Quarterlytics / Healthcare / Biotechnology / Zai Lab Limited

Zai Lab Limited

zlab · NASDAQ Healthcare
Claim this profile
Ticker zlab
Exchange NASDAQ
Sector Healthcare
Industry Biotechnology
Employees 1869
← All annual reports
FY2022 Annual Report · Zai Lab Limited
Sign in to download
Loading PDF…
www.zailaboratory.com

Incorporated in the Cayman Islands 
with limited liability

HKEX: 9688

NASDAQ: ZLAB

2022
Annual
Report

Z
a

i

L
a
b

L
i
m

i
t
e
d

2
0
2
2

A
n
n
u
a

l

R
e
p
o
r
t

 
 
 
 
CONTENTS

CORPORATE INFORMATION 

FORWARD-LOOKING STATEMENTS 

BUSINESS 

RISK FACTORS 

CHAIRPERSON’S STATEMENT 

FINANCIAL SUMMARY 

MANAGEMENT DISCUSSION AND ANALYSIS 

DIRECTORS AND SENIOR MANAGEMENT 

DIRECTORS’ REPORT 

CORPORATE GOVERNANCE REPORT 

INDEPENDENT AUDITOR’S REPORT 

CONSOLIDATED FINANCIAL STATEMENTS 

FINANCIAL STATEMENTS SCHEDULE I 
 — FINANCIAL INFORMATION OF PARENT COMPANY 

DEFINITIONS 

GLOSSARY OF TECHNICAL TERMS 

2

5

7

59

149

152

153

176

189

223

242

244

296

301

306

DIRECTORS
Executive Director

Dr. Samantha Du (Director, Chairperson, and

Chief Executive Officer)

Independent Directors

Dr. Kai-Xian Chen

Dr. John Diekman (appointed as the 

Lead Independent Director on July 22, 2022)

Ms. Nisa Leung

Mr. William Lis

Mr. Leon O. Moulder, Jr.

Mr. Peter Wirth

Mr. Scott W. Morrison

Richard Gaynor, M.D.

HEAD OFFICE AND PRINCIPAL 
PLACE OF BUSINESS IN 
HONG KONG
Room 2301, 23/F

Island Place Tower

510 King’s Road

North Point, Hong Kong

P.R. China

REGISTERED OFFICE
Harbour Place, 2nd Floor

103 South Church Street

P.O. Box 472

George Town

Grand Cayman KY1-1106

Mr. Michel Vounatsos (appointed on January 7, 2023)

Cayman Islands

HEAD OFFICE AND PRINCIPAL 
PLACE OF BUSINESS IN 
MAINLAND CHINA
Building 1, 4/F

Jinchuang Plaza

4560 Jinke Road

Pudong, Shanghai, 201210

P.R. China

HEAD OFFICE AND PRINCIPAL 
PLACE OF BUSINESS IN THE 
UNITED STATES
314 Main Street

4th Floor, Suite 100

Cambridge, MA 02142

USA

PRINCIPAL SHARE REGISTRAR AND
TRANSFER AGENT
International Corporation Services Ltd.

Harbour Place, 2nd Floor

103 South Church Street

P.O. Box 472

George Town

Grand Cayman KY1-1106

Cayman Islands

HONG KONG SHARE REGISTRAR
AND TRANSFER AGENT
Computershare Hong Kong Investor Services Limited

Shops 1712–1716 

17th Floor, Hopewell Centre 

183 Queen’s Road East

Wanchai, Hong Kong

2

CORPORATE INFORMATIONCOMPLIANCE ADVISOR
Somerley Capital Limited

20/F China Building

29 Queen’s Road Central

Hong Kong

P.R. China

AUTHORISED REPRESENTATIVES
Dr. Samantha Du

Building 1, 4/F

Jinchuang Plaza 

4560 Jinke Road

Pudong, Shanghai, 201210 

P.R. China

Ms. Nelly Au-Yeung

5/F, Manulife Place 

348 Kwun Tong Road

Kowloon, Hong Kong 

P.R. China

AUDIT COMMITTEE
Mr. Scott Morrison (appointed as Chairperson on July 22, 2022)

Dr. John Diekman (ceased to be Chairperson on July 22, 2022)

Mr. Peter Wirth

COMPENSATION COMMITTEE
Mr. Peter Wirth (Chairperson)

NOMINATING AND CORPORATE
GOVERNANCE COMMITTEE
Mr. Leon O. Moulder, Jr. (Chairperson)

Dr. John Diekman

Mr. William Lis

RESEARCH AND DEVELOPMENT 
COMMITTEE
Mr. Richard Gaynor, M.D. (Chairperson)

Dr. Samantha Du

Dr. Kai-Xian Chen

Mr. William Lis

Mr. Michel Vounatsos (appointed as a

member on January 7, 2023)

COMMERCIAL COMMITTEE(Note 1)
Mr. Michel Vounatsos (appointed as Chairperson on 

January 7, 2023)

Mr. William Lis (appointed as a member on January 13, 2023)

Mr. Leon O. Moulder, Jr. (appointed as a member on 

January 13, 2023)

JOINT COMPANY SECRETARIES
Mr. F. Ty Edmondson

314 Main Street 

4th Floor, Suite 100

Cambridge, MA 02142 USA

Ms. Nisa Leung (ceased to be a member on October 19, 2022)

Ms. Nelly Au-Yeung

Mr. Leon O. Moulder, Jr.

5/F, Manulife Place 

Dr. John Diekman (appointed as a member on October 19, 2022)

348 Kwun Tong Road

Kowloon, Hong Kong 

P.R. China

Note:

(1) 

The Commercial Committee was established on January 7, 2023.

3

CORPORATE INFORMATIONAUDITORS
KPMG LLP

Public  Interest  Entity  Auditor  recognised  in  accordance  with  the 

Accounting and Financial Reporting Council Ordinance

STOCK CODE
HKEX: 9688

NASDAQ: ZLAB

CONTACT
Investor Relations: Lina Zhang

+86 136 8257 6943

lina.zhang@zailaboratory.com

Media: Shaun Maccoun/Xiaoyu Chen

+1 (415) 317-7255/+86 185 0015 5011

Shaun.maccoun@zailaboratory.com /

xiaoyu.chen@zailaboratory.com

WEBSITE
http://www.zailaboratory.com/

4

CORPORATE INFORMATIONThis  annual  report  contains  certain  forward-looking  statements  that  involve  risks  and  uncertainties.  These  forward-looking  statements  include, 

without limitation, statements containing words such as “aim,” “anticipate,” “believe,” “contemplate,” “continue,” “could,” “estimate,” “expect,” 

“forecast,” “goal,” “intend,” “may,” “plan,” “possible,” “potential,” “predict,” “project,” “seek,” “should,” “target,” “will,” “would,” or the negative 

of these terms or similar expressions. You should read these statements carefully because they discuss future expectations, contain projections 

of future results of operations or financial condition, or state other “forward-looking” information that are not statements of historical facts or 

guarantees or assurances of future performance. These forward-looking statements relate to our future plans, objectives, expectations, intentions, 

and  financial  performance  and  the  assumptions  that  underlie  these  statements.  These  forward-looking  statements  are  subject  to  inherent 

uncertainties, risks, and changes in circumstances that may differ materially from those contemplated by the forward-looking statements because 

they  relate  to  events  and  depend  on  circumstances  that  may  or  may  not  occur  in  the  future.  Actual  results  may  differ  materially  from  those 

indicated by such forward-looking statements as a result of various important factors, including but not limited to the following:

• 

The effects of the COVID-19 pandemic, including increased infection rates and any government actions and lockdown measures 

taken in response, particularly in mainland China where our operations and product markets are primarily located;

• 

Changes  in  United  States  and  China  trade  policies  and  relations,  as  well  as  relations  with  other  countries,  and/or  changes  in 

regulations and/or sanctions;

• 

Actions the Chinese government may take to intervene in or influence our operations;

• 

Economic, political, and social conditions in mainland China, as well as governmental policies;

• 

Uncertainties  in  the  Chinese  legal  system,  including  with  respect  to  the  Data  Security  Law,  the  Cyber  Security  Law,  the 

Cybersecurity  Review  Measures,  the  Personal  Information  Protection  Law,  the  Regulation  on  the  Administration  of  Human 

Genetic Resources, the Biosecurity Law, the Security Assessment Measures, and other future laws and regulations;

• 

Approval, filing, or procedural requirements imposed by the China Securities Regulatory Commission (“CSRC”) or other Chinese 

regulatory authorities in connection with issuing securities to foreign investors under Chinese law;

• 

Any violation or liability under the U.S. Foreign Corrupt Practices Act (“FCPA”) or Chinese anti-corruption laws;

• 

Restrictions on currency exchange;

• 

Limitations on the ability of our Chinese subsidiaries to make payments to us;

• 

Chinese requirements on the ability of residents in mainland China to establish offshore special purpose companies by residents 

in mainland China;

• 

Chinese regulations regarding acquisitions of mainland China-based companies by foreign investors;

5

FORWARD-LOOKING STATEMENTS• 

Any  issues  that  our  Chinese  manufacturing  facilities  may  have  with  operating  in  conformity  with  established  GMPs  and 

international  best  practices,  and  with  passing  U.S.  Food  and  Drug  Administration  (“FDA”),  National  Medical  Products 

Administration (“NMPA”), and European Medicines Agency (“EMA”) inspections;

• 

Expiration of, or changes to, financial incentives or discretionary policies granted by local governments;

• 

Restrictions  or  limitations  on  the  ability  of  overseas  regulators  to  conduct  investigations  or  collect  evidence  within  mainland 

China;

• 

Unfavorable tax consequences to us and our non-Chinese shareholders or ADS holders if we were to be classified as a Chinese 

resident enterprise for Chinese income tax purposes;

• 

Failure to comply with applicable Chinese, U.S., and Hong Kong regulations that could lead to government enforcement actions, 

fines, other legal or administrative sanctions, and/or harm to our business or reputation; 

• 

Review by the Committee on Foreign Investment in the United States (“CFIUS”) in our investments or other delays or obstacles 

for closing transactions;

• 

Any inability to renew our current leases on desirable terms or otherwise locate desirable alternatives for our leased properties;

• 

Our ability to generate revenues from our approved commercial products;

• 

Any  inability  of  third  parties  on  whom  we  rely  to  conduct  our  pre-clinical  and  clinical  trials  to  successfully  carry  out  their 

contractual duties or meet expected deadlines; and

• 

Any inability to obtain or maintain sufficient patent protection for our products and product candidates.

For more information on these factors and other risks and uncertainties that may affect our business, see Risk Factors. These factors 

should not be construed as exhaustive and should be read with the other cautionary statements and information in this annual report. 

Forward-looking  statements  are  based  on  our  management’s  beliefs  and  assumptions  and  information  currently  available  to  our 

management. These statements, like all statements in this annual report, speak only as of their date. We anticipate that subsequent 

events and developments will cause our expectations and assumptions to change, and we undertake no obligation to update or revise 

any forward-looking statements, whether as a result of new information, future events, or otherwise, except as may be required by 

law. These forward-looking statements should not be relied upon as representing our views as of any date subsequent to the Latest 

Practicable Date.

6

FORWARD-LOOKING STATEMENTSOVERVIEW

We  are  a  patient-focused,  innovative,  commercial-stage,  global  biopharmaceutical  company  with  a  substantial  presence  in  both 

Greater China and the United States. We are focused on discovering, developing, and commercializing products that address medical 

conditions  with  significant  unmet  needs  in  the  areas  of  oncology,  autoimmune  disorders,  infectious  diseases,  and  neuroscience.  To 

that  end,  our  experienced  team  has  secured  partnerships  with  leading  global  biopharmaceutical  companies  in  order  to  generate  a 

broad  pipeline  of  innovative  marketed  products  and  product  candidates.  We  have  also  built  an  in-house  team  with  strong  product 

discovery and translational research capabilities and are establishing a pipeline of proprietary product candidates with global rights.

OUR MISSION AND CORPORATE STRATEGIC GOALS

Our mission is to be a leading global biopharmaceutical company focused on discovering, developing, and commercializing innovative 

therapies that improve the lives of patients in China and worldwide. 

Since the Company’s founding in 2013, we have taken steps to execute on our corporate strategy to become a fully integrated global 

biopharmaceutical company with substantial research and development, business development, and commercialization capabilities. 

In 2023, our key corporate strategic goals for driving innovation in China and beyond include:

• 

Accelerating  Medicines  to  Patients:  We  seek  to  advance  our  product  pipeline  by  continuing  to  invest  in  research  and 

development, including internal discovery activities;

• 

Expanding  Our  Pipeline:  We  seek  the  continued  growth  of  our  differentiated  product  pipeline  through  regional  and  global 

collaborations and corporate development activities; and

• 

Continuing  Our  Commercial  Excellence  and  Execution:  We  seek  to  continue  delivering  strong  financial  performance,  including 

by increasing access to our existing commercial products and driving further increases in our efficiency and productivity as we 

continue preparations to launch eight additional products in Greater China in the next 2–3 years. Through our efforts, we seek to 

achieve overall corporate profitability by the end of 2025.

We also seek to build and maintain the trust of our stakeholders. In 2022, we established our environmental, social and governance (“ESG”) 

Trust for Life strategy, which includes three commitments: improve human health, create better outcomes, and act right now with ethical 

business practices and strong corporate governance. As part of our corporate strategy, and the actions taken in support of our corporate 

goals, we will continue to develop and integrate our Trust for Life strategy into our business and operations. 

DIVIDENDS AND OTHER DISTRIBUTIONS 

Zai Lab Limited is a holding company, and we may rely on dividends and other distributions on equity paid by our Chinese subsidiaries for 

our  cash  and  financing  requirements,  including  the  funds  necessary  to  pay  dividends  and  other  cash  distributions  to  our  shareholders  or 

holders of our ADSs  or to  service any debt  we may incur. If any of our Chinese subsidiaries incur debt on their own behalf in the future, 

7

BUSINESSthe instruments governing such debt may restrict their ability to pay dividends to us. To date, there have not been any such dividends or 

other distributions from our Chinese subsidiaries to our subsidiaries located in or outside of mainland China. In addition, as of the Latest 

Practicable Date, none of our subsidiaries have ever issued any dividends or distributions to us or their respective shareholders in or outside 

of mainland China, and neither Zai Lab Limited nor any of our subsidiaries has ever directly or indirectly paid dividends or made distributions 

to U.S. investors. Zai Lab (Shanghai) Co., Ltd., an operating subsidiary of ours that is domiciled in mainland China, received $416.5 million 

in capital contributions via twenty-three separate contributions from Zai Lab (Hong Kong) Limited, its sole shareholder, domiciled outside 

of  mainland  China,  from  2014  to  2023  to  fund  its  business  operations  in  mainland  China.  Zai  Lab  International  Trading  (Shanghai)  Co., 

Ltd., an operating subsidiary of ours that is domiciled in mainland China, received RMB1.0 million in capital contributions via contributions 

from Zai Lab (Shanghai) Co., Ltd., its sole shareholder, in 2019 to fund its business operations in mainland China. Zai Lab (Suzhou) Co., Ltd., 

an  operating  subsidiary  of  ours  that  is  domiciled  in  mainland  China,  received  RMB166.5  million  in  capital  contributions  via  ten  separate 

contributions from Zai Lab (Hong Kong) Limited, its sole shareholder, domiciled outside of mainland China, from 2015 to 2019 to fund its 

business operations in mainland China. Zai Lab Trading (Suzhou) Co., Ltd., an operating subsidiary of ours that is domiciled in mainland China, 

received RMB1.0 million in capital contributions via contributions from Zai Lab (Suzhou) Co., Ltd., its sole shareholder, in 2020 to fund its 

business operations in mainland China. Zai Biopharmaceutical (Suzhou) Co., Ltd., an operating subsidiary of ours that is domiciled in mainland 

China, received $15.0 million in capital contributions via four separate contributions from Zai Lab (Hong Kong) Limited, its sole shareholder, 

domiciled  outside  of  mainland  China,  from  2017  to  2018  to  fund  its  business  operations  in  mainland  China.  In  the  future,  cash  proceeds 

raised from our overseas financing activities may be transferred by us to our Chinese subsidiaries via capital contributions, shareholder loans 

or intercompany loans. 

According to the Foreign Investment Law of the People’s Republic of China and its implementing rules, which jointly established the 

legal  framework  for  the  administration  of  foreign-invested  companies,  a  foreign  investor  may,  in  accordance  with  other  applicable 

laws, freely transfer into or out of mainland China its contributions, profits, capital earnings, income from asset disposal, intellectual 

property rights, royalties acquired, compensation, or indemnity legally obtained, and income from liquidation, made or derived within 

the territory of mainland China in RMB or any foreign currency, and any entity or individual shall not illegally restrict such transfer in 

terms of the currency, amount, and frequency. According to the Company Law of the People’s Republic of China and other Chinese 

laws  and  regulations,  our  Chinese  subsidiaries  may  pay  dividends  only  out  of  their  respective  accumulated  profits  as  determined  in 

accordance with Chinese accounting standards and regulations. In addition, each of our Chinese subsidiaries is required to set aside 

at least 10% of its accumulated after-tax profits, if any, each year to fund a certain statutory reserve fund until the aggregate amount 

of  such  fund  reaches  50%  of  its  registered  capital.  Where  the  statutory  reserve  fund  is  insufficient  to  cover  any  loss  the  Chinese 

subsidiary incurred in the previous financial year, its current financial year’s accumulated after-tax profits shall first be used to cover 

the loss before any statutory reserve fund is drawn therefrom. Such statutory reserve funds and the accumulated after-tax profits that 

are  used  for  covering  the  loss  cannot  be  distributed  to  us  as  dividends.  At  their  discretion,  our  Chinese  subsidiaries  may  allocate  a 

portion of their after-tax profits based on Chinese accounting standards to a discretionary reserve fund. 

Renminbi, or RMB, is not freely convertible into other currencies. As a result, any restriction on currency exchange may limit the ability of 

our Chinese subsidiaries to use their potential future RMB revenues to pay dividends to us. The Chinese government imposes controls on the 

convertibility of RMB into foreign currencies and, in certain cases, the remittance of currency out of mainland China. Shortages in availability 

of foreign currency may then restrict the ability of our Chinese subsidiaries to remit sufficient foreign currency to our offshore entities for 

those  offshore  entities  to  pay  dividends  or  make  other  payments  or  otherwise  to  satisfy  our  foreign-currency-denominated  obligations. 

RMB  is  currently  convertible  under  the  “current  account,”  which  includes  dividends  and  trade-  and  service-related  foreign  exchange 

8

BUSINESStransactions, but not under the “capital account,” which includes foreign direct investment and foreign debt (which may be denominated 

in foreign currency or RMB), including loans we may secure for our Chinese subsidiaries. Currently, our Chinese subsidiaries may purchase 

foreign  currency  for  settlement  of  current  account  transactions,  including  payment  of  dividends  to  us,  without  the  approval  of  the  State 

Administration of Foreign Exchange of China (“SAFE”) by complying with certain procedural requirements. However, the relevant Chinese 

governmental  authorities  may  limit  or  eliminate  our  ability  to  purchase  foreign  currencies  in  the  future  for  current  account  transactions. 

The  Chinese  government  may  continue  to  strengthen  its  capital  controls,  and  additional  restrictions  and  substantial  vetting  processes 

may  be  instituted  by  SAFE  for  cross-border  transactions  falling  under  both  the  current  account  and  the  capital  account.  Any  existing  and 

future restrictions on currency exchange may limit our ability to utilize revenue generated in RMB to fund our business activities outside of 

mainland China or pay dividends in foreign currencies to holders of our securities. Foreign exchange transactions under the capital account 

remain subject to limitations and require approvals from, or registration with, SAFE and other relevant Chinese governmental authorities. 

This could affect our ability to obtain foreign currency through debt or equity financing for our subsidiaries. See Risk Factors for a detailed 

discussion of the Chinese legal restrictions on the payment of dividends, our ability to transfer cash within the Company, and the potential 

for holders of our ADSs and ordinary shares to be subject to Chinese taxes on dividends paid by us in the event we are deemed a Chinese 

resident enterprise for Chinese tax purposes. 

OUR COMMERCIAL PRODUCTS

The following table summarizes the status of our approved commercial products: 

Product

Indications

Regulatory Status

Commercial Rights

Partner

1st line ovarian cancer maintenance 

Launched in mainland China, 

Mainland China, 

GSK

treatment

Hong Kong, and Macau

Hong Kong, and Macau

Platinum sensitive relapsed ovarian 

cancer maintenance treatment

Newly diagnosed glioblastoma 

Launched in mainland China, 

Mainland China, 

NovoCure

multiforme (“GBM”)

Hong Kong, and Macau

Hong Kong, Macau, 

Recurrent GBM

and Taiwan

Unresectable, locally advanced, 

Launched in Hong Kong and 

Mainland China, 

or metastatic malignant pleural 

Macau

mesothelioma (“MPM”)

Hong Kong, Macau, 

and Taiwan

4th line gastrointestinal stromal 

Launched in mainland China, 

Mainland China, 

Deciphera

tumors (“GIST”)

Hong Kong, and Taiwan; 

Hong Kong, Macau, 

approved in Macau

and Taiwan

Community-acquired bacterial 

Launched in mainland China

Mainland China, 

Paratek

pneumonia (“CABP”)

Acute bacterial skin and skin 

structure infections (“ABSSSI”)

9

Hong Kong, Macau, 

and Taiwan

BUSINESSZEJULA (Niraparib)

ZEJULA is an oral, once-daily small-molecule poly (ADP-ribose) polymerase (“PARP”) 1/2 inhibitor. A PARP inhibitor blocks the ability 

of  cancer  cells  to  repair  themselves  after  they  have  been  damaged  by  radiation  and  certain  chemotherapies.  This  inhibition  of  DNA 

damage  repair  can  result  in  the  inability  of  cancer  cells  to  replicate  themselves  and  in  programmed  cell  death.  Tumors  that  are 

deficient  in  key  DNA  damage  repair  pathways,  such  as  BRCA1  mutant  tumors,  are  particularly  sensitive  to  ZEJULA.  As  maintenance 

therapy,  ZEJULA  is  for  women  who  have  had  prior  chemotherapy  treatment  but  are  at  high  risk  of  cancer  recurrence.  ZEJULA  is 

intended to avoid or slow a recurrence of the cancer if it is in remission after prior treatment. In the maintenance setting, ZEJULA does 

not require the addition of radiation or chemotherapies to kill tumor cells. 

Since  2016,  we  have  had  an  exclusive  license  agreement  with  Tesaro  Inc.  (a  company  later  acquired  by  GSK)  to  develop  and 

commercialize  ZEJULA  in  mainland  China,  Hong  Kong,  and  Macau  for  all  potential  indications  except  prostate  cancer.  For  more 

information on this collaboration and license agreement, see Business — Overview of Significant License and Strategic Collaboration 

Agreements — GSK (Niraparib). 

ZEJULA  is  currently  marketed  in  the  United  States,  Europe,  Greater  China,  Canada,  Australia,  and  certain  other  countries/regions. 

ZEJULA  was  first  approved  in  2017  by  the  FDA  for  the  maintenance  treatment  of  adult  patients  with  recurrent  epithelial  ovarian, 

fallopian  tube,  or  primary  peritoneal  cancer  who  exhibit  a  complete  or  partial  response  to  platinum-based  chemotherapy  and  by 

the  EMA  as  a  monotherapy  for  the  maintenance  treatment  of  adult  patients  with  platinum-sensitive,  relapsed  high-grade  serous 

epithelial ovarian, fallopian  tube,  or  primary  peritoneal  cancer who are in complete response or  partial response to  platinum-based 

chemotherapy. Subsequently, in 2019, the FDA approved ZEJULA for treatment of patients with advanced ovarian, fallopian tube, or 

primary  peritoneal  cancer  treated  with  three  or  more  prior  chemotherapy  regimens  whose  cancer  is  associated  with  homologous 

recombination  deficiency  (“HRD”)-positive  status.  And,  in  2020,  the  FDA  approved  it  as  a  monotherapy  in  first-line  maintenance 

treatment of women with advanced ovarian cancer who are in complete or partial response to first-line platinum-based chemotherapy 

regardless of biomarker status, and the EMA approved it as a first-line monotherapy maintenance treatment for adult patients with 

advanced epithelial (FIGO Stages III and IV) high-grade ovarian, fallopian tube, or primary peritoneal cancer who are in complete or 

partial response following platinum-based chemotherapy regardless of biomarker status. 

The NMPA approved ZEJULA as a maintenance therapy for adult patients in mainland China with recurrent epithelial ovarian, fallopian 

tube, or primary peritoneal cancer, who are in complete or partial response to platinum-based chemotherapy in December 2019 and 

as a maintenance therapy for adult patients in mainland China with advanced epithelial ovarian, fallopian tube, or primary peritoneal 

cancer, who are in complete or partial response to first-line platinum-based chemotherapy in September 2020. 

Throughout  this  year,  the  FDA  has  been  reviewing  data  on  PARP  inhibitors,  and  other  companies  have  issued  Dear  HCP  Letters  in 

the  U.S.  as  a  result  of  ongoing  discussions  with  the  FDA.  In  September  2022,  GSK  disclosed  that  it  was  in  discussions  with  the  FDA 

to discuss overall survival (“OS”) data from GSK’s ENGOT-OV16/NOVA Phase III clinical trial for adult patients with recurrent ovarian 

cancer irrespective of the gBRCA mutation. We do not expect the FDA’s discussions with GSK to impact our approval from the NMPA 

for  ZEJULA  in  China.  The  NMPA’s  full  approval  of  ZEJULA  for  patients  with  recurrent  ovarian  cancer  is  based  on  a  separate  study, 

the NORA study, which is a Phase 3 randomized, double-blind, placebo-controlled study of ZEJULA that the Company independently 

10

BUSINESSconducted  in  China.  While  the  NORA  study  is  not  fully  mature,  to  date,  favorable  trends  have  been  observed  in  OS  irrespective  of 

gBRCA mutation status. In December 2022, we presented new interim OS data in Chinese patients with platinum-sensitive recurrent 

ovarian  cancer  from  the  Phase  III  NORA  study  for  ZEJULA  at  the  European  Society  for  Medical  Oncology  Virtual  Plenary.  Median  OS 

was  numerically  longer  for  patients  receiving  ZEJULA  regardless  of  biomarker  status,  at  46.3  months  compared  to  43.4  months  in 

the  placebo  group,  and  no  new  safety  issues  were  identified.  As  a  result,  we  do  not  anticipate  that  our  second-line  all-comer  label 

in  China  will  be  affected  by  the  FDA’s  discussions  with  GSK.  We  also  do  not  expect  a  change  in  our  first-line  label  for  ZEJULA;  the 

FDA’s discussions with GSK do not apply to this indication. In February 2023, the NMPA approved ZEJULA as a first-line ovarian cancer 

maintenance treatment; this complete approval was based on data from the Phase III PRIME study in China.

Market Opportunity for ZEJULA

We  have  completed  several  studies  evaluating  ZEJULA  as  a  treatment  for  Chinese  patients  with  ovarian  cancer,  which  is  one  of  the 

most common gynecological cancers in China, with over 55,000 newly diagnosed cases and 37,000 deaths in China annually.

We launched ZEJULA in mainland China in January 2020 after ZEJULA was approved by the NMPA in December 2019 as a maintenance 

treatment for women with recurrent platinum-sensitive ovarian cancer. In September 2020, ZEJULA was approved by the NMPA as a 

maintenance  treatment  for  adult  patients  with  advanced  epithelial  ovarian,  fallopian  tube,  or  primary  peritoneal  cancer  who  are  in 

a  complete  or  partial  response  to  first-line  platinum-based  chemotherapy.  In  December  2020,  ZEJULA  was  included  in  the  National 

Reimbursement  Drug  List  (“NRDL”)  as  maintenance  therapy  for  adult  patients  with  recurrent  epithelial  ovarian,  fallopian  tube,  or 

primary  peritoneal  cancer  (collectively,  termed  as  ovarian  cancer)  who  are  in  a  complete  or  partial  response  to  platinum-based 

chemotherapy, and in December 2021, ZEJULA was included in the NRDL as a first-line maintenance treatment of adult patients with 

advanced ovarian cancer following a response to platinum-based chemotherapy. 

We also previously launched ZEJULA in Hong Kong in December 2018 for adult patients with platinum-sensitive, relapsed high-grade, 

serous epithelial ovarian cancer who are in a complete response or partial response to platinum-based chemotherapy after approval 

by the Hong Kong Department of Health. In August 2021, the Hong Kong Department of Health approved our post-approval variation 

for  ZEJULA  as  a  maintenance  treatment  for  adult  patients  with  high-grade  serous  epithelial  ovarian  cancer  who  are  in  a  complete 

response or partial response to first-line platinum-based chemotherapy. ZEJULA was approved and launched in Macau for the same 

indication.

For details about our clinical development of ZEJULA, see Business — Our Oncology Pipeline — Additional Indications for ZEJULA.

Optune (Tumor Treating Fields) 

Tumor Treating Fields (or “TTFields”) is a cancer therapy that uses electric fields tuned to specific frequencies to disrupt cell division, 

inhibiting tumor growth, causing cancer cell death, decreasing cell migration, and inhibiting DNA damage response. TTFields therapy is 

delivered through a portable medical device. The complete delivery system, called Optune or Optune Lua, includes a portable electric 

field generator, arrays, rechargeable batteries, and accessories. Sterile, single-use arrays are placed directly on the skin in the region 

surrounding the tumor and connected to the electric field generator to deliver therapy. Arrays are changed when hair growth or the 

11

BUSINESShydrogel  reduces  array  adhesion  to  the  skin.  The  therapy  is  designed  to  be  delivered  continuously  throughout  the  day  and  night, 

and efficacy is strongly correlated to time on therapy. When the device is turned on, TTFields are continuously generated within the 

specific region of the body covered by the arrays. Healthy tissues located outside of this region remain unaffected by the therapy. 

Since  2018,  we  have  had  an  exclusive  license  from  NovoCure  to  develop  and  commercialize  Optune  in  Greater  China  in  all  human 

therapeutic  and  preventive  uses  in  the  field  of  oncology.  For  more  information  on  this  license  and  collaboration  agreement,  see 

Business — Overview of Significant License and Strategic Collaboration Agreements – NovoCure (Tumor Treating Fields). 

TTFields  is  currently  marketed  in  the  United  States,  Greater  China,  Europe,  Japan,  and  certain  other  countries/regions.  In  2015, 

Optune was approved by the FDA for the treatment of adult patients with newly diagnosed GBM in combination with temozolomide 

(“TMZ”), a chemotherapy drug, and for adult patients with GBM following confirmed recurrence after chemotherapy as monotherapy 

treatment. In May 2020, the NMPA approved the Marketing Authorization Application (“MAA”) for Optune in combination with TMZ 

for the treatment of patients with newly diagnosed GBM and also as a monotherapy for the treatment of patients with recurrent GBM. 

Optune is also approved or has a CE certificate for the treatment of GBM in the European Union, Japan, and certain other countries. 

In  May  2019,  NovoCure  received  FDA  approval  for  the  use  of  Optune  Lua  as  a  Humanitarian  Use  Device  in  combination  with 

chemotherapy for the first-line treatment of adult patients with unresectable, locally advanced, or metastatic MPM. MPM is a type of 

cancer that occurs in the thin layer of tissue in the torso covering internal organs. In November 2022, the MAA for MPM was accepted 

by the NMPA.

Market Opportunity for Optune

GBM, a malignant form of astrocytoma, is the most aggressive form of brain cancer. In mainland China during 2019, GBM represented about 

46% of all newly diagnosed cases of brain cancer, with an estimated annual incidence of 15,134 patients in 2020. GBM is treated mainly by 

surgery, radiotherapy, and TMZ. Despite these treatments, prospects for long-term survival remain poor. In mainland China, the five-year 

survival rate of GBM patients is less than 5%. Optune is the first treatment approved by the NMPA for GBM in mainland China since 2007. 

We  launched  Optune  in  Hong  Kong  in  2018  and  in  mainland  China  in  June  2020  after  the  NMPA  approved  Optune  in  May  2020  in 

combination  with  TMZ  for  the  treatment  of  patients  with  newly  diagnosed  GBM  and  also  as  a  monotherapy  for  the  treatment  of 

patients  with  recurrent  GBM.  As  of  December  31,  2022,  Optune  was  listed  in  87  regional  customized  commercial  health  insurance 

plans guided by provincial or municipal governments throughout mainland China, or supplemental insurance plans, up from 33 as of 

December 31, 2021. Enrollment into these regional reimbursement programs has improved, and we expect will continue to improve, 

access to Optune for patients in need across mainland China. 

We  launched  Optune  Lua,  a  portable  medical  device  that  delivers  TTFields  for  the  treatment  of  unresectable,  locally  advanced,  or 

metastatic MPM in Hong Kong in August 2020 and in Macau in October 2020. 

For more information about our clinical development of TTFields, see Business — Our Oncology Pipeline — Additional Indications for 

Tumor Treating Fields. 

12

BUSINESSQINLOCK (Ripretinib)

QINLOCK  is  an  orally  administered  switch-control  tyrosine  kinase  inhibitor  that  was  engineered  to  broadly  inhibit  KIT  and  PDGFRα 

mutated kinases by using a dual mechanism of action that regulates the kinase switch pocket and activation loop. 

Since  2019,  we  have  had  an  exclusive  license  from  Deciphera  to  develop  and  commercialize  QINLOCK  in  Greater  China  for  the 

prevention, prophylaxis, treatment, cure, or amelioration of any disease or medical condition in humans. For more information on this 

license agreement, see Business — Overview of Significant License and Strategic Collaboration Agreements — Deciphera (Ripretinib). 

QINLOCK  is  currently  approved  and  marketed  in  the  United  States,  Greater  China,  Canada,  Australia,  and  certain  other  countries/

regions  for  the  treatment  of  fourth-line  advanced  GIST.  In  May  2020,  the  FDA  approved  QINLOCK  for  adult  patients  with  GIST  who 

have received prior treatment with three or more kinase inhibitors, including imatinib. QINLOCK was approved for the treatment of 

adult patients with advanced GIST who have received prior treatment with three or more kinase inhibitors, including imatinib, by the 

NMPA, Hong Kong  Department  of  Health,  and Taiwan  Food and Drug Administration in March 2021, February 2020, and September 

2021, respectively. In January 2023, QINLOCK was approved for the treatment of adult patients with advanced GIST who have received 

prior treatment with three or more kinase inhibitors, including imatinib, in Macau.

In January 2023, Deciphera presented additional data from the planned exploratory analysis from the INTRIGUE Phase III clinical study 

of  QINLOCK  using  circulating  tumor  DNA  for  second-line  GIST  patients.  Patients  with  mutations  in  KIT  exon  11  and  exon  17/18  only 

derived substantially improved clinical benefit with QINLOCK versus sunitinib. Deciphera plans to initiate the INSIGHT pivotal Phase III 

clinical study of QINLOCK versus sunitinib in second-line GIST patients with mutations in KIT exon 11 and 17/18 only in the second half 

of 2023.

Market Opportunity for QINLOCK

We  launched  QINLOCK  in  mainland  China  in  May  2021,  after  receiving  NMPA  approval  in  March  2021,  and  we  are  focused  on  the 

commercialization of QINLOCK for the treatment of fourth-line GIST in Greater China, where we believe QINLOCK is the standard of 

care.  GISTs  are  the  most  common  mesenchymal  tumors,  accounting  for  about  1/20  of  gastrointestinal  tumors,  with  an  estimated 

annual incidence of around 20,000 to 30,000 newly diagnosed patients per year in mainland China.

In January 2023, QINLOCK was included in the NRDL for the treatment of advanced GIST patients who have received prior treatment 

with three or more kinase inhibitors in the all-comer setting.

13

BUSINESSNUZYRA (Omadacycline)

NUZYRA  is  a  once-daily  oral  and  intravenous  antibiotic  in  a  new  class  of  tetracycline  derivatives  known  as  aminomethylcyclines. 

NUZYRA is primarily being developed by our partner Paratek Pharmaceuticals, Inc. (“Paratek”) for the treatment of adults with CABP 

and ABSSSI in both hospital and community settings. 

Since 2017, we have had an exclusive license from Paratek to develop, manufacture, and commercialize NUZYRA in Greater China in all 

human therapeutic and preventive uses other than biodefense. For more information on this license and collaboration agreement, see 

Business — Overview of Significant License and Strategic Collaboration Agreements — Paratek (Omadacycline). 

NUZYRA is currently marketed in the United States and mainland China. In October 2018, NUZYRA was approved by the FDA for once-

daily  oral  or  intravenous  administration  for  the  treatment  of  adults  with  CABP  and  ABSSSI.  In  December  2021,  the  NMPA  approved 

NUZYRA as a category 1 innovative drug for the treatment of patients with CABP and ABSSSI for both oral and intravenous formulation. 

NUZYRA is locally manufactured by CMOs in mainland China. 

Market Opportunity for NUZYRA

The World Health Organization has identified the worldwide development of resistance to currently available antibacterial agents as 

one of the greatest threats to human health. In 2020, the estimated incidence of CABP in mainland China was approximately 10 million 

patients, and in 2015, the estimated incidence of ABSSSI in mainland China was 2.8 million patients. 

We launched NUZYRA in mainland China in December 2021. In January 2023, NUZYRA was included in the NRDL for the treatment of 

adults with CABP and ABSSSI for intravenous formulation. 

14

BUSINESSOur Pipeline of Product Candidates

The following table summarizes the status of our clinical pipeline assets as of February 28, 2023:

Product
Candidates

Descrip�on

Phase I

Phase II

Pivotal

Phase lb / Phase II

Phase III

Commercial
Rights

ZEJULA

PARP

Other solid tumors*1

Oncology

Mainland China,
HK, Macau

Tumor Trea�ng Fields

MARGENZA

TIVDAK

KRAZATI

Bemarituzumab
Odronextamab
Repotrec�nib
Zipaler�nib

HER2

ADC

KRASG12C

FGFR2b
CD20xCD3
ROS1, TRK
EGFR Ex20ins

Elzovan�nib

MET

BLU-945

EGFR mutant  

ZL-1211

ZL-1218

Claudin18.2

CCR8

VYVGART

FcRn

ZL-1102

IL-17

Sulbactam-Durlobactam

MPM — Approved in the United States, MAA accepted in mainland China
NSCLC
NSCLC brain metastases
Pancrea�c cancer
Ovarian cancer*
Gastric cancer2
Liver cancer*
Breast cancer3 — Approved in the United States, NDA accepted in mainland China
Cervical cancer4 — Approved in the United States
Other tumors (mono/combo)*
NSCLC (mono/combo)5 — Approved in the United States
Colorectal cancer (mono/combo)
Gastric cancer/GEJ*6
B-NHL
ROS1+ NSCLC, NTRK+ solid tumors
NSCLC*7
Gastric
cancer/
NSCLC*
NSCLC*
Gastric/
pancrea�c
cancer
Solid tumors8

Autoimmune Diseases

gMG — Approved in the United States, European Union, and Japan; BLA accepted in 
mainland China  
ITP
PV
CIDP
Bullous pemphigoid*
Lupus nephri�s*
Membranous
nephropathy*
Psoriasis9

Infec�ous Diseases

Carbapenem-resistant Acinetobacter infec�ons10 — NDA accepted in the United States, 
NDA accepted in mainland China

KarXT

Neuroscience

Schizophrenia*
Alzheimer’s Disease with Psychosis*

Notes: 

Greater China

Global

Greater China

Global

Asia Pacific11

Greater China

* 

 Greater China trial in preparation or under planning; (1) Reflects ongoing trials run by GSK, including a Phase III trial in non-small cell lung cancer (“NSCLC”); (2) Phase II pilot trial 

conducted in China; (3) New Drug Application (“NDA”) acceptance in mainland China in January 2022; (4) FDA accelerated approval in September 2021; (5) FDA accelerated approval 

in December 2022; (6) Global Phase III trial initiated; (7) Global Phase I/IIa trial ongoing; (8) Zai Lab expects to launch a global Phase I trial in the first half of 2023; (9) Achieved 

proof of concept in Phase Ib study in October 2021; (10) NDA was granted Priority Review in China in January 2023; (11) Includes Greater China, South Korea, Vietnam, Thailand, 

Cambodia, Laos, Malaysia, Indonesia, the Philippines, Singapore, Australia, New Zealand, and Japan. Please read this table in conjunction with the remainder of this annual report.

Abbreviations: B-NHL = B-cell non-Hodgkin lymphoma; GEJ = gastroesophageal junction; gMG = generalized myasthenia gravis; ITP = immune thrombocytopenia; PV = 

pemphigus vulgaris; CIDP = chronic inflammatory demyelinating polyneuropathy.

15

BUSINESS 
OUR ONCOLOGY PIPELINE

Additional Indications for ZEJULA

ZEJULA is a once-daily small-molecule poly (ADP-ribose) polymerase 1/2, or PARP 1/2, inhibitor. 

As  discussed  above,  we  have  the  exclusive  right  to  develop  and  commercialize  ZEJULA  in  our  licensed  territories  for  all  potential 

indications except prostate cancer pursuant to an exclusive license agreement with GSK. For more information on this collaboration 

and license agreement, see Business — Overview of Significant License and Strategic Collaboration Agreements — GSK (Niraparib). 

Our  partner  GSK  is  building  a  niraparib  clinical  development  program  by  assessing  activity  across  multiple  tumor  types  and  by 

evaluating  several  potential  combinations  of  niraparib  with  other  therapeutics.  For  the  treatment  of  ovarian  cancer,  two  Phase  III 

studies, PRIMA and NOVA, have been completed to evaluate ZEJULA (niraparib) as monotherapy maintenance treatment in patients 

with first-line and recurrent ovarian cancer, respectively. 

We  continue  to  explore  the  use  of  ZEJULA,  including  the  combination  potential  of  ZEJULA  with  immuno-oncology  therapy,  targeted 

therapy, and chemotherapy in clinically relevant indications. 

Additional Indications for Tumor Treating Fields

TTFields therapy is a cancer treatment that uses electric fields tuned to specific frequencies to disrupt cancer cell division. 

As discussed above, we have an exclusive license from NovoCure to develop and commercialize Optune in Greater China in all human 

therapeutic  and  preventive  uses  in  the  field  of  oncology.  For  more  information  on  this  license  and  collaboration  agreement,  see 

Business — Overview of Significant License and Strategic Collaboration Agreements — NovoCure (Tumor Treating Fields). 

NovoCure  continues  to  test  TTFields  against  a  broad  range  of  solid  tumor  types,  including  NSCLC,  gastric  cancer,  and  pancreatic 

cancer. We have enrolled, or intend to enroll, patients in Greater China in the various global trials for TTFields. The studies currently 

underway affect over 1.8 million new patients a year in China.

We  are  participating  in  the  Phase  III  pivotal  LUNAR  trial,  which  is  intended  for  patients  who  have  recently  been  diagnosed  with 

progression of NSCLC during or after platinum-based therapy. Lung cancer has the highest total incidence of any cancer in mainland 

China. According to the World Health Organization, the incidence of lung cancer in mainland China in 2020 was 815,563 cases, with 

714,699  deaths.  In  mainland  China,  the  five-year  survival  rate  of  lung  cancer  is  estimated  to  be  about  20%.  Lung  cancer  consists  of 

NSCLC in approximately 85% of cases and small cell lung cancer in approximately 15% of cases. In January 2023, Zai Lab and NovoCure 

announced that the pivotal LUNAR study for patients with stage 4 NSCLC who progressed during or after platinum-based therapy met 

its primary endpoint, demonstrating a statistically significant and clinically meaningful improvement in overall survival over standard 

therapies  alone.  The  LUNAR  study  also  showed  a  statistically  significant  and  clinically  meaningful  improvement  in  overall  survival 

16

BUSINESSwhen patients were treated with TTFields and immune checkpoint inhibitors, as compared to those treated with immune checkpoint 

inhibitors  alone,  and  a  positive  trend  in  overall  survival  when  patients  were  treated  with  TTFields  and  docetaxel  versus  docetaxel 

alone. TTFields therapy was well tolerated by patients enrolled in the experimental arm of the study. 

We  are  participating  in  the  EF-31  Phase  II  pilot  study  evaluating  the  safety  and  efficacy  of  TTFields  together  with  standard-of-care 

treatment  (chemotherapy  alone  or  in  combination  with  trastuzumab  for  HER2-positive  patients)  as  a  first-line  treatment  in  patients 

with  gastric  cancer.  In  June  2022,  we  and  NovoCure  announced  that  this  study  met  its  primary  endpoint  of  objective  response  rate 

with supportive signals across secondary endpoints. TTFields therapy was well tolerated, with no increase in the systemic toxicity of 

the  XELOX  chemotherapy  regimen  or  the  combination  regimen,  and  no  high-grade  skin  toxicities  were  reported.  Initial  analysis  was 

conducted  with  a  median  follow-up  period  of  8.6  months.  The  primary  endpoint,  confirmed  objective  response  rate  (“cORR”),  was 

50%.  Median  progression-free  survival  was  7.8  months.  Duration  of  response  was  10.3  months.  Median  overall  survival  has  not  yet 

been reached with a one-year survival rate of 72%. Gastric cancer is the third most-frequent cancer in China. According to the World 

Health Organization, more than one million new gastric cancer cases are diagnosed worldwide in 2020, and approximately half of all 

gastric cancer cases occur in China. Currently, the five-year survival rate of locally advanced or metastatic gastric cancer ranges from 

5% to 20%, and the median overall survival is approximately one year. 

In March 2022, NovoCure announced the results of a pre-specified interim analysis for the global Phase III pivotal INNOVATE-3 study 

evaluating  the  safety  and  efficacy  of  TTFields  together  with  paclitaxel  for  the  treatment  of  patients  with  platinum-resistant  ovarian 

cancer.  An  independent  data  monitoring  committee  reviewed  the  safety  data  for  all  platinum-resistant  ovarian  cancer  patients 

enrolled in the trial. The pre-specified interim analysis concluded that the INNOVATE-3 study should proceed to the final analysis as 

planned. Data will be reviewed in 2023, following an 18-month follow-up period.

We are participating in the PANOVA-3 Phase III pivotal trial of TTFields for pancreatic cancer. In February 2023, NovoCure announced 

that the last patient has been enrolled in this study. PANOVA-3 is a global, open-label, randomized Phase III trial evaluating the efficacy 

of  TTFields  administered  concomitantly  with  gemcitabine  and  nab-paclitaxel  as  front-line  treatment  for  patients  with  unresectable, 

locally  advanced  pancreatic  cancer.  The  primary  endpoint  is  overall  survival.  Secondary  endpoints  include  progression-free  survival, 

local  progression-free  survival,  objective  response  rate,  one-year  survival  rate,  quality  of  life,  pain-free  survival,  respectability  rate, 

and toxicity. According to the World Health Organization, pancreatic cancer was the eighth-leading cancer type in mainland China in 

2020, with an estimated 124,994 newly diagnosed cases and 121,853 deaths. The current median survival of patients with metastatic 

pancreatic cancer is four to six months, and the five-year survival rate is 7.2%, making it the malignancy with the lowest survival rate in 

mainland China. 

We are also participating in the pivotal METIS study evaluating the efficacy of TTFields therapy following stereotactic radiosurgery for 

treatment of patients with brain metastases resulting from NSCLC. In March 2023, NovoCure announced that the last patient has been 

enrolled in this study.

In September 2021, NovoCure announced that the FDA had granted breakthrough designation to the NovoTTF-200T System, a TTFields 

delivery  system,  for  use  with  atezolizumab  and  bevacizumab  for  the  first-line  treatment  of  patients  with  unresectable  or  metastatic 

liver cancer. We expect to participate in the global Phase III study for liver cancer. 

17

BUSINESSMARGENZA™ (margetuximab)

Margetuximab  is  an  investigational,  immune-enhancing  monoclonal  antibody  that  targets  HER2-expressing  tumors,  including  certain 

types of breast and gastroesophageal cancers. 

Since  2018,  we  have  had  an  exclusive  license  from  MacroGenics  to  develop  and  commercialize  MARGENZA  in  Greater  China  in  all 

human  fields  of  use.  For  more  information  on  the  collaboration  agreement,  see  Business  —  Overview  of  Significant  License  and 

Strategic Collaboration Agreements — MacroGenics (including Margetuximab and Tebotelimab). 

In December 2020, the FDA approved MARGENZA for use in the United States, in combination with chemotherapy, for the treatment 

of adult patients with metastatic HER2-positive breast cancer who have received two or more prior anti-HER2 regimens, at least one of 

which was for metastatic disease. 

In  January  2022,  the  NMPA  accepted  the  NDA  for  review  of  margetuximab  for  the  treatment  of  adult  patients  with  metastatic 

HER2-positive  breast  cancer  who  have  received  two  or  more  prior  anti-HER2  regimens,  at  least  one  of  which  was  for  metastatic 

disease, in combination with chemotherapy. 

TIVDAK (tisotumab vedotin)

TIVDAK is an antibody drug conjugate (“ADC”) composed of Genmab’s human monoclonal antibody directed against cell surface tissue 

factor and Seagen’s ADC technology that utilizes a protease-cleavable linker that covalently attaches the microtubule-disrupting agent 

monomethyl auristatin E (“MMAE”) to the antibody. MMAE disrupts the microtubule network of actively dividing cells, leading to cell 

cycle arrest and apoptotic cell death of actively dividing cells. In vitro, TIVDAK also mediates antibody-dependent cellular phagocytosis 

(“ADCP”) and antibody-dependent cellular cytotoxicity (“ADCC”). 

Since  September  2022,  we  have  had  an  exclusive  license  from  Seagen  to  develop  and  commercialize  TIVDAK  in  Greater  China. 

For  more  information  on  this  collaboration  and  license  agreement,  see  Business  —  Overview  of  Significant  License  and  Strategic 

Collaboration Agreements — Seagen (TIVDAK).

In  2021,  TIVDAK  was  approved  in  the  United  States  for  the  treatment  of  adult  patients  with  recurrent  or  metastatic  cervical  cancer 

with disease progression on or after chemotherapy and is an important addition to our oncology portfolio. We are participating in the 

global Phase III confirmatory innovaTV 301 study in second- or third-line recurrent or metastatic cervical cancer, and we treated the 

first patient in China in February 2023.

KRAZATI™ (adagrasib)

Adagrasib  is  a  highly  selective  and  potent  oral  small-molecule  inhibitor  of  KRASG12C  for  treating  KRAS-G12C-mutated  NSCLC,  colorectal 

cancer (“CRC”), pancreatic cancer, and other solid tumors. 

18

BUSINESSSince  May  2021,  we  have  had  an  exclusive  license  from  Mirati  to  develop  and  commercialize  adagrasib  in  Greater  China.  For  more 

information on the collaboration and license agreement, see Business — Overview of Significant License and Strategic Collaboration 

Agreements — Mirati (Adagrasib).

Mirati is conducting several studies of adagrasib for the treatment of KRASG12C-mutated NSCLC, CRC, pancreatic cancer, and other solid 

tumors. We have enrolled, or intend to enroll, patients in Greater China in various global trials for adagrasib.

In December 2022, the FDA approved adagrasib for the treatment of patients with NSCLC who harbor the KRASG12C mutation who have 

received at least one prior systemic therapy. 

Adagrasib  was  also  granted  accelerated  approval  by  the  FDA  in  December  2022  for  adult  patients  with  KRASG12C-mutated  locally 

advanced or metastatic NSCLC who have received at least one prior systemic therapy. We seek to leverage the global data package for 

the FDA approval, the ongoing PK study in China, and the global confirmatory KRYSTAL-12 study to obtain regulatory approval in China. 

We are participating in the global Phase III KRYSTAL-12 study and treated the first patients in Greater China in July 2022. 

In December 2022, the FDA granted Breakthrough Therapy Designation to adagrasib in combination with cetuximab for the treatment 

of  patients  with  KRASG12C-mutated,  advanced  CRC  whose  cancer  has  progressed  following  prior  treatment  with  chemotherapy 

and  an  anti-VEGF  therapy.  This  designation  is  supported  by  results  from  the  Phase  Ib  cohort  of  the  KRYSTAL-1  trial.  The  FDA  also 

granted  accelerated  approval  for  KRAZATI  as  a  targeted  treatment  option  for  adult  patients  with  KRASG12C-mutated  locally  advanced 

or  metastatic  NSCLC  who  have  received  at  least  one  prior  systemic  therapy.  We  will  continue  to  participate  in  the  global  Phase  III 

KRYSTAL-10 study, which we joined in June 2022. 

For  first-line  NSCLC,  we  are  participating  in  the  global  Phase  II  KRYSTAL-7  study  of  adagrasib  in  combination  with  pembrolizumab 

in  first-line  KRASG12C-mutated  NSCLC  patients,  and  we  treated  the  first  patient  in  Greater  China  in  August  2022.  In  December  2022, 

Mirati  reported  results  from  the  KRYSTAL-7  Phase  II  trial  and  KRYSTAL-1  Phase  Ib  cohort  evaluating  adagrasib  concurrent  combined 

with pembrolizumab in patients for the treatment of first-line NSCLC harboring a KRASG12C mutation across all PD-L1 subgroups. These 

results are the first to demonstrate the tolerability and feasibility of a concurrent combination regimen of a KRASG12C inhibitor and a 

PD-1/L1 checkpoint inhibitor. 

In  September  2022,  Mirati  presented  results  from  KRYSTAL-1,  a  multicohort  Phase  I/II  study  evaluating  adagrasib  with  or  without 

cetuximab  in  patients  with  advanced  CRC  harboring  a  KRASG12C  mutation.  Of  the  evaluable  patients  in  the  adagrasib  monotherapy 

cohort  (n=43),  the  investigator  assessed  cORR  was  19%  (8/43),  and  the  disease  control  rate  (“DCR”)  was  86%  (37/43).  The  median 

duration  of  response  (“mDOR”)  was  4.3  months  (95%  CI,  2.3–8.3),  and  median  progression-free  survival  (“mPFS”)  was  5.6  months 

(95%  CI,  4.1–8.3).  Of  the  evaluable  patients  in  the  adagrasib  plus  cetuximab  combination  cohort  (n=28),  the  investigator  assessed 

cORR  was  46%  (13/28),  and  the  DCR  was  100%  (28/28).  The  mDOR  was  7.6  months  (95%  CI  5.7–NE),  and  mPFS  was  6.9  months 

(95%  CI,  5.4–8.1).  The  prognosis  for  patients  with  CRC  has  historically  been  poor  in  later  lines  of  therapy  with  response  rates  of 

approximately  1–2%  and  mPFS  of  approximately  2  months  in  patients  with  late-line  CRC;  patients  with  KRASG12C-mutated  CRC  tend 

to have even worse outcomes than the broader CRC patient population. In the overall subset of patients with KRASG12C-mutated CRC 

evaluated in this study, adagrasib was found to be well-tolerated as a monotherapy and in combination with cetuximab. The majority 

of observed treatment-related adverse events (“TRAEs”) were grade 1-2 (59%); no grade 5 TRAEs were observed.

19

BUSINESSIn June 2022, Mirati presented full results from the registration-enabling Phase II cohort of the KRYSTAL-1 study evaluating adagrasib 

in  patients  with  previously  treated  NSCLC  harboring  a  KRASG12C  mutation.  This  presentation  included  results  from  a  retrospective 

subgroup  analysis  from  the  Phase  II  NSCLC  cohort  of  the  KRYSTAL-1  study  evaluating  adagrasib  in  patients  with  KRASG12C-mutated 

NSCLC  and  stable,  previously  treated  central  nervous  system  (“CNS”)  metastases.  The  initial  clinical  results  from  the  Phase  II 

registration-enabling  study  (n=112)  showed  that  the  objective  response  rate  (“ORR”)  was  43%,  the  DCR  was  80%,  the  mDOR  was 

8.5 months (95% confidence interval (“CI”): 6.2–13.8), and the mPFS was 6.5 months (95% CI: 4.7–8.4). With a January 15, 2022 data 

cutoff,  the  median  overall  survival  (“mOS”)  was  12.6  months  (95%  CI:  9.2–19.2).  With  respect  to  CNS-specific  activity  in  a  subset 

analysis  of  stable,  previously  treated  CNS  metastases  (n=33),  results  revealed  an  intracranial  (“IC”)  ORR  of  33%  (11/33).  Mirati  also 

reported updated findings from a pooled analysis from the KRYSTAL-1 study, including the registrational Phase II and Phase I/Ib NSCLC 

cohorts.  The  initial  results  of  the  pooled  analysis  of  KRYSTAL-1  NSCLC  cohorts  (n=132)  showed  that  the  ORR  was  44%,  the  DCR  was 

81%, the mDOR was 12.5 months, and the mPFS was 6.9 months. With a January 15, 2022 data cutoff, the mOS was 14.1 months.

In June 2022, Mirati also announced the results of a prospective analysis from the Phase Ib cohort of the KRYSTAL-1 study evaluating 

IC responses of adagrasib in patients with KRASG12C-mutated advanced NSCLC with active and untreated CNS metastases. The results of 

the CNS-specific activity in active and untreated CNS metastases (n=19) showed an IC ORR of 32% (6/19).

In January 2022, Mirati announced positive results from a Phase II cohort of the KRYSTAL-1 study evaluating adagrasib at the 600mg 

BID dose in patients with pretreated pancreatic ductal adenocarcinoma and other gastrointestinal (“GI”) tumors harboring a KRASG12C 

mutation,  including  cancers  of  the  biliary  tract,  appendix,  small  bowel,  gastro-esophageal  junction,  and  esophagus.  Results  showed 

that adagrasib demonstrated significant clinical activity and broad disease control. Of the evaluable patients (n=27), the ORR was 41% 

and  the  DCR  was  100%.  In  the  overall  subset  of  patients  with  KRAS-G12C-mutated  GI  cancers  evaluated  in  this  cohort,  adagrasib  was 

well-tolerated, with a manageable safety profile. 

Bemarituzumab

Bemarituzumab  is  a  humanized  monoclonal  antibody  (IgG1  isotype)  specific  to  the  human  FGFR2b  receptor  that  is  in  clinical 

development as a targeted therapy for gastric and GEJ cancer patients whose tumors overexpress FGFR2b. 

Since 2017, we have had an exclusive license from Five Prime Therapeutics, Inc. (“Five Prime”) (a company later acquired by Amgen) 

to  develop  and  commercialize  bemarituzumab  in  Greater  China  for  the  treatment  or  prevention  of  any  disease  or  condition  in 

humans. For more information on this license agreement, see Business — Overview of Significant License and Strategic Collaboration 

Agreements — Amgen (Bemarituzumab). 

In  September  2021,  the  Center  for  Drug  Evaluation  of  the  NMPA  (“CDE”)  granted  Breakthrough  Therapy  Designation  for 

bemarituzumab  (FPA144)  for  first-line  treatment  for  patients  with  FGFR2b-overexpressing  and  human  epidermal  growth  factor 

receptor  2  (“HER2”)-negative  metastatic  and  locally  advanced  gastric  and  GEJ  cancers  in  combination  with  modified  FOLFOX6 

(fluoropyrimidine, leucovorin, and oxaliplatin). 

20

BUSINESSAmgen is conducting a registrational Phase III program for bemarituzumab in first-line advanced gastric and GEJ cancer. This program 

is  evaluating  bemarituzumab  in  combination  with  either  backbone  chemotherapy  or  chemotherapy  plus  a  checkpoint  inhibitor.  We 

plan to join the global Phase 3 FORTITUDE-101 study in first-line gastric cancer in China in mid-2023. 

Amgen  continues  to  enroll  patients  in  several  studies  of  bemarituzumab,  including:  FORTITUDE-101,  a  Phase  III  study  of 

bemarituzumab  plus  chemotherapy,  versus  placebo  plus  chemotherapy  in  first-line  gastric  cancer  with  FGFR2b  overexpression,  and 

FORTITUDE-102,  the  Phase  III  portion  of  the  Ib/III  study  of  bemarituzumab  plus  chemotherapy  and  nivolumab  versus  chemotherapy 

and nivolumab in first-line gastric cancer with FGFR2b overexpression. We expect to join the global Phase III FORTITUDE-101 study in 

China around mid-2023.

In the second quarter of 2022, Amgen reported that the final analysis of the FIGHT study, a Phase II randomized, double-blind, controlled 

study  evaluating  bemarituzumab  and  modified  FOLFOX6  (“mFOLFOX6”)  in  patients  with  previously  untreated  advanced  gastric  and 

gastroesophageal junction cancer was completed, with results continuing to demonstrate that bemarituzumab + mFOLFOX6 improves the 

clinical outcome of patients with FGFR2b expressing tumors with no new safety concerns and noting that a greater survival benefit was 

observed with increasing FGFR2b expression levels. In addition, Amgen initiated a Phase Ib/II FORTITUDE-310 study evaluating the safety 

and efficacy of bemarituzumab monotherapy in solid tumors with FGFR2b overexpression.

Odronextamab

Odronextamab  is  an  investigational  bispecific  monoclonal  antibody  designed  to  trigger  tumor  killing  by  linking  and  activating  a 

cytotoxic T-cell (binding to CD3) to a lymphoma cell (binding to CD20). Odronextamab has demonstrated clinical activity in heavily pre-

treated patients with late stages of follicular lymphoma (“FL”), diffuse large B-cell lymphoma (“DLBCL”), and other B-cell lymphomas in 

a Phase I trial and is currently being investigated in a potentially registrational Phase II program. 

Since April 2020, we have had an exclusive license from Regeneron Ireland Designated Activity Company, an affiliate of Regeneron, to 

develop and commercialize odronextamab for oncology in Greater China. For more information on the collaboration agreement, see 

Business — Overview of Significant License and Strategic Collaboration Agreements — Regeneron (Odronextamab). 

We  have  received  Clinical  Trial  Application  (“CTA”)  approval  in  mainland  China  for,  and  have  joined,  the  open-label,  multi-center, 

global, registrational Phase II program evaluating the efficacy and safety of odronextamab in several disease-specific cohorts, including 

patients with relapsed/refractory (“R/R”) FL and DLBCL. In December 2022, Regeneron announced positive first interim data from the 

ELM-2  Phase  II  trial  in  patients  with  heavily  pre-treated,  R/R  FL  and  DLBCL.  The  data  were  presented  at  the  64th  American  Society 

of  Hematology  Annual  Meeting.  In  the  FL  cohort,  odronextamab  showed  the  highest  CR  rates  observed  in  this  late-stage  setting  to 

date. In the DLBCL cohort, the ORRs are comparable in patients regardless of CAR-T experience. The modified step-up dosing regimen 

appears  to  demonstrate  an  improved  safety  profile  with  consistent  efficacy  resulting  in  lower  rates  of  treatment  discontinuations, 

interruptions, dose reductions, and dose delay. There is zero Gr3+ CRS event for both the FL and DLBCL cohorts. 

21

BUSINESSRepotrectinib

Repotrectinib is an investigational next-generation tyrosine kinase inhibitor (“TKI”) designed to effectively target ROS1 and TRK A/B/C 

in TKI-naïve or TKI-pretreated cancer patients. 

Since July 2020, we have had an exclusive license from Turning Point Therapeutics (a company later acquired by BMS) to develop and 

commercialize  repotrectinib  in  Greater  China  in  all  human  therapeutic  indications.  For  more  information  on  this  license  agreement, 

see Business — Overview of Significant License and Strategic Collaboration Agreements — BMS (Repotrectinib). 

The FDA has granted two Breakthrough Therapy Designations for repotrectinib for: 

• 

Patients with advanced solid tumors that have an NTRK gene fusion who have progressed following treatment with one or two 

prior TRK TKIs, with or without prior chemotherapy, and have no satisfactory alternative treatments; 

• 

Patients with ROS1-positive metastatic NSCLC who have not been treated with a ROS1 TKI. 

The FDA has also granted four Fast-Track designations for repotrectinib for: 

• 

Patients with ROS1-positive advanced NSCLC who have not been previously treated with a ROS1 TKI; 

• 

Patients  with  ROS1-positive  advanced  NSCLC  who  have  been  previously  treated  with  one  prior  line  of  platinum-based 

chemotherapy and one prior ROS1 TKI; 

• 

Patients  with  ROS1-positive  advanced  NSCLC  pretreated  with  one  prior  ROS1  TKI  without  prior  platinum-based  chemotherapy; 

and 

• 

Patients with advanced solid tumors who have an NTRK gene fusion and who have progressed following treatment with at least 

one prior line of chemotherapy and one or two prior TRK TKIs and have no satisfactory alternative treatments. 

Repotrectinib was also granted Orphan Drug Designation by the FDA in 2017. 

We are participating in the global TRIDENT-I study for repotrectinib for the treatment of patients with ROS1-positive metastatic NSCLC 

who have not been treated with a ROS1 TKI. In April 2022, we announced topline data for repotrectinib within the China region from 

the previously disclosed Phase I/II TRIDENT-1 study dataset. 

• 

In TKI-naïve patients (EXP-1), in 71 total patients, there was a cORR of 79% across the global trial. Ten of 11 patients responded 

within  China  for  a  cORR  of  91%  (95%  CI:  59,100)  and  duration  of  response  (“DOR”)  ranged  from  3.6+  to  7.5+  months  with  a 

median duration of follow-up of 3.7 months.

22

BUSINESS• 

In patients previously treated with 1 TKI and platinum-based chemotherapy (EXP-2), in 26 total patients, there was a cORR of 42% 

across the global trial. Two of 3 patients responded within China for a cORR of 67% (95% CI:9,99) and DOR ranged from 3.6+ to 

3.7+ months with a median duration of follow-up of 3.7 months.

• 

In patients previously treated with two TKIs without prior chemotherapy (EXP-3), in 18 total patients, there was a cORR of 28% 

across the global trial. Two of 4 patients responded within China for a cORR of 50% (95% CI: 7,93) and DOR ranged from 1.9+ to 

3.4+ months with a median duration of follow-up of 2.6 months.

• 

In  patients  previously  treated  with  1  TKI  without  prior  chemotherapy  (EXP-4),  in  56  total  patients,  there  was  a  cORR  of  36% 

across the global trial. Four of 11 patients responded within China for a cORR of 36% (95% CI: 11,69) and DOR ranged from 2.0+ 

to 3.7+ months with a median duration of follow-up of 3.1 months.

In  October  2022,  Turning  Point  provided  a  clinical  data  update  from  the  global,  registrational  Phase  I/II  TRIDENT-1  study  of 

repotrectinib.  Repotrectinib  continued  to  demonstrate  meaningful  clinical  activity  in  patients  with  ROS1+  advanced  NSCLC,  who 

were TKI-naïve or TKI-pretreated, including with ROS1 G2032R resistance mutation. Durable responses and intracranial efficacy were 

observed in both TKI-naïve and TKI-pretreated patients. Repotrectinib also continued to show clinical activity in patients with NTRK+ 

advanced  solid  tumors  who  were  TKI-naïve  or  TKI-pretreated,  and  responses  were  seen  across  diverse  tumor  types.  Safety  is  well 

characterized,  manageable  with  known  protocols,  and  signals  potential  compatibility  with  long-term  use.  Also  in  October  2022,  we 

completed enrollment in China in all cohorts of the registrational Phase I/II TRIDENT-1 study.

In February 2022, the CDE of the NMPA granted Breakthrough Therapy Designation for repotrectinib for the treatment of patients with 

ROS1-positive  metastatic  NSCLC  who  have  not  been  treated  with  a  ROS1  TKI.  The  breakthrough  therapy  designation  was  supported 

by  the  initial  data  from  both  global  and  Chinese  TKI-naïve  ROS1-positive  NSCLC  patients  enrolled  in  the  Phase  I/II  TRIDENT-1  study. 

In  June  2022,  the  CDE  of  the  NMPA  granted  two  additional  Breakthrough  Therapy  Designations  for  investigational  repotrectinib  for 

the  treatment  of  patients  with  ROS1-positive  metastatic  NSCLC  who  have  received  one  prior  line  of  ROS1  TKI  and  one  prior  line  of 

platinum-based  chemotherapy  and  for  the  treatment  of  patients  with  ROS1-positive  metastatic  NSCLC  who  have  received  one  prior 

line  of  ROS1  TKI  and  no  chemotherapy  or  immunotherapy.  These  Breakthrough  Therapy  Designations  were  supported  by  the  data 

from both global and Chinese TKI-pretreated ROS1-positive NSCLC patients enrolled in the Phase I/II TRIDENT-1 study. We discussed 

with  the  NMPA  the  regulatory  pathway  at  a  pre-NDA  meeting  in  March  2023  and  expect  to  submit  an  NDA  to  the  NMPA  for  ROS1+ 

advanced NSCLC in 2023. 

Zipalertinib (previously CLN-081)

Zipalertinib  (previously  CLN-081)  is  an  orally  available  small  molecule  designed  as  a  next-generation,  irreversible  epidermal  growth 

factor  receptor  (“EGFR”)  inhibitor  in  development  by  Cullinan  Pearl,  a  subsidiary  of  Cullinan  Oncology,  Inc.,  for  the  treatment  of 

patients with EGFR exon 20 insertion NSCLC. 

23

BUSINESSSince  December  2020,  we  have  had  an  exclusive  license  from  Cullinan  Pearl  (a  company  later  acquired  by  Taiho)  for  the 

research,  development,  manufacturing,  and  commercialization  of  Zipalertinib  in  Greater  China  in  all  uses  in  humans  and  animals. 

For  more  information  on  this  license  agreement,  see  Business  —  Overview  of  Significant  License  and  Strategic  Collaboration 

Agreements — Taiho (Zipalertinib). 

In  January  2022,  Cullinan  Oncology  announced  that  the  FDA  had  granted  Breakthrough  Therapy  Designation  for  CLN-081  for  the 

treatment  of  patients  with  locally  advanced  or  metastatic  NSCLC  harboring  EGFR  exon  20  insertion  mutations  who  have  previously 

received platinum-based systemic chemotherapy. 

Cullinan  Pearl  is  conducting  a  Phase  I/IIa  dose  escalation  and  expansion  trial  evaluating  oral,  twice-daily  administration  of  various 

doses of CLN-081 in patients with NSCLC harboring EGFR exon 20 insertion mutations who have had at least one prior treatment with 

platinum-based chemotherapy or another approved standard therapy. In June 2022, Cullinan Oncology presented updated data from 

this  study.  Of  the  39  patients  in  the  100  mg  BID  dose  group:  16  (41%)  had  a  confirmed  PR;  the  estimated  mDOR  was  greater  than 

21 months; mPFS was 12 months; and the safety profile of CLN-081 was amenable for long-term treatment. 

Taiho initiated a pivotal study of zipalertinib in patients with EGFR exon 20 insertion NSCLC progressing after prior systemic therapy in 

the fourth quarter of 2022. 

Elzovantinib (TPX-0022)

Elzovantinib is an orally bioavailable multi-targeted kinase inhibitor with a novel three-dimensional macrocyclic structure that inhibits 

the MET, CSF1R (colony stimulating factor 1 receptor), and SRC kinases.

In  January  2021,  we  entered  into  an  exclusive  license  agreement  with  Turning  Point  to  develop  and  commercialize  elzovantinib  in 

Greater China. For further details of the exclusive license, see Business — Overview of Significant License and Strategic Collaboration 

Agreements — BMS (TPX-0022).

ZL-2313 (BLU-945)

BLU-945 is a selective and potent investigational oral EGFR inhibitor designed to selectively target the EGFR L858R activating mutation 

as  well  as  C797X  and  T790M  on-target  resistance  mutations,  while  being  highly  selective  against  wild-type  EGFR.  BLU-945  is  in 

development for the potential treatment of EGFR-mutant NSCLC. 

Since  November  2021,  we  have  had  an  exclusive  license  from  Blueprint  to  develop  and  commercialize  BLU-945  and  BLU-701  and 

certain  other  forms  thereof,  including  backup  compounds,  in  mainland  China.  For  more  information  on  this  license  and  collaboration 

agreement, see Business — Overview of Significant License and Strategic Collaboration Agreements — Blueprint (BLU-945 and BLU-701). 

24

BUSINESSIn April 2022, Blueprint announced the proof-of-concept data from the Phase I/II SYMPHONY clinical trial of BLU-945 in advanced EGFR-

driven  NSCLC  patients  at  the  2022  American  Association  for  Cancer  Research  (“AACR”)  Annual  Meeting.  The  preliminary  trial  results 

showed early evidence of safety and clinical activity consistent with preclinical data, supporting plans to expand development of BLU-945 

in combination with multiple agents including Osimertinib. Blueprint Medicines is initiating a cohort in the ongoing Phase I/II SYMPHONY 

trial  assessing  BLU-945  in  combination  with  osimertinib  in  patients  with  second-line  or  later  EGFR-mutant  NSCLC.  In  November  2022, 

Blueprint  presented  an  update  on  the  Phase  I/II  SYMPHONY  trial  data  supporting  plans  to  develop  BLU-945  in  combination  with 

osimertinib in first-line EGFR L858R mutation-positive NSCLC. We expect an initial clinical data update on the SYMPHONY trial expansion 

of BLU-945 in combination with osimertinib in first-line EGFR L858R-positive NSCLC in the second half of 2023.

ZL-1211 (Claudin18.2)

ZL-1211  is  a  humanized,  IgG1  monoclonal  antibody  engineered  to  promote  enhanced  ADCC  that  specifically  targets  CLDN18.2.  In 

preclinical models, ZL-1211 has achieved more potent activity in a wider spectrum of high- and low-CLDN18.2 expressing tumors than 

other agents in the class. CLDN18.2 has recently emerged as a novel target for gastric cancer and a promising target for therapeutic 

intervention.

In  January  2022,  we  initiated  dosing  of  a  Phase  I  clinical  trial  for  ZL-1211  in  patients  with  advanced  solid  tumors.  Depending  on  the 

results of this trial, we may proceed with a Phase II clinical trial. 

ZL-1218 (CCR8)

ZL-1218 is humanized, IgG1 monoclonal antibody that binds to human CCR8 with high affinity and specificity to induce potent ADCC 

activity enabling strong NK cell-mediated killing of CCR8-expressing T-regs. In preclinical models, we show that in human CCR8 knock-

in  mouse  models  bearing  syngeneic  tumors,  ZL-1218  reduces  intra-tumoral  T-reg  cells  and  thus  elicits  significant  tumor  growth 

inhibition in a dose dependent manner. Preclinical studies also suggest the potential of ZL-1218 in combination immunotherapy, with 

enhanced anti-tumor activity when ZL-1218 is combined with an anti-PD-1 agent.

We expect to initiate a global Phase I clinical trial for ZL-1218 as monotherapy and in combination with an anti-PD1 mAb in the first half 

of 2023. 

OUR AUTOIMMUNE DISORDER PIPELINE

VYVGART® (Efgartigimod)

Efgartigimod  is  an  investigational  antibody  fragment  designed  to  reduce  disease-causing  immunoglobulin  G  (“IgG”)  antibodies  and 

block  the  IgG  recycling  process.  Efgartigimod  binds  to  the  neonatal  Fc  receptor  (“FcRn”),  which  is  widely  expressed  throughout  the 

body and plays a central role in rescuing IgG antibodies from degradation. 

25

BUSINESSSince  January  2021,  we  have  had  an  exclusive  license  from  argenx  to  develop  and  commercialize  efgartigimod  in  Greater  China. 

For  more  information  on  this  collaboration  and  license  agreement,  see  Business  —  Overview  of  Significant  License  and  Strategic 

Collaboration Agreements — argenx (Efgartigimod). 

In December 2021, the FDA approved efgartigimod for the treatment of generalized myasthenia gravis (“gMG”) in adult patients who 

are anti-acetylcholine receptor (“anti-AchR”) antibody positive, and it was approved for the same indication in Europe in August 2022. 

These patients represent approximately 85% of the total gMG population. In January 2022, efgartigimod was approved for intravenous 

use for the treatment of adult patients with gMG who do not have sufficient response to steroids or non-steroidal immunosuppressive 

therapies by Japan’s Ministry of Health, Labour, and Welfare. 

In November 2022, the FDA accepted for priority review a Biologics License Application (“BLA”) for subcutaneous (“SC”) efgartigimod 

for the treatment of adult patients with gMG who are anti-AchR antibody positive. The Prescription Drug User Fee Act date is June 20, 

2023. 

 In June 2022, efgartigimod was introduced to the Hainan Bo’ao Lecheng International Medical Tourism Pilot Zone (“BMTPZ”), and the 

first Chinese patient was treated with efgartigimod. In July 2022, the NMPA accepted our NDA for efgartigimod alfa injection for the 

treatment  of  adult  patients  with  gMG  in  mainland  China.  This  NDA  was  supported  by  two  pharmacokinetic  studies  we  conducted  in 

Greater China. 

As of December 31, 2022, VYVGART had been listed in 15 supplemental insurance plans in China.

We  are  participating  in  the  Greater  China  portion  of  several  studies  evaluating  efgartigimod,  including  the  registrational  ADHERE 

study of SC efgartigimod in adult patients with chronic inflammatory demyelinating polyneuropathy (“CIDP”), Phase III ADDRESS study 

of  efgartigimod  in  patients  with  pemphigus  vulgaris  or  pemphigus  foliaceus,  and  Phase  III  ADVANCE-SC  study  of  SC  efgartigimod  in 

patients  with  primary  immune  thrombocytopenia  (“ITP”).  In  addition,  in  February  2023,  we  initiated  enrollment  of  two  proof-of-

concept trials in autoimmune renal diseases.

ZL-1102 (IL-17)

ZL-1102 is a human Humabody® targeting the interleukin-17A, or IL-17A, cytokine with high affinity and avidity. It is a Vh fragment of 

the human IgG and about 1/10th of the molecular weight of a full IgG. This feature may enable enhanced penetration of the psoriatic 

skin barrier compared to the current marketed anti-IL17 antibodies, thereby potentially avoiding the toxicities observed by systemic 

exposure.  In  May  2018,  we  entered  into  an  exclusive  worldwide  license  agreement  with  Crescendo  Biologics  Limited  to  develop, 

manufacture and commercialize CB001 Humabody®, an antibody VH domain therapeutic. 

26

BUSINESSThe  accepted  approach  to  treatment  for  mild  to  moderate  chronic  plaque  psoriasis  is  different  from  that  for  moderate  to  severe 

psoriasis.  For  mild  to  moderate  psoriasis  patients,  topical  treatment  is  often  the  first-line  choice,  and  dermatologists  tend  to 

avoid  systemic  treatment.  For  patients  with  moderate  to  severe  disease,  the  use  of  systemic  treatments  is  usually  preferred,  and 

dermatologists  often  choose  IL-17  monoclonal  antibodies  because  they  result  in  excellent  response  rates.  However,  therapy  with 

systemic  IL-17  antibodies  can  result  in  safety  issues  due  to  immunosuppression;  therefore,  labeling  is  restricted  to  more  severely 

affected patient populations. As with other full-size monoclonal antibodies, current IL-17-directed antibodies must be administered by 

intravenous or SC injection. It is conventionally assumed that antibodies and other macromolecules do not penetrate skin. 

We  are  conducting  a  randomized,  double-blind,  placebo-controlled  Phase  Ib  proof-of-concept  patient  study  showing  that  our 

formulation  of  ZL-1102,  topically  applied  to  lesions,  can  penetrate  psoriatic  plaques.  Despite  a  short  treatment  course  (1  month), 

these  changes  affected  the  lesional  PASI  score  which  may  be  indicative  of  early  clinical  benefit.  In  September  2022,  we  presented 

results of the Phase 1 proof-of-concept study for ZL-1102 at the 2022 European Academy of Dermatology and Venereology Congress in 

Milan, Italy. We plan to move ZL-1102 into full global development and initiate a global Phase II study for chronic plaque psoriasis. Our 

initial plans to initiate the global Phase II study were delayed as manufacturing issues resulted in a program delay. We now anticipate 

starting this study in 2023. 

OUR INFECTIOUS DISEASE PIPELINE

Sulbactam/Durlobactam (SUL-DUR)

Sulbactam/durlobactam  (“SUL-DUR”)  is  a  combination  of  a  beta-lactam  antibiotic  (“sulbactam”)  and  a  beta-lactamase  inhibitor 

(“durlobactam”)  for  the  treatment  of  serious  infections  caused  by  Acinetobacter,  including  multidrug-resistant  (“MDR”)  and 

carbapenem-resistant  strains.  Acinetobacter  belongs  to  a  group  of  bacteria  commonly  found  in  the  environment,  such  as  soil 

and  water. Acinetobacter  baumannii  accounts  for  most Acinetobacter  infections  in  humans;  the  organism  can  cause  infections 

in all organs, but bloodstream infection and pneumonia are most dangerous and associated with high mortality. In recent years, 

A. baumannii has become multi-drug resistant, including resistant to the penem class of antibiotics. There are few non-toxic and 

effective  antibiotics  left  for  clinicians.  In  China,  Acinetobacter  baumannii  infections  are  often  seen  in  the  hospital  setting,  and 

approximately  54%  of  such  infections  are  the  result  of  Acinetobacter  baumannii  MDR  isolates  and  carbapenemase-producing 

isolates (“carbapenem-resistant Acinetobacter baumannii” or “CRAB”). 

Since  April  2018,  we  have  had  an  exclusive  license  from  Entasis  to  develop  and  commercialize  durlobactam  with  sulbactam  (the 

combination,  SUL-DUR)  in  all  human  diagnostic,  prophylactic,  and  therapeutic  uses  in  Greater  China,  Korea,  Vietnam,  Thailand, 

Cambodia,  Laos,  Malaysia,  Indonesia,  the  Philippines,  Singapore,  Australia,  New  Zealand,  and  Japan.  For  more  information 

on  this  license  and  collaboration  agreement,  see  Business  —  Overview  of  Significant  License  and  Strategic  Collaboration 

Agreements — Entasis (SUL-DUR). 

In  September  2017,  the  FDA  granted  SUL-DUR  Qualified  Infectious  Disease  Product,  Fast-Track  and  Priority  Review  status  for  the 

treatment  of  hospital-acquired  and  ventilator-acquired  bacterial  pneumonia  and  bloodstream  infections  due  to  Acinetobacter.  We 

completed a pharmacokinetic study in the fall of 2020 for SUL-DUR in mainland China in normal healthy volunteers. 

27

BUSINESSEntasis submitted an NDA to the FDA in September 2022, which was accepted for priority review with an action date of May 29, 2023. 

We submitted an NDA to the NMPA in December 2022 for the treatment of infections caused by Acinetobacter baumannii, including 

multidrug-resistant and CRAB strains, which was granted priority review status in January 2023 and accepted in February 2023. 

We are participating in the global Phase III registrational ATTACK trial evaluating the safety and efficacy of SUL-DUR versus colistin in 

patients  with  infections  caused  by  Acinetobacter  baumannii.  In  April  2022,  Entasis  announced  topline  results  from  the  ATTACK  trial 

at the 32nd European Congress of Clinical Microbiology and Infectious Diseases Annual Conference in Lisbon, Portugal. The primary 

efficacy endpoint was met, and the study showed a reduced mortality rate with SUL-DUR versus colistin in the CRAB population. The 

primary efficacy endpoint, 28-day all-cause mortality in the CRAB-calcoaceticus (“CRABC”) m-MITT cohort (those in the ITT population 

who  received  any  study  drug  and  had  a  CRABC  organism  isolated  at  baseline)  (n=125)  was  19.0%  (12/63)  and  32.3%  (20/62)  for 

SUL-DUR  versus  colistin,  respectively  (difference  -13.2%  [95%  CI:  -30.0%,  3.5%]).  At  Test  of  Cure,  there  was  a  statistically  significant 

difference  in  clinical  response  favoring  SUL-DUR  over  colistin.  The  clinical  cure  rates  at  test-of-cure  were  61.9%  (39/63)  and  40.3% 

(25/62)  for  SUL-DUR  versus  colistin  (difference  21.6%  [95%  CI:  2.9%,  40.3%]).  SUL-DUR  also  met  the  primary  safety  objective  of  the 

study achieving statistically significant reduction in nephrotoxicity. A statistically significant reduction in nephrotoxicity was observed 

with SUL-DUR compared to colistin: 13.2% (12/91) versus 37.6% (32/85) (difference -24.4% [p=0.0002]). Treatment-related TEAEs were 

12.1% (11/91) and 30.2% (26/86) in the SUL-DUR and colistin groups, respectively. In October 2022, Entasis presented additional safety 

and  efficacy  data  at  the  annual  meeting  of  the  Infectious  Disease  Society  of  America  that  reinforced  the  positive  safety  and  efficacy 

data Entasis had previously disclosed from its topline data analysis.

OUR NEUROSCIENCE PIPELINE

KarXT (xanomeline-trospium)

KarXT  (xanomeline-trospium)  is  an  oral,  investigational  M1/M4-preferring  muscarinic  acetylcholine  receptor  agonist  in  development 

for  the  treatment  of  psychiatric  and  neurological  conditions,  including  schizophrenia  and  dementia-related  psychosis.  KarXT 

preferentially  stimulates  muscarinic  receptors  in  the  central  nervous  system  implicated  in  these  conditions,  as  opposed  to  current 

antipsychotic  medicines,  which  mostly  target  dopamine  or  serotonin  receptors.  KarXT  has  the  potential  to  represent  a  new  class  of 

treatment for schizophrenia and dementia-related psychosis based on its differentiated mechanism of action. 

Since  November  2021,  we  have  had  an  exclusive  license  from  Karuna  to  develop,  manufacture,  and  commercialize  KarXT  in  Greater 

China.  For  more  information  on  this  license  agreement,  see  Business  —  Overview  of  Significant  License  and  Strategic  Collaboration 

Agreements — Karuna (KarXT). 

In the third quarter of 2022, Karuna initiated the Phase 3 ADEPT-1 study evaluating KarXT as a treatment for psychosis in Alzheimer’s 

disease. In the fourth quarter of 2022, Karuna completed enrollment in the Phase 3 EMERGENT-3 trial in schizophrenia and presented 

data  from  the  Phase  3  EMERGENT-2  trial  of  KarXT  in  schizophrenia  at  the  35th  European  College  of  Neuropsychopharmacology 

Congress  in  Vienna,  Austria.  A  poster  presentation  and  symposium  included  previously  reported  efficacy  and  safety  data,  as  well  as 

new additional safety data from the trial.

28

BUSINESSIn the fourth quarter of 2022, we initiated a bridging study for KarXT, and we obtained agreement from the NMPA on the development 

plan for a clinical trial in China to start in mid-2023.

Internally Discovered and Internally Developed Product Candidates

We  have  assembled  an  integrated  drug  discovery  and  development  team  with  extensive  experience  in  discovery,  translational 

medicine,  and  pre-clinical  and  clinical  development  and  who  have  been  directly  involved  in  the  discovery  and  development  of 

several  innovative  product  candidates.  We  identify  pre-clinical  assets  through  both  internal-discovery  efforts  and  co-development 

collaboration with our business partners. Through these efforts, we have advanced our internally developed pipeline, which includes 

three  product  candidates  that  are  currently  in  global  Phase  I  development.  In  addition  to  the  internally  developed  and  internally 

discovered product candidates in clinical development mentioned above (ZL-1211, ZL-1218, and ZL-1102), Zai has internally discovered 

and  developed  compounds  in  preclinical  development,  including  ZL-2201,  a  potent  selective  inhibitor  of  DNA-PK  involved  in  DNA 

damage repair in tumor cells; and multiple other undisclosed compounds. 

OVERVIEW OF SIGNIFICANT LICENSE AND STRATEGIC COLLABORATION 
AGREEMENTS

GSK (Niraparib)

In September 2016, we entered into a collaboration, development, and license agreement with Tesaro, Inc., a company later acquired 

by GSK, pursuant to which we obtained an exclusive sublicense under certain patents and know-how of GSK (including such patents 

and know-how licensed from Merck, Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., and AstraZeneca UK Limited) to develop, 

manufacture, and commercialize GSK’s proprietary PARP inhibitor, niraparib, for the diagnosis and prevention of any human diseases 

or conditions (other than prostate cancer) in mainland China, Hong Kong, and Macau. We also obtained the right of first negotiation 

to  obtain  a  license  to  develop  and  commercialize  certain  follow-on  compounds  of  niraparib  being  developed  by  GSK  in  the  licensed 

territory.  Under  the  agreement,  we  agreed  not  to  research,  develop,  or  commercialize  certain  competing  products,  and  we  also 

granted GSK the right of first refusal to license certain immuno-oncology assets developed by us. In February 2018, we entered into an 

amendment with GSK that eliminated GSK’s option to co-market niraparib in the licensed territory. 

To date, we have made an upfront payment of $15.0 million and have paid $16.5 million in development, regulatory, and sales-based 

milestones,  including  a  $1.0  million  development  milestone  payment  accrued  in  2020  and  made  in  2021,  a  $4.0  million  milestone 

payment  made  in  2022,  and  a  $3.5  million  development  milestone  and  $8.0  million  sales-based  milestone  paid  in  2022,  which 

were  accrued  in  2019  and  2021,  respectively.  We  may  be  required  to  pay  an  additional  aggregate  amount  of  up  to  $28.0  million  in 

development, regulatory, and sales-based milestones as well as certain royalties at tiered percentage rates ranging from mid- to high-

teens on annual net sales of the licensed products in the licensed territory. 

29

BUSINESSWe  are  not  obligated  to  purchase  ZEJULA  or  other  licensed  products  from  GSK.  We  have  entered  into  a  separate  supply  agreement 

pursuant to which GSK manufactures and supplies ZEJULA to us for commercial use in Hong Kong. Unless terminated earlier pursuant 

to its terms, the agreement with GSK will remain in effect until the expiration of the royalty term for ZEJULA, where the royalty term for 

ZEJULA in a region continues until the latest of (i) the expiration of the last-to-expire valid claim within the licensed patent rights that 

covers the licensed product in such region; (ii) the expiration of market or data exclusivity for such licensed product in such region; or 

(iii) ten (10) years after the date of the first commercial sale of such licensed product in such region. The agreement may be terminated 

for customary reasons, including upon the other party’s uncured material breach, bankruptcy, insolvency, or similar event. In addition, 

we have the right to terminate the agreement for convenience at any time, subject to a certain notice period. 

NovoCure (Tumor Treating Fields)

In  September  2018,  we  entered  into  a  license  and  collaboration  agreement  with  NovoCure,  pursuant  to  which  we  obtained  an 

exclusive license under certain patents and know-how of NovoCure to develop and commercialize Tumor Treating Fields products in all 

human therapeutic and preventative uses in the field of oncology in Greater China. 

To date, we have made an upfront payment of $15.0 million and two milestone payments totaling $10.0 million in 2020. We may be 

required  to  pay  an  additional  aggregate  amount  of  up  to  $68.0  million  in  development,  regulatory,  and  sales-based  milestones  as 

well as certain royalties at tiered percentage rates ranging from low- to mid-teens on annual net sales of the licensed products in the 

licensed territory. 

We will purchase licensed products exclusively from NovoCure. The agreement continues, on a region-by-region and licensed product-

by-licensed  product  basis,  in  effect  until  the  expiration  of  the  last  royalty  term  and  payment  by  us  of  all  of  our  royalty  payment 

obligations applicable to such licensed product and such region, where the royalty term for a licensed product in a region continues 

until  the  latest  of  (i)  the  expiration  of  the  last-to-expire  valid  claim  within  licensed  patent  rights  covering  such  licensed  products 

(including composition, method of use or making) in such region, (ii) the expiration of regulatory exclusivity of such licensed product, 

and  (iii)  the  tenth  (10th)  anniversary  of  the  first  commercial  sale  of  such  licensed  product  in  such  region.  In  addition,  either  party 

may terminate the agreement upon the material breach of the agreement by the other party, subject to a certain cure period, or for 

the  other  party’s  bankruptcy  or  insolvency.  We  may  terminate  the  agreement  for  convenience,  subject  to  a  certain  notice  period, 

and  NovoCure  may  terminate  the  agreement  under  specified  circumstances  if  we  or  our  affiliates  or  sublicensees  challenge  its 

patent rights or due to our certain development or commercialization diligence failures, subject to a certain cure period and dispute 

resolution mechanisms if disputes arise with respect to such failures. 

Deciphera (Ripretinib)

In  June  2019,  we  entered  into  a  license  agreement  with  Deciphera,  pursuant  to  which  we  obtained  an  exclusive  license  under 

certain  patents  and  know-how  of  Deciphera  to  develop  and  commercialize  products  containing  ripretinib  in  the  field  of  prevention, 

prophylaxis, treatment, cure, or amelioration of any disease or medical condition in humans in Greater China. 

30

BUSINESSTo date, we have made an upfront payment of $20.0 million and three milestone payments totaling $12.0 million. We may be required to pay an 

additional aggregate amount of up to $173.0 million in development, regulatory, and sales-based milestones as well as certain royalties at tiered 

percentage rates ranging from low-to high-teens on annual net sales of the licensed products in the licensed territory. 

We  will  purchase  the  licensed  products  exclusively  from  Deciphera.  The  agreement  continues,  on  a  region-by-region  and  licensed 

product-by-licensed  product  basis,  in  effect  until  the  expiration  of  and  payment  by  us  of  all  of  our  royalty  payment  obligations 

applicable  to  such  licensed  product  and  such  region,  where  the  royalty  term  for  a  licensed  product  in  a  region  continues  until  the 

latest  of  (i)  the  abandonment,  expiry,  or  final  determination  of  invalidity  of  the  last  valid  claim  within  the  licensed  patents  rights 

that  covers  the  composition  of  matter,  formulations  or  a  method  of  making  or  use  of  such  licensed  product  in  such  region,  (ii)  the 

expiration  of  regulatory  exclusivity  for  such  licensed  product  in  such  region,  or  (iii)  the  close  of  business  of  the  day  that  is  exactly 

ten  (10)  years  after  the  date  of  the  first  commercial  sale  of  such  licensed  product  in  such  region.  Subject  to  the  terms  of  the 

agreement,  we  may  terminate  the  agreement  for  convenience  by  providing  written  notice  to  Deciphera,  which  termination  will  be 

effective  following  a  prescribed  notice  period.  In  addition,  Deciphera  may  terminate  the  agreement  under  specified  circumstances 

if  we  or  certain  other  parties  challenge  Deciphera’s  patent  rights,  or  if  we  or  our  affiliates  do  not  conduct  certain  development 

activities  with  respect  to  one  or  more  licensed  products  for  a  specified  period  of  time,  subject  to  specified  exceptions.  Either  party 

may terminate the agreement for the other party’s uncured material breach of a material term of the agreement, with a customary 

notice  and  cure  period,  or  insolvency.  After  termination  (but  not  natural  expiration),  Deciphera  is  entitled  to  retain  a  worldwide 

and  perpetual  license  from  us  to  develop,  manufacture,  and  commercialize  the  licensed  products.  On  a  region-by-region  and  a 

licensed  product-by-licensed  product  basis,  upon  the  natural  expiration  of  the  agreement  as  described  above,  the  licenses  granted 

by  Deciphera  to  us  under  the  agreement  in  such  region  with  respect  to  the  licensed  product  become  fully  paid-up,  perpetual,  and 

irrevocable. In January 2020, we entered into an amendment with Deciphera to clarify several operational matters. 

