consequently, our ability to prepare financial statements within
required time periods, could be adversely affected and we may be unable to assure that information required to be disclosed by us in reports that
we file or submit under the Exchange Act is accumulated and communicated to management, and recorded, processed, summarized and reported
within the time periods specified in the rules and forms of the SEC.
Furthermore, disclosure controls and procedures or internal controls and procedures, no matter how well conceived and operated, can provide only
reasonable, not absolute, assurance that the objectives of the control system are met. These inherent limitations include the realities that judgments
in decision-making can be faulty, and that breakdowns can occur because of simple error or mistake. Additionally, controls can be circumvented by
the individual acts of some persons, by collusion of two or more people or by an unauthorized override of the controls.
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Accordingly, because of the inherent limitations in our control system, misstatements due to error or fraud may occur and not be detected.
The discovery of additional deficiencies could result in violations of applicable securities laws, stock exchange listing requirements, and agreements
to which we are subject, subject us to litigation and investigations, negatively affect investor confidence in our financial statements, and adversely
impact our stock price and ability to hinder our ability to access capital markets.
If securities or industry analysts do not publish research or reports about our business, or if they issue an adverse or misleading opinion
regarding our business, our stock price and trading volume could decline.
The trading market for our common stock will be influenced by the research and reports that industry or securities analysts publish about us or our
business. If any of the analysts who cover us issue an adverse or misleading opinion regarding us, our business model, our intellectual property or
our stock performance, or if our preclinical studies or clinical trials and/or operating results fail to meet the expectations of analysts, our stock price
would likely decline. If one or more of these analysts cease coverage of us or fail to publish reports on us regularly, we could lose visibility in the
financial markets, which in turn could cause our stock price or trading volume to decline.
Item 1B. Unresolved Staff Comments
None.
Item 2. Properties
Our corporate headquarters is located in Cambridge, Massachusetts, where we currently lease 40,765 square feet of office and laboratory space
under a sublease agreement that expires in September 2025. We believe that our facilities are sufficient to meet our current needs and that suitable
space will be available as and when needed.
Item 3. Legal Proceedings
From time to time, we may be involved in claims and proceedings arising in the course of our business. The outcome of any such claim or
proceeding, regardless of the merits, is inherently uncertain. We are not subject to any material legal proceedings.
On February 12, 2021, the European Patent Office issued a Communication of a Notice of Opposition for European patent EP 3223834, which is
held by us. In July 2021, we filed our reply to the Notice of Opposition. In January 2022, the European Patent Office issued a preliminary opinion
and a summons to oral proceedings. The deadline for final written submissions is in July 2022 and the date for the oral proceedings is in September
2022. We are currently evaluating the options available to us with respect to this matter. The patent at issue does not relate to any of our current
product candidates, and receipt of this communication and/or any subsequent proceeding is not expected to affect any of our current development
plans.
Item 4. Mine Safety Disclosures
Not applicable.
Item 5. Market for Registrant's Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
Market Information
Our common stock is traded on the Nasdaq Global Select Market under the symbol “EVLO.”
PART II
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Holders of Record
As of March 11, 2022, there were approximately 28 holders of record of our common stock. Certain shares are held in “street” name and,
accordingly, the number of beneficial owners of such shares is not known or included in the foregoing number. This number of holders of record also
does not include stockholders whose shares may be held in trust by other entities.
Dividend Policy
We have never declared or paid any cash dividends on our common stock. We currently intend to retain future earnings to fund the development
and growth of our business. We do not expect to pay any cash dividends in the foreseeable future. Any future determination to pay dividends will be
made at the discretion of our board of directors and will depend on then-existing conditions, including our financial condition, operating results,
contractual restrictions, capital requirements, business prospects and other factors our board of directors may deem relevant.
Unregistered Sales of Equity Securities
Except as disclosed in our Current Reports on Form 8-K filed with the SEC on February 2, 2021 and June 17, 2021, there were no sales of
unregistered equity securities during the year ended December 31, 2021.
Item 6. [Reserved]
Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations
The following discussion and analysis of our financial condition and results of operations should be read in conjunction with our consolidated
financial statements and related notes included elsewhere in this Annual Report on Form 10-K. This discussion and analysis and other parts of this
Annual Report on Form 10-K contain forward-looking statements based upon current beliefs, plans and expectations that involve risks, uncertainties
and assumptions, such as statements regarding our plans, objectives, expectations, intentions and projections. Our actual results and the timing of
selected events could differ materially from those anticipated in these forward-looking statements as a result of several important factors, including
without limitation those set forth under “Summary Risk Factors” and Part I, Item 1A “Risk Factors” and elsewhere in this Annual Report on Form 10-
K. You should carefully read the “Risk Factors” section of this Annual Report on Form 10-K to gain an understanding of the important factors that
could cause actual results to differ materially from our forward-looking statements. Please also see the section entitled “Special Note Regarding
Forward-Looking Statements.” A discussion of the year ended December 31, 2020 compared to the year ended December 31, 2019, as well as a
discussion of our 2019 fiscal year, specifically, has been reported previously in our Annual Report on Form 10-K for the year ended December 31,
2020, filed with the SEC on March 9, 2021, under the heading “Management’s Discussion and Analysis of Financial Condition and Results of
Operations.”
Overview
We are discovering and developing a new class of orally delivered investigational medicines that are intended to act on cells in the small intestine to
produce therapeutic effects throughout the body. The target cells in the small intestine play a central role in governing human immune, metabolic
and neurologic systems. We refer to this biology as the small intestinal axis, or SINTAX™. We have built a platform to discover and develop novel
oral medicines which target the small intestinal axis. By harnessing the small intestinal axis, we have the potential to transform healthcare via
medicines that have the potential to be effective, safe, convenient and affordable and to thereby treat patients at all stages of diseases and to treat
patients globally.
Our first product candidates are orally delivered pharmaceutical preparations of naturally occurring, specific single strains of microbes or microbial
extracellular vesicles. In preclinical models, our product candidates engaged immune cells in the small intestine and drove changes in systemic
biology without any observed systemic exposure. We have observed in clinical trials and preclinical studies that our approach led to modulated
immune responses throughout the body by acting on the small intestinal axis. Our most advanced product candidate, EDP1815, is being developed
for the treatment of inflammatory diseases. Additional product candidates in development include EDP1867 and EDP2939 for the treatment of
inflammatory disease.
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Clinical Programs
We are advancing SINTAX medicines to potentially treat a spectrum of immune mediated diseases, with an initial focus on inflammatory diseases
and oncology. The efficiency of our platform has, in a relatively short period of time, allowed us to advance multiple product candidates into clinical
trials for a range of diseases.
EDP1815 - a whole-microbe candidate for inflammatory diseases
EDP1815 is an investigational oral biologic being developed for the treatment of inflammatory diseases. It is a single strain of Prevotella histicola,
selected for its specific pharmacology.
Psoriasis and atopic dermatitis
Phase 2 clinical trial in psoriasis
In September 2021, we announced positive data from our Phase 2 trial of EDP1815 in psoriasis. This multicenter, randomized, double-blind,
placebo-controlled, dose-ranging Phase 2 trial was designed to evaluate three doses of an enteric coated capsule formulation of EDP1815 in adult
patients with mild and moderate psoriasis. The trial included a treatment phase (Part A) and an off treatment, follow-up phase (Part B). In Part A of
the trial, 249 patients were randomized in a 1:1:1 ratio to one of three parallel cohorts: 1 capsule, 4 capsules or 10 capsules. They were then
randomized in a 2:1 ratio to active or placebo prior to the start of dosing. Trial medication was taken once daily for 16 weeks, and patients were
followed for 4 weeks after treatment completion to week 20. PASI scores were assessed by both mean changes from baseline and responder rates.
The primary endpoint was the mean percentage change in PASI scores between treatment and placebo at 16 weeks. Secondary endpoints included
the proportion of study patients who achieved at least a PASI-50 response from baseline at the week 16 timepoint, and other clinical measures of
disease such as PGA, BSA, PGA x BSA, PSI, and DLQI.
The primary endpoint, the difference in mean percentage change in PASI scores from baseline at week 16 between treatment and placebo, was
prespecified as a Bayesian analysis. The Bayesian approach provides an estimate of the probability that EDP1815 was superior to placebo. The 16-
week primary endpoint gave probabilities that EDP1815 is superior to placebo ranging from 80% to 90% across the prespecified analyses and
cohorts.
The responder endpoint analysis evaluated the proportion of patients who achieved a PASI-50 (a meaningful clinical response) or greater reduction
in PASI score at week 16. As shown in the figure below, 25% to 32% of patients across the three EDP1815 treated cohorts achieved a PASI-50 or
greater reduction at week 16 compared to 12% on placebo. In cohorts 1 and 2, this difference in response rate was statistically significant (p <0.05).
Cohort 3 was not statistically significant, but directionally similar (25% vs. 12%). The pooled PASI-50 response across all three EDP1815 cohorts,
an exploratory analysis, was 29% vs. 12% for placebo and was also statistically significant with a p-value of 0.027. An increase in the number of
capsules of EDP1815 did not lead to a dose response.
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*p<0.05.
PASI-50 responses at week 16. Statistically significant p-value (<0.05) for 2 of the 3 individual dose cohorts, and for all 3 cohorts when pooled
Additionally, several patients on EDP1815 achieved a PASI-75 response or better at week 16. For individuals who had a PASI-50 response or
better, consistent improvements in patient reported outcomes such as DLQI and PSI were observed as seen in the figure below.
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Responders in active cohort demonstrated improvements across multiple secondary endpoints. A "responder" was defined as an active patient who achieved PASI-50 or greater.
EDP1815 was observed to be well tolerated in Part A (treatment phase) of the Phase 2 trial. The safety data were comparable to placebo. AEs
classified as “gastrointestinal” were comparable between active and placebo groups, with no meaningful differences in rates of diarrhea, abdominal
pain, nausea, or vomiting. There were no drug related serious adverse events.
All patients in Part A of the Phase 2 trial had the option to enter Part B (extended follow-up phase, off-treatment) of the trial. The objective of Part B
was to assess durability of treatment response and incidence of rebound (for example, increase in PASI score to 125% of baseline value or above,
or onset of new pustular erythrodermic psoriasis within 3 months) following cessation of dosing. Patients in Part B were assessed during follow-up
visits at weeks 24 and 28. Only patients who had achieved a PASI-50 or greater at week 16 were also evaluated at week 40. Patients were not
permitted to start other psoriasis treatments or trials during Part B.
In February 2022, we announced data from Part B of the Phase 2 trial in psoriasis, which included durable and deeper clinical responses. Eighty-
three patients who had received EDP1815 in Part A entered Part B. Thirty of these 83 patients had achieved a PASI-50 or greater reduction at week
16 of Part A. Eighteen of the 30 patients remained at PASI-50 or greater at the end of Part B. Ten of the 30 patients had achieved a PASI-75 or
greater at the end of Part A and 5 remained at PASI-75 or greater at the end of Part B. These durable results were achieved without any new
psoriasis medication being used during this time. Nineteen of the 83 patients had achieved clear skin (PGA 0) or nearly clear skin (PGA 1) at the
end of Part A and of these, 9 remained at PGA 0/1 at the end of Part B.
Of the 30 patients who had reached a PASI-50 at the end of Part A and entered Part B, 10 had already achieved a PASI-75 response at week 16 in
Part A. Of the remaining 20 patients, 9 achieved a PASI-75 or greater response during the post-treatment period. These data, combined with the
durability data, suggest that longer dosing could lead to further deepening of the responses in some patients.
There were no drug related adverse events in Part B of the Phase 2 trial, with the additional finding of no flare or rebound following cessation of
dosing (which are often seen with other therapies for psoriasis).
In February 2022, we also announced the results of immunological biomarker analyses from Part A of the Phase 2 trial in psoriasis. We had
previously reported reductions in inflammatory cytokines in a Phase 1b trial of EDP1815 in mild and moderate psoriasis, and these data were
replicated in the Phase 2 psoriasis trial, with high statistical significance.
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Blood samples were taken from 96 patients at baseline and after 16 weeks of dosing with EDP1815 or placebo. The figures below show the
changes in pro-inflammatory cytokines interleukin 6 (IL-6), interleukin 8 (IL-8) and tumor necrosis factor (TNF). Each vertical bar represents the fold
change up or down from 0 in ex vivo stimulated cytokine production between the baseline and week 16 samples from a patient. Three different
stimuli were used on each sample and the results from all three stimuli are presented together in the figures, giving the aggregate N (sample)
numbers shown in the figures.
Treatment with EDP1815 led to a statistically significant reduction in the release of cytokines compared to placebo: IL-6 (p=0.0003), IL-8
(p=0.0007), and TNF (p=0.0037). The effect observed for EDP1815 may be clearly seen by the deep tail of reduced cytokine production on the left
of the distribution for each cytokine, which was absent in the placebo groups. There was no worsening compared to placebo on the right of the
distributions, resulting in the overall significant difference between EDP1815 and placebo.
In addition, skin biopsies of active lesions were taken from a subset of patients in the trial. Six of the patients who received EDP1815 and achieved
at least a PASI-50 response from baseline at week 16 had paired biopsies. RNAseq analysis of the biopsies showed reductions in transcript levels
for psoriasis-relevant cytokines interleukin 23 (IL-23), interleukin 12b (IL-12b), and interleukin 17 (IL-17) in these lesions between baseline and
week 16. The box plot below shows the median and interquartile ranges, as well as individual values of the cytokine expression levels in the skin, at
baseline and week 16. These data suggest that EDP1815 reduced inflammation in the skin by modulating multiple proinflammatory cytokines.
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We believe these data support the biology of the SINTAX and the development of a new potential class of medicine that is designed to act locally in
the small intestine to affect inflammation throughout the body. In the Phase 2 trial, there was no observed distribution of EDP1815 outside the gut.
Based on these data, we currently intend to move EDP1815 towards registration trials in psoriasis, following the completion of meetings with health
authorities.
Pediatric Investigation Plan for EDP1815 in Psoriasis
In February 2022, the EMA agreed to our PIP for EDP1815 in psoriasis, in accordance with Regulation (EC) No 1901/2006 of the European
Parliament and of the Council. The EMA agreement allows Evelo to include patients 12–17 years old in Phase 3 trials, conduct a single clinical trial
in patients 2–5 years old and 6–11 years old after the adult MAA has been submitted, and develop a pediatric formulation suitable for administration
to patients 2–11 years old. Furthermore, the EMA confirmed that juvenile toxicity studies are not required for EDP1815 and granted us a waiver
from studying EDP1815 in patients less than 2 years old.
Phase 1b and Phase 2 clinical trials in atopic dermatitis
In 2021, we reported preliminary clinical data from two cohorts of patients with mild and moderate atopic dermatitis in a Phase 1b randomized,
placebo-controlled, dose-escalating safety and tolerability trial of EDP1815. The primary endpoint was safety and tolerability. In the first readout, we
reported positive clinical data in a cohort of patients with mild and moderate atopic dermatitis (n=24), randomized 2:1 to receive EDP1815 in
capsules (8.0 x 10 total cells) or placebo for 56 days. This was the same concentration of EDP1815 that was used as one of the doses in our
Phase 2 trial in psoriasis. In the first Phase 1b trial cohort of patients with atopic dermatitis, EDP1815 was well-tolerated with no treatment-related
adverse events of moderate or severe intensity, and no serious adverse events. Secondary endpoints included a range of established markers of
clinical efficacy in atopic dermatitis, such as EASI, IGA* BSA, and SCORAD scores.
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Table 1
Clinical Measure
Treatment Difference between EDP1815 and Placebo Percentage Change at Day 56*
EASI
IGA*BSA
SCORAD
52% (p=0.062)
65% (p=0.022)
35% (p=0.068)
* Least Squares Mean Percentage Change From Baseline. Note that the Phase 1b trial was not powered to detect statistically significant outcomes on efficacy endpoints: p-values
presented are nominal values presented for illustrative purposes only.
The preliminary data showed consistent improvements in percentage change from baseline compared to placebo for all three clinical scores: EASI,
IGA*BSA, and SCORAD. In January 2022, in connection with locking the database for the Phase 1b trial, we further analyzed these preliminary
data and methodology used to report the SCORAD results from the first cohort of atopic dermatitis patients in the Phase 1b trial described above. In
the course of such review, we determined that the initial calculation of the SCORAD values was incorrect and we recalculated the SCORAD values.
The correct SCORAD values are shown in Table 1 above. The p-value change in SCORAD does not alter our prior belief that the SCORAD
secondary endpoint showed consistent improvement in percentage change from baseline compared to placebo. In addition, 7 out of 16 (44%)
patients treated with EDP1815 achieved an EASI-50 response by day 70, compared with 0% in the placebo group, showing sustained improvement
in those patients responding to EDP1815. In addition to physician-reported clinical outcomes, patient-reported outcomes were also assessed.
Treatment with EDP1815 resulted in clinically meaningful improvement in DLQI and POEM. These patient-reported outcomes capture the important
impact of the disease on patients, including the domains of itch and sleep, both of which saw improvements in patients receiving EDP1815 in the
trial. All five measures of itch within the “Pruritus-NRS, SCORAD, POEM, and DLQI showed greater improvements in the treated group at day 56
compared with placebo. We believe these results provide further evidence that modulating SINTAX has the potential to drive significant clinical
benefit without the need for systemic exposure.
We reported data from a second cohort in the Phase 1b trial of 24 patients with moderate atopic dermatitis who were randomized in a 2:1 ratio, with
16 receiving a higher per capsule concentration formulation of EDP1815 (6.4 x 10 total cells) and 8 receiving a matching placebo once daily for
eight weeks. The primary objective was to assess the safety and tolerability of the higher per capsule concentration formulation of EDP1815 after
eight weeks of dosing. The secondary objective was to assess the clinical improvement in patients with moderate atopic dermatitis.
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All the patients used an emollient twice daily for at least seven consecutive days immediately prior to day 1 and continued to use the background
emollient treatment twice daily throughout the trial. In this second cohort, EDP1815 was shown to be well-tolerated with no treatment-related
adverse events of moderate or severe intensity and no serious adverse events through eight weeks of dosing. An initial improvement in mean
percent change in EASI was observed at day 15 compared to placebo; however, the population mean change decreased over the remainder of the
dosing period, and there was no overall difference from placebo at the end of the dosing period. Given the difference in clinical effects observed
between the two cohorts in the Phase 1b trial, which were dosed with EDP1815 produced using different manufacturing processes, we are
evaluating drug substance produced using both manufacturing processes in our Phase 2 atopic dermatitis trial.
In February 2022, we began dosing patients in a Phase 2 trial of EDP1815 in atopic dermatitis. The primary objective of this multicenter,
randomized, double-blind, placebo-controlled Phase 2 trial is to show superiority of EDP1815, dosed for 16 weeks, over placebo. The trial will enroll
patients with mild, moderate, and severe atopic dermatitis and will evaluate EDP1815 drug substance produced using two different manufacturing
processes. The primary endpoint will be the percent of patients who achieve an EASI-50 response at week 16. Secondary endpoints will include
several physician-reported outcomes, such as IGA and BSA, along with patient-reported outcomes such as DLQI, itch using the daily Pruritus-NRS,
and POEM. Patients will be randomized into one of three cohorts. Each cohort will include approximately 100 patients randomized in a 3:1 ratio (75
to EDP1815 and 25 to placebo) for a total of 300 patients. Cohort 1 will explore a daily dose of 1.6 x 10 total cells of EDP1815 or matching
placebo administered as two capsules once daily. Cohorts 2 and 3 will explore a daily dose of 6.4 x 10 total cells of EDP1815 or matching placebo
11
administered as two capsules once daily or one capsule twice daily, respectively. The different dosages of drug (1.6 x 10 total cells and 6.4 x 10
total cells) are prepared from two different manufacturing processes. All patients will have the opportunity to join an open label extension trial once
they complete 16 weeks of dosing. Patients in the open label extension trial will receive EDP1815 for a further 36 weeks. Topline results from 16
weeks of dosing are anticipated in the first half of 2023.
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COVID-19
In March 2022, the Independent Data Monitoring Committee for the TACTIC-E clinical trial of EDP1815 for the treatment of hospitalized COVID-19
patients met for a scheduled review of data. No adverse signal was noted in the EDP1815 arm. However, we have concluded that the progressive
mildness of the COVID-19 pandemic makes yielding an outcome for EDP1815 unlikely. No further patients will be recruited. The trial will report once
all the data are complete. The TACTIC-E clinical trial was a Phase 2/3 randomized trial, sponsored by Cambridge University Hospitals NHS
Foundation Trust. The trial was investigating the safety and efficacy of certain experimental therapies in the prevention and treatment of life-
threatening complications associated with COVID-19 in hospitalized individuals at early stages of the disease. Previously in 2021, due to
recruitment issues, we closed a smaller US phase 2 trial evaluating the safety and efficacy of EDP1815 for the treatment of hospitalized patients
with newly diagnosed COVID-19.
Scintigraphy Studies
We continue to evaluate EDP1815 to ensure optimum delivery of the drug substance in the small intestine. As part of the delivery optimization
process, we are utilizing gamma scintigraphy imaging to assess delivery characteristics. An on-going Phase 1 single center clinical trial in healthy
human volunteers is assessing the release characteristics of capsules of EDP1815 by gamma scintigraphy. In March 2022, results from the Phase 1
trial showed that a capsule with an improved release profile was able to deliver EDP1815 higher up in the small intestine. In 17 of the human
volunteers studied, 15 (or 88%) showed that EDP1815 released in the jejunum, the upper part of the small intestine. Preclinical data, meanwhile,
have shown that the higher that EDP1815 is released in the small intestine, the greater the observed effect. We currently intend to evaluate this
capsule in patients in one or more suitable upcoming clinical trials.
We currently intend to evaluate EDP1815 in additional inflammatory disease indications. Potential indications include psoriatic arthritis, asthma,
allergy, axial spondylarthritis and rheumatoid arthritis.
EDP1867 - a whole-microbe candidate for inflammatory diseases
EDP1867 is an investigational, non-live pharmaceutical preparation of a single strain of Veillonella parvula, isolated from the ileum of a human
donor. It is made non-live by gamma-irradiation in the manufacturing process, which we believe makes it unable to colonize or persist in the gut, a
central design feature of SINTAX medicines. EDP1867 is currently in clinical development, and we believe it has the potential to treat a wide range
of inflammatory and neuroinflammatory diseases.
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In preclinical studies, EDP1867 resolved multiple pathways of inflammation. This observed activity suggests a number of possible indications for the
development of EDP1867, including Th2-dependent inflammation which underlies atopic diseases such as atopic dermatitis, asthma and perennial
rhinitis.
Additionally, in October 2021, we presented further preclinical data for EDP1867 at ECTRIMS. In the relevant preclinical study, EDP1867 was tested
in a relapsing-remitting autoimmune encephalomyelitis mouse model of neuroinflammation. Oral daily treatment with EDP1867 administered
prophylactically or therapeutically reduced the severity of disease as demonstrated by a decreased mean maximum score and a decreased
incidence of relapse compared to placebo. Treatment with EDP1867 reduced inflammation and demyelination in the spinal cord as shown in
histopathological analysis. Transcriptional profiling of small intestine tissue confirmed that EDP1867 upregulated genes in lymphocyte pathways that
resolve inflammation, as well as genes associated with intestinal homeostasis. We believe these data support the development of EDP1867 for the
treatment of neuroinflammatory diseases.
We initiated our first Phase 1b clinical trial of EDP1867 in healthy volunteers and patients with moderate atopic dermatitis in February 2021 and
expect to report interim data in the second quarter of 2022.
EDP2939 - an EV candidate for inflammatory diseases
EDP2939 is an investigational oral EV biologic being developed for the treatment of inflammatory diseases. In May 2021, we presented preclinical
data for EDP2939 at the American Association of Immunologists Meeting. In the preclinical mechanism of action study, mice undergoing a delayed-
type hypersensitivity (DTH) reaction against keyhole limpet hemagglutinin (KLH) were treated with EDP2939, EDP2939 in combination with different
blocking antibodies, or with placebo. These data suggest that the pharmacological activity of EDP2939 may require the stimulation of both the TLR2
receptor and IL-10 receptor signaling, in addition to lymphocyte homing from the systemic circulation to the intestinal lymphoid tissue. In-vitro,
EDP2939 induced TLR2-dependent release of IL-10. Fluorescent biodistribution analysis showed that EDP2939 was not detected outside the
gastrointestinal tract. We also did not observe any apparent adverse safety or tolerability issues in these preclinical studies. We believe these data
suggest that treatment with EDP2939 could result in broad-based resolution of inflammation and the establishment of immune homeostasis.
EDP2939 is the first EV product candidate we have nominated in our inflammation program. We anticipate initiation of clinical development in 2022,
and expect data from a cohort of patients with psoriasis will be available in the second half of 2023.
EDP1908 - an EV candidate for oncology
In December 2020, we announced EDP1908 as our lead product candidate in oncology following presentation of preclinical data at the Society for
Immunotherapy for Cancer meeting in November 2020. Preclinical data showed that orally administered EDP1908, an EV, resulted in superior
tumor growth control versus either the parent microbe or anti-PD-1 therapy, with an observed dose-dependent reduction in tumor growth.
Collaborations
In March 2021, we announced a strategic collaboration to develop and commercialize our lead inflammation product candidate, EDP1815, in the
Middle East, Turkey, and Africa with ALJ, a company focused on accelerating access to affordable modern medical care while addressing unmet
medical needs in developing markets around the world.
Together, we and ALJ will work to address the significant disparity in access to medical care in the fastest-growing populations and growth
economies of the developing world. Africa’s population is projected to reach 1.7 billion by 2030 and 2.5 billion by 2050.
Under the terms of the agreement, we received an upfront payment from ALJ. We will be primarily responsible for the development and
manufacturing of EDP1815 worldwide, whilst ALJ will be primarily responsible for development, regulatory submissions and commercialization
activities in the agreed-upon regions. ALJ and we will participate in a 50:50 profit share arrangement. See the notes, including Note 3, to our
consolidated financial statements in this Annual Report on Form 10-K for additional information regarding the commercialization and license
agreement with ALJ.
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Financing
We were incorporated and commenced operations in 2014. Since our incorporation, we have devoted substantially all of our resources to
developing our clinical and preclinical candidates, building our intellectual property portfolio and process development and manufacturing function,
business planning, raising capital and providing general and administrative support for these operations. To date, we have financed our operations
primarily with proceeds from sales of common and convertible preferred stock to our equity investors and borrowings under loan and security
agreements with financial institutions.
Through December 31, 2021, we have received gross proceeds of $434.8 million through the issuance of our common stock, convertible preferred
stock and borrowings under our loan and security agreements.
On July 19, 2019 we entered into the 2019 Credit Facility with K2HV providing for up to $45.0 million in potential debt financing, which was available
in three tranches. As of December 31, 2020, we had drawn down on the first two tranches for proceeds of $30.0 million. The third tranche of $15.0
million expired in January 2021.
On June 16, 2021, the Amended Credit Facility Effective Date, we entered into the Amended Credit Facility with K2HV, pursuant to which (i) the
existing $15.0 million third tranche commitment was replaced and superseded with a new $15.0 million fourth tranche commitment, which we drew
down on June 16, 2021, (ii) K2HV may convert up to $5.0 million of outstanding principal of the Loans (as defined in the Amended Credit Facility)
into shares of our common stock, (iii) the interest-only period is extended through February 28, 2023, with the first amortization payment on March
1, 2023, (iv) includes an election to adjust the amortization schedule to be based on a 30-month repayment period, and upon final payment or
prepayment of the loans and we must pay a final payment equal to 4.8% of the aggregate original principal amount of the loans borrowed which we
elected on December 22, 2021, and (v) at our election, we may prepay the loans, subject to a prepayment fee of 2% of the amount prepaid if such
prepayment occurs no later than the 18-month anniversary of the Amended Credit Facility Effective Date, or if the prepayment occurs after the 18-
month anniversary of the Amended Credit Facility Effective Date but prior to the maturity date, 1% of the amount prepaid. In connection with the
Amended Credit Facility, we issued to K2 HealthVentures Equity Trust LLC, an affiliate of K2HV, a warrant to purchase up to 139,770 shares of our
common stock with an exercise price of $13.30 per share, subject to customary per share adjustments (the "Warrant”). See “-Liquidity and Capital
Resources-Debt financing". All of the other terms and conditions of the Amended Credit Facility remain unchanged and in full force and effect.
In June 2020, we sold 13,800,000 shares of our common stock in an underwritten public offering at a public offering price of $3.75 per share, for
gross proceeds of $51.8 million and net proceeds of $48.4 million, after deducting underwriting discounts and commission and other offering
expenses payable by us.
For the year ended December 31, 2020, pursuant to the June 2019 sales agreement with Cowen and Company, LLC (the "2019 Sales Agreement"),
we sold 1,232,131 shares of our common stock in “at-the-market” offerings under a registration statement on Form S-3 that we previously filed with
the SEC with offering prices ranging between $4.25 to $11.15 per share for gross proceeds of $6.8 million and net proceeds of $6.6 million, net of
commission and other offering expenses. For the year ended December 31, 2021, pursuant to the 2019 Sales Agreement, we issued 139,734
shares of our common stock in “at-the-market” offerings sold under the same registration statement with offering prices ranging between $12.54 and
$13.17 per share for gross proceeds of $1.8 million and net proceeds of $1.7 million, net of commission and other offering expenses.
