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Viking Therapeutics

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FY2023 Annual Report · Viking Therapeutics
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-K

(Mark One)

☒

ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended December 31, 2023

OR

☐

TRANSITION  REPORT  PURSUANT  TO  SECTION  13  OR  15(d)  OF  THE  SECURITIES  EXCHANGE  ACT  OF  1934  FOR  THE 
TRANSITION PERIOD FROM                      TO                     

Commission File Number 001-37355

Viking Therapeutics, Inc.

(Exact name of Registrant as specified in its Charter)

Delaware
( State or other jurisdiction of
incorporation or organization)

9920 Pacific Heights Blvd, Suite 350
San Diego, California
(Address of principal executive offices)

46-1073877
(I.R.S. Employer
Identification No.)

92121
(Zip Code)

Registrant’s telephone number, including area code: (858) 704-4660

Securities registered pursuant to Section 12(b) of the Act

Title of Each Class
Common Stock, par value $0.00001 per share

Trading Symbol
VKTX

Name of Each Exchange on Which Registered
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   ☒    No    ☐

Indicate by check mark if the Registrant is not required to file reports pursuant to Section 13 or 15(d) of the Act.     Yes   ☐    No    ☒

Indicate  by  check  mark  whether  the  Registrant:  (1)  has  filed  all  reports  required  to  be  filed  by  Section  13  or  15(d)  of  the  Securities  Exchange  Act  of  1934  during  the 
preceding 12 months (or for such shorter period that the Registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 
days.     Yes   ☒    No    ☐

Indicate by check mark whether the Registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T 
(§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the Registrant was required to submit such files).     Yes ☒    No    ☐

Indicate by check mark whether the Registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth 
company. See the definition of “large accelerated filer”, “accelerated filer”, “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange 
Act.:
Large accelerated filer

   Accelerated filer

  ☒ 

  ☐

Non-accelerated filer

  ☐ 



   Smaller reporting company

  Emerging growth company

  ☐

  ☐

If  an  emerging  growth  company,  indicate  by  check  mark  if  the  registrant  has  elected  not  to  use  the  extended  transition  period  for  complying  with  any  new  or  revised 
financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over financial 
reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report.  ☒

If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant included in the filing reflect the 
correction of an error to previously issued financial statements.  ☐

Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation received by any of the 
registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b).  ☐

Indicate by check mark whether the Registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).     Yes  ☐    No   ☒

The aggregate market value of the voting and non-voting common equity held by non-affiliates of the Registrant, based on the closing price of the shares of common stock 
on the Nasdaq Capital Market on June 30, 2023 (the last trading day of the registrant’s second fiscal quarter of 2023), was $93,700,028. Shares of voting stock held by 
directors, officers and stockholders or stockholder groups whose beneficial ownership exceeds 5% of the registrant’s common stock outstanding have been excluded in that 
such persons may be deemed to be affiliates. The number of shares owned by stockholders whose beneficial ownership exceeds 5% was determined based upon information 
supplied by such persons and upon Schedules 13D and 13G, if any, filed with the Securities and Exchange Commission. This assumption regarding affiliate status is not 
necessarily a conclusive determination for other purposes.

The number of shares of the Registrant’s Common Stock outstanding as of January 31, 2024 was 100,488,339.

DOCUMENTS INCORPORATED BY REFERENCE

Portions of the Registrant’s Definitive Proxy Statement for its 2024 Annual Meeting of Stockholders or an amendment to this Annual Report on Form 10-K to be filed with 
the Securities and Exchange Commission within 120 days of the registrant’s fiscal year ended December 31, 2023 are incorporated by reference into Part III of this Annual 
Report on Form 10-K.

 
 
 
Table of Contents

PART I
Item 1.
Item 1A.
Item 1B.
Item 1C.
Item 2.
Item 3.
Item 4.

PART II
Item 5.
Item 6.
Item 7.
Item 7A.
Item 8.
Item 9.
Item 9A.
Item 9B.
Item 9C

PART III
Item 10.
Item 11.
Item 12.
Item 13.
Item 14.

  Business
  Risk Factors
  Unresolved Staff Comments
  Cybersecurity
  Properties
  Legal Proceedings
  Mine Safety Disclosures

  Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
  [Reserved]
  Management’s Discussion and Analysis of Financial Condition and Results of Operations
  Quantitative and Qualitative Disclosures About Market Risk
  Financial Statements and Supplementary Data
  Changes in and Disagreements With Accountants on Accounting and Financial Disclosure
  Controls and Procedures
  Other Information
  Disclosure Regarding Foreign Jurisdictions that Prevent Inspections

  Directors, Executive Officers and Corporate Governance
  Executive Compensation
  Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
  Certain Relationships and Related Transactions, and Director Independence
  Principal Accounting Fees and Services

PART IV    
Item 15.
Item 16.

  Exhibits, Financial Statement Schedules
  Form 10-K Summary

i

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This Annual Report on Form 10-K contains “forward-looking statements” as defined in Section 27A of the Securities Act of 1933, as amended, and Section 
21E of the Securities Exchange Act of 1934, as amended, in connection with the Private Securities Litigation Reform Act of 1995 that involve risks and 
uncertainties, as well as assumptions that, if they never materialize or prove incorrect, could cause our results to differ materially and adversely from those 
expressed  or  implied  by  such  forward-looking  statements.  Such  forward-looking  statements  include  estimates  of  our  expenses,  future  revenue,  capital 
requirements  and  our  needs  for  additional  financing;  statements  regarding  our  ability  to  develop,  acquire  and  advance  drug  candidates  into,  and 
successfully complete, clinical trials and preclinical studies; statements concerning new product candidates; risks and uncertainties associated with our 
research and development activities, including our clinical trials and preclinical studies; our expectations regarding the potential market size and the size 
of the patient populations for our drug candidates, if approved for commercial use, and our ability to serve such markets; statements regarding our ability 
to maintain and establish collaborations or obtain additional funding; statements regarding developments and projections relating to our competitors and 
our industry and other matters that do not relate strictly to historical facts or statements of assumptions underlying any of the foregoing. These statements 
are  often  identified  by  the  use  of  words  such  as  “anticipate,”  “believe,”  “continue,”  “could,”  “estimate,”  “expect,”  “intend,”  “may”  or  “will,”  the 
negative  versions  of  these  terms  and  similar  expressions  or  variations.  These  statements  are  based  on  the  beliefs  and  assumptions  of  our  management 
based on information currently available to management. Such forward-looking statements are subject to risks, uncertainties and other factors that could 
cause actual results and the timing of certain events to differ materially and adversely from future results expressed or implied by such forward-looking 
statements.  Factors  that  could  cause  or  contribute  to  such  differences  include,  but  are  not  limited  to,  those  identified  below,  and  those  discussed  in  the 
section  titled  “Risk  Factors”  included  elsewhere  in  this  Annual  Report  on  Form  10-K  and  in  our  other  Securities  and  Exchange  Commission  filings. 
Furthermore,  such  forward-looking  statements  speak  only  as  of  the  date  of  this  report.  We  undertake  no  obligation  to  update  any  forward-looking 
statements to reflect events or circumstances occurring after the date of such statement.

Throughout this Annual Report on Form 10-K, unless the context otherwise requires, the terms “Viking,” “we,” “us” and “our” in this Annual Report on 
Form 10-K refer to Viking Therapeutics, Inc. and its subsidiary.

PART I

Item 1. Business.

Overview

We  are  a  clinical-stage  biopharmaceutical  company  focused  on  the  development  of  novel,  first-in-class  or  best-in-class  therapies  for  metabolic  and 
endocrine disorders.

Our lead clinical program’s drug candidate, VK2809, is an orally available, tissue and receptor-subtype selective agonist of the thyroid hormone receptor 
beta, or TRß. In November 2019, we initiated the VOYAGE study, a Phase 2b clinical trial of VK2809 in patients with biopsy-confirmed non-alcoholic 
steatohepatitis, or NASH.

The VOYAGE study is a randomized, double-blind, placebo-controlled, multicenter trial designed to assess the efficacy, safety and tolerability of VK2809 
in patients with biopsy-confirmed NASH and fibrosis ranging from stages F1 to F3. The primary endpoint of the study will evaluate the relative change in 
liver fat content, as assessed by magnetic resonance imaging, proton density fat fraction, or MRI-PDFF, from baseline to week 12 in subjects treated with 
VK2809 as compared to placebo. Secondary objectives include evaluation of histologic changes assessed by hepatic biopsy after 52 weeks of dosing.

In  January  2023,  we  announced  completion  of  patient  enrollment  in  the  VOYAGE  study  and  in  May  2023  we  reported  that  the  VOYAGE  study 
successfully  achieved  its  primary  endpoint,  with  patients  receiving  VK2809  experiencing  statistically  significant  reductions  in  liver  fat  content  from 
baseline to Week 12 as compared to placebo. Results from the biopsy after 52 weeks of dosing are expected to be available in 2024.

VK2809 has been evaluated in eight completed clinical studies, which enrolled more than 300 subjects. No serious adverse events, or SAEs, have been 
observed  in  subjects  receiving  VK2809  in  these  completed  studies,  and  overall  tolerability  remains  encouraging.  In  addition,  the  compound  has  been 
evaluated in chronic toxicity studies of up to 12 months in duration.

In January 2022, we announced the initiation of a Phase 1 single ascending dose, or SAD, and multiple ascending dose, or MAD, clinical trial of VK2735, 
a  novel  dual  agonist  of  the  glucagon-like  peptide  1,  or  GLP-1,  and  glucose-dependent  insulinotropic  polypeptide,  or  GIP,  receptors.  VK2735  is  in 
development for the potential treatment of various metabolic disorders.

1

 
On March 28, 2023, we announced the completion of the Phase 1 trial. The study was a randomized, double-blind, placebo-controlled, SAD and MAD 
study  in  healthy  adults.  The  primary  objectives  of  the  study  included  evaluation  of  the  safety  and  tolerability  of  single  and  multiple  doses  of  VK2735 
delivered  subcutaneously  and  the  identification  of  VK2735  doses  suitable  for  further  clinical  development.  Study  investigators  also  evaluated  the 
pharmacokinetics of single and multiple doses of VK2735. Based upon the results from this Phase 1 study, in September 2023, we initiated the VENTURE 
study, a Phase 2 clinical trial of VK2735 in patients with obesity.   

The Phase 2 VENTURE study is a randomized, double-blind placebo-controlled study to evaluate the safety, tolerability, pharmacokinetics and weight loss 
efficacy of VK2735, administered subcutaneously, once weekly. The 13-week study will enroll adults who are obese (BMI >= 30 kg/m2) or adults who are 
overweight (BMI >= 27kg/m2) with at least one weight-related co-morbidity condition. The primary endpoint of the study is the percent change in body 
weight from baseline to week 13, with secondary and exploratory endpoints evaluating a range of additional safety and efficacy measures. In October 2023, 
we announced completion of patient enrollment in the Phase 2 VENTURE study and we expect to report data from the study in the first half of 2024.

On  March  28,  2023,  we  announced  the  initiation  of  a  Phase  1  clinical  study  to  evaluate  a  novel  oral  formulation  of  VK2735.  The  study,  which  is  an 
extension of our recently completed Phase 1 evaluation of subcutaneously administered VK2735, is evaluating daily oral doses for 28 days. 

We are also developing VK0214, which is also an orally available, tissue and receptor-subtype selective agonist of TRß for X-linked adrenoleukodystrophy, 
or X-ALD, a rare X-linked, inherited neurological disorder characterized by a breakdown in the protective barriers surrounding brain and nerve cells. The 
disease, for which there is no approved treatment, is caused by mutations in a peroxisomal transporter of very long chain fatty acids, or VLCFA, known as 
ABCD1.  As  a  result,  transporter  function  is  impaired  and  patients  are  unable  to  efficiently  metabolize  VLCFA.  The  TRß  receptor  is  known  to  regulate 
expression of an alternative VLCFA transporter, known as ABCD2. Various preclinical models have demonstrated that increased expression of ABCD2 can 
lead  to  normalization  of  VLCFA  metabolism.  Preliminary  data  suggest  that  VK0214  stimulates  ABCD2  expression  in  an  in  vitro  model  and  reduces 
VLCFA levels in an in vivo model of X-ALD.

In June 2021, we initiated a Phase 1b clinical trial of VK0214 in patients with X-ALD. This trial is a multi-center, randomized, double-blind, placebo-
controlled study in adult male patients with the adrenomyeloneuropathy, or AMN, form of X-ALD. The study is initially targeting enrollment across three 
cohorts: placebo, VK0214 20 mg daily, and VK0214 40 mg daily. Pending a blinded review of preliminary safety, tolerability, and pharmacokinetic data, 
additional dosing cohorts may be pursued.

The primary objective of the study is to evaluate the safety and tolerability of VK0214 administered once-daily over a 28-day dosing period. Secondary and 
exploratory objectives include an evaluation of the pharmacokinetics and pharmacodynamics of VK0214 following 28 days of dosing in this population.

Other  clinical  programs  include  VK5211,  an  orally  available,  non-steroidal  selective  androgen  receptor  modulator,  or  SARM.  In  November  2017,  we 
announced positive top-line results from a Phase 2 proof-of-concept clinical trial in 108 patients recovering from non-elective hip fracture surgery. Top-line 
data  showed  that  the  trial  achieved  its  primary  endpoint,  demonstrating  statistically  significant,  dose  dependent  increases  in  lean  body  mass,  less  head, 
following  treatment  with  VK5211  as  compared  to  placebo.  The  study  also  achieved  certain  secondary  endpoints,  demonstrating  statistically  significant 
increases  in  appendicular  lean  body  mass  and  total  lean  body  mass  for  all  doses  of  VK5211,  compared  to  placebo.  VK5211  demonstrated  encouraging 
safety  and  tolerability  in  this  study,  with  no  drug-related  SAEs  reported.  Our  intent  is  to  continue  to  pursue  partnering  or  licensing  opportunities  for 
VK5211 prior to conducting additional clinical studies.

2

 
Our Development Pipeline 

The following table highlights our current development pipeline:

Key: TRß, thyroid receptor beta; NASH, nonalcoholic steatohepatitis; GLP-1, glucagon-like peptide 1, GIP, glucose-dependent insulinotropic polypeptide; 
X-ALD, X-linked adrenoleukodystrophy.

We also have three additional programs targeting metabolic diseases and anemia. The most advanced is VK0612, a first-in-class, orally available Phase 2b-
ready drug candidate for type 2 diabetes. Preliminary clinical data suggest VK0612 has the potential to provide substantial glucose-lowering effects, with 
an  attractive  safety  and  convenience  profile  compared  with  existing  type  2  diabetes  therapies.  Our  preclinical  programs  are  focused  on  developing 
inhibitors  of  diacylglycerol  acyltransferase-1,  or  DGAT-1,  for  the  potential  treatment  of  obesity  and  dyslipidemia  and  on  identifying  orally  available 
erythropoietin, or EPO, receptor, or EPOR, agonists for the potential treatment of anemia.

Novel Selective TRß Agonists for Metabolic Disorders and Adrenoleukodystrophy

Summary Overview

VK2809 and VK0214 are novel, orally available, selective TRß agonists in development for metabolic disorders and X-ALD. Thyroid hormone receptors 
are found in various tissues throughout the body. TRß is the major receptor isoform expressed in the liver and thyroid hormone receptor alpha, or TR(cid:0) is 
the major isoform expressed in the heart. The unique properties of our TRß agonists are designed to reduce or eliminate the deleterious effects of extra-
hepatic thyroid receptor activation. In particular, high tissue and TRß selectivity may lead to reduced activity at the TR(cid:0) receptor, which can be associated 
with increased respiration and cardiac tissue hypertrophy. Selective activation of the TRß receptor in liver tissue is believed to favorably affect cholesterol 
and lipoprotein levels via multiple mechanisms, including increasing the expression of low-density lipoprotein receptors and increasing mitochondrial fatty 
acid  oxidation.  These  characteristics  in  turn  lead  to  reductions  of  LDL-C,  plasma  and  liver  triglycerides.  In  addition,  our  chemical  structures  are  not 
substrates for certain transporters involved in the uptake of thyroid hormone. Various animal models have shown that our molecules, as a result of their 
unique profiles, may have reduced cardiovascular effects versus thyroid hormone and other thyromimetics. As a result of these characteristics, we believe 
our selective TRß agonists are capable of eliciting a unique lipid lowering profile without eliciting unwanted effects on the heart and thyroid hormone axis. 

VK2809 in NASH

In November 2019, we initiated the VOYAGE study, a Phase 2b clinical trial of VK2809 in patients with biopsy-confirmed NASH. 

The VOYAGE study is a randomized, double-blind, placebo-controlled, multicenter trial designed to assess the efficacy, safety and tolerability of VK2809 
in patients with biopsy-confirmed NASH and fibrosis ranging from stages F1 to F3. The study is targeting enrollment of approximately 340 patients across 
five treatment arms. The primary endpoint of the study will evaluate the relative change in liver fat content, as assessed by MRI-PDFF, from baseline to 
week  12  in  subjects  treated  with  VK2809  as  compared  to  placebo.  Secondary  objectives  include  evaluation  of  histologic  changes  assessed  by  hepatic 
biopsy after 52 weeks of dosing.

In  January  2023,  we  announced  completion  of  patient  enrollment  in  the  VOYAGE  study  and  in  May  2023  we  reported  that  the  VOYAGE  study 
successfully achieved its primary endpoint, with patients receiving VK2809 experiencing statistically significant reductions in 

3

 
 
liver fat content from baseline to Week 12 as compared to placebo. Results from the biopsy after 52 weeks of dosing are expected to be available in 2024.

VK2809 in NAFLD

In  September  2018,  we  announced  top-line  results  from  our  12-week,  Phase  2  clinical  trial  of  our  lead  clinical  program’s  drug  candidate,  VK2809,  in
patients  with  NAFLD  and  elevated  LDL-C.  The  study  successfully  achieved  its  primary  endpoint,  with  patients  receiving  VK2809  demonstrating 
statistically significant reductions in LDL-C compared with placebo. In addition, the trial’s secondary endpoint was achieved, with VK2809-treated patients 
experiencing statistically significant reductions in liver fat content compared with placebo. VK2809 demonstrated encouraging safety and tolerability in 
this study, with no SAEs reported.

Top-line study results from the Phase 2 clinical trial include:

Reduction in LDL-C

Patients receiving VK2809 demonstrated statistically significant reductions in LDL-C of 20% or more, compared with placebo-treated patients. In addition, 
VK2809-treated  patients  demonstrated  statistically  significant  improvements  in  other  lipids,  including  atherogenic  proteins  apolipoprotein  B  and 
lipoprotein (a).

Reduction in Liver Fat Content

Patients receiving VK2809 experienced statistically significant reductions in liver fat content, as assessed by MRI-PDFF, relative to placebo after 12 weeks 
of treatment.

Placebo

VK2809 5 mg 
QD

VK2809 10 mg QOD

VK2809 10 mg QD

Median  relative  change  in 
liver fat by MRI-PDFF
Percentage  of  patients 
experiencing 
30% 
reduction in liver fat

≥ 

-9.4%

16.7%

Safety and Tolerability

-53.8%
(p<0.001)
100%
(p<0.001)

-56.5%
(p<0.01)
76.9%
(p<0.01)

-59.7%
(p<0.001)
90.9%
(p<0.001)

VK2809 
combined

-58.1%
(p<0.001)
83.3%
(p<0.001)

No SAEs were reported among patients receiving VK2809 or placebo. Mean alanine aminotransferase, or ALT, levels among patients receiving VK2809 
were reduced relative to those of patients receiving placebo. Among patients with elevated baseline ALT levels, those receiving VK2809 also demonstrated 
reduction relative to placebo. There were no clinically or numerically meaningful differences in direct bilirubin, indirect bilirubin, alkaline phosphatase or 
international  normalized  ratio  between  patients  treated  with  VK2809  or  placebo.  In  addition,  no  meaningful  changes  to  the  thyroid  hormone  axis  were 
observed among VK2809-treated patients compared with placebo-treated patients.

VK2809 Summary Characteristics

VK2809 has been evaluated in one Phase 2 clinical trial and seven Phase 1 clinical trials. Based on these clinical and additional preclinical data, we believe 
VK2809 has the following important characteristics that may benefit patients with metabolic or lipid disorders:

•

•

•

Broader  efficacy:  Current  Phase  2  and  Phase  1  data  suggest  VK2809  could  reduce  liver  fat,  plasma  LDL-C,  triglyceride  and 
atherogenic  protein  levels  by  greater  amounts  than  existing  oral  therapies.  Such  broad  and  potent  lipid  lowering-activity  may  be 
particularly  desirable  for  NASH  patients  with  hypercholesterolemia  or  dyslipidemia,  or  among  patients  with  risk  factors  such  as 
chronic kidney disease.

Encouraging safety profile: VK2809 has demonstrated encouraging safety to date in over 300 subjects from completed studies. No 
drug  related  serious  adverse  events  were  observed.  In  addition,  no  cardiovascular  abnormalities  were  reported,  in-line  with  the 
expected high tissue and receptor selectivity for VK2809.

Encouraging  tolerability:  VK2809  has  been  well-tolerated  at  and  above  doses  that  we  are  currently  administrating  and  plan  to 
administer in future clinical trials.

4

 
 
 
 
 
 
 
 
 
 
•

•

•

Novel  mechanism  of  action:  Based  on  its  selective  thyroid  receptor  targeting  mechanism  of  action,  we  believe  VK2809  has  the 
potential to lower plasma and liver lipid levels in a manner complementary to existing agents such as statins. In particular, based upon 
the  Phase  2  trial  results,  we  believe  the  unique  liver-targeting  properties  of  VK2809  impart  a  robust  lipid  lowering  effect  within 
hepatic tissue, with potential therapeutic applications in fatty liver diseases such as NASH.

Combinability:  VK2809’s  novel  mechanism  of  action  is  expected  to  allow  combinability  with  many  existing  therapies,  leading  to 
enhanced efficacy and potentially delaying transition to subsequent therapies.

Once-daily  oral  dosing:  Clinical  data  suggest  that  VK2809  has  the  potential  to  lower  plasma  lipid  levels  in  NASH  or 
hypercholesterolemia patients as a once-daily oral therapy.

Phase 1 Clinical Data for VK2809

VK2809  has  also  been  evaluated  in  seven  Phase  1  clinical  trials.  The  initial  Phase  1  safety,  tolerability  and  pharmacokinetic  study  of  VK2809  was 
conducted in 2006. This was followed by a 14-day Phase 1b clinical trial in 56 patients with mild hypercholesterolemia, defined as baseline plasma LDL-C 
of at least 100 mg/dL. This study was initiated in 2007 and completed in 2008. VK2809 was shown to be safe and well-tolerated across doses ranging from 
0.25 mg to 40 mg per day. There were no serious adverse events, and the frequency of adverse events in VK2809-treated patients was similar to placebo-
treated patients. The clinical trial results also showed dose-related reductions in fasting LDL-C and fasting triglyceride, or TG, levels at day 14. Significant 
placebo-adjusted LDL-C reductions from baseline were observed at doses of 5 mg and above and ranged from approximately 15%-41%, while placebo-
adjusted TG levels were reduced by more than 30% at doses of 2.5 mg and above. In addition, statistically significant reductions of lipoprotein a, or Lp(a), 
and apolipoprotein, or Apo(B), which are believed to be positively associated with a patient’s risk of developing cardiovascular disease, were observed in 
certain cohorts. In addition, VK2809 was evaluated in five additional Phase 1 trials, evaluating the pharmacokinetics, pharmacodynamics, potential drug-
drug interaction of VK2809 when co-administered with a statin, alternative dosing regimens and hepatic impairment, respectively.

VK2735

Activation of the glucagon-like peptide 1 (GLP-1) receptor has been shown to decrease glucose, reduce appetite, lower body weight and improve insulin 
sensitivity  in  patients  with  type  2  diabetes,  obesity,  or  both.  More  recently,  research  efforts  have  explored  the  potential  co-activation  of  the  glucose-
dependent insulinotropic peptide (GIP) receptor as a means of enhancing the therapeutic benefits of GLP-1 receptor activation. VK2735 is a dual agonist of 
the GLP-1 and GIP receptors that the Company is developing for the potential treatment for various metabolic disorders.

In January 2022, we announced the initiation of a Phase 1 SAD and MAD clinical trial of VK2735, a novel dual agonist of the GLP-1 and GIP receptors. 
VK2735 is in development for the potential treatment of various metabolic disorders, including obesity.

On March 28, 2023, we announced the completion of the Phase 1 trial. The study was a randomized, double-blind, placebo-controlled, SAD and MAD 
study  in  healthy  adults.  The  primary  objectives  of  the  study  included  evaluation  of  the  safety  and  tolerability  of  single  and  multiple  doses  of  VK2735 
delivered  subcutaneously  and  the  identification  of  VK2735  doses  suitable  for  further  clinical  development.  Study  investigators  also  evaluated  the 
pharmacokinetics of single and multiple doses of VK2735. Based upon the results from this Phase 1 study, in September 2023, we initiated the VENTURE 
study, a Phase 2 clinical trial of VK2735 in patients with obesity. 

The Phase 2 VENTURE study is a randomized, double-blind placebo-controlled study to evaluate the safety, tolerability, pharmacokinetics and weight loss 
efficacy of VK2735, administered subcutaneously, once weekly. The 13-week study will enroll adults who are obese (BMI >= 30 kg/m2), or adults who are 
overweight (BMI >= 27kg/m2) with at least one weight-related co-morbidity condition. The primary endpoint of the study is the percent change in body 
weight from baseline to week 13, with secondary and exploratory endpoints evaluating a range of additional safety and efficacy measures. In October 2023, 
we announced completion of patient enrollment in the Phase 2 VENTURE study and we expect to report data from the study in the first half of 2024.

On  March  28,  2023,  we  announced  the  initiation  of  a  Phase  1  clinical  study  to  evaluate  a  novel  oral  formulation  of  VK2735.  The  study,  which  is  an 
extension of our recently completed Phase 1 evaluation of subcutaneously administered VK2735, is evaluating daily oral doses for 28 days.

VK0214 in X-ALD

5

 
We  are  developing  VK0214  for  X-ALD,  a  rare  X-linked,  inherited  neurological  disorder  characterized  by  a  breakdown  in  the  protective  barriers 
surrounding  brain  and  nerve  cells.  X-ALD  is  caused  by  mutations  in  a  peroxisomal  transporter  of  VLCFA  known  as  ABCD1.  As  a  result,  transporter 
function is impaired and patients are unable to efficiently metabolize VLCFA. TRß is known to regulate expression of an alternative VLCFA transporter, 
known as ABCD2. Various preclinical models have demonstrated that increased expression of ABCD2 can lead to normalization of VLCFA metabolism. 
Preliminary data suggest that VK0214 stimulates ABCD2 expression in an in vitro model and reduces VLCFA levels in an in vivo model of X-ALD.

In September 2020, we initiated a randomized, double-blind, placebo controlled Phase 1 SAD and MAD clinical trial of VK0214 in healthy patients. The 
primary objective of the study was to evaluate the safety and tolerability of VK0214 administered orally for up to 14 days. The secondary objective was to 
evaluate the pharmacokinetics of VK0214 following single and multiple oral doses. The first portion of the study evaluated single doses of VK0214; in the 
second  portion  of  the  study,  subjects  received  VK0214  once  daily  for  14  days.  Subsequent  cohorts  in  both  portions  of  the  study  received  successively 
higher VK0214 doses.

In  June  2021,  we  announced  the  results  of  the  study.  VK0214  was  shown  to  be  safe  and  well-tolerated  at  all  doses  evaluated  in  this  study.  No  serious 
adverse  events  were  reported,  and  no  treatment  or  dose-related  trends  were  observed  for  vital  signs,  gastrointestinal  effects,  cardiovascular  measures  or 
physical examinations. VK0214 demonstrated dose-dependent exposures, no evidence of accumulation following multiple doses, and a half-life consistent 
with anticipated once-daily dosing regimens. While the study’s primary objective was to evaluate safety and tolerability, laboratory assessments included a 
lipid  panel  to  determine  potential  pharmacodynamic  effects  following  exposure  to  VK0214.  The  results  showed  that  subjects  who  received  VK0214 
experienced reductions in low-density lipoprotein cholesterol, or LDL-C, triglycerides and apolipoprotein B following 14 days of treatment at all VK0214 
doses. Many of the observed lipid reductions achieved statistical significance, though the study was not powered to demonstrate statistical significance on 
laboratory assessments.

% Change in Lipid Markers Following 14 Days of Treatment of VK0214

1
Placebo

5 mg

10 mg

25 mg

50 mg

75 mg

100 mg

(n=11)

(n=6)

(n=6)

(n=6)

(n=6)

(n=6)

(n=6)

LDL-C

3.8%

-0.7%

-12.5%*

-21.4%**

-19.5%**

-19.1%***

-18.9%**

Triglycerides

4.9%

-6.7%

-19.5%*

-1.7%

-36.8%**

-45.0%***

-39.1%**

ApoB

-23.3%***
(1) Excludes one placebo subject due to an anomalous triglyceride value (>7x higher than SD). *p < 0.05; **p < 0.01; ***p < 0.001.

-28.2%***

-24.0%***

-28.3%***

-12.5%**

-5.7%

4.4%

In June 2021, we initiated a Phase 1b clinical trial of VK0214 in patients with X-ALD. The Phase 1b trial is a multi-center, randomized, double-blind, 
placebo-controlled study in adult male patients with the AMN form of X-ALD. The study is initially targeting enrollment across three cohorts: placebo, 
VK0214 20 mg daily, and VK0214 40 mg daily. Pending a blinded review of preliminary safety, tolerability, and pharmacokinetic data, additional dosing 
cohorts may be pursued.

The primary objective of the study is to evaluate the safety and tolerability of VK0214 administered once-daily over a 28-day dosing period. Secondary and 
exploratory objectives include an evaluation of the pharmacokinetics and pharmacodynamics of VK0214 following 28 days of dosing in this population.

X-ALD is a rare, often fatal condition believed to occur with an incidence of approximately one in 17,000 births. X-ALD is caused by mutations in the 
gene encoding for ABCD1, which is located on the X chromosome. Men have one X chromosome, while women have two. Because of this, an inherited 
mutation in the ABCD1 gene is more likely to manifest in males relative to females. The ABCD1 protein plays a critical role in the transport of VLCFA 
into a cellular organelle called the peroxisome, where VLCFA metabolism and disposal occur. Without functional ABCD1, VLCFA accumulate in cells, 
including neural cells, where they can lead to membrane disruption and damage to the myelin sheath, a protective and insulating membrane that surrounds 
nerve  cells  in  the  brain.  This  damage  can  result  in  decreased  motor  coordination  and  function,  visual  and  hearing  disturbances,  the  loss  of  cognitive 
function, dementia, seizures, adrenal dysfunction and other complications, including death. X-ALD is divided into various sub-segments, which are broadly 
characterized by the presence or absence of brain inflammation:

•

Cerebral adrenoleukodystrophy, or CALD:  The  most  severe  form  of  X-ALD  is  CALD.  CALD  is  characterized  by  a  progressive 
inflammatory destruction of myelin, leading to severe loss of neurological function and eventual death. Approximately 35% to 40% of 
male X-ALD patients present with cerebral involvement at a younger age, between 

6

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
the ages of 5 and 12 years. However, up to 20% of male X-ALD patients develop cerebral involvement later in life, between the ages 
of 20 and 35 years. In male children affected by CALD, learning and behavioral problems are often the first clinical manifestations of 
disease. In the absence of intervention, patients affected by CALD typically experience rapid degeneration into vegetative state within 
3 to 5 years, often resulting in death within 10 years of diagnosis.

•

Adrenomyeloneuropathy, or AMN: AMN is the more common form of X-ALD and is considered the default form of the disease in 
patients surviving beyond childhood. AMN is expected to affect all adult males with ABCD1 mutations, and approximately 65% of 
females. In males, the diagnosis is usually made between the ages of 20 and 50 and in females after the age of 65. AMN accounts for 
approximately half of all patients diagnosed with X-ALD. Patients with AMN generally present with slowly progressive symptoms 
resulting from (non-inflammatory) disruption of the axons, which are a fundamental component of the central nervous system (which 
allows nerve signals to be transmitted), in the spinal cord. Patients experience a variety of symptoms, including weakness in the legs, 
impaired  vibration  sense,  incontinence  and  impotence.  Severe  motor  disability,  requiring  the  use  of  a  wheelchair  or  cane,  develops 
over a three to 15-year period. Many patients experience lower limb paralysis. While AMN is generally considered to develop more 
gradually relative to CALD, approximately 35% of AMN patients experience a rapid progression of myelopathy over a three to five-
year  period.  In  addition,  approximately  40%  of  AMN  patients  have  or  will  develop  CALD,  with  varying  degrees  of  associated 
inflammation.

There  is  a  clear  unmet  medical  need  for  patients  suffering  from  X-ALD.  CALD  has  been  more  commonly  targeted  for  treatment  due  to  its  devastating 
effects,  which  are  often  manifested  at  a  young  age.  For  these  patients,  an  effective  treatment  option  is  allogeneic  hematopoietic  stem  cell,  or  HSC, 
transplant. In this procedure, the patient is treated with HSCs containing the properly functioning copy of the ABCD1 gene, contributed by a donor other 
than the patient. Additionally, a method of ex vivo insertion of a functional copy of the ABCD1 gene via a lentiviral vector into the patient’s own HSCs to 
correct the aberrant expression of ABCD1 in patients with CALD has recently been approved. Over time with either method, as the transplanted cells grow 
and repopulate, a partial restoration of ABCD1 function can be achieved, leading many patients to resolution of progression in the cerebral form of the 
disease. However, recent data suggest that, even among successfully transplanted patients, AMN can develop. We believe our thyroid receptor agonists, 
which have the potential to normalize metabolism of VLCFAs peripherally, and potentially centrally, may positively impact all forms of X-ALD, including 
the currently untreatable AMN form.

VK5211: A SARM for Hip Fracture

VK5211  is  an  orally  available,  non-steroidal  SARM  in  development  for  the  treatment  of  patients  recovering  from  non-elective  hip  fracture  surgery. 
VK5211 is designed to selectively produce the therapeutic benefits of testosterone in muscle and bone tissue with improved safety and tolerability. Tissue 
selectivity is critical in treating patients recovering from hip fracture. These patients experience elevated rates of metabolic breakdown of muscle tissue and 
loss of bone mineral density. This results in a loss of muscle strength, an increased risk of additional fractures and increased mortality.

Clinical Data for VK5211

In November 2017, we announced positive top-line results from our 12-week, Phase 2 clinical trial of VK5211 in patients who recently suffered a hip 
fracture. Top-line data showed that the trial achieved its primary endpoint, demonstrating statistically significant, dose dependent increases in lean body 
mass,  less  head,  following  treatment  with  VK5211  as  compared  to  placebo.  The  study  also  achieved  certain  secondary  endpoints,  demonstrating 
statistically  significant  increases  in  appendicular  lean  body  mass  and  total  lean  body  mass  for  all  doses  of  VK5211,  compared  to  placebo.  VK5211 
demonstrated encouraging safety and tolerability in this study, with no drug-related SAEs reported.

The Phase 2 clinical trial was a randomized, double-blind, placebo-controlled, parallel group, international study designed to evaluate the efficacy, safety 
and tolerability of VK5211 in patients recovering from hip fracture surgery. A total of 108 patients were randomized to receive once-daily VK5211 doses 
of 0.5 mg, 1.0 mg, 2.0 mg, or placebo for 12 weeks. Top-line results include:

•

•

All doses of VK5211 demonstrated statistically significant increases in total lean body mass, less head, the study’s primary endpoint. Placebo-
adjusted  increases  in  lean  body  mass  were  4.8%  at  0.5  mg  (p  <  0.005),  7.2%  at  1.0  mg  (p  <  0.001),  and  9.1%  at  2.0  mg  (p  <  0.001).  These 
corresponded to placebo-adjusted increases of 1.6 kg at 0.5 mg (p < 0.005), 2.5 kg at 1.0 mg (p < 0.001), and 3.1 kg at 2.0 mg (p < 0.001).

The proportion of patients experiencing at least a 5% increase in total lean body mass, less head, were 19% with placebo, 61% at 0.5 mg, 65% at 
1.0 mg, and 75% at 2.0 mg (p < 0.01 for each). The proportion of patients demonstrating at least a 2.0 kg gain in total lean body mass, less head, 
were 14% with placebo, 57% at 0.5 mg, 65% at 1.0 mg, and 81% at 2.0 mg (p < 0.01 for each).

7

 
•

•

•

•

All  doses  of  VK5211  produced  statistically  significant  increases  in  appendicular  lean  body  mass,  a  secondary  efficacy  endpoint.  Placebo-
adjusted increases in appendicular lean body mass were 6.1% at 0.5 mg (p < 0.01), 9.0% at 1.0 mg (p < 0.001), and 10.2% at 2.0 mg (p < 0.001). 
These corresponded to placebo-adjusted increases of 0.8 kg at 0.5 mg (p < 0.05), 1.3 kg at 1.0 mg (p < 0.001), and 1.4 kg at 2.0 mg (p < 0.001).

All doses of VK5211 produced statistically significant increases in total lean body mass, including head, a secondary efficacy endpoint. Increases 
in  total  lean  body  mass  were  6.3%  (p  <  0.005),  8.2%  (p  <  0.001),  and  9.9%  (p  <  0.001)  from  baseline,  corresponding  to  placebo-adjusted 
increases of 4.7% at 0.5 mg (p < 0.005), 6.8% at 1.0 mg (p < 0.001), and 8.3% at 2.0 mg (p < 0.001). These corresponded to placebo-adjusted 
increases of 1.7 kg at 0.5 mg (p < 0.005), 2.6 kg at 1.0 mg (p < 0.001), and 3.1 kg at 2.0 mg (p < 0.001).

Patients receiving VK5211 demonstrated numerical improvements in certain exploratory assessments of functional performance, including the 6-
minute walk test and short physical performance battery, compared with placebo. These endpoints were not powered for significance. Further 
evaluation of exploratory functional endpoints is underway.

There were no significant differences in the rates of adverse events reported among patients receiving VK5211 compared with placebo. There 
were no dose-related differences in reported adverse events among various VK5211 treatment groups. No drug-related SAEs were observed in 
patients receiving VK5211.

Our intent is to continue to pursue partnering or licensing opportunities for VK5211 prior to conducting additional clinical studies.

Three Pipeline Programs Target Metabolic Disease with Large Unmet Medical Need

We have a pipeline with three additional programs targeting metabolic diseases and anemia. Our pipeline programs include VK0612, a first-in-class, orally 
available  Phase  2b-ready  drug  candidate  for  type  2  diabetes.  Preliminary  clinical  data  suggest  VK0612  has  the  potential  to  provide  substantial  glucose-
lowering effects, with an attractive safety and convenience profile compared with existing type 2 diabetes therapies. Our preclinical programs are focused 
on  developing  inhibitors  of  DGAT-1  for  the  potential  treatment  of  obesity  and  dyslipidemia  and  on  identifying  orally  available  EPOR  agonists  for  the 
potential treatment of anemia.

Fructose-1,6-bisphosphatase, or FBPase, Inhibitor Program

VK0612 is a first-in-class, orally available drug candidate for type 2 diabetes, one of the largest global healthcare challenges today. Preliminary clinical 
data suggest VK0612 has the potential to provide substantial glucose-lowering effects, with an attractive safety and convenience profile compared with 
existing  type  2  diabetes  therapies.  VK0612  is  a  potent,  selective  inhibitor  of  FBPase  an  enzyme  that  plays  an  important  role  in  endogenous  glucose 
production, or the synthesis of glucose by the body. We believe the inhibition of FBPase provides an attractive approach to controlling blood glucose levels 
in patients with diabetes. VK0612 has demonstrated potent glucose lowering effects in diabetic animal models. Clinical trials have shown that VK0612 is 
safe, well-tolerated and leads to significant glucose-lowering effects in patients with type 2 diabetes.

DGAT-1 Inhibitor Program

We are developing small molecule inhibitors of the enzyme DGAT-1 for the potential treatment of metabolic disorders such as obesity and dyslipidemia. 
According to the CDC, approximately 42% of the adult U.S. population is obese, with the prevalence expected to exceed 50% by 2030. The World Health 
Organization  estimates  at  least  650  million  adults  are  currently  obese  worldwide.  DGAT-1  is  a  potential  therapeutic  target  for  reduction  of  triglyceride 
levels in the circulation and fat accumulation in adipose tissues. DGAT-1 null mice exhibit both reduced post-meal plasma triglyceride levels and increased 
energy  expenditure,  but  have  normal  levels  of  circulating  free  fatty  acids.  Conversely,  transgenic  mice  that  overexpress  DGAT-1  in  adipose  tissue  are 
predisposed to obesity when fed a high-fat diet and have elevated levels of circulating free fatty acids. We have developed a series of novel compounds 
with  tissue-  targeting  properties  intended  to  mitigate  potential  side  effects  by  selectively  targeting  the  enterocyte,  or  intestinal  absorptive  cells,  in  the 
intestine, to inhibit dietary triglyceride uptake, or the liver, to inhibit de novo triglyceride synthesis. We plan to conduct further preclinical studies and file 
an investigation new drug application, or IND, with the FDA at a future date.

Competition

The biopharmaceutical industry is characterized by rapidly advancing technologies, intense competition and a strong emphasis on proprietary products. 
While  we  believe  that  our  technology,  knowledge,  experience  and  scientific  resources  provide  us  with  competitive  advantages,  we  face  potential 
competition  from  many  different  sources,  including  commercial  biopharmaceutical  enterprises,  academic  institutions,  government  agencies  and  private 
and  public  research  institutions.  Any  drug  candidates  that  we  successfully  develop  and  commercialize  will  compete  with  existing  therapies  and  new 
therapies that may become available in the future.

8

 
 
Many  of  our  competitors  have  significantly  greater  financial  resources  and  expertise  in  research  and  development,  manufacturing,  preclinical  studies, 
clinical  trials,  regulatory  approvals  and  marketing  approved  products  than  we  do.  Smaller  or  early-stage  companies  may  also  prove  to  be  significant 
competitors,  particularly  through  collaborative  arrangements  with  large  and  established  companies.  Our  competitors  may  succeed  in  developing 
technologies  and  therapies  that  are  more  effective,  better  tolerated  or  less  costly  than  any  which  we  are  developing,  or  that  would  render  our  drug 
candidates obsolete and noncompetitive. Even if we obtain regulatory approval for any of our drug candidates, our competitors may succeed in obtaining 
regulatory  approvals  for  their  products  earlier  than  we  do.  We  will  also  face  competition  from  these  third  parties  in  recruiting  and  retaining  qualified 
scientific  and  management  personnel,  in  establishing  clinical  trial  sites  and  patient  registration  for  clinical  trials,  and  in  acquiring  and  in-licensing 
technologies and products complementary to our programs or advantageous to our business.

The key competitive factors affecting the success of each of our drug candidates, if approved, are likely to be its efficacy, safety, tolerability, frequency and 
route  of  administration,  convenience  and  price,  the  level  of  branded  and  generic  competition  and  the  availability  of  coverage  and  reimbursement  from 
government and other third-party payors.

VK2809

While  no  therapies  are  currently  approved  for  the  treatment  of  non-alcoholic  steatohepatitis,  we  are  aware  of  numerous  development-stage  programs 
targeting  this  disease,  including  resmetirom  from  Madrigal  Pharmaceuticals,  Inc.,  arachidyl  amido  cholanoic  acid  from  Galmed  Pharmaceuticals  Ltd., 
belapectin from Galectin Therapeutics Inc., lanifibranor from Inventiva S.A., semaglutide from Novo Nordisk A/S, firsocostat (GS-0976) and cilofexor 
(GS-9674) from Gilead Sciences, Inc., tirzepatide from Eli Lilly and Company, ervogastat (PF-06865571) and clesacostat (PF-05221304) from Pfizer Inc., 
efruxifermin (AKR-001) from Akero Therapeutics, Inc., pegozafermin (BIO89-100) from 89bio, Inc., denifanstat (TVB-2640) from Sagimet Biosciences 
Inc.,  efocipegtrutide  (HM15211)  from  Hanmi  Pharmaceutical  Co.,  Ltd.,  survodutide  (BI  456906)  from  Boehringer  Ingelheim  International  GmbH, 
ION224  from  Ionis  Pharmaceuticals,  Inc.,  rencofilstat  (CRV431)  from  Hepion  Pharmaceuticals,  Inc.,  HTD1801  from  HighTide  Therapeutics  Inc., 
GSK4532990 (ARO-HSD) from GlaxoSmithKline plc., ALN-HSD from Alnylam Pharmaceuticals, Inc./ Regeneron Pharmaceuticals Inc., efinopegdutide 
(MK-6024)  from  Merck  &  Co.,  Inc.,  and  pemvidutide  (ALT-801)  from  Altimmune,  Inc.  In  addition,  we  are  aware  of  active  programs  at  Aligos 
Therapeutics, Inc., Arrowhead Pharmaceuticals, Inc., Ascletis Biopharmaceutical, AstraZeneca PLC, Boston Pharmaceuticals Inc., Can-Fite BioPharma 
Ltd., ChemomAb Ltd., CohBar, Inc., Corcept Therapeutics Inc., CytoDyn Inc., D&D Pharmatech, Inc., Durect Corporation, Enyo Pharma SA, Inc., Future 
Medicine Co., Ltd., Galecto, Inc., Gelesis Holdings Inc., Hepagene Therapeutics, Inc., Kowa Company, Ltd., MediciNova Inc., NGM Biopharmaceuticals, 
Inc., NorthSea Therapeutics BV, Pliant Therapeutics, Inc., Poxel SA, Seal Rock Therapeutics, Inc., Theratechnologies Inc., Yuhan Corporation, and Cadila 
Healthcare Limited (a.k.a. Zydus Cadila). 

VK2735

VK2735,  if  approved,  will  compete  against  therapies  that  are  already  approved  and  marketed  for  obesity,  including  Semaglutide  (Wegovy®)  and 
liraglutide  (Saxenda®)  from  Novo  Nordisk  A/S,  and  tirzepatide  (Zepbound™)  from  Eli  Lilly  and  Company.  We  are  also  aware  of  several  programs 
targeting obesity that are in the late development stage that will compete against VK2735, if approved, including CagriSema from Novo Nordisk A/S,
orforglipron and retatrutide from Eli Lilly and Company, and survodutide (BI 456906) from Boehringer Ingelheim International GmbH. In addition, we 
are aware of active programs at Altimmune, Inc., Amgen Inc., AstraZeneca, D&D Pharmatech, Inc., ERX Pharmaceuticals Inc., F. Hoffmann-La Roche 
Ltd, Hanmi Pharmaceutical Co., Ltd., Kallyope Inc., Pfizer Inc., Rivus Pharmaceuticals Inc., Structure Therapeutics Inc., Terns Pharmaceuticals, Inc., and 
Zealand Pharma A/S.

VK0214

In the U.S., there are currently no marketed therapies for the treatment of X-ALD. Hematopoietic stem cell therapy has been used to treat the most severe 
form  of  X-ALD,  cerebral  adrenoleukodystrophy,  or  CALD.  More  recently,  gene  therapy  has  been  shown  to  be  effective  in  CALD,  and  elivaldogene 
autotemcel from bluebird bio, Inc., has received accelerated approval by the FDA (to slow the progression of neurologic dysfunction in boys 4-17 years of 
age with early, active CALD), and approval by the European Commission (for patients less than 18 years of age with early CALD without a matched 
sibling donor). However, both treatments are invasive, requiring surgical intervention, and these do not appear to have an effect on the most pervasive 
form of X-ALD, adrenomyeloneuropathy, or AMN. There are several experimental therapies that are in various stages of clinical development for X-ALD 
by companies, including Minoryx Therapeutics S.L., Neuraxpharm Group, Poxel SA, and SwanBio Therapeutics, Inc., which may be competitive with 
VK0214, if approved.

VK5211

9

 
In the U.S., there are currently no marketed therapies for the maintenance or improvement of lean body mass, bone mineral density or physical function in 
patients recovering from non-elective hip fracture surgery. However, VK5211, if approved, will face competition from experimental therapies that are in 
various stages of clinical development for conditions characterized by muscle wasting by companies including Biophytis SA, Helsinn Group, and Pluri 
Inc.  (formerly  Pluristem  Therapeutics  Inc.).  In  addition,  nutritional  and  growth  hormone-based  therapies  are  sometimes  used  in  patients  experiencing 
muscle wasting. 

Manufacturing and Supply

We do not have any manufacturing facilities and do not intend to develop any manufacturing capabilities. We believe that we have sufficient supplies of 
drug  substance  to  allow  for  completion  of  our  planned  clinical  studies.  Bulk  active  pharmaceutical  ingredient,  or  API,  and  certain  dosage  forms  are 
currently  in  storage  in  compliance  with  good  manufacturing  practices,  or  cGMP,  requirements.  We  believe  that  a  majority  of  the  existing  API  will  be 
suitable  for  formulation  into  clinical  trial  material.  We  also  have  identified  multiple  contract  manufacturers  to  provide  commercial  supplies  of  the 
formulated drug candidates if they are approved for marketing. We intend to secure contract manufacturers with established track records of quality product 
supply and significant experience with the regulatory requirements of the FDA and the European Medicines Agency, or EMA.

Our History

We  were  incorporated  under  the  laws  of  the  State  of  Delaware  on  September  24,  2012.  Since  our  incorporation,  we  have  devoted  most  of  our  efforts 
towards  conducting  certain  clinical  trials  and  preclinical  studies  related  to  our  VK2809,  VK2735,  VK0214  and  VK5211  programs  and  towards  raising 
capital  and  building  infrastructure.  We  obtained  exclusive  worldwide  rights  to  VK2809,  VK0214  and  VK5211  and  certain  other  assets  pursuant  to  an 
exclusive license agreement with Ligand Pharmaceuticals Incorporated, or Ligand.

Agreements with Ligand

Master License Agreement

On May 21, 2014, we entered into a Master License Agreement, as amended on each of September 6, 2014, April 8, 2015 and March 21, 2016, or the 
Master License Agreement, with Ligand pursuant to which, among other things, Ligand granted to us and our affiliates an exclusive, perpetual, irrevocable, 
worldwide, royalty-bearing right and license under (1) patents related to (a) our VK2809 and VK0214 programs and any other compounds comprised by 
specified  TRß  patents  and  any  derivatives  of  such  compounds,  or  TRß  Compounds,  (b)  our  VK5211  program  and  any  other  compounds  comprised  by 
specified  SARM  patents  and  derivatives  of  such  compounds,  or  SARM  Compounds,  (c)  our  VK0612  program  and  any  other  compounds  comprised  by 
specified FBPase patents and derivatives of such compounds, or FBPase Compounds, (d) our DGAT-1 program and any other compounds comprised by 
specified DGAT-1 patents and derivatives of such compounds, or DGAT-1 Compounds, and (e) our EPOR program and any other compounds comprised by 
specified  EPOR  patents  and  derivatives  of  such  compounds,  or  EPOR  Compounds,  and;  (2)  related  know-how  controlled  by  Ligand;  and  (3)  physical 
quantities  of  TRß  Compounds,  SARM  Compounds,  FBPase  Compounds,  DGAT-1  Compounds  and  EPOR  Compounds  or,  collectively,  the  Licensed 
Technology,  to  research,  develop,  manufacture,  have  manufactured,  use  and  commercialize  the  Licensed  Technology  in  and  for  all  therapeutic  and 
diagnostic uses in humans or animals. We have the right to sublicense these rights in certain circumstances. Pursuant to the terms of the Master License 
Agreement, we have the exclusive right and sole responsibility and decision-making authority for researching and developing any pharmaceutical products 
that contain or comprise one or any combination of a TRß Compound, SARM Compound, FBPase Compound, DGAT-1 Compound or EPOR Compound, 
or, collectively, the Licensed Products. We also have the exclusive right and sole responsibility and decision-making authority to conduct all clinical trials 
and preclinical studies that we believe are appropriate to obtain the regulatory approvals necessary for commercialization of the Licensed Products, and we 
will  own  and  maintain  all  regulatory  filings  and  all  regulatory  approvals  for  the  Licensed  Products.  Additionally,  pursuant  to  the  terms  of  the  Master 
License Agreement, we have the sole decision-making authority and responsibility and the exclusive right to commercialize any of the Licensed Products, 
either by ourselves or, in certain circumstances, through sublicensees selected by us. We also have the exclusive right to manufacture or have manufactured 
any Licensed Product ourselves or, in certain circumstances, through sublicensees or third parties selected by us. We will own any intellectual property that 
we develop in connection with the license granted under the Master License Agreement.