Paratek (Omadacycline)

In  April  2017,  we  entered  into  a  license  and  collaboration  agreement  with  Paratek  Bermuda  Ltd.,  a  subsidiary  of  Paratek,  pursuant 

to  which  we  obtained  both  an  exclusive  license  under  certain  patents  and  know-how  of  Paratek  Bermuda  Ltd.  and  an  exclusive 

sub-license  under  certain  intellectual  property  that  Paratek  Bermuda  Ltd.  licensed  from  Tufts  University  to  develop,  manufacture, 

and  commercialize  products  containing  omadacycline  (ZL-2401)  as  an  active  ingredient  in  Greater  China  in  the  field  of  all  human 

therapeutic  and  preventative  uses  other  than  biodefense.  Under  certain  circumstances,  our  exclusive  sub-license  to  certain 

intellectual  property  Paratek  Bermuda  Ltd.  licensed  from  Tufts  University  may  be  converted  to  a  non-exclusive  license  if  Paratek 

Bermuda  Ltd.’s  exclusive  license  from  Tufts  University  is  converted  to  a  non-exclusive  license  under  the  Tufts  Agreement.  We 

also  obtained  the  right  of  first  negotiation  to  be  Paratek  Bermuda  Ltd.’s  partner  to  develop  certain  derivatives  or  modifications  of 

omadacycline  in  our  licensed  territory.  Paratek  Bermuda  Ltd.  retains  the  right  to  manufacture  the  licensed  product  in  our  licensed 

territory  to  support  development  and  commercialization  of  the  same  outside  our  licensed  territory.  We  also  granted  to  Paratek 

Bermuda Ltd.  a  non-exclusive  license  to  certain  of  our  intellectual property. Under  the agreement, we  agreed not to  commercialize 

certain competing products in our licensed territory. 

31

BUSINESSTo date, we have made an upfront payment of $7.5 million and three milestone payments totaling $14.0 million. We may be required 

to  pay  an  additional  aggregate  amount  of  up  to  $40.5  million  in  milestones  as  well  as  certain  royalties  at  tiered  percentage  rates 

ranging from low- to mid-teens on annual net sales of the licensed products in the licensed territory. 

We have the right to manufacture the licensed products for commercialization in the licensed territory. The agreement with Paratek 

Bermuda Ltd. will remain in effect until, on a region-by-region basis, the expiration of the royalty term and payment by us of all of our 

royalty payment obligations in such region, where the royalty term for a licensed product in a region continues until the later of (i) the 

abandonment,  expiration  or  invalidation  of  the  last-to-expire  valid  claim  within  the  licensed  patents  covering  the  licensed  product, 

or (ii) the close of business of the eleventh (11th) anniversary of the first commercial sale of the licensed product in such region. In 

addition, either party may terminate this agreement for the other party’s uncured material breach, subject to a certain cure period, or 

for the other party’s bankruptcy or insolvency. We have the right to terminate the agreement for convenience at any time, subject to 

a certain notice period. Paratek Bermuda Ltd. has the right to terminate the agreement if we or our affiliates or sublicensees challenge 

its patents. Upon termination of the agreement, our license of certain intellectual property to Paratek Bermuda Ltd. will continue for 

Paratek Bermuda Ltd. to develop, manufacture, and commercialize licensed products worldwide. 

MacroGenics (including Margetuximab and Tebotelimab)

In November 2018, we entered into a collaboration agreement with MacroGenics, pursuant to which we obtained an exclusive license 

under certain patents and know-how of MacroGenics to develop and commercialize margetuximab, tebotelimab, and an undisclosed 

multi-specific  TRIDENT  molecule  in  pre-clinical  development,  each  as  an  active  ingredient  in  all  human  fields  of  use,  except  to  the 

extent limited by any applicable third-party agreement of MacroGenics, in Greater China. 

To date, we have made an upfront payment of $25.0 million and three milestone payments totaling $9.0 million, including $4.0 million 

paid in 2020 and $5.0 million accrued in 2021 but paid in 2022. We may be required to pay an additional aggregate amount of up to 

$84.0 million in development and regulatory milestones as well as certain royalties at tiered percentage rates ranging from mid-teens 

to twenty for margetuximab, mid-teens for tebotelimab, and low-teens for the TRIDENT molecule on annual net sales of the licensed 

products in the licensed territory. The tebotelimab program was terminated in 2022, but we continue to collaborate with respect to 

the other licensed products.

We will purchase licensed products exclusively from MacroGenics. The collaboration agreement continues in effect until the expiration 

of the last royalty term under the collaboration agreement, where the royalty term for a licensed product in a region continues until 

the  latest  of  (i)  the  expiration  of  the  last-to-expire  valid  claim  within  licensed  patent  rights  covering  the  composition,  manufacture, 

use,  sale,  or  importation  of  such  licensed  products  in  such  region,  (ii)  the  expiration  of  data  exclusivity  for  such  licensed  product  in 

such  region,  or  (iii)  the  twelfth  (12th)  anniversary  of  the  first  commercial  sale  of  such  licensed  product  in  such  region.  In  addition, 

either party may terminate the collaboration agreement upon the material breach of the collaboration agreement by the other party, 

subject to certain cure periods. At any time after November 29, 2020, we may terminate the collaboration agreement for convenience, 

subject  to  a  certain  notice  period.  MacroGenics  may  terminate  the  collaboration  agreement  in  its  entirety  or  on  a  licensed 

32

BUSINESSproduct-by-licensed product or region by region basis with a certain notice period if one or more major safety issues have occurred 

with  respect  to  such  licensed  product  prior  to  the  first  commercial  sale  of  such  licensed  product  in  the  territory  and  MacroGenics 

has discontinued the global development, manufacturing, and commercialization activities with respect to such licensed product and 

publicly announced it. 

On  June  15,  2021,  we  entered  into  another  collaboration  and  license  agreement  with  MacroGenics,  pursuant  to  which  we  and 

MacroGenics  agreed  to  collaboratively  develop  and  commercialize  up  to  four  bispecific  antibody-based  molecules  based  on  the 

MacroGenics’  proprietary  DART®  and  TRIDENT®  multi-specific  technology  platforms.  Under  the  agreement,  each  party  agrees  to 

contribute  specified  intellectual  property  to  enable  the  research,  development,  manufacture,  and  commercialization  of  up  to  four 

future CD3 or CD47-based bispecific molecules. We were granted exclusive rights in Greater China, Japan, and Korea for two programs 

and exclusive global rights for two other programs. 

To  date,  for  all  four  programs,  we  have  made  an  upfront  payment  of  $25.0  million  in  2021.  Further,  on  June  15,  2021,  as  partial 

consideration  for  the  rights  granted  to  us  under  this  agreement,  we  entered  into  a  stock  purchase  agreement  with  MacroGenics, 

pursuant to which we purchased from MacroGenics in a private placement an aggregate of 958,467 newly issued shares of common 

stock,  par  value  $0.01  per  share,  of  MacroGenics,  with  a  per  share  purchase  price  of  $31.30,  for  aggregate  gross  proceeds  of 

approximately  $30.0  million.  We  may  be  required  to  pay  an  additional  aggregate  amount  of  up  to  $1,386.0  million  in  development, 

regulatory, and sales-based milestones as well as certain royalties at tiered percentage rates on annual net sales of specified products, 

subject to reduction under specified circumstances. We also have an option to convert the royalty arrangement for the lead research 

molecule to a global 50/50 profit and loss sharing arrangement by making a payment of approximately $85.0 million. 

This  agreement  will  generally  terminate  on  a  program-by-program  and  country-by-country  or  region-by-region  basis,  with  certain 

exceptions,  upon  the  later  to  occur  of  (i)  the  date  that  is  12  years  after  the  date  of  the  first  commercial  sale  of  the  product  in  the 

applicable  country  or  region,  (ii)  the  date  of  expiration  of  the  last  valid  claim  covering  such  product  with  a  licensed  patent  in  the 

applicable country or region, and (iii) the expiration date of any data exclusivity period for such product in the applicable country or 

region. For certain programs, we may terminate the agreement, in whole or in part, after the second or fourth anniversary of the date 

of the agreement by providing 90 days’ written notice to MacroGenics and, upon other conditions, after the second anniversary of the 

date of the agreement with 180 days’ written notice to MacroGenics. MacroGenics may terminate the agreement on a collaboration 

product-by-collaboration  product  upon  90  days’  written  notice  if  a  major  safety  issue  has  occurred  with  respect  to  a  collaboration 

product. Either party may terminate the agreement upon a material breach by the other party that remains uncured or upon certain 

bankruptcy events. In addition, MacroGenics may terminate the agreement if we challenge the licensed patent rights. 

Seagen (TIVDAK)

On September 23, 2022, we entered into a collaboration and license agreement with Seagen, pursuant to which we and Seagen agreed 

to collaboratively develop and commercialize TIVDAK (tisotumab vedotin). Under the agreement, we obtained an exclusive license to 

develop and commercialize TIVDAK in Greater China.

33

BUSINESSTo date, we have made an upfront payment of $30.0 million in 2022. We may be required to pay an additional aggregate amount of up 

to $263.0 million in development, regulatory, and sales-based milestones as well as certain royalties at tiered percentage rates ranging 

from mid-teens to low twenties on annual net sales of the licensed products in the licensed territory. The agreement will remain in 

effect,  unless  earlier  terminated,  until  the  expiration  of  the  last-to-expire  royalty  term  for  the  last  licensed  product.  The  agreement 

contains  customary  provisions  for  termination  by  either  party,  including  in  the  event  of  a  material  breach  by  the  other  party  that 

remains uncured, by us for convenience, for certain bankruptcy events, and by Seagen upon a challenge of the licensed patent rights. 

Mirati (Adagrasib)

In  May  2021,  we  entered  into  a  collaboration  and  license  agreement  with  Mirati  pursuant  to  which  we  and  Mirati  agreed  to 

collaboratively develop MRTX849 (adagrasib) in Greater China. Under the agreement, we received from Mirati the right to research, 

develop, manufacture, and exclusively commercialize adagrasib in all indications in Greater China, with Mirati retaining exclusive rights 

for  the  development,  manufacturing,  and  commercialization  of  adagrasib  outside  Greater  China  and  certain  co-commercialization, 

manufacture, and development rights in Greater China. 

To date, we have made an upfront payment of $65.0 million in 2021 and two development milestone payments totaling $10.0 million 

in  2022.  We  may  be  required  to  pay  an  additional  aggregate  amount  of  up  to  $263.0  million  in  clinical,  regulatory,  and  sales-based 

milestones as well as certain royalties at tiered percentage rates ranging from the high-teens to low-twenties on annual net sales of 

the licensed products in the licensed territory. 

The  agreement  will  terminate  on  a  licensed  product-by-licensed  product  basis  and  on  a  region-by-region  basis  in  Greater  China, 

upon the later to occur of (i) the date of expiration of the last valid claim covering such licensed product in such region, (ii) the date 

that  is  10  years  after  the  date  of  the  first  commercial  sale  in  such  region,  and  (iii)  the  expiration  date  of  any  regulatory  exclusivity 

for  such  licensed  product  in  such  region,  or  for  a  co-commercialized  product  on  the  date  the  parties  agree  to  terminate  such 

co-commercialization, or in its entirety upon the expiration of all payment obligations under this agreement. We may terminate the 

agreement  at  any  time  by  providing  12  months’  prior  notice  to  Mirati.  Either  party  may  terminate  the  agreement  upon  a  material 

breach by the other party that remains uncured or upon certain bankruptcy events. In addition, Mirati may terminate the agreement if 

we challenge the licensed patent rights. 

Amgen (Bemarituzumab)

In  December  2017,  we  entered  into  a  license  and  collaboration  agreement  with  Five  Prime  (later  acquired  by  Amgen),  pursuant  to 

which  we  obtained  an  exclusive  license  under  certain  patents  and  know-how  of  Five  Prime  to  develop  and  commercialize  products 

containing  Five  Prime’s  proprietary  afucosylated  FGFR2b  antibody  known  as  bemarituzumab  (FPA144)  as  an  active  ingredient  in  the 

treatment or prevention of any disease or condition in humans in Greater China. 

34

BUSINESSPursuant to the terms of the agreement, we are responsible for (i) developing and commercializing licensed products under a territory 

development plan; and (ii) performing certain development activities to support Five Prime’s global development and registration of 

licensed products, including Five Prime’s global Phase III registrational trial of bemarituzumab (FPA144) in combination with FOLFOX 

in  front-line  gastric  and  gastroesophageal  cancer  (the  “bemarituzumab  FPA144-004  Study”)  in  the  licensed  territory  under  a  global 

development plan. 

To date, we have made an upfront payment of $5.0 million and a milestone payment of $2.0 million in 2020. We may be required to 

pay  an  additional  aggregate  amount  of  up  to  $37.0  million  in  development  and  regulatory  milestones  as  well  as  certain  royalties  at 

tiered percentage rates ranging from high-teens to low twenties on annual net sales of the licensed product in the licensed territory. 

Pursuant  to  the  terms  of  the  agreement,  provided  that  we  enroll  and  treat  a  specified  number  of  patients  in  the  bemarituzumab 

FPA144-004  Study  in  mainland  China,  we  are  eligible  to  receive  a  low  single-digit  percentage  quarterly  royalty,  on  a  licensed 

product-by-licensed product basis on net sales of all licensed product outside the licensed territory until the tenth (10th) anniversary 

of the first commercial sale of each such licensed product outside the licensed territory. 

We  will  purchase  licensed  products  exclusively  from  Five  Prime.  The  agreement  will  expire  on  a  region-by-region  basis  upon  the 

expiration of the royalty term and payment by us of all of our payment obligations with respect to each licensed product and region 

under  the  agreement,  where  the  royalty  term  for  a  licensed  product  in  a  region  continues  until  the  latest  of  (i)  the  eleventh  (11th) 

anniversary  of  the  first  commercial  sale  of  such  licensed  product  in  such  region,  (ii)  the  expiration  of  the  last  valid  claim  within  the 

Five Prime patents covering such licensed product in such region, and (iii) the expiration of regulatory exclusivity with respect to such 

licensed product in such region. In addition, we may terminate the agreement in its entirety at any time, subject to a certain notice 

period. Either party may terminate the agreement in its entirety with written notice for the other party’s material breach, subject to 

a certain cure period, or for the other party’s bankruptcy or insolvency. Five Prime may terminate the agreement in its entirety with 

written notice for the material breach of our diligence obligations with respect to development and obtaining marketing approval in 

mainland China and may terminate the agreement on a region-by-region basis for the breach of our diligence obligations with respect 

to timely initiation of commercialization of a licensed product in a region following the marketing approval of such licensed product. 

Five  Prime  may  also  terminate  the  agreement  in  its  entirety  if  we  or  one  of  our  affiliates  or  sublicensees  commences  a  legal  action 

challenging the validity, enforceability or scope of any of Five Prime’s patents. 

In April 2021, Five Prime was acquired by Amgen. 

Regeneron (Odronextamab)

In  April  2020,  we  entered  into  a  collaboration  agreement  with  Regeneron  Ireland  Designated  Activity  Company,  an  affiliate  of 

Regeneron,  pursuant  to  which  we  obtained  oncology  development  and  exclusive  commercialization  rights  for  products  containing 

odronextamab as the sole active ingredient in Greater China. 

35

BUSINESSTo date, we have made a $30.0 million upfront payment in 2020. We may be required to pay an additional aggregate amount of up 

to  $160.0  million  in  regulatory  and  sales-based  milestones.  Additionally,  we  will  make  payments  to  Regeneron  based  on  annual  net 

sales, such that Regeneron shares in a significant portion of any potential profits. We are also responsible for contributing to the global 

development costs of odronextamab for certain trials.

We will purchase odronextamab exclusively from Regeneron. The agreement continues in effect after the date of the agreement and 

until  such  time  when  we  have  ceased  development  and  commercialization  activities  on  odronextamab  for  six  consecutive  months, 

subject  to  certain  exceptions.  In  addition,  subject  to  certain  conditions,  we  and  Regeneron  each  may  terminate  the  collaboration 

agreement for convenience, subject to a certain notice period, or for violation of anti-corruption law, subject to a certain cure period. 

Regeneron may terminate the agreement under specified circumstances if we or our affiliates or subcontractors challenge its patent 

rights,  or  upon  a  change  of  control  of  us,  if  Regeneron  reasonably  determines  the  acquirer  of  us  does  not  have  the  resources  or 

expertise to perform the obligations under this agreement. Either party may terminate the agreement for the other party’s uncured 

material breach of the agreement, subject to a certain cure period, or for the other party’s bankruptcy or insolvency. 

BMS (Repotrectinib)

In July 2020, we entered into an exclusive license agreement with Turning Point pursuant to which Turning Point exclusively licensed 

to  us  the  rights  to  develop  and  commercialize  products  containing  repotrectinib  as  an  active  ingredient  in  all  human  therapeutic 

indications in Greater China. 

To  date,  we  have  made  an  upfront  payment  of  $25.0  million  in  2020  and  three  milestone  payments  totaling  $5.0  million  in  2021. 

We  may  be  required  to  pay  an  additional  aggregate  amount  of  up  to  $146.0  million  in  development,  regulatory,  and  sales-based 

milestones  as  well  as  certain  royalties  at  tiered  percentage  rates  ranging  from  mid-to-high  teens  on  annual  net  sales  of  licensed 

products  in  the  licensed  territory.  Under  the  exclusive  license  agreement,  we  are  responsible  for  funding  all  development  and 

commercialization activities related to the products in our licensed territory, subject to certain exceptions pursuant to which Turning 

Point  may  be  responsible  for  the  cost.  Turning  Point  will  be  responsible  for  funding  global  clinical  studies  of  the  licensed  products 

subject to certain exceptions pursuant to which we may bear the costs of certain studies. 

We  will  purchase  licensed  products  exclusively  from  Turning  Point.  Unless  terminated  earlier  pursuant  to  its  terms,  the  license 

agreement  will  continue  in  effect  until  expiration  of  the  last  royalty  term  set  forth  in  the  agreement  with  respect  to  any  licensed 

product  in  any  region  in  the  Territory,  where  the  royalty  term  for  a  licensed  product  in  a  region  continues  until  the  latest  of  (i)  the 

expiration  of  the  last-to-expire  valid  claim  within  the  licensed  patent  rights  that  covers  the  licensed  product  in  such  region;  (ii)  the 

expiry  of  the  regulatory  exclusivity  for  such  licensed  product  in  such  region;  or  (iii)  the  close  of  business  of  the  day  that  is  exactly 

ten  (10)  years  after  the  date  of  the  first  commercial  sale  of  such  licensed  product  in  such  region.  In  addition,  we  may  terminate 

the  agreement  for  convenience,  subject  to  a  certain  notice  period.  Turning  Point  may  terminate  the  agreement  under  specified 

circumstances  if  we  or  our  affiliates  or  sublicensees  challenge  its  patent  rights,  subject  to  a  certain  cure  period.  Either  party  may 

terminate  the  agreement  for  the  other  party’s  uncured  material  breach  of  the  agreement,  subject  to  a  certain  cure  period,  for  the 

other party’s bankruptcy or insolvency or if the other party or its affiliates merges with or acquires a third party engaged in activities 

with a competing product, which is not divested or discontinued within a specified period. 

36

BUSINESSTaiho (Zipalertinib)

In December 2020, we entered into a license agreement with Cullinan Pearl, a subsidiary of Cullinan Oncology, Inc., pursuant to which 

we obtained an exclusive license under certain patents and know-how of Cullinan Pearl to develop, manufacture, and commercialize 

products containing CLN-081 as an active ingredient in all uses in humans and animals in Greater China. 

To  date,  we  have  made  an  upfront  payment  of  $20.0  million  in  2021,  which  was  accrued  in  2020.  We  may  be  required  to  pay  an 

additional  aggregate  amount  of  up  to  $211.0  million  in  development,  regulatory,  and  sales-based  milestones  as  well  as  certain 

royalties  at  tiered  percentages  ranging  from  high-single-digit  to  low-teens  on  annual  net  sales  of  the  licensed  products  in  the 

licensed  territory.  Cullinan  Pearl  received  worldwide  rights  for  CLN-081,  excluding  Japan,  from  Taiho  Pharmaceutical,  Co.,  Ltd. 

in 2018. In June 2022, Taiho acquired Cullinan Pearl and obtained exclusive global rights to CLN-081 outside of the United States. In 

December 2022, we agreed with Taiho on the assignment of our license agreement with Cullinan Pearl to Taiho.

We have the sole right to manufacture the licensed products for commercialization in the licensed territory. The agreement continues 

in effect until the expiration of the last royalty term for a licensed product in any region in the licensed territory, where the royalty 

term  for  a  licensed  product  in  a  jurisdiction  continues  until  the  later  of  (i)  the  expiration  of  the  last-to-expire  valid  claim  within  the 

licensed patent rights that covers the licensed product in such region, or (ii) the close of business of the tenth (10th) anniversary of the 

date of the first commercial sale of such licensed product in such region. 

Either  party  may  terminate  the  agreement  on  a  region-by-region  basis  or  in  its  entirety  upon  a  material  breach  by  the  other  party 

or bankruptcy of the other party. We may terminate the agreement in its entirety or on a product-by-product basis at any time and 

for  any  or  no  reason,  provided,  however,  that  we  will  terminate  the  agreement  upon  prior  written  notice  to  Taiho  if  we  determine 

that we shall discontinue all development and commercialization activities with respect to the licensed products. Furthermore, Taiho 

may terminate the agreement in its entirety, if we or our affiliates commence a legal, administrative, or other action challenging the 

validity, enforceability, or scope of any licensed patent or patent (other than the licensed patent) owned or controlled by Taiho and its 

affiliates. In addition, if no active development activities have been conducted by us and our affiliates or a permitted sublicensee within 

ten (10) months of the execution of the agreement and such inactivity is not caused by a serious adverse event or serious adverse drug 

reaction, a force majeure event, or Taiho’s failure to supply sufficient quantities of clinical supply product, then we will be deemed to 

have abandoned development for the product and Taiho shall have the right to terminate the agreement upon written notice, unless 

we  have  cured  such  abandonment  within  sixty  (60)  days  of  such  written  notice.  The  agreement  may  also  be  terminated  by  mutual 

written agreement. Unless earlier terminated, the agreement continues in effect on a product-by-product basis until the expiration of 

all applicable royalty terms with respect to all products in any region in the territory. 

argenx (Efgartigimod)

In  January  2021,  we  entered  into  a  collaboration  and  license  agreement  with  argenx,  pursuant  to  which  we  obtained  an  exclusive 

license  under  certain  patents  and  know-how  of  argenx  to  develop  and  commercialize  products  containing  efgartigimod  as  an  active 

ingredient  in  all  human  and  animal  uses  for  any  preventative  or  therapeutic  indications  in  Greater  China.  Under  the  terms  of  the 

agreement, we will be responsible for recruiting patients in mainland China to argenx’s global registrational trials for the development 

of efgartigimod. 

37

BUSINESSTo  date,  we  have  made  an  upfront  payment,  valued  at  $62.3  million  at  the  time  of  issuance,  in  the  form  of  568,182  newly  issued 

ordinary shares of Zai Lab Limited (which became 5,681,820 ordinary shares after the Share Subdivision in March 2022); a $75.0 million 

cash payment as a guarantee for non-creditable, non-refundable development cost-sharing in 2021; and a $25.0 million development 

milestone  payment  in  2022  which  was  accrued  in  2021.  We  may  be  required  to  pay  certain  royalties  at  tiered  percentages  ranging 

from mid-teen to low-twenties on annual net sales of the licensed products in the licensed territory. For additional information on the 

Share Subdivision, see Note 2(a) to the consolidated financial statements below. 

We will purchase licensed products exclusively from argenx. The agreement continues in effect until, on a jurisdiction-by-jurisdiction 

and  licensed  product-by-licensed  product  basis,  the  date  of  expiration  of  the  applicable  royalty  term  set  forth  in  the  agreement, 

where the royalty term for a licensed product in a jurisdiction continues until the latest of (i) the expiration of the last-to-expire valid 

claim within the licensed patent rights that covers the licensed product, its manufacture or use in such jurisdiction; (ii) the expiration 

of regulatory exclusivity in such jurisdiction for such licensed product; or (iii) twelve (12) years after the date of the first commercial 

sale  of  such  licensed  product  in  such  jurisdiction.  In  addition,  we  may  terminate  the  license  agreement  for  convenience,  subject  to 

a  certain  notice  period.  Argenx  may  terminate  the  agreement  under  specified  circumstances  if  we  or  our  affiliates  or  sublicensees 

challenge its patent rights, subject to a certain cure period. Either party may terminate the agreement for the other party’s uncured 

material breach of the agreement, subject to a certain cure period, or for the other party’s bankruptcy or insolvency. 

Crescendo (ZL-1102)

In May 2018, we entered into an agreement with Crescendo Biologics Ltd. (“Crescendo”), pursuant to which we obtained an exclusive, 

worldwide license to develop, commercialize, and manufacture ZL-1102 for all indications. Pursuant to the terms of the agreement, 

we  are  responsible  for  conducting  all  regulatory  filings,  clinical  studies,  and  commercialization  activities,  with  both  companies 

participating in a Joint Development Committee. 

In October 2020, the Company and Crescendo entered into a supplemental license agreement, under which Crescendo granted to the 

Company a non-exclusive, worldwide license to use the Crescendo VH HLEs in connection with the development, commercialization, 

manufacture, and other exploitation of VH HLE licensed products. 

To  date,  we  have  made  two  upfront  payments  totaling  $4.5  million,  including  a  $2.5  million  payment  in  2020,  and  three  milestone 

payments totaling $6.0 million, including a $2.0 million payment in 2020 and a $4.0 million payment in 2021. We may be required to 

pay an additional aggregate amount of up to $298.1 million in development, regulatory, and sales-based milestones as well as certain 

royalties at tiered percentage rates on annual global sales. 

We have the right to terminate this agreement at any time by providing written notice of termination to Crescendo.

38

BUSINESSEntasis (SUL-DUR)

In April 2018, we entered into a license and collaboration agreement with Entasis, pursuant to which we obtained an exclusive license 

under  certain  patents  and  know-how  of  Entasis  to  develop  and  commercialize  Entasis’s  proprietary  compounds,  durlobactam  with 

sulbactam (the combination, SUL-DUR) with the possibility of developing and commercializing a combination of such compounds with 

imipenem  in  all  human  diagnostic,  prophylactic  and  therapeutic  uses  in  Greater  China,  Korea,  Vietnam,  Thailand,  Cambodia,  Laos, 

Malaysia,  Indonesia,  the  Philippines,  Singapore,  Australia,  New  Zealand,  and  Japan.  Our  rights  to  develop  and  commercialize  the 

licensed products are limited to the lead product (SUL-DUR) until such lead product receives initial FDA approval in the United States. 

Pursuant  to  the  terms  of  the  agreement,  we  are  responsible  for  (i)  developing  and  commercializing  the  licensed  products  in  the 

territory  under  a  mutually  agreed  development  plan;  and  (ii)  providing  Entasis  (or  its  CRO)  with  clinical  and  financial  support  in  the 

territory for the global pivotal Phase III ATTACK clinical trial of SUL-DUR as set forth in mutually agreed development plans. 

To date, we have made an upfront payment of $5.0 million and two development milestone payments totaling $7.0 million. We may 

be required to pay an additional aggregate amount of up to $91.6 million in development and commercial milestones as well as certain 

royalties  at  tiered  percentage  rates  ranging  from  high  single  digits  to  low-teens  on  annual  net  sales  of  the  licensed  products  in  the 

licensed  territory.  We  are  also  responsible  for  a  portion  of  the  costs  of  the  global  pivotal  Phase  III  ATTACK  clinical  trial  of  SUL-DUR 

outside of the licensed territory. 

We  will  purchase  the  licensed  products  exclusively  from  Entasis.  The  agreement  will  expire  on  a  country-by-country  basis  upon  the 

expiration of the royalty term and payment by us of our payment obligations applicable to such country, where the royalty term for a 

licensed product in a country continues until the latest of (i) the tenth (10th) anniversary of the first commercial sale of such licensed 

product  in  such  country,  (ii)  the  expiration  or  abandonment  of  the  last-to-expire  valid  claim  within  certain  Entasis  patents  covering 

such licensed product in such country, and (iii) the expiration of regulatory exclusivity with respect to such licensed product in such 

country. We may terminate the agreement upon written notice to Entasis at any time and for any reason. Either party may terminate 

the agreement if the other party is in material breach after a permitted cure period, or with immediate effect upon the occurrence of 

specified  events  of  insolvency.  Further,  Entasis  can  terminate  the  agreement  if  we  cease  to  commercialize  the  licensed  products  or 

challenge any of the patents we licensed. If we have the right to terminate the agreement due to Entasis’s uncured material breach, 

we  may  elect  to  continue  the  agreement  and  Entasis  would  be  obligated  to  pay  us  a  premium  on  the  amount  of  damages  arising 

from  such  breach.  In  the  event  of  any  termination  of  the  agreement,  we  will  assign  or  grant  a  right  of  reference  to  any  regulatory 

documentation  related  to  the  licensed  products  to  Entasis,  all  rights  and  licenses  to  us  will  terminate  and  we  will  grant  Entasis  a 

license under our technology to make and commercialize licensed products in the territory. 

Karuna (KarXT)

On November 8, 2021, we entered into a license agreement with Karuna, pursuant to which we and Karuna agreed to collaboratively 

develop  KarXT  in  Greater  China.  Under  the  agreement,  we  obtained  from  Karuna  an  exclusive  license  to  develop,  manufacture,  and 

commercialize KarXT in Greater China. 

39

BUSINESSTo date, we have made an upfront payment of $35.0 million in 2021 and two development milestone payments totaling $10.0 million 

in  2022.  We  may  be  required  to  pay  an  additional  aggregate  amount  of  up  to  $142.0  million  in  clinical,  regulatory,  and  sales-based 

milestones as well as certain royalties at tiered percentage rates ranging from low- to high-teens on annual net sales of the licensed 

products in the licensed territory. 

The  agreement  will  terminate  on  a  region-by-region  basis  and  on  a  licensed  product-by-licensed  product  basis  in  the  Licensed 

Territory, upon the later to occur of (i) the date the last-to-expire valid claim in such region expires, (ii) the close of business of the 

day  that  is  exactly  12  years  after  the  date  of  the  first  commercial  sale  in  such  region,  and  (iii)  the  expiration  date  of  any  regulatory 

exclusivity  in  such  region,  or  in  its  entirety  upon  the  expiration  of  all  payment  obligations  under  the  agreement.  We  may  terminate 

the agreement at any time by providing 180 days’ prior notice to Karuna. Either party may terminate the agreement upon a material 

breach by the other party that remains uncured or upon certain bankruptcy events. In addition, Karuna may terminate the agreement 

if we challenge the licensed patent rights.

Blueprint (BLU-945 and BLU-701)

On November 8, 2021, we entered into a license and collaboration agreement with Blueprint, pursuant to which we obtained rights to 

develop and exclusively commercialize BLU-945 and BLU-701 and certain other forms thereof, including backup compounds, for the 

treatment of patients with EGFR-driven NSCLC in Greater China. 

To date, we have made an upfront payment of $25.0 million in 2021. We may be required to pay an additional aggregate amount of up 

to $590.0 million in clinical, regulatory, and sales-based milestones as well as certain royalties at tiered percentage rates ranging from 

the low- to mid-teens on annual net sales of the licensed products in the licensed territory. Blueprint deprioritized BLU-701 in 2022, 

but we continue to collaborate with respect to BLU-945. 

The agreement will terminate on a licensed product-by-licensed product basis and on a region-by-region basis in Greater China, upon 

the  later  to  occur  of  (i)  12th  anniversary  of  the  date  of  the  first  commercial  sale  in  such  region,  (ii)  the  expiration  of  the  last  valid 

claim  within  the  royalty  patent  rights  that  covers  the  licensed  product  in  such  region,  and  (iii)  the  expiration  of  the  last  regulatory 

exclusivity for such licensed product in such country or region, or in its entirety upon the expiration of all payment obligations under 

the  agreement.  We  may  terminate  the  agreement  at  any  time  after  November  8,  2023,  by  providing  12  months’  prior  notice  to 

Blueprint after the first commercial sale or nine months’ prior notice prior to the first commercial sale. Either party may terminate the 

agreement upon a material breach by the other party that remains uncured or upon certain bankruptcy events. In addition, Blueprint 

may terminate the agreement if we challenge the licensed patent rights. 

40

BUSINESSBMS (TPX-0022)

In  January  2021,  we  entered  into  a  license  agreement  with  Turning  Point  (a  company  later  acquired  by  BMS)  pursuant  to  which  we 

received an exclusive license under certain patents and know-how to develop and commercialize products containing Turning Point’s 

product candidate, TPX-0022, as an active ingredient in all human therapeutic indications in Greater China. We may, at our election 

and expense, subject to specified exceptions, participate in future global clinical studies of the licensed products through clinical trial 

sites  in  the  licensed  territory.  In  addition,  we  granted  Turning  Point  a  first  right  to  negotiate  a  license  outside  the  original  licensed 

territory to a potential product candidate from one of our pipeline programs if we file an investigational new product application for 

the product candidate.

To date, we have made an upfront payment of $25.0 million in 2021. We may be required to pay an additional aggregate amount of 

up to $336.0 million in development, regulatory, and sales-based milestone payments as well as certain royalties at tiered percentage 

rates ranging from mid-teen to low twenties on annual net sales of the licensed products in the licensed territory.

We  will  purchase  licensed  products  exclusively  from  Turning  Point.  Unless  terminated  earlier  pursuant  to  its  terms,  the  license 

agreement  will  continue  in  effect  until  expiration  of  the  last  royalty  term  set  forth  in  the  agreement  with  respect  to  any  licensed 

product  in  any  region  in  the  Territory,  where  the  royalty  term  for  a  licensed  product  in  a  region  continues  until  the  latest  of  (i)  the 

expiration  of  the  last-to-expire  valid  claim  within  the  licensed  patent  rights  that  cover  the  licensed  product  in  such  region,  (ii)  the 

expiry  of  the  regulatory  exclusivity  for  the  licensed  product  in  such  region;  or  (iii)  the  close  of  business  of  the  day  that  is  exactly 

ten  (10)  years  after  the  date  of  the  first  commercial  sale  of  the  licensed  product  in  such  region.  In  addition,  we  may  terminate  the 

license  agreement  for  convenience,  subject  to  a  certain  notice  period.  Turning  Point  may  terminate  the  agreement  under  specified 

circumstances  if  we  or  our  affiliates  or  sublicensees  challenge  its  patent  rights,  subject  to  a  certain  cure  period.  Either  party  may 

terminate  the  agreement  for  the  other  party’s  uncured  material  breach  of  the  agreement,  subject  to  a  certain  cure  period,  for  the 

other party’s bankruptcy or insolvency or if the other party or its affiliates mergers with or acquires a third party engaged in activities 

with a competing product, which is not divested or discontinued within a specified period.

Incyte (Retifanlimab)

In July 2019, we entered into a collaboration and license agreement with Incyte, pursuant to which we obtained an exclusive license 

under  certain  patents  and  know-how  of  Incyte  to  develop  and  commercialize  products  containing  retifanlimab  (INCMGA012)  as  an 

active ingredient in the treatment, palliation, diagnosis, or prevention of diseases in the fields of hematology or oncology in humans in 

Greater China. We terminated this license agreement, in accordance with its terms, effective January 11, 2023, but we will support the 

transition of on-going clinical trials, such as the China portion of the Phase 3 global study for NSCLC and the Phase 1 global study for 

endometrial cancer.

41

BUSINESSTakeda Pharmaceutical Company Limited (“Takeda”) (Simurosertib) 

In December 2020, the Company entered into an exclusive license agreement with Takeda. Under the terms of the license agreement, 

Takeda exclusively licensed to the Company the right to research, develop, and commercialize the licensed products in the licensed 

field during the term. To date, the Company has made an upfront payment of $6.0 million to Takeda, which was accrued in 2020 and 

paid in 2021. This program was terminated in 2022.

INTELLECTUAL PROPERTY

Our commercial success depends in part on our ability to obtain and maintain proprietary or intellectual property protection for our 

product  candidates  and  our  core  technologies  and  other  know-how  to  operate  without  infringing,  misappropriating,  or  otherwise 

violating  the  proprietary  rights  of  others  and  to  prevent  others  from  infringing,  misappropriating,  or  otherwise  violating  our 

proprietary or intellectual property rights. We expect that we will seek to protect our proprietary and intellectual property position 

by,  among  other  methods,  licensing  or  filing  our  own  U.S.,  international,  and  foreign  patent  applications  related  to  our  proprietary 

technology,  inventions,  and  improvements  that  are  important  to  the  development  and  implementation  of  our  business.  We  also 

rely  on  trade  secrets,  know-how,  and  continuing  technological  innovation  to  develop  and  maintain  our  proprietary  and  intellectual 

property position, which we generally seek to protect through contractual obligations with third parties. 

Patents

Patents,  patent  applications  and  other  intellectual  property  rights  are  important  in  the  sector  in  which  we  operate.  We  consider 

on  a  case-by-case  basis  filing  patent  applications  with  a  view  to  protecting  certain  innovative  products,  processes,  and  methods  of 

treatment. We may also license or acquire rights to patents, patent applications or other intellectual property rights owned by third 

parties, academic partners or commercial companies which are of interest to us. For the internally developed product candidates, we 

identify  patents  through  both  self-development  effort  and  joint  development  through  collaboration  with  business  partners  such  as 

academic institutions. 

As  with  other  biotechnology  and  pharmaceutical  companies,  our  ability  to  maintain  and  solidify  our  proprietary  and  intellectual 

property  position  for  our  drug  candidates  and  technologies  will  depend  on  our  success  in  obtaining  effective  patent  claims  and 

enforcing those claims if granted. However, our pending patent applications, and any patent applications that we may in the future 

file or license from third parties may not result in the issuance of patents. We also cannot predict the breadth of claims that may be 

allowed or enforced in our patents. Any issued patents that we may receive or license in the future may be challenged, invalidated, or 

circumvented. For example, we cannot be certain of the priority of our patents and patent applications over third-party patents and 

patent applications. In addition, because of the extensive time required for clinical development and regulatory review of a product 

candidate we may develop, it is possible that, before any of our product candidates can be commercialized, any related patent may 

expire or remain in force for only a short period following commercialization, thereby limiting protection such patent would afford the 

respective product and any competitive advantage such patent may provide. For more information regarding the risks related to our 

intellectual property, see Risk Factors – Risks Related to Intellectual Property. 

42

BUSINESSThe term of a patent depends upon the laws of the country in which it is issued. In most jurisdictions that we principally operate in, 

a  patent  term  is  20  years  from  the  earliest  filing  date  of  a  non-provisional  patent  application.  Under  the  current  China  Patent  Law 

(Revised  in  2020),  the  term  of  patent  protection  starts  from  the  date  of  application.  Patents  relating  to  inventions  are  effective  for 

twenty years, and utility models and designs are effective for ten years and fifteen years, respectively, from the date of application. 

However, with regard to the design patent applications filed and the design patents granted prior to the effectiveness of the current 

China Patent Law (Revised in 2020), the term of patent protection is ten years from the date of application. 

The laws of each jurisdiction vary, and patent term adjustment or patent term extension may not be available in any or all jurisdictions 

in which we own or license patents. 

The following describes representative patents and/or pending applications related to our approved products and product candidates. 

ZEJULA

As of December 31, 2022, we exclusively licensed three issued patents in mainland China directed to ZEJULA’s free base compound, 

salts  thereof,  or  analog  of  ZEJULA.  These  issued  patents  are  projected  to  expire  in  2027,  2028,  and  2029,  respectively.  We  also 

exclusively licensed one pending patent application in mainland China directed to methods of treating ovarian cancer. If this patent 

application  issues  as  a  patent,  such  patent  will  be  projected  to  expire  in  2037.  Additionally,  we  have  obtained  patents  in  each  of 

mainland China, the United States, the European Union, Israel, Japan, Korea, and India that cover intermediate synthesis process. We 

own this family of patents/applications. 

Tumor Treating Fields

As of December 31, 2022, we licensed nine issued patents in mainland China and five issued patents in Hong Kong that relate to Tumor 

Treating  Fields.  Additional  patent  applications  that  relate  to  Tumor  Treating  Fields  are  pending,  including  nine  in  mainland  China 

and three in Hong Kong. We are pursuing patent rights to protect our rights in these technologies and have continued our efforts to 

secure patent rights in mainland China for our devices and technologies for applying electric fields to a patient for treating a disease or 

condition, especially diseases that promote tumor growth. 

QINLOCK

As of December 31, 2022, we exclusively licensed one issued patent and two pending patent applications in mainland China as well as 

two issued patents in Hong Kong and one issued patent in Macau directed to dihydronaphthyridines, the API of ripretinib. These issued 

patents  and  pending  patent  applications  are  projected  to  expire  by  2032.  We  also  exclusively  licensed  patent  applications  pending 

in mainland China, Hong Kong, and Taiwan that are directed to the uses/combo uses involving the API, which are projected to expire 

between 2037 and 2040. We do not own or have an exclusive license to any patents or patent applications in any jurisdictions outside 

of Greater China. 

43

BUSINESSOmadacycline

As  of  December  31,  2022,  we  exclusively  licensed  issued  patents  in  mainland  China,  Hong  Kong,  Macau,  and  Taiwan  directed  to 

omadacycline’s crystalline forms. These patents are projected to expire in 2029. We have also exclusively licensed four pending patent 

applications in mainland China, three pending patent applications in Hong Kong and three pending patent applications in Taiwan, that 

relate to different methods of treatment related to omadacycline. We do not own or have an exclusive license to any patents or patent 

applications in any jurisdictions outside of Greater China. 

Margetuximab

As of December 31, 2022, we exclusively licensed one issued patent in mainland China, Macau, and Hong Kong. These patents cover 

antibody  sequences  and  therapeutic  uses  of  margetuximab,  which  are  projected  to  expire  in  2029.  Additional  licensed  patents/

applications include those related to methods, combo uses, or bi-specific binding molecules, which are projected to expire between 

2030 and 2038. 

TIVDAK

As  of  December  31,  2022,  we  exclusively  licensed  a  TIVDAK-related  patent  portfolio  that  includes  patents  or  pending  applications 

related to composition of matter, formulations, and/or their uses. The patents or applications (if issued as patents) are projected to 

expire between 2029 and 2040. We do not own or have an exclusive license to any patents or patent applications in any jurisdictions 

other than Greater China.

Adagrasib

As of December 31, 2022, we exclusively licensed one pending patent application in each of mainland China, Hong Kong, and Taiwan 

that  covers  the  drug  substance  and  is  projected  to  expire  in  2038.  Additional  patents/applications  licensed  from  Mirati  also  include 

those related to combination therapy, method of use, or solid forms, which are projected to expire in 2039 or thereafter. 

Bemarituzumab

As  of  December  31,  2022,  we  exclusively  licensed  one  issued  patent  in  mainland  China  and  three  issued  patents  and  one  pending 

patent application in Hong Kong. These issued patents/application are directed to certain anti-FGFR2 antibodies and are projected to 

expire in 2029. We have also exclusively licensed one issued patent and one pending patent application in mainland China, two issued 

patents in Taiwan, one issued patent in Macau, and one issued patent and two pending patent applications in Hong Kong, which are 

related  to  afucosylated  anti-FGFR2IIIB  antibodies  and  projected  to  expire  in  2034.  Additional  licensed  patents/applications  include 

those related to combo therapy, method of use, or formulations, which are projected to expire between 2036 and 2039. We do not 

own or have an exclusive license to any patents or patent applications in any jurisdictions outside of Greater China. 

44

BUSINESSOdronextamab

As  of  December  31,  2022,  Regeneron  has  three  issued  patents  and  four  pending  patent  applications  in  mainland  China,  two  issued 

patents  and  four  pending  patent  applications  in  Hong  Kong,  two  issued  patents  in  Macau,  and  six  issued  patents  and  one  pending 

patent  application  in  Taiwan.  These  issued  patents  relate  to  CD3/CD20  bispecific  antibody  odronextamab/uses  thereof  and  are 

projected  to  expire  between  2030  and  2035.  Regeneron  also  has  additional  patent  applications  pending  in  Greater  China  including 

those  related  to  combination  therapy  using  CD3/CD20  bispecific  antibody  or  related  to  a  dosing  strategy.  If  issued,  claims  of  these 

patent applications are projected to expire between 2036 and 2039. 

Repotrectinib

As  of  December  31,  2022,  we  exclusively  licensed  three  issued  patents  in  mainland  China,  one  issued  patent  and  three  pending 

patent  applications  in  Hong  Kong,  one  issued  patent  in  Macau,  and  two  issued  patents  in  Taiwan.  These  issued  patents  or  pending 

applications  are  directed  to  repotrectinib  and  are  projected  to  expire  in  2035.  We  have  also  exclusively  licensed  two  issued  patents 

and  two  pending  patent  applications  in  mainland  China,  two  issued  patents  and  one  pending  patent  application  in  Hong  Kong,  two 

issued  patents  in  Macau,  and  one  pending  patent  application  in  Taiwan,  that  relate  to  chiral  diaryl  macrocycles,  diaryl  macrocycles 

polymorph,  the  use  thereof,  and  combination  therapy  involving  diaryl  macrocyclic  compounds.  If  issued,  claims  of  these  patent 

applications  are  projected  to  expire  between  2036  and  2038.  We  do  not  own  or  have  an  exclusive  license  to  any  patents  or  patent 

applications in any jurisdictions outside of Greater China. 

CLN-081

As of December 31, 2022, we exclusively licensed one issued patent in each of mainland China, Hong Kong, Macau, and Taiwan. These 

four  patents  are  composition-of-matter  patents,  which  are  projected  to  expire  in  2034.  We  have  also  exclusively  licensed  patents 

and applications pending in mainland China, Hong Kong, and Taiwan related to inhibition of mutant EGFR. Patents issued from these 

applications  are  projected  to  expire  between  2037  and  2039.  We  do  not  own  or  have  an  exclusive  license  to  any  patents  or  patent 

applications in any jurisdictions other than Greater China. 

BLU-945

As  of  December  31,  2022,  we  exclusively  licensed  a  patent  portfolio  related  to  BLU-945.  The  patents  or  applications  (if  issued 

as  patents)  are  projected  to  expire  in  2040  or  thereafter.  We  do  not  own  or  have  an  exclusive  license  to  any  patents  or  patent 

applications in any jurisdictions other than Greater China. 

ZL-1211

As  of  December  31,  2022,  we  have  filed  applications  in  fourteen  countries,  including  the  United  States,  mainland  China,  Australia, 

Europe,  Canada,  South  Korea,  and  Singapore,  which  are  directed  to  anti-claudin  antibodies  and  uses  thereof.  These  patent 

applications, after maturing into patents, are projected to expire in 2039. We own these patent applications. 

45

BUSINESSEfgartigimod

As of December 31, 2022, we exclusively licensed one issued patent in mainland China, one issued patent in Macau, and one pending 

patent  application  in  each  of  mainland  China  and  Hong  Kong.  These  patent  and  pending  patent  applications  are  directed  to  an 

isolated FcRn antagonist or uses thereof. They are projected to expire in 2034. We have also exclusively licensed four pending patent 

applications  in  mainland  China,  six  pending  patent  applications  in  Hong  Kong,  and  two  pending  patent  application  in  Taiwan.  These 

applications  are  directed  to  uses  of  FcRn  antagonists  or  compositions.  Any  patents  issued  from  these  applications  are  projected  to 

expire between 2036 and 2041. We do not own or have an exclusive license to any patents or patent applications in any jurisdictions 

other than Greater China. 

ZL-1102

As of December 31, 2022, we have exclusively licensed one issued patent in each of the United States, Japan, Macau, and mainland 

China and one pending patent application in each of the United States, Europe, mainland China, Hong Kong, and Japan. These patent 

and patent applications are directed to composition of matter with a patent term projected to expire in 2036. We have also exclusively 

licensed one issued patent in the United States and Japan and one pending application in each of the United States, mainland China, 

Japan, and Europe. These patent/applications are directed to formulations. Any patents issued from these applications are projected 

to expire in 2037. 

Durlobactam

As  of  December  31,  2022,  we  exclusively  licensed  one  issued  patent  in  mainland  China,  one  issued  patent  in  Japan,  and  one 

corresponding  patent  issued  in  each  of  several  additional  jurisdictions  in  the  territory  covered  by  our  agreement  with  Entasis, 

including  Australia,  New  Zealand,  Hong  Kong,  Singapore,  Taiwan,  and  Korea.  These  issued  patents  are  directed  to  certain  beta-

lactamase  inhibitor  compounds  and  are  projected  to  expire  in  2033.  We  have  also  exclusively  licensed  a  second  family  of  patent 

applications with patents issued in mainland China, Hong Kong, Japan, Taiwan, Singapore, and Australia. The patents/applications of 

the second family are projected to expire in 2035. We do not own or have an exclusive license to any patents or patent applications in 

any jurisdictions outside of the licensed territory in the license and collaboration agreement with Entasis. 

KarXT

As of December 31, 2022, we exclusively licensed an issued patent in Hong Kong directed to the use of KarXT, which is projected to 

expire in 2030. Additional licensed patents/applications are related to a composition which are projected to expire in 2039. We do not 

own or have an exclusive license to any patents or patent applications in any jurisdictions other than Greater China. 

ZL-2201

As of December 31, 2022, we have licensed a world-wide patent portfolio related to ZL-2201. The patents or applications (if issued as 

patents) are projected to expire in 2040 or thereafter. 

46

BUSINESSTrade Secrets

In  addition  to  patents,  we  rely  upon  unpatented  trade  secrets  and  know-how  and  continuing  technological  innovation  to  develop 

and  maintain  our  competitive  position.  However,  trade  secrets  and  know-how  can  be  difficult  to  protect.  We  seek  to  protect  our 

proprietary  information,  in  part,  by  executing  confidentiality  agreements  with  our  partners,  collaborators,  scientific  advisors, 

employees, consultants, and other third parties and invention assignment agreements with our consultants and employees. We have 

also  executed  agreements  requiring  assignment  of  inventions  with  selected  scientific  advisors  and  collaborators.  The  confidentiality 

agreements we enter into are designed to protect our proprietary information, and the agreements or clauses requiring assignment of 

inventions to us are designed to grant us ownership of technologies that are developed through our relationship with the respective 

counterparty.  We  cannot  guarantee  that  we  have  entered  into  such  agreements  with  each  party  that  may  have  or  have  had  access 

to  our  trade  secrets  or  proprietary  technology  and  processes  or  that  these  agreements  will  afford  us  adequate  protection  of  our 

intellectual  property  and  proprietary  information  rights.  If  any  of  the  partners,  collaborators,  scientific  advisors,  employees,  and 

consultants who are parties to these agreements breaches or violates the terms of any of these agreements or otherwise discloses our 

proprietary  information,  we  may  not  have  adequate  remedies  for  any  such  breach  or  violation,  and  we  could  lose  our  trade  secrets 

as  a  result.  For  more  information  regarding  the  risks  related  to  our  trade  secrets,  see  Risk  Factors  —  Risks  Related  to  Intellectual 

Property – If we are unable to maintain the confidentiality of our trade secrets, our business and competitive position may be harmed. 

Trademarks and Domain Names

We  conduct  our  business  using  trademarks  with  various  forms  of  the  “ZAI  LAB”  and  “再 鼎 医 药”  brands,  as  well  as  domain  names 

incorporating some or all of these trademarks. 

RESEARCH AND DEVELOPMENT

We  believe  research  and  development  is  important  to  our  future  growth  and  our  ability  to  remain  competitive.  We  are  dedicated  to 

discovering or licensing and developing and commercializing proprietary therapeutics that address areas of significant unmet medical need in 

Greater China and worldwide, including in the fields of oncology, autoimmune disorders, infectious diseases, and neuroscience. 

We have built an integrated product discovery and development platform that aims to bring both in-licensed and internally discovered 

medicines to patients in Greater China and globally. We have assembled an in-house research and development team with over 400 

dedicated  personnel  who  have  extensive  experience  in  discovery,  translational  medicine,  and  late-stage  development.  Our  in-house 

research and development team had previously been directly involved in the discovery and development of several innovative product 

candidates. Our in-house research and development team focuses on the development of innovative therapeutics for the treatment 

of oncology and autoimmune disorders. We believe our discovery efforts will enable us to achieve our long-term goal of generating a 

sustainable, internally discovered product pipeline of new product candidates for patients around the world. This effort has resulted in 

the identification of a number of proprietary candidates against targets in our focus areas that include immuno-oncology, DNA damage 

response/repair and oncogenic signaling that we are moving into pre-clinical development. The Company has a leadership team with 

extensive pharmaceutical research, development, and commercialization track records in both global and Chinese biopharmaceutical 

47

BUSINESScompanies.  We  believe  this  team  and  our  in-house  discovery  and  development  capabilities  will  enable  us  to  achieve  our  long-term 

goal of commercializing our internally discovered innovative medicine for patients worldwide. In addition, we collaborate with external 

research partners, such as leading CROs, academic institutions, and commercial partners. We contract with these parties for execution 

of our pre-clinical and clinical trials. For details, see Business — Suppliers. 

For 2022 and 2021, our research and development expenses were $286.4 million and $573.3 million, respectively. Our expenditures 

incurred on research and development activities include the following: (i) expenses incurred for payments to CROs, investigators, and 

clinical trial sites that conduct our clinical studies; (ii) employee compensation related expenses, including salaries, benefits and equity 

compensation expense; (iii) expenses for licensors; (iv) the cost of acquiring, developing, and manufacturing clinical study materials; 

(v)  facilities,  depreciation,  and  other  expenses,  which  include  office  leases  and  other  overhead  expenses;  (vi)  costs  associated 

with  pre-clinical  activities  and  regulatory  operations;  and  (vii)  expenses  associated  with  the  construction  and  maintenance  of  our 

manufacturing facilities. 

MATERIAL DEVELOPMENTS OF GOVERNMENT REGULATION

Chinese Regulation of Pharmaceutical Product Development and Approval

Marketing Authorization Holder System 

In December 2022, the NMPA issued the Provisions on Supervision and Administration of Marketing Authorization Holders Concerning 

the Implementation of Primary Responsibilities for Drug Quality and Safety. This regulation requires marketing authorization holders 

to  establish  and  improve  the  drug  quality  management  system,  and  assume  primary  responsibility  for  the  safety,  effectiveness,  and 

quality  of  drugs  during  the  total  product  life  cycle.  Marketing  authorization  holders  need  to  build  an  information-based  traceability 

system and establish a sound drug recall system, among other things.

Data Privacy and Data Protection 

The  current  Cybersecurity  Review  Measures,  which  were  released  by  the  Cyberspace  Administration  of  China  (“CAC”)  together  with 

12  other  Chinese  regulatory  authorities  on  January  4,  2022,  came  into  effect  on  February  15,  2022.  Pursuant  to  the  Cybersecurity 

Review Measures, critical information infrastructure operators procuring network products and services and online platform operators 

carrying out data processing activities, which affect or may affect national security, shall conduct a cybersecurity review pursuant to 

the provisions therein. In addition, online platform operators possessing personal information of more than one million users seeking 

to be listed on foreign stock markets must apply for a cybersecurity review. 

Data Privacy and Data Protection (Cross-Border Data Transfer)

On  September  1,  2022,  the  Measures  on  Security  Assessment  of  Cross-Border  Data  Transfer  (the  “Security  Assessment  Measures”) 

issued  by  the  CAC  came  into  effect.  The  Security  Assessment  Measures  set  out  a  security  assessment  framework  for  cross-border 

data transfers out of mainland China as well as ground rules for a security assessment filing for cross-border data transfers which is 

stipulated in the Cyber Security Law and the PIPL.

48

BUSINESSA  security  assessment  will  be  triggered  if  a  cross-border  data  transfer  out  of  mainland  China  is  under  any  of  the  following 

circumstances:  (i)  transfer  of  important  data  by  data  processors;  (ii)  transfer  of  personal  information  by  critical  information 

infrastructure operators and data processors that process personal information of more than one million individuals; (iii) transfer of 

personal  information  by  data  processors  that  have  transferred  either  personal  information  of  over  100,000  individuals  or  sensitive 

personal information of over 10,000 individuals abroad since January 1 of the preceding year; and (iv) other situations as determined 

by the CAC. According to statements by the CAC, a cross-border data transfer includes (i) an outbound transfer and overseas storage 

of  data  collected  and  generated  during  a  data  processor’s  operation  in  mainland  China;  and  (ii)  a  remote  access  or  use  of  data 

collected and generated by a data processor stored within mainland China by overseas institutions, organizations, and individuals. 

Prior  to  applying  for  a  security  assessment  with  the  CAC,  data  processors  are  required  to  carry  out  a  self-risk  assessment,  which 

needs  to  be  presented  to  the  CAC  along  with  an  application  filing  and  other  required  materials  for  a  security  assessment.  During  a 

security assessment, the CAC will primarily focus on risks to national security, public interests, and the legitimate rights and interests 

of individuals or organizations that such cross-border data transfer may cause. A cross-border data transfer of relevant data will not 

be  allowed  if  the  CAC  does  not  approve  the  security  assessment  filing.  Once  the  CAC  approves  the  security  assessment  filing,  such 

approval  will  remain  valid  for  two  years  and  may  be  renewed.  An  application  for  security  assessment  needs  to  be  re-submitted  if 

there is a change in the cross-border data transfer that may affect the security of the exported data, such as changes in the purpose, 

method,  scope,  and  type  of  the  exported  data  and  changes  in  the  purpose  and  method  of  the  processing  of  the  exported  data  by 

overseas recipients.

The  Security  Assessment  Measures  have  retroactive  effect  for  relevant  data  transfers  out  of  mainland  China  conducted  prior  to 

September 1, 2022, and data processors have until February 28, 2023 to undergo mandatory security assessment for such prior data 

transfers. If a data processor fails to complete a security assessment for relevant data transfers out of mainland China conducted prior 

to September 1, 2022, it needs to rectify the failure by February 28, 2023. We continue to assess our obligations under these laws and 

are working with the CAC to ensure our compliance with respect to any mandatory security assessments.

Good Laboratories Practice Certification for Nonclinical Research 

In  January  2023,  the  NMPA  issued  a  revised  version  of  the  Administrative  Measures  for  Certification  of  Good  Laboratory  Practice  of 

Pre-clinical Laboratory, which will come into effect on July 1, 2023. Under the new rule, a GLP certification issued by the NMPA will 

be  valid  for  five  years.  GLP  certified  institutions  shall  submit  a  GLP  annual  report  to  the  provincial  medical  products  administration, 

covering the institution’s basic information, Quality Management System operation status, research progress, etc.

Rest of the World Regulation of Pharmaceutical Product Development and Approval 

For other countries outside of mainland China, such as the United States, countries in Europe, Latin America, or other parts of Asia, 

the  requirements  governing  the  conduct  of  clinical  trials,  drug  licensing,  pricing,  and  reimbursement  vary  from  country  to  country. 

In  all  cases  the  clinical  trials  must  be  conducted  in  accordance  with  applicable  GCP  requirements  and  the  applicable  regulatory 

requirements and ethical principles. 

49

BUSINESSIf we fail to comply with applicable foreign regulatory requirements, we may be subject to, among other things, fines, suspension, or 

withdrawal of regulatory approvals, product recalls, seizure of products, operating restrictions, and criminal prosecution. 

Other Significant Chinese Regulation Affecting Our Business Activities in China 

PRC Anti-Monopoly Law

On  June  24,  2022,  the  SCNPC  published  amendments  to  the  PRC  Anti-Monopoly  Law  (the  “Amended  AML”),  which  came  into  effect 

on August 1, 2022. The Amended AML formally implements China’s latest anti-monopoly policies by, among other things, improving 

regulatory  rules  for  anti-competitive  agreements,  expressly  addressing  monopoly  issues  in  the  platform  economy,  and  substantially 

increasing the penalties for violating the law. 

The improvements of the regulatory rules for anti-competitive agreements made by the Amended AML mainly includes: (i) expressly 

stipulating  that  an  agreement  which  fixes  or  limits  resale  prices,  that  is,  a  vertical  anti-competitive  agreement,  is  not  prohibited 

if  relevant  business  operators  can  prove  that  such  agreement  does  not  have  the  effect  of  eliminating  or  restricting  competition; 

(ii)  formally  provides  the  “safe  harbor”  regime  which  stipulates  that  a  vertical  anti-competitive  agreement  is  not  prohibited,  if  the 

parties’ market share in the relevant market is lower than the market share percentage set by the anti-monopoly enforcement agency 

and  other  conditions  established  by  the  anti-monopoly  enforcement  agency  are  met;  (iii)  codifies  that  business  operators  shall  not 

organize other business operators to reach a monopoly agreement or provide substantial assistance for other business operators to 

reach a monopoly agreement. 

The Amended AML formally extends the anti-monopoly regulatory regime to the platform economy by outlining the general principal 

that  business  operators  shall  not  engage  in  monopolistic  activities,  such  as  by  taking  advantage  of  data  and  algorithms,  technology, 

capital  advantage,  and  platform  rules.  The  Amended  AML  also  specifically  prohibits  business  operators  from  abusing  market 

dominance, such as by using data and algorithms, technology, and platform rules. 

Penalties for violation of the Amended AML have been substantially increased by the Amended AML. For example, according to the 

Amended AML, if a company completes a concentration of business in violation of the Amended AML that will have or is likely to have 

the effect of eliminating or restricting competition, in addition to other remedial measures, a fine of up to 10% of the last year’s sales 

revenue may be imposed. If the concentration of business in violation of the Amended AML completed by the company does not have 

the effect of eliminating or restricting competition, a fine of up to RMB5 million may be imposed. In the case that the aforementioned 

violation has particularly serious circumstances, bad impact, or consequences, the fine imposed may be further increased to between 

two and five times the aforementioned fine amount.

50

BUSINESSRegulations on Securities Offering and Listing Outside of China 

On February 17, 2023, the CSRC, promulgated a new set of regulations that consist of the Trial Administrative Measures for Overseas 

Securities Offering and Listing by Domestic Companies (the “Trial Measures”) and five supporting guidelines, which became effective 

on  March  31,  2023,  to  regulate  overseas  securities  offering  and  listing  activities  by  domestic  companies  either  in  direct  or  indirect 

form. 

The Trial Measures and supporting guidelines apply to overseas offerings by domestic companies of equity shares, depository receipts, 

convertible corporate bonds, or other equity-like securities, and overseas listing of the securities for trading. Both direct and indirect 

overseas  securities  offering  and  listing  by  domestic  companies  would  be  regulated,  of  which  the  former  refers  to  securities  offering 

and listing in an overseas market made by a joint-stock company incorporated domestically, and the latter refers to securities offering 

and  listing  in  an  overseas  market  made  in  the  name  of  an  offshore  entity,  while  based  on  the  underlying  equity,  assets,  earnings  or 

other  similar  rights  of  a  domestic  company  which  operates  its  main  business  domestically.  According  to  the  Trial  Measures,  if  an 

issuer  meets  the  following  conditions,  the  offering  and  listing  shall  be  determined  as  an  indirect  overseas  offering  and  listing  by  a 

domestic  company:  (i)  the  total  assets,  net  assets,  revenues  or  gross  profits  of  the  domestic  company(ies)  of  the  issuer  in  the  most 

recent financial year account for more than 50% of the corresponding figure in the issuer’s audited consolidated financial statements 

over the same period; (ii) the majority of the senior management in charge of business operation and management of the issuer are 

Chinese citizens or habitually reside in mainland China, or its main places of business operation are located in China or main parts of its 

business activities are conducted in China. 

Under the Trial Measures and supporting guidelines, a filing-based regulatory system would be implemented covering both direct and 

indirect overseas offering and listing. For an indirect initial public offering and listing in an overseas market, the issuer shall designate 

a  major  domestic  operating  entity  to  submit  the  filing  documents  to  the  CSRC,  including  but  not  limited  to  the  prospectus  within 

three  working  days  after  such  application  of  overseas  offering  and  listing  is  submitted.  The  CSRC  would,  within  20  working  days  if 

filing documents are complete and in compliance with the stipulated requirements, complete the filing notice, and publish the filing 

information  on  the  CSRC’s  official  website.  While  for  confidential  filings  of  overseas  offering  and  listing  application  documents,  the 

designated  filing  entity  may  apply  for  an  extension  of  the  publication  of  such  filing.  The  issuer  shall  report  to  the  CSRC  within  three 

working days after the overseas offering and listing application documents become public. In addition, subsequent securities offerings 

of an issuer in the same overseas market where it has previously offered and listed securities shall be filed with the CSRC within three 

working days after the offering is completed. 

Meanwhile,  overseas  offering  and  listing  would  be  prohibited  under  certain  circumstances,  including  but  not  limited  to  that  (i)  the 

offering  and  listing  are  expressly  forbidden  by  the  Chinese  laws,  regulations  and  relevant  rules;  (ii)  the  intended  overseas  securities 

offering and listing may endanger national security as reviewed and determined by competent authorities under the State Council in 

accordance with laws or (iii) there are material disputes with regard to the ownership of the equity held by the domestic company’s 

controlling  shareholder  or  by  other  shareholders  that  are  controlled  by  the  controlling  shareholder  and/or  actual  controller.  If  a 

domestic  company  falls  into  the  circumstances  where  overseas  offering  and  listing  is  prohibited  prior  to  the  overseas  offering  and 

listing,  the  domestic  company  shall  postpone  or  terminate  the  intended  overseas  offering  and  listing  and  report  to  the  CSRC  and 

competent authorities under the State Council in a timely manner. 

51

BUSINESSIf  domestic  companies  fail  to  fulfill  the  above-mentioned  filing  procedures  or  offer  and  list  in  an  overseas  market  against  the 

prohibited circumstances, they may be warned and fined up to RMB10 million. The controlling shareholders and actual controllers of 

such domestic companies that organize or instruct the aforementioned violations may be fined up to RMB10 million and directly liable 

persons-in-charge and other directly liable persons may be fined up to RMB5 million. 

Auxiliary Rules for the Regulations on Supervision and Administration of Medical Devices

In February 2021, the State Council published new Regulations on Supervision and Administration of Medical Devices (“Order 739”), 

which became effective in June 2021. This top-level medical device administrative regulation contains a number of important changes, 

the  practical  effects  of  which  will  be  implemented  in  corresponding  auxiliary  regulations  and  rules.  Recently,  a  series  of  regulations 

have been amended accordingly to support the implementation of Order 739 in terms of the production, distribution and clinical trials 

of medical devices.

•  Measures for the Supervision and Administration of the Production of Medical Devices

On  May  1,  2022,  a  revised  version  of  the  Measures  for  the  Supervision  and  Administration  of  the  Production  of  Medical  Devices, 

or  Order  53,  promulgated  by  the  SAMR,  became  effective.  All  medical  device  manufacturing  activities  within  China  should  comply 

with  Order  53.  Order  53  clarifies  the  responsibilities  and  obligations  of  medical  device  registrants/record-filing  applicants  and  their 

entrusted  manufacturers  where  applicable.  Order  53  also  establishes  a  medical  device  reporting  system  with  an  aim  to  improve 

administration of medical device production. The reporting system consists of several types of reports, including annual self-inspection 

report, production product variety report, production conditions change report, re-production report and recall and disposal report. 

The  medical  device  registrants/record-filing  applicants  and/or  the  medical  device  manufacturers  need  to  submit  corresponding 

reports to the local relevant Medical Product Administrations in accordance with Order 53.

•  Measures for the Supervision and Administration of the Distribution of Medical Devices

On May 1, 2022, a revised version of the Measures for the Supervision and Administration of the Distribution of Medical Devices, or 

Order 54, promulgated by SAMR, came into effect. All medical device distribution activities within China should comply with Order 54. 

Under Order 54, explicit regulatory requirements were introduced to distributors of medical devices. For example, Order 54 requires 

medical device distributors to establish a quality management system and adopt quality control measures covering the total process of 

distribution and submit annual self-inspection reports to local relevant medical product administrations.

• 

Good Practices for Medical Device Clinical Trials

On May 1, 2022, a revised version of the Good Practices for Medical Device Clinical Trials, or 2022 Medical Device GCP, jointly released 

by  the  NMPA  and  the  National  Health  Commission,  came  into  effect.  All  medical  device  clinical  trials  that  have  not  passed  ethics 

review by May 1, 2022 must be conducted in compliance with the 2022 Medical Device GCP, if they were conducted for the purpose 

of  applying  for  medical  device  registrations.  The  2022  Medical  Device  GCP  specifies  responsibilities  of  each  party  participating  in  a 

medical device clinical trial, in particular the responsibilities of the sponsor. The 2022 Medical Device GCP no longer requires clinical 

trials of medical devices to be conducted in two or more clinical trial institutions. This will make it easier for medical device companies 

to conduct medical device registration studies.

52

BUSINESSSALES AND MARKETING 

Commercialization 

We  believe  that  the  scale  and  sophistication  of  our  commercial  operation  is  crucial  to  our  business.  We  have  invested,  and  will 

continue to invest, substantial financial and management resources to build-out our commercial infrastructure and to recruit and train 

sufficient additional qualified marketing, sales, and other personnel in support of the sales of our commercialized products. 

As  of  January  31,  2023,  our  commercialization  team  consisted  of  965  sales  and  marketing  staff,  covering  major  medical  centers 

across  Greater  China.  Our  commercialization  team  has  a  proven  track  record  and  experience  from  leading  oncology  multinational 

pharmaceutical  companies 

including  AstraZeneca,  Roche,  Novartis,  and  BMS 

in  Greater  China.  Our  commercial  team  has 

capabilities  that  cover  the  product  sales  cycle,  including  medical  affairs,  market  access,  and  distributor  management.  We  tailor 

our  commercialization  strategies  according  to  our  individual  products  and  their  different  market  potential  to  drive  product  launch. 

For  ZEJULA,  we  plan  to  increase  market  penetration  in  mainland  China,  accelerate  sales  in  the  growing  1L  maintenance  market  in 

part  through  ZEJULA’s  inclusion  on  NRDL  effective  in  January  2022,  which  we  anticipate  will  allow  us  to  make  ZEJULA  available  to 

more  hospitals  and  patients  during  2022.  For  Optune,  we  plan  to  increase  brand  perception  and  adoption  in  mainland  China  and 

provide  more  post-launch  product  support  services  for  patients.  For  NUZYRA,  in  March  2020,  we  entered  an  exclusive  promotion 

agreement  with  Huizheng  (Shanghai)  Pharmaceutical  Technology  Co.,  Ltd.  (“Huizheng”),  a  direct  wholly  owned  subsidiary  of  Hanhui 

Pharmaceutical  Co.,  Ltd.  (“Hanhui”),  one  of  the  leading  pharmaceutical  companies  for  antibiotics  in  mainland  China.  The  agreement 

allows  us  to  use  Hanhui’s  existing  infrastructure  for  the  potential  future  commercial  launch  of  NUZYRA  in  mainland  China.  For 

QINLOCK,  we  plan  to  continuously  enhance  physicians’  education  to  attempt  to  establish  QINLOCK  as  standard  of  care  in  4L  GIST  in 

mainland China.

Our Distribution Channel 

We  rely  on  independent  third-party  distributors  in  Greater  China  to  sell  our  commercialized  products,  which  is  consistent  with  the 

pharmaceutical industry norm. We believe that distributors help us effectively execute our marketing strategies specifically tailored to 

each geographical location and the hospitals located within their distribution territories across mainland China. During 2020, after we 

launched ZEJULA and Optune in mainland China, we started to engage distributors. Our commercial relationship with the distributors 

we use is a seller and buyer relationship. Accordingly, we recognize product revenue when our products are delivered to and accepted 

by  the  distributors.  During  2022  and  2021,  the  aggregate  amount  of  product  revenue  generated  from  our  five  largest  customers 

accounted for approximately 37.7% and 39.9%, respectively. 

We  select  distributors  based  on  their  business  qualifications  and  distribution  capabilities,  such  as  distribution  network  coverage, 

quality,  number  of  personnel,  cash  flow  conditions,  creditworthiness,  logistics,  compliance  standard,  and  past  performance,  and 

their capacity for customer management. We offer rebates to our distributors, consistent with pharmaceutical industry practice. We 

retain no ownership control over the products sold to our distributors, and all significant risks (including inventory risks) and rewards 

associated with the products are generally transferred to the distributors upon delivery to and acceptance by the distributors. 

53

BUSINESSMANUFACTURING AND SUPPLY 

Our Manufacturing Facilities 

We  currently  operate  two  manufacturing  facilities  in  Suzhou,  China,  which  support  the  clinical  and  commercialized  production  of 

certain of our products and development candidates, including ZEJULA. 

Since  2018,  we  have  had  a  large  molecule  facility  in  Suzhou  that  uses  Cytiva  FlexFactory  platform  technology  and  is  capable  of 

supporting  the  clinical  production  of  our  product  candidates.  The  annual  production  capacity  of  our  large  molecule  manufacturing 

capacity is up to 12 to 18 200L or 1,000L clinical batches, respectively. In 2022, we added an additional 1,000L drug substance (“DS”) 

production  line  at  this  facility  from  Cytiva  and  a  self-clean/autoclave  automatic  drug  product  (“DP”)  production  line  from  Tofflon 

Science.  The  annual  production  capacity  of  this  facility  is  up  to  22  of  either  200L  or  1,000L  clinical  DS  batches  and  40  clinical  DP 

batches (up to 10,000 vials), respectively.

Since  2017,  we  have  also  had  a  cGMP-compliant  small  molecule  facility  in  Suzhou  with  capacity  to  produce  up  to  50  million  units 

per  year  for  oral  solid  dosage  form.  In  2021,  we  added  an  early  clinical  manufacturing  workshop  for  oral  solids  at  this  facility  with 

additional  capacity  to  produce  approximately  30,000  units/batch.  We  also  enabled  additional  R&D  capability  for  small  molecule 

Chemistry,  Manufacturing  and  Controls  that  supported  technology  transfer,  process  development,  and  method  validation.  We 

have  successfully  manufactured  supplies  for  multiple  projects  at  this  facility.  For  example,  in  December  2021,  we  updated  our 

Pharmaceutical Manufacturing Permit to cover the manufacturing of internal product ZL-1218 for injection, and in November 2022, we 

successfully passed a ZL-1218 related European Union Qualified Person audit with only 2 minor observations.

Our  two  manufacturing  facilities  feature  an  oral  solid  dosage  and  a  biological  processing/formulation  production  line  designed  to 

comply with both the PRC and PIC/S drug manufacturing standards. The oral solids manufacturing facility is capable of performing the 

entire production process, including blending, granulation (i.e., wet granulation process, fluidized bed process, and roller compaction), 

tableting, coating, and packaging for oral solid drug products. We procure our manufacturing equipment from leading domestic and 

international suppliers. We have acquired manufacturing licenses for both oral solid dosage and biological facilities. We have passed 

an  onsite  inspection  by  the  NMPA  for  ZEJULA.  Additionally,  we  have  obtained  the  Marketing  Authorization  Holder  manufacturing 

license for ZEJULA and NUZYRA. As of January 31, 2023, our manufacturing team consisted of 84 employees.

Although  we  expect  our  two  manufacturing  facilities  to  be  able  to  satisfy  the  commercial  as  well  as  clinical  needs  and  support  the 

growth of our business in the near future, we are investing in the expansion of our large molecule manufacturing facility in anticipation 

of  increased  activities  for  our  internally  developed  pipeline.  In  addition,  we  acquired  land  use  rights  in  Suzhou  that  can  be  used 

to  expand  our  manufacturing  and  research  needs  in  the  future.  We  believe  that  possessing  manufacturing  and  commercialization 

capabilities  presents  benefits,  which  include  maintaining  better  control  over  the  quality  and  compliance  of  our  operations  with 

increasingly stringent industry regulations. 

54

BUSINESSWe  are  or  will  be  dependent  on  third  party  partners  for  the  manufacture  and  supply  of  certain  of  our  products  and  product 

candidates.  For  example,  we  source  Optune  from  NovoCure,  QINLOCK  from  Deciphera,  TIVDAK  from  Seagen,  adagrasib  from  Mirati, 

efgartigimod  from  argenx,  SUL-DUR  from  Entasis,  odronextamab  from  Regeneron,  repotrectinib  from  Turning  Point,  margetuximab 

from MacroGenics, and BLU-945 from Blueprint. We also are or will be dependent on third parties for our supply chain. If any of these 

third parties fail to provide us with sufficient quantities of product or materials, or fail to do so at acceptable quality levels or prices, 

our business could be harmed. 

For more information on risks related to our manufacturing and commercialization activities as well as our reliance on third parties, 

including our third-party partners discussed above and CMOs and suppliers discussed below, see Risk Factors. 

Contract Manufacturing Organizations 

We outsource to a limited number of external CMOs the production of some drug substances and products, and we expect to continue 

to  do  so  to  meet  the  pre-clinical,  clinical,  and  commercial  requirements  of  our  products  and  product  candidates.  For  example,  we 

have  engaged  CMOs  to  locally  manufacture  NUZYRA  and  ZL-1102  in  mainland  China.  By  outsourcing  a  portion  of  our  manufacturing 

activities,  we  can  increase  our  focus  on  core  areas  of  competence  such  as  product  candidate  development,  commercialization,  and 

research.  We  have  adopted  procedures  to  promote  compliance  by  our  CMOs  with  relevant  regulatory  requirements  and  internal 

guidelines  with  respect  to  production  qualifications,  facilities,  and  processes.  When  selecting  our  CMOs,  we  consider  a  number 

of  factors,  including  their  qualifications,  relevant  expertise,  production  capacity,  geographic  proximity,  reputation,  track  record, 

product quality, reliability in meeting delivery schedules, and proposed terms for the production arrangement. The CMOs with which 

we  contract  provide  services  to  us  on  a  short-term  and  project-by-project  basis.  Our  agreements  with  the  CMOs  typically  specify 

requirements, including, but not limited to, product quality or service details, technical standards or methods, delivery terms, agreed 

price and payment, and product inspection and acceptance criteria. The CMOs procure the necessary raw materials themselves. 

Suppliers 

Our suppliers consist primarily of (i) third party licensors from which we obtained license rights in respect of our in-licensed products 

and drug candidates; (ii) selected CROs; and (iii) suppliers of other raw materials for our clinical trial activities. 

We  obtain  raw  materials  for  our  clinical  trial  activities  from  multiple  suppliers  who  we  believe  have  sufficient  capacity  to  meet  our 

demands. In addition, we believe that adequate alternative sources for such supplies exist. However, if there was an interruption to 

supplies,  this  could  harm  our  business,  perhaps  materially.  We  typically  order  raw  materials  and  services  on  a  purchase  order  basis 

and  do  not  enter  into  long-term  dedicated  capacity  or  minimum  supply  arrangements.  While  we  do  experience  price  fluctuations 

associated with our raw materials, we have not experienced any material disruptions in the supply of these raw materials in the past. 

In addition, we have suppliers across the world and do not rely exclusively on the imports from the suppliers in the United States. 

55

BUSINESSCOMPETITION 

Competition  in  the  biopharmaceutical  industry  is  intense.  There  are  many  companies,  including  biotechnology  and  pharmaceutical 

companies, engaged in developing products for the indications our approved products are approved to treat and the therapeutic areas 

we  are  targeting  with  our  research  and  development  activities.  Some  of  our  competitors  may  have  substantially  greater  financial, 

marketing, research and development, and other resources than we do. 

We believe that competition and leadership in the industry is based on managerial and technological excellence and innovation as well 

as establishing patent and other proprietary positions through research and development. The achievement of a leadership position 

also  depends  largely  upon  our  ability  to  maximize  the  approval,  acceptance,  and  use  of  our  product  candidates  and  the  availability 

of adequate financial resources to fund facilities, equipment, personnel, clinical testing, manufacturing, and marketing. Another key 

aspect of remaining competitive in the industry is recruiting and retaining leading scientists and technicians to conduct our research 

activities and advance our development programs, including with the commercial expertise to effectively market our products. 

Competition among products approved for sale may be based, among other things, on patent position, product efficacy, safety, patient 

convenience,  delivery  devices,  reliability,  availability,  reimbursement,  and  price.  In  addition,  early  entry  of  a  new  pharmaceutical 

product  into  the  market  may  have  important  advantages  in  gaining  product  acceptance  and  market  share.  Accordingly,  the  relative 

speed with which we can develop products, complete the testing and approval process and supply commercial quantities of products 

will have a significant impact on our competitive position. 

The introduction of new products or technologies, including the development of new processes or technologies by competitors or new 

information about existing products or technologies, results in increased competition for our marketed products and pricing pressure 

on our marketed products. The development of new or improved treatment options or standards of care or cures for the diseases our 

products treat reduces and could eliminate the use of our products or may limit the utility and application of ongoing clinical trials for 

our product candidates. 

We also face increased competitive pressures from the introduction of generic versions, prodrugs and biosimilars of existing products 

and  products  approved  under  abbreviated  regulatory  pathways.  Such  products  are  likely  to  be  sold  at  substantially  lower  prices 

than branded products, which may significantly reduce both the price that we are able to charge for our products and the volume of 

products we sell. In addition, in some markets, when a generic or biosimilar version of one of our products is commercialized, it may 

be automatically substituted for our product and significantly reduce our revenues in a short period of time. 

We  believe  our  long-term  competitive  position  depends  upon  our  success  in  discovering  and  developing  innovative,  cost-effective 

products that serve unmet medical needs, along with our ability to manufacture products efficiently and to launch and market them 

effectively in a highly competitive environment. 

Additional information about the competition that our marketed products face is set forth below in Risk Factors.

56

BUSINESSINSURANCE 

We  maintain  insurance  policies  that  are  required  under  Chinese  laws  and  regulations  as  well  as  based  on  our  assessment  of  our 

operational  needs  and  industry  practice.  We  maintain  liability  insurance  for  certain  clinical  trials,  which  covers  the  patient  human 

clinical  trial  liabilities  such  as  bodily  injury,  product  liability  insurance,  general  insurance  policies  covering  property  loss  due  to 

accidents  or  natural  disasters,  and  director  and  officer  insurance.  We  do  not  maintain  insurance  to  cover  intellectual  property 

infringement or misappropriation. 

QUALITY CONTROL AND ASSURANCE

We  have  our  own  independent  quality  control  system  and  devote  significant  attention  to  quality  control  for  the  designing, 

manufacturing,  and  testing  of  our  drug  candidates.  We  have  established  a  strict  quality  control  system  in  accordance  with  NMPA 

regulations.  We  monitor  our  operations  in  real  time  throughout  the  entire  production  process,  from  inspection  of  raw  and  auxiliary 

materials  to  manufacture  and  delivery  of  finished  products  to  clinical  testing  at  hospitals.  Our  quality  assurance  team  is  also 

responsible for our compliance with applicable regulations, standards, and internal policies. Our senior management team is actively 

involved in setting quality policies and managing the internal and external quality performance of the Company. 

RISK MANAGEMENT 

We are committed to acting ethically, which includes identifying and responsibly managing risk. As a result, we have adopted a consolidated 

risk  management  methodology  and  program,  which  includes  a  three  lines  of  defense  risk  management  framework  to  identify,  assess, 

evaluate, and monitor key risks associated with our strategic objectives on an on-going basis, and a risk governance structure that includes 

oversight by the Audit Committee of the Board of Directors. The risk governance structure also includes a Risk Coordination Council that is 

comprised of leaders of governance and quality functions along with operational line leaders and serves as a forum to discuss and monitor 

risks across the organization. We conduct an annual enterprise risk assessment to identify our top tier risks and, based on that assessment, 

will complete enterprise risk management plans to manage those risks. Management discusses with the Audit Committee the results of its 

annual enterprise risk assessments as well as its enterprise risk management policies and guidelines. 

The following provides additional information on our three lines of defense and risk governance structure: 

• 

First Line of Defense: Our business functions are primarily responsible for implementing our risk management program in their 

areas. This includes identifying, measuring, monitoring, controlling, and reporting risk in adherence to our risk policies, controls, 

and guidelines established by management and the Board of Directors or Audit Committee.

• 

Second  Line  of  Defense:  Our  Legal  and  Ethics  and  Compliance  functions  oversee  implementation  of  our  enterprise  risk 

management  program.  For  example,  our  Chief  Legal  Officer,  supported  by  our  Chief  Compliance  Officer,  is  responsible  for: 

developing and updating our enterprise risk management program and targets; reviewing and approving major risk management 

issues; promulgating and supervising implementation of risk management measures; providing guidance and support on our risk 

management approach to the relevant departments in the Company; and reporting to management, the Board of Directors, and 

the Audit Committee, as deemed appropriate. 

57

BUSINESS• 

• 

• 

• 

Third Line of Defense: Our Internal Audit Division is responsible for evaluating the design, adequacy, operational effectiveness, 
and efficiency of our governance, risk management, and control processes.

Risk  Coordination  Council:  The  Risk  Coordination  Council,  which  is  co-chaired  by  the  Chief  Compliance  Officer  and  another 
rotating  member  and  is  comprised  of  governance  function  leaders  as  well  as  business  operations  leaders,  provides  a  forum 

to  discuss  and  identify,  monitor,  and  manage  risks  across  the  organization.  Potential  risks  identified  through  this  forum  are 

escalated and managed both at the functional line level and through the Chief Compliance Officer directly to executive leadership 

and/or the Audit Committee, as deemed appropriate.

Audit Committee: The Audit Committee is responsible for assisting the Board of Directors in its oversight of the Company’s risk 
management  and  internal  controls;  the  integrity  of  our  financial  statements;  compliance  with  applicable  legal  and  regulatory 

requirements;  the  qualifications,  independence,  and  performance  of  our  auditors;  and  our  internal  audit  and  compliance 

functions.

Board of Directors: The Board of Directors is responsible for establishing our enterprise risk management and internal control system 
and reviewing its effectiveness. For more information on the Board of Director’s oversight of risk management, including through its 

committees, see Corporate Governance — Board Leadership Structure and Role in Risk Oversight.

Investment Risk Management 

To help meet our liquidity needs without significantly increasing our risk, we have an investment policy, which was approved by the 

Audit Committee and provides guidelines and specific instructions for the investment of our funds. Our investment strategy aims to 

minimize risks by reasonably and conservatively matching the maturities of the portfolio to anticipated operating cash needs. We make 

our  investment  decisions  on  a  case-by-case  basis  after  considering  a  number  of  factors,  including,  but  not  limited  to,  our  cash  flow 

levels, operational needs, and capital expenditures; the macro-economic environment; general market conditions; and the expected 

profit or potential loss of the investment. In accordance with our investment policy, we may engage in short-term investments with 

surplus  cash  on  hand.  Our  investment  portfolio  primarily  consists  of  time  deposits.  We  are  prohibited  from  investing  in  high-risk 

products, and proposed investments must not interfere with our business operations or capital expenditures. 

Available Information

We file reports and other information with the U.S. Securities and Exchange Commission (“SEC”) and The Stock Exchange of Hong Kong 

Limited (“Hong Kong Stock Exchange”). We make available on our website our annual reports on Form 10-K (and previously on Form 20-

F), our quarterly reports on Form 10-Q, and our current reports on Form 8-K (and previously on Form 6-K), and all other SEC reports and 

amendments to those reports. We also make our ESG Report available on the website of the Hong Kong Stock Exchange and our website. 

Additionally,  we  make  available  on  our  website  our  securities  filings  with  the  Hong  Kong  Stock  Exchange.  We  make  this  information 

available on our website free of charge as soon as reasonably practicable after we electronically file the information with, or furnish it to, 

the SEC and the Hong Kong Stock Exchange. 

We  use  our  website  as  a  means  of  disclosing  material  non-public  information  —  including  information  on  our  products;  business 

activities  and  partnerships;  research;  ESG  strategy,  commitments,  and  reports;  and  other  events  and  developments.  Our  website 

address  is  www.zailaboratory.com.  We  do  not  incorporate  the  information  on  or  accessible  through  our  website  into  this  annual 

report, and you should not consider any information on, or that can be accessed through, our website as part of this annual report. 

58

BUSINESSThe following section includes the most significant factors that we believe may adversely affect our business and operations. You should 

carefully consider these risks and other information contained in this annual report and our other filings with the SEC before deciding 

to  invest  in  our  ADSs  or  ordinary  shares.  The  risks  described  below  are  not  the  only  ones  we  face.  For  example,  additional  risks  and 

uncertainties  not  presently  known  to  us  or  that  we  currently  believe  to  be  immaterial  could  also  adversely  affect  our  business  and 

operations.

RISKS RELATED TO DOING BUSINESS IN CHINA

The uncertainties in the Chinese legal system could materially and adversely affect us. 

In 1979, the Chinese government began to promulgate a comprehensive system of laws and regulations governing economic matters 

in general. The overall effect of legislation over the past four decades has significantly enhanced the protections afforded to various 

forms  of  foreign  investments  in  mainland  China.  However,  mainland  China  has  not  developed  a  fully  integrated  legal  system,  and 

recently  enacted  laws  and  regulations  may  not  sufficiently  cover  all  aspects  of  economic  activities  in  mainland  China.  In  particular, 

the Chinese legal system is based on written statutes and prior court decisions have limited value as precedents. Since these laws and 

regulations are relatively new and the Chinese legal system continues to rapidly evolve, the interpretations of many laws, regulations 

and rules may not be uniform and enforcement of these laws, regulations and rules involves uncertainties. These uncertainties may 

affect our judgment on the relevance of legal requirements and our ability to enforce our contractual rights or tort claims. In addition, 

the regulatory uncertainties may be exploited through unmerited or frivolous legal actions or threats in attempts to extract payments 

or benefits from us. Furthermore, the Chinese legal system is based in part on government policies and internal rules, some of which 

are not published on a timely basis or at all and may have a retroactive effect. As a result, we may not be aware of our violation of any 

of these policies and rules until sometime after the violation. In addition, any administrative and court proceedings in mainland China 

may be protracted, resulting in substantial costs and diversion of resources and management attention. 

In  July  2021,  the  General  Office  of  the  Communist  Party  of  China  Central  Committee  and  the  General  Office  of  the  State  Council 

jointly issued a document to enhance its enforcement against illegal activities in the securities markets and promote the high-quality 

development  of  capital  markets,  which,  among  other  things,  requires  the  relevant  governmental  authorities  to  strengthen 

cross-border oversight of law-enforcement and judicial cooperation, to enhance supervision over Chinese companies listed overseas, 

and to establish and improve the system of extraterritorial application of the Chinese securities laws. Since this document is relatively 

new, uncertainties exist in relation to how soon legislative or administrative regulation-making bodies will respond and what existing 

or new laws or regulations or detailed implementations and interpretations will be modified or promulgated, if any, and the potential 

impact such modified or new laws and regulations will have on companies like us. It is especially difficult for us to accurately predict 

the  potential  impact  on  the  Company  of  new  legal  requirements  in  mainland  China  because  the  Chinese  legal  system  is  a  civil  law 

system based on written statutes. Unlike the common law system, prior court decisions under the civil law system may be cited for 

reference but have limited precedential value.

59

RISK FACTORSChanges in United States and China relations, as well as relations with other countries, and/or regulations may 

adversely  impact  our  business,  our  operating  results,  our  ability  to  raise  capital  and  the  market  price  of  our 

ordinary shares and/or our ADSs.

The  U.S.  government,  including  the  SEC,  has  made  statements  and  taken  certain  actions  that  led  to  changes  to  United  States  and 

international relations, and will impact companies with connections to the United States or mainland China, including imposing several 

rounds  of  tariffs  affecting  certain  products  manufactured  in  mainland  China,  imposing  certain  sanctions  and  restrictions  in  relation 

to  mainland  China  and  issuing  statements  indicating  enhanced  review  of  companies  with  significant  China-based  operations.  It  is 

unknown whether and to what extent new legislation, executive orders, tariffs, laws or regulations will be adopted, or the effect that 

any  such  actions  would  have  on  companies  with  significant  connections  to  the  United  States  or  to  China,  our  industry  or  on  us.  We 

conduct pre-clinical and clinical activities and have business operations both in the United States and mainland China. Any unfavorable 

government policies on cross-border relations and/or international trade, including increased scrutiny on companies with significant 

China-based operations, capital controls or tariffs, may affect the competitive position of our drug products, the hiring of scientists and 

other research and development personnel, the demand for our drug products, the import or export of raw materials in relation to 

drug development, our ability to raise capital, the market price of our ordinary shares and/or our ADSs or prevent us from selling our 

drug products in certain countries. 

If  any  new  legislation,  executive  orders,  tariffs,  laws  and/or  regulations  are  implemented,  if  existing  trade  agreements  are 

renegotiated,  if  the  U.S.  or  Chinese  government  take  retaliatory  actions  due  to  the  recent  U.S.-China  tension  or  if  the  Chinese 

government exerts more oversight and control over securities offering that is conducted in the United States, such changes could have 

an adverse effect on our business, financial condition and results of operations, our ability to raise capital and the market price of our 

ordinary shares and/or our ADSs.

The  Chinese  government  may  intervene  in  or  influence  our  operations  at  any  time,  which  could  result  in  a 

material  change  in  our  operations  and  significantly  and  adversely  impact  the  value  of  our  ADSs  or  ordinary 

shares, including potentially making those ADSs or ordinary shares worthless.