On February 2, 2021, we sold 5,175,000 shares of our common stock in an underwritten public offering at a public offering price of $15.00 per
share, including the underwriters' exercise of their option to purchase 675,000 shares to cover over-allotment, generating gross proceeds of
$77.6 million and net proceeds of $73.0 million, after deducting underwriting discounts and commissions, exclusive of other offering expenses
payable by us.
On January 28, 2021, we entered into a stock purchase agreement with ALJ Health Care & Life Sciences Company Limited ("ALJ Health Care"),
pursuant to which on February 2, 2021, ALJ Health Care purchased $7.5 million of our common stock in a private placement at a purchase price of
$15.00 per share. The sale of these 500,000 shares was not registered under the Securities Act.
On August 23, 2021, we filed a Registration Statement on Form S-3 (File No. 333-259005) (the “2021 Shelf”) with the SEC in relation to the
registration of common stock, preferred stock, debt securities, warrants and/or units of any combination thereof in the aggregate amount of up to
$200 million for a period of up to three years from the date of its effectiveness on August 30, 2021.
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We are a development stage company and have not generated any revenue. All of our product candidates are in early clinical or preclinical
development. Our ability to generate product revenue sufficient to achieve profitability will depend heavily on the successful development and
eventual commercialization of one or more of our product candidates. Since our inception, we have incurred significant operating losses and we
continue to incur significant research and development and other expenses related to our ongoing operations. For the years ended December 31,
2021 and 2020 our net loss was $122.2 million and $93.7 million, respectively. As of December 31, 2021, we had an accumulated deficit of $414.7
million. We do not expect to generate revenue from sales of any products for the foreseeable future, if at all.
We expect that our expenses will increase substantially in connection with our ongoing activities, particularly as we:
•
•
•
•
continue the ongoing clinical trials for EDP1815 and EDP1867;
initiate additional clinical trials, including for EDP1815 and EDP 2939;
initiate or advance the clinical development of additional product candidates;
conduct research and continue preclinical development of potential product candidates;
• make strategic investments in manufacturing capabilities, including potentially planning and building our own manufacturing facility;
• maintain our current intellectual property portfolio and opportunistically acquire complementary intellectual property;
•
•
increase research and development employees and employee-related expenses including salaries, benefits, travel and stock-based
compensation expense; and
seek to obtain regulatory approvals for our product candidates.
In addition, if we obtain marketing approval for any of our product candidates, we expect to incur significant commercialization expenses related to
product manufacturing, marketing, sales and distribution.
As a result, we will need additional financing to support our continuing operations. Until such time as we can generate significant revenue from
product sales, if ever, we expect to finance our operations through a combination of public or private equity or debt financings or other sources,
which may include collaborations with third parties. Adequate additional financing may not be available to us on acceptable terms, or at all. Our
inability to raise capital as and when needed would have a negative impact on our financial condition and our ability to pursue our business strategy.
We will need to generate significant revenue to achieve profitability, and we may never do so.
Because of the numerous risks and uncertainties associated with drug development, we are unable to predict the timing or amount of increased
expenses or when or if we will be able to achieve or maintain profitability. Even if we are able to generate revenue from product sales, we may not
become profitable. If we fail to become profitable or are unable to sustain profitability on a continuing basis, then we may be unable to continue our
operations at planned levels and be forced to reduce or terminate our operations.
As of December 31, 2021, our principal source of liquidity is cash and cash equivalents, which totaled $68.4 million. We expect that our existing
cash and cash equivalents as of December 31, 2021 will enable us to fund our planned operating expenses and capital expenditure requirements
into the third quarter of 2022. We have based these estimates on assumptions that may prove to be wrong, and we may use our available capital
resources sooner than we currently expect. Based on our current operating plan, we believe we do not have sufficient cash and cash equivalents on
hand to support current operations for at least one year from the date of issuance of the financial statements appearing within this Annual Report on
Form 10-K. To finance our operations beyond that point, we will need to raise additional capital. There can be no assurance that we will be able to
obtain additional funding on acceptable terms, if at all. Due to the uncertainty in securing additional funding, and the insufficient amount of cash and
cash equivalent resources at December 31, 2021, we have concluded that substantial doubt exists with respect to our ability to continue as a going
concern within one year after the date of the filing of this Annual Report on Form 10-K. See “Liquidity and Capital Resources".
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Impact of COVID-19
On March 11, 2020, the World Health Organization (WHO) declared the COVID-19 outbreak a pandemic. The outbreak has resulted in
governments around the world implementing stringent measures to help control the spread of the virus, including quarantines, “shelter in place” and
“stay at home” orders, travel restrictions, business closures and curtailments, and school closures.
The COVID-19 pandemic has had, and for an extended period of time is expected to have, negative impacts on our operations and supply chain.
Our ability to continue to operate without any significant negative impacts will, in part, depend on our ability to protect our employees and our supply
chain. We have endeavored to follow recommended actions of government and health authorities to protect our employees with particular measures
in place for those working in our laboratories, such as staggered work shifts and flexible schedules, and telecommuting for office workers. We
continue working with our CMOs to minimize delays and disruptions to scheduled manufacturing batch runs for our product candidates and to
ensure conformity to product specifications.
The COVID-19 pandemic has impacted and continues to impact our enrollment of new patients into, and the retention of existing patients in, our
ongoing clinical trials, due primarily to lower patient participation. The pandemic likely will continue to impact enrollment and retention of patients in
new and existing clinical trials. We continue to recruit individuals in line with the local and national guidelines of the clinical research sites. We are
keeping in close contact with our CROs and clinical sites to provide support and guidance to ensure the safety of the patients in our clinical trials.
We have prioritized our drug supply operations to secure the re-supply of patients currently enrolled in our clinical trials.
The extent to which the COVID-19 pandemic impacts our business and finances will depend on future developments, which are highly uncertain
and cannot be predicted with confidence, such as the duration of the pandemic, travel restrictions and social distancing in the United States, the
United Kingdom and other countries, business closures or business disruptions and the effectiveness of actions taken in the United States, the
United Kingdom and other countries to contain and treat the disease. See “Risk Factors — The COVID-19 pandemic has adversely impacted and
may continue to adversely impact our business, including our preclinical studies and clinical trials and finances.” in Part I, Item 1A of this Annual
Report on Form 10-K.
Financial Operations Overview
Revenue
We have not generated any revenue since our inception and do not expect to generate any revenue from the sale of products in the near future, if at
all. As discussed in Note 3 to our audited consolidated financial statements, we have entered into a collaboration agreement that will result in the
recognition of $7.5 million of revenue upon the satisfaction of the performance obligation identified within the agreement. If our development efforts
for our current product candidates or additional product candidates that we may develop in the future are successful and result in marketing
approval, or if we enter into collaboration or license agreements with third parties, we may generate revenue in the future from a combination of
product sales or payments from such collaboration or license agreements.
Operating Expenses
Our operating expenses since inception have consisted primarily of research and development activities and general and administrative costs.
Research and Development Expenses
Research and development expenses consist primarily of costs incurred for our research activities, including our discovery efforts, and the
development of our product candidates, which include:
•
expenses incurred under agreements with third parties, including investigative sites, external laboratories and CROs, that conduct research,
preclinical activities and clinical trials on our behalf
• manufacturing process-development costs as well as technology transfer and other expenses incurred with CMOs that manufacture drug
substance and drug product for use in our preclinical activities and any current or future clinical trials;
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•
•
•
•
•
•
salaries, benefits and other related costs, including stock-based compensation expense, for personnel in our research and development
functions;
expenses to acquire technologies to be used in research and development;
costs of outside consultants, including their fees, stock-based compensation and related travel expenses;
the cost of laboratory supplies and acquiring, developing and manufacturing preclinical and clinical trial materials;
costs related to compliance with regulatory requirements; and
facility-related expenses, which include direct depreciation costs and allocated expenses for rent and maintenance of facilities and other
operating costs.
We expense research and development costs as incurred. We recognize external development costs based on an evaluation of the progress to
completion of specific tasks using information provided to us by our vendors and our clinical investigative sites. Payments for these activities are
based on the terms of the individual agreements, which may differ from the pattern of costs incurred, and are reflected in our consolidated financial
statements as prepaid or accrued research and development expenses. Nonrefundable advance payments for goods or services to be received in
the future for use in research and development activities are deferred and capitalized, even when there is no alternative future use for the research
and development. The capitalized amounts are expensed as the related goods are delivered or the services are performed.
Our primary focus of research and development since inception has been building a platform to enable us to develop medicines based on an
understanding of the gut-body network and to show potential clinical utility and develop the first set of clinical assets. Our platform and program
expenses consist principally of costs, such as preclinical research, process development research, clinical and preclinical manufacturing activity
costs, clinical development costs, licensing expense as well as an allocation of certain indirect costs, facility and office related expenses. We do not
allocate personnel costs, which include salaries, discretionary bonus and stock-based compensation costs, as such costs are separately classified
as research and development personnel costs.
Research and development activities are central to our business model. Product candidates in later stages of clinical development generally have
higher development costs than those in earlier stages of clinical development, primarily due to the increased size and duration of later-stage clinical
trials. We expect that our research and development expenses will continue to increase in the foreseeable future as we continue our ongoing
clinical trials for our product candidates, including EDP1815 and EDP1867, initiate additional clinical trials of other product candidates including
EDP2939, continue to discover and develop additional product candidates, hire additional research and development personnel, build
manufacturing capabilities and expand into additional therapeutic areas.
At this time, we cannot reasonably estimate or know the nature, timing and estimated costs of the efforts that will be necessary to complete the
development of, and obtain regulatory approval for, any of our product candidates. We are also unable to predict when, if ever, material net cash
inflows will commence from sales or licensing of our product candidates. This is due to the numerous risks and uncertainties associated with drug
development, including the uncertainty of:
•
•
•
•
•
•
our ability to add and retain key research and development personnel;
our ability to successfully develop, obtain regulatory approval for, and then successfully commercialize, our product candidates;
our successful enrollment in and completion of clinical trials;
the costs associated with the development of our current product candidates and/or any additional product candidates that we identify in-house
or acquire through collaborations;
our ability to discover, develop and utilize biomarkers to demonstrate target engagement, pathway engagement and the impact on disease
progression of our product candidates;
our ability to establish an appropriate safety profile with IND-enabling toxicology studies;
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•
•
•
•
•
•
our ability to establish and maintain agreements with CMOs and other entities for clinical trial supply and future commercial supply, if our
product candidates are approved;
the terms and timing of any collaboration, license or other arrangement, including the terms and timing of any milestone payments thereunder;
our ability to obtain and maintain patent, trade secret and other intellectual property protection and regulatory exclusivity for our product
candidates if and when approved;
our receipt of marketing approvals from applicable regulatory authorities;
our ability to commercialize products, if and when approved, whether alone or in collaboration with others; and
the continued acceptable safety profiles of the product candidates following approval.
A change in any of these variables with respect to the development of any of our product candidates would significantly change the costs, timing
and viability associated with the development of that product candidate. We expect our research and development expenses to increase at least
over the next several years as we continue to implement our business strategy, advance our current programs, expand our research and
development efforts, seek regulatory approvals for any product candidates that successfully complete clinical trials, identify and develop additional
product candidates and incur expenses associated with hiring additional personnel to support our research and development efforts.
General and Administrative Expenses
General and administrative expenses consist primarily of salaries and other related costs, including stock-based compensation, for personnel in our
executive, finance, pre-commercial, corporate and business development, and administrative functions. General and administrative expenses also
include legal fees relating to patent and corporate matters; professional fees for accounting, auditing, tax and administrative consulting services;
insurance costs; administrative travel expenses; and facility-related expenses, which include direct depreciation costs and allocated expenses for
rent and maintenance of facilities and other operating costs.
We anticipate that our general and administrative expenses will increase in the future as we increase our headcount to support the expected growth
in our research and development activities and the potential commercialization of our product candidates. We also expect to continue to incur
increased expenses associated with being a public company, including increased costs of accounting, audit, legal, regulatory and tax-related
services associated with maintaining compliance with exchange listing and SEC requirements, director and officer insurance costs and investor and
public relations costs.
Interest Expense, Net
Interest expense, net consisted primarily of interest expense at the stated rate on borrowings under our loan and security agreement, amortization
of deferred financing costs and interest expense related to the accretion of debt discount associated with the loan and security agreement, offset by
interest earned on our cash, cash equivalents and short-term investments.
Loss on Extinguishment of Debt
Loss on extinguishment of debt for the year ended December 31, 2021 reflects the difference between the reacquisition cost of the new debt,
inclusive of the fair value of the Warrant issued to purchase our common shares at $13.30 per share and lender fees, and the carrying amount of
the existing debt. This is a non-cash item.
Other Income, Net
For the year ended December 31, 2021, other income, net primarily consists of government grants related to our operations in the United Kingdom,
partially offset by foreign currency losses.
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Income Taxes
Income tax expense primarily relates to tax expense at our UK subsidiary.
Since our inception in 2014, we have not recorded any U.S. federal or state income tax benefits for the net losses we have incurred in each year or
our earned research and development tax credits, due to our uncertainty of realizing a benefit from those items.
Results of Operations
Comparison of Years Ended December 31, 2021 and 2020
The following table summarizes our results of operations for the years ended December 31, 2021 and 2020 (in thousands):
Operating expenses:
Research and development
General and administrative
Total operating expenses
Loss from operations
Other (expense) income:
Interest expense, net
Loss on extinguishment of debt
Other income, net
Other expense, net
Net loss before income taxes
Income tax expense
Net loss
Research and Development Expenses (in thousands):
Platform expenses
Inflammation programs
Oncology programs
Research and development personnel costs (including stock-based compensation)
Total research and development expenses
Year Ended December 31,
2020
2021
Increase/
(Decrease)
83,643 $
31,753
115,396
(115,396)
(3,612)
(3,226)
486
(6,352)
(121,748)
(428)
(122,176) $
69,616 $
22,270
91,886
(91,886)
(2,109)
—
738
(1,371)
(93,257)
(409)
(93,666) $
14,027
9,483
23,510
(23,510)
(1,503)
(3,226)
(252)
(4,981)
(28,491)
(19)
(28,510)
Year Ended December 31,
2020
2021
Increase/
(Decrease)
13,412 $
37,394
2,803
30,034
83,643 $
11,487 $
30,467
5,487
22,175
69,616 $
1,925
6,927
(2,684)
7,859
14,027
$
$
$
$
Research and development expenses were $83.6 million for the year ended December 31, 2021, compared to $69.6 million for the year ended
December 31, 2020. The increase of $14.0 million was driven by higher personnel costs of $7.9 million for increases in clinical development and
technical operations headcount that supported increased clinical program activities. Additionally, we recognized an increase of $6.9 million for
higher inflammation program costs from the clinical trial progressions of EDP1815, EDP1867 and EDP2939, partially offset by the clinical
completion of the EDP1815 Phase 2 Psoriasis program and the closeout of EDP1066. Lastly, there was a $1.9 million increased investment in our
platform expenses to support our early stage and preclinical candidates. These increases were partially offset by a $2.7 million decrease in our
oncology programs, primarily related to the wind-down of the EDP1503 clinical trials. Overall, we expect our research and development expenses
will continue to increase in the foreseeable future as we continue to progress our clinical trials for our product candidates, including EDP1815 and
EDP1867; initiate new clinical trials; expand into additional therapeutic areas; continue
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discovery and development efforts for additional product candidates; hire additional research and development personnel; and seek to increase
manufacturing capabilities.
General and Administrative Expenses (in thousands):
General and administrative personnel costs (including stock-based compensation) $
Professional fees
Facility costs, office expense and other
Total general and administrative expenses
$
19,611 $
6,714
5,428
31,753 $
12,261 $
5,513
4,496
22,270 $
7,350
1,201
932
9,483
Year Ended December 31,
2020
2021
Increase/
(Decrease)
General and administrative expenses were $31.8 million for the year ended December 31, 2021, compared to $22.3 million for the year ended
December 31, 2020. The increase of $9.5 million was primarily driven by $7.4 million related to increases in our general and administrative and pre-
commercial headcount, $1.2 million of additional consulting and professional fees, and $0.9 million of insurance, travel related, and other costs
associated with a return to the office.
Other Expense, Net
Other expense, net for the year ended December 31, 2021 was $6.4 million compared to $1.4 million for the year ended December 31, 2020. This
increase of $5.0 million of expense was primarily driven by the $3.2 million loss on the extinguishment of debt, a $1.5 million increase in net interest
expense as a result of the higher principal debt balance from the Amended Credit Facility, decreased interest income from lower cash and cash
equivalent balances, and a reduction in foreign currency exchange gains.
Net Loss
The net loss was $122.2 million for the year ended December 31, 2021, compared to $93.7 million for the year ended December 31, 2020. The
additional $28.5 million of losses was primarily the result of the higher research and development and general and administrative expenses, the loss
on the extinguishment of debt, increased net interest expense, and reduced foreign currency exchange gains.
Liquidity and Capital Resources
To date, we have financed our operations primarily with the proceeds from issuance of our common stock combined with proceeds from previous
sales of our convertible preferred stock to our equity investors and borrowings under loan and security agreements. From our inception through
December 31, 2021, we have received gross proceeds of $434.8 million from such transactions, including $45.0 million borrowed under the debt
facility. As of December 31, 2021, we had cash and cash equivalents of $68.4 million and an accumulated deficit of $414.7 million. We expect that
our existing cash and cash equivalents as of December 31, 2021 will enable us to fund our planned operating expenses and capital expenditure
requirements into the third quarter of 2022.
We evaluated whether there are conditions and events, considered in the aggregate, that raise substantial doubt about our ability to continue as a
going concern within one year after the date that the audited consolidated financial statements are issued. We incurred net losses of approximately
$122.2 million and $93.7 million for the years ended December 31, 2021 and 2020, respectively. We have incurred losses and generated negative
operating cash flows since our inception and anticipate that we will continue to incur losses for at least the next several years. The transition to
profitability is dependent upon the successful development, approval, and commercialization of our products and product candidates and the
achievement of a level of revenues adequate to support our cost structure. Based on our current operating plan, we believe that our cash and cash
equivalents at December 31, 2021 will not be sufficient to fund operations and capital expenditures for at least the twelve months following the filing
of this Annual Report on Form 10-K, and we will need to obtain additional funding. Until such time, if ever, as we can generate revenue from product
sales, we intend to pursue strategic partnerships, licensing arrangements and collaborations, and obtain additional funding through our available
financing sources, which may include additional public offerings of common stock and private financing of debt or equity. There can be no
assurance that we will be successful in pursuing any such partnerships, licensing arrangements or collaborations, or that any such financings will be
obtained on terms acceptable to us, if at all. If we are unable to raise additional capital in sufficient amounts or on terms acceptable to us, we will
have to significantly delay, scale back or discontinue our research and
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development programs, future commercialization efforts, or operations. Our beliefs about our ability to fund operations is based on estimates that
are subject to risks and uncertainties. If actual results are different from our estimates, we may need to seek additional funding, if it is available,
sooner or on less desirable terms than would otherwise be expected.
On June 3, 2019, we filed a Registration Statement on Form S-3 (File No. 333-231911) (the “Shelf”) with the SEC under which we can offer from
time to time common stock, preferred stock, debt securities, warrants and/or units of any combination thereof in an aggregate amount of up
to $200.0 million over a period of up to three years from the date of its effectiveness on June 6, 2019. We also simultaneously entered into a sales
agreement with Cowen and Company, LLC, as sales agent, providing for the offering, issuance and sale by us of up to an aggregate $50.0 million of
our common stock from time to time in “at-the-market” ("ATM") offerings under the Shelf. During the year ended December 31, 2021, we issued
139,734 shares of our common stock under the ATM with offering prices ranging between $12.54 and $13.17 per share for gross proceeds of
$1.8 million and net proceeds of $1.7 million, net of commission and other offering expenses. As of December 31, 2021, there was $41.4 million of
common stock remaining available for sale under the ATM.
On August 23, 2021, we filed the 2021 Shelf with the SEC in relation to the registration of common stock, preferred stock, debt securities, warrants
and/or units of any combination thereof in the aggregate amount of up to $200 million for a period of up to three years from the date of its
effectiveness on August 30, 2021.
On February 2, 2021, we sold 5,175,000 shares of our common stock in an underwritten public offering at a public offering price of $15.00 per
share, including the underwriters' exercise of their option to purchase 675,000 shares to cover over-allotment, generating gross proceeds of
$77.6 million and net proceeds of underwriting discounts and commission of $73.0 million, exclusive of certain other offering expenses payable by
us.
On January 28, 2021, we entered into a stock purchase agreement with ALJ Health Care, pursuant to which on February 2, 2021, ALJ Health Care
purchased $7.5 million of our common stock in a private placement at a purchase price of $15.00 per share. The shares sold were not registered
under the Securities Act.
We currently have a contractual arrangement in place with one of our CMOs that will require us to spend an aggregate minimum amount of €1.5
million annually during each of 2022, 2023, and 2024.
We anticipate capital expenditures for 2022 to be about $5.2 million.
Debt financing
On July 19, 2019, we entered into the 2019 Credit Facility with K2HV providing for up to $45.0 million in potential debt financing, which was
available in three tranches. As of December 31, 2020, we had drawn down on the first two tranches for proceeds of $30.0 million. The third tranche
of $15.0 million expired in January 2021.
On June 16, 2021, the Amended Credit Facility Effective Date, we entered into the Amended Credit Facility with K2HV, pursuant to which: (i) the
existing $15.0 million third tranche commitment was replaced and superseded with a new $15.0 million fourth tranche commitment, which we drew
down on June 16, 2021, (ii) K2HV may convert up to $5.0 million of outstanding principal of the Loans (as defined in the Amended Credit Facility)
into shares of our common stock, (iii) the interest-only period is extended through February 28, 2023, with the first amortization payment on March
1, 2023, (iv) includes an election to adjust the amortization schedule to be based on a 30-month repayment period, and upon final payment or
prepayment of the loans and we must pay a final payment equal to 4.8% of the aggregate original principal amount of the loans borrowed which we
elected on December 22, 2021, and (v) at our election, we may prepay the loans, subject to a prepayment fee of 2% of the amount prepaid if such
prepayment occurs no later than the 18-month anniversary of the Amended Credit Facility Effective Date, or if the prepayment occurs after the 18-
month anniversary of the Amended Credit Facility Effective Date but prior to the maturity date, 1% of the amount prepaid. In connection with the
Amended Credit Facility, we issued to an affiliate of K2HV the Warrant to purchase up to 139,770 shares of our common stock. All of the other
terms and conditions of the Amended Credit Facility remain unchanged and in full force and effect.
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License and Manufacturing Agreements
See Part I, Item 1. “License and Manufacturing Agreements” for additional information about our license and manufacturing agreements.
Cash Flows
The following table summarizes our sources and uses of cash for each of the periods presented (in thousands):
Cash used in operating activities
Cash used in investing activities
Cash provided by financing activities
Net decrease in cash, cash equivalents and restricted cash
$
$
Operating Activities
Year Ended December 31,
2021
2020
(96,725) $
(1,481)
97,540
(666) $
(73,063)
(1,315)
65,465
(8,913)
Net cash used in operating activities for the year ended December 31, 2021, was $96.7 million. Our net loss of $122.2 million included the following
more significant non-cash charges: $15.8 million of stock-based compensation expense; a $3.2 million loss on extinguishment of debt; $2.2 million
of depreciation expense; and $1.8 million of lease expense. The net decrease in operating assets and liabilities was $2.1 million.
Net cash used in operating activities for the year ended December 31, 2020, was $73.1 million, primarily due to our net loss of $93.7 million. Non-
cash charges primarily consisted of: $8.5 million of stock-based compensation expense; $2.0 million of depreciation expense; and $2.0 million of
lease expense. The net decrease in operating assets and liabilities was $7.8 million.
Investing Activities
Net cash used in investing activities for the year ended December 31, 2021 and 2020 was $1.5 million and $1.3 million, respectively, primarily due
to the purchase of capital equipment.
Financing Activities
Net cash provided by financing activities for the year ended December 31, 2021 was $97.5 million, primarily due to $81.8 million of proceeds from
issuance of common stock, $14.8 million from the issuance of long-term debt under the Amended Credit Facility, and $1.0 million of proceeds from
the issuance of common stock in connection with the exercise of options.
Net cash provided by financing activities for the year ended December 31, 2020 was $65.5 million, primarily due to proceeds from the issuance of
common stock totaling $55.0 million, issuance of long-term debt under our 2019 Credit Facility totaling $10.0 million, and proceeds from the
issuance of common stock in connection with the exercise of options totaling $0.5 million.
Funding Requirements
We have incurred losses and cumulative negative cash flows from operations since our inception. As of December 31, 2021, we had an
accumulated deficit of $414.7 million. We anticipate that we will continue to incur significant losses for at least the next several years. We expect
that our research and development and general and administrative expenses will continue to increase. As a result, we will need additional capital to
fund our operations, which we may raise through a combination of the sale of equity, debt financings, or other sources, including potential
collaborations.
We expect our expenses to increase substantially in connection with our ongoing development activities related to the initiation of clinical studies
and preclinical work on additional monoclonal microbial product candidates, which are still in development, and our follow-on therapeutics and other
programs. In addition, we expect to incur additional costs associated with increased personnel and operating as a public company. We anticipate
that our expenses will increase substantially if and as we:
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•
•
•
continue our clinical trials, including for EDP1815 and EDP1867;
advance the clinical development of additional product candidates;
conduct research and continue preclinical development of potential product candidates;
• make strategic investments in manufacturing capabilities, including potentially planning and building a commercial manufacturing facility;
• maintain our current intellectual property portfolio and opportunistically acquire complementary intellectual property;
•
•
•
•
seek to obtain regulatory approvals for our product candidates;
potentially establish a sales, marketing and distribution infrastructure and scale-up manufacturing capabilities to commercialize any products for
which we may obtain regulatory approval;
add clinical, scientific, operational, financial and management information systems and personnel, including personnel to support our product
development and potential future commercialization efforts and to support our operations as a public company; and
experience any delays or encounter any issues with any of the above, including but not limited to failed studies or trials, complex results, safety
issues or other regulatory or personnel challenges.
As of December 31, 2021, our principal source of liquidity is cash and cash equivalents, which totaled $68.4 million. We expect that our existing
cash and cash equivalents as of December 31, 2021 will enable us to fund our planned operating expenses and capital expenditure requirements
into the third quarter of 2022. Based on our current operating plan, we believe that our cash and cash equivalents at December 31, 2021 will not be
sufficient to fund operations and capital expenditures for at least the twelve months following the filing of this Annual Report on Form 10-K, and we
will need to obtain additional funding. Our forecast of the period of time through which our financial resources will be adequate to support our
operations is a forward-looking statement and involves risks and uncertainties, and actual results could vary as a result of a number of factors. Our
forecast is based on assumptions that may prove to be wrong, and we may use our available capital resources sooner than we currently expect.
Due to the uncertainty in securing additional funding, and the insufficient amount of cash and cash equivalent resources at December 31, 2021, we
have concluded that substantial doubt exists with respect to our ability to continue as a going concern within one year after the date of the filing of
this Annual Report on Form 10-K.
Because of the numerous risks and uncertainties associated with the development of our product candidates, including EDP1815 and EDP1867,
any additional product candidates or any follow-on programs, and because the extent to which we may enter into further partnerships,
collaborations or licensing arrangements with third parties for the development of these product candidates is unknown, we are unable to estimate
the amounts of increased capital outlays and operating expenses associated with completing the research and development of our product
candidates. Our future capital requirements for our technology platform or our other programs will depend on many factors, including:
•
•
•
•
•
•
•
the progress and results of our clinical trials, including of EDP1815 and EDP1867;
the cost of manufacturing clinical supplies of our product candidates;
the scope, progress, results and costs of preclinical development, including laboratory testing and studies, for any other potential product
candidates;
the costs, timing and outcome of regulatory review of our product candidates;
the costs and timing of future commercialization activities, including manufacturing, marketing, sales and distribution, for any of our product
candidates for which we receive marketing approval;
the revenue, if any, received from commercial sales of our product candidates for which we receive marketing approval;
the costs and timing of preparing, filing and prosecuting patent applications, maintaining and enforcing our intellectual property rights and
defending any intellectual property-related claims;
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•
•
the effect of competing technological and market developments; and
the extent to which we acquire or invest in businesses, products and technologies, including entering into licensing or collaboration
arrangements for product candidates, although we currently have no additional commitments or agreements to complete any such acquisitions
or investments in businesses.
Identifying potential product candidates and conducting preclinical testing and clinical trials is a time consuming, expensive and uncertain process
that takes years to complete. We may never generate the necessary data or results required to obtain marketing approval and achieve product
sales. In addition, our product candidates, if approved, may not achieve commercial success. Our commercial revenues, if any, will be derived from
sales of products that we do not expect to be commercially available for many years, if ever. Accordingly, we will need to obtain substantial
additional funds to achieve our business objectives.
Adequate additional funds may not be available to us on acceptable terms, or at all. To the extent that we raise additional capital through the sale of
equity or convertible debt securities, the ownership interest of existing stockholders will be diluted, and the terms of these securities may include
liquidation or other preferences that adversely affect the rights of common stockholders. Additional debt financing and preferred equity financing, if
available, may involve agreements that include covenants limiting or restricting our ability to take specific actions, such as incurring additional debt,
making capital expenditures or declaring dividends and may require or involve the issuance of warrants, which could potentially dilute the ownership
interest of existing stockholders. The terms of our Amended Credit Facility with K2HV preclude us from paying dividends on our equity securities
without their consent. If we lack sufficient capital to expand our operations or otherwise capitalize on our business opportunities, our business,
financial condition and results of operations would be materially adversely affected.