As partial consideration for the grant of the rights and licenses to us under the Master License Agreement, we issued to Ligand at the closing of our initial 
public offering of our common stock, or the IPO, 3,655,964 shares of our common stock having an estimated aggregate value of $29.2 million. 

As further partial consideration for the grant of the rights and licenses to us by Ligand under the Master License Agreement, we have agreed to pay to 
Ligand  certain  one-time,  non-refundable  milestone  payments  in  connection  with  Licensed  Products  containing  (1)  VK2809,  VK0214  or  any  other  TRß 
Compound,  in  an  aggregate  amount  of  up  to  $75.0  million  per  indication  (for  up  to  a  total  of  three  indications)  upon  the  achievement  of  certain 
development and regulatory milestones and up to $150.0 million upon the achievement of 

10

 
certain sales milestones; (2) VK5211 or any other SARM Compound, in an aggregate amount of up to $85.0 million per indication (for up to a total of two 
indications)  upon  the  achievement  of  certain  development  and  regulatory  milestones  and  up  to  $100.0  million  upon  the  achievement  of  certain  sales 
milestones; (3) VK0612 or any other FBPase Compound, in an aggregate amount of up to $60.0 million per indication (for up to a total of four indications) 
upon the achievement of certain development and regulatory milestones and up to $150.0 million upon the achievement of certain sales milestones; (4) any 
EPOR Compound, in an aggregate amount of up to $48.0 million per indication (for up to a total of three indications) upon the achievement of certain 
development and regulatory milestones and up to $50.0 million upon the achievement of certain sales milestones; and (5) any DGAT-1 Compound, in an 
aggregate amount of up to $78.0 million per indication (for up to a total of two indications) upon the achievement of certain development and regulatory 
milestones  and  up  to  $150.0  million  upon  the  achievement  of  certain  sales  milestones.  Additionally,  we  will  pay  to  Ligand  a  one-time,  non-refundable 
milestone payment of $2.5 million upon the occurrence of the first commercial sale of VK0612 or any other FBPase Compound by one of our sublicensees. 
We  will  also  pay  to  Ligand  royalties  on  aggregate  annual  worldwide  net  sales  of  Licensed  Products  by  us,  our  affiliates  and  our  sublicensees  at  tiered 
percentage rates in the following ranges based upon net sales: (a) low-to-middle single digit royalties upon sales of VK2809, VK0214 or any other TRß 
Compound, (b) upper single digit royalties upon sales of VK5211 or any other SARM Compound, (c) upper single digit royalties upon sales of VK0612 or 
any other FBPase Compound, (d) low-to-middle single digit royalties upon sales of any DGAT-1 Compound, and (e) middle-to-upper single digit royalties 
upon sales of any EPOR Compound; in each case subject to reduction in certain circumstances.

The term of the Master License Agreement will continue unless the agreement is terminated by us or Ligand. Ligand has the right to terminate the Master 
License Agreement under certain circumstances, including, but not limited to: (1) in the event of our insolvency or bankruptcy; (2) if we do not pay an 
undisputed amount owing under the Master License Agreement when due and fail to cure such default within a specified period of time; or (3) if we default 
on certain of our material and substantial obligations and fail to cure the default within a specified period of time. We have the right to terminate the Master 
License Agreement under certain circumstances, including, but not limited to: (i) if Ligand does not pay an undisputed amount owing under the Master 
License  Agreement  when  due  and  fails  to  cure  such  default  within  a  specified  period  of  time,  or  (ii)  if  Ligand  defaults  on  certain  of  its  material  and 
substantial  obligations  and  fails  to  cure  the  default  within  a  specified  period  of  time.  In  addition,  provisions  of  the  Master  License  Agreement  can  be 
terminated  on  a  licensed  program-by-program  basis  under  certain  circumstances.  In  the  event  that  the  Master  License  Agreement  is  terminated  in  its 
entirety or with respect to a specific licensed program for any reason: (A) all licenses granted to us under the Master License Agreement (or with respect to 
the specific licensed program) will terminate and we will, upon Ligand’s request (subject to Ligand assuming legal responsibility for any clinical trials of 
the  Licensed  Products  then  ongoing),  assign  and  transfer  to  Ligand  (or  to  such  transferee  as  Ligand  may  direct),  at  no  cost  to  Ligand,  all  regulatory 
documentation and all regulatory approvals prepared or obtained by us or on our behalf related to the Licensed Products (or those related to the specific 
licensed program), or, if Ligand does not make such a request, we will wind down any ongoing clinical trials with respect to the Licensed Products (or 
those related to the specific licensed program) at no cost to Ligand; (B) we will, upon Ligand’s request, sell and transfer to Ligand (or to such transferee as 
Ligand may direct), at a price equal to 125% of our costs of goods, any and all chemical, biological or physical materials relating to or comprising the 
Licensed Products (or those related to the specific licensed program); (C) we will have, for a period of six months following termination, the right to sell on 
the normal business terms in existence before such termination any finished commercial inventory of Licensed Products (or those related to the specific 
licensed program) which remains on hand, so long as we pay to Ligand the applicable royalties and sales milestones; (D) Ligand has the right to require us
to assign to Ligand the trademarks owned by us relating to the Licensed Products (or those related to the specific licensed program); and (E) we will grant 
to Ligand a non-exclusive, worldwide, royalty-bearing sublicensable license under any patent rights and know-how controlled by us to the extent necessary 
to make, have made, import, use, offer to sell and sell the Licensed Products (or those related to the specific licensed program) anywhere in the world at a 
royalty rate in the low single digits.

Under  the  Master  License  Agreement,  we  have  agreed  to  indemnify  Ligand  for  claims  relating  to  the  performance  of  our  obligations  under  the  Master 
License Agreement, any breach of the representations and warranties made by us under the Master License Agreement, clinical trials conducted by us and 
the  research,  development  and  commercialization  of  the  Licensed  Products  by  us  and  our  affiliates,  sublicensees,  distributors  and  agents.  In  addition, 
Ligand  has  agreed  to  indemnify  us  for  claims  relating  to  the  performance  of  its  obligations  under  the  Master  License  Agreement,  its  breach  of 
representations and warranties under the agreement and its research and development of the licensed compounds before the effective date of the Master 
License Agreement. Each party’s indemnification obligations will not apply to the extent the claims result from the negligence or willful misconduct of the 
indemnified party or any of its employees, agents, officers or directors or from the indemnified party’s breach of its representations or warranties set forth 
in the Master License Agreement.

Government Regulation

FDA Regulation and Marketing Approval

In the U.S., the FDA regulates drugs under the Federal Food, Drug, and Cosmetic Act of 1938, as amended, or FDCA, and related regulations. Drugs are 
also subject to other federal, state and local statutes and regulations. Failure to comply with the applicable U.S. 

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regulatory requirements at any time during the drug development process, approval process or after approval may subject an applicant to administrative or 
judicial sanctions and non-approval of drug candidates. These sanctions could include the imposition by the FDA or an Institutional Review Board, or IRB, 
of  a  clinical  hold  on  clinical  trials,  the  FDA’s  refusal  to  approve  pending  applications  or  related  supplements,  withdrawal  of  an  approval,  untitled  or 
warning letters, product recalls, product seizures, total or partial suspension of production or distribution, injunctions, fines, restitution, disgorgement, civil 
penalties  or  criminal  prosecution.  Such  actions  by  government  agencies  could  also  require  us  to  expend  a  large  amount  of  resources  to  respond  to  the 
actions. Any agency or judicial enforcement action could have a material adverse effect on us.

The FDA and comparable regulatory agencies in state and local jurisdictions and in foreign countries impose substantial requirements upon the clinical 
development, manufacture and marketing of pharmaceutical products.

These agencies and other federal, state and local entities regulate research and development activities and the testing, manufacture, quality control, safety, 
effectiveness, labeling, packaging, storage, distribution, record-keeping, approval, post-approval monitoring, advertising, promotion, sampling and import 
and  export  of  our  products.  Our  drugs  must  be  approved  by  the  FDA  through  the  new  drug  application,  or  NDA,  process  before  they  may  be  legally 
marketed in the U.S. See “The NDA Approval Process” under Part I, “Item 1. Business” of this Annual Report on Form 10-K.

The process required by the FDA before drugs may be marketed in the U.S. generally involves the following:

•

•

•

•

•

completion of non-clinical laboratory tests, animal studies and formulation studies conducted according to good laboratory practice or 
other applicable regulations;

submission of an IND, which allows clinical trials to begin unless the FDA objects within 30 days;

adequate and well-controlled human clinical trials to establish the safety and efficacy of the proposed drug for its intended use or uses 
conducted in accordance with FDA regulations, good clinical practices, or GCP, which are international ethical and scientific quality 
standards meant to assure that the rights, safety and well-being of trial participants are protected, and to define the roles of clinical trial 
sponsors, administrators and monitors and to assure clinical trial data integrity;

pre-approval inspection of manufacturing facilities and clinical trial sites; and

FDA approval of an NDA, which must occur before a drug can be marketed or sold.

IND and Clinical Trials

Prior to commencing the first clinical trial, an IND, which contains the results of preclinical studies along with other information, such as information about 
product chemistry, manufacturing and controls and a proposed protocol, must be submitted to the FDA. The IND automatically becomes effective 30 days 
after receipt by the FDA unless the FDA within the 30-day time period raises concerns or questions about the conduct of the clinical trial. In such a case, 
the IND sponsor must resolve any outstanding concerns with the FDA before the clinical trial may begin. A separate submission to the existing IND must 
be made for each successive clinical trial to be conducted during drug development. Further, an independent IRB for each site proposing to conduct the 
clinical trial must review and approve the investigational plan for any clinical trial before it commences at that site. Informed written consent must also be
obtained  from  each  trial  subject.  Regulatory  authorities,  including  the  FDA,  an  IRB,  a  data  safety  monitoring  board  or  the  sponsor,  may  suspend  or 
terminate a clinical trial at any time on various grounds, including a finding that the participants are being exposed to an unacceptable health risk or that the 
clinical trial is not being conducted in accordance with FDA requirements.

For purposes of NDA approval, human clinical trials are typically conducted in sequential phases that may overlap:

•

•

Phase 1 – the drug is initially given to healthy human subjects or patients in order to determine metabolism and pharmacologic actions of 
the  drug  in  humans,  side  effects  and,  if  possible,  to  gain  early  evidence  on  effectiveness.  During  Phase  1  clinical  trials,  sufficient 
information about the investigational drug’s pharmacokinetics and pharmacologic effects may be obtained to permit the design of well-
controlled and scientifically valid Phase 2 clinical trials.

Phase 2  –  clinical  trials  are  conducted  to  evaluate  the  effectiveness  of  the  drug  for  a  particular  indication  or  in  a  limited  number  of 
patients in the target population to identify possible adverse effects and safety risks, to determine the efficacy of the product for specific 
targeted diseases and to determine dosage tolerance and optimal dosage. Multiple Phase 2 clinical trials may be conducted by the sponsor 
to obtain information prior to beginning larger and more expensive Phase 

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3 clinical trials. Throughout this Annual Report on Form 10-K, we refer to our initial Phase 2 clinical trials as “Phase 2a clinical trials” 
and our subsequent Phase 2 clinical trials as “Phase 2b clinical trials.”

•

Phase 3  –  when  Phase  2  clinical  trials  demonstrate  that  a  dosage  range  of  the  product  appears  effective  and  has  an  acceptable  safety 
profile, and provide sufficient information for the design of Phase 3 clinical trials, Phase 3 clinical trials in an expanded patient population 
at multiple clinical sites may be undertaken. They are performed after preliminary evidence suggesting effectiveness of the drug has been 
obtained,  and  are  intended  to  further  evaluate  dosage,  effectiveness  and  safety,  to  establish  the  overall  benefit-risk  relationship  of  the 
investigational drug and to provide an adequate basis for product labeling and approval by the FDA. In most cases, the FDA requires two 
adequate and well-controlled Phase 3 clinical trials to demonstrate the efficacy of the drug in an expanded patient population at multiple 
clinical trial sites.

All  clinical  trials  must  be  conducted  in  accordance  with  FDA  regulations,  GCP  requirements  and  their  protocols  in  order  for  the  data  to  be  considered 
reliable for regulatory purposes.

An investigational drug product that is a combination of two different drugs in the same dosage form must comply with an additional rule that requires that 
each component make a contribution to the claimed effects of the drug product. This typically requires larger studies that test the drug against each of its
components. In addition, typically, if a drug product is intended to treat a chronic disease, as is the case with some of our products, safety and efficacy data 
must be gathered over an extended period of time, which can range from six months to three years or more. Government regulation may delay or prevent 
marketing of drug candidates or new drugs for a considerable period of time and impose costly procedures upon our activities.

Disclosure of Clinical Trial Information

Sponsors of clinical trials of FDA-regulated products, including drugs, are required to register and disclose certain clinical trial information. Information 
related to the product, patient population, phase of investigation, study sites and investigators, and other aspects of the clinical trial, is then made public as 
part of the registration. Sponsors are also obligated to discuss the results of their clinical trials after completion. Disclosure of the results of these trials can 
be  delayed  until  the  new  product  or  new  indication  being  studied  has  been  approved.  Competitors  may  use  this  publicly  available  information  to  gain 
knowledge regarding the progress of development programs.

The NDA Approval Process

In order to obtain approval to market a drug in the U.S., a marketing application must be submitted to the FDA that provides data establishing to the FDA’s 
satisfaction  the  safety  and  effectiveness  of  the  investigational  drug  for  the  proposed  indication.  Each  NDA  submission  requires  a  substantial  user  fee 
payment (currently exceeding $3.2 million for fiscal year 2023) unless a waiver or exemption applies. The application includes all relevant data available 
from pertinent non-clinical studies, or preclinical studies and clinical trials, including negative or ambiguous results as well as positive findings, together 
with  detailed  information  relating  to  the  product’s  chemistry,  manufacturing,  controls  and  proposed  labeling,  among  other  things.  Data  can  come  from 
company-sponsored clinical trials intended to test the safety and effectiveness of a use of a product, or from a number of alternative sources, including 
studies initiated by investigators that meet GCP requirements.

During the development of a new drug, sponsors are given opportunities to meet with the FDA at certain points. These points may be prior to submission of 
an IND, at the end of Phase 2 clinical trials, and before an NDA is submitted. Meetings at other times may be requested. These meetings can provide an 
opportunity for the sponsor to share information about the data gathered to date, for the FDA to provide advice and for the sponsor and the FDA to reach 
agreement on the next phase of development. Sponsors typically use the end-of-Phase 2 clinical trials meetings to discuss their Phase 2 clinical trials results 
and present their plans for the pivotal Phase 3 registration trial that they believe will support approval of the new drug.

Concurrent  with  clinical  trials,  companies  usually  complete  additional  preclinical  safety  studies  and  must  also  develop  additional  information  about  the 
chemistry  and  physical  characteristics  of  the  drug  and  finalize  a  process  for  the  NDA  sponsor’s  manufacturing  the  product  in  accordance  with  cGMP 
requirements.  The  manufacturing  process  must  be  capable  of  consistently  producing  quality  batches  of  the  drug  candidate  and  the  manufacturer  must 
develop methods for testing the identity, strength, quality and purity of the final drugs. Additionally, appropriate packaging must be selected and tested, and 
stability studies must be conducted to demonstrate that the drug candidate does not undergo unacceptable deterioration over its shelf-life.

The results of drug development, non-clinical studies and clinical trials, along with descriptions of the manufacturing process, analytical tests conducted on 
the chemistry of the drug, proposed labeling and other relevant information are submitted to the FDA as part of an NDA requesting approval to market the 
product. The FDA reviews all NDAs submitted to ensure that they are sufficiently complete for substantive review before it accepts them for filing. It may 
request additional information rather than accept an NDA for filing. In this 

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event, the NDA must be resubmitted with the additional information. The resubmitted application is also subject to review before the FDA accepts it for 
filing. The FDA has 60 days from its receipt of an NDA to conduct an initial review to determine whether the application will be accepted for filing based 
on  the  FDA’s  threshold  determination  that  the  application  is  sufficiently  complete  to  permit  substantive  review.  If  the  NDA  submission  is  accepted  for 
filing, the FDA reviews the NDA to determine, among other things, whether the proposed product is safe and effective for its intended use, and whether the 
product is being manufactured in accordance with cGMP to assure and preserve the product’s identity, strength, quality and purity. The FDA has agreed to 
specific performance goals on the review of NDAs and seeks to review standard NDAs within 12 months from submission of the NDA. The review process 
may  be  extended  by  the  FDA  for  three  additional  months  to  consider  certain  late  submitted  information  or  information  intended  to  clarify  information 
already provided in the submission. After the FDA completes its initial review of an NDA, it will communicate to the sponsor that the drug will either be 
approved,  or  it  will  issue  a  complete  response  letter  to  communicate  that  the  NDA  will  not  be  approved  in  its  current  form  and  inform  the  sponsor  of 
changes that must be made or additional clinical, non-clinical or manufacturing data that must be received before the application can be approved, with no 
implication regarding the ultimate approvability of the application or the timing of any such approval, if ever. If, or when, those deficiencies have been 
addressed  to  the  FDA’s  satisfaction  in  a  resubmission  of  the  NDA,  the  FDA  will  issue  an  approval  letter.  The  FDA  has  committed  to  reviewing  such 
resubmissions  in  two  to  six  months  depending  on  the  type  of  information  included.  The  FDA  may  refer  applications  for  novel  drug  products  or  drug 
products that present difficult questions of safety or effectiveness to an advisory committee, typically a panel that includes clinicians and other experts, for 
review, evaluation and a recommendation as to whether the application should be approved and, if so, under what conditions. The FDA is not bound by the 
recommendations of an advisory committee, but it considers such recommendations carefully when making decisions.

Before approving an NDA, the FDA typically will inspect the facilities at which the product is manufactured. The FDA will not approve the product unless 
it determines that the manufacturing processes and facilities are in compliance with cGMP requirements and adequate to assure consistent production of the 
product within required specifications. Additionally, before approving an NDA, the FDA may inspect one or more clinical sites to assure compliance with 
GCP regulations. If the FDA determines the application, manufacturing process or manufacturing facilities are not acceptable, it typically will outline the 
deficiencies and often will request additional testing or information. This may significantly delay further review of the application. If the FDA finds that a 
clinical site did not conduct the clinical trial in accordance with GCP regulations, the FDA may determine the data generated by the clinical site should be 
excluded from the primary efficacy analyses provided in the NDA. Additionally, notwithstanding the submission of any requested additional information, 
the FDA ultimately may decide that the application does not satisfy the regulatory criteria for approval.

The FDA may require, or companies may pursue, additional clinical trials after a product is approved. These so-called Phase 4 or post-approval clinical 
trials may be made a condition to be satisfied for continuing drug approval. The results of Phase 4 clinical trials can confirm the effectiveness of a drug 
candidate  and  can  provide  important  safety  information.  In  addition,  the  FDA  now  has  express  statutory  authority  to  require  sponsors  to  conduct  post-
marketing trials to specifically address safety issues identified by the agency. See “Post-Marketing Requirements” under Part I, “Item 1. Business” of this 
Annual Report on Form 10-K.

The FDA also has authority to require a Risk Evaluation and Mitigation Strategy, or a REMS, from manufacturers to ensure that the benefits of a drug 
outweigh its risks. A sponsor may also voluntarily propose a REMS as part of the NDA submission. The need for a REMS is determined as part of the 
review  of  the  NDA.  Based  on  statutory  standards,  elements  of  a  REMS  may  include  “dear  doctor  letters,”  a  medication  guide,  more  elaborate  targeted 
educational programs, and in some cases elements to assure safe use, or ETASU, which is the most restrictive REMS. ETASU can include, but are not 
limited to, special training or certification for prescribing or dispensing, dispensing only under certain circumstances, special monitoring and the use of 
patient registries. These elements are negotiated as part of the NDA approval, and in some cases if consensus is not obtained until after the Prescription 
Drug User Fee Act of 1992, as amended, review cycle, the approval date may be delayed. Once adopted, REMS are subject to periodic assessment and 
modification.

Changes to some of the conditions established in an approved application, including changes in indications, labeling, manufacturing processes or facilities, 
require  submission  and  FDA  approval  of  a  new  NDA  or  NDA  supplement  before  the  change  can  be  implemented.  An  NDA  supplement  for  a  new 
indication typically requires clinical data similar to that in the original application, and the FDA uses the same procedures and actions in reviewing NDA 
supplements as it does in reviewing NDAs.

Even if a drug candidate receives regulatory approval, the approval may be limited to specific disease states, patient populations and dosages, or might 
contain  significant  limitations  on  use  in  the  form  of  warnings,  precautions  or  contraindications,  or  in  the  form  of  onerous  risk  management  plans, 
restrictions on distribution or post-marketing trial requirements. Further, even after regulatory approval is obtained, later discovery of previously unknown 
problems  with  a  product  may  result  in  restrictions  on  the  product  or  even  complete  withdrawal  of  the  product  from  the  market.  Delay  in  obtaining,  or 
failure to obtain, regulatory approval for our products, or obtaining approval but for significantly limited use, would harm our business. In addition, we 
cannot predict what adverse governmental regulations may arise from future U.S. or foreign governmental action.

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Orphan Designation and Exclusivity 

The FDA may grant orphan drug designation to drugs intended to treat a rare disease or condition that affects fewer than 200,000 individuals in the United 
States, or if it affects more than 200,000 individuals in the United States and there is no reasonable expectation that the cost of developing and making the 
drug for this type of disease or condition will be recovered from sales in the United States.

Orphan drug designation entitles a party to financial incentives such as opportunities for grant funding towards clinical study costs, tax advantages, and 
user-fee waivers. Orphan drug designation does not convey any advantage in, or shorten the duration of, the regulatory review and approval process. In 
addition, the first NDA or Biologics License Application, or BLA, applicant to receive orphan drug designation for a particular drug is entitled to orphan 
drug exclusivity, which means the FDA may not approve any other application to market the same drug for the same indication for a period of seven years 
in  the  United  States,  except  in  limited  circumstances.  Orphan  drug  exclusivity  does  not  prevent  the  FDA  from  approving  a  different  drug  for  the  same 
disease or condition, or the same drug for a different disease or condition.

The Hatch-Waxman Amendments

Under the Drug Price Competition and Patent Term Restoration Act of 1984, as amended, commonly known as the Hatch-Waxman Amendments, a portion 
of  a  product’s  U.S.  patent  term  that  was  lost  during  clinical  development  and  regulatory  review  by  the  FDA  may  be  restored.  The  Hatch-Waxman 
Amendments  also  provide  a  process  for  listing  patents  pertaining  to  approved  products  in  the  FDA’s  Approved  Drug  Products  with  Therapeutic 
Equivalence Evaluations (commonly known as the Orange Book) and for a competitor seeking approval of an application that references a product with 
listed patents to make certifications pertaining to such patents. In addition, the Hatch-Waxman Amendments provide for a statutory protection, known as 
non-patent exclusivity, against the FDA’s acceptance or approval of certain competitor applications.

Patent Term Restoration

Patent term restoration can compensate for time lost during drug development and the regulatory review process by returning up to five years of patent life 
for a patent that covers a new product or its use. This period is generally one-half the time between the effective date of an IND (falling after issuance of 
the patent) and the submission date of an NDA, plus the time between the submission date of an NDA and the approval of that application, provided the 
sponsor acted with diligence. Patent term restorations, however, cannot extend the remaining term of a patent beyond a total of 14 years from the date of 
product approval and only one patent applicable to an approved drug may be extended and the extension must be applied for prior to expiration of the 
patent. The United States Patent and Trademark Office, or the USPTO, in consultation with the FDA, reviews and approves the application for any patent 
term extension or restoration.

Orange Book Listing

In seeking approval for a drug through an NDA, applicants are required to list with the FDA each patent whose claims cover the applicant’s product. Upon 
approval of a drug, each of the patents listed by the NDA holder listed in the drug’s application or otherwise is then published in the FDA’s Orange Book. 
Drugs listed in the Orange Book can, in turn, be cited by potential generic competitors in support of approval of an abbreviated new drug application, or 
ANDA. An ANDA provides for marketing of a drug product that has the same active ingredients in the same strengths and dosage form as the listed drug 
and  has  been  shown  through  bioequivalence  testing  to  be  therapeutically  equivalent  to  the  listed  drug.  Other  than  the  requirement  for  bioequivalence 
testing, ANDA applicants are not required to conduct, or submit results of, preclinical studies or clinical trials to prove the safety or effectiveness of their 
drug product. Drugs approved in this way are commonly referred to as “generic equivalents” to the listed drug and can often be substituted by pharmacists 
under prescriptions written for the original listed drug.

The ANDA applicant is required to certify to the FDA concerning any patents listed for the approved product in the FDA’s Orange Book. Specifically, the 
applicant must certify that: (1) the required patent information has not been filed; (2) the listed patent has expired; (3) the listed patent has not expired but 
will expire on a particular date and approval is sought after patent expiration; or (4) the listed patent is invalid or will not be infringed by the new product. 
The  ANDA  applicant  may  also  elect  to  submit  a  Section  VIII  statement  certifying  that  its  proposed  ANDA  label  does  not  contain  (or  carves  out)  any 
language regarding the patented method-of-use rather than certify to a listed method-of-use patent. If the applicant does not challenge the listed patents, the 
ANDA application will not be approved until all the listed patents claiming the referenced product have expired.

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A certification that the new product will not infringe the already approved product’s listed patents, or that such patents are invalid, is called a Paragraph IV 
certification.  If  the  ANDA  applicant  has  provided  a  Paragraph  IV  certification  to  the  FDA,  the  applicant  must  also  send  notice  of  the  Paragraph  IV 
certification to the NDA and patent holders once the ANDA has been accepted for filing by the FDA. The NDA and patent holders may then initiate a 
patent infringement lawsuit in response to the notice of the Paragraph IV certification. The filing of a patent infringement lawsuit within 45 days of the
receipt of a Paragraph IV certification automatically prevents the FDA from approving the ANDA until the earlier of 30 months, expiration of the patent, 
settlement of the lawsuit or a decision in the infringement case that is favorable to the ANDA applicant.

An  applicant  submitting  an  NDA  under  Section  505(b)(2)  of  the  FDCA,  which  permits  the  filing  of  an  NDA  where  at  least  some  of  the  information 
required  for  approval  comes  from  studies  not  conducted  by,  or  for,  the  applicant  and  for  which  the  applicant  has  not  obtained  a  right  of  reference,  is 
required to certify to the FDA regarding any patents listed in the Orange Book for the approved product it references to the same extent that an ANDA 
applicant would.

Market Exclusivity

Market  exclusivity  provisions  under  the  FDCA  also  can  delay  the  submission  or  the  approval  of  certain  applications.  The  FDCA  provides  a  five-year 
period of non-patent marketing exclusivity within the U.S. to the first applicant to gain approval of an NDA for a new chemical entity. A drug is a new 
chemical entity if the FDA has not previously approved any other new drug containing the same active moiety, which is the molecule or ion responsible for 
the action of the drug substance. During the exclusivity period, the FDA may not accept for review an ANDA or a 505(b)(2) NDA submitted by another 
company  for  another  version  of  such  drug  where  the  applicant  does  not  own  or  have  a  legal  right  of  reference  to  all  the  data  required  for  approval. 
However, an application may be submitted after four years if it contains a Paragraph IV certification. The FDCA also provides three years of marketing 
exclusivity  for  an  NDA,  505(b)(2)  NDA  or  supplement  to  an  existing  NDA  if  new  clinical  investigations,  other  than  bioavailability  studies,  that  were 
conducted  or  sponsored  by  the  applicant  are  deemed  by  the  FDA  to  be  essential  to  the  approval  of  the  application,  for  example,  for  new  indications, 
dosages or strengths of an existing drug. This three-year exclusivity covers only the conditions associated with the new clinical investigations and does not 
prohibit the FDA from approving ANDAs for drugs containing the original active agent. Five-year and three-year exclusivity will not delay the submission 
or approval of a full NDA; however, an applicant submitting a full NDA would be required to conduct or obtain a right of reference to all of the non-
clinical studies and adequate and well-controlled clinical trials necessary to demonstrate safety and effectiveness.

Post-Marketing Requirements

Following approval of a new product, a pharmaceutical company and the approved product are subject to continuing regulation by the FDA, including, 
among other things, monitoring and record-keeping activities, reporting to the applicable regulatory authorities of adverse experiences with the product, 
providing  the  regulatory  authorities  with  updated  safety  and  efficacy  information,  product  sampling  and  distribution  requirements,  and  complying  with 
promotion and advertising requirements, which include, among others, standards for direct-to-consumer advertising, restrictions on promoting drugs for 
uses or in patient populations that are not described in the drug’s approved labeling (known as “off-label use”), limitations on industry-sponsored scientific 
and educational activities and requirements for promotional activities involving the internet, including social media. Although physicians may prescribe 
legally available drugs for off-label uses, manufacturers may not market or promote such off-label uses. Modifications or enhancements to the product or 
its labeling or changes of the site of manufacture are often subject to the approval of the FDA and other regulators, who may or may not grant approval, or 
may include in a lengthy review process.

Prescription  drug  advertising  is  subject  to  federal,  state  and  foreign  regulations.  In  the  U.S.,  the  FDA  regulates  prescription  drug  promotion,  including 
direct-to-consumer advertising. Prescription drug promotional materials must be submitted to the FDA in conjunction with their first use. Any distribution 
of prescription drug products and pharmaceutical samples must comply with the U.S. Prescription Drug Marketing Act of 1987, as amended, or the PDMA, 
a part of the FDCA.

In the U.S., once a product is approved, its manufacture is subject to comprehensive and continuing regulation by the FDA. The FDA regulations require 
that products be manufactured in specific, approved facilities and in accordance with cGMP. We rely, and expect to continue to rely, on third parties for the 
production of clinical and commercial quantities of our products in accordance with cGMP regulations. cGMP regulations require, among other things, 
quality control and quality assurance as well as the corresponding maintenance of records and documentation and the obligation to investigate and correct 
any deviations from cGMP. Drug manufacturers and other entities involved in the manufacture and distribution of approved drugs 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. These regulations also impose certain organizational, procedural and documentation requirements with respect to 
manufacturing and quality assurance activities. NDA holders using contract manufacturers, laboratories or packagers are responsible for the selection and 
monitoring of qualified firms and, in certain circumstances, qualified 

16

 
suppliers to these firms. These firms and, where applicable, their suppliers are subject to inspections by the FDA at any time, and the discovery of violative 
conditions,  including  failure  to  conform  to  cGMP,  could  result  in  enforcement  actions  that  interrupt  the  operation  of  any  such  product  or  may  result  in 
restrictions on a product, manufacturer, or holder of an approved NDA, including, among other things, recall or withdrawal of the product from the market.

The FDA also may require post-marketing testing, also known as Phase 4 testing, REMS to monitor the effects of an approved product or place conditions 
on an approval that could restrict the distribution or use of the product. Discovery of previously unknown problems with a product or the failure to comply 
with applicable FDA requirements can have negative consequences, including adverse publicity, judicial or administrative enforcement, untitled or warning 
letters  from  the  FDA,  mandated  corrective  advertising  or  communications  with  doctors,  withdrawal  of  approval,  and  civil  or  criminal  penalties,  among 
others. Newly-discovered or developed safety or effectiveness data may require changes to a product’s approved labeling, including the addition of new 
warnings  and  contraindications,  and  also  may  require  the  implementation  of  other  risk  management  measures.  Also,  new  government  requirements, 
including those resulting from new legislation, may be established, or the FDA’s policies may change, which could delay or prevent regulatory approval of 
our products in development.

Reimbursement, Anti-Kickback and False Claims Laws and Other Regulatory Matters

In  the  U.S.,  the  research,  manufacturing,  distribution,  sale  and  promotion  of  drug  products  and  medical  devices  are  potentially  subject  to  regulation  by 
various federal, state and local authorities in addition to the FDA, including the Centers for Medicare & Medicaid Services, or CMS, other divisions of the 
U.S.  Department  of  Health  and  Human  Services  (e.g.,  the  Office  of  Inspector  General),  the  Drug  Enforcement  Administration,  the  Consumer  Product 
Safety  Commission,  the  Federal  Trade  Commission,  the  Occupational  Safety  &  Health  Administration,  the  Environmental  Protection  Agency,  state 
Attorneys General and other state and local government agencies. For example, sales, marketing and scientific/educational grant programs must comply 
with  the  federal  Anti-Kickback  Statute,  the  federal  False  Claims  Act  of  1986,  as  amended,  or  the  federal  False  Claims  Act,  the  privacy  regulations 
promulgated  under  the  Health  Insurance  Portability  and  Accountability  Act  of  1996,  as  amended,  or  HIPAA,  and  similar  state  laws.  Pricing  and  rebate 
programs must comply with the Medicaid Drug Rebate Program requirements of the Omnibus Budget Reconciliation Act of 1990, as amended, and the 
Veterans Health Care Act of 1992, as amended. If products are made available to authorized users of the Federal Supply Schedule of the General Services 
Administration, additional laws and requirements apply. The handling of any controlled substances must comply with the U.S. Controlled Substances Act 
and Controlled Substances Import and Export Act. Products must meet applicable child-resistant packaging requirements under the U.S. Poison Prevention 
Packaging Act. All of these activities are also potentially subject to federal and state consumer protection and unfair competition laws.

The  Medicare  Prescription  Drug,  Improvement,  and  Modernization  Act  of  2003,  or  the  MMA,  established  the  Medicare  Part  D  program  to  provide  a 
voluntary prescription drug benefit to Medicare beneficiaries. Under Part D, Medicare beneficiaries may enroll in prescription drug plans offered by private 
entities  which  will  provide  coverage  of  outpatient  prescription  drugs.  Unlike  Medicare  Part  A  and  B,  Part  D  coverage  is  not  standardized.  Part  D 
prescription drug plan sponsors are not required to pay for all covered Part D drugs, and each drug plan can develop its own drug formulary that identifies 
which drugs it will cover and at what tier or level. However, Part D prescription drug formularies must include drugs within each therapeutic category and 
class of covered Part D drugs, though not necessarily all the drugs in each category or class. Any formulary used by a Part D prescription drug plan must be 
developed and reviewed by a pharmacy and therapeutic committee. Government payment for some of the costs of prescription drugs may increase demand 
for products for which we receive regulatory approval. However, any negotiated prices for our products covered by a Part D prescription drug plan will 
likely  be  lower  than  the  prices  we  might  otherwise  obtain.  Moreover,  while  the  MMA  applies  only  to  drug  benefits  for  Medicare  beneficiaries,  private 
payors often follow Medicare coverage policy and payment limitations in setting their own payment rates. Any reduction in payment that results from the 
MMA may result in a similar reduction in payments from non-government payors.

The distribution of pharmaceutical products is subject to additional requirements and regulations, including extensive record-keeping, licensing, storage 
and security requirements intended to prevent the unauthorized sale of pharmaceutical products.

The American Recovery and Reinvestment Act of 2009 provides funding for the federal government to compare the effectiveness of different treatments 
for the same illness. A plan for the research will be developed by the Department of Health and Human Services, the Agency for Healthcare Research and 
Quality  and  the  National  Institutes  for  Health,  and  periodic  reports  on  the  status  of  the  research  and  related  expenditures  will  be  made  to  Congress. 
Although the results of the comparative effectiveness studies are not intended to mandate coverage policies for public or private payors, it is not clear what 
effect, if any, the research will have on the sales of our drug candidate, if any such product or the condition that it is intended to treat is the subject of a 
clinical trial. It is also possible that comparative effectiveness research demonstrating benefits in a competitor’s product could adversely affect the sales of 
our drug candidate. If third-party payors do not consider our products to be cost-effective compared to other available therapies, they may not cover our 
products  after  approval  as  a  benefit  under  their  plans  or,  if  they  do,  the  level  of  payment  may  not  be  sufficient  to  allow  us  to  sell  our  products  on  a 
profitable basis.

17

 
In addition, in some foreign countries, the proposed pricing for a drug must be approved before it may be lawfully marketed. The requirements governing 
drug  pricing  vary  widely  from  country  to  country.  For  example,  the  European  Union  provides  options  for  its  member  states  to  restrict  the  range  of 
medicinal products for which their national health insurance systems provide reimbursement and to control the prices of medicinal products for human use. 
A member state may approve a specific price for the medicinal product or it may instead adopt a system of direct or indirect controls on the profitability of 
the company placing the medicinal product on the market. There can be no assurance that any country that has price controls or reimbursement limitations 
for pharmaceutical products will allow favorable reimbursement and pricing arrangements for any of our products. Historically, products launched in the 
European Union do not follow price structures of the U.S. and generally tend to be priced significantly lower than in the U.S.

As noted above, in the U.S., we are subject to complex laws and regulations pertaining to healthcare “fraud and abuse,” including, but not limited to, the 
federal Anti-Kickback Statute, the federal False Claims Act, and other state and federal laws and regulations. The federal Anti-Kickback Statute makes it 
illegal for any person, including a prescription drug manufacturer, or a party acting on its behalf, to knowingly and willfully solicit, receive, offer or pay 
any  remuneration  that  is  intended  to  induce  the  referral  of  business,  including  the  purchase,  order  or  prescription  of  a  particular  drug,  or  other  good  or 
service for which payment in whole or in part may be made under a federal healthcare program, such as Medicare or Medicaid. Violations of this law are 
punishable  by  up  to  five  years  in  prison,  criminal  fines,  administrative  civil  money  penalties  and  exclusion  from  participation  in  federal  healthcare 
programs. In addition, many states have adopted laws similar to the federal Anti-Kickback Statute. Some of these state prohibitions apply to the referral of 
patients for healthcare services reimbursed by any insurer, not just federal healthcare programs such as Medicare and Medicaid. Due to the breadth of these 
federal  and  state  anti-kickback  laws,  the  absence  of  guidance  in  the  form  of  regulations  or  court  decisions  and  the  potential  for  additional  legal  or 
regulatory change in this area, it is possible that our future sales and marketing practices or our future relationships with medical professionals might be 
challenged  under  anti-kickback  laws,  which  could  harm  us.  Because  we  intend  to  commercialize  products  that  could  be  reimbursed  under  a  federal 
healthcare  program  and  other  governmental  healthcare  programs,  we  plan  to  develop  a  comprehensive  compliance  program  that  establishes  internal 
controls to facilitate adherence to the rules and program requirements to which we will or may become subject.

The  federal  False  Claims  Act  prohibits  anyone  from  knowingly  presenting,  or  causing  to  be  presented,  for  payment  to  federal  programs  (including 
Medicare and Medicaid) claims for items or services, including drugs, that are false or fraudulent, claims for items or services not provided as claimed or 
claims for medically unnecessary items or services. Although we would not submit claims directly to payors, manufacturers can be held liable under these 
laws  if  they  are  deemed  to  “cause”  the  submission  of  false  or  fraudulent  claims  by,  for  example,  providing  inaccurate  billing  or  coding  information  to 
customers  or  promoting  a  product  off-label.  In  addition,  our  future  activities  relating  to  the  reporting  of  wholesaler  or  estimated  retail  prices  for  our 
products, the reporting of prices used to calculate Medicaid rebate information and other information affecting federal, state and third-party reimbursement 
for our products, and the sale and marketing of our products, are subject to scrutiny under this law. For example, pharmaceutical companies have been 
found liable under the federal False Claims Act in connection with their off-label promotion of drugs. Penalties for a federal False Claims Act violation 
include three times the actual damages sustained by the government, plus mandatory civil penalties effective as of May 9, 2022 of between $12,537 and 
$25,076  for  each  separate  false  claim  (each  of  which  is  subject  to  adjustment  for  inflation),  the  potential  for  exclusion  from  participation  in  federal 
healthcare  programs  and,  although  the  federal  False  Claims  Act  is  a  civil  statute,  conduct  that  results  in  a  federal  False  Claims  Act  violation  may  also 
implicate various federal criminal statutes. If the government were to allege that we were, or convict us of, violating these false claims laws, we could be 
subject to a substantial fine and may suffer a decline in our stock price. In addition, private individuals have the ability to bring actions under the federal 
False Claims Act and certain states have enacted laws modeled after the federal False Claims Act.

There are also an increasing number of state laws that require manufacturers to make reports to states on pricing and marketing information. Many of these 
laws contain ambiguities as to what is required to comply with the laws. In addition, as discussed below, beginning in 2013, a similar federal requirement 
requires manufacturers to track and report to the federal government certain payments made to physicians and teaching hospitals in the previous calendar 
year. These laws may affect our sales, marketing and other promotional activities by imposing administrative and compliance burdens on us. In addition, 
given the lack of clarity with respect to these laws and their implementation, our reporting actions could be subject to the penalty provisions of the pertinent 
state, and soon federal, authorities.

The failure to comply with regulatory requirements subjects companies to possible legal or regulatory action. Depending on the circumstances, failure to 
meet applicable regulatory requirements can result in criminal prosecution, fines or other penalties, injunctions, recall or seizure of products, total or partial 
suspension of production, denial or withdrawal of product approvals or refusal to allow a company to enter into supply contracts, including government 
contracts.

Changes in regulations, statutes or the interpretation of existing regulations could impact our business in the future by requiring, for example: (1) changes 
to our manufacturing arrangements; (2) additions or modifications to product labeling; (3) the recall or discontinuation of our products; or (4) additional 
record-keeping requirements. If any such changes were to be imposed, they could adversely affect the operation of our business.

18

 
Patient Protection and Affordable Care Act

In March 2010, the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, collectively the 
PPACA,  was  enacted,  which  includes  measures  that  have  or  will  significantly  change  the  way  healthcare  is  financed  by  both  governmental  and  private 
insurers. Among the provisions of the PPACA of greatest importance to the pharmaceutical industry are the following:

•

•

•

•

•

•

•

•

The Medicaid Drug Rebate Program requires pharmaceutical manufacturers to enter into and have in effect a national rebate agreement with the 
Secretary of the Department of Health and Human Services as a condition for states to receive federal matching funds for the manufacturer’s 
covered  outpatient  drugs  furnished  to  Medicaid  patients.  Effective  in  2010,  the  PPACA  made  several  changes  to  the  Medicaid  Drug  Rebate 
Program,  including  increasing  pharmaceutical  manufacturers’  rebate  liability  by  raising  the  minimum  basic  Medicaid  rebate  on  most  branded 
prescription  drugs  and  biologic  agents  to  23.1%  of  the  average  manufacturer  price,  or  AMP,  and  adding  a  new  rebate  calculation  for  “line 
extensions” (i.e., new formulations, such as extended release formulations) of solid oral dosage forms of branded products, as well as potentially 
impacting their rebate liability by modifying the statutory definition of AMP. The PPACA also expanded the universe of Medicaid utilization 
subject  to  drug  rebates  by  requiring  pharmaceutical  manufacturers  to  pay  rebates  on  Medicaid  managed  care  utilization  as  of  2010  and  by 
expanding the population potentially eligible for Medicaid drug benefits, phased-in by 2014. The CMS have proposed to expand Medicaid rebate 
liability  to  the  territories  of  the  U.S.  as  well.  In  addition,  the  PPACA  provides  for  the  public  availability  of  retail  survey  prices  and  certain 
weighted  average  AMPs  under  the  Medicaid  program.  The  implementation  of  this  requirement  by  the  CMS  may  also  provide  for  the  public 
availability of pharmacy acquisition of cost data, which could negatively impact our sales.

In order for a pharmaceutical product to receive federal reimbursement under the Medicare Part B and Medicaid programs or to be sold directly 
to U.S. government agencies, the manufacturer must extend discounts to entities eligible to participate in the 340B drug pricing program. The 
required 340B discount on a given product is calculated based on the AMP and Medicaid rebate amounts reported by the manufacturer. Effective 
in 2010, the PPACA expanded the types of entities eligible to receive discounted 340B pricing, although, under the current state of the law, with 
the exception of children’s hospitals, these newly-eligible entities will not be eligible to receive discounted 340B pricing on orphan drugs when 
used for the orphan indication. In addition, as 340B drug pricing is determined based on AMP and Medicaid rebate data, the revisions to the 
Medicaid rebate formula and AMP definition described above could cause the required 340B discount to increase.

Effective in 2011, the PPACA imposed a requirement on manufacturers of branded drugs and biologic agents to provide a 50% discount off the 
negotiated price of branded drugs dispensed to Medicare Part D patients in the coverage gap (i.e., “donut hole”).

Effective  in  2011,  the  PPACA  imposed  an  annual,  nondeductible  fee  on  any  entity  that  manufactures  or  imports  certain  branded  prescription 
drugs and biologic agents, apportioned among these entities according to their market share in certain government healthcare programs, although 
this fee would not apply to sales of certain products approved exclusively for orphan indications.

Effective  in  2012,  the  PPACA  required  pharmaceutical  manufacturers  to  track  certain  financial  arrangements  with  physicians  and  teaching 
hospitals, including any “transfer of value” made or distributed to such entities, as well as any investment interests held by physicians and their 
immediate family members. Manufacturers are required to track this information and were required to make their first reports in March 2014. 
The information reported is publicly available on a searchable website.

As of 2010, a new Patient-Centered Outcomes Research Institute was established pursuant to the PPACA to oversee, identify priorities in and 
conduct  comparative  clinical  effectiveness  research,  along  with  funding  for  such  research.  The  research  conducted  by  the  Patient-Centered 
Outcomes Research Institute may affect the market for certain pharmaceutical products.

The PPACA created the Independent Payment Advisory Board, which has the authority to recommend certain changes to the Medicare program 
to  reduce  expenditures  by  the  program  that  could  result  in  reduced  payments  for  prescription  drugs.  Under  certain  circumstances,  these 
recommendations will become law unless Congress enacts legislation that will achieve the same or greater Medicare cost savings.

The PPACA established the Center for Medicare and Medicaid Innovation within CMS to test innovative payment and service delivery models to 
lower Medicare and Medicaid spending, potentially including prescription drug spending. 

There have been continued public announcements by members of the U.S. Congress regarding plans to repeal and replace the PPACA. For example, on 
December 22, 2017, the Tax Cuts and Jobs Act of 2017 was signed into law, which, among other things, eliminated 

19

 
the individual mandate requiring most Americans (other than those who qualify for a hardship exemption) to carry a minimum level of health coverage, 
effective January 1, 2019. President Biden and his administration have announced plans to amend the PPACA to, among other things, expand the scope of 
the law. We cannot predict the ultimate form or timing of any repeal, replacement, amendment, expansion or other modification of the PPACA or the effect 
such a repeal, replacement, amendment, expansion or other modification would have on our business.

Pediatric Exclusivity and Pediatric Use

Under the Best Pharmaceuticals for Children Act, or the BPCA, certain drugs may obtain an additional six months of exclusivity if the sponsor submits 
information  requested  in  writing  by  the  FDA,  or  a  Written  Request,  relating  to  the  use  of  the  active  moiety  of  the  drug  in  children.  Conditions  for 
exclusivity include the FDA’s determination that information relating to the use of a new drug in the pediatric population may produce health benefits in 
that population, the FDA making a written request for pediatric studies and the applicant agreeing to perform, and reporting on, the requested studies within 
the  statutory  timeframe.  The  FDA  may  not  issue  a  Written  Request  for  studies  on  unapproved  or  approved  indications  or  where  it  determines  that 
information relating to the use of a drug in a pediatric population, or part of the pediatric population, may not produce health benefits in that population. 
Applications under the BPCA are treated as priority applications, with all of the benefits that designation confers.

We have not received a Written Request for such pediatric studies, although we may ask the FDA to issue a Written Request for such studies in the future. 
To  receive  the  six-month  pediatric  market  exclusivity,  we  would  need  to  receive  a  Written  Request  from  the  FDA,  conduct  the  requested  studies  in 
accordance with a written agreement with the FDA or, if there is no written agreement, in accordance with commonly accepted scientific principles, and 
submit reports of the studies. A Written Request may include studies for indications that are not currently in the labeling if the FDA determines that such 
information will benefit the public health. The FDA will accept the reports upon its determination that the studies were conducted in accordance with, and 
are responsive to, the original Written Request or commonly accepted scientific principles, as appropriate, and that the reports comply with the FDA’s filing 
requirements.

Under the Pediatric Research Equity Act of 2003, or the PREA, an NDA or supplement thereto must contain data that is adequate to assess the safety and 
effectiveness  of  the  drug  product  for  the  claimed  indications  in  all  relevant  pediatric  subpopulations,  and  to  support  dosing  and  administration  for  each 
pediatric subpopulation for which the product is safe and effective. The PREA also authorizes the FDA to require holders of approved NDAs for marketed 
drugs to conduct pediatric studies under certain circumstances. With the enactment of the Food and Drug Administration Safety and Innovation Act, or the 
FDASIA,  in  2012,  sponsors  must  also  submit  pediatric  study  plans  prior  to  the  assessment  data.  Those  plans  must  contain  an  outline  of  the  proposed 
pediatric  study  or  studies  the  applicant  plans  to  conduct,  including  study  objectives  and  design,  any  deferral  or  waiver  requests,  and  other  information 
required by regulation. The applicant, the FDA and the FDA’s internal review committee must then review the information submitted, consult with each 
other and agree upon a final plan. The FDA or the applicant may request an amendment to the plan at any time.

The FDA may, on its own initiative or at the request of the applicant, grant deferrals for submission of some or all pediatric data until after approval of the 
product  for  use  in  adults,  or  full  or  partial  waivers  from  the  pediatric  data  requirements.  Additional  requirements  and  procedures  relating  to  deferral 
requests and requests for extension of deferrals are contained in the FDASIA. Unless otherwise required by regulation, the pediatric data requirements do 
not apply to products with orphan designation.