The  Chinese  government  has  significant  oversight  and  discretion  over  the  conduct  of  our  business  and  may  intervene  or  influence 

our operations as the government deems appropriate to further regulatory, political and societal goals. The Chinese government has 

recently  published  new  policies  that  significantly  affected  certain  industries  such  as  the  education  and  internet  industries,  and  we 

cannot  rule  out  the  possibility  that  it  will  in  the  future  release  regulations  or  policies  regarding  the  life  sciences  industry  that  could 

require us to seek permission from Chinese authorities to continue to operate our business, which may adversely affect our business, 

financial  condition,  and  results  of  operations.  Furthermore,  recent  statements  made  by  the  Chinese  government  have  indicated  an 

intent to increase the government’s oversight and control over offerings of companies with significant operations in mainland China 

that are to be conducted in foreign markets, as well as foreign investment in China-based issuers like us. Any such action, if taken by 

the Chinese government, could significantly limit or completely hinder our ability to offer or continue to offer ADSs or ordinary shares 

to our investors and could cause the value of our ADSs or ordinary shares to significantly decline or become worthless. 

60

RISK FACTORSBecause the majority of our operations are in mainland China and our auditor for prior fiscal years was located 

in  mainland  China,  there  have  been  concerns  regarding  oversight  of  the  audits  of  our  financial  statements 

filed  with  the  SEC.  Further,  as  a  result  of  the  enactment  of  the  Holding  Foreign  Companies  Accountable  Act, 

as  amended  (the  “HFCAA”),  which  requires  the  SEC  to  prohibit  trading  on  a  national  securities  exchange  or 

over-the-counter market in the United States of securities for a company that has been conclusively identified 

by  the  SEC  as  a  Commission-Identified  Issuer  for  two  consecutive  years,  there  have  been  concerns  regarding 

the continued listing of our securities on Nasdaq. Although in May 2022 the Company engaged KPMG LLP, an 

auditor  located  in  the  United  States  and  subject  to  inspection  by  the  PCAOB,  as  our  independent  registered 

public  accounting  firm  and  in  December  2022  the  PCAOB  vacated  its  determination  that  it  was  unable  to 

inspect and investigate PCAOB-registered public accounting firms in mainland China, if for any reason we were 

to  fail  to  meet  the  audit  requirements  of  the  HFCAA  for  two  consecutive  years,  we  may  be  prohibited  from 

listing  our  securities  on  a  national  securities  exchange,  including  Nasdaq,  or  on  over-the-counter  markets  in 

the United States, which could adversely affect the market price of our ordinary shares and/or ADSs and our 

ability to raise capital.

In recent years, the U.S. Congress and regulatory authorities have expressed concerns about challenges in their oversight of financial 

statement audits of U.S.-listed companies with significant operations in mainland China and with auditors located in mainland China. 

For  example,  PCAOB  inspections  of  auditors  located  in  mainland  China  and  Hong  Kong  have  at  times  identified  deficiencies  in  those 

auditors’  audit  procedures  and  quality  control  procedures,  and  limitations  on  the  ability  of  the  PCAOB  to  inspect  or  investigate 

auditors in mainland China or Hong Kong could deprive investors of the benefits of PCAOB inspections, which could adversely affect 

the ability of companies using such auditors to access U.S. capital markets.

As  part  of  the  continued  focus  on  access  to  audit  and  other  information  for  companies  with  substantial  operations  in  China,  in 

December  2020,  the  United  States  enacted  the  HFCAA,  which  requires  the  SEC  to  identify  issuers  that  have  filed  an  annual  report 

with  an  audit  report  issued  by  a  registered  public  accounting  firm  that  is  located  in  a  foreign  jurisdiction  and  that  the  PCAOB  has 

determined it is unable to inspect or investigate completely because of a restriction imposed by a non-U.S. authority in the auditor’s 

local  jurisdiction  (a  “Commission-Identified  Issuer”).  Under  the  HFCAA,  as  amended  in  December  2022,  if  the  SEC  conclusively 

identifies  an  issuer  as  a  Commission-Identified  Issuer  for  two  consecutive  years,  the  SEC  is  required  to  prohibit  the  trading  of  the 

issuer’s securities on a national securities exchange or through any other method that is within the jurisdiction of the SEC to regulate, 

including over-the-counter markets in the United States.

In  2021,  the  PCAOB  issued  a  Determination  Report,  which  found  that  the  PCAOB  was  unable  to  inspect  or  investigate  completely 

registered public accounting firms headquartered in mainland China and Hong Kong because of positions taken by Chinese authorities 

in those jurisdictions, and in March 2022, SEC staff conclusively identified the Company as a Commission-Identified Issuer because our 

predecessor auditor, which filed an audit report with our annual report for the fiscal year ended December 31, 2021, was located in 

mainland China.

61

RISK FACTORSIn  May  2022,  the  Company  engaged  KPMG  LLP,  an  auditor  located  in  the  United  States  that  is  inspected  by  the  PCAOB,  as  our 

independent registered public accounting firm for the fiscal year ended December 31, 2022. In addition, in December 2022, the PCAOB 

vacated its determination that it was unable to inspect and investigate PCAOB-registered public accounting firms in mainland China. 

As  a  result,  until  such  time  as  the  PCAOB  issues  a  new  determination,  the  SEC  has  determined  that  there  are  no  issuers  currently 

at  risk  of  having  their  securities  subject  to  a  trading  prohibition  under  the  HFCAA.  Although  we  are  not  currently  at  risk  of  delisting 

pursuant to the HFCAA, if the PCAOB were to issue a new determination regarding limitations on its ability to inspect or investigate 

our independent auditor and we were to fail to meet the audit requirements of the HFCAA for two consecutive years, our securities 

may  be  prohibited  from  trading  on  a  national  securities  exchange  or  over-the-counter  market  in  the  United  States,  and  this  could 

result in our ADSs being delisted from Nasdaq. Delisting of our ADSs would force holders of our ADSs to sell their ADSs or convert them 

into our ordinary shares. The foregoing could adversely affect the market price of our ordinary shares and/or ADSs and our ability to 

raise capital. The market price of our ordinary shares and/or ADSs also could be adversely affected as a result of anticipated negative 

impacts  of  such  legislative  or  executive  actions  upon,  as  well  as  negative  investor  sentiment  toward,  companies  with  significant 

operations in mainland China and Hong Kong that are listed in the United States, regardless of whether such actions are implemented 

and regardless of our actual operating performance.

We  may  be  subject  to  additional  approval,  filing,  and  compliance  obligations  with  Chinese  authorities  in 

connection with our engagement of KPMG LLP, a U.S. auditor that is subject to PCAOB inspection.

In  February  2023,  the  CSRC  released  the  Provisions  on  Strengthening  Confidentiality  and  Archives  Administration  of  Overseas 

Securities  Offering  and  Listing  by  Domestic  Companies  (the  “Archives  Rules”),  which  will  become  effective  on  March  31,  2023. 

According  to  the  Archives  Rules,  we  may  be  required  to  complete  certain  approval,  filing,  and  regulatory  procedures  if  it  becomes 

necessary  for  us  to  disclose  or  provide  to  KPMG  LLP,  our  U.S.  auditor  that  is  subject  to  inspection  by  the  PCAOB,  any  documents 

or  materials  relevant  to  KPMG  LLP’s  audit  that  are  deemed  to  have  a  sensitive  impact  (i.e.,  be  detrimental  to  national  security  or 

the  public  interest  if  divulged)  or  contain  state  secrets  or  governmental  authority  work  secrets.  Under  those  circumstances,  KPMG 

LLP  would  also  be  required  to  abide  by  corresponding  approval,  filing,  and  compliance  procedures.  Due  to  the  lack  of  further 

interpretation, we are not certain about the scope of materials that would be deemed to have a sensitive impact or contain state or 

governmental authority work secrets.

Compliance with China’s Data Security Law, Cyber Security Law, Cybersecurity Review Measures, the PIPL, the 

Regulation on the Administration of Human Genetic Resources, the Biosecurity Law, and any other future laws 

and regulations may entail significant expenses and could materially affect our business. Our failure to comply 

with such laws and regulations could lead to government enforcement actions and significant penalties against 

us, materially and adversely impacting our operating results.

China  has  implemented  extensive  data  protection,  privacy,  and  information  security  rules  and  is  considering  a  number  of  additional 

proposals  relating  to  these  subject  areas.  Based  on  our  understanding  of  these  laws,  regulations,  and  policies  —  some  of  which 

were  only  recently  enacted  —  and  the  government  regulators’  interpretation  of  those  legal  requirements  as  applied  to  life 

sciences  companies  like  us,  we  believe  we  are  compliant  with  all  of  our  material  legal  obligations.  Nevertheless,  we  face  significant 

uncertainties and risks which, as explained below, may materially and adversely affect our operations. 

62

RISK FACTORSWe maintain personally identifiable information of persons located within mainland China and at times transfer some of this personal 

information  outside  of  China  for  legitimate  business  reasons.  We  also  collect  and  maintain  de-identified  or  anonymized  health  data 

for clinical trials in compliance with local regulations, and we transfer outside of mainland China de-identified or anonymized health 

data for clinical trials. This data could be deemed by government regulators to be “personal information” or “important data.” With 

mainland China’s growing emphasis on its sovereignty over personal information of persons within mainland China and data derived 

from  mainland  China,  the  outbound  transmission  of  personal  information  or  de-identified  or  anonymized  health  data  for  clinical 

trials may be subject to the new national security legal regime, including the Cyber Security Law, the Data Security Law, the PIPL, the 

Regulation on the Administration of Human Genetic Resource, and various implementing regulations and standards. 

The  Cyber  Security  Law,  which  became  effective  in  2017,  requires  companies  to  take  certain  organizational,  technical,  and 

administrative measures and other necessary measures to ensure the security of their networks and data stored on their networks. 

Specifically,  the  Cyber  Security  Law  provides  that  companies  adopt  a  multi-level  protection  scheme  (“MLPS”),  under  which  network 

operators  are  required  to  perform  obligations  of  security  protection  to  ensure  that  their  networks  are  free  from  interference, 

disruption, or unauthorized access, and prevent network data on their networks from being disclosed, stolen, or tampered. Under the 

MLPS, entities’ operating information systems must have a thorough assessment of the risks and the conditions of their information 

and  network  systems  to  determine  the  level  to  which  their  information  and  network  systems  belong  —  from  the  lowest  Level  1  to 

the highest Level 5 pursuant to a series of national standards on the grading and implementation of the classified protection of cyber 

security. The grading result will determine the set of security protection obligations that entities must comply with. Entities classified 

as Level 2 or above should report the grade to the relevant government authority for examination and approval. 

Under the Cyber Security Law and Data Security Law, we are required to establish and maintain a comprehensive data and network 

security  management  system  that  will  enable  us  to  monitor  and  respond  appropriately  to  data  security  and  network  security  risks. 

We will need to classify and take appropriate measures to address risks created by our data processing activities and use of networks. 

We are obligated to notify affected individuals and appropriate Chinese regulators of, and respond to, any data security and network 

security incidents. 

Furthermore, under the Cyber Security Law and Data Security Law, data categorized as “core data” and “important data,” the latter of 

which will be determined by governmental authorities in the form of catalogs which have not yet been published, is to be processed and 

handled with a higher level of protection, but what data constitutes core data or important data is currently not clearly defined except 

for certain industry sections. Therefore, to comply with the statutory requirements, we will need to determine whether we possess core 

data or important data, monitor the important data catalogs that are expected to be published by local governments and departments, 

perform  risk  assessments,  and  comply  with  reporting  obligations  to  applicable  regulators.  We  may  also  be  required  to  disclose  to 

regulators business-sensitive or network security-sensitive details regarding our processing of core data or important data.

Establishing and maintaining such systems and complying with such requirements takes substantial time, effort, and cost, and we may 

not be able to establish and maintain such systems or comply with such requirements as fully as needed for compliance with our legal 

obligations. Despite our investment, such systems and compliance efforts may not adequately protect us or enable us to appropriately 

respond to or mitigate all data compliance risks or data security and network security risks or incidents we face. 

63

RISK FACTORSThe Data Security Law and the PIPL prohibit entities in mainland China from transferring data (including personal information) stored 

in mainland China to foreign law enforcement agencies or judicial authorities without prior approval by the Chinese government. We 

may need to pass a government security review or obtain government approval in order to share data (including personal information) 

stored  in  mainland  China  with  judicial  and  law  enforcement  authorities  outside  of  mainland  China.  Therefore,  if  judicial  and  law 

enforcement authorities outside mainland China require us to provide data stored in mainland China, and we are not able to pass any 

required government security review or obtain any required government approval to do so, we may not be able to meet the foreign 

authorities’ requirements. The potential conflicts in legal obligations could have adverse impacts on our operations in and outside of 

mainland China. 

Recently,  the  CAC  has  taken  action  against  several  Chinese  internet  companies  listed  on  U.S.  securities  exchanges  for  alleged 

national  security  risks  and  improper  collection  and  use  of  the  personal  information  of  Chinese  data  subjects.  According  to  the  official 

announcement,  the  action  was  initiated  based  on  the  National  Security  Law,  the  Cyber  Security  Law,  and  the  Cybersecurity  Review 

Measures, which are aimed at “preventing national data security risks, maintaining national security and safeguarding public interests.” 

Pursuant  to  the  current  Cybersecurity  Review  Measures,  which  came  into  effect  on  February  15,  2022,  critical  information 

infrastructure  operators  procuring  network  products  and  services  and  online  platform  operators  carrying  out  data  processing 

activities,  which  affect  or  may  affect  national  security,  are  required  to  conduct  a  cybersecurity  review  pursuant  to  the  provisions 

therein. In addition, online platform operators possessing personal information of more than one million users seeking to be listed on 

foreign stock markets must apply for a cybersecurity review. 

The  Regulations  on  Network  Data  Security  Management  (Draft  for  Comment)  (the  “Draft  Management  Regulations”),  which  was 

published by the CAC in November 2021, proposed that data processors – defined as individuals and organizations who determine the 

data processing activities in terms of the purpose and methods at their discretion – are subject to cybersecurity review if either they 

process  personal  information  of  more  than  one  million  individuals  and  aim  to  list  on  foreign  stock  markets,  or  their  data  processing 

activities  influence  or  may  influence  national  security.  The  Draft  Management  Regulations  also  propose  requiring  data  processors 

seeking to list on foreign stock markets to annually assess their data security themselves or through data security service organizations 

and  submit  the  assessment  reports  to  relevant  competent  authorities.  As  the  Draft  Management  Regulations  was  released  only  for 

public comment, the final version and the effective date thereof may be subject to change with substantial uncertainty. 

We  have  not  received  any  notice  from  any  Chinese  regulatory  authority  identifying  us  as  a  “critical  information  infrastructure 

operator”  or  “online  platform  operator”  or  requiring  us  to  go  through  cybersecurity  review  procedures  by  the  CAC  pursuant  to  the 

Cybersecurity  Review  Measures.  Based  on  our  understanding  of  the  Cybersecurity  Review  Measures,  and  the  Draft  Management 

Regulations if enacted as currently proposed, we do not expect ourselves to become subject to cybersecurity review by the CAC for 

issuing securities to foreign investors because: (i) the clinical and preclinical data we handle in our business operations, either by its 

nature or in scale, do not normally trigger significant concerns over mainland China’s national security; and (ii) we have not processed, 

and  do  not  anticipate  to  process  in  the  foreseeable  future,  personal  information  of  more  than  one  million  users  or  individuals. 

However,  there  remains  uncertainty  as  to  how  the  Cybersecurity  Review  Measures,  and  the  Draft  Management  Regulations  if 

enacted as currently proposed, will be interpreted or implemented and whether Chinese regulatory authorities may adopt new laws, 

regulations, rules, or detailed implementation and interpretation in relation, or in addition, to the Cybersecurity Review Measures and 

64

RISK FACTORSthe proposed Draft Management Regulations. While we intend to closely monitor the evolving laws and regulations in this area and 

take all reasonable measures to mitigate compliance risks, we cannot guarantee that our business and operations will not be adversely 

affected by the potential impact of the Cybersecurity Review Measures, the Draft Management Regulations if enacted, or other laws 

and regulations related to privacy, data protection, and information security. 

It  is  also  unclear  at  the  present  time  how  widespread  the  cybersecurity  review  requirement  and  the  enforcement  action  will  be 

and what effect they will have on the life sciences sector generally and the Company in particular. Mainland China’s regulators may 

impose  penalties  for  non-compliance  ranging  from  fines  to  suspension  of  operations,  and  this  could  lead  to  us  delisting  from  the 

U.S. stock market. Currently, we have not been involved in any investigations on cybersecurity review initiated by the CAC or related 

governmental regulatory authorities, and we have not received any inquiry, notice, warning, or sanction in such respect.

China  continues  to  strengthen  its  regulation  of  cross-border  transfers  out  of  mainland  China  of  data,  including  important  data  and 

personal information. 

The  Cyber  Security  Law,  which  has  been  in  effect  since  June  2017,  requires  “critical  information  infrastructure  operators”  to 

store  within  mainland  China  important  data  collected  and  generated  during  their  operations  in  mainland  China  and  to  undergo  a 

security  assessment  prior  to  transferring  any  such  important  data  outside  of  mainland  China.  The  Data  Security  Law  reiterated  this 

requirement when it went into effect in September 2021, and additionally provided that the requirements for cross-border transfers 

out of mainland China of important data by other data processors are to be formulated by various Chinese cyberspace regulators.

In August 2021, the SCNPC passed the PIPL, which became effective in November 2021. The PIPL provides a comprehensive set of data 

privacy  and  protection  requirements  that  apply  to  the  processing  of  personal  information  and  expands  data  protection  compliance 

obligations  to  cover  the  processing  of  personal  information  of  persons  by  organizations  and  individuals  in  mainland  China,  and 

the  processing  of  personal  information  of  persons  in  mainland  China  outside  of  mainland  China  if  such  processing  is  for  purposes 

of  providing  products  and  services  to,  or  analyzing  and  evaluating  the  behavior  of,  persons  in  mainland  China.  The  PIPL  requires 

all  personal  information  processors  that  need  to  transfer  out  of  mainland  China  personal  information  to  either:  (i)  pass  a  security 

assessment organized by Chinese cyberspace regulators, (ii) undergo certification by specialized certification agencies in accordance 

with relevant regulations, (iii) conclude a standard contract designated by China cyberspace regulators with the overseas recipient of 

the  personal  information,  or  (iv)  satisfy  other  conditions  contemplated  by  laws,  administrative  regulations,  or  Chinese  cybersecurity 

regulators. The PIPL also provides that critical information infrastructure operators and personal information processors who process 

personal information meeting a volume threshold to be set by Chinese cyberspace regulators are also required to store in mainland 

China  personal  information  generated  or  collected  in  mainland  China,  and  to  pass  a  security  assessment  administered  by  Chinese 

cyberspace regulators for any export of such personal information. Lastly, the PIPL provides for significant fines for serious violations 

of up to RMB50 million or 5% of annual revenues from the prior year and violators may also be ordered to suspend any related activity 

by competent authorities. 

To implement the security assessment mechanisms for cross-border transfers out of China of data under the Cyber Security Law, the 

Data Security Law, and the PIPL, the CAC promulgated the Security Assessment Measures, which took effect on September 1, 2022, 

and  published  the  Security  Assessment  Guide  on  August  31,  2022.  Under  the  Security  Assessment  Measures,  a  mandatory  security 

65

RISK FACTORSassessment  is  required  for  data  transfers  out  of  mainland  China  under  any  of  the  following  circumstances:  (i)  transfer  of  important 

data by data processors; (ii) transfer of personal information by critical information infrastructure operators and data processors that 

process personal information of more than one million individuals; (iii) transfer of personal information by data processors that have 

transferred either personal information of over 100,000 individuals or sensitive personal information of over 10,000 individuals abroad 

since January 1 of the preceding year; and (iv) other situations as determined by the CAC. We understand that the Security Assessment 

Measures cover (1) overseas transmission and storage by data processors of data generated during PRC domestic operations, and (2) 

access to or use of the data collected and generated by data processors and stored in the PRC by overseas institutions, organizations, 

or  individuals.  The  Security  Assessment  Measures  have  retroactive  effect  for  relevant  cross-border  data  transfers  out  of  mainland 

China  conducted  prior  to  September  1,  2022,  and  data  processors  have  until  February  28,  2023,  to  undergo  mandatory  security 

assessment  for  such  prior  relevant  cross-border  data  transfers.  We  continue  to  assess  our  obligations  under  these  laws  and  are 

working with the CAC to ensure our compliance with respect to any mandatory security assessments. 

To  implement  the  standard  contract  mechanism  for  cross-border  transfers  out  of  China  of  personal  information  under  the  PIPL, 

on  February  22,  2023,  the  CAC  published  the  Measures  for  the  Standard  Contract  for  Outbound  Cross-Border  Transfer  of  Personal 

Information, along with the final version of the PRC standard contract, which will be effective on June 1, 2023. Going forward, personal 

information  processors  may  conclude  a  PRC  standard  contract  with  overseas  recipients  of  personal  information  to  comply  with 

PIPL  requirements  for  cross-border  transfers  out  of  mainland  China  of  personal  information  that  do  not  need  to  undergo  a  security 

assessment. 

To  implement  the  personal  information  protection  certification  mechanism  for  cross-border  transfers  out  of  China  of  personal 

information  under  the  PIPL,  on  November  4,  2022,  the  CAC  and  SAMR  jointly  issued  the  Notification  on  the  Implementation  of 

Personal  Information  Protection  Certification.  In  parallel,  on  December  16,  2022,  the  National  Information  Security  Standardization 

Technical Committee released an updated version of the Certification Specification which provides the general principles and detailed 

requirements for personal information processors engaging in the cross-border transfer out of mainland China of personal information 

to  meet  in  order  to  obtain  a  personal  information  protection  certification  from  qualified  certification  institutions  for  cross-border 

transfers  out  of  China  of  personal  information  governed  by  the  PIPL.  However,  the  list  of  qualified  certification  institutions  has  not 

been released to date.

In  addition,  certain  industry-specific  laws  and  regulations  affect  the  collection  and  transfer  of  personal  data  in  mainland  China.  For 

example,  the  HGR  Regulation  prohibits  both  onshore  and  offshore  entities  established  or  actually  controlled  by  foreign  entities  and 

individuals  from  collecting  or  biobanking  any  China-Sourced  HGR  in  China,  as  well  as  providing  such  China-Sourced  HGR  outside  of 

China. Chinese parties are required to seek an advance approval for the collection and biobanking of all China-Sourced HGR. Approval 

for any export or cross-border transfer of China-Sourced HGR in the form of biospecimens is required, and transfer of derived data by 

Chinese parties to foreign parties or entities established or actually controlled by them also requires the Chinese parties to file, before 

the transfer, a copy of the data with the Human Genetic Resources Administration Office of China (“HGRAC”) for record purposes and 

to  obtain  a  notification  filing  number  in  order  to  transfer  the  data.  The  HGR  Regulation  also  requires  that  foreign  parties  or  entities 

established or actually controlled by them ensure the full participation of Chinese parties in international collaborations and share all 

records and data with the Chinese parties. 

66

RISK FACTORSTo further tighten the control of China-Sourced HGR, the SCNPC issued the Eleventh Amendment to the Criminal Law of the People’s 

Republic  of  China  in  December  2020,  which  became  effective  in  March  2021,  criminalizing  the  illegal  collection  of  China-Sourced 

HGR and the illegal transfer of China-sourced biospecimens outside of mainland China. An individual who is convicted of any of these 

violations may be subject to public surveillance, criminal detention, a fixed-term imprisonment of up to seven years, and/or a criminal 

fine. In October 2020, the SCNPC adopted the Biosecurity Law, which became effective in April 2021. The Biosecurity Law established 

an integrated system to regulate biosecurity-related activities in mainland China, including, among others, the security regulation of 

HGR and biological resources. The Biosecurity Law for the first time expressly declared that mainland China has sovereignty over its 

HGR,  and  further  endorsed  the  HGR  Regulation  by  recognizing  the  fundamental  regulatory  principles  and  systems  established  by  it 

over the utilization of China-Sourced HGR by foreign parties or entities established or actually controlled by them in mainland China. 

Though  the  Biosecurity  Law  does  not  provide  any  specific  new  regulatory  requirements  on  HGR,  as  it  is  a  law  adopted  by  mainland 

China’s  highest  legislative  authority,  it  gives  mainland  China’s  primary  regulator  of  HGR,  the  MOST,  significantly  more  power  and 

discretion  to  regulate  HGR,  and  it  is  expected  that  the  overall  regulatory  landscape  for  China-Sourced  HGR  will  evolve  and  become 

even more rigorous and sophisticated. In addition, the interpretation and application of data protection laws in mainland China and 

elsewhere are often uncertain and in flux. 

So  far,  the  HGRAC  has  disclosed  a  number  of  HGR  violation  cases.  In  one  case,  the  sanctioned  party  was  the  Chinese  subsidiary  of 

a  multinational  pharmaceutical  company  that  was  found  to  have  illegally  transferred  certain  biospecimens  to  CROs  for  conducting 

certain  unapproved  research.  In  addition  to  a  written  warning  and  confiscation  of  relevant  human  genetic  materials,  the  Chinese 

subsidiary  of  the  multinational  pharmaceutical  company  was  requested  by  the  HGRAC  to  take  rectification  measures  and  was  also 

banned by the HGRAC from submitting any CTAs until the HGRAC was satisfied with the rectification results, which rendered it unable 

to initiate new clinical trials in mainland China until the ban was lifted. In another case, the CRO engaged by the Chinese subsidiary of 

a  multinational  pharmaceutical  company  was  found  to  have  forged  an  ethics  committee  approval  in  order  to  accelerate  the  HGRAC 

approval. Both the Chinese subsidiary of the multi-national pharmaceutical company and the CRO were debarred from initiating new 

applications for a period of 6 to 12 months, respectively. 

Interpretation, application, and enforcement of these laws, rules, and regulations evolve from time to time and their scope may continually 

change, through new legislation, amendments to existing legislation, or changes in enforcement. Compliance with the Cyber Security Law, 

the Data Security Law, the PIPL, and other related laws and regulations could significantly increase the cost to us of providing our products, 

require  significant  changes  to  our  operations,  or  even  prevent  us  from  providing  certain  products  in  jurisdictions  in  which  we  currently 

operate or in which we may operate in the future. Despite our efforts to comply with applicable laws, regulations, and other obligations 

relating to privacy, data protection, and information security, it is possible that our practices, products, or platform could fail to meet all 

of the requirements imposed on us by the Cyber Security Law, the Data Security Law, the PIPL, and/or related laws and regulations. Any 

failure  on  our  part  to  comply  with  such  laws  or  regulations  or  any  other  obligations  relating  to  privacy,  data  protection,  or  information 

security, or any compromise of security that results in unauthorized access, use, or release of personally identifiable information or other 

data, or the perception or allegation that any of the foregoing types of failure or compromise has occurred, could damage our reputation, 

discourage new and existing counterparties from contracting with us, or result in investigations, fines, suspension, or other penalties by 

Chinese  government  authorities  and  private  claims  or  litigation,  any  of  which  could  materially  adversely  affect  our  business,  financial 

condition, and results of operations. If the Chinese parties fail to comply with data privacy and cybersecurity laws, regulations, and practice 

standards, and our research data is obtained by unauthorized persons, used or disclosed inappropriately, or destroyed, we may lose our 

67

RISK FACTORSconfidential  information  and  be  subject  to  litigation  and  government  enforcement  actions.  It  is  possible  that  these  laws  and  regulations 

may be interpreted and applied in a manner that is inconsistent with our or our collaborators’ practices, potentially resulting in suspension 

of relevant ongoing clinical trials or delays in the initiation of new trials, delays in sharing or an inability to share or receive clinical trial data 

with  or  from  our  collaborators,  confiscation  of  China-Sourced  HGR,  administrative  fines,  disgorgement  of  illegal  gains,  or  temporary  or 

permanent debarment of our or our collaborators’ entities and responsible persons from further clinical trials and, consequently, a de-facto 

ban on the debarred entities from initiating new clinical trials in mainland China. In addition, a data breach affecting personal information, 

including health information, or a failure to comply with applicable requirements could result in significant management resources, legal 

and  financial  exposure,  and  reputational  damage  that  could  potentially  have  a  material  adverse  effect  on  our  business  and  results  of 

operations. Even if our practices are not subject to legal challenge, the perception of privacy concerns, whether or not valid, may harm 

our reputation and brand and adversely affect our business, financial condition, and results of operations. Moreover, the legal uncertainty 

created by the Data Security Law, the Cyber Security Law, the Cybersecurity Review Measures, and the recent Chinese government actions 

could materially adversely affect our ability, on favorable terms, to raise capital in the U.S. market in the future. 

The national security legal regime imposes stricter data localization requirements on personal information and human health-related 

data  and  requires  us  to  undergo  cybersecurity  or  other  security  review  and  assessments,  obtain  government  approval  or 

certification,  implement  technical  and  organizational  measures  for  data  privacy  and  protection,  conduct  self-assessments,  or  put 

in  place  certain  contractual  protections  before  transferring  personal  information  and  human  health-related  data  out  of  mainland 

China.  As  a  result,  personal  information,  important  data,  and  health  and  medical  data  that  we  or  our  customers,  vendors,  clinical 

trial  sites,  pharmaceutical  partners,  and  other  third  parties  collect,  generate,  or  process  in  mainland  China  may  be  subject  to  such 

data  localization  requirements  and  heightened  regulatory  oversight  and  controls.  We  may  need  to  maintain  local  data  centers  in 

mainland  China,  enter  into  standard  contracts  with  the  overseas  recipients  of  any  personal  information  processed  by  us,  conduct 

self-assessments, undergo security assessments, or obtain the requisite approvals from the Chinese government for the transmission 

outside  of  mainland  China  of  such  controlled  information  and  data,  which  could  significantly  increase  our  operating  costs  or  cause 

delays or disruptions in our business operations in and outside mainland China. We expect that the evolving regulatory interpretation 

and  enforcement  of  the  national  security  legal  regime  will  lead  to  increased  operational  and  compliance  costs  and  will  require  us 

to  continue  to  monitor  and,  where  necessary,  make  changes  to  our  operations,  policies,  and  procedures.  If  our  operations,  or  the 

operations of our CROs, licensees, or partners, are found to be in violation of these requirements, we may suffer loss of use of data, 

suffer a delay in obtaining regulatory approval for our products, be unable to transfer data out of mainland China, be unable to comply 

with  our  contractual  requirements,  suffer  reputational  harm,  or  be  subject  to  penalties,  including  administrative,  civil,  and  criminal 

penalties,  damages,  fines,  and  the  curtailment  or  restructuring  of  our  operations.  If  any  of  these  were  to  occur,  it  could  materially 

adversely affect our ability to operate our business and our financial results. 

The economic, political, and social conditions in mainland China, as well as governmental policies, could affect 

the  business  environment  and  financial  markets  in  mainland  China,  our  ability  to  operate  our  business,  our 
liquidity, and our access to capital.

A  substantial  portion  of  our  operations  (including  our  commercial  operations)  are  conducted  in  mainland  China.  Accordingly,  our 

business,  results  of  operations,  financial  condition,  and  prospects  may  be  influenced  to  a  significant  degree  by  economic,  political, 

legal, and social conditions in mainland China as well as mainland China’s economic, political, legal, and social conditions in relation to 

68

RISK FACTORSthe rest of the world. Mainland China’s economy differs from the economies of developed countries in many respects, including with 

respect  to  the  amount  of  government  involvement,  level  of  development,  growth  rate,  control  of  foreign  exchange,  and  allocation 

of  resources.  While  mainland  China’s  economy  has  experienced  significant  growth  over  the  past  40  years,  growth  has  been  uneven 

across different regions and among various economic sectors of mainland China. The Chinese government has implemented various 

measures  to  encourage  economic  development,  data  protection  and  allocation  of  resources.  Some  of  these  measures  may  benefit 

the overall economy in mainland China but may have a negative effect on us. Our financial condition and results of operations may be 

adversely affected by government control, perceived government interference, and/or changes in tax, cyber and data security, capital 

investments,  cross-border  transaction,  and  other  regulations  that  are  currently  or  may  in  the  future  be  applicable  to  us.  Recently, 

Chinese regulators have announced regulatory actions aimed at providing the Chinese government with greater oversight over certain 

sectors  of  mainland  China’s  economy,  including  the  for-profit  education  sector  and  technology  platforms  that  have  a  quantitatively 

significant  number  of  users  located  in  mainland  China.  Although  the  biotech  industry  is  already  highly  regulated  in  mainland  China 

and  while  there  has  been  no  indication  to  date  that  such  actions  or  oversight  would  apply  to  companies  that  are  similarly  situated 

as  us  and  that  are  pursuing  similar  portfolios  of  drug  products  and  therapies  as  us,  the  Chinese  government  may  in  the  future  take 

regulatory actions that materially adversely affect the business environment and financial markets in mainland China as they relate to 

us, our ability to operate our business, our liquidity, and our access to capital. 

If the Chinese government determines that our corporate structure does not comply with Chinese regulations, 

or if Chinese regulations change or are interpreted differently in the future, the value of our ADSs or ordinary 

shares may decline in value or become worthless.

In  July  2021,  the  Chinese  government  provided  new  guidance  on  Chinese  companies  raising  capital  outside  of  mainland  China, 

including  through  arrangements  called  variable  interest  entities,  or  VIEs.  Currently,  our  corporate  structure  contains  no  variable 

interest entities and we are not in an industry that is subject to foreign ownership limitations in mainland China. However, there are 

uncertainties  with  respect  to  the  Chinese  legal  system  and  there  may  be  changes  in  laws,  regulations  and  policies,  including  how 

those laws, regulations and policies will be interpreted or implemented. If in the future the Chinese government determines that our 

corporate  structure  does  not  comply  with  Chinese  regulations,  or  if  Chinese  regulations  change  or  are  interpreted  differently,  the 

value of our ADSs or ordinary shares may decline or become worthless. 

The  approval  of,  filing,  or  other  procedures  with  the  CSRC  or  other  Chinese  regulatory  authorities  may  be 

required  in  connection  with  issuing  securities  to  foreign  investors  under  Chinese  law,  and,  if  required,  we 

cannot predict whether we will be able, or how long it will take us, to obtain such approval or complete such 

filing or other procedures.

The  Chinese  government  has  exercised,  and  may  continue  to  exercise,  substantial  influence  or  control  over  virtually  every  sector  of 

the Chinese economy through regulation and state ownership. Our ability to operate in mainland China could be undermined if our 

Chinese subsidiaries are not able to obtain or maintain approvals to operate in mainland China. The central or local governments could 

impose new, stricter regulations or interpretations of existing regulations that could require additional expenditures and efforts on our 

part to ensure our compliance with such regulations or interpretations. 

69

RISK FACTORSWe are not currently required to obtain prior approval or prior permission from the CSRC or any other Chinese regulatory authority 

under  the  Chinese  laws  and  regulations  currently  in  effect  to  issue  securities  to  foreign  investors.  On  February  17,  2023,  the  CSRC 

promulgated  the  Trial  Measures  and  five  supporting  guidelines,  which  became  effective  on  March  31,  2023.  Pursuant  to  the  Trial 

Measures, we may be required to submit filings to the CSRC following the submission of future overseas listings and the completion 

of  future  offerings  of  our  equity  securities  to  foreign  investors.  For  more  details,  see  “Material  Developments  of  Government 

Regulation — Other Significant Chinese Regulation Affecting Our Business Activities in China — Regulations on Securities Offering and 

Listing  Outside  of  China.”  As  there  are  uncertainties  with  respect  to  the  Chinese  legal  system  and  changes  in  laws,  regulations,  and 

policies, including how those laws, regulations and policies will be interpreted or implemented, there can be no assurance that we will 

not be subject to additional requirements, approvals, or permissions in the future. We are required to obtain certain approvals from 

Chinese authorities in order to operate our Chinese subsidiaries. 

The Regulations on Mergers and Acquisitions of Domestic Enterprises by Foreign Investors (the “M&A Rules”) appear to require that 

offshore special purpose vehicles, controlled by Chinese companies or individuals formed for the purpose of seeking a public listing on 

an overseas stock exchange through acquisitions of Chinese domestic companies or assets in exchange for the shares of the offshore 

special purpose vehicles, obtain CSRC approval prior to publicly listing their securities on an overseas stock exchange. 

Furthermore, in July 2021, the General Office of the Communist Party of China Central Committee and the General Office of the State 

Council jointly promulgated the Opinions on Strictly Cracking Down on Illegal Securities Activities in Accordance with the Law, pursuant 

to  which  Chinese  regulators  are  required  to  accelerate  rulemaking  related  to  the  overseas  issuance  and  listing  of  securities,  and 

update the existing laws and regulations related to data security, cross-border data flow, and management of confidential information. 

Numerous regulations, guidelines and other measures have been or are expected to be adopted under the umbrella of or in addition 

to the Cyber Security Law and Data Security Law. 

Additionally,  the  Trial  Measures  and  supporting  guidelines  will  implement  a  new  regulatory  framework  requiring  China-based 

companies  to  submit  filings  to  the  CSRC  following  the  completion  of  future  issuances  of  equity  securities  to  foreign  investors.  The 

Circular  on  Administrative  Arrangements  for  Filing  of  Overseas  Issuance  and  Listing  of  Domestic  Companies  released  by  the  CSRC 

provides that companies already listed on overseas exchanges will be grandfathered, such that prior offerings will not need to be filed 

with  the  CSRC.  However,  we  may  be  required  to  submit  filings  to  the  CSRC  in  connection  with  future  offerings,  including  follow-on 

offerings, secondary offerings, or other shelf offerings, within three working days following the completion of any such offering(s). 

As  there  are  still  uncertainties  regarding  the  interpretation  and  implementation  of  such  regulatory  guidance,  we  cannot  assure 

investors that we will be able to comply with new regulatory requirements relating to our future overseas capital-raising activities, and 

we may become subject to more stringent requirements with respect to matters including data privacy and cross-border investigation 

and enforcement of legal claims. 

If our Chinese subsidiaries do not receive or maintain approvals or inadvertently conclude that approvals needed for their business are 

not required or if there are changes in applicable laws (including regulations) or interpretations of laws and our Chinese subsidiaries 

are required but unable to obtain approvals in the future, then such changes or need for approvals (if not obtained) could adversely 

affect the operations of our Chinese subsidiaries, including limiting or prohibiting the ability of our Chinese subsidiaries to operate, and 

the value of our ADSs or ordinary shares could significantly decline or become worthless. 

70

RISK FACTORSTo  operate  our  general  business  activities  currently  conducted  in  mainland  China,  each  of  our  Chinese  subsidiaries  is  required  to 

obtain a business license from the local counterpart of the State Administration for Market Regulation, or SAMR. Each of our Chinese 

subsidiaries has obtained a valid business license from the local counterpart of the SAMR, and no application for any such license has 

been denied. 

We have not yet received any inquiry, notice, warning, or sanction regarding obtaining approval, completing filing, or other procedures 

in connection with our previous issuances of securities to foreign investors from the CSRC or any other Chinese regulatory authorities 

that  have  jurisdiction  over  our  operations.  Based  on  our  understanding  of  the  Trial  Measures  and  supporting  guidelines,  we  will 

not  be  required  to  submit  an  application  to  the  CSRC  for  our  previous  issuances  of  securities  to  foreign  investors,  but  we  may  be 

required  to  submit  filings  with  the  CSRC  after  the  completion  of  future  securities  offering  in  the  same  overseas  markets.  There 

remains uncertainty as to the interpretation and implementation of regulatory requirements related to overseas securities offerings 

and  other  capital  markets  activities,  and  we  cannot  assure  you  that  the  relevant  Chinese  regulatory  authorities,  including  the  CSRC, 

would reach the same conclusion as us. If, for any reason, we were to fail to obtain any approvals or to complete any filings or other 

procedures  subsequently  required  by  the  CSRC  or  other  Chinese  regulatory  authorities,  future  offerings  of  our  equity  securities  to 

foreign investors may be delayed or prevented or we may face sanctions, fines, and other penalties, limitations on our ability to pay 

dividends outside of mainland China, limitations on our operations in mainland China, delays or restrictions on the repatriation of the 

proceeds  from  our  public  offerings  into  mainland  China,  or  other  actions  that  could  have  a  material  adverse  effect  on  our  business, 

financial condition, results of operations, and prospects, as well as the trading price of our ADSs and ordinary shares. Any uncertainties 

and/or  negative  publicity  regarding  the  aforementioned  approvals,  filings,  or  other  procedures  or  any  further  laws,  regulations,  or 

interpretations that may be released or enacted in the future could have a material adverse effect on the trading price of our ADSs and 

the ordinary shares, including potentially making those ADSs and ordinary shares worthless. 

We may be exposed to liabilities under the FCPA and Chinese anti-corruption laws, and any determination that 

we have violated these laws could have a material adverse effect on our business or our reputation. 

We are subject to the FCPA. The FCPA generally prohibits us from making improper payments to non-U.S. officials for the purpose of 

obtaining or retaining business. We are also subject to the anti-bribery laws of other jurisdictions, particularly mainland China. As our 

business  continues  to  expand,  the  applicability  of  the  FCPA  and  other  anti-bribery  laws  to  our  operations  will  continue  to  increase. 

Our  procedures  and  controls  to  monitor  anti-bribery  compliance  may  fail  to  protect  us  from  reckless  or  criminal  acts  committed  by 

our employees or agents. If we, due to either our own deliberate or inadvertent acts or those of others, fail to comply with applicable 

anti-bribery  laws,  our  reputation  could  be  harmed  and  we  could  incur  criminal  or  civil  penalties,  other  sanctions,  and/or  significant 

expenses,  which  could  have  a  material  adverse  effect  on  our  business,  including  our  financial  condition,  results  of  operations,  cash 

flows and prospects. 

Restrictions  on  currency  exchange  may  limit  our  ability  to  receive  and  use  financing  in  foreign  currencies 

effectively. 

Our  Chinese  subsidiaries’  ability  to  obtain  foreign  exchange  is  subject  to  significant  foreign  exchange  controls  and,  in  the  case  of 

transactions  under  the  capital  account,  requires  the  approval  of  and/or  registration  with  Chinese  government  authorities,  including 

71

RISK FACTORSthe state administration of foreign exchange, or SAFE. In particular, if we finance our Chinese subsidiaries by means of foreign debt 

from us or other foreign lenders, the amount is not allowed to, among other things, exceed the statutory limits and such loans must be 

registered with the local counterpart of the SAFE. If we finance our Chinese subsidiaries by means of additional capital contributions, 

these capital contributions are subject to registration with SAMR or its local branch, reporting of foreign investment information with 

the Chinese Ministry of Commerce or registration with other governmental authorities in mainland China. 

In the light of the various requirements imposed by Chinese regulations on loans to, and direct investment in, China-based entities by 

offshore holding companies, we cannot assure you that we will be able to complete the necessary government formalities or obtain 

the necessary government approvals on timely basis, if at all, with respect to future loans or capital contributions by us to our Chinese 

subsidiaries. If we fail to complete such registrations or obtain such approval, our ability to capitalize or otherwise fund our Chinese 

operations may be negatively affected, which could materially and adversely affect our liquidity and our ability to fund and expand our 

business. 

We may rely on dividends and other distributions on equity paid by our Chinese subsidiaries to fund any cash 

and financing requirements we may have, and any limitation on the ability of our Chinese subsidiaries to make 

payments to us could have a material and adverse effect on our ability to conduct our business. 

Zai Lab Limited is a holding company, and we may rely on dividends and other distributions on equity paid by our Chinese subsidiaries 

for  our  cash  and  financing  requirements,  including  the  funds  necessary  to  pay  dividends  and  other  cash  distributions  to  our 

shareholders or holders of our ADSs or to service any debt we may incur. If any of our Chinese subsidiaries incur debt on their own 

behalf  in  the  future,  the  instruments  governing  such  debt  may  restrict  their  ability  to  pay  dividends  to  us.  To  date,  there  have  not 

been  any  such  dividends  or  other  distributions  from  our  Chinese  subsidiaries  to  our  subsidiaries  located  in  or  outside  of  mainland 

China.  In  addition,  as  of  the  Latest  Practicable  Date,  none  of  our  subsidiaries  have  ever  issued  any  dividends  or  distributions  to  us 

or  their  respective  shareholders  in  or  outside  of  mainland  China,  and  neither  we  nor  any  of  our  subsidiaries  have  ever  directly  or 

indirectly  paid  dividends  or  made  distributions  to  U.S.  investors.  Zai  Lab  (Shanghai)  Co.,  Ltd.,  an  operating  subsidiary  of  ours  that  is 

domiciled  in  mainland  China,  received  $416.5  million  in  capital  contributions  via  twenty-three  separate  contributions  from  Zai  Lab 

(Hong  Kong)  Limited,  its  sole  shareholder,  domiciled  outside  of  mainland  China,  from  2014  to  2022,  to  fund  its  business  operations 

in  mainland  China.  Zai  Lab  International  Trading  (Shanghai)  Co.,  Ltd.,  an  operating  subsidiary  of  ours  that  is  domiciled  in  mainland 

China,  received  RMB1.0  million  in  capital  contributions  via  contributions  from  Zai  Lab  (Shanghai)  Co.,  Ltd.,  its  sole  shareholder,  in 

2019 to fund its business operations in mainland China. Zai Lab (Suzhou) Co., Ltd., an operating subsidiary of ours that is domiciled in 

mainland China, received RMB166.5 million in capital contributions via ten separate contributions from Zai Lab (Hong Kong) Limited, 

its sole shareholder, domiciled outside of mainland China, from 2015 to 2019 to fund its business operations in mainland China. Zai 

Lab Trading (Suzhou) Co., Ltd., an operating subsidiary of ours that is domiciled in mainland China, received RMB1.0 million in capital 

contributions via contributions from Zai Lab (Suzhou) Co., Ltd., its sole shareholder, in 2020 to fund its business operations in mainland 

China.  Zai  Biopharmaceutical  (Suzhou)  Co.,  Ltd.,  an  operating  subsidiary  of  ours  that  is  domiciled  in  mainland  China,  received  $15.0 

million  in  capital  contributions  via  four  separate  contributions  from  Zai  Lab  (Hong  Kong)  Limited,  its  sole  shareholder,  domiciled 

outside of mainland China, from 2017 to 2018 to fund its business operations in mainland China. In the future, cash proceeds raised 

from our overseas financing activities may be transferred by us to our Chinese subsidiaries via capital contributions, shareholder loans 

or intercompany loans, as the case may be. 

72

RISK FACTORSAccording to the Foreign Investment Law of the People’s Republic of China and its implementing rules, which jointly established the 

legal  framework  for  the  administration  of  foreign-invested  companies,  a  foreign  investor  may,  in  accordance  with  other  applicable 

laws, freely transfer into or out of mainland China its contributions, profits, capital earnings, income from asset disposal, intellectual 

property rights, royalties acquired, compensation or indemnity legally obtained, and income from liquidation, made or derived within 

the territory of mainland China in RMB or any foreign currency, and any entity or individual shall not illegally restrict such transfer in 

terms  of  the  currency,  amount  and  frequency.  According  to  the  Company  Law  of  the  People’s  Republic  of  China  and  other  Chinese 

laws  and  regulations,  our  Chinese  subsidiaries  may  pay  dividends  only  out  of  their  respective  accumulated  profits  as  determined  in 

accordance with Chinese accounting standards and regulations. In addition, each of our Chinese subsidiaries is required to set aside 

at least 10% of its accumulated after-tax profits, if any, each year to fund a certain statutory reserve fund, until the aggregate amount 

of  such  fund  reaches  50%  of  its  registered  capital.  Where  the  statutory  reserve  fund  is  insufficient  to  cover  any  loss  the  Chinese 

subsidiary incurred in the previous financial year, its current financial year’s accumulated after-tax profits shall first be used to cover 

the loss before any statutory reserve fund is drawn therefrom. Such statutory reserve funds and the accumulated after-tax profits that 

are  used  for  covering  the  loss  cannot  be  distributed  to  us  as  dividends.  At  their  discretion,  our  Chinese  subsidiaries  may  allocate  a 

portion of their after-tax profits based on Chinese accounting standards to a discretionary reserve fund. 

RMB  is  not  freely  convertible  into  other  currencies.  As  a  result,  any  restriction  on  currency  exchange  may  limit  the  ability  of  our 

Chinese  subsidiaries  to  use  their  potential  future  RMB  revenues  to  pay  dividends  to  us.  The  Chinese  government  imposes  controls 

on  the  convertibility  of  RMB  into  foreign  currencies  and,  in  certain  cases,  the  remittance  of  currency  out  of  mainland  China. 

Shortages  in  availability  of  foreign  currency  may  then  restrict  the  ability  of  our  Chinese  subsidiaries  to  remit  sufficient  foreign 

currency  to  our  offshore  entities  for  those  offshore  entities  to  pay  dividends  or  make  other  payments  or  otherwise  to  satisfy  our 

foreign-currency-denominated obligations. RMB is currently convertible under the “current account,” which includes dividends, trade 

and service-related foreign exchange transactions, but not under the “capital account,” which includes foreign direct investment and 

foreign  debt  (which  may  be  denominated  in  foreign  currency  or  RMB),  including  loans  we  may  secure  for  our  Chinese  subsidiaries. 

Currently, our Chinese subsidiaries may purchase foreign currency for settlement of current account transactions, including payment of 

dividends to us, without the approval of the SAFE by complying with certain procedural requirements. However, the relevant Chinese 

governmental authorities may limit or eliminate our ability to purchase foreign currencies in the future for current account transactions. 

The Chinese government may continue to strengthen its capital controls, and additional restrictions and substantial vetting processes 

may be instituted by SAFE for cross-border transactions falling under both the current account and the capital account. Any existing and 

future restrictions on currency exchange may limit our ability to utilize revenue generated in RMB to fund our business activities outside 

of mainland China or pay dividends in foreign currencies to holders of our securities. Foreign exchange transactions under the capital 

account remain subject to limitations and require approvals from, or registration with, SAFE and other relevant Chinese governmental 

authorities. This could affect our ability to obtain foreign currency through debt or equity financing for our subsidiaries. 

Chinese  regulations  relating  to  the  establishment  of  offshore  special  purpose  companies  by  residents  in 

mainland  China  may  subject  our  China  resident  beneficial  owners  or  our  wholly  foreign-owned  subsidiaries 

in mainland China to liability or penalties, limit our ability to inject capital into these subsidiaries, limit these 

subsidiaries’ ability to increase their registered capital or distribute profits to us, or may otherwise adversely 

affect us.

In  2014,  SAFE  promulgated  the  Circular  on  Relevant  Issues  Concerning  Foreign  Exchange  Control  on  Domestic  Residents’  Offshore 

Investment and Financing and Roundtrip Investment through Special Purpose Vehicles, or SAFE Circular 37. SAFE Circular 37 requires 

residents  of  mainland  China  to  register  with  local  branches  of  SAFE  or  competent  banks  designated  by  SAFE  in  connection  with 

73

RISK FACTORStheir direct establishment or indirect control of an offshore entity, for the purpose of overseas investment and financing, with such 

residents’ legally owned assets or equity interests in domestic enterprises or offshore assets or interests, referred to in SAFE Circular 

37  as  a  “special  purpose  vehicle.”  The  term  “control”  under  SAFE  Circular  37  is  broadly  defined  as  the  operation  rights,  beneficiary 

rights or decision-making rights acquired by residents of mainland China in the offshore special purpose vehicles or Chinese companies 

by  such  means  as  acquisition,  trust,  proxy,  voting  rights,  repurchase,  convertible  bonds  or  other  arrangements.  SAFE  Circular  37 

further requires amendment to the registration in the event of any changes with respect to the basic information of or any significant 

changes  with  respect  to  the  special  purpose  vehicle.  If  the  shareholders  of  the  offshore  holding  company  who  are  residents  of 

mainland  China  do  not  complete  their  registration  with  the  local  SAFE  branches,  the  Chinese  subsidiaries  may  be  prohibited  from 

distributing  their  profits  and  proceeds  from  any  reduction  in  capital,  share  transfer  or  liquidation  to  the  offshore  company,  and  the 

offshore  company  may  be  restricted  in  its  ability  to  contribute  additional  capital  to  its  Chinese  subsidiaries.  Moreover,  failure  to 

comply with SAFE registration and amendment requirements described above could result in liability under Chinese law for evasion of 

applicable foreign exchange restrictions. 

We  will  request  residents  of  mainland  China  who  we  know  hold  direct  or  indirect  interests  in  the  Company,  if  any,  to  make  the 

necessary applications, filings and amendments as required under SAFE Circular 37 and other related rules. However, we may not be 

informed  of  the  identities  of  all  the  residents  of  mainland  China  holding  direct  or  indirect  interest  in  the  Company,  and  we  cannot 

provide any assurance that these residents will comply with our request to make or obtain any applicable registrations or comply with 

other requirements under SAFE Circular 37 or other related rules. The failure or inability of our China resident shareholders to comply 

with  the  registration  procedures  set  forth  in  these  regulations  may  subject  us  to  fines  and  legal  sanctions,  restrict  our  cross-border 

investment  activities,  limit  the  ability  of  our  wholly  foreign-owned  subsidiaries  in  mainland  China  to  distribute  dividends  and  the 

proceeds  from  any  reduction  in  capital,  share  transfer  or  liquidation  to  us,  and  we  may  also  be  prohibited  from  injecting  additional 

capital  into  these  subsidiaries.  Moreover,  failure  to  comply  with  the  various  foreign  exchange  registration  requirements  described 

above could result in liability under Chinese law for circumventing applicable foreign exchange restrictions. As a result, our business 

operations and our ability to distribute profits to you could be materially and adversely affected. 

Chinese  regulations  establish  complex  procedures  for  some  acquisitions  of  mainland  China  based  companies 

by  foreign  investors,  which  could  make  it  more  difficult  for  us  to  pursue  growth  through  acquisitions  in 

mainland China.

Chinese  regulations  and  rules  concerning  mergers  and  acquisitions  including  the  M&A  Rules  and  other  regulations  and  rules  with 

respect  to  mergers  and  acquisitions  established  additional  procedures  and  requirements  that  could  make  merger  and  acquisition 

activities by foreign investors more time consuming and complex. For example, the M&A Rules require that the MOFCOM be notified 

in  advance  of  any  change-of-control  transaction  in  which  a  foreign  investor  takes  control  of  a  Chinese  domestic  enterprise,  if 

(i) any important industry is concerned, (ii) such transaction involves factors that have or may have impact on the national economic 

security, or (iii) such transaction will lead to a change in control of a domestic enterprise which holds a famous trademark or Chinese 

time-honored brand. Moreover, according to the Anti-Monopoly Law of China promulgated in August 2007 and amended in June 2022 

with effect from August 2022 and the Provisions on Thresholds for Reporting of Concentrations of Undertakings issued by the State 

Council in August 2008 and amended in September 2018, the concentration of business undertakings by way of mergers, acquisitions 

or  contractual  arrangements  that  allow  one  market  player  to  take  control  of  or  to  exert  decisive  impact  on  another  market  player 

must  also  be  notified  in  advance  to  the  anti-monopoly  enforcement  agency  of  the  State  Council  when  the  applicable  threshold  is 

74

RISK FACTORScrossed  and  such  concentration  shall  not  be  implemented  without  the  clearance  of  prior  reporting.  In  addition,  the  Regulations  on 

Implementation of Security Review System for the Merger and Acquisition of Domestic Enterprise by Foreign Investors issued by the 

MOFCOM  that  became  effective  in  September  2011  specify  that  mergers  and  acquisitions  by  foreign  investors  that  raise  “national 

defense  and  security”  concerns  and  mergers  and  acquisitions  through  which  foreign  investors  may  acquire  de  facto  control  over 

domestic enterprises that raise “national security” concerns are subject to strict review by the MOFCOM, and the rules prohibit any 

activities  attempting  to  bypass  a  security  review  by  structuring  the  transaction  through,  among  other  things,  trusts,  entrustment  or 

contractual control arrangements. In addition, Measures for the Securities Review of Foreign Investment, which became effective in 

January  2021,  require  acquisitions  by  foreign  investors  of  Chinese  companies  engaged  in  military-related  or  certain  other  industries 

that  are  crucial  to  national  security  be  subject  to  security  review  before  communication  on  any  such  acquisitions.  In  the  future,  we 

may grow our business by acquiring complementary businesses. Complying with the requirements of the above-mentioned regulations 

and  other  relevant  rules  to  complete  such  transactions  could  be  time  consuming,  and  any  required  approval  processes,  including 

obtaining  approval  from  the  MOFCOM  or  its  local  counterparts  may  delay  or  inhibit  our  ability  to  complete  such  transactions.  It  is 

unclear whether our business would be deemed to be in an industry that raises “national defense and security” or “national security” 

concerns. However, the MOFCOM or other government agencies may publish explanations in the future determining that our business 

is  in  an  industry  subject  to  the  security  review,  in  which  case  our  future  acquisitions  in  mainland  China,  including  those  by  way  of 

entering into contractual control arrangements with target entities, may be closely scrutinized or prohibited. Our ability to expand our 

business or maintain or expand our market share through future acquisitions would as such be materially and adversely affected. 

Chinese  manufacturing  facilities  have  historically  experienced  issues  operating  in  line  with  established 

GMPs  and  international  best  practices,  and  passing  FDA,  NMPA,  and  EMA  inspections,  which  may  result  in  a 

longer and costlier current GMP inspection and approval process by the FDA, NMPA, or EMA for our Chinese 

manufacturing processes and third-party contract manufacturers. 

To  obtain  FDA,  NMPA,  and  EMA  approval  for  our  product  candidates  in  the  United  States,  mainland  China,  and  Europe,  we  will  need  to 

undergo  strict  pre-approval  inspections  of  our  manufacturing  facilities,  which  are  located  in  China,  or  the  manufacturing  facilities  of  our 

CMOs located in mainland China and elsewhere. Historically, some manufacturing facilities in mainland China have had difficulty meeting the 

FDA’s, NMPA’s or EMA’s standards. When inspecting ours or our contractors’ Chinese manufacturing facilities, the FDA, NMPA or EMA might 

cite GMP deficiencies, both minor and significant, which we may not be required to disclose. Remediating deficiencies can be laborious and 

costly and might consume significant periods of time. Moreover, if the FDA, NMPA or EMA notes deficiencies as a result of its inspection, it 

will generally reinspect the facility to determine if the deficiency was remediated to its satisfaction. The FDA, NMPA or EMA may note further 

deficiencies as a result of its re-inspection, either related to the previously identified deficiency or otherwise. If we cannot satisfy the FDA, 

NMPA, and EMA as to our compliance with GMP in a timely basis, marketing approval for our product candidates could be seriously delayed, 

which in turn would delay commercialization of our product candidates. 

local 
Our  business  benefits  from  certain  financial 
governments.  Expiration  of,  or  changes  to,  these  incentives  or  policies  would  have  an  adverse  effect  on  our 

incentives  and  discretionary  policies  granted  by 

results of operations. 

Local  governments  within  mainland  China  have  granted  certain  financial  incentives  from  time  to  time  to  our  Chinese  subsidiaries 

as  part  of  their  efforts  to  encourage  the  development  of  local  businesses.  The  timing,  amount,  and  criteria  of  government  financial 

incentives are determined within the sole discretion of the local government authorities and cannot be predicted with certainty before 

75

RISK FACTORSwe actually receive any financial incentive. Local governments may decide to reduce or eliminate incentives at any time. In addition, 

some  of  the  government  financial  incentives  are  granted  on  a  project  basis  and  subject  to  the  satisfaction  of  certain  conditions, 

including  compliance  with  the  applicable  financial  incentive  agreements  and  completion  of  the  specific  project  therein.  We  cannot 

guarantee  that  we  will  satisfy  all  relevant  conditions,  and  if  we  fail  to  do  so  we  may  be  deprived  of  the  relevant  incentives.  We 

cannot  assure  you  of  the  continued  availability  of  the  government  incentives  currently  enjoyed  by  us.  Any  reduction  or  elimination 

of  incentives  would  have  an  adverse  effect  on  our  results  of  operations.  Government  grant  and  subsidies  recognized  in  the  income 

statement in 2022 and 2021 were $11.5 million and $4.1 million, respectively. 

It may be difficult for overseas regulators to conduct investigations or collect evidence within mainland China.

Shareholder  claims  or  regulatory  investigation  that  is  common  in  the  United  States  generally  are  difficult  to  pursue  as  a  matter  of 

law  or  practicality  in  mainland  China.  For  example,  in  mainland  China,  there  are  significant  legal  and  other  obstacles  to  providing 

information  needed  for  regulatory  investigations  or  litigation  initiated  outside  mainland  China.  Although  the  authorities  in  mainland 

China  may  establish  a  regulatory  cooperation  mechanism  with  the  securities  regulatory  authorities  of  another  country  or  region 

to  implement  cross-border  supervision  and  administration,  such  cooperation  with  the  securities  regulatory  authorities  in  the 

United  States  may  not  be  efficient  in  the  absence  of  mutual  and  practical  cooperation  mechanisms.  Furthermore,  according  to 

Article  177  of  the  PRC  Securities  Law,  which  became  effective  in  March  2020,  no  overseas  securities  regulator  is  allowed  to  directly 

conduct  investigation  or  evidence  collection  activities  within  the  territory  of  mainland  China.  While  detailed  interpretations  of  or 

implementation rules under Article 177 of the PRC Securities Law have yet to be promulgated, the inability for an overseas securities 

regulator to directly conduct investigation or evidence collection activities within mainland China may further increase difficulties you 

may face in protecting your interests. 

If we are classified as a Chinese resident enterprise for Chinese income tax purposes, such classification could 

result in unfavorable tax consequences to us and our non-Chinese shareholders or ADS holders.

The  Enterprise  Income  Tax  Law  of  the  People’s  Republic  of  China  (the  “EIT  Law”),  which  was  promulgated  in  March  2007,  became 

effective  in  January  2008  and  was  amended  in  February  2017  and  December  2018,  and  the  Regulation  on  the  Implementation  of 

the  EIT  Law,  effective  as  of  January  1,  2008  and  amended  in  April  2019,  define  the  term  “de  facto  management  bodies”  as  “bodies 

that  substantially  carry  out  comprehensive  management  and  control  on  the  business  operation,  employees,  accounts  and  assets  of 

enterprises.”  Under  the  EIT  Law,  an  enterprise  incorporated  outside  of  mainland  China  whose  “de  facto  management  bodies”  are 

located  in  mainland  China  is  considered  a  “resident  enterprise”  and  will  be  subject  to  a  uniform  25%  enterprise  income  tax,  or  EIT, 

rate on its global income. The Notice Regarding the Determination of Chinese-Controlled Offshore-Incorporated Enterprises as Chinese 

Tax Resident Enterprises on the Basis of De Facto Management Bodies, or SAT Circular 82, issued by the State Taxation Administration 

of the People’s Republic of China (the “SAT”) in April 2009, and as amended in November 2013 and December 2017, further specifies 

certain criteria for the determination of what constitutes “de facto management bodies.” If all of these criteria are met, the relevant 

foreign enterprise may be regarded to have its “de facto management bodies” located in mainland China and therefore be considered 

a  Chinese  resident  enterprise.  These  criteria  include:  (i)  the  enterprise’s  day-to-day  operational  management  is  primarily  exercised 

in mainland China; (ii) decisions relating to the enterprise’s financial and human resource matters are made or subject to approval by 

organizations or personnel in mainland China; (iii) the enterprise’s primary assets, accounting books and records, company seals, and 

76

RISK FACTORSboard and shareholders’ meeting minutes are located or maintained in mainland China; and (iv) 50% or more of voting board members 

or senior executives of the enterprise habitually reside in mainland China. Although SAT Circular 82 only applies to foreign enterprises 

that are majority-owned and controlled by Chinese enterprises, not those owned and controlled by foreign enterprises or individuals, 

the determining criteria set forth in SAT Circular 82 may be adopted by the Chinese tax authorities as the test for determining whether 

the enterprises are Chinese tax residents, regardless of whether they are majority-owned and controlled by Chinese enterprises. 

We  believe  that  neither  Zai  Lab  Limited  nor  any  of  our  subsidiaries  outside  of  mainland  China  is  a  Chinese  resident  enterprise  for 

Chinese  tax  purposes.  However,  the  tax  resident  status  of  an  enterprise  is  subject  to  determination  by  the  Chinese  tax  authorities, 

and uncertainties remain with respect to the interpretation of the term “de facto management body.” If the Chinese tax authorities 

determine that Zai Lab Limited or any of our subsidiaries outside of mainland China is a Chinese resident enterprise for EIT purposes 

that  entity  would  be  subject  to  a  25%  EIT  on  its  global  income.  If  such  entity  derives  income  other  than  dividends  from  its  wholly 

owned  subsidiaries  in  mainland  China,  a  25%  EIT  on  its  global  income  may  increase  our  tax  burden.  Dividends  paid  to  a  Chinese 

resident enterprise from its wholly owned subsidiaries in mainland China may be regarded as tax-exempt income if such dividends are 

deemed to be “dividends between qualified Chinese resident enterprises” under the EIT Law and its implementation rules. However, 

we cannot assure you that such dividends will not be subject to Chinese withholding tax, as the Chinese tax authorities, which enforce 

the withholding tax, have not yet issued relevant guidance.

In addition, if Zai Lab Limited is classified as a Chinese resident enterprise for Chinese tax purposes, we may be required to withhold 

tax at a rate of 10% from dividends we pay to our shareholders, including the holders of our ADSs that are non-resident enterprises. In 

addition, non-resident enterprise shareholders (including our ADS holders) may be subject to a 10% Chinese withholding tax on gains 

realized on the sale or other disposition of ADSs or ordinary shares, if such income is treated as sourced from within mainland China. 

Furthermore,  gains  derived  by  our  non-Chinese  individual  shareholders  from  the  sale  of  our  shares  and  ADSs  may  be  subject  to  a 

20% Chinese withholding tax. It is unclear whether our non-China-based individual shareholders (including our ADS holders) would be 

subject to any Chinese tax (including withholding tax) on dividends received by such non-Chinese individual shareholders in the event 

we are determined to be a Chinese resident enterprise. If any Chinese tax were to apply to such dividends, it would generally apply at 

a rate of 20%. Chinese tax liability may vary under applicable tax treaties. However, it is unclear whether our non-China shareholders 

would be able to claim the benefits of any tax treaties between their country of tax residence and mainland China in the event that Zai 

Lab Limited is treated as a Chinese resident enterprise. 

We  and  our  shareholders  face  uncertainties  in  mainland  China  with  respect  to  indirect  transfers  of  equity 

interests in Chinese resident enterprises.

The  indirect  transfer  of  equity  interests  in  Chinese  resident  enterprises  by  a  non-Chinese  resident  enterprise,  or  Indirect  Transfer,  is 

potentially subject to income tax in mainland China at a rate of 10% on the gain if such transfer is considered as not having a commercial 

purpose  and  is  carried  out  for  tax  avoidance.  The  SAT  has  issued  several  rules  and  notices  to  tighten  the  scrutiny  over  acquisition 

transactions  in  recent  years.  The  Announcement  of  the  State  Administration  of  Taxation  on  Several  Issues  Concerning  the  Enterprise 

Income Tax on Indirect Property Transfer by Non-Resident Enterprises, or SAT Circular 7, sets out the scope of Indirect Transfers, which 

includes any changes in the shareholder’s ownership of a foreign enterprise holding Chinese assets directly or indirectly in the course 

of a group’s overseas restructuring, and the factors to consider in determining whether an Indirect Transfer has a commercial purpose. 

77

RISK FACTORSAn  Indirect  Transfer  satisfying  all  the  following  criteria  will  be  deemed  to  lack  a  bona  fide  commercial  purpose  and  be  taxable  under 

Chinese laws: (i) 75% or more of the equity value of the intermediary enterprise being transferred is derived directly or indirectly from 

the Chinese taxable assets; (ii) at any time during the one-year period before the indirect transfer, 90% or more of the asset value of 

the  intermediary  enterprise  (excluding  cash)  is  comprised  directly  or  indirectly  of  investments  in  mainland  China,  or  90%  or  more  of 

its  income  is  derived  directly  or  indirectly  from  mainland  China;  (iii)  the  functions  performed  and  risks  assumed  by  the  intermediary 

enterprise and any of its subsidiaries that directly or indirectly hold the Chinese taxable assets are limited and are insufficient to prove 

their economic substance; and (iv) the non-Chinese tax payable on the gain derived from the indirect transfer of the Chinese taxable 

assets  is  lower  than  the  potential  Chinese  income  tax  on  the  direct  transfer  of  such  assets.  Nevertheless,  a  non-resident  enterprise’s 

buying  and  selling  shares  or  ADSs  of  the  same  listed  foreign  enterprise  on  the  public  market  will  fall  under  the  safe  harbor  available 

under SAT Circular 7 and will not be subject to Chinese tax pursuant to SAT Circular 7. Under SAT Circular 7, the entities or individuals 

obligated to pay the transfer price to the transferor shall be the withholding agent and shall withhold the Chinese tax from the transfer 

price.  If  the  withholding  agent  fails  to  do  so,  the  transferor  shall  report  to  and  pay  the  Chinese  tax  to  the  Chinese  tax  authorities.  In 

case  neither  the  withholding  agent  nor  the  transferor  complies  with  the  obligations  under  SAT  Circular  7,  the  tax  authority  may  hold 

the withholding agent liable and impose a penalty of 50% to 300% of the unpaid tax on the withholding agent. The penalty imposed on 

the withholding agent may be reduced or waived if the withholding agent has submitted the relevant materials in connection with the 

indirect transfer to the Chinese tax authorities in accordance with SAT Circular 7. 

However,  there  is  a  lack  of  clear  statutory  interpretation,  we  face  uncertainties  regarding  the  reporting  required  for  and  impact  on 

future private equity financing transactions, share exchange or other transactions involving the transfer of shares in Zai Lab Limited 

by  investors  that  are  non-Chinese  resident  enterprises  or  the  sale  or  purchase  of  shares  in  other  non-Chinese  resident  companies 

or other taxable assets by us. Zai Lab Limited and other non-resident enterprises in the Company may be subject to filing obligations 

or  being  taxed  if  Zai  Lab  Limited  and  other  non-resident  enterprises  in  the  Company  are  transferors  in  such  transactions  and  may 

be  subject  to  withholding  obligations  if  Zai  Lab  Limited  and  other  non-resident  enterprises  in  the  Company  are  transferees  in  such 

transactions.  For  the  transfer  of  shares  in  Zai  Lab  Limited  by  investors  that  are  non-Chinese  resident  enterprises,  our  Chinese 

subsidiaries may be requested to assist in the filing under the rules and notices. As a result, we may be required to expend valuable 

resources  to  comply  with  these  rules  and  notices  or  to  request  the  relevant  transferors  from  whom  we  purchase  taxable  assets  to 

comply, or to establish that Zai Lab Limited and other non-resident enterprises in the Company should not be taxed under these rules 

and notices, which may have a material adverse effect on our financial condition and results of operations. There is no assurance that 

the tax authorities will not apply the rules and notices to our offshore restructuring transactions where non-Chinese residents were 

involved  if  any  of  such  transactions  were  determined  by  the  tax  authorities  to  lack  reasonable  commercial  purpose.  As  a  result,  we 

and our non-Chinese resident investors may be at risk of being taxed under these rules and notices and may be required to comply 

with  or  to  establish  that  we  should  not  be  taxed  under  such  rules  and  notices,  which  may  have  a  material  adverse  effect  on  our 

financial condition and results of operations or such non-Chinese resident investors’ investments in us. We may conduct acquisition 

transactions in the future. We cannot assure you that the Chinese tax authorities will not, at their discretion, adjust any capital gains 

and impose tax return filing obligations on us or require us to provide assistance for the investigation of Chinese tax authorities with 

respect  thereto.  Heightened  scrutiny  over  acquisition  transactions  by  the  Chinese  tax  authorities  may  have  a  negative  impact  on 

potential acquisitions we may pursue in the future. 

78

RISK FACTORSAny  failure  to  comply  with  Chinese  regulations  regarding  the  registration  requirements  for  our  employee 
equity  incentive  plans  may  subject  us  to  fines  and  other  legal  or  administrative  sanctions,  which  could 
adversely affect our business, financial condition, and results of operations.

In  February  2012,  the  SAFE  promulgated  the  Notices  on  Issues  Concerning  the  Foreign  Exchange  Administration  for  Domestic 

Individuals Participating in Stock Incentive Plans of Overseas Publicly Listed Companies (the “Stock Option Rules”). In accordance with 

the Stock Option Rules and other relevant rules and regulations, Chinese citizens or non-Chinese citizens residing in mainland China 

for a continuous period of not less than one year, who participate in any stock incentive plan of an overseas publicly listed company, 

subject to a few exceptions, are required to register with SAFE through a domestic qualified agent, which could be a Chinese subsidiary 

of such overseas listed company, and complete certain procedures. We and our employees who are Chinese citizens or who reside in 

mainland China for a continuous period of not less than one year and who participate in our stock incentive plan will be subject to such 

regulation. We plan to assist our employees to register their share options or shares. However, any failure of our Chinese individual 

beneficial  owners  and  holders  of  share  options  or  shares  to  comply  with  the  SAFE  registration  requirements  may  subject  them  to 

fines  and  legal  sanctions  and  may  limit  the  ability  of  our  Chinese  subsidiaries  to  distribute  dividends  to  us.  We  also  face  regulatory 

uncertainties that could restrict our ability to adopt additional incentive plans for our directors and employees under Chinese law.

Certain of our investments may be subject to review from the Committee on Foreign Investment in the United 
States, which may delay or block a transaction from closing.

CFIUS  has  jurisdiction  over  investments  in  which  a  foreign  person  acquirers  control  over  a  U.S.  company,  as  well  as  certain  non-

controlling  investments  in  U.S.  businesses  that  deal  in  critical  technology,  critical  infrastructure,  or  sensitive  personal  data.  Some 

transactions  involving  U.S.  businesses  that  deal  in  critical  technology  are  subject  to  a  mandatory  filing  requirement.  Accordingly,  to 

the  extent  the  U.S.  portion  of  our  business  decides  to  take  investments  from  foreign  persons,  or  we  decide  to  invest  in  or  acquire, 

in whole or in part, a U.S. business, such investments could be subject to CFIUS’s jurisdiction. To date, none of our investments have 

been  subject  to  CFIUS  review  but,  depending  on  the  particulars  of  ongoing  or  future  investments,  we  may  be  obligated  to  secure 

CFIUS approval before closing, which could delay the time period between signing and closing. If we determine that a CFIUS filing is 

not mandatory (or otherwise advisable), there is a risk that CFIUS could initiate its own review, if it determines that the transaction is 

subject to its jurisdiction. If an investment raises significant national security concerns, CFIUS has the authority to impose mitigation 

conditions or recommend that the President block a transaction. 

On  September  15,  2022,  President  Biden  issued  an  Executive  Order  to  instruct  CFIUS  to  consider  national  security  factors  when 

evaluating  transactions,  specifically  a  deal’s  effect  on  critical  U.S.  supply  chains,  U.S.  technological  leadership  in  biotechnology  and 

biomanufacturing,  cybersecurity  risks,  or  risks  to  U.S.  persons’  sensitive  data.  As  a  result,  companies  with  significant  operations  in 

China will likely face heightened regulatory scrutiny from CFIUS in conducting acquisition of U.S, biotech companies.

Changes  in  United  States  and  international  trade  policies  and  relations,  particularly  with  regard  to  mainland 
China, may adversely impact our business and operating results.

The U.S. government has recently made statements and taken certain actions that led to changes to United States and international 

trade  policies  and  relations,  including  imposing  several  rounds  of  tariffs  affecting  certain  products  manufactured  in  mainland  China, 

as  well  as  imposing  certain  sanctions  and  restrictions  in  relation  to  mainland  China.  It  is  unknown  whether  and  to  what  extent  new 

79

RISK FACTORStariffs or other new executive orders, laws or regulations will be adopted, or the effect that any such actions would have on us or our 

industry.  We  conduct  pre-clinical  and  clinical  activities  and  have  business  operations  both  in  the  United  States  and  mainland  China, 

any  unfavorable  government  policies  on  international  trade,  such  as  capital  controls  or  tariffs,  may  affect  the  demand  for  our  drug 

products, the competitive position of our drug products, the hiring of scientists and other research and development personnel and 

import or export of raw materials in relation to drug development, or prevent us from selling our drug products in certain countries. 

If any new tariffs, legislation, executive orders and/or regulations are implemented, or if existing trade agreements are renegotiated 

or, in particular, if the U.S. or Chinese governments takes retaliatory actions due to the recent U.S.-China tension, such changes could 

have an adverse effect on our business, financial condition, and results of operations. 

It may be difficult to enforce against us or our management in mainland China any judgments obtained from 

foreign courts.

In July 2006, Hong Kong and mainland China entered into the Arrangement on Reciprocal Recognition and Enforcement of Judgments 

in Civil and Commercial Matters by the Courts of the Mainland and of the Hong Kong Special Administrative Region Pursuant to Choice 

of Court Agreements Between Parties Concerned (the “Arrangement”), pursuant to which a party with a final court judgment rendered 

by a Hong Kong court requiring payment of money in a civil and commercial case according to a choice of court agreement in writing 

may apply for recognition and enforcement of the judgment in mainland China. Similarly, a party with a final judgment rendered by 

a Chinese court requiring payment of money in a civil and commercial case pursuant to a choice of court agreement in writing may 

apply  for  recognition  and  enforcement  of  such  judgment  in  Hong  Kong.  In  January  2019,  the  Supreme  People’s  Court  and  the  Hong 

Kong Government signed the Arrangement on Reciprocal Recognition and Enforcement of Judgments in Civil and Commercial Matters 

by the Courts of the Mainland and of the Hong Kong Special Administrative Region (the “New Arrangement”), which seeks to establish 

a mechanism with greater clarity and certainty for recognition and enforcement of judgments in wider range of civil and commercial 

matters  between  Hong  Kong  and  mainland  China.  The  New  Arrangement  discontinued  the  requirement  for  a  choice  of  court 

agreement for bilateral recognition and enforcement. The New Arrangement will only take effect after the promulgation of a judicial 

interpretation by the Supreme People’s Court, completion of the relevant legislative procedures in the Hong Kong and announcement 

by both sides of a date on which the New Arrangement shall commence. The New Arrangement will, upon its effectiveness, supersede 

the Arrangement. Therefore, before the New Arrangement becomes effective it may be difficult or impossible to enforce a judgment 

rendered by a Hong Kong court in mainland China if the parties in the dispute do not agree to enter into a choice of court agreement in 

writing. Additionally, there are uncertainties about the outcomes and effectiveness of enforcement or recognition of judgments under 

the New Arrangement. 

Furthermore,  mainland  China  does  not  have  treaties  or  agreements  providing  for  the  reciprocal  recognition  and  enforcement 

of  judgments  awarded  by  courts  of  the  United  States,  the  United  Kingdom,  most  other  western  countries,  or  Japan.  Hence,  the 

recognition  and  enforcement  in  mainland  China  of  judgments  of  a  court  in  any  of  these  jurisdictions  in  relation  to  any  matter  not 

subject to a binding arbitration provision may be difficult or even impossible.

80

RISK FACTORSFailure to renew our current leases or locate desirable alternatives for our leased properties could materially 

and adversely affect our business.

We  lease  properties  for  our  offices  and  manufacturing  facilities.  We  may  not  be  able  to  successfully  extend  or  renew  such  leases  upon 

expiration of the current term on commercially reasonable terms or at all and may therefore be forced to relocate our affected operations. 

This could disrupt our operations and result in significant relocation expenses, which could adversely affect our business, financial condition, 

and results of operations. In addition, we compete with other businesses for premises at certain locations or of desirable sizes. As a result, 

even though we could extend or renew our leases, rental payments may significantly increase as a result of the high demand for the leased 

properties. In addition, we may not be able to locate desirable alternative sites for our current leased properties as our business continues to 

grow and failure in relocating our affected operations could adversely affect our business and operations. 

RISKS RELATED TO OUR FINANCIAL POSITION AND NEED FOR ADDITIONAL 
CAPITAL

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

in  the  future.  To  date,  we  have  not  generated  sufficient  revenue  from  product  sales  to  cover  corresponding 

expenses, and we may never achieve or sustain profitability.

We currently have four approved, commercialized products — ZEJULA, Optune, QINLOCK, and NUZYRA. Although we have launched 

ZEJULA  in  Hong  Kong,  Macau,  and  mainland  China,  Optune  in  Hong  Kong,  and  mainland  China,  QINLOCK  in  mainland  China,  Hong 

Kong, and Taiwan, and NUZYRA in mainland China, it will take some time to attain profitability, and we may never do so. We have also 

obtained the rights to commercialize many clinical-stage product candidates. Investment in biopharmaceutical product development 

is  highly  speculative  because  it  entails  substantial  upfront  capital  expenditures  and  significant  risk  that  a  product  candidate  will 

fail  to  gain  regulatory  approval  or  become  commercially  viable.  To  date,  we  have  financed  our  activities  primarily  through  private 

placements,  our  initial  public  offering  in  September  2017  and  multiple  follow-on  offerings  on  Nasdaq,  and  our  secondary  listing 

and  initial  public  offering  on  the  Hong  Kong  Stock  Exchange  in  September  2020.  For  2022  and  2021,  we  generated  net  revenue, 

mainly  from  product  sales,  of  $215.0  million  and  $144.3  million,  respectively.  We  continue  to  incur  significant  development, 

commercialization and other expenses related to our ongoing operations. As a result, we are not profitable and have incurred losses in 

each period since our inception in 2013. For 2022 and 2021, we reported a net loss of $443.3 million and $704.5 million, respectively. 

We expect to continue to incur losses in the foreseeable future, and we expect these losses to increase as we:

• 

continue  to  commercialize,  and  maintain  and  expand  sales,  marketing  and  commercialization  infrastructure  for  our  approved 

products and any other products for which we may obtain regulatory approval; 

• 

• 

maintain and expand regulatory approvals for our products and product candidates that successfully complete clinical trials; 

continue our development and commence clinical trials of our product candidates; 

81

RISK FACTORS• 

• 

• 

• 

• 

• 

acquire or in-license other intellectual property, product candidates and technologies; 

maintain and expand our manufacturing facilities; 

hire additional clinical, operational, financial, quality control and scientific personnel; 

seek to identify additional product candidates; 

obtain, maintain, expand and protect our intellectual property portfolio; and 

enforce and defend intellectual property-related claims. 

To  become  and  remain  profitable,  we  must  continue  the  commercialization  efforts  of  our  approved  products  and  develop  and 

eventually commercialize other product candidates with significant market potential. This will require us to be successful in a range of 

challenging activities, including manufacturing, marketing, and selling our approved products as well as completing pre-clinical testing 

and clinical trials of and obtaining marketing approval for our clinical and pre-clinical stage product candidates. We will also need to be 

successful in satisfying any post-marketing requirements with respect to all of our products. We may not succeed in any or all of these 

activities  and,  even  if  we  do,  we  may  never  generate  product  revenues  that  are  significant  or  large  enough  to  achieve  profitability. 

We may encounter unforeseen expenses, difficulties, complications, delays, and other unknown factors that may adversely affect our 

business. The size of our future net losses will depend, in part, on the rate of future growth of our expenses and our ability to generate 

revenue. Even if we achieve profitability in the future, we may not be able to sustain profitability in subsequent periods. Our failure 

to become and remain profitable would decrease the value of the Company and could impair our ability to raise capital, maintain our 

research  and  development  efforts  and  commercialization  efforts,  expand  our  business,  or  continue  our  operations.  A  decline  in  the 

value of the Company also could cause you to lose all or part of your investment. 

We will continue to require substantial additional funding for our product development programs and for our 
commercialization efforts for our approved products and other products for which we may obtain regulatory 

approval,  which  may  not  be  available  on  acceptable  terms,  or  at  all.  If  we  are  unable  to  raise  capital  on 

acceptable terms when needed, we could incur losses or be forced to delay, reduce or terminate such efforts.

In  2022  and  2021,  we  generated  net  revenue,  mainly  from  product  sales,  of  $215.0  million  and  $144.3  million,  respectively.  Our 

operations have consumed substantial amounts of cash since inception, and we continue to incur significant development and other 

expenses related to our ongoing operations. To date, we have financed our activities primarily through private placements, our initial 

public offering in September 2017 and multiple follow-on offerings on Nasdaq, and our secondary listing and initial public offering on 

the Hong Kong Stock Exchange in September 2020. As of February 28, 2023, we have raised approximately $164.6 million in private 

equity  financing  and  approximately  $2,462.7  million  in  net  proceeds  after  deducting  underwriting  commissions  and  the  offering 

expenses in our initial public offerings and follow-on offerings. For 2022 and 2021, the net cash used in our operating activities was 

$367.6  million  and  $549.2  million,  respectively.  We  expect  our  expenses  to  increase  significantly  in  connection  with  our  ongoing 

activities, particularly as we continue to commercialize our approved products, continue our research and development efforts related 

82

RISK FACTORSto  our  clinical  and  pre-clinical-stage  product  candidates,  and  initiate  additional  clinical  trials  of,  and  seek  and/or  expand  regulatory 

approval for, ZEJULA, Optune, QINLOCK, NUZYRA, and our other products and product candidates. In addition, if we obtain regulatory 

approval  for  any  additional  product  candidates,  we  expect  to  incur  significant  commercialization  expenses  related  to  product 

manufacturing,  marketing,  sales,  and  distribution.  In  particular,  if  more  of  our  product  candidates  are  approved,  additional  costs 

may be substantial as we may have to, among other things, modify or increase the production capacity at our current manufacturing 

facilities  or  contract  with  third-party  manufacturers  and  increase  our  commercial  workforce.  We  have  incurred,  and  may  continue 

to  incur,  expenses  as  we  create  additional  infrastructure  to  support  our  operations.  Our  liquidity  and  financial  condition  may  be 

materially and adversely affected by negative net cash flows, and we cannot assure that we will have sufficient cash from other sources 

to  fund  our  operations.  We  will  likely  need  to  obtain  substantial  additional  funding  in  connection  with  our  continuing  operations 

through public or private equity offerings, debt financing, collaborations or licensing arrangements, or other sources. If we are unable 

to raise capital when needed or on acceptable terms, we could incur losses and be forced to delay, reduce, or terminate our research 

and development programs or commercialization efforts. 

Although we believe our cash and cash equivalents and short-term investments as of December 31, 2022 will enable us to fund our 

operating  expenses  and  capital  expenditure  requirements  for  at  least  the  next  twelve  months,  we  could  use  our  capital  resources 

sooner than we currently expect. Our future capital requirements will depend on many factors, including: 

• 

the  cost  and  timing  of  future  commercialization  activities  for  ZEJULA,  Optune,  QINLOCK,  NUZYRA,  and  any  other  product 

candidates for which we receive regulatory approval; 

• 

the  pricing  of  and  product  revenues  received,  if  any,  from  future  commercial  sales  of  our  approved  products  and  any  other 

products for which we receive regulatory approval; 

• 

• 

the scope, progress, timing, results, and costs of clinical development of our products in additional indications, if any; 

the scope, progress, timing, results, and costs of researching and developing our product candidates and conducting pre-clinical 

and clinical trials; 

• 

the  cost,  timing,  and  outcome  of  seeking,  obtaining,  maintaining,  and  expanding  regulatory  approval  of  our  products  and 

product candidates; 

• 

our  ability  to  establish  and  maintain  strategic  partnerships,  including  collaboration,  licensing,  or  other  arrangements  and  the 

economic and other terms, timing, and success of such arrangements;

• 

the  cost,  timing,  and  outcome  of  preparing,  filing,  and  prosecuting  patent  applications,  maintaining  and  enforcing  our 

intellectual property rights, and defending any intellectual property related claims; 

• 

the  extent  to  which  we  acquire  or  in-license  other  product  candidates  and  technologies  and  the  economic  and  other  terms, 

timing, and success of such collaboration and licensing arrangements; 

83

RISK FACTORS• 

• 

• 

cash requirements of any future acquisitions; 

the number, characteristics, and development requirements of the product candidates we pursue; 

resources required to develop and implement policies and processes to promote ongoing compliance with applicable healthcare 

laws and regulations; 

• 

costs required to confirm that our and our partners’ business arrangements with third parties comply with applicable healthcare 

laws and regulations; 

our headcount growth and associated costs; and 

the costs of operating as a public company in both the United States and Hong Kong. 

• 

• 

Raising additional capital or entering into certain other arrangements may cause dilution to our shareholders, 

restrict our operations, or require us to relinquish rights to our technologies or product candidates. 

Identifying  and  acquiring  rights  to  develop  potential  product  candidates,  conducting  pre-clinical  testing  and  clinical  trials,  and 

commercializing products for which we receive regulatory approval is a time-consuming, expensive, and uncertain process that may 

take  years  to  complete.  To  date,  we  have  generated  revenue  mainly  from  the  sales  of  our  approved  products,  after  we  received 

respective regulatory approval in the relevant jurisdictions. Our near-term commercial revenue will continue to be derived from sales 

of  our  approved  products.  Additional  commercial  revenue,  if  any,  will  be  derived  from  sales  of  product  candidates  that  we  do  not 

expect to be commercially available until we receive regulatory approval, if at all. We may never generate the necessary data or results 

required to obtain regulatory approval and achieve product sales of some of our product candidates, and even if we obtain regulatory 

approval, our products may not achieve commercial success. Accordingly, we will need to continue to rely on additional financing to 

achieve our business objectives. Adequate additional financing may not be available to us on acceptable terms, or at all. 

We  may  seek  additional  funding  through  a  combination  of  equity  offerings,  debt  financings,  collaborations,  licensing  arrangements, 

strategic alliances, and marketing or distribution arrangements. To the extent that we raise additional capital through the sale of equity 

or  convertible  debt  securities,  our  shareholders’  ownership  interest  will  be  diluted,  and  the  terms  may  include  liquidation  or  other 

preferences  that  adversely  affect  rights  of  our  security  holders.  The  incurrence  of  additional  indebtedness  or  the  issuance  of  certain 

equity  securities  could  result  in  increased  fixed  payment  obligations  and  could  also  result  in  certain  additional  restrictive  covenants, 

such  as  limitations  on  our  ability  to  incur  additional  debt  or  issue  additional  equity,  limitations  on  our  ability  to  acquire  or  license 

intellectual property rights and other operating restrictions that could adversely impact our ability to conduct our business. In addition, 

issuance  of  additional  equity  securities,  or  the  possibility  of  such  issuance,  may  cause  the  market  price  of  our  ordinary  shares  and/

or  ADSs  to  decline.  Additionally,  to  finance  any  acquisitions,  licensing  arrangement  or  strategic  alliance,  we  may  choose  to  issue  our 

ordinary shares as consideration, which could dilute the ownership of our stockholders. In the event that we enter into collaboration or 

licensing arrangements to raise capital, we may be required to accept unfavorable terms, including relinquishing or licensing to a third 

party on unfavorable terms our rights to technologies or product candidates that we otherwise would seek to develop or commercialize 

ourselves or potentially reserve for future potential arrangements when we might be able to achieve more favorable terms. 

84

RISK FACTORSWe may not be able to access the capital and credit markets on terms that are favorable to us. 

We  may  seek  access  to  the  capital  and  credit  markets  to  supplement  our  existing  funds  and  cash  generated  from  operations  for 

working  capital,  capital  expenditure  and  debt  service  requirements  and  other  business  initiatives.  The  capital  and  credit  markets 

are experiencing, and have in the past experienced, extreme volatility and disruption, which leads to uncertainty and liquidity issues 

for  both  borrowers  and  investors.  That  volatility  and  unpredictability  in  the  financial  markets  is  adversely  affecting  the  access  to 

capital  and  credit  for  many  life  sciences  companies,  but  that  risk  is  currently  exacerbated  for  companies  like  ours  with  significant 

operations  in  China  by  factors  such  as  geopolitical  tensions  between  the  United  States  and  China,  the  ongoing  war  between  Russia 

and Ukraine, and the uncertainty about the duration, scope, and effect of the COVID-19 pandemic, including the restrictions imposed 

and subsequently removed by the Chinese government in response. In the event that these continued adverse market conditions may 

affect us, we may be unable to obtain adequate capital or credit market financing, obtain that capital or credit on favorable terms, or 

access such capital or credit in the market(s) or manner most favorable to the Company. 

Our results of operations may be adversely impacted in the event of a sustained period of increased inflation.

The  global  economy,  including  the  U.S.  economy,  has  experienced  rising  inflation  in  recent  quarters.  Increased  inflation  may  have 

an adverse impact on our expenses and, as a result, our results of operations. We source key materials from third parties located in 

the United States, either directly through agreements with suppliers or indirectly through our manufacturers who have agreements 

with  suppliers,  as  well  as  through  our  licensors.  For  example,  we  rely  on  BMS  (formerly  Turning  Point)  to  manufacture  and  supply 

repotrectinib  (TPX-0005),  argenx  to  manufacture  and  supply  efgartigimod,  MacroGenics  to  manufacture  and  supply  margetuximab 

and a pre-clinical multi-specific TRIDENT molecule, Entasis to manufacture and supply SUL-DUR, NovoCure to manufacture and supply 

Optune, Deciphera to manufacture and supply QINLOCK, Regeneron to manufacture and supply odronextamab, Mirati to manufacture 

and supply adagrasib, and Blueprint to manufacture and supply BLU-945. Sustained or rising inflation may result in increased cost to us 

in obtaining supplies of our products and product candidates, or key materials relating thereto. As a result, our results of operations 

may be adversely impacted.

RISKS RELATED TO OUR BUSINESS AND INDUSTRY

We are invested in the commercial success of our four approved products and our ability to generate product 

revenues in the near future is highly dependent on the commercial success of each of those products.

A  substantial  portion  of  our  time,  resources  and  effort  are  focused  on,  and  our  ability  to  generate  product  revenues  will  depend 

heavily  on  the  success  of  the  commercialization  of  our  four  approved  products.  Our  ability  to  successfully  commercialize  those 

products will depend on, among other things, our ability to: 

• 

maintain commercial manufacturing or supply arrangements with third-party manufacturers for ZEJULA, Optune, QINLOCK, and 

NUZYRA; 

• 

produce,  through  a  validated  process  or  procure,  both  internally  or  from  third-party  manufacturers  sufficient  quantities  and 

inventory of each of our approved products to meet demand; 

85

RISK FACTORS• 

build and maintain internal sales, distribution and marketing capabilities sufficient to generate commercial sales of each of our 

approved products; 

• 

secure widespread acceptance of ZEJULA, Optune, QINLOCK, and NUZYRA from physicians, healthcare payors, patients, and the 

medical community; 

• 

properly  price  and  obtain  coverage  and  adequate  reimbursement  of  each  of  our  approved  products  by  governmental 

authorities, private health insurers, managed care organizations and other third-party payors; 

• 

maintain  compliance  with  ongoing  regulatory  labeling,  packaging,  storage,  advertising,  promotion,  recordkeeping,  safety,  and 

other post-market requirements; 

• 

• 

manage our growth and spending as costs and expenses increase due to commercialization; and 

manage  business  interruptions  resulting  from  the  occurrence  of  any  pandemic,  epidemic,  including  from  the  outbreak  of 

COVID-19, or any other public health crises, natural catastrophe, or other disasters. 