If we raise additional funds through collaborations, partnerships, strategic alliances or licensing arrangements with third parties, we may have to
relinquish valuable rights to our technologies, future revenue streams, research programs, or product candidates or grant licenses on terms that
may not be favorable to us. If we are unable to raise additional funds through equity or debt financings when needed, we may be required to delay,
limit or terminate our product development programs or any future commercialization efforts or grant rights to develop and market product
candidates to third parties that we would otherwise prefer to develop and market ourselves.
Critical Accounting Policies and Use of Estimates
Our management's discussion and analysis of financial condition and results of operations are based on our consolidated financial statements
which are prepared in accordance with generally accepted accounting principles, or GAAP, in the United States of America. The preparation of our
consolidated financial statements and related disclosures requires us to make estimates and assumptions that affect the reported amount of assets,
liabilities, revenue, costs and expenses, and related disclosures. We believe that the estimates and assumptions involved in the accounting policies
described below may have the greatest potential impact on our consolidated financial statements and, therefore, consider these to be our critical
accounting policies. We evaluate our estimates and assumptions on an ongoing basis using historical experience, known trends and events and
various other factors that are believed to be reasonable under the circumstances, the results of which form the basis for making judgments about
the carrying values of assets and liabilities that are not readily apparent from other sources. Our actual results may differ from these estimates
under different assumptions and conditions.
Accrued Research and Development Expenses
As part of the process of preparing our consolidated financial statements, we are required to estimate our accrued research and development
expenses. This process involves reviewing open contracts and purchase orders, communicating with our personnel to identify services that have
been performed on our behalf and estimating the level of service performed and the associated costs incurred for the services when we have not
yet been invoiced or otherwise notified of the actual costs. The majority of our service providers invoice us in arrears for services performed, on a
pre-determined schedule or when contractual milestones are met; however, some require advanced payments. We make estimates of our accrued
expenses as of each balance sheet date in our consolidated financial statements based on facts and circumstances known to us at that time.
Examples of estimated accrued research and development expenses include fees paid to:
• CROs in connection with performing research services on our behalf including, but not limited to, clinical trials and preclinical studies;
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•
•
•
investigative sites and other providers in connection with clinical trials and preclinical studies;
other research and development service providers such as academic institutions and laboratory services providers in connection with discovery,
preclinical and clinical development activities; and
vendors related to product manufacturing, development and distribution of clinical supplies.
We base our expenses related to clinical trials and preclinical studies on our estimates of the services received and efforts expended pursuant to
quotes and contracts with multiple CROs, investigative sites, laboratories and other providers that conduct and manage those studies on our behalf.
The financial terms of these agreements are subject to negotiation, vary from contract to contract and may result in uneven payment flows. There
may be instances in which payments made to our vendors will exceed the level of services provided and result in a prepayment of the clinical
expense. Payments under some of these contracts depend on factors such as the successful enrollment of patients and the completion of
milestones. In accruing service fees, we estimate the time period over which services will be performed, enrollment of patients, number of sites
activated and the level of effort to be expended in each period. If the actual timing of the performance of services or the level of effort varies from
our estimate, we adjust the accrual or amount of prepaid expense accordingly. Although we do not expect our estimates to be materially different
from amounts actually incurred, our understanding of the status and timing of services performed relative to the actual status and timing of services
performed may vary and may result in us reporting amounts that are too high or too low in any particular period. To date, we have not made any
material adjustments to our prior estimates of accrued research and development expenses.
Stock-Based Compensation
We measure stock options and other stock-based awards granted to employees and directors based on the fair value on the date of grant and
recognize the corresponding compensation expense of those awards over the requisite service period, which is generally the vesting period of the
respective award. Generally, we issue stock options and restricted stock awards with only service-based vesting conditions and record the expense
for these awards using the straight-line method, adjusting for pre-vesting forfeitures in the period in which the forfeitures occur. We measure stock-
based awards granted to consultants and non-employees based on the fair value of the award on the date of the grant. Compensation expense is
recognized over the period during which services are rendered by such consultants and non-employees until completed.
As discussed in Note 2 (Significant Accounting Policies) to our consolidated financial statements included elsewhere in this Annual Report on Form
10-K under the heading “New Accounting Pronouncements - Adopted during the current period”, we adopted ASU No. 2018-07, Stock-based
Compensation: Improvements to Nonemployee Share-based Payment Accounting (Topic 718), on January 1, 2020. As a result, our accounting for
nonemployee awards is now generally consistent with that of employee awards. Beginning on January 1, 2020, the measurement date for
nonemployee awards is the date of grant without any subsequent changes in the fair value of the award.
We estimate the fair value of each stock option grant using the Black-Scholes option-pricing model. Use of this model requires that we make
assumptions as to the volatility of our common stock, the expected term of our stock options, the risk-free interest rate for a period that
approximates the expected term of our stock options, and our expected dividend yield. Prior to May 2018, we were a privately-held company with
limited operating history and no company-specific historical and implied volatility information and accordingly, we estimate our expected volatility
based on the historical volatility of a group of publicly traded peer companies. We expect to continue to do so until such time as we have adequate
historical data regarding the volatility of our traded stock price. We use the simplified method prescribed by SEC Staff Accounting Bulletin No. 107,
Share-Based Payment, to calculate the expected term of options granted to employees and directors. We base the expected term of options
granted to consultants and non-employees on the contractual term of the options. We determine the risk-free interest rate by reference to the U.S.
Treasury yield curve in effect at the time of grant of the award for time periods approximately equal to the expected term of the award. Expected
dividend yield is based on the fact that we have never paid cash dividends and do not expect to pay any cash dividends in the foreseeable future.
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Item 7A. Quantitative and Qualitative Disclosure about Market Risk
We are a smaller reporting company, as defined by Rule 12b-2 of the Exchange Act, and are not required to provide this information.
Item 8. Financial Statements and Supplementary Data
Our consolidated financial statements, together with the report of our independent registered public accounting firm, appear in this Annual Report on
Form 10-K beginning on page F-1 and are incorporated by reference into this Item 8.
Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosures
None.
Item 9A. Controls and Procedures
Limitations on Effectiveness of Controls and Procedures
In designing and evaluating our disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well
designed and operated, can provide only reasonable assurance of achieving the desired control objectives. In addition, the design of disclosure
controls and procedures must reflect the fact that there are resource constraints, and that management is required to apply judgment in evaluating
the benefits of possible controls and procedures relative to their costs.
Management’s Evaluation of our Disclosure Controls and Procedures
Our management, with the participation of our principal executive officer and our principal financial officer, evaluated, as of the end of the period
covered by this Annual Report on Form 10-K, the effectiveness of our disclosure controls and procedures, as defined under 13a-15(e) and 15d-
15(e) under the Exchange Act. The term “disclosure controls and procedures”, as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange
Act, means controls and other procedures of a company that are designed to ensure that information required to be disclosed by a company in the
reports that it files or submits under the Exchange Act are recorded, processed, summarized and reported within the time periods specified in the
SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information
required to be disclosed by us in the reports that we file or submit under the Exchange Act is accumulated and communicated to our management,
including our principal executive officer and principal financial officer, as appropriate, to allow timely decisions regarding required disclosure. As
described below, we identified a material weakness in our internal control over financial reporting. Solely as a result of this material weakness, our
principal executive officer and our principal financial officer concluded that our disclosure controls and procedures were not effective at a reasonable
assurance level as of December 31, 2021.
Management’s Annual Report on Internal Control Over Financial Reporting
Our management is responsible for establishing and maintaining adequate internal control over financial reporting, as defined in Rules 13a-15(f)
and 15d-15(f) of the Exchange Act. Under the supervision and with the participation of our principal executive officer and principal financial officer,
we conducted an evaluation of the effectiveness of our internal control over financial reporting as of December 31, 2021 based on the framework in
Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 Framework).
A material weakness is a deficiency, or a combination of deficiencies, in internal control over financial reporting, such that there is a reasonable
possibility that a material misstatement of our annual or interim financial statements will not be prevented or detected on a timely basis.
103
Table of Contents
In connection with the preparation of our financial statements as of and for the year ended December 31, 2021, we identified a material weakness in
the operation of our internal controls over financial reporting. Specifically, the review of certain financial transactions and preparation and review of
account reconciliations was not performed using a sufficient level of precision and accuracy. This material weakness created a reasonable
possibility that a material misstatement of our annual or interim consolidated financial statements may not be prevented or detected on a timely
basis. No material financial statement misstatements were identified in relation to this material weakness in our internal control over financial
reporting.
Our management, including our principal executive officer and principal financial officer, have evaluated the effectiveness of our disclosure controls
and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) as of December 31, 2021. This evaluation is performed to
determine if our disclosure controls and procedures are effective to provide reasonable assurance that information required to be disclosed by us in
the reports that we file or submit under the Exchange Act is accumulated and communicated to management, including our principal executive
officer and principal financial officer, as appropriate, to allow timely decisions regarding required disclosure and are effective to provide reasonable
assurance that such information is recorded, processed, summarized and reported within the time periods specified by the SEC’s rules and forms.
Due to the control deficiencies described above and our evaluation, the principal executive officer and principal financial officer have concluded that
our disclosure controls and procedures were not effective as of December 31, 2021.
Remediation of Material Weakness in Internal Control over Financial Reporting
The material weakness that we identified in connection with the preparation of our financial statements as of and for the year ended December 31,
2021 resulted from an insufficient complement of resources with an appropriate level of accounting knowledge, experience, or training. Our
management, under the supervision of our principal executive officer and principal financial officer, adopted and is implementing a plan to remediate
the material weakness and has taken and continues to take steps that we believe will address the underlying causes of the material weakness.
Those actions primarily include hiring additional accounting and finance personnel with technical accounting and financial reporting experience, and
enhancing our internal review procedures during the financial statement close process. During the preparation of this Annual Report on Form 10-K,
our management implemented certain additional substantive and analytical review procedures intended to ensure that information required to be
disclosed by us in our periodic reports is recorded, processed, summarized, and reported within the time periods specified in the SEC’s rules and
forms.
Attestation Report of the Registered Public Accounting Firm
This Annual Report on Form 10-K does not include an attestation report of our registered public accounting firm due to an exemption established by
the JOBS Act for “emerging growth companies”.
Changes in Internal Control over Financial Reporting
As previously disclosed in our Quarterly Report on Form 10-Q/A for the quarterly period ended September 30, 2021, we identified a material
weakness related to an insufficient process for confirming final approvals for the release of reviewed and approved documentation prior to filing
such documentation with the SEC. The SEC requires a registrant to engage an independent accountant to review the registrant’s interim financial
information before the registrant files any quarterly report on Form 10-Q. Prior to final sign-off by our independent registered public accounting firm,
we inadvertently filed our Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2021. The material weakness did not result
in any financial statement modifications, and there were no changes to our previously disclosed financial results.
Upon identifying the individual control deficiency, we immediately took actions to remediate the deficiency that resulted in the material weakness
and to improve the design and operation of effective controls over our public reporting activities. The remediation activities included expanding
managerial oversight of, and adding process controls to, our financial statement approval process. Based on these procedures, we believe that this
previously reported material weakness has been remediated as of December 31, 2021.
Except for the remediation efforts described above taken to address the material weakness previously reported, there was no change in our internal
control over financial reporting, as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act, that occurred during our most recent fiscal
quarter that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.
104
Table of Contents
Item 9B. Other Information
On March 22, 2022, David P. Perry, a current member of the Board of Directors of Evelo Biosciences, Inc. (the "Board"), announced that he will not
stand for re-election to the Board at our upcoming Annual Meeting of Stockholders to be held on June 9, 2022. Mr. Perry’s decision is a result of his
desire to spend more time attending to his other professional responsibilities.
On March 22, 2022, David R. Epstein, the current Chair of the Board, announced that he intends to resign from that position effective June 30,
2022. In anticipation of Mr. Epstein’s resignation as Chair of the Board, on March 22, 2022, the Board unanimously approved the appointment of
Professor the Lord Ara Darzi, a current member of the Board, as the Chair of the Board effective as of July 1, 2022. Mr. Epstein will remain as a
member of the Board following the effective date of Lord Darzi's appointment as Chair of the Board.
On March 22, 2022, the Board approved an amended and restated version of the Evelo Biosciences, Inc. Non-Employee Director Compensation
Program (as amended, the "NED Compensation Program"), effective as of April 1, 2022. A copy of the NED Compensation Program is filed
herewith as Exhibit 10.5.
Item 9C. Disclosure Regarding Foreign Jurisdictions that Prevent Inspections
Not applicable.
Item 10. Directors, Executive Officers, and Corporate Governance
PART III
The information required by this Item will be set forth in the sections entitled “Proposal 1: Election of Directors,” “Executive Officers” and “Corporate
Governance” of our proxy statement for our 2022 annual meeting of stockholders to be filed with the SEC within 120 days of the fiscal year ended
December 31, 2021, and is incorporated into this Annual Report on Form 10-K by reference.
Item 11. Executive Compensation
The information required by this Item will be set forth in the sections entitled “Executive Compensation” and “Director Compensation” of our proxy
statement for our 2022 annual meeting of stockholders to be filed with the SEC within 120 days of the fiscal year ended December 31, 2021, and is
incorporated into this Annual Report on Form 10-K by reference.
Item 12. Securities Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
Other than the information set forth below, the information required by this Item will be set forth in the section entitled “Stock Ownership” of our
proxy statement for our 2022 annual meeting of stockholders to be filed with the SEC within 120 days of the fiscal year ended December 31, 2021,
and is incorporated into this Annual Report on Form 10-K by reference.
Securities Authorized for Issuance Under Equity Compensation Plans
The following table provides information as of December 31, 2021, regarding our common stock that may be issued under: (1) the Evelo
Biosciences, Inc. 2015 Stock Incentive Plan (the "2015 Plan"); (2) the Evelo Biosciences, Inc. 2018 Incentive Award Plan, (the "2018 Plan"); (3) the
Evelo Biosciences, Inc. 2021 Employment Inducement Award Plan (the “Inducement Award Plan”); and (4) the Evelo Biosciences, Inc. 2018
Employee Stock Purchase Plan (the “ESPP”). See Note 12 of the notes to our consolidated financial statements in this Annual Report on Form 10-K
for additional information regarding each of our equity compensation plans that was adopted without the approval of security holders.
105
Table of Contents
Plan category:
Equity compensation plans
approved by stockholders
2015 Plan (1)
2018 Plan (2)
Inducement Award Plan (6)
ESPP (4)
Equity Compensation Plans not
approved by Stockholders
Total
Number of Securities to be
Issued Upon Exercise of
Outstanding Options, Warrants,
and Rights
(a)
Weighted Average Exercise Price
of Outstanding Options,
Warrants, and Rights
(b)
Number of Securities Available for
Future Issuance Under Equity
Compensation Plans (excludes
securities reflected in column (a))
(c)
2,988,682
$
6,240,164 (3) $
804,545 (6) $
$
—
—
10,033,391
$
$
3.98
11.28
14.79
—
—
9.32
—
289,393
445,455
736,096 (5)
—
1,470,944
(1) In connection with the initial public offering of shares of our common stock in May 2018 (the “IPO”), we adopted the 2018 Plan and will not
make future grants or awards under the 2015 Plan. As such, the 113,006 securities previously reserved under the 2015 Plan have been
excluded from the table above.
(2) Pursuant to the terms of the 2018 Plan, the number of shares of common stock available for issuance under the 2018 Plan automatically
increases on each January 1, until and including January 1, 2028, by an amount equal to the lesser of (A) 4% of the aggregate number of
shares of common stock outstanding on the final day of the immediately preceding calendar year and (B) such smaller number of shares of
common stock as is determined by the board of directors.
(3) Includes 5,924,500 outstanding options to purchase stock under the 2018 Plan and 315,664 restricted stock units (RSUs) under the 2018
Plan. The RSUs do not have an exercise price and are not included in the weighted average exercise price of outstanding options noted above.
(4) Pursuant to the terms of the ESPP, the number of shares of common stock that may be issued under the ESPP will automatically increase on
each January 1, until and including January 1, 2028, by an amount equal to the lesser of (A) 1% of the aggregate number of shares of common
stock outstanding on the final day of the immediately preceding calendar year and (ii) such smaller number of shares of common stock as is
determined by the board of directors. The board of directors determined that, as to the January 1, 2022 increase, 535,765 shares were to be
added to the number of shares reserved under the ESPP.
(5) Includes 736,096 shares available for issuance under the ESPP, of which 36,329 were issued on January 31, 2022.
(6) On May 27, 2021, our board of directors adopted the Inducement Award Plan without stockholder approval pursuant to Rule 5635(c)(4) of the
Nasdaq Stock Market LLC listing rules (“Rule 5635(c)(4)”). In accordance with Rule 5635(c)(4), cash and equity-based incentive awards under
the Inducement Award Plan may only be made to a newly hired employee who has not previously been a member of our board of directors, or
an employee who is being rehired following a bona fide period of non-employment by us as a material inducement to the employee’s entering
into employment with us. An aggregate of 1,250,000 shares of our common stock have been reserved for issuance under the Inducement
Award Plan. We will continue to grant awards under the 2018 Plan pursuant to the terms thereof. Outstanding awards of 804,545 include 4,545
restricted stock units (RSUs) under the Inducement Award Plan. The RSUs do not have an exercise price and are not included in the weighted
average exercise price of outstanding options noted above.
Item 13. Certain Relationships and Related Transactions, and Director Independence
The information required by this Item will be set forth in the sections entitled “Corporate Governance” and “Certain Transactions with Related
Persons” of our proxy statement for our 2022 annual meeting of stockholders to be filed with the SEC within 120 days of the fiscal year ended
December 31, 2021, and is incorporated into this Annual Report on Form 10-K by reference.
106
Table of Contents
Item 14. Principal Accountant Fees and Services
The information required by this Item will be set forth in the section entitled “Proposal No. 2 Ratification of Appointment of Independent Registered
Public Accounting Firm” of our proxy statement for our 2022 annual meeting of stockholders to be filed with the SEC within 120 days of the fiscal
year ended December 31, 2021, and is incorporated into this Annual Report on Form 10-K by reference.
PART IV
Item 15. Exhibits and Financial Statement Schedules
(a)(1) Financial Statements.
The response to this portion of Item 15 is set forth under Item 8 hereof.
(a)(2) Financial Statement Schedules.
All schedules have been omitted because they are not required or because the required information is given in the Consolidated Financial
Statements or Notes thereto.
(a)(3)
Exhibit
Number
Description of Exhibit
3.1
3.2
4.1
4.2
4.3
4.4
10.1#
10.2#
10.3#
10.4#
10.5#
10.6#
10.7#
10.8
10.9#
10.10#
Restated Certificate of Incorporation of Evelo Biosciences, Inc.
Amended and Restated Bylaws of Evelo Biosciences, Inc.
Fourth Amended and Restated Investors’ Rights Agreement, dated February 9, 2018, by and
among Evelo Biosciences, Inc. and the investors named therein
Specimen Stock Certificate evidencing the shares of common stock
Description of Capital Stock
Warrant to Purchase Common Stock, dated as of June 16, 2021, issued by Evelo Biosciences,
Inc. to K2 HealthVentures Equity Trust LLC
2015 Stock Incentive Plan, as amended, and U.K. sub-plan and forms of agreements thereunder
2018 Incentive Award Plan, and U.K. sub-plan and forms of awards thereunder
2018 Employee Stock Purchase Plan, as amended
Evelo Biosciences, Inc. 2021 Employment Inducement Award Plan, and U.K. sub-plan and forms
of award agreements thereunder
Evelo Biosciences, Inc. Non-Employee Director Compensation Program, as amended, effective
April 1, 2022
Executive Severance Plan, as amended
Form of Indemnification Agreement for Directors and Officers
Sublease Agreement between Evelo Biosciences, Inc. and Bio-Rad Laboratories, Inc., dated
December 27, 2017
Terms and Conditions of Employment between Evelo Biosciences (UK) Limited and Duncan
McHale, M.B.B.S., Ph.D., effective as of May 1, 2019
Offer Letter between Evelo Biosciences, Inc. and Balkrishan (Simba) Gill, Ph.D., dated June 25,
2015, as amended on April 26, 2018
107
Exhibits.
Filed
Herewith
*
Incorporated by Reference
Filing
date
Exhibit
File
No.
Form
8-K
8-K
S-1/A
S-1/A
10-K
8-K
S-1/A
S-1/A
10-K
001-38473
001-38473
333-224278
333-224278
001-38473
001-38473
333-224278
333-224278
001-38473
S-8
333-256662
10-K
S-1/A
S-1/A
001-38473
333-224278
333-224278
8-K
001-38473
3.1
3.2
4.1
4.2
10.3
4.1
10.1
10.2
10.3
99.1
10.5
10.6
10.8
10.1
5/11/18
5/11/18
4/30/18
4/30/18
2/14/2020
6/17/2021
4/30/18
4/30/18
2/14/2020
6/1/21
2/14/2020
4/30/18
4/30/18
4/25/19
S-1/A
333-224278
10.11
4/30/18
Table of Contents
10.11#
10.12#
10.13#
10.14#
10.15#
10.16
10.17††
10.18†
10.19††
10.20††
10.21
10.22††
10.23
10.24
10.25
10.26
21.1
23.1
31.1
31.2
32.1
Employment Agreement of Mark Bodmer by and between Evelo Biosciences (UK) Limited and
Mark Bodmer, dated December 31, 2021
Letter Agreement, dated September 16, 2019, between Evelo Biosciences, Inc. and David R.
Epstein, as amended
Amendment dated April 9, 2021 to Letter Agreement between Evelo Biosciences, Inc. and David
R. Epstein
Consulting Agreement, dated September 16, 2019, between Evelo Biosciences, Inc. and David
R. Epstein, as amended
Amendment No. 2 to Consulting Agreement dated April 9, 2021 between Evelo Biosciences, Inc.
and David R. Epstein
Master Services Agreement, dated September 1, 2018, between Evelo Biosciences, Inc. and
Weatherden Ltd
Patent License Agreement between Mayo Foundation for Medical Education and Research and
Evelo Biosciences, Inc., dated August 6, 2017, as amended January 19, 2018 and further
amended November 15, 2021
Exclusive License Agreement between The University of Chicago for an Immuno-oncology
Technology and Evelo Biosciences, Inc, dated March 10, 2016
Collaboration Agreement between Evelo Biosciences, Inc. and Sacco S.r.l. dated July 9, 2019
Development and Clinical Master Services Agreement between Evelo Biosciences, Inc. and
Halo Pharmaceutical, Inc. d/b/a Cambrex Whippany dated December 17, 2020
Amendment No. 1 to Clinical Master Services Agreement between Evelo Biosciences, Inc. and
Halo Pharmaceutical, Inc. d/b/a Cambrex Whippany, dated February 8, 2022
Commercialization and License Agreement dated March 17, 2021 by and between Evelo
Biosciences, Inc. and Meddist Company Limited
Loan and Security Agreement by and among Evelo Biosciences, Inc. and the other borrowers
party thereto, the lenders party thereto, K2 HealthVentures LLC, as administrative agent for such
lenders, and Ankura Trust Company, LLC, as collateral agent for such lenders, dated July 19,
2019, as amended
Second Amendment to Loan and Security Agreement dated as of May 15, 2020 by and among
Evelo Biosciences, Inc., the lenders party thereto and K2 HealthVentures LLC, as administrative
agent for such lenders.
Third Amendment to Loan and Security Agreement dated as of July 8, 2020 by and among
Evelo Biosciences, Inc., the lenders party thereto and K2 HealthVentures LLC, as administrative
agent for such lenders
Fourth Amendment, dated as of June 16, 2021, to the Loan and Security Agreement by and
among Evelo Biosciences, Inc. and the other borrowers party thereto, the lenders party thereto,
K2 HealthVentures LLC, as administrative agent for such lenders, and Ankura Trust Company,
LLC, as collateral agent for such lenders, dated July 19, 2019, as amended
Subsidiaries of Evelo Biosciences, Inc.
Consent of Ernst & Young LLP
Certification of Principal Executive Officer Pursuant to Rules 13a-14(a) and 15d-14(a) under the
Securities Exchange Act of 1934, as Adopted Pursuant to Section 302 of the Sarbanes-Oxley
Act of 2002
Certification of Principal Financial Officer Pursuant to Rules 13a-14(a) and 15d-14(a) under the
Securities Exchange Act of 1934, as Adopted Pursuant to Section 302 of the Sarbanes-Oxley
Act of 2002
Certification of Principal Executive Officer Pursuant to 18 U.S.C. Section 1350, as Adopted
Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
108
8-K
001-38473
10-Q
001-38473
10-Q
001-38473
10-Q
001-38473
10-Q
001-38473
10.1
10.2
10.3
10.3
10.2
1/4/22
10/30/20
4/29/21
10/30/20
4/29/21
10-K
001-38473
10.12
2/15/19
S-1/A
333-224278
10.15
4/30/18
10-Q
10-K
001-38473
001-38473
10.4
10.17
8/6/19
3/9/21
8-K
001-38473
1.1
3/23/21
10-Q
001-38473
10.3
8/6/19
8-K
001-38473
10.1
5/18/20
10-Q
001-38473
10.2
7/31/20
8-K
001-38473
10.1
6/17/21
10-K
001-38473
21.1
2/14/2020
*
*
*
*
*
**
Table of Contents
32.2
101.INS
101.SCH
101.CAL
101.DEF
101.LAB
101.PRE
104
Certification of Principal Financial Officer Pursuant to 18 U.S.C. Section 1350, as Adopted
Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
Inline XBRL Instance Document - the Instance Document does not appear in the interactive data
file because its XBRL tags are embedded within the Inline XBRL document
Inline XBRL Taxonomy Extension Schema Document
Inline XBRL Taxonomy Extension Calculation Linkbase Document
Inline XBRL Taxonomy Extension Definition Linkbase Document
Inline XBRL Taxonomy Extension Label Linkbase Document
Inline XBRL Taxonomy Extension Presentation Linkbase Document
Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)
**
*
*
*
*
*
*
*
* Filed herewith
** Furnished herewith
# Indicates management contract or compensatory plan.
† Portions of this exhibit (indicated by asterisks) have been omitted pursuant to a request for confidential treatment.
†† Portions of this exhibit (indicated by asterisks) have been omitted pursuant to Item 601(b)(10)(iv) of Regulation S-K
Certain agreements filed as exhibits to this Annual Report on Form 10-K contain representations and warranties that the parties thereto made to
each other. These representations and warranties have been made solely for the benefit of the other parties to such agreements and may have
been qualified by certain information that has been disclosed to the other parties to such agreements and that may not be reflected in such
agreements. In addition, these representations and warranties may be intended as a way of allocating risks among parties if the statements
contained therein prove to be incorrect, rather than as actual statements of fact. Accordingly, there can be no reliance on any such representations
and warranties as characterizations of the actual state of facts. Moreover, information concerning the subject matter of any such representations
and warranties may have changed since the date of such agreements.
(b) Financial Statement Schedules. Schedules not listed above have been omitted because the information required to be set forth therein is not
applicable or is shown in the audited consolidated financial statements or notes thereto.
Item 16. Form 10-K Summary
Not applicable.
109
Table of Contents
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed
on its behalf by the undersigned, thereunto duly authorized.
Date: March 24, 2022
EVELO BIOSCIENCES, INC.
By:
/s/ Balkrishan (Simba) Gill, Ph.D.
Balkrishan (Simba) Gill, Ph.D.
President and Chief Executive Officer
Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed by the following persons on behalf of the
registrant in the capacities and on the dates indicated.
Signature
Title
Date
/s/ Balkrishan (Simba) Gill
Balkrishan (Simba) Gill, Ph.D.
/s/ Luca Scavo
Luca Scavo
/s/ Stephen J. Carriere
Stephen J. Carriere
/s/ David R. Epstein
David R. Epstein
/s/ Juan Andres
Juan Andres
/s/ Ara Darzi
Lord Ara Darzi
/s/ John A. Hohneker
John A. Hohneker, M.D.
/s/ Julie McHugh
Julie McHugh
/s/ Iain McInnes
Iain McInnes
/s/ Theodose Melas-Kyriazi
Theodose Melas-Kyriazi
/s/ David P. Perry
David P. Perry
President, Chief Executive Officer and Director
(Principal Executive Officer)
March 24, 2022
Chief Financial Officer
(Principal Financial Officer)
March 24, 2022
Vice President and Chief Accounting Officer
(Principal Accounting Officer)
March 24, 2022
Chairman of the Board of Directors
March 24, 2022
Director
Director
Director
Director
Director
Director
Director
110
March 24, 2022
March 24, 2022
March 24, 2022
March 24, 2022
March 24, 2022
March 24, 2022
March 24, 2022
Table of Contents
EVELO BIOSCIENCES, INC.
INDEX TO CONSOLIDATED FINANCIAL STATEMENTS
Report of Independent Registered Public Accounting Firm (PCAOB ID: 42)
Consolidated Balance Sheets
Consolidated Statements of Operations
Consolidated Statements of Stockholders’ Equity
Consolidated Statements of Cash Flows
Notes to Consolidated Financial Statements
Page
F-2
F-3
F-4
F-5
F-6
F-7
F-1
Table of Contents
Report of Independent Registered Public Accounting Firm
To the Stockholders and the Board of Directors of Evelo Biosciences, Inc.