Intellectual Property

We have in-licensed from Ligand patents and patent applications that contain claims that recite our compounds, as set forth below. We have filed additional 
patent applications in the U.S., E.U. and other foreign jurisdictions on our clinical and preclinical programs. Information regarding the issued patents and 
pending patent applications, as of December 31, 2023, is as follows:

20

 
  # Pending

Applications

  # Issued
Patents

  59

  13

  1
  0

  0
  33

  30

  21

  4
  5

  11
  1

Subject Matter/Compounds
TRß agonists

VK5211 (SARM)

Other SARM
DGAT-1 Inhibitors

EPOR Inhibitors
GLP-1 agonists

Corporate Information

Geographical Scope 
 U.S.,  Australia,  Canada,  China,  Japan,  Korea,  Hong  Kong,  Mexico, 
Brazil, Russia, New Zealand, South Africa, Europe and PCT
 U.S.,  Australia,  Europe,  Chile,  Brazil,  Canada,  China,  India,  Japan, 
Korea, Mexico, New Zealand, South Africa, Taiwan and Venezuela
 U.S., Japan, Korea, Argentina and Israel
 U.S. and Hong Kong

 U.S., Australia, Canada, China, Europe, India, Japan, and Korea
 U.S., Argentina, Australia, Brazil, Canada, China, Europe, Indonesia, 
Israel,  India,  Japan,  Korea,  Mexico,  New  Zealand,  Philippines, 
Russia, Saudi Arabia, South Africa, Taiwan and PCT

  Nominal

Patent Term

2025-2043

2025-2040

  2026

2030

  2030

2042-2043

We were incorporated under the laws of the State of Delaware on September 24, 2012. Our principal executive offices are located at 9920 Pacific Heights 
Blvd,  Suite  350,  San  Diego,  CA  92121,  and  our  telephone  number  is  (858)  704-4660.  Our  website  address  is  www.vikingtherapeutics.com.  We  do  not 
incorporate the information on, or accessible through, our website into this Annual Report on Form 10-K, and you should not consider any information on, 
or accessible through, our website as part of this Annual Report on Form 10-K. We have included our website address in this Annual Report on Form 10-K 
solely as an inactive textual reference.

Employees & Human Capital

As of December 31, 2023, we had twenty-seven full-time employees, seven of whom hold a Ph.D. or M.D. degree. All employees are engaged in research 
and development, business development and finance. None of our employees are subject to a collective bargaining agreement. We have never experienced 
a material work stoppage or disruption to our business relating to employee matters. We consider our relationship with our employees to be good.

Our  human  capital  resources  objectives  include,  as  applicable,  identifying,  recruiting,  retaining,  incentivizing  and  integrating  our  existing  and  new 
employees. The principal purposes of our equity incentive plans are to attract, retain and motivate selected employees, consultants and directors through the 
granting of stock-based compensation awards.

Item 1A. Risk Factors.

You  should  consider  carefully  the  following  information  about  the  risks  described  below,  together  with  the  other  information  contained  in  this  Annual 
Report  on  Form  10-K  and  in  our  other  public  filings  in  evaluating  our  business.  If  any  of  the  following  risks  actually  occurs,  our  business,  financial 
condition, results of operations and future growth prospects would likely be materially and adversely affected. In these circumstances, the market price of 
our common stock would likely decline.

Risk Factor Summary

Below is a summary of the principal factors that make an investment in our common stock speculative or risky. This summary does not address all of the 
risks that we face. Additional discussion of the risks summarized in this risk factor summary, and other risks that we face, can be found below under the 
heading “Risk Factors” and should be carefully considered, together with other information in this Annual Report on Form 10-K and our other filings with 
the Securities and Exchange Commission, or the SEC, before making an investment decision regarding our common stock.

• We are a clinical-stage company, have a very limited operating history and are expected to incur significant operating losses during the next 

stages of our corporate development.

• We are substantially dependent on technologies we licensed from Ligand Pharmaceuticals Incorporated, or Ligand, and if we lose the license to 

such technologies or our master license agreement with Ligand, or the Master License Agreement, is 

21

 
 
 
 
 
 
 
 
terminated for any reason, our ability to develop existing and new drug candidates would be harmed, and our business, financial condition and 
results of operations would be materially and adversely affected.

• We are dependent on the success of one or more of our current drug candidates and we cannot be certain that any of them will receive regulatory 

approval or be commercialized.

•

•

If development of our drug candidates does not produce favorable results, we and our collaborators, if any, may be unable to commercialize these 
products.

Delays in the commencement or completion of clinical trials could result in increased costs to us and delay our ability to establish strategic 
collaborations.

• We intend to rely on third parties to conduct our preclinical studies and clinical trials and perform other tasks for us. If these third parties do not 

successfully carry out their contractual duties, meet expected deadlines, or comply with regulatory requirements, we may not be able to obtain 
regulatory approval for or commercialize our drug candidates and our business, financial condition and results of operations could be 
substantially harmed.

•

•

If our competitors have drug candidates that are approved faster, are marketed more effectively, are better tolerated, have a more favorable safety 
profile or are demonstrated to be more effective than ours, our commercial opportunity may be reduced or eliminated.

Unstable market and economic conditions may have serious adverse consequences on our business and financial condition.

• We may not be successful in obtaining or maintaining necessary rights to our drug candidates through acquisitions and in-licenses. 

•

If we fail to comply with our obligations in the agreements under which we in-license intellectual property and other rights from third parties or 
otherwise experience disruptions to our business relationships with our licensors, we could lose intellectual property rights that are important to 
our business.

Risks Relating to Our Business

We are a clinical-stage company, have a very limited operating history and are expected to incur significant operating losses during the next stages 
of our corporate development.

We are a clinical-stage company. Since our incorporation in September 2012, our operations have been limited to raising capital, building infrastructure, 
obtaining the worldwide rights to certain technology from Ligand Pharmaceuticals Incorporated, or Ligand, and planning, preparing and conducting 
preclinical studies and clinical trials of our drug candidates, including VK2809, VK2735 subcutaneous, VK5211 and VK0612, which are currently in Phase 
2 clinical development, VK2735, currently in an oral Phase 1 SAD/MAD clinical trial, and VK0214, currently in a Phase 1b clinical trial, as well as the 
diacylglycerol acyltransferase-1, or DGAT-1 and erythropoietin receptor, or EPOR, programs, which are each currently in preclinical development. We 
have not yet demonstrated an ability to obtain marketing approval for any of our drug candidates or successfully overcome the risks and uncertainties 
frequently encountered by companies in the biopharmaceutical industry. We also have not generated any revenue to date, and we continue to incur 
significant research and development and other expenses. As of December 31, 2023, we had an accumulated deficit of $377.9 million. For the foreseeable 
future, we expect to continue to incur losses, which will increase significantly from historical levels as we expand our drug development activities, seek 
potential partnering opportunities and/or regulatory approvals for our drug candidates and begin to commercialize them if they are approved by the U.S. 
Food and Drug Administration, or the FDA, the European Medicines Agency, or EMA, or comparable foreign authorities. Even if we succeed in partnering 
or developing and commercializing one or more drug candidates, we may never become profitable. If we fail to achieve or maintain profitability, it would 
adversely affect the value of our common stock.

We are substantially dependent on technologies we licensed from Ligand Pharmaceuticals Incorporated, or Ligand, and if we lose the license to 
such technologies or our master license agreement with Ligand, or the Master License Agreement, is terminated for any reason, our ability to 
develop existing and new drug candidates would be harmed, and our business, financial condition and results of operations would be materially 
and adversely affected.

Our business is substantially dependent upon technology licensed from Ligand. Pursuant to the Master License Agreement, we have been granted exclusive 
worldwide rights to VK2809, VK0214, VK5211, VK0612 and preclinical programs for metabolic disorders 

22

 
and anemia. Selective androgen receptor modulators, such as the one used in our VK5211 program, are key compounds used by us in the development and 
commercialization of our drug candidates. Most of the intellectual property related to our drug candidates is currently owned by Ligand, and we have the 
rights to use such intellectual property pursuant to the Master License Agreement. Therefore, our ability to develop and commercialize our drug candidates 
depends entirely on the effectiveness and continuation of the Master License Agreement. If we lose the right to license any of these key compounds, our 
ability to develop existing and new drug candidates would be harmed.

Ligand has the right to terminate the Master License Agreement under certain circumstances, including, but not limited to: (1) in the event of our 
insolvency or bankruptcy, (2) if we do not pay an undisputed amount owing under the Master License Agreement when due and fail to cure such default 
within a specified period of time, or (3) if we default on certain of our material obligations and fail to cure the default within a specified period of time.

We are dependent on the success of one or more of our current drug candidates and we cannot be certain that any of them will receive regulatory 
approval or be commercialized.

We have spent significant time, money and effort on the licensing and development of our core metabolic and endocrine disease assets, VK2809, VK2735, 
VK0214, VK5211, VK0612 and our earlier-stage assets, our DGAT-1 and EPOR programs. To date, no pivotal clinical trials designed to provide clinically 
and statistically significant proof of efficacy, or to provide sufficient evidence of safety to justify approval, have been completed with any of our drug 
candidates. All of our drug candidates will require additional development, including clinical trials as well as further preclinical studies to evaluate their 
toxicology, carcinogenicity and pharmacokinetics and optimize their formulation, and regulatory clearances before they can be commercialized. Positive 
results obtained during early development do not necessarily mean later development will succeed or that regulatory clearances will be obtained. Our drug 
development efforts may not lead to commercial drugs, either because our drug candidates fail to be safe and effective or because we have inadequate 
financial or other resources to advance our drug candidates through the clinical development and approval processes. If any of our drug candidates fail to 
demonstrate safety or efficacy at any time or during any phase of development, we would experience potentially significant delays in, or be required to 
abandon, development of the drug candidate.

We do not anticipate that any of our current drug candidates will be eligible to receive regulatory approval from the FDA, EMA or comparable foreign 
authorities and begin commercialization for a number of years, if ever. Even if we ultimately receive regulatory approval for any of these drug candidates, 
we or our potential future partners, if any, may be unable to commercialize them successfully for a variety of reasons. These include, for example, the 
availability of alternative treatments, lack of cost-effectiveness, the cost of manufacturing the product on a commercial scale and competition with other 
drugs. The success of our drug candidates may also be limited by the prevalence and severity of any adverse side effects. If we fail to commercialize one or 
more of our current drug candidates, we may be unable to generate sufficient revenues to attain or maintain profitability, and our financial condition and 
stock price may decline.

If development of our drug candidates does not produce favorable results, we and our collaborators, if any, may be unable to commercialize these 
products.

To receive regulatory approval for the commercialization of our core metabolic and endocrine disease assets, VK2809, VK2735, VK0214, VK5211, 
VK0612 and our earlier-stage assets, our DGAT-1 and EPOR programs, or any other drug candidates that we may develop, adequate and well-controlled 
clinical trials must be conducted to demonstrate safety and efficacy in humans to the satisfaction of the FDA, EMA and comparable foreign authorities. In 
order to support marketing approval, these agencies typically require successful results in one or more Phase 3 clinical trials, which our current drug 
candidates have not yet reached and may never reach. The development process is expensive, can take many years and has an uncertain outcome. Failure 
can occur at any stage of the process. We may experience numerous unforeseen events during, or as a result of, the development process that could delay or 
prevent commercialization of our current or future drug candidates, including the following:

•

•

•

•

clinical trials may produce negative or inconclusive results;

preclinical studies conducted with drug candidates during clinical development to, among other things, evaluate their toxicology, 
carcinogenicity and pharmacokinetics and optimize their formulation may produce unfavorable results;

patient recruitment and enrollment in clinical trials may be slower than we anticipate;

costs of development may be greater than we anticipate;

23

 
•

•

•

our drug candidates may cause undesirable side effects that delay or preclude regulatory approval or limit their commercial use or market 
acceptance, if approved;

collaborators who may be responsible for the development of our drug candidates may not devote sufficient resources to these clinical trials 
or other preclinical studies of these candidates or conduct them in a timely manner; or

we may face delays in obtaining regulatory approvals to commence one or more clinical trials.

Success in early development does not mean that later development will be successful because, for example, drug candidates in later-stage clinical trials 
may fail to demonstrate sufficient safety and efficacy despite having progressed through initial clinical trials.

We licensed most of the intellectual property related to our current drug candidates from Ligand pursuant to the Master License Agreement. In May 2023, 
we reported positive top-line results from the VOYAGE Phase 2b clinical trial for VK2809. In late 2017, we reported positive top-line results from a Phase 
2 clinical trial for VK5211. However, there is no guarantee that the results of our Phase 2 clinical trials for VK2809 or VK5211 will be repeated for our 
other drug candidates or lead to other positive outcomes. As a company, we have conducted only a limited number of clinical trials and preclinical studies 
for our drug candidates. Therefore, we have limited experience in conducting clinical trials for our drug candidates. Since our experience with our drug 
candidates is limited, we will need to train our existing personnel and hire additional personnel in order to successfully administer and manage our clinical 
trials and other studies as planned, which may result in delays in completing such planned clinical trials and preclinical studies. Moreover, to date, our drug 
candidates have been tested in less than the number of patients that will likely need to be studied to obtain regulatory approval. The data collected from 
clinical trials with larger patient populations may not demonstrate sufficient safety and efficacy to support regulatory approval of these drug candidates.

We currently do not have strategic collaborations in place for clinical development of any of our current drug candidates. Therefore, in the future, we or any 
potential future collaborative partner will be responsible for establishing the targeted endpoints and goals for development of our drug candidates. These 
targeted endpoints and goals may be inadequate to demonstrate the safety and efficacy levels required for regulatory approvals. Even if we believe data 
collected during the development of our drug candidates are promising, such data may not be sufficient to support marketing approval by the FDA, EMA or 
comparable foreign authorities. Further, data generated during development can be interpreted in different ways, and the FDA, EMA or comparable foreign 
authorities may interpret such data in different ways than us or our collaborators. Our failure to adequately demonstrate the safety and efficacy of our drug 
candidates would prevent our receipt of regulatory approval, and ultimately the potential commercialization of these drug candidates.

Since we do not currently possess the resources necessary to independently develop and commercialize the majority of our drug candidates, we may seek to 
enter into collaborative agreements to assist in the development and potential future commercialization of some or all of these assets as a component of our 
strategic plan. However, our discussions with potential collaborators may not lead to the establishment of collaborations on acceptable terms, if at all, or it 
may take longer than expected to establish new collaborations, leading to development and potential commercialization delays, which would adversely 
affect our business, financial condition and results of operations.

We expect to continue to incur significant research and development expenses, which may make it difficult for us to attain profitability.

We expect to expend substantial funds in research and development, including preclinical studies and clinical trials of our drug candidates, and to 
manufacture and market any drug candidates in the event they are approved for commercial sale. We also may need additional funding to develop or 
acquire complementary companies, technologies and assets, as well as for working capital requirements and other operating and general corporate 
purposes. Moreover, our planned increases in staffing will dramatically increase our costs in the near and long-term.

However, our spending on current and future research and development programs and drug candidates for specific indications may not yield any 
commercially viable products. Due to our limited financial and managerial resources, we must focus on a limited number of research programs and drug 
candidates and on specific indications. Our resource allocation decisions may cause us to fail to capitalize on viable commercial products or profitable 
market opportunities.

Because the successful development of our drug candidates is uncertain, we are unable to precisely estimate the actual funds we will require to develop and 
potentially commercialize them. In addition, we may not be able to generate sufficient revenue, even if we are able to commercialize any of our drug 
candidates, to become profitable.

24

 
Given our lack of current cash inflows, it is expected that we may need to raise additional capital; however, it may be unavailable to us or, even if 
capital is obtained, may cause dilution or place significant restrictions on our ability to operate our business.

Since we will be unable to generate sufficient, if any, cash inflows to fund our operations for the foreseeable future, we may need to seek additional equity 
or debt financing to provide the capital required to maintain or expand our operations. As of December 31, 2023, we had cash, cash equivalents and 
investments totaling $362.1 million. There can be no assurance that we will be able to raise sufficient additional capital on acceptable terms or at all. If 
such additional financing is not available on satisfactory terms, or is not available in sufficient amounts, we may be required to delay, limit or eliminate the 
development of business opportunities and our ability to achieve our business objectives, our competitiveness, and our business, financial condition and 
results of operations may be materially adversely affected. In addition, we may be required to grant rights to develop and market drug candidates that we 
would otherwise prefer to develop and market ourselves. Our inability to fund our business could lead to the loss of your investment. Our future capital 
requirements will depend on many factors, including, but not limited to: 

•

•

•

•

•

•

•

•

•

the scope, rate of progress, results and cost of our clinical trials, preclinical studies and other related activities; our ability to establish and 
maintain strategic collaborations, licensing or other arrangements and the financial terms of such arrangements;

the timing of, and the costs involved in, obtaining regulatory approvals for any of our current or future drug candidates;

the number and characteristics of the drug candidates we seek to develop or commercialize;

the cost of manufacturing clinical supplies, and establishing commercial supplies, of our drug candidates;

the cost of commercialization activities if any of our current or future drug candidates are approved for sale, including marketing, sales and 
distribution costs;

the expenses needed to attract and retain skilled personnel;

the costs associated with being a public company;

the amount of revenue, if any, received from commercial sales of our drug candidates, should any of our drug candidates receive marketing 
approval; and

the costs involved in preparing, filing, prosecuting, maintaining, defending and enforcing possible patent claims, including litigation costs 
and the outcome of any such litigation.

On July 26, 2023, we filed an automatic universal shelf registration statement on Form S-3 (File No. 333-273460) with the SEC as a well-known seasoned 
issuer as defined in Rule 405 under the Securities Act of 1933, as amended, which became effective upon filing, or the 2023 Shelf Registration Statement. 
The 2023 Shelf Registration Statement allows us to offer an indeterminate amount of securities, including equity securities, debt securities, warrants, rights, 
units and depositary shares, from time to time as described in the 2023 Shelf Registration Statement. The specific terms of any offering under the 2023 
Shelf Registration Statement will be established at the time of such offering under a separate prospectus supplement, which will be filed with the SEC at 
the time of any offering. The 2023 Shelf Registration Statement will expire on July 26, 2026.   

The 2023 Shelf Registration Statement includes a prospectus, or the ATM Prospectus, pursuant to which we may offer and sell, from time to time, through 
or to Stifel, Nicolaus & Company, Incorporated, Truist Securities, Inc., H.C. Wainwright & Co. LLC and BTIG, LLC, or, collectively, the ATM Agents, as 
sales agent(s) or principal(s), shares of our common stock having an aggregate offering price of up to $200.0 million, or the ATM Offering. Any shares 
offering and sold in ATM Offering will be issued pursuant to the ATM Prospectus and the At-The-Market Equity Offering Sales Agreement, dated July 28, 
2021, as amended on July 26, 2023, among us and the ATM Agents.

If we raise additional capital by issuing equity securities, the percentage ownership of our existing stockholders may be reduced, and accordingly these 
stockholders may experience substantial dilution. We may also issue equity securities that provide for rights, preferences and privileges senior to those of 
our common stock. Given our need for cash and that equity issuances are the most common type of fundraising for companies like ours, the risk of dilution 
is particularly significant for stockholders of our company.

25

 
Our drug candidates may cause undesirable side effects that could delay or prevent their regulatory approval or commercialization or have other 
significant adverse implications on our business, financial condition and results of operations.

Undesirable side effects observed in clinical trials or in supportive preclinical studies with our drug candidates could interrupt, delay or halt their 
development and could result in the denial of regulatory approval by the FDA, EMA or comparable foreign authorities for any or all targeted indications or 
adversely affect the marketability of any such drug candidates that receive regulatory approval. In turn, this could eliminate or limit our ability to 
commercialize our drug candidates.

Our drug candidates may exhibit adverse effects in preclinical toxicology studies and adverse interactions with other drugs. There are also risks associated 
with additional requirements the FDA, EMA or comparable foreign authorities may impose for marketing approval with regard to a particular disease.

Our drug candidates may require a risk management program that could include patient and healthcare provider education, usage guidelines, appropriate 
promotional activities, a post-marketing observational study, and ongoing safety and reporting mechanisms, among other requirements. Prescribing could 
be limited to physician specialists or physicians trained in the use of the drug, or could be limited to a more restricted patient population. Any risk 
management program required for approval of our drug candidates could potentially have an adverse effect on our business, financial condition and results 
of operations.

Undesirable side effects involving our drug candidates may have other significant adverse implications on our business, financial condition and results of 
operations. For example:

•

•

•

•

•

•

we may be unable to obtain additional financing on acceptable terms, if at all;

our collaborators may terminate any development agreements covering these drug candidates;

if any development agreements are terminated, we may determine not to further develop the affected drug candidates due to resource 
constraints and may not be able to establish additional collaborations for their further development on acceptable terms, if at all;

if we were to later continue the development of these drug candidates and receive regulatory approval, earlier findings may significantly limit 
their marketability and thus significantly lower our potential future revenues from their commercialization;

we may be subject to product liability or stockholder litigation; and

we may be unable to attract and retain key employees.

In addition, if any of our drug candidates receive marketing approval and we or others later identify undesirable side effects caused by the product:

•

•

•

regulatory authorities may withdraw their approval of the product, or we or our partners may decide to cease marketing and sale of the 
product voluntarily;

we may be required to change the way the product is administered, conduct additional clinical trials or preclinical studies regarding the 
product, change the labeling of the product, or change the product’s manufacturing facilities; and

our reputation may suffer.

Any of these events could prevent us from achieving or maintaining market acceptance of the affected product and could substantially increase the costs 
and expenses of commercializing the product, which in turn could delay or prevent us from generating significant revenues from the sale of the product.

Our efforts to discover drug candidates beyond our current drug candidates may not succeed, and any drug candidates we recommend for clinical 
development may not actually begin clinical trials.

We intend to continue to use our technology, including our licensed technology, knowledge and expertise to develop novel drugs to address some of the 
world’s most widespread and costly chronic diseases. We intend to expand our existing pipeline of core assets by advancing drug compounds from current 
ongoing discovery programs into clinical development. However, the process of researching 

26

 
and discovering drug compounds is expensive, time-consuming and unpredictable. Data from our current preclinical programs may not support the clinical 
development of our lead compounds or other compounds from these programs, and we may not identify any additional drug compounds suitable for 
recommendation for clinical development. Moreover, any drug compounds we recommend for clinical development may not demonstrate, through 
preclinical studies, indications of safety and potential efficacy that would support advancement into clinical trials. Such findings would potentially impede 
our ability to maintain or expand our clinical development pipeline. Our ability to identify new drug compounds and advance them into clinical 
development also depends upon our ability to fund our research and development operations, and we cannot be certain that additional funding will be 
available on acceptable terms, or at all.

We may expend our limited resources to pursue a specific product candidate or indication and fail to capitalize on product candidates or 
indications that may be more profitable or for which there is a greater likelihood of success. 

Because we have limited financial and managerial resources, we must focus on a limited number of research programs and product candidates and on 
specific indications. As a result, we may forego or delay pursuit of opportunities with other product candidates or for other indications that later prove to 
have greater commercial potential. Our resource allocation decisions may cause us to fail to capitalize on viable commercial products or profitable market 
opportunities. Our spending on current and future discovery and preclinical development programs and product candidates for specific indications may not 
yield any commercially viable products. In addition, our projections of both the number of people who have the targeted indications, as well as the subset 
of people with these disorders who have the potential to benefit from treatment with our product candidates, are based on estimates. If any of our estimates 
are inaccurate, the market opportunities for any of our product candidates could be significantly diminished and have an adverse material impact on our 
business. Additionally, the potentially addressable patient population for our product candidates may be limited, or may not be amenable to treatment with 
our product candidates.

Delays in the commencement or completion of clinical trials could result in increased costs to us and delay our ability to establish strategic 
collaborations.

Delays in the commencement or completion of clinical trials could significantly impact our drug development costs. We do not know whether planned 
clinical trials will begin on time or be completed on schedule, if at all. The commencement of clinical trials can be delayed for a variety of reasons, 
including, but not limited to, delays related to:

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•

•

•

obtaining regulatory approval to commence one or more clinical trials;

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

manufacturing sufficient quantities of a drug candidate or other materials necessary to conduct clinical trials, as well as receiving the supplies 
and  materials  needed  to  conduct  our  clinical  trials,  including  interruptions  in  global  shipping  that  may  affect  the  transport  of  clinical 
materials;

obtaining institutional review board approval to conduct one or more clinical trials at a prospective site;

recruiting and enrolling patients to participate in one or more clinical trials, especially as patients may be reluctant or unable to visit clinical 
sites, or may delay seeking treatment for chronic conditions;

the failure of our collaborators to adequately resource our drug candidates due to their focus on other programs or as a result of general 
market conditions;

recruiting clinical site investigators, clinical site staff and potential closure of clinical facilities; and

changes in regulations, which may require us to change the ways in which our clinical trials are conducted.

In addition, once a clinical trial has begun, it may be suspended or terminated by us, our collaborators, the institutional review boards or data safety 
monitoring boards charged with overseeing our clinical trials, the FDA, EMA or comparable foreign authorities due to a number of factors, including:

•

•

failure to conduct the clinical trial in accordance with regulatory requirements or clinical protocols;

inspection of the clinical trial operations or clinical trial site by the FDA, EMA or comparable foreign authorities resulting in the imposition 
of a clinical hold;

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•

•

unforeseen safety issues; or

lack of adequate funding to continue the clinical trial.

If we experience delays in the completion or termination of any clinical trial of our product candidates, the commercial prospects of our product candidates 
will be harmed, and our ability to commence product sales and generate product revenues from any of our product candidates will be delayed. In addition, 
any delays in completing our clinical trials will increase our costs and slow down our product candidate development and approval process. Delays in 
completing our clinical trials could also allow our competitors to obtain marketing approval before we do or shorten the patent protection period during 
which we may have the exclusive right to commercialize our product candidates. Any of these occurrences may harm our business, financial condition and 
prospects significantly. In addition, many of the factors that cause, or lead to, a delay in the commencement or completion of clinical trials may also 
ultimately lead to the denial of regulatory approval of our product candidates.

Results of earlier clinical trials may not be predictive of the results of later-stage clinical trials.

The results of preclinical studies and early clinical trials of product candidates may not be predictive of the results of later-stage clinical trials. Product 
candidates in later stages of clinical trials may fail to show the desired safety and efficacy results despite having progressed through preclinical studies and 
initial clinical trials. Many companies in the biopharmaceutical industry have suffered significant setbacks in advanced clinical trials due to adverse safety 
profiles or lack of efficacy, notwithstanding promising results in earlier studies. Similarly, our future clinical trial results may not be successful for these or 
other reasons.

This drug candidate development risk is heightened by any changes in the planned clinical trials compared to the completed clinical trials. As product 
candidates are developed through preclinical to early to late stage clinical trials towards approval and commercialization, it is customary that various 
aspects of the development program, such as manufacturing and methods of administration, are altered along the way in an effort to optimize processes and 
results. While these types of changes are common and are intended to optimize the product candidates for late stage clinical trials, approval and 
commercialization, such changes carry the risk that they will not achieve these intended objectives.

Any of these changes could make the results of our planned clinical trials or other future clinical trials we may initiate less predictable and could cause our 
product candidates to perform differently, including causing toxicities, which could delay completion of our clinical trials, delay approval of our product 
candidates and/or jeopardize our ability to commence product sales and generate revenues.

If we experience delays in the enrollment of patients in our clinical trials, our receipt of necessary regulatory approvals could be delayed or 
prevented.

We may not be able to initiate or continue clinical trials for our product candidates if we are unable to locate and enroll a sufficient number of eligible 
patients to participate in these trials as required by the FDA or other regulatory authorities. Patient enrollment, a significant factor in the timing of clinical 
trials, is affected by many factors, including the size and nature of the patient population, the proximity of patients to clinical sites, the eligibility criteria for 
the trial, the design of the clinical trial, competing clinical trials and clinicians’ and patients’ perceptions as to the potential advantages of the drug being 
studied in relation to other available therapies, including any new drugs that may be approved for the indications we are investigating. For example, the 
COVID-19 pandemic previously negatively impacted our ability to recruit and enroll patients for our clinical trials, as they may be reluctant or unable to 
visit clinical sites, or may delay seeking treatment for chronic conditions.

If we fail to enroll and maintain the number of patients for which the clinical trial was designed, the statistical power of that clinical trial may be reduced, 
which would make it harder to demonstrate that the product candidate being tested in such clinical trial is safe and effective. Additionally, enrollment 
delays in our clinical trials may result in increased development costs for our product candidates, which would cause the value of our company to decline 
and limit our ability to obtain additional financing. Our inability to enroll a sufficient number of patients for any of our current or future clinical trials 
would result in significant delays or may require us to abandon one or more clinical trials altogether.

We intend to rely on third parties to conduct our preclinical studies and clinical trials and perform other tasks for us. If these third parties do not 
successfully carry out their contractual duties, meet expected deadlines, or comply with regulatory 

28

 
requirements, we may not be able to obtain regulatory approval for or commercialize our drug candidates and our business, financial condition 
and results of operations could be substantially harmed.

We have relied upon and plan to continue to rely upon third-party CROs, medical institutions, clinical investigators and contract laboratories to monitor and 
manage data for our licensed ongoing preclinical and clinical programs. Nevertheless, we maintain responsibility for ensuring that each of our clinical trials 
and preclinical studies is conducted in accordance with the applicable protocol, legal, regulatory, and scientific standards and our reliance on these third 
parties does not relieve us of our regulatory responsibilities. We and our CROs and other vendors are required to comply with current requirements on good 
manufacturing practices, or cGMP, good clinical practices, or GCP, and good laboratory practice, or GLP, which are a collection of laws and regulations 
enforced by the FDA, EMA or comparable foreign authorities for all of our drug candidates in clinical development. Regulatory authorities enforce these 
regulations through periodic inspections of preclinical study and clinical trial sponsors, principal investigators, preclinical study and clinical trial sites, and 
other contractors. If we or any of our CROs or vendors fail to comply with applicable regulations, the data generated in our preclinical studies and clinical 
trials may be deemed unreliable and the FDA, EMA or comparable foreign authorities may require us to perform additional preclinical studies and clinical 
trials before approving our marketing applications. We cannot assure you that upon inspection by a given regulatory authority, such regulatory authority 
will determine that any of our clinical trials comply with GCP regulations. In addition, our clinical trials must be conducted with products produced 
consistent with cGMP regulations. Our failure to comply with these regulations may require us to repeat clinical trials, which would delay the development 
and regulatory approval processes.

If any of our relationships with these third-party CROs, medical institutions, clinical investigators or contract laboratories terminate, we may not be able to 
enter into arrangements with alternative CROs on commercially reasonable terms, or at all. In addition, our CROs are not our employees, and except for 
remedies available to us under our agreements with such CROs, we cannot control whether or not they devote sufficient time and resources to our ongoing 
preclinical and clinical programs. If CROs do not successfully carry out their contractual duties or obligations or meet expected deadlines, if they need to 
be replaced or if the quality or accuracy of the data they obtain is compromised due to the failure to adhere to our protocols, regulatory requirements, or for 
other reasons, our clinical trials may be extended, delayed or terminated and we may not be able to obtain regulatory approval for or successfully 
commercialize our drug candidates. CROs may also generate higher costs than anticipated. As a result, our business, financial condition, results of 
operations and the commercial prospects for our drug candidates could be materially and adversely affected, our costs could increase and our ability to 
generate revenue could be delayed.

Switching or adding additional CROs, medical institutions, clinical investigators or contract laboratories involves additional cost and requires 
management’s time and focus. In addition, there is a natural transition period when a new CRO commences work replacing a previous CRO. As a result, 
delays occur, which can 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 similar challenges or delays in the future or that these delays or challenges will not 
have a material adverse effect on our business, financial condition or results of operations.

In addition, our CROs may need to make certain adjustments to the operation of our trials in an effort to ensure the monitoring and safety of patients and 
minimize risks to trial integrity during the pandemic in accordance with the guidance issued by the FDA on March 18, 2020 and generally, and may need to 
make further adjustments in the future. Many of these adjustments are new and untested, may not be effective, and may have unforeseen effects on the 
enrollment, progress and completion of these trials and the findings from these trials.

Our drug candidates are subject to extensive regulation under the FDA, EMA or comparable foreign authorities, which can be costly and time 
consuming, cause unanticipated delays or prevent the receipt of the required approvals to commercialize our drug candidates.

The clinical development, manufacturing, labeling, storage, record-keeping, advertising, promotion, export, marketing and distribution of our drug 
candidates are subject to extensive regulation by the FDA and other U.S. regulatory agencies, EMA or comparable authorities in foreign markets. In the 
U.S., neither we nor our collaborators are permitted to market our drug candidates until we or our collaborators receive approval of a new drug application, 
or an NDA, from the FDA or receive similar approvals abroad. The process of obtaining these approvals is expensive, often takes many years, and can vary 
substantially based upon the type, complexity and novelty of the drug candidates involved. Approval policies or regulations may change and may be 
influenced by the results of other similar or competitive products, making it more difficult for us to achieve such approval in a timely manner or at all. For 
example, the FDA has released draft guidance regarding clinical trials for drug candidates treating diabetes that may result in more stringent requirements 
for the clinical trials and regulatory approval of such drug candidates. This and any future guidance that may result from recent FDA advisory panel 
discussions on the topic of diabetes, non-alcoholic steatohepatitis, or NASH, and other metabolic indications, may make it more expensive to develop and 
commercialize such drug candidates for such indications. Such increased expense could make it more difficult to obtain favorable terms in the collaborative 
arrangements we require to maximize the value of 

29

 
our programs seeking to develop new drug candidates for diabetes. In addition, as a company, we have not previously filed NDAs with the FDA or filed 
similar applications with other foreign regulatory agencies. This lack of experience may impede our ability to obtain FDA or other foreign regulatory 
agency approval in a timely manner, if at all, for our drug candidates for which development and commercialization is our responsibility.

Despite the time and expense invested, regulatory approval is never guaranteed. The FDA, EMA or comparable foreign authorities can delay, limit or deny 
approval of a drug candidate for many reasons, including:

•

•

•

•

a drug candidate may not be deemed safe or effective;

agency officials of the FDA, EMA or comparable foreign authorities may not find the data from non-clinical or preclinical studies and 
clinical trials generated during development to be sufficient;

the FDA, EMA or comparable foreign authorities may not approve our third-party manufacturers’ processes or facilities; or

the FDA, EMA or a comparable foreign authority may change its approval policies or adopt new regulations.

Our inability to obtain these approvals would prevent us from commercializing our drug candidates.

Even if our drug candidates receive regulatory approval in the U.S., we may never receive approval or commercialize our products outside of the 
U.S.

In order to market any products outside of the U.S., we must establish and comply with numerous and varying regulatory requirements of other countries 
regarding safety and efficacy. Approval procedures vary among countries and can involve additional product testing and additional administrative review 
periods. The time required to obtain approval in other countries might differ from that required to obtain FDA approval. The regulatory approval process in 
other countries may include all of the risks detailed above regarding FDA approval in the U.S. as well as other risks. 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 have a negative effect on the 
regulatory process in others. Failure to obtain regulatory approval in other countries or any delay seeking or obtaining such approval would impair our 
ability to develop foreign markets for our drug candidates.

Even if any of our drug candidates receive regulatory approval, our drug candidates may still face future development and regulatory difficulties.

If any of our drug candidates receive regulatory approval, the FDA, EMA or comparable foreign authorities may still impose significant restrictions on the 
indicated uses or marketing of the drug candidates or impose ongoing requirements for potentially costly post-approval studies and trials. In addition, 
regulatory agencies subject a product, its manufacturer and the manufacturer’s facilities to continual review and periodic inspections. If a regulatory agency 
discovers previously unknown problems with a product, including adverse events of unanticipated severity or frequency, or problems with the facility 
where the product is manufactured, a regulatory agency may impose restrictions on that product, our collaborators or us, including requiring withdrawal of 
the product from the market. Our drug candidates will also be subject to ongoing FDA, EMA or comparable foreign authorities’ requirements for the 
labeling, packaging, storage, advertising, promotion, record-keeping and submission of safety and other post-market information on the drug. If our drug 
candidates fail to comply with applicable regulatory requirements, a regulatory agency may:

•

•

•

•

•

•

issue warning letters or other notices of possible violations;

impose civil or criminal penalties or fines or seek disgorgement of revenue or profits;

suspend any ongoing clinical trials;

refuse to approve pending applications or supplements to approved applications filed by us or our collaborators;

withdraw any regulatory approvals;

impose restrictions on operations, including costly new manufacturing requirements, or shut down our manufacturing operations; or

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•

seize or detain products or require a product recall.

The FDA, EMA and comparable foreign authorities actively enforce the laws and regulations prohibiting the promotion of off-label uses.

The FDA, EMA and comparable foreign authorities strictly regulate the promotional claims that may be made about prescription products, such as our drug 
candidates, if approved. In particular, a product may not be promoted for uses that are not approved by the FDA, EMA or comparable foreign authorities as 
reflected  in  the  product’s  approved  labeling.  If  we  receive  marketing  approval  for  our  drug  candidates  for  our  proposed  indications,  physicians  may 
nevertheless  use  our  products  for  their  patients  in  a  manner  that  is  inconsistent  with  the  approved  label,  if  the  physicians  personally  believe  in  their 
professional medical judgment that our products could be used in such manner. However, if we are found to have promoted our products for any off-label 
uses, the federal government could levy civil, criminal or administrative penalties, and seek fines against us. Such enforcement has become more common 
in the industry. The FDA, EMA or comparable foreign authorities could also request that we enter into a consent decree or a corporate integrity agreement 
or seek a permanent injunction against us under which specified promotional conduct is monitored, changed or curtailed. If we cannot successfully manage 
the promotion of our drug candidates, if approved, we could become subject to significant liability, which would materially adversely affect our business, 
financial condition and results of operations.

If our competitors have drug candidates that are approved faster, are marketed more effectively, are better tolerated, have a more favorable safety 
profile or are demonstrated to be more effective than ours, our commercial opportunity may be reduced or eliminated.

The biopharmaceutical industry is characterized by rapidly advancing technologies, intense competition and a strong emphasis on proprietary products. 
While we believe that our technology, knowledge, experience and scientific resources provide us with competitive advantages, we face potential 
competition from many different sources, including commercial biopharmaceutical enterprises, academic institutions, government agencies and private and 
public research institutions. Any drug candidates that we successfully develop and commercialize will compete with existing therapies and new therapies 
that may become available in the future. 

Many of our competitors have significantly greater financial resources and expertise in research and development, manufacturing, preclinical studies, 
clinical trials, regulatory approvals and marketing approved products than we do. Smaller or early-stage companies may also prove to be significant 
competitors, particularly through collaborative arrangements with large and established companies. Our competitors may succeed in developing 
technologies and therapies that are more effective, better tolerated or less costly than any which we are developing, or that would render our drug 
candidates obsolete and noncompetitive. Even if we obtain regulatory approval for any of our drug candidates, our competitors may succeed in obtaining 
regulatory approvals for their products earlier than we do. We will also face competition from these third parties in recruiting and retaining qualified 
scientific and management personnel, in establishing clinical trial sites and patient registration for clinical trials, and in acquiring and in-licensing 
technologies and products complementary to our programs or advantageous to our business. 

The key competitive factors affecting the success of each of our drug candidates, if approved, are likely to be its efficacy, safety, tolerability, frequency and 
route of administration, convenience and price, the level of branded and generic competition and the availability of coverage and reimbursement from 
government and other third-party payors.

VK2809

While no therapies are currently approved for the treatment of non-alcoholic steatohepatitis, we are aware of numerous development-stage programs 
targeting this disease, including resmetirom from Madrigal Pharmaceuticals, Inc., arachidyl amido cholanoic acid from Galmed Pharmaceuticals Ltd., 
belapectin from Galectin Therapeutics Inc., lanifibranor from Inventiva S.A., semaglutide from Novo Nordisk A/S, firsocostat (GS-0976) and cilofexor 
(GS-9674) from Gilead Sciences, Inc., tirzepatide from Eli Lilly and Company, ervogastat (PF-06865571) and clesacostat (PF-05221304) from Pfizer Inc., 
efruxifermin (AKR-001) from Akero Therapeutics, Inc., pegozafermin (BIO89-100) from 89bio, Inc., denifanstat (TVB-2640) from Sagimet Biosciences 
Inc., efocipegtrutide (HM15211) from Hanmi Pharmaceutical Co., Ltd., survodutide (BI 456906) from Boehringer Ingelheim International GmbH, ION224 
from Ionis Pharmaceuticals, Inc., rencofilstat (CRV431) from Hepion Pharmaceuticals, Inc., HTD1801 from HighTide Therapeutics Inc., GSK4532990 
(ARO-HSD) from GlaxoSmithKline plc., ALN-HSD from Alnylam Pharmaceuticals, Inc./ Regeneron Pharmaceuticals Inc., efinopegdutide (MK-6024) 
from Merck & Co., Inc., and pemvidutide (ALT-801) from Altimmune, Inc. In addition, we are aware of active programs at Aligos Therapeutics, Inc., 
Arrowhead Pharmaceuticals, Inc., Ascletis Biopharmaceutical, AstraZeneca PLC, Boston Pharmaceuticals Inc., Can-Fite BioPharma Ltd., ChemomAb 
Ltd., CohBar, Inc., Corcept Therapeutics Inc., CytoDyn Inc., D&D Pharmatech, Inc., Durect Corporation, Enyo Pharma SA, Inc., Future Medicine Co., 
Ltd., Galecto, Inc., Gelesis Holdings Inc., Hepagene Therapeutics, Inc., Kowa Company, Ltd., MediciNova Inc., NGM Biopharmaceuticals, Inc., NorthSea 
Therapeutics BV, 

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Pliant Therapeutics, Inc., Poxel SA, Seal Rock Therapeutics, Inc., Theratechnologies Inc., Yuhan Corporation, and Cadila Healthcare Limited (a.k.a. Zydus 
Cadila). 

VK2735 

VK2735, if approved, will compete against therapies that are already approved and marketed for obesity, including Semaglutide (Wegovy®) and liraglutide 
(Saxenda®) from Novo Nordisk A/S, and tirzepatide (Zepbound™) from Eli Lilly and Company. We are also aware of several programs targeting obesity 
that are in the late development stage that will compete against VK2735, if approved, including CagriSema from Novo Nordisk A/S, orforglipron and 
retatrutide from Eli Lilly and Company, and survodutide (BI 456906) from Boehringer Ingelheim International GmbH. In addition, we are aware of active 
programs at Altimmune, Inc., Amgen Inc., AstraZeneca, D&D Pharmatech, Inc., ERX Pharmaceuticals Inc., F. Hoffmann-La Roche Ltd, Hanmi 
Pharmaceutical Co., Ltd., Kallyope Inc., Pfizer Inc., Rivus Pharmaceuticals Inc., Structure Therapeutics Inc., Terns Pharmaceuticals, Inc., and Zealand 
Pharma A/S.

VK0214

In the U.S., there are currently no marketed therapies for the treatment of X-linked adrenoleukodystrophy, or X-ALD. Hematopoietic stem cell therapy has 
been used to treat the most severe form of X-ALD, cerebral adrenoleukodystrophy, or CALD. More recently, gene therapy has been shown to be effective 
in CALD, and elivaldogene autotemcel from bluebird bio, Inc., has received accelerated approval by the FDA (to slow the progression of neurologic 
dysfunction in boys 4-17 years of age with early, active CALD), and approval by the European Commission (for patients less than 18 years of age with 
early CALD without a matched sibling donor). However, both treatments are invasive, requiring surgical intervention, and these do not appear to have an 
effect on the most pervasive form of X-ALD, adrenomyeloneuropathy, or AMN. There are several experimental therapies that are in various stages of 
clinical development for X-ALD by companies, including Minoryx Therapeutics S.L., Neuraxpharm Group, Poxel SA, and SwanBio Therapeutics, Inc., 
which may be competitive with VK0214, if approved.

VK5211

In the U.S., there are currently no marketed therapies for the maintenance or improvement of lean body mass, bone mineral density or physical function in 
patients recovering from non-elective hip fracture surgery. However, VK5211, if approved, will face competition from experimental therapies that are in 
various stages of clinical development for conditions characterized by muscle wasting by companies including Biophytis SA, Helsinn Group, and Pluri Inc. 
(formerly Pluristem Therapeutics Inc.). In addition, nutritional and growth hormone-based therapies are sometimes used in patients experiencing muscle 
wasting. 

We, or any future collaborators, may not be able to obtain orphan drug designation or orphan drug exclusivity for our product candidates.

Regulatory authorities in some jurisdictions, including the United States and Europe, may designate drugs for relatively small patient populations as orphan 
drugs. Under the Orphan Drug Act, the FDA may designate a product as an orphan drug if it is a drug intended to treat a rare disease or condition, which is 
generally defined as a patient population of fewer than 200,000 individuals annually in the United States. While we received orphan drug designation from 
the FDA for VK0214 for the treatment X-ALD in December 2016, we, or any future collaborators, may not be granted orphan drug designations for our 
product candidates in the U.S. or in other jurisdictions.

Even if we, or any future collaborators, obtain orphan drug designation for a product candidate, we, or they, may not be able to obtain orphan drug 
exclusivity for that product candidate. Generally, a product with orphan drug designation only becomes entitled to orphan drug exclusivity if it receives the 
first marketing approval for the indication for which it has such designation, in which case the FDA or the EMA will be precluded from approving another 
marketing application for the same drug for that indication for the applicable exclusivity period. The applicable exclusivity period is seven years in the 
United States and ten years in Europe. The European exclusivity period can be reduced to six years if a drug no longer meets the criteria for orphan drug 
designation or if the drug is sufficiently profitable so that market exclusivity is no longer justified. Orphan drug exclusivity may be lost if the FDA or the 
EMA determines that the request for designation was materially defective or if the manufacturer is unable to assure sufficient quantity of the drug to meet 
the needs of patients with the rare disease or condition.

Even if we, or any future collaborators, obtain orphan drug exclusivity for a product, that exclusivity may not effectively protect the product from 
competition because FDA has taken the position that, under certain circumstances, another drug with the same active moiety can be approved for the same 
condition. Specifically, the FDA’s regulations provide that it can approve another drug with the same active moiety for the same condition if the FDA 
concludes that the later drug is clinically superior in that it is shown to be safer, more effective or makes a major contribution to patient care.

32

 
We are subject to a multitude of manufacturing risks, any of which could substantially increase our costs and limit supply of our drug candidates.

The process of manufacturing our drug candidates is complex, highly regulated and subject to several risks. For example, the process of manufacturing our 
drug candidates is extremely susceptible to product loss due to contamination, equipment failure or improper installation or operation of equipment, or 
vendor or operator error. Even minor deviations from normal manufacturing processes for any of our drug candidates could result in reduced production 
yields, product defects and other supply disruptions. If microbial, viral, or other contaminations are discovered in our drug candidates or in the 
manufacturing facilities in which our drug candidates are made, such manufacturing facilities may need to be closed for an extended period of time to 
investigate and remedy the contamination. In addition, the manufacturing facilities in which our drug candidates are made could be adversely affected by 
equipment failures, labor shortages, natural disasters, epidemics, pandemics, power failures and numerous other factors.

In addition, any adverse developments affecting manufacturing operations of our drug candidates may result in shipment delays, inventory shortages, lot 
failures, withdrawals or recalls, or other interruptions in the supply of our drug candidates. We also may need to take inventory write-offs and incur other 
charges and expenses for drug candidates that fail to meet specifications, undertake costly remediation efforts, or seek costlier manufacturing alternatives.

We rely completely on third parties to manufacture our preclinical and clinical drug supplies, and our business, financial condition and results of 
operations could be harmed if those third parties fail to provide us with sufficient quantities of drug product, or fail to do so at acceptable quality 
levels or prices.

We do not currently have, nor do we plan to acquire, the infrastructure or capability internally to manufacture our preclinical and clinical drug supplies for 
use in our clinical trials, and we lack the resources and the capability to manufacture any of our drug candidates on a clinical or commercial scale. We rely 
on our manufacturers to purchase from third-party suppliers the materials necessary to produce our drug candidates for our clinical trials. There are a 
limited number of suppliers for raw materials that we use to manufacture our drugs, and there may be a need to identify alternate suppliers to prevent a 
possible disruption of the manufacture of the materials necessary to produce our drug candidates for our clinical trials, and, if approved, ultimately for 
commercial sale. We do not have any control over the process or timing of the acquisition of these raw materials by our manufacturers. Although we 
generally do not begin a clinical trial unless we believe we have a sufficient supply of a drug candidate to complete such clinical trial, any significant delay 
or discontinuity in the supply of a drug candidate, or the raw material components thereof, for an ongoing clinical trial due to the need to replace a third-
party manufacturer could considerably delay completion of our clinical trials, product testing and potential regulatory approval of our drug candidates, 
which could harm our business, financial condition and results of operations.

We and our contract manufacturers are subject to significant regulation with respect to manufacturing our drug candidates. The manufacturing 
facilities on which we rely may not continue to meet regulatory requirements.

All entities involved in the preparation of therapeutics for clinical trials or commercial sale, including our existing contract manufacturers for our drug 
candidates, are subject to extensive regulation. Components of a finished therapeutic product approved for commercial sale or used in late-stage clinical 
trials must be manufactured in accordance with cGMP. These regulations govern manufacturing processes and procedures and the implementation and 
operation of quality systems to control and assure the quality of investigational products and products approved for sale. Poor control of production 
processes can lead to the introduction of contaminants or to inadvertent changes in the properties or stability of our drug candidates that may not be 
detectable in final product testing. We or our contract manufacturers must supply all necessary documentation in support of an NDA or marketing 
authorization application, or MAA, on a timely basis and must adhere to GLP and cGMP regulations enforced by the FDA, EMA or comparable foreign 
authorities through their facilities inspection program. Some of our contract manufacturers may not have produced a commercially approved 
pharmaceutical product and therefore may not have obtained the requisite regulatory authority approvals to do so. The facilities and quality systems of 
some or all of our third-party contractors must pass a pre-approval inspection for compliance with the applicable regulations as a condition of regulatory 
approval of our drug candidates or any of our other potential products. In addition, the regulatory authorities may, at any time, audit or inspect a 
manufacturing facility involved with the preparation of our drug candidates or any of our other potential products or the associated quality systems for 
compliance with the regulations applicable to the activities being conducted. Although we oversee the contract manufacturers, we cannot control the 
manufacturing process of, and are completely dependent on, our contract manufacturing partners for compliance with the regulatory requirements. If these 
facilities do not pass a pre-approval plant inspection, regulatory approval of the products may not be granted or may be substantially delayed until any 
violations are corrected to the satisfaction of the regulatory authority, if ever.

The regulatory authorities also may, at any time following approval of a product for sale, audit the manufacturing facilities of our third-party contractors. If 
any such inspection or audit identifies a failure to comply with applicable regulations or if a violation of our product specifications or applicable regulations 
occurs independent of such an inspection or audit, we or the relevant regulatory authority may require remedial measures that may be costly or time 
consuming for us or a third party to implement, and that may 

33

 
include the temporary or permanent suspension of a clinical trial or commercial sales or the temporary or permanent closure of a facility. Any such 
remedial measures imposed upon us or third parties with whom we contract could materially harm our business, financial condition and results of 
operations.

If we or any of our third-party manufacturers fail to maintain regulatory compliance, the FDA, EMA or comparable foreign authorities can impose 
regulatory sanctions including, among other things, refusal to approve a pending application for a drug candidate, withdrawal of an approval, or suspension 
of production. As a result, our business, financial condition and results of operations may be materially and adversely affected.