There  are  no  guarantees  that  we  will  be  successful  in  completing  these  tasks.  In  addition,  we  have  invested,  and  will  continue  to 

invest, substantial financial and management resources to build out our commercial infrastructure and to recruit and train sufficient 

additional qualified marketing, sales, and other personnel in support of our sales of each of our approved products. 

Sales of our commercial products may be slow or limited for a variety of reasons including competing therapies 

or safety issues. If any of our four approved products is not successful in gaining broad commercial acceptance, 

our business would be harmed.

Sales of each of our four approved products will be dependent on several factors, including our and our partners’ ability to educate 

and  increase  physician  awareness  of  the  benefits,  safety  and  cost-effectiveness  of  such  products  relative  to  competing  therapies. 

The degree of market acceptance of ZEJULA, Optune, QINLOCK, and NUZYRA among physicians, patients, healthcare payors, and the 

medical community will depend on a number of factors, including: 

• 

• 

• 

• 

• 

acceptable evidence of safety and efficacy; 

relative convenience and ease of administration; 

prevalence and severity of any adverse side effects; 

availability of alternative treatments; 

pricing, cost effectiveness and value propositions; 

86

RISK FACTORS• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

effectiveness of our sales and marketing capabilities and strategies; 

ability to obtain sufficient third-party coverage and reimbursement; 

the  clinical  indications  for  which  such  product  are  approved,  as  well  as  changes  in  the  standard  of  care  for  their  targeted 

indications; 

the continuing effectiveness of manufacturing and supply chain; 

warnings and limitations contained in the approved labeling for such product; 

safety concerns with similar products marketed by others; 

the prevalence and severity of any side effects as a result of treatment with such product; 

our ability to comply with regulatory post-marketing requirements associated with the approval of such product; 

the actual market-size for such product, which may be larger or smaller than expected; 

competitor’s entry timing and price; and 

our ability to manage complications or barriers that inhibit our commercialization team from reaching the appropriate audience 

to promote our product(s) because of the outbreak of COVID-19 or any other public health crises, natural catastrophe or other 

disasters. 

We may never obtain approval of our commercialized products for other indications outside of the regulatory 

approvals we have already obtained, which would limit our ability to realize their full market potential.

In  order  to  market  products  in  any  given  jurisdiction,  we  must  comply  with  numerous  and  varying  regulatory  requirements  of  such 

jurisdiction  regarding  safety,  efficacy  and  quality.  The  approval  of  our  four  commercial  products,  ZEJULA,  Optune,  QINLOCK,  and 

NUZYRA for certain indications in certain jurisdictions does not mean that the regulatory authorities will approve those products for 

other indications. Approval procedures vary among jurisdictions and clinical trials conducted in one jurisdiction may not be accepted 

by regulatory authorities in other jurisdictions, and regulatory approval in one country does not mean that regulatory approval will be 

obtained in any other jurisdiction. 

We  have  limited  experience  in  commercializing  our  products.  If  we  are  unable  to  further  develop  marketing 

and sales capabilities or enter into agreements with third parties to market and sell our products, we may not 

be able to generate substantial product sales revenue.

We  continue  to  build  our  salesforce  in  China  to  commercialize  our  approved  products,  and  any  additional  products  or  product 

candidates that we may develop or in-license, which will require significant capital expenditures, management resources and time. 

87

RISK FACTORSWe  have  limited  experience  in  commercializing  our  products.  For  example,  we  have  limited  experience  in  building  and  managing  a 

commercial team, conducting a comprehensive market analysis, obtaining state licenses and reimbursement, or managing distributors 

and a sales force for our products. We will be competing with many companies that currently have extensive and well-funded sales 

and  marketing  operations.  As  a  result,  our  ability  to  successfully  commercialize  our  products  may  involve  more  inherent  risk,  take 

longer and cost more than it would if we were a company with substantial experience launching products. 

We compete with other pharmaceutical and biotechnology companies to recruit, hire, train and retain marketing and sales personnel. 

If we are unable to, or decide not to, further develop internal sales, marketing and commercial distribution capabilities for any or all of 

our products, we will likely pursue collaborative arrangements regarding the sales and marketing of our products. However, there can 

be no assurance that we will be able to establish or maintain such collaborative arrangements, or if we are able to do so, that they will 

have effective sales forces. Any revenue we receive will depend upon the efforts of such third parties. We have little or no control over 

the marketing and sales efforts of such third parties, and our revenue from product sales may be lower than if we had commercialized 

our products ourselves. We also face competition in our search for third parties to assist us with the sales and marketing efforts for our 

products. 

There can be no assurance that we will be able to further develop and successfully maintain internal sales and commercial distribution 

capabilities  or  establish  or  maintain  relationships  with  third-party  collaborators,  all  of  which  may  be  necessary  to  successfully 

commercialize any product. As a result, we may not be able to generate substantial product sales revenue. 

We  have  limited  experience  manufacturing  our  products  and  product  candidates  on  a  large  clinical  or 

commercial  scale.  We  are  or  will  be  dependent  on  third  party  manufacturers  for  the  manufacture  of  certain 

of our products and product candidates as well as on third parties for our supply chain, and if we experience 

problems  with  any  of  these  third  parties,  the  manufacture  of  our  products  or  product  candidates  could  be 

delayed, which could harm our results of operations.

If our two manufacturing facilities are unable to meet our intended production capacity in a timely fashion, we may have to engage a 

CMO for the production of clinical supplies of our products or product candidates.

Additionally,  in  order  to  successfully  commercialize  our  products  and  product  candidates,  we  will  need  to  identify  qualified  CMOs 

for  the  scaled  production  of  a  commercial  supply  of  certain  of  our  products  and  product  candidates.  The  CMOs  should  be  drug 

manufacturers holding manufacturing permits with a scope that can cover our drug registration candidates. We have not yet identified 

suppliers  to  support  scaled  production.  If  we  are  unable  to  arrange  for  alternative  third-party  manufacturing  sources,  or  to  do  so 

on commercially reasonable terms or in a timely manner, we may not be able to complete development of our products or product 

candidates, or market or distribute them. 

We  may  build  a  large-scale  manufacturing  plant  in  Suzhou  to  potentially  support  our  ability  to  manufacture  our  products  in  the  scale 

necessary.  However,  if  there  are  delays  in  bringing  the  Suzhou  manufacturing  plant  on-line,  we  may  not  have  sufficient  large  scale 

manufacturing capacity to meet our long-term manufacturing requirements. In addition, we are making significant investments in connection 

with the building of this manufacturing facility with no assurance that this investment will be recouped. Charges resulting from either excess 

capacity or insufficient capacity would have a negative effect on our financial condition and results of operations. 

88

RISK FACTORSWe rely on third-party manufacturers and suppliers to manufacture at least some of our products and product 

candidates. 

We rely on third-party manufacturers to manufacture at least some of our products and product candidates. For example, we rely on 

BMS  (formerly  Turning  Point)  to  manufacture  and  supply  repotrectinib  (TPX-0005),  argenx  to  manufacture  and  supply  efgartigimod, 

MacroGenics  to  manufacture  and  supply  margetuximab  and  a  pre-clinical  multi-specific  TRIDENT  molecule,  Entasis  to  manufacture 

and  supply  SUL-DUR,  NovoCure  to  manufacture  and  supply  Optune,  Deciphera  to  manufacture  and  supply  QINLOCK,  Regeneron  to 

manufacture and supply odronextamab, Mirati to manufacture and supply adagrasib, Blueprint to manufacture and supply BLU-945, 

and CMOs to manufacture and supply NUZYRA and ZL-1102.

Such reliance on third-party manufacturers entails risks to which we would not be subject to if we manufactured product candidates 

or products ourselves, including reliance on the third party for regulatory compliance and quality assurance, the possibility of breach 

of the manufacturing or supply agreement by the third party because of factors beyond our control (including a failure to synthesize 

and manufacture our product candidates or any products we may eventually commercialize in accordance with our specifications) and 

the possibility of termination or nonrenewal of the agreement by the third party, based on its own business priorities, at a time that is 

costly or damaging to us. In addition, the NMPA and other regulatory authorities require that our product candidates and any products 

that we may eventually commercialize be manufactured according to cGMP standards. Any failure by our third-party manufacturers 

to  comply  with  cGMP  standards  or  failure  to  scale  up  manufacturing  processes,  including  any  failure  to  deliver  sufficient  quantities 

of  product  candidates  in  a  timely  manner,  could  lead  to  a  delay  in,  or  failure  to  obtain,  regulatory  approval  of  any  of  our  product 

candidates.  In  addition,  such  failure  could  be  the  basis  for  the  NMPA  to  issue  a  warning  or  untitled  letter,  withdraw  approvals  for 

product  candidates  previously  granted  to  us,  or  take  other  regulatory  or  legal  action,  including  recall  or  seizure,  total  or  partial 

suspension of production, suspension of ongoing clinical trials, refusal to approve pending applications or supplemental applications, 

detention or product, refusal to permit the import or export of products, injunction or imposing civil and criminal penalties. 

Any  significant  disruption  in  our  supplier  relationships  could  harm  our  business.  We  currently  source  key  materials  from  third 

parties,  either  directly  through  agreements  with  suppliers  or  indirectly  through  our  manufacturers  who  have  agreements  with 

suppliers,  as  well  as  through  our  licensors.  Any  significant  disruption  in  our  potential  supplier  relationships,  whether  due  to  price 

hikes,  manufacturing  or  supply  related  issues,  could  harm  our  business.  We  anticipate  that,  in  the  near  term,  all  key  materials  will 

be  sourced  through  third  parties.  There  are  a  small  number  of  suppliers  for  certain  capital  equipment  and  key  materials  that  are 

used to manufacture some of our drugs. Such suppliers may not sell these key materials to us or our manufacturers at the times we 

need them or on commercially reasonable terms. We currently do not have any agreements for the commercial production of these 

key materials. Any significant delay in the supply of a product or product candidate or its key materials for an ongoing clinical study 

could considerably delay completion of our clinical studies, product or drug testing and potential regulatory approval of our products 

or  product  candidates.  If  we  or  our  manufacturers  are  unable  to  purchase  these  key  materials  after  regulatory  approval  has  been 

obtained for our product candidates, the commercialization of our products or the commercial launch of our product candidates could 

be delayed or there could be a shortage in supply, which would impair our ability to generate revenues from the sale of our products 

and product candidates. 

89

RISK FACTORSFurthermore,  because  of  the  complex  nature  of  our  compounds,  we  or  our  manufacturers  may  not  be  able  to  manufacture  our 

compounds at a cost or in quantities or in a timely manner necessary to make commercially successful products and drugs. In addition, 

as our drug development pipeline increases and matures, we will have a greater need for clinical study and commercial manufacturing 

capacity. We have limited experience manufacturing pharmaceutical products or drugs on a commercial scale and some of our current 

suppliers will need to increase their scale of production to meet our projected needs for commercial manufacturing, the satisfaction of 

which on a timely basis may not be met.

We  have  a  very  limited  operating  history,  which  may  make  it  difficult  for  you  to  evaluate  the  success  of  our 

business to date and to assess our future viability.

We  are  a  commercial-stage  biopharmaceutical  company.  Our  operations  to  date  have  been  limited  to  organizing  and  staffing  the 

Company,  identifying  potential  partnerships  and  product  candidates,  acquiring  product  and  technology  rights,  conducting  research 

and  development  activities  for  our  product  candidates  and,  more  recently,  commercializing  products  for  which  we  have  obtained 

regulatory approval. We have not yet demonstrated the ability to successfully complete large-scale, pivotal clinical trials. Additionally, 

we have limited experience in the sale, marketing, or distribution of pharmaceutical and medical device products. Consequently, any 

predictions about our future success, performance or viability may not be as accurate as they could be if we had a longer operating 

history. If we are unable to further develop marketing and sales capabilities or enter into agreements with third parties to market and 

sell our commercialized products, we may not be able to generate substantial product sales revenue. 

Our limited operating history, particularly in light of the rapidly evolving drug research and development industry in which we operate, 

may make it difficult to evaluate our current business and prospects for future performance. Our short history makes any assessment 

of our future performance or viability subject to significant uncertainty. We will encounter risks and difficulties frequently experienced 

by companies in rapidly evolving fields as we continue to expand our commercial activities. In addition, as a recently commercial-stage 

business, we may be more likely to encounter unforeseen expenses, difficulties, complications and delays due to limited experience. If 

we do not address these risks and difficulties successfully, our business will suffer. 

If we are unable to obtain regulatory approval for and ultimately commercialize our many product candidates 

or  experience  significant  delays  in  doing  so,  our  business,  financial  condition,  results  of  operations,  and 

prospects may be materially adversely affected.

Many of our product candidates are in clinical development and various others are in pre-clinical development. Our ability to generate 

revenue from our product candidates is dependent on the results of clinical and pre-clinical development, our receipt of regulatory 

approval  and  successful  commercialization  of  such  products,  which  may  never  occur.  Each  of  our  product  candidates  will  require 

additional pre-clinical and/or clinical development, regulatory approval in multiple jurisdictions, development of manufacturing supply 

and capacity, substantial investment and significant marketing efforts before we generate any revenue from product sales. The success 

of our product candidates will depend on several factors, including the following: 

• 

successful enrollment of patients in, and completion of, clinical trials as well as completion of pre-clinical studies, which may be 

adversely impacted by the effects of the COVID-19 pandemic; 

• 

receipt  of  regulatory  approvals  from  applicable  regulatory  authorities  for  planned  clinical  trials,  future  clinical  trials  or  drug 

registrations, manufacturing and commercialization; 

90

RISK FACTORS• 

successful  completion  of  all  safety  and  efficacy  studies  required  to  obtain  regulatory  approval  in  Greater  China,  the  United 

States, and other jurisdictions for our product candidates; 

• 

adapting  our  commercial  manufacturing  capabilities  to  the  specifications  for  our  product  candidates  for  clinical  supply  and 

commercial manufacturing; 

• 

• 

• 

• 

• 

• 

• 

• 

making and maintaining arrangements with third-party manufacturers; 

obtaining and maintaining patent, trade secret and other intellectual property protection and/or regulatory exclusivity for our 

product candidates; 

launching commercial sales of our product candidates, if and when approved, whether alone or in collaboration with others; 

acceptance of the product candidates, if and when approved, by patients, the medical community and third-party payors; 

effectively competing with other therapies and alternative drugs; 

obtaining and maintaining healthcare coverage and adequate reimbursement; 

successfully enforcing and defending intellectual property rights and claims; and 

maintaining  a  continued  acceptable  safety,  tolerability  and  efficacy  profile  of  the  product  candidates  following  regulatory 

approval. 

The success of our business is substantially dependent on our ability to complete the development of our product candidates and to 

maintain, expand or obtain regulatory approval for, and successfully commercialize our products and, if approved, product candidates 

in a timely manner. 

We are not permitted to market any of our products or product candidates in Greater China, the United States, and other jurisdictions 

unless and until we receive regulatory approval from the NMPA, FDA, and EMA, and other comparable authorities, respectively. The 

process to develop, obtain regulatory approval for and commercialize product candidates is long, complex and costly both inside and 

outside of mainland China and approval may not be granted. Securing regulatory approval requires the submission of extensive pre-

clinical and clinical data and supporting information to the various regulatory authorities for each therapeutic indication to establish 

the product’s or product candidate’s safety and efficacy. Securing regulatory approval may also require the submission of information 

about the product or drug manufacturing process to, and inspection of manufacturing facilities by, the relevant regulatory authority. 

Our  products  and  product  candidates  may  not  be  effective,  may  be  only  moderately  effective  or  may  prove  to  have  undesirable  or 

unintended  side  effects,  toxicities  or  other  characteristics  that  may  preclude  our  obtaining  of  the  regulatory  approval  or  prevent 

91

RISK FACTORSor  limit  commercial  use.  The  NMPA,  FDA,  and  EMA  and  comparable  authorities  in  other  countries  have  substantial  discretion  in  the 

approval  process  and  may  refuse  to  accept  any  application  or  may  decide  that  our  data  are  insufficient  for  approval  and  require 

additional pre-clinical, clinical or other studies. Our products and product candidates could be delayed in receiving, or fail to receive, 

regulatory approval for many reasons, including the following: 

• 

disagreement with the NMPA, FDA, and EMA or comparable regulatory authorities regarding the number, design, size, conduct 

or implementation of our clinical trials; 

• 

failure  to  demonstrate  to  the  satisfaction  of  the  NMPA,  FDA,  and  EMA  or  comparable  regulatory  authorities  that  a  product 

candidate is safe and effective for its proposed indication; 

• 

failure of CROs, clinical study sites or investigators to comply with the ICH-good clinical practice, or GCP, requirements imposed 

by the NMPA, FDA, and EMA or comparable regulatory authorities; 

• 

failure of the clinical trial results to meet the level of statistical significance required by the NMPA, FDA, and EMA or comparable 

regulatory authorities for approval; 

• 

• 

failure to demonstrate that a product’s or product candidate’s clinical and other benefits outweigh its safety risks; 

the  NMPA,  FDA,  and  EMA  or  comparable  regulatory  authorities  disagreeing  with  our  interpretation  of  data  from  pre-clinical 

studies or clinical trials; 

• 

insufficient data collected from clinical trials to support the submission of an NDA or other submission or to obtain regulatory 

approval in Greater China, the United States, or elsewhere; 

• 

the NMPA, FDA, and EMA or comparable regulatory authorities not approving the manufacturing processes for our clinical and 

commercial supplies; 

• 

changes  in  the  approval  policies  or  regulations  of  the  NMPA,  FDA,  or  comparable  regulatory  authorities  rendering  our  clinical 

data insufficient for approval; 

• 

• 

the NMPA, FDA, or comparable regulatory authorities restricting the use of our products to a narrow population; and 

our CROs or licensors taking actions that materially and adversely impact the clinical trials. 

Clinical  trials  conducted  in  one  country  may  not  be  accepted  by  regulatory  authorities  in  other  countries  and  obtaining  regulatory 

approval in one country does not mean that regulatory approval will be obtained in any other country. Approval processes vary among 

countries and can involve additional product testing and validation and additional administrative review periods. For example, even if a 

product is approved by the FDA or comparable foreign regulatory authorities, we would still need to seek approval from the NMPA to 

92

RISK FACTORScommercialize the product in mainland China and we may need to conduct clinical trials of each of our product candidates in patients 

in mainland China prior to seeking regulatory approval from the NMPA. Even if our product candidates have successfully completed 

clinical  trials  outside  of  mainland  China,  there  is  no  assurance  that  clinical  trials  conducted  with  patients  in  mainland  China  will  be 

successful. Any safety issues, product recalls or other incidents related to products approved and marketed in other jurisdictions may 

impact approval of those products by the NMPA. If we are unable to obtain regulatory approval for our product candidates in one or 

more jurisdictions, or any approval contains significant limitations, or are imposed on certain product candidates, we may not be able 

to obtain sufficient funding or generate sufficient revenue to continue the commercialization of our products and the development of 

our product candidates or any other product candidate that we may in-license, acquire or develop in the future. 

We may allocate our limited resources to pursue a particular product, product candidate or indication and fail 

to capitalize on products, product candidates or indications that may later prove to be more profitable or for 

which there is a greater likelihood of success.

Because  we  have 

limited  financial  and  managerial  resources,  we  must 

limit  our 

licensing,  research,  development,  and 

commercialization  programs  to  specific  products  and  product  candidates  that  we  identify  for  specific  indications.  As  a  result,  we 

may  forego  or  delay  pursuit  of  opportunities  with  other  products  or  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 drugs or 

profitable market opportunities. In addition, if we do not accurately evaluate the commercial potential or target market for a particular 

product  candidate,  we  may  relinquish  valuable  rights  to  that  product  candidate  through  collaboration,  licensing,  or  other  royalty 

arrangements when it would have been more advantageous for us to retain sole development and commercialization rights to such 

product candidate. 

Our  products  and  product  candidates  are  subject  to  extensive  regulation,  and  we  cannot  give  any  assurance 

that  any  of  our  products  or  product  candidates  will  receive  any  additional  regulatory  approval  or  be 

successfully commercialized.

Our  products  and  product  candidates  and  the  activities  associated  with  their  development  and  commercialization,  including  their 

design,  testing,  manufacture,  safety,  efficacy,  quality  control,  recordkeeping,  labeling,  packaging,  storage,  approval,  advertising, 

promotion,  sale,  distribution,  import,  and  export  are  subject  to  comprehensive  regulation  by  the  NMPA,  FDA,  and  EMA,  and  other 

regulatory agencies in Greater China, the United States, and the EU, and by comparable authorities in other countries. 

The process of obtaining regulatory approvals in Greater China, the United States, and other countries is expensive, may take many 

years of additional clinical trials and can vary substantially based upon a variety of factors, including the type, complexity and novelty 

of the product or product candidates involved. Changes in regulatory approval policies during the development period, changes in or 

the enactment of additional statutes or regulations, or changes in regulatory review for each submitted NDA, pre-market approval or 

equivalent application type, may cause delays in the approval or rejection of an application. 

In  addition,  even  if  we  were  to  obtain  approval,  regulatory  authorities  may  revoke  approval,  may  approve  any  of  our  products  or 

product candidates for fewer or more limited indications than we request, may monitor the price we intend to charge for our products 

or  drugs,  may  grant  approval  contingent  on  the  performance  of  costly  post-marketing  clinical  trials  or  may  approve  a  product  or 

93

RISK FACTORSproduct candidate with a label that does not include the labeling claims necessary or desirable for the successful commercialization of 

that product or product candidate. Any of the foregoing scenarios could materially harm the commercial prospects for our products or 

product candidates. 

The market opportunities for our products and product candidates may be limited to those patients who are 

ineligible for or have failed prior treatments and may be small.

In markets with approved therapies, we have and expect to initially seek approval of our product candidates as a later stage therapy 

for patients who have failed other approved treatments. Subsequently, for those products that prove to be sufficiently beneficial, if 

any, we would expect to seek approval as a second line therapy and potentially as a first-line therapy, but there is no guarantee that 

our product and product candidates, even if approved, would be approved for second-line or first-line therapy. 

Our projections of both the number of people who have the indications we are targeting, as well as the subset of people with those 

indications  who  may  be  in  a  position  to  receive  later  stage  therapy  and  who  have  the  potential  to  benefit  from  treatment  with  our 

products,  are  based  on  our  beliefs  and  estimates  and  may  prove  to  be  inaccurate  or  based  on  imprecise  data.  Further,  new  studies 

may change the estimated incidence or prevalence of these cancers. The number of patients may turn out to be lower than expected. 

Additionally,  the  potentially  addressable  patient  population  for  our  products  and  product  candidates  may  be  limited  or  may  not 

be  amenable  to  treatment  with  our  products  and  product  candidates.  Even  if  we  obtain  significant  market  share  for  our  products, 

because  the  potential  target  populations  are  small,  we  may  never  achieve  profitability  without  obtaining  regulatory  approval  for 

additional indications, including use as a first- or second-line therapy. 

The  incidence  and  prevalence  for  target  patient  populations  of,  and  our  sales  and  revenue  forecasts  for,  our 

products  and  product  candidates  are  based  on  estimates  and  third-party  sources,  and  they  may  prove  to  be 

wrong. If the market opportunities for our products and product candidates are smaller than we estimate or 

if  any  approval  that  we  obtain  is  based  on  a  narrower  definition  of  the  patient  population,  our  revenue  and 

ability to achieve profitability might be materially and adversely affected.

Periodically,  we  make  estimates  regarding  the  incidence  and  prevalence  of  target  patient  populations  for  particular  diseases  and 

regarding  sales  and  revenue  forecasts  for  our  products  and  product  candidates  based  on  various  third-party  sources  and  internally 

generated  analysis,  and  they  may  prove  to  be  wrong.  We  may  also  use  such  estimates  in  making  decisions  regarding  our  product 

development  strategy,  including  acquiring  or  in-licensing  products  or  product  candidates  and  determining  indications  on  which  to 

focus in pre-clinical or clinical trials.

These estimates may be inaccurate or based on imprecise data. For example, the total addressable market opportunity will depend on, 

among other things, their acceptance by the medical community and patient access, product pricing and reimbursement. The number 

of patients in the addressable markets may turn out to be lower than expected, patients may not be otherwise amenable to treatment 

with our products, or new patients may become increasingly difficult to identify or gain access to, all of which may significantly harm 

our business, financial condition, results of operations, and prospects.

94

RISK FACTORSThe pharmaceutical industry in Greater China and other jurisdictions is highly regulated and such regulations 

are  subject  to  change,  which  may  affect  the  approval  and  commercialization  of  our  drugs  and  product 

candidates, and any failure to comply with such regulations could have adverse legal and financial impact.

In Greater China, the United States, the EU, and some other jurisdictions, manufacturing, sales, promotion, and other activities related 

to drug candidates and approved drug therapies are subject to extensive regulation by numerous regulatory authorities. 

As  discussed  under  Business  —  Material  Developments  of  Government  Regulation,  there  have  been  a  number  of  legislative  and 

regulatory changes and proposed changes regarding healthcare that could prevent or delay regulatory approval of our products and 

product candidates, restrict or regulate post-approval activities and affect our ability to profitably sell our products and any product 

candidates for which we obtain regulatory approval. The commercial success of our approved products depends in part on coverage 

and  adequate  reimbursement  by  third  party  payors,  including  government  health  benefit  programs  and  authorities.  We  expect  that 

healthcare reform measures may result in more rigorous coverage criteria and in additional downward pressure on the reimbursement 

available  for  any  approved  drug  which  could  adversely  affect  pricing  for  such  a  drug.  Any  reduction  in  reimbursement  from 

government  programs  may  result  in  a  similar  reduction  in  payments  from  private  payors.  The  implementation  of  cost  containment 

measures or other healthcare reforms may prevent us from being able to generate revenue, attain profitability, or commercialize our 

products and product candidates. Various laws that address “fraud and abuse” may restrict our activities, including interactions with 

healthcare providers, third-party payors and patients, or impose additional obligations (such as government reporting obligations). 

Specifically,  the  pharmaceutical  industry  in  mainland  China  is  subject  to  comprehensive  government  regulation  and  supervision, 

encompassing  the  approval,  manufacturing,  distribution  and  marketing  of  new  drugs.  In  recent  years,  the  pharmaceutical  laws  and 

regulations  in  mainland  China  have  undergone  significant  changes,  including  but  not  limited  to  the  adoption  of  some  exploratory 

programs  in  pilot  regions,  and  we  expect  that  the  transformation  will  continue.  Any  changes  or  amendments  with  respect  to 

government regulation and supervision of the pharmaceutical industry in Greater China may result in uncertainties with respect to the 

interpretation and implementation of the relevant laws and regulations or adversely impact the development or commercialization of 

our drugs and product candidates in Greater China. 

For  instance,  in  2013,  the  State  Council  decided  to  set  up  the  BMTPZ  as  a  pilot  zone  for  the  promotion  of  international  medical 

tourism. With support by the central government, the BMTPZ enjoys multiple policy incentives, including accelerated special approval 

process for medical devices and drugs, tariff concession for imported devices and drugs, and less restrictions for foreign investors to 

invest in medical institutions. To enhance patient access to drugs that meet unmet clinical needs, the State Council launched a pilot 

program in April 2019 where local hospitals are allowed to import and use certain urgently needed drugs that have not been approved 

for  marketing  by  the  NMPA,  subject  to  the  approval  of  Hainan  Medical  Products  Administration  and  Hainan  Health  Commission. 

In  March  2020,  Hainan  Medical  Products  Administration  promulgated  the  Interim  Measures  for  the  Administration  of  Taking  Away 

the  Imported  Urgently  Needed  Drug  from  the  BMTPZ.  In  June  2022,  Hainan  Medical  Products  Administration  and  Hainan  Health 

Commission  jointly  promulgated  the  Measures  for  the  Administration  of  Taking  Away  the  Imported  Urgently  Needed  Drug  from  the 

BMPTZ in replace of the interim measures. These Measures permit a patient to take away, following his or her therapeutic schedules, 

a  reasonable  amount  of  the  legally  imported  drugs  from  hospitals  in  the  BMTPZ.  This  program  is  also  known  as  the  special  Named 

95

RISK FACTORSPatient  Program.  However,  as  the  special  Named  Patient  Program  is  newly  adopted  and  evolving,  any  change  in  future  policies  or 

implementing  measures,  which  we  may  not  be  able  to  predict  or  control,  could  create  uncertainties  affecting  our  development  and 

commercialization of our drugs candidates.

Efforts  to  comply  with  these  extensive  regulatory  requirements  may  involve  substantial  costs.  If  our  operations  were  found  to  be 

in  violation  of  applicable  regulatory  requirements,  we  could  be  subject  to  significant  civil,  criminal,  and  administrative  penalties, 

including, without limitation, damages, fines, imprisonment, and exclusion from participation in government healthcare programs or 

contracting  with  government  authorities  and  the  curtailment  or  restructuring  of  our  operations,  which  could  significantly  harm  our 

business. 

If safety, efficacy, manufacturing, or supply issues arise with any therapeutic that we use in combination with 

our products and product candidates, we may be unable to market such products or product candidate or may 

experience significant regulatory delays or supply shortages, and our business could be materially harmed. 

In May 2020, Optune was approved by the NMPA in combination with TMZ for the treatment of patients with newly diagnosed GBM. 

We  may  also  develop  certain  other  products  and  product  candidates  for  use  as  a  combination  therapy,  in  which  case  we  would 

seek to develop and obtain regulatory approval for, and, if approved, manufacture and sell, such product in combination with other 

therapeutics. 

If  the  NMPA,  FDA,  or  another  regulatory  agency  revokes  its  approval  of  any  therapeutic  we  use  in  combination  with  our  products 

and  product  candidates,  we  will  not  be  able  to  market  our  products  and  product  candidates  in  combination  with  such  revoked 

therapeutics. If safety or efficacy issues arise with the therapeutics that we seek to combine with our products and product candidates 

in the future, we may experience significant regulatory delays and we may be required to redesign or terminate the applicable clinical 

trials. In addition, if manufacturing or other issues result in a supply shortage of any combination therapeutic, we may not be able to 

successfully commercialize our products or product candidates on our current timeline or at all. 

Even  after  obtaining  regulatory  approval  for  use  in  combination  with  any  therapeutic,  we  continue  to  be  subject  to  the  risk  that 

the  NMPA,  FDA,  or  another  regulatory  agency  could  revoke  its  approval  of  the  combination  therapeutic,  or  that  safety,  efficacy, 

manufacturing, or supply issues could arise with any of our combination therapeutics. This could result in our products being removed 

from the market or being less successful commercially. 

We  face  substantial  competition,  which  may  result 

in  our  competitors  discovering,  developing,  or 

commercializing  drugs  before  or  more  successfully  than  we  do,  or  developing  products  or  therapies  that  are 

more  advanced  or  effective  than  ours,  which  may  adversely  affect  our  financial  condition  and  our  ability  to 
successfully market or commercialize our products and product candidates.

The development and commercialization of new medical device products and drugs is highly competitive. We face competition with 

respect  to  our  current  products  and  product  candidates  and  will  face  competition  with  respect  to  any  product  candidates  that  we 

may  seek  to  develop  or  commercialize  in  the  future,  from  major  pharmaceutical  companies,  specialty  pharmaceutical  companies, 

96

RISK FACTORSbiotechnology  companies  and  medical  device  companies  worldwide.  For  example,  there  are  a  number  of  large  pharmaceutical  and 

biotechnology  companies  that  currently  market  drugs  or  are  pursuing  the  development  of  therapies  in  the  field  of  poly  ADP  ribose 

polymerase, or PARP, inhibition to treat cancer. Some of these competitive drugs and therapies are based on scientific approaches that 

are the same as or similar to that of our products and product candidates. Potential competitors also include academic institutions, 

government agencies and other public and private research organizations that conduct research, seek patent protection, and establish 

collaborative arrangements for research, development, manufacturing, and commercialization. Specifically, there are a large number 

of  companies  developing  or  marketing  treatments  for  oncology,  autoimmune  disorders,  infectious  diseases,  and  neuroscience, 

including many major pharmaceutical and biotechnology companies. 

Many  of  the  companies  against  which  we  are  competing  or  against  which  we  may  compete  in  the  future  have  significantly  greater 

financial resources and expertise in research and development, manufacturing, pre-clinical testing, conducting clinical trials, obtaining 

regulatory  approvals,  and  marketing  approved  drugs  than  we  do.  Mergers  and  acquisitions  in  the  pharmaceutical,  biotechnology 

and  diagnostic  industries  may  result  in  even  more  resources  being  concentrated  among  a  smaller  number  of  our  competitors. 

Smaller  or  early-stage  companies  may  also  prove  to  be  significant  competitors,  particularly  through  collaborative  arrangements 

with  large  and  established  companies.  These  competitors  also  compete  with  us  in  recruiting  and  retaining  qualified  scientific  and 

management personnel and establishing clinical trial sites and patient registration for clinical trials, as well as in acquiring technologies 

complementary to, or necessary for, our programs. 

Our commercial opportunities could be reduced or eliminated if our competitors develop and commercialize products or drugs that 

are  safer,  more  effective,  have  fewer  or  less  severe  side  effects,  are  more  convenient,  or  are  less  expensive  than  products  or  drugs 

that  we  may  develop.  Our  competitors  also  may  obtain  NMPA,  FDA,  or  other  regulatory  approval  for  their  products  or  drugs  more 

rapidly  than  we  may  obtain  approval  for  ours,  which  could  result  in  our  competitors  establishing  a  strong  market  position  before 

we  are  able  to  enter  the  market.  Additionally,  technologies  developed  by  our  competitors  may  render  our  products  or  potential 

product candidates uneconomical or obsolete, and we may not be successful in marketing our products or product candidates against 

competitors. 

In addition, as a result of the expiration or successful challenge of our patent rights, we could face more litigation with respect to the 

validity  and/or  scope  of  patents  relating  to  our  competitors’  products.  The  availability  of  our  competitors’  products  could  limit  the 

demand, and the price we are able to charge, for any products that we may develop and commercialize. 

Clinical development involves a lengthy and expensive process with an uncertain outcome.

There is a risk of failure for each of our product candidates. It is difficult to predict when or if any of our product candidates will prove 

effective  and  safe  in  humans  or  will  receive  regulatory  approval.  Before  obtaining  regulatory  approval  from  regulatory  authorities 

for the sale of any product candidate, our product candidates must complete pre-clinical studies and then conduct extensive clinical 

trials to demonstrate the safety and efficacy of our product candidates in humans. Clinical testing is expensive, difficult to design and 

implement and can take many years to complete, especially in light of the COVID-19 pandemic. 

97

RISK FACTORSThe  outcomes  of  pre-clinical  development  testing  and  early  clinical  trials  may  not  be  predictive  of  the  success  of  later  clinical 

trials,  and  interim  results  of  a  clinical  trial  do  not  necessarily  predict  final  results.  Moreover,  pre-clinical  and  clinical  data  are  often 

susceptible  to  varying  interpretations  and  analyses,  and  many  companies  that  have  believed  their  product  candidates  performed 

satisfactorily in pre-clinical studies and clinical trials have nonetheless failed to obtain regulatory approval of their product candidates. 

Future clinical trials of our product candidates may not be successful. 

Commencement of clinical trials is subject to finalizing the trial design based on ongoing discussions with the NMPA, FDA and/or other 

regulatory authorities, as applicable. The NMPA, FDA, and other regulatory authorities could change their position on the acceptability 

of trial designs or clinical endpoints, which could require us to complete additional clinical trials or impose approval conditions that 

we  do  not  currently  expect.  Successful  completion  of  our  clinical  trials  is  a  prerequisite  to  submitting  an  NDA  (or  equivalent  filing) 

to  the  NMPA,  FDA,  and/or  other  regulatory  authorities  for  each  product  or  product  candidate  and,  consequently,  the  ultimate 

approval  and  commercial  marketing  of  our  products  or  product  candidates.  A  number  of  companies  in  the  pharmaceutical  and 

biotechnology industries have suffered significant setbacks in advanced clinical trials due to lack of efficacy or adverse safety profiles, 

notwithstanding promising results in earlier trials. There are inherent uncertainties associated with the development of our products 

and product candidates. We do not know whether the clinical trials for our product candidates will begin or be completed on schedule, 

if at all. Our future clinical trial results may not be favorable. 

We  may  incur  additional  costs  or  experience  delays  in  completing  pre-clinical  or  clinical  trials,  or  ultimately 

be unable to complete the development and commercialization of our products and product candidates. You 

may lose all or part of your investment if we are unable to successfully complete clinical development, obtain 

regulatory approval and successfully commercialize our products and product candidates.

We may experience delays in completing our pre-clinical or clinical trials, and numerous unforeseen events could arise during, or as a 

result of, future clinical trials, which could delay or prevent us from receiving regulatory approval, including: 

• 

regulators or institutional review boards, or IRBs, or ethics committees may not authorize us or our investigators to commence 

or conduct a clinical trial at a prospective trial site; 

• 

we  may  experience  delays  in  reaching,  or  may  fail  to  reach,  agreement  on  acceptable  terms  with  prospective  trial  sites  and 

prospective CROs who conduct clinical trials on our behalf, the terms of which can be subject to extensive negotiation and may 

vary significantly among different CROs and trial sites; 

• 

clinical trials may produce negative or inconclusive results, and we may decide, or regulators may require us or them, to conduct 

additional clinical trials or we may decide to abandon product development programs; 

• 

the  number  of  patients  required  for  clinical  trials  of  our  products  and  product  candidates  may  be  larger  than  we  anticipate, 

enrollment in these clinical trials may be slower than we anticipate or participants may drop out of these clinical trials or fail to 

return for post-treatment follow-up at a higher rate than we anticipate; 

98

RISK FACTORS• 

third-party  contractors  used  in  our  clinical  trials  may  fail  to  comply  with  regulatory  requirements  or  meet  their  contractual 

obligations in a timely manner, or at all, or may deviate from the clinical trial protocol or drop out of the trial, which may require 

that we add new clinical trial sites or investigators; 

• 

the ability to conduct a companion diagnostic test to identify patients who are likely to benefit from our products and product 

candidates; 

• 

we may elect to, or regulators, IRBs or ethics committees may require that we or our investigators, suspend or terminate clinical 

research  for  various  reasons,  including  non-compliance  with  regulatory  requirements  or  a  finding  that  participants  are  being 

exposed to unacceptable health risks; 

• 

• 

the cost of clinical trials of our products and product candidates may be greater than we anticipate; 

the  supply  or  quality  of  our  products  and  product  candidates  or  other  materials  necessary  to  conduct  clinical  trials  of  our 

product candidates may be insufficient or inadequate; and 

• 

our  products  and  product  candidates  may  have  undesirable  side  effects  or  unexpected  characteristics,  causing  us  or  our 

investigators, regulators, IRBs, or ethics committees to suspend or terminate the trials, or reports may arise from pre-clinical or 

clinical testing of other cancer therapies that raise safety or efficacy concerns about our products and product candidates. 

We  could  encounter  regulatory  delays  if  a  clinical  trial  is  suspended  or  terminated  by  us  or,  as  applicable,  the  IRBs  or  the  ethics 

committee of the institutions in which such trials are being conducted, by the data safety monitoring board, which is an independent 

group  of  experts  that  is  formed  to  monitor  clinical  trials  while  ongoing,  or  by  the  NMPA,  FDA,  or  other  regulatory  authorities.  Such 

authorities  may  impose  a  suspension  or  termination  due  to  a  number  of  factors,  including:  a  failure  to  conduct  the  clinical  trial  in 

accordance  with  regulatory  requirements  or  the  applicable  clinical  protocols,  a  failure  to  obtain  the  regulatory  approval  and/or 

complete  record  filings  with  respect  to  the  collection,  preservation,  use  and  export  of  mainland  China’s  human  genetic  resources, 

inspection of the clinical trial operations or trial site by the NMPA, FDA, or other regulatory authorities that results in the imposition 

of a clinical hold, unforeseen safety issues or adverse side effects, failure to demonstrate a benefit from using a product candidate, 

changes in governmental regulations or administrative actions or lack of adequate funding to continue the clinical trial. Many of the 

factors  that  cause  a  delay  in  the  commencement  or  completion  of  clinical  trials  may  also  ultimately  lead  to  the  denial  of  regulatory 

approval  of  our  product  candidates.  Further,  the  NMPA,  FDA,  or  other  regulatory  authorities  may  disagree  with  our  clinical  trial 

design or our interpretation of data from clinical trials or may change the requirements for approval even after it has reviewed and 

commented on the design for our clinical trials. You may lose all or part of your investment if we are unable to successfully complete 

clinical development, obtain regulatory approval and successfully commercialize our products and product candidates. 

99

RISK FACTORSIf  we  are  required  to  conduct  additional  clinical  trials  or  other  testing  of  our  products  or  product  candidates  beyond  those  that  are 

currently  contemplated,  or  if  we  are  unable  to  successfully  complete  clinical  trials  of  our  products  or  product  candidates  or  other 

testing, or if the results of these trials or tests are not positive or are only modestly positive or if there are safety concerns, we may: 

• 

• 

• 

• 

• 

• 

• 

be delayed in obtaining regulatory approval for our products and product candidates; 

not obtain regulatory approval at all; 

obtain approval for indications or patient populations that are not as broad as intended or desired; 

be subject to post-marketing testing requirements; 

encounter difficulties obtaining or be unable to obtain reimbursement for use of our products and product candidates; 

be subject to restrictions on the distribution and/or commercialization of our products and product candidates; or 

have our products and product candidates removed from the market after obtaining regulatory approval. 

Our product development costs will also increase if we experience delays in testing or regulatory approvals. We do not know whether 

any of our clinical trials will begin as planned, will need to be restructured or will be completed on schedule, or at all. Significant pre-

clinical study or clinical trial delays also could allow our competitors to bring products to market before we do and impair our ability to 

successfully commercialize our products and product candidates and may harm our business and results of operations. Any delays in 

our clinical development programs may harm our business, financial condition, and prospects significantly. 

If  we  experience  delays  or  difficulties  in  the  enrollment  of  patients  in  clinical  trials,  including  in  light  of  the 

COVID-19 pandemic, the progress of such clinical trials and our receipt of necessary regulatory approvals could 

be delayed or prevented.

We may not be able to initiate or continue clinical trials for our products and 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 NMPA, FDA, or similar regulatory authorities. In 

particular, we have designed many of our clinical trials, and expect to design future trials, to include some patients with the applicable 

genomic  mutation  with  a  view  to  assessing  possible  early  evidence  of  potential  therapeutic  effect.  Genomically  defined  diseases, 

however,  may  have  relatively  low  prevalence,  and  it  may  be  difficult  to  identify  patients  with  the  applicable  genomic  mutation.  The 

inability to enroll a sufficient number of patients with the applicable genomic alteration or that meet other applicable criteria for our 

clinical trials would result in significant delays and could require us to abandon one or more clinical trials altogether. In addition, some 

of  our  competitors  have  ongoing  clinical  trials  for  products  or  product  candidates  that  treat  the  same  indications  as  our  products 

or  product  candidates,  and  patients  who  would  otherwise  be  eligible  for  our  clinical  trials  may  instead  enroll  in  clinical  trials  of  our 

competitors’ products or product candidates. 

100

RISK FACTORSPatient enrollment may be affected by other factors including: 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

the severity of the disease under investigation; 

the total size and nature of the relevant patient population; 

the design and eligibility criteria for the clinical trial in question; 

the availability of an appropriate genomic screening test; 

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

the efforts to facilitate timely enrollment in clinical trials; 

the patient referral practices of physicians; 

the availability of competing therapies also undergoing clinical trials; 

the ability to monitor patients adequately during and after treatment; 

the proximity and availability of clinical trial sites for prospective patients; and 

the occurrence of any pandemic, epidemic, including from the outbreak of COVID-19, or any other public health crises, natural 

catastrophe or other disasters may cause a delay in enrollment of patients in clinical trials. 

Our  products  and  product  candidates  may  cause  undesirable  side  effects  that  could  delay  or  prevent  their 
regulatory  approval,  limit  the  commercial  profile  of  an  approved  label,  or  result  in  significant  negative 

consequences following regulatory approval, if any.

Undesirable side effects, including adverse safety events, caused by our products or product candidates could have a negative impact 

on  our  business.  Discovery  of  safety  issues  with  our  products  could  create  issues  of  product  liability  and  create  issues  of  additional 

regulatory  scrutiny  and  requirements  for  additional  labeling  or  safety  monitoring,  withdrawal  of  products  from  the  market,  and 

the  imposition  of  fines  or  criminal  penalties.  Adverse  safety  events  may  also  damage  physician,  patient  and/or  investor  confidence 

in  our  products  and  our  reputation.  Any  of  these  events  could  result  in  liability,  loss  of  revenues,  material  write-offs  of  inventory, 

material impairments of intangible assets, goodwill and fixed assets, material restructuring charges or other adverse impacts on our 

results of operations. 

101

RISK FACTORSFurthermore, undesirable side effects could cause us to interrupt, delay or halt clinical trials or could cause regulatory authorities to 

interrupt, delay or halt our clinical trials and could result in a more restrictive label or the delay or denial of regulatory approval by 

the  NMPA,  FDA  or  other  regulatory  authorities.  In  particular,  as  is  the  case  with  all  oncology  products,  it  is  likely  that  there  may  be 

side effects, such as fatigue, nausea and low blood cell levels, associated with the use of certain of our oncology products or product 

candidates. For example, the common side effects for ZEJULA include thrombocytopenia, anemia, and neutropenia, and for Optune, 

the most common side effects when used together with TMZ were low blood platelet count, nausea, constipation, vomiting, tiredness, 

scalp irritation from the device, headache, seizure, and depression. The common side effects for QINLOCK include tiredness, muscle 

ache/pain,  constipation  or  diarrhea,  itchy/dry  skin,  headache,  loss  of  appetite,  stomach/abdominal  pain,  nausea,  and  vomiting.  For 

NUZYRA, the most common side effects include nausea, vomiting, and infusion site reaction. The results of our products’ or product 

candidates’ trials could reveal a high and unacceptable severity and prevalence of these or other side effects. In such an event, trials of 

our products or product candidates could be suspended or terminated and the NMPA, FDA or comparable regulatory authorities could 

order us to cease further development of or deny approval of our products or product candidates for any or all targeted indications. 

The product-related side effects could affect patient recruitment or the ability of enrolled patients to complete the trial or result in 

potential product liability claims. Any of these occurrences may harm our business, financial condition, and prospects significantly.

Additionally,  our  products  and  product  candidates  could  cause  undesirable  side  effects  related  to  off-target  toxicity.  For  example, 

many of the currently approved PARP inhibitors have been associated with off-target toxicities. Many compounds that initially showed 

promise in early-stage testing for treating cancer have later been found to cause side effects that prevented further development of 

the compound. 

Clinical  trials  assess  a  sample  of  the  potential  patient  population.  With  a  limited  number  of  patients  and  duration  of  exposure,  rare 

and  severe  side  effects  of  our  products  or  product  candidates  may  only  be  uncovered  with  a  significantly  larger  number  of  patients 

exposed  to  the  product  candidate.  Even  after  a  product  or  product  candidate  receives  regulatory  approval,  if  we,  our  partners  or 

others  identify  undesirable  side  effects  caused  by  such  product  candidates  (or  any  other  similar  product  candidates)  after  such 

approval, a number of potentially significant negative consequences could result, including: 

• 

• 

our revenue may be negatively impacted; 

the  NMPA,  FDA  or  other  comparable  regulatory  authorities  may  withdraw  or  limit  their  approval  of  such  products  or  product 

candidates; 

• 

the NMPA, FDA or other comparable regulatory authorities may require the addition of labeling statements, such as a “boxed” 

warning or a contraindication; 

• 

• 

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

we may be required to change the way such products or product candidates are distributed or administered, conduct additional 

clinical trials or change the labeling of our products or product candidates; 

102

RISK FACTORS• 

the  NMPA,  FDA  or  other  comparable  regulatory  authorities  may  require  a  Risk  Evaluation  and  Mitigation  Strategy,  or  REMS 

(or  analogous  requirement),  plan  to  mitigate  risks,  which  could  include  medication  guides,  physician  communication  plans,  or 

elements to assure safe use, such as restricted distribution methods, patient registries and other risk minimization tools; 

• 

• 

• 

• 

we may be subject to regulatory investigations and government enforcement actions; 

we may decide to remove such products or product candidates from the marketplace; 

we could be sued and held liable for injury caused to individuals exposed to or taking our products or product candidates; and 

our reputation may suffer. 

Any of these events could prevent us from achieving or maintaining market acceptance of the affected products or product candidates 

and  could  substantially  increase  the  costs  of  commercializing  our  products  and  product  candidates,  if  approved,  and  significantly 

impact our ability to successfully commercialize our products and product candidates and generate revenue. 

If  we  are  unable  to  obtain  NMPA  approval  for  our  products  and  product  candidates  to  be  eligible  for  an 

expedited  registration  pathway,  the  time  and  cost  we  incur  to  obtain  regulatory  approvals  may  increase. 

Even if we receive Category 1 drug designation, it may not lead to a faster development, review, or approval 

process.

The NMPA designates innovative drug as Category 1 drugs. To qualify for a Category 1 designation, a drug needs to have a new and 

clearly  defined  structure,  pharmacological  property  and  apparent  clinical  value  and  has  not  been  marketed  anywhere  in  the  world. 

Our CTAs for ZEJULA and NUZYRA were approved as Category 1 drugs by the NMPA. A Category 1 designation by the NMPA may not be 

granted for any of our other product candidates that will not be first approved in mainland China or, if granted, such designation may 

not lead to faster development or regulatory review or approval process. Moreover, a Category 1 designation does not increase the 

likelihood that our product or product candidates will receive regulatory approval. 

Furthermore, despite positive regulatory changes introduced since 2015 which significantly accelerated time to market for innovative 

drugs, the regulatory process in mainland China is still relatively ambiguous and unpredictable. The NMPA might require us to change 

our planned clinical study design or otherwise spend additional resources and effort to obtain approval of our product candidates. In 

addition, policy changes may contain significant limitations related to use restrictions for certain age groups, warnings, precautions, or 

contraindications, or may be subject to burdensome post-approval study or risk management requirements. If we are unable to obtain 

regulatory approval for our product candidates in one or more jurisdictions, or any approval contains significant limitations, we may 

not be able to obtain sufficient funding or generate sufficient revenue to continue the development of our product candidates or any 

other product candidate that we may in-license, acquire, or develop in the future. 

103

RISK FACTORSWe  continue  to  be  subject  to  ongoing  obligations  and  continued  regulatory  review  with  respect  to  our 

products and any product candidates for which we receive regulatory approval, which may result in significant 

additional  expense,  and  if  we  fail  to  comply  with  ongoing  regulatory  requirements  or  experience  any 

unanticipated problems with any of our products or product candidates, we may be subject to penalties.

Even  after  obtaining  regulatory  approval,  our  products  and  product  candidates  will  be  subject  to,  among  other  things,  ongoing 

regulatory  requirements  governing  the  labeling,  packaging,  promotion,  recordkeeping,  data  management  and  submission  of  safety, 

efficacy, and other post-market information. These requirements include submissions of safety and other post-marketing information 

and  reports,  registration,  and  continued  compliance  with  cGMPs  and  GCPs.  For  example,  ZEJULA,  Optune,  QINLOCK,  and  NUZYRA 

will continue to be subject to post-approval development and regulatory requirements, which may limit how they are manufactured 

and  marketed,  and  could  materially  impair  our  ability  to  generate  revenue.  As  such,  we  and  our  partners  and  any  of  our  and  their 

respective  contract  manufacturers  will  be  subject  to  ongoing  review  and  periodic  inspections  to  assess  compliance  with  applicable 

post-approval regulations. Additionally, to the extent we want to make certain changes to the approved products, product labeling or 

manufacturing processes, we will need to submit new applications or supplements to the Hong Kong Department of Health and the 

NMPA and obtain the agencies’ approval. 

Additionally,  any  additional  regulatory  approvals  that  we  receive  for  our  products  or  product  candidates  may  also  be  subject 

to  limitations  on  the  approved  indications  for  which  the  products  may  be  marketed  or  to  the  conditions  of  approval,  or  contain 

requirements for potentially costly post-marketing studies, including Phase IV studies for the surveillance and monitoring the safety 

and  efficacy  of  the  products.  For  example,  we  are  required  to  collect  additional  safety  and  efficacy  data  for  post-market  safety  and 

efficacy analysis for Optune and monitor adverse effects related to skin irritation. 

In  addition,  once  a  product  is  approved  by  the  NMPA,  FDA,  or  a  comparable  regulatory  authority  for  marketing,  it  is  possible  that 

there  could  be  a  subsequent  discovery  of  previously  unknown  problems  with  the  product,  including  problems  with  third-party 

manufacturers  or  manufacturing  processes,  or  failure  to  comply  with  regulatory  requirements.  If  any  of  the  foregoing  occurs  with 

respect to our products, it may result in, among other things: 

• 

restrictions on the marketing or manufacturing of the product, withdrawal of the product or drug from the market, or voluntary 

• 

• 

• 

• 

or mandatory product recalls; 

fines, warning letters or holds on clinical trials; 

refusal  by  the  NMPA,  FDA  or  comparable  regulatory  authority  to  approve  pending  applications  or  supplements  to  approved 

applications filed by us, or suspension or revocation of product license approvals; 

drug seizure, detention, or refusal to permit the import or export of the product; and 

injunctions or the imposition of civil, administrative, or criminal penalties. 

104

RISK FACTORSAny  government  investigation  of  alleged  violations  of  law  could  require  us  to  expend  significant  time  and  resources  and  could 

generate  negative  publicity.  Moreover,  regulatory  policies  may  change,  or  additional  government  regulations  may  be  enacted  that 

could  prevent,  limit,  or  delay  regulatory  approval  of  our  products  or  product  candidates.  If  we  are  not  able  to  maintain  regulatory 

compliance, regulatory approval that has been obtained may be lost and we may not achieve or sustain profitability, which may harm 

our business, financial condition, and prospects significantly. 

Our future success depends on our ability to retain key executives and to attract, retain, and motivate qualified 

personnel. 

We  are  highly  dependent  on  the  expertise  of  the  members  of  our  research  and  development  team,  as  well  as  the  other  principal 

members  of  our  management,  including  Samantha  (Ying)  Du,  our  founder,  Chief  Executive  Officer,  and  Chairperson  of  the  Board  of 

Directors.  Although  we  have  entered  into  employment  letter  agreements  with  our  executive  officers,  each  of  them  may  terminate 

their employment with us at any time with one months’ prior written notice. We do not maintain “key person” insurance for any of our 

executives or other employees. 

Recruiting  and  retaining  qualified  management,  scientific,  clinical,  manufacturing,  and  sales  and  marketing  personnel  will  also 

be  critical  to  our  success.  The  loss  of  the  services  of  certain  of  our  executive  officers  or  other  key  employees  could  impede  the 

achievement of our research, development and commercialization objectives and seriously harm our ability to successfully implement 

our  business  strategy.  Furthermore,  replacing  certain  of  our  executive  officers  and  key  employees  may  be  difficult  and  may  take 

an  extended  period  of  time  because  of  the  limited  number  of  individuals  in  our  industry  with  the  breadth  of  skills  and  experience 

required to successfully develop, gain regulatory approval of, and commercialize products. Competition to hire from this limited pool 

is  intense,  and  we  may  be  unable  to  hire,  train,  retain,  or  motivate  these  key  personnel  on  acceptable  terms  given  the  competition 

among numerous pharmaceutical and biotechnology companies for similar personnel. We also experience competition for the hiring 

of scientific and clinical personnel from universities and research institutions. In addition, our management will be required to devote 

significant time to new compliance initiatives from our status as both a U.S. public company and a Hong Kong public company, which 

may require us to recruit more management personnel. Failure to succeed in clinical trials may make it more challenging to recruit and 

retain qualified scientific personnel. 

We  will  need  to  increase  the  size  and  capabilities  of  our  organization,  and  we  may  experience  difficulties  in 

managing our growth.

We expect to experience significant growth in the number of our employees and consultants and the scope of our operations, particularly 

in the areas of product development, product commercialization, regulatory affairs and business development. To manage our anticipated 

future  growth,  we  must  continue  to  implement  and  improve  our  managerial,  operational  and  financial  systems,  expand  our  facilities 

and continue to recruit and train additional qualified personnel. Due to our limited financial resources and the limited experience of our 

management team in managing a company with such anticipated growth, we may not be able to effectively manage the expansion of our 

operations or recruit and train additional qualified personnel. The expansion of our operations may lead to significant costs and may divert 

the attention of our management and business development resources. Any inability to manage growth could delay the execution of our 

business plans or disrupt our operations and could have a materially adverse effect on our business.

105

RISK FACTORSWe may explore the licensing of development and/or commercialization rights or other forms of collaboration 

worldwide, which will expose us to additional risks of conducting business in additional international markets. 

We  are  currently  focused  on  developing  and  commercializing  products  that  target  serious,  life-threatening  medical  conditions 

affecting patients in Greater China. We have and may in the future explore licensing or development and/or commercialization rights 

or  other  forms  of  collaboration  in  territories  outside  of  Greater  China  and  any  such  licensing,  development,  commercialization,  or 

collaboration may subject us to additional risks that may adversely affect our ability to attain or sustain profitable operations or our 

other business plans. Moreover, international business relationships subject us to additional risks that may materially adversely affect 

our ability to attain or sustain our operating goals, including:

• 

efforts  to  enter  into  collaboration  or  licensing  arrangements  with  third  parties  may  increase  our  expenses  or  divert  our 

management’s attention from the acquisition or development of product candidates; 

• 

• 

• 

• 

• 

• 

• 

• 

• 

difficulty of effective enforcement of contractual provisions in local jurisdictions; 

potential third-party patent rights or potentially reduced protection for intellectual property rights; 

unexpected  changes  in  tariffs,  trade  barriers  and  regulatory  requirements,  including  the  loss  of  normal  trade  status  between 

mainland China and the United States; 

economic weakness, including inflation; 

compliance with tax, employment, immigration and labor laws for employees traveling abroad; 

the effects of applicable foreign tax structures and potentially adverse tax consequences; 

currency fluctuations, which could result in increased operating expenses and reduced revenue; 

workforce uncertainty and labor unrest;

failure of our employees and contracted third parties to comply with the anti-bribery laws in mainland China, Office of Foreign 

Asset Control rules and regulations and the Foreign Corrupt Practices Act and other anti-bribery and corruption laws; and 

• 

business interruptions resulting from geo-political actions, including trade disputes, war and terrorism, disease or public health 

epidemics,  such  as  the  coronavirus  impacting  mainland  China  and  elsewhere,  or  natural  disasters,  including  earthquakes, 

volcanoes, typhoons, floods, hurricanes and fires. 

These and other risks may materially adversely affect our ability to attain or sustain revenue from international markets.

106

RISK FACTORSWe  may  engage  in  future  partnership,  in-licensing,  joint  ventures,  or  future  business  acquisitions  that  could 

disrupt  our  business,  cause  dilution  to  holders  of  our  ordinary  shares  and/or  ADSs  and  harm  our  financial 

condition and operating results.

We  have,  from  time  to  time,  evaluated  partnership  or  strategic  collaboration  opportunities  or  investments  and  may,  in  the  future, 

make  acquisitions  of,  or  investments  in,  companies  that  we  believe  have  products  or  capabilities  that  are  a  strategic  or  commercial 

fit  with  our  current  product  candidates  and  business  or  otherwise  offer  opportunities  for  the  Company.  In  connection  with  these 

partnership or collaboration opportunities, acquisitions, or investments, we may:

• 

• 

• 

issue ordinary shares that would dilute the percentage of ownership of the holders of our ordinary shares and/or ADSs;

incur debt and assume liabilities; and

incur amortization expenses related to intangible assets or incur large and immediate write-offs.

For example, in January 2021, we entered into a strategic collaboration with argenx BV pursuant to which we obtained an exclusive 

license  for  the  development  and  commercialization  of  efgartigimod  in  Greater  China  in  exchange  for  a  combination  of  cash  and 

ordinary shares.

We may form or seek strategic alliances, create joint ventures or collaborations, or enter into additional licensing arrangements with 

third parties that we believe will complement or augment our research, development and commercialization efforts with respect to 

our products and product candidates and any future products and product candidates that we may develop. Any of these relationships 

may require us to incur non-recurring and other charges, increase our near- and long-term expenditures, issue securities that dilute 

our existing shareholders, or disrupt our management and business. Additionally, establishment of a joint venture involves significant 

risks  and  uncertainties,  including  (i)  our  ability  to  cooperate  with  our  strategic  partner,  (ii)  our  strategic  partner  having  economic, 

business, or legal interests or goals that are inconsistent with ours, and (iii) the potential that our strategic partner may be unable to 

meet its economic or other obligations, which may require us to fulfill those obligations alone.

We may be unable to find suitable acquisition candidates and we may not be able to complete partnership or strategic collaboration 

opportunities or investments on favorable terms, if at all. If we do enter into partnerships or strategic collaborations or make other 

investments, we cannot assure you that it will ultimately strengthen our competitive position or that it will not be viewed negatively by 

customers, financial markets, or investors. Further, future partnerships, strategic collaborations or other investments could also pose 

numerous additional risks to our operations, including:

• 

• 

• 

problems integrating the purchased business, products, personnel, or technologies;

increases to our expenses;

the failure to have discovered undisclosed liabilities of the acquired asset or company;

107

RISK FACTORS• 

• 

• 

• 

diversion of management’s attention from their day-to-day responsibilities;

harm to our operating results or financial condition;

entrance into markets in which we have limited or no prior experience; and

potential loss of key employees, particularly those of the acquired entity.

We may not be able to realize the benefit of current or future collaborations, strategic partnerships or the license of our third-party 

products and product candidates if we are unable to successfully integrate such products with our existing operations and company 

culture,  which  could  delay  our  timelines  or  otherwise  adversely  affect  our  business.  We  also  cannot  be  certain  that,  following  a 

strategic transaction or license, we will achieve the revenue or specific net income that justifies such transaction. If we elect to fund 

and  undertake  development  or  commercialization  activities  on  our  own,  we  may  need  to  obtain  additional  expertise  and  additional 

capital, which may not be available to us on acceptable terms or at all. If we fail to enter into collaborations and do not have sufficient 

funds or expertise to undertake the necessary development and commercialization activities, we may not be able to further develop 

our products and product candidates or bring them to market and generate product sales revenue, which would harm our business 

prospects, financial condition, and results of operations. 

We  may  need  to  significantly  reduce  our  prices  for  our  approved  products  or  our  other  product  candidates 

and  devices  for  which  we  may  receive  regulatory  approval  in  mainland  China  and  face  uncertainty  of 

reimbursement, which could diminish our sales or affect our profitability.

The  regulations  that  govern  pricing  and  reimbursement  for  pharmaceutical  drugs  and  devices  vary  widely  from  country  to  country. 

In mainland China, the newly created National Healthcare Security Administration (“NHSA”), an agency responsible for administering 

mainland  China’s  social  security  system,  organized  a  price  negotiation  with  drug  companies  for  119  new  drugs  that  had  not  been 

included in the NRDL at the time of the negotiation in November 2019, which resulted in an average price reduction by over 60% for 

70 of the 119 drugs that passed the negotiation. In December 2020, 119 drugs were added to the 2020 NRDL, and the average price 

reduction was about 50.64%. In December 2021, 74 drugs were added to the 2021 NRDL, and the average price reduction was about 

61.71%.  In  January  2023,  111  drugs  were  added  to  the  2022  NRDL,  and  the  average  price  reduction  of  the  108  drugs  participating 

in  price  negotiations  is  60.1%.  NHSA,  together  with  other  government  authorities,  review  the  inclusion  or  removal  of  drugs  from 

the NRDL, and the tier under which a drug will be classified, both of which affect the amounts reimbursable to program participants 

for  their  purchases  of  those  drugs.  These  determinations  are  made  based  on  a  number  of  factors,  including  price  and  efficacy.  We 

lowered the selling price of ZEJULA due to its inclusion in the NRDL in December 2021 and December 2020 for certain therapies, and 

we lowered the selling price of QINLOCK and NUZYRA in June 2022 in preparation for their inclusion in the NRDL in January 2023. As a 

result, the potential revenue from the sales of these products could be negatively affected.

We  may  also  be  invited  to  attend  the  price  negotiation  with  NHSA  upon  receiving  regulatory  approval  in  mainland  China,  but  we 

will likely need to significantly reduce our prices and to negotiate with each of the provincial healthcare security administrations on 

reimbursement  ratios.  If  we  were  to  successfully  launch  commercial  sales  of  our  oncology-based  product  and  product  candidates, 

108

RISK FACTORSour revenue from such sales is largely expected to be self-paid by patients, which may make our product candidates and devices less 

desirable.  On  the  other  hand,  if  the  NHSA  or  any  of  its  local  counterparts  includes  our  drugs  and  devices  in  the  NRDL,  which  may 

increase  the  demand  for  our  product  candidates  and  devices,  if  and  when  approved,  our  potential  revenue  from  the  sales  of  our 

product candidates and devices may still decrease as a result of lower prices. 

Eligibility for reimbursement in mainland China does not imply that any drug will be paid for in all cases or at a rate that covers our 

costs, including licensing fees, research, development, manufacture, sale, and distribution. 

Moreover, the centralized tender process can create pricing pressure among substitute products or products that are perceived to be 

substitute products, and we cannot assure you that our drug price will not be adversely affected. 

Companies  in  mainland  China  that  manufacture  or  sell  drugs  and  medical  devices  are  required  to  comply 

with  extensive  regulations  and  hold  a  number  of  permits  and  licenses  to  carry  on  their  business.  Our  ability 

to obtain and maintain these regulatory approvals is uncertain, and future government regulation may place 

additional burdens on our efforts to commercialize our product candidates.

The life sciences industry in mainland China is subject to extensive government regulation and supervision. The regulatory framework 

addresses all aspects of operating in the pharmaceutical industry, including approval, registration, production, distribution, packaging, 

labeling,  storage  and  shipment,  advertising,  licensing  and  certification  requirements  and  procedures,  periodic  renewal  and  re-

evaluation  processes,  registration  of  new  products  and  environmental  protection.  Violation  of  applicable  laws  and  regulations  may 

materially  and  adversely  affect  our  business.  In  order  to  manufacture  and  distribute  drug  and  medical  device  products  in  mainland 

China, we are required to: 

• 

obtain  a  manufacturing  permit  for  each  production  facility  from  the  NMPA  and  its  relevant  branches  for  the  manufacture  of 

drug and device products domestically; 

• 

obtain  a  marketing  authorization,  which  includes  an  approval  number,  from  the  NMPA  for  each  drug  or  device  for  sale  in 

mainland China; 

• 

obtain  a  Pharmaceutical  Distribution  Permit  from  the  provincial  medical  products  administration  if  we  were  to  sell  drugs 

manufactured by third parties; and

• 

renew the Pharmaceutical Manufacturing Permits, the Pharmaceutical Distribution Permits and marketing authorizations every 

five years, among other requirements. 

If  we  are  unable  to  obtain  or  renew  such  permits  or  any  other  permits  or  licenses  required  for  our  operations,  we  will  not  be  able 

to engage in the commercialization, manufacture and distribution of our products and product candidates and our business may be 

adversely affected.

109

RISK FACTORSThe regulatory framework governing the pharmaceutical industry in mainland China is subject to change and amendment from time 

to time. Any such change or amendment could materially and adversely impact our business, financial condition and prospects. The 

Chinese government has introduced various reforms to the Chinese healthcare system in recent years and may continue to do so, with 

an overall objective to expand basic medical insurance coverage and improve the quality and reliability of healthcare services without 

incurring  significant  fiscal  burden.  The  implementing  measures  to  be  issued  may  not  be  sufficiently  effective  to  achieve  the  stated 

goals, and as a result, we may not be able to benefit from such reform to the level we expect, if at all. Moreover, the reform could 

give rise to regulatory developments, such as more burdensome administrative procedures, which may have an adverse effect on our 

business and prospects. 

For  further  information  regarding  government  regulation  in  mainland  China  and  other  jurisdictions,  see  “Material  Developments  of 

Government Regulation”.

If  we  breach  our  license  or  other  intellectual  property-related  agreements  for  our  products  or  product 

candidates  or  otherwise  experience  disruptions  to  our  business  relationships  with  our  licensors  and 

collaboration  partners,  we  could  lose  the  ability  to  continue  the  development  and  commercialization  of  our 

products and product candidates.

Our business relies, in large part, on our ability to develop and commercialize products and product candidates from third parties as 

described  above  in  the  Overview  of  Our  Licensing  and  Strategic  Collaboration  Agreements.  If  we  have  not  obtained  a  license  to  all 

intellectual property rights that are relevant to our products and product candidates and that are owned or controlled by our licensors 

and  collaboration  partners  or  owned  or  controlled  by  affiliates  of  such  licensors  and  collaboration  partners,  we  may  need  to  obtain 

additional licenses to such intellectual property rights which may not be available on an exclusive basis, on commercially reasonable 

terms or at all. In addition, if our licensors and collaboration partners breach such agreements, we may not be able to enforce such 

agreements against our licensors’ parent entity or affiliates. Under each of our license and intellectual property-related agreements, 

in exchange for licensing or sublicensing us the right to develop and commercialize the applicable product candidates, our licensors 

will be eligible to receive from us milestone payments, tiered royalties from commercial sales of such product candidates, assuming 

relevant approvals from government authorities are obtained, or other payments. Our license and other intellectual property-related 

agreements  also  require  us  to  comply  with  other  obligations  including  development  and  diligence  obligations,  providing  certain 

information regarding our activities with respect to such product candidates and/or maintaining the confidentiality of information we 

receive from our licensors. We are also obligated to use commercially reasonable efforts to develop and commercialize our in-licensed 

assets in certain of their respective territories under their respective agreements. 

If  we  fail  to  meet  any  of  our  obligations  under  our  license  and  other  intellectual  property-related  agreements,  our  licensors  have 

the  right  to  terminate  our  licenses  and  sublicenses  and,  upon  the  effective  date  of  such  termination,  have  the  right  to  re-obtain 

the licensed and sub-licensed technology and intellectual property. If any of our licensors terminate any of our licenses or sublicenses, 

we will lose the right to develop and commercialize our applicable products and product candidates and other third parties may be 

able to market products or product candidates similar or identical to ours. In such case, we may be required to provide a grant back 

license or expand an existing license to the licensors under our own intellectual property with respect to the terminated products.

110

RISK FACTORSFor  example,  if  our  agreement  with  GSK  for  ZEJULA  terminates  for  any  reason,  we  are  required  to  grant  GSK  an  exclusive  license 

to  certain  of  our  intellectual  property  rights  that  relate  to  ZEJULA  to  develop,  manufacture,  and  commercialize  ZEJULA  outside  of 

the  licensed  territory.  Furthermore,  if  our  agreement  with  MacroGenics  for  margetuximab  and  a  pre-clinical  multi-specific  TRIDENT 

molecule  is  terminated  by  MacroGenics  or  by  us  for  certain  reasons,  we  are  required  to  grant  MacroGenics  an  option  to  convert 

the  non-exclusive  license  granted  to  MacroGenics  to  use  certain  of  our  intellectual  property  rights  that  relate  to  margetuximab 

and  a  pre-clinical  multi-specific  TRIDENT  molecule  in  Greater  China  to  an  exclusive  license.  Similarly,  if  our  agreement  with  Entasis 

for  durlobactam  is  terminated,  we  are  required  to  grant  Entasis  an  exclusive,  fully  paid,  royalty  free,  perpetual,  irrevocable  and 

sublicensable (through multiple tiers) license under certain of our intellectual property rights to make (or have made), use, import, offer 

for  sale  and  sell  durlobactam  in  the  licensed  territory.  If  our  agreement  with  Deciphera  for  ripretinib  is  terminated,  we  are  required 

to grant Deciphera a worldwide, perpetual and irrevocable license under certain of our intellectual property rights, if any, that relate 

to QINLOCK to develop, manufacture, and commercialize ripretinib. Likewise, if our agreements with BMS (formerly Turning Point) for 

Repotrectinib  or  with  Taiho  (formerly  Cullinan  Pearl)  for  Zipalertinib  (formerly  CLN-081)  are  terminated  for  certain  reasons,  we  are 

required to extend the scope of their respective licenses under certain intellectual property of our own to include Greater China. If our 

agreement with argenx is terminated, we are required to grant argenx and its affiliates an exclusive, worldwide license under certain 

intellectual  property  of  our  own  to  exploit  the  licensed  products  in  Greater  China.  While  we  would  expect  to  exercise  all  rights  and 

remedies available to us, including seeking to cure any breach by us, and otherwise seek to preserve our rights under the intellectual 

property rights licensed and sublicensed to us, we may not be able to do so in a timely manner, at an acceptable cost or at all. 

Furthermore,  some  of  the  milestone  payments  under  our  licensing  agreements  are  payable  upon  our  product  candidates  reaching 

development  milestones  before  we  have  commercialized  or  received  any  revenue  from  the  sales  of  such  product  candidates.  We 

cannot guarantee, therefore, that we will have sufficient resources to make such milestone payments. Any uncured, material breach 

under our licensing agreements could result in our loss of exclusive rights and may lead to a complete termination of our rights to the 

applicable product candidate. Any of the foregoing could have a material adverse effect on our business, financial conditions, results of 

operations, and prospects. 

In addition, disputes may further arise regarding intellectual property subject to a license and/or collaboration 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, misappropriate or otherwise violate on intellectual property of the 

licensor that is not subject to the licensing agreement;

the sublicensing of patent and other rights under our collaborative development relationships; 

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

the inventorship and ownership of inventions and know-how resulting from the joint creation or use of intellectual property by 

our licensors and us and our partners; and 

• 

the priority of invention of patented technology. 

111

RISK FACTORSMoreover,  certain  of  our  licensors  do  not  own  some  or  all  of  the  intellectual  property  included  in  the  license,  but  instead  have 

licensed  such  intellectual  property  from  a  third  party  and  have  granted  us  a  sub-license.  As  a  result,  the  actions  of  our  licensors 

or  of  the  ultimate  owners  of  the  intellectual  property  may  affect  our  rights  to  use  our  sublicensed  intellectual  property,  even  if 

we  are  in  compliance  with  all  of  the  obligations  under  our  license  agreements.  For  example,  our  licenses  from  GSK,  Paratek,  and 

argenx  comprise  sublicenses  to  us  of  certain  intellectual  property  rights  owned  by  third  parties  that  are  not  our  direct  licensors.  If 

our  licensors  were  to  fail  to  comply  with  their  obligations  under  the  agreements  pursuant  to  which  they  obtain  the  rights  that  are 

sublicensed to us, or should such agreements be terminated or amended, our rights to the applicable licensed intellectual property 

may  be  terminated  or  narrowed,  our  exclusive  licenses  may  be  converted  to  non-exclusive  licenses  and  our  ability  to  produce  and 

sell our products and product candidates may be materially harmed. Any of the foregoing could have a material adverse effect on our 

business, financial conditions, results of operations, and prospects.

In  addition,  the  agreements  under  which  we  currently  license  or  have  rights  to  use  intellectual  property  or  technology  from  third 

parties  are  complex,  and  certain  provisions  in  such  agreements  may  be  susceptible  to  multiple  interpretations.  The  resolution  of 

any contract interpretation disagreement that may arise could narrow what we believe to be the scope of our rights to the relevant 

intellectual property or technology or increase what we believe to be our financial or other obligations under the relevant agreement, 

either  of  which  could  have  a  material  adverse  effect  on  our  business,  financial  condition,  results  of  operations,  and  prospects. 

Moreover,  if  disputes  over  intellectual  property  that  we  have  licensed,  sublicensed  or  obtained  rights  to  use  prevent  or  impair  our 

ability to maintain our current licensing arrangements on commercially acceptable terms, we may be unable to successfully develop 

and commercialize the affected products or product candidates, which could have a material adverse effect on our business, financial 

conditions, results of operations, and prospects. 

Reputational  harm  to  our  products,  including  product  liability  claims  or  lawsuits  against  us  or  any  of  our 

licensors, could cause us to incur substantial liabilities or loss of revenue or reputation.

We  face  an  inherent  risk  related  to  the  use  of  our  products  and  product  candidates  anywhere  in  the  world.  If  we  or  our  licensors 

cannot  successfully  defend  the  reputation  of  our  licensed  products,  including  against  product  liability  or  other  claims,  then  we  may 

incur substantial liability, loss of revenue or loss of reputation. Regardless of merit or eventual outcome, the consequences to us from 

those claims (whether resulting from our sales in our licensed territories, or those of our licensors’ sales elsewhere in the world) may 

result in: 

• 

• 

• 

• 

significant negative media attention and reputational damage;

withdrawal of clinical trial subjects and inability to continue clinical trials;

significant costs to defend the related litigation;

substantial monetary awards to trial subjects or patients;

112

RISK FACTORS• 

• 

• 

• 

the inability to commercialize any products or product candidates that we may develop;

initiation of investigations by regulators;

a diversion of management’s time and our resources; and

a decline in the market price of our ordinary shares and/or our ADSs.

Any  litigation  or  investigation  might  result  in  substantial  costs  and  diversion  of  resources.  While  we  maintain  liability  insurance  for 

certain  clinical  trials  (which  covers  the  patient  human  clinical  trial  liabilities  including,  among  others,  bodily  injury),  product  liability 

insurance  to  cover  our  product  liability  claims  and  general  liability  and  director  and  officer  insurance  to  cover  other  commercial 

liability  claims,  these  insurances  may  not  fully  cover  our  potential  liabilities.  Additionally,  inability  to  obtain  sufficient  insurance 

coverage at an acceptable cost could prevent or inhibit the successful commercialization of products or drugs we develop, alone or 

with our collaborators. Any negative reputational harm to our licensors’ products anywhere in the world may have an adverse impact 

on  our  ability  to  sell  those  same  products  in  our  licensed  territories.  If  our  licensors  incur  such  harm  or  liability,  it  may  also  cause 

damage to our revenues and reputation which may not be covered by insurance.

The  research  and  development  projects  under  our  internal  discovery  programs  are  at  an  early-stage  of 

development. As a result, we are unable to predict if or when we will successfully develop or commercialize 

any product candidates under such programs.

Our internal discovery programs are at an early-stage of development and will require significant investment and regulatory approvals 

prior to commercialization. Each of our product candidates will require additional clinical and pre-clinical development, management 

of  clinical,  pre-clinical  and  manufacturing  activities,  obtaining  regulatory  approval,  obtaining  manufacturing  supply,  building  of  a 

commercial  organization,  substantial  investment  and  significant  marketing  efforts  before  they  generate  any  revenue  from  product 

sales.  We  are  not  permitted  to  market  or  promote  any  of  our  product  candidates  before  we  receive  regulatory  approval  from  the 

NMPA,  the  FDA,  or  comparable  regulatory  authorities,  and  we  may  never  receive  such  regulatory  approval  for  any  such  product 

candidates.

We cannot be certain that clinical development of any product candidates from our internal discovery programs will be successful 

or  that  we  will  obtain  regulatory  approval  or  be  able  to  successfully  commercialize  any  of  our  product  candidates  and  generate 

revenue.  Success  in  pre-clinical  testing  does  not  ensure  that  clinical  trials  will  be  successful,  and  the  clinical  trial  process  may 

fail  to  demonstrate  that  our  product  candidates  are  safe  and  effective  for  their  proposed  uses.  Any  such  failure  could  cause  us 

to  abandon  further  development  of  any  one  or  more  of  our  product  candidates  and  may  delay  development  of  other  product 

candidates. Any delay in, or termination of, our clinical trials will delay and possibly preclude the filing of any NDAs with the NMPA, 

the  FDA  or  comparable  regulatory  authorities  and,  ultimately,  our  ability  to  commercialize  our  product  candidates  and  generate 

product revenue.

113

RISK FACTORSIf  our  manufacturing  facilities  are  damaged  or  destroyed  or  production  at  such  facilities  is  otherwise 

interrupted,  or  any  new  facilities  are  not  approved  by  regulators,  our  business  and  prospects  would  be 

negatively affected.

In  2017,  we  built  a  small  molecule  facility  capable  of  supporting  clinical  and  commercial  production,  and  in  2018,  we  built  a  large 

molecule  facility  in  Suzhou,  China  using  Cytiva  FlexFactory  platform  technology  capable  of  supporting  clinical  production  of  our 

product candidates. These facilities were approved for clinical and commercial production of our product candidates and, accordingly, 

we  intend  to  rely  on  these  facilities  for  the  manufacture  of  clinical  and  commercial  supply  of  some  of  our  products  or  product 

candidates.  If  either  facility  were  damaged  or  destroyed,  or  otherwise  subject  to  disruption,  for  example  due  to  the  COVID-19 

pandemic,  it  would  require  substantial  lead-time  to  replace  our  manufacturing  capabilities.  In  such  event,  we  would  be  forced  to 

identify and rely partially or entirely on third-party contract manufacturers for an indefinite period. Any new facility needed to replace 

an  existing  production  facility  would  need  to  comply  with  the  necessary  regulatory  requirements  and  be  tailored  to  our  production 

requirements  and  processes.  We  also  would  need  regulatory  approvals  before  using  any  products  or  drugs  manufactured  at  a  new 

facility  in  clinical  trials  or  selling  any  products  or  drugs  that  are  ultimately  approved.  Any  disruptions  or  delays  at  our  facility  or  its 

failure  to  meet  regulatory  compliance  would  impair  our  ability  to  develop  and  commercialize  our  products  or  product  candidates, 

which would adversely affect our business and results of operations. 

We may become involved in lawsuits to protect or enforce our intellectual property.

Competitors  may  infringe  our  patent  rights  or  misappropriate  or  otherwise  violate  our  intellectual  property  rights.  If  we  are  unable 

to  protect  our  intellectual  property,  our  competitors  could  use  our  intellectual  property  to  market  offerings  similar  to  ours  and  we 

may  not  be  able  to  compete  effectively.  Moreover,  others  may  independently  develop  technologies  that  are  competitive  to  ours 

or  infringe  on  our  intellectual  property.  To  counter  infringement  or  unauthorized  use,  litigation  may  be  necessary  in  the  future 

to  enforce  or  defend  our  intellectual  property  rights,  to  protect  our  trade  secrets  or  to  determine  the  validity  and  scope  of  our 

own  intellectual  property  rights  or  the  proprietary  rights  of  others.  This  can  be  expensive  and  time-consuming.  Any  claims  that  we 

assert against perceived infringers could also provoke these parties to assert counterclaims against us alleging that we infringe their 

intellectual  property  rights.  We  may  not  be  able  to  prevent  third  parties  from  infringing  upon  or  misappropriating  our  intellectual 

property,  particularly  in  countries  where  the  laws  may  not  protect  intellectual  property  rights  as  fully  as  in  the  United  States.  An 

adverse result in any litigation proceeding could put our patent, as well as any patents that may issue in the future from our pending 

patent  applications,  at  risk  of  being  invalidated,  held  unenforceable  or  interpreted  narrowly.  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 this type of litigation. Furthermore, some of our intellectual property rights are licensed from our 

partners who may have the first right and/or who we may need to cooperate with to assert claims of infringement against third parties 

or  defend  against  claims  or  counterclaims  brought  by  third  parties  against  us  alleging  that  we  infringe  their  intellectual  property 

rights, and our partners may be unwilling to assert or allow us to assert such intellectual property rights against perceived infringers 

or  in  defense  of  such  claims  or  counter  claims  to  avoid  provoking  these  third  parties  to  assert  invalidity  claims  or  other  challenges 

to the validity or enforceability of such intellectual property rights. This may limit our ability to effectively prevent third parties from 

infringing  upon  or  misappropriating  such  intellectual  property  rights  or  adequately  defend  against  claims  or  counterclaims  that  we 

infringe their intellectual property rights. 

114

RISK FACTORSOur internal computer systems, or those used by our CROs, CMOs, or other contractors or consultants, may fail 

or suffer cybersecurity breaches.

Despite the implementation of security measures, our internal computer systems and those of our CROs, CMOs, and other contractors 

and consultants are vulnerable to cyberattacks, malware, and other system failures that may result in unauthorized access, damage, 

and  other  harms  to  our  business  or  reputation.  Although  to  our  knowledge  we  have  not  experienced  any  material  system  failure 

or  security  breach  to  date,  if  such  an  event  were  to  occur  and  cause  interruptions  in  our  operations,  it  could  result  in  a  material 

disruption of our development programs and our business operations. 

The  data  privacy  regimes  in  mainland  China  and  in  the  United  States  are  evolving  and  there  may  be  more  stringent  compliance 

requirements  for  the  collection,  processing,  use,  and  transfer  of  personal  information  and  important  data.  In  the  ordinary  course 

of  our  business,  we  collect  and  store  sensitive  data,  including,  among  other  things,  legally  protected  patient  health  information, 

personally identifiable information about our employees, intellectual property, and proprietary business information. We manage and 

maintain our applications and data utilizing on-site systems and outsourced vendors. These applications and data encompass a wide 

variety  of  business-critical  information  including  research  and  development  information,  commercial  information  and  business  and 

financial information. Because information systems, networks and other technologies are critical to many of our operating activities, 

shutdowns or service disruptions at the Company or vendors that provide information systems, networks or other services to us pose 

increasing risks. Such disruptions may be caused by events such as computer hacking, phishing attacks, ransomware, dissemination of 

computer viruses, worms and other destructive or disruptive software, denial of service attacks and other malicious activity, as well 

as power outages, natural disasters (including extreme weather), terrorist attacks or other similar events. Such events could have an 

adverse  impact  on  us  and  our  business,  including  loss  of  data  and  damage  to  equipment  and  data.  In  addition,  system  redundancy 

may be ineffective or inadequate, and our disaster recovery planning may not be sufficient to cover all eventualities. Significant events 

could result in a disruption of our operations, cause damage to our reputation or a loss of revenues and invite regulator’s scrutiny, or 

otherwise subject us to liability under laws and regulations that protect the privacy and security of personal information. In addition, 

we may not have adequate insurance coverage to compensate for any losses associated with such events. 

We could be subject to risks caused by misappropriation, misuse, leakage, falsification or intentional or accidental release or loss of 

information maintained in the information systems and networks of the Company and our vendors, including personal information of 

our  employees  and  patients,  and  company  and  vendor  confidential  data.  Because  we  have  outsourced  elements  of  our  information 

technology  infrastructure  to  vendors,  such  vendors  may  or  could  have  access  to  our  confidential  information.  In  addition,  outside 

parties may attempt to penetrate our systems or those of our vendors or fraudulently induce our personnel or the personnel of our 

vendors to disclose sensitive information in order to gain access to our data and/or systems. Like other companies, we may experience 

threats to our data and systems, including malicious codes and viruses, phishing and other cyber-attacks. The number and complexity 

of these threats continue to increase over time. If a material breach of our information technology systems or those of our vendors 

occurs, the market perception of the effectiveness of our security measures could be harmed and our reputation and credibility could 

be  damaged.  We  could  be  required  to  expend  significant  amounts  of  money  and  other  resources  to  repair  or  replace  information 

systems  or  networks.  Although  we  develop  and  maintain  systems  and  controls  designed  to  prevent  these  events  from  occurring, 

and we have a process to identify and mitigate threats, the development and maintenance of these systems, controls and processes, 

including the recruitment and retention of experienced information technology professionals, who are in high demand, is costly and 

115

RISK FACTORSrequires  ongoing  monitoring  and  updating  as  technologies  change  and  efforts  to  overcome  security  measures  become  increasingly 

sophisticated. Moreover, despite our efforts, the possibility of these events occurring cannot be eliminated entirely. As we outsource 

more of our information systems to vendors, engage in more electronic transactions with payors and patients, and rely more on cloud-

based  information  systems,  the  related  security  risks  will  increase,  and  we  will  need  to  expend  additional  resources  to  protect  our 

technology and information systems.

We are subject to laws and government regulations relating to privacy and data protection that have required 

us to modify certain of our policies and procedures with respect to the collection and processing of personal 

data, and future laws and regulations may cause us to incur additional expenses or otherwise limit our ability 

to collect and process personal data.

We are subject to data privacy and security laws in the various jurisdictions in which we operate, obtain or store personally identifiable 

information.  The  legislative  and  regulatory  landscape  for  privacy  and  data  protection  continues  to  evolve,  and  there  has  been  an 

increasing focus on privacy and data protection issues with the potential to affect our business. 

Within the United States, there are numerous federal and state laws and regulations related to the privacy and security of personal 

information. For example, at the federal level, our operations may be affected by the Health Insurance Portability and Accountability 

Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health Act and its implementing regulations 

(collectively, “HIPAA”), which impose obligations on certain “covered entities” and their “business associates” contractors with respect 

to the privacy, security, and transmission of certain individually identifiable health information. Although we believe that we are not 

currently directly subject to HIPAA, HIPAA affects the ability of healthcare providers and other entities with which we may interact to 

disclose patient health information to us. As another example, at the state level, we are subject to the California Consumer Privacy Act, 

as amended by the California Privacy Rights Act, which gives California consumers (defined to include all California residents) certain 

rights, including the right to ask companies to disclose details about the personal information they collect, as well as other rights such 

as the right to ask companies to delete a consumer’s personal information and opt out of the sale of personal information. Colorado, 

Connecticut, Utah, and Virginia have also passed comprehensive privacy laws that may impact our operations, and there are similar 

legislative proposals being advanced in other U.S. states, as well as in Congress.

Numerous  other  jurisdictions  regulate  the  privacy  and  security  of  personally  identifiable  data.  For  example,  the  General  Data 

Protection  Regulation  (“GDPR”)  imposes  obligations  on  companies  that  operate  in  our  industry  with  respect  to  the  processing  of 

personal  data  collected  in  relation  to  an  establishment  located  in  the  European  Economic  Area  (“EEA”)  or  in  connection  with  the 

offering  of  goods  and  services  to,  monitoring  the  behavior  of,  individuals  located  in  the  EEA.  The  GDPR  also  forms  part  of  the  law 

of  England  and  Wales,  Scotland,  and  Northern  Ireland  by  virtue  of  section  3  of  the  European  Union  (Withdrawal)  Act  2018  and  as 

amended by the Data Protection, Privacy, and Electronic Communications (Amendments etc.) (EU Exit) Regulations 2019 (SI 2019/419), 

known as “UK GDPR.” The GDPR and UK GDPR impose onerous accountability obligations requiring data controllers and processors to 

maintain a record of their data processing and policies. If we or our service providers fail to comply with any applicable GDPR or UK 

GDPR  requirements,  we  may  be  subject  to  litigation,  regulatory  investigations,  enforcement  notices  requiring  us  to  change  the  way 

we  use  personal  data  and/or  fines  of  up  to  €20  million/GBP  17.5  million  or  up  to  4%  of  the  total  worldwide  annual  turnover  of  the 

preceding financial year, whichever is higher, as well as compensation claims by affected individuals, negative publicity, reputational 

116

RISK FACTORSharm and a potential loss of business and goodwill. The GDPR and UK GDPR additionally place restrictions on the cross-border transfer 

of personal data from the EEA to countries that have not been found by the European Commission to offer adequate data protection 

legislation,  such  as  the  People’s  Republic  of  China  and  the  United  States.  In  July  2020,  the  Court  of  Justice  of  the  European  Union 

(“CJEU”)  invalidated  the  EU-U.S.  Privacy  Shield  framework,  one  of  the  mechanisms  used  to  legitimize  the  transfer  of  personal  data 

from the EEA to the United States. The CJEU decision also drew into question the long-term viability of an alternative means of data 

transfer, the standard contractual clauses, for transfers of personal data from the EEA or UK to the United States. This CJEU decision 

may lead to increased scrutiny on data transfers from the EEA to the United States generally and increase our costs of compliance with 

data privacy legislation.

We could be subject to regulatory actions and/or claims made by individuals and groups in private litigation involving privacy issues 

related  to  data  collection  and  use  practices  and  other  data  privacy  laws  and  regulations,  including  claims  under  the  laws  described, 

as well as for alleged unfair or deceptive practices. If our operations are found to be in violation of any of the privacy laws, rules or 

regulations that apply to us, we could be subject to penalties, including civil penalties, damages, injunctive relief, and other penalties, 

which  could  adversely  affect  our  ability  to  operate  our  business  and  our  financial  results.  We  will  continue  to  review  these  and  all 

future privacy and other laws and regulations to assess whether additional procedural safeguards are warranted, which may cause us 

to incur additional expenses or otherwise limit our ability to collect and process personal data.

We  may  face  further  restrictions  (or  even  prohibitions)  on  our  ability  to  transfer  our  scientific  data  abroad 

if  Chinese  regulators  impose  new  restrictions  (or  change  their  interpretation  of  existing  restrictions)  on  life 

sciences companies like us and the scientific data we obtain, generate, and maintain.

The General Office of the State Council passed the Scientific Data Administrative Measures in March 2018, which provides a regulatory 

framework  for  the  collection,  submission,  retention,  exploitation,  confidentiality,  and  security  of  scientific  data.  Scientific  data  is 

defined  as  data  generated  from  basic  research,  applied  research,  experiments  and  developments  in  the  fields  of  natural  sciences, 

engineering,  and  technology.  It  also  includes  the  original  and  derived  data  by  means  of  surveillance,  monitoring,  field  studies, 

examination  and  testing  that  are  used  in  scientific  research  activities.  All  scientific  data  generated  by  research  entities,  including 

research institutions, higher education institutions and enterprises that is created or managed with government funds, or funded by 

any source that concerns state secrets, national security, or social and public interests, must be submitted to data centers designated 

by the Chinese government for consolidation. Disclosure of scientific data will be subject to regulatory scrutiny. 