Opinion on the Financial Statements
We have audited the accompanying consolidated balance sheets of Evelo Biosciences, Inc. (the Company) as of December 31, 2021 and 2020, the
related consolidated statements of operations, stockholders' equity and cash flows for each of the two years in the period ended December 31,
2021, and the related notes (collectively referred to as the “consolidated financial statements”). In our opinion, the consolidated financial statements
present fairly, in all material respects, the financial position of the Company at December 31, 2021 and 2020, and the results of its operations and its
cash flows for each of the two years in the period ended December 31, 2021, in conformity with U.S. generally accepted accounting principles.
The Company's Ability to Continue as a Going Concern
The accompanying consolidated financial statements have been prepared assuming that the Company will continue as a going concern. As
discussed in Note 1 to the financial statements, the Company has suffered recurring losses from operations, has limited financial resources, and
has stated that substantial doubt exists about the Company’s ability to continue as a going concern. Management's evaluation of the events and
conditions and management’s plans regarding these matters are also described in Note 1. The consolidated financial statements do not include any
adjustments that might result from the outcome of this uncertainty.
Basis for Opinion
These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on the Company’s
financial statements based on our audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United
States) (PCAOB) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the
applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material misstatement, whether due to error or fraud. The Company is not
required to have, nor were we engaged to perform, an audit of its internal control over financial reporting. As part of our audits, we are required to
obtain an understanding of internal control over financial reporting but not for the purpose of expressing an opinion on the effectiveness of the
Company's internal control over financial reporting. Accordingly, we express no such opinion.
Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud,
and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and
disclosures in the financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by
management, as well as evaluating the overall presentation of the financial statements. We believe that our audits provide a reasonable basis for
our opinion.
/s/ Ernst & Young LLP
We have served as the Company’s auditor since 2017.
Boston, Massachusetts
March 24, 2022
F-2
Evelo Biosciences, Inc.
Consolidated Balance Sheets
(In thousands, except per share and share amounts)
Table of Contents
Assets
Current assets:
Cash and cash equivalents
Prepaid expenses and other current assets
Total current assets
Property and equipment, net
Right of use asset - operating lease
Other assets
Total assets
Liabilities and stockholders’ equity
Current liabilities:
Accounts payable
Accrued expenses
Operating lease liability, current portion
Other current liabilities
Total current liabilities
Noncurrent liabilities:
Long-term debt
Operating lease liability, net of current portion
Deferred revenue
Other noncurrent liabilities
Total liabilities
Commitments and contingencies (Note 10)
Stockholder’s equity:
Preferred stock, $0.001 par value; 10,000,000 shares authorized; no shares issued and outstanding
at December 31, 2021 and 2020, respectively
Common stock, $0.001 par value; 200,000,000 shares authorized; 53,576,454
and 47,488,505 shares issued and 53,576,454 and 47,470,119 shares outstanding at December 31,
2021 and 2020, respectively
Additional paid-in capital
Accumulated deficit
Total stockholders’ equity
Total liabilities and stockholders’ equity
December 31,
2021
2020
68,441 $
2,585
71,026
6,622
8,910
1,313
87,871 $
1,601 $
13,068
1,951
742
17,362
46,557
7,785
7,500
—
79,204
68,857
2,123
70,980
7,478
10,757
1,424
90,639
1,442
16,254
1,674
463
19,833
30,048
9,989
—
284
60,154
—
—
54
423,308
(414,695)
8,667
87,871 $
47
322,957
(292,519)
30,485
90,639
$
$
$
$
The accompanying notes are an integral part of these consolidated financial statements.
F-3
Evelo Biosciences, Inc.
Consolidated Statements of Operations
(In thousands, except share and per share amounts)
Table of Contents
Operating expenses:
Research and development
General and administrative
Total operating expenses
Loss from operations
Other (expense) income:
Interest expense, net
Loss on extinguishment of debt
Other income, net
Other expense, net
Loss before income taxes
Income tax expense
Net loss
Net loss per share attributable to common stockholders, basic and diluted
Weighted average number of common shares outstanding, basic and diluted
Year Ended December 31,
2020
2021
83,643 $
31,753
115,396
(115,396)
(3,612)
(3,226)
486
(6,352)
(121,748)
(428)
(122,176) $
69,616
22,270
91,886
(91,886)
(2,109)
—
738
(1,371)
(93,257)
(409)
(93,666)
(2.31) $
(2.37)
52,910,982
39,479,197
$
$
$
The accompanying notes are an integral part of these consolidated financial statements.
F-4
Table of Contents
Balance-Balance - January 1, 2020
Issuance of common stock, net
Vesting of restricted common stock
Issuance of common stock under ESPP
Exercise of stock options
Stock-based compensation expense
Net Loss
Balance - December 31, 2020
Issuance of common stock, net
Issuance of common stock under ESPP
Vesting of restricted common stock
Exercise of stock options
Stock-based compensation expense
Issuance of common stock warrants
Net Loss
Balance-Balance - December 31, 2021
Evelo Biosciences, Inc.
Consolidated Statements of Stockholders’ Equity
(In thousands, except share amounts)
Common Stock
Shares
Amount
Additional Paid-in
Capital
Accumulated
Deficit
Total
32,170,605 $
15,032,131
43,267
28.603
195.513
—
—
47,470,119 $
5,814,734
46,358
111,440
133,803
—
—
—
53,576,454 $
32 $
15
—
—
—
—
—
47 $
6
—
—
1
—
—
—
54 $
259,018 $
54,979
21
92
379
8,468
—
322,957 $
81,745
237
—
773
15,846
1,750
—
423,308 $
(198,853) $
—
—
—
—
—
(93,666)
(292,519) $
—
—
—
—
—
—
(122,176)
(414,695) $
60,197
54,994
21
92
379
8,468
(93,666)
30,485
81,751
237
—
774
15,846
1,750
(122,176)
8,667
The accompanying notes are an integral part of these consolidated financial statements.
F-5
Table of Contents
Evelo Biosciences, Inc.
Consolidated Statements of Cash Flows
(In thousands)
Operating activities
Net loss
Adjustments to reconcile net loss to net cash used in operating activities:
Stock-based compensation expense
Depreciation expense
Non-cash interest expense
Non-cash lease expense
Loss on Extinguishment of Debt
Gain on sale of fixed assets
Changes in operating assets and liabilities:
Prepaid expenses and other current assets
Accounts payable
Accrued expenses and other current liabilities
Operating lease liabilities
Deferred revenue
Other liabilities
Net cash used in operating activities
Investing activities
Purchases of property and equipment
Proceeds from the sale of fixed assets
Net cash used in investing activities
Financing activities
Proceeds from issuance of common stock, net of issuance cost
Proceeds from the issuance of common stock under employee stock purchase plan and the exercise of stock
options
Proceeds from the issuance of long-term debt, net of issuance costs
Net cash provided by financing activities
Net increase in cash, cash equivalents and restricted cash
Cash, cash equivalents and restricted cash – beginning of period
Cash, cash equivalents and restricted cash – end of period
Supplemental disclosure of cash flow information
Cash paid for interest
Cash paid for taxes
Noncash investing and financing activities
Deferred financing and public offering costs in accounts payable and accrued expenses
Property and equipment additions in accounts payable and accrued expenses
Issuance of common stock warrants
$
$
$
$
$
$
The accompanying notes are an integral part of these consolidated financial statements.
F-6
Year Ended December 31,
2020
2021
$
(122,176) $
(93,666)
15,846
2,216
255
1,847
3,226
(7)
(622)
159
(2,758)
(1,927)
7,500
(284)
(96,725)
(1,519)
38
(1,481)
81,751
1,011
14,778
97,540
(666)
70,420
69,754 $
3,378 $
25 $
— $
29 $
1,750 $
8,468
2,026
374
1,976
—
(6)
1,503
837
7,438
(2,218)
—
205
(73,063)
(1,321)
6
(1,315)
54,994
471
10,000
65,465
(8,913)
79,333
70,420
2,172
20
111
178
—
Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
1. Organization and Basis of Presentation
Evelo Biosciences, Inc. ("Evelo", "we", "our" "us" or the "Company”) is a biotechnology company which was incorporated in Delaware on May 6,
2014. We are discovering and developing a new class of orally delivered investigational medicines that are intended to act on cells in the small
intestine to produce therapeutic effects throughout the body. We are advancing these investigational medicines with the aim of treating a broad
range of immune mediated diseases, with an initial focus on inflammatory diseases and oncology. Our headquarters is located in Cambridge,
Massachusetts.
Since inception, we have devoted substantially all of our efforts to research and development and raising capital. We have not generated any
product or license revenue related to our primary business purpose to date. We are subject to a number of risks similar to those of other
development stage companies, including dependence on key individuals, the need to develop commercially viable products, competition from other
companies, many of whom are larger and better capitalized, and the need to obtain adequate additional financing to fund the development of our
products.
To date, we have financed operations primarily with the proceeds from the issuance of common stock combined with proceeds from previous sales
of convertible preferred stock to equity investors and debt financing.
On June 3, 2019, we filed a Registration Statement on Form S-3 (File No. 333-231911) (the “2019 Shelf”) with the United States Securities and
Exchange Commission (the "SEC") in relation to the registration of common stock, preferred stock, debt securities, warrants and/or units of any
combination thereof in the aggregate amount of up to $200.0 million for a period of up to three years from the date of its effectiveness on June 6,
2019.
We also simultaneously entered into a sales agreement (the "ATM") with Cowen and Company, LLC, as sales agent, providing for the offering,
issuance and sale by us of up to an aggregate $50.0 million of our common stock from time to time in “at-the-market” offerings under the 2019
Shelf. For the year ended December 31, 2020, we sold 1,232,131 common shares under the ATM with offering prices ranging between $4.25 to
$11.15 per share for gross proceeds of $6.8 million and net proceeds of $6.6 million, after deducting commission and other offering expenses
payable by us. For the year ended December 31, 2021, we issued 139,734 additional shares of common stock under the ATM with offering prices
ranging between $12.54 and $13.17 per share for gross proceeds of $1.8 million and net proceeds of $1.7 million, net of commission and other
offering expenses.
On February 2, 2021, we sold 5,175,000 shares of our common stock in an underwritten public offering at a public offering price of $15.00 per
share, including the underwriters' exercise of their option to purchase 675,000 shares to cover over-allotment, generating gross proceeds of
$77.6 million and net proceeds after underwriting discounts and commission of $72.7 million, after deducting underwriting discounts and
commissions and other offering expenses paid by us.
On January 28, 2021, we entered into a stock purchase agreement with ALJ Health Care & Life Science Company Limited ("ALJ Health Care"),
pursuant to which on February 2, 2021, ALJ Health Care purchased $7.5 million of our common stock in a private placement at a purchase price of
$15.00 per share, equal to the public offering price per share at which our common stock was sold to the public as referred above. The sale of such
shares was not registered under the Securities Act.
On August 23, 2021, we filed a Registration Statement on Form S-3 (File No. 333-259005) (the “2021 Shelf”) with the SEC in relation to the
registration of common stock, preferred stock, debt securities, warrants and/or units of any combination thereof in the aggregate amount of up to
$200 million for a period of up to three years from the date of its effectiveness on August 30, 2021.
We have incurred operating losses since inception and expect such losses and negative operating cash flows to continue for the foreseeable future.
As of December 31, 2021, we had cash and cash equivalents of $68.4 million and an accumulated deficit of $414.7 million.
In accordance with the Financial Accounting Standards Board (“FASB”) Accounting Standards Update (“ASU”) 2014-15, Disclosure of Uncertainties
about an Entity’s Ability to Continue as a Going Concern (Subtopic 205-40), we evaluated whether there are conditions and events, considered in
the aggregate, that raise substantial doubt about our ability to continue as a going concern within one year after the date that the audited
consolidated financial
F-7
Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
statements are issued. The transition to profitability is dependent upon the successful development, approval, and commercialization of our
products and product candidates and the achievement of a level of revenue adequate to support our cost structure. Based on our current operating
plan, we believe that our cash and cash equivalents at December 31, 2021, will not be sufficient to fund operations and capital expenditures for at
least the twelve months following the filing of this Annual Report on Form 10-K, and we will need to obtain additional funding. We intend to obtain
additional funding through available financing sources which may include additional public offerings of common stock, private financing of debt or
equity, and / or the pursuit of strategic partnerships, licensing arrangements or collaborations. Our ability to fund operations is based on estimates
that are subject to risks and uncertainties. If actual results are different from our estimates, we may need to seek additional funding sooner than
would otherwise be expected. There can be no assurance that we will be able to obtain additional funding on acceptable terms, if at all. If we are
unable to obtain sufficient funding, we will be required to delay, scale back or discontinue our development efforts, limit activities and / or reduce
research and development costs, which would adversely affect our business prospects. Due to the uncertainty in securing additional funding, and
the insufficient amount of cash and cash equivalent resources at December 31, 2021, we have concluded that substantial doubt exists with respect
to our ability to continue as a going concern within one year after the date that the audited consolidated financial statements are issued.
The accompanying consolidated financial statements have been prepared on a going concern basis, which contemplates the realization of assets
and satisfaction of liabilities in the ordinary course of business. The consolidated financial statements do not include any adjustments relating to the
recoverability and classification of recorded asset amounts or the amounts and classification of liabilities that might result from the outcome of this
uncertainty.
2. Significant Accounting Policies
Use of Estimates
The preparation of consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that
affect the amounts reported in the consolidated financial statements and accompanying notes. Significant estimates and assumptions reflected in
these consolidated financial statements include, but are not limited to, the accrual of research and development expenses and the valuation of
stock-based awards. We base our estimates on historical experience and other market-specific or other relevant assumptions that we believe to be
reasonable under the circumstances. Actual results could differ from those estimates.
Principles of Consolidation
The consolidated financial statements include the accounts of our business and our wholly owned, controlled subsidiaries. All intercompany
transactions and balances have been eliminated in consolidation.
Subsequent Event Considerations
We consider events or transactions that occur after the balance sheet date but prior to the issuance of the consolidated financial statements to
provide additional evidence for certain estimates or to identify matters that require additional disclosure. Subsequent events have been evaluated
as required. We have evaluated all subsequent events and determined that there are no material recognized or unrecognized subsequent events
requiring disclosure.
Emerging Growth Company Status
We are an “emerging growth company” as defined in the Jumpstart Our Business Startups Act of 2012 (the "JOBS Act"), and we may take
advantage of reduced reporting requirements that are otherwise applicable to public companies. We may take advantage of these exemptions until
we no longer are an emerging growth company. Section 107 of the JOBS Act provides that an emerging growth company can take advantage of the
extended transition period afforded by the JOBS Act for the implementation of new or revised accounting standards. We have elected to use the
extended transition period for complying with new or revised accounting standards and, as a result of this election, our consolidated financial
statements may not be comparable to companies that comply with public company effective dates. We may take advantage of these exemptions up
until the last day of the fiscal year following the fifth anniversary of our IPO or such earlier time that we no longer are an emerging growth company.
We would cease to be an emerging growth company if we have more than $1.07 billion in annual revenue, have more than $700.0 million in market
value of our stock held by non-affiliates (and have been a public company for at
F-8
Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
least 12 months and have filed one annual report on Form 10-K), or have issued more than $1.0 billion of non-convertible debt securities over a
three-year period.
Concentrations of Credit Risk and Off-Balance Sheet Risk
Financial instruments that potentially expose us to concentrations of credit risk primarily consist of cash and cash equivalents. We place our cash
and cash equivalents in primarily two custodian accounts at accredited financial institutions. Such deposits have and will continue to exceed
federally insured limits.
As of December 31, 2021 and 2020, we have no off-balance sheet risk such as foreign exchange contracts, option contracts, or other foreign
hedging arrangements.
We are subject to a number of risks similar to other early-stage biopharmaceutical companies including, but not limited to, the need to obtain
adequate additional funding, possible failure of current or future preclinical testing or clinical trials, our reliance on third parties to conduct our clinical
trials, the need to obtain regulatory and marketing approvals for our product candidates, competitors developing new technological innovations, the
need to successfully commercialize and gain market acceptance of our product candidates, our right to develop and commercialize our product
candidates pursuant to the terms and conditions of the licenses granted to us, protection of proprietary technology, the ability to make milestone,
royalty or other payments due under any license or collaboration agreements, and the need to secure and maintain adequate manufacturing
arrangements. If we do not successfully commercialize, license or partner any of our product candidates, we will be unable to generate product
revenue or achieve profitability.
Comprehensive Loss
Comprehensive loss consists of net loss and changes in equity during a period from transactions and other equity and circumstances generated
from non-owner sources. Our net loss equals comprehensive loss for all periods presented.
Cash, Cash Equivalents and Restricted Cash
Cash equivalents are comprised of highly liquid investments that are readily convertible into cash with original maturities of three months or less.
Cash and cash equivalents include cash held in banks and amounts held in money market funds. Our restricted cash consists of deposit
requirements in connection with the lease for our headquarters office and laboratory premises and related to our credit card facility. We did not have
a current restricted cash balance at December 31, 2021. As of December 31, 2020, we had $0.3 million in current restricted cash balance recorded
within prepaid expenses. As of December 31, 2021 and 2020, we had noncurrent restricted cash of $1.3 million, which was included within other
assets in the consolidated balance sheets. The following reconciles cash, cash equivalents and restricted cash as of December 31, 2021 and 2020,
as presented on the consolidated statements of cash flows, to our related consolidated balance sheet accounts (in thousands):
Cash and cash equivalents:
Cash
Money market funds
Total cash and cash equivalents
Restricted cash
Cash, cash equivalents and restricted cash
Fair Value of Financial Instruments
December 31,
2021
2020
$
$
1,452 $
66,989
68,441
1,313
69,754 $
4,487
64,370
68,857
1,563
70,420
ASC 820, Fair Value Measurement (“ASC 820”), establishes a fair value hierarchy for instruments measured at fair value that distinguishes between
assumptions based on market data (observable inputs) and our own assumptions (unobservable inputs). Observable inputs are inputs that market
participants would use in pricing the asset or liability based on market data obtained from sources independent of us. Unobservable inputs are
inputs that reflect our assumptions about the inputs that market participants would use in pricing the asset or liability and are developed based on
the best information available in the circumstances.
F-9
Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
ASC 820 identifies fair value as the exchange price, or exit price, representing the amount that would be received to sell an asset or paid to transfer
a liability in an orderly transaction between market participants. As a basis for considering market participant assumptions in fair value
measurements, ASC 820 establishes a three-tier fair value hierarchy that distinguishes between the following:
•
•
•
Level 1 inputs are quoted prices (unadjusted) in active markets for identical assets or liabilities;
Level 2 inputs are inputs other than quoted prices included within Level 1 that are observable for the asset or liability, either directly or indirectly;
and
Level 3 inputs are unobservable inputs that reflect our own assumptions about the assumptions market participants would use in pricing the
asset or liability.
To the extent that the valuation is based on models or inputs that are less observable or unobservable in the market, the determination of fair value
requires more judgment. Accordingly, the degree of judgment we exercise in determining fair value is greatest for instruments categorized in
Level 3. A financial instrument’s level within the fair value hierarchy is based on the lowest level of any input that is significant to the fair value
measurement.
An entity may choose to measure many financial instruments and certain other items at fair value at specified election dates. Subsequent unrealized
gains and losses on items for which the fair value option has been elected will be reported in earnings. We did not elect to measure any additional
financial instruments or other items at fair value.
Property and Equipment
Property and equipment consists of computer hardware and software, furniture and fixtures, office equipment, research and lab equipment, and
leasehold improvement recorded at cost. Lab equipment used in research and development activities is only capitalized when it has an alternative
future use. These amounts are depreciated using the straight-line method over the estimated useful lives of the assets. Purchased assets that are
not yet in service are recorded to construction-in-process and no depreciation expense is recorded. Once they are placed in service they are
reclassified to the appropriate asset class.
A summary of the estimated useful lives is as follows:
Classification
Computer hardware
Computer software
Furniture and fixtures
Research and lab equipment (used/new)
Leasehold improvements
Repairs and maintenance costs are expensed as incurred.
Impairment of Long-Lived Assets
Estimated Useful Life
3 - 5 years
3 years
7 years
3 - 5 years
Lesser of asset life or remaining life of
lease
We periodically evaluate property and equipment for impairment whenever events or changes in circumstances indicate that a potential impairment
may have occurred. If such events or changes in circumstances arise, we compare the carrying amount of the long-lived assets to the estimated
future undiscounted cash flows expected to be generated by the long-lived assets. If the estimated aggregate undiscounted cash flows are less
than the carrying amount of the long-lived assets, an impairment charge, calculated as the amount by which the carrying amount of the assets
exceeds the fair value of the assets, is recorded. The fair value of the long-lived assets is determined based on the estimated discounted cash flows
expected to be generated from the long-lived assets. We have not recorded any material impairment charges during the years presented.
Income Taxes
We record deferred tax assets and liabilities for the expected future tax consequences of temporary differences between the financial statement
carrying amounts and the tax bases of assets and liabilities and for loss and credit carryforwards using enacted tax rates expected to be in effect in
the years in which the differences reverse. A valuation allowance is provided to reduce the net deferred tax assets to the amount that will more likely
than not be
F-10
Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
realized. We determine whether it is more likely than not that a tax position will be sustained upon examination. If it is not more likely than not that a
position will be sustained, none of the benefit attributable to the position is recognized. The tax benefit to be recognized for any tax position that
meets the more-likely-than-not recognition threshold is calculated as the largest amount that is more than 50% likely of being realized upon
resolution of the contingency. We account for interest and penalties related to uncertain tax positions as part of our provision for income taxes.
Collaboration Agreements
We analyze our collaboration arrangements to assess whether they are within the scope of ASC 808, Collaborative Arrangements ("ASC 808") to
determine whether such arrangements involve joint operating activities performed by parties that are both active participants in the activities and
exposed to significant risks and rewards that are dependent on the commercial success of such activities. To the extent the arrangement is within
the scope of ASC 808, we assess whether aspects of the arrangement between us and our collaboration partner are within the scope of other
accounting literature, including ASC 606. If it is concluded that some or all aspects of the arrangement represent a transaction with a customer, we
will account for those aspects of the arrangement within the scope of ASC 606.
ASC 808 provides guidance for the presentation and disclosure of transactions in collaborative arrangements, but it does not provide recognition or
measurement guidance. Therefore, if we conclude a counterparty to a transaction is not a customer or otherwise not within the scope of ASC 606,
we consider the guidance in other accounting literature, including the guidance in ASC 606, as applicable or by analogy to account for such
transaction. The classification of transactions under our arrangements is determined based on the nature and contractual terms of the arrangement
along with the nature of the operations of the participants.
Revenue Recognition
To determine the appropriate amount of revenue to be recognized for arrangements that we determine are within the scope of ASC 606, we perform
the following steps: (i) identify the contract(s) with the customer; (ii) identify the performance obligations in the contract; (iii) determine the
transaction price; (iv) allocate the transaction price to the performance obligations in the contract; and (v) recognize revenue when (or as) each
performance obligation is satisfied. ASC 606 requires significant judgment and estimates and results in changes to, but not limited to: (i) the
determination of the transaction price, including estimates of variable consideration, (ii) the allocation of the transaction price, including the
determination of estimated selling price, and (iii) the pattern of recognition, including the application of proportional performance as a measure of
progress on service-related promises and application of point-in-time recognition for supply-related promises.
The promised good or services in our arrangement may consist of license rights to our intellectual property or research and development services.
We also may have optional additional items in contracts, which are considered marketing offers and are accounted for as separate contracts with
the customer if such option is elected by the customer, unless the option provides a material right which would not be provided without entering into
the contract. Performance obligations are promised goods or services in a contract to transfer a distinct good or service to the customer. Promised
goods or services are considered distinct when (i) the customer can benefit from the good or service on its own or together with other readily
available resources, or (ii) the promised good or service is separately identifiable from other promises in the contract. In assessing whether
promised goods or services are distinct, we consider factors such as the stage of development of the underlying intellectual property, the
capabilities of the customer to develop the intellectual property on their own or whether the required expertise is readily available.
The transaction price may be comprised of fixed payments, often an upfront payment due at contract inception, or other types of variable
consideration in the form of payments for our services and materials and milestone payments due upon the achievement of specified events. Other
payments we could be entitled to include tiered royalties earned when customers recognize net sales of licensed products. We consider the
existence of any significant financing component within its arrangements to the extent there is a significant difference between the timing of
payment and the transfer of control of the performance obligations. In making that determination, we consider whether substantive business
purposes exist to support the payment structure other than to provide a significant benefit of financing. We measure the transaction price based on
the amount of consideration to which it expects to be entitled in exchange for transferring the promised goods and/or services to the customer. We
utilize either the expected value method or the most likely amount method to estimate the amount of variable consideration, depending on which
method is expected to better predict the amount of consideration to which we will be entitled.
F-11
Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Amounts of variable consideration are included in the transaction price to the extent that it is probable that a significant reversal in the amount of
cumulative revenue recognized will not occur when the uncertainty associated with the variable consideration is subsequently resolved. With
respect to arrangements that include payments for a development or regulatory milestone payment, we evaluate whether the associated event is
considered probable of achievement and estimates the amount to be included in the transaction price using the most likely amount method.
Milestone payments that are not within our or the licensee’s control, such as those dependent upon receipt of regulatory approval, are not
considered to be probable of achievement until the triggering event occurs. At the end of each reporting period, we re-evaluate the probability of
achievement of each milestone and any related constraint, and if necessary, adjusts our estimate of the overall transaction price. Any such
adjustments are recorded on a cumulative catch-up basis, which would affect revenue and net loss in the period of adjustment. For arrangements
that include sales-based royalties, including milestone payments based upon the achievement of a certain level of product sales, wherein the
license is deemed to be the sole or predominant item to which the payments relate, we recognize revenue upon the later of: (i) when the related
sales occur, or (ii) when the performance obligation to which some or all of the payment has been allocated has been satisfied (or partially satisfied).
Consideration that would be received for optional goods and/or services is excluded from the transaction price at contract inception.
For arrangements with more than one performance obligation, we generally allocate the transaction price to each performance obligation based on
a relative standalone selling price basis. We develop assumptions that require judgment to determine the standalone selling price for each
performance obligation in consideration of applicable market conditions and relevant entity-specific factors, including factors that were contemplated
in negotiating the agreement with the customer and estimated research and development costs. However, in certain instances, we may allocate
variable consideration entirely to one or more performance obligation if the terms of the variable consideration relate to the satisfaction of the
respective performance obligation and the amount allocated is consistent with the amount we would expect to receive for the satisfaction of the
respective performance obligation.
We recognize revenue based on the amount of the transaction price that is allocated to each respective performance obligation when or as the
performance obligation is satisfied by transferring a promised good or service to the customer. For performance obligations that are satisfied at a
point in time, we recognize revenue when control of the goods and/or services is transferred to the customer. For performance obligations that are
satisfied over time, we recognize revenue by measuring the progress toward complete satisfaction of the performance obligation using a single
method of measuring progress which depicts the performance in transferring control of the associated goods and/or services to the customer. With
respect to arrangements containing a license to our intellectual property that is determined to be distinct from the other performance obligations
identified in the arrangement, we recognize revenue from amounts allocated to the license when the license is transferred to the licensee and the
licensee is able to use and benefit from the license. For licenses that are bundled with other promises, we utilize judgment to assess the nature of
the combined performance obligation to determine whether the combined performance obligation is satisfied over time or at a point in time and, if
over time, the appropriate method of measuring progress for purposes of recognizing revenue. Significant management judgment is required in
determining the level of effort required under an arrangement and the period over which we are expected to complete our performance obligations
under an arrangement. We evaluate the measure of progress each reporting period and, if necessary, adjusts the measure of performance and
related revenue recognition. Any such adjustments are recorded on a cumulative catch-up basis, which would affect revenue and net loss in the
period of adjustment.
Contract Liabilities
We record a contract liability, classified as deferred revenue on our consolidated balance sheet, when it has received payment but has not yet
satisfied the related performance obligations. In the event of an early termination of a contract with a customer, any contract liabilities would be
recognized in the period in which all our obligations under the agreement have been fulfilled.
F-12
Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Research and Development Costs
Research and development costs are expensed in the period incurred. Research and development expenses consist of both internal and external
costs such as payroll, consulting, and manufacturing costs associated with the development of our product candidates. Costs for certain
development activities, such as clinical trials and manufacturing development activities, are recognized based on an evaluation of the progress to
completion of specific tasks using data such as patient enrollment, clinical site activations, and information provided to us by our vendors on their
actual costs incurred or level of effort expended. Payments for these activities are based on the terms of the individual arrangements, which may
differ from the pattern of costs incurred, and are reflected on the audited consolidated balance sheets as prepaid or accrued research and
development expenses.
Nonrefundable advance payments for goods or services to be received in the future for use in research and development activities are deferred and
capitalized. The capitalized amounts are expensed as the related goods are delivered or the services are performed.
We have and may continue to acquire the rights to develop and commercialize new product candidates from third parties. The upfront payments to
acquire licenses, products or rights, as well as any future milestone payments, are immediately recognized as research and development expense
provided that there is no alternative future use of the rights in other research and development projects. Any milestone payments made for
Intellectual Property after regulatory approval, or that have alternative future use, are capitalized and amortized.
Stock-Based Compensation
We record stock-based compensation for equity awards granted to employees and directors based on the grant date fair value of awards issued.
The expense is recorded over the requisite service period, which is the vesting period, on a straight-line basis. We use the Black-Scholes option-
pricing model to determine the fair value of options. The determination of the fair value of options on the date of grant using an option-pricing model
is affected by our common stock price, as well as a number of other assumptions. We record forfeitures as they occur.