Additionally, if supply from one manufacturer is interrupted, an alternative manufacturer would need to be qualified through an NDA supplement or MAA 
variation, or equivalent foreign regulatory filing, which could result in further delay. The regulatory agencies may also require additional studies or trials if 
a new manufacturer is relied upon for commercial production. Switching manufacturers may involve substantial costs and is likely to result in a delay in 
our desired clinical and commercial timelines.

These factors could cause us to incur higher costs and could cause the delay or termination of clinical trials, regulatory submissions, required approvals, or 
commercialization of our drug candidates. Furthermore, if our suppliers fail to meet contractual requirements and we are unable to secure one or more 
replacement suppliers capable of production at a substantially equivalent cost, our clinical trials may be delayed, or we could lose potential revenue.

Any collaboration arrangement that we may enter into in the future may not be successful, which could adversely affect our ability to develop and 
commercialize our current and potential future drug candidates.

We may seek collaboration arrangements with biopharmaceutical companies for the development or commercialization of our current and potential future 
drug candidates. To the extent that we decide to enter into collaboration agreements, we will face significant competition in seeking appropriate 
collaborators. Moreover, collaboration arrangements are complex and time-consuming to negotiate, execute and implement. We may not be successful in 
our efforts to establish and implement collaborations or other alternative arrangements should we choose to enter into such arrangements, and the terms of 
the arrangements may not be favorable to us. If, and when, we collaborate with a third party for development and commercialization of a drug candidate, 
we can expect to relinquish some or all of the control over the future success of that drug candidate to the third party. The success of our collaboration 
arrangements will depend heavily on the efforts and activities of our collaborators. Collaborators generally have significant discretion in determining the 
efforts and resources that they will apply to these collaborations.

Disagreements between parties to a collaboration arrangement can lead to delays in developing or commercializing the applicable drug candidate and can 
be difficult to resolve in a mutually beneficial manner. In some cases, collaborations with biopharmaceutical companies and other third parties are 
terminated or allowed to expire by the other party. Any such termination or expiration would adversely affect our business, financial condition and results 
of operations.

If we are unable to develop our own commercial organization or enter into agreements with third parties to sell and market our drug candidates, 
we may be unable to generate significant revenues.

We do not have a sales and marketing organization, and we have no experience as a company in the sales, marketing and distribution of pharmaceutical 
products. If any of our drug candidates are approved for commercialization, we may be required to develop our sales, marketing and distribution 
capabilities, or make arrangements with a third party to perform sales and marketing services. Developing a sales force for any resulting product or any 
product resulting from any of our other drug candidates is expensive and time-consuming and could delay any product launch. We may be unable to 
establish and manage an effective sales force in a timely or cost-effective manner, if at all, and any sales force we do establish may not be capable of 
generating sufficient demand for our drug candidates. To the extent that we enter into arrangements with collaborators or other third parties to perform sales 
and marketing services, our product revenues are likely to be lower than if we marketed and sold our drug candidates independently. If we are unable to 
establish adequate sales and marketing capabilities, independently or with others, we may not be able to generate significant revenues and may not become 
profitable.

The commercial success of our drug candidates depends upon their market acceptance among physicians, patients, healthcare payors and the 
medical community.

Even if our drug candidates obtain regulatory approval, our products, if any, may not gain market acceptance among physicians, patients, healthcare payors 
and the medical community. The degree of market acceptance of any of our approved drug candidates will depend on a number of factors, including:

•

the effectiveness of our approved drug candidates as compared to currently available products;

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patient willingness to adopt our approved drug candidates in place of current therapies;

our ability to provide acceptable evidence of safety and efficacy;

relative convenience and ease of administration;

the prevalence and severity of any adverse side effects;

restrictions on use in combination with other products;

availability of alternative treatments;

pricing and cost-effectiveness assuming either competitive or potential premium pricing requirements, based on the profile of our drug 
candidates and target markets;

effectiveness of our or our partners’ sales and marketing strategy;

our ability to obtain sufficient third-party coverage or reimbursement; and

potential product liability claims.

In addition, the potential market opportunity for our drug candidates is difficult to precisely estimate. Our estimates of the potential market opportunity for 
our drug candidates include several key assumptions based on our industry knowledge, industry publications, third-party research reports and other 
surveys. Independent sources have not verified all of our assumptions. If any of these assumptions proves to be inaccurate, then the actual market for our 
drug candidates could be smaller than our estimates of our potential market opportunity. If the actual market for our drug candidates is smaller than we 
expect, our product revenue may be limited, it may be harder than expected to raise funds and it may be more difficult for us to achieve or maintain 
profitability. If we fail to achieve market acceptance of our drug candidates in the U.S. and abroad, our revenue will be limited and it will be more difficult 
to achieve profitability.

If we fail to obtain and sustain an adequate level of reimbursement for our potential products by third-party payors, potential future sales would 
be materially adversely affected.

There will be no viable commercial market for our drug candidates, if approved, without reimbursement from third-party payors. Reimbursement policies 
may be affected by future healthcare reform measures. We cannot be certain that reimbursement will be available for our current drug candidates or any 
other drug candidate we may develop. Additionally, even if there is a viable commercial market, if the level of reimbursement is below our expectations, 
our anticipated revenue and gross margins will be adversely affected.

Third-party payors, such as government or private healthcare insurers, carefully review and increasingly question and challenge the coverage of and the 
prices charged for drugs. Reimbursement rates from private health insurance companies vary depending on the company, the insurance plan and other 
factors. Reimbursement rates may be based on reimbursement levels already set for lower cost drugs and may be incorporated into existing payments for 
other services. There is a current trend in the U.S. healthcare industry toward cost containment.

Large public and private payors, managed care organizations, group purchasing organizations and similar organizations are exerting increasing influence on 
decisions regarding the use of, and reimbursement levels for, particular treatments. Such third-party payors, including Medicare, may question the coverage 
of, and challenge the prices charged for, medical products and services, and many third-party payors limit coverage of or reimbursement for newly 
approved healthcare products. In particular, third-party payors may limit the covered indications. Cost-control initiatives could decrease the price we might 
establish for products, which could result in product revenues being lower than anticipated. We believe our drugs will be priced significantly higher than 
existing generic drugs and consistent with current branded drugs. If we are unable to show a significant benefit relative to existing generic drugs, Medicare, 
Medicaid and private payors may not be willing to provide reimbursement for our drugs, which would significantly reduce the likelihood of our products 
gaining market acceptance.

We expect that private insurers will consider the efficacy, cost-effectiveness, safety and tolerability of our potential products in determining whether to 
approve reimbursement for such products and at what level. Obtaining these approvals can be a time consuming and expensive process. Our business, 
financial condition and results of operations would be materially adversely affected 

35

 
if we do not receive approval for reimbursement of our potential products from private insurers on a timely or satisfactory basis. Limitations on coverage 
could also be imposed at the local Medicare carrier level or by fiscal intermediaries. Medicare Part D, which provides a pharmacy benefit to Medicare 
patients as discussed below, does not require participating prescription drug plans to cover all drugs within a class of products. Our business, financial 
condition and results of operations could be materially adversely affected if Part D prescription drug plans were to limit access to, or deny or limit 
reimbursement of, our drug candidates or other potential products.

Reimbursement systems in international markets vary significantly by country and by region, and reimbursement approvals must be obtained on a country-
by-country basis. In many countries, the product cannot be commercially launched until reimbursement is approved. In some foreign markets, prescription 
pharmaceutical pricing remains subject to continuing governmental control even after initial approval is granted. The negotiation process in some countries 
can exceed 12 months. To obtain reimbursement or pricing approval in some countries, we may be required to conduct a clinical trial that compares the 
cost-effectiveness of our products to other available therapies. If the prices for our potential products are reduced or if governmental and other third-party 
payors do not provide adequate coverage and reimbursement of our drugs, our future revenue, cash flows and prospects for profitability will suffer.

Current and future legislation may increase the difficulty and cost of commercializing our drug candidates and may affect the prices we may 
obtain if our drug candidates are approved for commercialization.

In the U.S. and some foreign jurisdictions, there have been a number of adopted and proposed legislative and regulatory changes regarding the healthcare 
system that could prevent or delay regulatory approval of our drug candidates, restrict or regulate post-marketing activities and affect our ability to 
profitably sell any of our drug candidates for which we obtain regulatory approval.

In the U.S., the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, or the MMA, changed the way Medicare covers and pays for 
pharmaceutical products. Cost reduction initiatives and other provisions of this legislation could limit the coverage and reimbursement rate that we receive 
for any of our approved products. While the MMA only applies to drug benefits for Medicare beneficiaries, private payors often follow Medicare coverage 
policy and payment limitations in setting their own reimbursement rates. Therefore, any reduction in reimbursement that results from the MMA may result 
in a similar reduction in payments from private payors.

In March 2010, the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, collectively the 
PPACA, was enacted. The PPACA was intended to broaden access to health insurance, reduce or constrain the growth of healthcare spending, enhance 
remedies against healthcare fraud and abuse, add new transparency requirements for healthcare and health insurance industries, impose new taxes and fees 
on the health industry and impose additional health policy reforms. The PPACA increased manufacturers’ rebate liability under the Medicaid Drug Rebate 
Program by increasing the minimum rebate amount for both branded and generic drugs and revised the definition of “average manufacturer price,” or AMP, 
which may also increase the amount of Medicaid drug rebates manufacturers are required to pay to states. The legislation also expanded Medicaid drug 
rebates and created an alternative rebate formula for certain new formulations of certain existing products that is intended to increase the rebates due on 
those drugs. The Centers for Medicare & Medicaid Services, or CMS, which administers the Medicaid Drug Rebate Program, also has proposed to expand 
Medicaid rebates to the utilization that occurs in the territories of the U.S., such as Puerto Rico and the Virgin Islands. Further, beginning in 2011, the 
PPACA imposed a significant annual fee on companies that manufacture or import branded prescription drug products and required manufacturers to 
provide a discount, equal to 70% off, effective as of 2019, the negotiated price of prescriptions filled by beneficiaries in the Medicare Part D coverage gap, 
referred to as the “donut hole.” Legislative and regulatory proposals have been introduced at both the state and federal level to expand post-approval 
requirements and restrict sales and promotional activities for pharmaceutical products.

Moreover, payment methodologies may be subject to changes in healthcare legislation and regulatory initiatives. For example, CMS may develop new 
payment and delivery models, such as bundled payment models. In addition, recently there has been heightened governmental scrutiny over the manner in 
which manufacturers set prices for their marketed products, which has resulted in several U.S. Congressional inquiries and proposed and enacted federal 
and state legislation designed to, among other things, bring more transparency to drug pricing, reduce the cost of prescription drugs under government 
payor programs, and review the relationship between pricing and manufacturer patient programs. We also expect that additional U.S. federal healthcare 
reform measures will be adopted in the future, any of which could limit the amounts that the U.S. federal government will pay for healthcare products and 
services, which could result in reduced demand for our drug candidates, if approved for commercialization.

In Europe, the United Kingdom withdrew from the European Union on January 31, 2020, and entered into a transition period that expired on December 31, 
2020. A significant portion of the previous regulatory framework in the United Kingdom was derived from the regulations of the European Union. In 2021, 
the United Kingdom’s Medicines and Healthcare products Regulatory Agency, or MHRA, and the European Medicines Agency, or EMA, released 
guidance explaining the new regulatory framework. We cannot predict the consequences or impact that the new regulatory framework will have on our 
future operations, if any, in these jurisdictions.

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In addition, on August 16, 2022, President Biden signed into law the Inflation Reduction Act of 2022, which, among other things, includes policies that are 
designed to have a direct impact on drug prices and reduce drug spending by the federal government, which shall take effect in 2023. Under the Inflation 
Reduction Act, Congress authorized Medicare beginning in 2026 to negotiate lower prices for certain costly single-source drug and biologic products that 
do not have competing generics or biosimilars. This provision is limited in terms of the number of pharmaceuticals whose prices can be negotiated in any 
given year and it only applies to drug products that have been approved for at least 9 years and biologics that have been licensed for 13 years. Drugs and 
biologics that have been approved for a single rare disease or condition are categorically excluded from price negotiation. Further, the new legislation 
provides that if pharmaceutical companies raise prices in Medicare faster than the rate of inflation, they must pay rebates back to the government for the 
difference. The new law also caps Medicare out-of-pocket drug costs at an estimated $4,000 a year in 2024 and, thereafter beginning in 2025, at $2,000 a 
year.

Changes in government funding for the FDA and other government agencies could hinder their ability to hire and retain key leadership and other 
personnel, properly administer drug innovation, or prevent our product candidates from being developed or commercialized, which could 
negatively impact our business, financial condition and results of operations.

The ability of the FDA to review and approve new products can be affected by a variety of factors, including budget and funding levels, ability to hire and 
retain key personnel, and statutory, regulatory and policy changes. In addition, there may be delays in necessary interactions with regulators, ethics 
committees and other important agencies and contractors due to limitations in employee resources or forced furlough of government or contractor 
personnel. Average review times at the agency have fluctuated in recent years as a result. In addition, government funding of other agencies that fund 
research and development activities is subject to the political process, which is inherently fluid and unpredictable.

In December 2016, the 21st Century Cures Act was signed into law. This legislation is designed to advance medical innovation and empower the FDA with 
the authority to directly hire positions related to drug and device development and review. However, government proposals to reduce or eliminate 
budgetary deficits may include reduced allocations to the FDA and other related government agencies. These budgetary pressures may result in a reduced 
ability by the FDA to perform its roles, including the related impact to academic institutions and research laboratories whose funding is fully or partially 
dependent on both the level and timing of funding from government sources.

Disruptions at the FDA and other agencies may also slow the time necessary for our product candidates to be reviewed or approved by necessary 
government agencies, which could adversely affect our business, financial condition and results of operations.

We are subject to “fraud and abuse” and similar laws and regulations, and a failure to comply with such regulations or prevail in any litigation 
related to noncompliance could harm our business, financial condition and results of operations.

In the U.S., we are subject to various federal and state healthcare “fraud and abuse” laws, including anti-kickback laws, false claims laws and other laws 
intended, among other things, to reduce fraud and abuse in federal and state healthcare programs. The federal Anti-Kickback Statute makes it illegal for any 
person, including a prescription drug manufacturer, or a party acting on its behalf, to knowingly and willfully solicit, receive, offer or pay any remuneration 
that is intended to induce the referral of business, including the purchase, order or prescription of a particular drug, or other good or service for which 
payment in whole or in part may be made under a federal healthcare program, such as Medicare or Medicaid. Although we seek to structure our business 
arrangements in compliance with all applicable requirements, these laws are broadly written, and it is often difficult to determine precisely how the law will 
be applied in specific circumstances. Accordingly, it is possible that our practices may be challenged under the federal Anti-Kickback Statute.

The federal False Claims Act prohibits anyone from, among other things, knowingly presenting or causing to be presented for payment to the government, 
including the federal healthcare programs, claims for reimbursed drugs or services that are false or fraudulent, claims for items or services that were not 
provided as claimed, or claims for medically unnecessary items or services. Under the Health Insurance Portability and Accountability Act of 1996, we are 
prohibited from knowingly and willfully executing a scheme to defraud any healthcare benefit program, including private payors, or knowingly and 
willfully falsifying, concealing or covering up a material fact or making any materially false, fictitious or fraudulent statement in connection with the 
delivery of or payment for healthcare benefits, items or services to obtain money or property of any healthcare benefit program. Violations of fraud and 
abuse laws may be punishable by criminal or civil sanctions, including penalties, fines or exclusion or suspension from federal and state healthcare 
programs such as Medicare and Medicaid and debarment from contracting with the U.S. government. In addition, private individuals have the ability to 
bring actions on behalf of the government under the federal False Claims Act as well as under the false claims laws of several states.

Many states have adopted laws similar to the federal Anti-Kickback Statute, some of which apply to the referral of patients for healthcare services 
reimbursed by any source, not just governmental payors. In addition, some states have passed laws that require 

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pharmaceutical companies to comply with the April 2003 Office of Inspector General Compliance Program Guidance for Pharmaceutical Manufacturers or 
the Pharmaceutical Research and Manufacturers of America’s Code on Interactions with Healthcare Professionals. Several states also impose other 
marketing restrictions or require pharmaceutical companies to make marketing or price disclosures to the state. There are ambiguities as to what is required 
to comply with these state requirements and if we fail to comply with an applicable state law requirement we could be subject to penalties.

Neither the government nor the courts have provided definitive guidance on the application of fraud and abuse laws to our business. Law enforcement 
authorities are increasingly focused on enforcing these laws, and it is possible that some of our practices may be challenged under these laws. Efforts to 
ensure that our business arrangements with third parties will comply with applicable healthcare laws and regulations will involve substantial costs. If we 
are found in violation of one of these laws, we could be subject to significant civil, criminal and administrative penalties, damages, fines, exclusion from 
governmental funded federal or state healthcare programs and the curtailment or restructuring of our operations. If this occurs, our business, financial 
condition and results of operations may be materially adversely affected.

If we face allegations of noncompliance with the law and encounter sanctions, our reputation, revenues and liquidity may suffer, and any of our 
drug candidates that are ultimately approved for commercialization could be subject to restrictions or withdrawal from the market.

Any government investigation of alleged violations of law could require us to expend significant time and resources in response, and could generate 
negative publicity. Any failure to comply with ongoing regulatory requirements may significantly and adversely affect our ability to generate revenues from
any of our drug candidates that are ultimately approved for commercialization. If regulatory sanctions are applied or if regulatory approval is withdrawn, 
our business, financial condition and results of operations will be adversely affected. Additionally, if we are unable to generate revenues from product sales, 
our potential for achieving profitability will be diminished and our need to raise capital to fund our operations will increase.

Compliance with global privacy and data security requirements could result in additional costs and liabilities to us or inhibit our ability to collect 
and process data globally, and the failure to comply with such requirements could subject us to significant fines and penalties, which may have a 
material adverse effect on our business, financial condition or results of operations.

The regulatory framework for the collection, use, safeguarding, sharing, transfer and other processing of information worldwide is rapidly evolving and is 
likely to remain uncertain for the foreseeable future. Globally, virtually every jurisdiction in which we operate has established its own data security and 
privacy frameworks with which we must comply. For example, the collection, use, disclosure, transfer, or other processing of personal data regarding 
individuals in the European Union, the EU, including personal health data, is subject to the EU General Data Protection Regulation, or the GDPR, which 
took effect across all member states of the European Economic Area, or the EEA, in May 2018. The GDPR is wide-ranging in scope and imposes 
numerous requirements on companies that process personal data, including requirements relating to processing health and other sensitive data, obtaining 
consent of the individuals to whom the personal data relates, providing information to individuals regarding data processing activities, implementing 
safeguards to protect the security and confidentiality of personal data, providing notification of data breaches, and taking certain measures when engaging 
third-party processors. In addition, the GDPR also imposes strict rules on the transfer of personal data to countries outside the EU, which includes the 
United States and, as a result, increases the scrutiny that clinical trial sites located in the EEA should apply to transfers of personal data from such sites to 
countries that are considered to lack an adequate level of data protection, such as the United States. The GDPR also permits data protection authorities to 
require destruction of improperly gathered or used personal information and/or impose substantial fines for violations of the GDPR, which can be up to 4% 
of global revenues or €20 million, whichever is greater, and it also confers a private right of action on data subjects and consumer associations to lodge 
complaints with supervisory authorities, seek judicial remedies, and obtain compensation for damages resulting from violations of the GDPR. In addition, 
the GDPR provides that EU member states may make their own additional laws and regulations limiting the processing of personal data, including genetic, 
biometric or health data.

Similar actions are either in place or under way in the United States. There are a broad variety of data protection laws that are applicable to our activities, 
and a wide range of enforcement agencies at both the state and federal levels that can review companies for privacy and data security concerns based on 
general consumer protection laws. The Federal Trade Commission and state Attorneys General all are aggressive in reviewing privacy and data security 
protections for consumers. New laws also are being considered at both the state and federal levels and several states have passed comprehensive privacy 
laws. For example, the California Consumer Privacy Act, or the CCPA, which went into effect on January 1, 2020, is creating similar risks and obligations 
as those created by the GDPR, though the CCPA does exempt certain clinical trial data. The California Privacy Rights Act, or the CPRA, which went into 
effect on January 1, 2023, amended and expanded the CCPA, and also created a new state agency that is vested with authority to implement and enforce the 
CCPA and the CRPA. The CCPA and the CRPA may increase our compliance costs and potential liability, and we cannot yet predict the impact of the 
CCPA or the CRPA on our business. Similar laws passed in Virginia, Colorado, Connecticut, and Utah took effect in 2023. Additionally, Delaware, Indiana, 
Iowa, Montana, Oregon, Tennessee and Texas have 

38

 
adopted privacy laws, which take effect from July 1, 2024 through 2026. Further, Washington’s My Health My Data Act, taking effect July 1, 2024, 
imposes similar requirements specific to consumer health data. Additionally, a broad range of legislative measures also have been introduced at the federal 
level. Accordingly, failure to comply with federal and state laws (both those currently in effect and future legislation) regarding privacy and security of 
personal information could expose us to fines and penalties under such laws. There also is the threat of consumer class actions related to these laws and the 
overall protection of personal data.

Given the breadth and depth of changes in data protection obligations, preparing for and complying with these requirements is rigorous and time intensive 
and requires significant resources and a review of our technologies, systems and practices, as well as those of any third-party collaborators, service 
providers, CROs, contractors or consultants that process or transfer personal data collected in the EU. The GDPR and other changes in laws or regulations 
associated with the enhanced protection of certain types of sensitive data, such as healthcare data or other personal information from our clinical trials, 
could require us to change our business practices and put in place additional compliance mechanisms, may interrupt or delay our development, regulatory 
and commercialization activities and increase our cost of doing business, and could lead to government enforcement actions, private litigation and 
significant fines and penalties against us and could have a material adverse effect on our business, financial condition or results of operations. Similarly, 
failure to comply with federal and state laws regarding privacy and security of personal information could expose us to fines and penalties under such laws. 
Even if we are not determined to have violated these laws, government investigations into these issues typically require the expenditure of significant 
resources and generate negative publicity, which could harm our reputation and our business.

We are subject to certain U.S. and foreign anti-corruption, anti-money laundering, export control, sanctions, and other trade laws and regulations. 
If we fail to comply with these laws, we could be subject to civil or criminal liabilities, other remedial measures and legal expenses, be precluded 
from developing, manufacturing and selling certain products outside the United States or be required to develop and implement costly compliance 
programs, which could adversely affect our business, results of operations and financial condition.

Our operations are subject to anti-corruption laws, including the U.S. Foreign Corrupt Practices Act, or the FCPA, the U.K. Bribery Act 2010, or the 
Bribery Act, and other anti-corruption laws that apply in countries where we do business and may do business in the future. The FCPA, the Bribery Act and 
these other laws generally prohibit us, our officers, and our employees and intermediaries from bribing, being bribed or making other prohibited payments 
to government officials or other persons to obtain or retain business or gain some other business advantage. Compliance with the FCPA, in particular, is 
expensive and difficult, particularly in countries in which corruption is a recognized problem. In addition, the FCPA presents particular challenges in the 
pharmaceutical industry, because, in many countries, hospitals are operated by the government, and doctors and other hospital employees are considered 
foreign officials. Certain payments to hospitals in connection with clinical trials and other work have been deemed to be improper payments to government 
officials and have led to FCPA enforcement actions.

We may in the future operate in jurisdictions that pose a high risk of potential FCPA or Bribery Act violations, and we may participate in collaborations and 
relationships with third parties whose actions could potentially subject us to liability under the FCPA, the Bribery Act or local anti-corruption laws. In 
addition, we cannot predict the nature, scope or effect of future regulatory requirements to which our international operations might be subject or the 
manner in which existing laws might be administered or interpreted. If we expand our operations outside of the United States, we will need to dedicate 
additional resources to comply with numerous laws and regulations in each jurisdiction in which we plan to operate.

We are also subject to other laws and regulations governing our international operations, including regulations administered by the governments of the 
United States, the United Kingdom and authorities in the EU, including applicable export control regulations, economic sanctions on countries and persons, 
customs requirements and currency exchange regulations, collectively referred to as Trade Control Laws. In addition, various laws, regulations and 
executive orders also restrict the use and dissemination outside of the United States, or the sharing with certain non-U.S. nationals, of information classified 
for national security purposes, as well as certain products and technical data relating to those products. If we expand our presence outside of the United 
States, we will be required to dedicate additional resources to comply with these laws, and these laws may preclude us from developing, manufacturing, or 
selling certain products and product candidates outside of the United States, which could limit our growth potential and increase our development costs.

There is no assurance that we will be completely effective in ensuring our compliance with all applicable anti-corruption laws, including the FCPA, the 
Bribery Act or other legal requirements, including Trade Control Laws. If we are not in compliance with the FCPA, the Bribery Act and other anti-
corruption laws or Trade Control Laws, we may be subject to criminal and civil penalties, disgorgement and other sanctions and remedial measures, and 
legal expenses, which could have an adverse impact on our business, financial condition, results of operations and liquidity. The SEC also may suspend or 
bar issuers from trading securities on U.S. exchanges for violations of the FCPA’s accounting provisions. Any investigation of any potential violations of 
the FCPA, the Bribery 

39

 
Act, other anti-corruption laws or Trade Control Laws by United States, United Kingdom or other authorities could also have an adverse impact on our 
reputation, our business, results of operations and financial condition.

Governments outside the United States tend to impose strict price controls, which may adversely affect our revenue, if any.

In some countries, particularly member states of the EU, the pricing of prescription pharmaceuticals is subject to governmental control. In these countries, 
pricing negotiations with governmental authorities can take considerable time after the receipt of marketing approval for a product. In addition, there can be 
considerable pressure by governments and other stakeholders on prices and reimbursement levels, including as part of cost containment measures. Political, 
economic and regulatory developments may further complicate pricing negotiations, and pricing negotiations may continue after reimbursement has been 
obtained. Reference pricing used by various EU member states and parallel distribution, or arbitrage between low-priced and high-priced member states, 
can further reduce prices. In some countries, we, or our future collaborators, may be required to conduct a clinical trial or other studies that compare the 
cost-effectiveness of our product candidates to other available therapies in order to obtain or maintain reimbursement or pricing approval. Publication of 
discounts by third-party payors or authorities may lead to further pressure on the prices or reimbursement levels within the country of publication and other 
countries. If reimbursement of any product candidate approved for marketing is unavailable or limited in scope or amount, or if pricing is set at 
unsatisfactory levels, our business could be materially harmed.

If we fail to retain current members of our senior management and scientific personnel, or to attract and keep additional key personnel, we may 
be unable to successfully develop or commercialize our drug candidates.

Our success depends on our continued ability to attract, retain and motivate highly qualified management and scientific personnel. As of December 31, 
2023, we had twenty-seven full-time employees and a small number of consultants, which may make us more reliant on our individual employees than 
companies with a greater number of employees. The loss of any of our key personnel could delay or prevent the development of our drug candidates. These 
personnel are “at-will” employees and may terminate their employment with us at any time; however, our current executive officer has agreed to provide us 
with at least 60 days’ advance notice of resignation pursuant to his employment agreement with us. The replacement of key personnel likely would involve 
significant time and costs, and may significantly delay or prevent the achievement of our business objectives. We do not maintain “key person” insurance 
on any of our employees.

From time to time, our management seeks the advice and guidance of certain scientific advisors and consultants regarding clinical and regulatory 
development programs and other customary matters. These scientific advisors and consultants are not our employees and may have commitments to, or 
consulting or advisory contracts with, other entities that may limit their availability to us. In addition, our scientific advisors may have arrangements with 
other companies to assist those companies in developing products or technologies that may compete with ours.

Competition for qualified personnel is intense, especially in the greater San Diego, California area where we have a substantial presence and need for 
highly skilled personnel. We may not be successful in attracting qualified personnel to fulfill our current or future needs. Competitors and others have in the 
past attempted, and are likely in the future to attempt, to recruit our employees. While our employees are required to sign standard agreements concerning 
confidentiality and ownership of inventions, we generally do not have employment contracts or non-competition agreements with any of our personnel. In 
addition, we may experience employee turnover as a result of the ongoing “great resignation” occurring throughout the U.S. economy, which has impacted 
job market dynamics. New hires require training and take time before they achieve full productivity. New employees may not become as productive as we 
expect, and we may be unable to hire or retain sufficient numbers of qualified individuals. The loss of the services of any of our key personnel, the inability 
to attract or retain highly qualified personnel in the future or delays in hiring such personnel, particularly senior management and other technical personnel, 
could materially and adversely affect our business, financial condition and results of operations.

We will need to increase the size of our organization and may not successfully manage our growth.

We are a clinical-stage biopharmaceutical company with a small number of employees, and our management systems currently in place are not likely to be 
adequate to support our future growth plans. Our ability to grow and to manage our growth effectively will require us to hire, train, retain, manage and 
motivate additional employees and to implement and improve our operational, financial and management systems. These demands also may require the 
hiring of additional senior management personnel or the development of additional expertise by our senior management personnel. Hiring a significant 
number of additional employees, particularly those at the management level, would increase our expenses significantly. Moreover, if we fail to expand and 
enhance our operational, financial and management systems in conjunction with our potential future growth, it could have a material adverse effect on our 
business, financial condition and results of operations.

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We are exposed to product liability, non-clinical and clinical liability risks which could place a substantial financial burden upon us, should 
lawsuits be filed against us.

Our business exposes us to potential product liability and other liability risks that are inherent in the testing, manufacturing and marketing of 
pharmaceutical formulations and products. In addition, the use in our clinical trials of pharmaceutical products and the subsequent sale of these products by 
us or our potential collaborators may cause us to bear a portion of or all product liability risks. A successful liability claim or series of claims brought 
against us could have a material adverse effect on our business, financial condition and results of operations.

We currently maintain product liability insurance; however, there can be no assurance that we will be able to continue to maintain such insurance, and we 
may be unable to obtain replacement product liability insurance on commercially reasonable terms or in adequate amounts. On occasion, large judgments 
have been awarded in class action lawsuits based on drugs that had unanticipated adverse effects. A successful product liability claim or series of claims 
brought against us could cause our stock price to decline and, if judgments exceed our insurance coverage, could adversely affect our results of operations 
and business.

Our research and development activities involve the use of hazardous materials, which subject us to regulation, related costs and delays and 
potential liabilities.

Our research and development activities involve the controlled use of hazardous materials, chemicals and various radioactive compounds, and we will need 
to develop additional safety procedures for the handling and disposing of hazardous materials. If an accident occurs, we could be held liable for resulting 
damages, which could be substantial. We are also subject to numerous environmental, health and workplace safety laws and regulations, including those 
governing laboratory procedures, exposure to blood-borne pathogens and the handling of biohazardous materials. Additional federal, state and local laws 
and regulations affecting our operations may be adopted in the future. We may incur substantial costs to comply with, and substantial fines or penalties if 
we violate any of these laws or regulations.

We rely significantly on information technology and any failure, inadequacy, interruption or security lapse of that technology, including any 
cybersecurity incidents, could harm our ability to operate our business effectively.

Despite the implementation of security measures, our internal computer systems and those of third parties with which we contract, including our CROs and 
other business partners, are vulnerable to damage from cyber-attacks, computer viruses, unauthorized access, natural disasters, terrorism, war and 
telecommunication and electrical failures. System failures, accidents or security breaches could cause interruptions in our operations or the operations of 
our CROs and other business partners, and could result in a material disruption of our drug development and clinical activities and business operations, in 
addition to possibly requiring substantial expenditures of resources to remedy. The loss of drug development or clinical trial data could result in delays in 
our regulatory approval efforts and significantly increase our costs to recover or reproduce the data. To the extent that any disruption or security breach 
were to result in a loss of, or damage to, our data or applications, or inappropriate disclosure of confidential or proprietary information, we could incur 
liability and our development programs and the development of our drug candidates could be delayed.

Our employees and consultants may engage in misconduct or other improper activities, including noncompliance with regulatory standards and 
requirements.

We are exposed to the risk of employee or consultant fraud or other misconduct. Misconduct by our employees or consultants could include intentional 
failures to comply with FDA regulations, provide accurate information to the FDA, comply with manufacturing standards, comply with federal and state 
healthcare fraud and abuse laws and regulations, report financial information or data accurately or disclose unauthorized activities to us. In particular, sales, 
marketing and business arrangements in the healthcare industry are subject to extensive laws and regulations intended to prevent fraud, kickbacks, self-
dealing and other abusive practices. These laws and regulations may restrict or prohibit a wide range of pricing, discounting, marketing and promotion, 
sales commissions, customer incentive programs and other business arrangements. Employee and consultant misconduct also could involve the improper 
use of information obtained in the course of clinical trials, which could result in regulatory sanctions and serious harm to our reputation. It is not always 
possible to identify and deter such misconduct, and the precautions we take to detect and prevent this activity may not be effective in controlling unknown 
or unmanaged risks or losses or in protecting us from governmental investigations or other actions or lawsuits stemming from a failure to be in compliance 
with such laws or regulations. If any such actions are instituted against us, and we are not successful in defending ourselves or asserting our rights, those 
actions could have a material adverse effect on our business, financial condition and results of operations, and result in the imposition of significant fines or 
other sanctions against us.

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Business disruptions such as natural disasters could seriously harm our future revenues and financial condition and increase our costs and 
expenses.

Our corporate headquarters are located in greater San Diego, California, a region known for seismic activity. In addition, one of our third-party 
manufacturers is located in the southeastern part of the United States, an area subject to hurricanes and related natural disasters. Our suppliers may also 
experience a disruption in their business as a result of natural or man-made disasters. A significant natural or man-made disaster, such as an earthquake, 
prolonged or repeated power outage, hurricane, flood, fire, drought or other extreme weather events and changing weather patterns, which are increasing in 
frequency due to the impacts of climate change, could severely damage or destroy our headquarters or facilities or the facilities of our manufacturers or 
suppliers, which could have a material and adverse effect on our business, financial condition and results of operations. In addition, terrorist acts or acts of 
war targeted at the U.S., and specifically the greater San Diego, California region, as well as the ongoing conflict between Ukraine and Russia and the 
global impact of restrictions and sanctions imposed on Russia and the Israel-Hamas war, could cause damage or disruption to us, our employees, facilities, 
partners and suppliers, which could have a material adverse effect on our business, financial condition and results of operations.

We may engage in strategic transactions that could impact our liquidity, increase our expenses and present significant distractions to our 
management.

From time to time, we may consider strategic transactions, such as acquisitions of companies, asset purchases and out-licensing or in-licensing of products, 
drug candidates or technologies. Additional potential transactions that we may consider include a variety of different business arrangements, including 
spin-offs, strategic partnerships, joint ventures, restructurings, divestitures, business combinations and investments. Any such transaction may require us to 
incur non-recurring or other charges, may increase our near- and long-term expenditures and may pose significant integration challenges or disrupt our 
management or business, which could adversely affect our business, financial condition and results of operations. For example, these transactions may 
entail numerous operational and financial risks, including:

•

•

•

•

•

•

•

•

•

exposure to unknown liabilities;

disruption of our business and diversion of our management’s time and attention in order to develop acquired products, drug candidates or 
technologies;

incurrence of substantial debt or dilutive issuances of equity securities to pay for any of these transactions;

higher-than-expected transaction and integration costs;

write-downs of assets or goodwill or impairment charges;

increased amortization expenses;

difficulty and cost in combining the operations and personnel of any acquired businesses or product lines with our operations and personnel;

impairment of relationships with key suppliers or customers of any acquired businesses or product lines due to changes in management and 
ownership; and

inability to retain key employees of any acquired businesses.

Accordingly, although there can be no assurance that we will undertake or successfully complete any transactions of the nature described above, any 
transactions that we do complete may be subject to the foregoing or other risks, and could have a material adverse effect on our business, financial 
condition and results of operations.

Our employment agreements with our officers and certain other employees may require us to pay severance benefits to any of those persons who 
are terminated in connection with a change in control of our company, which could harm our financial condition or results.

Our officers and certain employees are parties to employment agreements that contain change in control and severance provisions in the event of a 
termination of employment in connection with a change in control of our company providing for cash payments for severance and other benefits and 
acceleration of vesting of stock options and shares of restricted stock. The accelerated vesting of 

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options and shares of restricted stock could result in dilution to our existing stockholders and lower the market price of our common stock. The payment of 
these severance benefits could harm our financial condition and results. In addition, these potential severance payments may discourage or prevent third 
parties from seeking a business combination with us.

Investors’ expectations of our performance relating to environmental, social and governance factors may impose additional costs and expose us to 
new risks.

There is an increasing focus from certain investors, employees, regulators and other stakeholders concerning corporate responsibility, specifically related to 
environmental, social and governance, or ESG, factors. Some investors and investor advocacy groups may use these factors to guide investment strategies 
and, in some cases, investors may choose not to invest in our company if they believe our policies relating to corporate responsibility are inadequate. Third-
party providers of corporate responsibility ratings and reports on companies have increased to meet growing investor demand for measurement of corporate 
responsibility performance, and a variety of organizations currently measure the performance of companies on such ESG topics, and the results of these 
assessments are widely publicized. Investors, particularly institutional investors, use these ratings to benchmark companies against their peers and if we are 
perceived as lagging with respect to ESG initiatives, certain investors may engage with us to improve ESG disclosures or performance and may also make 
voting decisions, or take other actions, to hold us and our board of directors accountable. In addition, the criteria by which our corporate responsibility 
practices are assessed may change, which could result in greater expectations of us and cause us to undertake costly initiatives to satisfy such new criteria. 
If we elect not to or are unable to satisfy such new criteria, investors may conclude that our policies with respect to corporate responsibility are inadequate.

We may face reputational damage in the event our corporate responsibility initiatives or objectives do not meet the standards set by our investors, 
stockholders, lawmakers, listing exchanges or other constituencies, or if we are unable to achieve an acceptable ESG or sustainability rating from third-
party rating services. A low ESG or sustainability rating by a third-party rating service could also result in the exclusion of our common stock from 
consideration by certain investors who may elect to invest with our competition instead. Ongoing focus on corporate responsibility matters by investors and 
other parties as described above may impose additional costs or expose us to new risks. Any failure or perceived failure by us in this regard could have a 
material adverse effect on our reputation and on our business, share price, financial condition, or results of operations, including the sustainability of our 
business over time.

In addition, the SEC has announced proposed rules that, among other matters, will establish a framework for reporting of climate-related risks. To the 
extent the proposed rules impose additional reporting obligations, we could face increased costs. Separately, the SEC has also announced that it is 
scrutinizing existing climate-change related disclosures in public filings, increasing the potential for enforcement if the SEC were to allege our existing 
climate disclosures are misleading or deficient.

The impact of the Russian invasion of Ukraine and the Israel-Hamas war on the global economy, energy supplies and raw materials is uncertain, 
but may prove to negatively impact our business and operations.

The short and long-term implications of Russia’s invasion of Ukraine and the Israel-Hamas war are difficult to predict at this time. We continue to monitor 
any adverse impact that the outbreak of war in Ukraine, the subsequent institution of sanctions against Russia by the United States and several European 
and Asian countries, and the Israel-Hamas war may have on the global economy in general, on our business and operations and on the businesses and 
operations of our suppliers and other third parties with which we conduct business. For example, a prolonged conflict in Ukraine or Israel may result in 
increased inflation, escalating energy prices and constrained availability, and thus increasing costs, of raw materials. We will continue to monitor this fluid 
situation and develop contingency plans as necessary to address any disruptions to our business operations as they develop. To the extent the wars in 
Ukraine or Israel may adversely affect our business as discussed above, it may also have the effect of heightening many of the other risks described herein. 
Such risks include, but are not limited to, adverse effects on macroeconomic conditions, including inflation; disruptions to our global technology 
infrastructure, including through cyberattack, ransom attack, or cyber-intrusion; adverse changes in international trade policies and relations; disruptions in 
global supply chains; and constraints, volatility, or disruption in the capital markets, any of which could negatively affect our business and financial 
condition.

Unstable market and economic conditions may have serious adverse consequences on our business and financial condition.

Our business, financial condition and results of operations could be adversely affected by general conditions in the global economy and in the global 
financial markets. A severe or prolonged economic downturn could result in a variety of risks to our business, including our ability to raise additional 
capital when needed on acceptable terms, if at all. A weak or declining economy could also strain our suppliers, service providers, manufacturers or other 
partners and there is a risk that one or more would not survive or be able to meet their commitments to us under such circumstances. As widely reported, 
global credit and financial markets have experienced volatility and disruptions in the past several years and especially in 2020, 2021 and 2022 due to the 
impacts of the COVID-19 pandemic, and, more recently, the ongoing conflict between Ukraine and Russia and the global impact of restrictions and 
sanctions imposed on Russia, including severely diminished liquidity and credit availability, declines in consumer confidence, declines in 

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economic growth, increases in unemployment rates and uncertainty about economic stability. Moreover, the global impacts of the Israel-Hamas war are still 
unknown. There can be no assurances that further deterioration in credit and financial markets and confidence in economic conditions will not occur. For 
example, U.S. debt ceiling and budget deficit concerns have increased the possibility of additional credit-rating downgrades and economic slowdowns, or a 
recession in the United States. Although U.S. lawmakers passed legislation to raise the federal debt ceiling on multiple occasions, including a suspension of 
the federal debt ceiling in June 2023, ratings agencies have lowered or threatened to lower the long-term sovereign credit rating on the United States. The 
impact of this or any further downgrades to the U.S. government’s sovereign credit rating or its perceived creditworthiness could adversely affect the U.S. 
and global financial markets and economic conditions. Absent further quantitative easing by the Federal Reserve, these developments could cause interest 
rates and borrowing costs to rise, which may negatively impact our results of operations or financial condition. Moreover, disagreement over the federal 
budget has caused the U.S. federal government to shut down for periods of time. Any of the foregoing could harm our business and we cannot anticipate all 
of the ways in which the current economic climate and financial market conditions could adversely impact our business.

Risks Relating to Our Intellectual Property

We may not be successful in obtaining or maintaining necessary rights to our drug candidates through acquisitions and in-licenses.

We currently have intellectual property rights to develop our drug candidates through a license from Ligand. As of December 31, 2023, we owned or co-
owned 92 patent applications and 23 patents. Because our programs require the use of proprietary rights held by Ligand, the growth of our business will 
likely depend in part on our ability to maintain and exploit these proprietary rights. In addition, we may need to acquire or in-license additional intellectual 
property in the future. We may be unable to acquire or in-license any compositions, methods of use, processes or other intellectual property rights from 
third parties that we identify as necessary for our drug candidates. We face competition with regard to acquiring and in-licensing third-party intellectual 
property rights, including from a number of more established companies. These established companies may have a competitive advantage over us due to 
their size, cash resources and greater clinical development and commercialization capabilities. In addition, companies that perceive us to be a competitor 
may be unwilling to assign or license intellectual property rights to us. We also may be unable to acquire or in-license third-party intellectual property 
rights on terms that would allow us to make an appropriate return on our investment.

We may enter into collaboration agreements with U.S. and foreign academic institutions to accelerate development of our current or future preclinical drug 
candidates. Typically, these agreements include an option for us to negotiate a license to the institution’s intellectual property rights resulting from the 
collaboration. Even with such an option, we may be unable to negotiate a license within the specified timeframe or under terms that are acceptable to us. If 
we are unable to license rights from a collaborating institution, the institution may offer the intellectual property rights to other parties, potentially blocking 
our ability to pursue our desired program.

If we are unable to successfully obtain required third-party intellectual property rights or maintain our existing intellectual property rights, including if our 
patent applications do not result in the issuance of patents, we may need to abandon development of the related program and our business, financial 
condition and results of operations could be materially and adversely affected.

If we fail to comply with our obligations in the agreements under which we in-license intellectual property and other rights from third parties or 
otherwise experience disruptions to our business relationships with our licensors, we could lose intellectual property rights that are important to 
our business.

The Master License Agreement is important to our business and we expect to enter into additional license agreements in the future. The Master License 
Agreement imposes, and we expect that future license agreements will impose, various diligence, milestone payment, royalty and other obligations on us. If 
we fail to comply with our obligations under these agreements, or if we file for bankruptcy, we may be required to make certain payments to the licensor, 
we may lose the exclusivity of our license, or the licensor may have the right to terminate the license, in which event we would not be able to develop or 
market products covered by the license. Additionally, the milestone and other payments associated with these licenses could materially and adversely affect 
our business, financial condition and results of operations.

Pursuant to the terms of the Master License Agreement, Ligand may terminate the Master License Agreement under certain circumstances, including, but 
not limited to: (1) in the event of our insolvency or bankruptcy, (2) if we do not pay an undisputed amount owing under the Master License Agreement 
when due and fail to cure such default within a specified period of time, or (3) if we default on certain of our material obligations and fail to cure the 
default within a specified period of time. If the Master License Agreement is terminated in its entirety or with respect to a specific licensed program for any 
reason, among other consequences, all licenses granted to us under the Master License Agreement (or with respect to the specific licensed program) will 
terminate and we may be requested to assign and transfer to Ligand certain regulatory documentation and regulatory approvals related to the licensed 
programs (or those related to the specific licensed program), and we may be required to wind down any ongoing clinical trials with 

44

 
respect to the licensed programs (or those related to the specific licensed program). Additionally, Ligand may require us to assign to Ligand the trademarks 
owned by us relating to the licensed programs (or those related to the specific licensed program), and we would be obligated to grant to Ligand a license 
under any patent rights and know-how controlled by us to the extent necessary to make, have made, import, use, offer to sell and sell the licensed programs 
(or those related to the specific licensed program) anywhere in the world at a royalty rate in the low single digits.

In some cases, patent prosecution of our licensed technology may be controlled solely by the licensor. If our licensor fails to obtain and maintain patent or 
other protection for the proprietary intellectual property we in-license, then we could lose our rights to the intellectual property or our exclusivity with 
respect to those rights, and our competitors could market competing products using the intellectual property. In certain cases, we may control the 
prosecution of patents resulting from licensed technology. In the event we breach any of our obligations related to such prosecution, we may incur 
significant liability to our licensing partners. Licensing of intellectual property is of critical importance to our business and involves complex legal, 
business and scientific issues. Disputes may arise regarding intellectual property subject to a licensing agreement, including, but not limited to:

•

•

•

•

•

•

the scope of rights granted under the license agreement and other interpretation-related issues;

the extent to which our technology and processes infringe on intellectual property of the licensor that is not subject to the licensing 
agreement;

the sublicensing of patent and other rights;

our diligence obligations under the license agreement and what activities satisfy those diligence obligations;

the ownership of inventions and know-how resulting from the joint creation or use of intellectual property by our licensors and us and our 
collaborators; and

the priority of invention of patented technology.

If disputes over intellectual property and other rights that we have in-licensed prevent or impair our ability to maintain our current licensing arrangements 
on acceptable terms, we may be unable to successfully develop and commercialize the affected drug candidates. If we fail to comply with any such 
obligations to our licensor, such licensor may terminate their licenses to us, in which case we would not be able to market products covered by these 
licenses. The loss of our license with Ligand, and potentially other licenses that we enter into in the future, would have a material adverse effect on our 
business.

We may be required to pay milestones and royalties to Ligand in connection with our use of the licensed technology under the Master License 
Agreement, which could adversely affect the overall profitability for us of any products that we may seek to commercialize.

Under the terms of the Master License Agreement, we may be obligated to pay Ligand up to an aggregate of approximately $1.54 billion in development, 
regulatory and sales milestones. We will also be required to pay Ligand single-digit royalties on future worldwide net product sales. These royalty 
payments could adversely affect the overall profitability for us of any products that we may seek to commercialize.

We may not be able to protect our proprietary or licensed technology in the marketplace.

We depend on our ability to protect our proprietary or licensed technology. We rely on trade secret, patent, copyright and trademark laws, and 
confidentiality, licensing and other agreements with employees and third parties, all of which offer only limited protection. Our success depends in large 
part on our ability, Ligand’s and any future licensor’s or licensee’s ability to obtain and maintain patent protection in the U.S. and other countries with 
respect to our proprietary or licensed technology and products. We currently in-license most of our intellectual property rights to develop our drug 
candidates and may in-license additional intellectual property rights in the future. Under the terms of the Master License Agreement, Ligand has the first 
right to file, prosecute and maintain the patents subject to the Master License Agreement in its name. We cannot be certain that patent enforcement 
activities by our current or future licensors have been or will be conducted in compliance with applicable laws and regulations or will result in valid and 
enforceable patents or other intellectual property rights. We also cannot be certain that our current or future licensors will allocate sufficient resources or 
prioritize their or our enforcement of such patents. Even if we are not a party to these legal actions, an adverse outcome could prevent us from continuing to 
license intellectual property that we may need to operate our business, which would have a material adverse effect on our business, financial condition and 
results of operations.

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We believe we will be able to obtain, through prosecution of patent applications covering technology licensed from others, adequate patent protection for 
our proprietary drug technology, including those related to our in-licensed intellectual property. If we are compelled to spend significant time and money 
protecting or enforcing our licensed patents and future patents we may own, designing around patents held by others or licensing or acquiring, potentially 
for large fees, patents or other proprietary rights held by others, our business, financial condition and results of operations may be materially and adversely 
affected. If we are unable to effectively protect the intellectual property that we own or in-license, other companies may be able to offer the same or similar 
products for sale, which could materially adversely affect our business, financial condition and results of operations. The patents of others from whom we 
may license technology, and any future patents we may own, may be challenged, narrowed, invalidated or circumvented, which could limit our ability to 
stop competitors from marketing the same or similar products or limit the length of term of patent protection that we may have for our products.

Obtaining and maintaining patent protection depends on compliance with various procedural, document submission, fee payment and other 
requirements imposed by governmental patent agencies, and our patent protection for licensed patents, pending patent applications and potential 
future patent applications and patents could be reduced or eliminated for non-compliance with these requirements.

Periodic maintenance fees, renewal fees, annuity fees and various other governmental fees on patents and/or patent applications will be due to be paid to 
the U.S. Patent and Trademark Office, or the USPTO, and various governmental patent agencies outside of the U.S. in several stages over the lifetime of 
the applicable patent and/or patent application. The USPTO and various non-U.S. governmental patent agencies require compliance with a number of 
procedural, documentary, fee payment and other similar provisions during the patent application process. In many cases, an inadvertent lapse can be cured 
by payment of a late fee or by other means in accordance with the applicable rules. However, there are situations in which noncompliance can result in 
abandonment or lapse of the patent or patent application, resulting in partial or complete loss of patent rights in the relevant jurisdiction. If this occurs with 
respect to our in-licensed patents or patent applications we may file in the future, our competitors might be able to use our technologies, which would have 
a material adverse effect on our business, financial condition and results of operations.

The patent positions of pharmaceutical products are often complex and uncertain. The breadth of claims allowed in pharmaceutical patents in the U.S. and 
many jurisdictions outside of the U.S. is not consistent. For example, in many jurisdictions, the support standards for pharmaceutical patents are becoming 
increasingly strict. Some countries prohibit method of treatment claims in patents. Changes in either the patent laws or interpretations of patent laws in the 
U.S. and other countries may diminish the value of our licensed or owned intellectual property or create uncertainty. In addition, publication of information 
related to our current drug candidates and potential products may prevent us from obtaining or enforcing patents relating to these drug candidates and 
potential products, including without limitation composition-of-matter patents, which are generally believed to offer the strongest patent protection.

