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Mirati Therapeutics

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FY2018 Annual Report · Mirati Therapeutics
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2018 Annual Report

 
 
 
 
 
 
 
 
 
Dear Shareholders:

Mirati has achieved a distinction that is relatively rare among small oncology

companies. We begin 2019 with two clinical stage programs, each with the potential to

address large subsets of patients with difficult-to-treat cancers. Both programs employ

precision medicine to directly target either the drivers of tumor growth or the

suppressors of tumor immune response.

Oncology drug development is a daunting task. Breakthroughs in cancer research are

infrequent and most cancer professionals don’t have the opportunity to progress a novel

therapy from discovery to patients. We are extremely excited to have two such

breakthroughs with our sitravatinib and MRTX849 development programs -

breakthroughs that could soon provide meaningful new therapies for cancer patients

with limited treatment options. We are very proud of and thankful to our highly

experienced research team whose breakthroughs have overcome significant scientific

challenges and given us the opportunity to be best in class.

Sitravatinib is positioned to treat the large and growing population of patients with

cancers that are refractory to checkpoint inhibitor therapy. Our Phase 2 clinical trial of

sitravatinib plus nivolumab in checkpoint refractory non-small cell lung cancer (NSCLC)

demonstrated promising clinical data and we expect to initiate a Phase 3 pivotal trial in

this setting in the second quarter of this year. There are few treatment options for

patients with checkpoint refractory cancers and we are proud to be one of the leaders in

this field.

Our KRAS program was initiated in 2014 to tackle a formidable challenge: directly

inhibiting this well-known but previously undruggable mutation that is the most common

driver mutation in NSCLC, colorectal cancer, and several other tumor types. In January

2019, we announced the initiation of a Phase 1/2 trial of our clinical candidate,

MRTX849, a potent and selective inhibitor of KRAS G12C. We expect to report

preliminary clinical data in the second half of 2019. A targeted treatment for KRAS

G12C mutations would be transformational for patients.

Our success in advancing these programs is a testament to the dedication, focus and

sense of urgency that our team applies to every challenge. I would like to highlight a few

of the many accomplishments from the KRAS G12C research program:

(cid:221) Mirati chemists and collaborators designed and evaluated over 1,500 novel

covalent inhibitors of KRAS G12C;

(cid:221) More than 150 co-crystal structures were produced to optimize binding to the

KRAS protein;

(cid:221) 30+ cell lines and 25+ animal models of KRAS G12C-driven cancer were

employed to evaluate the preclinical effectiveness of KRAS G12C inhibitors;

(cid:221) Following the selection of MRTX849 as the clinical candidate in November 2017,

the team completed all pre-IND activities in less than 10 months – a task that

typically takes twice as long.

Before closing, I would like to acknowledge everyone involved in Mirati’s evolving story:

our employees, clinical investigators, and our development partners. These

relationships resulted in a highly productive 2018 and will provide us with the

opportunity to continue our upward trajectory in 2019. And to you, our shareholders, we

express our deep appreciation for your support of the Company and the contribution

you made that led to a year full of accomplishments. Your support has been essential

to Mirati’s growth as we have evolved into a late-stage biotech company bringing us

closer to developing potentially life-changing oncology treatments. Most importantly, we

thank all of the cancer patients and their families for participation in our clinical trials.

Without you none of our progress would be possible.

Regards,

Charles M. Baum, M.D., Ph.D.

President and Chief Executive Officer

Mirati Therapeutics, Inc.

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

FORM 10-K

(Mark one)
È ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE

ACT OF 1934.

‘ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES

EXCHANGE ACT OF 1934.

For the fiscal year ended December 31, 2018;
or

For the transition period from

to
Commission file number: 1-15803

MIRATI THERAPEUTICS, INC.

(Exact Name of Registrant as Specified in Its Charter)

Delaware
(State or other jurisdiction of
incorporation or organization)

9393 Towne Centre Drive Suite 200,
San Diego, California
(Address of principal executive offices)

46-2693615
(IRS Employer
Identification No.)

92121
(Zip Code)

Registrant’s telephone number: (858) 332-3410
Securities registered pursuant to Section 12(b) of the Act:

Title of Each Class

Name of Each Exchange on Which Registered

Common Stock, Par value $0.001 per share

The NASDAQ Stock Market LLC

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 È No ‘
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes ‘ No È
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 such filing requirements for the past 90 days. Yes È 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 during the preceding 12 months (or for such shorter period that the registrant was required to submit such
files). Yes È No ‘
Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be
contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this
Form 10-K or any amendment to this Form 10-K. ‘
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting
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 È
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 financing accounting standards provided pursuant to Section 13(a) of the Exchange Act. ‘
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes ‘ No È

The aggregate market value of common stock held by non-affiliates (based on the closing price on the last business day of the
registrant’s most recently completed second fiscal quarter as reported on the NASDAQ Global Select Market) was $1,189 million. All
executive officers and directors of the registrant and certain shareholders filing a Schedule 13D or Schedule 13G with the Securities and
Exchange Commission in respect to registrant’s common stock have been deemed, solely for the purpose of the foregoing calculation, to be
“affiliates” of the registrant.

As of February 22, 2019, the registrant had 35,267,601 shares of common stock outstanding.
DOCUMENTS INCORPORATED BY REFERENCE

Certain information required to be disclosed in Part III of this report is incorporated by reference from the registrant’s definitive Proxy
Statement for the 2019 Annual Meeting of Stockholders, which will be held on May 15, 2019 and which proxy statement will be filed not
later than 120 days after the end of the fiscal year covered by this report.

[THIS PAGE INTENTIONALLY LEFT BLANK]

Table of Contents

PART I

Item 1.

Business

Item 1A. Risk Factors

Item 1B. Unresolved Staff Comments

Item 2.

Item 3.

Item 4.

Properties

Legal Proceedings

Mine Safety Disclosures

PART II

Item 5.

Item 6.

Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity
Securities
Selected Consolidated Financial Data

Item 7.
Item 7A. Quantitative and Qualitative Disclosures About Market Risk

Management’s Discussion and Analysis of Financial Condition and Results of Operations

Item 8.

Item 9.

Financial Statements and Supplementary Data

Changes in and Disagreements With Accountants on Accounting and Financial Disclosure

Item 9A. Controls and Procedures

Item 9B. Other Information

Item 10. Directors, Executive Officers and Corporate Governance

Item 11.

Executive Compensation

PART III

Item 12.

Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

Item 13.

Certain Relationships and Related Transactions, and Director Independence

Item 14.

Principal Accountant Fees and Services

Item 15.

Exhibits and Financial Statement Schedules

Item 16.

Form 10-K Summary

SIGNATURES

PART IV

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1

 
Forward-Looking Statements

PART I

This Annual Report on Form 10-K (the "Annual Report") may contain “forward-looking statements” within the meaning 
of the federal securities laws made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. 
Our actual results could differ materially from those anticipated in these forward-looking statements as a result of various factors, 
including those set forth under Part I, Item 1A, “Risk Factors” in this Annual Report. Except as required by law, we assume no 
obligation to update these forward-looking statements, whether as a result of new information, future events or otherwise. These 
statements, which represent our current expectations or beliefs concerning various future events, may contain words such as “may,” 
“will,”  “expect,”  “anticipate,”  “intend,”  “plan,”  “believe,”  “estimate”  or  other  words  indicating  future  results,  though  not  all 
forward-looking statements necessarily contain these identifying words. Such statements may include, but are not limited to, 
statements concerning the following:

·                   the initiation, cost, timing, progress and results of our research and development activities, preclinical studies and 

future clinical trials;

·                   our ability to obtain and maintain regulatory approval for our product candidates, and any related restrictions, 

limitations, and/or warnings in the label of any approved product candidate;

·                   our ability to obtain funding for our operations;

·                   our plans to research, develop and commercialize our product candidates;

·                   our strategic partners’ decisions relating to development and commercialization of product candidates;

·                   our ability to attract collaborators with development, regulatory and commercialization expertise;

·                   our ability to obtain and maintain intellectual property protection for our product candidates;

·                   the size and growth potential of the markets for our product candidates, and our ability to serve those markets;

·                   our ability to successfully commercialize our product candidates;

·                   the rate and degree of market acceptance of our product candidates;

·                   our ability to develop sales and marketing capabilities, whether alone or with potential future collaborators;

·                   regulatory developments in the United States and foreign countries;

·                   the performance of our third-party suppliers and manufacturers;

·                   the success of competing therapies that are or become available;

·                   the loss of key scientific or management personnel; and

·                   our future financial results, capital requirements and need for additional financing.

References  in  this Annual  Report  on  Form 10-K  to  "we",  "our",  "us",  "Mirati"  or  "the  Company"  refer  to  Mirati 

Therapeutics, Inc. and its subsidiaries.

2

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
Item 1.     Business

Overview

BUSINESS

Mirati Therapeutics, Inc. is a clinical-stage oncology company developing product candidates to address the genetic and 
immunological promoters of cancer. Our precision oncology clinical programs utilize genomic testing to identify and select cancer 
patients who we believe would be most likely to benefit from targeted treatment. In immuno-oncology, we are advancing a clinical 
program where our product candidate has the potential to improve the immune environment of tumor cells and enhance and expand 
the efficacy of existing cancer immunotherapy medicines when given in combination. Our KRAS inhibitor program is focused 
on developing novel inhibitors of KRAS mutations and includes one clinical candidate and a preclinical program. We also have 
additional preclinical programs which include potentially first-in-class and best-in-class product candidates specifically designed 
to address mutations and tumors where few treatment options exist. We approach each of our discovery and development programs 
with a singular focus: to translate our deep understanding of the molecular drivers of cancer into better therapies and better outcomes 
for patients.

Our clinical and preclinical programs are summarized in the chart below and consist of two product candidates: sitravatinib, 
a multi-kinase inhibitor and MRTX849, a KRAS G12C inhibitor. We have several early discovery programs, including a preclinical 
program for a KRAS G12D inhibitor.

Indication

Preclinical

Phase 1/1b

Phase 2

Phase 3

Current Status

Immuno-oncology
Sitravatinib +
checkpoint inhibitor

NSCLC

Bladder

MOA Trials
RCC

BeiGene
Sitravatinib +
Tislelizumab (anti-PD-1)

NSCLC, RCC,
HCC, Gastric,
Ovarian, other

Targeted Single Agent
CBL mutations

NSCLC
Melanoma

Targeted Single Agent
MRTX849
G12C mutations

NSCLC
CRC

Targeted Single Agent
G12D mutations

CRC, NSCLC,
Pancreatic

Sitravatinib
Oral Multi Kinase
Inhibitor

KRAS
Oral KRAS
Inhibitors

Phase 3 Expected to be Initiated
1H 2019

Phase 2 Initiated
September 2018

Mechanism of Action Trials Initiated
September 2018

BeiGene-led Trials Initiated
November 2018

Ongoing Phase 1b Focused on CBL
in NSCLC and Melanoma

1st Patient Enrolled
January 2019

Clinical Candidate
Identification Underway

NSCLC = non-small cell lung cancer; CRC = colorectal cancer; RCC = renal cell cancer; HCC = hepatocellular cancer; IND = Investigational New Drug application; Tislelizumab (BeiGene’s anti PD-1)
MOA = Mechanism of Action

Sitravatinib 

Sitravatinib is a spectrum-selective kinase inhibitor designed to potently inhibit receptor tyrosine kinases (“RTK”s), 
including  TAM  family  receptors  (TYRO3,  Axl,  Mer),  split  family  receptors  (VEGFR2,  KIT)  and  RET.  Sitravatinib  is  an 
investigational agent that is being evaluated both in combination with an immune checkpoint inhibitor and as a single agent.  

Sitravatinib in Combination with Immune Checkpoint Inhibitors 

Background

Sitravatinib's potent inhibition of TAM and split family RTKs may overcome resistance to checkpoint inhibitor therapy 
through targeted reversal of an immunosuppressive tumor microenvironment, enhancing antigen-specific T cell response and 
expanding dendritic cell-dependent antigen presentation.

As an immuno-oncology agent, sitravatinib is being evaluated in combination with nivolumab (OPDIVO®), Bristol-
Myers  Squibb  Company’s  (“BMS”)  anti-PD-1  checkpoint  inhibitor,  in  patients  who  have  experienced  documented  disease 
progression following treatment with a checkpoint inhibitor. Sitravatinib is also being developed in certain Asian territories in 
collaboration  with  BeiGene,  Ltd.  ("BeiGene")  who  are  evaluating  sitravatinib  in  combination  with  tislelizumab,  BeiGene's 
investigational  anti-PD-1  checkpoint  inhibitor  in  a  number  of  advanced  solid  tumors. We  are  pursuing  U.S.  Food  and  Drug 

3

 
 
 
 
 
Administration ("FDA") approval of sitravatinib in combination with immune checkpoint inhibitors for the treatment of non-small 
cell lung cancer ("NSCLC") and to leverage proof of concept data in additional solid tumors that are expected to be generated 
under the BeiGene collaboration to further expand the potential market opportunity for sitravatinib.   

Program Update

In an ongoing Phase 2 clinical trial, we are evaluating sitravatinib in combination with nivolumab in patients with NSCLC 
who have experienced documented disease progression following prior treatment with a checkpoint inhibitor.  On October 22, 
2018, we reported data from this clinical trial at the 2018 European Society of Medical Oncology Congress ("ESMO"), based on 
a data cutoff date of August 27, 2018. A summary of these data, with response confirmations updated after the data cutoff date, is 
presented below: 

• 

• 

• 

• 

56 patients were evaluable for response with at least one radiographic scan. Patients had a median of two lines of previous 
therapy;

45 of 56 evaluable patients demonstrated tumor reductions; 18 of whom demonstrated tumor reductions greater than 
30%;

11 of 56 evaluable patients achieved a confirmed Partial Response ("PR") or Complete Response;

26 of 56 evaluable patients remained on treatment at the time of data cut-off including eight responding patients;

•  A preliminary Kaplan-Meier estimate of median duration of response was greater than nine months, with six responding 

patients treated for more than six months and two responding patients treated for more than 12 months; and

•  The combination has shown an acceptable toxicity profile, and most adverse events reported by investigators were Grade 

1 or 2.

We held an end of Phase 2 meeting with the FDA in the third quarter of 2018 with respect to the development of sitravatinib 
in combination with a checkpoint inhibitor in NSCLC. Based on feedback received from the FDA, we plan to initiate a Phase 3 
randomized clinical trial in the first half of 2019 in second-line NSCLC patients.  The Phase 3 clinical trial will compare the 
combination of sitravatinib plus nivolumab to docetaxel in patients whose tumors have progressed on prior checkpoint inhibitor 
therapy. Ultimately, we believe the results of this clinical trial will enable a new drug application (“NDA”) submission for the 
treatment  of  NSCLC  patients  whose  tumors  have  progressed  following  treatment  with  a  platinum-containing  regimen  and  a 
checkpoint inhibitor.  This Phase 3 clinical trial will include an interim analysis of objective response rates (which we expect to 
complete by the end of 2020) as a surrogate endpoint to serve as the basis for a potential NDA submission seeking accelerated 
approval in the United States.  The primary endpoint of the final analysis for the Phase 3 clinical trial (which we expect to complete 
by the end of 2021) will be overall survival. 

On January 7, 2019, we announced a clinical collaboration with BMS in connection with the planned Phase 3 clinical 
trial.  Under the terms of the collaboration, Mirati will sponsor and fund the clinical trial and BMS will provide nivolumab at no 
cost.  In certain specified cases, BMS will have an exclusive right to negotiate a commercial agreement with us for a limited period 
of time with respect to developing and commercializing sitravatinib worldwide excluding certain territories in Asia, Australia and 
New Zealand.  We maintain global development and commercial rights to sitravatinib outside of certain Asian territories, where 
we have partnered with BeiGene, and we are free to develop the program in combination with other agents.

During the third quarter of 2018, we initiated an open label Phase 2 clinical trial of sitravatinib combined with 

nivolumab in patients with advanced or metastatic urothelial carcinoma who previously failed treatment with an immune 
checkpoint inhibitor.  We expect to receive initial data from this clinical trial in the second half of 2019.

During the third quarter of 2018, we also initiated an open label Phase 2 window of opportunity clinical trial to assess 
the mechanism of action of sitravatinib combined with nivolumab in patients with advanced clear cell renal cell cancer ("RCC"). 
We expect to receive initial data from this clinical trial in the first half of 2019.

Sitravatinib as a Single Agent

Background

Sitravatinib is also being evaluated as a single agent in a Phase 1b expansion clinical trial in patients with NSCLC and 

other tumor types who have genetic alterations in Casitas B-lineage Lymphoma ("CBL"). 

Program update

On October 21, 2018, we reported data from this Phase 1b clinical trial in a presentation at ESMO. The presentation 
provided an update from the pre-planned expansion cohort of the Phase 1b clinical trial of single agent sitravatinib in patients with 

4

 
 
 
 
 
 
CBL inactivating mutations. CBL mutations are present in 1.5% of NSCLC tumors, 3.5% of melanoma tumors, and 2% of cancers 
of unknown origin. As of the data cut-off on September 4, 2018, eight patients were evaluable: 

• 

• 

• 

In the subset of evaluable NSCLC patients (n=2), one confirmed PR was observed, and one patient experienced stable 
disease with significant tumor regression; 

In the subset of evaluable melanoma patients (n=2), one confirmed PR was observed, and one patient had stable disease; 
and

In the subset of evaluable patients with other solid tumors (n=4), two had stable disease and two had progression of 
disease.

Enrollment continues in this Phase 1b expansion clinical trial with an emphasis on patients with CBL inactivating mutations 
in NSCLC and melanoma. We expect to provide a clinical update in the second half of 2019 and to define a potential registration 
pathway based on updated data at that time.  

Interim clinical data from the ongoing Phase 1b expansion clinical trial was also presented in a poster at the American 
Society  of  Clinical  Oncology  ("ASCO") Annual  Meeting  held  June  1  -  5,  2018  in  Chicago,  Illinois. The  presentation,  titled 
"Evaluation of the spectrum selective RTK inhibitor sitravatinib in RCC refractory to anti-angiogenic therapy" reported data from 
patients with RCC treated with single agent sitravatinib. Confirmed partial responses were reported in 20% of patients (4 of 20) 
with advanced, metastatic RCC who were refractory to prior treatment. 

Sitravatinib Development in Collaboration with BeiGene, Ltd.

In January 2018, we entered into a Collaboration and License Agreement (the “BeiGene Agreement”) with BeiGene, 
pursuant  to  which  we  and  BeiGene  agreed  to  collaboratively  develop  sitravatinib  in Asia  (excluding  Japan  and  certain  other 
countries), Australia and New Zealand (the “Licensed Territory”). Under the BeiGene Agreement, we granted BeiGene an exclusive 
license to develop, manufacture and commercialize sitravatinib in the Licensed Territory, and we retained exclusive rights for the 
development, manufacturing and commercialization of sitravatinib outside the Licensed Territory. All of our revenue during 2018
was earned under the BeiGene Agreement. 

In November 2018, we announced the dosing of the first patient under the BeiGene Agreement in a Phase 1b clinical 
trial to assess  the safety and tolerability, pharmacokinetics and preliminary anti-tumor activity of sitravatinib in combination 
with BeiGene's investigational  anti-PD-1  antibody,  tislelizumab,  in  patients  with  advanced  solid  tumors.  The  clinical  trial  is 
currently  enrolling  patients  in China and Australia.  BeiGene's  clinical  trials  will  evaluate  the  combination  of  sitravatinib  and 
tislelizumab in patients with NSCLC, RCC, hepatocellular cancer, gastric cancer and ovarian cancer. We expect to receive initial 
proof of concept data from these clinical trials in the second half of 2019 and the first half of 2020.

KRAS Inhibitor Program

Background

The RAS family of genes is the most commonly mutated oncogene and mutations in this gene family comprise up to 
25% of all human cancers. Among the RAS family members, mutations most frequently occur in KRAS (85% of all RAS family 
mutations). Tumors characterized by KRAS mutations are commonly associated with poor prognosis and resistance to therapy.  
Nonclinical studies have demonstrated that cancer cells exhibiting KRAS mutations are highly dependent on KRAS function for 
cell growth and survival. Historically, KRAS has been extremely difficult to directly inhibit due to the absence of a tractable small 
molecule  drug  binding  site.  Our  KRAS  inhibitor  program  is  focused  on  the  discovery  and  development  of  small  molecule 
compounds that target KRAS G12C and G12D. We intend to pursue development of our KRAS G12C inhibitor program in both 
single agent and rational combination approaches to maximize the potential market opportunity.  

Program Update

Our lead KRAS G12C compound, MRTX849, is an investigational, specific, potent and orally available small molecule.  
MRTX849  is  designed  to  directly  inhibit  KRAS  G12C  mutations  which  are  present  in  approximately  14%  of  NSCLC 
adenocarcinoma patients, 4% of colorectal cancer (“CRC”) patients, as well as smaller percentages of several other difficult-to-
treat cancers. Single agent treatment with MRTX849 has shown complete regression in a subset of KRAS G12C-positive human 
tumor models implanted in mice. We received FDA authorization of our Investigational New Drug Application for MRTX849 in 
November 2018, and on January 15, 2019, we announced that we had dosed the first patient in the dose escalation phase of a phase 
1/2 clinical trial in patients with advanced solid tumors that harbor G12C mutations. This trial is designed to enable rapid expansion 
of the single agent cohorts and could potentially serve as the basis of an NDA filing for accelerated approval by the FDA. This 
trial also enables exploratory combination cohorts. Following single agent dose escalation, we plan to expand into cohorts that 
include patients with NSCLC, CRC and those with other tumors that carry the G12C mutation. We expect to report early clinical 
results in the second half of 2019. We also intend to expand our KRAS inhibitor program to target G12D mutations and expect to 
identify a clinical candidate targeting G12D mutations by the fourth quarter of 2019.

5

 
 
 
 
 
 
Mocetinostat

Mocetinostat is an investigational, oral, Class 1 and IV selective histone deacetylase inhibitor that was evaluated in a 
Phase 2 clinical trial combining mocetinostat with durvalumab (IMFINZI®) in NSCLC patients who experienced documented 
disease progression following prior treatment with an immune checkpoint inhibitor. In November 2018, we reported our strategic 
portfolio decision to deprioritize the mocetinostat program. We are currently exploring licensing opportunities for mocetinostat.

Market and Competition

Market

Non-Small Cell Lung Cancer

The National Cancer Institute estimates that in 2018, approximately 234,000 patients in the United States ("U.S.") were 
diagnosed with lung cancer and 154,000 died due to the disease.  Lung cancer represents over 13% of all new cancer cases in the 
U.S., and 25% of all cancer deaths. Approximately 85% of lung cancers are NSCLC.  The five-year survival rate for lung cancer 
patients is 19%, indicating a significant need for novel therapies to extend overall survival in this patient population.

Immuno-oncology Combinations

The prognosis for advanced NSCLC is poor, and the primary objective of treating late-stage disease is to prolong overall 
survival, delay disease progression and control symptoms. The treatment algorithm for advanced NSCLC has changed significantly 
following recent approvals and label expansions of immuno-oncology agents, specifically immune checkpoint inhibitors.  In 2015, 
the FDA approved OPDIVO®, an anti-PD-1 monoclonal antibody, and the first immuno-oncology agent approved for the treatment 
of squamous NSCLC.  The approval of OPDIVO® in NSCLC was subsequently followed by FDA approval of three additional 
immuno-oncology agents in NSCLC, KEYTRUDA®, TECENTRIQ®, and IMFINZI®.  These four agents, approved for multiple 
indications including NSCLC, accounted for over $10 billion in global sales in 2017.  The immune checkpoint inhibitor market 
is projected to grow to $46 billion by 2023 (Source: Decision Resources).

Despite the advances in patient outcomes demonstrated by approved immuno-oncology therapies in NSCLC, a significant 
patient need remains.  The percentage of patients who respond to approved immuno-oncology treatments is quite low, and of the 
patients that respond, the majority will still experience disease progression.  We believe that combinations of checkpoint inhibitors 
with other agents like sitravatinib have the potential to improve efficacy outcomes and overcome resistance to checkpoint inhibitor 
therapy through complementary mechanisms. 

Targeted Agents

NSCLC represents a heterogeneous patient population with diverse tumor histology and underlying genomic aberrations. 
Genetic alterations consisting of CBL mutations account for up to 1.5% of NSCLC patient cases (plus 3.5% of melanoma and 2% 
of cancers of unknown primary origin) annually in the U.S. KRAS G12C driver mutations occur in approximately 14% of NSCLC 
adenocarcinoma patients and 5% of colorectal cancer patients.

The  clinical  and  commercial  success  of  leading  targeted  agents  across  multiple  indications,  including  NSCLC, 
demonstrates the potential of new targeted treatments for cancer. The following table lists global sales figures for selected small 
molecule kinase inhibitors in NSCLC and other indications.

2017 Worldwide Retail Sales Figures of Selected Small Molecule Kinase Inhibitors

Brand Name

Tarceva®
TAFINLAR® + MEKINIST®
XALKORI®
TAGRISSO®
ALECENSA®

_____________________
(1)Source: Evaluate Pharma.

6

2017 Worldwide 
Sales(1) (in millions)

$

$

$
$

$

856

873

594
955

367

 
 
 
 
 
 
Competition

Sitravatinib in Combination with Immune Checkpoint Inhibitors

There are several immune checkpoint inhibitors currently approved for use as single agents to treat multiple tumor types, 
including NSCLC.  To augment the efficacy of these agents, combination studies are being conducted with a variety of potentially 
synergistic mechanisms, including  inhibitors of  CTLA-4, LAG3,  and  CSF-1R.    Most  of  these combination studies  are  being 
conducted in patients who are naïve to immune checkpoint inhibitor therapy. A competitor whose agent is being evaluated in 
combination  with  checkpoint  inhibitors  in  NSCLC  patients  that  are  naïve  to  immune  checkpoint  inhibitor  therapy  is  Nektar 
Therapeutics (CD-122 agonist).  Competitors whose agents are being evaluated in combination with checkpoint inhibitors in 
NSCLC patients who failed previous immune checkpoint inhibitor therapy include Corvus Pharmaceuticals, Inc. (Adenosine A2Ar 
inhibitor), BMS (GITR inhibitor and LAG3 inhibitor) and Syndax, Inc. (HDAC inhibitor). Direct mechanistic competitors to 
sitravatinib in immunotherapy include CABOMETYX® (Exelixis, Inc.) and LENVIMA® (Eisai Co., Ltd.), both anti-VEGF agents 
that  also  inhibit  other  receptor  tyrosine  kinases.  We  expect  that  additional  agents  and  mechanisms  will  be  evaluated  in 
immunotherapy  combinations,  and  we  will  continue  to  monitor  these  competitors  in  relation  to  our  own  immunotherapy 
combination programs.

Sitravatinib as a Targeted Agent

A large number of multi-targeted kinase inhibitors are currently commercially available or in clinical trials, with many 
more in the early research stage. Biotechnology and pharmaceutical companies are also developing monoclonal antibodies to 
inhibit kinase targets and their ligands. We are not aware of any other companies with programs that specifically target patients 
with CBL alterations. 

KRAS G12C

We are aware of one company with a competing clinical-stage direct KRAS G12C inhibitor program: Amgen, Inc. It is 
likely that other companies are also researching KRAS G12C inhibitors.  In November 2017, our first patent application covering 
our KRAS G12C inhibitor program was published. We will continue to monitor scientific and patent publications for the emergence 
of other potential competitors.

Oncology

In addition to companies that have kinase inhibitors addressing our targets of interest, our competition also includes 
hundreds  of  private  and  publicly  traded  companies  that  operate  in  the  area  of  oncology  but  have  therapeutics  with  different 
mechanisms of action.  The oncology market in general is highly competitive, with over 1,000 molecules currently in clinical 
development. Other important competitors, in addition to those mentioned above, are small and large biotechnology companies, 
including, but not limited to, Amgen, Inc. and Gilead Sciences, Inc., and specialty and regional pharmaceutical companies and 
multinational  pharmaceutical  companies,  including  but  not  limited  to Astellas  Pharma  Inc., AstraZeneca  plc,  Bayer-Schering 
Pharmaceutical,  Boehringer  Ingelheim  AG,  BMS,  Eisai  Co.  Ltd.,  Eli  Lilly  and  Company,  F.  Hoffmann-  LaRoche  Ltd., 
GlaxoSmithKline plc, Johnson & Johnson, Merck & Co., Inc., Novartis AG, Pfizer, Inc., and Takeda Pharmaceutical Co.

Many companies have filed, and continue to file, patent applications which may or could affect our program if and when 
they issue, either because they protect a product that may compete with our product candidates, or because they protect intellectual 
property rights that are necessary for us to develop and commercialize our product candidates. These companies include, but are 
not limited to: Amgen Inc., Astellas Pharma Inc., AstraZeneca plc, Exelixis, Inc., Johnson & Johnson, Novartis AG and Pfizer, 
Inc. Since this area is competitive and of strong interest to pharmaceutical and biotechnology companies, we expect that these and 
other companies will continue to publish and file patent applications in this space in the future, as well as pursuing research and 
development programs in this area. We continue to monitor these and other companies in order to be aware of any third-party 
products and/or intellectual property rights relevant to our product candidates.

Intellectual Property

Our goal is to obtain, maintain and enforce patent protection wherever appropriate for our product candidates, formulations, 
processes, methods and any other proprietary technologies both in the United States and in other countries. We typically file for 
patents in the United States with counterparts in certain countries in Europe and certain key market countries in the rest of the 
world, thereby covering the major pharmaceutical markets. As of December 31, 2018, we own or co-own U.S. patents and patent 
applications and their foreign counterparts, including 28 issued U.S. patents as reflected in the following table:

7

 
 
 
 
 
 
Description
Sitravatinib and other kinase inhibitor compounds
Mocetinostat and other HDAC inhibitors
KRAS inhibitors
Total

Manufacturing

Granted
11
16
1
28

Pending
0
0
11
11

Expiration
2026-2029
2022-2035
2036-2039

We do not own or operate manufacturing facilities for the production of any of our product candidates, nor do we plan 
to develop our own manufacturing operations in the foreseeable future. We currently depend on third-party contract manufacturers 
for all of our required raw materials and finished products for our preclinical and clinical trials.

Manufacturers of our products are required to comply with applicable FDA manufacturing requirements contained in the 
FDA's  Current  Good  Manufacturing  Practices  (“cGMP”)  regulations.  cGMP  regulations  require,  among  other  things,  quality 
control  and  quality  assurance,  as  well  as  corresponding  maintenance  of  records  and  documentation.  Pharmaceutical  product 
manufacturers and other entities involved in the manufacture and distribution of approved pharmaceutical products 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 cGMP and other laws. Accordingly, manufacturers must continue to expend 
time, money, and effort in the area of production and quality control to maintain cGMP compliance. Discovery of problems with 
a product after approval may result in restrictions on a product, manufacturer or holder of an NDA, including withdrawal of the 
product from the market. In addition, changes to the manufacturing process generally require prior FDA approval before being 
implemented.