We account for stock-based compensation arrangements with non-employees based upon the fair value of the consideration received or the equity
instruments issued, whichever is more reliably measurable. The measurement date for non-employee awards is generally the date performance of
services required from the non-employee is complete. Stock-based compensation costs for non-employee awards are recognized as services are
provided, which is generally the vesting period, on a straight-line basis.
Segments
We have one operating segment. Our chief operating decision maker, the Chief Executive Officer, manages our operations on a consolidated basis
for the purposes of allocating resources.
Net Loss per Share
Basic net loss per share is calculated by dividing the net loss by the weighted-average number of shares of common stock outstanding during the
period, without consideration for common stock equivalents. Diluted net loss per share is calculated by adjusting weighted average shares
outstanding for the dilutive effect of common stock equivalents outstanding for the period. For purposes of the dilutive net loss per share applicable
to common stockholders calculation stock options, common stock from Employee Stock Purchase Plan (the “ESPP”) and unvested restricted stock
are considered to be common stock equivalents but are excluded from the calculation of diluted net loss per share applicable to common
stockholders, as their effect would be anti-dilutive; therefore, basic and diluted net loss per share applicable to common stockholders were the same
for all periods presented
Recently Adopted Accounting Pronouncements
Income Taxes
In December 2019, the FASB issued ASU No. 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes. The new standard
was effective for us on January 1, 2021, and it includes several provisions which simplify accounting for income taxes by removing certain
exceptions to the general principles in Topic 740 and increasing consistency and clarity for the users of financial statements. We adopted ASU No.
2019-12 on January 1, 2021, and have concluded the adoption did not have a material impact on our audited consolidated financial statements.
F-13
Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Accounting Pronouncements Issued and Not Adopted as of December 31, 2021
Financial Instruments - Credit Losses
In June 2016, the FASB issued ASU No. 2016-13, Financial Instruments—Credit Losses (Topic 326)—Measurement of Credit Losses on Financial
Instruments, which has been subsequently amended by ASU No. 2018-19, ASU No. 2019-04, ASU No. 2019-05, ASU No. 2019-10, ASU No. 2019-
11 and ASU No. 2020-03 (“ASU 2016-13”). The provisions of ASU 2016-13 modify the impairment model to utilize an expected loss methodology in
place of the currently used incurred loss methodology and require a consideration of a broader range of reasonable and supportable information to
inform credit loss estimates. ASU 2016-13 is effective for us on January 1, 2023, with early adoption permitted. We are currently evaluating the
potential impact that this standard may have on our financial position and results of operations, as well as the timing of our adoption of this
standard.
Debt with Conversion and Other Options
On August 5, 2020, the FASB issued ASU No. 2020-06, Debt—Debt with Conversion and Other Options (Subtopic 470-20) and Derivatives and
Hedging—Contracts in Entity’s Own Equity (Subtopic 815-40): Accounting for Convertible Instruments and Contracts in an Entity’s Own Equity
(“ASU-2020-06”), which simplifies the accounting for certain financial instruments with characteristics of liabilities and equity, including convertible
instruments and contracts on an entity’s own equity. ASU 2020-06 eliminates the beneficial conversion and cash conversion accounting models in
ASC 470-20 that require separate accounting for embedded conversion features from convertible instruments. As a result, after adopting the ASU’s
guidance, entities will not separately present in equity an embedded conversion feature in such debt. Additionally, the guidance simplifies the
evaluation of whether a contract in the issuer’s own equity can be classified in equity or an embedded feature qualifies for the derivative scope
exception. The guidance is effective for 2022, and early adoption of ASU 2020-06 was permitted for all entities for fiscal years beginning after
December 15, 2020. We are currently evaluating the impact of this new guidance on the consolidated financial statements and related disclosures.
In October 2020, the FASB issued ASU No. 2020-10, Codification Improvements. The amendments improve the codification by having all
disclosure-related guidance available in the disclosure sections of the codification. Prior to this ASU, various disclosure requirements or options to
present information on the face of the financial statements or as a note to the financial statements were not included in the appropriate disclosure
sections of the codification. The codification improvements also contain various other minor amendments to the codification that are not expected to
have a significant effect on current accounting practice. The amendments were effective for annual periods beginning after December 15, 2020 and
early adoption was permitted. We are currently evaluating the impact of this new guidance on our consolidated financial statements and related
disclosures.
3. ALJ Commercialization and License Agreement
On March 17, 2021, we entered into a commercialization and license agreement (the “ALJ Agreement”) with Meddist Company Limited ("ALJ").
Pursuant to the ALJ Agreement, we granted to ALJ an exclusive, non-transferable, sublicensable license to our product candidate, EDP1815
(together with any replacement or second products of ours described below, the “Products”) solely (i) to conduct development activities relating to
the Products allocated to ALJ in a development plan agreed with us, (ii) to conduct manufacturing activities relating to the Products in all therapeutic
uses in humans (the “Field”) throughout the world, subject to certain conditions and requirements, and (iii) to commercialize the Products in the
Field in all countries of Africa, the Middle East and Turkey, excluding certain restricted countries (the “Territory”). If we cease development of
EDP1815 prior to receipt of regulatory approval required for commercialization of EDP1815 in any one of the United States, the United Kingdom,
France, Germany, Spain, Italy, China or Japan, (each a “Major Market”), then ALJ will have the right to designate another product candidate of ours
as a replacement to EDP1815 or terminate the ALJ Agreement, subject to certain conditions and requirements (the “Replacement Right”). Further,
for the first two years of the term, ALJ has the option to negotiate with us to add a second product candidate of ours subject to certain conditions
and requirements, for an additional license fee not to exceed $7.5 million (the “Second Product Option”).
In consideration for the rights that we granted under the ALJ Agreement, ALJ was obligated to pay to us a one-time, non-refundable upfront
payment of $7.5 million. The parties will also share the future operating profits and losses for all Products in the Territory equally (50:50), as well as
certain development, regulatory and commercialization costs. We concluded that the delivery of the license to ALJ should be accounted for under
ASC 606. The development, regulatory and commercialization activities within the Territory will be accounted for under ASC 808.
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Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
We concluded that the provision of the license to ALJ represents the only performance obligation, as ALJ can benefit from the license without the
other activities under the arrangement upon transfer of control of the license. Specifically, the development, regulatory and commercialization
activities within the Territory do not require specialized skills, such that ALJ could obtain those services from a third party other than us. The
Replacement Right is considered an attribute of the license that effectively provides ALJ with a right of return on the initial license until we obtain
regulatory approval or if we cease development prior to obtaining approval of EDP1815 or a replacement product in a Major Market. The Second
Product Option is not considered a performance obligation as the pricing for the second product does not provide the customer with a discount that
is incremental to the range of discounts typically given for a license in the geographical area.
We have not recognized any revenue under the ALJ Agreement to date as we have not completed any performance obligation within the
agreement. As of December 31, 2021, we have recorded $7.5 million of deferred revenue, which is classified as a non-current liability in the
accompanying audited consolidated balance sheets as the performance obligation is not expected to be completed within the next twelve months.
We anticipate that payments under the costs share or profit and loss sharing arrangements will be classified in the statement of operations
consistent with the guidance in ASC 808. To date, we have not received or made any costs sharing or profit and loss payments.
4. Leases
In January 2018, we entered into an operating sublease arrangement to lease approximately 40,765 square feet for our office and research
development space at 620 Memorial Drive, Cambridge, MA 02139 from February 2018 to September 2025. We maintained an additional separate
operating lease for office and laboratory space that expired in May 2020. The leases require security deposits, which we have primarily met with
letters of credit from a financial institution that is secured with cash on deposit.
In June 2018, we entered into a sublease arrangement with a third party to lease space subject to an operating lease that expired in April 2020. The
minimum rental payments received under this agreement totaled $0.2 million for the year ended December 31, 2020, and were equivalent to the
minimum payments due from us to the landlord.
We recorded rent expense of $3.0 million and $2.9 million for the years ended December 31, 2021 and 2020, respectively. There was no sublease
rental income for the year ended December 31, 2021 and rent expense recorded for the year ended December 31, 2020 is net of $0.3 million in
sub-lease income. Sublease rental income is inclusive of rental payments, taxes and operating expenses.
The minimum aggregate future lease commitments at December 31, 2021, are as follows (in thousands):
2022
2023
2024
2025
Total lease payments
Less imputed interest
Total
Other information:
Operating cash flows used for operating leases
Weighted-average remaining lease term (in years)
Weighted-average discount rate
F-15
Amount
2,809
3,154
3,249
2,492
11,704
(1,968)
9,736
2,980
3.75
9.50 %
$
$
Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
5. Fair Value Measurements
The following tables present information about our financial assets and liabilities that have been measured at fair value as of December 31, 2021
and 2020 (in thousands):
Description
Assets:
Money market funds included within cash and cash
equivalents
Total
Description
Assets:
Money market funds included within cash and cash
equivalents
Total
December 31,
2021
(Level 1)
(Level 2)
(Level 3)
66,989 $
66,989 $
66,989 $
66,989 $
— $
— $
December 31,
2020
(Level 1)
(Level 2)
(Level 3)
64,370 $
64,370 $
64,370 $
64,370 $
— $
— $
$
$
$
$
—
—
—
—
As of December 31, 2021 and 2020, our cash equivalents have been initially valued at the transaction price and subsequently valued utilizing a
third-party pricing service. We validate the prices provided by our third-party pricing service by understanding the models used and obtaining market
values from other pricing sources.
6. Property and Equipment, Net
Property and equipment consists of the following (in thousands):
Property and equipment:
Lab equipment
Leasehold improvements
Furniture and fixtures
Computers and software
Office equipment
Construction-in-process
Property and equipment
Less: accumulated depreciation
Property and equipment, net
December 31,
2021
2020
$
$
9,689 $
2,157
809
259
21
1,321
14,256
(7,634)
6,622 $
8,831
2,157
822
230
3
1,078
13,121
(5,643)
7,478
We recognized $2.2 million and $2.0 million of depreciation expense for the years ended December 31, 2021 and 2020, respectively.
F-16
Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
7. Accrued Expenses
Accrued expenses consist of the following (in thousands):
Accrued external research and development expenses
Accrued payroll and related expenses
Accrued professional fees
Accrued other
Total accrued expenses
$
$
December 31,
2021
2020
4,895
6,412
1,013
748
13,068
$
$
9,394
5,620
604
636
16,254
8. Loan and Security Agreement
On July 19, 2019, we entered into a loan and security agreement, which was subsequently amended (as amended prior to June 16, 2021, the "2019
Credit Facility") with K2 HealthVentures LLC and others (collectively, "K2HV"), pursuant to which K2HV agreed to make term loans in an aggregate
principal amount of up to $45.0 million available to us in three tranches. The initial tranche of $20.0 million was funded upon closing on July 19,
2019. The second tranche of $10.0 million was drawn down on July 14, 2020. The availability of the third tranche of $15.0 million expired on
January 15, 2021. On June 16, 2021 (the "Amended Credit Facility Effective Date"), the parties further amended the 2019 Credit Facility (as so
amended, the “Amended Credit Facility”) to, among other things, replace and supersede the existing $15.0 million third tranche commitment with a
new $15.0 million fourth tranche commitment, which we drew down on June 16, 2021. In connection with the Amended Credit Facility, we issued to
K2 HealthVentures Equity Trust LLC, an affiliate of K2HV, a warrant to purchase up to 139,770 shares of our common stock with an exercise price
of $13.30 per share, subject to customary per share adjustments that are within our control (the "Warrant”). In addition, under the Amended Credit
Facility, K2HV has the option, exercisable at any time, to convert up to $5.0 million of principal outstanding into shares of our common stock at a
conversion price of $13.30 per share, subject to customary per share adjustments within our control (the "Conversion Option”).
Interest on the outstanding loan balance will accrue at a variable annual rate equal to the greater of (i) 8.65% and (ii) the prime rate plus 3.15%. We
are required to make interest-only payments on the loans on a monthly basis through February 28, 2023. Subsequent to the interest only periods,
we are required to make equal monthly payments of principal plus interest until the loans mature on August 1, 2024. We have an option to prepay
the loans in whole, subject to a prepayment fee of 2% of the amount prepaid or, if the prepayment occurs after the 18-month anniversary of the
Amended Credit Facility Effective Date but prior to the maturity date, 1% of the amount prepaid. Pursuant to the Amended Credit Facility, we elected
to adjust the repayment schedule (the “Modified Repayment Schedule”) such that commencing on March 1, 2023, we will make consecutive equal
monthly payments of principal and accrued and unpaid interest based on a notional thirty month repayment period. Under the Modified Repayment
Schedule, the loan maturity date remains August 1, 2024. Any outstanding principal and unpaid interest is due at maturity. Upon final payment or
prepayment of the loans, we will pay a final payment equal to 4.8% of the aggregate original principal amount of the loans borrowed. We incurred
fees associated with establishing the 2019 Credit Facility and fees related to the Amended Credit Facility of $0.4 million and $0.3 million,
respectively.
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Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Borrowings under the Amended Credit Facility are collateralized by substantially all of our personal property, excluding intellectual property, and we
pledged our equity interests in our subsidiaries, subject to certain limitations with respect to foreign subsidiaries. The Amended Credit Facility
contains customary representations, warranties and covenants and also includes customary events of default, including payment defaults, breaches
of covenants, change of control and occurrence of a material adverse effect. We have determined that the risk of subjective acceleration under the
material adverse events clause was remote and therefore have classified the long-term portion of the outstanding principal in non-current liabilities.
Upon the occurrence and continuation of an event of default, a default interest rate of an additional 5% per annum may be applied to the
outstanding loan balances, and the administrative agent, collateral agent, and lenders may declare all outstanding obligations immediately due and
payable and exercise all of their rights and remedies as set forth in the Amended Credit Facility and under applicable law. As of December 31, 2021,
we were in compliance with all covenants under the Amended Credit Facility.
We concluded that the Amended Credit Facility resulted in a debt extinguishment for accounting purposes because the terms of the modified debt
are considered substantially different than the terms of the debt prior to the amendment on June 16, 2021 and our elections made thereunder. As
such, the Amended Credit Facility was recorded at its estimated fair value of $46.6 million which was determined using a combination of a
discounted cash flow model and a binomial lattice model. We utilized the following significant unobservable inputs (Level 3 inputs) to determine the
estimated fair value of our debt as of the amendment date:
Expected volatility
Expected yield
70.00 %
11.50 %
Significant increases (decreases) in either of these inputs could result in a significantly lower or higher fair value measurement.
The Warrant was deemed to be a freestanding financial instrument as it is legally detachable and separately exercisable from the debt obligations.
We evaluated the terms and conditions of the Warrant and concluded it met the criteria to be classified within equity. As such, we recorded the
Warrant as additional paid in capital at its issuance date fair value of $1.8 million. We utilized the Black-Scholes valuation method to determine the
fair value of the Warrant which utilized the following assumptions:
Fair value of underlying common stock
Exercise price
Risk-free interest rate
Expected volatility
Expected term (years)
Expected dividend yield
$
$
16.13
13.30
1.56 %
70.00 %
10.0
— %
We recorded a loss on the extinguishment of the existing debt of $3.2 million which equaled the difference between the reacquisition cost of the new
debt, inclusive of the fair value of the Warrant and lender fees, and the carrying amount of the existing debt. The difference between (i) the carrying
amount of the debt and (ii) the par value of the debt and the amount of the final payment due at maturity will be amortized as interest expense using
the effective interest rate method.
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Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
We have the following minimum aggregate future loan payments at December 31, 2021 (in thousands):
Twelve-month period ending December 31,
2022
2023
2024
Total minimum payments
Less amounts representing interest and discount
Total Debt
Amount
3,947
17,404
34,770
56,121
(9,564)
46,557
$
$
Interest expense was approximately $3.7 million for the year ended December 31, 2021, and $2.6 million for the year ended December 31, 2020.
9. In-License Agreements
Mayo Foundation for Medical Education and Research
On June 10, 2016, we entered into a Research and License Agreement, (the “2016 Mayo License Agreement”) with the Mayo Foundation for
Medical Education and Research, an affiliate of Mayo Clinic (the “Mayo Clinic”). Under the 2016 Mayo License Agreement, the Mayo Clinic was
entitled to certain participation rights in connection with the issuance and sale of preferred stock that was issued prior to our public offering and
warrants which were issued in 2016 and exercised in 2018.
On August 6, 2017, we and the Mayo Clinic entered into a license agreement, which was subsequently amended (as so amended, the “2017 Mayo
License Agreement”). Under the 2017 Mayo License Agreement, the Mayo Clinic granted us (i) an exclusive, worldwide, sublicensable license
under the Mayo Clinic’s rights to certain intellectual property and microbial strains and (ii) a non-exclusive, worldwide, sublicensable license to
certain related know-how, in each case, to develop and commercialize certain microbial strains and licensed products incorporating any such
strains. As consideration, we paid a nonrefundable upfront fee of $0.3 million and will pay annual license maintenance fees. Nonrefundable upfront
fees were expensed in full to research and development expense. Annual maintenance fees will be expensed as incurred over the term of the
agreement. We may owe the Mayo Clinic milestone payments upon the achievement of certain development, regulatory, and commercial
milestones, up to a maximum of $59.1 million in the aggregate, as well as royalties on net sales of licensed products in low single-digit percentages.
As of December 31, 2021, we have incurred milestone payments to date totaling approximately $0.3 million under the agreement of which no
amounts are currently due.
University of Chicago
On March 10, 2016, we and the University of Chicago entered into a patent license agreement (“2016 University of Chicago Agreement”). Under the
2016 University of Chicago Agreement, the University of Chicago granted us (i) an exclusive, royalty-bearing and sublicensable license to certain
patent rights related to the administration of microbes to treat cancer and (ii) a non-exclusive, royalty-bearing, sublicensable license to access
technical information for the development and commercialization of microbial products to treat cancer in combination with checkpoint inhibitors. As
consideration, we paid a nonrefundable upfront fee of less than $0.5 million and will pay annual license maintenance fees. Nonrefundable upfront
fees were expensed in full to research and development expense in 2016. Annual maintenance fees will be expensed as incurred over the term of
the agreement. We may owe the University of Chicago milestone payments, totaling an aggregate of approximately $60.9 million, upon the
achievement of certain development, regulatory, and commercial milestones, as well as royalties on net sales of licensed products ranging from low
to high single-digit percentages. As of December 31, 2021, we have incurred milestone payments to date totaling approximately $0.4 million under
the agreement of which no amounts are currently due.
F-19
Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
10. Commitments and Contingencies
Collaboration Agreement with Sacco S.r.l.
In July 2019, we entered into an agreement with Sacco S.r.l. ("Sacco"), an affiliate of one of our existing contract manufacturing organizations,
pursuant to which and subject to certain exceptions for pre-existing products for pre-existing customers, Sacco will manufacture and supply single
strain, non-genetically modified microbes intended for oral delivery or oral use in pharmaceutical products exclusively for us for a period of five
years. Sacco may terminate the agreement if the provision of manufacturing services has been, or is scheduled to be, inactive for a period of six
consecutive months. We have agreed to pay Sacco an aggregate of €3.0 million, €0.6 million annually, during the exclusivity period. We have
incurred annual exclusivity fees to date totaling approximately €1.8 million, and no amounts are currently due as of the year ended December 31,
2021. We currently have an additional contractual arrangement for manufacturing in place with an affiliate of Sacco that will require us to spend an
aggregate minimum amount of €1.5 million annually during each of 2022, 2023, and 2024.
Litigation and Other Proceedings
We may periodically become subject to legal proceedings and claims arising in connection with on-going business activities, including claims or
disputes related to patents that have been issued or that are pending in the field of research on which we are focused. We are not a party to any
material litigation and do not have contingency reserves established for any litigation liabilities.
On February 12, 2021, the European Patent Office issued a Communication of a Notice of Opposition for European patent EP 3223834, which is
held by us. We are currently evaluating our available options and deciding next steps with respect to this matter. The patent at issue does not relate
to any of our current product candidates, and receipt of this communication and/or any subsequent proceeding is not expected to affect any of our
current development plans.
11. Stockholders’ Equity
Common Stock
On June 3, 2019, we filed the 2019 Shelf with the SEC in relation to the registration of common stock, preferred stock, debt securities, warrants
and/or units of any combination thereof in the aggregate amount of up to $200.0 million for a period of up to three years from the date of the filing.
We also simultaneously entered into the ATM, providing for the offering, issuance and sale by us of up to an aggregate $50.0 million of our common
stock from time to time in “at-the-market” offerings under the 2019 Shelf. For the year ended December 31, 2021, we issued 139,734 common
shares under the ATM with offering prices ranging between $12.54 and $13.17 per share for net proceeds of $1.7 million, after deducting
commission and other offering expenses payable by us. For the year ended December 31, 2020, we sold 1,232,131 common shares under the ATM
with offering prices ranging between $4.25 to $11.15 per share for gross proceeds of $6.8 million and net proceeds of $6.6 million, after deducting
commission and other offering expenses payable by us.
On February 2, 2021, we sold 5,175,000 shares of our common stock in an underwritten public offering at a public offering price of $15.00 per
share, including the underwriters' exercise of their option to purchase 675,000 shares to cover over-allotment, generating gross proceeds of
$77.6 million and net proceeds of $72.7 million, after deducting underwriting discounts, commissions and other offering expenses paid by us.
On January 28, 2021, we entered into a stock purchase agreement with ALJ Health Care, pursuant to which on February 2, 2021, ALJ Health Care
purchased $7.5 million of our common stock in a private placement at a purchase price of $15.00 per share, equal to the public offering price per
share at which our common stock was sold to the public as referred above. The sale of such shares was not registered under the Securities Act.
In connection with the entry into the Amended Credit Facility, we issued to K2 HealthVentures Equity Trust LLC, an affiliate of K2HV, the Warrant to
purchase up to 139,770 shares of our common stock, with an exercise price of $13.30 per share, subject to customary per share adjustments. The
Warrant is exercisable immediately and expires on June 16, 2031, provided that, under certain circumstances, the Warrant may terminate and
expire earlier in connection with the closing of certain acquisition transactions involving us. The Warrant provides that the holder thereof may elect
to exercise the Warrant on a net “cashless” basis at any time prior to the expiration thereof. The
F-20
Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
fair market value of one share of our common stock in connection with any cashless exercise shall be the closing price or last sale price per share
of our common stock on a nationally recognized securities exchange, inter-dealer quotation system or over-the-counter market on which our
common stock is traded on the business day immediately prior to the date the holder elects to exercise the Warrant on a cashless basis. In addition,
under the Amended Credit Facility, K2HV has the option, exercisable at any time, to convert up to $5.0 million of principal outstanding into shares of
our common stock at a conversion price of $13.30 per share, subject to customary per share adjustments.
On August 23, 2021, we filed the 2021 Shelf with the SEC in relation to the registration of common stock, preferred stock, debt securities, warrants
and/or units of any combination thereof in the aggregate amount of up to $200.0 million for a period of up to three years from the date of its
effectiveness on August 30, 2021.
12. Stock-Based Compensation
2021 Inducement Plan
On May 27, 2021, our board of directors adopted the Evelo Biosciences, Inc. 2021 Employment Inducement Award Plan (the “Inducement Award
Plan”) without stockholder approval pursuant to Rule 5635(c)(4) of the Nasdaq Stock Market LLC listing rules (“Rule 5635(c)(4)”). In accordance
with Rule 5635(c)(4), cash and equity-based incentive awards under the Inducement Award Plan may only be made to a newly hired employee who
has not previously been a member of our board of directors, or an employee who is being rehired following a bona fide period of non-employment
by us as a material inducement to the employee’s entering into employment with us. An aggregate of 1,250,000 shares of our common stock has
been reserved for issuance under the Inducement Award Plan. We will continue to grant awards under the 2018 Incentive Award Plan (the “2018
Plan”) pursuant to the terms thereof.
The exercise price of stock options granted under the Inducement Award Plan will not be less than the fair market value of a share of our common
stock on the grant date. Other terms of awards, including vesting requirements, are determined by our board of directors and are subject to the
provisions of the Inducement Award Plan. Stock options granted to employees generally vest over a four-year period but may be granted with
different vesting terms. Certain options may provide for accelerated vesting in the event of a change in control. Stock options granted under the
Inducement Award Plan expire no more than 10 years from the date of grant. As of December 31, 2021, stock option awards covering up to
800,000 shares of our common stock have been issued under the Inducement Award Plan, none of which have been exercised or canceled. As of
December 31, 2021, restricted stock unit (“RSU”) awards covering up to 4,545 shares of our common stock have been granted under the
Inducement Award Plan, none of which have vested or been forfeited. As of December 31, 2021, 445,455 shares of common stock are available for
future grant under the Inducement Award Plan.
2018 Incentive Award Plan
Our board of directors adopted on April 18, 2018, and our stockholders approved, the 2018 Plan, which became effective May 8, 2018 and under
which we may grant cash and equity-based incentive awards to our employees, officers, directors, consultants and advisors. Following the
effectiveness of the 2018 Plan, we ceased making grants under the 2015 Stock Incentive Plan (as amended, the "2015 Plan"). The 2018 Plan
initially allowed us to grant awards for up to 1,344,692 shares of common stock plus that number of shares of common stock subject to awards
outstanding under the 2015 Plan that expire, lapse or become terminated or are exchanged for cash, surrendered, repurchased, canceled without
having been fully exercised or forfeited following the effective date of the 2018 Plan. Each year starting with 2019 and ending in and including 2028,
the number of shares available for grants of awards under the 2018 Plan will be increased automatically on January 1 by a number of shares of
common stock equal to the lesser of 4% of the shares of common stock outstanding on the final day of the preceding calendar year or the number
of shares determined by our board of directors. Accordingly, on January 1, 2022, 2021 and 2019, the number of shares authorized for issuance
under the 2018 Plan was increased by 2,143,058 share, 1,898,805 shares, and 1,286,824 shares, respectively. The 2015 Plan continues to govern
the terms and conditions of the outstanding awards granted under it.
The exercise price of stock options granted under the 2018 Plan will not be less than the fair market value of a share of our common stock on the
grant date. Other terms of awards, including vesting requirements, are determined by the board of directors and are subject to the provisions of the
2018 Plan. Stock options granted to employees generally vest over a four-year period but may be granted with different vesting terms. Certain
options provide for accelerated vesting in the event of a change in control. Awards granted to non-employee consultants generally vest monthly
over a period of one to four years. Stock options granted under the 2018 Plan expire no
F-21
Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
more than 10 years from the date of grant. As of December 31, 2021, stock options awards covering up to 7,078,131 shares of our common stock
have been issued under the 2018 Plan, of which 43,247 have been exercised and 1,110,384 have been canceled. As of December 31, 2021,
289,393 shares of common stock are available for future grant under the 2018 Plan.
2015 Stock Incentive Plan
Prior to the approval of the 2018 Plan, we granted equity awards under the 2015 Plan, which originally provided for grant of incentive stock options,
non-qualified stock options, restricted stock awards, or RSAs, and other stock-based awards to our employees, officers, directors, consultants and
advisors.
The terms of equity award agreements made under the 2015 Plan, including vesting requirements, were determined by the board of directors and
are subject to the provisions of the 2015 Plan. Stock options granted to employees generally vest over a four-year period but may be granted with
different vesting terms. A limited number of awards contain performance-based vesting criteria and for such awards that are deemed probable of
vesting, we record expense in the period in which such determination is made through any estimated remaining vesting period. Certain options
provide for accelerated vesting in the event of a change in control. Awards granted to non-employee consultants generally vest monthly over a
period of one to four years. Stock options issued under the 2015 Plan expire no more than 10 years from the date of grant. As of the effectiveness
of the 2018 Plan, we ceased making awards under the 2015 Plan.
Under the 2015 Plan, we were authorized to grant equity awards up to an aggregate of 5,417,044 shares of common stock. As of December 31,
2021, an aggregate of 5,758,518 options and other equity awards had been granted under the 2015 Plan, of which 1,471,337 have been exercised,
1,298,507 have been canceled and 18,468 have been repurchased as of December 31, 2021. A total of 113,006 shares previously reserved under
the 2015 Plan that had not been exercised or were otherwise subject to outstanding exercise awards were no longer authorized as of May 8, 2018.
Stock-Based Compensation Expense
Stock-based compensation expense included in our audited consolidated statements of operations is as follows (in thousands):
General and administrative
Research and development
Total stock-based compensation expense
$
$
7,842
8,004
15,846
$
$
3,981
4,487
8,468
Years Ended December 31,
2021
2020
F-22
Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Stock Options
A summary of our stock option activity and related information is as follows:
Options outstanding at December 31, 2020
Granted
Exercised
Canceled
Options outstanding at December 31, 2021
Exercisable as of December 31, 2021
Exercisable as of Exercisable as of Vested and expected to
vest as of December 31, 2021
Shares
6,610,662 $
3,501,949
(133,803)
(265,626)
9,713,182 $
5,048,264 $
9,713,182 $
Weighted-
Average
Exercise Price
Weighted
Average -
Remaining
Contractual Life
(years)
Aggregate
Intrinsic Value (1)
(in thousands)
6.55
14.58
5.65
11.14
9.32
6.67
9.32
7.29 $
6.21 $
7.29 $
10,409
9,720
10,409
(1) The aggregate intrinsic value of options is calculated as the difference between the exercise price of the stock options and the fair value of our common stock for
those stock options that had exercise prices lower than the fair value of the common stock as of the end of the period.
We had 4,664,918 unvested stock options outstanding as of December 31, 2021.The weighted-average fair value of options granted during the
years ended December 31, 2021 and 2020 was $10.82 and $4.14, respectively. The aggregate intrinsic value of options exercised during the years
ended December 31, 2021 and 2020 was $0.9 million and $0.9 million, respectively.