Our intellectual property includes licenses covering issued patents and pending patent applications for composition of matter, method of use and method of 
manufacture. As of December 31, 2023, for each of VK2809 and VK0214, we in-licensed three patents in the U.S. and additional patents in certain foreign 
jurisdictions, and owned or co-owned and in-licensed two U.S. patents, six U.S. patent applications, and additional patents and patent applications in 
certain foreign jurisdictions. We also in-licensed one additional U.S. patent and one Japanese patent directed to VK0214, and owned two additional U.S. 
patents, one PCT application, and several patent applications in the U.S. and certain foreign jurisdictions directed to VK2809 as of December 31, 2023. For 
VK5211, as of December 31, 2023, we in-licensed ten patents and one patent application in the U.S. and several other patents and patent applications in 
certain foreign jurisdictions. As of December 31, 2023, for our GLP-1 program, we own one U.S. patent, four PCT applications, and several patent 
applications in the U.S. and certain foreign jurisdictions. With respect to our other current drug candidates, we have a license covering several issued 
patents both in the U.S. and in certain foreign jurisdictions.

Patents that we currently license and patents that we may own or license in the future do not necessarily ensure the protection of our licensed or owned 
intellectual property for a number of reasons, including, without limitation, the following:

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the patents may not be broad or strong enough to prevent competition from other products that are identical or similar to our drug candidates;

there can be no assurance that the term of a patent can be extended under the provisions of patent term extension afforded by U.S. law or 
similar provisions in foreign countries, where available;

the issued patents and patents that we may obtain or license in the future may not prevent generic entry into the U.S. market for our drug 
candidates;

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we do not at this time license or own a granted European patent or national phase patents in any European jurisdictions that would prevent 
generic entry into the European market for one of our primary drug candidates, VK2809;

we, or third parties from who we in-license or may license patents, may be required to disclaim part of the term of one or more patents;

there may be prior art of which we are not aware that may affect the validity or enforceability of a patent claim;

there may be prior art of which we are aware, which we do not believe affects the validity or enforceability of a patent claim, but which, 
nonetheless, ultimately may be found to affect the validity or enforceability of a patent claim;

there may be other patents issued to others that will affect our freedom to operate;

if the patents are challenged, a court could determine that they are invalid or unenforceable;

there might be a significant change in the law that governs patentability, validity and infringement of our licensed patents or any future 
patents we may own that adversely affects the scope of our patent rights;

a court could determine that a competitor’s technology or product does not infringe our licensed patents or any future patents we may own; 
and

the patents could irretrievably lapse due to failure to pay fees or otherwise comply with regulations or could be subject to compulsory 
licensing.

If we encounter delays in our development or clinical trials, the period of time during which we could market our potential products under patent protection 
would be reduced.

Our competitors may be able to circumvent our licensed patents or future patents we may own by developing similar or alternative technologies or products 
in a non-infringing manner. Our competitors may seek to market generic versions of any approved products by submitting abbreviated new drug 
applications to the FDA in which our competitors claim that our licensed patents or any future patents we may own are invalid, unenforceable or not 
infringed. Alternatively, our competitors may seek approval to market their own products similar to or otherwise competitive with our products. In these 
circumstances, we may need to defend or assert our licensed patents or any future patents we may own, including by filing lawsuits alleging patent 
infringement. In any of these types of proceedings, a court or other agency with jurisdiction may find our licensed patents or any future patents we may 
own invalid or unenforceable. We may also fail to identify patentable aspects of our research and development before it is too late to obtain patent 
protection. Even if we own or in-license valid and enforceable patents, these patents still may not provide protection against competing products or 
processes sufficient to achieve our business objectives.

The issuance of a patent is not conclusive as to its inventorship, scope, ownership, priority, validity or enforceability. In this regard, third parties may 
challenge our licensed patents or any future patents we may own in the courts or patent offices in the U.S. and abroad. Such challenges may result in loss of 
exclusivity or freedom to operate or in patent claims being narrowed, invalidated or held unenforceable, in whole or in part, which could limit our ability to 
stop others from using or commercializing similar or identical technology and products, or limit the duration of the patent protection of our technology and 
potential products. In addition, given the amount of time required for the development, testing and regulatory review of new drug candidates, patents 
protecting such drug candidates might expire before or shortly after such drug candidates are commercialized.

We may infringe the intellectual property rights of others, which may prevent or delay our drug development efforts and prevent us from 
commercializing or increase the costs of commercializing our products.

Our commercial success depends significantly on our ability to operate without infringing the patents and other intellectual property rights of third parties. 
For example, there could be issued patents of which we are not aware that our current or potential future drug candidates infringe. There also could be 
patents that we believe we do not infringe, but that we may ultimately be found to infringe.

Moreover, patent applications are in some cases maintained in secrecy until patents are issued. The publication of discoveries in the scientific or patent 
literature frequently occurs substantially later than the date on which the underlying discoveries were made and patent applications were filed. Because 
patents can take many years to issue, there may be currently pending applications of which we are unaware that may later result in issued patents that our 
drug candidates or potential products infringe. For example, pending applications may exist that claim or can be amended to claim subject matter that our 
drug candidates or potential products infringe. 

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Competitors may file continuing patent applications claiming priority to already issued patents in the form of continuation, divisional, or continuation-in-
part applications, in order to maintain the pendency of a patent family and attempt to cover our drug candidates.

Third parties may assert that we are employing their proprietary technology without authorization and may sue us for patent or other intellectual property 
infringement. These lawsuits are costly and could adversely affect our business, financial condition and results of operations and divert the attention of 
managerial and scientific personnel. If we are sued for patent infringement, we would need to demonstrate that our drug candidates, potential products or 
methods either do not infringe the claims of the relevant patent or that the patent claims are invalid, and we may not be able to do this. Proving invalidity is 
difficult. For example, in the U.S., proving invalidity requires a showing of clear and convincing evidence to overcome the presumption of validity enjoyed 
by issued patents. Even if we are successful in these proceedings, we may incur substantial costs and the time and attention of our management and 
scientific personnel could be diverted in pursuing these proceedings, which could have a material adverse effect on us. In addition, we may not have 
sufficient resources to bring these actions to a successful conclusion. If a court holds that any third-party patents are valid, enforceable and cover our 
products or their use, the holders of any of these patents may be able to block our ability to commercialize our products unless we acquire or obtain a 
license under the applicable patents or until the patents expire.

We may not be able to enter into licensing arrangements or make other arrangements at a reasonable cost or on reasonable terms. Any inability to secure 
licenses or alternative technology could result in delays in the introduction of our products or lead to prohibition of the manufacture or sale of products by 
us. 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. We 
could be forced, including by court order, to cease commercializing the infringing technology or product. In addition, in any such proceeding or litigation, 
we could be found liable for monetary damages, including treble damages and attorneys’ fees, if we are found to have willfully infringed a patent. A 
finding of infringement could prevent us from commercializing our drug candidates or force us to cease some of our business operations, which could 
materially and adversely affect our business, financial condition and results of operations. Any claims by third parties that we have misappropriated their 
confidential information or trade secrets could have a similar material and adverse effect on our business, financial condition and results of operations. In 
addition, any uncertainties resulting from the initiation and continuation of any litigation could have a material adverse effect on our ability to raise the 
funds necessary to continue our operations.

Any claims or lawsuits relating to infringement of intellectual property rights brought by or against us will be costly and time consuming and may 
adversely affect our business, financial condition and results of operations.

We may be required to initiate litigation to enforce or defend our licensed and owned intellectual property. For example, we were previously aware of at 
least two third-party companies that were selling products in the U.S. bearing the name “LGD-4033,” which is the name previously used by Ligand to refer 
to VK5211, without authority from either us or Ligand, and we may experience other potential intellectual property infringement in the future. In addition, 
in December 2022, we filed suit against Ascletis Bioscience Co., Ltd., Gannex Pharma Co., Ltd., Ascletis Pharmaceuticals Co., Ltd., Ascletis Pharma Inc., 
and Jinzi Jason Wu, or the Ascletics Defendants, in the Southern District of California, San Diego division, alleging, among other things: (1) violation of 
the Defend Trade Secrets Act; (2) violation of the California Uniform Trade Secrets Act; (3) breach of contract; (4) breach of the implied covenant of good 
faith and fair dealing; and (5) tortious interference with contract. In a related action, we also filed suit against the same Ascletis Defendants in the 
International Trade Commission for unlawful and unfair methods of competition. Lawsuits to protect our intellectual property rights can be time consuming 
and costly. There is a substantial amount of litigation involving patent and other intellectual property rights in the biopharmaceutical industry generally. 
Such litigation or proceedings could increase our operating expenses and reduce the resources available for development activities or any future sales, 
marketing or distribution activities.

In any infringement litigation, any award of monetary damages we receive may not be commercially valuable. Furthermore, because of the substantial 
amount of discovery required in connection with intellectual property litigation, there is a risk that some of our confidential information could be 
compromised by disclosure during litigation. Moreover, there can be no assurance that we will have sufficient financial or other resources to file and pursue 
such infringement claims, which typically last for years before they are resolved. Further, any claims we assert against a perceived infringer could provoke 
these parties to assert counterclaims against us alleging that we have infringed their patents. Some of our competitors may be able to sustain the costs of 
such litigation or proceedings more effectively than we can because of their greater financial resources. Uncertainties resulting from the initiation and 
continuation of patent litigation or other proceedings could have a material adverse effect on our ability to compete in the marketplace.

In addition, our licensed patents and patent applications, and patents and patent applications that we may apply for, own or license in the future, could face 
other challenges, such as interference proceedings, opposition proceedings, re-examination proceedings and other forms of post-grant review. Any of these 
challenges, if successful, could result in the invalidation of, or in a narrowing of the scope of, any of our licensed patents and patent applications and 
patents and patent applications that we may apply for, own or license in the future. Any of these challenges, regardless of their success, would likely be 
time-consuming and expensive to defend and resolve and would divert our management and scientific personnel’s time and attention.

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In addition, there could be public announcements of the results of hearings, motions or other interim proceedings or developments, and if securities analysts 
or investors perceive these results to be negative, it could have a material adverse effect on the market price of our common stock.

Changes in U.S. patent law or the patent law of other countries or jurisdictions could diminish the value of patents in general, thereby impairing 
our ability to protect our products.

As is the case with other biopharmaceutical companies, our success is heavily dependent on intellectual property, particularly patents. Obtaining and 
enforcing patents in the biopharmaceutical industry involves both technological and legal complexity and is costly, time-consuming and inherently 
uncertain. For example, on September 16, 2011, the Leahy-Smith America Invents Act, or the Leahy-Smith Act, was signed into law. The Leahy-Smith Act 
included a number of significant changes to U.S. patent law, including provisions that affect the way patent applications will be prosecuted and that may 
also affect patent litigation. In particular, under the Leahy-Smith Act, the United States transitioned in March 2013 to a “first to file” system in which the 
first inventor to file a patent application is typically entitled to the patent. Third parties are allowed to submit prior art before the issuance of a patent by the 
USPTO, and may become involved in post-grant proceedings, including opposition, derivation, reexamination, inter partes review or interference 
proceedings challenging our patent rights or the patent rights of others. An adverse determination in any such submission, proceeding or litigation could 
reduce the scope or enforceability of, or invalidate, our patent rights, which could adversely affect our competitive position.

In addition, the U.S. Supreme Court has ruled on several patent cases in recent years, either narrowing the scope of patent protection available in certain 
circumstances or weakening the rights of patent owners in certain situations. In addition to increasing uncertainty with regard to our ability to obtain 
patents in the future, this combination of events has created uncertainty with respect to the value of patents, once obtained. Depending on decisions by the 
U.S. Congress, the federal courts and the USPTO, the laws and regulations governing patents could change in unpredictable ways that would weaken our 
ability to obtain new patents or to enforce patents that we might obtain in the future.

Similarly, changes in patent law and regulations in other countries or jurisdictions or changes in the governmental bodies that enforce them or changes in 
how the relevant governmental authority enforces patent laws or regulations may weaken our ability to obtain new patents or to enforce patents that we 
have licensed or that we may obtain in the future. For example, the complexity and uncertainty of European patent laws have also increased in recent years. 
In Europe, in June 2023, a new unitary patent system was introduced, which will significantly impact European patents, including those granted before the 
introduction of the system. Under the unitary patent system, after a European patent is granted, the patent proprietor can request unitary effect, thereby 
getting a European patent with unitary Effect, or a Unitary Patent. Each Unitary Patent is subject to the jurisdiction of the Unitary Patent Court, or the UPC. 
As the UPC is a new court system, there is no precedent for the court, increasing the uncertainty of any litigation. Patents granted before the 
implementation of the UPC will have the option of opting out of the jurisdiction of the UPC and remaining as national patents in the UPC countries. Patents 
that remain under the jurisdiction of the UPC may be potentially vulnerable to a single UPC-based revocation challenge that, if successful, could invalidate 
the patent in all countries who are signatories to the UPC. We cannot predict with certainty the long-term effects of the new unitary patent system.

We may not be able to protect our intellectual property rights throughout the world.

Filing, prosecuting and defending patents on drug candidates throughout the world would be prohibitively expensive. Competitors may use our licensed 
and owned technologies in jurisdictions where we have not licensed or obtained patent protection to develop their own products and, further, may export 
otherwise infringing products to territories where we may obtain or license patent protection, but where patent enforcement is not as strong as that in the 
U.S. These products may compete with our products in jurisdictions where we do not have any issued or licensed patents and any future patent claims or 
other intellectual property rights may not be effective or sufficient to prevent them from so competing.

Many companies have encountered significant problems in protecting and defending intellectual property rights in foreign jurisdictions. The legal systems 
of certain countries, particularly certain developing countries, do not favor the enforcement of patents and other intellectual property protection, particularly 
those relating to biopharmaceuticals, which could make it difficult for us to stop the infringement of our licensed patents and future patents we may own, or 
marketing of competing products in violation of our proprietary rights generally. Further, the laws of some foreign countries do not protect proprietary 
rights to the same extent or in the same manner as the laws of the U.S. As a result, we may encounter significant problems in protecting and defending our 
licensed and owned intellectual property both in the U.S. and abroad. For example, China, where we currently have a number of licensed patents and 
licensed and owned patent applications, currently affords less protection to a company’s intellectual property than some other jurisdictions. As such, the 
lack of strong patent and other intellectual property protection in China may significantly increase our vulnerability regarding unauthorized disclosure or 
use of our intellectual property and undermine our competitive position. 

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Proceedings to enforce our future patent rights, if any, in foreign jurisdictions could result in substantial cost and divert our efforts and attention from other 
aspects of our business.

Many countries, including European Union countries, India, Japan and China, have compulsory licensing laws under which a patent owner may be 
compelled under certain circumstances to grant licenses to third parties. In those countries, as of December 31, 2023, we had several licensed and owned 
patents and several licensed and owned patent applications and may have limited remedies if such patents are infringed or if we are compelled to grant a 
license to a third party, which could materially diminish the value of such patents. This could limit our potential revenue opportunities. Accordingly, our 
efforts to enforce intellectual property rights around the world may be inadequate to obtain a significant commercial advantage from the intellectual 
property that we own or license.

We may be unable to adequately prevent unauthorized disclosure of trade secrets and other proprietary information.

In order to protect our proprietary and licensed technology and processes, we rely in part on confidentiality agreements with our corporate partners, 
employees, consultants, manufacturers, outside scientific collaborators and sponsored researchers and other advisors. These agreements may not effectively 
prevent unauthorized disclosure of our confidential information and may not provide an adequate remedy in the event of unauthorized disclosure of 
confidential information. For example, in our suit against the Ascletis Defendants that we filed in the Southern District of California, San Diego division, in 
December 2022, we brought claims related to breach of confidential disclosure agreements. There can be no assurance that we will be successful in this 
suit. In addition, others may independently discover our trade secrets and proprietary information. Failure to obtain or maintain trade secret protection 
could adversely affect our competitive business position.

We may be subject to claims that our employees, consultants or independent contractors have wrongfully used or disclosed confidential 
information of third parties.

We employ individuals who were previously employed at other biopharmaceutical companies. Although we have no knowledge of any such claims against 
us, we may be subject to claims that we or our employees, consultants or independent contractors have inadvertently or otherwise used or disclosed 
confidential information of our employees’ former employers or other third parties. Litigation may be necessary to defend against these claims. There is no 
guarantee of success in defending these claims, and even if we are successful, litigation could result in substantial cost and be a distraction to our 
management and other employees. To date, none of our employees have been subject to such claims.

We may be subject to claims challenging the inventorship of our licensed patents, any future patents we may own and other intellectual property.

Although we are not currently experiencing any claims challenging the inventorship of our licensed patents or our licensed or owned intellectual property, 
we may in the future be subject to claims that former employees, collaborators or other third parties have an interest in our licensed patents or other 
licensed or owned intellectual property as an inventor or co-inventor. For example, we may have inventorship disputes arise from conflicting obligations of 
consultants or others who are involved in developing our drug candidates. Litigation may be necessary to defend against these and other claims challenging 
inventorship. If we fail in defending any such claims, in addition to paying monetary damages, we may lose valuable intellectual property rights, such as 
exclusive ownership of, or right to use, valuable intellectual property. Such an outcome could have a material adverse effect on our business, financial 
condition and results of operations. Even if we are successful in defending against such claims, litigation could result in substantial costs and be a 
distraction to management and other employees.

If we do not obtain additional protection under the Hatch-Waxman Amendments and similar foreign legislation extending the terms of our 
licensed patents and any future patents we may own, our business, financial condition and results of operations may be materially and adversely 
affected.

Depending upon the timing, duration and specifics of FDA regulatory approval for our drug candidates, one or more of our licensed U.S. patents or future 
U.S. patents that we may license or own may be eligible for limited patent term restoration under the Drug Price Competition and Patent Term Restoration 
Act of 1984, referred to as the Hatch-Waxman Amendments. The Hatch-Waxman Amendments permit a patent restoration term of up to five years as 
compensation for patent term lost during drug development and the FDA regulatory review process. This period is generally one-half the time between the 
effective date of an investigational new drug application (falling after issuance of the patent), and the submission date of an NDA, plus the time between 
the submission date of an NDA and the approval of that application. Patent term restorations, however, cannot extend the remaining term of a patent 
beyond a total of 14 years from the date of product approval by the FDA.

The application for patent term extension is subject to approval by the USPTO, in conjunction with the FDA. It takes at least six months to obtain approval 
of the application for patent term extension. We may not be granted an extension because of, for example, 

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failing to apply within applicable deadlines, failing to apply prior to expiration of relevant patents or otherwise failing to satisfy applicable requirements. 
Moreover, the applicable time period or the scope of patent protection afforded could be less than we request. If we are unable to obtain patent term 
extension or restoration or the term of any such extension is less than we request, the period during which we will have the right to exclusively market our 
product will be shortened and our competitors may obtain earlier approval of competing products, and our ability to generate revenues could be materially 
adversely affected.

Risks Relating to Ownership of Our Common Stock

The market price of our common stock may be highly volatile.

The trading price of our common stock is likely to be volatile. Our stock price could be subject to wide fluctuations in response to a variety of factors, 
including the following:

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any delay in filing an NDA for any of our drug candidates and any adverse development or perceived adverse development with respect to 
the FDA’s review of that NDA;

adverse results or delays in clinical trials, if any;

significant lawsuits, including patent or stockholder litigation;

inability to obtain additional funding;

failure to successfully develop and commercialize our drug candidates;

changes in laws or regulations applicable to our drug candidates;

inability to obtain adequate product supply for our drug candidates, or the inability to do so at acceptable prices;

unanticipated serious safety concerns related to any of our drug candidates;

adverse regulatory decisions;

introduction of new products or technologies by our competitors;

failure to meet or exceed drug development or financial projections we provide to the public;

failure to meet or exceed the estimates and projections of the investment community;

the perception of the biopharmaceutical industry by the public, legislatures, regulators and the investment community;

announcements of significant acquisitions, strategic partnerships, joint ventures or capital commitments by us or our competitors;

disputes or other developments relating to proprietary rights, including patents, litigation matters and our ability to obtain patent protection 
for our licensed and owned technologies;

additions or departures of key scientific or management personnel;

changes in the market valuations of similar companies;

general economic and market conditions and overall fluctuations in the U.S. equity market;

public health emergencies such as the COVID-19 pandemic;

sales of our common stock by us or our stockholders in the future; and

trading volume of our common stock.

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In addition, the stock market, in general, and small biopharmaceutical companies, in particular, have experienced extreme price and volume fluctuations 
that have often been unrelated or disproportionate to the operating performance of these companies. Broad market and industry factors may negatively 
affect the market price of our common stock, regardless of our actual operating performance. Further, a decline in the financial markets and related factors 
beyond our control may cause our stock price to decline rapidly and unexpectedly.

An active trading market for our common stock may not be sustained, and you may not be able to resell your common stock at a desired market 
price.

If no active trading market for our common stock is sustained, you may be unable to sell your shares when you wish to sell them or at a price that you 
consider attractive or satisfactory. The lack of an active market may also adversely affect our ability to raise capital by selling securities in the future, or 
impair our ability to acquire or in-license other drug candidates, businesses or technologies using our shares as consideration.

Our management owns a significant percentage of our stock and will be able to exert significant control over matters subject to stockholder 
approval.

As of December 31, 2023, our executive officers, directors and 5% or greater stockholders beneficially owned 19.9% of our common stock. Therefore, our 
executive officers, directors and 5% or greater stockholders have the ability to influence us through this ownership position.

This concentration of stock ownership may adversely affect the trading price for our common stock because investors often perceive disadvantages in 
owning stock in companies with controlling stockholders. As a result, these stockholders, if they acted together, could materially influence all matters 
requiring approval by our stockholders, including the election of directors and the approval of mergers or other business combination transactions. These 
stockholders may be able to determine all matters requiring stockholder approval. The interests of these stockholders may not always coincide with our 
interests or the interests of other stockholders. This may also prevent or discourage unsolicited acquisition proposals or offers for our common stock that 
you may feel are in your best interest as one of our stockholders and they may act in a manner that advances their best interests and not necessarily those of 
other stockholders, including seeking a premium value for their common stock, and might affect the prevailing market price for our common stock.

We are no longer a “smaller reporting company” within the meaning of the Securities Act of 1933, as amended, and as a result we are subject to 
certain enhanced disclosure requirements which will require us to incur significant expenses and expend time and resources. 

We are no longer a “smaller reporting company,” as of January 1, 2024 and, as a result, we are or will be required to comply with various disclosure and 
compliance requirements that did not previously apply, such as the auditor attestation requirements of Section 404(b) of the Sarbanes-Oxley Act of 2002, as 
amended, or the Sarbanes-Oxley Act, the requirement that we hold a nonbinding advisory vote on executive compensation and obtain shareholder approval 
of any golden parachute payments not previously approved, the requirement to provide full and more detailed executive compensation disclosure and the 
reduction in the amount of time for filing our periodic and annual reports. Compliance with these additional requirements increases our legal and financial 
compliance costs and causes management and other personnel to divert attention from operational and other business matters to these additional public 
company reporting requirements. In addition, if we are not able to comply with changing requirements in a timely manner, the market price of our stock 
could decline and we could be subject to delisting proceedings by the stock exchange on which our common shares are listed, or sanctions or investigations 
by the SEC or other regulatory authorities, which would require additional financial and management resources.

We are not required to reflect the change in our smaller reporting company status and comply with the increased disclosure obligations until our quarterly 
report for the quarter ending March 31, 2024, the first quarter in our fiscal year ending December 31, 2024.

We will need to reassess, as of June 30, 2024, whether we will continue to qualify as a large accelerated filer for filings beyond the fiscal year ending 
December 31, 2024.

Our internal control over financial reporting may not meet the standards required by Section 404 of the Sarbanes-Oxley Act, and failure to 
achieve and maintain effective internal control over financial reporting in accordance with Section 404 of the Sarbanes-Oxley Act, could have a 
material adverse effect on our business and share price. 

During the fiscal year 2023, our management was required to report, on a quarterly basis, on the effectiveness of our internal control over financial 
reporting. Commencing with the fiscal year ending December 31, 2023, in addition to our management’s report on the 

52

 
effectiveness of our internal controls over financial reporting, our independent registered public accounting firm will be required to attest to the 
effectiveness of our internal control over financial reporting pursuant to Section 404. The rules governing the standards that must be met for our 
management and our independent registered public accounting firm to assess our internal control over financial reporting are complex and require 
significant documentation, testing and possible remediation. 

In connection with the implementation of the necessary procedures and practices related to internal control over financial reporting, we may identify 
deficiencies or material weaknesses that we may not be able to remediate in time to meet the deadline imposed by the Sarbanes-Oxley Act for compliance 
with the requirements of Section 404. In addition, we may encounter problems or delays in completing the implementation of any requested improvements 
and receiving a favorable attestation in connection with the attestation provided by our independent registered public accounting firm. Failure to achieve 
and maintain an effective internal control environment could have a material adverse effect on our business, financial condition and results of operations 
and could limit our ability to report our financial results accurately and in a timely manner.

As a result of operating as a public company, we may incur significantly increased costs and our management and other personnel will be required 
to devote substantial time to new compliance initiatives.

As a public company and particularly after December 31, 2023, when we ceased to be a “smaller reporting company” and “non-accelerated filer,” and 
became a “large accelerated filer”, we expect to incur additional significant legal, accounting and other expenses. In addition, the Sarbanes-Oxley Act, the 
Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010, or the Dodd-Frank Act, as well as rules subsequently implemented by the SEC and 
The Nasdaq Stock Market LLC have imposed various requirements on public companies. There are significant corporate governance and executive 
compensation related provisions in the Dodd-Frank Act that require the SEC to adopt additional rules and regulations in these areas. Stockholder 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 (in ways we cannot currently anticipate) the manner in which we operate 
our business. We have a small management team that, along with other personnel, will need to devote a substantial amount of time to these compliance 
initiatives. Moreover, these rules and regulations will increase our legal and financial compliance costs and will make some activities more time-consuming 
and costly. For example, we expect these rules and regulations to make it more difficult and more expensive for us to obtain director and officer liability 
insurance and we may be required to incur substantial costs to maintain our current levels of such insurance coverage.

As a publicly traded company, we have incurred and will incur legal, accounting and other expenses associated with the SEC reporting requirements 
applicable to a company whose securities are registered under the Exchange Act, as well as corporate governance requirements, including those under the 
Sarbanes-Oxley Act, the Dodd-Frank Act and other rules implemented by the SEC and The Nasdaq Stock Market LLC. In addition, we expect that we will 
need to hire additional personnel in our finance department to help us comply with the various requirements applicable to public companies. The expenses 
incurred by public companies generally to meet SEC reporting, Sarbanes-Oxley Act compliance, finance and accounting and corporate governance 
requirements have been increasing in recent years as a result of changes in, and the adoption of, new rules and regulations applicable to public companies.

If securities or industry analysts do not publish research, or publish inaccurate or unfavorable research, about our business, our stock price and 
trading volume could decline.

The trading market for our common stock depends, in part, on the research and reports that securities or industry analysts publish about us or our business. 
If one or more of the analysts who cover us downgrade our stock or publish inaccurate or unfavorable research about our business, our stock price would 
likely decline. In addition, if our operating results fail to meet the forecast of analysts, our stock price would likely decline. If one or more of these analysts 
cease coverage of our company or fail to publish reports on us regularly, demand for our common stock could decrease, which might cause our stock price 
and trading volume to decline.

Sales of a substantial number of shares of our common stock in the public market by our existing stockholders or future issuances of our common 
stock or rights to purchase our common stock, could cause our stock price to fall.

Sales of a substantial number of shares of our common stock by our existing stockholders in the public market, or the perception that these sales might 
occur, could depress the market price of our common stock and could impair our ability to raise capital through the sale of additional equity securities. We 
are unable to predict the effect that such sales may have on the prevailing market price of our common stock.

53

 
Our management will continue to have broad discretion over the use of the proceeds we received from our prior financings and available cash, 
and might not apply the proceeds in ways that increase the value of your investment.

Our management will continue to have broad discretion to use the net proceeds from our prior financings and available cash and you will be relying on the 
judgment of our management regarding the application of these proceeds. Our management might not apply the proceeds in ways that ultimately increase 
the value of your investment and the failure by our management to apply these proceeds effectively could harm our business. Because of the number and 
variability of factors that will determine our use of these remaining net proceeds, their ultimate use may vary substantially from their currently intended 
use. If we do not invest or apply these net proceeds in ways that enhance stockholder value, we may fail to achieve the expected financial results, which 
could cause our stock price to decline.

We are at risk of securities class action litigation.

In the past, securities class action litigation has often been brought against a company following a decline in the market price of its securities. This risk is 
especially relevant for us because biopharmaceutical companies have experienced significant stock price volatility in recent years. If we face such 
litigation, it could result in substantial costs and a diversion of management’s attention and resources, which could harm our business, financial condition 
and results of operations.

Our ability to use our net operating loss carryforwards may be subject to certain limitations.

As of December 31, 2023, we had approximately $98.7 million of federal net operating loss carryforwards, of which $17.8 million will begin to expire in 
2032 and the remaining $80.9 million of which can be carried forward indefinitely. We have $79.9 million of state net operating loss carryforwards that will 
begin to expire in 2034. 

Our ability to utilize our federal net operating loss carryforwards may be limited under Section 382 of the Internal Revenue Code of 1986, as amended, or 
the Code. In the event of an “ownership change,” Section 382 imposes an annual limitation on the amount of post-ownership change taxable income that 
may be offset with pre-ownership change net operating losses of the loss corporation experiencing the ownership change. An “ownership change” is 
defined by Section 382 as a cumulative change in ownership of our company of more than 50% within a three-year period. Additionally, we have 
determined that our underwritten public offering of common stock completed in February 2018 resulted in an “ownership change” of us. However, as of 
December 31, 2023, there is no limitation on the federal and state net operating losses. In addition, current or future changes in our stock ownership may 
trigger an “ownership change,” some of which may be outside our control. Accordingly, our ability to utilize our net operating loss carryforwards to offset 
federal taxable income, if any, will likely be limited by Section 382, which could potentially result in increased future tax liability to us.

We may never pay dividends on our common stock so any returns would be limited to the appreciation of our stock.

We have never declared or paid any cash dividend on our common stock. We currently anticipate that we will retain future earnings for the development, 
operation and expansion of our business and do not anticipate declaring or paying any cash dividends for the foreseeable future. Any return to stockholders 
will therefore be limited to the appreciation of their stock.

Provisions in our amended and restated certificate of incorporation and our amended and restated bylaws, as well as provisions of Delaware law, 
could make it more difficult or expensive for a third party to acquire us or change our board of directors or current management.

Some provisions of our charter documents and Delaware law may have anti-takeover effects that could discourage an acquisition of us by others, even if an 
acquisition would be beneficial to our stockholders and may prevent attempts by our stockholders to replace or remove our current management. These 
provisions include:

•

•

•

•

authorizing the issuance of “blank check” preferred stock, the terms of which may be established and shares of which may be issued without 
stockholder approval;

limiting the removal of directors by the stockholders;

creating a classified board of directors;

providing that no stockholder is permitted to cumulate votes at any election of directors;

54

 
•

•

•

•

•

allowing the authorized number of our directors to be changed only by resolution of our board of directors;

prohibiting stockholder action by written consent, thereby requiring all stockholder actions to be taken at a meeting of our stockholders;

requiring the approval of the holders of at least 66 2/3% of the votes that all our stockholders would be entitled to cast to amend or repeal 
specified provisions of our charter documents;

eliminating the ability of stockholders to call a special meeting of stockholders; and

establishing advance notice requirements for nominations for election to our board of directors or for proposing matters that can be acted 
upon at stockholder meetings.

These provisions may frustrate or prevent any attempts by our stockholders to replace or remove our current management by making it more difficult for 
stockholders to replace members of our board of directors, which is responsible for appointing the members of our management. In addition, we are subject 
to Section 203 of the General Corporation Law of the State of Delaware, or the DGCL, which generally prohibits a Delaware corporation from engaging in 
any of a broad range of business combinations with an interested stockholder for a period of three years following the date on which the stockholder 
became an interested stockholder, unless such transactions are approved in advance by our board of directors or ratified by our board of directors and 
certain of our stockholders. This provision could have the effect of delaying or preventing a change in control, whether or not it is desired by or beneficial 
to our stockholders. Further, other provisions of Delaware law may also discourage, delay or prevent someone from acquiring us or merging with us.

The timing and amount of any repurchases under our stock repurchase program are subject to a number of uncertainties.

On March 10, 2022, our board of directors authorized a stock repurchase program effective March 18, 2022, whereby we may purchase up to $50.0 million 
in shares of our common stock over a period of up to two years, or the Repurchase Program. The Repurchase Program may be carried out at the discretion 
of a committee of our board of directors through open market purchases, one or more Rule 10b5-1 trading plans, block trades and in privately negotiated 
transactions. The Repurchase Program may be suspended, modified or discontinued at any time, and we have no obligation to repurchase any amount of 
our common stock under the Repurchase Program.

The Inflation Reduction Act of 2022, enacted on August 16, 2022, imposes a 1% excise tax on net repurchases of shares by U.S. corporations whose stock 
is traded on an established securities market. The excise tax will be imposed on repurchases that occur after December 31, 2022. The imposition of the 
excise tax on repurchases of our shares will increase the cost to us of making repurchases and may cause us to reduce the number of shares repurchased 
pursuant to the Repurchase Program.

Our amended and restated bylaws designate the Court of Chancery of the State of Delaware as the sole and exclusive forum for certain types of 
actions and proceedings that may be initiated by our stockholders, which could limit our stockholders’ ability to obtain a favorable judicial forum 
for disputes with us or our directors, officers or other employees.

Our amended and restated bylaws provide that, unless we consent in writing to an alternative forum, the Court of Chancery of the State of Delaware will be 
the sole and exclusive forum for (1) any derivative action or proceeding brought on our behalf, (2) any action asserting a claim of breach of a fiduciary duty 
owed by any director, officer or other employee to us or our stockholders, (3) any action asserting a claim against us or our directors, officers or employees 
arising pursuant to any provision of our amended and restated bylaws, our amended and restated certificate of incorporation or the DGCL, (4) any action 
asserting a claim against us or our directors, officers or employees that is governed by the internal affairs doctrine, or (5) any action to interpret, apply, 
enforce or determine the validity of our amended and restated bylaws or our amended and restated certificate of incorporation. Any person purchasing or 
otherwise acquiring any interest in any shares of our capital stock shall be deemed to have notice of and to have consented to this provision of our amended 
and restated bylaws. This choice-of-forum provision may limit our stockholders’ ability to bring a claim in a judicial forum that it finds favorable for 
disputes with us or our directors, officers or other employees, which may discourage such lawsuits. In addition, a stockholder that is unable to bring a claim 
in the judicial forum of its choosing may be required to incur additional costs in the pursuit of actions that are subject to these exclusive forum provisions, 
particularly if the stockholder does not reside in or near Delaware. Alternatively, if a court were to find this provision of our amended and restated bylaws 
inapplicable or unenforceable with respect to one or more of the specified types of actions or proceedings, we may incur additional costs associated with 
resolving such matters in other jurisdictions, which could materially and adversely affect our business, financial condition and results of operations.

55

 
Item 1B. Unresolved Staff Comments.

None.

56

 
 
Item 1C. Cybersecurity

Our board of directors is responsible for overseeing our risk management program and cybersecurity is a critical element of this program. Management is 
responsible for the day-to-day administration of our risk management program and our cybersecurity policies, processes, and practices. Our cybersecurity 
policies, standards, processes, and practices are based on recognized frameworks established by the National Institute of Standards and Technology, the 
International Organization for Standardization and other applicable industry standards and are fully integrated into our overall risk management system and 
processes as part of our IT security incident response plan.

Cybersecurity Risk Management and Strategy

Our cybersecurity risk management strategy focuses on several areas:

•

•

•

•

•

Identification  and  Reporting:  We  have  implemented  a  cross-functional  approach  to  assessing,  identifying  and  managing  material 
cybersecurity  threats  and  incidents.  Our  program  includes  controls  and  procedures  to  identify,  classify  and  escalate  certain  cybersecurity 
incidents  to  provide  management  visibility  and  obtain  direction  from  management  as  to  the  public  disclosure  and  reporting  of  material 
incidents in a timely manner.

Technical Safeguards: We implement technical safeguards that are designed to protect our information systems from cybersecurity threats, 
including  firewalls,  intrusion  prevention  and  detection  systems,  anti-malware  functionality,  and  access  controls,  which  are  evaluated  and 
improved through vulnerability assessments and cybersecurity threat intelligence, as well as outside audits and certifications.

Incident  Response  and  Recovery  Planning:  We  have  established  and  maintain  comprehensive  incident  response,  business  continuity,  and 
disaster recovery plans designed to address our response to a cybersecurity incident. We conduct regular tabletop exercises to test these plans 
and ensure personnel are familiar with their roles in a response scenario.

Third-Party Risk Management: We maintain a risk-based approach to identifying and overseeing material cybersecurity threats presented by 
third parties, including vendors, service providers, and other external users of our systems, as well as the systems of third parties that could 
adversely  impact  our  business  in  the  event  of  a  material  cybersecurity  incident  affecting  those  third-party  systems,  including  any  outside 
auditors or consultants who advise on our cybersecurity systems. 

Education and Awareness: We provide regular, mandatory training for all employees regarding cybersecurity threats as a means to equip our 
employees  with  tools  to  make  employees  aware  of  and  to  address  cybersecurity  threats,  and  to  communicate  our  evolving  information 
security policies, standards, processes, and practices.

We conduct periodic assessments and testing of our policies, standards, processes, and practices in a manner intended to address cybersecurity threats and 
events. The results of such assessments, audits, and reviews are evaluated by management and reported to our Audit Committee and our board of directors, 
and we adjust our cybersecurity policies, standards, processes, and practices as necessary based on the information provided by these assessments, audits, 
and  reviews.  Risks  from  cybersecurity  threats,  including  as  a  result  of  any  previous  cybersecurity  incidents,  have  not  materially  affected  and  are  not 
reasonably likely to materially affect our company, including our business strategy, results of operations, or financial condition.

Governance

Our  board  of  directors,  in  coordination  with  our  Audit  Committee,  oversees  our  risk  management  program,  including  the  management  of  cybersecurity 
threats.  Our  board  of  directors  and  our  Audit  Committee  each  receive  regular  presentations  and  reports  on  developments  in  the  cybersecurity  space, 
including risk management practices, recent developments, evolving standards, vulnerability assessments, third-party and independent reviews, the threat 
environment,  technological  trends,  and  information  security  issues  encountered  by  our  peers  and  third  parties.  Our  board  of  directors  and  our  Audit 
Committee also receive prompt and timely information regarding any cybersecurity risk that meets pre-established reporting thresholds, as well as ongoing 
updates regarding any such risk. On an annual basis, our board of directors and the Audit Committee discuss our approach to overseeing cybersecurity 
threats with our Information Systems Representative and other members of senior management.

57

 
The  Information  Systems  Representative,  in  coordination  with  senior  management  including  our  Chief  Executive  Officer  and  Chief  Financial  Officer, 
works collaboratively across our company to implement a program designed to protect our information systems from cybersecurity threats and to promptly 
respond to any material cybersecurity incidents in accordance with our incident response and recovery plans. To facilitate the success of our cybersecurity 
program,  a  cross-functional  team  throughout  our  company  addresses  cybersecurity  threats  and  responds  to  cybersecurity  incidents.  Through  ongoing 
communications with this team, the Information Systems Representative and senior management are informed about and monitor the prevention, detection, 
mitigation  and  remediation  of  cybersecurity  threats  and  incidents  in  real  time  and  report  such  threats  and  incidents  to  the  Audit  Committee  when 
appropriate.  The  Information  Systems  Representative  has  served  in  various  roles  in  information  technology  and  information  security  for  over  25  years, 
including serving as the Director of Information Technology of another public company.

Item 2. Properties.

Our  facilities  consist  of  office  space  in  San  Diego,  California.  We  lease  approximately  7,940  square  feet  of  space  for  our  headquarters  in  San  Diego, 
California under an agreement that expires on July 31, 2027. We believe that our existing facilities are adequate to meet our current needs, and that suitable 
additional alternative spaces will be available in the future on commercially reasonable terms.

Item 3. Legal Proceedings.

From time to time, we may be party to lawsuits in the ordinary course of business. We are not presently a party to any legal proceedings, the outcome of 
which,  if  determined  adversely  to  us,  would  individually  or  in  the  aggregate  be  reasonably  expected  to  have  a  material  adverse  effect  on  our  business, 
operating results or financial condition.

In December 2022, we filed suit against Ascletis Bioscience Co., Ltd., Gannex Pharma Co., Ltd., Ascletis Pharmaceuticals Co., Ltd., Ascletis Pharma Inc., 
and Jinzi Jason Wu, or the Ascletis Defendants, in the Southern District of California, San Diego division, alleging, among other things: (1) violation of the 
Defend Trade Secrets Act; (2) violation of the California Uniform Trade Secrets Act; (3) breach of contract; (4) breach of the implied covenant of good 
faith  and  fair  dealing;  and  (5)  tortious  interference  with  contract.  In  a  related  action,  we  also  filed  suit  against  the  same  Ascletis  Defendants  in  the 
International Trade Commission for unlawful and unfair methods of competition. These legal proceedings arise at least in part from the misappropriation of 
our trade secrets. We intend to vigorously pursue all of our legal remedies in these litigations, but there is no guarantee that we will be successful in these 
efforts.

Item 4. Mine Safety Disclosures.

Not applicable.

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PART II

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

Market Information

Our common stock began trading on the Nasdaq Capital Market on April 28, 2015 and trades under the symbol “VKTX”. Prior to April 28, 2015, there was 
no public market for our common stock.

Holders of Record

As  of  December  31,  2023,  there  were  approximately  eight  stockholders  of  record  of  our  common  stock.  Certain  shares  are  held  in  “street”  name  and, 
accordingly, the number of beneficial owners of such shares is not known or included in the foregoing number.

Performance Graph

We were a smaller reporting company, as defined by Rule 12b-2 of the Securities Exchange Act of 1934, as amended, as of December 31, 2023, and are not 
required to provide a performance graph. 

Unregistered Sales of Equity Securities

None.

Issuer Purchases of Equity Securities

None.

Item 6. [Reserved]

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

You should read the following discussion and analysis in conjunction with Part II, “Item 8. Financial Statements and Supplementary Data” included below 
in this Annual Report on Form 10-K. Operating results are not necessarily indicative of results that may occur in future periods.

The following discussion and analysis of our financial condition and results of operations contains forward-looking statements that involve a number of 
risks, uncertainties and assumptions. Actual events or results may differ materially from our expectations. Important factors that could cause actual results 
to differ materially from those stated or implied by our forward-looking statements include, but are not limited to, those set forth in Part I, “Item 1A. Risk 
Factors” in this Annual Report on Form 10-K. All forward-looking statements included in this Annual Report on Form 10-K are based on information 
available to us as of the time we file this Annual Report on Form 10-K and, except as required by law, we undertake no obligation to update publicly or 
revise any forward-looking statements.

Overview

We are a clinical-stage biopharmaceutical company focused on the development of novel, first-in-class or best-in-class therapies for metabolic 
and endocrine disorders.

Our  lead  clinical  program’s  drug  candidate,  VK2809,  is  an  orally  available,  tissue  and  receptor-subtype  selective  agonist  of  the  thyroid  hormone 
receptor beta, or TRß. In November 2019, we initiated the VOYAGE study, a Phase 2b clinical trial of VK2809 in patients with biopsy-confirmed non-
alcoholic steatohepatitis, or NASH.

The VOYAGE study is a randomized, double-blind, placebo-controlled, multicenter trial designed to assess the efficacy, safety and tolerability of VK2809 
in  patients  with  biopsy-confirmed  NASH  and  fibrosis  ranging  from  stages  F1  to  F3.  The  study  is  targeting  enrollment  of  approximately  340  patients 
across five treatment arms. The primary endpoint of the study will evaluate the relative change in liver fat content, as assessed by magnetic resonance 
imaging, proton density fat fraction, from baseline to week 12 in subjects treated with VK2809 as compared to placebo. Secondary objectives include 
evaluation of histologic changes assessed by hepatic biopsy after 52 weeks of dosing.

In  January  2023,  we  announced  completion  of  patient  enrollment  in  the  VOYAGE  study  and  in  May  2023  we  reported  that  the  VOYAGE  study 
successfully  achieved  its  primary  endpoint,  with  patients  receiving  VK2809  experiencing  statistically  significant  reductions  in  liver  fat  content  from 
baseline to Week 12 as compared to placebo. Results from the biopsy after 52 weeks of dosing are expected to be available in 2024.

VK2809 has been evaluated in eight completed clinical studies, which enrolled more than 300 subjects. No serious adverse events, or SAEs, have been 
observed in subjects receiving VK2809 in these completed studies, and overall tolerability remains encouraging. In addition, the compound has been 
evaluated in chronic toxicity studies of up to 12 months in duration.

VK2809 has been evaluated in eight completed clinical studies, which enrolled more than 300 subjects. No serious adverse events, or SAEs, have been 
observed  in  subjects  receiving  VK2809  in  these  completed  studies,  and  overall  tolerability  remains  encouraging.  In  addition,  the  compound  has  been 
evaluated in chronic toxicity studies of up to 12 months in duration. 

In January 2022, we announced the initiation of a Phase 1 single ascending dose, or SAD, and multiple ascending dose, or MAD, clinical trial of VK2735, 
a  novel  dual  agonist  of  the  glucagon-like  peptide  1,  or  GLP-1,  and  glucose-dependent  insulinotropic  polypeptide,  or  GIP,  receptors.  VK2735  is  in 
development for the potential treatment of various metabolic disorders. 

On March 28, 2023, we announced the completion of the Phase 1 trial. The study was a randomized, double-blind, placebo-controlled, SAD and MAD 
study  in  healthy  adults.  The  primary  objectives  of  the  study  included  evaluation  of  the  safety  and  tolerability  of  single  and  multiple  doses  of  VK2735 
delivered  subcutaneously  and  the  identification  of  VK2735  doses  suitable  for  further  clinical  development.  Study  investigators  also  evaluated  the 
pharmacokinetics of single and multiple doses of VK2735. Based upon the results from this Phase 1 study, in September 2023, we initiated the VENTURE 
study, a Phase 2 clinical trial of VK2735 in patients with obesity.

The Phase 2 VENTURE study is a randomized, double-blind placebo-controlled study to evaluate the safety, tolerability, pharmacokinetics and weight loss 
efficacy of VK2735, administered subcutaneously, once weekly. The 13-week study will enroll adults who are obese (BMI >= 30 kg/m2) or adults who are 
overweight (BMI >= 27kg/m2) with at least one weight-related co-morbidity condition. The primary endpoint of the study is the percent change in body 
weight from baseline to week 13, with secondary and exploratory endpoints evaluating a range of additional safety and efficacy measures. In October 2023, 
we announced completion of patient enrollment in the Phase 2 VENTURE study and we expect to report data from the study in the first half of 2024.

60

 
On  March  28,  2023,  we  announced  the  initiation  of  a  Phase  1  clinical  study  to  evaluate  a  novel  oral  formulation  of  VK2735.  The  study,  which  is  an 
extension of our recently completed Phase 1 evaluation of subcutaneously administered VK2735, is evaluating daily oral doses for 28 days.

We are also developing VK0214, which is also an orally available, tissue and receptor-subtype selective agonist of TRß for X-linked adrenoleukodystrophy, 
or X-ALD, a rare X-linked, inherited neurological disorder characterized by a breakdown in the protective barriers surrounding brain and nerve cells. The 
disease, for which there is no approved treatment, is caused by mutations in a peroxisomal transporter of very long chain fatty acids, or VLCFA, known as 
ABCD1.  As  a  result,  transporter  function  is  impaired  and  patients  are  unable  to  efficiently  metabolize  VLCFA.  The  TRß  receptor  is  known  to  regulate 
expression of an alternative VLCFA transporter, known as ABCD2. Various preclinical models have demonstrated that increased expression of ABCD2 can 
lead  to  normalization  of  VLCFA  metabolism.  Preliminary  data  suggest  that  VK0214  stimulates  ABCD2  expression  in  an  in  vitro  model  and  reduces 
VLCFA levels in an in vivo model of X-ALD.

In June 2021, we initiated a Phase 1b clinical trial of VK0214 in patients with X-ALD. This trial is a multi-center, randomized, double-blind, placebo-
controlled study in adult male patients with the adrenomyeloneuropathy, or AMN, form of X-ALD. The study is initially targeting enrollment across three 
cohorts: placebo, VK0214 20 mg daily, and VK0214 40 mg daily. Pending a blinded review of preliminary safety, tolerability, and pharmacokinetic data, 
additional dosing cohorts may be pursued.

The primary objective of the study is to evaluate the safety and tolerability of VK0214 administered once-daily over a 28-day dosing period. Secondary and 
exploratory objectives include an evaluation of the pharmacokinetics and pharmacodynamics of VK0214 following 28 days of dosing in this population.

Other  clinical  programs  include  VK5211,  an  orally  available,  non-steroidal  selective  androgen  receptor  modulator,  or  SARM.  In  November  2017,  we 
announced positive top-line results from a Phase 2 proof-of-concept clinical trial in 108 patients recovering from non-elective hip fracture surgery. Top-line 
data  showed  that  the  trial  achieved  its  primary  endpoint,  demonstrating  statistically  significant,  dose  dependent  increases  in  lean  body  mass,  less  head, 
following  treatment  with  VK5211  as  compared  to  placebo.  The  study  also  achieved  certain  secondary  endpoints,  demonstrating  statistically  significant 
increases  in  appendicular  lean  body  mass  and  total  lean  body  mass  for  all  doses  of  VK5211,  compared  to  placebo.  VK5211  demonstrated  encouraging 
safety  and  tolerability  in  this  study,  with  no  drug-related  SAEs  reported.  Our  intent  is  to  continue  to  pursue  partnering  or  licensing  opportunities  for 
VK5211 prior to conducting additional clinical studies.

We  were  incorporated  under  the  laws  of  the  State  of  Delaware  on  September  24,  2012.  Since  our  incorporation,  we  have  devoted  most  of  our  efforts 
towards  conducting  certain  clinical  trials  and  preclinical  studies  related  to  our  VK2809,  VK2735,  VK0214  and  VK5211  programs  and  towards  raising 
capital  and  building  infrastructure.  We  obtained  exclusive  worldwide  rights  to  VK2809,  VK0214  and  VK5211  and  certain  other  assets  pursuant  to  an 
exclusive license agreement with Ligand Pharmaceuticals Incorporated, or Ligand. The terms of this license agreement are detailed in the Master License 
Agreement  with  Ligand,  which  we  entered  into  on  May  21,  2014,  as  amended,  or  the  Master  License  Agreement.  A  summary  of  the  Master  License 
Agreement can be found under the heading “Agreements with Ligand” under Part I, “Item 1. Business” of this Annual Report on Form 10-K.

Financial Operations Overview

Revenues

To date, we have not generated any revenue. We do not expect to receive any revenue from any drug candidates that we develop unless and until we obtain 
regulatory approval for, and commercialize, our drug candidates or enter into collaborative agreements with third parties.