Government Regulation

The Regulatory Process for Drug Development

The production and manufacture of our product candidates and our research and development activities are subject to 
regulation by various governmental authorities around the world. In the United States, drug products are subject to regulation by 
the FDA. There are other comparable agencies in Europe and other parts of the world. Regulations govern, among other things, 
the research, development, testing, manufacture, quality control, approval, labeling, packaging, storage, record-keeping, promotion, 
advertising,  distribution,  post-approval  monitoring  and  reporting,  marketing  and  export  and  import  of  products. Applicable 
legislation requires licensing of manufacturing and contract research facilities, carefully controlled research and testing of products, 
and governmental review and/or approval of results prior to marketing therapeutic products. Additionally, adherence to good 
laboratory  practices  (“GLP”)  and  good  clinical  practices  (“GCP”)  during  nonclinical  and  clinical  testing  and  cGMP  during 
production is required.

U.S. Pharmaceutical Product Development Process

In the United States, the FDA regulates pharmaceutical products under the Federal Food, Drug and Cosmetic Act and 
implementing regulations. Pharmaceutical products are also subject to other federal, state and local statutes and regulations. The 
process of obtaining regulatory approvals and the subsequent compliance with appropriate federal, state, local and foreign statutes 
and regulations require the expenditure of substantial time and financial resources. Failure to comply with the applicable U.S. 
requirements at any time during the product development process, approval process or after approval, may subject an applicant 
to administrative or judicial sanctions. FDA sanctions could include refusal to approve pending applications, withdrawal of an 
approval, a clinical hold, warning letters, product recalls, product seizures, total or partial suspension of production or distribution 
injunctions, fines, refusals of government contracts, restitution, disgorgement or civil or criminal penalties. Any agency or judicial 
enforcement action could have a material adverse effect on us.

The process required by the FDA before a pharmaceutical product may be marketed in the United States generally includes 

the following:

• 

• 

• 

completion of preclinical laboratory tests, animal studies and formulation studies in compliance with good laboratory 
practice, or GLP, regulations;

submission to the FDA of an IND, which must become effective before human clinical trials may begin;

performance of adequate and well-controlled human clinical trials in accordance with GCP standards and regulations to 
establish the safety and efficacy of the proposed drug for each indication; 

• 

submission to the FDA of an NDA;

8

• 

satisfactory completion of an FDA inspection of the manufacturing facility or facilities at which the product is produced 
to assess compliance with cGMP requirements and to assure that the facilities, methods and controls are adequate to 
preserve the drug’s identity, strength, quality and purity; and 

• 

FDA review and approval of the NDA.

The FDA monitors the progress of trials conducted in the U.S. under an IND and may, at its discretion, re-evaluate, alter, 
suspend or terminate testing based on the data accumulated to that point and the FDA’s risk/benefit assessment with regard to the 
patients enrolled in the trial. The FDA may also place a hold on one or more clinical trials conducted under an IND for a drug if 
it deems warranted. Furthermore, even after regulatory approval of an NDA is obtained, under certain circumstances, such as later 
discovery of previously unknown problems, the FDA can withdraw approval or subject the drug to additional restrictions.

Preclinical Studies:   Preclinical studies include laboratory evaluations of product chemistry, toxicity and formulation, 
as well as animal studies to evaluate efficacy and activity, toxic effects, pharmacokinetics and metabolism of the pharmaceutical 
product candidate and to provide evidence of the safety, bioavailability and activity of the pharmaceutical product candidate in 
animals. Most of these studies must be performed according to GLP.

Clinical Trials:    Clinical trials involve the administration of the pharmaceutical product candidate to healthy volunteers 
or patients under the supervision of qualified investigators, generally physicians not employed by the sponsor. Clinical trials must 
be conducted in accordance with the FDA's GCP requirements. Further, each clinical trial must be reviewed and approved by an 
independent institutional review board (“IRB”), or ethics committee at or servicing each institution at which the clinical trial will 
be conducted. An IRB or ethics committee is charged with protecting the welfare and rights of trial participants and considers 
such items as whether the risks to individuals participating in the clinical trials are minimized and are reasonable in relation to 
anticipated benefits. The IRB or ethics committee also approves the informed consent form that must be provided to each clinical 
trial subject or his or her legal representative and must monitor the clinical trial until completed.

Clinical trials in the U.S. typically are conducted in sequential phases: Phases 1, 2, 3 and post-approval clinical trials, 
sometimes referred to as Phase 4 clinical trials. The phases may overlap. The FDA may require that we suspend clinical trials at 
any time on various grounds.

Phase 1 Clinical Trials:    Phase 1 clinical trials are generally conducted on a small number of healthy human subjects to 
evaluate the drug's activity, schedule and dose, absorption, metabolism, distribution, excretion and other drug effects. However, 
in the case of life-threatening diseases, such as cancer, the initial Phase 1 testing may be done in patients with the disease. These 
trials typically take longer to complete and may provide insights into drug activity. Follow-on Phase 1b clinical trials may also 
evaluate efficacy with respect to trial participants.

Phase 2 Clinical Trials:    Phase 2 clinical trials are carried out on a relatively small number of patients (generally up to 
several hundred) in a specific indication. The pharmaceutical product is evaluated to preliminarily assess efficacy, to identify 
possible adverse effects and safety risks, and to determine optimal dose, regimens, pharmacokinetics, pharmacodynamics and 
dose response relationships. Multiple Phase 2 clinical trials may be conducted to obtain information prior to beginning Phase 3 
clinical trials.

Phase 3 Clinical Trials:    Phase 3 clinical trials involve tests on a much larger population of patients (several hundred to 
several thousand patients) suffering from the targeted condition or disease. These trials are undertaken to confirm proof of concept 
and further evaluate dosage, clinical efficacy and safety and are intended to establish the overall risk/benefit ratio of the product 
and provide an adequate basis for product labeling. Generally, two adequate and well-controlled Phase 3 clinical trials are required 
by the FDA for approval of an NDA or foreign authorities for approval of marketing applications.

Post-Approval Clinical Trials:    Phase 4 clinical trials or other post-approval commitments may be conducted after initial 
marketing approval. These studies are used to gain additional experience from the treatment of patients in the intended therapeutic 
indication and may be required by the FDA as a condition of approval. 

Progress reports detailing the results of the clinical trial 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 adverse events or for any finding 
from tests in laboratory animals that suggests a significant risk for human subjects. Phase 1, Phase 2 and Phase 3 clinical trials 
may not be completed successfully within any specified period, if at all. The FDA or the sponsor or, if used, its data safety and 
monitoring board may suspend a clinical trial at any time on various grounds, including a finding that the research subjects or 
patients are being exposed to an unacceptable health risk. Similarly, an IRB or ethics committee can suspend or terminate approval 
of a clinical trial at its institution if the clinical trial is not being conducted in accordance with the IRB's or ethics committee's 
requirements or if the pharmaceutical product has been associated with unexpected serious harm to patients.

9

Concurrent with clinical trials, companies usually complete additional animal studies and must also develop additional 
information  about  the  chemistry  and  physical  characteristics  of  the  pharmaceutical  product,  as  well  as  finalize  a  process  for 
manufacturing the product in commercial quantities in accordance with GMP requirements. The manufacturing process must be 
capable of consistently producing quality batches of the pharmaceutical product candidate and, among other things, must develop 
methods for testing the identity, strength, quality and purity of the final pharmaceutical product. Additionally, appropriate packaging 
must be selected and tested, and stability studies must be conducted to demonstrate that the pharmaceutical product candidate 
does not undergo unacceptable deterioration over its shelf life.

U.S. Pharmaceutical Review and Approval Process

Upon completion of pivotal Phase 3 clinical studies, the sponsor assembles all the product development, preclinical and 
clinical data along with descriptions of the manufacturing process, analytical tests conducted on the chemistry of the pharmaceutical 
product, proposed labeling and other relevant information, and submits it to the FDA as part of an NDA. If accepted by the FDA 
as substantially complete to permit substantive review, the submission or application is then reviewed for approval to market the 
product. This process takes eight months to one year to complete, but in some cases may take longer. At the end of the review 
period the FDA may issue a Complete Response Letter, refusing to approve an NDA if the applicable regulatory criteria are not 
satisfied or requiring additional clinical data or other data and information. Even if such data and information is submitted, the 
FDA may ultimately decide that the NDA does not satisfy the criteria for approval. If a product receives regulatory approval, the 
approval may be significantly limited to specific diseases and dosages or the indications for use may otherwise be limited, which 
could  restrict  the  commercial  value  of  the  product.  Further,  the  FDA  may  require  that  certain  contraindications,  warnings  or 
precautions be included in the product labeling.

Accelerated Approval

Accelerated Approval is a program that is intended to make promising products for life threatening diseases available on 
the basis of evidence of effect on a surrogate endpoint that is reasonably likely to predict clinical benefit, taking into account the 
severity, rarity or prevalence of the condition and the availability or lack of alternative treatments. Approvals of this kind typically 
include requirements for appropriate post-approval Phase 4 clinical trials to validate the surrogate endpoint or otherwise confirm 
the effect of the clinical endpoint.

Post-Approval Requirements

Any pharmaceutical products for which we receive FDA approvals are subject to continuing regulation by the FDA, 
including, among other things, record-keeping requirements, reporting of adverse experiences with the product, providing the 
FDA  with  updated  safety  and  efficacy  information,  product  sampling  and  distribution  requirements,  complying  with  certain 
electronic records and signature requirements and complying with FDA promotion and advertising requirements, which include, 
among others, standards for direct-to-consumer advertising, promoting pharmaceutical products for uses or in patient populations 
that are not described in the pharmaceutical product's approved labeling (known as "off-label use"), industry-sponsored scientific 
and educational activities and promotional activities involving the internet. Failure to comply with FDA requirements can have 
negative  consequences,  including  adverse  publicity,  enforcement  letters  from  the  FDA,  mandated  corrective  advertising  or 
communications with doctors and civil or criminal penalties.

The FDA also may require post-marketing testing, known as Phase 4 testing, risk evaluation and mitigation strategies 
and surveillance to monitor the effects of an approved product or place conditions on an approval that could restrict the distribution 
or use of the product.

FDA Regulation of Companion Diagnostics

As part of our clinical development plans, we are exploring the use of companion diagnostics to identify patients most 
likely to respond to our product candidates. Companion diagnostics are classified as medical devices under the Federal Food, 
Drug, and Cosmetic Act in the United States. In the United States, the FDA regulates the medical device design and development, 
preclinical and clinical testing, premarket clearance or approval, registration and listing, manufacturing, labeling, storage, reporting, 
recordkeeping, advertising and promotion, export and import, sales and distribution, and post-market surveillance of medical 
devices. Unless an exemption applies, companion diagnostics require marketing clearance or approval from the FDA prior to 
commercial distribution. The two primary types of FDA marketing authorization applicable to a medical device are premarket 
notification, also called 510(k) clearance, and premarket approval ("PMA").

The FDA previously has required in vitro companion diagnostics intended to select the patients who will respond to the 
cancer treatment to obtain a PMA simultaneously with approval of the drug. Based on the draft guidance, and the FDA's past 
treatment of companion diagnostics, we believe that the FDA will require a PMA for one or more companion diagnostics to identify 
patient populations suitable for our product candidates. The review of these companion diagnostics in conjunction with the review 
of our product candidates involves coordination of review by the FDA's Center for Drug Evaluation and Research and by the 
FDA's Center for Devices and Radiological Health.

10

Pharmaceutical Coverage, Pricing and Reimbursement

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 availability of coverage and adequate reimbursement from third-party payors, including 
government authorities, managed care providers, private health insurers and other organizations. In the United States, private 
health insurers and other third-party payors often provide reimbursement for products and services based on the level at which 
the government (through the Medicare or Medicaid programs) provides reimbursement for such products and services. There is 
no uniform coverage and reimbursement policy among third-party payors in the United States; however, private third-party payors 
often follow Medicare coverage policy and payment limitations in setting their own reimbursement rates. Third-party payors are 
increasingly examining the medical necessity and cost-effectiveness of medical products and services in addition to their safety 
and  efficacy  and,  accordingly,  significant  uncertainty  exists  as  to  the  coverage  and  reimbursement  status  of  newly  approved 
therapeutics. In particular, in the United States, the European Union and other potentially significant markets for our product 
candidates, government authorities and third-party payors are increasingly attempting to limit or regulate the price of medical 
products and services, particularly for new and innovative products and therapies, which often has resulted in average selling 
prices that are lower than they would otherwise be. Recently, Congress and the Trump Administration have each indicated that it 
will continue to seek new legislative and/or administrative measures to control drug costs. Further, the increased emphasis on 
managed healthcare in the United States and on country and regional pricing and reimbursement controls in the European Union 
will put additional pressure on product pricing, reimbursement and utilization, which may adversely affect our future product sales 
and  results  of  operations. These  pressures  can  arise  from  rules  and  practices  of  managed  care  groups,  judicial  decisions  and 
governmental laws and regulations related to Medicare, Medicaid and healthcare reform, pharmaceutical reimbursement policies 
and pricing in general. As a result, coverage and adequate third-party reimbursement may not be available for our product candidates 
to enable us to realize an appropriate return on our investment in research and product development.

The market for our product candidates for which we may receive regulatory approval will depend significantly on access 
to third-party payors' drug formularies, or lists of medications for which third-party payors provide coverage and reimbursement. 
The  industry  competition  to  be  included  in  such  formularies  often  leads  to  downward  pricing  pressures  on  pharmaceutical 
companies. Also, third-party payors may refuse to include a particular branded drug in their formularies or may otherwise restrict 
patient access to a branded drug when a less costly generic equivalent or other alternative is available. In addition, because each 
third-party payor individually approves coverage and reimbursement levels, obtaining coverage and adequate reimbursement is 
a time-consuming and costly process. We would be required to provide scientific and clinical support for the use of any product 
to each third-party payor separately with no assurance that approval would be obtained, and we may need to conduct expensive 
pharmacoeconomic studies in order to demonstrate the cost-effectiveness of our products. This process could delay the market 
acceptance of any of our product candidates for which we may receive approval and could have a negative effect on our future 
revenue and operating results. We cannot be certain that our product candidates will be considered cost-effective. If we are unable 
to obtain coverage and adequate payment levels for our product candidates from third-party payors, physicians may limit how 
much or under what circumstances they will prescribe or administer them and patients may decline to purchase them. This in turn 
could affect our ability to successfully commercialize our products and impact our profitability, results of operations, financial 
condition, and future success.

Foreign Regulation

In  order  to  market  any  product  outside  of  the  United  States,  we  would  need  to  comply  with  numerous  and  varying 
regulatory  requirements  of  other  countries  regarding  safety  and  efficacy  and  governing,  among  other  things,  clinical  trials, 
marketing authorization, commercial sales and distribution of our products. Whether or not we obtain FDA approval for a product, 
we would need to obtain the necessary approvals by the comparable regulatory authorities of foreign countries before we can 
commence clinical trials or marketing of the product in those countries. The approval process varies from country to country and 
can involve additional product testing and additional administrative review periods. The time required to obtain approval in other 
countries might differ from and be longer than that required to obtain FDA approval. Regulatory approval in one country does not 
ensure regulatory approval in another, but a failure or delay in obtaining regulatory approval in one country may negatively impact 
the regulatory process in others.

Other Healthcare Laws and Compliance Requirements

Several other types of state and federal laws restrict certain marketing practices in the pharmaceutical industry. These 
laws include state and federal anti-kickback, fraud and abuse, false claims, physician payment, sunshine, patient protection and 
affordable care, privacy and security laws and regulations, as well as laws and regulations regarding providing drug samples. In 
addition, there have been a number of substantial legislative and regulatory changes to the way healthcare is financed and paid 
for by both governmental and private insurers, including the Patient Protection and Affordable Care Act, as amended by the Health 
Care  and  Education  Reconciliation Act  of  2010  (collectively,  the  “ACA”).  There  has  been,  and  continues  to  be,  significant 
developments in, and continued legislative activity around the ACA and related laws. On December 14, 2018, a Texas U.S. District 
Court Judge ruled that the ACA is unconstitutional in its entirety because the “individual mandate” was repealed by Congress as 
part of the Tax Cuts and Jobs Act of 2017. While the Texas U.S. District Court Judge, as well as the Trump administration and 
11

 
 
Centers for Medicare & Medicaid Services, have stated that the ruling will have no immediate effect pending appeal of the decision, 
it is unclear how this decision, subsequent appeals, and other efforts to repeal and replace the ACA will impact the ACA.

We may in the future be subject to the Foreign Corrupt Practices Act of 1997 (“FCPA”). The FCPA and other similar 
anti-bribery laws in other jurisdictions, such as the U.K. Bribery Act, generally prohibit companies and their intermediaries from 
providing money or anything of value to officials of foreign governments, foreign political parties, or international organizations 
with the intent to obtain or retain business or seek a business advantage. A determination that our operations or activities are not, 
or were not, in compliance with United States or foreign laws or regulations could result in the imposition of substantial fines, 
interruptions of business, loss of supplier, vendor or other third-party relationships, termination of necessary licenses and permits 
and other legal or equitable sanctions.

Other Laws

In addition to the above, we are subject to a variety of financial disclosure and securities trading regulations as a public 
company in the U.S., including laws relating to the oversight activities of the Securities and Exchange Commission ("SEC") and 
the regulations of The NASDAQ Stock Exchange, on which our shares are traded. We are also subject to various laws, regulations 
and recommendations relating to safe working conditions, laboratory practices and the experimental use of animals.

Employees

As of December 31, 2018, we had 63 employees located in our offices in San Diego, California. 44 employees are engaged 

in research and development activities and 19 are in general and administrative functions. 

Corporate Information

We were incorporated under the laws of the State of Delaware on April 29, 2013 as Mirati Therapeutics, Inc.  Our website 
address is www.mirati.com. Our website and the information contained on, or that can be accessed through, the website will not 
be deemed to be incorporated by reference in, and are not considered part of, this Annual Report on Form 10 K. Our Annual 
Reports  on  Form  10 K,  Quarterly  Reports  on  Form  10 Q,  Current  Reports  on  Form  8 K  and  amendments  to  reports  filed  or 
furnished pursuant to Section 13(a) and 15(d) of the Securities Exchange Act of 1934, as amended, are available free of charge 
on the Investors portion of our web site at www.mirati.com as soon as reasonably practical after we electronically file such material 
with, or furnish it to, the SEC.

12

Item 1A.     Risk Factors

RISK FACTORS 

Except for the historical information contained herein, this Annual Report on Form 10-K and the information incorporated 
by reference herein contains forward-looking statements that involve risks and uncertainties. These statements include projections 
about our accounting and finances, plans and objectives for the future, future operating and economic performance and other 
statements regarding future performance. These statements are not guarantees of future performance or events. Our actual results 
may differ materially from those discussed here. Factors that could cause or contribute to such differences are described in the 
following  section  as  well  as  those  discussed  in  Part II,  Item 7  entitled  "Management's  Discussion  and Analysis  of  Financial 
Condition and Results of Operations," and elsewhere throughout this report and in any other documents incorporated by reference 
herein. There may be additional risks that we do not presently know of or that we currently believe are immaterial which could 
also impair our business and financial position. We disclaim any obligation to update any forward-looking statement.

Risks Relating to Our Financial Position and Capital Requirements

We will require additional financing and may be unable to raise sufficient capital, which could lead us to delay, reduce 

or abandon development programs or commercialization.

Our operations have consumed substantial amounts of cash since inception. Our research and development expenses 
were $93.9 million, $58.1 million, and $68.5 million for the years ended December 31, 2018, 2017 and 2016, respectively. We 
will  require  substantial  additional  capital  to  pursue  additional  clinical  development  for  our  lead  clinical  programs,  including 
conducting late-stage clinical trials, manufacturing clinical supplies and potentially developing other assets in our pipeline, and, 
if we are successful, to commercialize any of our current product candidates. If the U.S. Food and Drug Administration ("FDA") 
or any foreign regulatory agency, such as the European Medicines Agency ("EMA") requires that we perform studies or trials in 
addition to those that we currently anticipate with respect to the development of our product candidates, or repeat studies or trials, 
our expenses would further increase beyond what we currently expect. We may not be able to adequately finance our development 
programs, which could limit our ability to move our programs forward in a timely and satisfactory manner or require us to abandon 
the programs, any of which would harm our business, financial condition and results of operations. Because successful development 
of  our  product  candidates  is  uncertain,  we  are  unable  to  estimate  the  actual  funds  we  will  require  to  complete  research  and 
development and commercialize our product candidates.

If we are unable to obtain funding from equity offerings or debt financings on a timely basis, we may be required to 
(1) seek additional collaborators for one or more of our product candidates at an earlier stage than otherwise would be desirable 
or on terms that are less favorable than might otherwise be available; (2) relinquish or license on unfavorable terms our rights to 
technologies or product candidates that we otherwise would seek to develop or commercialize ourselves; or (3) significantly curtail 
one or more of our research or development programs or cease operations altogether.

We are a clinical-stage company with no approved products and no historical product revenue. Consequently, we 

expect that our financial and operating results will vary significantly from period to period.

We are a clinical-stage company that has incurred losses since its inception and expect to continue to incur substantial 
losses  in  the  foreseeable  future.  Biopharmaceutical  product  development  is  a  highly  speculative  undertaking  and  involves  a 
substantial degree of uncertainty.

Our actual financial condition and operating results have varied significantly in the past and are expected to continue to 
fluctuate significantly from quarter-to-quarter or year-to-year due to a variety of factors, many of which are beyond our control. 
Factors relating to our business that may contribute to these fluctuations include:

• 

• 

• 

• 

• 

the success of our clinical trials through all phases of clinical development;

delays in the commencement, enrollment and timing of clinical trials;

our  ability  to  secure  and  maintain  collaborations,  licensing  or  other  arrangements  for  the  future  development  and/or 
commercialization of our product candidates, as well as the terms of those arrangements;

our ability to obtain, as well as the timeliness of obtaining, additional funding to develop our product candidates;

the results of clinical trials or marketing applications for product candidates that may compete with our product candidates;

13

 
 
 
 
 
• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

competition from existing products or new products that may receive marketing approval;

potential side effects of our product candidates that could delay or prevent approval or cause an approved drug to be taken 
off the market;

any delays in regulatory review and approval of our clinical development plans or product candidates;

our ability to identify and develop additional product candidates;

the ability of patients or healthcare providers to obtain coverage or sufficient reimbursement for our products;

our ability, and the ability of third parties such as Clinical Research Organizations ("CROs") to adhere to clinical study 
and other regulatory requirements;

the ability of third-party manufacturers to manufacture our product candidates and key ingredients needed to conduct 
clinical trials and, if approved, successfully commercialize our products;

the costs to us, and our ability as well as the ability of any third-party collaborators, to obtain, maintain and protect our 
intellectual property rights;

costs related to and outcomes of potential intellectual property litigation;

our ability to adequately support future growth;

our ability to attract and retain key personnel to manage our business effectively; and

our ability to build our finance infrastructure and, to the extent required, improve our accounting systems and controls.

Accordingly, the likelihood of our success must be evaluated in light of many potential challenges and variables associated 
with a clinical-stage company, many of which are outside of our control, and past operating or financial results should not be relied 
on as an indication of future results. Fluctuations in our operating and financial results could cause our share price to decline. It 
is possible that in some future periods, our operating results will be above or below the expectations of securities analysts or 
investors, which could also cause our share price to decline.

We have incurred significant losses since our inception and anticipate that we will continue to incur significant losses 

for the foreseeable future. We have never generated any revenue from product sales and may never be profitable.

We have derived limited revenue from our research, collaboration and licensing agreements which has not been sufficient 
to  cover  the  substantial  expenses  we  have  incurred  in  our  efforts  to  develop  our  product  candidates.  Consequently,  we  have 
accumulated net losses since inception in 1995. Our net loss for the years ended December 31, 2018, 2017, and 2016 were $98.4 
million, $70.4 million, and $83.1 million respectively. As of December 31, 2018, we had an accumulated deficit of $559.0 million. 
Our prior losses, combined with expected future losses, have had and will continue to have an adverse effect on our stockholders' 
equity and working capital. Such losses are expected to increase in the future as we continue the development of our product 
candidates and seek regulatory approval and commercialization for our product candidates. We are unable to predict the extent of 
any future losses or when we will become profitable, if ever. Even if we do achieve profitability, we may not be able to sustain or 
increase profitability on an ongoing basis.

We do not anticipate generating revenue from sales of products for the foreseeable future, if ever. If any of our product 
candidates fail in clinical trials or do not gain regulatory approval, or if any of our product candidates, if approved, fail to achieve 
market acceptance, we may never become profitable. If one or more of our product candidates is approved for commercial sale 
and we retain commercial rights, we anticipate incurring significant costs associated with commercializing any such approved 
product candidate. Therefore, even if we are able to generate revenue from the sale of any approved product, we may never become 
profitable. Even if we achieve profitability in the future, we may not be able to sustain profitability in subsequent periods. Our 
ability to generate future revenue from product sales depends heavily on our success in:

• 

• 

completing development and clinical trial programs for our product candidates;

maintaining existing collaboration and licensing agreements and entering into additional ones;

14

 
 
• 

• 

• 

• 

seeking and obtaining marketing approvals for any product candidates that successfully complete clinical trials;

establishing and maintaining supply and manufacturing relationships with third parties;

successfully commercializing any product candidates for which marketing approval is obtained; and

successfully establishing a sales force and marketing and distribution infrastructure.

Raising  additional  funds  through  debt  or  equity  financing  will  be  dilutive  and  raising  funds  through  licensing 

agreements may be dilutive, restrict operations or relinquish proprietary rights.

To the extent that additional capital is raised through the sale of equity or convertible debt securities, the issuance of those 
securities could result in substantial dilution for our current stockholders and the terms may include liquidation or other preferences 
that adversely affect the rights of our current stockholders. Existing stockholders may not agree with our financing plans or the 
terms of such financings. Moreover, the incurrence of debt financing could result in a substantial portion of our operating cash 
flow being dedicated to the payment of principal and interest on such indebtedness and could impose restrictions on our operations. 
In addition, if we raise additional funds through future collaboration and licensing arrangements, it may be necessary to relinquish 
potentially valuable rights to our products or proprietary technologies, or to grant licenses on terms that are not favorable to us. 
Additional funding may not be available to us on acceptable terms, or at all.

As a public company in the United States, we incur significant legal and financial compliance costs and we are subject 
to the Sarbanes-Oxley Act. We can provide no assurance that we will, at all times, in the future be able to report that our internal 
controls over financial reporting are effective.

Companies  that  file  reports  with  the  Securities  and  Exchange  Commission  ("SEC"),  including  us,  are  subject  to  the 
requirements of Section 404 of the Sarbanes-Oxley Act of 2002. Section 404 requires management to establish and maintain a 
system of internal control over financial reporting, and annual reports on Form 10-K filed under the Securities Exchange Act of 
1934, as amended ("the Exchange Act"), must contain a report from management assessing the effectiveness of a company’s 
internal control over financial reporting. Ensuring that we have adequate internal financial and accounting controls and procedures 
in place to produce accurate financial statements on a timely basis remains a costly and time-consuming effort that needs to be 
re-evaluated frequently. Failure on our part to have effective internal financial and accounting controls would cause our financial 
reporting to be unreliable, could have a material adverse effect on our business, operating results, and financial condition, and 
could cause our stock price to decline as a result.

If we cannot conclude that we have effective internal control over our financial reporting, or if our independent 
registered public accounting firm is unable to provide an unqualified opinion regarding the effectiveness of our internal control 
over financial reporting, investors could lose confidence in the reliability of our financial statements. Failure to comply with 
reporting requirements could also subject us to sanctions and/or investigations by the SEC, The NASDAQ Global Select 
Market or other regulatory authorities.

Furthermore, shareholder activism, the current political environment and the current high level of government intervention 
and regulatory reform may lead to substantial new regulations and disclosure obligations, which may lead to additional compliance 
costs and impact the manner in which we operate our business in ways we cannot currently anticipate. Our management and other 
personnel will need to devote a substantial amount of time to these compliance initiatives. Moreover, any new regulations or 
disclosure obligations may increase our legal and financial compliance costs and will make some activities more time-consuming 
and costly.

The timing of the milestone and royalty payments we are entitled to receive from BeiGene, Ltd. is uncertain and could 

adversely affect our cash flows and results of operations.

In January 2018 we entered into a collaboration and license agreement with BeiGene, Ltd. (“BeiGene”) (the “BeiGene 
Agreement”), pursuant to which we agreed to collaboratively develop sitravatinib in Asia (excluding Japan and certain other 
countries), Australia  and  New  Zealand  (the  “BeiGene  Territory”)  and  we  granted  BeiGene  an  exclusive  license  to  develop, 
manufacture and commercialize sitravatinib in the BeiGene Territory.  In addition to an up-front payment, we may be entitled to 
receive additional payments upon the achievement of certain milestones under the BeiGene Agreement.  However, the receipt of 
these payments is inherently uncertain. The receipt of milestone payments under the BeiGene Agreement can have a significant 
impact on our cash flows and results of operations for the periods of time in which such payments are made. While receipt of 
milestone and royalty payments would result in significant income, the absence of collaboration revenues in subsequent quarters 
could result in significant reductions in net income and could cause our stock price to drop.

15

 
 
 
U.S. federal income tax reform bill could adversely affect our business and financial condition.

On December 22, 2017, U.S. federal income tax legislation was signed into law (H.R. 1, “An Act to provide for 

reconciliation pursuant to titles II and V of the concurrent resolution on the budget for fiscal year 2018”, informally titled the 
Tax Cuts and Jobs Act, or the Tax Act) that significantly revises the Internal Revenue Code of 1986, as amended.  The Tax Act, 
among other things, contains significant changes to corporate taxation, including reduction of the corporate tax rate from a top 
marginal rate of 35% to a flat rate of 21%, repeal of the alternative minimum tax for corporations, limitation of the tax 
deduction for interest expense to 30% of adjusted earnings (except for certain small businesses), limitation of the deduction for 
net operating losses to 80% of current year taxable income and elimination of net operating loss carrybacks, one time taxation 
of offshore earnings at reduced rates regardless of whether they are repatriated, elimination of U.S. tax on foreign earnings 
(subject to certain important exceptions), immediate deductions for certain new investments instead of deductions for 
depreciation expense over time, and modifying or repealing many business deductions and credits.  Notwithstanding the 
reduction in the corporate income tax rate, the overall impact of the Tax Act is uncertain and our business and financial 
condition could be adversely affected.  In addition, it is uncertain if and to what extent various states will conform to the Tax 
Act.  The impact of the Tax Act on holders of our common stock is also uncertain and could be adverse.

Our ability to use our U.S. net operating loss carryforwards and certain other tax attributes may be limited.

Our U.S. net operating loss, or NOL, carryforwards generated in tax years ending on or prior to December 31, 2017, are 
only permitted to be carried forward for 20 years under applicable U.S. tax law. Under the Tax Act, our federal NOLs generated 
in tax years ending after December 31, 2017, may be carried forward indefinitely, but the deductibility of such federal NOLs 
generated in tax years beginning after December 31, 2017, is limited. It is uncertain if and to what extent various states will conform 
to the Tax Act. In addition, under Sections 382 and 383 of the Internal Revenue Code of 1986, as amended, and corresponding 
provisions of state law, if a corporation undergoes an “ownership change,” which is generally defined as a greater than 50% change, 
by value, in its equity ownership over a three-year period, the corporation’s ability to use its pre-change NOL carryforwards and 
other pre-change U.S. tax attributes (such as research tax credits) to offset its post-change income or taxes may be limited. We 
believe we have experienced at least one ownership change based on past financing transactions and may experience ownership 
changes in the future as a result of subsequent shifts in our stock ownership. 