When utilizing the Black-Scholes option-pricing model to determine the grant date fair value of stock options granted to employees or non-
employees, we used the following weighted average, or ranges of, assumptions:
Employee option grants
Risk-free interest rate
Expected life (in years)
Volatility
Expected dividend rate
Year Ended December 31,
2021
2020
0.77 %
6.02
90.21 %
0.00 %
1.11 %
6.05
79.60 %
0.00 %
Expected Term: The expected term represents the period that the options granted are expected to be outstanding and is determined using the
simplified method (based on the mid-point between the vesting date and the end of the contractual term). The expected life is applied to the stock
option grant group as a whole as we do not expect substantially different exercise or post-vesting termination behavior among our employee
population.
Expected Volatility: We used an average historical stock price volatility of comparable public companies within the biotechnology and
pharmaceutical industry that were deemed to be representative of future stock price trends as we do not have sufficient trading history for our
common stock.
Risk-Free Interest Rate: We based the risk-free interest rate over the expected term of the options based on the constant maturity rate of U.S.
Treasury securities with similar maturities as of the date of the grant.
Expected Dividend: We have not paid and do not anticipate paying any dividends in the near future. Therefore, the expected dividend yield was
zero.
F-23
Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Non-employee option grants
Risk-free interest rate
Expected life (in years)
Volatility
Expected dividend rate
Year Ended December 31,
2021
2020
0.98 %
5.74
90.87 %
0.00 %
0.38 %
5.21
78.90 %
0.00 %
We estimate the expected life of options granted based on the remaining contractual term of the option for options granted to non-employees.
As of December 31, 2021, total unrecognized stock-based compensation expense relating to unvested stock options was $36.5 million. This amount
is expected to be recognized over a weighted average period of 2.62 years.
Restricted Stock Units
We issue restricted stock units ("RSU") under our 2018 Plan and 2021 Inducement Plan. Typically, each award of RSUs vests as to 25% on the first
anniversary of the grant date, and either monthly thereafter or annually over three additional years.
A summary of the restricted stock unit ("RSU") activity and related information is as follows:
Unvested balance at December 31, 2020
Granted
Vested
Forfeited
Unvested balance at December 31, 2021
Shares
Weighted-
Average
Grant Date Fair Value
284,000 $
172,450
(93,054)
(43,187)
320,209 $
4.41
15.50
7.37
7.98
9.04
Stock-based compensation expense related to RSUs was $1.1 million, for the year ended December 31, 2021.
2018 Employee Stock Purchase Plan
Our board of directors adopted on April 18, 2018, and our stockholders approved, the 2018 Employee Stock Purchase Plan (the “ESPP”), which
became effective on May 8, 2018. A total of 336,356 shares of common stock were initially reserved for issuance under the ESPP. In addition, the
number of shares of common stock that may be issued under the ESPP will automatically increase on the first day of each calendar year, beginning
in 2020 and ending in and including 2028, by an amount equal to the lesser of (i) 1% of the number of shares of our common stock outstanding on
the last day of the applicable preceding calendar year and (ii) an amount determined by our board of directors. Our board of directors authorized an
initial offering period under the ESPP commencing on February 1, 2020. Accordingly, on January 1, 2022, the number of shares authorized for
issuance under the ESPP was increased by 535,765 shares.
The compensation expense recognized related to the ESPP for the years ended December 31, 2021 and 2020 was $0.2 million and $0.1 million,
respectively. There was a total of 46,358 shares purchased under the ESPP during the year ended December 31, 2021. There were 28,603 shares
purchased under the ESPP during the year ended December 31, 2020.
F-24
Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
13. Income Taxes
We recorded a tax provision of $0.4 million and $0.4 million for the years ended December 31, 2021 and 2020, respectively. We did not record a tax
benefit for the periods presented due to the losses incurred and the need for a full valuation allowance on net deferred tax assets. The tax expense
recorded for the December 31, 2021 and 2020 periods primarily relates to current tax expense at our UK subsidiary and current year Massachusetts
security corporation taxes. The difference between the income tax expense at the U.S. federal statutory rate and the recorded provision is primarily
due to the valuation allowance provided on our net deferred tax assets. Our loss before income tax for the periods presented was generated
primarily in the United States, with a small amount of income generated by our subsidiary in the United Kingdom.
U.S. federal tax statutory rate
State taxes, net of federal benefit
Non-deductible stock compensation
Other non-deductible expenses
Credits
Change in valuation allowance
Total
Deferred tax assets:
Net operating loss carryforwards
Research and development credits
Capitalized research and development, patent and start-up costs
Accrued expenses
Stock based compensation
Operating lease liability
Right of use asset – operating lease
Depreciation
Other
Deferred tax assets before valuation allowance
Valuation allowance
Net deferred tax assets
December 31,
2021
2020
21.0 %
6.5 %
(0.7) %
(0.5) %
1.8 %
(28.50) %
(0.4) %
December 31,
2021
2020
$
$
51,653
9,879
47,511
1,219
6,262
2,660
(2,434)
(78)
729
117,401
(117,401)
—
$
$
21.0 %
6.8 %
(1.0) %
(0.4) %
1.8 %
(28.6) %
(0.4) %
36,256
7,092
34,452
1,370
3,443
3,186
(2,939)
(208)
—
82,652
(82,652)
—
As of December 31, 2021, we had approximately $189.7 million and $187.1 million of U.S. federal and state net operating losses (“NOLs”),
respectively. The U.S. federal NOLs include $49.9 million which expire at various dates through 2036, and $139.7 million which carryforward
indefinitely. The state NOLs expire at various dates through 2041. As of December 31, 2021, we had U.S. federal and state research credits of
$7.2 million and $3.3 million, respectively, which expire at various dates through 2041.
Realization of future tax benefits is dependent on many factors, including our ability to generate taxable income within the net operating loss
carryforward period. Under the United States Internal Revenue Code provisions, certain substantial changes in our ownership, including the sale of
our business or significant changes in ownership due to sales of equity, have limited and may limit in the future, the amount of net operating loss
carryforwards which could be used annually to offset future taxable income. We have not yet completed an analysis of ownership changes. We may
also experience ownership changes in the future as a result of subsequent shifts in our stock ownership, some of which may be outside of our
control. As a result, our ability to use our pre-change NOLs to offset U.S. federal taxable income may be subject to limitations, which could
potentially result in increased future tax liability to us. In addition, at the state level, there may be periods during which the use of NOLs is
suspended or
F-25
Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
otherwise limited, which could accelerate or permanently increase state taxes owed. All federal NOLs generated post tax reform will have an
indefinite life, are not subject to carry-back provisions and limited to 80% of income in any year.
We have evaluated the positive and negative evidence bearing upon our ability to realize the deferred tax assets. We have considered our history of
cumulative net losses incurred since inception and our lack of commercialization of any products or generation of any revenue from product sales
since inception, and have concluded that it is more likely than not that we will not realize the benefits of the deferred tax assets. Accordingly, a full
valuation allowance has been established against the net deferred tax assets as of December 31, 2021 and 2020, respectively. The valuation
allowance increased by $34.7 million in 2021 primarily due to increases in net operating losses and research and development credits. We
reevaluate the positive and negative evidence at each reporting period.
As of December 31, 2021 and 2020, we had no unrecognized tax benefits, respectively. Interest and penalty charges, if any, related to
unrecognized tax benefits would be classified as income tax expense. We do not expect any significant change in our uncertain tax positions in the
next twelve months.
14. Net Loss Per Share
Basic net loss per common share is determined by dividing the net loss by the weighted-average common shares outstanding during the period,
without consideration of common stock equivalents. Diluted net loss per share is calculated by adjusting weighted average shares outstanding for
the dilutive effect of common stock equivalents outstanding for the period. For purposes of the dilutive net loss per share applicable to common
stockholders calculation stock options, common stock from the ESPP and unvested restricted stock and exercise of the Warrant and Conversion
Option under the Amended Credit Facility are considered to be common stock equivalents but are excluded from the calculation of diluted net loss
per share applicable to common stockholders, as their effect would be anti-dilutive; therefore, basic and diluted net loss per share applicable to
common stockholders were the same for all periods presented.
The following table presents securities that have been excluded from the computations of diluted weighted-average shares outstanding as they
would be anti-dilutive:
Unvested common stock from early exercise of options
Stock options to purchase common stock
Warrant
RSUs
Conversion option
Common stock from the ESPP
Total
15. Related Party Transactions
Year Ended December 31,
2021
2020
—
9,713,182
139,770
320,209
375,940
13,152
10,562,253
18,386
6,610,662
—
284,000
—
24,508
6,937,556
We receive clinical advisory services from Weatherden Ltd. (“Weatherden”) under agreements that were entered into during 2017 and 2018.
Duncan McHale, our Chief Medical Officer, is a part owner of Weatherden. During the years ended December 31, 2021 and 2020, we paid $0.3
million and $0.6 million, respectively, to Weatherden under the supply of service agreement.
We entered into a consulting agreement with David Epstein (the "Consulting Agreement"), our Chairman of the Board, effective September 16, 2019
pursuant to which Mr. Epstein provides strategic advisory and other consulting services to us. The Consulting Agreement was amended on October
15, 2020 and again on April 9, 2021, and now has a term that is scheduled to end on June 30, 2022 unless terminated earlier by either Mr. Epstein
or by us upon 30 days’ notice, or 24 hours’ notice by the non-breaching party in the event of a breach. In accordance with the terms of the
Consulting Agreement, on September 16, 2019, Mr. Epstein was granted an option to purchase 75,000 shares of our common stock, which award
vests in 36 equal monthly installments subject to his continued provision of consulting services to us pursuant to the Consulting Agreement on the
applicable vesting dates. Under the Consulting Agreement as amended on October 15, 2020, Mr. Epstein also is entitled to receive (i) an annual
equity
F-26
Evelo Biosciences, Inc.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
award on each anniversary of the effective date of the Consulting Agreement in the form of an option to purchase shares of our common stock
having an aggregate grant date fair market value equal to approximately $0.2 million, as determined by the Board in its discretion based on
customary option pricing methodologies, which award vests in 12 equal monthly installments following the grant date, subject to his continued
provision of consulting services to us pursuant to the Consulting Agreement on the applicable vesting date, and (ii) an aggregate annual cash
consulting fee of $0.3 million for his consulting services. In the event the Consulting Agreement is renewed for a term of less than one year, the
aggregate grant date fair value of the corresponding annual equity award and the resulting number of shares of our common stock purchasable
under such annual equity award and the vesting schedule shall be adjusted proportionately to the length of the renewal term. On October 11, 2020,
in connection with the commencement of his second year of service as a consultant to us, Mr. Epstein was granted an annual equity award in the
form of an option to purchase 44,743 shares of our common stock, which award vests in nine equal monthly installments, in each case subject to
his continued provision of consulting services to us pursuant to the Consulting Agreement on the applicable vesting dates. Under the Consulting
Agreement as amended on April 9, 2021, effective on June 30, 2021, Mr. Epstein is entitled to receive restricted stock units having an aggregate
grant date fair value of approximately $0.5 million, as determined by our Board of Directors in its discretion based on a 10-day trailing average of the
closing price of our common stock on the Nasdaq Global Select Market, as his sole compensation for the provision of consulting services to us. The
restricted stock units will vest in 12 substantially equal monthly installments following June 30, 2021, such that the restricted stock units shall be fully
vested on June 30, 2022, subject to his continued provision of consulting services to us pursuant to the Consulting Agreement on the applicable
vesting date. All of the foregoing options and restricted stock units, to the extent then outstanding, will be subject to accelerated vesting upon the
occurrence of a change in control of our company.
16. Defined Contribution Plan
We provide benefits under certain retirement benefit plans. Our most significant defined contribution plan is in the United States, which is
administered through a third-party administrator. Under the U.S. defined contribution plan employees may elect to defer up to 85.0% of their
compensation per year (subject to a maximum limit prescribed by federal tax law) and we match a portion of such employee contributions. For the
years ended December 31, 2021 and 2020, our matching contribution expense totaled $0.3 million and $0.3 million, respectively.
17. Subsequent Event
Not applicable.
F-27
EVELO BIOSCIENCES, INC.
NON-EMPLOYEE DIRECTOR COMPENSATION PROGRAM
Non-employee members of the board of directors (the “Board”) of Evelo Biosciences, Inc. (the “Company”) shall receive cash and
equity compensation as set forth in this Non-Employee Director Compensation Program (this “Program”), as amended by the Board
effective April 1, 2022 (the “Effective Date”). The cash and equity compensation described in this Program shall be paid or be made,
as applicable, automatically and without further action of the Board, to each member of the Board who is not an employee of the
Company or any parent or subsidiary of the Company (each, a “Non-Employee Director”) who is entitled to receive such cash or
equity compensation, unless such Non-Employee Director declines the receipt of such cash or equity compensation by written notice
to the Company. This Program shall remain in effect until it is revised or rescinded by further action of the Board. This Program may be
amended, modified or terminated by the Board at any time in its sole discretion. The terms and conditions of this Program shall
supersede any prior cash and/or equity compensation arrangements for service as a member of the Board between the Company and
any of its Non-Employee Directors. No Non-Employee Director shall have any rights hereunder, except with respect to stock options
granted pursuant to the Program. This Program, as amended, is effective as the Effective Date.
I. CASH COMPENSATION
A. Annual Retainers. Each Non-Employee Director shall receive an annual retainer of $40,000 for service on the Board (the
“Annual Retainer”).
B. Additional Annual Retainers. In addition, each Non-Employee Director shall receive the following annual retainers (each,
“Committee Member Retainer”):
1. Chairperson of the Board or Lead Independent Director. A Non-Employee Director serving as Chairperson of the Board or
Lead Independent Director shall receive an additional annual retainer of $35,000 for such service.
2. Audit Committee. A Non-Employee Director serving as Chairperson of the Audit Committee shall receive an additional annual
retainer of $15,000 for such service. A Non-Employee Director serving as a member other than the Chairperson of the Audit
Committee shall receive an additional annual retainer of $7,500 for such service.
3. Compensation Committee. A Non-Employee Director serving as Chairperson of the Compensation Committee shall receive an
additional annual retainer of $10,000 for such service. A Non-Employee Director serving as a member other than the Chairperson of
the Compensation Committee shall receive an additional annual retainer of $5,000 for such service.
4. Nominating and Corporate Governance Committee. A Non-Employee Director serving as Chairperson of the Nominating and
Corporate Governance Committee shall receive an additional annual retainer of $8,000 for such service. A Non-Employee Director
serving as a member other than the Chairperson of the Nominating and Corporate Governance Committee shall receive an additional
annual retainer of $4,000 for such service.
5. Science and Technology Committee. A Non-Employee Director serving as Chairperson of the Science and Technology
Committee shall receive an additional annual retainer of $8,000 for such
1
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service. A Non-Employee Director serving as a member other than the Chairperson of the Science and Technology Committee shall
receive an additional annual retainer of $4,000 for such service.
C. Payment of Retainers. The Annual Retainer and Committee Member Retainer shall be earned on a quarterly basis based on a
calendar quarter and shall be paid in cash by the Company in arrears not later than the fifteenth day following the end of each
calendar quarter. In the event a Non-Employee Director does not serve as a Non-Employee Director, or in the applicable positions
described in Section 1(B), for an entire calendar quarter, the retainer paid to such Non-Employee Director shall be prorated for the
portion of such calendar quarter actually served as a Non-Employee Director, as applicable.
II. EQUITY COMPENSATION
Non-Employee Directors shall be granted the equity awards described below. The awards described below shall be granted
under and shall be subject to the terms and provisions of the Company’s 2018 Incentive Award Plan or any other applicable
Company equity incentive plan then-maintained by the Company (the “Equity Plan”) and shall be granted subject to award
agreements, including attached exhibits, in substantially the form previously approved by the Board. All applicable terms of the
Equity Plan apply to this Program as if fully set forth herein, and all grants of stock options hereby are subject in all respects to the
terms of the Equity Plan and the applicable award agreement. For the avoidance of doubt, the share numbers in Sections II(A) and
II(B) shall be subject to adjustment as provided in the Equity Plan, and in connection with any stock dividend, stock split, reverse
stock split or other similar event affecting the Company’s common stock that is effected prior to the Effective Date.
A. Initial Awards. Each Non-Employee Director who is initially elected or appointed to the Board after the Effective Date shall
receive an option to purchase 40,000 shares of the Company’s common stock on the date of such initial election or appointment. The
awards described in this Section II(A) shall be referred to as “Initial Awards.” No Non-Employee Director shall be granted more than
one Initial Award.
B. Subsequent Awards. A Non-Employee Director who (i) has been serving as a Non-Employee Director on the Board for at least
six months as of the date of any annual meeting of the Company’s stockholders after the Effective Date and (ii) will continue to serve
as a Non-Employee Director immediately following such meeting, shall be automatically granted an option to purchase 20,000 shares
of the Company’s common stock on the date of such annual meeting. A Non-Employee Director serving as Chairperson of the Board
or Lead Independent Director who will continue to serve as Chairperson of the Board or Lead Director immediately following such
meeting shall be automatically granted an additional option to purchase 30,000 shares of the Company’s common stock on the date of
such annual meeting for such service (a “Specified Award”). The awards described in this Section II(B) shall be referred to as
“Subsequent Awards.” For the avoidance of doubt, a Non-Employee Director elected for the first time to the Board at an annual
meeting of the Company’s stockholders shall only receive an Initial Award in connection with such election, and shall not receive any
Subsequent Award on the date of such meeting as well.
C. Termination of Employment of Employee Directors. Members of the Board who are employees of the Company or any parent
or subsidiary of the Company who subsequently terminate their employment with the Company and any parent or subsidiary of the
Company and remain on the
2
of 3
Board will not receive an Initial Award pursuant to Section II(A) above, but to the extent that they are otherwise entitled, will receive,
after termination of employment with the Company and any parent or subsidiary of the Company, Subsequent Awards as described in
Section II(B) above.
D. Terms of Awards Granted to Non-Employee Directors.
1. Exercise Price. The per share exercise price of each option granted to a Non-Employee Director shall equal the Fair Market
Value (as defined in the Equity Plan) of a share of the Company’s common stock on the date the option is granted.
2. Vesting. Each initial award shall vest and become exercisable in thirty-six (36) substantially equal monthly installments
following the date of grant, such that the Initial Award shall be fully vested on the third anniversary of the date of grant, subject to the
Non-Employee Director continuing in service as a Non-Employee Director through each such vesting date. Each Subsequent Award
shall vest and become exercisable on the earlier of the first anniversary of the date of grant or the day immediately prior to the date of
the next annual meeting of the Company’s stockholders occurring after the date of grant, in either case subject to the Non-Employee
Director continuing in service on the Board as a Non-Employee Director through each such vesting date (or, with respect to a
Specified Award, the Non-Employee Director continuing in service as Chairperson of the Board or Lead Independent Director). Unless
the Board otherwise determines, any portion of an Initial Award or Subsequent Award which is unvested or unexercisable at the time
of a Non-Employee Director’s termination of service on the Board as a Non-Employee Director (or, with respect to a Specified Award,
at the time the Non-Employee Director ceases to serve as Chairperson of the Board or Lead Independent Director) shall be
immediately forfeited upon such termination of service and shall not thereafter become vested and exercisable. All of a Non-Employee
Director’s Initial Awards and Subsequent Awards shall vest in full immediately prior to the occurrence of a Change in Control (as
defined in the Equity Plan), to the extent outstanding at such time.
3. Term. The maximum term of each stock option granted to a Non-Employee Director hereunder shall be ten (10) years from the
date the option is granted.
* * * * *
3
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[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
PATENT LICENSE AGREEMENT
This patent license agreement (“Agreement”) is by and between Mayo Foundation for Medical Education and Research, a
Minnesota charitable corporation, located at 200 First Street SW, Rochester, Minnesota 55905-0001 (“MAYO”), and Evelo
Biosciences, Inc. (“COMPANY”), a Delaware corporation, having a place of business at 620 Memorial Drive, Suite 200 West,
Cambridge, Massachusetts 02139, each a “Party,” and collectively “Parties”.
WHEREAS, MAYO desires to make its intellectual and tangible property rights available for the development and commercialization
of products, methods and processes for public use and benefit;
WHEREAS, COMPANY represents itself as being knowledgeable in developing and commercializing therapeutic technologies based
on oral administration of bacteria; and
WHEREAS, MAYO is willing to grant and COMPANY is willing to accept an exclusive license under such rights for the purpose of
developing such technology.
NOW THEREFORE, in consideration of the foregoing and the terms and conditions set forth below, the Parties hereby agree as
follows:
Article 1.00
– Definitions
For purposes of this Agreement, the terms defined in this Article will have the meaning specified and will be applicable both to the
singular and plural forms:
1.01
For MAYO, “Affiliate”: any corporation or other entity within the same “controlled group of corporations” as MAYO or its
parent MAYO Clinic. For purposes of this definition, the term “controlled group of corporations” will have the same definition as
Section 1563 of the Internal Revenue Code as of November 10, 1998, but will include corporations or other entities which if not a stock
corporation, more than fifty percent (50%) of the board of directors or other governing body of such corporation or other entity is
controlled by a corporation within the controlled group of corporations of MAYO or Mayo Clinic. MAYO’s Affiliates include, but are
not limited to: Mayo Clinic; Mayo Collaborative Services, LLC; Mayo Clinic Hospital, Rochester; Mayo Clinic Florida; Mayo Clinic
Arizona; and its Mayo Clinic Health System entities.
For COMPANY, “Affiliate”: any corporation or other entity that controls, is controlled by, or is under common control with,
COMPANY. For purposes of this definition, “control” means ownership of: (a) at least fifty percent (50%) or the maximum percentage,
if less than fifty percent (50%), as allowed by applicable law, of the outstanding voting securities of such entity; or (b) at least fifty
percent (50%) of the decision-making authority of such entity.
1.02
“Confidential Information”: all proprietary unpublished or nonpublic information or materials including, but not limited to,
written, oral or virtually presented information and such items as electronic media products, trade secrets, financial information,
equipment, databases and the like provided by one Party to the other under this Agreement, or which is observed by a Party while on
the other Party’s premises. Confidential Information does not include any information
1
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
or material that receiving party evidences is: (a) already known to the receiving party at the time of disclosure (other than from the
disclosing party); (b) publicly known other than through acts or omissions of the receiving party; (c) disclosed to the receiving party by
a third party who was not and is not under any obligation of confidentiality; or (d) independently developed by employees of the
receiving party without knowledge of or access to the Confidential Information.
1.03
“Effective Date”: August 6, 2017.
1.04
“Field”: All uses
1.05
“Know-How”: research and development information, materials, technical data, unpatented inventions, trade secrets, know-how
and supportive information of Joseph A. Murray, M.D., Eric V. Marietta, Ph.D., Susan H. Barton, M.D., Veena Taneja, Ph.D. and
Ashutosh Mangalam, Ph.D., owned and controlled by MAYO as of the Effective Date, to the extent it is necessary for the development
or manufacture of a Licensed Product ([***]). For clarity, “materials” herein shall not mean Licensed Materials defined herein.
1.06
“Licensed Product”: any product or process that: (a) incorporates a composition, or is made by a method, or that entails use of
a method or which infringes an issued claim of the Patent Rights, or that would infringe but for the exception in 35 U.S.C. §271(e)(1),
or similar exception in the United States or other countries, or that is covered by a Valid Claim of the Licensed Patents, or
(b) incorporates, utilizes, or is derived from the Know-How or Licensed Materials.
1.07
“Licensed Materials”: means Prevotella histicola strain B-50329 and any progeny and derivatives thereof.
1.08
to any third parties, in accordance with generally accepted accounting principles, less the following deductions:
“Net Sales”: shall mean the amounts invoiced from the sale of Licensed Product by COMPANY, its Affiliates or a Sublicensee
(a)
Allowances and rebates actually paid, granted or accrued, including rejections, damaged or defective goods, returns,
recalls, retroactive price reductions, rebates, charge backs and prompt payment and volume discounts, billing errors,
reimbursements or similar payments to wholesalers or other distributors, buying groups health insurance carriers or other
institutions, pharmacy benefit management companies, health maintenance organizations or any governmental or regulatory
authority or agency (including their purchasers and/or reimbursers), adjustments from consumer discount programs; and
(b)
In the event gross sales includes freight, transportation, packing, handling, storage fees, governmental duties relating to
sales or taxes and/or insurance charges associated with transportation, such amounts will be deducted to calculate Net Sales
subject to Royalty. When such fees are invoiced separately, these amounts will be excluded from any gross to Net Sales
calculations.
Taxes based on sales when included in gross sales, duties and other governmental charges (including value added tax),
(c)
but not taxes assessed on income derived from such sales.
2
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
(d)
Any invoiced amounts that are not collected by Company and its Licensed Entities, including bad debts relating to such
Licensed Products, provided such deductions for uncollected amounts or bad debts may not exceed [***] of Net Sales in any
one year. Company will provide Mayo with documentation upon request of such write-offs of uncollected amounts or bad debts.
Net Sales accrues with the first of delivery or invoice.
In the event that a Licensed Product is sold in combination with another product that is not a Licensed Product (“Combination
Product”), Net Sales, for purposes of royalty payments on the Combination Product, shall be calculated by multiplying the Net Sales
on sale of that combination by the fraction A/B, where A is the gross selling price of the Licensed Product sold separately and B is the
gross selling price of the Combination Product. In the event that no such separate sales are made by the COMPANY, Net Sales for
royalty determination shall be calculated by multiplying Net Sales of the combination by the fraction C/(C+D) where C is the fully
allocated cost of the Licensed Product and D is the fully allocated cost of other components, such standard costs being determined using
the COMPANY’s standard accounting procedures.
For the avoidance of doubt, Net Sales shall not include sales by Company to its Affiliates or a Sublicensee for resale, provided that if
Company sells a Licensed Product to an Affiliate or a Sublicensee for resale, Net Sales shall include the amounts invoiced by such
Affiliate or Sublicensee, to third parties on the resale of such Licensed Product subject to the deductions above.
1.09
“Non-commercial Research Purpose”: means the use of Licensed Patents or Licensed Material or both for academic research,
education, or other not-for-profit scholarly purposes which are undertaken at a non-profit or government institution. For clarity, Non-
Commercial Research Purposes excludes use in humans.
1.10
“Patent Rights”: means, to the extent owned and/or controlled by Mayo: (i) the patents and patent applications listed on
Schedule A attached hereto, including all divisions, continuations, foreign counterparts, and any patents which may issue from such
patent applications and any reexamination, reissues, substitutions, extensions of or to or supplementary protection certificates
referencing any such patents or patent applications; and (ii) any claims in continuations-in-part of any of the foregoing to the extent
such claims are fully supported under 35 U.S.C. §112 by the patents and/or patent applications in (i) above.
“Sublicensee”: any third party or any Affiliate to whom COMPANY has conveyed rights or the forbearance of suit under the
1.11
Patent Rights, Know-How or Licensed Materials.
“Term”: begins on the Effective Date and ends, subject to Article 10 (Term and Termination), upon the date of the last to expire
1.12
of the Patent Rights, unless the Know-How or Licensed Materials are still in use, or were used such that Section 3.04 (Earned
Royalties) and Article 4 (Accounting and Reports) still apply, in which case the Term shall end upon the date of the satisfaction of these
provisions.
1.13
“Territory”: worldwide.
1.14
“Valid Claim”: A claim of (a) a pending patent application within the Patent Rights that has not been pending for more than ten
(10) years from its earliest priority date, or (b) an issued claim of any unexpired Patent Rights or a claim of any pending Patent Rights
that have not been
3
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
held unenforceable, unpatentable, or invalid by a decision of a court or governmental body of competent jurisdiction in a ruling that is
unappealable or unappealed within the time allowed for appeal, and that has not been disclaimed or admitted to be invalid or
unenforceable through reissue, re-examination, disclaimer or otherwise.
Article 2.00
– Grant of Rights
2.01 GRANT. Subject to the terms and conditions of this Agreement, MAYO grants to COMPANY: (a) an exclusive license with the
right to sublicense, within the Field and Territory, under the Patent Rights to make, have made, use, offer for sale, sell, and import
Licensed Products; and (b) an exclusive license, with the right to sublicense, within the Field and Territory, to use the Licensed
Materials to develop, make, have made, use, offer for sale, sell, and import Licensed Products; and (c) a nonexclusive license within the
Field and Territory, to use the Know-How to develop, make, have made, use, offer for sale, sell, and import Licensed Products.
To facilitate the practice of the license granted to COMPANY, during the [***] following the last signature hereto, MAYO will deliver
to COMPANY the Licensed Materials and provide physical and electronic documents embodying the Know How. In addition, MAYO
shall provide reasonable access to knowledgeable personnel to transfer Know-How or Licensed Materials to COMPANY and enable its
use by the COMPANY, but in no event shall MAYO be required to provide any Know-How or Licensed Materials in tangible form if it
does not exist in tangible form as of the Effective Date, and in no event shall MAYO be required to provide more than forty-eight (48)
hours of service of such access.