Research and Development Expenses

During the year ended December 31, 2023, we incurred $63.8 million in research and development expense primarily related to our efforts in conducting 
the VK2809 Phase 2b VOYAGE clinical trial, the VK2735 Phase 2 VENTURE clinical trial, the VK2735 Phase 1 clinical trial and the VK0214 Phase 1b 
clinical trial. During the year ended December 31, 2022, we incurred $54.2 million in research and development expense primarily related to our efforts in 
conducting the VK2809 Phase 2b VOYAGE clinical trial, the VK2735 Phase 1 clinical trial and the VK0214 Phase 1b clinical trial. We expect that our 
ongoing research and development expenses will consist of costs incurred for the development of our drug candidates, including, but not limited to:

•

employee  and  consultant-related  expenses,  which  will  include  salaries,  benefits  and  stock-based  compensation,  and  certain 
consultant fees and travel expenses;

61

 
•

•

•

•

expenses incurred under agreements with investigative sites and CROs, which will conduct a substantial portion of our research 
and development activities, including studies in NASH, on our behalf;

payments to third-party manufacturers, which will produce our active pharmaceutical ingredients and finished products;

license fees paid to third parties for use of their intellectual property; and

facilities, depreciation and other allocated expenses, which will include direct and allocated expenses for rent and maintenance of 
facilities and equipment, depreciation of leasehold improvements, equipment and laboratory and other supplies.

We expense all research and development costs as incurred.

The process of conducting the necessary clinical research to obtain regulatory approval is costly and time consuming and the successful development of our 
drug candidates is highly uncertain. Our future research and development expenses will depend on the clinical success of each of our drug candidates, as 
well as ongoing assessments of the commercial potential of such drug candidates. In addition, we cannot forecast with any degree of certainty which drug 
candidates may be subject to future collaborations, when such arrangements will be secured, if at all, and to what degree such arrangements would affect 
our development plans and capital requirements. We expect to incur increased research and development expenses in the future as we continue our efforts 
towards advancing our VK2809, VK2735 and VK0214 programs and seek to advance our additional programs.

General and Administrative Expenses

Our general and administrative expenses have generally increased year-over-year as we have hired additional employees, issued additional equity awards, 
which has resulted in increased stock-based compensation expense, implemented certain systems to increase efficiency, and incurred additional costs for 
insurance, legal and accounting related to operating as a public company. We expect that our general and administrative expenses will continue to increase 
in the future in order to support our expected increase in research and development activities, including increased salaries and other related costs, stock-
based compensation and consulting fees for executive, finance, accounting and business development functions. We also expect general and administrative 
expenses to increase as a result of additional costs associated with being a public company, including expenses related to compliance with the rules and 
regulations  of  the  SEC  and  The  Nasdaq  Stock  Market  LLC,  additional  insurance  expenses,  investor  relations  activities  and  other  administration  and 
professional services. Other significant costs are expected to include legal fees relating to patent and corporate matters, facility costs not otherwise included 
in research and development expenses, and fees for accounting and other consulting services.

Other Income (Expense)

Other income (expense) includes interest income earned from our cash, cash equivalents and short-term investments.

Critical Accounting Policies and Estimates

Our management’s discussion and analysis of financial condition and results of operations is based on our financial statements, which have been prepared 
in  accordance  with  accounting  principles  generally  accepted  in  the  United  States.  The  preparation  of  these  financial  statements  requires  us  to  make 
estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the 
financial  statements,  as  well  as  the  reported  revenues  and  expenses  during  the  reporting  periods.  On  an  ongoing  basis,  we  evaluate  our  estimates  and 
judgments  related  to  our  preclinical,  nonclinical  and  clinical  development  costs  and  drug  manufacturing  costs.  We  base  our  estimates  on  historical 
experience and on various other factors that we believe are reasonable under the circumstances, the results of which form the basis for making judgments 
about  the  carrying  value  of  assets  and  liabilities  that  are  not  readily  apparent  from  other  sources.  Actual  results  may  differ  from  these  estimates  under 
different assumptions or conditions.

While our significant accounting policies are more fully described in Note 1 to our financial statements included elsewhere in this Annual Report on Form 
10-K, we believe that the following accounting policies will be critical to understanding our historical and future performance, as these policies relate to the 
significant areas involving management’s judgments and estimates in the preparation of our financial statements.

62

 
Research and Development

All  costs  of  research  and  development  are  expensed  in  the  period  incurred.  Research  and  development  costs  primarily  consist  of  fees  paid  to  contract 
research  organizations,  or  CROs,  and  clinical  trial  sites,  employee  and  consultant  related  expenses,  which  include  salaries,  benefits  and  stock-based 
compensation  for  research  and  development  personnel,  external  research  and  development  expenses  incurred  pursuant  to  agreements  with  third-party 
manufacturing organizations, facilities costs, travel costs, dues and subscriptions, depreciation and materials used in preclinical studies, clinical trials and 
research and development.

We estimate our preclinical study and clinical trial expenses based on the services we received pursuant to contracts with research institutions and CROs 
that conduct and manage preclinical studies and clinical trials on our behalf. Clinical trial-related contracts vary significantly in length, and may be for a 
fixed amount, based on milestones or deliverables, a variable amount based on actual costs incurred, capped at a certain limit, or for a combination of these 
elements.  We  accrue  service  fees  based  on  work  performed,  which  relies  on  estimates  of  total  costs  incurred  based  on  milestones  achieved,  patient 
enrollment and other events. The majority of our service providers invoice us in arrears, and to the extent that amounts invoiced differ from our estimates 
of  expenses  incurred,  we  accrue  for  additional  costs.  The  financial  terms  of  these  agreements  vary  from  contract  to  contract  and  may  result  in  uneven 
expenses and payment flows. Preclinical study and clinical trial expenses include:

•

•

•

fees paid to CROs, consultants and laboratories in connection with preclinical studies;

fees paid to CROs, clinical trial sites, investigators and consultants in connection with clinical trials; and

fees  paid  to  contract  manufacturers  and  service  providers  in  connection  with  the  production,  testing  and  packaging  of  active 
pharmaceutical ingredients and drug materials for preclinical studies and clinical trials.

Payments under some of these agreements depend on factors such as the milestones accomplished, including enrollment of certain numbers of patients, site 
initiation and the completion of clinical trial milestones. To date, we have not experienced any events requiring us to make material adjustments to our 
accruals for service fees. If we do not identify costs that we have begun to incur or if we underestimate or overestimate the level of services performed or 
the costs of these services, our actual expenses could differ from our estimates, which could materially affect our results of operations. Adjustments to our 
accruals are recorded as changes in estimates become evident. Furthermore, based on amounts invoiced to us by our service providers, we may also record 
payments made to those providers as prepaid expenses that will be recognized as expense in future periods as services are rendered.

In  May  2014,  we  entered  into  the  Master  License  Agreement,  pursuant  to  which  we  acquired  certain  rights  to  a  number  of  research  and  development 
programs  from  Ligand.  In  doing  so,  we  updated  our  policy  on  research  and  development  to  include  the  purchase  of  rights  to  intangible  assets.  In 
accordance  with  Accounting  Standards  Codification,  or  ASC,  Topic  730,  Research  and  Development,  intangible  assets  that  are  acquired  and  have  an 
alternative future use, as defined, should be capitalized and reported as an intangible asset; however, the cost of acquired intangible assets that do not have 
alternative  future  uses  should  be  reported  as  research  and  development  expense  as  incurred.  We  note  that  intangible  assets  acquired  that  are  in  the 
preclinical or clinical stages of development when acquired, and not approved by the U.S. Food and Drug Administration, are deemed to have not satisfied 
the definition of having an alternative future use, as defined. Accordingly, assets acquired in the preclinical and clinical stages of development are expensed 
as incurred in our statement of operations.

Stock-Based Compensation

We  generally  use  the  straight-line  method  to  allocate  compensation  cost  to  reporting  periods  over  each  optionee’s  requisite  service  period,  which  is 
generally the vesting period, and estimate the fair value of stock-based awards or restricted stock units to employees and directors using the Black-Scholes 
option-valuation model. The Black-Scholes model requires the input of subjective assumptions, including volatility, the expected term and the fair value of 
the underlying common stock on the date of grant, among other inputs. For restricted stock and restricted stock unit awards, we generally use the straight-
line method to allocate compensation cost to reporting periods over the holder’s requisite service period, which is generally the vesting period, and use the 
fair value at grant date to value the awards. For restricted stock that vests upon the satisfaction of certain performance conditions, we recognize stock-based 
compensation expense when it becomes probable that the performance conditions will be met. At the grant date, we determine the grant date fair value, as a 
publicly traded company, using the intrinsic value, or the closing price of our stock on the date of grant. At the point where the criteria are deemed probable 
of being met, we record stock-based compensation with a cumulative catch-up expense in the period first recognized and then on a straight-line basis over 
the remaining period for which the performance criteria are expected to be completed.

For our Employee Stock Purchase Plan, or ESPP, we generally recognize compensation expense for the fair value of the purchase options, as measured on 
the grant date, and use the graded vesting method to allocate this compensation cost to each purchase period 

63

 
within the related two-year offering period. As our ESPP also allows for up to one increase in contributions during each purchase period, if an employee 
elects to increase their contributions, we treat this as an accounting modification. The pre- and post-modification values are calculated on the date of the 
modification, and the incremental expense is then amortized over the remaining purchase periods.

Income Taxes

We  account  for  our  income  taxes  using  the  liability  method  whereby  deferred  tax  assets  and  liabilities  are  determined  based  on  temporary  differences 
between the basis used for financial reporting and income tax reporting purposes. Deferred income taxes are provided based on the enacted tax rates in 
effect at the time such temporary differences are expected to reverse. A valuation allowance is provided for deferred tax assets if it is more likely than not 
that we will not realize those tax assets through future operations.

ASC  Topic  740-10,  Income  Taxes,  clarifies  the  accounting  for  uncertainty  in  income  taxes  recognized  in  our  financial  statements  in  accordance  with 
accounting principles generally accepted in the United States of America, or GAAP. Income tax positions must meet a more-likely-than-not recognition 
threshold to be recognized. Income tax positions that previously failed to meet the more-likely-than-not threshold are recognized in the first subsequent 
financial reporting period in which that threshold is met. Previously recognized tax positions that no longer meet the more-likely-than-not threshold are 
derecognized in the first subsequent financial reporting period in which that threshold is no longer met.

Our policy is to recognize interest and penalties accrued on any unrecognized tax benefits as a component of income tax expense.

Results of Operations

Comparison of the Years Ended December 31, 2023 and 2022

Research and Development Expenses

The  following  table  summarizes  our  research  and  development  expenses  for  the  years  ended  December  31,  2023  and  2022  (in  thousands,  except  % 
change).

Year Ended December 31,
2022
2023

$
Change

%
Change

Research and development expenses

  $

63,806     $

54,234     $

9,572      

17.6 %

The  increase  in  research  and  development  expenses  during  the  year  ended  December  31,  2023  as  compared  to  the  year  ended  December  31,  2022  was 
primarily due to increased expenses related to pre-clinical studies, stock-based compensation, manufacturing for our drug candidates, salaries and benefits 
and services provided by third-party consultants, partially offset by a decrease in expenses related to clinical studies.

General and Administrative Expenses

The  following  table  summarizes  our  general  and  administrative  expenses  for  the  years  ended  December  31,  2023  and  2022  (in  thousands,  except  % 
change).

General and administrative expenses

  $

37,021     $

16,121     $

20,900      

129.6 %

Year Ended December 31,
2022
2023

$
Change

%
Change

The increase in general and administrative expenses during the year ended December 31, 2023 as compared to the year ended December 31, 2022 was 
primarily due to increased expenses related to legal and patent services, stock-based compensation, third-party consultants and salaries and benefits.

Other Income, net

The following table summarizes our other income, net for the years ended December 31, 2023 and 2022 (in thousands, except % change).

Year Ended December 31,
2022
2023

$
Change

%
Change

Other income, net

  $

14,932     $

1,488     $

13,444      

903.5 %

64

 
 
 
   
   
 
 
 
   
   
     
   
 
 
   
   
 
 
 
   
   
     
   
 
 
 
   
   
 
 
 
   
   
     
   
 
Other income, net recognized during the year ended December 31, 2023 consisted primarily of interest income, partially offset by expense relating to the 
amortization of certain financing costs.

Other  income,  net  recognized  during  the  year  ended  December  31,  2022  consisted  primarily  of  interest  income,  offset  by  expense  relating  to  the 
amortization of certain financing costs and realized loss on investment.

Comparison of the Years Ended December 31, 2022 and 2021

For a discussion regarding our financial condition and results of operations for the year ended December 31, 2022 as compared to the year ended December 
31, 2021, please refer to the discussion under the heading “Results of Operations—Comparison of the Years Ended December 31, 2022 and 2021” in Item 7 
of our Annual Report on Form 10-K for the fiscal year ended December 31, 2022, filed with the SEC on February 10, 2023.

Liquidity and Capital Resources

We have incurred losses and negative cash flows from operations and have not generated any revenues since our inception. As of December 31, 2023, we 
had cash, cash equivalents and short-term investments of $362.1 million. As such, we believe our cash, cash equivalents and short-term investments will be 
sufficient  to  fund  our  operations  through  at  least  the  first  quarter  of  2025,  which  is  more  than  one  year  after  the  date  our  December  31,  2023  financial 
statements were issued.

Our primary use of cash is to fund operating expenses, which to date have consisted of the cost to obtain the license of intellectual property from Ligand, 
certain  research  and  development  expenses  related  to  furthering  the  development  of  VK2809,  VK2735,  VK0214  and  VK5211,  and  general  and 
administrative  expenses.  Since  we  have  not  generated  any  revenues  to  date,  we  have  incurred  operating  losses  since  our  inception.  Cash  used  to  fund 
operating expenses is impacted by the timing of payment of these expenses, as reflected in the change in our outstanding accounts payable and accrued 
expenses.

On July 28, 2021, we filed with the SEC a universal Shelf Registration Statement on Form S-3 (File No. 333-258231), or the Shelf Registration Statement. 
The Shelf Registration Statement initially provides us with the ability to offer up to $600.0 million of securities, including equity, debt and other securities 
as described in the Shelf Registration Statement. The Shelf Registration Statement was declared effective by the SEC on August 11, 2021 and the offering 
of all remaining unsold securities under the 2021 Shelf Registration Statement terminated on July 26, 2023. 

On  July  28,  2021,  we  entered  into  an  At-The-Market  Equity  Offering  Sales  Agreement,  or  the  ATM  Agreement,  with  Stifel,  Nicolaus  &  Company, 
Incorporated, Truist Securities, Inc. and H.C. Wainwright & Co. LLC, collectively, the Agents, pursuant to which we may offer and sell, from time to time, 
through or to the Agents, as sales agent or principal, or the ATM Offering, shares of our common stock having an aggregate offering price of up to $125.0 
million, or the ATM Shares. Any ATM Shares offered and sold in the ATM Offering are to be issued pursuant to the Shelf Registration Statement and the 
424(b) prospectus supplement relating to the ATM Offering dated August 11, 2021. The 2021 Shelf Registration Statement terminated on July 26, 2023. 
From its inception through the termination of the 2021 Shelf Registration Statement, 1,587,404 shares of our common stock were sold pursuant to the ATM 
Offering for aggregate net proceeds to us of approximately $13.6 million.

On March 17, 2020, our board of directors authorized a stock repurchase program, or the Prior Repurchase Program, whereby we could purchase up to 
$50.0  million  in  shares  of  our  common  stock  and  outstanding  warrants  to  purchase  our  common  stock,  over  a  period  of  up  to  two  years.  The  Prior 
Repurchase Program was carried out at the discretion of a committee of our board of directors through open market purchases, one or more Rule 10b5-1 
trading  plans,  block  trades  or  privately  negotiated  transactions.  Through  March  17,  2022,  the  termination  date  of  the  Prior  Repurchase  Program,  we 
repurchased an aggregate of 1,464,217 shares of our common stock under the Prior Repurchase Program. These shares repurchased by us under the Prior 
Repurchase Program are being held in treasury until such time as we reissue or retire them.

On  March  10,  2022,  our  board  of  directors  authorized  a  new  stock  repurchase  program,  or  the  New  Repurchase  Program,  effective  March  18,  2022, 
whereby we may purchase up to $50.0 million in shares of our common stock over a period of up to two years. The New Repurchase Program may be 
carried out at the discretion of a committee of our board of directors through open market purchases, one or more Rule 10b5-1 trading plans, block trades 
and in privately negotiated transactions. Through December 31, 2023, we repurchased an aggregate of 729,034 shares of our common stock under the New 
Repurchase Program. These shares repurchased by us under the New Repurchase Program are being held in treasury until such time as we reissue or retire 
them.

65

 
 
On  July  26,  2023,  we  filed  an  automatic  universal  shelf  registration  statement  on  Form  S-3  (File  No.  333-273460)  as  a  well-known  seasoned  issuer  as 
defined in Rule 405 under the Securities Act of 1933, as amended, which became effective upon filing, or the 2023 Shelf Registration Statement. The 2023 
Shelf Registration Statement allows us to offer an indeterminate amount of securities, including equity securities, debt securities, warrants, rights, units and 
depositary  shares,  from  time  to  time  as  described  in  the  2023  Shelf  Registration  Statement.  The  specific  terms  of  any  offering  under  the  2023  Shelf 
Registration Statement will be established at the time of such offering. The 2023 Shelf Registration Statement will expire on July 26, 2026.

On July 26, 2023, we entered into an Amendment No. 1 to At-The-Market Equity Offering Sales Agreement, or the ATM Agreement Amendment, with 
Stifel,  Nicolaus  &  Company,  Incorporated,  Truist  Securities,  Inc.,  H.C.  Wainwright  &  Co.  LLC  and  BTIG,  LLC.  Pursuant  to  the  ATM  Agreement 
Amendment, BTIG, LLC was added as a sales agent for the ATM Offering and the ATM Agreement was amended to provide that the ATM Offering could 
be conducted off of registration statements on Form S-3 subsequently filed by us. Any ATM Shares offered and sold in the ATM Offering will now be 
issued pursuant to the 2023 Shelf Registration Statement and the prospectus relating to the ATM Offering, dated July 26, 2023, that was included in the 
2023 Shelf Registration Statement, or the ATM Prospectus. The 2023 Shelf Registration Statement will expire on July 26, 2026. From the date of the ATM 
Prospectus through December 31, 2023, no shares of our common stock were sold pursuant to the ATM Offering and, as of December 31, 2023, we may 
sell shares of our common stock for remaining gross proceeds of up to $200.0 million from time to time pursuant to the ATM Prospectus.

The following table summarizes our cash flows for the periods indicated below (in thousands):

Net cash used in operating activities
Net cash (used in) provided by investing activities
Net cash provided by financing activities

Net Cash Used in Operating Activities

2023

2022

2021

  $
  $
  $

(73,376 )   $
(179,086 )   $
  $
271,376  

(48,397 )   $
  $
54,753  
  $
4,163  

(47,586 )
37,960  
6,880  

During the year ended December 31, 2023, net cash used in operating activities of $73.4 million primarily reflected our net losses for the period, adjusted 
by  non-cash  charges  such  as  stock-based  compensation,  amortization  of  investment  premiums,  amortization  of  right-of-use  assets,  amortization  of 
financing  costs,  and  interest  expense  related  to  operating  lease  liabilities  as  well  as  changes  in  our  working  capital  accounts,  primarily  consisting  of  an 
increase  in  accrued  interest,  net  of  interest  received  on  maturity  of  investments,  partially  offset  by  a  decrease  in  prepaid  expenses  and  other  assets  and 
decreases in accounts payable, accrued expenses and lease liability.

During the year ended December 31, 2022, net cash used in operating activities of $48.4 million primarily reflected our net losses for the period, adjusted 
by non-cash charges such as stock-based compensation, amortization of investment premiums, amortization of right of use assets, amortization of financing 
costs,  and  interest  expense  related  to  operating  lease  liability  as  well  as  changes  in  our  working  capital  accounts,  primarily  consisting  of  an  increase  in 
accounts payable, accrued expenses and accrued interest, net of interest received on maturity of investments, partially offset by a decrease in lease liability 
and an increase in prepaids and other current assets.

Net Cash Provided by Investing Activities

During  the  year  ended  December  31,  2023,  net  cash  used  in  investing  activities  of  $179.1  million  resulted  from  the  purchase  of  investments  of  $478.3 
million, offset by the proceeds of maturities of investments of $299.2 million.

During  the  year  ended  December  31,  2022,  net  cash  provided  by  investing  activities  of  $54.8  million  resulted  from  the  proceeds  of  maturities  of
investments of $176.2 million, offset by the purchase of investments of $121.4 million.

Net Cash Provided by Financing Activities

During the year ended December 31, 2023, net cash provided by financing activities was $271.4 million, which consisted primarily of proceeds from the 
issuance  of  common  stock,  net  of  discount,  of  $269.8  million  in  the  April  2023  Offering,  proceeds  from  certain  option  exercises  of  $6.8  million  and 
proceeds from the ATM Offering, net of fees of $2.0 million, partially offset by value of shares withheld to cover taxes of $7.1 million.

During  the  year  ended  December  31,  2022,  net  cash  provided  by  financing  activities  was  $4.2  million,  which  consisted  primarily  of  proceeds  from  the 
ATM Offering, net of fees of $11.7 million, proceeds from certain warrant exercises of $633,000 and proceeds from ESPP purchases of $215,000, partially 
offset  by  $6.8  million  in  repurchases  of  our  common  stock  under  the  Repurchase  Program  and  the  New  Repurchase  Program  and  the  value  of  shares 
withheld to cover taxes of $1.5 million.

66

 
 
 
 
 
 
 
 
Future Funding Requirements

As  of  December  31,  2023,  and  based  upon  our  current  operating  plan,  we  believe  that  we  will  have  sufficient  cash  to  meet  our  projected  operating 
requirements for at least the next 12 months following the issuance of the financial statements. We anticipate, however, that we will continue to generate 
losses for the foreseeable future, and we expect the losses to increase materially as we continue the development of, and seek regulatory approvals for, our 
drug  candidates,  and  seek  to  commercialize  any  drugs  for  which  we  receive  regulatory  approval.  We  will  need  to  raise  additional  capital  to  fund  our 
operations and complete our ongoing and planned clinical trials. Although we expect to finance future cash needs through public or private equity or debt 
offerings, funding may not be available to us on acceptable terms, or at all. If we are unable to raise additional capital in sufficient amounts or on terms 
acceptable  to  us,  we  may  be  required  to  delay,  limit,  reduce  or  terminate  our  drug  development  or  future  commercialization  efforts  or  grant  rights  to 
develop and market drug candidates that we would otherwise prefer to develop and market ourselves.

Our future capital requirements will depend on many factors, including, but not limited to:

•

•

•

•

•

•

•

•

•

•

the scope, rate of progress, results and costs of our clinical trials, preclinical studies and other related activities;

our  ability  to  establish  and  maintain  strategic  collaborations,  licensing  or  other  arrangements  and  the  financial  terms  of  such 
agreements;

the timing of, and the costs involved in, obtaining regulatory approvals for any of our current or future drug candidates;

the number and characteristics of the drug candidates we seek to develop or commercialize;

the cost of manufacturing clinical supplies, and establishing commercial supplies, of our drug candidates;

the cost of commercialization activities if any of our current or future drug candidates are approved for sale, including marketing, 
sales and distribution costs;

the expenses needed to attract and retain skilled personnel;

the costs associated with being a public company;

the amount of revenue, if any, received from commercial sales of our drug candidates, should any of our drug candidates receive 
marketing approval; and

the  costs  involved  in  preparing,  filing,  prosecuting,  maintaining,  defending  and  enforcing  possible  patent  claims,  including 
litigation costs and the outcome of any such litigation.

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

We were a smaller reporting company, as defined by Rule 12b-2 of the Securities Exchange Act of 1934, as amended, as of December 31, 2023, and are not 
required to provide the information required under this item.

Item 8. Financial Statements and Supplementary Data.

The information required by this Item 8 is contained on the pages indicated in Part IV, Item 15(a)(1) of this Annual Report on Form 10-K.

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

None.

67

 
Item 9A. Controls and Procedures.

Evaluation of Disclosure Controls and Procedures.

We maintain disclosure controls and procedures, as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended, or 
the Exchange Act. Disclosure controls and procedures are controls and other procedures designed to ensure that the information required to be disclosed by 
us in the reports that we file or submit under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the 
SEC’s  rules  and  forms.  Disclosure  controls  and  procedures  include,  without  limitation,  controls  and  procedures  designed  to  ensure  that  information 
required to be disclosed by us in the reports that we file or submit under the Exchange Act is accumulated and communicated to our management, including 
our principal executive officer and our principal financial officer, as appropriate, to allow timely decisions regarding required disclosure. In designing and 
evaluating the disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, 
can provide only reasonable and not absolute assurance of achieving the desired control objectives, and management necessarily applies its judgment in 
evaluating the cost-benefit relationship of possible controls and procedures.

Based on our management’s evaluation (with the participation of the individuals serving as our principal executive officer and principal financial officer) of 
our disclosure controls and procedures as required by Rules 13a-15 and 15d-15 under the Exchange Act, each of the individuals serving as our principal 
executive officer and principal financial officer has concluded that our disclosure controls and procedures were effective at the reasonable assurance level 
as of December 31, 2023, the end of the period covered by this report.

Management’s Report on Internal Control over Financial Reporting.

Our management is responsible for establishing and maintaining adequate internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-
15(f)  of  the  Exchange  Act).  Internal  control  over  financial  reporting  is  a  process  designed  under  the  supervision  and  with  the  participation  of  our 
management, including the individuals serving as 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. Management conducted an assessment of the effectiveness of our internal control over financial reporting based 
on  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,  2023,  our  internal  control  over  financial  reporting  was 
effective based on those criteria.

Changes in Internal Control over Financial Reporting. 

There were no changes in our internal control over financial reporting during the quarter ended December 31, 2023 that have materially affected, or are 
reasonably likely to materially affect, our internal control over financial reporting.

Attestation Report on Internal Control over Financial Reporting.

Our  independent  registered  public  accounting  firm,  Marcum,  LLP,  issued  an  attestation  report  on  our  internal  control  over  financial  reporting,  as  noted 
below. 

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM ON INTERNAL CONTROL OVER FINANCIAL REPORTING

To the Shareholders and Board of Directors of Viking Therapeutics, Inc.

Opinion on Internal Control Over Financial Reporting

We  have  audited  Viking  Therapeutics,  Inc.  's  (the  “Company”)  internal  control  over  financial  reporting  as  of  December  31,  2023,  based  on  criteria 
established in Internal Control-Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission. In our 
opinion, the Company maintained, in all material respects, effective internal control over financial reporting as of December 31, 2023, based on criteria 
established in Internal Control – Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission.

We have also audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (“PCAOB”), the consolidated 
balance sheet as of December 31, 2023 and the related consolidated statements of operations and comprehensive loss, 

68

 
shareholders’ equity, and cash flows and the related notes for the one year in the period ended December 31, 2023 of the Company, and our report dated 
February 7, 2024 expressed an unqualified opinion on those financial statements.

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 Annual 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  of  internal  control  over 
financial reporting included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, and 
testing and evaluating the design and operating effectiveness of internal control based on the assessed risk. Our audit also included 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 the 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 degree of compliance 
with the policies or procedures may deteriorate.

/s/ Marcum LLP

Marcum LLP
Costa Mesa, California
February 7, 2024

Item 9B. Other Information.

During the fiscal quarter ended December 31, 2023, none of our directors or officers (as defined in Section 16 of the Securities Exchange Act of 1934, as 
amended)  adopted  or  terminated  any  contract,  instruction  or  written  plan  for  the  purchase  or  sale  of  our  securities  that  was  intended  to  satisfy  the 
affirmative defense conditions of Rule 10b5-1(c) or any “non-Rule 10b5-1 trading arrangement,” as defined in Item 408(a) of Regulation S-K.

Item 9C. Disclosure Regarding Foreign Jurisdictions that Prevent Inspections.

Not applicable.

69

 
 
PART III

Item 10. Directors, Executive Officers and Corporate Governance.

The information required by this item will be contained in our definitive proxy statement on Schedule 14A to be filed with the SEC in connection with our 
2024 annual meeting of stockholders, or the Proxy Statement, which we expect to file not later than 120 days after the end of our year ended December 31, 
2023, and is incorporated in this report by reference.

Item 11. Executive Compensation.

The information required by this item will be contained in the Proxy Statement, which we expect to file not later than 120 days after the end of our year 
ended December 31, 2023, and is incorporated in this report by reference.

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

The information required by this item will be contained in the Proxy Statement, which we expect to file not later than 120 days after the end of our year 
ended December 31, 2023, and is incorporated in this report by reference.

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

The information required by this item will be contained in the Proxy Statement, which we expect to file not later than 120 days after the end of our year 
ended December 31, 2023, and is incorporated in this report by reference.

Item 14. Principal Accounting Fees and Services.

The information required by this item will be contained in the Proxy Statement, which we expect to file not later than 120 days after the end of our year 
ended December 31, 2023, and is incorporated in this report by reference.

70

 
 
 
 
 
 
PART IV

Item 15. Exhibits, Financial Statement Schedules.

(a)(1) The Financial Statements required to be filed by Items 8 and 15(c) of this Annual Report on Form 10-K, and filed herewith, are as follows:

Report of Independent Registered Public Accounting Firm
Consolidated Balance Sheets
Consolidated Statement of Operations and Comprehensive Loss
Consolidated Statements of Stockholders’ Equity
Consolidated Statements of Cash Flows
Notes to Consolidated Financial Statements

  Page Number in

this Annual Report 
on Form 10-K
F-2
F-4
F-5
F-6
F-7
F-8

(a)(2)  Financial  Statement  Schedules  have  been  omitted  because  they  are  either  not  applicable  or  the  required  information  is  included  in  the  financial 
statements or notes thereto listed in (a)(1) above.

(a)(3) Exhibits.

The following exhibits are filed herewith or incorporated herein by reference:

Exhibit
Number  

  3.1

  3.2

  4.1

     4.2

Description

  Amended and Restated Certificate of Incorporation.

  Amended and Restated Bylaws of Viking Therapeutics, Inc., effective as of May 9, 

2023.

  Form of Common Stock Certificate.

  Description of Registrant’s Securities.

 10.1#

  Form of Indemnification Agreement between Viking Therapeutics, Inc. and its 

 10.2#

 10.3#

 10.4#

 10.5#

 10.6#

 10.7#

 10.8#

 10.9#

directors and executive officers.

  2014 Equity Incentive Plan.

  Form of Stock Option Award Agreement (2014 Equity Incentive Plan).

  Form of Restricted Stock Unit Award Agreement (2014 Equity Incentive Plan).

  Form of Restricted Stock Award Agreement (2014 Equity Incentive Plan).

  Form of Stock Appreciation Rights Award Agreement (2014 Equity Incentive Plan).

  2014 Employee Stock Purchase Plan.

  Amendment No. 1 to 2014 Employee Stock Purchase Plan.

  Employment Agreement, effective as of June 2, 2014, by and between Viking 

Therapeutics, Inc. and Brian Lian, Ph.D.

Registrant’s
Form

S-1

8-K

S-1

10-K

S-1

Date Filed
with the
SEC

7/1/2014

5/11/2023

7/1/2014

2/1/2023

7/1/2014

S-1/A

3/2/2015

S-1

S-1

S-1/A

S-1

S-1/A

S-1

S-1/A

7/1/2014

7/1/2014

9/2/2014

7/1/2014

3/2/2015

11/24/2015  

9/2/2014

Exhibit
Number

3.3

3.1

4.1

4.2

10.1

10.2

10.3

10.4

10.23

10.5

10.22

10.8

10.6

 10.10#

  First Amendment to Employment Agreement, effective as of March 14, 2016, by and 

8-K

3/15/2016

10.1

between Viking Therapeutics, Inc. and Brian Lian, Ph.D.

71

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Exhibit
Number  

Description

 10.11#*

  Non-Employee Director Compensation Policy.

Registrant’s
Form

Date Filed
with the
SEC

Exhibit
Number

 10.12†

  Master License Agreement, dated May 21, 2014, by and among Viking Therapeutics, 

S-1

7/1/2014

10.12

Inc., Ligand Pharmaceuticals Incorporated and Metabasis Therapeutics, Inc.

 10.13†

  First Amendment to Master License Agreement, dated September 6, 2014, by and 

S-1/A

9/8/2014

10.24

among Viking Therapeutics, Inc., Ligand Pharmaceuticals Incorporated and 
Metabasis Therapeutics, Inc.

 10.14†

  Second Amendment to Master License Agreement, dated April 8, 2015, by and 
among Viking Therapeutics, Inc., Ligand Pharmaceuticals Incorporated and 
Metabasis Therapeutics, Inc.

S-1/A

4/10/2015

10.30

 10.15#†

  Common Stock Purchase Agreement, dated February 20, 2014, by and between 

S-1

7/1/2014

10.21

Viking Therapeutics, Inc. and Brian Lian, Ph.D.

 10.16#

  Amendment No. 1 to Common Stock Purchase Agreement, dated May 4, 2015, by 

10-Q

6/12/2015

10.5

and between Viking Therapeutics, Inc. and Brian Lian, Ph.D.

    10.17

  At-The-Market Equity Offering Sales Agreement, dated as of July 28, 2021, by and 
among Viking Therapeutics, Inc., Stifel, Nicolaus & Company, Incorporated Truist 
Securities, Inc. and H.C. Wainwright & Co., LLC.

S-3

7/28/2021

1.2

    10.18

  Amendment No. 1 to At-the-Market Equity Offering Sales Agreement, dated as of 

10-Q

7/26/2023

10.1

July 26, 2023, by and among Viking Therapeutics, Inc., Stifel, Nicolaus & Company, 
Incorporated, Truist Securities, Inc., H.C. Wainwright & Co., LLC and BTIG, LLC. 

 21.1

 23.1

 24.1

 31.1

 31.2

 32.1

  List of Subsidiaries of Viking Therapeutics, Inc.

10-K

2/9/2022

21.1

  Consent of Marcum LLP, Independent Registered Public Accounting Firm.

  Power of Attorney (included on the signature page to this Annual Report on Form 

10-K). 

  Certification of the Principal Executive Officer pursuant to Rule 13a-14(a) or 15d-14(a) 

of the Securities Exchange Act of 1934. 

  Certification of the Principal Financial Officer pursuant to Rule 13a-14(a) or 15d-14(a) of 

the Securities Exchange Act of 1934. 

  Certification of the Principal Executive Officer and Principal Financial Officer pursuant 

to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act 
of 2002. 

     97*

  Viking Therapeutics, Inc. Clawback Policy

101.INS

  Inline XBRL Instance Document.

101.SCH

  Inline XBRL Taxonomy Extension Schema Document.

101.CAL

  Inline XBRL Taxonomy Extension Calculation Linkbase Document.

101.DEF

  Inline XBRL Taxonomy Extension Definition Linkbase Document.

101.LAB

  Inline XBRL Taxonomy Extension Label Linkbase Document.

101.PRE

  Inline XBRL Taxonomy Extension Presentation Linkbase Document.

104

  Cover Page Interactive Data File (formatted as inline XBRL and contained in 

Exhibit 101)

72

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
Attached as Exhibit 101 to this report are the following formatted in XBRL (Extensible Business Reporting Language): (i) Consolidated Balance Sheets as 
of December 31, 2023 and December 31, 2022, (ii) Consolidated Statements of Operations and Comprehensive Loss for the years ended December 31, 
2023 and 2022, (iii) Consolidated Statements of Stockholders’ Equity for the period from December 31, 2021 to December 31, 2023, (iv) Consolidated 
Statements of Cash Flows for the years ended December 31, 2023 and 2022, and (v) Notes to Consolidated Financial Statements.

* Filed herewith.
# Indicates compensatory plan or arrangement.
† Confidential treatment has been granted with respect to certain portions of this exhibit, which portions have been omitted and filed separately with the 
Securities and Exchange Commission.

Item 16. Form 10-K Summary.

None.

73

 
 
 
SIGNATURES

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

Viking Therapeutics, Inc.

Date:  February 7, 2024

By:

/s/ Brian Lian, Ph.D.
Brian Lian, Ph. D.
President and Chief Executive Officer

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS, that each person whose signature appears below hereby constitutes and appoints, jointly and severally, 
Brian Lian, Ph.D. and Greg Zante, and each of them acting individually, as his attorney-in-fact, each with full power of substitution and resubstitution, for 
him in any and all capacities, to sign any and all 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 full power and authority to do and 
perform each and every act and thing requisite and necessary to be done in connection therewith as fully to all intents and purposes as he might or could do 
in person, hereby ratifying and confirming all that said attorneys-in-fact, or their substitute or substitutes, may lawfully do or cause to be done by virtue 
hereof.

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the Registrant 
and in the capacities and on the dates indicated.

Name

/s/ Brian Lian, Ph.D.
Brian Lian, Ph.D.

/s/ Greg Zante
Greg Zante

/s/ Lawson Macartney, DVM, Ph.D.
Lawson Macartney, DVM, Ph.D.

/s/ Matthew W. Foehr
Matthew W. Foehr

/s/ Sarah Kathryn Rouan
Sarah Kathryn Rouan

/s/ Charles A. Rowland Jr.
Charles A. Rowland Jr.

/s/ J. Matthew Singleton
J. Matthew Singleton

  President, Chief Executive Officer and Director

  February 7, 2024

Title

Date

(Principal Executive Officer)

  Chief Financial Officer

 (Principal Accounting and Financial Officer)

  Director

  Director

  Director

  Director

  Director

74

  February 7, 2024

  February 7, 2024

  February 7, 2024

  February 7, 2024

  February 7, 2024

  February 7, 2024

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INDEX TO FINANCIAL STATEMENTS

Report of Independent Registered Public Accounting Firm (PCAOB ID:688)

Consolidated Balance Sheets as of December 31, 2023 and 2022

Consolidated Statements of Operations and Comprehensive Loss for the Years ended December 31, 2023, 2022 and 2021

Consolidated Statements of Stockholders’ Equity for the Years ended December 31, 2023, 2022 and 2021

Consolidated Statements of Cash Flows for the Years ended December 31, 2023, 2022 and 2021

Notes to Consolidated Financial Statements

F-2

F-4

F-5

F-6

F-7

F-8

F-1

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Report of Independent Registered Public Accounting Firm

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

Opinion on the Financial Statements

We  have  audited  the  accompanying  consolidated  balance  sheets  of  Viking  Therapeutics,  Inc.  (the  “Company”)  as  of  December  31,  2023  and  2022,  the 
related consolidated statements of operations and comprehensive loss, stockholders’ equity and cash flows for each of the three years in the period ended 
December 31, 2023, and the related notes (collectively referred to as the “financial statements”).  In our opinion, the financial statements present fairly, in 
all material respects, the consolidated financial position of the Company as of December 31, 2023, and the results of its operations and its cash flows for 
each  of  the  three  years  in  the  period  ended  December  31,  2023,  in  conformity  with  accounting  principles  generally  accepted  in  the  United  States  of 
America.

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, 2023, based on the criteria established in Internal Control - Integrated Framework issued by the 
Committee of Sponsoring Organizations of the Treadway Commission (COSO) in 2013 and our report dated February 7, 2024, expressed an unqualified 
opinion on the effectiveness of the Company’s internal control over financial reporting.

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 audits 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.

Critical Audit Matters

The  critical  audit  matters  communicated  below  are  matters  arising  from  the  current  period  audit  of  the  financial  statements  that  were  communicated  or 
required  to  be  communicated  to  the  audit  committee  and  that:  (1)  relate  to  accounts  or  disclosures  that  are  material  to  the  financial  statements  and  (2) 
involved our especially challenging, subjective, or complex judgments. The communication of critical audit matters does not alter in any way our opinion 
on the financial statements, taken as a whole, and we are not, by communicating the critical audit matters below, providing separate opinions on the critical 
audit matters or on the accounts or disclosures to which they relate.

Accrual for preclinical study and clinical trial costs

As described in Note 1 to the financial statements, the Company estimates its preclinical study and clinical trial expenses based on the services it received 
pursuant to contracts with research institutions and contract research organizations (“CROs”) that conduct and manage preclinical studies and clinical trials 
on the Company’s behalf. Clinical trial-related contracts vary significantly in length, and may be for a fixed amount based on milestones or deliverables, a 
variable amount based on actual costs incurred, capped at a certain limit, or a combination of these elements. The Company accrues service fees based on 
work performed, which relies on estimates of total costs incurred based on milestones achieved, patient enrollment and other events. The majority of the 
Company’s service providers invoice the Company in arrears, and to the extent that amounts invoiced differ from its estimates of expenses incurred, the 
Company  accrues  for  additional  costs.  The  financial  terms  of  these  agreements  vary  from  contract  to  contract  and  may  result  in  uneven  expenses  and 
payment flows.

F-2

 
 
The principal consideration for our determination that performing procedures related to the preclinical study and clinical trial expenses, specifically related 
to the year-end accrual for preclinical study and clinical trial costs, is a critical audit matter is that there was judgment by management in determining the 
achievement  of  milestones,  patient  enrollments  and  occurrence  of  other  events  that  creates  a  present  obligation  for  the  Company  to  pay  the  research 
institutions and CROs for their services.

Addressing the matter involved performing procedures and evaluating audit evidence in connection with forming our overall opinion on the consolidated 
financial statements. These procedures included, among others, (i) obtaining an understanding of the Company’s estimation process relating to accrual for 
preclinical  study  and  clinical  trial  costs;  (ii)  testing  management’s  identification  of  milestones,  patient  enrollment  requirements  and  other  events  in  its 
contracts with the research institutions and CROs; (iii) testing management’s determination of the accrual for preclinical study and clinical trial costs for a 
sample of such milestones, patient enrollments and other events; and (iv) testing the mathematical accuracy of the schedule of accrual for preclinical study 
and clinical trial costs prepared by management.

/s/ Marcum LLP

We have served as the Company’s auditor since 2014.

Marcum LLP
Costa Mesa, California
February 7, 2024

F-3

 
 
Viking Therapeutics, Inc.
Consolidated Balance Sheets

(In thousands, except share and per share amounts)

Assets
Current assets:

Cash and cash equivalents
Short-term investments – available-for-sale
Prepaid clinical trial and preclinical study costs
Prepaid expenses and other current assets

Total current assets
Right-of-use assets
Deferred financing costs
Deposits

Total assets

Liabilities and stockholders’ equity
Current liabilities:

Accounts payable
Other accrued liabilities
Lease liability, current

Total current liabilities

Lease liability, net of current portion

Total long-term liabilities
Total liabilities

Commitments and contingencies (Note 11)
Stockholders’ equity:

Preferred stock, $0.00001 par value: 10,000,000 shares authorized at December 31, 2023 and 2022; 
no shares issued and outstanding at December 31, 2023 and 2022
Common stock, $0.00001 par value: 300,000,000 shares authorized at December 31, 2023 and 2022; 
100,113,770 shares issued and outstanding at December 31, 2023 and 78,257,258 shares issued and 
outstanding at December 31, 2022
Treasury stock at cost, 2,193,251 shares at December 31, 2023 and 2022
Additional paid-in capital
Accumulated deficit
Accumulated other comprehensive loss

Total stockholders’ equity

Total liabilities and stockholders’ equity

December 31,
2023

December 31,
2022

  $

  $

  $

  $

  $

  $

  $

55,516  
306,563  
2,624  
2,522  
367,225  
1,126  
106  
33  
368,490  

7,512  
11,299  
324  
19,135  
936  
936  
20,071  

36,632  
118,853  
8,144  
3,411  
167,040  
1,418  
38  
33  
168,529  

8,529  
13,114  
304  
21,947  
1,260  
1,260  
23,207  

—  

—  

1  
(6,795 )
733,546  
(377,944 )
(389 )
348,419  
368,490  

  $

1  
(6,795 )
445,267  
(292,049 )
(1,102 )
145,322  
168,529  

The accompanying notes are an integral part of these consolidated financial statements.

F-4

 
 
 
 
 
 
 
 
 
   
 
   
 
   
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
   
 
   
 
   
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
   
 
   
 
   
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
 
Viking Therapeutics, Inc.
Consolidated Statements of Operations and Comprehensive Loss

(In thousands, except per share amounts)

Revenues
Operating expenses:

Research and development
General and administrative
Total operating expenses

Loss from operations
Other income (expense):

Amortization of financing costs
Interest income, net
Realized loss on investments, net
Foreign exchange gain

Total other income, net

Net loss
Other comprehensive loss, net of tax:
Unrealized gain (loss) on securities
Foreign currency translation loss

Comprehensive loss

Basic and diluted net loss per share
Weighted-average shares used to compute basic
   and diluted net loss per share

2023

Year Ended
December 31,
2022

2021

  $

—     $

—     $

—  

63,806    
37,021    
100,827    
(100,827 )  

(88 )  
15,020    
—    
—    
14,932    
(85,895 )  

54,234    
16,121    
70,355    
(70,355 )  

(59 )  
1,589    
(42 )  
—    
1,488    
(68,867 )  

742    
(29 )  
(85,182 )   $
(0.91 )   $

(295 )  
(258 )  
(69,420 )   $
(0.90 )   $

  $
  $

44,981  
10,701  
55,682  
(55,682 )

(18 )
703  
—  
7  
692  
(54,990 )

(495 )
—  
(55,485 )

(0.71 )

94,347    

76,834    

77,198  

The accompanying notes are an integral part of these consolidated financial statements.

F-5

 
 
 
 
 
 
 
 
 
   
   
 
 
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Viking Therapeutics, Inc.
Consolidated Statements of Stockholders’ Equity

(In thousands, except share amounts)

Common Stock

Shares
73,215,9

    Amount

    Capital

Addition
al

Paid-In    

Accumul
ated
    Deficit

(168,19

1     $ 412,589     $
6,100      
—      
(707 )    
—  
570      
—      

2 )   $
—      
—      
—      

Balance at December 31, 2020
Employee stock-based compensation, net
Shares withheld related to employee tax withholding
Issuance of common stock under employee stock plans    

40     $
—      
(117,025 )    
421,174      
4,728,31

Issuance of common stock from warrant exercises
Unrealized loss on investments
Net loss

2      
—      
—      

—      
—      
—      

7,062      
—      
—      

Balance at December 31, 2021
Employee stock-based compensation, net
Shares withheld related to employee tax withholding
Issuance of common stock under employee stock plans    
Issuance of common stock from warrant exercises

78,248,4

01     $
—      
(215,498 )    
521,319      
487,087      

(2,193,25

1     $ 425,614     $
8,673      
—      
(1,533 )    
—  
215      
—      
633      
—      

—      
—      
(54,990 )    
(223,18

2 )   $
—      
—      
—      
—      

Accumul
ated 
Other
Compreh
ensive
Loss

Treasury 
Stock
    Amount    

Total

  $

(54 )
—    
—  
—    

—    
(495 )  
—    

(549 )

  $

—    
—  
—    
—    

—     $ 244,344  
6,100  
—      
(707 )
—      
570  
—      

—      
—      
—      

7,062  
(495 )
(54,990 )

—     $ 201,884  
8,673  
—      
(1,533 )
—      
215  
—      
633  
—      

Repurchase of common stock

1 )    

—      

—      

—      

—    

(6,795 )    

(6,795 )

Sale of common stock, net of issuance costs
Unrealized loss on investments
Unrealized currency translation loss
Net loss

Balance at December 31, 2022
Employee stock-based compensation, net
Shares withheld related to employee tax withholding

1,409,20

0      
—      
—      
—      

—      
—      
—      
—      

11,665      
—      
—      
—      

—      
—      
—      
(68,867 )    
(292,04

—    
(295 )  
(258 )  
—    

—      
—      
—      
—      

11,665  
(295 )
(258 )
(68,867 )

1     $ 445,267     $
16,750      
—      
(7,121 )    
—      

9 )   $
—      
—      

(1,102 )

  $

—    
—    

(6,795 )   $ 145,322  
16,750  
(7,121 )

—      
—      

78,257,2

58     $
—      
(509,686 )    
2,359,69

Issuance of common stock under employee stock plans    

4      

—      

6,768      

—      

—    

—  

6,768  

Sale of common stock, net of issuance costs
Unrealized gain on investments
Unrealized currency translation loss
Net Loss

20,006,5

04      
—      
—      
—      

—       271,882      
—      
—      
—      
—      
—      
—      

100,113,

—      
—      
—      
(85,895 )    
(377,94

—    
742    
(29 )  
—    

—       271,882  
742  
—      
—      
(29 )
(85,895 )
—      

Balance at December 31, 2023

770     $

1     $ 733,546     $

4 )   $

(389 )

  $

(6,795 )   $ 348,419  

The accompanying notes are an integral part of these consolidated financial statements.

F-6

 
 
 
 
 
 
   
   
   
     
 
 
 
   
 
   
   
 
   
   
   
 
   
 
   
 
   
 
   
   
 
   
   
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
   
 
   
 
 
   
   
 
   
 
   
 
   
 
   
 
 
 
Viking Therapeutics, Inc.
Consolidated Statements of Cash Flows

(In thousands)

Year Ended December 31,
2022

2023

2021

  $

(85,895 )   $

(68,867 )   $

(54,990 )

Cash flows from operating activities
Net loss
Adjustments to reconcile net loss to net cash used in operating
   activities

(Accretion) amortization of investment premiums
Amortization of financing costs
Stock-based compensation
Amortization of right-of-use assets
Interest expense related to operating lease liability
Changes in operating assets and liabilities:

Prepaid expenses and other current assets
Accrued interest, net of interest receivable on maturity of investments
Accounts payable
Accrued expenses
Lease liability

Net cash used in operating activities
Cash flows from investing activities
Purchases of investments
Proceeds from sales and maturities of investments
Net cash (used in) provided by investing activities
Cash flows from financing activities
Public offering, net of offering costs
Value of shares withheld related to employee tax withholding
Repurchase of common stock
Proceeds from warrant and option exercises and stock issuances under employee stock 
purchase plan
ATM offering, net of fees
Net cash provided by financing activities
Net increase (decrease) in cash and cash equivalents
Cash and cash equivalents beginning of period
Effect of exchange rate changes on cash

Cash and cash equivalents end of period

Supplemental disclosure of non-cash investing and financing
   transactions

Unpaid deferred public offering and other financing costs

Right-of-use asset obtained in exchange for lease obligation

  $

  $
  $

(8,202 )  
88    
16,750    
292    
43    

6,408    
321    
(1,018 )  
(1,816 )  
(347 )  
(73,376 )  

(478,303 )  
299,217    
(179,086 )  

269,760    
(7,121 )  
—    

1,217    
59    
8,673    
291    
41    

(3,130 )  
614    
7,085    
5,809    
(189 )  
(48,397 )  

(121,431 )  
176,184    
54,753    

(22 )  
(1,533 )  
(6,795 )  

6,768    
1,969    
271,376    
18,914    
36,632    
(30 )  
55,516     $

848    
11,665    
4,163    
10,519    
26,371    
(258 )  
36,632     $

3,906  
18  
6,100  
296  
11  

(711 )
1,176  
(2,544 )
(506 )
(342 )
(47,586 )

(168,015 )
205,975  
37,960  

(46 )
(707 )
—  

7,633  
—  
6,880  
(2,746 )
29,117  
-  
26,371  

50     $
—     $

31     $
1,664     $

50  

—  

The accompanying notes are an integral part of these consolidated financial statements.

F-7

 
 
 
 
 
 
 
 
   
   
 
 
     
     
   
 
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
     
   
 
     
     
   
 
 
Viking Therapeutics, Inc.

Notes to Consolidated Financial Statements

1.