As a result, our pre-2018 NOL carryforwards may expire prior to being used, and our NOL carryforwards generated in 
2018 and thereafter will be subject to a percentage limitation.  In addition, it is possible that we have in the past undergone, and 
in the future may undergo, additional ownership changes that could limit our ability to use all of our pre-change NOLs and other 
pre-change tax attributes (such as research tax credits) to offset our post-change income or taxes. Similar provisions of state tax 
law may also apply to limit our use of accumulated state tax attributes. In addition, at the state level, there may be periods during 
which the use of NOLs is suspended or otherwise limited, which could accelerate or permanently increase state taxes owed. As a 
result, we may be unable to use all or a material portion of our NOLs and other tax attributes, which could adversely affect our 
future cash flows.

Risks Relating to Our Business and Industry

Our research and development programs and product candidates are at an early stage of development. As a result, we 

are unable to predict if or when we will successfully develop or commercialize our product candidates.

Our clinical-stage product candidates as well as our other pipeline assets are at an early stage of development and will 
require significant further investment and regulatory approvals prior to commercialization. We currently have no product candidates 
beyond Phase 2 clinical trials. Sitravatinib is in Phase 1b single agent and Phase 2 combination clinical trials, MRTX849 is in a 
Phase 1/2 clinical trial and we have a KRAS inhibitor preclinical program. Each of our product candidates will require the selection 
of suitable patients for our clinical trials and additional clinical development, management of clinical, preclinical and manufacturing 
activities,  obtaining  regulatory  approval,  obtaining  manufacturing  supply,  building  of  a  commercial  organization,  substantial 
investment and significant marketing efforts before we generate any revenues from product sales. We are not permitted to market 
or promote any of our product candidates before we receive regulatory approval from the FDA or comparable foreign regulatory 
authorities, and we may never receive such regulatory approval for any of our product candidates. The treatment of cancer is a 
rapidly evolving field and will continue to evolve.  By such time, if ever, as we may receive necessary regulatory approvals for 
our product candidates, the standard of care for the treatment of cancers may have evolved such that it would be necessary to 
modify our plans for full approval and commercial acceptance of our products may be limited by a change in the standard of care. 
In addition, some of our product development programs contemplate the development of companion diagnostics. Companion 
diagnostics are subject to regulation as medical devices and we or our future collaborators may be required to obtain marketing 
approval for accompanying companion diagnostics before we may commercialize our product candidates.

16

 
 
Even if we obtain the required financing or establish a collaboration to enable us to conduct late-stage clinical development 
of our product candidates and pipeline assets, we cannot be certain that such clinical development would be successful, or that 
we will obtain regulatory approval or be able to successfully commercialize any of our product candidates and generate revenue. 
Success in preclinical testing and early clinical trials does not ensure that later clinical trials will be successful, and the clinical 
trial process may fail to demonstrate that our product candidates are safe and effective for their proposed uses. Any such failure 
could cause us to abandon further development of any one or more of our product candidates and may delay development of other 
product candidates. Product candidates in later stages of clinical trials may fail to show the desired safety and efficacy traits despite 
having progressed through preclinical studies and initial clinical trials. Any delay in, or termination of, our clinical trials will delay 
and  possibly  preclude  the  submission  of  any  new  drug  applications  ("NDAs")  with  the  FDA  and,  ultimately,  our  ability  to 
commercialize our product candidates and generate product revenue.

We have not previously submitted an NDA to the FDA, or similar drug approval filings to comparable foreign authorities, 
for any product candidate, and we cannot be certain that any of our product candidates will receive regulatory approval. Further, 
our product candidates may not receive regulatory approval even if they are successful in clinical trials. If we do not receive 
regulatory approvals for our product candidates, we may not be able to continue our operations. Even if we successfully obtain 
regulatory approvals to market one or more of our product candidates, our revenues will be dependent, in part, upon our or our 
collaborators' and future collaborators’ ability to obtain regulatory approval for the companion diagnostics to be used with our 
product candidates, if required, and upon the size of the markets in the territories for which we gain regulatory approval and have 
commercial rights. If the markets for patient subsets that we are targeting are not as significant as we estimate, we may not generate 
significant revenues from sales of such products, if approved.

All of our product candidates are subject to extensive regulation, which can be costly and time consuming, cause delays 

or prevent approval of such product candidates for commercialization.

The clinical development of product candidates is subject to extensive regulation by the FDA in the United States and by 
comparable regulatory authorities in foreign markets. Product development is a very lengthy and expensive process, and its outcome 
is inherently uncertain. The product development timeline can vary significantly based upon the product candidate’s novelty and 
complexity. Regulations are subject to change and regulatory agencies have significant discretion in the approval process.

Numerous statutes and regulations govern human testing and the manufacture and sale of human therapeutic products in 
the United States, Europe and other countries and regions where we intend to market our products. Such legislation and regulation 
bears upon, among other things, the approval of trial protocols and human testing, the approval of manufacturing facilities, safety 
of the product candidates, testing procedures and controlled research, review and approval of manufacturing, preclinical and 
clinical data prior to marketing approval including adherence to good manufacturing practices ("GMP") during production and 
storage as well as regulation of marketing activities including advertising and labeling.

In order to obtain regulatory approval for the commercial sale of any of our product candidates, we must demonstrate 
through preclinical studies and clinical trials that the potential product is safe and effective for use in humans for each target 
indication. The failure to adequately demonstrate the safety and efficacy of a product under development could delay or prevent 
regulatory approval of our product candidates.

No assurance can be given that current regulations relating to regulatory approval will not change or become more stringent 
in the United States or foreign markets. Regulatory agencies may also require that additional trials be run in order to provide 
additional information regarding the safety or efficacy of any drug candidates for which we seek regulatory approval. Moreover, 
any regulatory approval of a drug which is eventually obtained may entail limitations on the indicated uses for which that drug 
may be marketed. Furthermore, product approvals may be withdrawn or limited in some way if problems occur following initial 
marketing or if compliance with regulatory standards is not maintained. Regulatory agencies could become more risk averse to 
any side effects or set higher standards of safety and efficacy prior to reviewing or approving a product. This could result in a 
product not being approved. Any of the foregoing scenarios could materially harm the commercial prospects for our product 
candidates.

The failure to maintain the BeiGene Agreement or the failure of BeiGene to perform its obligations under the BeiGene 

Agreement, could negatively impact our business.

Pursuant to the terms of the BeiGene Agreement, we granted to BeiGene an exclusive license to develop, manufacture 
and commercialize sitravatinib in the BeiGene Territory. Consequently, our ability to generate any revenues from sitravatinib in 
the BeiGene Territory depends on our ability to maintain our collaboration with BeiGene. We have limited control over the amount 
and timing of resources that BeiGene will dedicate to these efforts.

17

We are subject to a number of other risks associated with our dependence on the BeiGene Agreement with respect to 

sitravatinib in the BeiGene Territory, including:

•  BeiGene may not comply with applicable regulatory guidelines with respect to developing, manufacturing or 

commercializing sitravatinib, which could adversely impact sales or future development of sitravatinib in the BeiGene 
Territory or elsewhere;

•  We and BeiGene could disagree as to future development plans and BeiGene may delay, fail to commence or stop 

future clinical trials or other development;

•  There may be disputes between us and BeiGene, including disagreements regarding the BeiGene Agreement, that may 
result in (1) the delay of or failure to achieve developmental, regulatory and commercial objectives that would result in 
milestone or royalty payments, (2) the delay or termination of any future development or commercialization of 
sitravatinib in the BeiGene Territory, and/or (3) costly litigation or arbitration that diverts our management’s attention 
and resources;

•  BeiGene may not provide us with timely and accurate information regarding development, sales and marketing 

activities or supply forecasts, which could adversely impact our ability to comply with our obligations to BeiGene and 
manage our own inventory of sitravatinib, as well as our ability to generate accurate financial forecasts;

•  Business combinations or significant changes in BeiGene’ business strategy may adversely affect BeiGene’ ability or 

willingness to perform its obligations under the BeiGene Agreement; and

•  BeiGene may not properly defend our intellectual property rights, or may use our proprietary information in such a way 

as to invite litigation that could jeopardize or invalidate our intellectual property rights or expose us to potential 
litigation.

The BeiGene Agreement is also subject to early termination, including through BeiGene’s right to terminate without cause 
upon advance notice to us. If the agreement is terminated early, we may not be able to find another collaborator for the further 
development and commercialization of sitravatinib in the BeiGene Territory on acceptable terms, or at all, and we may be unable 
to pursue continued development and commercialization of sitravatinib in the BeiGene Territory on our own.

We may not be successful in establishing development and commercialization collaborations which could adversely 

affect, and potentially prohibit, our ability to develop our product candidates.

Developing pharmaceutical products, conducting clinical trials, obtaining regulatory approval, establishing manufacturing 
capabilities and marketing approved products is expensive, and therefore we may seek to enter into additional collaborations with 
companies that have more resources and experience in order to continue to develop and commercialize our product candidates. 
We also may be required due to financial or scientific constraints to enter into additional collaboration agreements to research and/
or to develop and commercialize our product candidates. The establishment and realization of such collaborations may not be 
possible or may be problematic. There can be no assurance that we will be able to establish such additional collaborations on 
favorable terms, if at all, or that our current or future collaborative arrangements will be successful or maintained for any specific 
product candidate or indication. If we are unable to reach successful agreements with suitable collaboration partners for the ongoing 
development and commercialization of our product candidates, we may face increased costs, we may be forced to limit the scope 
and number of our product candidates we can commercially develop or the territories in which we commercialize such product 
candidates, and we may be unable to commercialize products or programs for which a suitable collaboration partner cannot be 
found. If we fail to achieve successful collaborations, our operating results and financial condition will be materially and adversely 
affected.

In addition, the terms of any collaboration agreements may place restrictions on our activities with respect to other products, 
including by limiting our ability to grant licenses or develop products with other third parties, or in different indications, diseases 
or geographical locations, or may place additional obligations on us with respect to development or commercialization of our 
product candidates. If we fail to comply with or breach any provision of a collaboration agreement, a collaborator may have the 
right to terminate, in whole or in part, such agreement or to seek damages.

Some of our collaboration agreements, including the BeiGene Agreement, are complex and involve sharing or division 
of ownership of certain data, know-how and intellectual property rights among the various parties. Accordingly, our collaborators 
could interpret certain provisions differently than we or our other collaborators which could lead to unexpected or inadvertent 
18

 
disputes  with  collaborators.  In  addition,  these  agreements  might  make  additional  collaborations,  partnering  or  mergers  and 
acquisitions difficult.

There is no assurance that a collaborator who is acquired by a third party would not attempt to change certain contract 
provisions that could negatively affect our collaboration. The acquiring company may also not accept the terms or assignment of 
our contracts and may seek to terminate the agreements. Any one of our collaborators could breach covenants, restrictions and/or 
sub-license agreement provisions leading us into disputes and potential breaches of our agreements with other partners.

If we or third parties are unable to successfully develop companion diagnostics for our product candidates, or experience 
significant delays in doing so, we may not achieve marketing approval or realize the full commercial potential of such product 
candidates.

A key part of our development strategy for our product candidates is to identify subsets of patients with specific types of 
tumors that express specific genetic markers. Identification of these patients will require the use and development of companion 
diagnostics. The FDA generally will either require approval or clearance of the diagnostic at the same time the FDA approves the 
therapeutic product, or as a post-marketing commitment at the time of the therapeutic product's approval. We do not have experience 
or capabilities in developing or commercializing diagnostics and plan to rely in large part on third parties to perform these functions. 
We do not currently have any long-term arrangements in place with any third party to develop or commercialize companion 
diagnostics for our product candidates.

Companion diagnostics are subject to regulation by the FDA and comparable foreign regulatory authorities as medical 
devices  and  will  likely  require  separate  regulatory  approval  prior  to  commercialization.  If  we  or  third  parties  are  unable  to 
successfully develop companion diagnostics for our product candidates, or experience delays in doing so:

• 

• 

• 

the development of these product candidates may be delayed because it may be difficult to identify patients for enrollment 
in our clinical trials in a timely manner;

these product candidates may not receive marketing approval if their safe and effective use depends on a companion 
diagnostic; and

we may not realize the full commercial potential of these product candidates that receive marketing approval if, among 
other reasons, we are unable to appropriately identify patients or types of tumors with the specific genetic alterations 
targeted by these product candidates.

Even  if  our  product  candidates  and  any  associated  companion  diagnostics  are  approved  for  marketing,  the  need  for 
companion diagnostics may slow or limit adoption of our product candidates. Although we believe genetic testing is becoming 
more prevalent in the diagnosis and treatment of cancer, our product candidates may be perceived negatively compared to alternative 
treatments that do not require the use of companion diagnostics, either due to the additional cost of the companion diagnostic or 
the need to complete additional procedures to identify genetic markers prior to administering our product candidates.

If any of these events were to occur, our business and growth prospects would be harmed, possibly materially.

We  rely  upon  third-party  contractors  and  service  providers  for  the  execution  of  some  aspects  of  our  development 
programs. Failure of these collaborators to provide services of a suitable quality and within acceptable timeframes may cause 
the delay or failure of our development programs.

We  outsource  certain  functions,  tests  and  services  to  CROs,  medical  institutions  and  collaborators  and  outsource 
manufacturing to collaborators and/or contract manufacturers, and we rely on third parties for quality assurance, clinical monitoring, 
clinical data management and regulatory expertise. In particular, we rely on CROs to run our clinical trials on our behalf and 
contract manufacturers to manufacture our product candidates. There is no assurance that such individuals or organizations will 
be able to provide the functions, tests, drug supply or services as agreed upon or to acceptable quality standards, and we could 
suffer significant delays in the development of our products or processes.

In some cases, there may be only one or few providers of such services, including manufacturing services. In addition, 
the cost of such services could increase significantly over time. We rely on third parties as mentioned above to enroll qualified 
patients and conduct, supervise and monitor our clinical trials. Our reliance on these third parties and collaborators for clinical 
development activities reduces our control over these activities, but does not relieve us of our regulatory responsibilities, including 
ensuring that our clinical trials are conducted in accordance with good clinical practices ("GCP") regulations and the investigational 
plan and protocols contained in the regulatory agency applications. In addition, these third parties may not complete activities on 
19

schedule or may not manufacture compounds under GMP conditions. Preclinical studies may not be performed or completed in 
accordance with good laboratory practices, or GLP, regulatory requirements or our trial design. If we or our CROs fail to comply 
with  GCP  regulations,  the  clinical  data  generated  in  our  clinical  trials  may  be  deemed  unreliable  and  the  FDA,  the  EMA  or 
comparable foreign regulatory authorities may require us to perform additional clinical trials before approving any marketing 
applications. If these third parties or collaborators do not successfully carry out their contractual duties or meet expected deadlines, 
obtaining regulatory approval for manufacturing and commercialization of our product candidates may be delayed or prevented. 
We rely substantially on third-party data managers for our clinical trial data. There is no assurance that these third parties will not 
make errors in the design, management or retention of our data or data systems. There is no assurance that these third parties will 
pass FDA or regulatory audits, which could delay or prohibit regulatory approval.

Our CROs may also have relationships with other commercial entities, including our competitors, for whom they may 
also be conducting clinical trials or other product development activities, which could harm our competitive position. If any of 
our relationships with these third-party CROs terminate, we may not be able to enter into arrangements with alternative CROs or 
to do so on commercially reasonable terms. Further, switching or adding additional CROs involves additional cost and requires 
management time and attention. In addition, there is a natural transition period when a new CRO commences work. As a result, 
delays may occur, which could materially impact our ability to meet our desired clinical development timelines. Though we 
carefully manage our relationships with our CROs, there can be no assurance that we will not encounter challenges or delays in 
the future or that these delays or challenges will not have a material adverse impact on our business, financial condition and 
prospects.

The timelines of our clinical trials may be impacted by numerous factors and any delays may adversely affect our ability 

to execute our current business strategy.

Clinical testing is expensive, difficult to design and implement, can take many years to complete, and is uncertain as to 
outcome. We may experience delays in clinical trials at any stage of development and testing of our product candidates. Our 
planned clinical trials may not begin on time, have an effective design, enroll a sufficient number of subjects, or be completed on 
schedule, if at all.

Events which may result in a delay or unsuccessful completion of clinical trials include:

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

inability to raise funding necessary to initiate or continue a trial;

delays in obtaining regulatory approval to commence a trial;

delays in reaching agreement with the FDA on final trial design;

imposition of a clinical hold following an inspection of our clinical trial operations or trial sites by the FDA or other 
regulatory authorities;

delays in reaching agreement on acceptable terms with prospective CROs and clinical trial sites;

delays in obtaining required institutional review board approval at each site;

delays in having subjects complete participation in a trial or return for post-treatment follow-up;

delays caused by subjects dropping out of a trial due to side effects or otherwise;

clinical sites dropping out of a trial to the detriment of enrollment;

time required to add new clinical sites; and

delays by our contract manufacturers to produce and deliver a sufficient supply of clinical trial materials.

Furthermore, enrollment may depend on the availability of suitable companion diagnostics to identify genetic markers 

we are targeting and the capability and willingness of clinical sites to conduct genetic screening of potential patients.

If initiation or completion of any of our clinical trials for our product candidates are delayed for any of the above reasons 
or for other reasons, our development costs may increase, our approval process could be delayed, any periods after commercial 
launch and before expiration of patent protection may be reduced and our competitors may have more time to bring products to 
20

market before we do. Any of these events could impair the commercial potential of our product candidates and could have a 
material adverse effect on our business.

If we experience delays or difficulties in the enrollment of patients in clinical trials, those clinical trials could take 

longer than expected to complete and our receipt of necessary regulatory approvals could be delayed or prevented.

We may not be able to initiate or complete 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. In particular, because we are focused on patients with 
specific genetic alterations in some of our trials, our pool of suitable patients may be smaller and more selective and our ability 
to enroll a sufficient number of suitable patients may be limited or take longer than anticipated. In addition, some of our 
competitors have ongoing clinical trials for product candidates that treat the same indications, including NSCLC, where we are 
studying sitravatinib in combination with checkpoint inhibitors, or target the same genetic alterations as our product candidates. 
Therefore, patients who would otherwise be eligible for our clinical trials may instead enroll in clinical trials of our 
competitors’ product candidates.

Patient enrollment for any of our clinical trials may also be affected by other factors, including without limitation:

• 

• 

• 

• 

• 

• 

• 

• 

• 

the severity of the disease under investigation

the frequency of the genetic alteration we are seeking to target in the applicable trial, and the ability to effectively 
identify such alteration;

the willingness of clinical sites and principal investigators to subject candidate patients to genetic screening;

the eligibility criteria for the study in question;

the perceived risks and benefits of the product candidate under study;

the availability, effectiveness and safety of other treatment options;

the patient referral practices of physicians;

the ability to monitor patients adequately during and after treatment; and

the proximity and availability of a sufficient number of clinical trial sites that are willing to comply with the 
requirements of our clinical protocols.

For example, due to the targeted indications and patient populations we intend to focus on for development of our product 
candidates, the number of study sites and patient populations available to us may be limited, and therefore enrollment of suitable 
patients to participate in clinical trials for these product candidates may take longer than would be the case if we were pursuing 
broader indications or patient populations. 

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 product 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 other 
comparable foreign authorities. Results of our trials could reveal a high and unacceptable severity and prevalence of side effects. 
In such an event, our trials could be suspended or terminated and the FDA or comparable foreign regulatory authorities could 
order us to cease further development of or deny approval of our product candidates for any or all targeted indications. Treatment-
related side effects could affect patient recruitment or the ability of enrolled patients to complete the trial, or result in potential 
product liability claims. Any of these occurrences may harm our business, financial condition and prospects significantly.

Additionally,  if  one  or  more  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 approvals of such product;

21

 
 
• 

• 

• 

• 

regulatory authorities may require additional warnings on the product label;

we may be required to create a medication guide outlining the risks of such side effects for distribution to patients;

we could be sued and held liable for harm caused to patients; and

our reputation may suffer.

Any  of  these  events  could  prevent  us  from  achieving  or  maintaining  market  acceptance  of  any  product  candidate,  if 

approved, and could significantly harm our business, results of operations and prospects.

We are and continue to be subject to stringent government regulations concerning the clinical testing of our products. 

We will also continue to be subject to government regulation of any product that receives regulatory approval.

Numerous statutes and regulations govern human testing and the manufacture and sale of human therapeutic products in 
the United States and other countries where we intend to market our products. Such legislation and regulation bears upon, among 
other things, the approval of trial protocols and human testing, the approval of manufacturing facilities, testing procedures and 
controlled research, the review and approval of manufacturing, preclinical and clinical data prior to marketing approval, including 
adherence to GMP during production and storage, and marketing activities including advertising and labeling.

Clinical trials may be delayed or suspended at any time by us or by the FDA or other similar regulatory authorities if it is 
determined at any time that patients may be or are being exposed to unacceptable health risks, including the risk of death, or if 
compounds are not manufactured under acceptable GMP conditions or with acceptable quality. Current regulations relating to 
regulatory approval may change or become more stringent. The agencies may also require additional trials be run in order to 
provide additional information regarding the safety, efficacy or equivalency of any product candidate for which we seek regulatory 
approval.

Moreover, any regulatory approval of a drug which is eventually obtained may entail limitations on the indicated uses for 
which that drug may be marketed or on the conditions of approval, or contain requirements for potentially costly post-marketing 
testing,  including  Phase 4  clinical  trials,  and  surveillance  to  monitor  the  safety  and  efficacy  of  the  product  candidate. These 
requirements include submissions of safety and other post-marketing information and reports, registration, as well as continued 
compliance with GMPs and GCPs for any clinical trials that we conduct post-approval. In addition, if the FDA or a comparable 
foreign regulatory authority approves any of our product candidates, the manufacturing processes, labeling, packaging, distribution, 
adverse event reporting, storage, advertising, promotion and recordkeeping for the product will be subject to extensive and ongoing 
regulatory  requirements.  For  example,  the  FDA  and  other  agencies  actively  enforce  the  laws  and  regulations  prohibiting  the 
promotion of off-label uses, and a company that is found to have improperly promoted off-label uses may be subject to significant 
liability. Furthermore, product approvals may be withdrawn or limited in some way if problems occur following initial marketing 
or if compliance with regulatory standards is not maintained. Similar restrictions are imposed in foreign markets. Regulatory 
agencies could become more risk averse to any side effects or set higher standards of safety and efficacy prior to reviewing or 
approving a product. This could result in a product not being approved.

If  we,  or  any  future  marketing  collaborators  or  contract  manufacturers,  fail  to  comply  with  applicable  regulatory 
requirements,  we  may  be  subject  to  sanctions  including  fines,  product  recalls  or  seizures  and  related  publicity  requirements, 
injunctions, total or partial suspension of production, civil penalties, suspension or withdrawals of previously granted regulatory 
approvals,  warning  or  untitled  letters,  refusal  to  approve  pending  applications  for  marketing  approval  of  new  products  or  of 
supplements to approved applications, import or export bans or restrictions, and criminal prosecution and penalties. Any of these 
penalties could delay or prevent the promotion, marketing or sale of our products and product candidates.

The FDA’s policies, and policies of comparable foreign regulatory authorities, may change and additional government 
regulations may be enacted that could prevent, limit or delay regulatory approval of our product candidates. If we are slow or 
unable to adapt to changes in existing requirements or to adopt new requirements or policies, or if we are not able to maintain 
regulatory compliance, we may lose any marketing approval that we may have obtained, which would adversely affect our business, 
prospects and ability to achieve or sustain profitability.

We have no experience in clinical or commercial manufacturing and depend on others for the production of our product 
candidates at suitable levels of quality and quantity. Any problems or delays in the manufacture of our products would have a 
negative impact on our ability to successfully execute our development and commercialization strategies.

22

We do not currently have nor do we plan to acquire the infrastructure or capability internally to manufacture our clinical 
drug supplies for use in the conduct of our clinical trials, and we lack the resources and the capability to manufacture any of our 
product candidates on a clinical or commercial scale. We rely on collaborators and/or third parties for development, scale-up, 
formulation, optimization, management of clinical trial and commercial scale manufacturing and commercialization. There are 
no  assurances  we  can  scale-up,  formulate  or  manufacture  any  product  candidate  in  sufficient  quantities  with  acceptable 
specifications for the conduct of our clinical trials or for the regulatory agencies to grant approval of such product candidate. We 
have not yet commercialized any products and have no commercial manufacturing experience. To be successful, our products 
must be properly formulated, scalable, stable and safely manufactured in clinical trial and commercial quantities in compliance 
with GMP and other regulatory requirements and at acceptable costs. Should any of our suppliers or our collaborators be unable 
to supply or be delayed in supplying us with sufficient supplies, no assurance can be given that we will be able to find alternative 
means of supply in a short period of time. Should such parties’ operations suffer a material adverse effect, the manufacturing of 
our products would also be adversely affected. Furthermore, key raw materials could become scarce or unavailable. There may 
be a limited number of third parties who can manufacture our products. We may not be able to meet specifications previously 
established for product candidates during scale-up and manufacturing.

Our reliance on third parties to manufacture our product candidates will expose us and our partners to risks including the 
following, any of which could delay or prevent the commercialization of our products, result in higher costs, or deprive us of 
potential product revenue:

• 

• 

• 

Contract  manufacturers  can  encounter  difficulties  in  achieving  the  scale-up,  optimization,  formulation,  or  volume 
production  of  a  compound  as  well  as  maintaining  quality  control  with  appropriate  quality  assurance. They  may  also 
experience shortages of qualified personnel. Contract manufacturers are required to undergo a satisfactory GMP inspection 
prior to regulatory approval and are obliged to operate in accordance with FDA, International Council for Harmonisation 
of Technical Requirements for Registration of Pharmaceuticals for Human Use ("ICH"), European and other nationally 
mandated GMP regulations and/or guidelines governing manufacturing processes, stability testing, record keeping and 
quality  standards. A  failure  of  these  contract  manufacturers  to  follow  GMP  and  to  document  their  adherence  to  such 
practices or failure of an inspection by a regulatory agency may lead to significant delays in the availability of our product 
candidate materials for clinical study, leading to delays in our trials.

For each of our current product candidates we will initially rely on a limited number of contract manufacturers. Changing 
these  or  identifying  future  manufacturers  may  be  difficult.  Changing  manufacturers  requires  re-validation  of  the 
manufacturing processes and procedures in accordance with FDA, ICH, European and other mandated GMP regulations 
and/or guidelines. Such re-validation may be costly and time-consuming. It may be difficult or impossible for us to quickly 
find replacement manufacturers on acceptable terms.

Our contract manufacturers may not perform as agreed or may not remain in the contract manufacturing business for the 
time required to produce, store and distribute our products successfully.

The successful commercialization of our product candidates, if approved, will depend on achieving market acceptance 

and we may not be able to gain sufficient acceptance to generate significant revenue.

Even if our product candidates are successfully developed and receive regulatory approval, they may not gain market 
acceptance among physicians, patients, healthcare payors such as private insurers or governments and other funding parties and 
the medical community. The degree of market acceptance for any of our products will depend on a number of factors, including:

• 

• 

• 

• 

• 

• 

demonstration of the clinical efficacy and safety of our products;

the prevalence and severity of any adverse side effects;

limitations or warnings contained in the product’s approved labeling;

cost-effectiveness and availability of acceptable pricing;

competitive product profile versus alternative treatment methods and the superiority of alternative treatment or 
therapeutics;

the effectiveness of marketing and distribution methods and support for the products; and

23

• 

coverage and reimbursement policies of government and third-party payors to the extent that our products could receive 
regulatory approval but not be approved for coverage by or receive adequate reimbursement from government and quasi-
government agencies or other third-party payors.

Disease indications may be small subsets of a disease that could be parsed into smaller and smaller indications as different 
subsets of diseases are defined. This increasingly fine characterization of diseases could have negative consequences; including 
creating an approved indication that is so small as not to have a viable market for us. If future technology allows characterization 
of a disease in a way that is different from the characterization used for large pivotal studies, it may make those studies invalid or 
reduce their usefulness, and may require repeating all or a portion of the studies. Future technology may supply better prognostic 
ability which could reduce the portion of patients projected to need a new therapy. Even after being cleared by regulatory authorities, 
a product may later be shown to be unsafe or not to have its purported effect, thereby preventing its widespread use or requiring 
withdrawal from the market.

If we fail to obtain coverage and adequate reimbursement for our products, our revenue-generating ability will be 

diminished and there is no assurance that the anticipated market for our products will be sustained.

We believe that there will be many different applications for products successfully derived from our technologies and that 
the anticipated market for products under development will continue to expand. However, due to competition from existing or 
new products and the yet-to-be established commercial viability of our products, no assurance can be given that these beliefs will 
prove to be correct. Physicians, patients, formularies, payors or the medical community in general may not accept or utilize any 
products that we or our collaborative partners may develop. Other drugs may be approved during our clinical testing which could 
change the accepted treatments for the disease targeted and make our product candidates obsolete.

Our and our collaborators’ ability to commercialize our products successfully will depend, in part, on the extent to which 
coverage and adequate reimbursement for such products and related treatments will be available from governmental health payor 
programs at the federal and state levels, including Medicare and Medicaid, private health insurers, managed care plans and other 
organizations. No assurance can be given that third-party payor coverage and adequate reimbursement will be available that will 
allow us to maintain price levels sufficient for the realization of an appropriate return on our investment in product development.

Coverage and adequate reimbursement from governmental healthcare programs, such as Medicare and Medicaid, and 
private health insurers, managed care plans and other organizations is critical to new product acceptance. There is no uniform 
coverage and reimbursement policy among third-party payors in the United States; however, private third-party payors often follow 
Medicare coverage policy and payment limitations in setting their own reimbursement rates. Additionally, coverage decisions may 
depend upon clinical and economic standards that disfavor new drug products when more established or lower cost therapeutic 
alternatives are already available or subsequently become available. Even if we obtain coverage for our product candidates, the 
resulting reimbursement payment rates might not be adequate or may require co-payments that patients find unacceptably high. 
Patients are unlikely to use our product candidates unless coverage is provided and reimbursement is adequate to cover a significant 
portion of the cost of our product candidates.

Additionally, we or our collaborators may develop companion diagnostic tests for use with our product candidates. We or 
our collaborators will be required to obtain coverage and reimbursement for these tests separate and apart from the coverage and 
reimbursement we seek for our product candidates, once approved. While we have not yet developed any companion diagnostic 
test for use with our product candidates, if we do, there is significant uncertainty regarding our ability to obtain coverage and 
adequate reimbursement for the same reasons applicable to our product candidates.