The definition of scientific data is quite broad, but the Chinese government has not issued further guidance to clarify if clinical study 

data would fall within the definition of scientific data. To our understanding, the Chinese government has not required life sciences 

companies  to  upload  clinical  study  data  to  any  government-designated  data  center  or  prevented  the  cross-border  transmission  and 

sharing of clinical study data. None of our clinical study or other scientific data has been created or managed with government funds, 

or  funded  by  any  source  that  concerns  state  secrets,  national  security,  or  social  and  public  interests.  To  date,  we  have  received  all 

requisite permissions to transfer clinical study data abroad. We are closely monitoring legal and regulatory developments in this area 

to see how scientific data is interpreted, and we may be required to comply with additional regulatory requirements for sharing clinical 

study or other scientific data with our licensors or foreign regulatory authorities, although the scope of such requirements, if any, is 

currently unknown. 

117

RISK FACTORSRISKS RELATED TO OUR DEPENDENCE ON THIRD PARTIES

We rely on third parties to conduct our pre-clinical and clinical trials. If these third parties do not successfully 

carry out their contractual duties or meet expected deadlines, we may not be able to obtain regulatory approval 

for or commercialize our products or product candidates and our business could be substantially harmed.

We have relied upon and plan to continue to rely upon third-party CROs to monitor and manage data for some of our ongoing pre-

clinical  and  clinical  programs.  We  rely  on  these  parties  for  execution  of  our  pre-clinical  and  clinical  trials,  and  control  only  certain 

aspects  of  their  activities.  Nevertheless,  we  are  responsible  for  ensuring  that  each  of  our  studies  is  conducted  in  accordance  with 

the  applicable  protocol  and  legal,  regulatory  and  scientific  standards,  and  our  reliance  on  the  CROs  does  not  relieve  us  of  our 

regulatory  responsibilities.  We  also  rely  on  third  parties  to  assist  in  conducting  our  pre-clinical  studies  in  accordance  with  Good 

Laboratory  Practices  (“GLP”),  and  the  Regulations  for  the  Administration  of  Affairs  Concerning  Experimental  Animals.  We  and  our 

CROs  are  required  to  comply  with  Good  Clinical  Practice  and  relevant  guidelines  enforced  by  the  NMPA,  and  comparable  foreign 

regulatory authorities for all of our products or product candidates in clinical development. Regulatory authorities enforce these GCP 

requirements through periodic inspections of trial sponsors, investigators and trial sites. If we or any of our CROs fail to comply with 

applicable GCP requirements, the clinical data generated in our clinical trials may be deemed unreliable and the NMPA or comparable 

foreign  regulatory  authorities  may  require  us  to  perform  additional  clinical  trials  before  approving  our  marketing  applications.  We 

cannot assure that upon inspection by a given regulatory authority, such regulatory authority will determine that any of our clinical 

trials comply with GCP requirements. In addition, our clinical trials must be conducted with products or drugs produced under cGMP 

requirements. Failure to comply with these regulations may require us to repeat pre-clinical and clinical trials, which would delay the 

regulatory approval process.

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  on-going  clinical,  nonclinical,  and  pre-clinical  programs.  If  CROs  do 

not successfully carry out their contractual duties or obligations or meet expected deadlines or if the quality or accuracy of the clinical 

data they obtain is compromised due to their failure to adhere to our clinical 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  products  or  product  candidates.  As  a  result,  our  results  of  operations,  and  the  commercial  prospects  for  our 

products and product candidates would be harmed, our costs could increase and our ability to generate revenues could be delayed or 

compromised.

Because  we  rely  on  third  parties,  our  internal  capacity  to  perform  these  functions  is  limited.  Outsourcing  these  functions  involves 

risk  that  third  parties  may  not  perform  to  our  standards,  may  not  produce  results  in  a  timely  manner  or  may  fail  to  perform  at  all. 

In  addition,  the  use  of  third-party  service  providers  requires  us  to  disclose  our  proprietary  information  to  these  parties,  which  could 

increase  the  risk  that  this  information  will  be  misappropriated.  We  currently  have  a  small  number  of  employees,  which  limits  the 

internal  resources  we  have  available  to  identify  and  monitor  our  third-party  providers.  To  the  extent  we  are  unable  to  identify  and 

successfully manage the performance of third-party service providers in the future, our business may be adversely affected. 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 impact on our business, financial condition and prospects. 

118

RISK FACTORSIf we lose our relationships with CROs, our product or drug development efforts could be delayed.

We  rely  on  third-party  vendors  and  CROs  for  some  of  our  pre-clinical  studies  and  clinical  trials  related  to  our  product  or  drug 

development  efforts.  Switching  or  adding  additional  CROs  involves  additional  cost  and  requires  management  time  and  focus.  Our 

CROs have the right to terminate their agreements with us in the event of an uncured material breach. In addition, some of our CROs 

have an ability to terminate their respective agreements with us if it can be reasonably demonstrated that the safety of the subjects 

participating in our clinical trials warrants such termination, if we make a general assignment for the benefit of our creditors or if we 

are liquidated. Identifying, qualifying, and managing performance of third-party service providers can be difficult, time-consuming, and 

cause delays in our development programs. In addition, there is a natural transition period when a new CRO commences work and the 

new CRO may not provide the same type or level of services as the original provider. If any of our relationships with our third-party 

CROs are terminated, we may not be able to enter into arrangements with alternative CROs or to do so on commercially reasonable 

terms, and we may not be able to meet our desired clinical development timelines. 

We  depend  on  our  licensors  or  patent  owners  of  our  in-licensed  patent  rights  to  prosecute  and  maintain 

patents and patent applications that are material to our business. Any failure by our licensors or such patent 

owners to effectively protect these patent rights could adversely impact our business and operations.

We  have  licensed  and  sublicensed  patent  rights  from  third  parties  for  some  of  our  development  programs  as  described  above  in  the 

Overview of Significant License and Strategic Collaboration Agreements. As a licensee and sublicensee of third parties, we rely on these 

third parties to file and prosecute patent applications and maintain patents and otherwise protect the licensed intellectual property under 

certain of our license agreements. In addition, we have not had and do not have primary control over these activities for certain of our 

patents or patent applications and other intellectual property rights that we jointly own with certain of our licensors and sub-licensors. We 

cannot be certain that the patents and patent applications for our products and product candidates have been or will be prepared, filed, 

prosecuted, or maintained by such third parties in compliance with applicable laws and regulations, in a manner consistent with the best 

interests of our business, or in a manner that will result in valid and enforceable patents or other intellectual property rights that cover our 

product candidates. If our licensors or such third parties fail to prepare, prosecute, or maintain such patent applications and patents, or 

lose rights to those patent applications or patents, the rights we have licensed may be reduced or eliminated, and our right to develop and 

commercialize any of our product candidates that are subject of such licensed rights could be adversely affected. 

Pursuant to the terms of the license agreements with some of our licensors, the licensors may have the right to control prosecution, 

maintenance  or  enforcement  of  our  licensed  patents  or  defense  of  any  claims  asserting  the  invalidity  or  unenforceability  of  these 

patents. Even if we are permitted to pursue the enforcement or defense of our licensed and sub-licensed patents, we will require the 

cooperation of our licensors and any applicable patent owners and such cooperation may not be provided to us. We cannot be certain 

that our licensors will allocate sufficient resources or prioritize their or our enforcement of such patents or defense of such claims to 

protect  our  interests  in  the  licensed  patents.  Even  if  we  are  not  a  party  to  these  legal  actions,  an  adverse  outcome  could  harm  our 

business because it might prevent us from continuing to license intellectual property that we may need to operate our business. If we 

lose any of our licensed intellectual property, our right to develop and commercialize any of our product candidates that are subject 

of  such  licensed  rights  could  be  adversely  affected.  By  way  of  illustration,  under  our  agreements  with  BMS  (formerly  Turning  Point) 

for repotrectinib, Taiho (formerly Cullinan Pearl) for Zipalertinib (formerly CLN-081), NovoCure for TTFields, argenx for Efgartigimod, 

119

RISK FACTORSKaruna  for  KarXT,  and  Blueprint  for  BLU-945,  each  of  our  licensors  has  the  first  right  to  prosecute  and  maintain  the  respective 

licensed patents and joint patents in Greater China. With respect to the patent portfolio for ZEJULA, which we sub-license from GSK, 

we have the first right to enforce such patent portfolio within mainland China, Hong Kong, and Macau. However, GSK maintains the 

right  to  enforce  such  patent  portfolio  in  all  other  territories  or,  if  we  fail  to  bring  an  action  within  90  days,  within  Greater  China.  In 

the  case  where  GSK  controls  such  enforcement  actions,  although  GSK  has  the  obligation  to  consult  with  us  on  such  actions  within 

Greater  China,  rights  granted  by  GSK  under  ZEJULA  to  another  licensee,  such  as  Janssen  Biotech,  Inc.  to  whom  GSK  has  granted  an 

exclusive right to develop ZEJULA for the treatment of prostate cancer, could potentially influence GSK’s interests in the exercise of its 

prosecution, maintenance and enforcement rights in a manner that may favor the interests of such other licensee as compared with 

us, which could have a material adverse effect on our business, financial conditions, results of operations, and prospects. 

We have relied on a limited number of customers for a substantial portion of our revenue. 

A substantial amount of our revenue is derived from sales to a limited number of customers, which are distributors as consistent with 

industry norm. Because of this concentration among a small number of customers, if an event were to adversely affect one of these 

customers, it would have a material impact on our business. For 2022 and 2021, the aggregate amount of product revenue generated 

from our five largest customers accounted for approximately 37.7% and 39.9% of our product revenue, respectively. Product revenue 

generated  from  our  largest  customer  for  the  same  periods  accounted  for  approximately  22.4%  and  21.5%  of  our  product  revenue, 

respectively.  While  we  are  continuing  to  expand  our  customer  base  for  our  four  approved  products  in  mainland  China,  we  may 

continue to rely on such major customers in ramping up the sales of our commercialized products. There is no assurance that our five 

largest  customers  will  continue  to  purchase  from  us  at  the  current  levels  or  at  all  in  the  future.  If  any  of  our  five  largest  customers 

significantly  reduces  its  purchase  volume  or  ceases  to  purchase  from  us,  and  we  are  not  able  to  identify  new  customers  in  a  timely 

manner, our business, financial condition and results of operation may be materially and adversely affected. In addition, there is no 

assurance  that  our  major  customers  will  not  negotiate  for  more  favorable  terms  for  them  in  the  future.  Under  such  circumstances, 

we may have to agree to less favorable terms in order to maintain the ongoing cooperative relationships with our major customers. 

If we are unable to reduce our production costs accordingly, our profitability, results of operations, and financial conditions may be 

materially and adversely affected. Therefore, any risks which could have a negative impact on our major customers could in turn have 

a negative impact on our business.

If we fail to maintain an effective distribution channel for our products, our business and sales of the relevant 

products could be adversely affected.

We  rely  on  third-party  distributors  to  distribute  our  commercialized  products.  We  also  expect  to  rely  on  third-party  distributors  to 

distribute  our  other  products  and  internally  discovered  products,  if  approved.  Our  ability  to  maintain  and  grow  our  business  will 

depend  on  our  ability  to  maintain  an  effective  distribution  channel  that  ensures  the  timely  delivery  of  our  products  to  the  relevant 

markets where we generate market demand through our sales and marketing activities. However, we have relatively limited control 

over  our  distributors,  who  may  fail  to  distribute  our  products  in  the  manner  we  contemplate.  If  price  controls  or  other  factors 

substantially reduce the margins our distributors can obtain through the resale of our products to hospitals, medical institutions, and 

sub-distributors, they may terminate their relationship with us. While we believe alternative distributors are readily available, there is 

a risk that, if the distribution of our products is interrupted, our sales volumes and business prospects could be adversely affected. 

120

RISK FACTORSThe  illegal  distribution  and  sale  by  third  parties  of  counterfeit  versions  of  our  products  or  stolen  products 

could have a negative impact on our reputation and business.

Third  parties  might  illegally  distribute  and  sell  counterfeit  or  unfit  versions  of  our  products,  which  do  not  meet  our  or  our 

collaborators’ rigorous manufacturing and testing standards. A patient who receives a counterfeit or unfit product may be at risk for a 

number of dangerous health consequences. Our reputation and business could suffer harm as a result of counterfeit or unfit products 

sold under our or our collaborators’ brand name(s). In addition, thefts of inventory at warehouses, plants or while in-transit, which are 

not properly stored and which are sold through unauthorized channels, could adversely impact patient safety, our reputation, and our 

business.

Our  business,  profitability  and  liquidity  may  be  adversely  affected  by  deterioration  in  the  credit  quality  of, 

or  defaults  by,  our  distributors  and  customers,  and  an  impairment  in  the  carrying  value  of  our  short-term 

investments could negatively affect our consolidated results of operations.

We are exposed to the risk that our distributors and customers may default on their obligations to us as a result of bankruptcy, lack of 

liquidity, operational failure or other reasons. As we continue to expand our business, the amount and duration of our credit exposure 

will be expected to increase over the next few years, as will the breadth of the entities to which we have credit exposure. Although we 

regularly review our credit exposure to specific distributors and customers that we believe may present credit concerns, default risks 

may arise from events or circumstances that are difficult to detect or foresee.

Also, the carrying amounts of cash and cash equivalents, restricted cash, and short-term investments represent the maximum amount 

of loss due to credit risk. As of December 31, 2022 and 2021, we had cash and cash equivalents of $1,008.5 million and $964.1 million, 

restricted  cash  of  $0.8  million  and  $0.8  million,  and  short-term  investments  of  nil  million  and  $445.0  million,  respectively,  most  of 

which  are  deposited  in  financial  institutions  outside  of  mainland  China.  Although  our  cash  and  cash  equivalents  in  mainland  China, 

Hong  Kong,  Australia,  and  the  United  States  are  deposited  with  various  major  reputable  financial  institutions,  deposits  placed  with 

these financial institutions are not protected by statutory or commercial insurance. In the event of bankruptcy of one of these financial 

institutions,  we  may  be  unlikely  to  claim  our  deposits  back  in  full.  As  of  December  31,  2022  and  2021,  our  short-term  investments 

consisted of time deposits with original maturities between three months and one year.

Although we believe that U.S. Treasury securities are of high credit quality, concerns about, or a default by, one or more institutions in 

the market could lead to significant liquidity problems, losses, or defaults by other institutions, which in turn could adversely affect us.

121

RISK FACTORSRISKS RELATED TO INTELLECTUAL PROPERTY

If  we  are  unable  to  obtain  and  maintain  patent  protection  for  our  products  and  product  candidates  through 

intellectual  property  rights,  or  if  the  scope  of  such  intellectual  property  rights  obtained  is  not  sufficiently 

broad, third parties may compete directly against us.

Our  success  depends,  in  part,  on  our  ability  to  protect  our  products  and  product  candidates  from  competition  by  obtaining, 

maintaining,  and  enforcing  our  intellectual  property  rights,  including  patent  rights.  We  seek  to  protect  the  products  and  product 

candidates  and  technology  that  we  consider  commercially  important  by  filing  Chinese  and  international  patent  applications,  relying 

on  trade  secrets  or  pharmaceutical  regulatory  protection  or  employing  a  combination  of  these  methods.  We  also  seek  to  protect 

our  proprietary  position  by  in-licensing  intellectual  property  relating  to  our  technology  and  product  candidates.  We  do  not  own  or 

exclusively license any issued patents with respect to certain of our products and product candidates in all territories in which we plan 

to commercialize our products and product candidates. For example, we do not own or exclusively license any issued patents covering 

ZEJULA  in  Macau.  We  do  not  own  or  exclusively  license  any  issued  patents  covering  margetuximab  and  a  pre-clinical  multi-specific 

TRIDENT molecule in Macau, but we do exclusively license issued patents or pending patent applications in mainland China, Hong Kong 

or  Taiwan  covering  them.  We  do  not  own  or  exclusively  license  any  issued  patents  or  pending  patent  applications  covering  Tumor 

Treating  Fields  in  Macau  or  Taiwan,  but  we  do  exclusively  license  issued  patents  and  pending  patent  applications  covering  Tumor 

Treating  Fields  in  mainland  China  and  Hong  Kong.  We  in-license  one  issued  patent  in  Taiwan,  two  pending  patent  applications  in 

mainland China, one pending patent application in each of Taiwan and Hong Kong, which are all related to retifanlimab (INCMGA0012 

(PD-1)). We in-license two issued patents in each of mainland China, Hong Kong, and Taiwan relating to durlobactam, but we do not 

own or exclusively license any issued patents or pending application in Macau. We cannot predict whether such patent applications 

or any of our other owned or in-licensed pending patent applications will result in the issuance of any patents that effectively protect 

our  products  and  product  candidates.  If  we  or  our  licensors  are  unable  to  obtain  or  maintain  patent  protection  with  respect  to  our 

products  or  product  candidates  and  technology  we  develop,  our  business,  financial  condition,  results  of  operations,  and  prospects 

could be materially harmed.

The  patent  prosecution  process  is  expensive,  time-consuming  and  complex,  and  we  may  not  be  able  to  file,  prosecute,  maintain, 

enforce or license all necessary or desirable patent applications at a reasonable cost or in a timely manner. In addition, our license and 

intellectual  property-related  agreements  may  not  provide  us  with  exclusive  rights  to  use  our  in-licensed  intellectual  property  rights 

relating to the applicable products and product candidates in all relevant fields of use and in all territories in which we may wish to 

develop  or  commercialize  our  technology  and  products  in  the  future.  For  example,  under  our  agreements  with  GSK  for  ZEJULA,  our 

licenses are limited to mainland China, Hong Kong, and Macau. In the case of our agreements with argenx for efgartigimod, Paratek 

for omadacycline (ZL-2401), and Deciphera for QINLOCK, our licenses or, as applicable, our rights are limited to Greater China. Also, in 

the case of our agreement with Entasis for durlobactam, our license is limited to mainland China, Hong Kong, Macau, Taiwan, Korea, 

Vietnam, Thailand, Cambodia, Laos, Malaysia, Indonesia, the Philippines, Singapore, Australia, New Zealand, and Japan. As a result, we 

may not be able to prevent competitors from developing and commercializing competitive products in all such fields and territories.

122

RISK FACTORSPatents  may  be  invalidated  and  patent  applications  relating  to  bemarituzumab  (FPA144),  Tumor  Treating  Fields,  margetuximab, 

durlobactam,  a  pre-clinical  multi-specific  TRIDENT  molecule  or  retifanlimab  (INCMGA0012  (PD-1))  as  well  as  Regeneron’s  patents 

relating  to  odronextamab  (REGN1979),  may  not  be  granted  for  a  number  of  reasons,  including  known  or  unknown  prior  art, 

deficiencies in the patent application or the lack of novelty of the underlying invention or technology. It is also possible that we will 

fail  to  identify  patentable  aspects  of  our  research  and  development  output  in  time  to  obtain  patent  protection.  Although  we  enter 

into non-disclosure and confidentiality agreements with parties who have access to confidential or patentable aspects of our research 

and  development  output,  such  as  our  employees,  corporate  collaborators,  outside  scientific  collaborators,  contract  manufacturers, 

consultants, advisors and any other third parties, any of these parties may breach such agreements and disclose such output before 

a  patent  application  is  filed,  thereby  jeopardizing  our  ability  to  seek  patent  protection.  In  addition,  publications  of  discoveries  in 

the  scientific  literature  often  lag  behind  the  actual  discoveries,  and  patent  applications  in  the  United  States  and  other  jurisdictions 

are  typically  not  published  until  18  months  after  filing,  or  in  some  cases,  not  at  all.  Therefore,  we  cannot  be  certain  that  we  or  our 

licensors were the first to make the inventions claimed in our owned or in-licensed patents or pending patent applications or that we 

or our licensors were the first to file for patent protection of such inventions. Furthermore, mainland China and the United States have 

adopted the “first-to-file” or the “first-inventor-to file” system under which whoever first files a patent application will be awarded the 

patent if all other patentability requirements are met. Under the first-to-file or the first-inventor-to file system third parties may be 

granted a patent relating to a technology, which we invented.

In  addition,  under  Chinese  Patent  Law,  any  organization  or  individual  that  applies  for  a  patent  in  a  foreign  country  for  an  invention 

or  utility  model  accomplished  in  mainland  China  is  required  to  report  to  the  CNIPA  for  confidentiality  examination.  Otherwise,  if  an 

application is later filed in mainland China, the patent right will not be granted. Moreover, even if patents do grant from any of the 

applications, the grant of a patent is not conclusive as to its scope, validity, or enforceability.

The  coverage  claimed  in  a  patent  application  can  be  significantly  reduced  before  the  patent  is  issued,  and  its  scope  can  be 

reinterpreted after issuance. Even if patent applications we license or own currently or in the future issue as patents, they may not 

issue in a form that will provide us with any meaningful protection, prevent competitors or other third parties from competing with 

us,  or  otherwise  provide  us  with  any  competitive  advantage.  In  addition,  the  patent  position  of  biotechnology  and  pharmaceutical 

companies generally is highly uncertain, involves complex legal and factual questions, and has been the subject of much litigation in 

recent years. As a result, the issuance, scope, validity, enforceability, and commercial value of our patent rights are highly uncertain.

The issuance of a patent is not conclusive as to its inventorship, scope, validity or enforceability, and our patents may be challenged 

in the courts or patent offices in mainland China, United States, and abroad. We and our licensors and collaboration partners may be 

subject  to  a  third-party  preissuance  submission  of  prior  art  to  the  United  States  Patent  and  Trademark  Office  (the  “USPTO”)  or  may 

become involved in opposition, derivation, revocation, re-examination, post-grant, and inter partes review, or interference proceedings 

or  similar  proceedings  in  foreign  jurisdictions  challenging  our  patent  rights  or  the  patent  rights  of  others.  An  adverse  determination 

in any such submission, proceeding or litigation could reduce the scope of, or invalidate, our owned or in-licensed patent rights, allow 

third parties to commercialize our technology, products or product candidates and compete directly with us without payment to us, 

or  result  in  our  inability  to  manufacture  or  commercialize  products  or  product  candidates  without  infringing,  misappropriating  or 

otherwise violating third-party patent rights. Moreover, we, or one of our licensors or collaboration partners, may have to participate 

in interference proceedings declared by the USPTO to determine priority of invention or in post-grant challenge proceedings, such as 

123

RISK FACTORSoppositions in a foreign patent office, that challenge the priority of our or our licensor’s or collaboration partner’s invention or other 

features  of  patentability  of  our  owned  or  in-licensed  patents  and  patent  applications.  Such  challenges  may  result  in  loss  of  patent 

rights, loss of exclusivity, or in patent claims being narrowed, invalidated, or held unenforceable, which could limit our ability to stop 

others from using or commercializing similar or identical technology and products, limit the duration of the patent protection of our 

technology, or limit the price at which we can sell our products and product candidates. Such proceedings also may result in substantial 

costs and require significant time from our scientists and management, even if the eventual outcome is favorable to us. Consequently, 

we do not know whether any of our technology, products or product candidates will be protectable or remain protected by valid and 

enforceable patents. Our competitors or other third parties may be able to circumvent our owned or in-licensed patents by developing 

similar or alternative technologies or products in a non-infringing manner.

Furthermore,  the  terms  of  patents  are  finite.  The  patents  we  own  or  in-license  and  the  patents  that  may  issue  from  our  currently 

pending owned and in-licensed patent applications generally have a 20-year protection period starting from such patents’ filing date 

(or the priority date, if priority is claimed). Given the amount of time required for the development, testing and regulatory review of 

products and new product candidates, patents protecting such products and product candidates might expire before or shortly after 

such products or product candidates are commercialized. While the patent laws in jurisdictions we operate in, including in the United 

States and mainland China, enable the term of the patent term to be extend to account for the time required for the development, 

testing  and  regulatory  review  of  products  and  new  product  candidates,  we  may  not  be  able  to  successfully  obtain  any  extension  of 

terms  of  our  owned  or  in-licensed  patents,  and,  in  mainland  China,  the  legal  regime  for  obtaining  patent  term  extensions  is  being 

developed and not yet mature. As a result, our owned or in-licensed patents and patent applications may not provide us with sufficient 

rights  to  exclude  others  from  commercializing  products  similar  or  identical  to  ours.  Moreover,  some  of  our  patents  and  patent 

applications  are,  and  may  in  the  future  be,  co-owned  with  third  parties.  If  we  are  unable  to  obtain  an  exclusive  license  to  any  such 

third-party co-owners’ interest in such patents or patent applications, such co-owners may be able to license their rights to other third 

parties, including our competitors, and our competitors could market competing products and technology. In addition, we may need 

the  cooperation  of  any  such  co-owners  of  our  patents  in  order  to  enforce  such  patents  against  third  parties,  and  such  cooperation 

may not be provided to us. Any of the foregoing could have a material adverse effect on our competitive position, business, financial 

conditions, results of operations, and prospects. 

Our owned or in-licensed patents could be found invalid or unenforceable if challenged in court or before the 

USPTO or comparable foreign authority.

We  or  our  licensors  or  collaboration  partners  may  become  involved  in  patent  litigation  against  third  parties  to  enforce  owned  or 

in-licensed  patent  rights,  to  invalidate  patents  held  by  such  third  parties  or  to  defend  against  such  claims.  A  court  may  refuse  to 

stop  the  other  party  from  using  the  technology  at  issue  on  the  grounds  that  patents  owned  or  in-licensed  by  us,  our  licensors  or 

our  collaboration  partners  do  not  cover  the  third-party  technology  in  question.  Further,  such  third  parties  could  counterclaim  that 

we  infringe,  misappropriate,  or  otherwise  violate  their  intellectual  property  or  that  a  patent  we  or  our  licensors  or  collaboration 

partners have asserted against them is invalid or unenforceable. In patent litigation, defendant counterclaims challenging the validity, 

enforceability  or  scope  of  asserted  patents  are  commonplace  and  there  are  numerous  grounds  upon  which  a  third  party  can  assert 

invalidity or unenforceability of a patent. In addition, third parties may initiate legal proceedings before administrative bodies in the 

United  States  or  abroad,  even  outside  the  context  of  litigation,  against  us  or  our  licensors  with  respect  to  our  owned  or  in-licensed 

124

RISK FACTORSintellectual  property  to  assert  such  challenges  to  such  intellectual  property  rights.  Such  mechanisms  include  re-examination,  inter 

partes review, post-grant review, interference proceedings, derivation proceedings and equivalent proceedings in foreign jurisdictions 

(e.g., opposition proceedings). Such proceedings could result in revocation, cancelation or amendment to our patents in such a way 

that they no longer cover and protect our products and product candidates. 

The  outcome  of  any  such  proceeding  is  generally  unpredictable.  Grounds  for  a  validity  challenge  could  be,  among  other  things,  an 

alleged  failure  to  meet  any  of  several  statutory  requirements,  including  lack  of  novelty,  obviousness,  lack  of  written  description  or 

non-enablement. Grounds for an unenforceability assertion could be, among other things, an allegation that someone connected with 

prosecution of the patent withheld relevant information or made a misleading statement during prosecution. It is possible that prior 

art of which we and the patent examiner were unaware during prosecution exists, which could render our patents invalid. Moreover, 

it is also possible that prior art may exist that we are aware of but do not believe is relevant to our current or future patents, but that 

could nevertheless be determined to render our patents invalid. Even if we are successful in defending against such challenges, the 

cost to us of any patent litigation or similar proceeding could be substantial, and it may consume significant management and other 

personnel time. We do not maintain insurance to cover intellectual property infringement, misappropriation or violation. 

An  adverse  result  in  any  litigation  or  other  intellectual  property  proceeding  could  put  one  or  more  of  our  patents  at  risk  of  being 

invalidated, rendered unenforceable or interpreted narrowly. If a defendant were to prevail on a legal assertion of invalidity and/or 

unenforceability of our patents covering one or more of our products or product candidates, we would lose at least part, and perhaps 

all,  of  the  patent  protection  covering  such  products  or  product  candidates.  Competing  products  or  drugs  may  also  be  sold  in  other 

countries in which our patent coverage might not exist or be as strong. If we lose a foreign patent lawsuit, alleging our infringement of 

a competitor’s patents, we could be prevented from marketing our products or drugs in one or more foreign countries. Any of these 

outcomes would have a materially adverse effect on our business, financial condition, results of operations, and prospects. 

We may not be able to protect our intellectual property in mainland China or other jurisdictions.

The  validity,  enforceability,  and  scope  of  protection  available  under  the  relevant  intellectual  property  laws  in  mainland  China  are 

uncertain  and  still  evolving.  Implementation  and  enforcement  of  Chinese  intellectual  property-related  laws  have  historically  been 

deficient  and  ineffective.  Accordingly,  intellectual  property  and  confidentiality  legal  regimes  in  mainland  China  may  not  afford 

protection  to  the  same  extent  as  in  the  United  States  or  other  countries.  Policing  unauthorized  use  of  proprietary  technology  is 

difficult and expensive, and we may need to resort to litigation to enforce or defend patents issued to us or our licensors to determine 

the  enforceability,  scope,  and  validity  of  our  proprietary  rights  or  those  of  others.  As  noted  above,  we  may  need  to  rely  on  our 

licensors to enforce and defend our technologies. The experience and capabilities of Chinese courts in handling intellectual property 

litigation  varies,  and  outcomes  are  unpredictable.  Further,  such  litigation  may  require  a  significant  expenditure  of  cash  and  may 

divert  management’s  attention  from  our  operations,  which  could  harm  our  business,  financial  condition,  and  results  of  operations. 

An  adverse  determination  in  any  such  litigation  could  materially  impair  our  intellectual  property  rights  and  may  harm  our  business, 

prospects, and reputation.

125

RISK FACTORSFiling,  prosecuting,  maintaining,  and  defending  patents  on  products  and  product  candidates  in  all  countries  throughout  the  world 

would  be  prohibitively  expensive,  and  the  laws  of  foreign  countries  may  not  protect  our  rights  to  the  same  extent  as  the  laws  of 

the United States. Consequently, we may not be able to prevent third parties from practicing our inventions in all countries outside 

the  United  States  or  mainland  China  or  from  selling  or  importing  products  made  using  our  inventions  in  and  into  the  United  States, 

mainland  China  or  other  jurisdictions.  Competitors  may  use  our  technologies  in  jurisdictions  where  we  have  not  obtained  patent 

protection to develop their own competing products and, further, may export otherwise infringing products to territories where we 

have patent protection or licenses, but enforcement is not as strong as that in the United States. These products may compete with 

our products, and our patents or other intellectual property rights may not be effective or sufficient to prevent them from competing. 

Many  companies  have  encountered  significant  problems  in  protecting  and  defending  intellectual  property  rights  in  foreign 

jurisdictions, including mainland China. The legal systems of certain countries, particularly certain developing countries, do not favor 

the  enforcement  of  patents,  trade  secrets,  and  other  intellectual  property  protection,  particularly  those  relating  to  biotechnology 

products, which could make it difficult for us to stop the infringement of our patents or marketing of competing products in violation 

of  our  intellectual  property  and  proprietary  rights  generally.  Proceedings  to  enforce  our  intellectual  property  and  proprietary  rights 

in foreign jurisdictions could result in substantial costs and divert our efforts and attention from other aspects of our business, could 

put  our  patents  at  risk  of  being  invalidated  or  interpreted  narrowly,  could  put  our  patent  applications  at  risk  of  not  issuing,  and 

could provoke third parties to assert claims against us. We may not prevail in any lawsuits that we initiate, and the damages or other 

remedies  awarded,  if  any,  may  not  be  commercially  meaningful.  Accordingly,  our  efforts  to  enforce  our  intellectual  property  and 

proprietary  rights  around  the  world  may  be  inadequate  to  obtain  a  significant  commercial  advantage  from  the  intellectual  property 

that we develop or license. 

Furthermore, many countries have compulsory licensing laws under which a patent owner may be compelled to grant licenses to third 

parties.  In  addition,  many  countries  limit  the  enforceability  of  patents  against  government  agencies  or  government  contractors.  In 

these countries, the patent owner may have limited remedies, which could materially diminish the value of such patent. If we or any of 

our licensors are forced to grant a license to third parties with respect to any patents relevant to our business, our competitive position 

may be impaired, and our business, financial condition, results of operations, and prospects may be adversely affected. 

Developments in patent law could have a negative impact on our business.

Changes  in  either  the  patent  laws  or  interpretation  of  the  patent  laws  in  the  United  States,  mainland  China,  and  other  jurisdictions 

could  increase  the  uncertainties  and  costs  surrounding  the  prosecution  of  patent  applications  and  the  enforcement  or  defense 

of  issued  patents,  including  changing  the  standards  of  patentability,  and  any  such  changes  could  have  a  negative  impact  on  our 

business.  For  example,  in  the  United  States,  the  Leahy-Smith  America  Invents  Act  (the  “America  Invents  Act”),  which  was  signed 

into  law  in  September  2011,  includes  a  number  of  significant  changes  to  U.S.  patent  law.  These  changes  include  a  transition  from  a 

“first-to-invent”  system  to  a  “first-to-file”  to  a  “first-inventor-to  file”  system  as  of  March  2013,  changes  to  the  way  issued  patents 

are  challenged,  and  changes  to  the  way  patent  applications  are  disputed  during  the  examination  process.  These  include  allowing 

third party submission and explanation of prior art to the USPTO during patent prosecution and additional procedures to attack the 

validity  of  a  patent  by  USPTO  administered  post  grant  proceedings,  including  post  grant  review,  inter  partes  review,  and  derivation 

proceedings. As a result of these changes, patent law in the United States may favor larger and more established companies that have 

126

RISK FACTORSgreater  resources  to  devote  to  patent  application  filing  and  prosecution.  The  USPTO  has  developed  new  and  untested  regulations 

and  procedures  to  govern  the  full  implementation  of  the  America  Invents  Act,  and  many  of  the  substantive  changes  to  patent  law 

associated  with  the  America  Invents  Act,  and,  in  particular,  the  first-inventor-to-file  provisions  became  effective  in  March  2013. 

Substantive changes to patent law associated with the America Invents Act may affect our ability to obtain patents, and if obtained, to 

enforce or defend them. Accordingly, it is not clear what, if any, impact the America Invents Act will have on the cost of prosecuting 

our  patent  applications  and  our  ability  to  obtain  patents  based  on  our  discoveries  and  to  enforce  or  defend  any  patents  that  may 

issue  from  our  patent  applications,  all  of  which  could  have  a  material  adverse  effect  on  our  business,  financial  condition,  results  of 

operations, and prospects. 

In  addition,  the  patent  positions  of  companies  in  the  development  and  commercialization  of  biologics  and  pharmaceuticals  are 

particularly  uncertain.  Recent  U.S.  Supreme  Court  rulings  have  narrowed  the  scope  of  patent  protection  available  in  certain 

circumstances  and  weakened  the  rights  of  patent  owners  in  certain  situations.  In  mainland  China,  it  has  become  challenging  to 

obtain  patents  that  claim  aspects  of  a  product  other  than  the  direct  compound  structure  of  the  active  pharmaceutical  ingredient 

of  a  pharmaceutical  or  biopharmaceutical  product,  such  as  selection  patents,  polymorphs,  enantiomers,  salts,  ethers  and  esters, 

compositions,  doses,  combinations,  prodrugs,  metabolites,  and  new  medical  uses.  Additionally,  because  a  Markush  claim  lists 

alternative elements and thus claims numerous lots of chemicals, a Markush claim is much easier than a direct compound structure 

of the active pharmaceutical ingredient claim to be invalidated. Even if these so-called “secondary patents” are granted in mainland 

China,  they  remain  challenging  to  enforce  against  potential  infringers  and  are  invalidated  or  declared  unenforceable  at  a  high  rate 

when challenged. This combination of events has created uncertainty with respect to the validity and enforceability of patents, once 

obtained. Depending on future actions by the U.S. Congress, the federal courts and the USPTO, the Chinese government, the People’s 

Courts  and  the  China  National  Intellectual  Property  Administration,  the  laws  and  regulations  governing  patents  could  change  in 

unpredictable ways that could have a material adverse effect on our existing patent portfolio and our ability to protect and enforce our 

intellectual property in the future. 

If  we  are  unable  to  maintain  the  confidentiality  of  our  trade  secrets,  our  business  and  competitive  position 

may be harmed.

In  addition  to  the  protection  afforded  by  registered  patents  and  pending  patent  applications,  we  rely  upon  unpatented  trade  secret 

protection, unpatented know-how and continuing technological innovation to develop and maintain our competitive position. However, 

trade secrets and know-how can be difficult to protect. We also seek to protect our proprietary technology and processes, in part, by 

entering into confidentiality agreements with parties that have access to them, such as our partners, collaborators, scientific advisors, 

employees, consultants and other third parties, and invention assignment agreements with our consultants and employees. We cannot 

guarantee  that  we  have  entered  into  such  agreements  with  each  party  that  may  have  or  have  had  access  to  our  trade  secrets  or 

proprietary technology and processes. We may not be able to prevent the unauthorized disclosure or use of our technical know-how 

or other trade secrets by the parties to these agreements, however, despite the existence generally of confidentiality agreements and 

other contractual restrictions. If any of the partners, collaborators, scientific advisors, employees, and consultants who are parties to 

these  agreements  breaches  or  violates  the  terms  of  any  of  these  agreements  or  otherwise  discloses  our  proprietary  information,  we 

may not have adequate remedies for any such breach or violation, and we could lose our trade secrets as a result. Enforcing a claim 

127

RISK FACTORSthat  a  third  party  illegally  disclosed  or  misappropriated  our  trade  secrets,  including  through  intellectual  property  litigations  or  other 

proceedings,  is  difficult,  expensive  and  time  consuming,  and  the  outcome  is  unpredictable.  In  addition,  courts  in  mainland  China  and 

other jurisdictions inside and outside the United States are less prepared, less willing or unwilling to protect trade secrets. 

Our  trade  secrets  could  otherwise  become  known  or  be  independently  discovered  by  our  competitors  or  other  third  parties.  For 

example,  competitors  could  purchase  our  products  and  product  candidates  and  attempt  to  replicate  some  or  all  of  the  competitive 

advantages we derive from our development efforts, willfully infringe, misappropriate, or otherwise violate our intellectual property 

rights,  design  around  our  intellectual  property  protecting  such  technology  or  develop  their  own  competitive  technologies  that 

fall  outside  of  our  intellectual  property  rights.  If  any  of  our  trade  secrets  were  to  be  disclosed  or  independently  developed  by 

a  competitor,  we  would  have  no  right  to  prevent  them,  or  others  to  whom  they  communicate  it,  from  using  that  technology  or 

information  to  compete  against  us,  which  may  have  a  material  adverse  effect  on  our  business,  prospects,  financial  condition,  and 

results of operations. 

If our products or product candidates infringe, misappropriate, or otherwise violate the intellectual property 

rights of third parties, we may incur substantial liabilities, and we may be unable to sell or commercialize these 

products and product candidates.

Our  commercial  success  depends  significantly  on  our  ability  to  develop,  manufacture,  market,  and  sell  our  products  and  product 

candidates  and  use  our  proprietary  technologies  without  infringing,  misappropriating  or  otherwise  violating  the  patents  and  other 

proprietary rights of third parties. The biotechnology and pharmaceutical industries are characterized by extensive litigation regarding 

patents  and  other  intellectual  property  rights.  In  mainland  China  and  the  United  States,  invention  patent  applications  are  generally 

maintained  in  confidence  until  their  publication  18  months  from  the  filing  date.  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  invention 

patent applications are filed. Even after reasonable investigation, we may not know with certainty whether any third-party may have 

filed a patent application without our knowledge while we are still developing or producing that product. We may become party to, 

or  threatened  with,  adversarial  proceedings  or  litigation  regarding  intellectual  property  rights  with  respect  to  our  technology  and 

any products or product candidates we may develop, including interference proceedings, post-grant review, inter partes review and 

derivation proceedings before the USPTO and similar proceedings in foreign jurisdictions. 

Third  parties  may  assert  infringement  claims  against  us  based  on  existing  patents  or  patents  that  may  be  granted  in  the  future, 

regardless  of  their  merit.  Even  if  we  believe  third-party  intellectual  property  claims  are  without  merit,  there  is  no  assurance  that 

a  court  would  find  in  our  favor  on  questions  of  infringement,  validity,  enforceability,  or  priority.  A  court  of  competent  jurisdiction 

could hold that these third-party patents are valid, enforceable, and infringed, which could materially and adversely affect our ability 

to  commercialize  any  products  or  product  candidates  we  may  develop  and  any  other  products,  product  candidates  or  technologies 

covered by the asserted third-party patents. In order to successfully challenge the validity of any such U.S. patent in federal court, we 

would need to overcome a presumption of validity. There is no assurance that a court of competent jurisdiction would invalidate the 

claims of any such U.S. patent.

128

RISK FACTORSIf  we  are  found  to  infringe  a  third  party’s  patent  rights,  and  we  are  unsuccessful  in  demonstrating  that  such  patents  are  invalid  or 

unenforceable, we could be required to: 

• 

obtain royalty-bearing licenses from such third party to such patents, which may not be available on commercially reasonable 

terms, if at all and even if we were able to obtain such licenses, they could be non-exclusive, thereby giving our competitors and 

other third parties access to the same technologies licensed to us, and could require us to make substantial licensing and royalty 

payments; 

defend litigation or administrative proceedings; 

reformulate product(s) so that it does not infringe the intellectual property rights of others, which may not be possible or could 

be very expensive and time consuming; 

cease developing, manufacturing, and commercializing the infringing technology, products, or product candidates; and 

pay  such  third  party  significant  monetary  damages,  including  treble  damages  and  attorneys’  fees,  if  we  are  found  to  have 

willfully infringed a patent or other intellectual property right. 

• 

• 

• 

• 

Claims  that  we  have  misappropriated  the  confidential  information  or  trade  secrets  of  third  parties  could  have  a  similar  material 

adverse effect on our business, financial condition, results of operations, and prospects. Even if we are successful in such litigations or 

administrative proceedings, such litigations and proceedings may be costly and could result in a substantial diversion of management 

resources.  Any  of  the  foregoing  may  have  a  material  adverse  effect  on  our  business,  prospects,  financial  condition,  and  results  of 

operations.

Intellectual property litigation and proceedings could cause us to spend substantial resources and distract our 

personnel from their normal responsibilities.

Even  if  resolved  in  our  favor,  litigation  or  other  legal  proceedings  relating  to  our,  our  licensor’s  or  other  third  parties’  intellectual 

property  claims  may  cause  us  to  incur  significant  expenses  and  could  distract  our  personnel  from  their  normal  responsibilities.  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 substantial adverse effect on the price of our 

ordinary shares. Such litigation or proceedings could substantially increase our operating losses and reduce the resources available for 

development activities or any future sales, marketing, or distribution activities. We may not have sufficient financial or other resources 

to conduct such litigation or proceedings adequately. 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  and  more  mature  and  developed  intellectual 

property portfolios. 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.

129

RISK FACTORSWe  may  be  subject  to  claims  that  we  or  our  employees,  consultants  or  advisors  have  wrongfully  used  or 

disclosed  alleged  trade  secrets  of  their  current  or  former  employers  or  are  in  breach  of  confidentiality,  non-

disclosure,  non-use,  non-competition  or  non-solicitation  agreements  with  such  current  or  former  employers, 

some of whom may be our competitors or potential competitors.

We  could  in  the  future  be  subject  to  claims  that  we  or  our  employees,  consultants  or  advisors  have  inadvertently  or  otherwise 

improperly  used  or  disclosed  alleged  trade  secrets  or  other  proprietary  information  of  our  employees’,  consultants’  or  advisors’ 

current  or  former  employers.  Many  of  our  employees,  consultants  and  advisors  are  currently  or  were  previously  employed  at 

universities  or  other  biotechnology  or  pharmaceutical  companies,  including  our  competitors  or  potential  competitors.  Although  we 

try to ensure that our employees, consultants and advisors do not improperly use the intellectual property, proprietary information, 

know-how or trade secrets of their current or former employers in their work for us, we may be subject to claims that we or these 

individuals have breached the terms of any confidentiality, non-disclosure, non-use, non-competition or non-solicitation agreements 

we or these individuals have with such current or former employers, or that we or these individuals have, inadvertently or otherwise, 

improperly used or disclosed the alleged trade secrets or other proprietary information of such current or former employers. 

Litigation may be necessary to defend against these claims. Even if we are successful in defending against these claims, litigation could 

result in substantial costs and could be a distraction to management and research personnel. If our defenses to these claims fail, in 

addition to requiring us to pay monetary damages, a court could prohibit us from using technologies or features that are essential to 

our products and product candidates if such technologies or features are found to incorporate or be derived from the trade secrets 

or  other  proprietary  information  of  the  former  employers.  An  inability  to  incorporate  such  technologies  or  features  would  have  a 

material adverse effect on our business and may prevent us from successfully commercializing our products and product candidates. 

In addition, we may lose valuable intellectual property rights or personnel as a result of such claims. Moreover, any such litigation or 

the threat thereof may adversely affect our ability to hire employees or contract with independent sales representatives or research 

personnel. A loss of key personnel or their work product could hamper or prevent our ability to develop or commercialize our products 

and product candidates, which would have a material adverse effect on our business, results of operations, and financial condition. 

In addition, while it is our policy to require our employees and contractors who may be involved in the conception or development of 

intellectual property to execute agreements assigning such intellectual property to us, we may be unsuccessful in enforcing such an 

agreement with each employee or contractor who, in fact, conceives or develops intellectual property that we regard as our own. The 

assignment of intellectual property rights may not be self-executing, or the assignment agreements may be breached, and we may be 

forced to bring claims against our employees or contractors or other third parties, or defend claims that they may bring against us, 

to determine the ownership of what we regard as our intellectual property. Such claims could have a material adverse effect on our 

business, financial condition, results of operations, and prospects. 

We  may  not  be  successful  in  obtaining  necessary  intellectual  property  rights  to  product  candidates  for  our 

development pipeline through acquisitions and in-licenses.

Although  we  also  intend  to  develop  product  candidates  through  our  own  internal  research,  our  near-term  business  model  is 

predicated,  in  large  part,  on  our  ability  to  successfully  identify  and  acquire  or  in-license  product  candidates  to  grow  our  product 

candidate pipeline. However, we may be unable to acquire or in-license intellectual property rights relating to, or necessary for, any 

130

RISK FACTORSsuch product candidates from third parties on commercially reasonable terms or at all, including because we are focusing on specific 

areas of care such as oncology and inflammatory and infectious diseases. In that event, we may be unable to develop or commercialize 

such product candidates. We may also be unable to identify product candidates that we believe are an appropriate strategic fit for the 

Company and intellectual property relating to, or necessary for, such product candidates. Any of the foregoing could have a materially 

adverse effect on our business, financial condition, results of operations, and prospects. 

The in-licensing and acquisition of third-party intellectual property rights for product candidates is a competitive area, and a number 

of more established companies are also pursuing strategies to in-license or acquire third-party intellectual property rights for product 

candidates  that  we  may  consider  attractive  or  necessary.  These  established  companies  may  have  a  competitive  advantage  over  us 

due  to  their  size,  cash  resources  and  greater  clinical  development  and  commercialization  capabilities.  Furthermore,  companies  that 

perceive  us  to  be  a  competitor  may  be  unwilling  to  assign  or  license  rights  to  us.  If  we  are  unable  to  successfully  obtain  rights  to 

suitable product candidates, our business, financial condition, results of operations, and prospects for growth could suffer. 

In  addition,  we  expect  that  competition  for  the  in-licensing  or  acquisition  of  third-party  intellectual  property  rights  for  product 

candidates that are attractive to us may increase in the future, which may mean fewer suitable opportunities for us as well as higher 

acquisition  or  licensing  costs.  We  may  be  unable  to  in-license  or  acquire  the  third-party  intellectual  property  rights  for  product 

candidates on terms that would allow us to make an appropriate return on our investment. 

If we or our licensors or collaboration partners do not obtain patent term extension and data exclusivity for our 

products or their products or any product candidates we may develop, our business may be materially harmed.

Depending upon the timing, duration, and specifics of any FDA marketing approval of our products or any product candidates we may 

develop, one or more of our owned or in-licensed U.S. patents may be eligible for limited patent term extension under the Drug Price 

Competition and Patent Term Restoration Action of 1984, or Hatch Waxman Amendments. The Hatch Waxman Amendments permit 

a patent extension term of up to five years as compensation for patent term lost during the FDA regulatory review process. A patent 

term extension cannot extend the remaining term of a patent beyond a total of 14 years from the date of product approval, only one 

patent may be extended and only those claims covering the approved drug, a method for using it, or a method for manufacturing it 

may  be  extended.  However,  we  may  not  be  granted  an  extension  because  of,  for  example,  failing  to  exercise  due  diligence  during 

the  testing  phase  or  regulatory  review  process,  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. 

The China Patent Law, which was most recently amended by the SCNPC on October 17, 2020, and became effective on June 1, 2021, 

for the first time, provides for patent term extension and adjustments for patents and a patent linkage system. Under the China Patent 

Law, patent term extensions can be obtained for regulatory delays in the review and approval of new drugs but are limited to no more 

than five years and the total post-marketing patent term of the new drug cannot exceed 14 years. The China Patent Law also provides 

for  patent  term  adjustments  where  there  is  an  unreasonable  delay  caused  during  patent  examination.  A  patentee  may  apply  for  a 

patent term adjustment where the patent is granted at least four years after the filing date, and at least three years after substantive 

131

RISK FACTORSexamination was requested. In addition, the China Patent Law, for the first time, introduces in mainland China a patent linkage system 

for the early resolution of patent disputes concerning generic drug applications similar to the Hatch Waxman Act in the United States, 

and around the same time of the China Patent Law, the National Medical Products Administration and the China National Intellectual 

Property Administration jointly issued on September 11, 2020 a draft of the Implementation Measures for Early Resolution Mechanism 

of  Pharmaceutical  Patent  Disputes  (for  Trial  Implementation)  for  public  comment  which  sets  forth,  for  the  first  time,  details  of  how 

such patent linkage system would be implemented. However, to be implemented, the patent term extensions and adjustments require 

further  promulgation  of  regulations  and  detailed  implementation  measures.  Additionally,  in  mainland  China,  there  is  currently  no 

effective law or regulation providing for data exclusivity, although Chinese regulators have proposed a framework for integrating data 

exclusivity into the Chinese regulatory regime. Until the new provisions of the China Patent Law providing for patent term extensions 

and  adjustments  and  the  proposed  framework  for  data  exclusivity  can  be  implemented  through  the  promulgation  of  additional 

laws, regulations and detailed implementation measures, a lower-cost generic or biosimilar drug can emerge onto the market more 

quickly.  Consequently,  the  absence  of  currently  implemented  laws  and  regulations  on  patent  term  extension  and  adjustment  and 

data exclusivity or the cancelation of the previous five-year administrative exclusivity for domestically manufactured new drugs could 

result in much weaker protection for us against generic competition in mainland China. For instance, if we are unable to obtain patent 

term extension or adjustment or the term of any such extension or adjustment is less than we request, our competitors may obtain 

approval  of  competing  products  following  our  patent  expiration,  and  our  business,  financial  condition,  results  of  operations,  and 

prospects  could  be  materially  harmed.  The  Beijing  IP  Court  accepted  a  first  patent  linkage  litigation  in  November  2021.  In  October 

2021,  CNIPA  announced  that  it  had  received  23  requests  for  administrative  adjudication  and  accepted  12  of  them.  The  first  patent 

linkage case (generic filed with a Type IV Certificate on August 16, 2021) received a first court decision on April 15, 2022 by the Beijing 

IP Court, and a second court decision on August 5, 2022 by the Supreme People’s Court, which upheld the first decision in rejecting 

the originators’ case and finding the generic did not fall into the scope of the revised claims after the patent invalidation process. Since 

similar  cases  would  usually  take  several  months  to  conclude  and  require  additional  months  thereafter  for  the  decision  to  be  made 

publicly available, the Company will monitor future administrative rulings/court decisions on patent linkage and their impact on the 

protection patent linkage in mainland China provides to originators in practice.

If  the  originator  of  chemical  drug  gets  a  favorable  court  judgment  or  a  decision  from  the  CNIPA  within  the  nine-month  period, 

the  NMPA  can  grant  marketing  authorization  to  the  generic  applicant  after  the  nine-month  period  expires.  If  the  originator  for 

biological  drug  cannot  secure  a  favorable  decision  before  the  NMPA’s  issuance  of  the  marketing  authorization,  the  NMPA  will  grant 

marketing authorization to the biosimilar applicant accordingly. If originator receives court judgment after the issuance of marketing 

authorization, the court will normally support an infringement claim in a future infringement lawsuit based on the effective decision 

of patent coverage based on Article 76 of Patent Law, if the relevant patent and relevant drug are the same. If the originator fails the 

patent linkage litigation, the generic drug marketing authorization applicant can sue at Beijing IP court for damages to be paid by the 

patentee or interested party, if the patentee or interested party knew or should have known that (a) the relevant patent is invalid or 

(b) the generic drug applied for registration does not fall within the scope of the relevant patent. 

132

RISK FACTORSObtaining and maintaining our patent protection depends on compliance with various procedural, document 

submission,  fee  payment,  and  other  requirements  imposed  by  government  patent  agencies,  and  our  patent 

protection could be reduced or eliminated for non-compliance with these requirements.

Periodic maintenance fees, renewal fees, annuity fees, and various other government fees on patents and applications will be due to 

be paid to the USPTO and various government patent agencies outside of the United States over the lifetime of our owned or licensed 

patents  and  applications.  In  certain  circumstances,  we  rely  on  our  licensing  partners  to  pay  these  fees  due  to  U.S.  and  non-U.S. 

patent  agencies.  The  USPTO  and  various  non-U.S.  government  agencies  require  compliance  with  several  procedural,  documentary, 

fee payment, and other similar provisions during the patent application process. We are also dependent on our licensors to take the 

necessary action to comply with these requirements with respect to our licensed intellectual property. In some cases, an inadvertent 

lapse can be cured by payment of a late fee or by other means in accordance with the applicable rules. There are situations, however, 

in which non-compliance can result in abandonment or lapse of the patent or patent application, resulting in a partial or complete loss 

of patent rights in the relevant jurisdiction. In such an event, potential competitors might be able to enter the market with similar or 

identical products or technology, which could have a material adverse effect on our business, financial condition, results of operations, 

and prospects. 

Intellectual property rights do not necessarily address all potential threats.

The  degree  of  future  protection  afforded  by  our  intellectual  property  rights  is  uncertain  because  intellectual  property  rights  have 

limitations and may not adequately protect our business or permit us to maintain our competitive advantage. For example: 

• 

others may be able to make products that are similar to any product or product candidates we may develop or utilize similar 

technology but that are not covered by the claims of the patents that we license or may own in the future; 

• 

we,  our  licensors,  patent  owners  of  patent  rights  that  we  have  in-licensed,  or  current  or  future  collaborators  might  not  have 

been the first to make the inventions covered by the issued patent or pending patent application that we license or may own in 

the future; 

• 

we,  our  licensors,  patent  owners  of  patent  rights  that  we  have  in-licensed,  or  current  or  future  collaborators  might  not  have 

been the first to file patent applications covering certain of our or their inventions; 

• 

others  may  independently  develop  similar  or  alternative  technologies  or  duplicate  any  of  our  technologies  without  infringing, 

misappropriating or otherwise violating our owned or licensed intellectual property rights; 

• 

it  is  possible  that  our  pending  licensed  patent  applications  or  those  that  we  may  own  in  the  future  will  not  lead  to  issued 

patents; 

• 

issued  patents  that  we  hold  rights  to  may  be  held  invalid  or  unenforceable,  including  as  a  result  of  legal  challenges  by  our 

competitors; 

133

RISK FACTORS• 

our competitors might conduct research and development activities in countries where we do not have patent rights and then 

use the information learned from such activities to develop competitive products for sale in our major commercial markets; 

• 

• 

• 

we may not develop additional proprietary technologies that are patentable; 

the patents of others may harm our business; and 

we  may  choose  not  to  file  a  patent  in  order  to  maintain  certain  trade  secrets  or  know  how,  and  a  third  party  may  discover 

certain  technologies  containing  such  trade  secrets  or  know  how  through  independent  research  and  development  and/or 

subsequently file a patent covering such intellectual property. 

Should any of these events occur, they could have a material adverse effect on our business, financial condition, results of operations, 

and prospects.

RISKS RELATED TO OUR ADSS AND ORDINARY SHARES

If  we  fail  to  maintain  proper  internal  financial  reporting  controls,  our  ability  to  produce  accurate  financial 

statements or comply with applicable regulations could be impaired.

Pursuant  to  Section  404  of  the  Sarbanes-Oxley  Act,  we  are  required  to  file  a  report  by  our  management  on  our  internal  control 

over  financial  reporting,  including  an  attestation  report  on  internal  control  over  financial  reporting  issued  by  our  independent 

registered  public  accounting  firm.  The  presence  of  material  weaknesses  in  internal  control  over  financial  reporting  could  result  in 

financial statement errors which, in turn, could lead to errors in our financial reports and/or delays in our financial reporting, which 

could  require  us  to  restate  our  operating  results.  We  might  not  identify  one  or  more  material  weaknesses  in  our  internal  controls 

in  connection  with  evaluating  our  compliance  with  Section  404  of  the  Sarbanes-Oxley  Act.  In  order  to  maintain  and  improve  the 

effectiveness  of  our  disclosure  controls  and  procedures  and  internal  controls  over  financial  reporting,  we  will  need  to  expend 

significant  resources  and  provide  significant  management  oversight.  Implementing  any  appropriate  changes  to  our  internal  controls 

may  require  specific  compliance  training  of  our  directors  and  employees,  entail  substantial  costs  in  order  to  modify  our  existing 

accounting systems, take a significant period of time to complete and divert management’s attention from other business concerns. 

These changes may not, however, be effective in maintaining the adequacy of our internal control. 

If we fail to maintain effective internal control over financial reporting in the future, our management and our independent registered 

public accounting firm may not be able to conclude that we have effective internal controls over financial reporting, investors may lose 

confidence in our operating results, the price of our ordinary shares and/or ADSs could decline, and we may be subject to litigation or 

regulatory enforcement actions. In addition, if we are unable to meet the requirements of Section 404 of the Sarbanes-Oxley Act, our 

ADSs may not be able to remain listed on the Nasdaq Global Market. 

134

RISK FACTORSWe  do  not  currently  intend  to  pay  dividends  on  our  securities,  and,  consequently,  your  ability  to  achieve  a 

return on your investment will depend on appreciation in the price of our ordinary shares and/or ADSs.

We  have  never  declared  or  paid  any  dividends  on  our  ordinary  shares.  We  currently  intend  to  invest  our  future  earnings,  if  any,  to 

fund our growth. Therefore, investors are not likely to receive any dividends on their ordinary shares and/or ADSs at least in the near 

term,  and  the  success  of  an  investment  in  our  ordinary  shares  and/or  ADSs  will  depend  upon  any  future  appreciation  in  its  value. 

Consequently, investors may need to sell all or part of their holdings of our ordinary shares and/or ADSs after price appreciation, which 

may  never  occur,  to  realize  any  future  gains  on  their  investment.  There  is  no  guarantee  that  our  ordinary  shares  and/or  ADSs  will 

appreciate in value or even maintain the price at which our investors purchased the ordinary shares and/or ADSs.

The market price of our ADSs and/or our ordinary shares may be volatile, which could result in substantial loss 

to you.

The market price of our ADSs and/or ordinary shares has been volatile. From September 20, 2017 to February 24, 2023, the closing 

price of our ADSs on the Nasdaq Global Market ranged from a high of $191.71 to a low of $14.95 per ADS. From September 28, 2020 to 

February 24, 2023, the closing price of our ordinary shares on the Hong Kong Stock Exchange ranged from a high of HK$150.40 to a low 

of HK$17.16 per ordinary share. 

The  market  price  of  our  ADSs  and  ordinary  shares  are  likely  to  continue  to  be  highly  volatile  and  subject  to  wide  fluctuations  in 

response to factors, including the following: 

• 

• 

• 

• 

• 

• 

• 

• 

• 

announcements of competitive developments; 

regulatory developments affecting us, our customers or our competitors; 

announcements regarding litigation or administrative proceedings involving us; 

actual or anticipated fluctuations in our period-to-period operating results; 

changes in financial estimates by securities research analysts; 

additions or departures of our executive officers; 

fluctuations of exchange rates between the RMB and the U.S. dollar; 

release or expiration of lock-up or other transfer restrictions on our outstanding ADSs or ordinary shares; and 

sales or perceived sales of additional ADSs or ordinary shares. 

135

RISK FACTORSIn addition, the securities markets have from time to time experienced significant price and volume fluctuations that are not related to 

the operating performance of particular companies. Broad market and industry factors may negatively affect the market price of our 

ADSs  or  ordinary  shares,  regardless  of  our  actual  operating  performance.  For  example,  in  March  2020,  the  exchanges  in  the  United 

States  and  mainland  China  experienced  a  sharp  decline  as  the  COVID-19  pandemic  negatively  affected  stock  market  and  investors 

sentiment  and  resulted  in  significant  volatility,  including  temporary  trading  halts.  In  2022,  there  were  multiple  severe  daily  drops  in 

the  global  stock  market.  Prolonged  global  capital  markets  volatility  may  affect  overall  investor  sentiment  towards  our  ADSs  and/or 

ordinary shares, which would also negatively affect the trading prices for our ADSs and ordinary shares. 

Fluctuations  in  the  value  of  the  RMB  or  HK  dollars  may  have  a  material  adverse  effect  on  our  results  of 

operations and the value of your investment.

The value of the RMB or HK dollar against the U.S. dollar and other currencies may fluctuate and is affected by, among other things, 

changes  in  political  and  economic  conditions.  On  July  21,  2005,  the  Chinese  government  changed  its  decade-old  policy  of  pegging 

the  value  of  the  RMB  to  the  U.S.  dollar,  and  the  RMB  appreciated  more  than  20%  against  the  U.S.  dollar  over  the  following  three 

years. Between July 2008 and June 2010, this appreciation halted, and the exchange rate between the RMB and U.S. dollar remained 

within  a  narrow  band.  In  June  2010,  the  People’s  Bank  of  China  (“PBOC”),  announced  that  the  Chinese  government  would  increase 

the  flexibility  of  the  exchange  rate,  and  thereafter  allowed  the  RMB  to  appreciate  slowly  against  the  U.S.  dollar  within  the  narrow 

band fixed by the PBOC. However, more recently, on August 11, 12 and 13, 2015, the PBOC significantly devalued the RMB by fixing 

its price against the U.S. dollar 1.9%, 1.6%, and 1.1% lower than the previous day’s value, respectively. On October 1, 2016, the RMB 

joined  the  International  Monetary  Fund’s  basket  of  currencies  that  make  up  the  Special  Drawing  Right,  or  SDR,  along  with  the  U.S. 

dollar, the Euro, the Japanese yen and the British pound. In the fourth quarter of 2016, the RMB depreciated significantly while the 

U.S. dollar surged and mainland China experienced persistent capital outflows. With the development of the foreign exchange market 

and progress towards interest rate liberalization and RMB internationalization, the Chinese government may in the future announce 

further  changes  to  the  exchange  rate  system.  There  is  no  guarantee  that  the  RMB  will  not  appreciate  or  depreciate  significantly  in 

value against the U.S. dollar in the future. It is difficult to predict how market forces or Chinese or U.S. government policy may impact 

the exchange rate between the RMB and the U.S. dollar in the future. 

The  value  of  our  ADSs  will,  therefore,  be  affected  by  the  foreign  exchange  rates  between  U.S.  dollars,  HK  dollars  and  the  RMB.  For 

example, to the extent that we need to convert U.S. dollars or HK dollars into RMB for our operations or if any of our arrangements 

with other parties are denominated in U.S. dollars or HK dollars and need to be converted into RMB, appreciation of the RMB against 

the U.S. dollar or the HK dollar would have an adverse effect on the RMB amount we receive from the conversion. Conversely, if we 

decide to convert RMB into U.S. dollars or HK dollars for the purpose of making payments for dividends on our ADSs or ordinary shares 

or for other business purposes, appreciation of the U.S. dollar or the HK dollar against the RMB would have a negative effect on the 

conversion amounts available to us. 

Since  1983,  the  Hong  Kong  Monetary  Authority  (“HKMA”)  has  pegged  the  HK  dollar  to  the  U.S.  dollar  at  the  rate  of  approximately 

HK$7.80  to  US$1.00.  However,  there  is  no  assurance  that  the  HK  dollar  will  continue  to  be  pegged  to  the  U.S.  dollar  or  that  the 

HK dollar conversion rate will remain at HK$7.80 to US$1.00. If the HK dollar conversion rate against the U.S. dollar changes and the 

136

RISK FACTORSvalue of the HK dollar depreciates against the U.S. dollar, the Company’s assets denominated in HK dollars will be adversely affected. 

Additionally, if the HKMA were to repeg the HK dollar to, for example, the RMB rather than the U.S. dollar, or otherwise restrict the 

conversion of HK dollars into other currencies, then the Company’s assets denominated in HK dollars will be adversely affected. 

Significant revaluation of the RMB or HK dollar may have a material adverse effect on your investment. For example, to the extent that 

we need to convert U.S. dollars into RMB or HK dollars for our operations, appreciation of the RMB or HK dollar against the U.S. dollar 

would have an adverse effect on the RMB amount we would receive from the conversion. Conversely, if we decide to convert our RMB 

or HK dollars into U.S. dollars for the purpose of making payments for dividends on our ADSs or ordinary shares or for other business 

purposes, appreciation of the U.S. dollar against the RMB would have a negative effect on the U.S. dollar amount available to us. In 

addition, appreciation or depreciation in the value of the RMB relative to U.S. dollars would affect our financial results reported in U.S. 

dollar terms regardless of any underlying change in our business or results of operations. 

Very limited hedging options are available in mainland China to reduce our exposure to exchange rate fluctuations. To date, we have 

not entered into any hedging transactions in an effort to reduce our exposure to foreign currency exchange risk. While we may decide 

to enter into hedging transactions in the future, the availability and effectiveness of these hedges may be limited and we may not be 

able  to  adequately  hedge  our  exposure  or  at  all.  In  addition,  our  currency  exchange  losses  may  be  magnified  by  Chinese  exchange 

control regulations that restrict our ability to convert RMB into foreign currency. 

Holders  of  ADSs  have  fewer  rights  than  shareholders  and  must  act  through  the  depositary  to  exercise  their 

rights.

Holders  of  our  ADSs  do  not  have  the  same  rights  as  our  shareholders  and  may  only  exercise  the  voting  rights  with  respect  to  the 

underlying  ordinary  shares  in  accordance  with  the  provisions  of  the  deposit  agreement.  Under  our  sixth  amended  and  restated 

articles  of  association,  an  annual  general  meeting  and  any  extraordinary  general  meeting  may  be  called  with  not  less  than  fourteen 

days’  notice.  When  a  general  meeting  is  convened,  you  may  not  receive  sufficient  notice  of  a  shareholders’  meeting  to  permit  you 

to  withdraw  the  ordinary  shares  underlying  your  ADSs  to  allow  you  to  vote  with  respect  to  any  specific  matter.  If  we  ask  for  your 

instructions, we will give the depositary notice of any such meeting and details concerning the matters to be voted upon at least 30 

days in advance of the meeting date and the depositary will send a notice to you about the upcoming vote and will arrange to deliver 

our voting materials to you. The depositary and its agents, however, may not be able to send voting instructions to you or carry out 

your  voting  instructions  in  a  timely  manner.  We  will  make  all  commercially  reasonable  efforts  to  cause  the  depositary  to  extend 

voting rights to you in a timely manner, but we cannot assure you that you will receive the voting materials in time to ensure that you 

can instruct the depositary to vote the ordinary shares underlying your ADSs. Furthermore, the depositary will not be liable for any 

failure to carry out any instructions to vote, for the manner in which any vote is cast or for the effect of any such vote. As a holder 

or beneficial owner of ADSs, you may have limited recourse if we or the depositary fail to meet our respective obligations under the 

deposit agreement or if you wish us or the depositary to participate in legal proceedings. As a result, you may not be able to exercise 

your right to vote and you may lack recourse if your ADSs are not voted as you request. In addition, in your capacity as an ADS holder, 

you will not be able to call a shareholders’ meeting. 

137

RISK FACTORSUnder the deposit agreement, for the ADSs, the depositary will give us a discretionary proxy to vote the ordinary shares underlying 

your  ADS  at  shareholders’  meeting  if  you  do  not  give  instructions  to  the  depositary,  unless  (i)  we  have  failed  to  timely  provide  the 

depositary  with  our  notice  of  meeting  and  related  voting  materials,  (ii)  we  have  instructed  the  depositary  that  we  do  not  wish  a 

discretionary proxy to be given, (iii) we have informed the depositary that there is a substantial opposition as to a matter to be voted 

on at the meeting, or (iv) a matter to be voted on at the meeting would have a material adverse impact on shareholders. 

The effect of this discretionary proxy is that, if you fail to give voting instructions to the depositary, you cannot prevent the ordinary 

shares  underlying  your  ADSs  from  being  voted,  except  under  the  circumstances  described  above.  This  may  adversely  affect  your 

interests and make it more difficult for ADS holders to influence the management of the Company. Holders of our ordinary shares are 

not subject to this discretionary proxy. 

You may not receive distributions on our ADSs or any value for them if such distribution is illegal or impractical 

or if any required government approval cannot be obtained in order to make such distribution available to you.

Although  we  do  not  have  any  present  plan  to  pay  any  dividends,  the  depositary  of  our  ADSs  has  agreed  to  pay  to  you  the  cash 

dividends or other distributions it or the custodian receives on ordinary shares or other deposited securities underlying our ADSs, after 

deducting its fees and expenses and any applicable taxes and governmental charges. You will receive these distributions in proportion 

to  the  number  of  ordinary  shares  your  ADSs  represent.  However,  the  depositary  is  not  responsible  if  it  decides  that  it  is  unlawful 

or impractical to make a distribution available to any holders of ADSs. For example, it would be unlawful to make a distribution to a 

holder of ADSs if it consists of securities whose offering would require registration under the Securities Act of 1933, as amended (the 

“Securities  Act”)  but  are  not  so  properly  registered  or  distributed  under  an  applicable  exemption  from  registration.  The  depositary 

may also determine that it is not reasonably practicable to distribute certain property. In these cases, the depositary may determine 

not to distribute such property. We have no obligation to register under the U.S. securities laws any offering of ADSs, ordinary shares, 

rights  or  other  securities  received  through  such  distributions.  We  also  have  no  obligation  to  take  any  other  action  to  permit  the 

distribution of ADSs, ordinary shares, rights or anything else to holders of ADSs. This means that you may not receive distributions we 

make on our ordinary shares or any value for them if it is illegal or impractical for us to make them available to you. These restrictions 

may cause a material decline in the value of our ADSs. 

Your right to participate in any future rights offerings may be limited, which may cause dilution to your holdings. 

We  may  from  time  to  time  distribute  rights  to  our  shareholders,  including  rights  to  acquire  our  securities.  However,  we  cannot 

make rights available to you in the United States unless we register the rights and the securities to which the rights relate under the 

Securities  Act  or  an  exemption  from  the  registration  requirements  is  available.  Also,  under  the  deposit  agreement,  the  depositary 

will not make rights available to you unless either both the rights and any related securities are registered under the Securities Act, 

or  the  distribution  of  them  to  ADS  holders  is  exempted  from  registration  under  the  Securities  Act.  We  are  under  no  obligation  to 

file  a  registration  statement  with  respect  to  any  such  rights  or  securities  or  to  endeavor  to  cause  such  a  registration  statement  to 

be  declared  effective.  Moreover,  we  may  not  be  able  to  establish  an  exemption  from  registration  under  the  Securities  Act.  If  the 

depositary does not distribute the rights, it may, under the deposit agreement, either sell them, if possible, or allow them to lapse. 

Accordingly, you may be unable to participate in our rights offerings and may experience dilution in your holdings. 

138

RISK FACTORSTaxing  authorities  could  reallocate  our  taxable  income  among  our  subsidiaries,  which  could  increase  our 

overall tax liability. 

We  are  incorporated  under  the  laws  of  the  Cayman  Islands  and  currently  have  subsidiaries  in  mainland  China,  Hong  Kong,  Taiwan, 

the Cayman Islands, the United States, Australia, and the British Virgin Islands. If we succeed in growing our business, we expect to 

conduct increased operations through our subsidiaries in various tax jurisdictions pursuant to transfer pricing arrangements between 

us,  our  parent  company  and  our  subsidiaries.  If  two  or  more  affiliated  companies  are  located  in  different  countries,  the  tax  laws  or 

regulations of each country generally will require that transfer prices be the same as those between unrelated companies dealing at 

arms’ length and that appropriate documentation is maintained to support the transfer prices. While we believe that we operate in 

compliance with applicable transfer pricing laws and intend to continue to do so, our transfer pricing procedures are not binding on 

applicable tax authorities. 

If tax authorities in any of these countries were to successfully challenge our transfer prices as not reflecting arms’ length transactions, 

they could require us to adjust our transfer prices and thereby reallocate our income to reflect these revised transfer prices, which 

could  result  in  a  higher  tax  liability  to  us.  In  addition,  if  the  country  from  which  the  income  is  reallocated  does  not  agree  with  the 

reallocation,  both  countries  could  tax  the  same  income,  resulting  in  double  taxation.  If  tax  authorities  were  to  allocate  income  to  a 

higher tax jurisdiction, subject our income to double taxation or assess interest and penalties, it would increase our consolidated tax 

liability, which could adversely affect our financial condition, results of operations, and cash flows. 

A tax authority could assert that we are subject to tax in a jurisdiction where we believe we have not established a taxable connection, 

often referred to as a “permanent establishment” under international tax treaties, and such an assertion, if successful, could increase 

our expected tax liability in one or more jurisdictions. A tax authority may take the position that material income tax liabilities, interest 

and  penalties  are  payable  by  us,  in  which  case,  we  expect  that  we  might  contest  such  assessment.  Contesting  such  an  assessment 

may  be  lengthy  and  costly  and  if  we  were  unsuccessful  in  disputing  the  assessment,  the  implications  could  increase  our  anticipated 

effective tax rate, where applicable. 

There is no assurance that we will not be a passive foreign investment company, or the PFIC for U.S. federal 

income tax purposes for any taxable year, which could subject U.S. investors in our ADSs or ordinary shares to 

significant adverse U.S. federal income tax consequences.

In general, a non-U.S. corporation will be a PFIC for any taxable year in which (i) 75% or more of its gross income consists of passive 

income,  or  (ii)  50%  or  more  of  the  value  of  its  assets  (generally  determined  on  a  quarterly  average  basis)  consists  of  assets  that 

produce,  or  are  held  for  the  production  of,  passive  income  (the  “asset  test”).  For  purposes  of  the  above  calculations,  a  non-U.S. 

corporation  that  directly  or  indirectly  owns  at  least  25%  by  value  of  the  shares  of  another  corporation  is  treated  as  if  it  held  its 

proportionate  share  of  the  assets  of  the  other  corporation  and  received  directly  its  proportionate  share  of  the  income  of  the  other 

corporation.  Passive  income  generally  includes  interest,  dividends  and  gains  from  certain  property  transactions,  rents,  and  royalties 

(other than certain rents or royalties derived in the active conduct of a trade or business). For these purposes, cash is a passive asset 

and  the  value  of  a  non-U.S.  corporation’s  goodwill  (which  may  be  determined  by  reference  to  the  excess  of  the  sum  of  its  market 

capitalization and liabilities over its booked assets) generally should be an active asset to the extent attributable to business activities 

that produce non-passive income. 

139

RISK FACTORSBased  on  the  current  market  price  of  our  ADSs  and  our  current  and  expected  composition  of  income  and  assets,  we  do  not  expect 

the Company and its subsidiaries to be PFICs for our current taxable year. However, our assets other than goodwill are expected to 

consist  primarily  of  cash  and  cash  equivalents  for  the  foreseeable  future.  Therefore,  whether  we  will  satisfy  the  asset  test  for  the 

current or any future taxable year will depend largely on the quarterly value of our goodwill (which may be determined by reference 

to the market price of our ADSs, which could be volatile given the nature and early-stage of our business). If our market capitalization 

declines while we continue to hold a significant amount of cash (including cash raised in this offering) the risk that we will be a PFIC will 

increase. Furthermore, we may be a PFIC for any taxable year in which our interest and other investment income constitutes 75% or 

more of the sum of (i) such interest and investment income, and (ii) the excess of our revenue over cost of goods sold. In addition, a 

company’s PFIC status is an annual determination that can be made only after the end of each taxable year. Therefore, we cannot give 

any assurance as to whether we are a PFIC for the current or any future taxable year. 

Subject to the discussion in the next paragraph, if we are or become a PFIC, U.S. investors generally would be subject to adverse U.S. 

federal  income  tax  consequences,  such  as  increased  tax  liabilities  on  capital  gains  and  certain  distributions,  and  interest  charges  on 

taxes deemed to be deferred. If we are a PFIC for any taxable year during which a U.S. investor owns ADSs or ordinary shares, we will 

generally continue to be treated as a PFIC with respect to such investor for all succeeding years during which the investor own ADSs or 

shares (unless the investor timely makes a valid “deemed sale” election), even if we cease to meet the threshold requirements for PFIC 

status. A mark-to-market election may be available with respect our ADSs or ordinary shares, which would result in U.S. federal income 

tax consequences to holders of our ADSs or ordinary shares that are different from those described above. 

If a U.S. investor owns our ADSs or ordinary shares during any year in which we are a PFIC, such investor generally will be required to 

file annual reports on IRS Form 8621 (or any successor form) with respect to us, generally with their U.S. federal income tax return for 

that year. U.S. investors should consult their tax advisors regarding the determination of whether we are a PFIC for any taxable year 

and the potential application of the PFIC rules. 

If a U.S. Holder is treated as owning at least 10% of our ordinary shares, such holder may be subject to adverse 

U.S. federal income tax consequences. 

If  a  U.S.  Holder  (as  defined  below  under  “Material  United  States  Federal  Income  Tax  Considerations”)  is  treated  as  owning  (directly, 

indirectly, or constructively) at least 10% of either the total value or total combined voting power of our ADSs or our ordinary shares, 

such U.S. Holder may be treated as a “United States shareholder” with respect to each controlled foreign corporation, or CFC, in the 

Company (if any). Because the Company includes at least one U.S. subsidiary (Zai Lab (US) LLC), certain of our non-U.S. subsidiaries will 

be treated as CFCs (regardless of whether Zai Lab Limited is treated as a CFC). A United States shareholder of a CFC may be required 

to annually report and include in its U.S. taxable income its pro rata share of “Subpart F income,” “global intangible low-taxed income” 

and  investments  in  U.S.  property  by  CFCs,  regardless  of  whether  we  make  any  distributions.  An  individual  that  is  a  United  States 

shareholder with respect to a CFC generally would not be allowed certain tax deductions or foreign tax credits that would be allowed 

to a United States shareholder that is a U.S. corporation. We cannot provide any assurances that we will assist investors in determining 

whether any of our non-U.S. subsidiaries, if any, are treated as a CFC or whether such investor is treated as a United States shareholder 

with  respect  to  any  of  such  CFCs.  Further,  we  cannot  provide  any  assurances  that  we  will  furnish  to  any  United  States  shareholders 

information  that  may  be  necessary  to  comply  with  the  reporting  and  tax  paying  obligations  discussed  above.  Failure  to  comply  with 

140

RISK FACTORSthese reporting obligations may subject you to significant monetary penalties and may prevent the statute of limitations with respect to 

your U.S. federal income tax return for the year for which reporting was due from starting. U.S. Holders should consult their tax advisors 

regarding the potential application of these rules to their investment in our ADSs or ordinary shares. 

Changes in tax law may adversely affect our business and financial results.

Under current law, we expect to be treated as a non-U.S. corporation for U.S. federal income tax purposes. The tax laws applicable 

to our business activities, however, are subject to change and uncertain interpretation. Our tax position could be adversely impacted 

by  changes  in  tax  rates,  tax  laws,  tax  practice,  tax  treaties  or  tax  regulations  or  changes  in  the  interpretation  thereof  by  the  tax 

authorities  in  jurisdictions  in  which  we  do  business.  Our  actual  tax  rate  may  vary  from  our  expectation  and  that  variance  may  be 

material. A number of factors may increase our future effective tax rates, including: (i) the jurisdictions in which profits are determined 

to  be  earned  and  taxed;  (ii)  the  resolution  of  issues  arising  from  any  future  tax  audits  with  various  tax  authorities;  (iii)  changes  in 

the valuation of our deferred tax assets and liabilities; (iv) our ability to use net operating loss carryforwards to offset future taxable 

income and any adjustments to the amount of the net operating loss carryforwards we can utilize; and (v) changes in tax laws or the 

interpretation of such tax laws, and changes in U.S. GAAP. 

For  example,  on  August  16,  2022,  the  Inflation  Reduction  Act  (the  “IRA”)  was  signed  into  law  in  the  United  States  and  significantly 

revised the Internal Revenue Code of 1986, as amended (the “Internal Revenue Code”). Among other provisions, the IRA includes a 15% 

corporate  minimum  tax  rate  which  applies  to  certain  corporations  and  a  1%  excise  tax  on  certain  corporate  stock  repurchases  made 

after December 31, 2022. We urge holders of our ADSs or ordinary shares to consult with their legal and tax advisors with respect to 

such legislation and about the potential tax consequences of investing in or holding our ADSs or ordinary shares. 

Our  corporate  actions  are  substantially  controlled  by  our  directors,  executive  officers,  and  other  principal 

shareholders,  who  can  exert  significant  influence  over  important  corporate  matters,  which  may  reduce  the 

price  of  the  ordinary  shares  and/or  ADSs  and  deprive  you  of  an  opportunity  to  receive  a  premium  for  your 

ordinary shares and/or ADSs.

These shareholders, if acting together, could exert substantial influence over matters such as electing directors and approving material 

mergers,  acquisitions,  or  other  business  combination  transactions.  This  concentration  of  ownership  may  also  discourage,  delay,  or 

prevent  a  change  in  control  of  the  Company,  which  could  have  the  dual  effect  of  depriving  our  shareholders  of  an  opportunity  to 

receive a premium for their shares as part of a sale of the Company and reducing the price of our ordinary shares and/or ADSs. These 

actions  may  be  taken  even  if  they  are  opposed  by  our  other  shareholders.  In  addition,  these  shareholders  could  divert  business 

opportunities away from us to themselves or others. 

You may have difficulty enforcing judgments obtained against us.

Zai  Lab  Limited  is  a  company  incorporated  under  the  laws  of  the  Cayman  Islands,  and  a  substantial  portion  of  our  assets  are  located 

outside  the  United  States.  A  substantial  portion  of  our  current  operations  is  conducted  in  mainland  China.  In  addition,  some  of  our 

directors  and  officers  are  nationals  and  residents  of  countries  or  regions  other  than  the  United  States  or  Hong  Kong.  A  substantial 

141

RISK FACTORSportion of the assets of these persons is located outside the United States. As a result, it may be difficult for investors to effect service 

of process within the United States or Hong Kong upon these persons, or to bring an action against us or against these individuals in the 

United States or Hong Kong in the event that they believe that their rights have been infringed under the U.S. federal securities laws, 

Hong Kong laws or otherwise. Even if shareholders are successful in bringing an action of this kind, the laws of the Cayman Islands and 

mainland China may render them unable to enforce a judgment against our assets or the assets of our directors and officers. There is 

uncertainty  as  to  whether  the  courts  of  the  Cayman  Islands  or  mainland  China  would  recognize  or  enforce  judgments  of  U.S.  courts 

against us or such persons predicated upon the civil liability provisions of the securities laws of the United States or any state. 

The recognition and enforcement of foreign judgments are provided for under PRC Civil Procedures Law. Chinese courts may recognize 

and  enforce  foreign  judgments  in  accordance  with  the  requirements  of  PRC  Civil  Procedures  Law  based  either  on  treaties  between 

mainland  China  and  the  country  where  the  judgment  is  made  or  on  principles  of  reciprocity  between  jurisdictions.  Mainland  China 

does  not  have  any  treaties  or  other  forms  of  reciprocity  with  the  United  States  that  provide  for  the  reciprocal  recognition  and 

enforcement of foreign judgments. In addition, according to PRC Civil Procedures Law, mainland China courts will not enforce a foreign 

judgment  against  us  or  our  directors  and  officers  if  they  decide  that  the  judgment  violates  the  basic  principles  of  Chinese  laws  or 

national sovereignty, security or public interest. As a result, it is uncertain whether and on what basis a Chinese court would enforce a 

judgment rendered by a court in the United States. 

Investors may be subject to limitations on transfers of their ADSs.

ADSs are transferable on the books of the depositary. However, the depositary may close its transfer books at any time or from time 

to time when it deems expedient in connection with the performance of its duties. In addition, the depositary may refuse to deliver, 

transfer, or register transfers of ADSs generally when our books or the books of the depositary are closed, or at any time if we or the 

depositary deems it advisable to do so because of any requirement of law or of any government or governmental body, or under any 

provision of the deposit agreement, or for any other reason. 

Substantial  future  sales  or  perceived  potential  sales  of  our  ordinary  shares,  ADSs,  or  other  equity  or  equity-
linked securities in the public market could cause the price of our ordinary shares and/or ADSs to decline.

Sales  of  our  ordinary  shares,  ADSs,  or  other  equity  or  equity-linked  securities  in  the  public  market,  or  the  perception  that  these 

sales could occur, could cause the market price of our ordinary shares and/or ADSs to decline significantly. All of our ordinary shares 

represented by ADSs were freely transferable by persons other than our affiliates without restriction or additional registration under 

the Securities Act. The shares held by our affiliates are also available for sale, subject to volume and other restrictions as applicable 

under Rule 144 of the Securities Act, under trading plans adopted pursuant to Rule 10b5-1 or otherwise. 

Divestiture  in  the  future  of  our  ordinary  shares  and/or  ADSs  by  shareholders,  the  announcement  of  any  plan  to  divest  our  ordinary 

shares  and/or  ADSs  or  hedging  activity  by  third-party  financial  institutions  in  connection  with  similar  derivative  or  other  financing 

arrangements entered into by shareholders could cause the price of our ordinary shares and/or ADSs to decline. 

142

RISK FACTORSFurthermore, although all of our directors and executive officers have agreed to a lock-up of their ordinary shares, any major disposal 

of  our  ordinary  shares  and/or  ADSs  by  any  of  them  upon  expiration  of  the  relevant  lock-up  periods  (or  the  perception  that  these 

disposals may occur upon the expiration of the lock-up period) may cause the prevailing market price of our ordinary shares and/or 

ADSs to fall, which could negatively impact our ability to raise equity capital in the future. 

The different characteristics of the capital markets in Hong Kong and the United States may negatively affect 

the trading prices of our ordinary shares and/or ADSs.

We  are  subject  to  Hong  Kong  and  Nasdaq  listing  and  regulatory  requirements.  The  Hong  Kong  Stock  Exchange  and  Nasdaq  have 

different  trading  hours,  trading  characteristics  (including  trading  volume  and  liquidity),  trading  and  listing  rules,  and  investor  bases 

(including different levels of retail and institutional participation). As a result of these differences, the trading prices of our ordinary 

shares  on  the  Hong  Kong  Stock  Exchange  and  our  ADSs  on  Nasdaq  may  not  be  the  same,  even  allowing  for  currency  differences. 

Fluctuations  in  the  price  of  our  ordinary  shares  due  to  circumstances  peculiar  to  the  Hong  Kong  capital  markets  could  materially 

and  adversely  affect  the  price  of  our  ordinary  shares  and/or  ADSs,  or  vice  versa.  Certain  events  having  significant  negative  impact 

specifically on the Hong Kong capital markets may result in a decline in the trading price of our ADSs notwithstanding that such event 

may not impact the trading prices of securities listed in Hong Kong generally or to the same extent, or vice versa. 

The  depositary  for  our  ADSs  is  entitled  to  charge  holders  fees  for  various  services,  including  annual  service 

fees. Dealings in the ordinary shares registered in our Hong Kong register of members will be subject to Hong 

Kong stamp duty.

The  depositary  for  the  ADSs  is  entitled  to  charge  holders  fees  for  various  services  including  for  the  issuance  of  ADSs  upon  deposit 

of  ordinary  shares,  cancelation  of  ADSs,  distributions  of  cash  dividends  or  other  cash  distributions,  distributions  of  ADSs  pursuant 

to share dividends or other free share distributions, distributions of securities other than ADSs, and annual service fees. In the case 

of ADSs issued by the depositary into The Depository Trust Company, or DTC, the fees will be charged by the DTC participant to the 

account  of  the  applicable  beneficial  owner  in  accordance  with  the  procedures  and  practices  of  the  DTC  participant  as  in  effect  at 

the time. Additionally, dealings in the ordinary shares registered in our Hong Kong register of members will be subject to Hong Kong 

stamp duty. 

Exchange between our ordinary shares and our ADSs may adversely affect the liquidity and/or trading price of 

each other.

Subject  to  compliance  with  U.S.  securities  law  and  the  terms  of  the  deposit  agreement,  holders  of  our  ordinary  shares  may  deposit 

such  ordinary  shares  with  the  depositary  in  exchange  for  the  issuance  of  our  ADSs.  Any  holder  of  ADSs  may  also  withdraw  the 

underlying  ordinary  shares  represented  by  the  ADSs  pursuant  to  the  terms  of  the  deposit  agreement  for  trading  on  the  Hong  Kong 

Stock Exchange. In the event that a substantial number of our ordinary shares are deposited with the depositary in exchange for ADSs 

or vice versa, the liquidity and trading price of our ordinary shares on the Hong Kong Stock Exchange and our ADSs on Nasdaq may be 

adversely affected. 

143

RISK FACTORSThe time required for the exchange between our ordinary shares and ADSs might be longer than expected and 

investors might not be able to settle or effect any sale of their securities during this period, and the exchange 

of ordinary shares into ADSs involves costs.

There  is  no  direct  trading  or  settlement  between  Nasdaq  and  the  Hong  Kong  Stock  Exchange  on  which  our  ADSs  and  our  ordinary 

shares  are  respectively  traded.  In  addition,  the  time  differences  between  Hong  Kong  and  New  York  and  unforeseen  market 

circumstances  or  other  factors  may  delay  the  deposit  of  ordinary  shares  in  exchange  of  ADSs  or  the  withdrawal  of  ordinary  shares 

underlying the ADSs. Investors will be prevented from settling or effecting the sale of their securities during such periods of delay. In 

addition, there is no assurance that any exchange of ADSs into ordinary shares (and vice versa) will be completed in accordance with 

the timelines investors may anticipate. 

Furthermore,  the  depositary  for  the  ADSs  is  entitled  to  charge  holders  fees  for  various  services  including  for  the  issuance  of  ADSs 

upon deposit of ordinary shares, cancelation of ADSs, distributions of cash dividends or other cash distributions, distributions of ADSs 

pursuant to share dividends or other free share distributions, distributions of securities other than ADSs and annual service fees. As 

a  result,  Shareholders  who  exchange  ADSs  into  ordinary  shares,  and  vice  versa,  may  not  achieve  the  level  of  economic  return  the 

Shareholders may anticipate. 

There is uncertainty as to whether Hong Kong stamp duty will apply to the trading or conversion of our ADSs.

In  connection  with  our  initial  public  offering  of  our  ordinary  shares  in  Hong  Kong,  we  established  a  branch  register  of  members  in 

Hong Kong (the “Hong Kong Share Register”). Our ordinary shares that are traded on the Hong Kong Stock Exchange are registered on 

the Hong Kong Share Register, and the trading of these ordinary shares on the Hong Kong Stock Exchange will be subject to the Hong 

Kong  stamp  duty.  To  facilitate  ADS  ordinary  share  conversion  and  trading  between  Nasdaq  and  the  Hong  Kong  Stock  Exchange,  we 

have moved a portion of our issued ordinary shares from our register of members maintained in the Cayman Islands to our Hong Kong 

Share Register. 

Under the Hong Kong Stamp Duty Ordinance, any person who effects any sale or purchase of Hong Kong stock, defined as stock the 

transfer  of  which  is  required  to  be  registered  in  Hong  Kong,  is  required  to  pay  Hong  Kong  stamp  duty.  The  stamp  duty  is  currently 

set  at  a  total  rate  of  0.2%  of  the  greater  of  the  consideration  for,  or  the  value  of,  shares  transferred,  with  0.1%  payable  by  each 

of  the  buyer  and  the  seller.  To  the  best  of  our  knowledge,  Hong  Kong  stamp  duty  has  not  been  levied  in  practice  on  the  trading  or 

conversion of ADSs of companies that are listed in both the United States and Hong Kong and that have maintained all or a portion of 

their ordinary shares, including ordinary shares underlying ADSs, in their Hong Kong share registers. However, it is unclear whether, 

as a matter of Hong Kong law, the trading or conversion of ADSs of these dual-listed companies constitutes a sale or purchase of the 

underlying Hong Kong-registered ordinary shares that is subject to Hong Kong stamp duty. We advise investors to consult their own 

tax advisors on this matter. If Hong Kong stamp duty is determined by the competent authority to apply to the trading or conversion of 

our ADSs, the trading price and the value of your investment in our ADSs and/or ordinary shares may be affected. 

144

RISK FACTORSGENERAL RISK FACTORS

We are subject to the risks of doing business globally.

Because  we  operate  in  Greater  China  and  other  countries  outside  of  the  United  States,  our  business  is  subject  to  risks  associated 

with  doing  business  globally.  Accordingly,  our  business  and  financial  results  could  be  adversely  affected  due  to  a  variety  of  factors, 

including: changes in a specific country’s or region’s political and cultural climate or economic condition; unexpected changes in laws 

and  regulatory  requirements  in  local  jurisdictions;  difficulty  of  effective  enforcement  of  contractual  provisions  in  local  jurisdictions; 

inadequate  intellectual  property  protection  in  certain  countries;  enforcement  of  anti-corruption  and  anti-bribery  laws,  such  as  the 

FCPA; economic sanctions and export control laws, such as the Export Administration Regulations promulgated by the U.S. Department 

of  Commerce;  laws  and  regulations  on  foreign  investment,  including  the  CFIUS  regulations  in  the  United  States;  the  effects  of 

applicable  local  tax  regimes  and  potentially  adverse  tax  consequences;  the  impact  of  public  health  epidemics  on  employees,  our 

operations and the global economy, such as the COVID-19 outbreak impacting China and elsewhere; restrictions on international travel 

and commerce; and significant adverse changes in local currency exchange rates. 