Organization, Liquidity and Management’s Plan, and Summary of Significant Accounting Policies

The Company

Viking Therapeutics, Inc., a Delaware corporation, together with its subsidiary (the “Company”), is a clinical-stage biopharmaceutical company focused on 
the  development  of  novel  therapies  for  metabolic  and  endocrine  disorders.  In  June  of  2021,  the  company  formed  an  Australian  subsidiary,  Viking 
Therapeutics,  PTY  LTD,  so  as  to  be  able  to  take  advantage  of  certain  research  and  development  reimbursements  available  to  local  Australian  based 
research and development companies that choose to do research in Australia.

The  Company  was  incorporated  under  the  laws  of  the  State  of  Delaware  on  September  24,  2012  and  its  principal  executive  offices  are  located  in  San 
Diego, CA, with a subsidiary located in Adelaide, Australia.

Basis of Presentation

The accompanying financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America 
(“GAAP”).

Use of Estimates

The  preparation  of  financial  statements  in  conformity  with  GAAP  requires  management  to  make  estimates  and  assumptions  that  affect  the  amounts 
reported in the accompanying financial statements. Significant estimates made in preparing these financial statements relate to accounting for accruals for 
our clinical and preclinical efforts and stock-based compensation. Actual results could differ from those estimates.

Principles of Consolidation

The consolidated financial statements include the accounts of the Company and its subsidiary, Viking Therapeutics, PTY LTD, incorporated in Australia. 
To  date,  the  aggregate  operations  of  this  subsidiary  have  not  been  significant  and  all  intercompany  transactions  and  balances  have  been  eliminated  in 
consolidation.

Cash and Cash Equivalents

The Company considers all highly liquid investments with maturities of three months or less from the date of purchase to be cash equivalents.

Investments Available-for-Sale

Available-for-sale securities are carried at fair value, with the unrealized gains and losses reported in accumulated other comprehensive loss. The amortized 
cost  of  debt  securities  is  adjusted  for  amortization  of  premiums  and  accretion  of  discounts  to  maturity.  The  amortization  of  premiums  and  accretion  of 
discounts is included in interest income. Realized gains and losses and declines in value judged to be other-than-temporary, if any, on available-for-sale 
securities  are  included  in  other  income  (expense).  The  cost  of  securities  sold  is  based  on  the  specific  identification  method.  Interest  and  dividends  on 
securities classified as available-for-sale are included in interest income.

Concentration of Credit Risk

Financial instruments, which potentially subject the Company to concentration of credit risk, consist primarily of cash and cash equivalents and marketable 
securities. The Company maintains deposits in federally insured depository institutions in excess of federally insured limits. Management believes that the 
Company is not exposed to significant credit risk due to the financial position of the depository institutions in which those deposits are held. Additionally, 
the Company has established guidelines regarding approved investments and maturities of investments, which are designed to maintain safety and liquidity.

F-8

 
Prepaid Clinical Trial and Preclinical Study Costs

Prepaid clinical trial and preclinical study costs represent advance payments by the Company for future clinical trial and preclinical study services to be 
performed by the clinical research organization and other research organizations. Such amounts are recognized as research and development expense as the 
related clinical trial and preclinical study services are performed.

Leases

The  Company  determines  if  an  arrangement  is  a  lease  at  inception.  Operating  leases  are  included  in  right-of-use  (“ROU”)  assets,  and  lease  liability 
obligations are included in the Company’s balance sheets. ROU assets represent the Company’s right to use an underlying asset for the lease term and lease 
liability obligations represent its obligation to make lease payments arising from the lease. ROU assets and liabilities are recognized at the commencement 
date based on the present value of lease payments over the lease term. As the Company’s leases typically do not provide an implicit rate, the Company 
estimates its incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. The
Company uses the implicit rate when readily determinable. The ROU asset also includes any lease payments made and excludes lease incentives and lease 
direct costs. The Company’s lease terms may include options to extend or terminate the lease when it is reasonably certain that the Company will exercise 
that option. Lease expense is recognized on a straight-line basis over the lease term. Please refer to Note 5 for additional information.

Deferred Financing Costs

Deferred financing costs represent legal, accounting and other direct costs related to the Company’s efforts to raise capital through a public or private sale 
of  the  Company’s  common  stock.  Costs  related  to  the  public  sale  of  the  Company’s  common  stock  are  deferred  until  the  completion  of  the  applicable 
offering,  at  which  time  such  costs  are  reclassified  to  additional  paid-in-capital  as  a  reduction  of  the  proceeds.  Costs  related  to  the  private  sale  of  the 
Company’s  common  stock  are  deferred  until  the  completion  of  the  applicable  offering,  at  which  time  such  costs  are  amortized  over  the  term  of  the 
applicable purchase agreement.

Revenue Recognition

The Company has not recorded any revenues since its inception. However, in the future, the Company may enter into collaborative research and licensing 
agreements,  under  which  the  Company  could  be  eligible  for  payments  made  in  the  form  of  upfront  license  fees,  research  funding,  cost  reimbursement, 
contingent event-based payments and/or royalties.

On  January  1,  2018,  the  Company  adopted  Accounting  Standards  Update  No.  2014-09,  Revenue  from  Contracts  with  Customers  and  all  related 
amendments (“ASC 606” or “the revenue standard”). ASC 606 is a single comprehensive model for entities to use in accounting for revenue arising from 
contracts with customers and supersedes most current revenue recognition guidance, including industry-specific guidance. The revenue standard is based 
on the principle that an entity should recognize revenue to depict the transfer of goods or services to customers in an amount that reflects the consideration 
to which the entity expects to be entitled in exchange for those goods or services. To achieve this core principle, ASC 606 provides that an entity should 
apply the following steps: (1) identify the contract(s) with a customer, (2) identify the performance obligations in the contract, (3) determine the transaction 
price,  (4)  allocate  the  transaction  price  to  the  performance  obligations  in  the  contract  and  (5)  recognize  revenue  when  (or  as)  the  entity  satisfies  a 
performance  obligation.  The  revenue  standard  also  requires  additional  disclosure  about  the  nature,  amount,  timing  and  uncertainty  of  revenue  and  cash 
flows arising from customer contracts, and costs to obtain or fulfill contracts. The Company will apply ASC 606 prospectively to all contracts.

Research and Development Expenses

All costs of research and development are expensed in the period incurred. Research and development costs primarily consist of fees paid to CROs and 
clinical trial sites, employee and consultant related expenses, which include salaries, benefits and stock-based compensation for research and development 
personnel,  external  research  and  development  expenses  incurred  pursuant  to  agreements  with  third-party  manufacturing  organizations,  facilities  costs, 
travel costs, dues and subscriptions, depreciation and materials used in preclinical studies, clinical trials and research and development.

F-9

 
The Company estimates its preclinical study and clinical trial expenses based on the services it received pursuant to contracts with research institutions and 
CROs that conduct and manage preclinical studies and clinical trials on the Company’s behalf. Clinical trial-related contracts vary significantly in length, 
and  may  be  for  a  fixed  amount  based  on  milestones  or  deliverables,  a  variable  amount  based  on  actual  costs  incurred,  capped  at  a  certain  limit,  or  a 
combination of these elements. The Company accrues service fees based on work performed, which relies on estimates of total costs incurred based on 
milestones  achieved,  patient  enrollment  and  other  events.  The  majority  of  the  Company’s  service  providers  invoice  the  Company  in  arrears,  and  to  the 
extent  that  amounts  invoiced  differ  from  its  estimates  of  expenses  incurred,  the  Company  accrues  for  additional  costs.  The  financial  terms  of  these 
agreements vary from contract to contract and may result in uneven expenses and payment flows. Preclinical study and clinical trial expenses include:

•

•

•

fees paid to CROs, consultants and laboratories in connection with preclinical studies;

fees paid to CROs, clinical trial sites, investigators and consultants in connection with clinical trials; and

fees  paid  to  contract  manufacturers  and  service  providers  in  connection  with  the  production,  testing  and  packaging  of  active 
pharmaceutical ingredients and drug materials for preclinical studies and clinical trials.

Payments under some of these agreements depend on factors such as the milestones accomplished, including enrollment of certain numbers of patients, site 
initiation and the completion of clinical trial milestones. To date, the Company has not experienced any events requiring it to make material adjustments to 
its accruals for service fees. If the Company does not identify costs that it has begun to incur or if it underestimates or overestimates the level of services 
performed  or  the  costs  of  these  services,  its  actual  expenses  could  differ  from  its  estimates  which  could  materially  affect  its  results  of  operations. 
Adjustments to the Company’s accruals are recorded as changes in estimates become evident. Furthermore, based on amounts invoiced to the Company by 
its service providers, the Company may also record payments made to those providers as prepaid expenses that will be recognized as expense in future 
periods as services are rendered.

In May 2014, the Company entered into a master license agreement, pursuant to which it acquired certain rights to a number of research and development 
programs from Ligand Pharmaceuticals Incorporated (“Ligand”). In doing so, the Company updated its policy on research and development to include the 
purchase of rights to intangible assets. In accordance with Accounting Standards Codification (“ASC”) Topic 730, Research and Development, intangible 
assets  that  are  acquired  and  have  an  alternative  future  use,  as  defined,  should  be  capitalized  and  reported  as  an  intangible  asset;  however,  the  cost  of 
acquired intangible assets that do not have alternative future uses should be reported as research and development expense as incurred. The Company notes 
that intangible assets acquired that are in the preclinical or clinical stages of development when acquired, and not approved by the U.S. Food and Drug 
Administration,  are  deemed  to  have  not  satisfied  the  definition  of  having  an  alternative  future  use,  as  defined.  Accordingly,  assets  acquired  in  the 
preclinical and clinical stages of development are expensed as incurred in the Company’s statement of operations.

Related  to  the  Company’s  Australian  subsidiary,  Viking  Therapeutics,  PTY  LTD,  the  Company  is  eligible,  and  has  received,  under  the  AusIndustry 
Research  and  Tax  Development  Tax  Incentive  Program,  an  amount  of  cash  from  the  Australian  Taxation  Office  (ATO).  The  annual  tax  incentive  is 
available  to  the  Company  on  the  basis  of  specific  criteria  with  which  the  Company  must  comply  related  to  research  and  development  expenditures  in 
Australia.  As  there  is  no  specific  GAAP  guidance  related  to  how  to  record  this  research  and  development  tax  incentive,  the  Company  looked  to 
International Accounting Standard (IAS) 20 and determined that it will recognize these research and development tax incentives as contra research and 
development  expense  once  received.  The  amounts  are  determined  based  on  a  cost-reimbursement  basis,  and  the  incentive  is  related  to  the  Company’s 
research and development expenditures and is due regardless of whether any Australian tax is owed.

Patent Costs

Costs  related  to  filing  and  pursuing  patent  applications  are  expensed  as  incurred  to  general  and  administrative  expense,  as  recoverability  of  such 
expenditures is uncertain.

Stock-Based Compensation

The  Company  generally  uses  the  straight-line  method  to  allocate  compensation  cost  to  reporting  periods  over  each  optionee’s  requisite  service  period, 
which  is  generally  the  vesting  period,  and  estimates  the  fair  value  of  stock-based  awards  or  restricted  stock  units  to  employees  and  directors  using  the 
Black-Scholes  option-valuation  model  (the  “Black-Scholes  model”).  The  Black-Scholes  model  requires  the  input  of  subjective  assumptions,  including 
volatility, the expected term and the fair value of the underlying common stock on the date of grant, among other inputs. For restricted stock and restricted
stock  unit  awards,  the  Company  generally  uses  the  straight-line  method  to  allocate  compensation  cost  to  reporting  periods  over  the  holder’s  requisite 
service  period,  which  is  generally  the  vesting  period,  and  uses  the  fair  value  at  grant  date  to  value  the  awards.  For  restricted  stock  that  vests  upon  the 
satisfaction of certain performance 

F-10

 
conditions,  the  Company  recognizes  stock-based  compensation  expense  when  it  becomes  probable  that  the  performance  conditions  will  be  met.  At  the 
grant date, the Company determines the grant date fair value, as a publicly traded company, using the intrinsic value, or the closing price of the Company’s 
common stock on the date of grant. At the point where the criteria are deemed probable of being met, the Company records stock-based compensation with 
a cumulative catch-up expense in the period first recognized and then on a straight-line basis over the remaining period for which the performance criteria 
are expected to be completed.

For the Company’s 2014 Employee Stock Purchase Plan (the “ESPP”), the Company generally recognizes compensation expense for the fair value of the 
purchase options, as measured on the grant date, and uses the graded vesting method to allocate this compensation cost to each purchase period within the 
related two-year offering period. As the ESPP also allows for up to one increase in contributions during each purchase period, as an employee elects to 
increase his or her contributions, the Company treats this as an accounting modification. The pre- and post-modification values are calculated on the date of 
the modification, and the incremental expense is then amortized over the remaining purchase periods. 

Income Taxes

The  Company  accounts  for  its  income  taxes  using  the  liability  method  whereby  deferred  tax  assets  and  liabilities  are  determined  based  on  temporary 
differences between the basis used for financial reporting and income tax reporting purposes. Deferred income taxes are provided based on the enacted tax 
rates in effect at the time such temporary differences are expected to reverse. A valuation allowance is provided for deferred tax assets if it is more likely 
than not that the Company will not realize those tax assets through future operations.

ASC Topic 740-10, Income Taxes, clarifies the accounting for uncertainty in income taxes recognized in the Company’s financial statements in accordance 
with GAAP. Income tax positions must meet a more-likely-than-not recognition threshold to be recognized. Income tax positions that previously failed to 
meet  the  more-likely-than-not  threshold  are  recognized  in  the  first  subsequent  financial  reporting  period  in  which  that  threshold  is  met.  Previously 
recognized tax positions that no longer meet the more-likely-than-not threshold are derecognized in the first subsequent financial reporting period in which 
that threshold is no longer met.

The Company’s policy is to recognize interest and penalties accrued on any unrecognized tax benefits as a component of income tax expense.

Foreign Currency

The  financial  statements  of  the  Company’s  foreign  subsidiary  whose  functional  currency  is  the  local  currency  is  translated  into  U.S.  dollars  for 
consolidation as follows: assets and liabilities at the exchange rate as of the balance sheet date, stockholders’ equity at the historical rates of exchange, and 
income  and  expense  amounts  at  the  average  exchange  rate  for  the  period.  Translation  adjustments  resulting  from  the  translation  of  the  subsidiaries’ 
accounts  are  included  in  “Accumulated  other  comprehensive  loss”  as  equity  in  the  consolidated  balance  sheet.  Transactions  denominated  in  currencies 
other than the applicable functional currency are converted to the functional currency at the exchange rate on the transaction date. At period end, monetary 
assets and liabilities are remeasured to the functional currency using exchange rates in effect at the balance sheet date. Non-monetary assets and liabilities 
are remeasured at historical exchange rates.

Comprehensive Loss

The  Company’s  comprehensive  loss  consists  of  net  loss  and  foreign  currency  translation  adjustments  arising  from  the  consolidation  of  the  Company’s 
foreign subsidiary.

Net Loss per Common Share

Basic  net  loss  per  share  is  calculated  by  dividing  the  net  loss  attributable  to  common  stockholders  by  the  weighted-average  number  of  common  shares 
outstanding for the period, without consideration for common stock equivalents. Diluted net loss per share is computed by dividing the net loss attributable 
to  common  stockholders  by  the  weighted-average  number  of  common  share  equivalents  outstanding  for  the  period  determined  using  the  treasury-stock 
method. For purposes of this calculation, the Company currently does not have any deemed common share equivalents; therefore, its basic and diluted net 
loss per share calculations are the same.

F-11

 
The following table presents the computation of basic and diluted net loss per common share (in thousands, except share and per share data):

Historical net loss per share
Numerator
Net loss
Denominator

Weighted-average common shares outstanding
Less: Weighted-average shares subject to repurchase

Denominator for basic and diluted net loss per share

Basic and diluted net loss per share

Year Ended December 31,
2022

2023

2021

  $

(85,895 )   $

(68,867 )   $

(54,990 )

94,530,086    
(183,095 )  
94,346,991    

77,016,725    
(183,095 )  
76,833,630    

  $

(0.91 )   $

(0.90 )   $

77,380,775  
(183,095 )
77,197,680  

(0.71 )

 Potentially dilutive securities that are not included in the calculation of diluted net loss per share because their effect is anti-dilutive are as follows (in 
common equivalent shares):

Common stock warrants
Restricted stock units
Common stock subject to repurchase
Common stock options

Segments

2023

Year Ended December 31,
2022

2021

—    
2,855,656    
183,095    
5,248,682    
8,287,433    

—      
1,868,518      
183,095      
5,157,857      
7,209,470      

487,087  
962,299  
183,095  
4,088,084  
5,720,565  

The Company operates in only one segment. Management uses cash flows as the primary measure to manage its business and does not segment its business 
for internal reporting or decision making purposes.

2.

Investments in Marketable Securities

The Company’s investment strategy is focused on capital preservation. The Company invests in instruments that meet the credit quality standards outlined 
in the Company’s investment policy. This policy also limits the amount of credit exposure to any one issue or type of instrument. As of December 31, 2023 
and 2022, the Company’s investments were in money market funds, commercial paper and corporate debt securities. There were no sales of available-for-
sale securities during the years ended December 31, 2023 and 2022.

Investments classified as available-for-sale as of December 31, 2023 consisted of the following (in thousands):

As of December 31, 2023
Commercial paper  
Corporate debt securities  
Government debt securities  

(2)

(2)

(2)

Amortized
Cost

  $

  $

24,226     $

168,564    
113,871  
306,661     $

Gross
Unrealized
(1)
Gains  

Gross
Unrealized
(1)
Losses  

Aggregate
Estimated
Fair Value

—     $
148    
8  
156     $

—     $
(128 )    
(126 )    
(254 )   $

24,226  
168,584  
113,753  
306,563  

(1)

Unrealized gains and losses on available-for-sale securities are included as a component of comprehensive loss. At December 31, 2023, there were 
49  securities  in  an  unrealized  gain  position  and  115  securities  in  an  unrealized  loss  position.  The  unrealized  gains  were  less  than  $37,000 
individually and $158,000 in the aggregate. The unrealized losses were less than $23,000 individually and $258,000 in the aggregate. None of these 
securities have been in a continuous unrealized loss or unrealized gain position for more than 12 months. The Company does not intend to sell these 
investments and it is not more likely than not that the Company will be required to sell these investments before recovery of their amortized cost 
basis,  which  may  be  at  maturity.  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 

F-12

 
 
 
 
 
 
   
   
 
 
     
     
   
 
     
     
   
 
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
   
 
 
   
 
 
 
 
 
 
 
 
 
   
   
 
 
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.

(2)

At  December  31,  2023,  none  of  these  securities  were  classified  as  cash  and  cash  equivalents  on  the  Company’s  balance  sheet  and  none  of  the 
corporate debt securities were scheduled to mature outside of one year at the time of purchase.

Investments classified as available-for-sale as of December 31, 2022 consisted of the following (in thousands):

As of December 31, 2022
Commercial paper  
Corporate debt securities  
Government debt securities  

(2)

(2)

(2)

Amortized
Cost

  $

  $

43,780     $
72,183    
3,732  
119,695     $

Gross
Unrealized
(1)
Gains  

Gross
Unrealized
(1)
Losses  

Aggregate
Estimated
Fair Value

—     $
—    
—  
—     $

—     $
(824 )    
(18 )    
(842 )   $

43,780  
71,359  
3,714  
118,853  

(1)

Unrealized gains and losses on available-for-sale securities are included as a component of comprehensive loss. At December 31, 2022, there were 
no  securities  in  an  unrealized  gain  position  and  39  securities  in  an  unrealized  loss  position.  The  unrealized  losses  were  less  than  $124,000 
individually and $842,000 in the aggregate. Twenty-two of these securities have been in a continuous unrealized loss or unrealized gain position for 
more than 12 months. The Company does not intend to sell these investments and it is not more likely than not that the Company will be required to 
sell these investments before recovery of their amortized cost basis, which may be at maturity. 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.

(2)

At  December  31,  2022,  none  of  these  securities  were  classified  as  cash  and  cash  equivalents  on  the  Company’s  balance  sheet  and  none  of  the 
corporate debt securities were scheduled to mature outside of one year at the time of purchase.

3.

Fair Value of Financial Instruments

The  Company’s  financial  instruments  consist  of  cash  and  cash  equivalents,  investments  and  accounts  payable.  The  carrying  amounts  reported  in  the 
accompanying consolidated balance sheets for cash and cash equivalents and accounts payable approximate fair value because of the short-term maturity of 
those instruments. Fair value measurements are classified and disclosed in one of the following three categories:

Level 1 —Quoted prices in active markets for identical assets or liabilities.

Level 2 —Inputs other than Level 1 that are observable, either directly or indirectly, such as quoted prices for similar assets or liabilities; 
quoted prices in markets that are not active; or other inputs that are observable or can be corroborated by observable market data for substantially the 
full term of the assets or liabilities.

Level 3  —Unobservable  inputs  that  are  supported  by  little  or  no  market  activity  and  that  are  significant  to  the  fair  value  of  the  assets  or 

liabilities.

As  of  December  31,  2023  and  2022,  all  of  the  Company’s  financial  assets  that  were  subject  to  fair  value  measurements  were  valued  using  observable 
inputs. The Company’s financial assets valued based on Level 1 inputs consist of money market funds and certificates of deposit. The Company’s financial 
assets valued based on Level 2 inputs consist of corporate debt securities, which consist of investments in highly-rated investment-grade corporations. 

The Company’s investment strategy is focused on capital preservation. The Company invests in instruments that meet the credit quality standards outlined 
in the Company’s investment policy. This policy also limits the amount of credit exposure to any one issue or type of instrument. As of December 31, 2023, 
the Company’s investments were in government money market funds, commercial paper and corporate debt securities.

F-13

 
 
   
   
   
 
 
 
 
 
 
 
   
   
 
 
The fair values of the Company’s financial instruments are presented below (in thousands):

Total

Fair Value Measurements at December 31, 
2023
Level 2

Level 3

Level 1

Financial assets carried at fair value:

Cash equivalents:
Short-term investments

Commercial paper, available for sale
Corporate debt securities, available-for-sale
Government debt securities, available-for-sale

Total financial assets

  $

40,479  

  $

16,411  

  $

24,068  

  $

24,226  
168,584  
113,753  
347,042      $

—  
—  
—  
16,411  

  $

24,226  
168,584  
113,753  
330,631  

  $

  $

—  

—  
—  
—  
—  

Fair Value Measurements at December 31, 
2022
Level 2

Level 3

Level 1

Total

Financial assets carried at fair value:

Cash equivalents:
Short-term investments

Commercial paper, available for sale
Corporate debt securities, available-for-sale
Government debt securities, available-for-sale

Total financial assets

  $

16,243  

  $

5,617  

  $

10,626  

  $

43,780  
71,359  
3,714  
135,096      $

  $

—  
—  
—  
5,617  

  $

43,780  
71,359  
3,714  
129,479  

  $

—  

—  
—  
—  
—  

4.

Agreements with Ligand Pharmaceuticals Incorporated

In May 2014, the Company entered into a master license agreement with Ligand, as amended (the “Master License Agreement”), pursuant to which, among 
other  things,  the  Company  acquired  the  rights  to  a  number  of  research  and  development  programs  under  patents  related  to  the  Company’s  VK2809, 
VK0214, VK5211, VK0612, erythropoietin receptor (“EPOR”) and diacylglycerol acyltransferase-1 (“DGAT-1”) programs, related know-how controlled 
by Ligand and physical quantities of VK2809, VK0214, VK5211, VK0612, EPOR and DGAT-1 compounds.

Pursuant to the terms of the Master License Agreement, the Company has the exclusive right and sole responsibility and decision-making authority for 
researching and developing any pharmaceutical products that contain or comprise one or any combination of the technology and compounds licensed from 
Ligand  pursuant  to  the  Master  License  Agreement  (the  “Licensed  Products”).  The  Company  also  has  the  exclusive  right  and  sole  responsibility  and 
decision-making authority to conduct all clinical trials and preclinical studies that the Company believes are appropriate to obtain the regulatory approvals 
necessary for commercialization of the Licensed Products, and the Company will own and maintain all regulatory filings and all regulatory approvals for 
the  Licensed  Products.  Additionally,  pursuant  to  the  terms  of  the  Master  License  Agreement,  the  Company  has  the  sole  decision-making  authority  and 
responsibility  and  the  exclusive  right  to  commercialize  any  of  the  Licensed  Products,  either  by  itself  or,  in  certain  circumstances,  through  sublicensees 
selected  by  the  Company.  The  Company  also  has  the  exclusive  right  to  manufacture  or  have  manufactured  any  Licensed  Product  itself  or,  in  certain 
circumstances,  through  sublicensees  or  third  parties  selected  by  the  Company.  The  Company  will  own  any  intellectual  property  that  it  develops  in 
connection with the license granted under the Master License Agreement.

As partial consideration for the grant of the rights and licenses to the Company under the Master License Agreement, the Company issued to Ligand at the 
closing of the Company’s initial public offering (“IPO”) 3,655,964 shares of its common stock having an estimated aggregate value of $29.2 million. 

As further partial consideration for the grant of the rights and licenses to the Company by Ligand under the Master License Agreement, the Company has 
agreed  to  pay  to  Ligand  certain  one-time,  non-refundable  milestone  payments  in  connection  with  the  Licensed  Products  of  up  to  $1.54  billion  in  the 
aggregate  upon  the  achievement  of  certain  development,  regulatory  and  sales  milestones.  The  Company  will  also  pay  to  Ligand  royalties  on  aggregate 
annual worldwide net sales of Licensed Products by the Company, its affiliates and its sublicensees at tiered percentage rates from the low-to-upper single 
digits based upon net sales.

The term of the Master License Agreement will continue unless the agreement is terminated by the Company or Ligand, and each of the Company and 
Ligand  have  the  right  to  terminate  the  Master  License  Agreement  in  certain  circumstances,  including,  without  limitation,  if  the  other  party  defaults  on 
certain of its obligations under the Master License Agreement.

F-14

 
 
 
     
 
 
 
   
   
   
 
 
   
 
     
     
   
 
   
 
     
     
   
 
 
   
   
   
 
 
   
   
   
 
 
   
   
   
 
 
 
 
     
 
 
 
   
   
   
 
 
   
 
     
     
   
 
   
 
     
     
   
 
 
   
   
   
 
 
   
   
   
 
 
   
   
   
 
Ligand  has  the  right  to  terminate  the  Master  License  Agreement  under  certain  circumstances,  including,  but  not  limited  to:  (1)  in  the  event  of  the 
Company’s insolvency or bankruptcy, (2) if the Company does not pay an undisputed amount owing under the Master License Agreement when due and 
fails to cure such default within a specified period of time, or (3) if the Company defaults on certain of its material and substantial obligations and fails to 
cure  the  default  within  a  specified  period  of  time.  The  Company  has  the  right  to  terminate  the  Master  License  Agreement  under  certain  circumstances, 
including, but not limited to: (i) if Ligand does not pay an undisputed amount owing under the Master License Agreement when due and fails to cure such 
default within a specified period of time, or (ii) if Ligand defaults on certain of its material and substantial obligations and fails to cure the default within a 
specified period of time. In addition, provisions of the Master License Agreement can be terminated on a licensed program-by-program basis under certain 
circumstances. In the event that the Master License Agreement is terminated in its entirety or with respect to a specific licensed program for any reason: 
(A)  all  licenses  granted  to  the  Company  under  the  Master  License  Agreement  (or  with  respect  to  the  specific  licensed  program)  will  terminate  and  the 
Company will, upon Ligand’s request (subject to Ligand assuming legal responsibility for any clinical trials of the Licensed Products then ongoing), assign 
and transfer to Ligand (or to such transferee as Ligand may direct), at no cost to Ligand, all regulatory documentation and all regulatory approvals prepared 
or obtained by the Company or on its behalf related to the Licensed Products (or those related to the specific licensed program), or, if Ligand does not make 
such a request, the Company will wind down any ongoing clinical trials with respect to the Licensed Products (or those related to the specific licensed 
program) at no cost to Ligand; (B) the Company will, upon Ligand’s request, sell and transfer to Ligand (or to such transferee as Ligand may direct), at a 
price  equal  to  125%  of  the  Company’s  costs  of  goods,  any  and  all  chemical,  biological  or  physical  materials  relating  to  or  comprising  the  Licensed 
Products (or those related to the specific licensed program); (C) the Company will have, for a period of six months following termination, the right to sell 
on the normal business terms in existence before such termination any finished commercial inventory of Licensed Products (or those related to the specific 
licensed program) which remains on hand, so long as the Company pays to Ligand the applicable royalties and sales milestones; (D) Ligand has the right to 
require the Company to assign to Ligand the trademarks owned by the Company relating to the Licensed Products (or those related to the specific licensed 
program); and (E) the Company will grant to Ligand a non-exclusive, worldwide, royalty-bearing sublicensable license under any patent rights and know-
how controlled by the Company to the extent necessary to make, have made, import, use, offer to sell and sell the Licensed Products (or those related to the 
specific licensed program) anywhere in the world at a royalty rate in the low single digits.

Under the Master License Agreement, the Company has agreed to indemnify Ligand for claims relating to the performance of the Company’s obligations 
under  the  Master  License  Agreement,  any  breach  of  the  representations  and  warranties  made  by  the  Company  under  the  Master  License  Agreement, 
clinical trials conducted by the Company and the research, development and commercialization of the Licensed Products by the Company and its affiliates, 
sublicensees, distributors and agents. In addition, Ligand has agreed to indemnify the Company for claims relating to the performance of its obligations 
under the Master License Agreement, its breach of representations and warranties under the agreement and its research and development of the licensed 
compounds  before  the  effective  date  of  the  Master  License  Agreement.  Each  party’s  indemnification  obligations  will  not  apply  to  the  extent  the  claims 
result from the negligence or willful misconduct of the indemnified party or any of its employees, agents, officers or directors or from the indemnified 
party’s breach of its representations or warranties set forth in the Master License Agreement.

In May 2014, the Company also entered into a Management Rights Letter (the “Management Rights Letter”) with Ligand that required the Company to 
expand the size of the Company’s Board of Directors to create an additional directorship on the Company’s Board of Directors and to allow Ligand to 
appoint  an  individual  to  fill  the  new  directorship.  On  March  28,  2023,  the  Management  Rights  Letter  terminated  upon  the  date  that  Ligand  ceased  to 
beneficially own at least 7.5% of the Company’s outstanding voting stock. 

5.

Operating Leases – Right-of-Use Assets and Lease Liability Obligations

As of December 31, 2023, the Company has only one operating lease (the “Office Lease”), which is for office space under a lease that commenced on 
March 1, 2022 and expires in July 2027 (the “Term”). Below is a summary of the Company’s right-of-use assets and lease liabilities as of December 31, 
2023 and 2022 (in thousands, except for years and %):

Right of use assets

Lease liability obligations, current
Lease liability obligations, less current portion
Total lease liability obligations

December 31,
2023

December 31,
2022

1,126  

    $

324  
936  
1,260  

    $

    $

1,418  

304  
1,260  
1,564  

  $

  $

  $

Weighted-average remaining lease term

3.58 years  

4.58 years  

Weighted-average discount rate

3.00   %  

3.00   %

F-15

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
   
 
 
 
 
 
   
   
   
 
 
   
 
 
 
   
   
   
 
 
 
 
 
During the years ended December 31, 2023, 2022 and 2021, the Company recognized $339,000, $340,000 and $320,000, respectively, in operating lease 
expenses, which are included in operating expenses in the Company’s statement of operations.

Approximate  future  minimum  lease  payments  for  the  Company’s  right-of-use  assets  over  the  remaining  lease  period  as  of  December  31,  2023  are  as 
follows (in thousands):

2024
2025
2026
2027

Total minimum lease payments

Less: amount representing interest

Total lease liability obligations

$

$

$

$

357  
368  
379  
227  
1,331  

(71 )

1,260  

The Office Lease provides the Company with an option to extend the term of the Office Lease for a period of five years beyond the Term. If the option is 
exercised, the renewal term will be upon the same terms and conditions as the original Office Lease, except that the base rent will be equal to the prevailing 
market  rate  as  determined  pursuant  to  the  terms  of  the  Office  Lease.  The  option  to  extend  the  term  of  the  Office  Lease  was  recognized  as  part  of  the 
Company’s lease liability and right-of-use assets.

6.

Stockholders’ Equity 

Preferred Stock

The Company is authorized to issue up to 10,000,000 shares of $0.00001 par value preferred stock, with no  shares  of  preferred  stock  outstanding  as  of 
December 31, 2023 and 2022. The Company’s Board of Directors is authorized to designate the terms and conditions of any preferred stock the Company 
issues without further action by the common stockholders.

Common Stock

The Company is authorized to issue up to 300,000,000 shares of common stock, $0.00001 par value per share.

In February 2014, the Company entered into a stock purchase agreement with one of its founders. The agreement provided for the purchase of 1,000,000 
shares of the Company’s common stock at a price per share of $0.01 in exchange for future services to be rendered to the Company as measured by certain 
performance criteria. The shares were subject to a repurchase option and were to vest in two tranches of 500,000 shares each, upon achievement of the 
performance target or upon a triggering event as defined.

The Company determined that the fair value of the unrecognized expense was $168,000 at February 20, 2014, the grant date. In May 2015, the Company 
repurchased 633,810 of these shares at a purchase price of $0.00001 per share. In connection with the repurchase, the Company entered into an amendment 
to  the  stock  purchase  agreement  to  provide  that  the  remaining  366,190  shares  will  continue  to  vest  in  two  tranches  of  183,095  shares  each,  upon 
achievement of the performance target or upon a triggering event as defined. The pro rata grant date fair value of the unrecognized expense is $62,000. In 
October 2015, a triggering event became probable of occurrence and was deemed achieved in October 2016; therefore, the Company recorded $31,000 of 
stock-based compensation expense through December 31, 2016. No similar expense was recognized during the years ended December 31, 2023 and 2022. 
The Company will continue to reassess at each reporting period whether it is probable that the performance target will be achieved, and if and when it is 
deemed  probable,  the  Company  will  begin  to  record  compensation  expense  using  the  fair  value  to  determine  stock-based  compensation  expense  in  its 
financial statements over the period the Company estimates the performance target will actually be achieved.

F-16

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
On September 28, 2017, the Company entered into a purchase agreement (the “Commitment Purchase Agreement”) with Lincoln Park Capital Fund, LLC 
(“LPC”),  pursuant  to  which  the  Company  has  the  right  to  sell  to  LPC  up  to  $15,000,000  in  shares  of  common  stock,  subject  to  certain  limitations  and 
conditions set forth in the Commitment Purchase Agreement. The Company has the right, from time to time at its sole discretion until May 1, 2023, to 
direct LPC to purchase up to 75,000 shares of common stock on any business day (subject to certain limitations contained in the Commitment Purchase 
Agreement), with such amounts increasing based on certain threshold prices set forth in the Commitment Purchase Agreement; however, not to exceed $1.0 
million in total purchase proceeds per purchase date. The purchase price of shares of common stock that the Company elects to sell to LPC pursuant to the 
Commitment Purchase Agreement will be based on the market prices of the common stock at the time of such purchases as set forth in the Commitment 
Purchase Agreement. In addition to regular purchases, as described above, the Company may also direct LPC to purchase additional amounts as accelerated 
purchases or as additional purchases if the closing sale price of the common stock is not below certain threshold prices, as set forth in the Commitment 
Purchase  Agreement.  In  all  instances,  the  Company  may  not  sell  shares  of  its  common  stock  to  LPC  under  the  Commitment  Purchase  Agreement  if  it 
would result in LPC beneficially owning more than 4.99% of the Company’s common stock. As consideration for LPC’s commitment to purchase shares of 
common stock pursuant to the Commitment Purchase Agreement, the Company issued to LPC 100,000 shares of common stock. From inception of the 
Commitment Purchase Agreement through December 31, 2017, 343,051 shares were issued pursuant to the Commitment Purchase Agreement resulting in 
aggregate gross proceeds of $802,000 in addition to the Initial Shares and the Commitment Shares. In May 2020, the Company extended the termination 
date of the Commitment Purchase Agreement to May 1, 2023, and the Commitment Purchase Agreement terminated on that date. No  additional  shares 
were issued during the years ended December 31, 2018 through 2022 or during 2023 until the termination date.

On  July  28,  2021,  the  Company  filed  with  the  SEC  a  universal  Shelf  Registration  Statement  on  Form  S-3  (File  No.  333-258231)  (the  “2021  Shelf 
Registration  Statement”).  The  2021  Shelf  Registration  Statement  provided  the  Company  with  the  ability  to  offer  up  to  $600.0  million  of  securities, 
including  equity,  debt  and  other  securities  as  described  in  the  2021  Shelf  Registration  Statement.  The  2021  Shelf  Registration  Statement  was  declared 
effective by the SEC on August 11, 2021 and the offering of all remaining unsold securities under the 2021 Shelf Registration Statement terminated on July 
26, 2023.

On  July  28,  2021,  the  Company  entered  into  an  At-The-Market  Equity  Offering  Sales  Agreement  (the  “ATM  Agreement”),  with  Stifel,  Nicolaus  & 
Company, Incorporated, Truist Securities, Inc. and H.C. Wainwright & Co. LLC (collectively, the “Agents”), pursuant to which the Company may offer 
and sell, from time to time, through or to the Agents, as sales agent or principal (the “ATM Offering”), shares of the Company’s common stock (the “ATM 
Shares”).  Any  ATM  Shares  offered  and  sold  in  the  ATM  Offering  were  to  be  issued  pursuant  to  the  2021  Shelf  Registration  Statement  and  the  424(b) 
prospectus supplement relating to the ATM Offering dated August 11, 2021. The 2021 Shelf Registration Statement terminated on July 26, 2023. From its 
inception through the termination of the 2021 Shelf Registration Statement, 1,587,404 shares of the Company’s common stock were sold pursuant to the 
ATM Offering for aggregate net proceeds to the Company of approximately $13.6 million.

On March 17, 2020, the Company’s Board of Directors authorized a stock repurchase program, whereby the Company may purchase up to $50.0 million in 
shares of its common stock and outstanding warrants to purchase its common stock, over a period of up to two years (the “Repurchase Program”). The 
Repurchase Program could be carried out at the discretion of a committee of the Company’s Board of Directors through open market purchases, one or 
more Rule 10b5-1 trading plans, block trades and in privately negotiated transactions. Through March 17, 2022, the termination date of the Repurchase 
Program, an aggregate of 1,464,217  shares  of  the  Company’s  common  stock  were  repurchased  by  the  Company  under  the  Repurchase  Program.  These 
shares  repurchased  by  the  Company  under  the  Repurchase  Program  are  being  held  in  treasury  until  such  time  as  they  are  reissued  or  retired  by  the 
Company.

On March 10, 2022, the Company’s Board of Directors authorized a new stock repurchase program effective March 18, 2022, whereby the Company may 
purchase up to $50.0  million  in  shares  of  its  common  stock  over  a  period  of  up  to  two years  (the  “New  Repurchase  Program”).  The  New  Repurchase 
Program may be carried out at the discretion of a committee of the Company’s Board of Directors through open market purchases, one or more Rule 10b5-
1 trading plans, block trades and in privately negotiated transactions. Through December 31, 2023, 729,034 shares of the Company’s common stock were 
repurchased by the Company under the New Repurchase Program. Shares repurchased by the Company under the New Repurchase Program are being held 
in treasury until such time as they are reissued or retired by the Company.

On April 3, 2023, the Company completed an underwritten public offering of its common stock (the “April 2023 Offering”) pursuant to the 2021 Shelf 
Registration Statement. In the April 2023 Offering, the Company sold an aggregate of 19,828,300 shares of its common stock at a public offering price of 
$14.50 per share, which included the exercise in full by the underwriters of their option to purchase 2,586,300 additional shares of common stock. Upon the 
closing of the April 2023 Offering, the Company received net proceeds of $270.0 million, after deducting underwriting discounts, commissions and other 
offering expenses.  

On July 26, 2023, the Company filed an automatic universal shelf registration statement on Form S-3 (File No. 333-273460) as a well-known seasoned 
issuer as defined in Rule 405 under the Securities Act of 1933, as amended, which became effective upon filing (the “2023 Shelf Registration Statement”). 
The 2023 Shelf Registration Statement allows the Company to offer an indeterminate amount of 

F-17

 
securities,  including  equity  securities,  debt  securities,  warrants,  rights,  units  and  depositary  shares,  from  time  to  time  as  described  in  the  2023  Shelf 
Registration Statement. The specific terms of any offering under the 2023 Shelf Registration Statement will be established at the time of such offering. The 
2023 Shelf Registration Statement will expire on July 26, 2026.  

On  July  26,  2023,  the  Company  entered  into  an  Amendment  No.  1  to  At-The-Market  Equity  Offering  Sales  Agreement  (the  “ATM  Agreement 
Amendment”) with Stifel, Nicolaus & Company, Incorporated, Truist Securities, Inc., H.C. Wainwright & Co. LLC and BTIG, LLC. Pursuant to the ATM 
Agreement Amendment, BTIG, LLC was added as a sales agent for the ATM Offering and the ATM Agreement was amended to provide that the ATM 
Offering could be conducted off of registration statements on Form S-3 subsequently filed by the Company. Any ATM Shares offered and sold in the ATM 
Offering will now be issued pursuant to the 2023 Shelf Registration Statement and the prospectus relating to the ATM Offering, dated July 26, 2023, that 
was included in the 2023 Shelf Registration Statement (the “ATM Prospectus”). The 2023 Shelf Registration Statement will expire on July 26, 2026. From 
the date of the ATM Prospectus through December 31, 2023, no shares of the Company’s common stock were sold pursuant to the ATM Offering and, as of
December 31, 2023, the Company may sell shares of its common stock for remaining gross proceeds of up to $200.0 million from time to time pursuant to 
the ATM Prospectus.

During the years ended December 31, 2023, 2022 and 2021, and in accordance with the ESPP, the Company issued an aggregate of 180,174, 111,750 and 
43,408 shares of its common stock to certain employees, respectively.

7.

Stock-Based Compensation

In connection with the IPO, the Company’s 2014 Equity Incentive Plan (the “2014 Plan”) and the ESPP became effective on April 28, 2015, the date of the 
execution and delivery of the underwriting agreement for the IPO. A total of 1,527,770 shares of the Company’s common stock were initially reserved for 
issuance under the 2014 Plan, and 458,331 shares of the Company’s common stock were initially reserved for issuance under the ESPP. From January 1, 
2016 and through December 31, 2023, in accordance with the terms of the 2014 Plan, an additional 15,407,065 shares of the Company’s common stock 
were added to the number of shares reserved for issuance under the 2014 Plan, and, in accordance with the terms of the ESPP, an additional 4,402,017 
shares of the Company’s common stock were added to the number of shares reserved for issuance under the ESPP.

The  Company  generally  uses  the  straight-line  method  to  allocate  compensation  cost  to  reporting  periods  over  each  optionee’s  requisite  service  period, 
which  is  generally  the  vesting  period,  and  estimates  the  fair  value  of  stock-based  awards  or  restricted  stock  units  to  employees  and  directors  using  the 
Black-Scholes option-valuation model. The Black-Scholes model requires the input of subjective assumptions, including volatility, the expected term and 
the fair value of the underlying common stock on the date of grant, among other inputs. For restricted stock and restricted stock unit awards, the Company 
generally uses the straight-line method to allocate compensation cost to reporting periods over the holder’s requisite service period, which is generally the 
vesting  period,  and  uses  the  fair  value  at  grant  date  to  value  the  awards.  For  restricted  stock  that  vests  upon  the  satisfaction  of  certain  performance 
conditions,  the  Company  recognizes  stock-based  compensation  expense  when  it  becomes  probable  that  the  performance  conditions  will  be  met.  At  the 
grant date, the Company determines the grant date fair value, as a publicly traded company, using the intrinsic value, or the closing price of its common 
stock  on  the  date  of  grant.  At  the  point  where  the  criteria  are  deemed  probable  of  being  met,  the  Company  records  stock-based  compensation  with  a 
cumulative catch-up expense in the period first recognized and then on a straight-line basis over the remaining period for which the performance criteria are 
expected to be completed.

For the ESPP, the Company generally recognizes compensation expense for the fair value of the purchase options, as measured on the grant date, and uses 
the graded vesting method to allocate this compensation cost to each purchase period within the related two-year offering period. As the ESPP also allows 
for up to one increase in contributions during each purchase period, then as an employee elects to increase their contributions, the Company treats this as an 
accounting  modification.  The  pre-  and  post-modification  values  are  calculated  on  the  date  of  the  modification,  and  the  incremental  expense  is  then 
amortized over the remaining purchase periods.

2014 Plan. The 2014 Plan provides that the compensation committee of the Company’s Board of Directors (the “Compensation Committee”) may grant or 
issue stock options, stock appreciation rights, restricted shares, restricted stock units and unrestricted shares, deferred share units, performance and cash-
settled awards and dividend equivalent rights to participants under the 2014 Plan. Initially, a total of 1,527,770 shares of the Company’s common stock 
were reserved for issuance pursuant to the 2014 Plan. The number of shares available for issuance under the 2014 Plan will, unless otherwise determined by 
the Company’s Board of Directors or the Compensation Committee, be automatically increased on January 1st of each year commencing on January 1,
2016  and  ending  on  (and  including)  January  1,  2024,  in  an  amount  equal  to  3.5%  of  the  total  number  of  shares  of  the  Company’s  common  stock 
outstanding  on  December  31st  of  the  preceding  calendar  year.  The  shares  of  common  stock  deliverable  pursuant  to  awards  under  the  2014  Plan  are 
authorized but unissued shares of the Company’s common stock, or shares of the Company’s common stock that the Company otherwise holds in treasury 
or  in  trust.  Any  shares  of  the  Company’s  common  stock  underlying  awards  that  are  settled  in  cash  or  otherwise  expire,  or  are  forfeited,  terminated  or 
cancelled (including pursuant to an exchange program established by the Compensation Committee) prior to the issuance of stock will again be available 
for issuance under the 2014 Plan. In addition, shares of the Company’s common stock that are 

F-18

 
withheld (or not issued) in payment of the exercise price or taxes relating to an award, and shares of the Company’s common stock equal to the number 
surrendered in payment of any exercise price or withholding taxes relating to an award, will again be available for issuance under the 2014 Plan.

ESPP. Initially, a total of 458,331 shares of the Company’s common stock were reserved for issuance pursuant to the ESPP. The number of shares available 
for issuance under the ESPP will, unless otherwise determined by the Company’s Board of Directors or the Compensation Committee, be automatically 
increased on January 1st of each year commencing on January 1, 2016 and ending on (and including) January 1, 2024, in an amount equal to 1% of the 
total  number  of  shares  of  the  Company’s  common  stock  outstanding  on  December  31st  of  the  preceding  calendar  year.  The  shares  of  common  stock 
available for purchase pursuant to the ESPP are authorized but unissued shares of the Company’s common stock, shares of the Company’s common stock 
that  the  Company  otherwise  holds  in  treasury  or  shares  of  the  Company’s  common  stock  that  were  purchased  on  the  open  market  in  arms’  length 
transactions  in  accordance  with  applicable  securities  laws.  Shares  of  the  Company’s  common  stock  will  be  offered  for  purchase  under  the  ESPP  as 
determined by the Compensation Committee through a series of successive offerings that each have a term of 24 months and consist of four consecutive 
purchase periods of six months each. Prior to the commencement of any future offering under the ESPP, the Compensation Committee may determine that 
the current offering shall end, may commence a new offering on the first day after the end of such terminal purchase period (or any desired later date), and 
may decide that future offerings will consist of one or more consecutive purchase periods, each to be of such duration as determined by the Compensation 
Committee;  however,  no  offering  will  exceed  27  months  and  no  purchase  period  will  exceed  one year.  Each  employee  of  the  Company  who  (1)  is  an 
employee  on  the  first  date  of  any  offering  under  the  ESPP,  (2)  is  customarily  scheduled  to  work  for  more  than  20  hours  per  week  and  more  than  five 
months  per  calendar  year,  and  (3)  meets  such  other  criteria  as  may  be  determined  by  the  Compensation  Committee  (consistent  with  Section  423  of  the 
Internal  Revenue  Code  of  1986,  as  amended  (the  “Code”)),  is  eligible  to  participate  in  the  ESPP  for  each  purchase  period  within  such  offering.  The 
purchase price per share of the Company’s common stock under the ESPP may not be less than, and will initially be equal to, the lesser of: (1) 85% of the 
fair market value per share of the Company’s common stock on the first day of the offering, or (2) 85% of the fair market value per share of the Company’s 
common stock on the date the purchase right is exercised, which will be the last day of the applicable purchase period.

During the years ended December 31, 2023, 2022 and 2021, the Company recognized the following stock-based compensation expense (in thousands):

Stock-based compensation expense by type of award:
Stock options
Restricted stock and restricted stock units
Employee stock purchase plan
Total stock-based compensation expense included
   in expenses
Stock-based compensation expense by line item:
Research and development expenses
General and administrative expenses
Total stock-based compensation expense included
   in expenses

Year Ended December 31,
2022

2023

2021

5,768    
9,420    
1,562    

3,842      
4,598      
233      

  $

16,750     $

8,673     $

4,732    
12,018    

2,313      
6,360      

  $

16,750     $

8,673     $

3,276  
2,597  
227  

6,100  

1,623  
4,477  

6,100  

The  following  table  sets  forth  the  Company’s  unrecognized  stock-based  compensation  expense,  net  of  estimated  forfeitures,  by  type  of  award  and  the 
weighted-average period over which that expense is expected to be recognized (in thousands, except for years):

Type of award:
Stock options
Restricted stock and restricted stock units

F-19

As of December 31, 2023

Unrecognized
Expense

Weighted-
average
Recognition
Period
(in years)

  $
  $

9,216      
9,723      

2.68  
1.81  

 
 
 
 
 
 
   
   
 
 
     
     
   
 
 
 
 
 
 
 
 
 
 
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
     
   
 
 The following table is a summary of restricted shares granted during the years ended December 31, 2023, 2022 and 2021:

Unvested at December 31, 2020

Granted
Vested
Forfeited
Repurchased

Unvested at December 31, 2021

Granted
Vested
Forfeited
Repurchased

Unvested at December 31, 2022

Granted
Vested
Forfeited
Repurchased

Unvested at December 31, 2023

Shares

Weighted-
Average
Grant Date
Fair Value

183,095     $
—     $
—     $
—     $
—     $
183,095     $
—     $
—     $
—     $
—     $
183,095     $
—     $
—     $
—     $
—     $
183,095     $

0.17  
—  
—  
—  
—  
0.17  
—  
—  
—  
—  
0.17  
—  
—  
—  
—  
0.17  

 The following table summarizes restricted stock unit activity during the years ended December 31, 2023, 2022 and 2021:

Unvested at December 31, 2020

Granted
Vested
Forfeited

Unvested at December 31, 2021

Granted
Vested
Forfeited

Unvested at December 31, 2022

Granted
Vested
Forfeited

Unvested December 31, 2023

Weighted-
Average
Grant Date
Value

7.65  
5.80  
7.47  
6.14  
6.57  
4.88  
6.88  
—  
5.37  
8.52  
5.40  
—  
7.32  

Shares

679,363     $
654,820     $
(270,063 )   $
(35,821 )   $
1,028,299     $
1,249,788     $
(409,569 )   $
—     $
1,868,518     $
1,772,243     $
(785,105 )   $
—     $
2,855,656     $

In January 2019, the Company issued 221,600 performance-based restricted stock units (“PRSU awards”) to several of its employees, which are reflected 
in  the  above  table  summarizing  restricted  stock  unit  activity.  The  shares  subject  to  these  PRSU  awards  shall  vest  upon  the  Company  achieving  certain 
milestones, with 100% of the shares subject to the PRSU awards vesting upon the achievement of three of the milestones over a four-year period, with any 
then-unvested portion of the PRSU awards to be cancelled on the four-year anniversary of the grant dates. As of December 31, 2022, 40,000 PRSU awards 
were forfeited and three of the milestones had been met, resulting in the Company recording stock-based compensation expense of $1.4 million through 
December 31, 2022.