2.02 RESERVATION OF RIGHTS. COMPANY acknowledges that the inventions claimed in the Patent Rights were made with
funds provided by the U.S. Government. All rights granted to COMPANY herein are subject to: (a) the rights and obligations to and
requirements of the U.S. government set forth in 35 U.S.C. §§200 et al., 37 C.F.R. Part 401 et al. (“Bayh-Dole Act”); and (b) MAYO’s
and its Affiliates’ reserved, irrevocable, noncommercial, internal right to practice and have practiced the Patent Rights and Licensed
Material in connection with MAYO’s and its Affiliates’ Non-commercial Research Purpose, including MAYO’s reference laboratory,
Mayo Collaborative Services, LLC, and Mayo Clinic Care Network. COMPANY agrees to comply with the provisions of the Bayh-
Dole Act, including promptly providing to MAYO with information requested to enable MAYO to meet its compliance requirements
and substantially manufacturing Licensed Product in the U.S to the extent required by 35 U.S.C. § 204. For clarity, Non-commercial
Research Purposes excludes use in humans.
2.03 NO OTHER RIGHTS GRANTED. This Agreement does not grant any right, title or interest in or to any tangible or intangible
property right of MAYO or its Affiliates, including any improvements thereon, or to any Patent Rights or Know-How or Licensed
Materials outside the Field or Territory that is not expressly stated in Section 2.01 (Grant). All such rights, titles and interests are
expressly reserved by MAYO and COMPANY agrees that in no event will this Agreement be construed as a sale, an assignment or an
implied license by MAYO or its Affiliates to COMPANY of any such tangible or intangible property rights.
2.04
SUBLICENSES. Any sublicense by COMPANY shall be to a Sublicensee that agrees in writing to be bound by substantially
the same terms and conditions of this Agreement, excluding financial terms and conditions, or such sublicense shall be null and void.
Sublicenses granted by COMPANY hereunder may be transferable, including by further sublicensing, delegatable or assignable.
COMPANY will notify MAYO within [***] after the grant of any Sublicense and
4
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
provide MAYO with a copy of each sublicense agreement promptly after execution; provided such Sublicense may be redacted to
delete any terms that are not material to compliance with this Agreement. COMPANY is responsible for the performance of all
Sublicensees as if such performance were carried out by COMPANY itself, including the payment of any royalties or other payments
provided for hereunder triggered by such Sublicense, regardless of whether the terms of any sublicense require that Sublicensee pay
such amounts (such as in a fully paid-up license) to COMPANY or that such amounts be paid by the Sublicensee directly to MAYO.
Each sublicense agreement shall name MAYO as a third party beneficiary; provided, MAYO may only exercise its rights as a third
party beneficiary if COMPANY has failed to take steps to correct any breach by a Sublicensee identified by MAYO. COMPANY shall
not grant any fully-paid up, royalty-free or exclusive sublicenses without MAYO’s prior written consent; provided, COMPANY and its
Sublicensees may grant sublicenses, with MAYO’s consent, to third parties performing contract services on behalf of the COMPANY
with regard to Licensed Products, e.g, pre-clinical toxicology, manufacturing, clinical trial conduct, etc. In the event of any termination
of this Agreement, any Sublicensee that is not then in material breach of this Agreement shall have the right to retain its sublicense to
the Patent Rights, Know How and Licensed Materials by providing notice to MAYO, and in such event any Sublicensee shall pay
directly to MAYO any amounts that would be due to MAYO from COMPANY hereunder for activities conducted by such Sublicensee.
Article 3.00
– Royalties
3.01 UP-FRONT. Within [***] of the Effective Date, COMPANY will make a nonrefundable and noncreditable up-front payment to
MAYO of TWO HUNDRED AND TWENTY-FIVE THOUSAND DOLLARS (US $225,000) for entering into this agreement.
3.02 ANNUAL LICENSE MAINTENANCE FEE. Beginning on the second anniversary of the Effective Date and continuing for
the term of this Agreement, COMPANY will pay to MAYO Annual License Maintenances fees on the applicable anniversary of the
Effective Date. The first License Maintenance fee payment will be [***]. The Annual License Maintenance fee due in subsequent years
will be [***]. Annual License Maintenance Fees shall not be due in any year where the aggregate amount of the Milestone Fees and
Earned Royalties are greater than the applicable Annual License Maintenance Fee. If in any year during the Term the aggregate amount
of the Milestone Fees and Earned Royalties payments made during such year is less than the applicable Annual License Maintenance
Fee for such year (a “Shortfall”), then COMPANY shall make an Annual License Maintenance Fee payment to MAYO in the amount
of the Shortfall together with the Milestone Fees and Earned Royalty payment for such year.
3.03 MILESTONE FEES. COMPANY will pay the following nonrefundable and noncreditable milestone fees to MAYO upon the
achievement each of the following events:
5
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
1.
2.
3.
4.
5.
Event
Completion of all GLP toxicology studies necessary to file an IND
Commencement of the first human testing of the first Licensed Product (first
person, first dose). For clarity, this includes a healthy volunteer study.
Completion of the first human testing of the first Licensed Product
First patient dosed in the first Phase III Clinical Trial for the first Licensed
Product
First Commercial Sale (first indication) of Licensed Product in the US
BLA approval for a second indication of each Licensed Product by the FDA
6.
7. Upon reaching US Net Sales of Licensed Product of over [***] in one
calendar year
Milestone Payment
[***]
[***]
[***]
[***]
[***]
[***]
[***]
Each milestone payment shall be payable only once, upon the first occurrence of the corresponding milestone event, whether achieved
by the same or a different Licensed Product than had achieved any other milestone event, except that milestones 5 and 6 are payable not
more than twice regardless of how many Licensed Products achieve these milestones.
As used herein: “Completion” means with respect to milestone 1, completion of the final reports of such studies; “Commencement”
means with respect to milestone 2, first dosing of the first human subject; “Completion” means with respect to milestone 3, lock of the
trial database; “Phase III Clinical Trial” means with respect to milestone 4, a human clinical study of a biopharmaceutical product, the
design of which is acknowledged by the FDA to be sufficient for such clinical study to satisfy the requirements of 21 C.F.R. 312.21(c)
(as amended or any replacement thereof), or a similar human clinical study prescribed by the regulatory authority in a country other
than the United States of America, the design of which is acknowledged by such regulatory authority to be sufficient for such clinical
study to satisfy the requirements of a pivotal efficacy and safety clinical study; and “First Commercial Sale” means with respect to
milestone 5, with respect to a particular Licensed Product, the first commercial sale in an arms-length transaction of such Product by
COMPANY, its Affiliates or its Sublicensees to a Third Party in a country in the Territory after receipt of all regulatory approvals
(including without limitation, pricing approvals) for such Licensed Product in such country, provided, however, that the First
Commercial Sale shall not include any transfer of a Licensed Product (i) between or among COMPANY and its Affiliates or its
Sublicensees for resale to a Third Party, or (ii) Licensed Products sold or distributed for clinical studies, compassionate use, named
patient programs, sales under a treatment IND, non-registrational studies or other circumstances where any Licensed Product(s) are sold
at cost or supplied without charge, such as promotional samples, or donations (e.g., to not for profit institutions for non-commercial
purposes).
6
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
3.04 EARNED ROYALTIES. Subject to Section 3.06, COMPANY shall pay MAYO a nonrefundable and noncreditable tiered
royalty of the Net Sales of the Licensed Product sold by COMPANY, on a Licensed Product by Licensed Product basis (“Earned
Royalties”), as follows:
Valid Claims Royalty: In country(ies) in which a Licensed Product is covered by a Valid Claim, COMPANY will pay to
(a)
MAYO:
(i)
(ii)
[***] on the portion of annual Net Sales that are less than [***]
[***] on the portion of annual Net Sales that are between [***]
(iii)
[***] on the portion of annual Net Sales that are greater than [***]
Licensed Material Royalty: In country(ies) in which a Licensed Product is not covered by a Valid Claim, but includes
(b)
Licensed Material, COMPANY will pay to MAYO:
(i)
(ii)
[***] on the portion of annual Net Sales that are less than [***]
[***] on the portion of annual Net Sales that are between [***]
(iii)
[***] on the portion of annual Net Sales that are greater than [***]
In no event will a Licensed Material Royalty be due for any Net Sales after fifteen (15) years from the First Commercial Sale of the
applicable Licensed Product, on a country-by-country basis and Licensed Product-by-Licensed Product basis.
The Earned Royalties are payable as described in Section 4.01 (Reports and Payments). Licensed Products transferred to MAYO or its
Affiliates are not considered transfers for purposes of determining Net Sales or for calculating Earned Royalties. No Earned Royalties
are due MAYO on transfers to MAYO or MAYO Affiliates. Earned Royalties subject to Section 3.04(a) above shall terminate on a
Licensed Product-by-Licensed Product and country-by-country basis upon the first date when there is no longer a Valid Claim covering
such Licensed Product in the country where such Product is made or sold.
3.05 ROYALTY STACKING. If COMPANY is a party to a license agreement with any third party under which COMPANY obtains
a license for intellectual property or technology required for the manufacture, use or sale of a Licensed Product and the total royalty due
in the aggregate to one or more third parties exceeds [***], then COMPANY may reduce the Earned Royalties due to MAYO pursuant
to Section 3.04 (Earned Royalties) on such Licensed Product (on a product-by-product basis) by [***] of the amounts that are payable
to such third party; provided, however, that in no event will the Earned Royalties otherwise due under Section 3.04 (Earned Royalties)
be reduced to less than [***] of the Earned Royalties that would otherwise be payable to MAYO pursuant to Section 3.04 (Earned
Royalties) by operation of the foregoing reduction. For the avoidance of doubt, the Earned Royalties otherwise due under Section 3.04
(Earned
7
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
Royalties) be not be reduced to more than [***] regardless of the number of additional licenses to which COMPANY is a party.
COMPANY agrees to notify MAYO immediately if COMPANY enters into any additional license(s) with a third party or parties that
would affect the Earned Royalty amount received by MAYO.
3.06 NO MULTIPLE ROYALTIES. If a Licensed Product is covered by more than one patent or patent application within the
Patent Rights or a Valid Claim and uses Licensed Materials, multiple royalties shall not be due. Net Sales shall not be counted for both
a Valid Claims Royalty and a Licensed Material Royalty.
3.07
[***]. MAYO may, at its sole option, purchase the Licensed Product for use within MAYO’s and its Affiliates’ educational
research, and clinical programs in any quantity at [***] offered by COMPANY to any third party for the applicable Licensed Product.
The [***] will be determined on each January 1st and will be reported to MAYO with the report due February 1st pursuant to
Section 4.01 (Reports and Payment), and will apply for the 12-month period starting March 1st of such year. COMPANY will also
report such sales to MAYO as part of the royalty report described in Section 3.04 (Earned Royalties), however, pursuant to Section 3.04
(Earned Royalties), no royalties are due on sales to MAYO or MAYO Affiliates.
3.08 TAXES. COMPANY is responsible for all taxes, duties, import duties, assessments and other governmental charges, however
designated, which are now or hereafter imposed by any authority on COMPANY: (a) by reason of the performance by MAYO of its
obligations under this Agreement, or the payment of any amounts by COMPANY to MAYO under this Agreement; (b) based on the
Patent Rights; or (c) related to use, sale or importation of the Licensed Product. The parties acknowledge that MAYO is a U.S. not-for
profit entity and is not expected to have any tax liability, and shall provide to COMPANY a tax certificate reflecting its not for profit
status. If COMPANY is nevertheless required by law to withhold on remittance of the royalty payments, COMPANY shall PAY to
MAYO amounts which shall result in the net amount being received by MAYO being equal to the amount which would have been
received by MAYO had no such deduction or withholding been made. In any such case, COMPANY will provide MAYO with
reasonable assistance, at MAYO’s expense, in obtaining, any tax reduction (including avoidance of double taxation), tax refund or tax
exemption available to MAYO by treaty or otherwise.
3.09 U.S. CURRENCY. All payments to MAYO under this Agreement will be made by draft drawn on a U.S. bank, and payable in
U.S. dollars. In the event that conversion from foreign currency is required in calculating a payment under this Agreement, the
exchange rate used shall be the Interbank rate quoted by US Bank at the end of the last business day of the quarter in which the
payment accrued.
3.10 OVERDUE PAYMENTS. If overdue, the payments due under this Agreement shall bear interest until paid at a per annum rate
of [***] in effect at US Bank on the due date. MAYO shall be entitled to recover, in addition to all other remedies, reasonable
attorneys’ fees and costs related to the administration or enforcement of this Agreement, including collection of payments, following
COMPANY’s such failure to pay. The acceptance of any payment, including such interest, shall not foreclose MAYO from exercising
any other right or seeking any other remedy that it may have as a consequence of the failure of COMPANY to make any payment when
due.
8
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
Article 4.00
– Accounting and Reports
4.01 REPORTS AND PAYMENT. Commencing with the First Commercial Sale of a Licensed Product, COMPANY will deliver to
MAYO on or before the following dates: 1 August, a written report setting forth a full accounting showing how any amounts due to
MAYO for the preceding calendar year have been calculated as provided in this Agreement, including an accounting of total Net Sales
with a reporting of any applicable foreign exchange rates, deductions, allowances, and charges and any payments due from
Sublicensees. Each report will include product names, part numbers and quantity sold for each country in which the Licensed Product
was sold. Furthermore, the report will include detailed information about Licensed Products sold to MAYO or MAYO Affiliates at cost,
pursuant to Section 3.04 (Earned Royalties) or 3.07 ([***]). If no Licensed Product transfers have occurred and no other amounts are
due to MAYO, COMPANY will submit a report so stating. Each such report will be accompanied by the payment of all amounts due for
such calendar year.
4.02 ACCOUNTING. COMPANY will, throughout the Term, keep complete, continuous, true and accurate books of accounts and
records sufficient to support and verify the calculation of Net Sales, all royalties and any other amount believed due and payable to
MAYO under this Agreement. Such books and records will be open once per year during COMPANY’s ordinary business hours for
inspection by a nationally recognized accounting firm selected by MAYO for audit and verification of royalty statements under this
Agreement. The MAYO representative will be required to enter into a written confidentiality agreement with the COMPANY and will
be a firm reasonably acceptable to COMPANY. MAYO will provide to the COMPANY a copy of any report by the accounting firm that
concludes that any underpayment occurred, along with supporting documentation. In the event such audit reveals an underpayment by
COMPANY in any year, and COMPANY does not reasonably dispute such conclusion, COMPANY will within [***] pay the amount
underpaid royalty due in excess of the royalty actually paid. In the event the audit reveals an underpayment by COMPANY of more
than [***] of the amount due to MAYO in any year, COMPANY will pay interest on the royalty due in excess of the royalty actually
paid at the highest rate then permitted by law and COMPANY will pay all of MAYO’s costs in conducting the audit.
Article 5.00
– Diligence
5.01 DEVELOPMENT PLAN. COMPANY will make commercially reasonable efforts to bring Licensed Products to market in the
Field in the Territory. COMPANY has provided MAYO with a development plan that describes how COMPANY intends to bring
Licensed Products to market, attached to this Agreement as Schedule B, Development Plan, incorporated herein by reference. The
Development Plan is subject to reasonable revision by Evelo based on data and results generated in development of Licensed Products.
Activities conducted by the COMPANY and its Affiliates and Sublicensees shall be treated as efforts by the Company in determining
compliance with this Section 5.
5.02 DILIGENCE REPORTS. COMPANY will provide MAYO with annual reports within [***] of each anniversary of the
Effective Date describing in detail: (a) as of that reporting period, all development and marketing activities for the Licensed Product
and the names of all Sublicensees, including which of the Sublicensees are Affiliates. MAYO shall have the right to audit COMPANY’s
and Sublicensees’ records relating to development of Licensed Products. The foregoing Diligence Report obligations will terminate
upon first commercial sale of a Licensed Product.
9
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
Article 6.00
– Intellectual Property Management
6.01 CONTROL. MAYO will have the responsibility to prepare, file, prosecute, abandon, or otherwise handle the Patent Rights with
prior advice and comment from COMPANY. COMPANY shall pay all costs and expenses associated with the filing, prosecution and
maintenance of the Patent Rights, whether arising before or during the Term; provided, COMPANY may with [***] prior written notice
to MAYO discontinue its financial support for such activities with respect to any patent application or patent within the Patent Rights,
and in such case, the COMPANY’s license to the applicable patent or patent application shall terminate. Unless otherwise agreed by the
parties in writing, MAYO shall have sole control over the protection, defense, enforcement, maintenance, abandonment and other
handling of the Know-How and Licensed Materials. Provided that MAYO considers COMPANY’s comments in good faith, MAYO
will have no liability to COMPANY for any act or omission in the preparation, filing, prosecution, maintenance, abandonment, or other
handling of the Patent Rights, Know-How and Licensed Materials.
6.02 ENFORCEMENT. If COMPANY becomes aware of a third party infringement of any unexpired claim within the Patent
Rights, COMPANY will promptly provide MAYO with written notice and if possible provide MAYO the available information
supporting that infringement has occurred. The parties shall discuss in good faith whether the article infringes one more claims of the
Patent Rights. COMPANY will have the first right, but not the obligation to assert the Patent Rights against any such infringement,
using counsel of its choice, and at its expense. MAYO shall not be required to join such action unless it has agreed to do so in writing
prior to the commencement thereof, or unless a necessary party, but in all cases MAYO shall reasonably cooperate in any such
proceeding if requested to do so by COMPANY and at COMPANY’S expense. In the event of any recovery in such an action,
COMPANY may first recover its costs and expenses, and any remainder shall be treated as Net Sales. In the event that COMPANY
does not choose to assert the Patent Rights against any such infringement, COMPANY will provide written notice to MAYO advising
of COMPANY’s decision and, at MAYO’s request, the parties shall discuss COMPANY’s strategy to protect revenues from the sale of
Licensed Products.
6.03
PATENT TERM EXTENSION. MAYO shall consult with COMPANY in selecting the patent covering each Licensed Product
for patent term extension for or supplementary protection certificate under in accordance with the applicable laws of any country;
provided, COMPANY shall have the first right to decide as to whether a patent term extension shall be sought for any patent within the
Patent Rights with regard to a particular Licensed Product. If COMPANY declines to pursue and pay a patent term extension and
MAYO decides to pay for the patent term extension, COMPANY’S license to the Patent Rights shall terminate. Each Party agrees to
execute any documents and to take any additional actions as the other Party may reasonably request in connection therewith. For the
avoidance of doubt, the Company shall have the right, at its discretion, whether to elect to seek patent term restoration for any Licensed
Patent in any country.
6.04
PATENT MARKING. To the extent commercially feasible, COMPANY will mark all Licensed Products that are manufactured
or sold under this Agreement with the number of each issued patent within the Patent Rights that cover such Licensed Product(s). Any
such marking will be in conformance with the patent laws and other laws of the country of manufacture or sale.
6.05 DEFENSE. COMPANY will have the first right, but not the obligation, to take any measures deemed appropriate by
COMPANY, regarding (a) challenges to the Patent Rights
10
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
(including interferences, inter partes review, post grant review, cover business method, ex parte examination, or derivation proceedings
in the U.S. Patent and Trademark Office and oppositions in foreign jurisdictions) and (b) defense of the Patent Rights (including
declaratory judgment actions) at COMPANY’s expense.
6.06 THIRD PARTY LITIGATION. In the event a third party institutes a suit against COMPANY for patent infringement
involving a Licensed Product, COMPANY will promptly inform MAYO and keep MAYO regularly informed of the proceedings.
COMPANY agrees to indemnify, defend and hold harmless MAYO for any claims, demands or law suits related thereto.
Article 7.00 – Use of Name
7.01 USE OF NAME AND LOGO. Except as permitted by Section 8.03, COMPANY will not use for publicity, promotion or
otherwise, any logo, name, trade name, service mark or trademark of MAYO or its Affiliates, including, but not limited to, the terms
“MAYO®,” “MAYO Clinic®” and the triple shield MAYO logo, or any simulation, abbreviation or adaptation of the same, or the
name of any MAYO employee or agent, without MAYO’s prior, written, express consent. MAYO may withhold such consent in
MAYO’s absolute discretion. With regard to the use of MAYO’s name, all requests for approval pursuant to this Section must be
submitted to the [***], at the following e-mail address: [***] at least five (5) business days prior to the date on which a response is
needed.
Article 8.00
– Confidentiality
8.01 TREATMENT OF CONFIDENTIAL INFORMATION. Except as provided for in Section 8.02 (Right to Disclose), neither
Party will disclose, use or otherwise make available the other’s Confidential Information during the Term and for three (3) years
thereafter and will use at least the same degree of care it employs to protect its own confidential information.
8.02 RIGHT TO DISCLOSE.
To the extent it is reasonably necessary or appropriate to fulfill its obligations or exercise its rights under this Agreement,
(a)
COMPANY may disclose Confidential Information of MAYO to its Sublicensees, consultants, and outside contractors and
potential investors and business partners on the condition that each such entity or person agrees to obligations of confidentiality
and non-use at least as stringent as those herein.
To the extent it is reasonably necessary or appropriate to fulfill its obligations or exercise its rights under this Agreement,
(b)
MAYO may disclose Confidential Information of COMPANY to its consultants and outside contractors on the condition that
each such entity agrees to obligations of confidentiality and non-use at least as stringent as those herein.
(c)
If a Party is required by law, regulation or court order to disclose any of the Confidential Information, it will have the
right to do so, provided it: (i) promptly notifies the disclosing Party; and (ii) reasonably assists the disclosing Party to obtain a
protective order or other remedy of disclosing Party’s election and at disclosing Party’s expense, and only disclose the minimum
amount necessary to satisfy such obligation.
11
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
8.03 CONFIDENTIALITY OF AGREEMENTS. Except as otherwise required by law, the specific terms and conditions of this
Agreement shall be Confidential Information but the existence of this Agreement will not be Confidential Information and the Parties
may state that COMPANY is licensed under the Patent Rights.
Article 9.00
– Warranties, Representations, Disclaimers and Indemnification
9.01 REPRESENTATIONS AND WARRANTIES OF COMPANY. COMPANY warrants and represents to MAYO that:
(a)
it is engaged in the development, production, quality control, service, manufacture, marketing and sales of products
similar to the subject matter of the Patent Rights, and that it will commit itself to a thorough, vigorous and diligent program of
developing and marketing the Licensed Products;
it has independently evaluated the Patent Rights, Know-How and Licensed Materials and Confidential Information, if
(b)
any, their applicability or utility in COMPANY’s activities, is entering into this Agreement on the basis of its own evaluation
and not in reliance of any representation by MAYO, and assumes all risk and liability in connection with such determination;
it now maintains and will continue to maintain throughout the Term and beyond insurance coverage as set forth in
(c)
Section 9.03 (Indemnification and Insurance) and that such insurance coverage sufficiently covers the MAYO Indemnitees;
the execution and delivery of this Agreement has been duly authorized and no further approval, corporate or otherwise,
(d)
is required in order to execute this binding Agreement;
it shall comply and require its Sublicensees to comply with all applicable international, national and state laws,
(e)
ordinances and regulations in its performance under this Agreement; and
its rights and obligations under this Agreement do not conflict with any contractual obligation or court or administrative
(f)
order by which it is bound.
9.02 REPRESENTATIONS, WARRANTIES AND COVENANTS OF MAYO. MAYO represents and warrants that:
(a)
It is a not for profit entity, validly existing and in good standing under the laws of Minnesota;
to the best of Mayo Clinic Ventures knowledge as of the Effective Date, except for the rights retained by the US
(b)
government, MAYO is the sole and exclusive owner of the Patent Rights, Licensed Materials and Know How;
the execution, delivery and performance of this Agreement have been duly authorized by all necessary corporate action
(c)
on the part of MAYO, and no further approval, corporate or otherwise is required to enter this binding Agreement; and
12
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
(d)
to the best of Mayo Clinic Ventures knowledge as of the Effective Date, it has not granted any right, license or interest in
or to the Patent Rights or Licensed Materials, or any portion thereof, inconsistent with the licenses granted to the Company in
this Agreement.
9.03 DISCLAIMERS.
(a)
EXCEPT AS EXPRESSLY PROVIDED IN SECTION 9.02, MAYO HAS NOT MADE AND DOES NOT MAKE
ANY PROMISES, COVENANTS, GUARANTEES, REPRESENTATIONS OR WARRANTIES OF ANY NATURE,
DIRECTLY OR INDIRECTLY, EXPRESS, STATUTORY OR IMPLIED, INCLUDING WITHOUT LIMITATION,
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, SUITABILITY, DURABILITY, CONDITION,
QUALITY OR ANY OTHER CHARACTERISTIC OF THE PATENT RIGHTS, KNOW-HOW, LICENSED MATERIALS OR
CONFIDENTIAL INFORMATION.
(b)
EXCEPT AS EXPRESSLY PROVIDED IN SECTION 9.02, THE PATENT RIGHTS, KNOW-HOW, LICENSED
MATERIALS AND CONFIDENTIAL INFORMATION ARE PROVIDED “AS IS,” “WITH ALL FAULTS” AND “WITH
ALL DEFECTS,” AND COMPANY EXPRESSLY WAIVES ALL RIGHTS TO MAKE ANY CLAIM WHATSOEVER
AGAINST MAYO FOR MISREPRESENTATION OR FOR BREACH OF PROMISE, GUARANTEE, REPRESENTATION
OR WARRANTY OF ANY KIND RELATING TO THE PATENT RIGHTS, KNOW-HOW, LICENSED MATERIALS OR
CONFIDENTIAL INFORMATION. MAYO EXPRESSLY DISCLAIMS ANY IMPLIED WARRANTIES ARISING FROM
ANY COURSE OF DEALING, USAGE OR TRADE PRACTICE, WITH RESPECT TO: THE SCOPE, VALIDITY OR
ENFORCEABILITY OF THE PATENT RIGHTS, KNOW-HOW, LICENSED MATERIALS AND CONFIDENTIAL
INFORMATION; THAT ANY PATENT WILL ISSUE BASED UPON ANY PENDING PATENT APPLICATION; OR THAT
THE USE, SALE, OFFER FOR SALE OR IMPORTATION OF THE LICENSED PRODUCT, PATENT RIGHTS, KNOW-
HOW OR LICENSED MATERIALS WILL NOT INFRINGE OTHER INTELLECTUAL PROPERTY RIGHTS. NOTHING
IN THIS AGREEMENT WILL BE CONSTRUED AS AN OBLIGATION FOR MAYO TO BRING, PROSECUTE OR
DEFEND ACTIONS REGARDING THE PATENT RIGHTS, KNOW-HOW, LICENSED MATERIALS AND
CONFIDENTIAL INFORMATION.
(c)
COMPANY AGREES THAT MAYO AND ITS AFFILIATES WILL NOT BE LIABLE FOR ANY LOSS OR
DAMAGE CAUSED BY OR ARISING OUT OF ANY RIGHTS GRANTED OR PERFORMANCE MADE UNDER THIS
AGREEMENT, WHETHER TO OR BY COMPANY, SUBLICENSEE OR A THIRD PARTY. IN NO EVENT WILL MAYO’S
LIABILITY OF ANY KIND INCLUDE ANY SPECIAL, INDIRECT, INCIDENTAL, CONSEQUENTIAL OR PUNITIVE
LOSSES OR DAMAGES, EVEN IF MAYO HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, OR
EXCEED THE TOTAL AMOUNT OF ROYALTIES THAT HAVE ACTUALLY BEEN PAID TO MAYO BY COMPANY AS
OF THE DATE OF FILING AN ACTION AGAINST MAYO THAT RESULTS IN THE SETTLEMENT OR AWARD OF
DAMAGES TO COMPANY.
13
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
9.04
INDEMNIFICATION AND INSURANCE.
COMPANY will defend, indemnify and hold harmless MAYO, MAYO’s Affiliates and their respective trustees, officers,
(a)
agents, independent contractors and employees (“MAYO Indemnitees”) from any and all claims, actions, demands, judgments,
losses, costs, expenses, damages and liabilities (including attorneys’ fees, court costs and other expenses of litigation),
regardless of the legal theory asserted, arising out of or connected with: (i) the practice or exercise of any rights granted
hereunder by or on behalf of COMPANY or any Sublicensee; (ii) research, development, design, manufacture, distribution, use,
sale, importation, exportation or other disposition of Licensed Products; and (iii) any act or omission of COMPANY or any
Sublicensee hereunder, including the negligence or willful misconduct thereof or breach of Section 11.05 (Anti-Corruption
Compliance). MAYO and MAYO’s Affiliates shall have no obligation to indemnify COMPANY hereunder.
The Parties agree that this indemnity should be construed and applied in favor of maximum indemnification of MAYO
(b)
Indemnitees.
(c)
COMPANY will continuously carry occurrence-based liability insurance, including products liability and contractual
liability, in an amount and for a time period sufficient to cover the liability assumed by COMPANY hereunder during the Term
and after, such amount being [***]. In addition, such policy will name MAYO and its Affiliates as additional-named insureds.
The minimum limits of any insurance coverage required herein shall not limit COMPANY’s liability.
(d)
COMPANY expressly waives any right of subrogation that it may have against MAYO Indemnitees resulting from any
claim, demand, liability, judgment, settlement, costs, fees (including attorneys’ fees) and expenses for which COMPANY is
obligated to indemnify, defend and hold MAYO Indemnitees harmless under this Agreement.
9.05
PROHIBITION AGAINST INCONSISTENT STATEMENTS. COMPANY shall not make any statements, representations
or warranties, or accept any liabilities or responsibilities whatsoever that are inconsistent with any disclaimer or limitation included in
this section or any other provision of this Agreement. COMPANY shall not settle any matter that will incur liability for MAYO or
require MAYO to make any admission of liability without MAYO’s prior written consent.