In the United States and in many other countries, pricing and/or profitability of some or all prescription pharmaceuticals 
and biopharmaceuticals are subject to varying degrees of government control.  In the United States, there has recently been increased 
government enforcement and government and payor scrutiny relating to drug pricing and price increases.  For example, there have 
been several recent U.S. Congressional inquiries and proposed and enacted federal and state legislation designed to, among other 
things, bring more transparency to drug pricing, review the relationship between pricing and manufacturer patient programs, and 
reform government program reimbursement methodologies for drugs. For example, at the federal level, on May 11, 2018,  President 
Trump laid out his administration’s “Blueprint” to lower drug prices and reduce out of pocket costs of drugs that contains additional 
proposals to increase manufacturer competition, increase the negotiating power of certain federal healthcare programs, incentivize 
manufacturers to lower the list price of their products and reduce the out of pocket costs of drug products paid by consumers. On 
January 31, 2019, the Department of Health and Human Services Office of Inspector General proposed modifications to federal 
Anti-Kickback Statute safe harbors which, among other things, if finalized, will affect discounts paid by manufacturers to Medicare 
Part D plans, Medicaid managed care organizations and pharmacy benefit managers working with these organizations. Although 
some of these and other proposals may require additional authorization to become effective, Congress and the Trump Administration 
have each indicated that it will continue to seek new legislative and/or administrative measures to control drug costs. At the state 
24

 
 
level,  legislatures  have  increasingly  passed  legislation  and  implemented  regulations  designed  to  control  pharmaceutical  and 
biological 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, designed to encourage importation from other 
countries and bulk purchasing. These changes may adversely impact the prices we or our future collaborators may charge for our 
products candidates, if commercialized.

Outside  of  the  United  States,  the  successful  commercialization  of  our  products  will  depend  largely  on  obtaining  and 
maintaining government coverage, because in many countries patients are unlikely to use prescription drugs that are not covered 
by  their  government  healthcare  programs.  Negotiating  coverage  and  reimbursement  with  governmental  authorities  can  delay 
commercialization by 12 months or more. Coverage and reimbursement policies may adversely affect our ability to sell our products 
on a profitable basis. In many international markets, governments control the prices of prescription pharmaceuticals, including 
through the implementation of reference pricing, price cuts, rebates, revenue-related taxes and profit control, and we expect prices 
of prescription pharmaceuticals to decline over the life of the product or as volumes increase.

Healthcare reform and controls on healthcare spending may limit the price we charge for any products and the 
amounts thereof that we can sell. In particular, in the United States, the federal government and private insurers have changed 
and have considered ways to change, the manner in which healthcare services are provided. In March 2010, the Patient 
Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act  (collectively, "ACA") 
became law in the United States. With respect to pharmaceutical products, the ACA, among other things, expanded and 
increased industry rebates for drugs covered by Medicaid and made changes to the coverage requirements under Medicare Part 
D, Medicare’s prescription drug benefits program. Some of the provisions of the ACA have yet to be fully implemented, and 
there have been judicial and Congressional challenges to certain aspects of the ACA, as well as recent efforts by the Trump 
Administration to repeal or replace certain aspects of the ACA. On December 14, 2018, a Texas U.S. District Court Judge ruled 
that the ACA is unconstitutional in its entirety because the “individual mandate” was repealed by Congress as part of the Tax 
Act. While the Texas U.S. District Court Judge, as well as the Trump administration and the Centers for Medicare & Medicaid 
Services (“CMS”), have stated that the ruling will have no immediate effect pending appeal of the decision, it is unclear how 
this decision, subsequent appeals, and other efforts to repeal and replace the ACA will impact the PPACA and 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, created measures for spending reductions by Congress. A Joint Select Committee 
on Deficit Reduction, tasked with recommending a targeted deficit reduction of at least $1.2 trillion for the years 2013 through 
2021, was unable to reach required goals, thereby triggering the legislation’s automatic reduction to several government programs. 
These changes include aggregate reductions to Medicare payments to providers of up to 2% per fiscal year, which went into effect 
on April 1, 2013 and, as amended by subsequent legislation including the Bipartisan Budget Act of 2018, will stay in effect through 
2027 unless additional Congressional action is taken. In January 2013, President Obama signed into law the American Taxpayer 
Relief Act of 2012, which, among other things, further reduced Medicare payments to several types of providers and increased 
the statute of limitations period for the government to recover overpayments to providers from three to five years. Moreover, the 
Drug Supply Chain Security Act, enacted in 2013, imposes obligations on manufacturers of pharmaceutical products related to 
product tracking and tracing. These laws may result in additional reductions in Medicare and other healthcare funding, which 
could have a material adverse effect on our customers and accordingly, our financial operations.

We anticipate that the ACA, as well as alternative or replacement healthcare reform measures that may be adopted in the 
future, may result in more rigorous coverage criteria and additional downward pressure on the reimbursement we may receive for 
any approved product. Moreover, payment methodologies may be subject to changes in healthcare legislation and regulatory 
initiatives.

In addition, levels of reimbursement may be impacted by other current and future legislation, regulation or reimbursement 
policies of third-party payors in a manner that may harm the demand and reimbursement available for our products, including for 
companion  diagnostics  for  our  products,  which  in  turn,  could  harm  our  future  product  pricing  and  sales. Any  reduction  in 
reimbursement from Medicare and 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 products.

Competition  in  our  targeted  market  area  is  intense  and  this  field  is  characterized  by  rapid  technological  change. 
Therefore  developments  by  competitors  may  substantially  alter  the  predicted  market  or  render  our  product  candidates 
uncompetitive.

There are hundreds of drugs in clinical development today in the area of oncology therapeutics. We have competitors both 
in the United States and internationally, including major multinational pharmaceutical companies, biotechnology companies and 
25

 
universities and other research institutions. In the oncology market, our major competitors include, but are not limited to: Amgen, 
Inc., Corvus Pharmaceuticals, Inc., Eisai Co. Ltd., Exelixis, Inc., F. Hoffman-La Roche Ltd., Johnson & Johnson, Merck & Co. 
Inc., Nektar Therapeutics, and Novartis AG among others.  

Many companies have filed, and continue to file, patent applications in oncology which may or could affect our programs. 
Some of these patent applications may have already been allowed or issued, and others may issue in the future. These companies 
include, but are not limited to: Amgen, Inc., Astellas Pharma Inc., AstraZeneca plc, Bristol-Myers Squibb Company, Exelixis, 
Inc., Novartis AG, Pfizer Inc. and Johnson & Johnson. Since this area is competitive and of strong interest to pharmaceutical and 
biotechnology companies, there will likely be additional patent applications filed, and additional patents granted, in the future, as 
well as additional research and development programs expected in the future.

In addition to companies that have kinase inhibitors addressing our oncology indications of interest, our competition also 
includes hundreds of private and publicly traded companies that operate in the area of oncology but have therapeutics with different 
mechanisms of action. The oncology market in general is highly competitive with over 1,000 molecules currently in clinical 
development.

Developments by others may render our products or technologies non-competitive or obsolete or we may not be able to 
keep pace with technological developments. Our competitors may have developed or may be developing technologies which may 
be the basis for competitive products. Some of these products may prove to be more effective and less costly than the products 
developed or being developed by us. Our competitors may obtain regulatory approval for their products more rapidly than we do 
which may change the standard of care in the indications we are targeting, rendering our technology or products non-competitive 
or obsolete. For example, with the recent approval of immunotherapy agents for the treatment of NSCLC and other cancers, the 
standard of care for the treatment of cancer is evolving and will continue to evolve which could require us to change the design 
and timelines for our registration trails and may limit the commercial acceptance of our products in the future. Others may develop 
treatments or cures superior to any therapy we are developing or will develop. Moreover, alternate, less toxic forms of medical 
treatment may be developed which may be competitive with our products.

Many of the organizations which could be considered to be our competitors have substantially more financial and technical 
resources,  more  extensive  discovery  research,  preclinical  research  and  development  capabilities  and  greater  manufacturing, 
marketing, distribution, production and human resources than we do. Many of our current or potential competitors have more 
experience than us in research, preclinical testing and clinical trials, drug commercialization, manufacturing and marketing, and 
in obtaining domestic and foreign regulatory approvals. In addition, failure, unacceptable toxicity, lack of sales or disappointing 
sales or other issues regarding competitors’ products or processes could have a material adverse effect on our product candidates, 
including our clinical candidates or our lead compounds. Established pharmaceutical companies may invest heavily to accelerate 
discovery and development of novel compounds or to in-license novel compounds that could make our product candidates less 
competitive. In addition, any new product that competes with an approved product must demonstrate compelling advantages in 
efficacy, convenience, tolerability and safety in order to overcome price competition and brand recognition and to be commercially 
successful. Accordingly, our competitors may succeed in obtaining patent protection, receiving FDA, EMA or other regulatory 
approval or discovering, developing and commercializing medicines before we do, which would have a material adverse impact 
on our business.

We will not be able to successfully commercialize our product candidates without establishing sales and marketing 

capabilities internally or through collaborators.

We  currently  have  no  sales  and  marketing  staff.  We  may  not  be  able  to  find  suitable  sales  and  marketing  staff  and 
collaborators for all of our product candidates. We have no prior experience in the marketing, sale and distribution of pharmaceutical 
products and there are significant risks involved in building and managing a sales organization, including our ability to hire, retain 
and incentivize qualified individuals, generate sufficient sales leads, provide adequate training to sales and marketing personnel, 
and effectively manage a geographically dispersed sales and marketing team. Any collaborators may not be adequate or successful 
or could terminate or materially reduce the effort they direct to our products. The development of a marketing and sales capability 
will require significant expenditures, management resources and time. The cost of establishing such a sales force may exceed any 
potential product revenue, or our marketing and sales efforts may be unsuccessful. If we are unable to develop an internal marketing 
and sales capability in a timely fashion, or at all, or if we are unable to enter into a marketing and sales arrangement with a third 
party on acceptable terms, we may be unable to successfully develop and seek regulatory approval for our product candidates and/
or effectively market and sell approved products, if any.

We are subject to competition for our skilled personnel and may experience challenges in identifying and retaining key 

personnel that could impair our ability to conduct our operations effectively.

26

 
Our future success depends on our ability to retain our executive officers and to attract, retain and motivate qualified 
personnel. If we are not successful in attracting and retaining highly qualified personnel, we may not be able to successfully 
implement our business strategy. Although we have not experienced problems attracting and retaining highly qualified personnel 
in the recent past, our industry has experienced a high rate of turnover of management personnel in recent years. Our ability to 
compete in the highly competitive biotechnology and pharmaceuticals industries depends upon our ability to attract and retain 
highly qualified managerial, scientific and medical personnel. We are highly dependent on our management, scientific and medical 
personnel, especially Charles M. Baum, M.D., Ph.D., our President and Chief Executive Officer, Isan Chen, M.D., our Executive 
Vice President and Chief Medical and Development Officer, James Christensen, Ph.D. our Executive Vice President and Chief 
Scientific Officer, Jamie A. Donadio, our Senior Vice President and Chief Financial Officer, and Chris LeMasters, our Executive 
Vice President and Chief Business Officer whose services are critical to the successful implementation of our product candidate 
acquisition, development and regulatory strategies, as well as the management of our financial operations. We are not aware of 
any present intention of any of these individuals to leave our Company. In order to induce valuable employees to continue their 
employment with us, we have provided stock options that vest over time. The value to employees of stock options that vest over 
time is significantly affected by movements in our stock price that are beyond our control, and may at any time be insufficient to 
counteract more lucrative offers from other companies.

Despite our efforts to retain valuable employees, members of our management, scientific and development teams may 
terminate their employment with us at any time, with or without notice. The loss of the services of any of our executive officers 
or other key employees and our inability to find suitable replacements could harm our business, financial condition and prospects. 
Our success also depends on our ability to continue to attract, retain and motivate highly skilled junior, mid-level and senior 
managers as well as junior, mid-level and senior scientific and medical personnel.

We may also experience growth in the number of our employees and the scope of our operations, especially in clinical 
development. This growth will place a significant strain on our management, operations and financial resources and we may have 
difficulty managing this future potential growth. No assurance can be provided that we will be able to attract new employees to 
assist in our growth. Many of the other pharmaceutical companies that we compete against for qualified personnel have greater 
financial and other resources, different risk profiles and a longer history in the industry than we do. We also may employ consultants 
or part-time and contract employees. There can be no assurance that these individuals are retainable. While we have been able to 
attract and retain skilled and experienced personnel and consultants in the past, no assurance can be given that we will be able to 
do so in the future.

Our current and future relationships with customers and third-party payors in the United States and elsewhere may be 
subject, directly or indirectly, to applicable anti-kickback, fraud and abuse, false claims, transparency, health information 
privacy and security and other healthcare laws and regulations, which could expose us to criminal sanctions, civil penalties, 
contractual damages, reputational harm, administrative burdens and diminished profits and future earnings.

As a pharmaceutical company, even though we do not and will not control referrals of healthcare services or bill directly 
to Medicare, Medicaid or other third-party payors, certain federal and state healthcare laws and regulations pertaining to fraud 
and abuse and patients’ rights are and will be applicable to our business. Our current and future arrangements with third-party 
payors and customers may expose us to broadly applicable fraud and abuse and other healthcare laws and regulations, including, 
without  limitation,  the  federal Anti-Kickback  Statute  and  the  federal  False  Claims Act,  which  may  constrain  the  business  or 
financial arrangements and relationships through which we sell, market and distribute any drugs for which we obtain marketing 
approval. In addition, we may be subject to transparency laws and patient privacy regulation by U.S. federal and state governments 
and by governments in foreign jurisdictions in which we conduct our business. The laws that may affect our ability to operate 
include:

• 

• 

the federal Anti-Kickback Statute, which 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, lease, furnishing, prescribing or recommendation of, any 
good or service, for which payment may be made under federal and state healthcare programs, such as Medicare and 
Medicaid. The term “remuneration” has been broadly interpreted to include anything of value. The ACA, among other 
things, amended the intent requirement of the federal Anti Kickback Statute such that a person or entity no longer needs 
to have actual knowledge of the statute or specific intent to violate, in order to commit a violation;

federal civil and criminal false claims laws and civil monetary penalty laws, including the federal False Claims Act which 
can be enforced by private individuals on behalf of the government through civil whistleblower or qui tam actions, prohibits 
individuals or entities for knowingly presenting, or causing to be presented, to the federal government, including the 
Medicare and Medicaid programs, claims for payment that are false or fraudulent or making a false statement to avoid, 
decrease or conceal an obligation to pay money to the federal government. Entities can be held liable under these laws if 

27

 
• 

• 

• 

• 

they are deemed to “cause” the submission of false or fraudulent claims by, for example, providing inaccurate billing or 
coding information to customers, promoting a product off label, or for providing medically unnecessary services or items. 
In addition, 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 ("HIPAA"), which imposes criminal and civil 
liability  for  knowingly  and  willfully  executing,  or  attempting  to  execute,  a  scheme  to  defraud  any  healthcare  benefit 
program, including third-party payors, knowingly and willfully embezzling or stealing from a healthcare benefit program, 
willfully obstructing a criminal investigation of a healthcare offense, and knowingly and willfully falsifying, concealing 
or covering up a material fact or making any materially false, fictitious or fraudulent statements in connection with the 
delivery of or payment for healthcare benefits, items or services;

HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act of 2009 ("HITECH"), 
and their respective implementing regulations, which impose obligations on certain healthcare providers, health plans, and 
healthcare clearinghouses, known as covered entities, as well as individuals and entities that create, receive, maintain or 
transmit individually identifiable health information for or on behalf of a covered entity, known as business associates, 
with respect to safeguarding the privacy, security and transmission of individually identifiable health information. HITECH 
also created new tiers of civil monetary penalties, amended HIPAA to make civil and criminal penalties directly applicable 
to business associates, and gave state attorneys general new authority to file civil actions for damages or injunctions in 
U.S. federal courts to enforce the federal HIPAA laws and seek attorneys' fees and costs associated with pursuing federal 
civil actions;

the federal Open Payments program, which requires manufacturers of drugs, devices, biologics and medical supplies for 
which payment is available under Medicare, Medicaid or the Children’s Health Insurance Program, with specific exceptions, 
to report annually to CMS information related to “payments or other transfers of value” made to physicians, which is 
defined  to  include  doctors,  dentists,  optometrists,  podiatrists  and  chiropractors,  and  teaching  hospitals  and  applicable 
manufacturers and applicable group purchasing organizations to report annually to CMS ownership and investment interests 
held by physicians and their immediate family members, and contains requirements for manufacturers to submit reports 
to CMS by the 90th day of each calendar year, and disclosure of such information to be made by CMS on a publicly 
available website; and

analogous state and foreign laws and regulations, such as state anti-kickback and false claims laws, which may apply to 
sales or marketing arrangements and claims involving healthcare items or services reimbursed by non-governmental third-
party payors, including private insurers; state and foreign laws that require pharmaceutical companies to comply with the 
pharmaceutical industry’s voluntary compliance guidelines and the relevant compliance guidance promulgated by the 
federal government or otherwise restrict payments that may be made to healthcare providers; state and foreign laws that 
require drug manufacturers to report information related to payments and other transfers of value to physicians and other 
healthcare  providers,    marketing  expenditures,  or  drug  pricing;  state  and  local  laws  that  require  the  registration  of 
pharmaceutical sales representatives; and state and foreign laws governing the privacy and security of health information 
in certain circumstances, many of which differ from each other in significant ways and often are not preempted by HIPAA, 
thus complicating compliance efforts.

Because of the breadth of these laws and the narrowness of available statutory exceptions and regulatory safe harbors, it 
is possible that some of our business activities could be subject to challenge under one or more of such laws. To the extent that 
any of our product candidates is ultimately sold in countries other than the United States, we may be subject to similar laws and 
regulations in those countries. If we or our operations are found to be in violation of any of the laws described above or any other 
governmental regulations that apply to us, we may be subject to penalties, including civil, criminal and administrative penalties, 
damages, fines, imprisonment, disgorgement, 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, exclusion from participation in 
government healthcare programs, and the curtailment or restructuring of our operations, any of which could have a material adverse 
effect on our business. If any of the physicians or other healthcare providers or entities with whom we expect to do business, 
including any of our collaborators, is found not to be in compliance with applicable laws, they may be subject to criminal, civil 
or administrative sanctions, including exclusion from participation in government healthcare programs, which could also materially 
affect our business.

28

We may become subject to the risk of product liability claims.

We face an inherent risk of product liability as a result of the clinical testing of our product candidates and will face an 
even greater risk if we commercialize any products. Human therapeutic products involve the risk of product liability claims and 
associated adverse publicity. Currently, the principal risks we face relate to patients in our clinical trials, who may suffer unintended 
consequences. Claims might be made by patients, healthcare providers, pharmaceutical companies or others. For example, we 
may be sued if any product we develop allegedly causes injury or is found to be otherwise unsuitable during product testing, 
manufacturing, marketing or sale. Any such product liability claims may include allegations of defects in manufacturing, defects 
in design, a failure to warn of dangers inherent in the product, negligence, strict liability and a breach of warranties. Claims could 
also be asserted under state consumer protection laws.  If we cannot successfully defend ourselves against product liability claims, 
we may incur substantial liabilities or be required to limit commercialization of our product candidates, if approved. Even successful 
defense would require significant financial and management resources. Regardless of the merits or eventual outcome, liability 
claims may result in:

• 

• 

decreased demand for our product candidates;

injury to our reputation;

•  withdrawal of clinical trial participants;

• 

• 

• 

• 

• 

• 

• 

initiation of investigations by regulators;

costs to defend the related litigation;

a diversion of management’s time and our resources;

substantial monetary awards to trial participants or patients;

product recalls, withdrawals or labeling, marketing or promotional restrictions;

loss of revenue from product sales; and

the inability to commercialize any of our product candidates, if approved.

We may not have or be able to obtain or maintain sufficient and affordable insurance coverage, and without sufficient 
coverage any claim brought against us could have a materially adverse effect on our business, financial condition or results of 
operations. We run clinical trials through investigators that could be negligent through no fault of our own and which could affect 
patients, cause potential liability claims against us and result in delayed or stopped clinical trials. We are required in many cases 
by contractual obligations to indemnify collaborators, partners, third-party contractors, clinical investigators and institutions. These 
indemnifications could result in a material impact due to product liability claims against us and/or these groups. We currently 
carry $10 million in product liability insurance, which we believe is appropriate for our clinical trials. Although we maintain such 
insurance, any claim that may be brought against us could result in a court judgment or settlement in an amount that is not covered, 
in whole or in part, by our insurance or that is in excess of the limits of our insurance coverage. Our insurance policies also have 
various exclusions, and we may be subject to a product liability claim for which we have no coverage. We will have to pay any 
amounts awarded by a court or negotiated in a settlement that exceed our coverage limitations or that are not covered by our 
insurance, and we may not have, or be able to obtain, sufficient capital to pay such amounts.

Our business involves the controlled use of hazardous materials and as such we are subject to environmental and 
occupational safety laws. Continued compliance with these laws may incur substantial costs and failure to maintain compliance 
could result in liability for damages that may exceed our resources.

Our preclinical research, manufacturing and development processes involve the controlled use of hazardous and radioactive 
materials. We are subject to federal, local and foreign laws and regulations governing the use, manufacture, storage, handling and 
disposal of such materials and certain waste products. Our operations involve the use of hazardous and flammable materials, 
including  chemicals  and  biological  materials.  Our  operations  also  produce  hazardous  waste  products. The  risk  of  accidental 
contamination or injury from these materials cannot be completely eliminated. In the event of such an accident, we could be held 
liable for any damages that result, and any such liability could exceed our resources. We may not be adequately insured against 
this type of liability. We may be required to incur significant costs to comply with environmental laws and regulations in the future, 
and our operations, business or assets may be materially adversely affected by current or future environmental laws or regulations.
29

We may have to dedicate resources to the settlement of litigation.

Securities legislation in the United States, Canada and other countries makes it relatively easy for stockholders to sue. 
This could lead to frivolous lawsuits which could take substantial time, money, resources and attention or force us to settle such 
claims rather than seek adequate judicial remedy or dismissal of such claims.

If we are required to defend patent infringement actions brought by third parties, or if we sue to protect our own patent 
rights or otherwise to protect our proprietary information and to prevent its disclosure, or if we are involved in other litigation, 
whether as a plaintiff or defendant, we may be required to pay substantial litigation costs and managerial attention may be diverted 
from business operations even if the outcome is in our favor. If we are required to defend our patents or trademarks against 
infringement by third parties, we may be required to pay substantial litigation costs and managerial attention and financial resources 
may be diverted from our research and development operations even if the outcome is in our favor.

We may be vulnerable to disruption, damage and financial obligation as a result of system failures.

Despite the implementation of security measures, any of the internal computer systems belonging to us, our collaborators 
or  our  third-party  service  providers  are  vulnerable  to  damage  from  computer  viruses,  unauthorized  access,  natural  disasters, 
terrorism, war and telecommunication and electrical failure. Any system failure, accident or security breach that causes interruptions 
in our own, in collaborators’ or in third-party service vendors’ operations could result in a material disruption of our drug discovery 
and development programs. In addition, we rely upon third-party contractors and service providers for the hosting, support and/
or maintenance of some aspects of our computer hardware, computer software and telecommunications systems.  Failure of those 
contractors and service providers to provide systems and services of a suitable quality and within acceptable timeframes may 
cause the delay or failure of our development programs, or loss of confidential or proprietary information. To the extent that any 
disruption or security breach results in a loss or damage to our data or applications, or inappropriate disclosure of confidential or 
proprietary information, we may incur liability, our drug discovery and development programs may be adversely affected and the 
further development of our product candidates may be delayed. Furthermore, we may incur additional costs to remedy the damages 
caused by these disruptions or security breaches. 

Changes in funding for the FDA, the SEC and other government agencies could hinder their ability to hire and 

retain key leadership and other personnel, prevent new products and services from being developed or commercialized in a 
timely manner or otherwise prevent those agencies from performing normal functions on which the operation of our 
business may rely, which could negatively impact our business.

The ability of the FDA to review and approve new products can be affected by a variety of factors, including 
government budget and funding levels, ability to hire and retain key personnel and accept payment of user fees, and statutory, 
regulatory, and policy changes. Average review times at the agency have fluctuated in recent years as a result. In addition, 
government funding of the SEC and other government agencies on which our operations may rely, including those 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 may also slow the time necessary for new drugs to be reviewed and/or 
approved by necessary government agencies, which would adversely affect our business. For example, over the last several 
years, including most recently beginning on December 22, 2018, the U.S. government has shut down several times and certain 
regulatory agencies, such as the FDA and the SEC, have had to furlough critical FDA, SEC and other government employees 
and stop critical activities. If a prolonged government shutdown occurs, it could significantly impact the ability of the FDA to 
timely review and process our regulatory submissions, which could have a material adverse effect on our business. Further, 
future government shutdowns could impact our ability to access the public markets and obtain necessary capital in order to 
properly capitalize and continue our operations.

30

 
 
              
 
Risks Relating to Our Intellectual Property

We may not obtain adequate protection for our product candidates through patents and other intellectual property 

rights and as such our competitive advantage in the marketplace may be compromised.

Our success depends, in part, on our ability to secure and protect our patents, trade secrets, trademarks and other intellectual 
property rights and to operate without infringing on the proprietary rights of others or having third parties circumvent the rights 
that we own or license. We have filed and are actively pursuing patent applications in the United States, Japan, Europe and other 
major markets via the Patent Cooperation Treaty or directly in countries of interest. The patent positions of healthcare companies, 
universities and biopharmaceutical companies, including ours, are uncertain and involve complex questions of law and fact for 
which important legal issues may remain unresolved. Therefore, there is no assurance that our pending patent applications will 
result in the issuance of patents or that we will develop additional proprietary products which are patentable. Moreover, patents 
issued or to be issued to us may not provide us with any competitive advantage. Further, if the patent applications we hold or in-
license with respect to our programs, product candidates and companion diagnostic fail to issue, if their breadth or strength of 
protection is threatened, or if they fail to provide meaningful exclusivity for our product candidates, it could dissuade companies 
from collaborating with us to develop product candidates, and threaten our ability to commercialize future products.

Our patents may be challenged by third parties at the United States Patent and Trademark Office ("USPTO"), comparable 
foreign patent offices, or in patent litigation. In addition, it is possible that third parties with products that are very similar to ours 
will circumvent our patents by means of alternate designs or processes or file applications or be granted patents that would block 
or hurt our efforts.

There are no assurances that our patent counsel, lawyers or advisors have given us correct advice or counsel. Opinions 
from such patent counsel or lawyers may not be correct or may be based on incomplete facts. We cannot be certain that we are 
the first to invent or first to file for patent protection for the inventions covered by pending patent applications and, if we are not, 
we may be subject to priority disputes. We may be required to disclaim part or all of the subject matter and/or term of certain 
patents or all of the subject matter and/or term of certain patent applications. There may be prior art of which we are not aware 
that may affect the validity or enforceability of a patent claim. There also may be prior art of which we are aware, but which we 
do not believe affects the validity or enforceability of one or more claims, which may, nonetheless, ultimately be found to affect 
the validity or enforceability of a claim. No assurance can be given that if challenged, our patents would be declared by the USPTO, 
comparable foreign patent offices or a court to be valid or enforceable or that even if found valid and enforceable, a competitor’s 
technology or product would be found by a court to infringe our patents. The possibility exists that others will develop products 
which have the same effect as our products on an independent basis which do not infringe our patents or other intellectual property 
rights, or will design around the claims of patents that we have had issued that cover our products. The steps we have taken to 
protect our intellectual property may not prevent the misappropriation of our proprietary information and technologies, particularly 
in foreign countries where laws or law enforcement practices may not protect proprietary rights to the same extent as in the United 
States, Europe or Japan. Unauthorized disclosure of our proprietary information could also harm our competitive position. We 
could also inadvertently use our collaborators’ data inappropriately which could lead to liability. We may file patent applications 
but have the scope of the claims narrowed or significantly narrowed during prosecution or we may not be able to supply sufficient 
data to satisfy a patent office to support the full breadth of our claims and, as a result, may not obtain the original claims desired 
or we may receive amended claims with significantly reduced scope. Alternatively, it is possible that we may not receive any 
patent protection from an application.

Maintaining our patents and applications requires timely payment of fees and other associated costs in the countries of 
filing, and we could inadvertently abandon a patent or patent application (or trademark or trademark application) due to non-
payment of fees, or as a result of a failure to comply with filing deadlines or other requirements of the prosecution process, resulting 
in the loss of protection of certain intellectual property rights in a certain country. Alternatively, we, our collaborators or our patent 
counsel may take action resulting in a patent or patent application becoming abandoned which may not be able to be reinstated, 
or if reinstated, may suffer patent term adjustments. Any of these outcomes could hurt our ability to gain full patent protection for 
our products. Registered trademarks and/or applications for trademark registrations in the United States that belong to us are 
subject to similar risks as described above for patents and patent applications.

Many of our collaboration agreements, including the BeiGene Agreement, are complex and may call for licensing or cross-
licensing of potentially blocking patents, know-how or intellectual property. Due to the potential overlap of data, know-how and 
intellectual property rights there can be no assurance that one of our collaborators will not dispute our right to send data or know-
how or other intellectual property rights to third parties and this may potentially lead to liability or termination of a program or 
litigation. There are no assurances that the actions of our collaborators would not lead to disputes or cause us to default with other 
collaborators. We cannot be certain that a collaborator will not challenge the validity of licensed patents.

31

 
We cannot be certain that any country’s patent and/or trademark office will not implement new rules which could affect 
how we draft, file, prosecute and/or maintain patents and patent applications, or that certain patent rights and/or trademark rights 
will be granted by governmental authorities in particular foreign countries. We cannot be certain that increasing costs for drafting, 
filing, prosecuting and maintaining patent applications and patents will not limit our ability to file for patent protection, or to 
prosecute applications through to grant. We may be forced to abandon or return the rights to specific patents due to a lack of 
financial resources. There is no assurance that we could enter into licensing arrangements at a reasonable cost, or develop or obtain 
alternative technology in respect of patents issued to third parties that incidentally cover our products. Any inability to secure such 
licenses or alternative technology could result in delays in the introduction of some of our products or even lead to prohibition of 
the development, manufacture or sale of certain products by us.

We may file applications for trademark registrations in connection with our product candidates in various jurisdictions, 
including the United States. No assurance can be given that any of our trademark applications will be registered in the United 
States  or  elsewhere,  or  that  the  use  of  any  registered  or  unregistered  trademarks  will  confer  a  competitive  advantage  in  the 
marketplace. Furthermore, even if we are successful in our trademark registrations, the FDA and regulatory authorities in other 
countries  have  their  own  process  for  drug  nomenclature  and  their  own  views  concerning  appropriate  proprietary  names.  No 
assurance can be given that the FDA or any other comparable regulatory authority will accept any of our trademarks or will not 
request reconsideration of one of our trademarks, for use in connection with our drug product candidates, whether currently or at 
some time in the future. The loss, abandonment, or cancellation of any of our trademarks or trademark applications could negatively 
affect the success of the product candidates to which they relate.