We face risks related to the COVID-19 pandemic, including government actions and quarantine measures taken 

in response as well as increased infection rates after restrictions were lifted or eased, particularly in mainland 

China where our operations are primarily located. For example, the COVID-19 pandemic has adversely affected 

our sales, marketing, development activities of our proprietary products and our licensor’s products, and our 

clinical trial operations, and it may continue to adversely affect our business and results of operations, perhaps 

significantly,  depending  on  the  nature,  severity,  and  duration  of  the  continuing  effects  of  the  pandemic.  We 

also face risks related to other public health crises or disasters, which could have a material adverse effect on 

our business and results of operations.

Since  December  2019,  global  health  concerns  relating  to  the  COVID-19  pandemic  have  been  weighing  on  the  macroeconomic 

environment  and  have  significantly  increased  economic  volatility  and  uncertainty.  Government  authorities  worldwide,  including  in 

mainland China, have monitored infection rates and implemented numerous measures to try to contain the spread of the virus, such 

as temporary travel bans and restrictions, quarantines, shelter-in-place or stay-at-home orders, and business shutdowns. Our business 

operations and those of our suppliers, CROs, CMOs, and other contractors and third parties on which we rely — as well as the Chinese 

economy more broadly — have been, and may continue to be, adversely affected by the effects of the pandemic.

In 2022, there were a number of COVID-19 cases in Greater China, including in large cities like Shanghai, where one of our principal 

executive offices is located, that experienced a wave of intermittent full or partial government shutdowns in connection with COVID-19 

control  measures.  In  the  last  several  months,  the  Chinese  government  has  eased  COVID-related  restrictions  and  lifted  lockdown 

measures,  shifting  away  from  its  “zero-COVID”  policy,  which  changes  were  followed  by  spikes  in  the  number  of  COVID  cases  across 

mainland  China.  The  effects  of  the  COVID-19  pandemic,  including  as  a  result  of  restrictive  quarantine  measures  imposed  by  the 

Chinese government and increased infection rates when such restrictions were lifted or eased, have adversely affected our business, 

and  may  continue  to  adversely  affect  our  business,  perhaps  significantly,  in  2023  and  beyond.  The  extent  of  the  impact  will  depend 

on  the  nature,  severity,  and  duration  of  the  ongoing  effects  of  the  COVID-19  pandemic,  particularly  in  mainland  China  where  our 

operations are primarily located.

145

RISK FACTORSSpecifically,  the  COVID-19  pandemic  has  adversely  impacted  our  operations,  business,  and  financial  results,  including  our 

manufacturing and supply chain; sales, marketing, and clinical trial operations of our third-party partners; and our ability to advance 

our  research  and  development  activities  and  pursue  the  development  of  our  pipeline  products.  For  example,  some  patients  have 

experienced difficulties in accessing hospital care during periods of lockdown measures or heightened COVID infection rates and, as 

a  result,  they  have  had  limited  or  no  access  to  ZEJULA,  Optune,  QINLOCK,  or  NUZYRA,  our  four  commercial  products.  The  ability  to 

conduct  in-person  interactions  between  medical  representatives  and  physicians  has  also  been  adversely  affected.  Decreased  access 

to our products has an adverse effect on our revenues. In addition, we have experienced delays in the enrollment of patients in our 

clinical  trials  due  to  outbreaks  of  COVID-19  and  lockdown  measures  where  we  are  conducting  such  trials.  Our  commercial  partners 

and  licensors  also  have  similarly  experienced  delays  in  enrollment  of  patients  to  their  clinical  trials  due  to  outbreaks  of  COVID-19 

and  lockdown  measures  in  their  respective  territories.  Although  so  far  none  of  our  NDA  submissions  and  acceptances,  key  clinical 

development milestones, or CTA approvals have been materially delayed, there is no guarantee this will continue to be the case.

Additionally, the COVID-19 pandemic may cause us or our commercial partners, licensors, and CMOs to experience delays or interruptions 

in  the  ability  to  manufacture  and  supply  the  products  we  are  selling  commercially  in  Greater  China.  For  example,  increased  infection 

rates  or  COVID-related  restrictions  may  negatively  impact  the  distribution  and  sale  of  our  products  or  limit  our  distributor’s  ability  to 

successfully sell our commercial product in Greater China, even if we implement contingency plans. In addition, increased infection rates 

or lockdown measures may restrict our executives and employees, or those of our third-party partners, from traveling or performing their 

responsibilities, which could negatively affect our business, such as through operational disruptions. Any or all of these adverse effects 

arising from the COVID-19 pandemic may adversely affect our business and results of operations or cause the value of the Company to 

decline, potentially limiting our ability to obtain additional financing on terms acceptable to the Company or at all.

There  are  no  comparable  recent  events  that  provide  guidance  as  to  the  effect  the  COVID-19  pandemic  may  have  and,  as  a  result, 

the ultimate impact of the pandemic is highly uncertain and subject to change, and the actual effects on our business and results of 

operations will depend on many factors beyond our control. 

Our  global  operations  also  expose  us  to  risks  associated  with  other  public  health  crises,  such  as  epidemics  and  pandemics;  natural 

catastrophes, such as earthquakes, hurricanes, typhoons, or floods; or other disasters, such as fires, explosions and terrorist activity 

or war that are outside of our control. Our business operations and those of our suppliers, CROs, CMOs, and other contractors may 

potentially suffer interruptions caused by any such events.

Our  business  and  financial  results,  including  our  clinical  development,  our  ability  to  raise  capital  or  raise 

capital  on  favorable  terms,  and  the  market  price  of  our  ordinary  shares  and/or  our  ADSs,  may  be  adversely 

affected  by  Russia’s  invasion  of  Ukraine,  such  as  due  to  delays  in  certain  partnered  studies  or  as  a  result 

of  imposed  or  threatened  sanctions  on  China,  Chinese  banks,  or  companies  with  operations  in  China  or 
heightened tensions between the United States and China as a result of actions taking in response to this war.

Although  our  business  and  financial  results  have  not  yet  been  adversely  affected  by  the  war  in  Ukraine,  and  we  do  not  conduct 

business  in  Russia  or  Ukraine,  our  business  and  financial  results,  including  our  development  programs,  our  ability  to  raise  capital  or 

raise capital on favorable terms, and the market price of our ordinary shares and/or our ADSs, may be adversely affected by Russia’s 

146

RISK FACTORSinvasion of Ukraine. For example, there have been, and may continue to be, delays in certain partnered studies. In addition, the United 

States and other nations have raised the possibility of sanctions on China, Chinese banks, and companies with operations in China that 

do business with Russia or its allies, including Belarus. Although we do not conduct business in Russia or Belarus, or with Russian or 

Belarusian counterparties, we may be impacted by sanctions imposed on third parties with which we do business, such as customers, 

suppliers,  intermediaries,  services  providers,  or  banks.  Our  business  and  operations  may  also  be  adversely  impacted  by  any  actions 

taken by China in response to the war or any related sanctions or threatened sanctions. Such actual or threatened sanctions and other 

geopolitical  factors  arising  in  connection  with  the  way,  such  as  continued  political  or  economic  instability  or  increased  economic  or 

political  tensions  between  the  United  States  and  China,  could  also  adversely  affect  our  business  and  financial  results,  including  our 

ability to raise capital or raise capital on favorable terms and the market price of our ordinary shares and/or our ADSs. 

If  we  or  our  CROs  or  CMOs  fail  to  comply  with  environmental,  health  and  safety  laws  and  regulations  of 

mainland  China,  we  could  become  subject  to  fines  or  penalties  or  incur  costs  that  could  have  a  material 

adverse effect on the success of our business.

We, our CROs, CMOs or other contractors are subject to numerous environmental, health and safety laws and regulations, including 

those governing laboratory procedures and the handling, use, storage, treatment and disposal of hazardous materials and wastes. In 

addition, our construction projects can only be put into operation after certain regulatory procedures with the relevant administrative 

authorities  in  charge  of  environmental  protection,  health  and  safety  have  been  completed.  Our  development  operations  primarily 

occur  in  mainland  China  and  the  United  States  and  involve  the  use  of  hazardous  and  flammable  materials,  including  chemicals  and 

biological materials. Our operations also produce hazardous waste products. We are therefore subject to Chinese laws and regulations 

as well as U.S. laws and regulations concerning the discharge of wastewater, gaseous waste, and solid waste during our processes of 

research  and  development  drugs.  We  generally  contract  with  third  parties  for  the  disposal  of  these  materials  and  wastes.  We  may 

not at all times comply fully with environmental regulations and we cannot eliminate the risk of contamination or injury from these 

materials.  In  the  event  of  contamination  or  injury  resulting  from  our  use  of  hazardous  materials,  we  could  be  held  liable  for  any 

resulting damages, and any liability could exceed our resources or insurance coverage. We also could incur significant costs associated 

with civil, administrative, or criminal fines and penalties. 

Although we maintain workers’ compensation insurance to cover us for costs and expenses that we may incur due to injuries to our 

employees resulting from the use of or exposure to hazardous materials, this insurance may not provide adequate coverage against 

potential  liabilities.  Furthermore,  the  Chinese  government  or  the  U.S.  government  may  take  steps  towards  the  adoption  of  more 

stringent environmental regulations. Due to the possibility of unanticipated regulatory or other developments, the amount and timing 

of future environmental expenditures may vary substantially from those currently anticipated. If there is any unanticipated change in 

the environmental regulations, we may need to incur substantial capital expenditures to install, replace, upgrade, or supplement our 

facilities and equipment or make operational changes to limit any adverse impact or potential adverse impact on the environment in 

order  to  comply  with  new  environmental  protection  laws  and  regulations.  If  such  costs  become  prohibitively  expensive,  we  may  be 

forced to cease certain aspects of our business operations. We do not maintain insurance for environmental liability or toxic tort claims 

that may be asserted against us in connection with our storage, use or disposal of biological or hazardous materials. 

147

RISK FACTORSIn  addition,  we  may  be  required  to  incur  substantial  costs  to  comply  with  current  or  future  environmental,  health  and  safety  laws 

and regulations. These current or future laws and regulations may impair our research, development, or production efforts. Failure to 

comply with these laws and regulations also may result in substantial fines, penalties, or other sanctions. 

We may be at an increased risk of securities class action litigation.

We may be at an increased risk of securities class action litigation. Historically, securities class action litigation has often been brought, 

whether warranted or not, against a company following a decline in the market price of its securities. This risk is especially relevant 

for  us  because  biotechnology  and  biopharmaceutical  companies  have  experienced  significant  share  price  volatility  in  recent  years, 

including during 2022 when we, like other biotechnology and biopharmaceutical companies, suffered significant share price declines. 

If we were to be sued, it could result in substantial costs and a diversion of management’s attention and resources, which could harm 

our business. 

If  securities  or  industry  analysts  do  not  continue  to  publish  research  or  publish  inaccurate  or  unfavorable 

research about our business, the market price for our ordinary shares and/or ADSs and trading volume could 

decline.

The trading market for our ADSs and/or ordinary shares relies in part on the research and reports that equity research analysts publish 

about us or our business. We do not control these analysts. If research analysts do not maintain adequate research coverage or if one 

or more of the analysts who covers us downgrades our ordinary shares and/or ADSs or publishes inaccurate or unfavorable research 

about our business, the market price for our ADSs and/or ordinary shares would likely decline. If one or more of these analysts cease 

coverage of the Company or fail to publish reports on us regularly, we could lose visibility in the financial markets, which, in turn, could 

cause the market price or trading volume for the ADSs and/or ordinary shares to decline significantly. 

The increasing use of social media platforms presents new risks and challenges.

Social  media  is  increasingly  being  used  to  communicate  about  our  products  and  the  diseases  our  therapies  are  designed  to  treat. 

Social media practices in the biopharmaceutical industry continue to evolve and regulations relating to such use are not always clear 

and  create  uncertainty  and  risk  of  noncompliance  with  regulations  applicable  to  our  business.  For  example,  patients  may  use  social 

media  channels  to  comment  on  the  effectiveness  of  a  product  or  to  report  an  alleged  adverse  event.  When  such  disclosures  occur, 

there is a risk that we fail to monitor and comply with applicable adverse event reporting obligations or we may not be able to defend 

the  company  or  the  public’s  legitimate  interests  in  the  face  of  the  political  and  market  pressures  generated  by  social  media  due  to 

restrictions on what we may say about our products. There is also a risk of inappropriate disclosure of sensitive information or negative 

or inaccurate posts or comments about us on any social networking website. Further, there is a risk that unmerited or unsupported 

claims  about  our  products  may  circulate  on  social  media.  If  any  of  these  events  were  to  occur  or  we  otherwise  fail  to  comply  with 

applicable regulations, we could incur liability, face overly restrictive regulatory actions, or incur other harm to our business, including 

damage to the reputation of our products or Company. 

148

RISK FACTORSSamantha Du, PhD
Founder, Chairperson
and Chief Executive Officer

April 21, 2023

We  are  proud  of  the  tremendous  growth  we  have  achieved  in 

just nine short years since I founded the company. But what we 

Dear Zai Lab Shareholders,

are  most  proud  of  is  not  the  quantity  of  our  products,  but  the 

quality.  They  all  have  the  potential  to  be  first-in-class  and/or 

In  2022,  Zai  Lab  made  great  strides  as  a  leading  global  biotech 

best-in-class.

with relevant scale, a world-class pipeline, a growing commercial 

portfolio in China and a strong balance sheet. 

In  2022,  our 

four  marketed  products  each  experienced 

substantial  sales  growth,  and  we  made  exciting  progress  across 

We  have  executed  on  our  corporate  strategy  to  become  a  fully 

our pipeline globally.

integrated  global  biopharmaceutical  company  with  substantial 

research  and  development,  business  development,  and 

• 

We  had  numerous,  positive  late-stage  data  readouts, 

commercialization  capabilities.  To  date,  we  have  expanded  our 

including  adagrasib  in  non-small  cell  lung  cancer,  KarXT 

pipeline to increase our product candidates under development 

in  schizophrenia,  and  efgartigimod  in  primary  immune 

from  four  in  2015  to  22  today,  including  13  programs  in  late-

thrombocytopenia and generalized myasthenia gravis. 

stage clinical development. 

• 

We  contributed  to  several  successful  global  registrational 

Our  portfolio  of  products  has  strong  potential  in  China,  within 

studies,  including  the  Tumor  Treating  Fields  LUNAR  study 

our  four  key  therapeutic  areas  of  oncology,  autoimmune 

and the repotrectinib TRIDENT-1 study. 

disorders, infectious diseases, and neuroscience. We are focused 

on differentiated assets that can help address significant unmet 

• 

We  added  QINLOCK  and  NUZYRA  to  China’s  National 

needs  for  patients  in  China  and  beyond.  For  example,  we  have 

Reimbursement Drug List (NRDL) in 2023. 

a  world-class  portfolio  in  GI  cancer  and  lung  cancer,  the  two 

largest tumor types in China.

149

CHAIRPERSON’S STATEMENT• 

We further deepened our women’s cancer franchise through 

our strategic collaboration with Seagen for TIVDAK. 

RESEARCH AND CLINICAL 
DEVELOPMENT

• 

We  continued  to  significantly  enhance  our  talented 

• 

Topline  data  readouts  of  the  SC  efgartigimod  study  for 

global team.

In  2022,  we  also  established  our  ESG  Trust  for  Life  strategy, 

chronic 

inflammatory  demyelinating  polyneuropathy 

(CIDP)  in  the  second  quarter  of  2023,  and  for  pemphigus 

and  immune  thrombocytopenia  (ITP)  in  the  second  half 

which  includes  three  commitments:  to  improve  human  health, 

of 2023

create better outcomes, and act right now with ethical business 

practices  and  strong  corporate  governance.  As  part  of  our 

corporate  strategy,  and  the  actions  taken  in  support  of  our 

corporate  goals,  we  seek  to  continue  to  develop  and  integrate 

our Trust for Life strategy into our business and operations.

• 

Full  data  readout  of  the  Tumor  Treating  Fields  LUNAR 

study in NSCLC in the first half of 2023

• 

Clinical  data  update  for  adagrasib  in  combination  with 

pembrolizumab  in  first-line  KRASG12C-mutated  NSCLC  in 

In  2023,  we  will  focus  on  the  following  strategic  priorities  to 

the second half of 2023

drive innovation in China and beyond.

REGULATORY AND COMMERCIAL

• 

BLA  approval  by  China’s  National  Medical  Products 

• 

Complete  enrollment  in  the  global  Phase  3  innovaTV  301 

study  of  TIVDAK  in  second-  and  third-line  cervical  cancer 

in the first half of 2023

Administration 

(NMPA)  and  commercial 

launch 

for 

efgartigimod  alfa  injection  for  the  treatment  of  adult 

• 

Join 

the  global  Phase  3  FORTITUDE-101  study  of 

bemarituzumab  in  first-line  gastric  cancer  in  China  in 

patients with generalized myasthenia gravis (gMG)

mid-2023

• 

NDA submission to the NMPA for repotrectinib for ROS1+ 

• 

Initiate  a  bridging  study  of  KarXT  for  schizophrenia  in 

advanced non-small cell lung cancer (NSCLC)

China in mid-2023

• 

BLA submission to the NMPA for SC efgartigimod for gMG 

• 

Initiate  a  global  Phase  2  study  for  ZL-1102  (IL-17 

in mid-2023

Humabody®) in chronic plaque psoriasis (CPP) 

• 

ZEJULA  to  become  the  leader  in  PARP  inhibitor  sales  for 

• 

Initiate  a  global  Phase  1  study  for  ZL-1218  (CCR8)  in  the 

ovarian cancer in China

first half of 2023

• 

A  significant  increase  in  sales  of  QINLOCK  and  NUZYRA 

following their inclusion on the NRDL

150

CHAIRPERSON’S STATEMENTWe  are  preparing  to  launch  eight  additional  products  and 

achieve  overall  corporate  profitability  by  the  end  of  2025.  As 

we  generate  operating  leverage,  we  will  continue  to  invest 

in  our  future  through  research  and  development,  including 

internal  discovery  activities,  as  we  seek  to  advance  our  product 

pipeline  and  accelerate  medicines  to  patients  in  need.  We 

also  aim  to  strengthen  our  portfolio  and  strategic  positioning 

with  potentially  transformative  assets  and  regional  and  global 

partnerships and collaborations.

We  have  built  a  solid  foundation  for  continued  growth,  with 

patients  always  at  the  center  of  everything  we  do.  Our  mission 

is  to  be  a  leading  global  biopharmaceutical  company  focused 

on  discovering,  developing,  and  commercializing 

innovative 

therapies  that  improve  the  lives  of  patients  in  China  and 

worldwide.  We  look  forward  to  continuing  to  execute  on  that 

mission  in  2023  through  our  corporate  strategic  priorities  and 

with your continued support. 

Sincerely,

Samantha Du, PhD

Founder, Chairperson, and CEO

Zai Lab Limited

151

CHAIRPERSON’S STATEMENTFor the year ended December 31,

2018
US$’000

129

—

129

86

(139,075)

(139,075)

2019
US$’000

12,985

—

12,985

9,236

(195,071)

(195,071)

2020
US$’000

48,958

—

48,958

32,222

(268,905)

(268,905)

2021
US$’000

144,105

207

144,312

92,073

(704,471)

(704,471)

2022
US$’000

212,672

2,368

215,040

141,022

(443,286)

(443,286)

(139,075)

(195,071)

(268,905)

(704,471)

(443,286)

Operating results

Product revenue, net

Collaboration revenue

Total revenues

Gross profit

Loss before income tax expense

Net Loss

Net loss attributable to the 

 Company

Profitability

Gross margin (%)

Net profit margin (%)

(107,810)%

(1,502)%

67%

71%

66%

(549)%

64%

(488)%

66%

(206)%

For the year ended December 31,

2018
US$’000

2019
US$’000

2020
US$’000

2021
US$’000

2022
US$’000

Financial position

Cash, cash equivalents, and 

 restricted cash

Short-term investments

Working capital

Total assets

Total liabilities

Non-controlling interest

62,952

200,350

220,303

301,987

50,906

—

76,442

200,000

245,811

355,153

60,493

—

442,859

744,676

1,117,993

1,297,638

128,293

—

964,903

445,000

1,307,980

1,609,956

230,000

—

Total equity

251,081

294,660

1,169,345

1,379,956

Note:

Financial results and financial position for the relevant periods are prepared based on annual report, which were filed with SEC.

1,009,273

—

984,494

1,220,140

174,545

—

1,045,595

152

FINANCIAL SUMMARYOVERVIEW

We  are  a  patient-focused,  innovative,  commercial-stage,  global  biopharmaceutical  company  with  a  substantial  presence  in  both 

Greater China and the United States. We are focused on discovering, developing, and commercializing products that address medical 

conditions with significant unmet needs in the areas of oncology, autoimmune disorders, infectious diseases, and neuroscience. We 

intend to leverage our competencies and resources to positively impact human health in Greater China and worldwide. We currently 

have  four  commercial  products  that  have  received  marketing  approval  in  one  or  more  territories  in  Greater  China  and  thirteen 

programs in late-stage product development. 

Since  our  inception,  we  have  incurred  net  losses  and  negative  cash  flows  from  our  operations.  Substantially  all  of  our  losses  have 

resulted from funding our research and development programs and general and administrative costs associated with our operations. 

Developing  high-quality  product  candidates  requires  significant  investment  in  our  research  and  development  activities  over  a 

prolonged  period  of  time,  and  a  core  part  of  our  strategy  is  to  continue  making  sustained  investments  in  this  area.  Our  ability  to 

generate profits and positive cash flow from operations over the next several years depends upon our ability to successfully market 

our  four  commercial  products  —  ZEJULA,  Optune,  QINLOCK,  and  NUZYRA  —  and  to  successfully  expand  the  indications  for  these 

products and develop and commercialize our other product candidates. We expect to continue to incur substantial expenses related 

to  our  research  and  development  activities.  In  particular,  our  licensing  and  collaboration  agreements  require  us  to  make  upfront 

payments upon our entry into such agreements and milestone payments upon the achievement of certain development, regulatory, 

and sales-based milestones as well as certain royalties at tiered percentage rates based on annual net sales of the licensed products 

in  the  licensed  territories.  We  recorded  $53.4  million  of  research  and  development  expense  related  to  upfront  license  fees  and 

development  milestones  in  2022.  In  addition,  we  expect  to  incur  substantial  costs  related  to  the  commercialization  of  our  product 

candidates, in particular during the early launch phase.

As we pursue our strategy of growth and development, we anticipate that our financial results will fluctuate from quarter to quarter 

and  year  to  year  depending  in  part  on  the  balance  between  the  success  of  our  commercial  products  and  the  level  of  our  research 

and development expenses. We cannot predict whether or when products in our pipeline, including new indications for our current 

commercial products, will receive regulatory approval. Further, if we receive such regulatory approval, we cannot predict whether or 

when we may be able to successfully commercialize such product or whether or when such product may become profitable. 

153

MANAGEMENT DISCUSSION AND ANALYSISTo date, we have also: 

• 

partnered  with  established  biopharmaceutical  and  leading  healthcare  companies  in  the  United  States,  the  European  Union, 

and  Japan  such  as  GSK,  NovoCure,  Deciphera,  Paratek,  argenx,  Entasis,  MacroGenics,  Seagen,  Mirati,  Amgen,  BMS,  Karuna, 

Regeneron,  Taiho,  and  Blueprint  through  in-licensing  product  candidates  to  position  ourselves  as  a  partner  of  choice  for  the 

development and commercialization of novel therapeutics in Greater China; 

• 

• 

• 

• 

achieved reimbursement for ZEJULA, QINLOCK, and NUZYRA in mainland China through their inclusion in the NRDL; 

built  a  strong  leadership  team  of  seasoned  industry  veterans  with  extensive  pharmaceutical  research  and  development 

and  commercialization  experience  in  both  global  and  Chinese  biopharmaceutical  companies  as  well  as  strong  research  and 

development and commercialization teams to execute our corporate strategic priorities; 

advanced our in-house discovery pipeline and capabilities targeting global markets; and

continued to develop the necessary facilities and infrastructure in the United States and China to support our global leadership 

and corporate functions as well as our regulatory, clinical, manufacturing, and commercial activities.

In  2022,  despite  challenges  from  the  COVID-19  pandemic  in  China,  sales  for  our  four  commercial  products  continued  to  increase. 

We  expect  our  sales  for  these  products  to  further  increase  in  2023,  in  part  because  of  ZEJULA’s  continued  gain  of  share  of  hospital 

sales for ovarian cancer in China, the new listings for QINLOCK and NUZYRA on the NRDL, and the increased number of supplemental 

insurance  plan  listings  for  Optune.  We  also  continued  to  make  progress  across  our  product  pipeline.  For  example,  we  had  several 

positive  data  readouts  during  the  year,  including  for  adagrasib  in  non-small  cell  lung  cancer,  efgartigimod  in  primary  immune 

thrombocytopenia and generalized myasthenia gravis, and KarXT in schizophrenia. We contributed to successful registrational studies, 

including the LUNAR study for Tumor Treating Fields and the TRIDENT-1 study for repotrectinib. And, we increased our pipeline assets 

through  our  business  development  activities  with  our  strategic  collaboration  with  Seagen  for  the  license  of  TIVDAK,  which  further 

deepened our women’s cancer franchise. 

We  also  continued  to  strengthen  our  business  in  2022  through  corporate  developments,  including  key  additions  to  our  global 

leadership  team,  enhancements  to  our  corporate  governance  practices,  and  our  voluntary  conversion  to  primary  listing  status  on 

the  Hong  Kong  Stock  Exchange  and  the  subsequent  inclusion  of  our  ordinary  shares  in  the  Shanghai  and  Shenzhen  Stock  Connect 

Programs. For example, with respect to our global leadership team, we appointed Rafael G. Amado, M.D. as President, Head of Global 

Oncology Research and Development in December 2022. Dr. Amado joined us from Allogene Therapeutics and brings deep expertise 

in the field of oncology and significant global biopharmaceutical R&D leadership. And, as we have previously disclosed, we made other 

key  additions  to  our  global  leadership  team  in  2022,  including  in  August  when  Josh  Smiley  became  Chief  Operating  Officer  and  in 

154

MANAGEMENT DISCUSSION AND ANALYSISNovember when Dr. Peter Huang became Chief Scientific Officer. With respect to corporate governance, in April, we appointed KPMG 

LLP,  a  U.S.-based  auditor,  to  be  our  independent  registered  public  accounting  firm  and  auditor,  and  in  July,  the  Board  established 

a  lead  independent  director  role,  appointing  Dr.  John  Diekman  to  serve  in  this  important  position.  Finally,  our  transition  to  primary 

listing status on the Hong Kong Stock Exchange and participation in the Stock Connect programs should help us increase access to our 

business by investors in Greater China. 

We further discuss below key factors affecting our results of operations, key components and primary drivers of changes in our results 

of operations in 2022, and our liquidity and capital resources. 

RECENT DEVELOPMENTS

On  March  20,  2023,  our  partner  Karuna  reported  positive  topline  results  from  its  Phase  3  EMERGENT-3  trial  evaluating  the  efficacy, 

safety,  and  tolerability  of  its  lead  investigational  therapy,  KarXT  (xanomeline-trospium)  in  adults  with  schizophrenia.  The  trial  met 

its primary endpoint, with KarXT demonstrating a statistically significant and clinically meaningful 8.4-point reduction in Positive and 

Negative  Syndrome  Scale  (“PANSS’)  total  score  compared  to  placebo  (-20.6  KarXT  vs.  -12.2  placebo;  p<0.0001)  at  Week  5  (Cohen’s 

d  effect  size  of  0.60).  Consistent  with  prior  trials,  KarXT  demonstrated  an  early  and  sustained  statistically  significant  reduction  of 

symptoms from Week 2 (p<0.05) through the end of the trial as assessed by PANSS total score.

In  April  2023,  we  presented  new  data  including  a  translational  and  biomarker  data  analysis  from  our  internal  oncology  discovery 

program ZL-1211 at the 2023 AACR Annual Meeting.

FACTORS AFFECTING OUR RESULTS OF OPERATIONS

Research and Development Expenses

We believe our ability to successfully develop product candidates will be the primary factor affecting our long-term competitiveness, 

as  well  as  our  future  growth  and  development.  Developing  high-quality  product  candidates  requires  a  significant  investment  of 

resources over a prolonged period of time, and a core part of our strategy is to continue making sustained investments in research and 

development.  As  a  result  of  this  commitment,  our  pipeline  of  product  candidates  has  been  advancing  and  expanding,  with  thirteen 

late-stage clinical product candidates being investigated as of December 31, 2022.

155

MANAGEMENT DISCUSSION AND ANALYSISWe  have  financed  our  activities  primarily  through  private  placements,  our  initial  public  offering  in  September  2017  and  multiple 

follow-on  offerings  on  Nasdaq  and  our  secondary  listing  and  initial  public  offering  on  the  Hong  Kong  Stock  Exchange  in  September 

2020.  Through  December  31,  2022,  we  have  raised  approximately  $164.6  million  from  private  equity  financing  and  approximately 

$2,462.7 million in net proceeds after deducting underwriting commissions and the offering expenses payable by us from our initial 

public  offerings  and  follow-on  offerings.  Our  operations  have  consumed  substantial  amounts  of  cash  since  inception.  The  net  cash 

used in our operating activities was $367.6 million and $549.2 million in 2022 and 2021, respectively. We expect our expenditures to 

increase  significantly  in  connection  with  our  ongoing  activities,  particularly  as  we  advance  the  clinical  development  of  our  thirteen 

late-stage  clinical  product  candidates,  research  and  develop  our  clinical  and  pre-clinical-stage  product  candidates,  and  initiate 

additional clinical trials of, and seek regulatory approval for, these and other future product candidates. We review such expenditures 

for prioritization and efficiency purposes. These expenditures include: 

• 

• 

• 

• 

• 

• 

• 

expenses incurred for CROs, CMOs, investigators, and clinical trial sites that conduct our clinical studies; 

employee compensation related expenses, including salaries, benefits, and equity compensation expenses; 

expenses for licensors; 

the cost of acquiring, developing, and manufacturing clinical study materials; 

facilities and other expenses, which include office leases and other overhead expenses; 

costs associated with pre-clinical activities and regulatory operations; 

expenses associated with the construction and maintenance of our manufacturing facilities; and 

For  more  information  on  our  research  and  development  expenses,  see  Key  Components  of  Results  of  Operations  —  Research  and 

Development Expenses.

Selling, General, and Administrative Expenses 

Our  selling,  general,  and  administrative  expenses  consist  primarily  of  personnel  compensation  and  related  costs,  including  share-

based compensation for commercial and administrative personnel. Other selling, general, and administrative expenses include product 

distribution and promotion costs, professional service fees for legal, intellectual property, consulting, auditing, and tax services as well 

as  other  direct  and  allocated  expenses  for  rent  and  maintenance  of  facilities,  insurance,  and  other  supplies  used  in  selling,  general, 

and  administrative  activities.  We  anticipate  that  our  selling,  general,  and  administrative  expenses  will  increase  in  future  periods  to 

support increases in our commercial and research and development activities and as we continue to discover, develop, commercialize, 

and manufacture our products and assets. These increases will likely include expanded infrastructure as well as increased headcount 

and  share-based  compensation,  product  distribution,  promotion,  and  insurance  costs.  We  also  anticipate  incurring  additional  legal, 

compliance, accounting, and investor and public relations expenses associated with being a public company. 

156

MANAGEMENT DISCUSSION AND ANALYSISOur Ability to Commercialize Our Product Candidates 

As of December 31, 2022, thirteen of our product candidates are in late-stage clinical development and various others are in clinical 

and  pre-clinical  development  in  Greater  China  and  the  United  States.  Our  ability  to  generate  revenue  from  our  product  candidates 

is  dependent  on  our  receipt  of  regulatory  approvals  for  and  successful  commercialization  of  such  products,  which  may  not  occur. 

Certain  of  our  product  candidates  may  require  additional  pre-clinical  and/or  clinical  development,  regulatory  approvals  in  multiple 

jurisdictions,  manufacturing  supply,  substantial  investment,  and  significant  marketing  efforts  before  we  generate  any  revenue  from 

product sales. 

Our License Arrangements 

Our results of operations have been, and we expect them to continue to be, affected by our licensing, collaboration, and development 

agreements.  We  are  required  to  make  upfront  payments  upon  our  entry  into  such  agreements  and  milestone  payments  upon  the 

achievement  of  certain  development,  regulatory,  and  sales-based  milestones  for  the  relevant  products  under  these  agreements 

as  well  as  certain  royalties  at  tiered  percentage  rates  based  on  annual  net  sales  of  the  licensed  products  in  the  licensed  territories. 

We  recorded  research  and  development  expense  related  to  upfront  license  fees  and  development  milestones  of  $53.4  million  and 

$384.1 million in 2022 and 2021, respectively. 

The COVID-19 Pandemic 

Our results of operations have been, and we expect them to continue to be, adversely affected by the COVID-19 pandemic, including 

government  actions  and  quarantine  measures  taken  in  response  or  increased  infection  rates  after  restrictions  were  lifted  or  eased, 

particularly  in  mainland  China  where  our  operations  and  product  markets  are  primarily  located.  For  example,  the  pandemic  has 

adversely  affected  patient  access  to  our  products,  such  as  through  reduced  hospital  access  during  periods  of  lockdown  or  high 

infection  rates,  fewer  newly  diagnosed  oncology  patients,  and  delayed  or  interrupted  treatments.  The  pandemic  has  also  adversely 

affected  our  manufacturing  and  supply  chain  and  our  research  and  development,  sales,  marketing,  and  clinical  trial  activities.  The 

operations of our suppliers, CROs, CMOs, and other contractors and third parties on which we rely also have been, and may continue 

to  be,  adversely  affected.  Although  our  net  product  revenues  increased  in  2022,  as  compared  to  the  prior  year,  these  revenue 

increases were negatively affected by the effects of the pandemic, and we expect additional adverse revenue impacts in the coming 

year and possibly in future years depending on the nature, severity, and duration of future effects from the pandemic.

157

MANAGEMENT DISCUSSION AND ANALYSISFINANCIAL REVIEW

Key Components of Results of Operations

The following table presents our results of operations ($ in thousands):

Revenues

 Product revenue, net

 Collaboration revenue

  Total revenues

Expenses

 Cost of sales

 Research and development

 Selling, general and administrative

Loss from operations

 Interest income

 Foreign currency (loss) gain

 Other income (expenses), net

Loss before income tax and share of loss from 

 equity method investment

Income tax expense

Share of loss from equity method investment

Net loss

Net loss attributable to ordinary shareholders

Year Ended December 31

2022

2021

Change
$

%

212,672

2,368

215,040

(74,018)

(286,408)

(258,971)

(404,357)

14,582

(56,403)

3,113

144,105

207

144,312

(52,239)

(573,306)

(218,831)

(700,064)

2,190

4,661

(10,201)

68,567

2,161

70,728

(21,779)

286,898

(40,140)

295,707

12,392

(61,064)

13,314

(443,065)

(703,414)

260,349

—

(221)

(443,286)

(443,286)

—

(1,057)

(704,471)

(704,471)

—

836

261,185

261,185

48 %

1,044 %

49 %

42 %

(50)%

18 %

(42)%

566 %

(1,310)%

(131)%

(37)%

— %

(79)%

(37)%

(37)%

158

MANAGEMENT DISCUSSION AND ANALYSISRevenues

Product Revenue, Net 

The following table presents the components of the Company’s product revenue, net ($ in thousands):

Product revenue — gross

Less: Rebates and sales returns

Product revenue — net

Year Ended December 31

2022

234,009

(21,337)

212,672

2021

190,180

(46,075)

144,105

Change
$

43,829

24,738

68,567

%

23 %

(54)%

48 %

Our product revenue is primarily derived from the sales of ZEJULA, Optune, QINLOCK, and NUZYRA in mainland China and Hong Kong, 

net of sales returns and rebates to distributors in mainland China with respect to the sales of these products. Our net product revenue 

increased  by  $68.6  million  in  2022,  primarily  driven  by  increased  sales  volumes  and  decreased  rebates.  Although  our  sales  volumes 

increased,  these  volumes  were  negatively  affected  by  the  effects  of  the  COVID-19  pandemic,  including  government  restrictions  or 

lockdown measures in mainland China, which negatively affected patient access to our products. The decrease in rebates was primarily 

due to fewer products being sold at prices prior to reduction that required such rebates. We had price reductions for QINLOCK and 

NUZYRA in June 2022, compared to price reductions for ZEJULA in December 2020 and December 2021. 

The following table presents net revenue by product ($ in thousands):

ZEJULA

Optune

QINLOCK

NUZYRA

Total

Collaboration Revenue 

Year Ended December 31

2022

145,194

47,321

14,957

5,200

212,672

2021

93,579

38,903

11,620

3

144,105

Change
$

51,615

8,418

3,337

5,197

68,567

%

55%

22%

29%

173,233%

48%

Collaboration  revenue  was  $2.4  million  in  2022  compared  to  $0.2  million  in  2021  due  to  increased  revenue  from  our  exclusive 

promotion agreement with Huizheng.

159

MANAGEMENT DISCUSSION AND ANALYSISCost of Sales

Cost of sales increased by $21.8 million to $74.0 million in 2022 primarily due to increasing sales volumes, higher product costs, and 

higher royalties. 

Research and Development Expenses

The following table presents the components of our research and development expenses ($ in thousands):

Personnel compensation and related costs

Licensing fees

CROs/CMOs/Investigators expenses

Other costs

Total

Year Ended December 31

2022

105,561

53,441

100,544

26,862

286,408

2021

77,227

384,104

82,571

29,404

573,306

Change
$

28,334

(330,663)

17,973

(2,542)

(286,898)

%

37 %

(86)%

22 %

(9)%

(50)%

Research and development expenses decreased by $286.9 million in 2022 primarily due to:

• 

a decrease of $330.7 million in licensing fees in connection with decreased upfront and milestone payments for our license and 

collaboration agreements; partially offset by

• 

an increase of $28.3 million in personnel compensation and related costs primarily due to headcount growth and grants of share 

options and restricted shares and the continued vesting of option and restricted share awards; and

• 

an increase of $18.0 million in CROs/CMOs/Investigators expenses related to ongoing and newly initiated clinical trials. 

The following table presents our research and development expenses by program ($ in thousands):

Clinical programs

Pre-clinical programs

Unallocated research and development expenses

Total

Year Ended December 31

2022

155,792

6,644

123,972

286,408

2021

433,021

47,768

92,517

573,306

Change
$

(277,229)

(41,124)

31,455

(286,898)

%

(64)%

(86)%

34 %

(50)%

Research  and  development  expenses  attributable  to  clinical  programs  decreased  by  $277.2  million  and  research  and  development 

expenses attributable to pre-clinical programs decreased by $41.1 million in 2022, both decreases driven by decreased license fees.

160

MANAGEMENT DISCUSSION AND ANALYSISAlthough  we  manage  our  external  research  and  development  expenses  by  program,  we  do  not  allocate  our  internal  research  and 

development expenses by program because our employees and internal resources may be engaged in projects for multiple programs 

at any given time. 

Selling, General and Administrative Expenses

The following table presents our selling, general and administrative expenses by program ($ in thousands):

Personnel compensation and related costs

Professional service fees

Other costs

Total

Year Ended December 31

2022

162,045

35,414

61,512

258,971

2021

124,675

22,901

71,255

218,831

Change
$

37,370

12,513

(9,743)

40,140

%

30 %

55 %

(14)%

18 %

Selling, general and administrative expenses increased by $40.1 million in 2022, primarily due to:

• 

an  increase  of  $37.4  million  in  personnel  compensation  and  related  costs  which  was  primarily  driven  by  headcount  growth, 

particularly  in  commercial  and  administrative  personnel,  and  grants  of  share  options  and  restricted  shares  and  the  continued 

vesting of option and restricted share awards; and

• 

an increase of $12.5 million in professional service fee mainly attributable to our increased legal, compliance, accounting, and 

investor and public relations expenses associated with being a public company and in connection with sales of ZEJULA, Optune, 

QINLOCK, and NUZYRA in mainland China and Hong Kong after our commercial launch of these four commercialized products; 

partially offset by

• 

a decrease of $9.7 million in other costs mainly related to selling, rental, and administrative expenses for commercial operations 

in mainland China, Hong Kong, and Taiwan. 

Interest Income

Interest income increased by $12.4 million to $14.6 million in 2022, due to increased interest rates. 

Foreign Currency (Loss) Gain

Foreign  currency  loss  was  $56.4  million  in  2022  primarily  driven  by  remeasurement  loss  due  to  USD  appreciating  against  RMB  in 

2022, compared to foreign currency gain of $4.7 million in 2021 driven by remeasurement gain due to USD depreciating against RMB 

in 2021. 

161

MANAGEMENT DISCUSSION AND ANALYSISOther Income (Expenses), Net

Other income, net was $3.1 million in 2022, compared to other expense, net of $10.2 million in 2021. The shift from other expense, 

net to other income, net is primarily due to an increase of $7.4 million in government grant income and a decrease of $5.7 million in 

loss on equity investments with readily determinable fair value.

Share of Loss from Equity Method Investment

Share  of  loss  from  equity  method  investment  decreased  by  $0.8  million  to  $0.2  million  in  2022,  due  to  increased  losses  from  our 

investment  in  JING  Medicine  Technology  (Shanghai)  Ltd.,  an  entity  that  provides  services  for  drug  discovery  and  development, 

consultation, and transfer of pharmaceutical technology.

Income Tax Expense 

There was no change in our income tax expense, which was zero in both 2022 and 2021. For more information on taxes to which we 

are subject in the Cayman Islands, PRC, and Hong Kong, see Note 13 to the consolidated financial statements.

DISCUSSION OF CERTAIN KEY BALANCE SHEET ITEMS

Cash, Cash Equivalents, and Restricted Cash 

As  of  December  31,  2022,  the  Company’s  cash,  cash  equivalents,  and  restricted  cash  amounted  to  $1,009.3  million  and  primarily 

comprised  of  (1)  $958.6  million  denominated  in  US  dollars;  (2)  $45.5  million  denominated  in  RMB;  and  (3)  $5.2  million  in  aggregate 

denominated in Hong Kong dollar, Australian dollar, and Taiwan dollar.

Accounts Receivable

Accounts receivable decreased by $7.5 million to $40.0 million as of December 31, 2022, primarily due to the collection of receivable 

from Huizheng of $11.0 million for the upfront payment and partially offset by the increased receivables from our customers arising 

from product sales in 2022.

Inventories, Net

The inventories increased by $12.7 million to $31.6 million as of December 31, 2022, mainly because we built up the inventory balance 

in anticipation of increasing sales in mainland China.

162

MANAGEMENT DISCUSSION AND ANALYSISProperty and Equipment, Net

The property and equipment increased by $14.8 million to $57.9 million as of December 31, 2022, primarily attribute to our on-going 

buildout of the Suzhou manufacturing facility, expansion of business development and research and development activities.

Accounts Payable

Accounts  payable  includes  amounts  due  to  third  parties  and  decreased  by  $60.2  million  to  $66.0  million  as  of  December  31,  2022, 

primarily due to payments for licensing fees.

The following table presents an aging analysis of accounts payable, which is based on invoice date ($ in thousands):

Within 3 months

3 months to 6 months

6 months to 1 year

Over 1 year

Total

Other Current Liabilities 

The following table presents the Company’s other current liabilities ($ in thousands):

Payroll

Accrued professional service fee

Payables for purchase of property and equipment

Accrued rebate to distributors

Tax payables

Others

Total

December 31,

2022

65,249

132

577

16

2021

125,709

416

22

16

65,974

126,163

December 31,

2022

31,689

4,080

5,269

8,443

13,283

4,054

66,818

2021

25,685

4,319

2,568

15,001

8,817

4,421

60,811

Other current liabilities increased by $6.0 million to $66.8 million as of December 31, 2022 primarily due to increased accrued bonus 

and the withholding tax, partially offset by the settlement of rebate to distributors.

163

MANAGEMENT DISCUSSION AND ANALYSISCRITICAL ACCOUNTING POLICIES AND SIGNIFICANT JUDGMENTS AND 
ESTIMATES

We prepare our financial statements in conformity with U.S. GAAP, which requires us to make judgments, estimates, and assumptions. 

We  periodically  evaluate  these  judgments,  estimates,  and  assumptions  based  on  the  most  recently  available  information,  our  own 

historical  experiences,  and  various  other  assumptions  that  we  believe  to  be  reasonable  under  the  circumstances.  Since  the  use  of 

estimates is an integral component of the financial reporting process, actual results could differ from our expectations as a result of 

changes  in  our  estimates.  Some  of  our  accounting  policies  require  a  higher  degree  of  judgment  than  others  in  their  application  and 

require us to make significant accounting estimates. 

The selection of critical accounting policies, judgments and other uncertainties affecting application of those policies, and sensitivity 

of  reported  results  to  changes  in  conditions  and  assumptions  are  factors  that  should  be  considered  when  reviewing  our  financial 

statements. We believe the following accounting policies involve the most significant judgments and estimates used in the preparation 

of our financial statements. 

Revenue Recognition 

Description 

In mainland China, we sell our products to distributors, who ultimately sell the products to healthcare providers. Based on the nature 

of the arrangements, the performance obligations are satisfied upon the product’s delivery to distributors. 

Judgments and Uncertainties 

Rebates  are  offered  to  distributors,  consistent  with  pharmaceutical  industry  practices.  The  estimated  amount  of  unpaid  or  unbilled 

rebates,  if  any,  is  recorded  as  a  reduction  of  revenue.  We  estimate  rebates  based  on  contracted  rates,  sales  volumes,  and  level  of 

distributor inventories. 

Sensitivity of Estimate to Change 

Actual  amounts  of  rebates  paid  or  billed  may  differ  from  our  estimates.  We  regularly  review  the  factors  and  judgments  underlying 

these  estimates  and  adjust  the  amounts  of  rebates  accordingly.  If  actual  results  vary  from  our  estimates,  we  also  adjust  these 

estimates accordingly, which would affect net product revenue and earnings in the period such variances become expected or known. 

164

MANAGEMENT DISCUSSION AND ANALYSISResearch and Development Expenses 

Description 

Research  and  development  expenses  are  charged  to  expense  as  incurred  when  these  expenditures  relate  to  our  research  and 

development services and have no alternative future uses. 

Pre-clinical  and  clinical  trial  costs  are  a  significant  component  of  our  research  and  development  expenses.  We  have  a  history  of 

contracting with third parties that perform various pre-clinical and clinical trial activities on our behalf in the ongoing development of 

our product candidates. Expenses related to pre-clinical and clinical trials are accrued based on our estimates of the actual services 

performed by the third parties for the respective period. 

Judgments and Uncertainties 

The  process  of  estimating  our  research  and  development  expenses  involves  reviewing  open  contracts  and  purchase  orders, 

communicating  with  our  personnel  to  identify  services  that  have  been  performed  on  our  behalf,  and  estimating  the  level  of  service 

performed and the associated costs incurred for the services when we have not yet been invoiced or otherwise notified of the actual 

costs.  The  majority  of  our  service  providers  invoice  us  in  arrears  for  services  performed,  on  a  pre-determined  schedule,  or  when 

contractual  milestones  are  met;  however,  some  require  advanced  payments.  We  make  estimates  of  our  research  and  development 

expenses as of each balance sheet date in our financial statements based on facts and circumstances known to us at that time. 

Sensitivity of Estimate to Change 

Although we do not expect our estimates to be materially different from amounts actually incurred, our understanding of the status 

and timing of services performed relative to the actual status and timing of services performed may vary and may result in us reporting 

expenses  that  are  too  high  or  too  low  in  any  particular  period.  To  date,  we  have  not  made  any  material  adjustments  to  our  prior 

estimates of research and development expenses. 

Share-Based Compensation 

Description 

Share-based awards for our employees are measured at grant date fair value and recognized as expenses (1) immediately at grant date 

if no vesting conditions are required; or (2) using a straight-line method over the requisite service period, which is the vesting period. 

To  the  extent  the  required  vesting  conditions  are  not  met  resulting  in  forfeiture  of  the  share-based  awards,  previously  recognized 

compensation expense relating to those awards are reversed. 

165

MANAGEMENT DISCUSSION AND ANALYSISJudgments and Uncertainties 

We determine the fair value of stock options granted to employees using the Black-Scholes option valuation model. Using this model, 

fair value is calculated based on assumptions with respect to (i) the expected volatility of our ADS price, (ii) the periods of time over 

which grantees are expected to hold their options prior to exercise (expected lives), (iii) the expected dividend yield on our ADSs, and 

(iv) risk-free interest rates, which are based on quoted U.S. Treasury rates for securities with maturities approximating the expected 

lives of the options. Expected volatility has been estimated based on actual movements in some comparable companies’ stock price 

over the most recent historical periods equivalent to the options’ expected lives. The expected term of the share options represents 

the  average  period  the  share  options  are  expected  to  remain  outstanding.  As  the  Company  does  not  have  sufficient  historical 

information since its IPO to develop reasonable expectations about future exercise patterns and post-vesting employment termination 

behavior, the expected term of options granted is derived from the average midpoint between the weighted average vesting and the 

contractual term, also known as the simplified method. The expected dividend yield is zero as we have never paid dividends and do not 

currently anticipate paying any in the foreseeable future. 

Sensitivity of Estimate to Change 

The  assumptions  used  in  this  method  to  determine  the  fair  value  of  our  option  shares  consider  historical  trends,  macroeconomic 

conditions,  and  projections  consistent  with  the  Company’s  operating  strategy.  Changes  in  these  estimates  can  have  a  significant 

impact on the determination of fair value of the option shares. If factors change or different assumptions are used, our share-based 

compensation expenses could be materially different for any period. 

Income Taxes 

Description 

In accordance with the provisions of ASC 740, Income Taxes, we recognize in our financial statements the benefit of a tax position if 

the tax position is “more likely than not” to prevail based on the facts and technical merits of the position. Tax positions that meet the 

“more likely than not” recognition threshold are measured at the largest amount of tax benefit that has a greater than fifty percent 

likelihood of being realized upon settlement. We estimate our liability for unrecognized tax benefits which are periodically assessed 

and may be affected by changing interpretations of laws, rulings by tax authorities, changes and/or developments with respect to tax 

audits,  and  expiration  of  the  statute  of  limitations.  The  ultimate  outcome  for  a  particular  tax  position  may  not  be  determined  with 

certainty prior to the conclusion of a tax audit and, in some cases, appeal or litigation process. 

Judgments and Uncertainties 

We  consider  positive  and  negative  evidence  when  determining  whether  some  portion  or  all  of  our  deferred  tax  assets  will  not  be 

realized.  This  assessment  considers,  among  other  matters,  the  nature,  frequency,  and  severity  of  current  and  cumulative  losses, 

forecasts  of  future  profitability,  the  duration  of  statutory  carry-forward  periods,  our  historical  results  of  operations,  and  our  tax 

166

MANAGEMENT DISCUSSION AND ANALYSISplanning strategies. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during 

the  periods  in  which  those  temporary  differences  become  deductible.  Based  upon  the  level  of  our  historical  taxable  income  and 

projections for future taxable income over the periods in which the deferred tax assets are deductible, we believe it is more likely than 

not that we will not realize the deferred tax assets resulted from the tax loss carried forward in the future periods. 

Sensitivity of Estimate to Change 

The  actual  benefits  ultimately  realized  may  differ  from  our  estimates.  As  each  audit  is  concluded,  adjustments,  if  any,  are  recorded 

in  our  financial  statements  in  the  period  in  which  the  audit  is  concluded.  Additionally,  in  future  periods,  changes  in  facts  and 

circumstances  and  new  information  may  require  us  to  adjust  the  recognition  and  measurement  estimates  with  regard  to  individual 

tax  positions.  Changes  in  recognition  and  measurement  estimates  are  recognized  in  the  period  in  which  the  changes  occur.  As  of 

December 31, 2022 and 2021, we did not have any significant unrecognized uncertain tax positions. 

Liquidity and Capital Resources

The following table represents our cash and cash equivalents, short-term investments, and restricted cash ($ in thousands):

Cash and cash equivalents

Short-term investments

Restricted cash, non-current

Total

December 31,

2022

1,008,470

—

803

2021

964,100

445,000

803

1,009,273

1,409,903

To  date,  we  have  financed  our  activities  primarily  through  private  placements,  our  September  2017  initial  public  offering  and 

various follow-on offerings on Nasdaq, and our September 2020 secondary listing and initial public offering on the Hong Kong Stock 

Exchange.  Through  December  31,  2022,  we  have  raised  approximately  $164.6  million  in  private  equity  financing  and  approximately 

$2,462.7  million  in  net  proceeds  after  deducting  underwriting  commissions  and  the  offering  expenses  payable  by  us  in  our  initial 

public  offering  and  subsequent  follow-on  offerings  on  Nasdaq  and  our  initial  public  offering  on  the  Hong  Kong  Stock  Exchange. 

Our  operations  have  consumed  substantial  amounts  of  cash  since  inception.  The  net  cash  used  in  our  operating  activities  was 

$367.6 million and $549.2 million in 2022 and 2021, respectively. We have commitments for capital expenditures of $9.0 million as of 

December 31, 2022, mainly for the purpose of plant construction and installation. We currently do not have any known events that are 

reasonably likely to cause a material change in the relationship between our costs and revenues. 

As of December 31, 2022, we had cash and cash equivalents, restricted cash, and short-term investments of $1,009.3 million. Based 

on our current operating plan, we expect that our cash, cash equivalents, restricted cash, and short-term investments as of March 31, 

2023, will enable us to fund our operating expenses and capital expenditure requirements for at least the next 12 months. However, in 

order to bring to fruition our research and development objectives, we may ultimately need additional funding sources, and there can 

be no assurances that such funding will be made available to us on acceptable terms or at all. 

167

MANAGEMENT DISCUSSION AND ANALYSISThe following table presents information regarding our cash flows ($ in thousands): 

Net cash used in operating activities

Net cash provided by investing activities

Net cash (used in) provided by financing activities

Effect of foreign exchange rate changes on cash, cash 

 equivalents and restricted cash

Net increase in cash, cash equivalents and 

 restricted cash

Net Cash Used in Operating Activities

Year Ended December 31,

2022

(367,642)

420,016

(1,730)

2021

(549,231)

249,957

820,202

Change
$

181,589

170,059

(821,932)

(6,274)

1,116

(7,390)

44,370

522,044

(477,674)

Net cash used in operating activities decreased by $181.6 million in 2022, primarily due to a decrease of $261.2 million in net loss and 

an increase of $20.4 million in adjustments to reconcile net loss to net cash used in operating activities, partially offset by a decrease of 

$100.0 million in net changes in operating assets and liabilities. 

Net Cash Provided by Investing Activities 

Net cash provided by investing activities increased by $170.1 million in 2022, primarily due to a decrease of $184.7 million in purchases 

of short-term investments and a decrease of $30.0 million in payments for investment in equity investee, partially offset by a decrease 

of  $38.6  million  in  proceeds  from  maturity  of  short-term  investments  and  an  increase  of  $6.3  million  in  purchases  of  property  and 

equipment.

Net Cash (Used in) Provided by Financing Activities 

Net cash used in financing activities was $1.7 million in 2022, compared to net cash provided by financing activities of $820.2 million 

in 2021. The shift from cash provided by to cash used in financing activities was primarily because we had proceeds of $818.9 million 

from our issuance of ordinary shares upon public offerings in 2021 while there were no such transactions in 2022.

Effect of Exchange Rates on Cash

We have substantial operations in mainland China, which generate a significant amount of RMB-denominated cash from product sales 

and require a significant amount of RMB-denominated cash to pay our obligations. Since the reporting currency of the Company is the 

U.S. dollar, periods of volatility in exchange rates may have a significant impact on our consolidated cash balances.

168

MANAGEMENT DISCUSSION AND ANALYSISOperating Capital Requirements 

We  expect  our  expenses  to  increase  significantly  in  connection  with  our  ongoing  activities,  particularly  as  we  continue  to 

commercialize  our  approved  products,  continue  our  research  and  development  efforts  related  to  our  clinical  and  pre-clinical-

stage  product  candidates,  and  initiate  additional  clinical  trials  of,  and  seek  and/or  expand  regulatory  approval  for,  ZEJULA,  Optune, 

QINLOCK,  NUZYRA,  and  our  other  products  and  product  candidates.  In  addition,  if  we  obtain  regulatory  approval  for  any  additional 

product  candidates,  we  expect  to  incur  significant  commercialization  expenses  related  to  product  manufacturing,  marketing,  sales, 

and  distribution.  In  particular,  if  more  of  our  product  candidates  are  approved,  additional  costs  may  be  substantial  as  we  may  have 

to,  among  other  things,  modify  or  increase  the  production  capacity  at  our  current  manufacturing  facilities  or  contract  with  third-

party  manufacturers  and  increase  our  commercial  workforce.  We  have  incurred,  and  may  continue  to  incur,  expenses  as  we  create 

additional infrastructure to support our operations. Our liquidity and financial condition may be materially and adversely affected by 

negative  net  cash  flows,  and  we  cannot  assure  that  we  will  have  sufficient  cash  from  other  sources  to  fund  our  operations.  We  will 

likely  need  to  obtain  substantial  additional  funding  in  connection  with  our  continuing  operations  through  public  or  private  equity 

offerings, debt financing, collaborations or licensing arrangements, or other sources. If we are unable to raise capital when needed or 

on acceptable terms, we could incur losses and be forced to delay, reduce, or terminate our research and development programs or 

commercialization efforts.

Although we believe our cash and cash equivalents and short-term investments as of December 31, 2022 will enable us to fund our 

operating  expenses  and  capital  expenditure  requirements  for  at  least  the  next  twelve  months,  we  could  use  our  capital  resources 

sooner than we currently expect. Our future capital requirements will depend on many factors, including:

• 

the  cost  and  timing  of  future  commercialization  activities  for  ZEJULA,  Optune,  QINLOCK,  NUZYRA,  and  any  other  product 

candidates for which we receive regulatory approval;

• 

the  pricing  of  and  product  revenues  received,  if  any,  from  future  commercial  sales  of  our  approved  products  and  any  other 

products for which we receive regulatory approval;

• 

• 

the scope, progress, timing, results, and costs of clinical development of our products in additional indications, if any;

the scope, progress, timing, results, and costs of researching and developing our product candidates and conducting pre-clinical 

and clinical trials;

• 

the  cost,  timing,  and  outcome  of  seeking,  obtaining,  maintaining,  and  expanding  regulatory  approval  of  our  products  and 

product candidates;

• 

our  ability  to  establish  and  maintain  strategic  partnerships,  including  collaboration,  licensing,  or  other  arrangements  and  the 

economic and other terms, timing, and success of such arrangements;

169

MANAGEMENT DISCUSSION AND ANALYSIS• 

the  cost,  timing,  and  outcome  of  preparing,  filing,  and  prosecuting  patent  applications,  maintaining  and  enforcing  our 

intellectual property rights, and defending any intellectual property related claims;

• 

the  extent  to  which  we  acquire  or  in-license  other  product  candidates  and  technologies  and  the  economic  and  other  terms, 

timing, and success of such collaboration and licensing arrangements;

• 

• 

• 

cash requirements of any future acquisitions;

the number, characteristics, and development requirements of the product candidates we pursue;

resources required to develop and implement policies and processes to promote ongoing compliance with applicable healthcare 

laws and regulations;

• 

costs required to confirm that our and our partners’ business arrangements with third parties comply with applicable healthcare 

laws and regulations;

our headcount growth and associated costs; and

the costs of operating as a public company in both the United States and Hong Kong.

• 

• 

Contractual Obligations and Commitments

As of December 31, 2022, purchase commitments amounted to $9.0 million, which is related to purchase of property and equipment 

contracted and expected to be incurred within one year. We do not have any other purchase commitments beyond one year.

For our obligations under our pension scheme, please refer to Note 21 to the consolidated financial statements.

Foreign Exchange Risk

Renminbi,  or  RMB,  is  not  a  freely  convertible  currency.  The  State  Administration  of  Foreign  Exchange,  under  the  authority  of  the 

PBOC, controls the conversion of RMB into foreign currencies. The value of RMB is subject to changes in central government policies 

and to international economic and political developments affecting supply and demand in the China Foreign Exchange Trading System 

market.  The  cash  and  cash  equivalents  of  the  Company  included  aggregated  amounts  of  RMB316.8  million  and  RMB151.7  million, 

which  were  denominated  in  RMB,  as  of  December  31,  2022  and  2021,  respectively,  representing  5%  and  2%  of  the  cash  and  cash 

equivalents as of December 31, 2022 and 2021, respectively. 

170

MANAGEMENT DISCUSSION AND ANALYSISOur  business  mainly  operates  in  mainland  China  with  a  significant  portion  of  our  transactions  settled  in  RMB,  and  our  financial 

statements are presented in U.S. dollars. We do not believe that we currently have significant direct foreign exchange risk and have 

not used derivative financial instruments to hedge our exposure to such risk. Although, in general, our exposure to foreign exchange 

risks should be limited, the value of your investment in our ADSs and ordinary shares will be affected by the exchange rate between 

the U.S. dollar and the RMB and between the HK dollar and the RMB, respectively, because the value of our business is effectively 

denominated in RMB, while ADSs and ordinary shares are traded in U.S. dollars and HK dollars, respectively. 

The value of the RMB against the U.S. dollar and other currencies may fluctuate and is affected by, among other things, changes in 

Greater  China’s  political  and  economic  conditions.  The  conversion  of  RMB  into  foreign  currencies,  including  U.S.  dollars,  has  been 

based  on  rates  set  by  the  PBOC.  On  July  21,  2005,  the  Chinese  government  changed  its  decade-old  policy  of  pegging  the  value  of 

the RMB to the U.S. dollar. Under the revised policy, the RMB is permitted to fluctuate within a narrow and managed band against a 

basket of certain foreign currencies. This change in policy resulted in a more than 20% appreciation of the RMB against the U.S. dollar 

in  the  following  three  years.  Between  July  2008  and  June  2010,  this  appreciation  halted,  and  the  exchange  rate  between  the  RMB 

and U.S. dollar remained within a narrow band. In June 2010, the PBOC announced that the Chinese government would increase the 

flexibility of the exchange rate, and thereafter allowed the RMB to appreciate slowly against the U.S. dollar within the narrow band 

fixed by the PBOC. However, in August 2015, the PBOC significantly devalued the RMB. 

The value of our ADSs and our ordinary shares will be affected by the foreign exchange rates between U.S. dollars, HK dollars, and 

the RMB. For example, to the extent that we need to convert U.S. dollars or HK dollars into RMB for our operations or if any of our 

arrangements with other parties are denominated in U.S. dollars or HK dollars and need to be converted into RMB, appreciation of 

the RMB against the U.S. dollar or the HK dollar would have an adverse effect on the RMB amount we receive from the conversion. 

Conversely, if we decide to convert RMB into U.S. dollars or HK dollars for the purpose of making payments for dividends on ordinary 

shares or ADSs or for other business purposes, appreciation of the U.S. dollar or the HK dollar against the RMB would have a negative 

effect on the conversion amounts available to us. 

Since 1983, the HKMA has pegged the HK dollar to the U.S. dollar at the rate of approximately HK$7.80 to US$1.00. However, there 

is no assurance that the HK dollar will continue to be pegged to the U.S. dollar or that the HK dollar conversion rate will remain at 

HK$7.80 to US$1.00. If the HK dollar conversion rate against the U.S. dollar changes and the value of the HK dollar depreciates against 

the U.S. dollar, our assets denominated in HK dollars will be adversely affected. Additionally, if the HKMA were to repeg the HK dollar 

to, for example, the RMB rather than the U.S. dollar, or otherwise restrict the conversion of HK dollars into other currencies, then our 

assets denominated in HK dollars will be adversely affected.

171

MANAGEMENT DISCUSSION AND ANALYSISCredit Risk

Financial  instruments  that  are  potentially  subject  to  significant  concentration  of  credit  risk  consist  of  cash  and  cash  equivalents, 

short-term investments, accounts receivable, and notes receivable. 

The carrying amounts of cash and cash equivalents and short-term investments represent the maximum amount of loss due to credit 

risk.  As  of  December  31,  2022  and  2021,  we  had  cash  and  cash  equivalents  of  $1,008.5  million  and  $964.1  million  and  short-term 

investments of nil and $445.0 million, respectively. As of December 31, 2022 and 2021, all of our cash and cash equivalents and short-

term investments were held by major financial institutions located in mainland China and international financial institutions outside of 

mainland China which we believe are of high credit quality and for which we monitor continued credit worthiness. 

Accounts  receivable  are  typically  unsecured  and  are  derived  from  product  sales  and  collaborative  arrangements.  We  manage  credit 

risk  related  to  our  accounts  receivable  through  ongoing  monitoring  of  outstanding  balances  and  limiting  the  amount  of  credit 

extended  based  upon  payment  history  and  credit  worthiness.  Historically,  we  have  collected  receivables  from  customers  within 

the  credit  terms  with  no  significant  credit  losses  incurred.  As  of  December  31,  2022,  our  two  largest  customers  accounted  for 

approximately 28% of our total accounts receivable collectively. 

During  the  year  ended  December  31,  2022,  certain  accounts  receivable  balances  were  settled  in  the  form  of  notes  receivable.  As 

of  December  31,  2022,  such  notes  receivable  included  bank  acceptance  promissory  notes  that  are  non-interest  bearing  and  due 

within six months. These notes receivable were used to collect the receivables based on an administrative convenience, given these 

notes  are  readily  convertible  to  known  amounts  of  cash.  In  accordance  with  the  sales  agreements,  whether  to  use  cash  or  bank 

acceptance promissory notes to settle the receivables is at our discretion, and this selection does not impact the agreed contractual 

purchase prices. 

Inflation 

In recent years, mainland China has not experienced significant inflation. Although the global economy, including the U.S. economy, 

has  experienced  rising  inflation  in  recent  quarters,  which  can  increase  the  costs  of  our  products  and  product  candidates  purchased 

from third parties and, as a result, adversely affect our results of operations, inflation has not had a material impact on our results of 

operations. Although we have not been materially affected by inflation in the past, we can provide no assurance that we will not be 

affected in the future by higher rates of inflation in mainland China or in other countries in which our third-party partners operate. 

Off-Balance Sheet Arrangements

During the periods presented we did not have, and we do not currently have, any off-balance sheet arrangements, as defined under 

the rules of the U.S. Securities and Exchange Commission, such as relationships with unconsolidated entities or financial partnerships, 

which  are  often  referred  to  as  structured  finance  or  special  purpose  entities,  established  for  the  purpose  of  facilitating  financing 

transactions that are not required to be reflected on our balance sheets.

172

MANAGEMENT DISCUSSION AND ANALYSISGearing Ratio

The gearing ratio of the Company, which was calculated by dividing total interest-bearing loans by total shareholders’ equity as of the 

end of the year, were both nil as of December 31, 2022 and 2021, because we do not have any interest-bearing loans.

Significant Investment Held

Except  as  disclosed  in  Note  8  to  the  consolidated  financial  statements,  we  did  not  hold  any  other  significant  investments  as  of 

December 31, 2022 and 2021.

Future Plans for Material Investments and Capital Assets

We do not have any future plans for material investments or capital assets as of December 31, 2022.

Material Acquisitions and Disposals of Subsidiaries, Associates, and Joint Ventures 

During the Reporting Period, we did not have any acquisitions and disposals of subsidiaries and affiliated companies. 

Employee and Remuneration Policy

Human Capital Resources 

We  know  that  our  employees  are  integral  to  our  success,  and  we  are  committed  to  building  and  maintaining  a  strong  and  engaged 

workforce  that  is  focused  on  delivering  on  our  mission  to  become  a  leading  global  biopharmaceutical  company  and  to  positively 

impact human health in China and beyond. We seek to attract, retain, and motivate our employees through competitive compensation 

programs,  professional  development  opportunities,  and  employee  engagement.  In  evaluating  our  human  capital  management,  we 

consider various factors, including employee performance, development, and our ability to recruit well qualified employees to support 

our business and operations. 

As  of  January  31,  2023,  we  had  2,036  full-time  employees,  of  which  1,956  were  located  in  Greater  China.  The  number  of  full-time 

employees by function as of such date was as follows:

By Function

Research and Development

Commercial

Manufacturing

General and Administrative*

Total

Number of Employees

832

965

84

155

2,036

* 

Includes finance, legal, human resources, information technology, and other general and administrative functions. 

173

MANAGEMENT DISCUSSION AND ANALYSISOur management executive team is comprised of our CEO and her direct reports who, collectively, have management responsibility 

for our business. Our management team places significant focus and attention on matters concerning our human capital assets, with a 

focus on being an employer of choice as well as on diversity, employee capabilities and growth, and succession planning. 

The  competition  for  top  talent  in  our  industry  is  intense.  To  help  attract,  motivate,  and  retain  well  qualified  employees,  we  strive 

to  provide  competitive  compensation  programs  and  benefits,  including  cash  compensation,  stock-based  compensation,  and  other 

benefits  to  support  the  financial,  physical,  and  emotional  health  of  our  employees.  For  our  employees  in  China,  consistent  with 

Chinese  regulations,  we  participate  in  a  housing  fund  and  various  employee  social  security  plans  that  are  organized  by  applicable 

local municipal and provincial governments, including housing, pension, medical, work-related injury, maternity, and unemployment 

benefit  plans,  under  which  we  make  contributions  at  specified  percentages  of  the  salaries  of  our  employees.  For  our  U.S.-based 

employees, in addition to our health and welfare benefits and parental leave, we provide retirement benefits in the form of certain 

matching contributions to tax-qualified 401(k) plans. 

We  provide  professional  development  and  training  opportunities  to  our  employees  to  help  enhance  their  competencies  and 

capabilities. These opportunities include formal and comprehensive company-level and department-level training for new employees 

followed by on-the-job training; periodic trainings to promote awareness and compliance with our policies and procedures; and cross-

functional  trainings  to  strengthen  and  reinforce  employee  collaborations  across  different  functions,  groups,  and  departments  that 

work together to support our day-to-day operations. We have a performance management and talent development process through 

which  managers  provide  regular  feedback  and  coaching  to  develop  employees.  This  process  also  helps  the  Company  identify  our 

pipeline of talent as well as areas in potential need of additional resources or support. We also seek to engage our employees through 

our  Culture  Committee  with  the  launch  of  our  Diversity,  Equity,  and  Inclusion  Council  and  employee  resource  groups,  such  as  our 

women’s leadership community and local Diversity, Equity, and Inclusion committees. 

We seek to bring together employees with different backgrounds and expertise to support our growth while also creating an inclusive 

culture.  We  are  proud  of  the  diversity,  skills,  and  achievements  that  our  employees  bring  to  our  business  from  various  parts  of  the 

world.  In  addition,  we  are  committed  to  being  an  equal  opportunity  employer,  where  everyone  is  treated  equally  and  respected, 

regardless of their gender, nationality, marital status, age, disability, or religious belief. Our commitment to diversity is reflected in the 

composition of our workforce. For example, with respect to gender diversity, the majority of our full-time employees are women, and 

the majority of STEM-related positions are held by women. 

Our worldwide teams are united by a common mission to improve human health. We strive to maintain a good working relationship 

with our employees. We are committed to encouraging a culture of open communication where employees can ask questions, raise 

concerns, and contribute creative solutions. Our management team routinely makes themselves available to all employees, including 

in regular town hall events that encourage open dialogue. None of our employees are represented by a labor union or covered by a 

collective bargaining agreement, and we have not experienced any material work stoppages or labor disputes. Further, we have been 

able to recruit strong employees to support our business and operations.

174

MANAGEMENT DISCUSSION AND ANALYSISEmployee Remuneration Policy 

The remuneration policy and package of our employees are periodically reviewed by the Compensation Committee of the Board. The 

packages were set by benchmarking with companies in similar industries and companies with similar complexity and size. In addition 

to cash compensation and benefits, we may issue share options, share appreciation rights, restricted shares, unrestricted shares, share 

units including restricted share units, performance awards, and other types of awards to our employees in accordance with our equity 

incentive plans.

For  more  details  about  share-based  compensation,  please  refer  to  the  section  headed  “Equity  Incentive  Plans”  and  Note  17  to  the 

consolidated financial statements contained in this annual report. The total remuneration cost incurred by the Company was $263.9 

million and $193.4 million for the years ended December 31, 2022 and 2021, respectively. 

Charges on Group Assets 

As of December 31, 2022 and 2021, we did not have any charges on the Company’s assets.

Contingent Liabilities

As  of  December  31,  2022  and  2021,  we  did  not  have  any  material  contingent  liabilities.  See  Note  18  to  the  consolidated  financial 

statements for contractual obligations under licenses and collaborative agreements.

Final Dividend

The Board did not recommend any final dividend for 2022 or 2021.

Recent Accounting Pronouncements 

See  Note  2  to  our  consolidated  financial  statements  included  in  this  annual  report  for  information  regarding  recent  accounting 

pronouncements.

Segmental Information

See Note 2 to our consolidated financial statements included in this annual report for information regarding segmental information.

175

MANAGEMENT DISCUSSION AND ANALYSISDIRECTORS
Our Board consists of ten Directors, comprising one executive Director, and nine independent non-executive Directors. The following 

table sets forth the name, age, and position of each of our directors as of April 1, 2023:

Name

Samantha (Ying) Du

John D. Diekman

Kai-Xian Chen

Richard Gaynor

Nisa Leung

William Lis

Leon O. Moulder Jr.

Scott Morrison

Michel Vounatsos

Peter Wirth

Age

Position(s)

58

80

77

73

52

58

65

65

61

72

Founder, Chairperson, and Chief Executive Officer

Lead Independent Director

Director

Director

Director

Director

Director

Director

Director

Director

Director
Since

2014

2017

2018

2021

2014

2018

2020

2021

2023

2017

Set  forth  below  is  biographical  information  as  of  April  1,  2023  for  our  directors,  which  has  been  confirmed  by  each  of  them  for 

inclusion in this annual report. We have provided their current Board and Committee roles as well as a summary of the experiences, 

qualifications, attributes, and skills that led the Board to conclude that each director should serve as a director in light of our business 

and structure.

Samantha (Ying) Du, Ph.D. (“Dr. Samantha Du”)

Executive Director 

Age

58

Director Since

Board Committees

Other Public Company Boards

2014

Research and Development

None

Dr. Samantha Du is an experienced executive and entrepreneur with significant global leadership experience who brings to the Board 

a deep knowledge of the capital markets and the biotechnology, healthcare, and pharmaceutical industries as well as a considerable 

scientific  background.  In  addition,  as  the  Company’s  Founder  and  Chief  Executive  Officer,  Dr.  Samantha  Du  provides  valuable 

knowledge of the Company and its business.

176

DIRECTORS AND SENIOR MANAGEMENTKey Experience and Qualifications 

• 

• 

Founder, Chief Executive Officer, and Chairperson of the Board of Directors of Zai Lab (2014–Present)

Healthcare  Partner  (2012–2014)  and  Venture  Partner  (2014–2017)  at  Sequoia  Capital  China,  leading  several  major  healthcare 

investments

• 

Co-Founder  and  Chief  Executive  Officer  of  Hutchison  MediPharma  and  Co-Founder  and  Chief  Scientific  Officer  of  Hutchison 

China MediTech (2001–2011) 

• 

Began  her  research  career  at  Pfizer  Inc.  in  the  United  States,  where  she  led  the  global  metabolic  licensing  program  and  was 

involved in the development of multiple early and late-stage products (1994–2001) 

• 

Ph.D. in Biochemistry from the University of Cincinnati and a B.S. in Molecular Biology from Jilin University, China

John David Diekman, Ph.D. (“Dr. John Diekman”)

Lead Independent Director

Age

80

Director Since

Board Committees

Other Public Company Boards

2017

Audit

Compensation

None

Nominating and Corporate Governance

Dr. John Diekman is an experienced executive who brings to the Board extensive business, management, policy, and capital markets 

experience as well as deep expertise in the life sciences and venture capital industries, including in the area of oncology.

Key Experience and Qualifications

• 

• 

• 

Founder and Managing Partner of 5AM Ventures (2002–Present)

Chairman of the Board of Directors of IDEAYA Biosciences, Inc. (NASDAQ) (2015–June 2020)

Chairman of The Scripps Research Institute and on the Advisory Board of the Schaeffer Center for Health Policy and Economics 

at  the  University  of  Southern  California  (2014–March  2021),  Charter  Trustee  of  Princeton  University  (2008–June  2019),  and 

Trustee of The California Institute of Technology (2004–2008)

• 

Ph.D. in Chemistry from Stanford University and an A.B. in Organic Chemistry from Princeton University

177

DIRECTORS AND SENIOR MANAGEMENTKai-Xian Chen, Ph.D. (“Dr. Kai-Xian Chen”)

Independent Director

Age

77

Director Since

Board Committees

Other Public Company Boards

2018

Research and Development

Innovent Biologics, Inc. (HKSE)

InnoCare Pharma Limited (HKSE)

Jiangsu Kanion Pharmaceutical Co., 

 Ltd. (SSE)

Dr. Kai-Xian Chen brings to the Board an extensive and distinguished scientific and academic background and considerable service as a 

member of several prestigious Chinese institutional and research organizations and as a member of the board of directors for various 

biopharmaceutical companies.

Key Experience and Qualifications

• 

Member  of  the  Chief  Specialists  Board  and  Deputy  Chief  Technical  Officer  of  the  major  science  and  technology  projects 

“innovative drugs and modernization of traditional Chinese medicine” and “Innovative Drug Research & Development,” where 

he participated in the organization and promotion of new drug research and development for China’s 10th–13th Five Year Plans 

(2001–Present)

• 

• 

• 

• 

• 

• 

• 

• 

Member of the Board of Directors of InnoCare Pharma Limited (March 2020–Present)

Member of the Board of Directors of Jiangsu Kanion Pharmaceutical Co., Ltd. (December 2019–Present)

Member of the Board of Directors of Innovent Biologics, Inc. (October 2018–Present)

Professor  at  the  Shanghai  Institute  of  Materia  Medica  (“SIMM”)  Chinese  Academy  of  Sciences  (1990–Present)  and  Shanghai 

University of Traditional Chinese Medicine (2004–Present)

Elected member of the Chinese Academy of Sciences since 1999

Member of the National Committee of the Chinese People’s Political Consultative Conference (2007–2017)

President of the Shanghai Association for Science and Technology (2011–2018)

President of Shanghai University of Traditional Chinese Medicine (2005–2014) 

178

DIRECTORS AND SENIOR MANAGEMENT• 

Various  roles  at  SIMM  Chinese  Academy  of  Sciences,  in  addition  to  serving  as  Professor,  including  Director  (1996–2004)  and 

Deputy Director (1993–1996)

• 

• 

Principal Scientist for two National Basic Research Programs by the MOST (1998–2009)

Postdoctoral  research  at  Institut  de  Biologie  Physico-Chimique  in  Paris,  Ph.D.  and  Master  of  Science  from  the  SIMM,  Chinese 

Academy of Sciences, and B.S. in Radiochemistry from Fudan University 

Richard Brian Gaynor, M.D. (“Richard Gaynor, M.D.”)

Independent Director

Age

73

Director Since

Board Committees

Other Public Company Boards

2021

Research and Development, Chair

Infinity Pharmaceuticals, Inc. 

(NASDAQ) Alkermes plc (NASDAQ)

Richard Gaynor, M.D. brings to the Board significant experience as a senior business executive in the biopharmaceutical industry, deep 

experience as an oncologist, and expertise in research and development.

Key Experience and Qualifications

• 

President and Chief of Research and Development at BioNTech US Inc. (formerly Neon Therapeutics, Inc.) (May 2020–Present), 

after serving in this role at Neon Therapeutics from November 2016 to May 2020

• 

• 

• 

Member of the Board of Directors of Infinity Pharmaceuticals, Inc. (March 2020–Present)

Member of the Board of Directors of Alkermes plc (September 2019–Present)

Various  senior  clinical  development  and  medical  affairs  roles  at  Eli  Lilly  and  Company  (2002–2016),  including  Senior  Vice 

President of Clinical Development and Medical Affairs

• 

Professor  at  the  UCLA  School  of  Medicine  (1982–1991)  and  service  on  the  faculty  at  the  University  of  Texas  Southwestern 

Medical School (1991–2002), including as the Chief of Hematology-Oncology and Director of the Simmons Cancer Center

• 

Author of nearly 150 publications and participant on numerous advisory boards and committees, including currently serving as a 

Director for the Damon Runyon Cancer Research Foundation and on several committees for the American Association of Cancer 

Research and other cancer organizations

• 

M.D. from the University of Texas Southwestern Medical School, where he served a residency in internal medicine; fellowship 

training in hematology-oncology at the UCLA School of Medicine

179

DIRECTORS AND SENIOR MANAGEMENTNisa Bernice Wing-Yu Leung (“Ms. Nisa Leung”)

Independent Director

Age

52

Director Since

Board Committees

Other Public Company Boards

2014

None

CanSino Biologics Inc. (HKSE, SSE) 

Hong Kong Exchanges and Clearing 

 Limited (HKSE)

Ms. Nisa Leung brings to the Board significant venture capital experience in the healthcare industry, particularly in China, as well as 

extensive  corporate  governance  experience  through  her  service  on  the  boards  of  companies  listed  on  the  Shanghai  Stock  Exchange 

and Hong Kong Stock Exchange.

Key Experience and Qualifications 

• 

• 

• 

• 

• 

• 

• 

• 

Managing Partner at Qiming Venture Partners, where she leads healthcare investments (2006–Present) 

Member of the Board of Directors and Nomination Committee of CanSino Biologics Inc. (2015–Present) 

Member  of  the  Board  of  Directors  of  Caidya  (formerly  dMed  Biopharmaceuticals  Company  Ltd.),  a  Clinical  Contract  Research 

Organization (“CRO”) designed to facilitate the development and globalization of innovative drugs (2016–Present) 

Member of the Board of Directors of Hong Kong Exchanges and Clearing Limited (June 2021–Present) 

Member of the Board of Directors of New Horizon Health Limited (HKSE) (2017–October 2022)

Member of the Board of Directors of Venus Medtech (Hangzhou) Inc. (HKSE) (2013–January 2023)

Member of the Board of Directors of Gan & Lee (SSE) (2009–March 2021)

MBA from Stanford Graduate School of Business, B.S. in Hotel Administration from Cornell University

180

DIRECTORS AND SENIOR MANAGEMENTWilliam David Lis (“Mr. William Lis”) 

Independent Director

Age

58

Director Since

Board Committees

Other Public Company Boards

2018

Commercial

Jasper Therapeutics, Inc. (NASDAQ)

Nominating and Corporate Governance

Research and Development

Mr.  William  Lis  brings  to  the  Board  over  30  years  of  experience  in  the  biopharmaceutical  industry  at  the  executive  and  board  level, 

including considerable leadership and business, financial, and product development expertise.

Key Experience and Qualifications

• 

Various  board  and  executive  positions  at  Jasper  Therapeutics,  Inc.,  including  Chairperson  of  the  Board  of  Directors  (March 

2022–Present) and Chief Executive Officer and Executive Chairman of the Board (November 2019–March 2022)

• 

Member of the Board of Directors of Eidos Therapeutics, Inc. (NASDAQ) (December 2018–its acquisition by Bridge Bio Pharma, 

Inc. in January 2021)

• 

Various executive and board positions at Portola Pharmaceuticals, Inc. (later acquired by Alexion Pharmaceuticals, Inc. in 2020), 

including Chief Executive Officer and Member of the Board of Directors (December 2009–August 2018), Chief Operating Officer 

(2009), and Chief Business Officer (2008–2009) 

• 

Various executive positions at Scios, Inc. (a Johnson & Johnson company) (2003–2008), including Senior Vice President of New 

Product Development and Business Development

• 

Various  roles  of  increasing  responsibility  at  Millennium  Pharmaceuticals,  Inc.  (previously  COR  Therapeutics,  Inc.)  in  sales, 

marketing, medical affairs, and business development (1998–2003) 

• 

• 

Member of the Biotechnology Innovation Organization (“BIO”) Emerging Companies Section (“ECS”) (2015–2016)

B.S. from the University of Maryland

181

DIRECTORS AND SENIOR MANAGEMENTScott William Morrison (“Mr. Scott W. Morrison”)

Independent Director

Age

65

Director Since

Board Committees

Other Public Company Boards

2021

Audit, Chair and Audit Committee 

Corvus Pharmaceuticals, Inc. (NASDAQ)

 Financial Expert

IDEAYA Biosciences Inc. (NASDAQ)

Tarsus Pharmaceuticals, Inc. (NASDAQ)

Vera Therapeutics, Inc. (NASDAQ)

Mr.  Scott  W.  Morrison  brings  to  the  Board  financial  expertise  obtained  from  his  extensive  business,  accounting,  and  financial 

background obtained from his over 35 years of experience serving public and private companies in the life sciences industry until his 

retirement in 2015 as well as his significant board and audit committee experience. 

Key Experience and Qualifications

• 

• 

Partner with Ernst & Young LLP (1996–2015), serving as U.S. Life Sciences Leader from 2002 to 2015 

Member of the Board of Directors, Chairperson of the Audit Committee, and Member of the Compensation Committee of Corvus 

Pharmaceuticals, Inc. (2015–Present)

• 

Member  of  the  Board  of  Directors,  Chair  of  the  Audit  Committee,  Chair  of  the  Transaction  and  Financing  Committee,  and 

Member of the Compensation Committee and Commercial Committee of Global Blood Therapeutics, Inc. (2016–its acquisition by 

Pfizer Inc. in October 2022)

• 

Member of the Board of Directors, Chair of the Audit Committee, and Member of the Nominating and Corporate Governance 

Committee of IDEAYA Biosciences Inc. (July 2018–Present)

• 

• 

Member of the Board of Directors and Chair of the Audit Committee of Vera Therapeutics, Inc. (April 2020–Present) 

Member  of  the  Board  of  Directors,  Chair  of  the  Audit  Committee,  and  Member  of  the  Commercial  Committee  of  Tarsus 

Pharmaceuticals, Inc. (October 2022–Present)

• 

Member of the Board of Directors and Chairman of the Audit Committee of Audentes Therapeutics, Inc. (NASDAQ) (2016–its sale 

to Astellas in January 2020)

182

DIRECTORS AND SENIOR MANAGEMENT• 

Has served as a director on several life sciences industry boards, including BIO ECS (2002–2006), the Bay Area Biosciences Board 

(now California Life Sciences) (1989–2012), the Biotechnology Institute (1998–2012), and the Life Sciences Foundation (2014–its 

merger with the Chemical Heritage Foundation in 2015)

• 

Awarded the CLS Pantheon 2016 Life Sciences Leadership Award

B.S. in Business Administration from the Haas School at University of California, Berkeley and Certified Public Accountant (inactive)

Leon Oliver Moulder, Jr. (“Mr. Leon O. Moulder, Jr.”)

Independent Director

Age

65

Director Since

Board Committees

Other Public Company Boards

2020

Nominating and Corporate Governance, 

Trevena, Inc. (NASDAQ)

Chair

Commercial

Compensation

Mr.  Leon  O.  Moulder,  Jr.  brings  to  the  Board  significant  operational  and  senior  management  experience  in  the  biopharmaceutical 

industry as well as extensive experience as a director on public and private boards in the industry.

Key Experience and Qualifications

• 

• 

• 

• 

• 

• 

Founder and Managing Member of Tellus BioVentures, LLC, a life sciences investment fund (March 2019–Present) 

Member of the Board of Directors of Trevena, Inc. (2011–Present), serving as Chairman since 2013

Member of the Board of Directors of the Helsinn Group (January 2020–Present) 

Co-Founder, Chief Executive Officer, and Member of the Board Directors of Tesaro, Inc. (NASDAQ) (May 2010–its acquisition by 

GSK plc in January 2019)

President, Chief Executive Officer, and Vice Chairman of the Board of Directors of Abraxis BioScience, Inc. (NASDAQ) (2009–2010) 

Vice Chairman of the Board of Directors of Eisai Corporation of North America, a research-based pharmaceutical company and 

wholly owned subsidiary of Eisai Co., Ltd. (2008–2009)

183

DIRECTORS AND SENIOR MANAGEMENT• 

President,  Chief  Executive  Officer,  and  Member  of  the  Board  of  Directors  of  MGI  PHARMA,  Inc.  (2003–its  acquisition  by  Eisai 

Corporation  of  North  America  in  2008),  after  serving  as  President  and  Chief  Operating  Officer  (2002–2003)  and  Executive 

Vice President (1999–2002)

• 

Temple University Trustee (January 2013–Present), Council Member for the University of Chicago Booth School of Business and 

the Polsky Center for Entrepreneurship and Innovation (June 2016–Present), and Board Member of the Fox Chase Cancer Center 

(March 2013–Present)

• 

MBA from The University of Chicago Booth School of Business and B.S. in Pharmacy from Temple University

Michel Pericles Vounatsos (“Mr. Michel Vounatsos”)

Independent Director

Age

61

Director Since

2023

Board Committees

Commercial, Chair 

Research and Development

Other Public Company Boards

PerkinElmer, Inc. (NYSE)

The  Board,  upon  the  recommendation  of  the  Nominating  and  Corporate  Governance  Committee,  appointed  Mr.  Michel  Vounatsos 

to  the  Board,  effective  January  7,  2023.  Mr.  Michel  Vounatsos  was  recommended  to  the  Nominating  and  Corporate  Governance 

Committee  by  our  Chairperson  and  Chief  Executive  Officer  and  our  Chief  Legal  Officer  in  light  of  his  experience,  our  corporate 

priorities,  and  the  needs  of  the  Board.  He  brings  to  the  Board  extensive  global  leadership  and  management  experience  in  the 

biopharmaceutical  industry,  including  more  than  25  years  of  service  at  leading  companies.  His  expertise  includes  significant 

commercial experience in China and worldwide in the areas of primary care and neuroscience.

Key Experience and Qualifications

• 

Chief  Executive  Officer  and  Member  of  the  Board  of  Directors  of  Biogen  Inc.  (NASDAQ)  (January  2017–November  2022),  after 

serving as Executive Vice President and Chief Commercial Officer (2016) 

• 

Member of the Board of Directors and Audit Committee of PerkinElmer, Inc. (March 2020–Present) and Chair of the Nominating 

and Corporate Governance Committee (October 2022–Present)

• 

Various  roles  of  increasing  responsibility  at  Merck  &  Co.  (1996–2016),  including  President,  Primary  Care  &  Merck  Customer 

Centricity  (2014–2016),  President,  Merck  Customer  Centricity  (2012–2014),  President  of  MSD  China  (2008–2012),  and  other 

leadership positions across Europe (1996–2008)

184

DIRECTORS AND SENIOR MANAGEMENT• 

Member  of  the  Advisory  Board  of  Tsinghua  University  School  of  Pharmaceutical  Sciences  in  Beijing,  China  (December  2020–

Present) and Chairman of the Supervisory Board of Liryc, the Electrophysiology and Heart Modeling Institute at the University of 

Bordeaux (May 2019–Present)

• 

MBA  from  HEC  School  of  Management  in  Paris,  France  and  Certificate  of  Clinical  and  Therapeutic  Synthesis  in  Medicine  from 

Université Victor Segalen, Bourdeaux II, France

Peter Karl Wirth (“Mr. Peter Wirth”)

Independent Director

Age

72

Director Since

Board Committees

Other Public Company Boards

2017

Compensation, Chair

Syros Pharmaceuticals, Inc. (NASDAQ)

Audit

Mr.  Peter  Wirth  brings  to  the  Board  expertise  in  corporate  governance  and  significant  experience  in  corporate  strategy,  product 

development, business development, and the legal issues relating to the operation of a global biopharmaceutical company.

Key Experience and Qualifications

• 

• 

• 

• 

• 

Venture Partner at Quan Capital Management, LLC, a global venture capital firm (August 2018–Present) 

Chairman of the Board of Directors at Syros Pharmaceuticals, Inc. (2017–Present)

Chairman of the Board of Directors of FORMA Therapeutics Holdings, Inc. (NASDAQ) (2012–its acquisition by Novo Nordisk A/S in 

October 2022)

Co-Founder, President, and Member of the Board of Directors of Lysosomal Therapeutics, Inc. (2011–2014) 

Various  senior  executive  roles  at  Genzyme  Corporation  (1996–its  acquisition  by  Sanofi-Aventis  SA  in  2011),  most  recently  as 

Executive Vice President, Legal and Corporate Development, Chief Risk Officer, and Corporate Secretary

• 

Partner  at  Palmer  &  Dodge  LLP,  where  he  was  head  of  the  firm’s  biotechnology  practice  group  and  served  as  outside  general 

counsel for Genzyme and a number of other biotechnology companies (1975–1996)

• 

J.D. from Harvard Law School and B.A. in Political Science from the University of Wisconsin at Madison

185

DIRECTORS AND SENIOR MANAGEMENTSENIOR MANAGEMENT

The  following  table  sets  forth  the  name,  age,  and  position  of  each  of  our  senior  management  as  of  April  1,  2023,  other  than 

Dr. Samantha Du, who is included above as an executive Director: 

Name

Age

Position(s)

Samantha (Ying) Du

Billy Cho

Rafael G. Amado

F. Ty Edmondson

Harald Reinhart

Joshua Smiley

58

45

59

57

71

53

Founder, Chairperson, and Chief Executive Officer

Chief Financial Officer

President, Head of Global Oncology Research and Development

Chief Legal Officer

President, Head of Global Development, Neuroscience, Autoimmune and 

 Infectious Diseases

President, Chief Operating Officer

Biographical information for our senior management as of April 1, 2023 is set forth below:

Billy  Cho,  M.B.A.,  M.A.  (“Mr.  Cho”)  joined  our  Company  as  Chief  Financial  Officer  in  March  2018.  Prior  to  joining  our  Company, 

Mr.  Cho  served  as  Managing  Director  and  Head  of  Asia  Healthcare  Investment  Banking  at  Citigroup.  Based  in  Hong  Kong  since 

2011,  Mr.  Cho  was  responsible  for  healthcare  client  coverage  at  Citigroup  across  the  Asia  Pacific  region  and  led  many  biopharma 

transactions  in  China,  including  Zai  Lab’s  U.S.  initial  public  offering.  Prior  to  this,  he  was  based  in  New  York  in  healthcare  M&A 

investment banking and also spent time in corporate development for a pharmaceutical services company. Mr. Cho started his career 

at  Ernst  &  Young  LLP  performing  financial  audits  of  U.S.-based  healthcare  companies.  Mr.  Cho  earned  an  MBA.  from  the  Wharton 

School of the University of Pennsylvania, an M.S. in Accounting from the University of Virginia, and a B.S. in Business Administration 

from the University of Southern California’s Marshall School of Business. 