Article 10.00 – Term and Termination
10.01 TERM. This Agreement will expire at the end of the Term.
10.02 TERMINATION FOR BREACH. If COMPANY commits a material breach of this Agreement, including without limitation,
the failure to make any required royalty or fee payments hereunder, MAYO will notify COMPANY in writing of such breach and
COMPANY will have [***] after such notice to cure such breach to MAYO’s reasonable satisfaction. If COMPANY fails to timely cure
such breach, MAYO may terminate this Agreement in whole by sending COMPANY written notice of termination.
10.03 TERMINATION FOR SUIT. MAYO may immediately terminate this Agreement if COMPANY or any Sublicensee directly
or indirectly brings any action or proceeding against MAYO or its Affiliates, except for an uncured material breach of this Agreement
by MAYO.
14
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
10.04 INSOLVENCY OF COMPANY. This Agreement terminates immediately without an obligation of notice of termination to
COMPANY in the event COMPANY ceases conducting business in the normal course, becomes insolvent or bankrupt, makes a general
assignment for the benefit of creditors, admits in writing its inability to pay its debts as they are due, permits the appointment of a
receiver for its business or assets or avails itself of or becomes subject to any proceeding under any statute of any governing authority
relating to insolvency or the protection of rights of creditors.
10.05 RETURN/DESTRUCTION OF LICENSED MATERIALS. In the event of a termination pursuant to this Article 10 (Term
and Termination) and at MAYO’s sole discretion, COMPANY shall either return the Licensed Materials to MAYO or destroy it. If
COMPANY is instructed by MAYO to destroy the Licensed Materials, COMPANY shall provide to MAYO destruction certification
within [***] of destroying.
10.06 SURVIVAL. The termination or expiration of this Agreement does not relieve either Party of its rights and obligations that have
previously accrued. After the Term, all rights granted immediately revert to MAYO. All Confidential Information of a Party shall be
returned or destruction certified, at the disclosing party’s election. Rights and obligations that by their nature prescribe continuing rights
and obligations shall survive the termination or expiration of this Agreement including Sections 4.02 (Accounting), 9.03
(Indemnification and Insurance), 10.05 (Return/Destruction of Licensed Material), 10.06 (Survival) and Articles 7 (Use of Name),
8 (Confidentiality) and 11 (General Provisions). COMPANY, on behalf of itself and its Sublicensees, shall provide an accounting for
and pay, within [***]of termination or expiration, all amounts due hereunder.
Article 11.00 – General Provisions
11.01 AMENDMENTS. This Agreement may not be amended or modified except by a writing signed by both Parties and identified
as an amendment to this Agreement.
11.02 CONSTRUCTION. Each Party acknowledges that it was provided an opportunity to seek advice of counsel and as such this
Agreement shall not be construed for or against either Party.
11.03 ENTIRE AGREEMENT. This Agreement constitutes the final, complete and exclusive agreement between the Parties with
respect to its subject matter and supersedes all past and contemporaneous agreements, promises, and understandings, whether oral or
written, between the Parties, including without limitation, the Material Transfer Agreement entered by COMPANY and MAYO
effective October 18, 2016.
11.04 EXPORT CONTROL. The Parties agree not to use or otherwise export or re-export anything exchanged or transferred
between them pursuant to this agreement except as authorized by United States law and the laws of the jurisdiction in which it was
obtained. In particular, but without limitation, items exchanged may not be exported or re-exported (a) into any U.S. embargoed
countries or (b) to anyone on the U.S. Treasury Department’s list of Specially Designated Nationals or the U.S. Department of
Commerce Denied Person’s List or Entity List. By entering into this Agreement, each Party represents and warrants that they are not
located in any such country or on any such list. Each Party also agrees that they will not use any item exchanged for any purposes
prohibited by United States law, including, without limitation, the development, design, manufacture or production of missiles, or
nuclear, chemical or biological weapons. In the event either Party becomes aware of any suspected violations of this paragraph
15
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
that Party will promptly inform the other Party of such suspected violations, and cooperate with one another in any subsequent
investigation and defense, be they civil or criminal.
11.05 ANTI-CORRUPTION COMPLIANCE. The Parties, their Affiliates, and any Sublicensee, shall conduct themselves in an
ethical, lawful, businesslike and professional manner in performance of this Agreement and shall comply with all applicable laws,
regulations and directives that may apply to them in the United States or elsewhere. Without limiting the foregoing and for avoidance of
doubt, COMPANY, its Affiliates, and any Sublicensee, shall obey the U.S. Foreign Corrupt Practices Act (“FCPA”) (15 USC §§ 78dd-
1, et seq.) and any similar applicable anti-bribery provisions, laws or regulations. Each party shall reasonably assist the other party(ies)
to assure such compliance at all times during the term of this Agreement. COMPANY’s, its Affiliates, or any Sublicensee’s failure to
adhere to the requirements of this section shall be grounds for Mayo to terminate this Agreement immediately for cause.
11.06 GOVERNING LAW AND JURISDICTION. The terms and conditions of this Agreement, as well as all disputes arising under
or relating to this Agreement, shall be governed by Minnesota law, specifically excluding its choice-of-law principles, except that the
interpretation, validity and enforceability of the Patent Rights will be governed by the patent laws of the country in which the patent
application is pending or issued. This is not an Agreement for the sale of goods and as such Article 2 of the Uniform Commercial Code
as enacted in Minnesota does not apply. The exclusive fora for the foregoing are the State or District Court of Olmsted County,
Minnesota, unless such action cannot by law be brought in such forum, in which case the venue required by law shall govern.
COMPANY agrees unconditionally that it is personally subject to the jurisdiction of such courts.
11.07 HEADINGS. The headings of articles and sections used in this document are for convenience of reference only.
11.08 INDEPENDENT CONTRACTORS. It is mutually understood and agreed that the relationship between the Parties is that of
independent contractors. Neither Party is the agent, employee, or servant of the other. Except as specifically set forth herein, neither
Party shall have nor exercise any control or direction over the methods by which the other Party performs work or obligations under
this Agreement. Further, nothing in this Agreement is intended to create any partnership, joint venture, lease or equity relationship,
expressly or by implication, between the Parties.
11.09 INDUCEMENT OF REFERRALS. It is not the purpose of this Agreement or the intent of the Parties to induce or encourage
the referral of patients, and there is no requirement under this Agreement or under any other Agreement between the Parties that
COMPANY or its staff refer patients to MAYO for products or services. No payment made under this Agreement is made in return for
the referral of patients, or is made in return for the purchasing, leasing, or ordering of any products or services.
11.10 LIMITATION OF RIGHTS CREATED. This Agreement is personal to the Parties and shall be binding on and inure to the
sole benefit of the Parties and their permitted successors and assigns and shall not be construed as conferring any rights to any third
party. Specifically, no interests are intended to be created for any customer, patient, research subjects, or other persons (or their
relatives, heirs, dependents, or personal representatives) by or upon whom the Licensed Products may be used.
16
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
11.11 NO ASSIGNMENT. Neither Party may assign its rights hereunder to any third party without the prior written consent of the
other Party; provided, that a Party may assign this Agreement and/or its rights arising hereunder without the prior written consent of the
other Party to (i) any affiliate or other entity that controls, is controlled by or is under common control with such Party; or (ii) in
connection with a merger, acquisition, or other consolidation by COMPANY or sale of all or substantially all assets relating to the
relevant rights provided the assignee agrees to be legally bound to all of COMPANY’S applicable obligations under this Agreement.
Any purported assignment in violation of this clause is void. Such written consent, if given, shall not in any manner relieve the assignor
from liability for the performance of this Agreement by its assignee.
11.12 NOTICES. All notices and other business communications between the Parties related to this Agreement shall be in writing,
sent by certified mail, addressed as follows:
To MAYO: Mayo Foundation for Medical Education and Research
Mayo Clinic Ventures – BB4
200 First Street SW
Rochester, Minnesota 55905-0001
Attn: Ventures Operations
Phone: [***]
Facsimile: [***]
Email: [***]
Fed Tax ID: [***]
To COMPANY: Fed Tax ID: 46-5594527
Legal Contact:
Evelo Biosciences, Inc.
Legal Department
620 Memorial Drive, Suite 200
Cambridge, Massachusetts 02139
Facsimile: [***]
Email: [***]
Invoicing Contact:
Evelo Biosciences, Inc.
Accounts Payable
620 Memorial Drive, Suite 200
Cambridge, Massachusetts 02139
Facsimile: [***]
Email: [***]
Expense Reimbursement Contact:
Evelo Biosciences, Inc.
Finance Department
620 Memorial Drive, Suite 200
Cambridge, Massachusetts 02139
Facsimile: [***]
Email: [***]
17
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
Notices sent by certified mail shall be deemed delivered on the third day following the date of mailing. Either Party may change its
address or facsimile number by giving written notice in compliance with this section.
11.13 REGISTRATION OF LICENSES. COMPANY will register and give required notice concerning this Agreement, at its
expense, in each country in the Territory where an obligation under law exists to so register or give notice.
11.14 SEVERABILITY. In the event any provision of this Agreement is held to be invalid or unenforceable, the remainder of this
Agreement shall remain in full force and effect as if the invalid or unenforceable provision had never been a part of the Agreement.
11.15 WAIVER. The failure of either Party to complain of any default by the other Party or to enforce any of such Party’s rights, no
matter how long such failure may continue, will not constitute a waiver of the Party’s rights under this Agreement. The waiver by either
Party of any breach of any provision of this Agreement shall not be construed as a waiver of any subsequent breach of the same or any
other provision. No part of this Agreement may be waived except by the further written agreement of the Parties.
This Agreement may be executed in any number of counterparts which, when taken together, will constitute an original, and photocopy,
facsimile, electronic or other copies shall have the same effect for all purposes as an ink-signed original. Each Party hereto consents to
be bound by photocopy, facsimile, or electronic signatures of such Party’s representative hereto.
MAYO FOUNDATION FOR MEDICAL EVELO BIOSCIENCES, INC.
EDUCATION AND RESEARCH
By /s/ James A. Rogers, III By /s/ Balkrishan Simba Gill
Name: James A. Rogers, III Name: Balkrishan Simba Gill
Title: Assistant Secretary Title: Chief Executive Officer
Date: 8/7/17 Date: 8/7/17
18
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
Schedule A - Licensed Patents
[***]Patent [***], titled [***]
[***] Patent [***], titled [***]
[***] Patent [***], titled [***]
[***] Patent Application No. [***], filed [***], titled [***]
19
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
Schedule B- Development Plan
Subject to reasonable revision based on data generated in development of Licensed Products. Company will:
1.
2.
3.
Secure board approval of Prevotella histicola as a candidate for clinical development within [***] of effective date
File for IND or CTA within [***] of Effective Date
Begin clinical study in patients (not a healthy volunteer study) within [***] of IND or CTA filing
20
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
AMENDMENT NO. 1
TO
PATENT LICENSE AGREEMENT
BETWEEN
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
AND
EVELO BIOSCIENCES, INC.
The Patent License Agreement (“Agreement”) with an effective date of August 6, 2017, between Mayo Foundation for
Medical Education and Research, a Minnesota charitable corporation having its principal place of business at 200 1 Street SW,
Rochester, Minnesota 55905-0001 (“MAYO”) and Evelo Biosciences, Inc. (“COMPANY”), a Delaware corporation having its
principal place of business at 620 Memorial Drive, Suite 200 West, Cambridge, Massachusetts 02139 is hereby amended by this
Amendment No. 1 (“Amendment No. 1”), effective as of 19 January, 2018 under the following terms:
st
1.
Section 1.07 “Licensed Materials” of the Agreement is amended to read as follows:
1.07 “Licensed Materials”: means Prevotella histicola strain B-50329 and the Prevotella melaninogenica strain, and any
progeny and derivatives thereof.
2.
3.
Within thirty (30) days of the date of last signature of this Amendment No. 1, COMPANY shall pay Mayo a nonrefundable,
non-creditable payment of TWELVE THOUSAND FIVE HUNDRED DOLLARS (US $12,500) (the “Additional Payment”) in
exchange for MAYO providing the Prevotella melaninogenica strain.
MAYO shall provide the Prevotella melaninogenica strain to COMPANY within fifteen (15) days of receipt of the Additional
Payment.
The terms of this Amendment No. 1 supersede any conflicting or inconsistent terms in the Agreement. All other provisions of the
original Agreement remain in full force and effect.
This Agreement may be executed in any number of counterparts which, when taken together, will constitute an original, and photocopy,
facsimile, electronic or other copies shall have the same effect for all purposes as an ink-signed original. Each Party hereto consents to
be bound by photocopy or facsimile signatures of such Party’s representative hereto.
MAYO FOUNDATION FOR MEDICAL EVELO BIOSCIENCES, INC.
EDUCATION AND RESEARCH
By /s/ Daniel D. Estes By /s/ Jennifer Glennon
Name: Daniel D. Estes Name: Jennifer Glennon
Title: Assistant Treasurer Title: VP Finance and Operations
Date: 01/23/18 Date: 01/19/18
21
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
AMENDMENT NO. 2
TO
PATENT LICENSE AGREEMENT
BETWEEN
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
AND
EVELO BIOSCIENCES, INC.
The Patent License Agreement (“Agreement”) with an effective date of August 6, 2017, between Mayo Foundation for
Medical Education and Research, a Minnesota charitable corporation having its principal place of business at 200 1 Street SW,
Rochester, Minnesota 55905-0001 (“MAYO”) and Evelo Biosciences, Inc. (“COMPANY”), a Delaware corporation having its
principal place of business at 620 Memorial Drive, Cambridge, Massachusetts 02139 is hereby amended by this Amendment No. 2
(“Amendment No. 2”), effective as of November 15, 2021 (“Amendment No.2 Effective Date”) under the following terms:
st
1.
2.
3.
As outlined in Exhibit A of this Amendment No. 2, Schedule A of the Agreement is amended to include the following Added
Patent Rights:
“PCT Patent Application No. PCT/US2020/038084, filed on June 17, 2020, titled “Prevotella preparations and treating chronic
obstructive pulmonary disease (COPD) and other lung conditions”.
Within thirty (30) days of Amendment No. 2 Effective Date, COMPANY shall pay MAYO a nonrefundable, non-creditable
payment of TWENTY FIVE THOUSAND DOLLARS (US $25,000) (the “Additional Payment”) as partial consideration for
MAYO entering into this Amendment No. 2.
Section 1.10 (Patent Rights) of the Agreement shall be revised to include the following sentence as the last sentence of this
Section: “ For clarity, the Patent Rights shall include the patent applications and patents subject to the Agreement as originally
executed (the “Initial Patent Rights”, as outlined in Exhibit A) and the patent applications and patents included under this
Agreement pursuant to this Amendment No.2 (the “Added Patent Rights”, as outlined in Exhibit A).”
4.
Section 1.14 (Valid Claim) of the Agreement shall be amended to read as follows:
“Valid Claim”: means (i) with regard to the Initial Patent Rights, a claim of (a) a pending patent application that has not been
pending for more than ten (10) years from its earliest priority date, or (b) an issued claim of any unexpired Initial Patent Rights
or a claim of any pending Initial Patent Rights that have not been held unenforceable, unpatentable, or invalid by a decision of a
court or governmental body of competent jurisdiction in a ruling that is unappealable or unappealed within the time allowed for
appeal, and that has not been disclaimed or admitted to be invalid or unenforceable through reissue, re-examination, disclaimer
or otherwise; and (ii) with regard to the Added Patent Rights, a Valid Claim shall mean an issued claim of an unexpired patent
that has not been held unenforceable, unpatentable, or invalid by a decision of a court or governmental body of competent
jurisdiction in a ruling that is unappealable or unappealed within the time allowed for appeal, and that has not been disclaimed
or admitted to be invalid or unenforceable through reissue, re-examination, disclaimer or otherwise.
22
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
5.
Section 3.03 (Milestone Fees) of the Agreement is hereby amended to include the following additional milestones:
Milestone #8. COMPANY shall pay MAYO a nonrefundable and noncreditable milestone payment of [***] upon the
Commencement (first patient, first dose) of the first human clinical trial of the first Licensed Product in patients with Chronic
Obstructive Pulmonary Disease (COPD). This milestone payment shall be payable only once.
Milestone #9. COMPANY shall pay MAYO a nonrefundable and noncreditable milestone payment of [***] upon BLA approval
for a Licensed Product to treat patients with Chronic Obstructive Pulmonary Disease (COPD) if COPD is not the first or the
second clinical indication for which COMPANY receives BLA approval for a Licensed Product. For the avoidance of doubt, if
COPD is the clinical indication receiving BLA approval that results in COMPANY achieving Milestone #6 (BLA approval for a
second indication, [***]), then this Milestone #8 shall not be due and only Milestone #6 shall be paid by COMPANY to MAYO.
This Milestone #9 payment shall be payable only once.
6.
Article 3.00 (Royalties) of the Agreement is revised to include the following new Section 3.11 (Royalty Calculation):
3.11 ROYALTY CALCULATION.
a.
b.
If not all Net Sales in a given country are covered by a Valid Claim then Net Sales of such Licensed Product shall be
reasonably allocated by COMPANY, and indicated in detail in reports delivered to MAYO in accordance with
Section 4.01 (Reports and Payment), to reflect (a) those Net Sales that are within the scope of a Valid Claim in the
applicable country, and subject to the Valid Claim Royalty, and (b) those Net Sales of the Licensed Product sold that are
not covered by any Valid Claim, but which are subject to the Licensed Material Royalty.
With respect to Net Sales of Licensed Products made in a country where there is no Valid Claim within the Initial Patent
Rights, royalties on Net Sales shall only be due to the extent that (i) there is a Valid Claim within the Added Patent
Rights covering the applicable Licensed Product in the applicable country, or (ii) the Licensed Material Royalty remains
due with regard to the applicable Licensed Product in the applicable country. By way of example but without limitation,
if (a) a Licensed Product is approved and sold in Japan (where no Valid Claim covering the Initial Patent Rights exists),
and (b) such Licensed Product is covered by a Valid Claim within the Added Patent Rights in Japan, then Net Sales of
such Licensed Product in Japan shall be allocated between (x) those that are covered by a Valid Claim within the Added
Patent Rights and subject to the Valid Claims Royalty in section 3.04(a), and (y) those not covered by a Valid Claim and
subject to the Licensed Material Royalty in section 3.04(b), or (z) those for which no royalty is due to MAYO because of
the fulfillment of the royalty obligation for such Licensed Product (e.g., due to payment of the Licensed Material royalty
for 15 years on the applicable Licensed Product in the applicable country and there is no existing Valid Claim within the
Added Patent Rights covering the Licensed Product in the applicable country).
c.
For any Net Sales subject to this Section 3.11 (Royalty Calculation), COMPANY shall report to MAYO in connection
with royalty reports subject to Section 4.01
23
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
(Reports and Payment) for the Licensed Product in the applicable country, (i) aggregate Net Sales of the Licensed
Product, (ii) a description of Net Sales subject to the Valid Claim royalty, and the basis of its assessment (iii) a
description of Net Sales subject to the Licensed Material royalty, and the basis of its assessment, and (iv) a calculation of
royalties due for the respective Net Sales. The basis of such an assessment may include reports on physician
prescriptions (e.g., ICD-10-CM codes (or future equivalent, in the US) of J43 (emphysema) or J4 (other chronic
obstructive pulmonary disease), or ICD-11 codes (or future equivalent, outside the US) for CA21 (emphysema) or
CA22 (chronic obstructive pulmonary disease), data from pharmacies, PBMs, insurance claims, and other relevant
information. In the event of any disagreement over whether royalty calculations are accurate, the Parties shall confer and
use good faith efforts to amicably resolve any disagreement before commencing any dispute resolution process.
d.
For avoidance of any doubt, this Section 3.11 (Royalty Calculation) in no way should affect the Earned Royalties that
were previously due to MAYO under Section 3.04 (Earned Royalties) of the Agreement prior to the Effective Date of
this Amendment No. 2.
The terms of this Amendment No. 2 supersede any conflicting or inconsistent terms in the Agreement. All other provisions of the
Agreement, as amended, remain in full force and effect.
This Amendment No.2 may be executed in any number of counterparts which, when taken together, will constitute an original, and
photocopy, facsimile, electronic or other copies shall have the same effect for all purposes as an ink-signed original. Each Party hereto
consents to be bound by photocopy or facsimile signatures of such Party’s representative hereto.
MAYO FOUNDATION FOR MEDICAL EVELO BIOSCIENCES, INC.
EDUCATION AND RESEARCH
By /s/ Julie A. Henry By /s/ Daniel S. Char
Name: Julie A. Henry Name: Daniel S. Char
Title: Sr. Director Operations Title: General Counsel & Secretary
Date: 11/15/21 Date: 11/15/21
24
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
Exhibit A
Schedule A – Licensed Patents
Initial Patent Rights (referenced internally at MAYO as “Mayo file #2008-127”)
US Patent 8,617,536, titled “Prevotella histicola preparations and the treatment of autoimmune conditions”
US Patent 9,005,603, titled “Prevotella histicola preparations and the treatment of autoimmune conditions”
US Patent 9,555,066, titled “Prevotella histicola preparations and the treatment of autoimmune conditions”
US Patent 9,801,914, titled “Prevotella histicola preparations and the treatment of autoimmune conditions”
US Patent 10,555,975, titled “Prevotella histicola preparations and the treatment of autoimmune conditions”
Added Patent Rights (referenced internally at MAYO as “Mayo file #2019-067”)
PCT Patent Application No. PCT/US2020/038084, filed on June 17, 2020, titled “Prevotella preparations and treating chronic
obstructive pulmonary disease (COPD) and other lung conditions”
25
[***] Certain information in this document has been excluded pursuant to Regulation S-K, Item (601)(b)(10). Such excluded
information is both (i) not material and (ii) the type that the Registrant treats as private or confidential.
26
Amendment No. 1 to Development and Clinical Master Services Agreement
This Amendment No. 1 (this “Amendment”), dated as of February 8, 2022 (“Amendment Effective Date”), between Evelo
Biosciences, Inc. (the “Client”) and Halo Pharmaceutical, Inc. d/b/a Cambrex Whippany (the “Cambrex”) amends that certain
Development and Clinical Master Services Agreement, dated December 17, 2020, between the Client and Cambrex (the “Agreement”).
The Client and Cambrex are each referred to herein as a “Party” and, collectively, as the “Parties.” Capitalized terms used and not
otherwise defined in this Amendment shall have the meanings set forth in the Agreement.
Recitals
WHEREAS, pursuant to the Agreement, Client has retained Cambrex to perform certain services;
WHEREAS, the Parties desire to amend the Agreement to allow for Affiliates of Cambrex to also perform Services for Client
pursuant to the Agreement;
NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the
Parties hereby agree as follows:
1.
The following shall be added as a new Section 2.10:
“2.10 Any Affiliate of Cambrex may enter into a Proposal with Client under this Agreement. By entering into a Proposal, such
Cambrex Affiliate will be deemed a party under this Agreement and shall have the same rights and obligations of Cambrex
under this Agreement and all references to Cambrex in this Agreement shall be deemed to refer to the Cambrex Affiliate that
entered into such Proposal. To be clear, any Proposal entered into by a Cambrex Affiliate shall be between and enforceable by
Client and the Cambrex Affiliate who is a party to such Proposal only.”
2.
3.
The Parties agree that the following executed proposals listed in Appendix A and corresponding Change Orders
(collectively, the “Acknowledged Proposals”) are incorporated into and entered into pursuant to the Agreement, as amended by this
Amendment, notwithstanding anything to the foregoing set forth in such Proposals.
This Amendment shall be effective as of the Amendment Effective Date. On and after the Amendment Effective Date,
each reference in the Agreement to “this Agreement,” “hereunder,” “hereof,” “herein” or words of like import, and each similar
reference in the other documents entered into in connection with the Agreement (including any work order), shall mean and be a
reference to the Agreement, as amended by this Amendment. Except as specifically amended above, the Agreement shall remain in full
force and effect and is hereby ratified and confirmed. For the avoidance of doubt, Section 5.4, Article 10, and Article 11 of the
Agreement shall apply mutatis mutandis to this Amendment.
4.
This Amendment may be executed in two or more counterparts, each of which shall be deemed an original, but all of
which together shall constitute one and the same instrument. Counterparts may be delivered via facsimile, electronic mail (including
pdf or any electronic signature complying with the U.S. Federal ESIGN Act of 2000) or other transmission method and any counterpart
so delivered shall be deemed to have been duly and validly delivered and be valid and effective for all purposes.
5.
This Amendment shall be construed and interpreted in accordance with the internal laws of the State of New Jersey and
laws of the United States, without giving effect to the principles of conflicts of law thereof.
[Remainder of page intentionally left blank.]
IN WITNESS WHEREOF, the undersigned have executed this Amendment as of the Amendment Effective Date.
EVELO BIOSCIENCES, INC.
By: /s/ Daniel Char
Name: Daniel Char
Title: General Counsel
HALO PHARMACEUTICAL, INC. D/B/A CAMBREX WHIPPANY
By: /s/ Samantha Hanley
Name: Samantha Hanley
Title: Vice President
Appendix A
Acknowledged Proposals
1) Proposal Number (EVLO-D21-D008-A), between Client and Avista Pharma Solutions, Inc., dated May 4, 2021
a) Change Order No. 1 to Proposal (EVLO-D21-D008-A) Schedule B-10, dated August 23, 2021
b) Change Order No 2 to Proposal (EVLO-D21-D008-A, Schedule B-10), dated October 12, 2021
2) Proposal Number (EVLO-D21-D006-B Schedule B-7), between Client and Avista Pharma Solutions, Inc., dated April 23, 2021
a) Change Order No. 1 to Proposal (EVLO-D21-D006-B), dated August 23, 2021
Exhibit 23.1
Consent of Independent Registered Public Accounting Firm
We consent to the incorporation by reference in the following Registration Statements:
1. Registration Statement (Form S-3 No. 333-231911) of Evelo Biosciences, Inc., and
2. Registration Statement (Form S-8 No. 333-224841) of Evelo Biosciences, Inc., and
3. Registration Statement (Form S-8 No. 333-256662) of Evelo Biosciences, Inc., and
4. Registration Statement (Form S-3 No. 333-259005) of Evelo Biosciences, Inc.
of our report dated March 24, 2022, with respect to the consolidated financial statements of Evelo Biosciences, Inc. included in this Annual Report
(Form 10-K) of Evelo Biosciences, Inc. for the year ended December 31, 2021.
Boston, Massachusetts
March 24, 2022
CERTIFICATION PURSUANT TO
RULES 13a-14(a) AND 15d-14(a) UNDER THE SECURITIES EXCHANGE ACT OF 1934,
AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002
I, Balkrishan (Simba) Gill, Ph.D., certify that:
Exhibit 31.1
1.
I have reviewed this Annual Report on Form 10-K for the fiscal year ended December 31, 2021 of Evelo Biosciences, Inc.;
2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to
make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the
period covered by this report;
3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material
respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined
in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f)
and 15d-15(f)) for the registrant and have:
a. Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our
supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to
us by others within those entities, particularly during the period in which this report is being prepared;
b. Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under
our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial
statements for external purposes in accordance with generally accepted accounting principles;
c. Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions
about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such
evaluation; and
d. Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s
most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is
reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting,
to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
a. All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are
reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
b. Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s
internal control over financial reporting.
Date: March 24, 2022
By:
/s/ Balkrishan (Simba) Gill, Ph.D.
Balkrishan (Simba) Gill, Ph.D.
President and Chief Executive Officer
(Principal Executive Officer)
CERTIFICATION PURSUANT TO
RULES 13a-14(a) AND 15d-14(a) UNDER THE SECURITIES EXCHANGE ACT OF 1934,
AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002
I, Luca Scavo, certify that:
Exhibit 31.2
1.
I have reviewed this Annual Report on Form 10-K for the fiscal year ended December 31, 2021 of Evelo Biosciences, Inc.;
2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to
make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the
period covered by this report;
3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material
respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined
in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f)
and 15d-15(f)) for the registrant and have:
a. Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our
supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to
us by others within those entities, particularly during the period in which this report is being prepared;
b. Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under
our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial
statements for external purposes in accordance with generally accepted accounting principles;
c. Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions
about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such
evaluation; and
d. Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s
most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is
reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting,
to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
a. All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are
reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
b. Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s
internal control over financial reporting.
Date: March 24, 2022
By:
/s/ Luca Scavo
Luca Scavo
Chief Financial Officer, Senior Vice President and
Treasurer
(Principal Financial Officer)
CERTIFICATION PURSUANT TO
18 U.S.C. SECTION 1350, AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002
Exhibit 32.1
I, Balkrishan (Simba) Gill, Ph.D., President and Chief Executive Officer of Evelo Biosciences, Inc. (the “Company”), hereby certify, pursuant to
18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that, to the best of my knowledge:
(1) the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2021 (the “Report”) fully complies with the requirements
of Sections 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and
(2) the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the
Company.
Date: March 24, 2022
By:
/s/ Balkrishan (Simba) Gill, Ph.D.
Balkrishan (Simba) Gill, Ph.D.
President and Chief Executive Officer
(Principal Executive Officer)
CERTIFICATION PURSUANT TO
18 U.S.C. SECTION 1350, AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002
Exhibit 32.2
I, Luca Scavo, Chief Financial Officer, Senior Vice President and Treasurer of Evelo Biosciences, Inc. (the “Company”), hereby certify,
pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that, to the best of my knowledge:
(1) the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2021 (the “Report”) fully complies with the requirements
of Sections 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and
(2) the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the
Company.
Date: March 24, 2022
By:
/s/ Luca Scavo
Luca Scavo
Chief Financial Officer, Senior Vice President and
Treasurer
(Principal Financial Officer)