Moreover, some of our know-how and technology which is not patented or not patentable may constitute trade secrets. 
Therefore, we require our consultants, advisors and collaborators to enter into confidentiality agreements and our employees to 
enter into invention and non-disclosure agreements. However, no assurance can be given that such agreements will provide for a 
meaningful protection of our trade secrets, know-how or other proprietary information in the event of any unauthorized use or 
disclosure of information. Furthermore, we cannot provide assurance that any of our employees, consultants, contract personnel 
or collaborators, either accidentally or through willful misconduct, will not cause serious negative impact to our programs and/or 
our  strategy. All  of  our  employees  have  signed  confidentiality  agreements,  but  there  can  be  no  assurance  that  they  will  not 
inadvertently or through their misconduct give trade secrets away.

Third-party patents or intellectual property infringement claims may result in a reduction in the scope of our patent 
protection and competitive exclusivity with respect to our product candidates. Patent litigation, including defense against third-
party intellectual property claims, may result in us incurring substantial costs.

Patent applications which may relate to or affect our business may have been filed by others.  Such patent applications or 
patents resulting there from may conflict with our technologies, patents or patent applications, potentially reducing the scope or 
strength of our patent protection, and may ultimately be determined to limit or prohibit our freedom to operate with respect to our 
product candidates. Such events could cause us to stop or change the course of our research and development or modify our 
intellectual property strategies. We could also become involved in interference proceedings in connection with one or more of our 
patents or patent applications to determine priority of invention, or in post-grant opposition proceedings at the USPTO or comparable 
foreign patent offices. There can be no guarantees that an interference proceeding or defense of a post-grant opposition would be 
successful or that such an outcome would be upheld on appeal. An unfavorable outcome could require us to cease using the related 
technology or to attempt to license rights to it from the prevailing party. Our business could be harmed if the prevailing party does 
not offer us a license on commercially reasonable terms. Our defense of such interference proceedings may fail and, even if 
successful, may result in substantial costs and distract our management and other employees.

No assurance can be given that our patents, once issued, would be declared by a court to be valid or enforceable, or that 

we would not be found to infringe a competitor’s patent.

Third parties may assert that we are using their proprietary information without authorization. Third parties may also have 
or obtain patents and may claim that technologies licensed to or used by us infringe their patents. Because patent applications can 
take many years to issue, third parties may have currently pending patent applications which may later result in issued patents that 
our product candidates or companion diagnostic may infringe, or which such third parties claim are infringed by the use of our 
technologies. If any third-party patents are held by a court of competent jurisdiction to cover any aspect of our product candidates, 
including the formulation or method of use of such product candidate, the holders of any such patents may be able to block our 
ability to commercialize such product candidate unless we obtain a license under the applicable patents, or until such patents 
expire. In any such case, such a license may not be available on commercially reasonable terms or at all. We may attempt to 
invalidate a competitor’s patent or trademark. There is no assurance such action will ultimately be successful and, even if initially 
successful, it could be overturned upon appeal. In addition, any legal action that seeks damages or an injunction to stop us from 
carrying on our commercial activities relating to the affected technologies could subject us to monetary liability. Some of our 
32

competitors may be able to sustain the costs of complex patent litigation more effectively than we can because they have substantially 
greater resources.

Parties making claims against us for alleged infringement of their intellectual property rights may obtain injunctive or 
other equitable relief, which could effectively block our ability to further develop and commercialize one or more of our product 
candidates. Defense of these claims, regardless of their merit, would involve substantial litigation expense and would be a substantial 
diversion of employee resources from our business. In the event of a successful claim of infringement against us, we could be 
required to redesign our infringing products or obtain a license from such third party to continue developing and commercializing 
our products and technology. However, we may not be able to obtain any required license on commercially reasonable terms, or 
at all. Even if we are able to obtain a license, it may be non-exclusive, thereby giving our competitors access to the same technologies 
licensed to us. It may be impossible to redesign our products and technology, or it may require substantial time and expense, which 
could force us to cease commercialization of one or more of our product candidates, or some of our business operations, which 
could materially harm our business. In addition, in any such proceeding, we may be required to pay substantial damages, including 
treble damages and attorneys’ fees in the event we are found liable for willful infringement.

Our intellectual property may be infringed upon by a third party.

Third parties may infringe one or more of our issued patents or trademarks. We cannot predict if, when or where a third 
party may infringe one or more of our issued patents or trademarks. There is no assurance that we would be successful in a court 
of law to prove that a third party is infringing one or more of our issued patents. Even if we are successful in proving in a court 
of law that a third party is infringing one or more of our issued patents there can be no assurance that we would be successful in 
halting their infringing activities, for example, through a permanent injunction, or that we would be fully or even partially financially 
compensated for any harm to our business. We may be forced to enter into a license or other agreement with the infringing third 
party at terms less profitable or otherwise less commercially acceptable to us than if the license or agreement were negotiated 
under conditions between those of a willing licensee and a willing licensor. We may not become aware of a third party infringer 
within legal timeframes that would enable us to seek adequate compensation, or at all, thereby possibly losing the ability to be 
compensated for any harm to our business. Such a third-party may be operating in a foreign country where the infringer is difficult 
to locate, where we do not have issued patents and/or the patent laws may be more difficult to enforce. Some third-party infringers 
may  be  able  to  sustain  the  costs  of  complex  patent  infringement  litigation  more  effectively  than  we  can  because  they  have 
substantially greater resources. Any inability to stop third-party infringement could result in loss in market share of some of our 
products or even lead to a delay, reduction and/or inhibition of the development, manufacture or sale of certain products by us. 
There is no assurance that a product produced and sold by a third-party infringer would meet our or other regulatory standards or 
would be safe for use. Such third-party infringer products could irreparably harm the reputation of our products thereby resulting 
in substantial loss in market share and profits.

Third parties may seek to obtain approval of a generic version of approved products.  Defense against entry of a generic 
product may result in us incurring substantial costs and ultimate failure to prevail against approval of a generic product could 
result in a substantial loss of market share and profits.

Even if we are successful in obtaining regulatory approval to sell any of our product candidates in one or more countries, 
we cannot be certain that our patents and other intellectual property rights will ultimately prevent approval during the patent term 
of generic products developed and commercialized by third parties.  A generic manufacturer may seek approval of a generic version 
of any of our products in the United States by filing an Abbreviated New Drug Application ("ANDA"), with the FDA asserting 
that our patents are invalid and/or unenforceable to maintain market exclusivity for any of our products, if approved. We cannot 
predict if, or when, one or more generic manufacturers may attempt to seek regulatory approval for a generic version of any of 
our products, if approved. There is no assurance that we will ultimately be successful in a court of law to prevent entry of a generic 
version of any of our products during the applicable patent term and we may incur substantial costs defending our patents and 
intellectual property rights. An inability to stop a generic manufacturer from selling a generic version of our products could result 
in a substantial loss of market share and profits or even preclude the ability to continue to commercialize any of our products, if 
approved.

Risks Related to Our Shares of Common Stock

Our share price is volatile and may be influenced by numerous factors that are beyond our control.

A low share price and low market valuation may make it difficult to raise sufficient additional cash due to the significant 
dilution to current stockholders. Market prices for shares of biotechnology and biopharmaceutical companies such as ours are 
often volatile. Factors such as clinical and regulatory developments regarding our products or processes, developments regarding 
potential or future third-party collaborators, announcements of technological innovations, new commercial products, patents, the 
33

development of proprietary rights by us or by others or any litigation relating to these rights, regulatory actions, general conditions 
in the biotechnology and pharmaceutical industries, failure to meet analysts’ expectations, publications, financial results or public 
concern over the safety of biopharmaceutical and biotechnological products, economic conditions in the United States and other 
countries, terrorism and other factors could have a significant effect on the share price for our shares of common stock. Any setback 
or delay in the clinical development of our programs could result in a significant decrease in our share price. In recent years the 
stock of other biotechnology and biopharmaceutical companies has experienced extreme price fluctuations that have been unrelated 
to the operating performance of the affected companies. There can be no assurance that the market price of our shares of common 
stock will not experience significant fluctuations in the future, including fluctuations that are unrelated to our performance. These 
fluctuations may result due to macroeconomic and world events, national or local events, general perception of the biotechnology 
industry or to a lack of liquidity. In addition, other biotechnology companies' or our competitors’ programs could have positive 
or negative results that impact their stock prices and their results or experience stock price fluctuations that could have a positive 
or negative impact on our stock price, regardless whether such impact is direct or not.

Stockholders may not agree with our business, scientific, clinical and financial strategy, including additional dilutive 
financings, and may decide to sell their shares or vote against such proposals. Such actions could materially impact our stock 
price. In addition, portfolio managers of funds or large investors can change or change their view on us and decide to sell our 
shares. These actions could have a material impact on our stock price. In order to complete a financing, or for other business 
reasons, we may elect to consolidate our shares of common stock. Investors may not agree with these actions and may sell our 
shares. We may have little or no ability to impact or alter such decisions.

Our principal stockholders control the majority of our shares, and their actions may significantly influence matters 

submitted to our stockholders for approval and our share price.

Based on the information available to us as of December 31, 2018, our stockholders and their affiliates who owned more 
than 5% of our outstanding common stock collectively owned 52% of our outstanding common stock. Baker Bros. Advisors, LLC 
("Baker Brothers") and Boxer Capital, LLC ("Boxer Capital") and their affiliates collectively own 25% of our outstanding common 
stock. In addition, in conjunction with certain financing transactions, we granted to Baker Brothers and Boxer Capital each the 
right to nominate a member of our Board of Directors and the right to appoint an observer on our Board of Directors. Collectively 
Baker Brothers and Boxer Capital may have significant influence over matters submitted to our stockholders for approval, including 
the election and removal of directors and the approval of any merger, consolidation, or sale of all or substantially all of our assets. 
Furthermore, as a thinly traded stock, if Baker Brothers, Boxer Capital or any other of our major stockholders determine to exit 
from the industry or from their holdings in us, for whatever reason, the impact on our share price could be detrimental over a 
prolonged period of time.

Future sales and issuances of our common stock or rights to purchase common stock, including pursuant to our equity 
incentive plans, could result in additional dilution of the percentage ownership of our stockholders and could cause our stock 
price to fall.

We expect that significant additional capital will be needed in the future to continue our planned operations. To the extent 
we raise additional capital by issuing equity securities, our stockholders may experience substantial dilution. We may sell common 
stock, convertible securities or other equity securities in one or more transactions at prices and in a manner we determine from 
time to time. If we sell common stock, convertible securities or other equity securities in more than one transaction, investors may 
be materially diluted by subsequent sales. These sales may also result in material dilution to our existing stockholders, and new 
investors could gain rights superior to our existing stockholders.

Pursuant to our 2013 Equity Incentive Plan ("the 2013 Plan"), and our 2013 Employee Stock Purchase Plan ("the ESPP"), 
our management is authorized to grant stock options and other equity-based awards to our employees, directors and consultants, 
and to sell our common stock to our employees, respectively. Any increase in the number of shares outstanding as a result of the 
exercise of outstanding options, the vesting or settlement of outstanding stock awards, or the purchase of shares pursuant to the 
ESPP will cause our stockholders to experience additional dilution, which could cause our stock price to fall.

34

 
 
Because  we  do  not  anticipate  paying  any  cash  dividends  on  our  common  stock  in  the  foreseeable  future,  capital 

appreciation, if any, would be our stockholders’ only source of gain.

We have never declared or paid any cash dividends on our common shares, and we currently expect that earnings, if any, 
and cash flow will primarily be retained and used in our operations, including servicing any debt obligations we may have now 
or in the future. Accordingly, although we do not anticipate paying any dividends in the foreseeable future, we may not be able to 
generate sufficient cash flow in order to allow us to pay future dividends on, or make any distributions with respect to our common 
stock. As a result, capital appreciation, if any, of our common stock would be our stockholders’ sole source of gain on their 
investment in our common stock for the foreseeable future.

35

 
Item 1B.     Unresolved Staff Comments

None.

Item 2.     Properties

Our  corporate  headquarters  is  located  at  9393 Towne  Centre  Drive,  San  Diego,  California  92121  where  we  occupy 
approximately 24,100 square feet of office and lab space. The lease will expire on January 31, 2020. We believe that our existing 
facilities are adequate to meet our current needs. 

Item 3.     Legal Proceedings

None.

Item 4.     Mine Safety Disclosures

Not applicable.

36

       
  
 
 
PART II

Item 5.    Market for Registrant's Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities 

          Our common stock has been listed on the NASDAQ Global Select Market since June 5, 2018, and was previously listed 
on the NASDAQ Capital Market since July 15, 2013 under the symbol "MRTX". Prior to that date, there was no public market 
for our common stock in the United States as our common stock was listed on the Toronto Stock Exchange.

On February 22, 2019, the last reported sale price for our common stock on the NASDAQ Global Select Market was 

$76.01 per share. 

As of February 22, 2019, we had 14 stockholders of record, which excludes stockholders whose shares were held in 
nominee or street name by brokers. The actual number of common stockholders is greater than the number of record holders, and 
includes stockholders who are beneficial owners, but whose shares are held in street name by brokers and other nominees. This 
number of holders of record also does not include stockholders whose shares may be held in trust by other entities. We have never 
declared or paid any cash dividends on our capital stock. We currently intend to retain any future earnings for funding operations 
and, therefore, do not anticipate paying any cash dividends in the foreseeable future.

Stock Performance Graph and Cumulative Total Return

The graph below shows the cumulative total stockholder return assuming the investment of $100 on December 31, 2013 
(and the reinvestment of dividends thereafter) in each of (i) Mirati Therapeutic, Inc.’s common stock, (ii) the NASDAQ Composite 
Index and (iii) the NASDAQ Biotechnology Index. The comparisons in the graph below are based upon historical data and are 
not indicative of, or intended to forecast, future performance of our common stock or Indexes.

COMPARISON OF 5 YEAR CUMULATIVE TOTAL RETURN*
Among Mirati Therapeutics, Inc., the NASDAQ Composite Index
and the NASDAQ Biotechnology Index

$350

$300

$250

$200

$150

$100

$50

$0

12/13 3/14 6/14 9/14 12/14 3/15 6/15 9/15 12/15 3/16 6/16 9/16 12/16 3/17 6/17 9/17 12/17 3/18 6/18 9/18 12/18

Mirati Therapeutics, Inc.

NASDAQ Composite

NASDAQ Biotechnology

*$100 invested on 12/31/13 in stock or index, including reinvestment of dividends.
Fiscal year ending December 31.

Recent Sales of Unregistered Securities

None.

37

 
 
Purchases of Equity Securities by the Issuer and Affiliated Purchasers

None.

38

 
Item 6.  Selected Consolidated Financial Data

The following table presents selected historical financial data for the years ended December 31, 2018, 2017, 2016, 2015 
and 2014. All the selected historical financial data has been derived from our Audited Consolidated Financial Statements and is 
stated in thousands except for per share information.

Please read the following selected financial data in conjunction with Item 7, "Management's Discussion and Analysis of 
Financial Condition and Results of Operations" and our Audited Consolidated Financial Statements and related Notes thereto 
included elsewhere in this Annual Report on Form 10-K.

Year Ended December 31,

2018

2017

2016

2015

2014

(in thousands, except share and per share amounts)

Statements of Operations Data:

License and collaboration revenues

$

12,926

$

— $

— $

— $

Loss from operations

Net loss
Comprehensive loss
Basic and diluted net loss per share

Weighted average common shares
outstanding, basic and diluted

(102,627)

(98,418)
(98,418)

(71,535)
(70,430)
(70,484)

(83,779)
(83,118)
(83,143)

(64,714)
(64,544)
(64,507)

$

(3.19) $

(2.78) $

(4.20) $

(3.82) $

—
(39,104)
(43,698)
(43,684)
(3.24)

30,897,717

25,290,222

19,787,349

16,901,826

13,483,467

As of December 31,

2018

2017

2016

2015

2014

(in thousands)

Balance Sheet Data:

Cash, cash equivalents and short-term investments $

222,790

$

150,837

$

56,734

$

122,327

$

Working capital

Total assets

Accumulated deficit

Total stockholders' equity

200,514

228,454
(559,045)
201,576

$

142,115

157,246
(460,627)
143,288

$

44,553

63,444
(389,751)
48,309

$

115,604

128,017
(306,633)
118,176

$

$

29,303

27,261

33,479
(242,089)
28,062

39

 
 
 
 
 
Item 7.  Management's Discussion and Analysis of Financial Condition and Results of Operations

You should read the following discussion and analysis of our financial condition and results of operations together with 
our consolidated financial statements and related notes thereto included elsewhere in this Annual Report on Form 10-K. Some of 
the information contained in this discussion and analysis or set forth elsewhere in this Annual Report on Form 10-K, including 
information with respect to our plans and strategy for our business and related financing, includes forward-looking statements 
that involve risks and uncertainties. As a result of many factors, including those factors set forth in the "Risk Factors" section of 
this Annual Report on Form 10-K, our actual results could differ materially from the results described in or implied by the forward-
looking statements contained in the following discussion and analysis.

References in the following discussion to "we," "our," "us," "Mirati" or "the Company" refer to Mirati Therapeutics, Inc. and its 
subsidiaries. 

Overview

Company Overview

Mirati Therapeutics, Inc. is a clinical-stage oncology company developing product candidates to address the genetic and 
immunological promoters of cancer. Our precision oncology clinical programs utilize genomic testing to identify and select cancer 
patients who we believe would be most likely to benefit from targeted treatment. In immuno-oncology, we are advancing a clinical 
program where our product candidate has the potential to improve the immune environment of tumor cells and enhance and expand 
the efficacy of existing cancer immunotherapy medicines when given in combination. Our KRAS inhibitor program is focused 
on developing novel inhibitors of KRAS mutations and includes one clinical candidate and a preclinical program. We also have 
additional preclinical programs which include potentially first-in-class and best-in-class product candidates specifically designed 
to address mutations and tumors where few treatment options exist. We approach each of our discovery and development programs 
with a singular focus: to translate our deep understanding of the molecular drivers of cancer into better therapies and better outcomes 
for patients.

Sitravatinib 

Sitravatinib is a spectrum-selective kinase inhibitor designed to potently inhibit receptor tyrosine kinases (“RTK”s), 
including  TAM  family  receptors  (TYRO3,  Axl,  Mer),  split  family  receptors  (VEGFR2,  KIT)  and  RET.  Sitravatinib  is  an 
investigational agent that is being evaluated both in combination with an immune checkpoint inhibitor and as a single agent.  

Sitravatinib in Combination with Immune Checkpoint Inhibitors 

Background

Sitravatinib's potent inhibition of TAM and split family RTKs may overcome resistance to checkpoint inhibitor therapy 
through targeted reversal of an immunosuppressive tumor microenvironment, enhancing antigen-specific T cell response and 
expanding dendritic cell-dependent antigen presentation.

As an immuno-oncology agent, sitravatinib is being evaluated in combination with nivolumab (OPDIVO®), Bristol-
Myers  Squibb  Company’s  (“BMS”)  anti-PD-1  checkpoint  inhibitor,  in  patients  who  have  experienced  documented  disease 
progression following treatment with a checkpoint inhibitor. Sitravatinib is also being developed in certain Asian territories in 
collaboration  with  BeiGene,  Ltd.  ("BeiGene")  who  are  evaluating  sitravatinib  in  combination  with  tislelizumab,  BeiGene's 
investigational  anti-PD-1  checkpoint  inhibitor  in  a  number  of  advanced  solid  tumors. We  are  pursuing  U.S.  Food  and  Drug 
Administration ("FDA") approval of sitravatinib in combination with immune checkpoint inhibitors for the treatment of non-small 
cell lung cancer ("NSCLC") and to leverage proof of concept data in additional solid tumors that are expected to be generated 
under the BeiGene collaboration to further expand the potential market opportunity for sitravatinib.   

Program Update

In an ongoing Phase 2 clinical trial, we are evaluating sitravatinib in combination with nivolumab in patients with NSCLC 
who have experienced documented disease progression following prior treatment with a checkpoint inhibitor.  On October 22, 
2018, we reported data from this clinical trial at the 2018 European Society of Medical Oncology Congress ("ESMO"), based on 
a data cutoff date of August 27, 2018. A summary of these data, with response confirmations updated after the data cutoff date, is 
presented below: 

40

 
 
 
 
 
 
• 

• 

• 

• 

56 patients were evaluable for response with at least one radiographic scan. Patients had a median of two lines of previous 
therapy;

45 of 56 evaluable patients demonstrated tumor reductions; 18 of whom demonstrated tumor reductions greater than 
30%;

11 of 56 evaluable patients achieved a confirmed Partial Response ("PR") or Complete Response;

26 of 56 evaluable patients remained on treatment at the time of data cut-off including eight responding patients;

•  A preliminary Kaplan-Meier estimate of median duration of response was greater than nine months, with six responding 

patients treated for more than six months and two responding patients treated for more than 12 months; and

•  The combination has shown an acceptable toxicity profile, and most adverse events reported by investigators were Grade 

1 or 2.

We held an end of Phase 2 meeting with the FDA in the third quarter of 2018 with respect to the development of sitravatinib 
in combination with a checkpoint inhibitor in NSCLC. Based on feedback received from the FDA, we plan to initiate a Phase 3 
randomized clinical trial in the first half of 2019 in second-line NSCLC patients.  The Phase 3 clinical trial will compare the 
combination of sitravatinib plus nivolumab to docetaxel in patients whose tumors have progressed on prior checkpoint inhibitor 
therapy. Ultimately, we believe the results of this clinical trial will enable a new drug application (“NDA”) submission for the 
treatment  of  NSCLC  patients  whose  tumors  have  progressed  following  treatment  with  a  platinum-containing  regimen  and  a 
checkpoint inhibitor.  This Phase 3 clinical trial will include an interim analysis of objective response rates (which we expect to 
complete by the end of 2020) as a surrogate endpoint to serve as the basis for a potential NDA submission seeking accelerated 
approval in the United States.  The primary endpoint of the final analysis for the Phase 3 clinical trial (which we expect to complete 
by the end of 2021) will be overall survival. 

On January 7, 2019, we announced a clinical collaboration with BMS in connection with the planned Phase 3 clinical 
trial.  Under the terms of the collaboration, Mirati will sponsor and fund the clinical trial and BMS will provide nivolumab at no 
cost.  In certain specified cases, BMS will have an exclusive right to negotiate a commercial agreement with us for a limited period 
of time with respect to developing and commercializing sitravatinib worldwide excluding certain territories in Asia, Australia and 
New Zealand.  We maintain global development and commercial rights to sitravatinib outside of certain Asian territories, where 
we have partnered with BeiGene, and we are free to develop the program in combination with other agents.

During the third quarter of 2018, we initiated an open label Phase 2 clinical trial of sitravatinib combined with 

nivolumab in patients with advanced or metastatic urothelial carcinoma who previously failed treatment with an immune 
checkpoint inhibitor.  We expect to receive initial data from this clinical trial in the second half of 2019.

During the third quarter of 2018, we also initiated an open label Phase 2 window of opportunity clinical trial to assess 
the mechanism of action of sitravatinib combined with nivolumab in patients with advanced clear cell renal cell cancer ("RCC"). 
We expect to receive initial data from this clinical trial in the first half of 2019.

Sitravatinib as a Single Agent

Background

Sitravatinib is also being evaluated as a single agent in a Phase 1b expansion clinical trial in patients with NSCLC and 

other tumor types who have genetic alterations in CBL. 

Program update

On October 21, 2018, we reported data from this Phase 1b clinical trial in a presentation at ESMO. The presentation 
provided an update from the pre-planned expansion cohort of the Phase 1b clinical trial of single agent sitravatinib in patients with 
CBL inactivating mutations. CBL mutations are present in 1.5% of NSCLC tumors, 3.5% of melanoma tumors, and 2% of cancers 
of unknown origin. As of the data cut-off on September 4, 2018, eight patients were evaluable: 

• 

• 

• 

In the subset of evaluable NSCLC patients (n=2), one confirmed PR was observed, and one patient experienced stable 
disease with significant tumor regression; 

In the subset of evaluable melanoma patients (n=2), one confirmed PR was observed, and one patient had stable disease; 
and

In the subset of evaluable patients with other solid tumors (n=4), two had stable disease and two had progression of 
disease.

41

 
 
 
 
 
Enrollment continues in this Phase 1b expansion clinical trial with an emphasis on patients with CBL inactivating mutations 
in NSCLC and melanoma. We expect to provide a clinical update in the second half of 2019 and to define a potential registration 
pathway based on updated data at that time.  

Interim clinical data from the ongoing Phase 1b expansion clinical trial was also presented in a poster at the American 
Society  of  Clinical  Oncology  ("ASCO") Annual  Meeting  held  June  1  -  5,  2018  in  Chicago,  Illinois. The  presentation,  titled 
"Evaluation of the spectrum selective RTK inhibitor sitravatinib in RCC refractory to anti-angiogenic therapy" reported data from 
patients with RCC treated with single agent sitravatinib. Confirmed partial responses were reported in 20% of patients (4 of 20) 
with advanced, metastatic RCC who were refractory to prior treatment. 

Sitravatinib Development in Collaboration with BeiGene, Ltd.

In January 2018, we entered into a Collaboration and License Agreement (the “BeiGene Agreement”) with BeiGene, 
pursuant  to  which  we  and  BeiGene  agreed  to  collaboratively  develop  sitravatinib  in Asia  (excluding  Japan  and  certain  other 
countries), Australia and New Zealand (the “Licensed Territory”). Under the BeiGene Agreement, we granted BeiGene an exclusive 
license to develop, manufacture and commercialize sitravatinib in the Licensed Territory, and we retained exclusive rights for the 
development, manufacturing and commercialization of sitravatinib outside the Licensed Territory. All of our revenue during 2018
was earned under the BeiGene Agreement. 

In November 2018, we announced the dosing of the first patient under the BeiGene Agreement in a Phase 1b clinical 
trial to assess  the safety and tolerability, pharmacokinetics and preliminary anti-tumor activity of sitravatinib in combination 
with BeiGene's investigational  anti-PD-1  antibody,  tislelizumab,  in  patients  with  advanced  solid  tumors.  The  clinical  trial  is 
currently  enrolling  patients  in China and Australia.  BeiGene's  clinical  trials  will  evaluate  the  combination  of  sitravatinib  and 
tislelizumab in patients with NSCLC, RCC, hepatocellular cancer, gastric cancer and ovarian cancer. We expect to receive initial 
proof of concept data from these clinical trials in the second half of 2019 and the first half of 2020.

KRAS Inhibitor Program

Background

The RAS family of genes is the most commonly mutated oncogene and mutations in this gene family comprise up to 
25% of all human cancers. Among the RAS family members, mutations most frequently occur in KRAS (85% of all RAS family 
mutations). Tumors characterized by KRAS mutations are commonly associated with poor prognosis and resistance to therapy.  
Nonclinical studies have demonstrated that cancer cells exhibiting KRAS mutations are highly dependent on KRAS function for 
cell growth and survival. Historically, KRAS has been extremely difficult to directly inhibit due to the absence of a tractable small 
molecule  drug  binding  site.  Our  KRAS  inhibitor  program  is  focused  on  the  discovery  and  development  of  small  molecule 
compounds that target KRAS G12C and G12D. We intend to pursue development of our KRAS G12C inhibitor program in both 
single agent and rational combination approaches to maximize the potential market opportunity.  

Program Update

Our lead KRAS G12C compound, MRTX849, is an investigational, specific, potent and orally available small molecule.  
MRTX849  is  designed  to  directly  inhibit  KRAS  G12C  mutations  which  are  present  in  approximately  14%  of  NSCLC 
adenocarcinoma patients, 4% of colorectal cancer (“CRC”) patients, as well as smaller percentages of several other difficult-to-
treat cancers. Single agent treatment with MRTX849 has shown complete regression in a subset of KRAS G12C-positive human 
tumor models implanted in mice. We received FDA authorization of our Investigational New Drug Application for MRTX849 in 
November 2018, and on January 15, 2019, we announced that we had dosed the first patient in the dose escalation phase of a phase 
1/2 clinical trial in patients with advanced solid tumors that harbor G12C mutations. This trial is designed to enable rapid expansion 
of the single agent cohorts and could potentially serve as the basis of an NDA filing for accelerated approval by the FDA. This 
trial also enables exploratory combination cohorts. Following single agent dose escalation, we plan to expand into cohorts that 
include patients with NSCLC, CRC and those with other tumors that carry the G12C mutation. We expect to report early clinical 
results in the second half of 2019. We also intend to expand our KRAS inhibitor program to target G12D mutations and expect to 
identify a clinical candidate targeting G12D mutations by the fourth quarter of 2019.

Mocetinostat

Mocetinostat is an investigational, oral, Class 1 and IV selective histone deacetylase inhibitor that was evaluated in a 
Phase 2 clinical trial combining mocetinostat with durvalumab (IMFINZI®) in NSCLC patients who experienced documented 
disease progression following prior treatment with an immune checkpoint inhibitor. In November 2018, we reported our strategic 
portfolio decision to deprioritize the mocetinostat program. We are currently exploring licensing opportunities for mocetinostat.

42

 
 
 
 
 
 
 
Liquidity Overview

At December 31, 2018, we had $222.8 million of cash, cash equivalents and short-term investments compared to $150.8 
million at December 31, 2017. In January 2019, we completed a public offering of our common stock that generated net proceeds 
of $107.9 million and in June 2018, we completed a public equity offering that generated net proceeds of $130.7 million. In 
connection with the BeiGene Agreement, in January 2018 we received an upfront fee of $10.0 million and in November 2018 we 
received a milestone payment of $3.0 million. 

We have not generated any revenue from product sales. To date, we have funded our operations primarily through the 
sale  of  our  common  stock  and  through  up-front  payments,  research  funding  and  milestone  payments  under  collaborative 
arrangements. To fund future operations, we will likely need to raise additional capital as discussed more fully below under the 
heading "Liquidity and Capital Resources." 

Critical Accounting Policies and Significant Judgments and Estimates

Our discussion and analysis of financial condition and results of operations are based upon our consolidated financial 
statements, which have been prepared in accordance with U.S. generally accepted accounting principles. The preparation of these 
financial statements requires us to make significant estimates and judgments that affect the reported amounts of assets, liabilities, 
revenue and expenses and related disclosures. On an ongoing basis, our actual results may differ significantly from our estimates.

While our significant accounting policies are more fully described in Note 2 to our consolidated financial statements 
appearing  elsewhere  in  this Annual  Report  on  Form  10-K,  we  believe  the  following  accounting  policies  to  be  critical  to  the 
judgments and estimates used in the preparation of our consolidated financial statements.

Revenue Recognition

Effective January 1, 2017, we adopted Accounting Standards Codification, or ASC, Topic 606, Revenue from Contracts 
with Customers, using the full retrospective transition method.  This standard applies to all contracts with customers, except for 
contracts  that  are  within  the  scope  of  other  standards,  such  as  leases,  insurance,  collaboration  arrangements  and  financial 
instruments.  Under Topic 606, we recognize revenue when our customer obtains control of promised goods or services, in an 
amount that reflects the consideration that the entity expects to receive in exchange for those goods or services.  To determine 
revenue recognition for contracts with customers, we perform the following five steps: (i) identify the contract(s) with a 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) the entity satisfies a performance obligation.  We 
only apply the five-step model to contracts when it is probable that we will collect the consideration we are entitled to in exchange 
for the goods or services we transfer.  At contract inception, once the contract is determined to be within the scope of Topic 606, 
we assess the goods or services promised within each contract, determine those that are performance obligations, and assess 
whether each promised good or service is distinct.  We then recognize as revenue the amount of the transaction price that is allocated 
to the respective performance obligation when (or as) the performance obligation is satisfied.  We utilize key assumptions to 
determine a stand-alone selling price for performance obligations, which may include revenue forecasts, expected development 
timelines, discount rates, probabilities of technical and regulatory success and costs for manufacturing clinical supplies.  Because 
the amount of revenue recognized for each performance obligation is determined based upon its relative stand-alone selling price, 
an increase or decrease of 10% in the estimated fair value of each performance obligation would not have a significant impact on 
the amount of revenue recognized.  