Rafael G. Amado (“Dr. Amado”) joined our Company as President, Global Oncology Research and Development in December 2022. 

Dr.  Amado  joined  Zai  Lab  from  Allogene  Therapeutics,  Inc.,  where  he  had  served  as  Executive  Vice  President,  Head  of  Research 

and  Development  and  Chief  Medical  Officer  since  September  2019.  Prior  to  Allogene,  he  served  as  President  of  Research  and 

Development and Chief Medical Officer of Adaptimmune, LLC from August 2018 to July 2019 and as Chief Medical Officer from March 

2015  to  July  2018.  In  these  roles,  he  was  responsible  for  directing  discovery  and  clinical  development  strategy  as  well  as  execution 

activities  for  several  gene-engineered  cell  therapies,  chairing  the  R&D  leadership  team  and  providing  medical  guidance  for  pipeline 

prioritization.  Prior  to  Adaptimmune,  Dr.  Amado  held  various  roles  of  increasing  responsibility  at  GlaxoSmithKline  from  2008  to 

2015, most recently as Senior Vice President and Global Head of Oncology Research and Development, and at Amgen Inc. from 2003 

to 2008, where he was last Executive Director of Clinical Research and Global Development in Therapeutic Oncology. In these roles, 

he  has  been  instrumental  in  the  development  of  multiple  medicines  across  therapeutic  modalities.  Prior  to  joining  Amgen,  he  held 

academic roles at the University of California, Los Angeles (UCLA) in the Department of Medicine, Division of Hematology/Oncology. 

Dr.  Amado  received  an  M.D.  from  the  University  of  Seville  School  of  Medicine  in  Seville,  Spain  and  completed  his  internship  and 

residency in Internal Medicine at the Michael Reese Hospital and Medical Center and a fellowship in Hematology/Oncology at UCLA.

186

DIRECTORS AND SENIOR MANAGEMENTF. Ty Edmondson (“Mr. Edmondson”) joined our Company as Chief Legal Officer in August 2020. Mr. Edmondson joined our company 

from  Biogen  Inc.  where  he  served  in  various  legal  and  compliance  roles  during  his  tenure  beginning  in  2014,  including  Senior  Vice 

President, Chief Corporation Counsel, and Assistant Secretary from November 2019 to August 2020 and in several roles of increasing 

responsibility, including Chief Compliance Officer, Chief Commercial Counsel, Chief International Counsel, and Chief US Counsel from 

August 2014 to November 2019. Prior to Biogen, Mr. Edmondson served as Vice President, Associate General Counsel, and Corporate 

Secretary  for  Sepracor  Inc.  from  2005  until  its  acquisition  by  Sumitomo  Dainippon  Pharma  Co.,  Ltd.  in  2010.  He  then  served  with 

Sumitomo  in  various  senior  legal  and  compliance  roles  in  Japan,  China,  and  the  United  States  until  August  2014.  Before  Sumitomo, 

Mr. Edmondson served in various legal roles with life sciences companies with a focus on international and U.S. FDA work, including 

Eisai,  Inc.  from  2004  to  2005,  Boston  Scientific  from  1999  to  2004,  and  Bristol-Myers  Squibb  from  1997  to  1999.  Before  his  work  in 

the  life  sciences  industry,  he  was  an  associate  with  the  admiralty  law  firm,  Royston  Rayzor  in  Houston,  Texas  from  1993  to  1997. 

Mr. Edmondson received a B.A. in History from Washington & Lee University and a J.D. from the Widener University School of Law.

Harald Reinhart. M.D. (“Dr. Reinhart”) joined our Company in 2017 and currently serves as President, Head of Global Development, 

Neuroscience, Autoimmune and Infectious Diseases. He is Adjunct Clinical Professor of infectious diseases at Yale School of Medicine. 

Prior  to  joining  the  Company,  Dr.  Reinhart  worked  at  Shionogi  US  from  2011  to  2013  as  the  US  Head  of  Clinical  Development  and 

Medical Affairs, directing a broad portfolio of drug candidates in anti-infectives, diabetes, allergy, GI, and pain medications. He guided 

several compounds through regulatory meetings and obtained approval for ospemifene. Between 2003 and 2010, he held increasingly 

senior roles at Novartis where he oversaw successful filings of SNDAs and NDAs for Coartem, Famvir, Sebivo, and Cubicin and managed 

global clinical development groups for infectious disease, immunity, transplantation, and renal disease. At NIBR (Novartis Institutes for 

Biomedical Research), he supervised the transitioning of research projects into clinical development. From 1991 until 2003, he worked 

as the International Clinical Project Manager in charge of ciprofloxacin and acarbose at Bayer Corp. with several successful SNDAs and 

approvals. Dr. Reinhart holds a medical degree from the University of Würzburg in Germany where he trained in anesthesiology. He 

completed his medical specialty training in the United States with board-certifications in internal medicine and infectious diseases. He 

has been a Yale faculty member since 1992.

Joshua  Smiley  (“Mr.  Smiley”)  was  appointed  in  March  2022  as  our  Chief  Operating  Officer,  effective  in  August  2022  following  the 

completion of his leave with his prior employer, and was promoted to President, Chief Operating Officer in April 2023. Mr. Smiley is 

responsible  for  our  corporate  strategy  and  for  overseeing  our  commercial,  manufacturing,  business  development,  finance,  human 

resources,  information  technology,  and  corporate  affairs  functions.  Mr.  Smiley  brings  to  the  Company  over  26  years  of  experience 

working in the biopharmaceutical industry, including experience leading finance, corporate strategy, business development, venture 

capital,  and  global  business  services  operations.  Prior  to  joining  the  Company,  Mr.  Smiley  worked  for  Eli  Lilly  and  Company  (“Lilly”) 

from 1995 to March 2022. While at Lilly, he held various global leadership roles with responsibility over finance, corporate strategy, 

business development, and capital markets activities, including Senior Vice President and Chief Financial Officer from January 2018 to 

February 2021. Prior to joining Lilly, he worked in investment banking and consulting. Mr. Smiley earned a B.A. in History from Harvard 

University.

187

DIRECTORS AND SENIOR MANAGEMENTDISCLOSURE OF CHANGES IN DIRECTORS’ INFORMATION PURSUANT TO RULE 
13.51B(1) OF THE HK LISTING RULES

Upon specific inquiry by the Company and following confirmations from Directors, except as disclosed hereunder, there is no change 

in information of the Directors required to be disclosed pursuant to Rule 13.51B(1) of the HK Listing Rules during the Reporting Period. 

The changes in Directors’ information are set out below:

Directors

Dr. John Diekman

Changes in Positions held with the Company

Appointed as Lead Independent Director and stepped down as Chairperson of the Audit 

Committee and continued to serve as a member of the Audit Committee, effective July 22, 

2022; 

Elected as member of the Compensation Committee (in replacement of Ms. Nisa Leung), 

effective October 19, 2022;

Mr. Scott W. Morrison

Appointed as Chairperson the Audit Committee, effective July 22, 2022;

Ms. Nisa Leung

Ceased to be a member of Compensation Committee, effective October 19, 2022.

188

DIRECTORS AND SENIOR MANAGEMENTThe Board is pleased to present the annual report and the audited financial statements of the Company for the Reporting Period.

GENERAL INFORMATION

The Company was incorporated in the Cayman Islands on March 28, 2013 as an exempted limited liability company under the laws of 

the Cayman Islands. The Company’s Shares have been listed on the Main Board of the HKEX since September 28, 2020 under the stock 

code 9688. The Company’s ADSs have been listed on the NASDAQ Global Market since September 20, 2017 under the symbol “ZLAB”. 

The  Company  completed  its  voluntary  conversion  from  secondary  listing  status  to  primary  listing  status  on  the  Hong  Kong  Stock 

Exchange, effective June 27, 2022.

PRINCIPAL ACTIVITIES

We  are  a  patient-focused,  innovative,  commercial-stage,  global  biopharmaceutical  company  with  a  substantial  presence  in  both 

Greater China and the United States. We are focused on discovering, developing, and commercializing products that address medical 

conditions with significant unmet needs in the areas of oncology, autoimmune disorders, infectious diseases, and neuroscience. We 

intend to leverage our competencies and resources to positively impact human health in Greater China and worldwide. We currently 

have  four  commercial  products  that  have  received  marketing  approval  in  one  or  more  territories  in  Greater  China  and  thirteen 

programs in late-stage product development.

BUSINESS REVIEW

The  business  review  of  the  Company  for  the  Reporting  Period  is  set  out  in  the  sections  of  Business,  Risk  Factors,  Chairperson’s 

Statement, Financial Summary, Management Discussion and Analysis, and the Company’s 2022 ESG Report which will be published on 

the same date, and the paragraphs below.

SHARE CAPITAL

Details  of  movements  in  the  share  capital  of  the  Company  for  the  Reporting  Period  are  set  out  in  the  consolidated  statements  of 

shareholders’ equity. 

SUBSIDIARIES

Particulars of the Company’s subsidiaries are set out in Note 1 to the consolidated financial statements.

FINANCIAL SUMMARY

A summary of the consolidated results and financial position of the Company is set out on page 152 of this annual report.

189

DIRECTORS’ REPORTRESULTS

The  results  of  the  Company  for  the  Reporting  Period  are  set  out  in  the  consolidated  statements  of  operations  on  page  246  of  this 

annual report.

MAJOR CUSTOMERS AND SUPPLIERS

During  the  Reporting  Period,  the  Company’s  sales  to  its  five  largest  customers  accounted  for  approximately  37.7%  of  the  Company’s 

product revenue and the Company’s single largest customer accounted for approximately 22.4% of the Company’s product revenue. For 

the year ended December 31, 2021, the Company’s sales to its five largest customers accounted for approximately 39.9% of the Company’s 

product revenue and the Company’s single largest customer accounted for approximately 21.5% of the Company’s product revenue. 

For  the  Reporting  Period  and  the  year  ended  December  31,  2021,  the  five  largest  suppliers  of  the  Company  accounted  for 

approximately 29.1% and 50.9% of the Company’s total purchases, respectively, while the largest supplier of the Company accounted 

for approximately 8.1% and 25.0% of the Company’s total purchases, respectively.

During the Reporting Period, none of our Directors, their close associates or any of our shareholders, who, to the knowledge of our 

Directors, owns more than 5% of our issued share capital had any interest in any of the above customers or suppliers. 

ENVIRONMENTAL POLICIES AND PERFORMANCE

The  Company  is  committed  to  doing  its  part  to  protect  the  environment,  including  by  minimizing  the  environmental  footprint  from 

its operations. Details of this commitment, and the steps we are taking in response, will be set out in the Company’s 2022 ESG Report 

to be published. Please refer to the Company’s 2022 ESG Report by accessing the website of the Hong Kong Stock Exchange and the 

Company’s website at https://ir.zailaboratory.com under section “Financials & Filings — HKEX Announcements & Notices” (or via the 

link https://ir.zailaboratory.com/financials-filings/hkex-announcements-notices).

COMPLIANCE WITH THE RELEVANT LAWS AND REGULATIONS

During the Reporting Period, as far as the Board is aware, the Company has complied with the relevant laws and regulations that have 

a significant impact on the Company in all material respects.

IMPORTANT EVENTS AFTER THE REPORTING PERIOD

There is no important event subsequent to December 31, 2022 and up to the Latest Practicable Date. 

190

DIRECTORS’ REPORTPRINCIPAL RISKS AND UNCERTAINTIES

The  summary  below  provides  an  overview  of  material  risks  that  could  affect  our  business,  financial  condition,  results  of  operations, 

cash flows, and prospects, which should be read in conjunction with the more detailed discussion of Risk Factors. 

• 

• 

Uncertainties in the Chinese legal system could materially and adversely affect us;

Changes in United States and China relations, as well as relations with other countries, and/or regulations may adversely impact 

our business, our operating results, our ability to raise capital, and the market price of our ordinary shares and/or our ADSs;

• 

The Chinese government may intervene in or influence our operations at any time, which could result in a material change in our 

operations and significantly and adversely impact the value of our ADSs and ordinary shares, including potentially making those 

ADSs or ordinary shares worthless;

• 

Proceedings  brought  by  the  SEC  against  China-based  accounting  firms  could  result  in  our  inability  to  file  future  financial 

statements in compliance with the requirements of the Exchange Act;

• 

Compliance  with  China’s  Data  Security  Law,  Cyber  Security  Law,  Cybersecurity  Review  Measures,  Personal  Information 

Protection Law, the Regulation on the Administration of Human Genetic Resources, the Biosecurity Law, and any other future 

laws and regulations may entail significant expenses and could materially affect our business. Our failure to comply with such 

laws and regulations could lead to government enforcement actions and significant penalties against us, which could materially 

and adversely impact our operating results;

• 

The  economic,  political,  and  social  conditions  in  mainland  China,  as  well  as  governmental  policies,  could  affect  the  business 

environment  and  financial  markets  in  mainland  China,  our  ability  to  operate  our  business,  our  liquidity,  and  our  access  to 

capital;

• 

If  the  Chinese  government  determines  that  our  corporate  structure  does  not  comply  with  Chinese  regulations,  or  if  Chinese 

regulations change or are interpreted differently in the future, the value of our ADSs or ordinary shares may decline in value or 

become worthless;

• 

The approval of, filing, or other procedures with the CSRC or other Chinese regulatory authorities may be required in connection 

with issuing securities to foreign investors under Chinese law, and, if required, we cannot predict whether we will be able, or 

how long it will take us, to obtain such approval or complete such filing or other procedures;

191

DIRECTORS’ REPORT• 

We may be exposed to liabilities under the FCPA and Chinese anti-corruption laws, and any determination that we have violated 

these laws could have a material adverse effect on our business or our reputation;

• 

• 

Restrictions on currency exchange may limit our ability to receive and use financing in foreign currencies;

We  may  rely  on  dividends  and  other  distributions  on  equity  paid  by  our  Chinese  subsidiaries  to  fund  any  cash  and  financing 

requirements we may have, and any limitation on the ability of our Chinese subsidiaries to make payments to us could have a 

material and adverse effect on our ability to conduct our business;

• 

Chinese  regulations  relating  to  the  establishment  of  offshore  special  purpose  companies  by  residents  in  mainland  China  may 

subject our China resident beneficial owners or our wholly foreign-owned subsidiaries in mainland China to liability or penalties, 

limit  our  ability  to  inject  capital  into  these  subsidiaries,  limit  these  subsidiaries’  ability  to  increase  their  registered  capital  or 

distribute profits to us, or may otherwise adversely affect us;

• 

Chinese  regulations  establish  complex  procedures  for  some  acquisitions  of  mainland  China  based  companies  by  foreign 

investors, which could make it more difficult for us to pursue growth through acquisitions in mainland China;

• 

Chinese manufacturing facilities have historically experienced issues operating in line with established GMPs and international 

best  practices,  and  passing  FDA,  NMPA,  and  EMA  inspections,  which  may  result  in  a  longer  and  costlier  current  GMP 

inspection and approval process by the FDA, NMPA, or EMA for our Chinese manufacturing processes and third-party contract 

manufacturers;

• 

Our business benefits from certain financial incentives and discretionary policies granted by local governments. Expiration of, or 

changes to, these incentives or policies would have an adverse effect on our results of operations;

• 

• 

It may be difficult for overseas regulators to conduct investigations or collect evidence within mainland China;

If  we  are  classified  as  a  Chinese  resident  enterprise  for  Chinese  income  tax  purposes,  such  classification  could  result  in 

unfavorable tax consequences to us and our non-Chinese shareholders or ADS holders;

• 

We and our shareholders face uncertainties in mainland China with respect to indirect transfers of equity interests in Chinese 

resident enterprises;

• 

Any  failure  to  comply  with  Chinese  regulations  regarding  the  registration  requirements  for  our  employee  equity  incentive 

plans  may  subject  us  to  fines  and  other  legal  or  administrative  sanctions,  which  could  adversely  affect  our  business,  financial 

condition, and results of operations;

• 

Certain of our investments may be subject to CFIUS review, which may delay or block a transaction from closing;

192

DIRECTORS’ REPORT• 

Changes  in  United  States  and  international  trade  policies  and  relations,  particularly  with  regard  to  mainland  China,  may 

adversely impact our business and operating results;

• 

• 

It may be difficult to enforce against us or our management in mainland China any judgments obtained from foreign courts;

Any inability to renew our current leases on desirable terms or otherwise locate desirable alternatives for our leased properties 

could materially and adversely affect our business;

• 

We have incurred significant losses since our inception and anticipate that we will continue to incur losses in the future. To date, 

we have not generated sufficient revenue from product sales to cover corresponding expenses, and we may never achieve or 

sustain profitability;

• 

We are invested in the commercial success of our approved products, and our ability to generate product revenues in the near 

future is highly dependent on the commercial success of these products;

• 

We  rely  on  third  parties  to  conduct  our  pre-clinical  and  clinical  trials.  If  these  third  parties  do  not  successfully  carry  out  their 

contractual  duties  or  meet  expected  deadlines,  we  may  not  be  able  to  obtain  regulatory  approval  for  or  commercialize  our 

products or product candidates, and our business could be substantially harmed;

• 

If we are unable to obtain and maintain patent protection for our products and product candidates through intellectual property 

rights, or if the scope of such intellectual property rights obtained is not sufficiently broad, third parties may compete directly 

against us;

• 

If we fail to maintain proper internal financial reporting controls, our ability to produce accurate financial statements or comply 

with applicable regulations could be impaired; and

• 

The effects of the COVID-19 pandemic, including increased infection rates and any government actions and lockdown measures 

taken in response, particularly in mainland China, could materially and adversely affect us.

USE OF NET PROCEEDS

Use of Net Proceeds from April 2021 Offering

In  April  2021,  the  Company  issued  224,000  ordinary  shares  (2,240,000  ordinary  shares  after  the  Share  Subdivision)  of  the  Company 

at  a  price  of  HK$1,164.20  per  share  (HK$116.42  per  share  after  the  Share  Subdivision)  and  5,492,400  ADSs  at  a  price  of  US$150.00 

per  ADS  for  aggregate  cash  consideration  (before  deducting  underwriting  discounts  and  commissions  and  other  offering  expenses) 

of  approximately  $857.5  million.  See  Note  2(a)  to  the  consolidated  financial  statements  for  additional  information  on  the  Share 

Subdivision.

193

DIRECTORS’ REPORTAs  of  the  Latest  Practicable  Date,  there  has  been  no  change  in  the  intended  use  of  net  proceeds  raised  from  this  offering,  which 

amounted to approximately $818.0 million, as disclosed in the announcement of the Company dated April 21, 2021:

• 

• 

• 

• 

• 

approximately 30% of the net proceeds to fund new business and corporate development and licensing opportunities;

approximately 30% of the net proceeds to complete clinical trials and advance new drug candidates;

approximately 20% of the net proceeds to expand the Company’s commercialization efforts;

approximately 15% of the net proceeds to enhance the Company’s global pipeline; and

approximately 5% of the net proceeds for working capital and other general corporate purposes.

The  following  table  sets  forth  a  summary  of  the  utilization  of  the  net  proceeds  from  this  offering  as  of  December  31,  2022  ($  in 

millions):

Purpose

fund new business and corporate development and 

 licensing opportunities

complete clinical trials and advance new drug 

 candidates

expand the Company’s commercialization efforts

enhance the Company’s global pipeline

working capital and other general corporate 

 purposes

Total

Percentage to 
total amount

Net proceeds 
from the offering

30%

30%

20%

15%

5%

100%

245.4

245.4

163.6

122.7

40.9

818.0

Actual use of 
proceeds up to 
December 31, 
2022

Unutilized 
amount as of 
December 31, 
2022

—

245.4

 135.8 

 93.4 

—

—

 229.2 

 109.6 

 70.2 

 122.7 

 40.9 

 588.8 

The  Company  plans  to  gradually  utilize  the  remaining  net  proceeds  in  accordance  with  such  intended  purpose  depending  on  actual 

business, which is expected to be fully utilized by the end of 2025.

194

DIRECTORS’ REPORTUse of Net Proceeds from the Global Offering

Dealings  in  ordinary  shares  on  the  Hong  Kong  Stock  Exchange  commenced  on  September  28,  2020.  The  net  proceeds  raised  from 

the global offering (“Global Offering”) as described in the prospectus of the Company dated September 17, 2020 (the “Prospectus”), 

after deduction of the underwriting fees and commissions and other estimated expenses payable by the Company in connection with 

the Global Offering, were approximately HK$6,636.2 ($850.8 million). As of the Latest Practicable Date, being latest practicable date 

prior to the issue of this annual report, there has been no change in the intended use of net proceeds and the expected timeline as 

previously disclosed in the section “Use of Proceeds” in the Prospectus. The net proceeds received by the Company from the Global 

Offering will be used for the following purposes:

• 

approximately 16.0% will be allocated for ZEJULA to seek indication expansion and hire high-caliber R&D staff dedicated to its 

development, and to develop and improve the Company’s manufacturing facilities to bring ZEJULA to commercialization;

• 

approximately  6.2%  will  be  used  to  fund  ongoing  and  planned  clinical  trials  and  preparation  for  registration  filings  of  Tumor 

Treating Fields in multiple solid tumor cancer indications;

• 

approximately  16.0%  will  be  used  for  ZEJULA  to  enhance  the  Company’s  commercialization  capabilities  through  increasing  its 

sales and marketing headcounts, among other efforts;

• 

approximately 8.0% will be used to strengthen commercialization efforts for Tumor Treating Fields through recruiting key talents 

in relevant indications to drive sales and future potential product launch;

• 

approximately  11.8%  will  be  used  to  fund  the  Company’s  ongoing  and  planned  clinical  trials  and  preparation  for  registration 

filings of other drug candidates in the pipeline, especially late-stage drug candidates;

• 

approximately 25.0% will be used to explore new global licensing and collaboration opportunities and bring in potentially global 

best-in-class/first-in-class  assets  with  clinical  validation,  synergistic  with  the  Company’s  current  pipeline,  and  aligned  to  its 

expertise;

• 

approximately 7.0% will be used to continue investing in and expanding the Company’s internal discovery pipeline and recruit 

and train talent globally; and

• 

approximately 10.0% will be used to fund working capital and other general corporate purposes.

195

DIRECTORS’ REPORTThe following table presents a summary of the utilization of the net proceeds from the Global Offering as of December 31, 2022 ($ in 

millions):

Purpose

for ZEJULA to seek indication expansion and 

hire high-caliber R&D staff dedicated to its 

development, and to develop and improve the 

Company’s manufacturing facilities to bring 

Percentage to 
total amount

Net proceeds 
from the offering

Actual use of 
proceeds up to 
December 31, 
2022

Unutilized 
amount as of 
December 31, 
2022

ZEJULA to commercialization

16.0%

136.1

 56.9 

 79.2 

fund ongoing and planned clinical trials and 

preparation for registration filings of Tumor 

Treating Fields in multiple solid tumor cancer 

indications

6.2%

52.7

 18.8 

 33.9 

for ZEJULA to enhance the Company’s 

commercialization capabilities through increasing 

its sales and marketing headcounts, among other 

efforts

16.0%

136.1

 96.3 

 39.8 

strengthen commercialization efforts for Tumor 

Treating Fields through recruiting key talents 

in relevant indications to drive sales and future 

potential product launch

8.0%

68.1

 42.8 

 25.3 

fund the Company’s ongoing and planned clinical 

trials and preparation for registration filings of 

other drug candidates in the pipeline, especially 

late-stage drug candidates

11.8%

100.4

 100.4 

—

explore new global licensing and collaboration 

opportunities and bring in potentially global best-

in-class/first-in-class assets with clinical validation, 

synergistic with the Company’s current pipeline 

and aligned to its expertise

25.0%

212.7

 168.3 

 44.4 

continue investing in and expanding the Company’s 

internal discovery pipeline and recruit and train 

talent globally

7.0%

59.6

 23.0 

 36.6 

fund working capital and other general corporate 

purposes

Total

10.0%

100%

85.1

850.8

 54.4 

 560.9 

 30.7 

 289.9 

196

DIRECTORS’ REPORTThe  Company  plans  to  gradually  utilize  the  remaining  net  proceeds  in  accordance  with  such  intended  purpose  depending  on  actual 

business, which is expected to be fully utilized by the end of 2025.

DIVIDEND POLICY AND RESERVES

We  have  never  declared  or  paid  dividends  on  our  ordinary  shares.  We  currently  expect  to  retain  all  future  earnings  for  use  in  the 

operation  and  expansion  of  our  business  and  do  not  have  any  present  plan  to  pay  any  dividends.  The  declaration  and  payment  of 

any dividends in the future will be determined by our Board in its discretion, and will depend on a number of factors, including our 

earnings, capital requirements, overall financial condition, and contractual restrictions.

The Board did not recommend any final dividend for the Reporting Period.

The  Company  did  not  have  any  reserves  available  for  distribution  to  shareholders  as  of  December  31,  2022.  Details  of  movements 

in  the  reserves  of  the  Company  and  Zai  Lab  Limited  during  the  Reporting  Period  are  set  out  in  the  consolidated  statements  of 

shareholders’ equity on pages 248 and 297 of this annual report, respectively.

PROPERTY AND EQUIPMENT

Details of movements in the property, plant and equipment of the Company during the Reporting Period are set out in Note 9 to the 

consolidated financial statements.

BORROWINGS

The Company did not have any borrowings from banks or any other financial institutions during the Reporting Period.

DONATION

During  the  Reporting  Period,  the  Company  made  charitable  donations  of  approximately  $22.0  million  (2021:  approximately 

$9.0 million).

DEBENTURE ISSUED

The Company did not issue any debentures during the Reporting Period.

197

DIRECTORS’ REPORTEQUITY-LINKED AGREEMENTS

Except as disclosed in the section headed “Equity Incentive Plans”, Note 17 to the consolidated financial statements and the section 

headed  “Collaboration  and  License  Agreement  with  argenx  BV  (“argenx”)  (Efgartigimod)”  in  Note  18  to  the  consolidated  financial 

statements, no equity-linked agreements were entered into by the Company or existed during the Reporting Period.

DIRECTORS

The Directors who held office during the Reporting Period and up to the Latest Practicable Date are:

Executive Director

Dr. Samantha Du (Chairperson and Chief Executive Officer)

Independent Directors

Dr. Kai-Xian Chen

Dr. John Diekman (appointed as Lead Independent Director on July 22, 2022) 

Ms. Nisa Leung

Mr. William Lis

Mr. Leon O. Moulder, Jr.

Mr. Peter Wirth

Mr. Scott W. Morrison

Richard Gaynor, M.D.

Mr. Michel Vounatsos (appointed on January 7, 2023)

For  the  Reporting  Period,  the  Company  has  received  from  each  of  the  independent  non-executive  Directors  an  annual  confirmation 

of  independence  pursuant  to  Rule  3.13  of  the  HK  Listing  Rules  and  considers  each  of  the  independent  non-executive  Directors  are 

independent.

BOARD OF DIRECTORS AND SENIOR MANAGEMENT

Biographical details of the Directors and senior management of the Company are set out in “Directors and Senior Management” above 

in this annual report.

198

DIRECTORS’ REPORTEMOLUMENT POLICY AND DIRECTORS’ REMUNERATION

Director Remuneration

The remunerations of the directors are determined pursuant to our non-employee director compensation policy.

For  2022,  each  member  of  the  Board  who  is  not  an  employee  of  the  Company  or  one  of  our  affiliates  was  entitled  to  the  following 

compensation under our non-employee director compensation policy: 

• 

• 

• 

• 

• 

• 

• 

• 

• 

Annual cash retainer of $50,000 for each non-employee director;

Additional annual cash retainer of $35,000 for the Lead Independent Director;

Additional annual cash retainer of $20,000 for the Audit Committee chair;

Additional annual cash retainer of $10,000 for each Audit Committee member;

Additional annual cash retainer of $15,000 for the Compensation Committee chair;

Additional annual cash retainer of $7,500 for each Compensation Committee member;

Additional annual cash retainer of $10,000 for the Nominating and Corporate Governance Committee chair;

Additional annual cash retainer of $5,000 for each Nominating and Corporate Governance Committee member;

Additional annual cash retainer of $10,000 for the Research and Development Committee chair through October 19, 2022, upon 

which date this retainer was increased to $15,000 in recognition of the time commitment of the committee and in consideration 

of market practices;

• 

Additional  annual  cash  retainer  of  $5,000  for  each  Research  and  Development  Committee  member  through  October  19, 

2022,  upon  which  date  this  retainer  was  increased  to  $7,500  in  recognition  of  the  time  commitment  of  the  committee  and  in 

consideration of market practices; and

• 

An annual grant of restricted shares under our 2022 Plan.

Our non-employee directors are also reimbursed by the Company for reasonable and customary expenses incurred in connection with 

attendance at board of director and committee meetings, in accordance with the Company’s policies. Dr. Samantha Du and Ms. Nisa 

Leung do not receive separate compensation for their service as directors.

Details  of  Directors’  remuneration  for  the  Reporting  Period  are  set  out  in  Note  23  to  the  consolidated  financial  statements, 

respectively.

199

DIRECTORS’ REPORTExecutive Remuneration

The Compensation Committee of the Board actively reviews and assesses our executive compensation program in light of the highly 

competitive employment environment; the challenge of recruiting, motivating, and retaining executives in an industry that generally 

has  longer  business  cycles  than  other  commercial  industries;  significant  risks  associated  with  success  in  our  industry;  and  evolving 

compensation  governance  and  best  practices.  In  evaluating  these  considerations,  the  Compensation  Committee  strives  to  act  in  the 

long-term  best  interests  of  the  Company  and  our  shareholders  and  believes  that  our  executive  compensation  program  is  strongly 

aligned with the long-term interests of our shareholders.

Details of the remuneration of the senior management of the Company by band, whose biographies are set out on pages 186 to 187 of 

this annual report for the Reporting Period are set out below:

Remuneration band

<$10,000(1)

$1,000,001-$2,000,000(2)

$3,000,001-$12,000,000

Notes:

Number of Individuals

1

1

4

(1) 

The remuneration of applicable member of senior management is calculated on pro-rata basis since he joined the Company from December 30, 2022;

(2) 

The remuneration of applicable member of senior management is calculated on pro-rata basis since he joined the Company from August 1, 2022.

For  more  details  about  share-based  compensation,  please  refer  to  the  section  headed  “Equity  Incentive  Plans”  and  Note  17  to  the 

consolidated financial statements contained in this annual report. 

Details of five highest paid individuals for the Reporting Period are set out in Note 24 to the consolidated financial statements.

Employee Remuneration Policy

The remuneration policy and package of our employees are periodically reviewed by the Compensation Committee of the Board. The 

packages  were  set  by  benchmarking  with  companies  in  similar  industries  and  companies  with  similar  complexity  and  size.  For  more 

details  about  employee  remuneration  policy,  please  refer  to  the  section  headed  “Employee  and  Remuneration  Policy”  contained  in 

this annual report. 

DIRECTORS’ SERVICE CONTRACTS

The  service  contract  entered  into  with  Dr.  Samantha  Du,  an  executive  Director,  Chairperson,  and  Chief  Executive  Officer  of  the 

Company, is determinable within one year, subject to payment of compensation in the sum of 18-month remuneration. 

Save as disclosed above, none of the Directors proposed for election or re-election at the 2023 annual general meeting of shareholders 

has a service contract with members of the Company that is not determinable by the Company within one year without payment of 

compensation, other than statutory compensation.

200

DIRECTORS’ REPORTDIRECTORS’ INTERESTS IN TRANSACTIONS, ARRANGEMENTS OR CONTRACTS OF 
SIGNIFICANCE

Except  as  disclosed  in  the  sections  headed  “Directors’  Service  Contracts”,  “Connected  Transactions  and  Continuing  Connected 

Transactions”, “Related Party Transaction” and Note 16 to the consolidated financial statements contained in this annual report, none 

of the Directors nor any entity connected with the Directors had a material interest, either directly or indirectly, in any transactions, 

arrangements or contracts of significance to which the Company or any of its subsidiaries was a party subsisting during or at the end of 

the Reporting Period.

PERMITTED INDEMNITY

Pursuant to our Sixth Restated Articles and subject to the applicable laws and regulations, every Director shall be indemnified and held 

harmless  out  of  the  assets  and  profits  of  the  Company  against  all  actions,  proceedings,  costs,  charges,  expense  losses,  damages  or 

liabilities which they or any of them may incur or sustain in or about the execution of their duty in their offices, other than by reason of 

such person’s dishonesty, willful default or fraud.

Such  permitted  indemnity  provision  has  been  in  force  for  the  Reporting  Period.  The  Company  has  taken  out  liability  insurance  to 

provide appropriate coverage for the Directors.

MANAGEMENT CONTRACTS

Except as disclosed in the section headed “Directors’ Service Contracts” in this annual report, no contract concerning the management and 

administration of the whole or any substantial part of the business of the Company was entered into or existed during the Reporting Period.

DIRECTORS’ RIGHTS TO ACQUIRE SHARES OR DEBENTURES

Except as disclosed in this annual report, at no time during the Reporting Period was the Company or any of its subsidiaries a party to 

any arrangements to enable the Directors to acquire benefits by means of the acquisition of shares in, or debentures of the Company 

or  any  other  body  corporate;  and  none  of  the  Directors,  or  any  of  their  spouse  or  children  under  the  age  of  18,  had  any  right  to 

subscribe for equity or debt securities of the Company or any other body corporate, or had exercised any such right.

DIRECTORS’ INTERESTS IN COMPETING BUSINESS

During the Reporting Period, none of our Directors had any interest in a business, apart from the business of our Company, which competes 

or is likely to compete, directly or indirectly, with our business, which would require disclosure under Rule 8.10 of the HK Listing Rules.

201

DIRECTORS’ REPORTDIRECTORS’ AND CHIEF EXECUTIVE’S INTERESTS AND SHORT POSITIONS IN 
SHARES AND UNDERLYING SHARES AND DEBENTURES OF THE COMPANY OR 
ANY OF ITS ASSOCIATED CORPORATIONS

As  of  December  31,  2022,  so  far  as  was  known  to  the  Directors  and  chief  executive  of  the  Company,  the  interests  and  short  positions 

of the Directors and chief executive of the Company in the Shares, underlying Shares, and debentures of the Company or its associated 

corporations within the meaning of Part XV of the SFO, which were required to be (a) notified to the Company and the Hong Kong Stock 

Exchange pursuant to Divisions 7 and 8 of Part XV of the SFO (including interests and short positions which they had taken or were deemed 

to have under such provisions of the SFO); (b) recorded in the register required to be kept by the Company pursuant to Section 352 of the 

SFO; or (c) otherwise notified to the Company and the Hong Kong Stock Exchange pursuant to the Model Code were as follows:

Name of Director

Nature of interest

Number of Shares

Approximate  
percentage of holding(1)

Kaixian Chen

John David Diekman

Ying Du

Beneficial owner

Beneficial owner

Beneficial owner

Beneficiary of a trust (other than a 

 discretionary interest)

Other

Founder of a discretionary trust who 

 can influence how the trustee 

 exercises his discretion

Richard Brian Gaynor

Beneficial owner

William David Lis

Beneficial owner

Scott William Morrison

Beneficial owner

Leon Oliver Moulder Jr.

Beneficial owner

Peter Karl Wirth

Beneficial owner

Notes:

310,160

487,820
40,957,406(2)

7,897,924

3,061,410(3)
215,700(4)

89,120

287,640

73,450

216,150

3,427,630

0.03%

0.04%

4.18%

0.81%

0.31%

0.02%

0.01%

0.02%

0.01%

0.02%

0.35%

(1) 

These calculations are based on the total number of 979,087,430 Shares in issue as of December 31, 2022.

(2) 

Includes Dr. Samantha Du’s entitlements to receive up to (1) 36,847,250 Shares pursuant to share options granted to her and not yet exercised or expired, subject to any 

applicable conditions thereof; and (2) 3,659,750 Shares pursuant to other share awards granted to her and not yet vested, subject to any applicable conditions thereof. 

(3) 

3,061,410 Shares are held by certain other shareholders, including members of the Company’s management and their affiliates, who have granted to Dr. Samantha Du 

the right to vote their shares and for which Dr. Samantha Du may be deemed to have an “interest” based on her right to vote such Shares, however Dr. Samantha Du 

has no pecuniary interest therein. 

(4) 

These  Shares  are  held  by  Ying  Du  Revocable  Trust  for  the  benefit  of  Dr.  Samantha  Du,  of  which  Dr.  Samantha  Du  is  the  trustee  and  is  the  founder  having  power  to 

influence the exercise of the trustee’s discretion. 

All interests stated above are long positions.

202

DIRECTORS’ REPORTSUBSTANTIAL SHAREHOLDERS’ INTERESTS AND SHORT POSITIONS IN SHARES 
AND UNDERLYING SHARES

As  of  December  31,  2022,  so  far  as  was  known  to  the  Directors  and  chief  executive  of  the  Company  and  based  on  the  information 
filed with the Disclosure of Interest Online (DION) System, the following persons (other than the Directors and chief executive of the 
Company)  had  interests  and/or  short  positions  in  the  Shares  or  underlying  Shares  which  would  be  required  to  be  disclosed  to  the 
Company pursuant to Divisions 2 and 3 of Part XV of the SFO or recorded in the register required to be kept by the Company pursuant 
to Section 336 of the SFO:

Name of Substantial 

Capacity/nature  

Shareholders

of interest

FMR LLC(i)
Invesco Advisers, Inc.(ii)

Invesco Developing 
 Markets Fund(ii)

BAILLIE GIFFORD & 
 CO(iii)
Citigroup Inc.(iv)

Interest of corporation controlled by you

Investment manager

Person having a security interest in shares

Investment manager

Interest of corporation controlled by you

Person having a security interest in shares

Interest of corporation controlled by you

Interest of corporation controlled by you

Approved lending agent

JPMorgan Chase & Co.

Interest of corporation controlled by you

Interest of corporation controlled by you

Investment manager

Person having a security interest in shares

Trustee

Approved lending agent

Notes: 

(1) 

Long position (L)/ Short position (S)/ Lending pool (P)

Approximate  

Percentage of 

Shareholding in the 
Company(2) 

L/S/P(1) 

(L)

(L)

(L)

(L)

(L)

(L)

(L)

(S)

(P)

(L)

(S)

(L)

(L)

(L)

(P)

9.95%

8.34%

7.39%

0.41%

5.62%

0.00%

0.00%

0.00%

5.31%

2.84%

3.02%

0.31%

0.70%

0.00%

4.14%

Number of 

Shares held

97,435,464

81,677,890

72,447,310

405,906(3)
5,510,261(3)
500(3)(4)
31,314(3)(4)
4,202(3)(4)
5,200,946(3)(4)
27,802,555(5)
29,652,520(5)
3,074,300(5)
6,856,970(5)
20,950(5)
40,548,787(5)

(2) 

These calculations are based on the total number of 979,087,430 Shares in issue as of December 31, 2022.

(3) 

Following the Share Subdivision, the number of shares held before March 30, 2022 have been retrospectively adjusted to 10 times of its original ordinary shares held.

(4) 

According  to  the  corporate  substantial  shareholder  notice  regarding  the  relevant  event  dated  September  28,  2020  submitted  by  Citigroup  Inc.  to  Hong  Kong  Stock 

Exchange on October 5, 2020, an aggregated 5,232,760 Shares (long position), 4,202 Shares (short position), and 5,200,946 Shares (lending pool) of the Company are 

held by Citigroup Inc. indirectly through its certain subsidiaries. Among them, 5,080,573 Shares (long position) and 4,202 Shares (short position) are physically settled 

listed derivatives, and 137 Shares (long position) are cash settled unlisted derivatives.

203

DIRECTORS’ REPORT(5) 

According  to  the  corporate  substantial  shareholder  notice  regarding  the  relevant  event  dated  December  29,  2022  submitted  by  JPMorgan  Chase  &  Co.  to  Hong 

Kong  Stock  Exchange  on  January  3,  2023,  an  aggregated  78,303,562  Shares  (long  position),  29,652,520  Shares  (short  position),  and  40,548,787  Shares  (lending  pool) 

of  the  Company  are  held  by  JPMorgan  Chase  &  Co.  indirectly  through  its  certain  subsidiaries.  Among  them,  8,174,500  Shares  (long  position)  and  1,649,160  Shares 

(short position) are cash settled unlisted derivatives.

(i) 

According to the Schedule 13G/A filed by FMR LLC with the SEC on February 9, 2023 (https://www.sec.gov/Archives/edgar/data/315066/000031506623002150/filing.txt), as of 

December 31, 2022, it beneficially owned 91,917,195 ordinary shares of the Company, which accounted for 9.388% of the then issued share capital of the Company.

(ii) 

According  to  the  Schedule  13G  filed  by  Invesco  Ltd.  with  the  SEC  on  February  10,  2023  (https://www.sec.gov/Archives/edgar/data/914208/000091420823000246/

SEC13G_Filing.htm), as of December 31, 2022, it beneficially owned 82,310,360 ordinary shares of the Company. 

(iii) 

According  to  the  Schedule  13G  filed  by  Baillie  Gifford  &  Co  with  the  SEC  on  July  5,  2022  (https://www.sec.gov/Archives/edgar/data/1088875/000108887522000104/

ZaiLab30062022.txt), as of June 30, 2022, it beneficially owned 46,935,800 ordinary shares of the Company (which accounted for 4.79% of the then issued share capital 

of the Company).

(iv) 

According  to  the  Form  13F  filed  by  Citigroup  Inc  with  the  SEC  on  August  10,  2022  (https://www.sec.gov/Archives/edgar/data/831001/000083100122000127/

xslForm13F_X01/CITIGROUP_13F_HR_INFOTABLE.xml), as of 30 June 2022, it beneficially owned 124,365 ADSs of the Company. 

(v) 

According to the Schedule 13G/A jointly filed by Qiming Corporate GP IV, Ltd., Qiming Managing Directors Fund IV, L.P., Qiming GP IV, L.P., Qiming Venture Partners IV, 

L.P.,  and  QM11  Limited  with  the  SEC  on  February  14,  2023  (  https://www.sec.gov/Archives/edgar/data/1603597/000095010323002283/dp188767_sc13ga-4.htm),  as 

of December 31, 2022, QM 11 Limited beneficially owned 79,229,320 ordinary shares of the Company (after Share Subdivision), which accounted for 8.1% of the then 

issued share capital of the Company. 

Save as disclosed above and to the best knowledge of the Directors, as of December 31, 2022, we are not aware of any other person 
(other  than  the  Directors  or  the  chief  executive  of  the  Company  whose  interests  are  set  out  in  the  section  headed  “DIRECTORS’ 
INTERESTS  AND  SHORT  POSITIONS  IN  SHARES  AND  UNDERLYING  SHARES  AND  DEBENTURES  OF  THE  COMPANY  OR  ANY  OF  ITS 
ASSOCIATED  CORPORATIONS”  above)  who  had  an  interest  or  short  position  in  the  Shares  or  underlying  Shares  as  recorded  in  the 
register required to be kept by the Company pursuant to Section 336 of the SFO. 

EQUITY INCENTIVE PLANS

The Company has 3 equity incentive plans, namely the 2015 Plan, the 2017 Plan and the 2022 Plan. The 2022 Plan was adopted by the 
shareholders and took effect on June 27, 2022, the Primary Conversion Effective Date, and the Board determined that no new grants 
would be made under the 2015 Plan and the 2017 Plan thereafter. As at January 1, 2022, the 2022 Plan had not been adopted and the 
limit  on  the  number  of  Shares  which  may  be  issued  upon  exercise  of  all  outstanding  options  granted  and  yet  to  be  exercised  under 
the 2015 Plan and 2017 Plan was 208,210,639. As at December 31, 2022, the revised Chapter 17 of the HK Listing Rules has not come 
into effect, and the limit on the number of Shares which may be issued upon exercise of all outstanding options granted and yet to be 
exercised under the 2015 Plan, the 2017 Plan and the 2022 Plan was 202,544,809. During the Reporting Period, 61,440,310 Shares may 
be issued in respect of options and awards granted under the 2015 Plan, the 2017 Plan and the 2022 Plan, representing approximately 
6.30%  of  the  Shares  in  issue  for  the  Reporting  Period  (dividing  the  number  of  Shares  that  may  be  issued  in  respect  of  options  and 
awards granted by the weighted average number of shares in issue).

1. 

2015 Equity Incentive Plan (the “2015 Plan”) 

The  2015  Plan  was  approved  by  the  Board  on  March  5,  2015  and  most  recently  amended  with  effect  on  April  10,  2016.  The  Board 
determined that no new grants would be made under the 2015 Plan after the dual-primary listing of the Company became effective on 
June 27, 2022.

204

DIRECTORS’ REPORTAs of January 1, 2022, 36,561,800 Shares were outstanding pursuant to options granted under the 2015 Plan, and as of December 31, 2022, 

34,225,270 Shares were outstanding pursuant to options granted under the 2015 Plan. Details of the outstanding options under the 2015 

Plan are set out below: 

Name of  

grantee

Category of  

grantees

Date of 

grant

Vesting  
period (1) (2) (3)

Exercise 
period (4)

(grant) price 
(in $) (5)

Reporting Period  
(in $) (6)

Outstanding as of  

Reporting 

Lapsed during the 

of December 31, 

January 1, 2022

Period

Reporting Period

2022

Price on day prior to 

Exercise 

exercise during the 

Exercised 

during the 

Cancelled/ 

Outstanding as  

Number of shares underlying the options

Directors and chief executive of the Company
Dr. Samantha Du Executive Director, 

10/22/2015

5 years

10 years

Chairperson and Chief 

Executive Officer

Dr. Samantha Du Executive Director, 

3/9/2016

5 years

10 years

0.06

0.12

Chairperson and Chief 

Executive Officer

Dr. Samantha Du Executive Director, 

8/25/2016

5 years

10 years

0.174

Chairperson and Chief 

Executive Officer

Employee Participants (other than chief executive)
3/5/2015
In aggregate

Employee Participants

5 years

In aggregate

Employee Participants

10/22/2015

5 years

In aggregate

Employee Participants

3/9/2016

In aggregate

Employee Participants

8/25/2016

In aggregate

Employee Participants

8/25/2016

In aggregate

Employee Participants

12/6/2016

In aggregate

Employee Participants

5/12/2017

In aggregate

Employee Participants

5/12/2017

In aggregate

Employee Participants

5/12/2017

5 years

5 years

3 years

3 years

5 years

3 years

4 years

Total

Notes:

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

0.06

0.06

0.12

0.174

0.174

0.174

0.3

0.3

0.3

—

—

—

3

3.64

4.66

2.91

—

—

4.63

—

3.7

8,891,650

6,043,760

9,221,840 

2,574,170

7,450,010 

632,700 

1,438,850 

4,160 

4,160 

163,000 

4,160 

133,340 

0 

0 

0 

455,480 

1,627,850 

200,000 

33,330 

0 

0 

330 

0 

18,540 

0 

0 

0 

0 

0 

0 

0 

0 

0 

1,000 

0 

0 

8,891,650

6,043,760

9,221,840 

2,118,690 

5,822,160 

432,700 

1,405,520 

4,160 

4,160 

161,670 

4,160 

114,800 

36,561,800 

2,335,530 

1,000 

34,225,270 

(1) 

Where  the  vesting  period  is  5  years,  one-fifth  of  the  options  shall  vest  on  each  anniversary  of  the  date  of  grant  for  the  next  five  years,  in  each  case,  subject  to  the 

grantee’s continued employment relationship with the Company on such vesting dates.

(2) 

Where the vesting period is 4 years, one-fourth of the options shall vest on each anniversary of the date of grant for the next four years, in each case, subject to the 

grantee’s continued employment relationship with the Company on such vesting dates. 

(3) 

Where the vesting period is 3 years, one-third of the options shall vest on each anniversary of the date of grant for the next three years, in each case, subject to the 

grantee’s continued employment relationship with the Company on such vesting dates.

(4) 

The relevant portion of the options becomes exercisable upon vesting on each anniversary of the date of grant, with the validity period of the options being 10 years 

from the date of grant. 

(5) 

The stated exercise (grant) price was determined in good faith by the administrator of the 2015 Plan in the absence of an established market for the Shares. 

(6) 

The stated price was the weighted-average closing price as quoted on Nasdaq, divided by 10, on the trading day immediately prior to the date on which the options 

were exercised during the Reporting Period. 

205

DIRECTORS’ REPORTPurposes

The  purposes  of  the  2015  Plan  are  to  (1)  attract  and  retain  the  best  available  personnel  for  positions  of  substantial  responsibility; 
(2) provide additional incentive to employees, directors, and consultants; and (3) to promote the success of the Company’s business. 

Eligible Participants

Management including officers, directors, employees, and individual advisors who render services to the Company may participate in 

the 2015 Plan.

Maximum Number of Shares

The  initial  total  number  of  shares  available  for  issue  under  the  2015  Plan  is  268,998,690  Shares  (taking  into  account  the  Share 

Subdivision), which represents 27.47% of the issued shares of the Company as of the Latest Practicable Date. The Board determined 

that no new grants would be made under the 2015 Plan after the dual-primary listing of the Company became effective on June 27, 

2022.

Limit of Each Grantee

The 2015 Plan does not specify any limit on options granted to a grantee.

Expiration of the 2015 Plan

Unless sooner terminated by the Board, the 2015 Plan will continue in effect for a term of 10 years from the later of (1) the effective 

date  of  the  2015  Plan,  or  (2)  the  earlier  of  the  most  recent  Board  or  shareholder  approval  of  an  increase  in  the  number  of  Shares 

reserved for issuance under the 2015 Plan, i.e. April 10, 2026. 

Exercise Period

At the time an option is granted, the administrator of the 2015 Plan will fix the period within which the option may be exercised. The 

term of each option granted under the 2015 Plan will be no more than 10 years from the date of grant.

Consideration

No cash consideration is required to be paid by the grantees for the grant of options under the 2015 Plan.

206

DIRECTORS’ REPORTExercise Price

The exercise price of each share option granted under the 2015 Plan shall be no less than 100% of the fair market value of a share on 

the date of grant (110% in the case of certain incentive share options).

2. 

2017 Equity Incentive Plan (the “2017 Plan”)

The  2017  Plan  was  approved  by  the  Board  on  August  7,  2017.  The  Board  determined  that  no  new  grants  would  be  made  under  the 

2017 Plan after the dual-primary listing of the Company became effective on June 27, 2022.

As of January 1, 2022, 44,453,790 Shares were outstanding pursuant to options granted under the 2017 Plan, and as of December 31, 2022, 

52,292,850 Shares were outstanding pursuant to options granted under the 2017 Plan. Details of the outstanding options under the 2017 

Plan are set out below:

Name of 

grantee

Category of 

grantees

Date of 

grant

Vesting  
period (1) (2) (3)

Exercise 
period (4) 

(grant) price 
(in $) (5)

Reporting Period  
(in $) (6)

Outstanding as of 

Reporting 

Lapsed during the 

December 31, 

January 1, 2022

Period

Reporting Period

2022

Price on day prior to 

Exercise 

exercise during the 

Exercised 

during the 

Cancelled/ 

Outstanding as of 

Number of shares underlying the options

Directors and chief executive of the Company
Dr. Samantha 

Executive Director, 

3/28/2018

5 years

10 years

2.09

Du

Chairperson and Chief 

Executive Officer

Dr. Samantha 

Executive Director, 

3/8/2019

5 years

10 years

3.893

Du

Chairperson and Chief 

Executive Officer

Dr. Samantha 

Executive Director, 

3/12/2020

5 years

10 years

4.494

Du

Chairperson and Chief 

Executive Officer

Dr. Samantha 

Executive Director, 

4/1/2021

5 years

10 years

13.096

Du

Chairperson and Chief 

Executive Officer

Dr. Samantha 

Executive Director, 

4/1/2022

5 years

10 years

4.547

Du

Chairperson and Chief 

Executive Officer

Employee Participants (other than chief executive)
9/20/2017
In aggregate

Employee Participants

In aggregate

Employee Participants

9/20/2017

In aggregate

Employee Participants

1/22/2018

3 years

5 years

5 years

10 years

10 years

10 years

1.8

1.8

2.374

207

—

—

—

—

—

—

3.54

3.64

3,500,000 

3,000,000 

2,500,000 

870,000 

0 

75,000 

409,520 

533,400 

0 

0 

0 

0 

0 

0 

1,660 

103,000 

0 

0 

0 

0 

0 

0 

0 

10,000 

3,500,000 

3,000,000 

2,500,000 

870,000 

2,820,000 

75,000 

407,860 

420,400 

DIRECTORS’ REPORTPrice on day prior to 

Exercise 

exercise during the 

Exercised 

during the 

Cancelled/ 

Outstanding as of 

Number of shares underlying the options

Name of 

grantee

Category of 

grantees

Date of 

grant

Vesting  
period (1) (2) (3)

Exercise 
period (4) 

(grant) price 
(in $) (5)

Reporting Period  
(in $) (6)

In aggregate

Employee Participants

1/26/2018

In aggregate

Employee Participants

3/2/2018

In aggregate

Employee Participants

3/22/2018

In aggregate

Employee Participants

3/28/2018

In aggregate

Employee Participants

6/4/2018

In aggregate

Employee Participants

8/14/2018

In aggregate

Employee Participants

9/24/2018

5 years

5 years

5 years

5 years

5 years

5 years

5 years

In aggregate

Employee Participants

11/16/2018

5 years

In aggregate

Employee Participants

11/26/2018

5 years

In aggregate

Employee Participants

2/25/2019

In aggregate

Employee Participants

3/8/2019

In aggregate/

Employee Participants

3/27/2019

In aggregate

Employee Participants

6/28/2019

In aggregate

Employee Participants

9/30/2019

3 years

5 years

5 years

5 years

5 years

In aggregate

Employee Participants

12/31/2019

5 years

In aggregate

Employee Participants

10/14/2019

5 years

In aggregate

Employee Participants

10/7/2019

In aggregate

Employee Participants

3/12/2020

In aggregate

Employee Participants

3/31/2020

In aggregate

Employee Participants

6/30/2020

In aggregate

Employee Participants

8/17/2020

In aggregate

Employee Participants

9/21/2020

In aggregate

Employee Participants

12/1/2020

3 years

5 years

5 years

5 years

5 years

5 years

5 years

In aggregate

Employee Participants

12/21/2020

5 years

In aggregate

Employee Participants

5/1/2021

In aggregate

Employee Participants

3/1/2021

In aggregate

Employee Participants

4/1/2021

In aggregate

Employee Participants

6/1/2021

In aggregate

Employee Participants

7/1/2021

In aggregate

Employee Participants

8/1/2021

In aggregate

Employee Participants

9/1/2021

In aggregate

Employee Participants

10/1/2021

In aggregate

Employee Participants

11/1/2021

In aggregate

Employee Participants

11/1/2021

In aggregate

Employee Participants

12/1/2021

In aggregate

Employee Participants

12/1/2021

5 years

5 years

5 years

5 years

5 years

5 years

5 years

5 years

5 years

4 years

5 years

4 years

In aggregate

Employee Participants

12/30/2021

3 years

In aggregate

Employee Participants

1/1/2022

In aggregate

Employee Participants

2/1/2022

5 years

5 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

10 years

—

—

—

—

—

4.46

4.08

—

3.8

—

4.62

3.99

4.75

3.9

4.32

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

2.458

2.184

2.074

2.09

2.38

2.193

1.892

1.799

1.76

2.912

2.775

2.807

3.487

3.235

4.159

3.343

3.188

4.494

5.148

8.213

8.25

7.33

10.893

12.872

16.621

16.202

13.096

18.00

17.837

14.461

14.718

10.275

10.442

10.442

7.123

7.123

6.692

6.285

5.359

208

Outstanding as of 

Reporting 

Lapsed during the 

December 31, 

January 1, 2022

Period

Reporting Period

370,000 

3,700,000 

1,300,000 

600,000 

3,450,000 

505,000 

4,200,000 

300,000 

1,078,000 

50,000 

1,122,000 

1,423,210 

399,000 

250,000 

362,130 

250,000 

0 

910,000 

3,695,000 

953,810 

377,500 

537,830 

470,000 

1,062,640 

36,000 

141,000 

3,768,380 

140,250 

79,080 

35,000 

222,590 

449,820 

149,340 

899,000 

121,790 

128,500 

29,000 

0 

0 

0 

0 

0 

0 

0 

10,000 

2,200,000 

0 

175,000 

0 

184,000 

60,000 

36,000 

28,000 

18,000 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

0 

2,000,000 

0 

70,000 

0 

162,000 

68,000 

46,000 

106,000 

30,000 

0 

0 

0 

710,000 

93,500 

0 

64,420 

376,000 

252,310 

0 

30,400 

590,270 

28,550 

15,160 

19,000 

92,200 

90,150 

2,400 

155,000 

23,500 

50,500 

0 

5,000 

8,750 

2022

370,000 

3,700,000 

1,300,000 

600,000 

3,450,000 

495,000 

0 

300,000 

833,000 

50,000 

776,000 

1,285,210 

315,000 

116,000 

314,130 

250,000 

25,000 

910,000 

2,985,000 

860,310 

377,500 

473,410 

94,000 

810,330 

36,000 

110,600 

3,178,110 

111,700 

63,920 

16,000 

130,390 

359,670 

146,940 

744,000 

98,290 

78,000 

29,000 

13,000 

424,170 

DIRECTORS’ REPORTName of 

grantee

Category of 

grantees

Date of 

grant

Vesting  
period (1) (2) (3)

In aggregate

Employee Participants

3/1/2022

In aggregate

Employee Participants

4/1/2022

In aggregate

Employee Participants

5/1/2022

In aggregate

Employee Participants

6/1/2022

5 years

5 years

5 years

5 years

Exercise 
period (4) 

10 years

10 years

10 years

10 years

Total

Price on day prior to 

Exercise 

exercise during the 

(grant) price 
(in $) (5)

Reporting Period  
(in $) (6)

5.255

4.547

3.955

2.95

—

—

—

—

Number of shares underlying the options

Exercised 

during the 

Cancelled/ 

Outstanding as of 

Outstanding as of 

Reporting 

Lapsed during the 

December 31, 

January 1, 2022

Period

Reporting Period

0 

0 

0 

0 

0 

0 

0 

0 

10,500 

2,100,400 

8,750 

0 

2022

497,890 

11,117,990 

567,790 

286,240 

44,453,790

2,815,660 

7,218,760 

52,292,850

Details of options granted under the 2017 Plan during the Reporting Period are set out below:

Name of grantee

Category of grantees

Date of grant

underlying the options

Number of shares 

Vesting 
period (1) 

Exercise  
period (4)

Exercise (grant) 
price (in $) (5)

Directors and chief executive of the Company
Dr. Samantha Du

Executive Director, Chairperson 

4/1/2022

2,820,000  5 years

10 years

and Chief Executive Officer

Employee Participants (other than chief executive)
In aggregate

Employee Participants

Employee Participants

Employee Participants

Employee Participants

Employee Participants

Employee Participants

In aggregate

In aggregate

In aggregate

In aggregate

In aggregate

Notes:

1/1/2022

2/1/2022

3/1/2022

4/1/2022

5/1/2022

6/1/2022

18,000  5 years

432,920  5 years

508,390  5 years

13,218,390  5 years

576,540  5 years

286,240  5 years

10 years

10 years

10 years

10 years

10 years

10 years

4.547

6.285

5.359

5.255

4.547

3.955

2.95

Fair value on day of grant 

Price on day prior 

during the Reporting 

to grant during the 

Period  
(in $) (7)

2.842

3.84

3.295

3.224

2.842

2.497

1.863

Reporting Period  
(in $) (8)

4.398

6.285

4.967

5.47

4.398

3.996

2.91

(1) 

Where  the  vesting  period  is  5  years,  one-fifth  of  the  options  shall  vest  on  each  anniversary  of  the  date  of  grant  for  the  next  five  years,  in  each  case,  subject  to  the 

grantee’s continued employment relationship with the Company on such vesting dates. 

(2) 

Where the vesting period is 4 years, one-fourth of the options shall vest on each anniversary of the date of grant for the next four years, in each case, subject to the 

grantee’s continued employment relationship with the Company on such vesting dates. 

(3) 

Where the vesting period is 3 years, one-third of the options shall vest on each anniversary of the date of grant for the next three years, in each case, subject to the 

grantee’s continued employment relationship with the Company on such vesting dates.

209

DIRECTORS’ REPORT(4) 

The relevant portion of the options becomes exercisable upon vesting on each anniversary of the date of grant, with the validity period of the options being 10 years 

from the date of grant.

(5) 

The stated exercise (grant) price was the closing price as quoted on Nasdaq, divided by 10, on the date of grant.

(6) 

The stated price was the weighted-average closing price as quoted on Nasdaq, divided by 10, on the trading day immediately prior to the date on which the options 

were exercised during the Reporting Period. 

(7) 

The stated value was the fair value of options at the date of grant determined on the basis of the Black-Scholes option valuation model. 

(8) 

The stated price was the closing price as quoted on Nasdaq, divided by 10, on the trading day immediately prior to the date of grant.

As of December 31, 2022, the Company had conditionally granted certain share awards under the 2017 Plan. The share awards include 

restricted share units (“RSUs”), performance-based restricted share units (“PSUs”) and restricted shares (“RSAs”). 

As of January 1, 2022, 9,567,360 Shares were unvested pursuant to the awards granted under the 2017 Plan, and as of December 31, 2022, 

30,142,500 Shares were unvested under the 2017 Plan. Details of the unvested share awards under the 2017 Plan are set out below: 

Name of 

grantee

Category of grantees

Type of 

award

Vesting  
period (1) (2) (3) (4) (5) (6)

Date of grant

Directors and chief executive of the Company
Dr. Samantha Du Executive Director, 

PSU

12/1/2021

(1)

Chairperson and Chief 

Executive Officer

Dr. Samantha Du Executive Director, 

RSU

4/1/2021

5 years

Chairperson and Chief 

Executive Officer

Dr. Samantha Du Executive Director, 

RSU

4/1/2022

5 years

Chairperson and Chief 

Executive Officer

Dr. Samantha Du Executive Director, 

RSU

6/25/2022

4 years

Chairperson and Chief 

Executive Officer

Dr. Kai-Xian Chen Independent non-executive 

RSA

1/1/2021

1 year

director

Dr. Kai-Xian Chen Independent non-executive 

RSA

director

Dr. John Diekman Independent non-executive 

RSA

director

1/1/2022

1/1/2021

1 year

1 year

Dr. John Diekman Independent non-executive 

RSA

1/1/2022

1 year

director

Mr. William Lis

Independent non-executive 

RSA

1/1/2021

1 year

director

Price on day prior to  

vesting during the 
Reporting Period (in $) (7)

Number of shares underlying the awards

Cancelled/ 

Unvested as of 

Vested during the 

Lapsed during the 

Unvested as of 

January 1, 2022

Reporting Period

Reporting Period

December 31, 2022

—

4.4

—

—

6.29

—

6.29

—

6.29

631,750 

0 

170,000 

34,000 

0 

0 

0 

0 

38,520 

38,520 

0 

0 

38,520 

38,520 

0 

0 

38,520 

38,520 

0 

0 

0 

0 

0 

0 

0 

0 

0 

631,750 

136,000 

540,000 

2,352,000 

0 

77,630 

0 

77,630 

0 

210

DIRECTORS’ REPORTName of 

grantee

Category of grantees

Type of 

award

Vesting  
period (1) (2) (3) (4) (5) (6)

Date of grant

Mr. William Lis

Independent non-executive 

RSA

1/1/2022

1 year

director

Mr. Leon O. 

Independent non-executive 

RSA

1/1/2021

1 year

Moulder, Jr.

director

Mr. Leon O. 

Independent non-executive 

RSA

1/1/2022

1 year

Moulder, Jr.

director

Mr. Peter Wirth

Independent non-executive 

RSA

1/1/2021

1 year

director

Mr. Peter Wirth

Independent non-executive 

RSA

1/1/2022

1 year

director

Mr. Scott W. 

Independent non-executive 

RSA

10/13/2021

3 years

Morrison

director

Richard Gaynor, 

Independent non-executive 

RSA

11/19/2021

3 years

M.D.

director

Employee Participants (other than chief executive)
RSA
In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

RSA

RSA

PSU

RSU

RSU

RSU

RSU

RSU

RSU

RSU

RSU

RSU

RSU

RSU

RSU

RSU

RSU

RSU

RSU

RSU

3/2/2018

6/4/2018

9/24/2018

12/1/2021

8/14/2018

11/26/2018

3/8/2019

3/27/2019

9/30/2019

12/31/2019

3/31/2020

6/30/2020

8/17/2020

12/1/2020

12/21/2020

5 years

5 years

5 years

(1)

5 years

5 years

5 years

5 years

5 years

5 years

5 years

5 years

5 years

5 years

5 years

12/21/2021

(6)

3/1/2021

4/1/2021

5/1/2021

6/1/2021

7/1/2021

5 years

5 years

5 years

5 years

5 years

Price on day prior to  

vesting during the 
Reporting Period (in $) (7)

Number of shares underlying the awards

Cancelled/ 

Unvested as of 

Vested during the 

Lapsed during the 

Unvested as of 

January 1, 2022

Reporting Period

Reporting Period

December 31, 2022

—

6.29

—

6.29

—

2.91

3.5

5.26

3.04

0

0

4.42

3.17

3.72

4.23

0

3.07

4.55

3.46

4.56

0

3.03

3.07

5.47

4.4

4.00

2.91

3.47

0 

0 

38,520 

38,520 

0 

0 

38,520 

38,520 

0 

0 

73,450 

24,480 

89,120 

29,700 

400,000 

500,000 

800,000 

1,684,650 

120,000 

278,000 

240,000 

36,000 

54,000 

36,000 

96,000 

244,000 

194,000 

240,000 

64,000 

150,000 

31,000 

1,616,500 

33,000 

86,250 

172,750 

200,000 

250,000 

0 

0 

60,000 

127,000 

80,000 

12,000 

0 

12,000 

24,000 

61,000 

48,500 

0 

14,000 

150,000 

6,200 

314,850 

6,600 

17,250 

34,140 

0 

0 

0 

0 

0 

0 

0 

0 

0 

800,000 

491,360 

0 

36,000 

60,000 

0 

54,000 

0 

72,000 

0 

0 

240,000 

8,000 

0 

800 

202,450 

6,400 

18,600 

8,720 

77,630 

0 

77,630 

0 

77,630 

48,970 

59,420 

200,000 

250,000 

0 

1,193,290 

60,000 

115,000 

100,000 

24,000 

0 

24,000 

0 

183,000 

145,500 

0 

42,000 

0 

24,000 

1,097,700 

20,000 

50,400 

129,890 

211

DIRECTORS’ REPORTName of 

grantee

Category of grantees

Type of 

award

Vesting  
period (1) (2) (3) (4) (5) (6)

Date of grant

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

In aggregate

Employee Participants

Total

RSU

RSU

RSU

RSU

RSU

RSU

RSU

RSU

RSU

RSU

RSU

RSU

RSU

RSU

8/1/2021

9/1/2021

10/1/2021

11/1/2021

11/1/2021

12/1/2021

12/1/2021

1/1/2022

2/1/2022

3/1/2022

4/1/2022

5/1/2022

6/1/2022

6/25/2022

5 years

5 years

5 years

5 years

4 years

4 years

5 years

5 years

5 years

5 years

5 years

5 years

5 years

4 years

Price on day prior to  

vesting during the 
Reporting Period (in $) (7)

Number of shares underlying the awards

Cancelled/ 

Unvested as of 

Vested during the 

Lapsed during the 

Unvested as of 

January 1, 2022

Reporting Period

Reporting Period

December 31, 2022

4.05

4.62

3.42

2.23

2.25

3.86

3.86

—

—

—

—

—

—

—

141,530 

326,930 

322,100 

90,550 

356,400 

50,700 

46,080 

0 

0 

0 

0 

0 

0 

0 

27,900 

59,710 

47,960 

17,510 

74,070 

7,800 

7,410 

0 

0 

0 

0 

0 

0 

0 

9,567,360 

1,940,680 

12,000 

93,050 

83,500 

3,000 

60,000 

19,400 

9,000 

3,500 

7,130 

24,000 

648,920 

8,500 

2,000 

1,870,500 

4,842,830 

101,630 

174,170 

190,640 

70,040 

222,330 

23,500 

29,670 

10,500 

181,110 

250,910 

3,723,560 

252,410 

143,260 

16,953,700 

30,142,500

Details of share awards granted under the 2017 Plan during the Reporting Period are set out below:

Name of 

grantee

Category of grantees

Date of grant

Type of award

underlying the awards

Number of shares 

Fair value on day of  

Price on day prior to  

Vesting  
period (2)(3)(5)

grant during the  
Reporting Period (in $) (8)

grant during the  
Reporting Period (in $) (9)

Directors and chief executive of the Company
Dr. Samantha Du

Executive Director, Chairperson and 

4/1/2022

RSU

Chief Executive Officer

Dr. Samantha Du

Executive Director, Chairperson and 

6/25/2022

RSU

Chief Executive Officer

Dr. Kai-Xian Chen Independent non-executive director

1/1/2022

Dr. John Diekman Independent non-executive director

1/1/2022

Mr. William Lis

Independent non-executive director

1/1/2022

Mr. Leon O. 

Moulder, Jr.

Independent non-executive director

1/1/2022

Mr. Peter Wirth

Independent non-executive director

1/1/2022

RSA

RSA

RSA

RSA

RSA

540,000

2,352,000

77,630 

77,630 

77,630 

77,630 

77,630 

5 years

4 years

1 year

1 year

1 year

1 year

1 year

4.547

3.433

6.285

6.285

6.285

6.285

6.285

4.398

3.422

6.285

6.285

6.285

6.285

6.285

212

DIRECTORS’ REPORTName of 

grantee

Category of grantees

Date of grant

Type of award

underlying the awards

Number of shares 

Fair value on day of  

Price on day prior to  

Vesting  
period (2)(3)(5)

grant during the  
Reporting Period (in $) (8)

grant during the  
Reporting Period (in $) (9)

Employee Participants (other than chief executive)
In aggregate

Employee Participants

Employee Participants

Employee Participants

Employee Participants

Employee Participants

Employee Participants

Employee Participants

In aggregate

In aggregate

In aggregate

In aggregate

In aggregate

In aggregate

Notes:

1/1/2022

2/1/2022

3/1/2022

4/1/2022

5/1/2022

6/1/2022

6/25/2022

RSU

RSU

RSU

RSU

RSU

RSU

RSU

14,000 

188,240 

274,910 

4,372,480 

260,910 

145,260 

18,824,200 

5 years

5 years

5 years

5 years

5 years

5 years

4 years

6.285

5.359

5.255

4.547

3.955

2.95

3.433

6.285

4.967

5.47

4.398

3.996

2.91

3.422

(1) 

Vesting of PSUs is directly linked to achieving milestone goals. Up to 100% of the PSUs can be earned for maximum performance; 50% for threshold performance; 0% 

for below threshold performance. Any unearned awards at the end of the performance period from December 1, 2021 to December 31, 2025 will be forfeited.

(2) 

Where  the  vesting  period  is  5  years,  one-fifth  of  the  RSUs  shall  vest  on  each  anniversary  of  the  date  of  grant  for  the  next  five  years,  in  each  case,  subject  to  the 

grantee’s continued employment relationship with the Company on such vesting dates. 

(3) 

Where  the  vesting  period  is  4  years,  one-fourth  of  the  RSUs  shall  vest  on  each  anniversary  of  the  date  of  grant  for  the  next  four  years,  in  each  case,  subject  to  the 

grantee’s continued employment relationship with the Company on such vesting dates. 

(4) 

Where the vesting period is 3 years, such RSAs shall vest ratably over 3 years on the anniversary of the date of grant, subject to continued service as a member of the 

Board through such date.

(5) 

Where  the  vesting  period  is  1  year,  such  RSAs  shall  vest  in  full  on  the  first  anniversary  of  the  date  of  grant,  subject  to  continued  service  as  a  member  of  the  Board 

through such date.

(6) 

50% of the one-time equity award vested immediately and the other 50% vested on Dec 31, 2022.

(7) 

The stated price was the weighted-average closing price as quoted on Nasdaq, divided by 10, on the trading day immediately prior to the date on which the applicable 

share awards were vested during the Reporting Period.

(8) 

The stated value was the fair value of applicable share awards at the date of grant determined on the basis of the Black-Scholes option valuation model.

(9) 

The stated price was the closing price as quoted on Nasdaq, divided by 10, on the trading day immediately prior to the date of grant.

Purposes

The purposes of the 2017 Plan are to attract, retain, and reward key employees and directors of, and consultants and advisors to, the 

Company and its subsidiaries, to incentivize them to generate shareholder value, to enable them to participate in the growth of the 

Company, and to align their interests with the interests of the Company’s shareholders.

213

DIRECTORS’ REPORTTypes of awards 

The 2017 Plan provides for the grant of share options, SARs, restricted and unrestricted shares, and share units, performance awards, 

and other awards that are convertible into or otherwise based on our Shares. Dividend equivalents may also be provided in connection 

with awards under the 2017 Plan.

Stock options and SARs 

The Administrator may grant share options, including ISOs, and SARs. A share option is a right entitling the holder to acquire shares 

upon payment of the applicable exercise price. An SAR is a right entitling the holder upon exercise to receive an amount (payable in 

cash or shares of equivalent value) equal to the excess of the fair market value of the shares subject to the right over the base value 

from which appreciation is measured. The exercise price of each share option, and the base value of each SAR, granted under the 2017 

Plan shall be no less than 100% of the fair market value of a share on the date of grant (110% in the case of certain ISOs). Other than 

in connection with certain corporate transactions or changes to our capital structure, share options and SARs granted under the 2017 

Plan may not be repriced or substituted for with new share options or SARs having a lower exercise price or base value, nor may any 

consideration be paid upon the cancellation of any share options or SARs that have a per share exercise or base price greater than the 

fair market value of a share on the date of such cancellation, in each case, without shareholder approval. Each share option and SAR 

will have a maximum term of not more than 10 years from the date of grant (or 5 years, in the case of certain ISOs).

Restricted and unrestricted shares and share units 

The Administrator may grant awards of shares, share units, restricted shares, and restricted share units. A share unit is an unfunded 

and  unsecured  promise,  denominated  in  shares,  to  deliver  shares  or  cash  measured  by  the  value  of  shares  in  the  future,  and  a 

restricted share unit is a share unit that is subject to the satisfaction of specified performance or other vesting conditions. Restricted 

shares  are  shares  that  are  subject  to  restrictions  requiring  that  they  be  redelivered  or  offered  for  sale  to  the  Company  if  specified 

conditions are not satisfied.

Performance awards 

The Administrator may grant performance awards, which are awards subject to performance criteria.

Other stock-based awards 

The  Administrator  may  grant  other  awards  that  are  convertible  into  or  otherwise  based  on  shares,  subject  to  such  terms  and 

conditions as it determines.

214

DIRECTORS’ REPORTSubstitute awards 

The  Administrator  may  grant  substitute  awards,  which  may  have  terms  and  conditions  that  are  inconsistent  with  the  terms  and 

conditions of the 2017 Plan.

Eligible Participants

The  Compensation  Committee  of  the  Board  shall  select  participants  of  the  2017  Plan  from  among  key  employees  and  directors  of, 

and  consultants  and  advisors  to,  the  Company.  Eligibility  for  stock  options  intended  to  be  incentive  stock  options  (as  defined  under 

Section  422  of  the  Internal  Revenue  Code  of  the  United  States  (the  “Code”))  is  limited  to  employees  of  the  Company  or  certain 

affiliates. Eligibility for stock options, other than incentive stock options, and stock appreciation rights is limited to individuals who are 

providing direct services on the date of grant of the award to the Company or certain affiliates.

Maximum Number of Shares

The  initial  total  number  of  shares  available  for  issue  under  the  2017  Plan  is  115,459,670  Shares  (taking  into  account  the  Share 

Subdivision), which represents 11.79% of the issued shares of the Company as of the Latest Practicable Date. The Board determined 

that no new grants would be made under the 2017 Plan after the dual-primary listing of the Company became effective on June 27, 

2022. 

Limit of Each Grantee

The total number of Shares underlying the share options that may be granted to a grantee under the 2017 Plan within a calendar year 

shall not exceed 577,298 Shares. In addition, the maximum grant date fair value of awards granted under the 2017 Plan to any non-

employee  director  of  the  Company  in  respect  of  his  or  her  service  as  a  director  with  respect  to  any  calendar  year  may  not  exceed 

$500,000, assuming maximum payout.

Expiration of the 2017 Plan

According to the terms of the 2017 Plan, no awards may be made after 10 years from the date of adoption of the 2017 Plan, provided 

that the Board determined that no new grants would be made under the 2017 Plan after the Primary Conversion Effective Date.  

215

DIRECTORS’ REPORTExercise Period

The  Compensation  Committee  of  the  Board  determines  the  terms  of  all  options  and  awards  granted  under  the  2017  Plan,  including 

the time or times an option or award vests or becomes exercisable, the terms on which an option or award remains exercisable, and 

the effect of termination of a participant’s employment or service on an option or award. The Compensation Committee of the Board 

may at any time accelerate the vesting or exercisability of an option or award. The maximum term of share options must not exceed 

10 years from the date of grant.

Consideration

No cash consideration is required to be paid by the grantees for the grant of options or awards under the 2017 Plan. 

Exercise Price

The exercise price of each share option granted under the 2017 Plan shall be no less than 100% of the fair market value of a share on 

the date of grant (110% in the case of certain incentive share options).

3. 

2022 Equity Incentive Plan (the “2022 Plan”)

The 2022 Plan was approved at the Company’s 2022 annual general meeting of shareholders on June 22, 2022. Under the 2022 Plan, 

the  Compensation  Committee  of  the  Board  may  award  share  options,  share  appreciation  rights,  restricted  shares,  restricted  share 

units,  performance-based  awards,  unrestricted  shares,  and  cash-based  awards  subject  to  such  conditions  and  restrictions  as  it  may 

determine. The Compensation Committee of the Board may also grant dividend equivalent rights that entitle the recipient to receive 

credits for dividends that would be paid if the recipient held a specified number of ordinary shares. The equity-based incentive tools 

used in the 2022 Plan are substantially similar to those in the 2017 Plan, as the 2022 Plan is intended by the Company to replace the 

2017 Plan upon the Primary Conversion Effective Date. 

216

DIRECTORS’ REPORTDuring  the  Reporting  Period,  the  Company  conditionally  granted  certain  options  under  the  2022  Plan.  As  of  December  31,  2022, 

4,663,300  Shares  were  outstanding  pursuant  to  the  options  granted  under  the  2022  Plan.  The  options  granted  under  the  2022  Plan 

during the Reporting Period remain unvested. Details of the options granted under the 2022 Plan are as follows:

Price on day 

Price on 

Number of shares underlying the options

Fair value on 

prior to grant 

day prior to 

Cancelled/ 

day of grant 

during the 

exercise during 

Outstanding 

Granted 

Exercised 

Lapsed 

Outstanding 

Exercise 

during the 

Reporting 

the Reporting 

as of 

during the 

during the 

during the 

as of 

Name of 

Category of 

Vesting  

Exercise 

(grant) price 

Reporting 

grantee

grantees

Date of grant

period (1)

period (2)

(in $) (3)

Period (in $) (4)

Period  

(in $) (5)

Period  

January 1,  

Reporting 

Reporting 

Reporting 

December 31, 

(in $) (6)

2022 (7)

Period

Period (6)

Period

2022

Employee Participants (other than chief executive)

In aggregate Employee 

8/15/2022

5 years

10 years

4.578

2.885

4.417

Participants

In aggregate Employee 

9/12/2022

5 years

10 years

5.169

Participants

In aggregate Employee 

10/3/2022

5 years

10 years

3.672

3.296

2.153

4.88

3.42

Participants

In aggregate Employee 

11/14/2022

5 years

10 years

3.695

2.379

3.776

Participants

In aggregate Employee 

12/12/2022

5 years

10 years

3.518

2.256

3.54

Participants

In aggregate Employee 

12/30/2022

5 years

10 years

3.07

1.977

3.063

Participants

Total

Notes:

—

—

—

—

—

—

—

—

—

—

—

—

1,445,720

26,440

162,500

1,105,910

108,000

1,837,000

4,685,570

—

—

—

—

—

—

0

22,270 

1,423,450 

0 

0 

0 

0 

0 

26,440 

162,500 

1,105,910 

108,000 

1,837,000 

22,270

4,663,300

(1) 

Where  the  vesting  period  is  5  years,  one-fifth  of  the  options  shall  vest  on  each  anniversary  of  the  date  of  grant  for  the  next  five  years,  in  each  case,  subject  to  the 

grantee’s continued employment relationship with the Company on such vesting dates.

(2) 

The relevant portion of the options becomes exercisable upon vesting on each anniversary of the date of grant, with the validity period of the options being 10 years 

from the date of grant.

(3) 

The stated exercise (grant) price represents the higher of (i) the closing price of the ADSs, divided by 10, on the date of grant, and (ii) the average closing price of the 

ADSs, divided by 10, for the five Nasdaq trading days immediately preceding the date of grant.

(4) 

The stated value was the fair value of options at the date of grant determined on the basis of the Black-Scholes option valuation model.

(5) 

The stated price was the closing price as quoted on Nasdaq, divided by 10, on the trading day immediately prior to the date of grant.

217

DIRECTORS’ REPORT(6) 

No options were vested and became exercisable in 2022, and therefore there was no exercise of options under the 2022 Plan during the Reporting Period.

(7) 

N/A since the 2022 Plan became effective on June 27, 2022.

During the Reporting Period, the Company granted certain RSUs under the 2022 Plan. As of December 31, 2022, 3,291,390 Shares were 

unvested pursuant to the awards granted under the 2022 Plan. Details of the awards granted under the 2022 Plan are as follows: 

Fair value on 

Price on day 

Price on day 

day of grant 

prior to grant 

prior to vesting 

Number of shares underlying the awards

Name of 

Category of 

Type of 

grantee

grantees

award

Date of 

grant

Vesting  
period (1) (2) 

during the 

Reporting 

Period  
(in $) (3)

during the 

Reporting 

Period  
(in $) (4)

during the 

Vested 

Cancelled/ 

Reporting 

Unvested as 

Granted during 

during the 

Lapsed during 

Unvested as of 

Period  
(in $) (5)

of January 1, 

the Reporting 

Reporting 

the Reporting 

December 31, 

2022

Period

Period

Period

2022

Employee Participants (other than chief executive)
In aggregate Employees

RSU

8/15/2022

5 years

Participants

In aggregate Employee

RSU

9/12/2022

5 years

Participants

In aggregate Employee

RSU

10/3/2022

5 years

Participants

In aggregate Employee

RSU

11/14/2022 5 years

Participants

In aggregate Employee

RSU

12/12/2022 5 years

Participants

In aggregate Employee

RSU

12/30/2022 5 years

Participants

In aggregate Employee

RSU

12/30/2022 1 year

Participants

Total

Notes:

4.578

5.169

3.428

3.695

3.518

3.07

3.07

4.417

4.88

3.42

3.776

3.54

3.063

3.063

—

—

—

—

—

—

—

—

—

—

—

—

—

—

944,550 

16,090 

124,000 

653,250 

305,000 

1,050,000 

210,000 

3,302,890

0 

0 

0 

0 

0 

0 

0

0

11,500 

933,050 

0 

0 

0 

0 

0 

0 

16,090 

124,000 

653,250 

305,000 

1,050,000 

210,000 

11,500 

3,291,390

(1) 

Where  the  vesting  period  is  5  years,  one-fifth  of  the  RSUs  shall  vest  on  each  anniversary  of  the  date  of  grant  for  the  next  five  years,  in  each  case,  subject  to  the 

grantee’s continued employment relationship with the Company on such vesting dates.

(2) 

Where the vesting period is 1 year, such RSUs shall vest in full on the first anniversary of the date of grant, subject to the grantee’s continued employment relationship 

with the Company on such vesting dates.

(3) 

The stated value was the fair value of options at the date of grant determined on the basis of the Black-Scholes option valuation model. 

(4) 

 The stated price was the closing price as quoted on Nasdaq, divided by 10, on the trading day immediately prior to the date of grant.

(5) 

The stated price was the closing price as quoted on Nasdaq, divided by 10, on the trading day immediately prior to the date of grant.

218

DIRECTORS’ REPORTPurposes

The purposes of the 2022 Plan are to attract, retain, and reward key employees and directors of, and consultants and advisors to, the 

Company and its subsidiaries, to incentivize them to generate shareholder value, to enable them to participate in the growth of the 

Company, and to align their interests with the interests of the Company’s shareholders.

Eligible Participants

The  Compensation  Committee  of  the  Board  shall  select  participants  of  the  2022  Plan  from  among  key  employees  and  directors  of, 

and  consultants  and  advisors  to,  the  Company.  Eligibility  for  stock  options  intended  to  be  incentive  stock  options  (as  defined  under 

Section 422 of the Code) is limited to employees of the Company or certain affiliates. Eligibility for share options, other than incentive 

stock options, and stock appreciation rights is limited to individuals who are providing direct services on the date of grant of the award 

to the Company or certain affiliates.

Maximum Number of Shares

The initial total number of shares available for issue under the 2022 Plan is 97,908,743 Shares, which represents 10% of the issued shares 

of the Company as of June 22, 2022 and 10% of the issued shares of the Company as of the Latest Practicable Date.

Limit of Each Grantee

Unless  approved  by  the  Company’s  shareholders,  the  total  number  of  Shares  issued  and  to  be  issued  upon  the  exercise  of  share 

options granted and to be granted under the 2022 Plan and any other plan of the Company to any person within any 12-month period 

shall not exceed 1% of the Shares in issue at the date of any grant. In addition, the maximum grant date value of awards granted to 

any non-employee director in any calendar year, assuming a maximum payout, may not exceed, in the case of newly appointed non-

employee director, $750,000 in the first year of his/her appointment, or otherwise $500,000 (subject to applicable laws).

Expiration of the 2022 Plan

Unless sooner terminated by the Board, the term of the 2022 Plan will expire 10 years from the date of adoption, i.e., on April 20, 2032.

Exercise Period

The  Compensation  Committee  of  the  Board  determines  the  terms  of  all  awards  granted  under  the  2022  Plan,  including  the  time  or 

times  an  award  vests  or  becomes  exercisable,  the  terms  on  which  an  award  remains  exercisable,  and  the  effect  of  termination  of  a 

participant’s employment or service on an award. The Compensation Committee of the Board may at any time accelerate the vesting 

or exercisability of an award. The maximum term of share options must not exceed 10 years from the date of grant.

219

DIRECTORS’ REPORTConsideration

No cash consideration is required to be paid by the grantees for the grant of options or awards under the 2022 Plan.

Exercise Price

The exercise price of each share option granted under the 2022 Plan shall be no less than the fair market value of a share on the date 

of grant (110% in the case of certain incentive share options).

PRE-EMPTIVE RIGHTS

There are no provisions for pre-emptive rights under our Articles or the laws of the Cayman Islands that would oblige the Company to 

offer new Shares on a pro-rata basis to existing shareholders.

TAX RELIEF AND EXEMPTION

The  Directors  are  not  aware  of  any  tax  relief  or  exemption  available  to  shareholders  by  reason  of  their  holding  of  the  Company’s 

securities.

CORPORATE GOVERNANCE

The Company’s corporate governance practices are based on the principles and code provisions set forth in the Corporate Governance 

Code as set out in Appendix 14 of the HK Listing Rules.

Pursuant to code provision C.2.1 of the CG Code, companies listed on the Hong Kong Stock Exchange are expected to comply with, but may 

choose to deviate from, the requirement that the responsibilities of the Chairperson and the Chief Executive Officer should be segregated 

and should not be performed by the same individual. Dr. Samantha Du currently serves as our Chairperson and Chief Executive Officer. The 

Board believes that Dr. Samantha Du is the director best suited to serve as Chairperson. Dr. Samantha Du has an extensive understanding of 

our business and industry, is adept at identifying strategic opportunities, promoting the effective execution of those strategic initiatives, and 

facilitating the flow of information between management and the Board. In July 2022, the Board further enhanced our corporate governance 

by appointing Dr. John Diekman to be lead independent director. As lead independent director, Dr. John Diekman will, among other things, 

lead meetings of the Board when the Chairperson is not present, serve as liaison between the Chairperson and independent directors, have 

the authority to call meetings of the independent directors, and, if requested by a significant portion of our shareholders, be available for 

consultation and direct communication. While the roles of Chairperson of the Board and Chief Executive officer are combined, the Board 

believes  that  the  balance  of  power  and  authority  on  the  Board  will  not  be  impaired  due  to  this  arrangement.  The  Board  will  continue  to 

review the corporate governance structure and practices from time to time and shall make changes the Board considers appropriate.

Except  as  disclosed  above,  from  the  Primary  Conversion  Effective  Date  and  up  to  the  Latest  Practicable  Date,  the  Company  has 

complied with the code provisions set out in Part 2 of the CG Code.

220

DIRECTORS’ REPORTThe  Board  will  continue  to  periodically  review  and  monitor  its  corporate  governance  practices  for  compliance  with  the  CG  Code 

and  maintain  a  high  standard  of  corporate  governance  practices  of  the  Company.  Details  about  the  corporate  governance  practices 

adopted by the Company are set out in the “Corporate Governance Report” contained in this annual report.

PURCHASE, SALE OR REDEMPTION OF THE COMPANY’S LISTED SECURITIES

During the Reporting Period, the Company did not purchase, sell, or redeem any of the Company’s securities listed on the Hong Kong 

Stock Exchange.

AUDIT COMMITTEE REVIEW OF FINANCIAL STATEMENTS

The  Audit  Committee  of  the  Board  oversees  the  accounting  and  financial  reporting  processes  of  the  Company  and  the  audits  of  the 

Company’s  financial  statements,  including  but  not  limited  to  assisting  the  Board  in  its  oversight  of  the  integrity  of  the  consolidated 

financial statements of the Company, the Company’s compliance program, and the Company’s risk management and internal control 

over financial reporting. As of the Latest Practicable Date, the Audit Committee currently consists of three members, namely Mr. Scott 

W. Morrison, Dr. John Diekman, and Mr. Peter Wirth, all of whom are independent Directors. Mr. Scott W. Morrison is the chairman of 

the Audit Committee. 

The  Audit  Committee  has  reviewed  the  consolidated  financial  statements  and  annual  results  of  the  Company  for  the  year  ended 

December  31,  2022.  The  Audit  Committee  has  also  discussed  matters  with  respect  to  the  accounting  policies  and  practices  adopted 

by the Company and internal controls with members of senior management and the external auditor of the Company, KPMG LLP. The 

consolidated financial statements included in this annual report have been audited by KPMG LLP.

CONTINUING DISCLOSURE OBLIGATIONS PURSUANT TO THE HK LISTING RULES

The Company does not have any disclosure obligations under Rules 13.20, 13.21, and 13.22 of the HK Listing Rules.

PUBLIC FLOAT

As at the Latest Practicable Date and based on the information that is publicly available to the Company and to the knowledge of the 

Directors of the Company, the Company has maintained the minimum public float required by the Hong Kong Stock Exchange.

221

DIRECTORS’ REPORTCHANGE IN AUDITORS

Deloitte  Touche  Tohmatsu  Certified  Public  Accountants  LLP  and  Deloitte  Touche  Tohmatsu  served  as  our  auditor  for  the  financial 

statements included in our 2021 Annual Report.

In April 2022, the Audit Committee of the Board approved the engagement of KPMG LLP, an independent registered public accounting 

firm  registered  with  the  PCAOB  in  the  United  States,  as  our  independent  registered  public  accounting  firm  for  the  fiscal  year  ending 

December  31,  2022.  On  May  25,  2022,  the  Company  received  the  requisite  approvals  from  the  Hong  Kong  Stock  Exchange  and  the 

Financial Reporting Council of Hong Kong for this engagement, and on May 31, 2022, the Company and KPMG LLP signed an engagement 

letter,  and  the  appointment  became  effective  on  the  same  date.  KPMG  LLP  is  engaged  to  audit  our  annual  consolidated  financial 

statements filed with the SEC and our internal control over financial reporting in accordance with the Securities Exchange Act of 1934, as 

amended, and to audit our consolidated financial statements filed in the annual reports prepared in accordance with the HK Listing Rules.

Since our transition to primary listing status on the Hong Kong Stock Exchange, there has been no change in auditors of the Company 

in 2022, save as disclosed hereinabove.

The consolidated financial statements of the Company for the fiscal year ended December 31, 2022 were audited by KPMG LLP, who 

shall retire and, being eligible, offer itself for re-appointment.

Upon the recommendation of the Audit Committee, the Board recommends shareholder approval at the 2023 annual general meeting 

of shareholders of the Company of the appointment of KPMG LLP and KPMG as our independent registered public accounting firms and 

auditors for the fiscal year ending December 31, 2023. KPMG LLP will be responsible for auditing our consolidated financial statements 

for  the  year  ending  December  31,  2023  filed  with  the  SEC  and  the  effectiveness  of  our  internal  control  over  financial  reporting  as  of 

December 31, 2023 in accordance with the Exchange Act, and KPMG will be responsible for auditing our consolidated financial statements 

for the year ending December 31, 2023 filed in the annual report prepared in accordance with the HK Listing Rules. 

On behalf of the Board

Zai Lab Limited 

Dr. Samantha Du 

Director, Chairperson, and Chief Executive Officer

Shanghai

April 21, 2023

222

DIRECTORS’ REPORTThe Board is pleased to present the corporate governance report for the Company for the Reporting Period.

CORPORATE GOVERNANCE PRACTICES

We  seek  to  implement  and  follow  corporate  governance  practices  in  line  with  best  practices  in  our  industry.  The  Board  has  adopted 

Corporate Governance Guidelines, which are available on our website at https://ir.zailaboratory.com/corporate-governance/highlights. 

The  Board  periodically  reviews  and  updates  these  Guidelines,  as  deemed  appropriate,  such  as  in  consideration  of  evolving  legal  and 

regulatory requirements and corporate governance best practices.