In January 2020, the Company issued 244,000  PRSU  awards  to  several  of  its  employees,  which  are  reflected  in  the  above  table  summarizing  restricted 
stock unit activity. The shares subject to these PRSU awards shall vest upon the Company achieving certain milestones, with 100% of the shares subject to 
the PRSU awards vesting upon the achievement of three of the milestones over a four-year period, with any then-unvested portion of the PRSU awards to 
be cancelled on the four-year anniversary of the grant dates. As of December 31, 2023, 10,500 PRSU awards were forfeited, two of the three milestones 
had been met and the remaining one was deemed improbable of achievement, resulting in the Company recording cumulative stock-based compensation 
expense of $1.2 million through December 31, 2023 and stock-based compensation expense of $(454,000) during the year ended December 31, 2023. 

In January 2021, the Company issued 205,500 PRSU awards  to  several  of  its  employees,  which  are  reflected  in  the  above  table  summarizing  restricted 
stock unit activity. The shares subject to these PRSU awards shall vest upon the Company achieving certain 

F-20

 
 
 
   
 
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
 
 
   
 
   
   
   
   
   
   
   
   
   
   
   
   
   
 
milestones, with 100%  of  the  shares  subject  to  the  PRSU  awards  vesting  upon  the  achievement  of  three  of  the  milestones  over  a  four-year  period  and 
133.3% of the shares subject to the PRSU awards vesting upon the achievement of all four milestones over a four-year  period,  with  any  then-unvested 
portion of the PRSU awards to be cancelled on the four-year anniversary of the grant dates. As of December 31, 2023, 10,000 PRSU awards were forfeited, 
one  of  the  four  milestones  had  been  met  and  two  of  the  four  milestones  were  deemed  probable  of  achievement,  resulting  in  the  Company  recording 
cumulative stock-based compensation expense of $1.0 million through December 31, 2023 and stock-based compensation expense of $64,000 during the 
year ended December 31, 2023.  

In January 2022, the Company issued 657,000  PRSU  awards  to  several  of  its  employees,  which  are  reflected  in  the  above  table  summarizing  restricted 
stock unit activity. The shares subject to these PRSU awards shall vest upon the Company achieving certain milestones, with 100% of the shares subject to 
the PRSU awards vesting upon the achievement of three of the milestones over a four-year period and 133.3% of the shares subject to the PRSU awards
vesting upon the achievement of all four milestones over a four-year period, with any then-unvested portion of the PRSU awards to be cancelled on the 
four-year anniversary of the grant dates. As of December 31, 2023, no PRSU awards were forfeited, three of the four milestones had been met and the 
remaining one was deemed probable of achievement, resulting in the Company recording cumulative stock-based compensation expense of $3.9  million 
through December 31, 2023 and stock-based compensation expense of $2.0 million during the year ended December 31, 2023. 

In January 2023, the Company issued 920,000  PRSU  awards  to  several  of  its  employees,  which  are  reflected  in  the  above  table  summarizing  restricted 
stock unit activity. The shares subject to these PRSU awards shall vest upon the Company achieving certain milestones, with 100% of the shares subject to 
the PRSU awards vesting upon the achievement of three of the milestones over a four-year period and 133.3% of the shares subject to the PRSU awards
vesting upon the achievement of all four milestones over a four-year period, with any then-unvested portion of the PRSU awards to be cancelled on the 
four-year anniversary of the grant dates. As of December 31, 2023, no PRSU awards were forfeited and all four of the milestones were deemed probable of
achievement, resulting in the Company recording stock-based compensation expense of $5.0 million during the year ended December 31, 2023.

The following table summarizes stock option activity during the years ended December 31, 2023, 2022 and 2021:

Weighted-
Average
Exercise
Price

Weighted-
Average
Remaining
Contractual

Term (in years)    

Aggregate 
Intrinsic Value  
389,000  

7.32     $

Options outstanding at December 31, 2020

Granted
Exercised
Forfeited
Cancelled

Options outstanding at December 31, 2021

Granted
Exercised
Forfeited
Cancelled

Options outstanding at December 31, 2022

Granted
Exercised
Forfeited
Cancelled

Options outstanding at December 31, 2023

Options exercisable at December 31, 2023

Shares
3,371,323     $
1,081,520     $
(107,703 )   $
(132,745 )   $
(124,311 )   $
4,088,084     $
1,109,773     $
—     $
(30,000 )   $
(10,000 )   $
5,157,857     $
1,488,990     $
(1,394,415 )   $
—     $
(3,750 )   $
5,248,682     $
2,471,741     $

F-21

5.57      
5.87    
3.26    
6.25    
7.48    
5.63      
4.79    
—    
5.16    
5.16    
5.45      
9.34    
4.59    
—    
4.05    

6.79      

6.05      

7.02     $ 2,885,000  

6.66     $ 20,515,000  

7.10     $ 62,210,000  

5.71     $ 31,097,000  

 
 
 
 
   
 
 
 
   
 
 
 
 
   
   
     
   
   
     
   
   
     
   
   
     
   
   
   
     
   
   
     
   
   
     
   
   
     
   
   
   
     
   
   
     
   
   
     
   
   
     
   
   
   
 
The Company received $6.4 million, $0 and $351,000  in cash proceeds from exercises of stock options during the years ended December 31, 2023, 2022 
and 2021, respectively.

The total fair value of stock options that vested during the years ended December 31, 2023, 2022 and 2021 was $4.0 million, $3.2 million and $2.9 million, 
respectively.

Compensation expense for stock options granted to employees is based on the estimated grant date fair value and is recognized ratably over the vesting 
period  of  the  applicable  option.  The  estimated  per  share  weighted  average  fair  value  of  stock  options  granted  to  employees  during  the  years  ended 
December 31, 2023, 2022 and 2021 was $6.76, $3.50 and $4.16, respectively.

As stock-based compensation expense recognized is based on options ultimately expected to vest, the fair value of each employee option grant during the 
years  ended  December  31,  2023,  2022  and  2021  was  estimated  on  the  date  of  grant  using  the  Black-Scholes  option  pricing  model  with  the  following 
weighted average assumptions:

Expected volatility
Expected term (in years)
Risk-free interest rate
Expected dividend yield

2023

Year ended December 31,
2022

2021

81.3 % 
6.17    
3.88 % 
0 % 

86.6 %   
6.13  
1.67 %   
0 %   

84.7 %
6.10  
0.67 %
0 %

Expected Volatility. Historically through December 31, 2021, the expected volatility rate used to value stock option grants was based on volatilities of a 
peer group of similar companies whose share prices are publicly available. The peer group was developed based on companies in the pharmaceutical and 
biotechnology industry in a similar stage of development to the Company. Given the length of time the Company’s common stock has been publicly traded, 
starting January 1, 2022, the expected volatility rate used to value stock option grants is based on the volatility of the Company’s historical share prices.

Expected Term. The Company elected to utilize the “simplified” method for “plain vanilla” options to value stock option grants. Under this approach, the 
weighted-average expected life is presumed to be the average of the vesting term and the contractual term of the option.

Risk-free  Interest  Rate.  The  risk-free  interest  rate  assumption  was  based  on  zero-coupon  U.S.  Treasury  instruments  that  had  terms  consistent  with  the 
expected term of the Company’s stock option grants.

Expected Dividend Yield. The Company has never declared or paid any cash dividends and does not presently plan to pay cash dividends in the foreseeable 
future.

Forfeitures are accounted for as actual forfeitures occur.

Since the Company had a net operating loss carryforward as of December 31, 2023, no excess tax benefits for the tax deductions related to stock-based 
awards were recognized in the Consolidated Statements of Operations.

Common Stock Reserved for Future Issuance

Common stock reserved for future issuance as of December 31, 2023 is as follows:

Restricted stock units
Common stock options
Available for grant under the 2014 Plan
Available for issuance under Employee Stock Purchase Plan

F-22

2,855,656  
5,248,682  
6,526,433  
4,251,444  
18,882,215  

 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
8.

Warrants

On April 13, 2016, pursuant to an underwritten public offering (the “April 2016 Offering”), the Company sold 7,500,000 shares of its common stock and 
warrants to purchase up to 7,500,000 shares of its common stock at a public offering price of $1.25 per share of common stock and related warrant. The 
warrants  had  an  exercise  price  of  $1.50  per  share  of  common  stock  and  were  immediately  exercisable  upon  issuance  and  expired  on  April  13,  2021. 
Additionally,  on  April  13,  2016,  the  underwriters  for  the  April  2016  Offering  partially  exercised  the  over-allotment  option  for  warrants  to  purchase  an 
additional 1,125,000 shares of the Company’s common stock at a public offering price of $0.01 per warrant to purchase a share of common stock. During 
the year ended December 31, 2021, 3,618,312 warrants were exercised, and 29,101 warrants expired unexercised on April 13, 2021.  

On  April  13,  2016,  pursuant  to  the  terms  of  the  loan  and  security  agreement  with  Ligand,  the  Company  issued  to  Ligand  a  warrant  to  purchase  up  to 
960,000 shares of the Company’s common stock (the “Ligand Warrant”). The Ligand Warrant had an exercise price of $1.50 per share of the Company’s 
common  stock,  was  immediately  exercisable  upon  issuance  (subject  to  a  limitation  on  exercise  to  the  extent  that  any  exercise  thereof  would  increase 
Ligand’s beneficial ownership of the Company’s common stock to greater than 49.9%) and was set to expire on April 13, 2021. The Ligand Warrant was 
issued  to  Ligand  as  part  of  the  repayment  of  $1.2  million  of  the  Company’s  obligation  under  the  secured  convertible  promissory  note  issued  by  the 
Company  to  Ligand  pursuant  to  that  certain  loan  and  security  agreement  with  Ligand.  The  Ligand  Warrant  was  exercised  in  full  during  the  year  ended 
December 31, 2021.

On June 14, 2017, the Company entered into a securities purchase agreement, with certain accredited investors (the “Purchasers”), pursuant to which the 
Company sold an aggregate of 3,749,783 shares (the “Shares”) of its common stock, and the warrants to purchase up to an aggregate 2,812,337 shares of its 
common stock to the Purchasers (the “Warrants”). The combined purchase price for one Share and one Warrant to purchase 0.75 shares of common stock 
was $1.15. The closing of the issuance of the Shares and the Warrants occurred on June 19, 2017. The Warrants had an exercise price of $1.30 per share, 
subject  to  adjustment  as  provided  therein,  and  became  exercisable  beginning  on  December  19,  2017  through  December  19,  2022.  The  Warrants  were 
exercised in full as of December 31, 2022.

9.

Income Taxes

Income tax expense from continuing operations consists of the following for the years ended December 31, 2023, 2022 and 2021 (in thousands):

Current:

Federal
State

Deferred:
Federal
State

Change in valuation allowance

Total income tax expense

2023

December 31,
2022

2021

  $

  $

  $

  $

  $

—     $
1    
1     $

—     $
1      
1     $

(22,303 )   $
(6,785 )  
(29,088 )   $

(16,075 )   $
(6,016 )    
(22,091 )   $

29,088    

1     $

22,091      
1     $

—  
2  
2  

(13,281 )
(4,182 )
(17,463 )

17,463  
2  

The reconciliations of the U.S. federal statutory tax rate to the effective income tax rate for the years ended December 31, 2023, 2022 and 2021 are as 
follows:

F-23

 
 
 
 
 
 
 
   
   
 
 
     
     
   
 
 
 
 
 
     
     
   
 
 
 
 
 
 
     
     
   
 
 
 
 
 
Tax provision at U.S. Federal statutory rates
State income taxes net of federal benefit
Non-deductible permanent items
Stock options
Research and development credits
Change in valuation allowance

Effective income tax rate

2023

December 31,
2022

2021

21 %   
7 %   
(1 )%   
3 %   
4 %   
(34 )%   
—      

21 %   
7 %   
(1 )%   
—      
6 %   
(33 )%   
—      

21 %
7 %
(1 )%
1 %
4 %
(32 )%
—  

Deferred  income  taxes  reflect  the  net  tax  effect  of  temporary  differences  between  the  carrying  amounts  of  assets  and  liabilities  for  financial  reporting 
purposes and the amounts used for income tax purposes. Significant components of the Company’s deferred taxes as of December 31, 2023, 2022 and 2021 
are as follows (in thousands):

Deferred tax assets:
Accrued liabilities
Intangible assets
Net operating loss carryforwards
Share-based compensation
Credit Carryforwards
Other

Total deferred tax assets
Valuation Allowance
Total deferred tax assets, net of allowance
Deferred tax liabilities:
Right of use assets
Other

Total deferred tax liabilities:

Net deferred tax assets (liabilities):

2023

December 31,
2022

2021

  $

437     $

68,792    
26,303    
6,595    
17,101    
44    
119,272    
(118,957 )  

315     $

(315 )   $
—    
(315 )   $
—     $

  $

  $

  $
  $

508     $
56,180      
15,292      
4,691      
13,353      
242      
90,266      
(89,869 )    
397     $

(397 )   $
—      
(397 )   $
—     $

80  
43,829  
11,049  
3,747  
8,919  
161  
67,785  
(67,778 )
7  

(7 )
—  
(7 )
—  

A valuation allowance of $119.0 million and $89.9 million at December 31, 2023 and December 31, 2022, respectively, has been recorded to offset net 
deferred tax assets, as the Company is unable to conclude that it is more likely than not that such deferred tax assets will be realized.

At December 31, 2023, the Company had approximately $98.7 million of federal net operating loss carryforwards, of which $17.8 million will begin to 
expire in 2032 and the remaining $80.9 million of which can be carried forward indefinitely.  The Company has $79.9 million of state net operating loss 
carryforwards that will begin to expire in 2034.

The Company's ability to utilize its federal net operating loss carryforwards may be limited under Section 382 of the Code.  Specifically,  this  limitation 
may arise in the event of an "ownership change," which is defined by Section 382 of the Code as a cumulative change in ownership of the Company of 
more than 50% within a three-year period.  If the Company undergoes one or more ownership changes in connection with any future transactions in its 
stock, the Company's ability to utilize net operating loss carryforwards to offset federal taxable income, if any, could potentially result in increased future 
tax liability to the Company. An ownership change under Section 382 of the Code occurred during the year ended December 31, 2018. However, as of 
December 31, 2023, there is no limitation on the federal and state net operating losses.

The Company is subject to U.S. federal income tax as well as income tax in various state jurisdictions. The Company is currently open to audit under the 
statute of limitations by the Internal Revenue Service and various state agencies for the years ended December 31, 2019 through December 31, 2023. 

At December 31, 2023, the Company has federal and state research and development tax credit carry-forwards of approximately $12.2 million and $4.9 
million, respectively.  The federal credits begin to expire in 2036.  The state credits do not expire.

The differences between the Company's effective income tax rate and the statutory federal rate for the year ended December 31, 2023 and the year ended 
December 31, 2022 relate primarily to losses incurred for which no tax benefit was recognized, due to uncertainty of realization.  The ultimate realization 
of deferred tax assets is dependent upon the generation of future taxable income during the 

F-24

 
 
 
 
 
 
   
   
 
   
   
   
   
   
   
   
 
 
 
 
 
 
 
   
   
 
 
     
     
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
     
   
 
 
 
period in which those temporary differences become deductible.  The Company considers projected future taxable income and tax planning strategies in 
making this assessment. At each of December 31, 2023 and December 31, 2022, the Company provided a full valuation allowance against its deferred tax 
assets due to uncertainty surrounding the realization of those assets as a result of historical taxable net losses.

The  Coronavirus  Aid,  Relief,  and  Economic  Security  (CARES)  Act  was  enacted  on  March  27,  2020.  Among  the  business  provisions,  the  CARES  Act 
provided for various payroll tax incentives, changes to net operating loss carryback and carryforward rules, business interest expense limitation increases, 
and bonus depreciation on qualified improvement property. Additionally, the Consolidated Appropriations Act of 2021 was signed on December 27, 2020 
which  provided  additional  COVID  relief  provisions  for  businesses.  The  Company  has  evaluated  the  impact  of  both  Acts  and  has  determined  that  any 
impact is not material to its financial statements.

The Company has reviewed its operations and has not identified any material uncertain tax positions.  As a result, there is no liability for uncertain tax 
positions in the income tax provision as of December 31, 2023 or December 31, 2022.

10.

Related-Party Transactions

In May 2014, the Company entered into the Master License Agreement with Ligand, pursuant to which, among other things, Ligand granted the Company 
an exclusive worldwide license to certain clinical and preclinical programs. See Note 4 for more information related to this agreement. In connection with 
the Master License Agreement, the Company considered Ligand to be a related party.

11.

Commitments and Contingencies

On May 25, 2018, the Company entered into an Office Lease (the “Lease”) with Kilroy Realty, L.P. The Lease was for approximately 7,149 rentable square 
feet of space located at 12340 El Camino Real, Suite 250, San Diego, California 92130 (the “2018 Premises”). The 2018 Premises was the Company’s 
corporate headquarters.

The Lease commenced on November 1, 2018 and expired on January 31, 2022. Monthly base rent payments due under the Lease for the 2018 Premises 
were $27,000, subject to annual increases of 3.0% during the Lease term. Under the Lease, the Company was responsible for certain charges for common 
area  maintenance  and  other  costs,  including  electricity  and  utility  expenses  and  the  Lease  provided  for  abatement  of  rent  during  certain  periods  and 
escalating  rent  payments  throughout  the  Lease  term.  Rent  expense  was  recorded  on  a  straight-line  basis  over  the  life  of  the  Lease  and  the  difference 
between the rent expense and rent paid was recorded as deferred rent.

On  November  15,  2021,  the  Company  entered  into  an  Office  Lease  (the  “Office  Lease”)  with  One  Pacific  Heights.  LLC.  The  Office  Lease  is  for 
approximately 7,940  rentable  square  feet  of  space  located  at  9920  Pacific  Heights  Blvd,  Suite  350,  San  Diego,  California  92121  (the  “Premises”).  The 
Premises are now the Company’s corporate headquarters.

Monthly  base  rent  payments  due  under  the  Office  Lease  for  the  Premises  are  $28,187, subject to annual increases of 3.0%  during  the  Term.  Under  the 
Office Lease, the Company is responsible for certain charges for common area maintenance and other costs, including utility expenses and the Office Lease 
provides for abatement of rent during certain periods and escalating rent payments throughout the Term.

The Office Lease provides the Company with an option to extend the term of the Office Lease for a period of five years beyond the Term. If the option is 
exercised, the renewal term will be upon the same terms and conditions as the original Term, except that the base rent will be equal to the prevailing market 
rate as determined pursuant to the terms of the Office Lease.

12.

Subsequent Events

The  Company  evaluated  subsequent  events  through  the  date  of  the  filing  of  this  Annual  Report  on  Form  10-K  with  the  SEC,  to  ensure  that  this  filing 
includes appropriate disclosure of events both recognized in the financial statements as of December 31, 2023, and events which occurred subsequent to 
December 31, 2023 but were not recognized in the financial statements. The Company has determined that there were no subsequent events which required 
recognition, adjustment to or disclosure in the financial statements.

F-25

 
 
VIKING THERAPEUTICS, INC. 

NON-EMPLOYEE DIRECTOR COMPENSATION POLICY

Exhibit 10.11

Each non-employee member of the board of directors (the “Board”) of Viking Therapeutics, Inc. (the “Company”) shall 
be eligible to receive cash and equity compensation for his or her service on the Board as set forth in this Non-Employee Director 
Compensation  Policy  (this  “Policy”).  The  cash  and  equity  compensation  described  in  this  Policy  shall  be  paid  or  be  made,  as 
applicable, automatically and without further action of the Board (or any committee thereof), to each member of the Board who is 
not an employee of the Company or any parent or subsidiary of the Company (each, a “Non-Employee Director”) who is eligible 
to  receive  such  cash  or  equity  compensation,  unless  such  Non-Employee  Director  declines  the  receipt  of  such  cash  or  equity 
compensation by advance written notice to the Company.  This Policy shall remain in effect until it is revised or rescinded by 
further action of the Board or the Compensation Committee of the Board (the “Compensation Committee”).  This Policy and the 
compensation to be provided hereunder may be amended, modified or terminated by the Board or the Compensation Committee 
at  any  time  in  its  sole  discretion.    The  terms  and  conditions  of  this  Policy  shall  supersede  any  prior  cash  and/or  equity 
compensation arrangements between the Company and any of its Non-Employee Directors with respect to such Non-Employee 
Director’s  service  on  (or  on  behalf  of)  the  Board  or  any  committee  thereof.  No  Non-Employee  Director  shall  have  any  rights 
hereunder,  except  with  respect  to  the  cash  compensation  and  stock  options  granted  pursuant  to  this  Policy.  Non-Employee 
Directors may be eligible to receive discretionary awards granted outside this Policy.

1.

Cash Compensation.

(a) Annual Cash Retainers. Each Non-Employee Director shall be eligible to receive an annual cash retainer of $40,000 

for service on the Board. 

(b)Additional  Annual  Cash  Retainers.  In  addition,  a  Non-Employee  Director  shall  receive  the  following  annual  cash 

retainers, if applicable:

an additional annual cash retainer of $32,800 for such service.

(i)

Chairperson of the Board.  A Non-Employee Director serving as Chairperson of the Board shall receive 

(ii) Audit  Committee.  A  Non-Employee  Director  serving  as  Chairperson  of  the  Audit  Committee  of  the 
Board (the “Audit Committee”) shall receive an additional annual cash retainer of $20,000 for such service. A Non-Employee 
Director  serving  as  a  member  of  the  Audit  Committee  (other  than  the  Chairperson)  shall  receive  an  additional  annual  cash 
retainer of $10,000 for such service. 

(iii) Compensation  Committee.  A  Non-Employee  Director  serving  as  Chairperson  of  the  Compensation 
Committee shall receive an additional annual cash retainer of $15,000 for such service. A Non-Employee Director serving as a 
member of the Compensation Committee (other than the Chairperson) shall receive an additional annual cash retainer of $7,500 
for such service. 

 
(iv) Nominating and Corporate Governance Committee. A Non-Employee Director serving as Chairperson of 
the Nominating and Corporate Governance Committee of the Board (the “Nominating and Corporate Governance Committee”) 
shall receive an additional annual cash retainer of $10,000 for such service. A Non-Employee Director serving as a member of 
the  Nominating  and  Corporate  Governance  Committee  (other  than  the  Chairperson)  shall  receive  an  additional  annual  cash 
retainer of $5,000 for such service. 

(c) Payment of Retainers. The annual cash retainers described in Sections 1(a) and 1(b) shall be earned on a quarterly 
basis based on a calendar quarter and shall be paid by the Company in arrears not later than the 30th day following the end of 
each calendar quarter.  In the event a Non-Employee Director does not serve as a Non-Employee Director, or in the applicable 
positions  described  in  Section  1(b),  for  an  entire  calendar  quarter,  the  retainer  paid  to  such  Non-Employee  Director  shall  be 
prorated for the portion of such calendar quarter actually served as a Non-Employee Director, or in such position, as applicable.  
For  avoidance  of  doubt,  if  a  Non-Employee  Director  serves  on  the  Board  or  a  committee  thereof  for  less  than  a  full  calendar 
quarter, the annual cash retainers described in Sections 1(a) and 1(b) shall be prorated for the portion of the calendar quarter in 
which  the  Non-Employee  Director  began  serving  on  the  Board  or  a  committee  thereof,  as  applicable,  such  that  each  Non-
Employee Director shall receive annual cash retainers under this Policy only for the periods during which such Non-Employee 
Director  actually  serves  on  the  Board  or  a  committee  thereof,  as  applicable.  There  are  no  per  meeting  attendance  fees  for 
attending meetings of the Board or any committee thereof.

(d)Revisions. Each of the Board and the Compensation Committee, in its discretion, may change and otherwise revise 
the terms of the cash compensation granted under this Policy, including, without limitation, the amount of cash compensation to 
be paid, on or after the date the Board or the Compensation Committee determines to make any such change or revision.

2.
Equity Compensation. Non-Employee Directors shall be granted the equity awards described below. The awards described 
below shall be granted under and shall be subject to the terms and provisions of the Company’s 2014 Equity Incentive Plan, as 
may be amended or restated from time to time, or any other applicable Company equity incentive plan then-maintained by the 
Company  (as  applicable,  the  “Equity Plan”)  and  shall  be  granted  subject  to  the  execution  and  delivery  of  award  agreements, 
including attached exhibits, in substantially the forms previously approved by the Board or the Compensation Committee, setting 
forth  the  vesting  schedule  applicable  to  such  awards  and  such  other  terms  as  may  be  required  by  the  Equity  Plan  (as  may  be 
amended or restated from time to time, collectively, the “Additional Terms”). All applicable terms of the Equity Plan apply to 
this Policy as if fully set forth herein, and all stock options granted pursuant to this Policy are subject in all respects to the terms 
of the Equity Plan and the Additional Terms. 

(a) Annual Awards. On the first business day of each calendar year, each Non-Employee Director shall be automatically, 
and without further action of the Board or the Compensation Committee, granted a non-statutory stock option to purchase 32,000 
shares  of  common  stock  of  the  Company  (the  “Common  Stock”)  (as  adjusted  for  any  stock  dividends,  combinations,  splits, 
recapitalizations and the like). The awards described in this Section 2(a) shall be referred to as “Annual Awards.” 

2

 
 
(b)Equity Awards for New Non-Employee Directors. Upon the date an individual first becomes appointed or elected as a 
Non-Employee  Director,  such  individual  shall  be  automatically,  and  without  further  action  of  the  Board  or  the  Compensation 
Committee, be granted: (i) a non-statutory stock option to purchase 64,000 shares of Common Stock (as adjusted for any stock 
dividends, combinations, splits, recapitalizations and the like) (a “New Director Award”); and (ii) a non-statutory stock option to 
purchase 32,000 shares of Common Stock (as adjusted for any stock splits, stock dividends and the like), reduced pro rata for 
each day prior to the date of grant (out of 365 days) that has elapsed since January 1st of the year in which the individual first 
becomes a Non-Employee Director, rounded down to the nearest whole share (a “Prorated Initial Annual Award”).

(c) Terms of Awards Granted to Non-Employee Directors.

equal the Fair Market Value (as defined in the Equity Plan) of a share of Common Stock on the date the option is granted. 

(i)

Purchase  Price.  The  per  share  exercise  price  of  each  option  granted  to  a  Non-Employee  Director  shall 

(ii) Vesting. Each Annual Award and each Prorated Initial Annual Award shall vest and become exercisable 
on the one-year anniversary of the date of grant, in each case subject to the Non-Employee Director continuing in service on the 
Board  through  and  including  such  vesting  date.  One-third  of  the  shares  subject  to  each  New  Director  Award  shall  vest  and 
become  exercisable  on  each  one-year  anniversary  of  the  date  of  grant,  in  each  case  subject  to  the  Non-Employee  Director 
continuing  in  service  on  the  Board  through  and  including  such  vesting  date.  No  portion  of  an  Annual  Award,  New  Director 
Award or Prorated Initial Annual Award that is unvested or unexercisable at the time of a Non-Employee Director’s termination 
of  service  on  the  Board  shall  become  vested  or  exercisable  thereafter.  All  of  a  Non-Employee  Director’s  outstanding  option 
grants made on April 28, 2014, if any, and all Annual Awards, New Director Awards and Prorated Initial Annual Awards shall 
vest  in  full  as  of  immediately  prior  to,  and  contingent  upon,  the  occurrence  of  a  Change  in  Control  (as  defined  in  the  Equity 
Plan).

(iii) Term. The term of each stock option granted to a Non-Employee Director shall be ten years from the date 
the  option  is  granted.    Upon  a  Non-Employee  Director’s  termination  of  service  on  the  Board  for  any  reason,  his  or  her  then-
vested stock options to purchase shares of Common Stock granted pursuant to this Policy shall remain exercisable for 30 days 
following the termination of his or her service on the Board (or such longer period as the Board may determine in its discretion 
on or after the date of grant of such stock options). 

(iv) Option Award Agreements.   Notwithstanding anything to the contrary in this Policy, each Annual Award, 
New Director Award and Prorated Initial Annual Award shall be subject to the terms and conditions of the Equity Plan and the 
Additional Terms.

(d)Revisions. Each of the Board and the Compensation Committee, in its discretion, may change and otherwise revise 
the  terms  of  awards  granted  under  this  Policy,  including,  without  limitation,  the  types  of  awards,  the  number  of  shares,  the 
exercise  prices,  and  vesting  schedules,  for  awards  granted  on  or  after  the  date  the  Board  or  the  Compensation  Committee 
determines to make any such change or revision.

3

 
 
3.
Expense Reimbursement. Upon presentation of documentation of such expenses reasonably satisfactory to the Company, 
each  Non-Employee  Director  shall  be  reimbursed  for  his  or  her  reasonable  out-of-pocket  business  expenses  incurred  in 
connection with attending meetings of the Board and its committees or in connection with other business related to service on the 
Board or its committees.  Each Non-Employee Director also shall be reimbursed for his or her reasonable out-of-pocket business 
expenses authorized by the Board or one of its committees that are incurred in connection with attendance at meetings with the 
Company’s management.  All reimbursements under this Section 3 shall be made in accordance with the Company’s applicable 
expense reimbursement policies and procedures as in effect from time to time.

4.
Section 409A.  In  no  event  shall  cash  compensation  payable  pursuant  to  this  Policy  be  paid  later  than  March  15th  of  the 
calendar  year  following  the  calendar  year  in  which  the  applicable  quarter  ends  (or  if  the  individual  did  not  serve  as  a  Non-
Employee Director for the full quarter as a result of termination of service, then the March 15th of the calendar year following the 
calendar year in which the Non-Employee Director’s service terminated with the Company), in compliance with the “short-term 
deferral” exception to Section 409A  of the Internal Revenue Code of 1986, as amended (“Section 409A”).  In no event shall an 
expense reimbursement be made later than the end of the taxable year of the Non-Employee Director immediately following the 
taxable year in which the expense was incurred.  The amount of expenses eligible for reimbursement during a Non-Employee 
Director’s taxable year will not affect the expenses eligible for reimbursement in any other taxable year.  Reimbursement rights 
are  not  subject  to  liquidation  or  exchange  for  any  other  benefit.    This  Policy  is  intended  to  comply  with  the  requirements  of 
Section 409A so that  none  of  the  compensation  to  be  provided  hereunder  shall be subject to the additional tax imposed under 
Section 409A, and any ambiguities herein shall be interpreted to so exempt or comply.  No Non-Employee Director shall have 
any legal right to receive payment of any amount or benefit that otherwise would fail to comply with the requirements of Section 
409A.  Notwithstanding the foregoing, all Non-Employee Directors shall be solely responsible for any tax or other obligations 
they incur as a result of the cash payments and equity awards received pursuant to this Policy.

Last amended effective January 1, 2024.

4

 
 
Consent of Independent Registered Public Accounting Firm

Exhibit 23.1

We consent to the incorporation by reference in the Registration Statements of Viking Therapeutics, Inc. on Form S-8 (FILE NO. 333-203810, 333-211270, 
333-216857,  333-223503,  333-230247,  333-236666,  333-253219,  333-262609  and  333-269675)  and  on  Form  S-3  ASR  (FILE  NO.  333-373460)  of  our 
report dated February 7, 2024, with respect to our audits of the consolidated financial statements of Viking Therapeutics, Inc. as of December 31, 2023 and 
2022 and for the years then ended and our report dated February 7, 2024 with respect to our audit of internal control over financial reporting of Viking 
Therapeutics,  Inc.  as  of  December  31,  2023,  which  reports  are  included  in  this  Annual  Report  on  Form  10-K  of  Viking  Therapeutics,  Inc.  for  the  year 
ended December 31, 2023.

/s/ Marcum LLP

Marcum LLP
Costa Mesa, California
February 7, 2024

 
 
 
CERTIFICATION PURSUANT TO
RULES 13a-14(a) AND 15d-14(a) UNDER THE SECURITIES EXCHANGE ACT OF 1934,
AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Brian Lian, Ph.D., certify that:

Exhibit 31.1

1.

2.

3.

4.

I have reviewed this Annual Report on Form 10-K of Viking Therapeutics, Inc.;

Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make 
the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered 
by this report;

Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material 
respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined 
in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) 
and 15d-15(f)) for the registrant and have:

a.

b.

c.

d.

Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our 
supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us 
by others within those entities, particularly during the period in which this report is being prepared;

Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under 
our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial 
statements for external purposes in accordance with generally accepted accounting principles;

Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the 
effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; 
and

Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s 
most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is 
reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5.

The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, 
to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a.

b.

All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are 
reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s 
internal control over financial reporting.

Date:  February 7, 2024

  By:

/s/ Brian Lian, Ph.D.
Brian Lian, Ph.D.
Chief Executive Officer

 
 
   
 
   
 
CERTIFICATION PURSUANT TO
RULES 13a-14(a) AND 15d-14(a) UNDER THE SECURITIES EXCHANGE ACT OF 1934,
AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Greg Zante, certify that:

Exhibit 31.2

1.

2.

3.

4.

I have reviewed this Annual Report on Form 10-K of Viking Therapeutics, Inc.;

Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make 
the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered 
by this report;

Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material 
respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined 
in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) 
and 15d-15(f)) for the registrant and have:

a.

b.

c.

d.

Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our 
supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us 
by others within those entities, particularly during the period in which this report is being prepared;

Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under 
our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial 
statements for external purposes in accordance with generally accepted accounting principles;

Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the 
effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; 
and

Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s 
most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is 
reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5.

The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, 
to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a.

b.

All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are 
reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s 
internal control over financial reporting.

Date:  February 7, 2024

  By:

/s/ Greg Zante
Greg Zante
Chief Financial Officer

 
 
   
 
   
 
Exhibit 32.1

CERTIFICATION OF PRINCIPAL EXECUTIVE OFFICER AND PRINCIPAL FINANCIAL OFFICER PURSUANT TO
18 U.S.C. SECTION 1350, AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Annual Report on Form 10-K of Viking Therapeutics, Inc. (the “Company”) for the period ended December 31, 2023 as filed 

with the Securities and Exchange Commission on the date hereof (the “Report”), the undersigned hereby certify, pursuant to 18 U.S.C. Section 1350, as 
adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, to their knowledge that:

(1)

(2)

By:

The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and

The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the 
Company.

/s/ Brian Lian, Ph.D.
Brian Lian, Ph.D.
Chief Executive Officer
February 7, 2024

By:

/s/ Greg Zante
Greg Zante
Chief Financial Officer
February 7, 2024

A signed original of this written statement required by Section 906 has been provided to the Company and will be retained by the Company and 

furnished to the Securities and Exchange Commission or its staff upon request.

This certification accompanies the Report, is not deemed filed for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the 
“Exchange Act”), or otherwise subject to the liability of that section, nor shall it be deemed incorporated by reference into any filing under the Securities 
Act of 1933, as amended, or the Exchange Act (whether made before or after the date of the Report), irrespective of any general incorporation language 
contained in such filing.

 
 
 
 
 
 
 
 
 
 
 
 
 
VIKING THERAPEUTICS, INC.

CLAWBACK POLICY

Exhibit 97

The Board of Directors (the “Board”) of Viking Therapeutics, Inc. (the “Company”) believes that it is in the best interests of the 
Company and its stockholders to adopt this Clawback Policy (this “Policy”), which provides for the recovery of certain incentive 
compensation in the event of an Accounting Restatement (as defined below).  This Policy is designed to comply with, and shall 
be interpreted to be consistent with, Section 10D of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), 
Rule 10D-1 promulgated under the Exchange Act (“Rule 10D-1”) and Nasdaq Listing Rule 5608 (the “Listing Standards”).

1. ADMINISTRATION

Unless otherwise determined by the Board, the Compensation Committee of the Board (the “Compensation Committee”) (or 
another committee of the Board) shall administer this Policy (the Board or such committee charged with administration of this 
Policy, the “Administrator”).   The Administrator is authorized to interpret and construe this Policy and to make all 
determinations necessary, appropriate or advisable for the administration of this Policy.  Any determinations made by the 
Administrator shall be final and binding on all affected individuals and need not be uniform with respect to each individual 
covered by this Policy.  In the administration of this Policy, the Administrator is authorized and directed to consult with the full 
Board or such other committees of the Board, as may be necessary or appropriate as to matters within the scope of such other 
committee’s responsibility and authority.  Subject to any legal limitation, the Administrator may authorize and empower any 
officer or employee of the Company to take any and all actions necessary or appropriate to carry out the purpose and intent of this 
Policy (other than with respect to any recovery under this Policy involving such officer or employee).

2. DEFINITIONS

As used in this Policy, the following definitions shall apply:

•

•

•

“Accounting Restatement” means an accounting restatement of the Company’s financial statements due to the Company’s 
material noncompliance with any financial reporting requirement under the securities laws, including any required 
accounting restatement to correct an error in previously issued financial statements that is material to the previously issued 
financial statements, or that would result in a material misstatement if the error were corrected in the current period or left 
uncorrected in the current period.

“Administrator” has the meaning set forth in Section 1 hereof.

“Applicable Period” means the three completed fiscal years immediately preceding the date on which the Company is 
required to prepare an Accounting Restatement, as well as any transition period (that results from a change in the Company’s 
fiscal year) within or immediately following those three completed fiscal years (except that a transition period that comprises 
a period of at least nine months shall count as a completed fiscal year).  The “date 

 
 
on which the Company is required to prepare an Accounting Restatement” is the earlier to occur of (a) the date the 
Board, a committee of the Board or the officer or officers of the Company authorized to take such action if Board action is 
not required, concludes or reasonably should have concluded, that the Company is required to prepare an Accounting 
Restatement or (b) the date a court, regulator or other legally authorized body directs the Company to prepare an Accounting 
Restatement, in each case regardless of if or when the restated financial statements are filed.

“Code” means the U.S. Internal Revenue Code of 1986, as amended.  Any reference to a section of the Code or regulation 
thereunder includes such section or regulation, any valid regulation or other official guidance promulgated under such 
section, and any comparable or future legislation or regulation amending, supplementing, or superseding such section or 
regulation.

“Compensation Committee” has the meaning set forth in Section 1 hereof.

“Covered Executives” means the Company’s current and former executive officers, as determined by the Administrator in 
accordance with the definition of executive officer set forth in Rule 10D-1 and the Listing Standards; provided that executive 
officers for purposes of this Policy shall include at a minimum executive officers identified pursuant to 17 C.F.R. 229.401(b).

“Effective Date” has the meaning set forth in Section 9 hereof.

“Erroneously Awarded Compensation” has the meaning set forth in Section 5 hereof.

•

•

•

•

•

• A “Financial Reporting Measure” is any measure that is determined and presented in accordance with the accounting 

principles used in preparing the Company’s financial statements, and any measure that is derived wholly or in part from such 
measure.  Financial Reporting Measures include but are not limited to the following (and any measures derived from the 
following): Company stock price; total shareholder return (“TSR”); revenues; net income; operating income; profitability of 
one or more reportable segments; financial ratios (e.g., accounts receivable turnover and inventory turnover rates); earnings 
before interest, taxes, depreciation and amortization; funds from operations and adjusted funds from operations; liquidity 
measures (e.g., working capital, operating cash flow); return measures (e.g., return on invested capital, return on assets); 
earnings measures (e.g., earnings per share); sales per square foot or same store sales, where sales is subject to an Accounting 
Restatement; revenue per user, or average revenue per user, where revenue is subject to an Accounting Restatement; cost per 
employee, where cost is subject to an Accounting Restatement; any of such financial reporting measures relative to a peer 
group, where the Company’s financial reporting measure is subject to an Accounting Restatement; and tax basis income.  A 
Financial Reporting Measure need not be presented within the Company’s financial statements or included in a filing with 
the Securities and Exchange Commission to constitute a Financial Reporting Measure.

•

“Incentive-Based Compensation” means any compensation that is granted, earned or vested based wholly or in part upon 
the attainment of a Financial Reporting Measure.  

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Incentive-Based Compensation is “received” for purposes of this Policy in the Company’s fiscal period during which the 
Financial Reporting Measure specified in the Incentive-Based Compensation award is attained, even if the payment or grant 
of such Incentive-Based Compensation occurs after the end of that period.

•

“Nasdaq” means The Nasdaq Stock Market LLC.

3. COVERED EXECUTIVES; INCENTIVE-BASED COMPENSATION

This Policy applies to Incentive-Based Compensation received by a Covered Executive (a) after beginning services as a Covered 
Executive; (b) if that person served as a Covered Executive at any time during the performance period for such Incentive-Based 
Compensation; and (c) while the Company had a listed class of securities on a national securities exchange.

4. REQUIRED RECOUPMENT OF ERRONEOUSLY AWARDED COMPENSATION IN THE EVENT OF AN ACCOUNTING RESTATEMENT

If the Company is required to prepare an Accounting Restatement, the Company shall promptly demand in writing and recoup the 
amount of any Erroneously Awarded Compensation received by any Covered Executive, as calculated pursuant to Section 5 
hereof, during the Applicable Period.  Recovery under this Policy with respect to a Covered Executive shall not require a finding 
of any misconduct by such Covered Executive or that the Covered Executive was responsible for the accounting error leading to 
an Accounting Restatement. If a Covered Executive fails to repay Erroneously Awarded Compensation that is owed to the 
Company under this Policy, the Company shall take all appropriate action to recover such Erroneously Awarded Compensation 
from the Covered Executive, and the Covered Executive shall be required to reimburse the Company for all expenses (including 
legal expenses) incurred by the Company in recovering such Erroneously Awarded Compensation.

5. ERRONEOUSLY AWARDED COMPENSATION: AMOUNT SUBJECT TO RECOVERY

The amount of “Erroneously Awarded Compensation” subject to recovery under this Policy, as determined by the 
Administrator, is the amount of Incentive-Based Compensation received by the Covered Executive that exceeds the amount of 
Incentive-Based Compensation that otherwise would have been received by the Covered Executive had such compensation been 
determined based on the restated amounts in the Accounting Restatement.

Erroneously Awarded Compensation shall be determined by the Administrator without regard to any taxes paid by the Covered 
Executive in respect of the Erroneously Awarded Compensation.

For Incentive-Based Compensation based on stock price or TSR, where the amount of Erroneously Awarded Compensation is not 
subject to mathematical recalculations directly from the information in the Accounting Restatement: (a) the Administrator shall 
determine the amount of Erroneously Awarded Compensation based on a reasonable estimate of the effect of the Accounting 
Restatement on the stock price or TSR upon which the Incentive-Based Compensation was received; and (b) the Company shall 
maintain documentation of the determination of that reasonable estimate and provide such documentation to Nasdaq.

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6. METHOD OF RECOUPMENT

The Administrator shall determine, in its sole discretion, the timing and method for promptly recouping Erroneously Awarded 
Compensation hereunder, which may include without limitation (a) seeking reimbursement of all or part of any cash or equity-
based award, (b) cancelling prior cash or equity-based awards, whether vested or unvested or paid or unpaid, (c) cancelling or 
offsetting against any planned future cash or equity-based awards, (d) forfeiture of deferred compensation, subject to compliance 
with Section 409A of the Code and the regulations promulgated thereunder and (e) any other method authorized by applicable 
law or contract.  Subject to compliance with any applicable law, the Administrator may effect recovery under this Policy from 
any amount otherwise payable to the Covered Executive, including amounts payable to such individual under any otherwise 
applicable Company plan or program, including base salary, bonuses or commissions and compensation previously deferred by 
the Covered Executive.

The Company is authorized and directed to recoup Erroneously Awarded Compensation in compliance with this Policy unless the 
Administrator determines that recovery would be impracticable for one or more of the following reasons only, and subject to the 
following procedural and disclosure requirements:

•

•

•

The direct expense paid to a third party to assist in enforcing this Policy would exceed the amount to be recovered.  Before 
concluding that the expense of recovery would exceed the recoverable amount, the Administrator must make a reasonable 
attempt to recover any Erroneously Awarded Compensation, document such reasonable attempt(s), and provide that 
documentation to Nasdaq;

Recovery would violate home country law of the issuer where that law was adopted prior to November 28, 2022.  Before 
concluding that it would be impracticable to recover any amount of Erroneously Awarded Compensation based on violation 
of home country law of the issuer, the Administrator must satisfy the applicable opinion and disclosure requirements of Rule 
10D-1 and the Listing Standards; or

Recovery would likely cause an otherwise tax-qualified retirement plan, under which benefits are broadly available to 
employees of the Company, to fail to meet the requirements of 26 U.S.C. 401(a)(13) or 26 U.S.C. 411(a) and regulations 
promulgated thereunder.

7. NO INDEMNIFICATION OF COVERED EXECUTIVES

Notwithstanding the terms of any indemnification or insurance policy or any contractual arrangement with any Covered 
Executive, the Company shall not indemnify any Covered Executives against (a) the loss of any Erroneously Awarded 
Compensation, including any payment or reimbursement for the cost of third-party insurance purchased by any Covered 
Executives to fund potential clawback obligations under this Policy, or (b) any claims relating to the Company’s enforcement of 
its rights under this Policy.

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8. ADMINISTRATOR INDEMNIFICATION

Any members of the Administrator, and any other members of the Board who assist in the administration of this Policy, shall not 
be personally liable for any action, determination or interpretation made with respect to this Policy and shall be fully indemnified 
by the Company to the fullest extent under applicable law and Company policy with respect to any such action, determination or 
interpretation.  The foregoing sentence shall not limit any other rights to indemnification of the members of the Board under 
applicable law or Company policy.

9. EFFECTIVE DATE; RETROACTIVE APPLICATION

This Policy shall be effective as of October 2, 2023 (the “Effective Date”).  The terms of this Policy shall apply to any Incentive-
Based Compensation that is received by Covered Executives on or after the Effective Date, even if such Incentive-Based 
Compensation was approved, awarded, granted or paid to Covered Executives prior to the Effective Date.  Without limiting the 
generality of Section 6 hereof, and subject to applicable law, the Administrator may effectuate recovery under this Policy from 
any amount of compensation approved, awarded, granted, payable or paid to a Covered Executive prior to, on or after the 
Effective Date.

10. AMENDMENT; TERMINATION

The Board or the Compensation Committee may amend, modify, supplement, rescind or replace all or any portion of this Policy 
at any time and from time to time in its discretion, and shall amend this Policy as it deems necessary to comply with applicable 
law or any rules or standards adopted by a national securities exchange on which the Company’s securities are listed.  
Notwithstanding anything in this Section 10 to the contrary, no amendment or other modification of this Policy shall be effective 
if such amendment or other modification would (after taking into account any actions taken by the Company contemporaneously 
with such amendment or other modification) cause the Company to violate any federal securities laws, Securities and Exchange 
Commission rule or the rules of any national securities exchange or national securities association on which the Company’s 
securities are listed.

11. OTHER RECOUPMENT RIGHTS; COMPANY CLAIMS

The Board intends that this Policy be applied to the fullest extent of the law.  Any right of recoupment under this Policy is in 
addition to, and not in lieu of, any other remedies or rights of recoupment that may be available to the Company under applicable 
law or pursuant to the terms of any similar policy in any employment agreement, equity award agreement or similar agreement 
and any other legal remedies available to the Company.  This Policy is also in addition to (and not in lieu of) any right of 
repayment, forfeiture or right of offset against any employees that is required pursuant to any statutory repayment requirement 
(regardless of whether implemented at any time prior to or following the adoption or amendment of this Policy), including 
Section 304 of the Sarbanes-Oxley Act of 2002.  Any amounts paid to the Company pursuant to Section 304 of the Sarbanes-
Oxley Act of 2002 shall be considered in determining any amounts recovered under this Policy.  The Compensation Committee 
may require that any employment agreement, equity award agreement or any other agreement entered into on or after the 
Effective Date shall, as a condition to the grant of any benefit thereunder, 

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require a Covered Executive to agree to abide by the terms of this Policy. The application and enforcement of this Policy does not 
preclude the Company from taking any other action to enforce a Covered Executive’s obligations to the Company, including 
termination of employment or the institution of legal proceedings.

Nothing contained in this Policy, and no recoupment or recovery as contemplated by this Policy, shall limit any claims, damages 
or other legal remedies the Company or any of its affiliates may have against a Covered Executive (including reimbursement of 
legal fees incurred by or on behalf of the Company or any of its affiliates) arising out of or resulting from any actions or 
omissions by the Covered Executive.

12. SUCCESSORS

This Policy shall be binding and enforceable against all Covered Executives and their beneficiaries, heirs, executors, 
administrators or other legal representatives.

13. EXHIBIT FILING REQUIREMENT

A copy of this Policy and any amendments thereto shall be posted on the Company’s website and filed as an exhibit to the 
Company’s annual report on Form 10-K.

14. GOVERNING LAW; VENUE

This Policy and all rights and obligations hereunder shall be governed by and construed in accordance with the internal laws of 
the State of [Delaware], excluding any choice of law rules or principles that may direct the application of the laws of another 
jurisdiction.  All actions arising out of or relating to this Policy shall be heard and determined exclusively in the Court of 
Chancery of the State of Delaware or, if such court declines to exercise jurisdiction or if subject matter jurisdiction over the 
matter that is the subject of any such legal action or proceeding is vested exclusively in the U.S. federal courts, the U.S. District 
Court for the District of Delaware.

15. INTERPRETATION

If any provision of this Policy or the application of such provision to any Covered Executive shall be adjudicated to be invalid, 
illegal or unenforceable in any respect, such invalidity, illegality or unenforceability shall not affect any other provisions of this 
Policy, and the invalid, illegal or unenforceable provisions shall be deemed amended to the minimum extent necessary to render 
any such provision (or the application of such provision) valid, legal or enforceable.

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Clawback Policy Acknowledgment

I, the undersigned, agree and acknowledge that I am fully bound by, and subject to, all of the terms and conditions of Viking 
Therapeutics, Inc.’s Clawback Policy (as may be amended, restated, supplemented or otherwise modified from time to time, the 
“Policy”).  In the event of any inconsistency between the Policy and the terms of any employment agreement to which I am a 
party, or the terms of any compensation plan, program or agreement under which any compensation has been granted, awarded, 
earned or paid, the terms of the Policy shall govern. The Policy will apply both during and after my employment with the 
Company.   In the event it is determined by the Administrator that any amounts granted, awarded, earned or paid to me must be 
forfeited or reimbursed to the Company, I will promptly take any action necessary to effectuate such forfeiture and/or 
reimbursement.  Any capitalized terms used in this Acknowledgment without definition shall have the meaning set forth in the 
Policy.

By: ___________________________________
[Name]
[Title]

_____________________________________
Date

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