Accrued Research and Development Expenses 

We accrue and expense clinical trial activities performed by third parties based upon estimates of the proportion of work 
completed over the life of the individual clinical trial and patient enrollment rates in accordance with agreements established with 
Clinical Research Organizations ("CROs") and clinical trial sites. We determine the estimates by reviewing contracts, vendor 
agreements and purchase orders, and through discussions with internal clinical personnel and external service providers as to the 
progress or stage of completion of trials or services and the agreed-upon fee to be paid for such services. However, actual costs 
and timing of clinical trials are highly uncertain, subject to risks and may change depending upon a number of factors, including 
our clinical development plan. 

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. If the actual timing of the performance of services or the level of effort varies 
from the estimate, we will adjust the accrual accordingly. Nonrefundable advance payments for goods and services, including fees 

43

 
 
 
 
 
 
 
for process development or manufacturing and distribution of clinical supplies that will be used in future research and development 
activities, are deferred and recognized as expense in the period that the related goods are consumed or services are performed. 

Share-Based Compensation

We measure and recognize compensation expense for share-based payments based on estimated fair value. We estimate 
the fair value of stock options granted using the Black-Scholes option-pricing model. The Black-Scholes option- pricing model 
requires the use of certain estimates and judgmental assumptions that affect the amount of share-based compensation expense 
recognized in our consolidated financial statements. These assumptions include the historical volatility of our stock price, expected 
term of the options, the risk-free interest rate and expected dividend yields. Share-based compensation is recognized using the 
graded accelerated vesting method. If any of the assumptions used in our calculation change significantly, share-based compensation 
expense may differ materially from what we have recorded in the current period.

Research and Development Expenses

Research and development expenses consist primarily of: 

• 

• 

• 

• 

salaries and related expenses for personnel, including expenses related to stock options or other share-based 
compensation granted to personnel in development functions;

fees paid to external service providers such as CROs and contract manufacturing organizations related to clinical 
trials, including contractual obligations for clinical development, clinical sites, manufacturing and scale-up, and 
formulation of clinical drug supplies; and 

costs for allocated facilities and depreciation of equipment. 

license fees paid in connection with our early discovery efforts.

We record research and development expenses as incurred. At this time, due to the risks inherent in the clinical development 
process and the early stage of our product development programs we are unable to estimate with any certainty the costs we will 
incur in the continued development of sitravatinib and MRTX849. The process of conducting clinical trials necessary to obtain 
regulatory approval and manufacturing scale-up to support expanded development and potential future commercialization is costly 
and time consuming. Any failure by us or delay in completing clinical trials, manufacturing scale up or in obtaining regulatory 
approvals could lead to increased research and development expense and, in turn, have a material adverse effect on our results of 
operations. We expect that our research and development expenses may increase if we are successful in advancing sitravatinib, 
MRTX849 and our preclinical KRAS G12D program, or any of our other preclinical programs into more advanced stages of 
clinical development.

General and Administrative Expenses

General  and  administrative  expenses  consist  primarily  of  salaries  and  related  benefits,  including  share-based 
compensation, related to our executive, finance, business development, legal, human resources and support functions. Other general 
and administrative expenses include professional fees for auditing, tax, consulting and patent-related services, rent and utilities 
and insurance. 

Results of Operations

Comparison of the Years Ended December 31, 2018 and 2017 

The following table summarizes our results of operations for the year ended December 31, 2018 and 2017 (in thousands):

License and collaboration revenues

Research and development expenses

General and administrative expenses

Other income, net

44

Year Ended December 31,
2017
2018

Increase

(Decrease)

$

12,926

$

— $

93,872

21,681

4,209

58,085

13,450

1,105

12,926

35,787

8,231

3,104

 
 
 
 
 
 
License and collaboration revenues

License and collaboration revenues relate to the BeiGene Agreement, effective January 7, 2018, under which BeiGene 
was granted an exclusive license to develop, manufacture and commercialize sitravatinib in the Licensed Territory.  License and 
collaboration revenues for the year ended December 31, 2018 were $12.9 million and relate to the license the Company granted 
to BeiGene and a related milestone achieved under BeiGene Agreement.  No license and collaboration revenues were recorded 
during the year ended December 31, 2017. 

Research and Development Expenses

Our research and development efforts during the years ended December 31, 2018 and 2017 were focused primarily on 
our clinical development programs and our preclinical KRAS inhibitor program. The following table summarizes our research 
and development expenses, (in thousands):

Third-party research and development expenses:

  Clinical development programs:

Sitravatinib
Mocetinostat

Glesatinib

  Preclinical development programs:

KRAS inhibitor (1)
Preclinical and early discovery

Total third-party research and development expenses

Salaries and other employee related expense

Share-based compensation expense

Other research and development expenses

Research and development expenses

Year Ended December 31,

2018

2017

Increase

(Decrease)

$

$

38,377
3,982

5,626

20,394

2,418

70,797

13,182

7,232

2,661

12,282
4,883

17,177

6,885

2,263

43,490

9,007

3,192

2,396

$

26,095
(901)
(11,551)

13,509

155

27,307

4,175

4,040

265

$

93,872

$

58,085

$

35,787

(1) The Company obtained FDA clearance of its IND application for its lead G12C compound, MRTX849, in late November 2018.  
As such, the substantial majority of the research and development costs for the KRAS inhibitor incurred during 2018 related to 
preclinical development. 

Research  and  development  expenses  for  the  year  ended  December 31,  2018  were  $93.9  million  compared  to  $58.1 
million during the year ended December 31, 2017. The increase of $35.8 million during the year ended December 31, 2018 relates 
to an increase in third-party research and development expenses of $27.3 million, an increase in salaries and other employee related 
expense of $4.2 million, and an increase in share-based compensation expense of $4.0 million. The increase in third-party research 
and development expense primarily relates to an increase in expenses associated with development for sitravatinib of $26.1 million
and  the  KRAS  inhibitor  program  of  $13.5  million. The  increase  in  development  expense  for  sitravatinib  is  due  to  increased 
manufacturing production expenses, investigator payment expenses, and CRO expenses to support the expansion of existing and 
new  sitravatinib  clinical  trials.  The  increase  in  expenses  associated  with  the  KRAS  inhibitor  program  is  due  to  increased 
manufacturing production expenses for MRTX849. The increase in salaries and other employee related expense of $4.2 million
is primarily due to an increase in the number of research and development employees during the twelve months ended December 31, 
2018 compared to the same period in 2017. The increase in share-based compensation expense of $4.0 million is due to an increase 
in the fair value of stock options granted during the year ended December 31, 2018 compared to the year ended December 31, 
2017.

General and Administrative Expenses

General and administrative expenses for the year ended December 31, 2018 were $21.7 million compared to $13.5 million
for the same period in 2017. The increase of $8.2 million is primarily due to an increase in share-based compensation expense of 
$5.0 million, an increase in professional services expense of $1.7 million, and an increase in other employee related expense of 
$1.1 million. The increase in share-based compensation expense is due to an increase in the fair value of stock options granted 
during the year ended December 31, 2018 compared to the year ended December 31, 2017. The increase in other employee related 

45

 
 
 
 
  
 
 
expense is primarily due to an increase in the number of general and administrative employees during the twelve months ended 
December 31, 2018 compared to the same period in 2017, and the increase in professional services expense is primarily due to 
increased consulting and patent-related expenses during the twelve months ended December 31, 2018 compared to the same period 
in 2017.

Other Income, Net

Other income, net consisted primarily of interest income of $4.2 million for the year ended December 31, 2018 and $1.1 
million for the year ended December 31, 2017. The increase in interest income during the twelve months ended December 31, 
2018 compared to December 31, 2017 is due to an increase in short-term investment balances.

Comparison of the Years Ended December 31, 2017 and 2016 

The  following  table  summarizes  the  results  of  our  operations  for  the  years  ended  December 31,  2017  and  2016  (in 

thousands):

Research and development expenses

General and administrative expenses

Other income, net

Research and Development Expenses

Year Ended December 31,

2017

2016

Increase
(Decrease)

$

58,085

$

68,487

$

13,450

1,105

15,292

661

(10,402)
(1,842)
444

Our research and development efforts during the years ended December 31, 2017 and 2016 were focused primarily on 
our clinical development programs and our preclinical KRAS inhibitor program. The following table summarizes our research 
and development expenses, (in thousands):

Third-party research and development expenses:

  Clinical development programs:

Sitravatinib

Mocetinostat

Glesatinib

  Preclinical development programs:

KRAS inhibitor

Preclinical and early discovery

Total third-party research and development expenses

Salaries and other employee related expense

Share-based compensation expense

Other research and development expenses

Research and development expenses

Year Ended December 31,

2017

2016

Increase

(Decrease)

$

12,282

$

4,883

17,177

6,885

2,263

43,490

9,007

3,192

2,396

7,346

4,613

29,974

6,802

2,690

51,425

8,963

5,461

2,638

$

58,085

$

68,487

4,936

270
(12,797)

83
(427)
(7,935)
44
(2,269)
(242)
(10,402)

Research  and  development  expenses  for  the  year  ended  December 31,  2017  were  $58.1  million  compared  to  $68.5 
million during  the  year  ended  December 31,  2016. The  decrease  of  $10.4  million  during  the  year  ended  December 31,  2017 
primarily relates to a decrease in third-party research and development expenses of $7.9 million and a decrease in share-based 
compensation expense of $2.3 million. The decrease in third-party research and development expense relates to a decrease in 
expenses associated with development for glesatinib of $12.8 million primarily related to decreased manufacturing costs, partially 
offset by a $4.9 million increase in sitravatinib development expenses due to the continuation and expansion of ongoing clinical 
trials. The decrease in share-based compensation expense of $2.3 million is due to a decrease in the fair value of stock options 
granted during the year ended December 31, 2017 compared to the year ended December 31, 2016.  

46

 
 
 
 
 
 
 
General and Administrative Expenses

General and administrative expenses for the year ended December 31, 2017 were $13.5 million compared to $15.3 million
for the same period in 2016. The decrease is primarily due to a decrease in share-based compensation expense, which is due to a 
decrease  in  the  fair  value  of  stock  options  granted  during  the  year  ended  December 31,  2017  compared  to  the  year  ended 
December 31, 2016.

Other Income, Net

Other income, net for the year ended December 31, 2017 was $1.1 million compared to $0.7 million for the same period 

in 2016 and consists primarily of interest income.

Liquidity and Capital Resources

To date, we have funded our operations primarily through the sale of our common stock, pre-funded warrants to purchase 
our common stock, and to a lesser extent through up-front payments, research funding and milestone payments under collaborative 
arrangements. Since inception, we have primarily devoted our resources to funding research and development programs, including 
discovery research, preclinical and clinical development activities.

At December 31, 2018, we had $222.8 million of cash, cash equivalents and short-term investments compared to $150.8 
million at December 31, 2017. In January 2019, we completed a public offering of our common stock that generated net proceeds 
of $107.9 million and in June 2018, we completed a public equity offering that generated net proceeds of $130.7 million. In 
connection with the BeiGene Agreement, in January 2018 we received an upfront fee of $10.0 million and in November 2018, we 
received a milestone payment of $3.0 million. 

We have incurred losses in each year since our inception. Our net losses were $98.4 million, $70.4 million and $83.1 
million for the years ended December 31, 2018, 2017 and 2016, respectively. As of December 31, 2018, we had an accumulated 
deficit of $559.0 million. Substantially all of our operating losses resulted from expenses incurred in connection with our product 
development programs, our research activities and general and administrative costs associated with our operations. 

Based  on  our  current  and  anticipated  level  of  operations,  we  believe  that  our  cash,  cash  equivalents  and  short-term 
investments will be sufficient to meet our anticipated obligations for at least one year from the date this Annual Report on Form 
10-K is filed with the SEC. To fund future operations, we will likely need to raise additional capital. The amount and timing of 
future funding requirements will depend on many factors, including the timing and results of our ongoing development efforts, 
the  potential  expansion  of  our  current  development  programs,  potential  new  development  programs  and  related  general  and 
administrative support. We anticipate that we will seek to fund our operations through public or private equity or debt financings 
or other sources, such as potential collaboration agreements. We cannot make assurances that anticipated additional financing will 
be available to us on favorable terms, or at all. Although we have previously been successful in obtaining financing through our 
equity securities offerings, there can be no assurance that we will be able to do so in the future.

47

 
 
 
 
 
 
The following table provides a summary of the net cash flow activity for each of the periods set forth below (in thousands):

Net cash used in operating activities

Net cash provided by (used in) investing activities

Net cash provided by financing activities

Increase (decrease) in cash

Net cash used in operating activities

Year Ended December 31,

$

2018
(70,096) $
(145,765)
140,852
(75,009)

2017
(64,706) $
(8,651)
158,677

85,320

2016
(68,017)
38,255

2,652
(27,110)

Net cash used for operating activities was $70.1 million, $64.7 million and $68.0 million for the years ended December 31, 
2018, 2017 and 2016, respectively. Cash used in operating activities during 2018 primarily related to our net loss of $98.4 million, 
adjusted for non-cash share-based compensation expense of $15.9 million and net cash inflows from a change in our operating 
assets and liabilities of $13.6 million. Cash used in operating activities during 2017 primarily related to our net loss of $70.4 
million, adjusted for non-cash share-based compensation expense of $6.8 million and net cash outflows from a change in our 
operating assets and liabilities of $1.0 million. Cash used in operating activities during 2016 primarily related to our net loss 
of $83.1 million, adjusted for non-cash share-based compensation expense of $10.6 million and net cash inflows from a change 
in our operating assets and liabilities of $4.3 million.

Net cash provided by (used in) investing activities

Investing activities used cash of $145.8 million for the year ended December 31, 2018, used cash of $8.7 million for the 
year ended December 31, 2017, and provided cash of $38.3 million for the year ended December 31, 2016. The net cash provided 
or used by investing activities during the periods presented primarily reflects the purchases, sales and maturities of short-term 
investments.

Net cash provided by financing activities

Net  cash  provided  by  financing  activities  was  $140.9  million,  $158.7  million  and  $2.7  million  for  the  years  ended 
December 31, 2018, 2017 and 2016, respectively. Net cash provided by financing activities during 2018 consists of net proceeds 
from the issuance of common stock from our 2018 public offerings of common stock and pre-funded warrants totaling $130.7 
million, proceeds from the exercise of stock options and warrants of $9.7 million and proceeds from our employee stock purchase 
plan ("ESPP") of $0.4 million. Net cash provided by financing activities during 2017 consists of net proceeds from the issuance 
of common stock from our 2017 public offerings of common stock and pre-funded warrants totaling $153.5 million, proceeds 
from the exercise of stock options and warrants of $5.0 million and proceeds from our ESPP of $0.1 million. Net cash provided 
by financing activities during 2016 consists of net proceeds from the exercise of stock options and warrants of $2.4 million and 
proceeds from our ESPP of $0.3 million. 

Contractual Obligations and Commitments

The following table summarizes our contractual obligations and commitments as of December 31, 2018 that will affect 

our future liquidity (in thousands):

Operating lease obligations (1)

Total Contractual Obligations

Total

Less Than
1 year

1 -3 
Years

3 -5
Years

More Than
5 Years

$

$

393

393

$

$

363

363

$

$

30

30

$

$

— $

— $

—

—

(1)  In June 2014 we entered into a multi-year non-cancelable building lease for 18,000 square feet of completed office and laboratory 
space in San Diego, California which was originally set to expire in January 2018. In March 2017, we amended the lease to extend 
the term through January 2019, and in April 2018, we amended the lease to extend the term through January 2020 and in August 
2018, we amended the lease to expand the size of the existing space by approximately 6,100 square feet. 

We enter into contracts in the normal course of business with clinical sites for the conduct of clinical trials, CROs for 
clinical research studies, professional consultants for expert advice and other vendors for clinical supply manufacturing or other 
services. These contracts generally provide for termination on notice, and therefore are cancelable contracts and not included in 
the table of contractual obligations and commitments. 

48

 
 
 
 
 
 
 
 
Off-Balance Sheet Arrangements

During the years ended December 31, 2018 and 2017, we did not have any off-balance sheet arrangements (as defined 
by applicable SEC regulations) that are reasonably likely to have a current or future material effect on our financial condition, 
results of operations, liquidity, capital expenditures or capital resources.

49

 
Item 7A.     Quantitative and Qualitative Disclosures about Market Risk

Interest Rate Risk 

Some of our short-term investments have market risk in that a change in prevailing interest rates may cause the principal 
amount of the investment to fluctuate. Financial instruments that potentially subject us to significant concentrations of credit risk 
consist primarily of cash, cash equivalents and short-term investments. We invest our excess cash primarily in commercial paper 
and debt instruments of financial institutions, corporations, U.S. government-sponsored agencies and the U.S. Treasury. We mitigate 
credit risk by maintaining a well-diversified portfolio and limiting the amount of investment exposure as to institution, maturity 
and investment type. We invest our excess cash in accordance with our investment policy. 

Because of the short-term maturities of our cash equivalents and short-term investments, we do not believe that an increase 
in market rates would have any significant impact on the realized value of our investments. If a 1% change in interest rates were 
to have occurred on December 31, 2018, this change would not have had a material effect on the fair value of our investment 
portfolio as of that date.

Effects of Inflation

We do not believe that inflation and changing prices had a significant impact on our results of operations for any 

periods presented herein.

50

 
 
 
Item 8.     Financial Statements and Supplementary Data

The financial statements and supplemental data required by this item are set forth at the pages indicated in Part IV, Item 15 

of this annual report.

Item 9.     Changes In and Disagreements with Accountants on Accounting and Financial Disclosure

None.

Item 9A.     Controls and Procedures

Evaluation of Disclosure Controls and Procedures 

As  required  by  Rule 13a-15(b) and  Rule  15d-15(b)  of  the  Exchange Act,  our  management,  including  our  principal 
executive officer and our principal financial officer, conducted an evaluation as of the end of the period covered by this Annual 
Report on Form 10-K of the effectiveness of the design and operation of our disclosure controls and procedures. Based on that 
evaluation, management has concluded that as of December 31, 2018, the Company’s disclosure controls and procedures were  
effective at the reasonable assurance level and we believe the consolidated financial statements included in this Form 10-K for 
the year ended December 31, 2018 present, in all material respects, our financial position, results of operations, comprehensive 
loss and cash flows for the periods presented in conformity with U.S. generally accepted accounting principles.  

Management’s Report on Internal Control Over Financial Reporting

Our management is responsible for establishing and maintaining adequate internal control over financial reporting as 
such term is defined in Exchange Act Rule 13a-15(f). Internal control over financial reporting is a process designed under the 
supervision and with the participation of our management, including our principal executive officer and principal financial officer, 
to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for 
external purposes in accordance with accounting principles generally accepted in the United States of America. Because of its 
inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any 
evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in 
conditions,  or  that  the  degree  of  compliance  with  the  policies  or  procedures  may  deteriorate. Therefore,  even  those  systems 
determined to be effective can provide only reasonable assurance with respect to financial statement preparation and presentation.

As of December 31, 2018, our management assessed the effectiveness of our internal control over financial reporting 
using the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission in Internal Control-
Integrated Framework (2013 Framework). Based on this assessment, our management concluded that, as of December 31, 2018, 
our internal control over financial reporting was effective based on those criteria.

The effectiveness of our internal control over financial reporting as of December 31, 2018 has been audited by Ernst & 

Young LLP, an independent registered public accounting firm, as stated in its report, which is included herein.

Changes in Internal Control over Financial Reporting

There were no changes in our internal control over financial reporting identified in management's evaluation pursuant to 
Rules 13a-15(d) or 15d-15(d) of the Exchange Act during the quarter ended December 31, 2018 that materially affected, or are 
reasonably likely to materially affect, our internal control over financial reporting.

51

 
 
 
 
 
 
 
 
 
Report of Independent Registered Public Accounting Firm

To the Board of Directors and Stockholders of Mirati Therapeutics, Inc.

Opinion on Internal Control Over Financial Reporting 

We have audited Mirati Therapeutics, Inc.’s internal control over financial reporting as of December 31, 2018, based on criteria 
established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway 
Commission (2013 framework) (the COSO criteria). In our opinion, Mirati Therapeutics, Inc. (the Company) maintained, in all 
material respects, effective internal control over financial reporting as of December 31, 2018, based on the COSO criteria.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) 
(PCAOB), the consolidated balance sheets of Mirati Therapeutics, Inc. as of December 31, 2018 and 2017, the related 
consolidated statements of operations and comprehensive loss, changes in stockholders' equity and cash flows for each of the 
three years in the period ended December 31, 2018, and the related notes and our report dated February 28, 2019 expressed an 
unqualified opinion thereon.

Basis for Opinion

The Company’s management is responsible for maintaining effective internal control over financial reporting and for its 
assessment of the effectiveness of internal control over financial reporting included in the accompanying Management’s Report 
on Internal Control Over Financial Reporting. Our responsibility is to express an opinion on the Company’s internal control 
over financial reporting based on our audit. We are a public accounting firm registered with the 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 audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform the 
audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all 
material respects.

Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material 
weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk, and 
performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a 
reasonable basis for our opinion.

Definition and Limitations of Internal Control Over Financial Reporting

A company’s internal control over financial reporting is a process designed 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. A company’s internal control over financial reporting includes those policies and procedures 
that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and 
dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit 
preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and 
expenditures of the company are being made only in accordance with authorizations of management and directors of the 
company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or 
disposition of the company’s assets that could have a material effect on the financial statements. 

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, 
projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate 
because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

/s/ Ernst & Young LLP

San Diego, California
February 28, 2019

52

Item 9B.     Other Information

Recently Adopted Accounting Pronouncements 

See “Notes to Financial Statements-Note 3-Recently Issued and Recently Adopted Accounting Pronouncements” of 

our annual financial statements. 

53

 
Item 10.     Directors, Executive Officers and Corporate Governance

PART III

The information required by this item with respect to directors is incorporated by reference from the information under 
the captions "Election of Directors," "Section 16(a) Beneficial Ownership Reporting Compliance," and "Code of Ethics" contained 
in  the  proxy  statement  to  be  filed  with  the  SEC  pursuant  to  Regulation 14A  in  connection  with  our  2019  annual  meeting  of 
stockholders.

We have adopted a Code of Business Conduct and Ethics that applies to all officers, directors and employees. The Code 
of Business Conduct and Ethics is available on our website at www.mirati.com. If we make any substantive amendments to the 
Code of Business Conduct and Ethics or grant any waiver from a provision of the Code of Business Conduct and Ethics to any 
executive officer or director, we will promptly disclose the amendment or waiver on our website.

Item 11.     Executive Compensation

 The information required by this item is incorporated by reference to the proxy statement to be filed with the SEC 

pursuant to Regulation 14A in connection with our 2019 annual meeting of stockholders.

Item 12.     Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

The information required by this item is incorporated by reference to the proxy statement to be filed with the SEC pursuant 

to Regulation 14A in connection with our 2019 annual meeting of stockholders.

Item 13.     Certain Relationships and Related Transactions, and Director Independence

The information required by this item is incorporated by reference to the proxy statement to be filed with the SEC pursuant 

to Regulation 14A in connection with our 2019 annual meeting of stockholders.

Item 14.     Principal Accountant Fees and Services

The information required by this item is incorporated by reference to the proxy statement to be filed with the SEC pursuant 

to Regulation 14A in connection with our 2019 annual meeting of stockholders.

54

         
 
        
         
         
         
Item 15.  Exhibits and Financial Statement Schedules

PART IV

1. Financial Statements. We have filed the following documents as part of this Annual Report:

Consolidated Financial Statements

Report of Independent Registered Public Accounting Firm

Financial Statements:

Consolidated Balance Sheets

Consolidated Statements of Operations and Comprehensive Loss

Consolidated Statements of Changes in Stockholders' Equity

Consolidated Statements of Cash Flows

Notes to Consolidated Financial Statements

Page

61

62

63

64

65

66

2. Financial Statement Schedules. All schedules are omitted because they are not applicable or the required information is shown 
in the Financial Statements or notes thereto.

55

 
 
 
Exhibit
number

2.1

3.1

3.2

3.3

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+

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

21.1

23.1

31.1

INDEX TO EXHIBITS 

Description of Document

Arrangement Agreement, dated May 8, 2013, by and between MethylGene Inc. and the Registrant.(2)
Amended and Restated Certificate of Incorporation.(1)
Bylaws.(1)
Amendment to Bylaws. (7)
Form of Common Stock Certificate.(2)
Form of Warrant to Purchase Common Stock.(8)
Form of Warrant to Purchase Common Stock (11)
Form of Warrant to Purchase Common Stock (15)
Form of Securities Purchase Agreement relating to the 2011 private placement.(1)
Form of Securities Purchase Agreement relating to the 2012 private placement.(1)
Amended and Restated Incentive Stock Option Plan.(1)
Amended and Restated 2013 Equity Incentive Plan and Form of Stock Option Grant Notice and Form of Stock Option 
Agreement thereunder.
Form of 2013 Employee Stock Purchase Plan.(1)
Collaboration and License Agreement, dated October 16, 2003, by and between MethylGene Inc. and Taiho 
Pharmaceutical Co. Ltd.(1)
Amendment Number One to Collaboration and License Agreement, dated January 25, 2005, by and between 
MethylGene Inc. and Taiho Pharmaceutical Co., Ltd.(1)
Letter Agreement, dated January 25, 2005, by and between MethylGene Inc. and Taiho Pharmaceutical Co., Ltd., 
relating to Collaboration and License Agreement dated October 16, 2003.(1)
Senior Executive Employment Agreement, dated September 24, 2012, by and among MethylGene Inc. and 
Dr. Charles M. Baum.(1)
Amended and Restated Employment Agreement, dated July 2, 2013, by and between the Registrant and Dr. Charles 
M. Baum.(3)
Lease Agreement, dated June 24, 2014, by and between the Company and ARE-SD Region No. 20, LLC. (5)
First Amendment to Lease to 9393 Towne Centre Drive, dated March 23, 2017. (9)
Letter Agreement, dated August 30, 2013, by and between the Registrant and Dr. Isan Chen.(4)
Letter Agreement, dated May 20, 2013, by and between Methylgene Inc. and James Christensen.(6)
Form of Indemnity Agreement.(4)
Amended and Restated Non-Employee Director Compensation Policy. 

Letter Agreement, dated September 13, 2016, by and between Mirati Therapeutics, Inc. and Christopher LeMasters.(10)
Amendment to Amended and Restated Employment Agreement, dated December 19, 2016, by and between the 
Registrant and Dr. Charles Baum. (11)
Amendment to Letter Agreement, dated December 19, 2016, by and between the Registrant and Jamie Donadio. (10)
Amendment to Letter Agreement, dated December 19, 2016, by and between the Registrant and Dr. Isan Chen.(10)
Amendment to Letter Agreement, dated December 19, 2016, by and between the Registrant and James Christensen.(10)
Amendment to Letter Agreement, dated December 19, 2016, by and between the Registrant and Christopher 
LeMasters.(10)

Collaboration and License Agreement, dated January 7, 2018, by and among Mirati Therapeutics, Inc., MethylGene 
Inc. and BeiGene, Ltd.(12)
Second Amendment to Lease to 9393 Towne Centre Drive, dated April 5, 2018.(13)
Third Amendment to Lease to 9393 Towne Centre Drive, dated August 2, 2018.(14)
Subsidiaries of the Registrant.(1)
Consent of Independent Registered Public Accounting Firm.

Certification of the Principal Executive Officer pursuant to Rule 13a-14(a) or 15d-14(a) of the Securities Exchange 
Act of 1934.

56

31.2

32.1

Certification of the Principal Financial Officer pursuant to Rule 13a-14(a) or 15d-14(a) of the Securities Exchange Act 
of 1934.

Certifications Pursuant to U.S.C. Section 1350, As Adopted Pursuant to Section 906 of the Public Company 
Accounting Reform and Investor Protection Act of 2002.

101.INS XBRL Instance Document.
101.SCH XBRL Taxonomy Extension Schema Document.
101.CAL XBRL Taxonomy Extension Schema Document.
101.DEF XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB XBRL Taxonomy Extension Label Linkbase Document.
101.PRE XBRL Taxonomy Extension Presentation Linkbase Document.

+ 

* 

(1) 

(2) 

(3) 

(4) 

(5) 

(6) 

(7) 

(8) 

(9) 

(10) 

(11) 

(12) 

(13) 

Indicates management contract or compensatory plan.

We have received confidential treatment for certain portions of this agreement, which have been omitted and filed 
separately with the SEC pursuant to Rule 406 under the Securities Act.

Incorporated by reference to Mirati Therapeutics, Inc.’s Registration Statement on Form 10-12B (No. 001-35921), filed 
with the Securities and Exchange Commission on May 10, 2013.

Incorporated by reference to Mirati Therapeutics, Inc.’s Amended Registration Statement on Form 10-12B/A 
(No. 001-35921), filed with the Securities and Exchange Commission on June 14, 2013.

Incorporated by reference to Mirati Therapeutics, Inc.’s Amended Registration Statement on Form 10-12B/A 
(No. 001-35921), filed with the Securities and Exchange Commission on July 9, 2013.

Incorporated by reference to Mirati Therapeutics, Inc.’s Registration Statement on Form S-1 (No. 333-191544), filed with 
the Securities and Exchange Commission on October 3, 2013.

Incorporated by reference to Mirati Therapeutics, Inc.’s Current Report on Form 8-K, filed with the Securities and 
Exchange Commission on June 27, 2014.

Incorporated by reference to Mirati Therapeutics, Inc.’s Annual Report on Form 10-K for the year ended December 31, 
2014, filed with the Securities and Exchange Commission on March 11, 2015.

Incorporated by reference to Mirati Therapeutics, Inc.’s Current Report on Form 8-K, filed with the Securities and 
Exchange Commission on June 16, 2016.

Incorporated by reference to Mirati Therapeutics, Inc.’s Current Report on Form 8-K, filed with the Securities and 
Exchange Commission on January 6, 2017.

Incorporated by reference to Mirati Therapeutics, Inc.'s Current Report on Form 8-K, filed with the Securities and 
Exchange Commission on March 27, 2017.

Incorporated by reference to Mirati Therapeutics, Inc.’s Annual Report on Form 10-K for the year ended December 31, 
2016, filed with the Securities and Exchange Commission on March 9, 2017.

Incorporated by reference to Mirati Therapeutics, Inc.'s Current Report on Form 8-K, filed with the Securities and 
Exchange Commission on November 16, 2017.

Incorporated by reference to Mirati Therapeutics, Inc.'s Quarterly Report on Form 10-Q/A, filed with the Securities and 
Exchange Commission on August 20, 2018.

Incorporated by reference to Mirati Therapeutics, Inc.'s Current Report on Form 8-K, filed with the Securities and 
Exchange Commission on April 24, 2018.

57

(14) 

(15) 

Incorporated by reference to Mirati Therapeutics, Inc.'s Current Report on Form 8-K, filed with the Securities and 
Exchange Commission on August 7, 2018.

Incorporated by reference to Mirati Therapeutics, Inc.'s Current Report on Form 8-K, filed with the Securities and 
Exchange Commission on June 7, 2018.

Item 16. Form 10-K Summary

None.

58

 
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, as amended, the Registrant has 
duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

SIGNATURES

MIRATI THERAPEUTICS, INC.

Date: February 28, 2019

by:

/s/ Charles M. Baum

President and Chief Executive Officer

(Principal Executive Officer)

Date: February 28, 2019

by:

/s/ Jamie A. Donadio

Senior Vice President and Chief Financial Officer

(Principal Financial and Accounting Officer)

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS, that each person whose signature appears below constitutes and appoints Charles 
M. Baum, M.D., Ph.D. and Jamie A. Donadio as his or her true and lawful attorneys-in-fact, and each of them, with full power of 
substitution, for him or her in any and all capacities, to sign any amendments to this Annual Report on Form 10-K and to file the 
same, with exhibits thereto and other documents in connection therewith, with the Securities and Exchange Commission, granting 
unto said attorneys-in-fact and agents, and each of them, full power and authority to do and perform each and every act and thing 
requisite and necessary to be done in and about the premises, as fully to all intents and purposes as he or she might or could do in 
person, hereby ratifying and confirming all that said attorneys-in-fact, and either of them, or his or their substitute or substitutes 
may do or cause to be done by virtue hereof.

59

Pursuant to the requirements of the Securities Exchange Act of 1934, this Annual Report on Form 10-K has been 

signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated.

Signature

Title

Date

/S/ CHARLES M. BAUM
Charles M. Baum, M.D., Ph.D.

/S/ JAMIE A. DONADIO
Jamie A. Donadio

President, Chief Executive Officer and Director
(Principal Executive Officer)

February 28, 2019

Senior Vice President and Chief Financial Officer
(Principal Financial and Accounting Officer)

February 28, 2019

/S/ FAHEEM HASNAIN

Chairman of the Board

February 28, 2019

February 28, 2019

February 28, 2019

February 28, 2019

February 28, 2019

February 28, 2019

February 28, 2019

February 28, 2019

Faheem Hasnain

/S/ RODNEY LAPPE
Rodney Lappe, Ph.D.

Director

/S/ BRUCE L.A. CARTER
Bruce L.A. Carter, Ph.D.

Director

/S/ HENRY J. FUCHS
Henry J. Fuchs, M.D.

/S/ MICHAEL GREY
Michael Grey

/S/ CRAIG JOHNSON
Craig Johnson

Director

Director

Director

/S/ MAYA MARTINEZ-DAVIS
Maya Martinez-Davis

Director

/S/ AARON DAVIS
Aaron Davis

Director

60

 
 
 
 
 
 
 
 
Report of Independent Registered Public Accounting Firm

To the Board of Directors and Stockholders of Mirati Therapeutics, Inc.

Opinion on the Financial Statements 

We have audited the accompanying consolidated balance sheets of Mirati Therapeutics, Inc. (the Company) as of December 31, 
2018 and 2017, the related consolidated statements of operations and comprehensive loss, changes in stockholders' equity and 
cash flows for each of the three years in the period ended December 31, 2018, 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, 2018 and 2017, and the results of its operations and its cash 
flows for each of the three years in the period ended December 31, 2018, in conformity with U.S. generally accepted 
accounting principles.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) 
(PCAOB), the Company's internal control over financial reporting as of December 31, 2018, based on criteria established in 
Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission 
(2013 framework), and our report dated February 28, 2019 expressed an unqualified opinion thereon.

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 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. 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 2014.

San Diego, California
February 28, 2019

61

Mirati Therapeutics, Inc.
CONSOLIDATED BALANCE SHEETS
(in thousands, except share and per share data)

ASSETS

Current assets

Cash and cash equivalents

Short-term investments

Other current assets
Total current assets

Property and equipment, net

Other long-term assets

Total assets

LIABILITIES AND STOCKHOLDERS' EQUITY

Current liabilities

Accounts payable and accrued liabilities

Deferred revenue

Total current liabilities

Deferred revenue and other liabilities

Total liabilities

Commitments and contingencies (see Note 15)
Stockholders' equity

Preferred stock, $0.001 par value, 10,000,000 shares authorized; none issued and
outstanding at both December 31, 2018 and December 31, 2017
Common stock, $0.001 par value; 100,000,000 authorized; 32,538,857 and 28,622,886
issued and outstanding at December 31, 2018 and December 31, 2017, respectively
Additional paid-in capital

Accumulated other comprehensive income

Accumulated deficit

Total stockholders' equity

December 31,

2018

2017

$

32,694

$

107,703

190,096

3,870

226,660

473

1,321

43,134

4,922

155,759

525

962

228,454

$

157,246

25,775

$

13,644

$

$

371

26,146

732

26,878

—

33

751,109

9,479
(559,045)
201,576

—

13,644

314

13,958

—

29

594,407

9,479
(460,627)
143,288

Total liabilities and stockholders' equity

$

228,454

$

157,246

See accompanying notes

62

 
 
 
 
 
 
 
 
 
 
Mirati Therapeutics, Inc.
CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS
(in thousands, except share and per share data)

Revenue

License and collaboration revenues

Total revenue

Expenses

Research and development

General and administrative

Total operating expenses

Loss from operations

Other income, net
Net loss

Unrealized gain (loss) on available-for-sale investments
Comprehensive loss

Basic and diluted net loss per share

$

$

$
$

$

$

Year Ended December 31,

2018

2017

2016

12,926

$

12,926

— $
—

—

—

93,872

$

58,085

$

21,681

13,450

68,487

15,292

115,553
(102,627)
4,209
(98,418) $
— $
(98,418) $
(3.19) $

71,535
(71,535)
1,105
(70,430) $
(54) $
(70,484) $
(2.78) $

83,779
(83,779)
661
(83,118)
(25)
(83,143)
(4.20)
19,787,349

Weighted average common shares outstanding, basic and diluted

30,897,717

25,290,222

See accompanying notes

63

 
 
 
 
Mirati Therapeutics, Inc.
CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY
(in thousands, except share data)

Common Stock

Shares
19,282,935

Amount
19
$

—

—

Accumulated
other
comprehensive
income (loss)
9,558
$

Balance at January 1, 2016

Net loss for the year

Share-based compensation expense

Issuance of common stock from ESPP purchase

28,483

Exercise of options for cash

Exercise of warrants for cash

Net exercise of warrants

Unrealized loss on investments
Balance at December 31, 2016

Net loss for the year

Issuance of common stock and warrants, net of

issuance costs

Share-based compensation expense

Cumulative effect of accounting change for the
adoption of ASU 2016-09

Issuance of common stock from ESPP

Exercise of options for cash

Exercise of warrants for cash

Net exercise of warrants

Unrealized loss on investments
Balance at December 31, 2017

Net loss for the year

22,132

313,756

289,789

—
19,937,095

$

—

7,941,688

—

—

59,976

45,573

585,729

52,825

—
28,622,886

$

—

Additional
paid-in
capital
$415,232

—

10,624

297

240

2,114

—

—
$428,507

$

—

153,522

6,786

446

144

399

4,603

—

—
$594,407

$

—

—

—

—

—

1

—

—
20

—

8

—

—

—

—

1

—

—
29

—

Accumulated
deficit

Total
stockholders'
equity

$ (306,633) $ 118,176
(83,118)

(83,118)
—

—

—

—

—

—

$ (389,751) $
(70,430)

10,624

297

240

2,115

—

(25)
48,309

(70,430)

—

—

153,530

6,786

(446)
—

—

—

—

—

144

399

4,604

—

—

(54)
$ (460,627) $ 143,288

(98,418)

(98,418)

—

—

—

130,663

15,854

442

—

—

—

—

—

—
(25)
9,533

—

—

—

—

—

—

—

—
(54)
9,479

—

—

—

—

Issuance of common stock and warrants, net of

issuance costs

3,162,500

3

130,660

Share-based compensation expense

Issuance of common stock from ESPP

Exercise of options for cash
Balance at December 31, 2018

21,536

731,935
32,538,857

$

—

1
33

15,854

442

9,746
$751,109

$

—
9,479

—

9,747
$ (559,045) $ 201,576

See accompanying notes

64

 
 
Proceeds from issuance of common stock and warrants, net of issuance costs

130,663

153,530

Years Ended December 31,

2018

2017

2016

$ (98,418) $ (70,430) $

(83,118)

175
(1,320)
15,854

1,052
(359)
12,920
(70,096)

184
(266)
6,786

(3,409)
3,606
(1,177)
(64,706)

(255,795)
110,152
(122)
(145,765)

(100,558)
91,988
(81)
(8,651)

9,747

442

140,852
(75,009)
107,703

5,003

144

158,677

85,320

22,383

180

7

10,624

254
(1,259)
5,295
(68,017)

(70,269)
108,720
(196)
38,255

—

2,355

297

2,652
(27,110)
49,493

$

32,694

$ 107,703

$

22,383

Mirati Therapeutics, Inc.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)

Operating activities:

Net loss
Non-cash adjustments reconciling net loss to operating cash flows

Depreciation of property and equipment

(Accretion of discount) amortization of premium on investments

Share-based compensation expense

Changes in operating assets and liabilities

Other current assets

Other long-term assets

Accounts payable, accrued liabilities, deferred revenue and other liabilities

Cash flows used in operating activities

Investing activities:

Purchases of short-term investments

Sales and maturities of short-term investments

Purchases of property and equipment

Cash flows provided by (used in) investing activities

Financing activities:

Proceeds from exercise of common stock options and warrants

Proceeds from issuances under employee stock purchase plan

Cash flows provided by financing activities

Increase (decrease) in cash and cash equivalents

Cash and cash equivalents, beginning of year
Cash and cash equivalents, end of year

See accompanying notes

65

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Mirati Therapeutics, Inc.

Notes to Consolidated Financial Statements

1. Description of Business

Mirati Therapeutics, Inc. ("Mirati" or the "Company") is a clinical-stage oncology company developing product candidates 
to address the genetic and immunological promoters of cancer. The Company was incorporated under the laws of the State of 
Delaware on April 29, 2013 as Mirati Therapeutics, Inc. and is located in San Diego, California. The Company has a wholly owned 
subsidiary in Canada, MethylGene, Inc. ("MethylGene"), and operates in one business segment, primarily in the United States. 
The Company's common stock has been listed on the NASDAQ Global Select Market since June 5, 2018, and was previously 
listed on the NASDAQ Capital Market since July 15, 2013, under the ticker symbol "MRTX."

2. Summary of Significant Accounting Policies

Basis of Presentation

These consolidated financial statements are prepared in accordance with accounting principles generally accepted in the 
United States ("U.S. GAAP"). These consolidated financial statements include the accounts of the Company and MethylGene. 
All significant inter-company transactions, balances and expenses have been eliminated upon consolidation.

Mirati was incorporated under the laws of the State of Delaware on April 29, 2013. On May 8, 2013, the Company's 
Board of Directors approved and the Company entered into an arrangement agreement ("Arrangement") with MethylGene. Upon 
completion of the Arrangement, MethylGene became the Company's wholly-owned subsidiary. 

These consolidated financial statements are presented in United States ("U.S.") Dollars, which is also the functional 

currency of the Company.

Use of Estimates

The preparation of the Company's consolidated financial statements in conformity with U.S. GAAP requires management 
to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets 
and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. 
Actual results could differ materially from those estimates. Estimates and assumptions are reviewed quarterly. Any revisions to 
accounting estimates are recognized in the period in which the estimates are revised and in any future periods affected.

Cash, Cash Equivalents and Short-term Investments

Cash and cash equivalents consist of cash and highly liquid securities with original maturities at the date of acquisition 
of ninety days or less. Investments with an original maturity of more than ninety days are considered short-term investments and 
have been classified by management as available-for-sale. These investments are classified as current assets, even though the 
stated maturity date may be one year or more beyond the current balance sheet date, which reflects management’s intention to use 
the proceeds from sales of these securities to fund its operations, as necessary. Such investments are carried at fair value, with 
unrealized gains and losses included as a separate component of stockholders’ equity. Realized gains and losses from the sale of 
available-for-sale securities or the amounts, net of tax, reclassified out of accumulated other comprehensive income, if any, are 
determined on a specific identification basis.

Concentration of Credit Risk

The Company invests its excess cash in accordance with its investment policy. The Company's investments are comprised 
primarily of commercial paper and debt instruments of financial institutions, corporations, U.S. government-sponsored agencies 
and  the  U.S. Treasury. The  Company  mitigates  credit  risk  by  maintaining  a  diversified  portfolio  and  limiting  the  amount  of 
investment exposure as to institution, maturity and investment type. Financial instruments that potentially subject the Company 
to significant credit risk consist principally of cash equivalents and short-term investments.

66

 
 
 
 
 
Revenue Recognition

Effective January 1, 2017, the Company adopted Accounting Standards Codification, or ASC, Topic 606, Revenue from 
Contracts with Customers, using the full retrospective transition method.  As the Company did not have any revenue contracts 
prior to the first quarter of 2018, an adjustment to prior periods under this method was not applicable. This standard applies to all 
contracts with customers, except for contracts that are within the scope of other standards, such as leases, insurance, collaboration 
arrangements and financial instruments.  Under Topic 606, an entity recognizes revenue when its customer obtains control of 
promised goods or services, in an amount that reflects the consideration that the entity expects to receive in exchange for those 
goods or services.  To determine revenue recognition for arrangements that an entity determines are within the scope of Topic 606, 
the entity performs the following five steps: (i) identify the contract(s) with a 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) the entity satisfies a performance obligation.  The Company only applies the five-step 
model to contracts when it is probable that the entity will collect the consideration it is entitled to in exchange for the goods or 
services it transfers to the customer.  At contract inception, once the contract is determined to be within the scope of Topic 606, 
the Company assesses the goods or services promised within each contract and determines those that are performance obligations, 
and assesses whether each promised good or service is distinct.  The Company then recognizes as revenue the amount of the 
transaction price that is allocated to the respective performance obligation when (or as) the performance obligation is satisfied. 

Property and Equipment, Net 

Property and equipment is stated at historical cost less accumulated depreciation. Historical cost includes expenditures 
that are directly attributable to the acquisition of the items. All repairs and maintenance are charged to net loss during the financial 
period in which they are incurred.

Depreciation of property and equipment is calculated using the straight-line method over the estimated useful lives of 

the assets, as follows:

Computer equipment

Office and other equipment

Laboratory equipment

Leasehold improvements

3 years

6 years

6 years

The lesser of the lease term or the life of the asset

Upon disposal or impairment of property and equipment, the cost and related accumulated depreciation is removed from 

the consolidated financial statements and the net amount, less any proceeds, is included in net loss.

Impairment of Long-Lived Assets

The Company reviews its long-lived assets for impairment whenever events or changes in circumstances indicate that 
the carrying value of an asset may not be recoverable. If such circumstances are determined to exist, an estimate of undiscounted 
future cash flows produced by the long-lived asset, including its eventual residual value, is compared to the carrying value to 
determine whether impairment exists. In the event that such cash flows are not expected to be sufficient to recover the carrying 
amount of the assets, the assets are written-down to their estimated fair values. Fair value is estimated through discounted cash 
flow models to project cash flows from the asset. The Company recognized no impairment charges for the years ended December 31, 
2018, 2017 and 2016.

Share-Based Compensation

The Company measures and recognizes compensation expense for share-based payments based on estimated fair value, 
using the fair value of stock options granted using the Black-Scholes option-pricing model. The Black-Scholes option-pricing 
model requires the use of certain estimates and judgmental assumptions that affect the amount of share-based compensation expense 
recognized in the Company's consolidated financial statements. These assumptions include the historical volatility of the Company's 
stock price, expected term of the options, the risk-free interest rate and expected dividend yields. Share-based compensation is 
recognized using the graded accelerated vesting method. 

Research and Development Expenses

Research and development expenditures are charged to net loss in the period in which they are incurred and are comprised 
of the following types of costs incurred in performing research and development activities: contract services for clinical trials and 

67

 
 
 
 
 
 
 
related clinical manufacturing costs, salaries and benefits including share-based compensation expense, costs for allocated facilities 
and depreciation of equipment and license fees paid in connection with our early discovery efforts.

General and Administrative Expenses

General  and  administrative  expenses  consist  primarily  of  salaries  and  related  benefits,  including  share-based 
compensation, related to our executive, finance, business development, legal, human resources and support functions. Other general 
and administrative expenses include professional fees for auditing, tax, consulting and patent-related services, rent and utilities 
and insurance. 

Income Taxes

Income taxes have been accounted for using the asset and liability method. Under the asset and liability method, deferred 
tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial carrying 
amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred 
tax assets and liabilities are measured using enacted tax rates applicable to taxable income in the years in which those temporary 
differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is 
recognized in net loss in the period that includes the enactment date. A valuation allowance against deferred tax assets is recorded 
if, based upon the weight of all available evidence, it is more likely than not that some or all of the deferred tax assets will not be 
realized. For uncertain tax positions that meet "a more likely than not" threshold, the Company recognizes the benefit of uncertain 
tax positions in the consolidated financial statements.

Segment Reporting

Operating segments are components of a business where separate discrete financial information is available for evaluation 
by the chief operating decision-maker for purposes of making decisions regarding resource allocation and assessing performance. 
To date, the Company and the chief operating decision-maker has viewed its operations and managed its business as one segment 
operating primarily in the United States.

Net Loss per Share

Basic net loss per common share is calculated by dividing the net loss by the weighted-average number of common shares 
outstanding during the period, without consideration for potentially dilutive securities. Diluted net loss per share is computed by 
dividing the net loss attributable to common stockholders by the weighted-average number of common shares and potentially 
dilutive securities outstanding for the period. Common share equivalents outstanding, determined using the treasury stock method, 
are comprised of shares that may be issued under the Company’s stock option and warrant agreements.

The following table presents the weighted average number of potentially dilutive securities not included in the calculation 

of diluted net loss per share due to the anti-dilutive effect of the securities:

Common stock options
Common stock warrants
Total

Year ended

December 31,

2017

38,675
7,534,576
7,573,251

2018
1,781,388
11,631,636
13,413,024

2016
173,776
315,834
489,610

3. Recently Issued and Recently Adopted Accounting Pronouncements 

From time to time, new accounting pronouncements are issued by the Financial Accounting Standards Board ("FASB") or 

other standard setting bodies that are adopted by the Company as of the specified effective date. 

Recently Adopted Accounting Pronouncements

In June 2018, the FASB issued Accounting Standards Update, or ASU 2018-07, Compensation-Stock Compensation 
(Topic 718): Improvements to Nonemployee Share-Based Payment Accounting, which expands the scope of Topic 718 to include 
share-based payment transactions for acquiring goods and services from nonemployees. An entity should apply the requirements 
of Topic 718 to nonemployee awards except for specific guidance on inputs to an option pricing model and the attribution of cost 

68

 
 
 
 
 
 
(that is, the period of time over which share-based payment awards vest and the pattern of cost recognition over that period). The 
amendments specify that Topic 718 applies to all share-based payment transactions in which a grantor acquires goods or services 
to be used or consumed in a grantor’s own operations by issuing share-based payment awards. The amendments also clarify that 
Topic 718 does not apply to share-based payments used to effectively provide (1) financing to the issuer or (2) awards granted in 
conjunction with selling goods or services to customers as part of a contract accounted for under Topic 606. The Company early 
adopted ASU 2018-07 in the third quarter of 2018. The adoption of ASU 2018-07 did not have a material impact on the Company's 
consolidated financial statements or related financial statement disclosures.

In May 2017, the FASB issued ASU 2017-09, Compensation-Stock Compensation (Topic 718): Scope of Modification 
Accounting, to provide clarity and reduce both 1) diversity in practice and 2) cost and complexity when applying the guidance in 
Topic 718 to a change in the terms or conditions of a share-based payment award.  ASU 2017-09 provided guidance about which 
changes to the terms or conditions of a share-based payment award require an entity to apply modification accounting under Topic 
718.  The amendments in ASU 2017-09 were effective for fiscal and interim reporting periods in fiscal years beginning after 
December 15, 2017.  The amendments in ASU 2017-09 should be applied prospectively to an award modified on or after the 
adoption date.  Effective January 1, 2018, the Company adopted the provisions of ASU 2017-09. The adoption did not have a 
material impact on the Company's consolidated financial statements or related financial statement disclosures. 

In January 2016, the FASB issued ASU 2016-01, Financial Instruments - Overall (Subtopic 825-10): Recognition and 
Measurement  of  Financial  Assets  and  Financial  Liabilities.  The  new  guidance  enhanced  the  reporting  model  for  financial 
instruments and includes amendments to address aspects of recognition, measurement, presentation and disclosure. The update 
to the standard was effective for public companies for interim and annual periods beginning after December 15, 2017.  Effective 
January 1, 2018, the Company adopted the provisions of ASU 2016-01. The adoption did not have a material impact on the 
Company's consolidated financial statements or related financial statement disclosures. 

Recently Issued Accounting Pronouncements

In November 2018, the FASB issued ASU 2018-18, Collaborative Arrangements (Topic 808): Clarifying the Interaction 
between  Topic  808  and  Topic  606. The  amendments  provide  guidance  on  whether  certain  transactions  between  collaborative 
arrangement participants should be accounted for as revenue under ASC 606. It also specifically (i) addresses when the participant 
should be considered a customer in the content of a unit of account, (ii) adds unit-of-account guidance in ASC 808 to align with 
guidance with ASC 606, and (iii) precludes presenting revenue from a collaborative arrangement together with revenue recognized 
under ASC 606 if the collaborative arrangement participant is not a customer. The guidance in ASU 2018-18 is effective for fiscal 
years beginning after December 15, 2019, and interim periods within those fiscal years. Early adoption is permitted and should 
be  applied  retrospectively.  The  Company  is  currently  evaluating  this  guidance  to  determine  the  impact  it  may  have  on  its 
consolidated financial statements.

In August 2018, the FASB issued ASU 2018-13, Fair Value Measurement (Topic 820): Disclosure Framework - Changes 
to the Disclosure Requirements for Fair Value Measurement. The new guidance modifies the disclosure requirements on fair value 
measurements in Topic 820. The amendments in ASU 2018-13 are effective for all entities for fiscal years, and interim periods 
within those fiscal years, beginning after December 15, 2019. The Company does not anticipate that the adoption of ASU 2018-13 
will have a material impact on the Company's consolidated financial statements or related financial statement disclosures.

In July 2017, the FASB issued ASU 2017-11, Earnings Per Share (Topic 260); Distinguishing Liabilities from Equity 
(Topic 480); Derivatives and Hedging (Topic 815): (Part I) Accounting for Certain Financial Instruments with Down Round 
Features, (Part II) Replacement of the Indefinite Deferral for Mandatorily Redeemable Financial Instruments of Certain Nonpublic 
Entities and Certain Mandatorily Redeemable Non-controlling Interests with a Scope Exception. The ASU allows companies to 
exclude a down round feature when determining whether a financial instrument (or embedded conversion feature) is considered 
indexed to the entity’s own stock. As a result, financial instruments (or embedded conversion features) with down round features 
may no longer be required to be classified as liabilities. A company will recognize the value of a down round feature only when 
it is triggered and the strike price has been adjusted downward. For equity-classified freestanding financial instruments, such as 
warrants, an entity will treat the value of the effect of the down round, when triggered, as a dividend and a reduction of income 
available to common shareholders in computing basic earnings per share. For convertible instruments with embedded conversion 
features containing down round provisions, entities will recognize the value of the down round as a beneficial conversion discount 
to be amortized to earnings. The guidance in ASU 2017-11 is effective for fiscal years beginning after December 15, 2018, and 
interim periods within those fiscal years. Early adoption is permitted, and the guidance is to be applied using a full or modified 
retrospective approach. The Company does not anticipate that the adoption of ASU 2017-11 will have a material impact on its 
consolidated financial statements unless a transaction occurs that would need to be evaluated under this guidance at which time 
the Company will assess the impact of this standard.

69

 
  
 
 
 
    
 
 
In February 2016, the FASB issued ASU 2016-02, Leases (Topic 842) in order to increase transparency and comparability 
among organizations by recognizing lease assets and lease liabilities on the balance sheet for those leases classified as operating 
leases under previous GAAP. ASU 2016-02 requires a lessee to recognize a liability for lease payments (the lease liability) and a 
right-of-use asset (representing its right to use the underlying asset for the lease term) on the balance sheet. ASU 2016-02 is 
effective for fiscal years beginning after December 15, 2018 (including interim periods within those periods) using a modified 
retrospective approach and early adoption is permitted. 

In July 2018, the FASB issued ASU 2018-11, Leases (Topic 842): Targeted Improvements, provides entities an optional 
transition method to apply the new guidance as of the adoption date, rather than as of the earliest period presented. In transition, 
entities may also elect a package of practical expedients that must be applied in its entirety to all leases commencing before the 
effective date, unless the lease was modified, to not reassess (a) the existence of a lease, (b) lease classification or (c) determination 
of initial direct costs, which effectively allows entities to carryforward accounting conclusions under previous U.S. GAAP. The 
Company plans to adopt the standard on January 1, 2019, using the optional transition method to apply the new guidance as of 
January 1, 2019, rather than as of the earliest period presented, and elect the package of practical expedients described above. The 
Company currently believes the most significant changes will be related to the recognition of new right-of-use assets and lease 
liabilities on the Company's consolidated balance sheet for real estate operating leases, and expects to recognize lease liabilities 
ranging from $300,000 to $400,000 on January 1, 2019, with corresponding right-of-use assets of approximately the same amount 
based on the present value of the remaining minimum rental payments.  

4.  Investments

The following tables summarize the Company's short-term investments (in thousands): 

As of December 31, 2018

Maturity

Amortized
cost

Gross
unrealized
gains

Gross
unrealized
losses

Corporate debt securities

Commercial paper

U.S. Treasury bills

1 year or less

$111,933

$

1 year or less

1 year or less

74,433

3,771

$190,137

$

26

—

—

26

$

$

As of December 31, 2017

Maturity

Amortized
cost

Gross
unrealized
gains

Gross
unrealized
losses

Corporate debt securities

Commercial paper

1 year or less

$ 24,264

1 year or less

18,912

$ 43,176

$

$

— $

—

— $

Unrealized  gains  and  losses  on  available-for-sale  securities  are  included  as  a  component  of  comprehensive  loss. At 
December 31, 2018, the Company did not have any securities in material unrealized loss positions. The Company reviews its 
investments to identify and evaluate investments that have an indication of possible other-than-temporary impairment. Factors 
considered in determining whether a loss is other-than-temporary include the length of time and extent to which fair value has 
been less than the cost basis, the financial condition and near-term prospects of the investee, and the Company’s intent and ability 
to hold the investment for a period of time sufficient to allow for any anticipated recovery in market value. The Company does 
not intend to sell any investments prior to recovery of their amortized cost basis for any investments in an unrealized loss position. 

5. Fair Value Measurements

The Company has certain financial assets and liabilities recorded at fair value which have been classified as Level 1 or 2 
within the fair value hierarchy as described in the accounting standards for fair value measurements. The Company has no financial 
assets or liabilities recorded at fair value which have been classified as Level 3.  

The authoritative guidance for fair value measurements defines fair value as the exchange price that would be received for 
an asset or paid to transfer a liability (an exit price) in the principal or the most advantageous market for the asset or liability in 
an orderly transaction between market participants on the measurement date. Market participants are buyers and sellers in the 

70

Estimated
fair value
(43) $111,916
(24)
74,409
—
3,771
(67) $190,096

Estimated
fair value
(23) $ 24,241
(19)
18,893
(42) $ 43,134

 
 
 
 
principal  market  that  are  (i) independent,  (ii) knowledgeable,  (iii) able  to  transact,  and  (iv) willing  to  transact. The  guidance 
prioritizes the inputs used in measuring fair value into the following hierarchy:

•  Level 1-  Quoted prices (unadjusted) in active markets for identical assets or liabilities;

•  Level 2-  Inputs other than quoted prices included within Level 1 that are either directly or indirectly observable; and

•  Level 3-  Unobservable inputs in which little or no market activity exists, therefore requiring an entity to develop its 

own assumptions about the assumptions that market participants would use in pricing.

The following table summarizes the assets and liabilities measured at fair value on a recurring basis (in thousands):

Assets

Cash and cash equivalents:

Cash

Money market funds

Total cash and cash equivalents

Short-term investments:

U.S. Treasury bills

Corporate debt securities

Commercial paper

Total short-term investments

Total

Assets

Cash and cash equivalents:

Cash

Money market funds

Total cash and cash equivalents

Short-term investments:

Corporate debt securities

Commercial paper

Total short-term investments

December 31, 2018

Total

Level 1

Level 2

Level 3

$

3,731

$

3,731

$

— $

28,963

32,694

28,963

32,694

3,771
111,916
74,409

190,096

3,771

—

—

3,771

—

—

—

111,916

74,409

186,325

$

222,790

$

36,465

$

186,325

$

December 31, 2017

Total

Level 1

Level 2

Level 3

$

1,026

$

1,026

$

— $

106,677

107,703

106,677

107,703

—

—

24,241

18,893

43,134

—

—

—

24,241

18,893

43,134

Total

$

150,837

$

107,703

$

43,134

$

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

The Company’s investments in Level 1 assets are valued based on publicly available quoted market prices for identical 
securities as of December 31, 2018 and 2017. The Company determines the fair value of Level 2 related securities with the aid of 
valuations provided by third parties using proprietary valuation models and analytical tools. These valuation models and analytical 
tools use market pricing or prices for similar instruments that are both objective and publicly available, including matrix pricing 
or reported trades, benchmark yields, broker/dealer quotes, issuer spreads, two-sided markets, benchmark securities, bids and/or 
offers. There were no transfers between fair value measurement levels for the years ended December 31, 2018 and 2017. 

71

 
6. Other Current Assets and Other Long-Term Assets

Other current assets consisted of the following (in thousands): 

Prepaid expenses
Deposits and other receivables
Interest receivables

December 31,

2018

2017

$

$

1,261
1,841
768
3,870

$

$

3,085
1,600
237
4,922

The other long-term assets balance as of December 31, 2018 consists of $1.3 million in deposits paid in conjunction with 

the Company's research and development activities compared to $1.0 million as of December 31, 2017.

7. Property and Equipment, Net

Property and equipment, net consisted of the following (in thousands):

Computer equipment

Office and other equipment

Laboratory equipment

Leasehold improvements

Gross property and equipment

Less: Accumulated depreciation

Property and equipment, net

December 31,

2018

2017

201

260

729

63

1,253
(780)
473

$

$

329

301

643

63

1,336
(811)
525

$

$

The Company incurred depreciation expense of $0.2 million during the years ended December 31, 2018, 2017 and 2016, 

respectively. 

8. Accounts Payable and Accrued Liabilities

Accounts payable and accrued liabilities consisted of the following (in thousands):

Accounts payable
Accrued clinical expense

Accrued development and other expense

Accrued compensation and benefits

December 31,

2018

2017

$

8,531
10,154

1,243

5,847

25,775

$

4,344
5,412

867

3,021

13,644

$

$

The long-term liabilities balance of $0.7 million as of December 31, 2018 consisted of $0.1 million in deferred 
revenue and $0.6 million in other liabilities. The long-term liabilities of $0.3 million as of December 31, 2017 consisted of $0.3 
million in other liabilities. 

9. BeiGene Agreement

Terms of Agreement

On January 7, 2018, the Company and BeiGene Ltd, ("BeiGene") entered into a Collaboration and License Agreement 
(the “Agreement”), pursuant to which the Company and BeiGene agreed to collaboratively develop sitravatinib in Asia (excluding 
Japan and certain other countries), Australia and New Zealand (the “Licensed Territory”). Under the Agreement, the Company 

72

 
 
 
 
 
 
 
 
 
 
 
 
granted BeiGene an exclusive license to develop, manufacture and commercialize sitravatinib in the Licensed Territory, with Mirati 
retaining exclusive rights for the development, manufacture and commercialization of sitravatinib outside the Licensed Territory.

As consideration for the rights granted to BeiGene under the Agreement, BeiGene paid the Company a non-

refundable, non-creditable up-front fee of $10.0 million.  BeiGene is also required to make milestone payments to the Company 
of up to an aggregate of $123.0 million upon the first achievement of specified clinical, regulatory and sales milestones. The 
Agreement additionally provides that BeiGene is obligated to pay to the Company royalties at tiered percentage rates ranging 
from mid-single digits to twenty percent on annual net sales of licensed products in the Licensed Territory, subject to reduction 
under specified circumstances. The Agreement also provides that the Company will supply BeiGene with sitravatinib for use in 
BeiGene’s development activities in the Licensed Territory. 

The Agreement will terminate upon the expiration of the last royalty term for the licensed products, which is the latest 
of (i) the date of expiration of the last valid patent claim related to the licensed products under the Agreement, (ii) 10 years after 
the first commercial sale of a licensed product and (iii) the expiration of any regulatory exclusivity as to a licensed product. BeiGene 
may terminate the Agreement at any time by providing 60 days prior written notice to the Company. Either party may terminate 
the Agreement upon a material breach by the other party that remains uncured following 60 days after the date of written notice 
of such breach or upon certain bankruptcy events. In addition, the Company may terminate the Agreement upon written notice to 
BeiGene under specified circumstances if BeiGene challenges the licensed patent rights.

Revenue Recognition

The  Company  evaluated  the Agreement  under  Topic  606.  In  determining  the  appropriate  amount  of  revenue  to  be 
recognized as the Company fulfills its obligations under the Agreement, the Company performed the following steps: (i) identified 
the promised goods or services in the contract; (ii) determined whether the promised goods or services are performance obligations 
including whether they are distinct in the context of the contract; (iii) measured the transaction price, including any constraints 
on variable consideration; (iv) allocated the transaction price to the performance obligations; and (v) recognized revenue when 
(or as) the Company satisfied each performance obligation.  

The Company determined the transaction price is equal to the up-front fee of $10.0 million.  The transaction price was 
allocated to the performance obligations on the basis of the relative stand-alone selling price estimated for each performance 
obligation.  In estimating the stand-alone selling price for each performance obligation, the Company developed assumptions that 
require judgment and included forecasted revenues, expected development timelines, discount rates, probabilities of technical and 
regulatory success and costs for manufacturing clinical supplies.  A description of the performance obligations identified under 
the Agreement, as well as the amount of revenue allocated to each performance obligation, follows:

Licenses of Intellectual Property.   The license to the Company’s intellectual property, bundled with the associated 
know-how, represents a distinct performance obligation.  The license and associated know-how was transferred 
to BeiGene during the year ended December 31, 2018, therefore the Company recognized the full revenue related 
to this performance obligation in the amount of $9.5 million during the year ended December 31, 2018 as license 
and collaboration revenues in its condensed consolidated statements of operations and comprehensive loss. 

Manufacturing Supply Services.  The Company's initial obligation to supply sitravatinib for clinical development 
in the Licensed Territory represents a distinct performance obligation.  As such, the Company deferred $0.5 
million of revenue related to the manufacturing supply services, and will recognize revenue when BeiGene 
obtains control of the goods, upon delivery, and which began in late 2018 and will continue into 2020. The 
Company and BeiGene share equally in the external costs of supplying sitravatinib for clinical development in 
the Licensed Territory for a limited period of time. The Company records these cost-sharing payments due from 
BeiGene as license and collaboration revenues. The Company recognized $0.5 million for this performance 
obligation for the year ended December 31, 2018, of which $0.1 million relates to recognition from the deferred 
revenue  balance,  and  $0.4  million  relates  to  cost-sharing  payments  due  from  BeiGene  during  2018.  At 
December 31, 2018, $0.3 million of cost-sharing receivable from BeiGene has been recorded in other current 
assets on the consolidated balance sheets.   

Milestone  Payments.    During  the  year  ended  December 31,  2018,  the  Company  recognized  $3.0  million  in 
connection with a milestone payment from BeiGene for initiating the first clinical trial in the Licensed Territory 
and  recorded  the  milestone  payment  as  license  and  collaboration  revenues.   The  next  clinical  development 
milestone is for BeiGene initiating the first pivotal clinical trial in the Licensed Territory upon which the Company 
will be paid a $5.0 million milestone payment.  The Company is also entitled to certain regulatory milestone 
payments which are paid upon receipt of regulatory approvals within the Licensed Territory. The Company 
determined that as of December 31, 2018, the remaining potential milestone payments are probable of significant 

73

 
 
  
 
 
revenue reversal as their achievement is highly dependent on factors outside the Company's control. Therefore, 
these payments have been fully constrained and are therefore not recognized as revenue.  At the end of each 
subsequent reporting period, the Company will re-evaluate the probability of achievement of each milestone 
and  any  related  constraint,  and  if  necessary,  adjust  its  estimate  of  the  overall  transaction  price.   Any  such 
adjustments are recorded on a cumulative catch-up basis, which would affect the reported amount of license 
and collaboration revenues in the period of adjustment.

Royalties.  As the license is deemed to be the predominant item to which sales-based royalties relate, the Company 
will recognize revenue when the related sales occur.  No royalty revenue was recognized during the year ended 
December 31, 2018.

The  following  table  presents  a  summary  of  the  activity  in  the  Company's  contract  liabilities  during  the  year  ended 

December 31, 2018 (in thousands):

Opening balance, January 1, 2018

Revenue from performance obligations satisfied during reporting period

Payments received in advance

Closing Balance, December 31, 2018

$

$

—

52
(533)
(481)

The closing balance as of December 31, 2018 includes $0.4 million in deferred revenue within current liabilities, and 

$0.1 million in deferred revenue and other liabilities.

74

 
 
10. Stockholders' Equity

Common Stock

The following shares were reserved for future issuance:

Common stock options outstanding and available for future grant

Warrants to purchase common stock

Employee Stock Purchase Plan

Sale of Common Stock

December 31, 2018

5,574,901
11,817,912

157,360

17,550,173

In June 2018, the Company sold 3,162,500 shares of its common stock at a public offering price of $38.85 per share and 
sold warrants  to  purchase  up  to 421,650 shares  of  its  common  stock  at  a  public  offering  price  of $38.849 per warrant. After 
deducting underwriter discounts and offering expenses, the Company received net proceeds from the transaction of $130.7 million.   
These  warrants  were  recorded  as  a  component  of  stockholders’  equity  within  additional  paid-in  capital.  Per  their  terms,  the 
outstanding warrants to purchase shares of common stock may not be exercised if certain holders' ownership of the Company’s 
common stock would exceed 9.99 percent for certain holders, and 19.99 percent for other holders, following such exercise. 

In November 2017, the Company sold 2,938,986 shares of its common stock at a public offering price of $13.00 per share 
and sold warrants to purchase up to 4,137,999 shares of its common stock at a public offering price of $12.999 per warrant share. 
After deducting underwriter discounts and offering expenses, the Company received net proceeds from the transaction of $86.7 
million. In January 2017, the Company sold 5,002,702 shares of its common stock at a public offering price of $5.60 per share and 
sold warrants to purchase up to 7,258,263 shares of its common stock at a public offering price of $5.599 per warrant share. After 
deducting underwriter discounts and offering expenses, the Company received net proceeds from the transaction of $66.8 million. 
In all cases, the public offering price for the warrants was equal to the public offering price of the common stock, less the $0.001 per 
share exercise price of each warrant. These warrants were recorded as a component of stockholders’ equity within additional paid-
in capital. Per their terms, the outstanding warrants to purchase shares of common stock may not be exercised if the holder’s 
ownership of the Company’s common stock would exceed 9.99 percent for certain holders, and 19.99 percent for other holders, 
following such exercise. 

Warrants

As of December 31, 2018, the following warrants for common stock were issued and outstanding:  

Issue date
January 11, 2017
November 20, 2017
June 11, 2018

Expiration date
None
None
None

Exercise price

Number of warrants
outstanding

$
$
$

0.001
0.001
0.001

7,258,263
4,137,999
421,650
11,817,912

During the year ended December 31, 2018, no warrants were exercised.

During the year ended December 31, 2017, warrants for 52,825 shares of the Company's common stock were exercised 
via cashless exercises and 585,729 shares were exercised for cash, generating proceeds of $4.6 million and resulting in the issuance 
of 638,554 shares of common stock.

During the year ended December 31, 2016, warrants for 289,789 shares of the Company's common stock were 
exercised via cashless exercises and 313,756 shares were exercised for cash, generating proceeds of $2.1 million and resulting 
in the issuance of 603,545 shares of common stock.

75

 
 
 
 
 
 
 
 
 
11. Share-Based Compensation

Equity Incentive Plan 

The Company has in place a stock option plan (the "Stock Option Plan") for the benefit of employees, directors, officers 
and consultants of the Company. In May 2013 our Board of Directors adopted the 2013 Equity Incentive Plan (the "2013 Plan"). 
The 2013 Plan was approved by our stockholders in connection with the Arrangement. Our Board of Directors and stockholders 
approved an amendment to the 2013 Plan in 2017 to, among other things, increase the aggregate number of shares of common 
stock authorized for issuance under the 2013 Plan by 2.9 million shares. The 2013 Plan is a continuation of and successor to the 
Stock  Option  Plan  and  no  further  grants  will  be  made  under  the  Stock  Option  Plan. As  of  December 31,  2018,  there  were 
approximately 1.9 million stock options available to be issued.

To date, share-based compensation awards under both the Stock Option Plan and the 2013 Plan consist of incentive and 
non-qualified stock options. Stock options granted under each of the plans must have an exercise price equal to at least 100% of 
the fair market value of our common stock on the date of grant and generally vest over four years. The Stock Option Plan has a 
contractual term of seven years and the 2013 Plan has contractual terms ranging from seven to ten years.  

The following table summarizes our stock option activity and related information for the year ended December 31, 2018:

Balance outstanding as of December 31, 2017

Granted

Exercised

Canceled/forfeited

Balance outstanding as of December 31, 2018

Options exercisable at December 31, 2018

Weighted
average
exercise
price

Weighted-
Average
Remaining
Contractual
Term (years)

Aggregate
Intrinsic
Value
(millions)

13.67

31.84

13.32

22.83

19.59

16.05

7.3

6.1

$

$

85.6

50.4

Number of
options

3,304,181

$

1,261,693
$
(731,935) $
(150,153) $
$
3,683,786

1,910,058

$

The total intrinsic value of stock options exercised was $18.8 million, $0.3 million and $0.3 million for the years ended 
December 31, 2018, 2017, and 2016, respectively. The Company received total cash of $9.7 million, $0.4 million and $0.2 million
for the exercise of options for the years ended December 31, 2018, 2017 and 2016, respectively. The total fair value of options 
vested during the years ended December 31, 2018, 2017 and 2016 was $8.2 million, $10.6 million and $8.6 million, respectively. 
Upon option exercise, the Company issues new shares of its common stock. 

Total share-based compensation expense by statement of operations and comprehensive loss classification is presented 

below (in thousands):

Research and development expense

General and administrative expense

Year ended December 31,

2018

2017

2016

$

$

7,232

8,622

15,854

$

$

3,192

3,594

6,786

$

$

5,461

5,163

10,624

For the years ended December 31, 2018, 2017 and 2016, no share-based compensation expense was capitalized and there 

were no recognized tax benefits associated with the share-based compensation charge.

76

 
 
 
 
 
 
 
The fair value of options granted is estimated at the date of grant using the Black-Scholes option pricing model. Forfeitures 
are accounted for  as incurred as  reversal of  any share-based compensation expense  related to  options that will  not vest. The 
assumptions used for the specified reporting periods and the resulting estimates of weighted-average estimated fair value per share 
of options granted during those periods are as follows:

Risk-free interest rate

Dividend yield

Volatility factor

Expected term (in years)

Weighted average estimated fair value per share

Year Ended December 31,

2018

2.6%

—%

94.3%

6.0

$24.39

2017

2.1%

—%

96.0%

6.0

$4.17

2016

1.5%

—%

101.7%

6.0

$13.32

Risk-Free Interest Rate - The risk-free interest rate is the rate for periods equal to the expected term of the stock option 

based on U.S. Treasury zero-coupon bonds.  

Dividend Yield - The dividend yield is based on the Company’s history and expectation of dividend payouts. The Company 

has not paid, and does not intend to pay dividends.

Volatility  Factor  -  The  expected  volatility  assumption  was  determined  by  examining  the  historical  volatility  of  the 

Company's stock. 

Expected Term - The expected term represents the weighted average period the stock options are expected to be outstanding. 
The Company uses the simplified method for estimating the expected term as provided by the Securities and Exchange Commission. 
The simplified method calculates the expected term as the average time-to-vesting and the contractual life of the options. The 
Company believes this methodology is appropriate given the Company's limited history as a U.S. public company.  

The total compensation cost not yet recognized as of December 31, 2018 related to non-vested option awards was 

$17.1 million which will be recognized over a weighted-average period of 1.2 years.

2013 Employee Stock Purchase Plan

In May 2013, the Company's Board of Directors adopted the ESPP. The ESPP was approved by the Company's stockholders 
in connection with the Arrangement. In December 2014, the ESPP became effective and the first purchase period began. The ESPP 
permits eligible employees to make payroll deductions to purchase up to $25,000 of the Company’s common stock on regularly 
scheduled purchase dates at a discount. Offering periods under the ESPP are not more than six months in duration and shares are 
purchased at 85% of the lower of the closing price for the Company’s common stock on the first day of the offering period or the 
date of purchase. The ESPP initially authorized the issuance of 300,000 shares of the Company’s common stock pursuant to rights 
granted to employees for their payroll deductions. As of December 31, 2018, 142,640 shares have been issued out of the plan.

12.  Employee Benefit Plan 

The Company has a defined contribution 401(k) plan (the "Plan") for all employees. Employees are eligible to participate 
in the Plan if they are at least 21 years of age or older. Under the terms of the Plan, employees may make voluntary contributions 
as a percentage of compensation. The Company matches up to 4% of an employee's contributions, subject to a limit of $2,500 per 
year. Expense associated with the Company's matching contribution totaled $0.1 million for the years ended December 31, 2018, 
2017 and 2016, respectively. 

77

 
 
 
 
 
 
 
 
 
13. Income Taxes

The Company had no federal income tax expense and immaterial state tax expense for the years ended December 31, 

2018, 2017 and 2016. 

The differences between the effective income tax rate and the statutory tax rates during the years ended 2018, 2017 and 

2016 are as follows (in thousands):

Net loss before tax
Statutory combined U.S. federal and state tax rate

Statutory federal and state taxes

Increase (decrease) in taxes recoverable resulting from:

Effect of change in valuation allowance

Non-deductible share-based compensation

Tax deductions for share-based compensation

Tax credits
Share issue costs - temporary difference

Write off of Methylgene US Inc. net operating loss

Differential in income tax rates of foreign subsidiary

Change in tax rate

Tax Cuts and Jobs Act

Uncertain tax positions

Return to provision and other true-ups

Other differences

Income tax benefit

Deferred Tax

Year Ended December 31,

$

$

2018
(98,418)
21.00%
(20,668)

$

2017
(70,430)
34.00%
(23,946)

2016
(83,118)
34.00%
(28,260)

25,959

884
(2,924)
(5,130)
—

—
(1)
—

—

1,283

375

222

$

— $

(4,154)
695
(80)
(2,563)
—

307
(169)
303

28,569

646

394
(2)
— $

28,446

1,247
(12)
(2,906)
(78)
—

261

—

—

3,921
(2,619)
—

—

The following table summarizes the significant components of our deferred tax assets (in thousands):

December 31,

2018

2017

Deferred tax assets:

Tangible and intangible depreciable assets

$

8,123

$

Stock compensation

Provisions

Net operating loss carry forwards

Capital loss carryforward

Canada scientific research and experimental development expenditures

U.S. research and development tax credits

Total gross deferred tax assets

Less valuation allowance

Net deferred tax assets

6,515

1,020

74,721

178

5,467

10,613

106,637
(106,637)

$

— $

17,927

4,976
611

44,598

83

5,467

7,016

80,678
(80,678)
—

Total valuation allowance increased by $26.0 million for the year ended December 31, 2018. The Company has established 
a full valuation allowance against its deferred tax assets as of December 31, 2018 due to the uncertainty surrounding the realization 
of such assets as evidenced by the cumulative losses from operations through December 31, 2018.

78

 
 
 
 
 
 
 
 
 
 
For  Canadian  federal  income  tax  purposes,  the  Company's  Canadian  federal  scientific  research  and  experimental 
development expenditures amounted to $19.9 million at December 31, 2018, 2017 and 2016 and for provincial income tax purposes 
amounted to $21.6 million at December 31, 2018, 2017 and 2016.  As operations in Canada ceased during 2014, no expenditures 
were incurred for the years ended December 31, 2018, 2017 and 2016. These expenditures are available to reduce future taxable 
income and have an unlimited carry forward period. Scientific research and development expenditures are subject to verification 
by the taxation authorities, and accordingly, these amounts may vary by a material amount. In addition, the Company has research 
and development tax credit carryforwards for U.S. federal and state income tax purposes as of December 31, 2018 of $10.6 million
and $4.7 million, respectively. The federal credits will begin to expire in 2033 unless utilized and the state credits have an indefinite 
life.  

At December 31, 2018, the Company's net operating loss carry forwards ("NOLs") for U.S. federal and state income 
taxes were $254.6 million and $77.3 million, respectively and the Company's NOLs for Canadian federal and provincial income 
tax purposes were $79.9 million and $79.2 million, respectively. The NOLs are available to offset future taxable income from 
both U.S. federal and state tax sources, as well as Canadian federal and provincial tax sources and the tax benefits of which have 
not been recognized in the consolidated financial statements. The NOLs expire as follows (in thousands):

US

Canada

Federal

State

Federal

Provincial

Expires in:
2030
2031
2032
2033
2034
2035
2036
2037
2038
Does not expire

$

— $
—
—
2,225
7,276
53,359
23,379
65,509
—
102,863
$254,611

— $
—
—
2,232
22,162
52,950
—
—
—
—
$ 77,344

$

5,907
7,059
13,308
18,623
32,401
1,084
777
697
7
$
— $

5,985
7,066
12,433
19,385
31,809
1,084
777
697
7
—
$ 79,243

$ 79,863

The future utilization of the U.S. federal and state NOL carryforwards to offset future taxable income may be subject to 
an annual limitation as a result of ownership changes that may have occurred previously or may occur in the future. The Tax 
Reform Act of 1986 (the "1986 Act") limits a company's ability to utilize certain tax credit carryforwards and net operating loss 
carryforwards in the event of a cumulative change in ownership in excess of 50% as defined in the Act. During 2017, the Company 
completed a study to assess whether an ownership change, as identified by Section 382 of the 1986 Act, had occurred from the 
Company’s formation through December 31, 2017. The results of the study have been extended until December 31, 2018. Based 
upon the study, the Company determined an ownership change had occurred during 2017, causing the annual utilization of the 
NOL and credit carryforwards to be limited. The Company does not believe any of the NOL and credit carryforwards generated 
through December 31, 2018 would expire solely as a result of annual limitations on the utilization of those attributes. The Canadian 
Federal and Provincial Tax Acts maintain similar rules in the case of acquisition of control, which may limit the utilization of tax 
attributes.

The Company files income tax returns in the U.S. (federal and state) and Canada (federal and provincial). The Company’s 
U.S. operations have not been audited for any open taxation years. The Company has experienced losses for U.S. tax purposes 
and therefore, the taxation authorities may review any loss year, if and when the losses are utilized.

For Canadian tax purposes, the Company remains subject to federal and provincial audit for the December 31, 2014 and 
subsequent taxable years. Where tax years remain open, the Company considers it reasonably possible that issues may be raised 
or tax positions agreed to with the taxation authorities, which may result in increases or decreases of the balance of non-refundable 
investment tax credits ("ITCs") and NOLs. However, an estimate of such increases and decreases cannot be currently made.

79

 
 
 
 
 
 
 
A reconciliation of the beginning and ending amounts of unrecognized tax positions are as follows (in thousands): 

Federal

December 31,

Provincial/State

December 31,

2018

2017

2016

2018

2017

2016

Unrecognized tax positions, beginning of year

$

1,693

$

1,095

$

Gross increase — current period tax positions

Gross decrease — prior period tax positions

Gross increase — prior period tax positions

Expiration of statute of limitations

924

—

—

—

Unrecognized tax positions, end of year

$

2,617

$

588

—

509

598

(9)

$

7,556

$

7,333

$

2,274

454

—

—

—

$

8,010

$

227

(3)

—
(1)
7,556

$

195

—

4,866
(2)
7,333

11
(1)
1,693

$

—
(3)
1,095

If recognized, none of the unrecognized tax positions would impact the Company's income tax benefit or effective tax 
rate as long as the Company's deferred tax assets remain subject to a full valuation allowance. The Company does not expect any 
significant increases or decreases to the Company's unrecognized tax positions within the next 12 months. The Company recognizes 
interest and penalties related to unrecognized tax benefits in income tax expense. The Company had no accrual for interest or 
penalties on tax matters as of December 31, 2018 and 2017 and the Company had no ongoing tax audits as of December 31, 2018.

On December 22, 2017, the President of the United States signed into law the Tax Cuts and Jobs Act (the "TCJA"). 

The TCJA made significant changes to U.S. tax laws, including, but not limited to, the following: (a) reducing the federal 
corporate tax rate from 35% to 21%; (b) eliminating the federal corporate alternative minimum tax ("AMT") and changing how 
existing AMT credits can be realized; and (c) eliminating several business deductions and credits, including deductions for 
certain executive compensation in excess of $1 million. As a result of the rate reduction, the Company reduced the deferred tax 
asset balance as of December 31, 2017 by $28.6 million. Due to the Company's full valuation allowance position, there was no 
net impact on the Company's income tax provision for the year ended December 31, 2017 as the reduction in the deferred tax 
asset balance was fully offset by a corresponding decrease in the valuation allowance. 

In December 2017, the SEC issued Staff Accounting Bulletin No. 118 ("SAB 118"), which provides guidance on 

accounting for the income tax effects of the TCJA. SAB 118 provides a measurement period that should not extend beyond one 
year from the TCJA enactment date for companies to complete the accounting related to the accounting relating to the TCJA 
under Accounting Standards Codification Topic 740, "Income Taxes" ("ASC 740"). In accordance with SAB 118, a company 
must reflect the income tax effects of those aspects of the TCJA for which the accounting under ASC 740 is complete. To the 
extent that a company's accounting for TCJA-related income tax effects is incomplete, but the company is able to determine a 
reasonable estimate, it must record a provisional estimate in its financial statements. If a company cannot determine a 
provisional estimate to be included in its financial statements, it should continue to apply ASC 740 on the basis of the 
provisions of the tax laws that were in effect before the enactment of the TCJA. The Company has completed its evaluation of 
the potential impacts of the TCJA on its December 31, 2018 financial statements and there is no impact on the income tax 
provision due to the full valuation allowance as of December 31, 2018.   

14. Investment Tax Credits 

In prior years, the Company was entitled to claim Canadian federal and provincial ITCs for eligible scientific research 
and development expenditures. The Company recorded ITCs based on management's best estimates of the amount to be recovered 
and ITCs claimed are subject to audit by the taxation authorities and accordingly, may vary by a material amount. The Company 
has not recorded federal or provincial ITCs since the year ended December 31, 2013, as the primary operations of the Company 
were moved from Canada to San Diego, California in early 2014.  

The Company's non-refundable Canadian federal ITCs as of December 31, 2018 are $3.9 million and relate to scientific 
research and development expenditures, which may be utilized to reduce Canadian federal income taxes payable in future years. 
The benefits of the non-refundable Canadian federal ITCs have not been recognized in the financial statements and will be recorded 
as a reduction of tax expense when realized.

80

 
 
 
 
 
 
 
 
 
 
 
 
 
 
The non-refundable investment tax credits expire as follows (in thousands):

Expires in:
2030
2031
2032
2033

Federal ITC

$

$

764
1,000
1,125
1,018
3,907

15. Commitments and Contingencies

On June 24, 2014, the Company entered into a lease agreement for completed office and laboratory space located in San 
Diego, California. The office space under the lease is the Company's corporate headquarters. The lease commenced in two phases 
(in July 2014 and March 2015) at a combined total initial monthly rent of $24,100 per month. The leased property is subject to a 
3% annual rent increase following availability that results in the Company recording deferred rent over the term of the lease. In 
addition to such base monthly rent, the Company is obligated to pay certain customary amounts for its share of operating expenses 
and facility amenities. The original lease provided for expiration on January 31, 2018. On March 23, 2017, the Company entered 
into a First Amendment to Lease Agreement to amend the original lease agreement and to extend the term of the original lease 
for one year through January 31, 2019. On April 5, 2018, the Company entered into a Second Amendment to Lease Agreement 
to extend the lease term through January 31, 2020. Subsequently, on August 2, 2018, the Company entered into a Third Amendment 
to Lease Agreement to expand the size of the existing space for an additional base rent of $4,000 per month. All other terms and 
covenants from the original lease agreement remain unchanged.

Future minimum payments required under the lease are summarized as follows (in thousands):

 Year Ending December 31:

2019

2020

Thereafter

 Total minimum lease payments

$

$

363

30

—

393

Total lease expense for the years ended December 31, 2018, 2017 and 2016 was $0.8 million, $0.7 million, and $0.8 

million, respectively.

16. Selected Quarterly Financial Data (Unaudited)

The  following  is  a  summary  of  the  quarterly  results  of  the  Company  for  the  years  ended  December 31,  2018  and 

2017 (unaudited, in thousands, except for per share data):

Three Months Ended

Year Ended

3/31/18

6/30/18

9/30/18

12/31/18

December 31, 2018

License and collaboration revenues

Loss from operations

Net loss

$

$
9,467
(15,346)   
(14,709)  

— $
(28,670)   
(27,869)  

— $
(28,939)   
(27,568)  

$
3,459
(29,672)   $
(28,272)  

Basic and diluted net loss per share

$

(0.51)   $

(0.94)   $

(0.85)   $

(0.87)   $

12,926
(102,627)
(98,418)
(3.19)

Three Months Ended

Year Ended

Loss from operations

Net loss

Basic and diluted net loss per share

$

(0.73)   $

(0.74)   $

(0.65)   $

(0.67)   $

3/31/17

6/30/17

9/30/17

12/31/17

$ (18,090)   $ (18,616)   $ (16,601)   $ (18,228)   $

(17,846)  

(18,339)  

(16,350)  

(17,895)  

December 31, 2017
(71,535)
(70,430)
(2.78)

Net loss per share is computed independently for each of the quarters presented. Therefore, the sum of the quarterly per-

share calculations will not necessarily equal the annual per share calculation. 

81

 
 
 
 
 
 
 
 
 
17. Subsequent Event

Sale of Common Stock

In January 2019, the Company sold 1,854,838 shares of its common stock at a public offering price of $62.00 per share.
After deducting underwriter discounts, commissions and offering expenses, the Company received net proceeds from the transaction 
of $107.9 million. 

82

 
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General Information

Board of Directors

Executive Management

Safe Harbor Statement

Corporate InformationCorporate Headquarters 9393 Towne Centre Drive, Suite 200 San Diego, CA 92121 858-332-3410 info@mirati.comTransfer Agent ComputershareIndependent Registered Public Accounting Firm Ernst & Young, LLPCorporate Counsel Cooley, LLPInvestor Relations/Media Contact Temre A. Johnson Director, Investor Relations and Corporate Communications ir@mirati.comThe letter to the shareholders in this Annual Report includes “forward-looking” statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are based on the current expectations of management and upon what management believes to be reasonable assumptions based on information currently available to it. Forward-looking statements are typically, but not always, identified by the use of words such as “may,” “would,” “believe,” “intend,” “plan,” “anticipate,” “estimate,” “expect,” and other similar terminology. Such statements include, but are not limited to, statements regarding Mirati’s development plans and timelines, potential regulatory actions, expected use of cash resources, the timing and results of clinical trials, and the potential benefits of and markets for Mirati’s product candidates. Forward-looking statements involve significant risks and uncertainties and are neither a prediction nor a guarantee of future events or circumstances, and those future events or circumstances may not occur. Such risks include, but are not limited to, potential delays in development timelines or negative clinical trial results, reliance on third parties for manufacturing and development efforts, changes in the competitive landscape, changes in the standard of care, as well as other risks described in Mirati’s filings with the U.S. Securities and Exchange Commission. We are including this cautionary note to make applicable, and to take advantage of, the safe harbor provisions of the Private Securities Litigation Reform Act of 1995 for forward-looking statements. We expressly disclaim any obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise, unless required by law. Faheem Hasnain  Chairman of the BoardCharles M. Baum, M.D., Ph.D.  President and Chief Executive Officer Bruce L.A. Carter, Ph.D. DirectorAaron I. Davis DirectorHenry J. Fuchs, M.D. DirectorMichael Grey DirectorCraig Johnson DirectorRodney Lappe, Ph.D. DirectorMaya Martinez-Davis DirectorCharles M. Baum, M.D., Ph.D.  President and Chief Executive Officer Allen Albright, Ph.D.  Vice President, Regulatory Affairs  and Quality AssuranceIsan Chen, M.D. Executive Vice President and  Chief Medical OfficerJames G. Christensen, Ph.D. Executive Vice President and  Chief Scientific OfficerJamie A. Donadio Senior Vice President and  Chief Financial OfficerPerry C. Johnston, J.D. Vice President, Chief Legal and  Compliance Officer and  Corporate SecretaryChristopher C. LeMasters Executive Vice President and  Chief Business OfficerMatthew Marx, Ph.D. Vice President and  Head of Drug DiscoveryVickie Reed Vice President, FinanceSanjeev Sharma, Ph.D. Senior Vice President, CMC and  Product DevelopmentVanessa Tassell Vice President, Clinical OperationsM

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Mirati Therapeutics, Inc. 
9393 Towne Centre Drive, Suite 200 
San Diego, CA 92121 
858-332-3410 
www.mirati.com

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