Our corporate governance practices include the following:

• 

• 

• 

• 

Each of our directors is independent, except for the Chairperson who also serves as our Chief Executive Officer;

Since July 2022, the Board has had a lead independent director to, among other things, lead meetings of the Board when the 

Chairperson  is  not  present,  serve  as  liaison  between  the  Chairperson  and  independent  directors,  and  preside  over  executive 

sessions of our independent directors;

Our directors are elected annually;

The  Audit,  Nominating  and  Corporate  Governance,  Compensation,  and  Commercial  Committees  are  comprised  solely  of 

independent directors;

• 

Each of the Board Committees operates pursuant to a written charter that has been approved by the Board and is available on 

our website;

Independent directors meet regularly without management;

The Company provides new directors with a director orientation program to help familiarize them with our business, policies, 

and procedures and makes available to directors continuing education programs;

• 

• 

• 

The Board and Committees are provided access to senior management as well as independent advisors as necessary to perform 

their duties and, for Committees, in accordance with their respective charters;

• 

• 

The Board and Board committees conduct an annual self-evaluation; and

The Board periodically reviews the Company’s succession planning.

The  Company’s  corporate  governance  practices  are  based  on  the  principles  and  code  provisions  set  forth  in  the  CG  Code  which  are 

applicable to the Company.

223

CORPORATE GOVERNANCE REPORTPursuant  to  code  provision  C.2.1  of  the  CG  Code,  companies  listed  on  the  Hong  Kong  Stock  Exchange  are  expected  to  comply  with, 

but may choose to deviate from, the requirement that the responsibilities of the Chairperson and the Chief Executive Officer should 

be segregated and should not be performed by the same individual. Dr. Samantha Du currently serves as our Chairperson and Chief 

Executive  Officer.  The  Board  believes  that  Dr.  Samantha  Du  is  the  director  best  suited  to  serve  as  Chairperson,  including  due  to 

her  extensive  understanding  of  our  business  and  industry  and  her  ability  to  identify  strategic  opportunities,  promote  the  effective 

execution of strategic initiatives, and facilitate the flow of information between management and the Board. The Board believes that 

the balance of power and authority on the Board will not be impaired due to this arrangement. The Board will review the corporate 

governance structure and practices from time to time and shall make changes the Board considers appropriate.

Except as disclosed above, from the Primary Conversion Effective Date to the Latest Practicable Date, the Company has complied with 

the provisions set out in the CG Code.

The Board will continue to periodically review and monitor its corporate governance practices for compliance with the CG Code and maintain 

a high standard of corporate governance practices of the Company.

MODEL CODE FOR SECURITIES TRANSACTIONS

The Company has adopted its own insider dealing policies on terms no less exacting than those in the Model Code regarding director 

dealings in the securities of the Company.

Having made specific enquiry of all the Directors, all the Directors confirmed that they have complied with the required standards set 

forth in the Company’s insider dealing policies during the Reporting Period.

BOARD OF DIRECTORS

The Board currently comprises ten members, consisting of one executive Director and nine independent Directors.

During the period from the Primary Conversion Effective Date and up to the Latest Practicable Date, unless otherwise noted, the Board 

comprised the following Directors:

Executive Director

Dr. Samantha Du (Chairperson and Chief Executive Officer)

224

CORPORATE GOVERNANCE REPORTIndependent Directors

Dr. Kai-Xian Chen

Dr. John Diekman (appointed as Lead Independent Director on July 22, 2022)

Ms. Nisa Leung

Mr. William Lis

Mr. Leon O. Moulder, Jr.

Mr. Peter Wirth

Mr. Scott W. Morrison

Richard Gaynor, M.D.

Mr. Michel Vounatsos (appointed on January 7, 2023)

The biographical details of the Directors are set out in the section headed “Directors and Senior Management” of this annual report. 

None of the members of the Board is related to one another.

INDEPENDENT DIRECTORS

To enhance our corporate governance while the roles of Chairperson of the Board and Chief Executive Officer are combined, the Board 

has  appointed  Dr.  John  Diekman  as  the  Lead  Independent  Director.  The  Lead  Independent  Director’s  authority  and  responsibilities 

include, but are not limited to, leading meetings when the Chairperson is not present or is conflicted; serving as a liaison between the 

Chairperson and the independent Directors; having the authority to call meetings of the independent directors; and, if requested by a 

significant portion of our shareholders, being available for consultation and direct communication.

Throughout the period from the Primary Conversion Effective Date to December 31, 2022, the Board at all times met the requirements 

of  the  HK  Listing  Rules  relating  to  the  appointment  of  at  least  three  independent  Directors,  who  are  considered  “independent  non-

executive  directors”  for  the  purpose  of  Rule  3.10  of  the  HK  Listing  Rules,  representing  at  least  one-third  of  the  Board,  with  one 

possessing appropriate professional qualifications or accounting or related financial management expertise.

The Board has received from each of the independent Directors a written annual confirmation of his or her independence pursuant to 

Rule 3.13 of the HK Listing Rules and considers each of them to be independent.

APPOINTMENT AND RE-ELECTION OF DIRECTORS

Our Sixth Restated Articles provide that commencing at, and following on from, the annual general meeting of the Company in 2022, 

each Director shall be elected annually for terms expiring at the next annual general meeting of the Company, at which he or she may 

be eligible for re-election, until his or her earlier death, resignation or removal.

225

CORPORATE GOVERNANCE REPORTRESPONSIBILITIES, ACCOUNTABILITIES AND CONTRIBUTIONS OF THE BOARD 
AND MANAGEMENT

The  Board  oversees  the  management  of  risks  inherent  in  the  operation  of  our  business  and  the  implementation  of  our  business 

strategies.  The  Board  performs  this  oversight  role  by  using  several  different  levels  of  review.  In  connection  with  its  review  of  our 

operations and corporate functions, the Board addresses the primary risks associated with those operations and corporate functions. 

In addition, the Board reviews the risks associated with our business strategies periodically throughout the year.

Each  of  the  Board  committees  also  oversees  risk  management  within  its  areas  of  responsibility.  In  performing  this  function,  each 

committee has full access to management, as well as the ability to engage advisors. For example, the Audit Committee oversees the 

operation of our enterprise risk management program, including the identification of the primary risks associated with our business 

and periodic updates to such risks, and reports to the Board regarding these activities. The Audit Committee also oversees risks related 

to  our  financial  reporting,  compliance  with  applicable  laws  and  regulations,  and  our  IT  systems,  processes,  and  data.  In  connection 

with  its  risk  management  role,  the  Audit  Committee  meets  privately  with  representatives  from  our  independent  registered  public 

accounting firms and receives regular reporting from management, including our Chief Financial Officer and Chief Compliance Officer. 

Our Chief Financial Officer is responsible for identifying, evaluating, and implementing risk management controls and methodologies 

to  address  financial  reporting  risks,  and  our  Chief  Compliance  Officer  is  responsible  for  enterprise  risk  management  program  more 

broadly.  The  Compensation  Committee  considers  risks  related  to  our  compensation  policies  and  practices,  and  the  Commercial 

Committee oversees risks related to our commercial programs.

COMMITTEES OF THE BOARD

As  of  the  Latest  Practicable  Date,  the  Board  has  five  standing  committees:  the  Audit  Committee,  the  Compensation  Committee,  the 

Nominating  and  Corporate  Governance  Committee,  the  Research  and  Development  Committee,  and  the  Commercial  Committee. 

The  Company’s  Chief  Executive  Officer  and  Chairperson  participates  as  a  member  of  the  Research  and  Development  Committee. 

Otherwise,  all  of  the  standing  committees  are  comprised  solely  of  independent  directors.  These  committees  perform  important 

functions on behalf of the Board and meet regularly. All of our committees operate in accordance with written charters, which were 

approved by the Board and are available on the websites of the Company and the Hong Kong Stock Exchange.

The  membership  of  each  committee  as  of  the  Latest  Practicable  Date,  a  brief  description  of  their  primary  responsibilities,  and  the 

number of meetings held during the Reporting Period are included below.

Audit Committee

The Audit Committee currently consists of three members, namely Scott Morrison, John Diekman, and Peter Wirth, all of whom are 

independent directors. Mr. Morrison, being Chair of the Audit Committee, is appropriately qualified as required under Rules 3.10(2) 

and 3.21 of the HK Listing Rules.

226

CORPORATE GOVERNANCE REPORTThe Audit Committee’s responsibilities include: 

• 

• 

• 

• 

Overseeing the integrity of our consolidated financial statements;

Overseeing our compliance with legal and regulatory requirements;

Overseeing the qualifications, independence, and performance of our independent auditor;

Overseeing  the  performance  of  the  Company’s  internal  audit  function,  including  reviewing  the  internal  audit  department’s 

responsibilities,  budget,  staffing,  and  any  recommended  changes  in  the  planned  scope  of  the  internal  audit  with  the 

independent auditor and management;

• 

Deciding whether to appoint, retain, or terminate our independent auditors and approving all audit, permitted non-audit, tax, 

and other services, if any, and the fees for and terms of such services, to be provided by our independent auditor;

• 

Reviewing  and  discussing  with  management  and  the  independent  auditor  our  annual  and  quarterly  and  interim  financial 

statements  and  related  disclosures  as  well  as  significant  financial  reporting  judgments  and  critical  accounting  policies  and 

practices used by us;

• 

Overseeing our controls and procedures, including: (i) reviewing the adequacy of our internal control over financial reporting; 

(ii)  establishing  policies  and  procedures  for  the  receipt  and  retention  of  financial  and  accounting-related  complaints  and 

concerns;  (iii)  establishing  and  implementing  policies  and  procedures  for  the  review  and  approval  or  disapproval  of  proposed 

related party transactions and reviewing all related party transactions for potential conflict of interest situations and approving 

all such transactions, if deemed appropriate;

• 

• 

Overseeing our enterprise risk management and related guidelines and policies;

Overseeing  the  integrity  of  our  information  technology  systems,  processes,  and  data  and  reviewing  and  discussing  with 

management and the internal auditor the adequacy of security for our IT systems, processes, and data; 

• 

Recommending,  based  upon  the  Audit  Committee’s  review  and  discussions  with  management  and  the  independent  auditor, 

whether our annual audited financial statements should be included in our Annual Report on Form 10-K filed with the SEC and 

our annual report and annual results announcement filed with the Hong Kong Stock Exchange;

• 

• 

Preparing the Audit Committee report and other disclosures required by SEC rules to be included in our annual proxy statement; and

Reviewing our earnings releases and unaudited financial statements to be included in our quarterly and interim filings with the 

SEC and Hong Kong Stock Exchange, as applicable.

227

CORPORATE GOVERNANCE REPORTThe  Audit  Committee  held  nine  meetings  in  2022.  During  the  Reporting  Period,  the  Audit  Committee  reviewed,  among  others,  the 

consolidated  financial  statements  and  annual  results  of  the  Company  for  the  year  ended  December  31,  2022,  and  the  unaudited 

consolidated financial statements and interim results of the Company for the six months ended June 30, 2022. The Audit Committee 

also  discussed  matters  with  respect  to  the  accounting  policies  and  practices  adopted  by  the  Company  and  internal  controls  with 

members of senior management and the external auditor of the Company, KPMG LLP.

Compensation Committee

Peter Wirth, John Diekman, and Leon O. Moulder, Jr. currently serve on the Compensation Committee, which is chaired by Peter Wirth. 

The Compensation Committee’s responsibilities include: 

• 

Reviewing  the  corporate  goals  and  objectives  relevant  to  the  compensation  of  our  Chairperson  and  Chief  Executive  Officer, 

evaluating  the  performance  of  our  Chairperson  and  Chief  Executive  Officer  in  light  of  such  corporate  goals  and  objectives  and 

recommending to the Board for approval of our Chairperson and Chief Executive Officer’s compensation based on that evaluation;

• 

• 

Reviewing and approving the compensation of our other executive officers;

Approving  our  long-term  compensation  strategy  for  employees  and  directors  and  determining  the  types  of  shares  and  other 

compensation plans to be used by us and our affiliates;

• 

Overseeing the administration of our equity incentive plans and approving equity compensation awards pursuant to our equity 

incentive plans;

• 

• 

Reviewing and making recommendations to the Board with respect to director compensation;

Overseeing the management of risks relating to our executive compensation and overall compensation and benefits strategies, 

plans, arrangements, practices, and policies;

• 

Evaluating  and  assessing  legal  counsel,  compensation  consultants,  and  other  advisors  in  accordance  with  the  applicable 

requirements in the Nasdaq listing rules;

• 

• 

Retaining and approving the compensation of any outside advisors to the Compensation Committee;

Preparing  the  compensation  committee  report  required  by  SEC  rules  to  be  included  in  our  annual  proxy  statement  or  Annual 

Report on Form 10-K; and

• 

Reviewing  and  discussing  with  management  the  compensation  discussion  and  analysis  to  be  included  in  our  annual  proxy 

statement or Annual Report on Form 10-K.

The Compensation Committee held five meetings in 2022 to carry out, among other things, the work summarized above.

228

CORPORATE GOVERNANCE REPORTNominating and Corporate Governance Committee

Leon O. Moulder, Jr., John Diekman, and William Lis currently serve on the Nominating and Corporate Governance Committee, which 

is chaired by Leon O. Moulder, Jr. The Nominating and Corporate Governance Committee’s responsibilities include: 

• 

Identifying  and  recommending  candidates  for  membership  of  the  Board  and  committees  to  the  Board  in  accordance  with 

criteria approved by the Board;

• 

Recommending  to  the  Board  or  to  the  appropriate  committee  thereto  processes  for  annual  evaluation  of  the  performance  of 

the Board, the Chairperson of the Board, the Chief Executive Officer, and appropriate committees of the Board;

• 

• 

Reviewing our practices and policies with respect to the Board and the functions, duties, and composition of the committees thereto;

Developing and recommending to the Board a set of corporate governance principles and reviewing the principles on an annual 

basis, or more frequently if appropriate; 

• 

Overseeing the maintenance and presentation of the Board or management’s plans for succession to our senior management 

positions; and

• 

Overseeing the Company’s environmental, social, and governance (“ESG”) strategy, commitments, goals, and activities.

The  Nominating  and  Corporate  Governance  Committee  held  four  meetings  in  2022  to  carry  out,  among  other  things,  the  work 

summarized above.

Research and Development Committee

Richard  Gaynor,  Kai-Xian  Chen,  Samantha  Du,  William  Lis,  and  Michel  Vounatsos  currently  serve  on  the  Research  and  Development 

Committee, which is chaired by Richard Gaynor. The Research and Development Committee’s responsibilities include: 

• 

Reviewing and discussing with management our strategic research and development objectives, goals, and priorities, identifying 

opportunities for further research and development projects, and assessing, informing, and recommending to the Board such 

strategies and opportunities that it deems suitable for the Company;

• 

• 

Overseeing, assessing, and, where applicable, approving any ongoing Company research and development programs; and

Providing feedback and advice to the Board regarding our ongoing research and development programs and activities.

The Research and Development Committee held eight meetings in 2022 to carry out, among other things, the work summarized above.

229

CORPORATE GOVERNANCE REPORTCommercial Committee

Michel  Vounatsos,  William  Lis,  and  Leon  O.  Moulder,  Jr.  currently  serve  on  the  Commercial  Committee,  which  is  chaired  by  Michel 

Vounatsos. The Commercial Committee’s responsibilities include: 

• 

Overseeing our commercialization strategy including reviewing and discussing with management our product commercialization 

plans and efforts and competitiveness of our commercial programs;

• 

Overseeing  commercial  risk  management,  including  reviewing  and  discussing  with  management  our  risk  assessment  and  risk 

management policies and procedures relating to commercial programs;

• 

Reviewing  the  organization,  implementation,  and  effectiveness  of  our  compliance  programs  with  respect  to  commercial 

programs and activities and the adequacy of the resources for those programs; and

• 

Providing feedback and advice to the Board regarding commercial performance goals, the capabilities and performance of our 

commercial personnel.

The Commercial Committee was established on January 7, 2023 and thus no meetings were held in 2022. 

BOARD DIVERSITY POLICY

The Company’s Board Diversity Policy, which is available on our website at https://ir.zailaboratory.com/corporate-governance/highlights, 

sets  out  the  Company’s  approach  to  promote  diversity  on  the  Board.  The  Company  sees  increasing  diversity  at  the  Board  level  as  an 

important  element  in  supporting  its  development  and  the  attainment  of  its  strategic  objectives  and  its  sustainable  development.  All 

Board  appointments  will  be  based  on  meritocracy,  and  candidates  will  be  considered  against  appropriate  criteria,  which  have  been 

approved by the Board, having due regard for the benefits of diversity on the Board. 

Pursuant  to  the  Board  Diversity  Policy,  the  Nominating  and  Corporate  Governance  Committee  will  report  annually  on  the  Board’s 

composition, including with respect to diversity and other director qualifications and characteristics, and will monitor and evaluate the 

implementation of the Board Diversity Policy.

In reviewing the Board’s composition, the Nominating and Corporate Governance Committee considers, among other characteristics, 

experiences,  perspectives,  and  viewpoints  as  well  as  diversity  with  respect  to  gender,  age,  culture,  ethnicity  and  nationality.  The 

ultimate decision on whether to recommend a director candidate for approval will be based on merit and the expected contributions 

that the proposed candidates will bring to the Board. 

The  Nominating  and  Corporate  Governance  Committee  will  review  and  reassess  the  adequacy  of  this  Policy,  as  appropriate.  The 

Nominating and Corporate Governance Committee will recommend any proposed changes to the Board for consideration and approval.

230

CORPORATE GOVERNANCE REPORTThe below chart provides information on each of our director’s voluntary, self-identified characteristics. 

Board Diversity Matrix (as of April 1, 2023)

Board Size:
Total Number of Directors

Gender Identity
Directors
Demographic Background
Asian
White
Did not disclose demographic background

10

Female

2

2
0
0

Male

8

1
6
1

Twenty  percent  of  the  Board’s  directors  are  female,  including  the  Chairperson  of  the  Board  who  also  serves  as  the  Company’s  Chief 

Executive Officer. The Board will continue to consider gender diversity as an important factor when evaluating the suitability of future 

director  candidates  in  light  of  the  needs  of  the  Board  at  that  time.  The  Company  is  of  the  view  that  gender  diversity  in  respect  of  the 

Board has been achieved. 

Our  commitment  to  diversity  is  reflected  in  the  composition  of  our  workforce.  As  of  December  31,  2022,  approximately  59%  are 

female,  and  55%  of  all  our  management  positions  (including  junior,  middle,  and  top  management)  are  held  by  women.  Accordingly, 

the Company considers that gender diversity is also achieved in its workforce generally.

NOMINATION POLICY

As  set  forth  in  the  Nominating  and  Corporate  Governance  Committee  Charter,  the  Corporate  Governance  Guidelines  and  the  Board 

Diversity Policy, the Nominating and Corporate Governance Committee will periodically review the size of the Board and recommend 

any proposed changes to the Board. The Nominating and Corporate Governance Committee is responsible for reviewing, on an annual 

basis, the qualification criteria for the Board as a whole and its individual members. 

In evaluating the suitability of individual candidates (both new candidates and current Board members), the Nominating and Corporate 

Governance  Committee,  in  recommending  candidates  to  the  Board,  and  the  Board,  in  nominating  and  recommending  candidates 

to the Company’s shareholders for election (and, in the case of vacancies, appointing) such candidates, will take into account many 

factors, including:

• 

• 

• 

• 

• 

• 

personal and professional integrity, character, reputation and business judgment;

qualifications, skills, expertise, experience, and educational background;

diversity across multiple dimensions, including diversity in experiences, perspectives, and skills as well as diversity with respect 

to gender, age, culture, ethnicity and nationality;

dedication and time availability in light of other commitments;

any actual or perceived conflicts of interest; and

any  other  relevant  factors  that  the  Committee  deems  appropriate  in  the  context  of  the  needs  of  the  Board  and  the  overall 

diversity and composition of the Board. 

231

CORPORATE GOVERNANCE REPORTWith  respect  to  the  above,  the  Nominating  and  Corporate  Governance  Committee  and  the  Board  will  also  consider  the  candidate’s 

ability  to  make  independent  analytical  inquiries,  general  understanding  of  marketing,  finance  and  other  elements  relevant  to  the 

success  of  a  publicly  traded  company  in  today’s  business  environment,  experience  in  the  Company’s  industry,  understanding  of  the 

Company’s  business  on  a  technical  level,  other  board  service  and  educational  and  professional  background.  Each  director  nominee 

must  also  possess  fundamental  qualities  of  intelligence,  honesty,  good  judgment,  ethics  and  integrity,  fairness  and  responsibility. 

The Board will evaluate each individual in the context of the Board as a whole, with the objective of assembling a group that can best 

perpetuate  the  success  of  the  business  and  represent  shareholder  interests.  In  determining  whether  to  recommend  a  director  for 

re-election,  the  Nominating  and  Corporate  Governance  Committee  should  also  consider  the  director’s  past  attendance  at  meetings 

and participation in and contributions to the activities of the Board.

Shareholder(s)  may  request  the  Company  to  convene  an  extraordinary  general  meeting  for  the  purpose  of  nominating  a  person 

pursuant to the section titled “General Meetings” of the Company’s Sixth Amended and Restated Articles of Association.

After  the  publication  of  the  notice  of  the  general  meeting  by  the  Company,  if  a  shareholder  wishes  to  propose  a  person 

(the “Candidate”) for election as a director of the Company at the general meeting, he/she shall lodge a written notice (the “Notice”) to: 

Zai Lab Limited, 314 Main Street, 4th Floor, Suite 100 Cambridge, MA 02142 USA, Attention: Corporate Secretary, with a copy forwarded 

to  the  registered  office  of  the  Company.  The  Notice  (i)  must  include  the  personal  information  of  the  Candidate  as  required  by  Rule 

13.51(2) of the HK Listing Rules; and (ii) must be signed by the shareholder concerned and signed by the Candidate indicating his/her 

willingness to be elected and consent to the publication of his/her personal information. The period for lodgement of the Notice shall 

be a period commencing on the day after the dispatch of the notice of such meeting and end on the earlier of (i) seven (7) days after the 

date of such Notice, or (ii) seven (7) days prior to the date of such meeting (or such other period, being a period of not less than seven 

(7) days, commencing no earlier than the day of dispatch of the notice of such meeting and ending no later than seven (7) days prior 

to the date appointed for such meeting, as may be determined by the Directors from time to time). In order to allow the Company’s 

shareholders to have sufficient time to consider the proposal of election of the Candidate as a director of the Company, shareholders 

who wish to make the proposal are urged to submit and lodge the Notice as early as practicable before the relevant general meeting. 

Please refer to the Company’s Sixth Amended and Restated Articles of Association for further details of the procedures involved.

CORPORATE GOVERNANCE FUNCTION

The Board is responsible for performing the functions set out in code provision A.2.1 of the CG Code.

The Board has reviewed and monitored the training and continuous professional development of directors and senior management; 

reviewed practices on the Company’s compliance with legal and regulatory requirements; developed and reviewed code of conduct 

applicable  to  employees  and  directors;  and  reviewed  the  Company’s  compliance  with  the  CG  Code  and  disclosure  in  the  Corporate 

Governance Report.

232

CORPORATE GOVERNANCE REPORTBOARD MEETINGS, COMMITTEE MEETINGS AND SHAREHOLDER MEETINGS

The  attendance  records  of  each  Director  at  Board  meetings,  committee  meetings  and  shareholder  meetings  during  the  Reporting 
Period are set out below.(1) 

Attendance/Number of Meeting(s)

Nominating

and Corporate 

Research and 

Audit

Compensation 

Governance 

Development 

Name of director

Board

Committee

Committee

Committee

Committee Shareholder Meetings

5/5

5/5

5/5

5/5

5/5

5/5

5/5

5/5

5/5

N/A

N/A

N/A

9/9

N/A

N/A

N/A

9/9

N/A

9/9

N/A

N/A 

5/5

N/A

N/A

4/5

N/A

N/A

N/A

5/5

N/A

N/A

N/A

4/4

N/A

N/A

4/4

N/A

4/4

N/A

N/A

EGM 

AGM

March 28

June 22

Yes

No

No

No

No

No

No

No

No

Yes

No

Yes

Yes

No

Yes

Yes

Yes

Yes

N/A

N/A

8/8

8/8

N/A

8/8

N/A

8/8

N/A

N/A

N/A

N/A

Executive Director:
Dr. Samantha Du (1)

Independent Directors:
Dr. Kai-Xian Chen
Dr. John Diekman (2)

Richard Gaynor, M.D.

Ms. Nisa Leung

Mr. William Lis
Mr. Scott W. Morrison (3)

Mr. Leon O. Moulder, Jr.
Mr. Peter Wirth (4)
Mr. Michel Vounatsos (5)

Notes:

(1) 

Dr. Samantha Du attended 1 Compensation Committee meeting and 1 Nominating & Corporate Governance Committee meeting, respectively, as a non-member guest.

(2) 

Dr.  John  Diekman  was  appointed  to  the  Compensation  Committee  after  the  last  committee  meeting  in  2022  and  thus  had  no  attendance  requirement  in  2022,  and 

attended 2 R&D Committee meetings as a non-member guest.

(3) 

Mr. Scott Morrison attended 1 R&D Committee meeting as a non-member guest.

(4) 

Mr. Peter Wirth attended 4 R&D Committee meetings as a non-member guest.

(5) 

Mr.  Michel  Vounatsos  was  appointed  as  an  independent  director  of  the  Company,  chairperson  of  the  Commercial  Committee  and  a  member  of  the  Research  and 

Development Committee with effect from January 7, 2023.

(6) 

Following  the  establishment  of  the  Commercial  Committee  on  January  7,  2023  being  chaired  by  Mr.  Michel  Vounatsos,  an  independent  director  of  the  Company, 

Mr.  William  Lis  and  Mr.  Leon  O.  Moulder,  Jr.,  independent  directors  of  the  Company,  were  appointed  as  members  of  the  Commercial  Committee  with  effect  from 

January 13, 2023. 

233

CORPORATE GOVERNANCE REPORTDIRECTORS’ RESPONSIBILITY IN RESPECT OF THE FINANCIAL STATEMENTS

The Directors acknowledge their responsibility for supervising management’s preparation of the financial statements of the Company 

for the Reporting Period.

The  Directors  of  the  Company  are  responsible  for  the  oversight  of  the  consolidated  financial  statements  for  the  Reporting  Period 

that  give  a  true  and  fair  view  in  accordance  with  U.S.  generally  accepted  accounting  principles  and  the  disclosure  requirements  of 

the Hong Kong Companies Ordinance, and for such internal control as the directors determine is necessary to enable the preparation 

of  consolidated  financial  statements  that  are  free  from  material  misstatement,  whether  due  to  fraud  or  error. During  the  Reporting 

Period, the Audit Committee of the Board oversees the accounting and financial reporting processes of the Company and the audits of 

the Company’s financial statements, including but not limited to assisting the Board in its oversight of the integrity of the consolidated 

financial statements of the Company, the Company’s compliance program, and the Company’s risk management and internal control 

over financial reporting.

The  Directors  are  not  aware  of  any  material  uncertainties  relating  to  events  or  conditions  that  may  cast  significant  doubt  upon  the 

Company’s ability to continue as a going concern.

CONTINUOUS PROFESSIONAL DEVELOPMENT OF DIRECTORS

The Directors intend to keep abreast of their responsibilities as directors of the Company and of the conduct, business activities and 

development of the Company.

The  Company  arranges  a  formal  and  comprehensive  induction  to  a  newly  appointed  Director  so  that  the  Director  has  a  proper 

understanding of the Company’s operations and business and is fully aware of the director’s responsibilities under the HK Listing Rules 

and SFO, and other legal and regulatory requirements.

The Company arranges trainings to provide Directors with updates on latest development and changes in the HK Listing Rules and other 

relevant legal and regulatory requirements from time to time. The Directors are also provided with regular updates on the Company’s 

performance, position and prospects to enable the Board as a whole and each Director to discharge his or her duties. The Company also 

encourages the Directors to attend relevant training courses provided by legal advisors and/or any appropriate institutions.

For the Reporting Period, all Directors participated in continuing professional development regarding their duties and responsibilities 

as a director of a listed company which included reading materials and/or attending training.

Effective January 7, 2023, Mr. Michel Vounatsos was appointed to the Board. Mr. Michel Vounatsos has been appropriately trained as 

to Hong Kong law, on directors’ duties, responsibilities and obligations under the HK Listing Rules and the SFO.

234

CORPORATE GOVERNANCE REPORTAUDITORS’ REMUNERATION

The  fees  paid  or  payable  in  relation  to  audit  and  non-audit  services  for  the  year  ended  December  31,  2022  provided  by  KPMG  LLP 

and its affiliates, and for the year ended December 31, 2021 provided by Deloitte Touche Tohmatsu Certified Public Accountants LLP, 

Deloitte Touche Tohmatsu, and their affiliates (in thousands), were as follows:

Audit Fees(1)

Tax Fees

Total

Year Ended December 31,

2022

US$’000

4,716

—

4,716

2021

US$’000

1,150

88

1,238

(1) 

Audit fees consist of fees for the audit of our consolidated financial statements, reviews of our interim financial statements, and the audit of the effectiveness of our 

internal control over financial reporting. Audit fees also include services that are normally provided in connection with statutory and regulatory filings.

(2) 

KPMG LLP and its affiliates did not provide any tax or other non-audit services in 2022.

CONNECTED TRANSACTIONS AND CONTINUING CONNECTED TRANSACTIONS

During the Reporting Period, the Company has not entered into any connected transaction or continuing connected transaction which 

should be disclosed pursuant to the requirements of Rule 14A.71 of the HK Listing Rules.

RELATED PARTY TRANSACTION

The  related  party  transaction  disclosed  in  Note  16  to  the  consolidated  financial  statements  does  not  constitute  a  connected 

transaction  or  continuing  connected  transaction  subject  to  independent  shareholders’  approval,  annual  review  and  all  disclosure 

requirements in Chapter 14A of the HK Listing Rules. 

RISK MANAGEMENT AND INTERNAL CONTROLS

During the Reporting Period, we have conducted an annual review of the effectiveness of our risk management and internal control 

systems,  which  we  consider  to  be  effective  and  adequate.  Such  review  covers  the  adequacy  of  resources,  staff  qualifications  and 

experience,  training  programs  and  budget  of  the  issuer’s  accounting,  internal  audit,  financial  reporting  functions,  as  well  as  those 

relating  to  the  issuer’s  ESG  performance  and  reporting,  and  the  matters  covered  in  code  provision  D.2.3  of  the  CG  Code.  For 

more  details  about  the  Company’s  risk  management  and  internal  control  systems,  please  refer  to  the  sub-section  entitled  “RISK 

MANAGEMENT”  under  the  “Business”  section  in  this  annual  report  and  the  section  headed  “Responsibilities,  Accountabilities  and 

Contributions of the Board and Management” in this Corporate Governance Report.

235

CORPORATE GOVERNANCE REPORTProcedures and Internal Controls for the Handling and Dissemination of Inside Information

The  Company  follows  the  requirements  of  the  SFO  and  the  HK  Listing  Rules  and  ensures  that  inside  information  is  disclosed  to  the 

public as soon as reasonably practicable unless the information falls within any of the safe harbours of the SFO. Before such disclosure, 

the  information  should  be  kept  strictly  confidential.  In  addition,  the  Company  adopted  the  policy  of  disclosing  relevant  information 

only to appropriate staff within the Company or to its professional advisers who have a need to know such information.

COMPANY SECRETARY

The Company has appointed Mr. F. Ty Edmondson and Ms. Nelly Au-Yeung as joint company secretaries of the Company, with effect 

from June 27, 2022. Mr. Edmondson has extensive experience in legal and compliance matters but presently may not possess all of the 

qualifications under Rules 3.28 and 8.17 of the HK Listing Rules, and may not be able to solely fulfill the requirements of the HK Listing 

Rules. Therefore, the Company has appointed Ms. Au-Yeung as one of the joint company secretaries of the Company. Ms. Au-Yeung 

is  currently  a  Senior  Manager  of  Tricor  Services  Limited,  a  global  professional  services  provider  specializing  in  integrated  business, 

corporate  and  investor  services.  Ms.  Au-Yeung  is  a  chartered  secretary,  an  associate  of  both  The  Hong  Kong  Chartered  Governance 

Institute  and  The  Chartered  Governance  Institute  (formerly  known  as  The  Institute  of  Chartered  Secretaries  and  Administrators). 

Ms.  Au-Yeung  has  around  10  years  of  experience  in  the  corporate  secretarial  field  and  is  currently  the  company  secretary  of  Anton 

Oilfield  Service  Group  (Stock  Code:  3337).  Ms.  Au-Yeung  holds  a  Bachelor  of  Arts  in  Economics  and  Finance  from  Hong  Kong  Shue 

Yan University and obtained a Master of Corporate Governance from The Hong Kong Polytechnic University. Ms. Au-Yeung, who fully 

meets the requirements stipulated under Note 1 to Rule 3.28 and Rule 8.17 of the HK Listing Rules, acts as the other joint company 

secretary to provide assistance to Mr. Edmondson for an initial period of three years from the Primary Conversion Effective Date to 

enable Mr. Edmondson to acquire the “relevant experience” under Note 2 to Rule 3.28 of the HK Listing Rules so as to fully comply 

with the requirements set forth under Rules 3.28 and 8.17 of the HK Listing Rules.

The  Company’s  principal  business  activities  are  primarily  outside  of  Hong  Kong.  The  Company  believes  that  it  would  be  in  the  best 

interests  of  the  Company  and  the  corporate  governance  of  the  Company  to  have  as  its  joint  company  secretary  a  person  such  as 

Mr. Edmondson, who is an employee of the Company and the Chief Legal Officer and who has day-to-day knowledge of the Company’s 

affairs.  Mr.  Edmondson  has  the  necessary  nexus  to  the  Board  and  close  working  relationships  with  management  of  the  Company  in 

order to perform the function of a joint company secretary and to take necessary actions in an effective and efficient manner.

SHAREHOLDERS’ RIGHTS

Convening of Extraordinary General Meetings by Shareholders

Pursuant  to  Articles  57  and  58  of  our  Sixth  Amended  and  Restated  Articles  of  Association,  an  extraordinary  general  meeting  of  our 

Company shall be convened on a members’ requisition put forth by our shareholders holding at the date of deposit of the requisition 

not  less  than  one-tenth  of  the  share  capital  of  the  Company  as  at  that  date  carries  the  right  of  voting  at  general  meetings  of  the 

Company.  The  requisition  must  state  the  objects  of  the  meeting  and  must  be  signed  by  the  requisitionists  and  deposited  at  the 

principal place of business of the Company (with a copy forwarded to the registered office), and may consist of several documents in 

like form each signed by one or more requisitionists. If the Directors do not within 21 calendar days from the date of the deposit of the 

requisition duly proceed to convene a general meeting to be held within a further 21 calendar days, the requisitionists, or any of them 

representing more than one half of the total voting rights of all of them, may themselves convene a general meeting, but any meeting 

so convened shall not be held after the expiration of three months after the expiration of the second said 21 calendar days.

236

CORPORATE GOVERNANCE REPORTPutting Forward Proposals at General Meetings

Shareholders  may  present  proper  proposals  for  inclusion  in  our  proxy  statement  and  for  consideration  at  our  next  annual  general 

meeting of shareholders by submitting their proposals in writing to us in a timely manner. In order to be considered for inclusion in 

the  proxy  statement  for  the  2024  annual  general  meeting  of  shareholders,  shareholder  proposals  must  be  received  at  our  principal 

executive  offices  no  later  than  December  30,  2023,  and  must  otherwise  comply  with  the  requirements  of  the  Exchange  Act.  If  we 

do not receive notice of the proposal at our principal executive offices prior to such date, such proposal will be considered untimely 

for  purposes  of  the  Exchange  Act.  Any  other  shareholder  proposal  for  the  2024  annual  general  meeting  of  shareholders  which  is 

submitted outside the processes of Exchange Act shall be considered untimely unless received by the Company in writing no later than 

March 14, 2024. A copy of all notices of proposals by shareholders should be sent to Chief Legal Officer & Corporate Secretary, Zai Lab 

Limited, 314 Main Street, Fourth Floor, Suite 100, Cambridge, MA 02142.

Putting Forward Enquiries to the Board and Contact Details

The  Board  provides  every  shareholder  the  ability  to  communicate  with  the  Board,  as  a  whole,  and  with  individual  directors  on  the 

Board through an established process for shareholder communication. For a shareholder communication directed to the Board as a 

whole, shareholders may send such communication to the attention of our Corporate Secretary via regular mail or expedited delivery 

service to: Zai Lab Limited, 314 Main Street, Fourth Floor, Suite 100, Cambridge, MA 02142, Attention: Board c/o Corporate Secretary.

For a shareholder communication directed to an individual director in his or her capacity as a member of the Board, shareholders may 

send such communication to the attention of the individual director via Regular Mail or Expedited Delivery Service to: Zai Lab Limited, 

314 Main Street, Fourth Floor, Suite 100, Cambridge, MA 02142, Attention: [Name of Individual Director].

Communications will be distributed to the Board, or to any individual director or directors as deemed appropriate, depending on the 

facts and circumstances outlined in the communications. Items that are unrelated to the duties and responsibilities of the Board may be 

excluded, such as junk mail and mass mailings, resumes and other forms of job inquiries, surveys, and solicitations or advertisements. 

COMMUNICATION WITH SHAREHOLDERS AND INVESTOR RELATIONS

The  Company  considers  that  effective  communication  with  shareholders  is  essential  for  enhancing  investor  relations  and  investor 

understanding  of  the  Company’s  business  performance  and  strategies.  The  Company  endeavors  to  maintain  an  on-going  dialogue  with 

shareholders and in particular, through annual general meetings and extraordinary general meetings. The Company provides the shareholders 

with  relevant  information  on  the  resolution(s)  proposed  at  a  general  meeting  in  a  timely  manner  in  accordance  with  the  HK  Listing  Rules, 

to  provide  information  that  the  Company  deems  reasonably  necessary  to  enable  the  shareholders  to  make  an  informed  decision  on  the 

proposed resolution(s). Shareholders are encouraged to participate in general meetings. At the forthcoming 2023 annual general meeting, 

Directors (or their delegates as appropriate) will be available in person or via teleconference to meet shareholders and answer their enquiries.

The Company has in place a Shareholder Communication Policy. The Board has reviewed the implementation and effectiveness of the 

Company’s  Shareholder  Communication  Policy  during  the  Reporting  Period  and  considered  that  the  policy  was  able  to  facilitate  an 

open and on-going communication with the shareholders on fair disclosure basis.

237

CORPORATE GOVERNANCE REPORTCHANGES IN CONSTITUTIONAL DOCUMENTS

A proposal was made to amend the Fifth Amended and Restated Memorandum of Association adopted by a special resolution passed 

on September 4, 2020, and the Fifth Amended and Restated Articles of Association adopted by a special resolution passed on June 24, 

2021 (collectively the “Fifth Restated Articles”) at the annual general meeting held on June 22, 2022. The details of the amendments 

are set out in our definitive proxy statement/circular dated May 3, 2022 (Shanghai and Hong Kong Time), which was published on the 

websites of the Hong Kong Stock Exchange (www.hkexnews.hk) and the Company, including the key changes summarized below. Such 

amendments were approved by our Shareholders at the annual general meeting held on June 22, 2022.

The  Sixth  Amended  and  Restated  Memorandum  and  Articles  of  Association  adopted  by  a  special  resolution  passed  on  June  22, 

2022  (the  “Sixth  Restated  Articles”),  which  became  effective  on  June  27,  2022,  upon  completion  of  the  Company’s  conversion  to 

dual-primary listing on the Main Board of Hong Kong Stock Exchange, include the following key changes to the Fifth Restated Articles:

Special Resolution — Article 1

The  Fifth  Restated  Articles  was  amended  and  restated  to  vary  the  definition  of  a  Special  Resolution  to  specifically  make  reference 

to,  and  include,  instances  flagged  in  the  Sixth  Restated  Articles  that  require  the  increased  voting  threshold  (from  two-thirds  to 

three-fourths  of  the  votes  cast  on  a  proposal)  of  a  “Super-Majority  Resolution”  (as  defined  below).  This  amendment  is  made  in 

compliance  with  the  Companies  Act  (Revised)  of  the  Cayman  Islands,  which  provides  at  Section  60(1)(a)  that  a  company  may  in  its 

articles of association specify that the required majority shall be a number greater than two-thirds, and may additionally so provide 

that any such majority (being not less than two-thirds) may differ as between matters required to be approved by a special resolution.

Variation of Rights Attaching to Shares — Article 23

The Fifth Restated Articles was amended and restated to increase the voting threshold for the variation of rights attaching to any class or 

series of shares by written consent from two-thirds of the issued shares to three-fourths of the voting rights of the holders of that class 

or series, and that such variation of rights can also be approved by a not less than three-fourth of our shareholders (“Super-Majority 

Resolution”), who, as being entitled to do so, vote at a general meeting, the quorum of which is not less than an aggregate of one-third 

of  the  issued  shares  of  the  relevant  class.  This  amendment  is  made  in  compliance  with  paragraph  15  of  Appendix  3  of  the  HK  Listing 

Rules, which provides that a super-majority vote of the issuer’s members of the class to which the rights are attached shall be required 

to  approve  a  change  to  those  rights.  For  the  purpose  of  this  HK  Listing  Rule,  a  “super-majority  vote”  means  at  least  three-fourths  of 

the voting rights of the members holding shares in that class present and voting in person or by proxy at a separate general meeting of 

members of the class where the quorum for such meeting shall be holders of at least one third of the issued shares of the class. 

238

CORPORATE GOVERNANCE REPORTQuorum — Article 24(b) 

The Fifth Restated Articles was amended and restated to increase the necessary quorum to hold a general meeting of holders of one 

class  or  series  of  shares  or  to  demand  a  poll  at  such  a  general  meeting  from  one  or  more  persons  holding  or  representing  at  least 

one-tenth of the issued shares of that class or series to one or more persons holding or representing at least one-third of the issued 

shares of that class or series. This amendment is made in compliance with paragraph 15 of Appendix 3 of the HK Listing Rules, which 

provides that a super-majority vote of the issuer’s members of the class to which the rights are attached shall be required to approve 

a change to those rights and which a quorum for such meeting shall be holders of at least one third of the issued shares of that class. 

If this Proposal is approved, language relating to the right of members to demand a poll within Article 24(b) will also be removed (as 

explained below). 

Shareholder Right to Speak at General Meeting — Articles 52–54, 58, 71 

The  Fifth  Restated  Articles  was  amended  and  restated  to  explicitly  specify  that  each  shareholder  of  the  Company  entitled  to  attend 

or vote at a general meeting shall also have the right to speak at the general meeting. This amendment is made in compliance with 

paragraph  14(3)  of  Appendix  3  of  the  HK  Listing  Rules,  which  provides  that  members  must  have  the  right  to  speak  at  a  general 

meeting; and vote at a general meeting except where a member is required, by the HK Listing Rules, to abstain from voting to approve 

the matter under consideration. 

General Meetings — Article 56(a) 

The Fifth Restated Articles was amended and restated to provide that the annual general meeting of the Company shall occur within 

6  months  after  the  end  of  the  Company’s  financial  year  (or  such  longer  period  as  the  relevant  stock  exchange  may  authorize).  This 

amendment is made in compliance with paragraph 14(1) of Appendix 3 of the HK Listing Rules, which provides that an issuer must hold 

a general meeting for each financial year as its annual general meeting and generally, an issuer must hold its annual general meeting 

within six months after the end of its financial year. 

Notice of General Meetings — Article 58 

The  Fifth  Restated  Articles  was  amended  and  restated  to  provide  that  the  notice  period  for  any  extraordinary  general  meeting  of 

the Company will be at least 14 calendar days and the notice period for any annual general meeting of the Company will be at least 

21 calendar days. This amendment is made in compliance with paragraph 14(2) of Appendix 3 of the HK Listing Rules. 

Voting by poll at General Meetings — Articles 24(b), 66–69, 77 and 78 

The Fifth Restated Articles was amended and restated to provide that voting on a resolution at a general meeting shall be decided by poll, 

rather than a show of hands, save for matters that the Chairperson of the meeting may, in good faith, deem to be matters that are purely 

administrative or procedural and were not on the agenda of the meeting or any supplementary circular to members, and therefore may 

put such matter to vote by a show of hands. These amendments are made in compliance with Rule 13.39(4) of the HK Listing Rules.

239

CORPORATE GOVERNANCE REPORTClearing Houses — Article 81A 

The Fifth  Restated  Articles  was amended  and restated to  provide that the Hong Kong Securities Clearing  Company Limited  (“HKSCC”) 

will be entitled to appoint proxies or corporate representatives to attend the Company’s general meetings and creditors meetings and 

such  proxies  or  corporate  representatives  will  enjoy  rights  equivalent  to  the  rights  of  other  shareholders  of  the  Company,  and  that, 

where  applicable  law  prohibits  HKSCC  form  appointing  proxies  or  corporate  representatives,  the  Company  will  use  its  best  efforts  to 

make necessary arrangements with HKSCC to ensure that Hong Kong investors holding shares through HKSCC enjoy the right to vote, 

attend and speak at general meetings. This amendment is made in compliance with paragraph 19 of Appendix 3 of the HK Listing Rules, 

which  provides  that  HKSCC  must  be  entitled  to  appoint  proxies  or  corporate  representatives  to  attend  the  issuer’s  general  meetings 

and creditors meetings and those proxies/corporate representatives must enjoy rights equivalent to the rights of other shareholders, 

including the right to speak and vote. 

Directors — Article 82(d) 

The Fifth Restated Articles was amended and restated to specify within this Article that directors appointed by ordinary resolution to 

fill a casual vacancy on the board or as an addition to the existing board will hold office until the first annual general meeting of the 

Company after his appointment and will then be eligible for re-election at that meeting. This amendment is made in compliance with 

paragraph 4(2) of Appendix 3 of the HK Listing Rules, which provides that any person appointed by the directors to fill a casual vacancy 

on or as an addition to the board shall hold office only until the first annual general meeting of the issuer after his appointment, and 

shall then be eligible for re-election. 

Proceedings of Directors — Article 103(a) 

The Fifth Restated Articles was amended and restated to provide that at least 14 calendar days’ notice shall be given to all directors 

and  their  respective  alternates  for  regular  board  meetings.  This  amendment  is  made  in  compliance  with  Code  Provision  C.5.3  of 

Appendix 14 of the HK Listing Rules, which provides that notice of at least 14 days should be given of a regular board meeting to give 

all directors an opportunity to attend. For all other board meetings, reasonable notice should be given. 

Proceedings of Directors — Article 108 

The  Fifth  Restated  Articles  was  amended  and  restated  to  specify  that  a  Director’s  vote  with  respect  to  any  matter  that  he  may  be 

interested in shall be subject to the relevant rules of the designated stock exchange. 

240

CORPORATE GOVERNANCE REPORTAudit — Article 134 

The  Fifth  Restated  Articles  was  amended  and  restated  to  provide  that  the  appointment  and  removal  of  an  auditor  of  the  Company 

shall  be  approved  by  a  majority  of  the  shareholders  of  the  Company  or  other  body  that  is  independent  of  the  Board  in  accordance 

with the HK Listing Rules, that the removal of an auditor of the Company before the expiration of its period of office shall require the 

approval of an ordinary resolution, and that the remuneration of the auditor of the Company shall be approved by a majority of the 

shareholders of the Company or other body that is independent of the Board. This amendment is made in compliance with paragraph 

17  of  Appendix  3  of  the  HK  Listing  Rules,  which  provides  that  the  appointment,  removal  and  remuneration  of  auditors  must  be 

approved by a majority of the issuer’s members or other body that is independent of the board of directors.

Information — Article 150 

The Fifth Restated Articles was amended and restated to provide that any branch Register of Members maintained in Hong Kong shall 

be open for inspection by a shareholder of the Company without charge, and shall be open to such other persons on payment of a fee 

as the Board may determine, subject to certain limitations, and that the Company may be permitted to close the branch Register of 

Members on terms equivalent to Section 632 of Companies Ordinance (Cap. 622 of the Laws of Hong Kong). This amendment is made 

in compliance with paragraph 20 of Appendix 3 of the HK Listing Rules, which provides that the branch register of members in Hong 

Kong shall be open for inspection by members but the issuer may be permitted to close the register on terms equivalent to section 632 

of the Companies Ordinance (Cap. 622 of the Laws of Hong Kong).

Winding Up — Article 155 

The Fifth Restated Articles was amended and restated to provide that the Company may be wound up voluntarily if the shareholders of 

the Company at any general meeting so resolve by Super-Majority Resolution. This amendment is made in compliance with paragraph 

21 of Appendix 3 of the HK Listing Rules, which provides that a super-majority vote of the issuer’s members in a general meeting shall 

be required to approve a voluntary winding up of an issuer. 

Amendment to Memorandum and Articles — Article 155 

The  Fifth  Restated  Articles  was  amended  and  restated  to  provide  that  the  Company’s  memorandum  of  association  and  articles  of 

association  may  be  altered  or  amended,  or  the  name  of  the  Company  may  be  changed,  if  the  shareholders  of  the  Company  at  any 

general  meeting  so  resolve  by  Super-Majority  Resolution.  This  amendment  is  made  in  compliance  with  paragraph  16  of  Appendix  3 

of the HK Listing Rules, which provides that a super-majority vote of the issuer’s members in a general meeting shall be required to 

approve  changes  to  an  issuer’s  constitutional  documents.  For  the  purpose  of  this  HK  Listing  Rule,  a  “super-majority  vote”  means  at 

least three-fourth of the voting rights of the members present and voting in person or by proxy at the general meeting.

241

CORPORATE GOVERNANCE REPORTTo the Shareholders and Board of Directors of Zai Lab Limited

Opinion on the Consolidated Financial Statements

We  have  audited  the  accompanying  consolidated  balance  sheet  of  Zai  Lab  Limited  and  subsidiaries  (the  “Company”)  as  of 

December 31, 2022, the related consolidated statements of operations, comprehensive loss, changes in shareholders’ equity, and cash 

flows for the year ended December 31, 2022, and the related notes and schedule listed in the Schedule I (collectively, the consolidated 

financial statements). In our opinion, the consolidated financial statements present fairly, in all material respects, the financial position 

of the Company as of December 31, 2022 and the results of its operations and its cash flows for the year ended December 31, 2022, in 

conformity with U.S. generally accepted accounting principles.

The  consolidated  financial  statements  of  the  Company  as  of  and  for  the  year  ended  December  31,  2021,  were  audited  by  other 

auditors in accordance with Hong Kong Standards on Auditing whose report dated March 1, 2022, expressed an unmodified opinion on 

those statements.

BASIS FOR OPINION

These  consolidated  financial  statements  are  the  responsibility  of  the  Company’s  management.  Our  responsibility  is  to  express  an 

opinion on these consolidated financial statements based on our audit. We are a public accounting firm registered with the U.S. Public 

Company  Accounting  Oversight  Board  (“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 U.S. 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  the  consolidated  financial  statements  are  free  of  material  misstatement,  whether 

due  to  error  or  fraud.  Our  audit  included  performing  procedures  to  assess  the  risks  of  material  misstatement  of  the  consolidated 

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  consolidated  financial  statements.  Our  audit  also 

included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall 

presentation of the consolidated financial statements. We believe that our audit provides a reasonable basis for our opinion.

242

INDEPENDENT AUDITOR’S REPORTCRITICAL AUDIT MATTER

The  critical  audit  matter  communicated  below  is  a  matter  arising  from  the  current  period  audit  of  the  consolidated  financial 

statements  that  was  communicated  or  required  to  be  communicated  to  the  audit  committee  and  that:  (1)  relates  to  accounts  or 

disclosures  that  are  material  to  the  consolidated  financial  statements  and  (2)  involved  our  especially  challenging,  subjective,  or 

complex judgments. The communication of a critical audit matter does not alter in any way our opinion on the consolidated financial 

statements, taken as a whole, and we are not, by communicating the critical audit matter below, providing a separate opinion on the 

critical audit matter or on the accounts or disclosures to which it relates.

EVALUATION OF ACCRUED PRECLINICAL AND CLINICAL TRIAL EXPENSES

As  discussed  in  Note  2  to  the  consolidated  financial  statements,  the  Company’s  research  and  development  expenses  include  costs 

associated with payments to contract research organizations (“CROs”) and contract manufacturing organizations (“CMOs”) for various 

preclinical  and  clinical  trial  activities.  Expenses  related  to  preclinical  and  clinical  trial  activities  are  accrued  based  on  the  Company’s 

estimates of the actual services performed by the CROs and CMOs. As disclosed in the consolidated financial statements, the Company 

recorded  $62.9  million  in  accounts  payable  and  $65.8  million  in  other  current  liabilities,  which  included  the  accrued  preclinical  and 

clinical trial expenses.

We  identified  the  evaluation  of  accrued  preclinical  and  clinical  trial  expenses  as  a  critical  audit  matter.  Specifically,  evaluating  the 

estimate of services performed for certain research and development projects at year-end required subjective auditor judgment.

The following are the primary procedures we performed to address this critical audit matter. We evaluated the design and tested the 

operating  effectiveness  of  certain  internal  controls  related  to  accrued  preclinical  and  clinical  trial  expenses.  This  included  controls 

related to the estimation of the services performed by the CROs and CMOs during the period that are included in accounts payable 

and  accrued  liability  balances  at  the  end  of  each  reporting  period.  On  a  sample  basis,  we  examined  contracts,  purchase  orders, 

invoices,  and  third-party  confirmations  and  compared  them  to  the  Company’s  estimation  of  services  performed  by  the  CROs  and 

CMOs. We also examined certain invoices received and/or payments made after the reporting date and evaluated whether they were 

associated with services received prior to that date and whether they were included in the Company’s estimate of costs incurred at 

year-end.

/s/ KPMG LLP

We have served as the Company’s auditor since 2022.

New York, New York

March 31, 2023

243

INDEPENDENT AUDITOR’S REPORTCONSOLIDATED BALANCE SHEETS
($ in thousands except for number of shares and per share data)

Assets

Current assets

 Cash and cash equivalents

 Short-term investments

 Accounts receivable (net of allowance for credit loss of $11 as of 

  December 31, 2022 and 2021, respectively)

 Notes receivable

 Inventories, net

 Prepayments and other current assets

Total current assets

 Restricted cash, non-current

 Long-term investments (including the fair value measured investment of $6,431

  and $15,383 as of December 31, 2022 and 2021, respectively)

 Prepayments for equipment

 Property and equipment, net

 Operating lease right-of-use assets

 Land use rights, net

 Intangible assets, net

 Long-term deposits

 Value added tax recoverable

Total assets 

Liabilities and shareholders’ equity

Current liabilities

 Accounts payable

 Current operating lease liabilities

 Other current liabilities

Total current liabilities

 Deferred income

 Non-current operating lease liabilities

Total liabilities

Notes

2022

2021

December 31,

3

5

6

7

4

8

9

10

11

10

14

10

1,008,470

—

39,963

8,608

31,621

35,674

964,100

445,000

47,474

7,335

18,951

18,021

1,124,336

1,500,881

803

803

6,431

1,396

57,863

19,512

6,892

1,511

1,396

—

15,605

989

43,102

14,189

7,811

1,848

870

23,858

1,220,140

1,609,956

65,974

7,050

66,818

139,842

21,360

13,343

174,545

126,163

5,927

60,811

192,901

27,486

9,613

230,000

244

CONSOLIDATED FINANCIAL STATEMENTSCONSOLIDATED BALANCE SHEETS (CONTINUED)
($ in thousands except for number of shares and per share data) (Continued)

Commitments and contingencies (Note 22)

Shareholders’ equity

 Ordinary shares (par value of $0.000006 per share; 

  5,000,000,000 shares authorized, 962,455,850 and

  955,363,980 shares issued as of December 31, 2022 and 2021, 

  respectively; 960,219,570 and 954,981,050 shares issued and 

  outstanding as of December 31, 2022 and 2021, respectively)

 Additional paid-in capital

 Accumulated deficit

 Accumulated other comprehensive income (loss)

 Treasury stock (at cost, 2,236,280 and 382,930 shares as of

  December 31, 2022 and 2021, respectively)

Total shareholders’ equity

Total liabilities and shareholders’ equity

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

December 31,

2022

2021

6

2,893,120

(1,861,360)

25,685

(11,856)

1,045,595

1,220,140

6

2,825,948

(1,418,074)

(23,645)

(4,279)

1,379,956

1,609,956

245

CONSOLIDATED FINANCIAL STATEMENTSCONSOLIDATED STATEMENTS OF OPERATIONS
($ in thousands except for number of shares and per share data)

Revenues

 Product revenue, net

 Collaboration revenue

   Total revenues

Expenses

 Cost of sales

 Research and development

 Selling, general and administrative

Loss from operations

 Interest income

 Interest expenses

 Foreign currency (loss) gain

 Other income (expenses), net

Loss before income tax and share of loss from 

 equity method investment

Income tax expense

Share of loss from equity method investment

Net loss

Loss per share — basic and diluted

Weighted-average shares used in calculating net

 loss per ordinary share — basic and diluted

Loss per American Depositary Shares (“ADS”) — basic and diluted

Weighted-average ADSs used in calculating net loss per

Notes

12

12

19

13

15

Year ended December 31,
2021

2022

212,672

2,368

215,040

(74,018)

(286,408)

(258,971)

(404,357)

14,582

—

(56,403)

3,113

144,105

207

144,312

(52,239)

(573,306)

(218,831)

(700,064)

2,190

—

4,661

(10,201)

(443,065)

(703,414)

—

(221)

(443,286)

(0.46)

—

(1,057)

(704,471)

(0.76)

958,067,140

929,921,120

(4.63)

(7.58)

 ADS — basic and diluted

95,806,714

92,992,112

Note:  All the numbers of ordinary shares and per share data in these consolidated financial statements have been retrospectively adjusted as a result of the Share Subdivision 

and  the  ADS  Ratio  Change  that  became  effective  on  March  30,  2022.  The  Share  Subdivision  and  ADS  Ratio  Change  did  not  result  in  any  change  to  the  number  of 

outstanding ADSs of the Company. Refer to Note 2(a) for additional information.

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

246

CONSOLIDATED FINANCIAL STATEMENTSCONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS
($ in thousands)

Net loss

Other comprehensive income (loss), net of tax of nil:

 Foreign currency translation adjustments

Comprehensive loss

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

Year ended December 31,
2021

2022

(443,286)

(704,471)

49,330

(393,956)

(9,121)

(713,592)

247

CONSOLIDATED FINANCIAL STATEMENTSCONSOLIDATED STATEMENTS OF SHAREHOLDERS’ EQUITY
($ in thousands except for number of shares and per share data)

Balance at December 31, 2020
Issuance of ordinary shares upon
 vesting of restricted shares
Exercise of shares option
Issuance of ordinary shares upon
 follow-on public offering, net of
 issuance cost of $839
Issuance of ordinary shares in
 connection with collaboration and
 license arrangement (Note 18)
Issuance cost adjustment for secondary listing
Receipt of employees’ shares to
 satisfy tax withholding obligations
 related to share-based compensation
Share-based compensation
Net loss
Foreign currency translation
Balance at December 31, 2021
Issuance of ordinary shares upon
 vesting of restricted shares
Exercise of shares option
Receipt of employees’ shares to
 satisfy tax withholding obligations
 related to share-based compensation
Share-based compensation
Net loss
Foreign currency translation
Balance at December 31, 2022

Number of 
Shares
878,110,260

2,054,500
12,353,400

57,164,000

5,681,820
—

—
—
—
—
955,363,980

1,940,680
5,151,190

—
—
—
—
962,455,850

Ordinary shares

Additional 
paid 
in capital
1,897,467

Accumulated 
deficit
(713,603)

Accumulated 
other 
comprehensive 
income (loss) 
(14,524)

Treasury Stock 

Number of 
Shares
—

Amount
—

Total
1,169,345

Amount
5

0
0

1

0
—

—
—
—
—
6

0
0

—
—
—
—
6

0
7,417

818,035

62,250
65

—
40,714
—
—
2,825,948

0
5,870

—
61,302
—
—
2,893,120

—
—

—

—
—

—
—
(704,471)
—
(1,418,074)

—
—

—
—
(443,286)
—
(1,861,360)

—
—

—

—
—

—
—

—

—
—

—
—

—

—
—

—
7,417

818,036

62,250
65

—
—
—
(9,121)
(23,645)

—
—

(382,930)
—
—
—
(382,930)

(4,279)
—
—
—
(4,279)

(4,279)
40,714
(704,471)
(9,121)
1,379,956

—
—

—
—

—
5,870

—
—
—
49,330
25,685

(1,853,350)
—
—
—
(2,236,280)

(7,577)
—
—
—
(11,856)

(7,577)
61,302
(443,286)
49,330
1,045,595

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

“0” in above table means less than $1,000. 

248

CONSOLIDATED FINANCIAL STATEMENTSCONSOLIDATED STATEMENTS OF CASH FLOWS
($ in thousands)

Cash flows from operating activities
Net loss

Adjustments to reconcile net loss to net cash used in operating activities:

  Allowance for credit loss

  Inventory write-down

  Depreciation and amortization expenses

  Amortization of deferred income

  Share-based compensation

  Non-cash research and development expenses

  Share of loss from equity method investment

  Loss from fair value changes of equity investment with

   readily determinable fair value

  Loss (gain) on disposal of property and equipment

  Non-cash lease expenses

  Foreign currency remeasurement loss (gain)

  Changes in operating assets and liabilities:

   Accounts receivable

   Notes receivable

   Inventories

   Prepayments and other current assets

   Long-term deposits

   Value added tax recoverable

   Accounts payable

   Other current liabilities

   Operating lease liabilities

   Deferred income

Net cash used in operating activities

Cash flows from investing activities
 Purchases of short-term investments

 Proceeds from maturity of short-term investments

 Purchases of investment in equity investee

 Purchases of property and equipment

 Proceeds from disposal of property and equipment

 Purchases of intangible assets

Net cash provided by investing activities

249

Year ended December 31,

2022

2021

(443,286)

(704,471)

1

477

8,227

(2,602)

61,302

—

221

8,952

560

8,350

56,403

4,330

(1,976)

(15,382)

(19,258)

(527)

22,781

(53,773)

7,392

(8,455)

(1,379)

10

1,368

6,487

(521)

40,714

62,250

1,057

14,617

29

6,119

(10,679)

(42,319)

(7,335)

(7,174)

(7,086)

(8)

(1,717)

63,522

30,142

(5,385)

11,149

(367,642)

(549,231)

(260,274)

705,274

—

(24,585)

—

(399)

(445,000)

743,902

(30,000)

(18,295)

3

(653)

420,016

249,957

CONSOLIDATED FINANCIAL STATEMENTSCONSOLIDATED STATEMENTS OF CASH FLOWS (CONTINUED)
($ in thousands) (Continued)

Cash flows from financing activities
 Proceeds from exercises of stock options

 Proceeds from issuance of ordinary shares upon public offerings

 Payment of public offering costs

 Employee taxes paid related to settlement of equity awards

Net cash (used in) provided by financing activities

Effect of foreign exchange rate changes on cash, cash equivalents and

 restricted cash

Net increase in cash, cash equivalents and restricted cash

Cash, cash equivalents and restricted cash — beginning of the year

Cash, cash equivalents and restricted cash — end of the year

Supplemental disclosure on non-cash investing and financing activities
Payables for purchase of property and equipment

Payables for purchase of intangible assets

Payables for treasury stock

Right-of-use asset acquired under operating leases

Receivables for disposal of property and equipment

Supplemental disclosure of cash flow information
Cash and cash equivalents

Restricted cash, non-current

Total cash and cash equivalents and restricted cash

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

Year ended December 31,

2022

2021

5,870

—

—

(7,600)

(1,730)

(6,274)

44,370

964,903

1,009,273

5,269

163

2

14,801

64

1,008,470

803

1,009,273

7,417

818,875

(1,837)

(4,253)

820,202

1,116

522,044

442,859

964,903

2,568

191

26

2,183

—

964,100

803

964,903

250

CONSOLIDATED FINANCIAL STATEMENTSNOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS

1.  ORGANIZATION AND PRINCIPAL ACTIVITIES

Zai  Lab  Limited  was  incorporated  on  March  28,  2013  in  the  Cayman  Islands  as  an  exempted  company  with  limited  liability 

under the Companies Act of the Cayman Islands (as amended). Zai Lab Limited and its subsidiaries are focused on discovering, 

developing,  and  commercializing  products  and  product  candidates  that  address  medical  conditions  with  significant  unmet 

needs, including in the areas of oncology, autoimmune disorders, infectious diseases, and neuroscience. 

The  Company’s  principal  operations  and  geographic  markets  are  in  Greater  China  (mainland  China,  Hong  Kong,  Macau,  and 

Taiwan). The Company has a substantial presence in Greater China and the United States. 

As of December 31, 2022, Zai Lab Limited had the following 16 subsidiaries: 

Name of Company

Incorporation

Paid-in Capital

of Ownership

Operation

Place of

Particulars of Issued/  

Percentage  

Principal Activities and Place of 

Hong Kong

HK$1

100%

Operating company for business 

Zai Lab (Hong Kong) 
 Limited

 development and R&D activities 

 and commercialization of 

 innovative medicines and device; 

100%

100%

100%

 Hong Kong

Investment holding

Investment holding

Investment holding

100%

Investment holding

100%

Investment holding

Development and 
 commercialization 
 of innovative medicines and devices; 
 mainland China
Clinical trial activities; Australia

Development and commercialization 
 of innovative medicines; mainland 
 China

ZLIP Holding Limited

Cayman Islands

HK$1

ZL Capital Limited

British Virgin Islands

$1

Hong Kong

HK$1

Cayman Islands

Cayman Islands

$1

$1

ZL China Holding Two
 Limited
Zai Anti Infectives
 Limited
Zai Auto Immune 
 Limited
Zai Lab (Shanghai) 
 Co., Ltd.

Mainland

 China*

$416,500,000

100%

Zai Lab (AUST) Pty. Ltd.

Australia

Australian dollar 

100%

Zai Lab (Suzhou) 
 Co., Ltd.

Mainland

 China*

 (“A$”)100

Chinese Renminbi 

100%

 (“RMB”) 

 166,500,000

251

CONSOLIDATED FINANCIAL STATEMENTS1.  ORGANIZATION AND PRINCIPAL ACTIVITIES (CONTINUED)

Name of Company

Incorporation

Paid-in Capital

of Ownership

Operation

Place of

Particulars of Issued/  

Percentage  

Principal Activities and Place of 

Zai Biopharmaceutical 
 (Suzhou) Co., Ltd.

Mainland China*

$15,000,000

100%

Development and 

 commercialization of innovative 

 medicines; mainland China

Operating company for business 
 development, R&D activities and 
 certain business activities, 
 including legal, compliance and 
 communication functions of the 
 Company; United States
Commercialization of innovative 
 medicines and devices; mainland 
 China
Operating company for business 
 development and R&D activities; 
 Hong Kong
No substantial business activities

Commercialization of innovative 
 medicines and devices; Taiwan

Commercialization of innovative 
 medicines and devices; mainland 
 China

Zai Lab (US) LLC

United States

$1

100%

Zai Lab International 
 Trading (Shanghai) 
 Co., Ltd.
Zai Auto Immune 
 (Hong Kong) Limited

Zai Anti Infectives 
 (Hong Kong) Limited
Zai Lab (Taiwan) 
 Limited

Zai Lab Trading 
 (Suzhou) Co., Ltd.

Mainland China*

RMB1,000,000

100%

Hong Kong

HK$100

100%

Hong Kong

HK$100

100%

Taiwan

Taiwan dollar

100%

 (“TWD”)

 1,000,000

Mainland China*

RMB1,000,000

100%

* 

Limited liability company established in mainland China.

252

CONSOLIDATED FINANCIAL STATEMENTS2.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES 

(a)  Basis of presentation 

The  consolidated  financial  statements  have  been  prepared  in  accordance  with  U.S.  GAAP.  Significant  accounting  policies 

followed by the Company in the preparation of the accompanying consolidated financial statements are summarized below. 

Effective  as  of  March  30,  2022,  the  Company  subdivided  each  of  its  issued  and  unissued  ordinary  shares  into  ten  ordinary 

shares  (the  “Share  Subdivision”).  Following  the  Share  Subdivision,  the  Company’s  authorized  share  capital  became  $30,000 

divided into 5,000,000,000 shares with a par value of $0.000006 per share. The numbers of issued and unissued ordinary shares 

and  per  share  data  as  disclosed  elsewhere  in  these  consolidated  financial  statements  and  notes  thereto  are  presented  on  a 

basis after taking into account the effects of the Share Subdivision and have been retrospectively adjusted, where applicable. 

In connection with the Share Subdivision, the conversion ratio of our ADSs to ordinary shares changed from one ADS to one 

ordinary share to a new ratio of one ADS to ten ordinary shares (the “ADS Ratio Change”). The Share Subdivision and ADS Ratio 

Change did not result in any change to the number of outstanding ADSs of the Company. 

In  2022,  the  Company  began  to  separately  present  foreign  currency  (loss)  gain  on  our  consolidated  statements  of 

operations.  This  amount  was  previously  included  in  other  income  (expense),  net.  Additionally,  the  Company  began  to 

provide  a  breakdown  of  other  income  (expense),  net  in  Note  19.  The  Company  also  began  to  separately  present  the 

amount  of  foreign  currency  remeasurement  loss  (gain)  on  our  consolidated  statements  of  cash  flows.  This  amount 

was  previously  included  in  changes  in  other  current  liabilities.  This  change  did  not  have  any  impact  on  net  cash  used 

in  operating  activities.  Corresponding  amounts  in  the  prior  periods  of  the  consolidated  financial  statements  have  been 

presented to conform to the current period presentation.

(b)  Principles of consolidation 

The  consolidated  financial  statements  include  the  financial  statements  of  the  Company.  All  intercompany  transactions 

and balances are eliminated upon consolidation.

(c)  Use of estimates 

The  preparation  of  the  consolidated  financial  statements  in  conformity  with  U.S.  GAAP  requires  management  to  make 

estimates,  judgements,  and  assumptions  that  affect  the  reported  amounts  of  assets  and  liabilities  and  disclosures  of 

contingent  assets  and  liabilities  at  the  date  of  the  financial  statements  and  the  reported  amounts  of  revenues  and 

expenses during the period. Areas where management uses subjective judgment include, but are not limited to, accrual 

of  rebates,  recognition  of  research  and  development  expenses  to  the  appropriate  financial  reporting  period  based  on 

the progress of the research and development projects, fair value of share-based compensation expenses, recoverability 

of deferred tax assets, and a lack of marketability discount of the ordinary shares issued in connection with license and 

collaboration arrangements (Note 18). These estimates, judgments, and assumptions can affect the reported amounts of 

assets and liabilities as of the date of the financial statements as well as the reported amounts of revenues and expenses 

during the periods presented. Actual results could differ from these estimates. 

253

CONSOLIDATED FINANCIAL STATEMENTS2.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

(d)  Foreign currency translation 

The  functional  currency  of  Zai  Lab  Limited,  Zai  Lab  (Hong  Kong)  Limited,  Zai  Lab  (US)  LLC,  and  Zai  Auto  Immune 

(Hong Kong) Limited are the U.S. dollar (“$”). The Company’s Chinese mainland subsidiaries determined their functional 

currency  to  be  the  RMB.  The  Company’s  Australia  subsidiary  determined  its  functional  currency  to  be  the  A$.  The 

Company’s  Taiwan  subsidiary  determined  its  functional  currency  to  be  the  TWD.  The  determination  of  the  respective 

functional  currency  is  based  on  the  criteria  of  Accounting  Standard  Codification  (“ASC”)  830,  Foreign  Currency  Matters. 

The Company uses the U.S. dollar as its reporting currency.

Assets  and  liabilities  are  translated  from  each  entity’s  functional  currency  to  the  reporting  currency  at  the  exchange 

rate  on  the  balance  sheet  date.  Equity  amounts  are  translated  at  historical  exchange  rates.  Revenues,  expenses,  gains, 

and  losses  are  translated  using  the  average  rate  for  the  period  presented.  The  resulted  foreign  currency  translation 

adjustments are recorded as a component of other comprehensive loss in the consolidated statements of comprehensive 

loss, and the accumulated foreign currency translation adjustments are recorded as a component of accumulated other 

comprehensive income (loss) in the consolidated statements of changes in shareholders’ equity.

Monetary assets and liabilities denominated in currencies other than the applicable functional currencies are remeasured 

into the functional currencies at the prevailing rates of exchange at the balance sheet date.

Non-monetary  assets  and  liabilities  are  remeasured  into  the  applicable  functional  currencies  at  historical  exchange 

rates.  Transactions  in  currencies  other  than  the  applicable  functional  currencies  during  the  year  are  converted  into  the 

functional currencies at the applicable rates of exchange prevailing at the transaction dates. Transaction gains and losses 

are recognized in the consolidated statements of operations. 

(e)  Cash, cash equivalents, and restricted cash 

Cash and cash equivalents 

The Company considers all highly liquid investments purchased with original maturities of three months or less to be cash 

equivalents. Cash and cash equivalents consist primarily of cash on hand, demand deposits, and highly liquid investments 

with maturity of less than three months and are stated at cost, which approximates fair value. 

Restricted cash 

Restricted cash mainly consists of bank deposits held as collateral for issuances of letters of credit. 

254

CONSOLIDATED FINANCIAL STATEMENTS2.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

(f) 

Short-term investments 

Short-term  investments  are  time  deposits  with  original  maturities  between  three  months  and  one  year.  Short-term 

investments are stated at cost, which approximates fair value. Interest earned is included in interest income. 

(g)  Accounts receivable 

The Company’s accounts receivable arise from product sales and represent amounts due from its customers. In addition, 

the Company records accounts receivable arising from its collaborative agreements. From January 1, 2020, the Company 

adopted  the  ASU  2016-13,  Credit  Losses,  Measurement  of  Credit  Losses  on  Financial  Instruments.  Accounts  receivable 

are recorded at the amounts net of allowances for credit losses. The allowance for credit losses reflects the Company’s 

current estimate of credit losses expected to be incurred over the life of the receivables. The Company considers various 

factors  in  establishing,  monitoring,  and  adjusting  its  allowance  for  credit  losses  including  the  aging  of  receivables  and 

aging  trends,  customer  creditworthiness,  and  specific  exposures  related  to  particular  customers.  The  Company  also 

monitors other risk factors and forward-looking information, such as country-specific risks and economic factors that may 

affect a debtor’s ability to pay in establishing and adjusting its allowance for credit losses. Accounts receivable are written 

off when deemed uncollectible.

(h)  Notes receivable 

Notes receivable is equal to contractual amounts owed from signed, secured promissory notes issued from customers to 

the Company. The Company considers the notes receivable to be fully collectible. Accordingly, no allowance for credit loss 

has been established as of December 31, 2022 and 2021. 

(i) 

Inventories 

Inventories are stated at the lower of cost or net realizable value, with cost determined on a weighted average basis. The 

Company periodically reviews the composition of inventory and shelf life of inventory to identify obsolete, slow-moving, 

or otherwise non-saleable items. The Company will record a write-down to its net realizable value in cost of sales in the 

period that the decline in value is first identified. 

(j) 

Prepayments for equipment 

The  prepayments  for  equipment  purchase  are  recorded  in  long-term  prepayments  considering  the  prepayments  are  all 

related to property and equipment. 

255

CONSOLIDATED FINANCIAL STATEMENTS2.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

(k)  Property and equipment 

Property  and  equipment  are  stated  at  cost,  less  accumulated  depreciation  and  amortization.  Depreciation  is  computed 

using the straight-line method over the estimated useful lives of the respective assets as follows:

Office equipment

Electronic equipment

Vehicles

Laboratory equipment 

Manufacturing equipment

Leasehold improvements

Useful life

3 years 

1.25–3 years 

4 years 

5 years 

10 years

lesser of useful life or lease term

Construction in progress represents property and equipment under construction and pending installation and is stated at 

cost less impairment losses, if any. 

(l) 

Leases

The  Company  leases  facilities  for  its  offices,  research  and  development  center,  and  manufacturing  facilities  in  mainland 

China, Hong Kong, and the United States. On January 1, 2019, the Company adopted ASC 842, Leases using the modified 

retrospective transition approach by applying the new standard to all leases existing at the date of initial application and 

not restating historical periods before the adoption date. 

The Company assessed whether an arrangement contains a lease at inception. The Company’s leases are all classified as 

operating leases with fixed lease payments, or minimum payments, as contractually stated in the lease agreements. The 

Company’s leases do not contain any material residual value guarantees or material restrictive covenants. 

Operating  leases  are  included  in  operating  lease  right-of-use  assets  and  operating  lease  liabilities  in  the  consolidated 

balance  sheets.  Operating  lease  liabilities  that  become  due  within  one  year  of  the  balance  sheet  date  are  classified  as 

current operating lease liabilities. Operating lease expense is recognized on a straight-line basis over the lease term. 

At  the  commencement  date  of  a  lease,  the  Company  recognizes  a  lease  liability  for  future  fixed  lease  payments  and  a 

right-of-use  (“ROU”)  asset  representing  the  right  to  use  the  underlying  asset  during  the  lease  term.  The  lease  liability 

is initially measured as the present value of the future fixed lease payments that will be made over the lease term. The 

lease term includes periods for which the Company is reasonably certain that the renewal options will be exercised and 

the termination options will not be exercised. The Company uses its incremental borrowing rate based on the information 

available at the commencement date in determining the lease liabilities as the Company’s leases generally do not provide 

an  implicit  rate.  The  incremental  borrowing  rate  is  re-evaluated  upon  a  lease  modification.  The  Company  considered 

information available at the adoption date of ASC 842 to determine the incremental borrowing rate for leases in existence 

as of this date.

256

CONSOLIDATED FINANCIAL STATEMENTS2.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

(l) 

Leases (Continued)

The  ROU  asset  is  measured  at  the  amount  of  the  lease  liability  with  adjustments,  if  applicable,  for  lease  prepayments 

made  prior  to  or  at  lease  commencement,  initial  direct  costs  incurred  by  the  Company,  and  lease  incentives.  Under 

ASC 842, land use rights agreements are also considered to be operating lease contracts.

The  Company  elected  to  apply  each  of  the  practical  expedients  described  in  ASC  842  which  allow  companies  (i)  not  to 

reassess  prior  conclusions  on  whether  any  expired  or  existing  contracts  are  or  contain  a  lease,  lease  classification,  and 

initial  direct  costs  upon  adoption  of  ASC  842,  (ii)  combine  lease  and  non-lease  components  for  all  underlying  assets 

groups, and (iii) not recognize ROU assets or lease liabilities for short term leases. A short-term lease is a lease that, at the 

commencement date, has a lease term of 12 months or less and does not include an option to purchase the underlying 

asset that the lessee is reasonably certain to exercise.

(m)  Land use rights 

All  land  in  mainland  China  is  subject  to  government  or  collective  ownership.  Land  use  rights  can  be  purchased  for  a 

specified period of time. The purchase price of land use rights represents the operating lease prepayments under ASC 842 

and is recorded as land use rights on the balance sheet, which is amortized over the remaining lease term.

In  2019,  the  Company  acquired  land  use  rights  for  a  term  of  30  years  from  the  local  Bureau  of  Land  and  Resources  in 

Suzhou for the purpose of constructing and operating the research center and biologics manufacturing facility in Suzhou. 

(n)  Long-term deposits 

Long-term deposits represent amounts paid in connection with the Company’s long-term lease agreements. 

(o)  Value added tax recoverable 

Value added tax recoverable relates to amounts paid by the Company for purchases. The amounts were expected to be 

deducted from future value added tax payables arising on the Company’s future revenues. 

(p) 

Intangible assets 

Intangible  assets  mainly  consist  of  externally  purchased  software  which  are  amortized  over  three  to  five  years  on  a 

straight-line  basis.  Amortization  expenses  for  both  2022  and  2021  were  $0.5  million.  Amortization  expenses  of  the 

Company’s  intangible  assets  are  expected  to  be  approximately  $0.6  million,  $0.5  million,  $0.3  million,  $0.1  million, 

insignificant amount, and nil for 2023, 2024, 2025, 2026, 2027, and thereafter, respectively. 

257

CONSOLIDATED FINANCIAL STATEMENTS2.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

(q) 

Impairment of long-lived assets 

The  Company  evaluates  long-lived  assets,  which  includes  intangible  assets,  tangible  assets,  and  ROU  assets  for 

impairment  whenever  events  or  changes  in  circumstances  indicate  that  the  carrying  value  of  these  assets  may  not  be 

recoverable.  Recoverability  of  these  assets  is  measured  by  comparison  of  the  carrying  amount  of  the  related  asset 

group to its future undiscounted cash flows. The Company measures any amount of impairment based on the difference 

between the carrying value and the estimated fair value of the impaired asset group. Long-lived assets are reported at the 

lower of carrying amount or fair value less cost to sell. Impairment of the Company’s long-lived assets was not material 

for 2022 and 2021. 

(r) 

Fair value measurements 

The Company applies ASC topic 820, Fair Value Measurements and Disclosures (“ASC 820”) in measuring fair value. ASC 

820 defines fair value, establishes a framework for measuring fair value, and requires disclosures to be provided on fair 

value measurement. 

ASC 820 establishes a three-tier fair value hierarchy, which prioritizes the inputs used in measuring fair value as follows: 

Level 1 — Observable inputs that reflect quoted prices (unadjusted) for identical assets or liabilities in active markets.

Level 2 — Include other inputs that are directly or indirectly observable in the marketplace. 

Level 3 — Unobservable inputs which are supported by little or no market activity. 

ASC  820  describes  three  main  approaches  to  measuring  the  fair  value  of  assets  and  liabilities:  (i)  market  approach;  (ii) 

income  approach;  and  (iii)  cost  approach.  The  market  approach  uses  prices  and  other  relevant  information  generated 

from  market  transactions  involving  identical  or  comparable  assets  or  liabilities.  The  income  approach  uses  valuation 

techniques to convert future amounts to a single present value amount. The measurement is based on the value indicated 

by  current  market  expectations  about  those  future  amounts.  The  cost  approach  is  based  on  the  amount  that  would 

currently be required to replace an asset. 

Equity  investments  with  readily  determinable  fair  value  are  measured  using  level  1  inputs  and  were  $6.4  million  and 

$15.4 million as of December 31, 2022 and 2021, respectively. The unrealized gains and losses from fair value changes are 

recognized in other income (expenses), net in the consolidated statements of operations. 

258

CONSOLIDATED FINANCIAL STATEMENTS2.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

(r) 

Fair value measurements (Continued)

Financial  instruments  of  the  Company  primarily  include  cash,  cash  equivalents  and  restricted  cash,  short-term 

investments,  accounts  receivable,  notes  receivable,  prepayments,  and  other  current  assets,  accounts  payable,  and 

other current liabilities. As of December 31, 2022 and 2021, the carrying values of cash and cash equivalents, short-term 

investments, accounts receivable, notes receivable, prepayments, and other current assets, accounts payable, and other 

current  liabilities  approximated  their  fair  values  due  to  the  short-term  maturity  of  these  instruments,  and  the  carrying 

value of restricted cash approximated its fair value based on the nature of the assessment of the ability to recover these 

amounts. 

(s)  Revenue recognition

In 2018, the Company adopted ASC Topic 606, Revenue from Contracts with Customers (“ASC 606”). Under ASC 606, the 

Company recognizes revenue when its customer obtains control of promised goods or services, in an amount that reflects 

the consideration expected to be received in exchange for those goods or services. To determine revenue recognition for 

arrangements that the Company determines are within the scope of ASC 606, the Company performs the following five 

steps: (i) identify the contract(s) with a customer; (ii) identify the performance obligations in the contract; (iii) determine 

the  transaction  price,  including  variable  consideration,  if  any;  (iv)  allocate  the  transaction  price  to  the  performance 

obligations in the contract; and (v) recognize revenue when (or as) the Company satisfies a performance obligation. The 

Company only applies the five-step model to contracts when it is probable that the Company will collect the consideration 

to which it is entitled in exchange for the goods or services it transfers to the customer. Once a contract is determined to 

be within the scope of ASC 606 at contract inception, the Company reviews the contract to determine which performance 

obligations it must deliver and which of these performance obligations are distinct. The Company recognizes as revenue 

the amount of the transaction price that is allocated to each performance obligation when that performance obligation is 

satisfied or as it is satisfied.

The  Company’s  revenue  is  mainly  from  product  sales.  The  Company  recognizes  revenue  from  product  sales  when  the 

Company has satisfied the performance obligation by transferring control of the product to the customers. Control of the 

product  generally  transfers  to  the  customers  when  the  delivery  is  made  and  when  title  and  risk  of  loss  transfers  to  the 

consumers. Cost of sales mainly consists of the acquisition cost of products, the manufacturing cost of products, royalty 

fees, and sales-based milestone payments. 

The Company has applied the practical expedients under ASC 606 with regard to assessment of financing component and 

concluded that there is no significant financing component given that the period between delivery of goods and payment 

is generally one year or less. The Company’s product revenues were mainly generated from the sale of ZEJULA (niraparib), 

Optune (Tumor Treating Fields), QINLOCK (ripretinib), and NUZYRA (Omadacycline) to customers. 

259

CONSOLIDATED FINANCIAL STATEMENTS2.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

(s)  Revenue recognition (Continued)

In  mainland  China,  the  Company  sells  the  products  to  distributors,  who  ultimately  sell  the  products  to  health  care 

providers. Based on the nature of the arrangements, the performance obligations are satisfied upon the delivery of the 

products  to  distributors.  Rebates  are  offered  to  distributors,  consistent  with  pharmaceutical  industry  practices.  The 

estimated  amount  of  unpaid  or  unbilled  rebates  are  recorded  as  a  reduction  of  revenue,  if  any.  Estimated  rebates  are 

determined  based  on  contracted  rates  and  sales  volumes  and  to  a  lesser  extent,  distributor  inventories.  The  Company 

regularly reviews the information related to these estimates and adjusts the amount accordingly. 

In  Hong  Kong,  the  Company  sells  the  products  to  customers,  which  are  typically  healthcare  providers  such  as  oncology 

centers.  The  Company  utilizes  a  third  party  for  warehousing  services.  Based  on  the  nature  of  the  arrangements,  the 

Company has determined that it is a principal in the transaction since the Company is primarily responsible for fulfilling 

the promise to provide the products to the customers, maintains inventory risk until delivery to the customers, and has 

latitude in establishing the price. Revenue was recognized at the amount to which the Company expected to be entitled in 

exchange for the sale of the products, which is the sales price agreed with the customers. Consideration paid to the third 

party is recognized in operating expenses. 

The Company didn’t recognize any contract assets and contract liabilities as of December 31, 2022 and 2021.

(t)  Collaborative arrangements 

The  Company  analyzes  its  collaboration  arrangements  to  assess  whether  such  arrangements  involve  joint  operating 

activities  performed  by  parties  that  are  both  active  participants  in  the  activities  and  exposed  to  significant  risks  and 

rewards  dependent  on  the  commercial  success  of  such  activities  and  therefore  within  the  scope  of  ASC  Topic  808, 

Collaborative Arrangements (“ASC 808”). This assessment is performed throughout the life of the arrangement based on 

changes in the responsibilities of all parties in the arrangement. 

For  collaboration  arrangements  within  the  scope  of  ASC  808  that  contain  multiple  elements,  the  Company  first 

determines  which  elements  of  the  collaboration  are  deemed  to  be  within  the  scope  of  ASC  808  and  which  elements  of 

the collaboration are more reflective of a vendor-customer relationship and therefore within the scope of ASC 606. For 

elements of collaboration arrangements that are accounted pursuant to ASC 808, an appropriate recognition method is 

determined and applied consistently. 

260

CONSOLIDATED FINANCIAL STATEMENTS2.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

(u)  Research and development expenses 

Elements  of  research  and  development  expenses  primarily  include  (i)  payroll  and  other  related  costs  of  personnel 

engaged  in  research  and  development  activities;  (ii)  in-licensed  patent  rights  fees  of  exclusive  development  rights 

of  products  granted  to  the  Company;  (iii)  costs  related  to  pre-clinical  testing  of  the  Company’s  technologies  under 

development and clinical trials such as payments to contract research organizations (“CROs”) and contract manufacturing 

organizations  (“CMOs”),  investigators,  and  clinical  trial  sites  that  conduct  our  clinical  studies;  (iv)  costs  to  develop  the 

product candidates, including raw materials and supplies, product testing, depreciation, and facility-related expenses; and 

(v) other research and development expenses. Research and development expenses are charged to expense as incurred 

and have no alternative future uses. 

The Company has acquired rights to develop and commercialize product candidates. Upfront payments that relate to the 
acquisition  of  a  new  product  compound,  as  well  as  pre-commercial  milestone  payments,  are  immediately  expensed  as 
acquired in-process research and development in the period in which they are incurred, provided that the new product 
compound did not also include processes or activities that would constitute a “business” as defined under U.S. GAAP, and 
the  product  candidate  has  not  achieved  regulatory  approval  for  marketing  and,  absent  obtaining  such  approval,  has  no 
established  alternative  future  use.  Milestone  payments  made  to  third  parties  subsequent  to  regulatory  approval  which 
meet  the  capitalization  criteria  would  be  capitalized  as  intangible  assets  and  amortized  over  the  estimated  remaining 
useful life of the related product. If the conditions enabling capitalization of development costs as an asset have not yet 
been met, all development expenditures are recognized in profit or loss when incurred. 

(v)  Deferred income 

Deferred income mainly consists of deferred income from government grants, the American Depositary Receipt (“ADR”) 
Program Agreement with ADR depositary bank (the “DB”) in July 2017, and the upfront payments received from Huizheng 
(Shanghai) Pharmaceutical Technology Co., Ltd. (“Huizheng”, a direct wholly owned subsidiary of Hanhui Pharmaceutical 
Co., Ltd. (“Hanhui”)).

Government  grants  consist  of  cash  subsidies  received  by  the  Company’s  subsidiaries  in  mainland  China  from  local 
governments.  Grants  received  as  incentives  for  conducting  business  in  certain  local  districts  with  no  performance 
obligation  or  other  restriction  as  to  the  use  are  recognized  when  cash  is  received.  The  Company  included  $11.5  million 
and  $4.1  million  of  cash  grants  in  other  income  for  2022  and  2021,  respectively.  Grants  received  with  government 
specified  performance  obligations  are  recognized  when  all  the  obligations  have  been  fulfilled.  If  such  obligations  are 
not satisfied, the Company may be required to refund the subsidy. The Company recorded $0.9 million and $2.4 million 
of  cash  grants  in  deferred  income  as  of  December  31,  2022  and  2021,  respectively,  which  will  be  recognized  when  the 
government specified performance obligation is satisfied. 

According to the ADR Program Agreement, the Company has the right to receive reimbursements for using DB’s services, 
subject  to  the  compliance  by  the  Company  with  the  terms  of  the  agreement.  The  Company  performed  a  detailed 
assessment of the requirements and recognizes the reimbursements it expects to be entitled to over the five-year contract 
term as other income. The Company recorded $0.2 million and $0.3 million in other income for 2022 and 2021, respectively. 
The Company recorded nil and $0.2 million in deferred income as of December 31, 2022 and 2021, respectively. 

261

CONSOLIDATED FINANCIAL STATEMENTS2.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

(v)  Deferred income (Continued)

In  March  2020,  the  Company  entered  into  an  exclusive  promotion  agreement  with  Huizheng.  Under  the  terms  of  the 
agreement,  the  Company  will  leverage  Hanhui’s  existing  infrastructure  to  optimize  an  anticipated  future  commercial 
launch of NUZYRA in mainland China given that NUZYRA is a broad-spectrum antibiotic in both hospital and community 
care facilities. In exchange for the exclusive promotion rights in mainland China, Huizheng has agreed to pay the Company 
a  non-creditable,  upfront  payment  in  the  amount  of  RMB230.0  million.  The  Company  received  RMB90.0  million  in  April 
2020  and  received  RMB70.0  million  in  February  2022.  The  Company  assessed  and  determined  to  record  the  upfront 
payment as deferred income and amortize it over 10 years from the date when the income recognition criteria were met. 
In  December  2021,  the  Company  obtained  regulatory  approval  for  the  commercialization  of  NUZYRA  in  mainland  China 
which  triggered  the  income  recognition  criteria,  and  therefore,  the  Company  started  to  amortize  the  deferred  income 
into  collaboration  revenue  on  a  monthly  basis.  The  Company  recorded  $2.4  million  and  $0.2  million  in  collaboration 
revenue for 2022 and 2021, respectively. The Company recorded $20.5 million and $24.9 million in deferred income as of 
December 31, 2022 and 2021, respectively.

(w)  Comprehensive loss 

Comprehensive  loss  is  defined  as  the  changes  in  equity  of  the  Company  during  a  period  from  transactions  and  other 

events and circumstances excluding transactions resulting from investments by owners and distributions to owners. For 

each  of  the  periods  presented,  the  Company’s  comprehensive  loss  includes  net  loss  and  foreign  currency  translation 

adjustments, which are presented in the consolidated statements of comprehensive loss. 

(x)  Share-based compensation 

The  Company  grants  share  options  and  non-vested  restricted  shares  to  eligible  employees,  non-employees,  and 

directors and accounts for these share-based awards in accordance with ASC 718, Compensation — Stock Compensation 

(“ASC 718”).

Share-based awards are measured at grant date fair value using the Black-Scholes model. In accordance with ASC 718, the 

Company has elected to use the straight-line method to recognize compensation expense for share awards with graded 

vesting based on service conditions, subject to the minimum amount of cumulative compensation expense recognized is 

not less than the portion of the award vested to date. The Company recognized as expenses (i) immediately at grant date 

if  no  vesting  conditions  are  required;  or  (ii)  using  a  straight-line  method  over  the  requisite  service  period,  which  is  the 

vesting period. 

All transactions in which goods or services are received in exchange for equity instruments are accounted for based on the fair 

value of the consideration received or the fair value of the equity instrument issued, whichever is more reliably measurable. 

To  the  extent  the  required  vesting  conditions  are  not  met,  resulting  in  the  forfeiture  of  the  share-based  awards, 

previously recognized compensation expense relating to those awards are reversed. 

The Company determines the fair value of stock options granted to employees using the Black-Scholes option valuation model.

262

CONSOLIDATED FINANCIAL STATEMENTS2.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

(y) 

Income taxes 

Income tax expense includes (i) deferred tax expense, which generally represents the net change in the deferred tax asset 

or  liability  balance  during  the  year  plus  any  change  in  valuation  allowances;  (ii)  current  tax  expense,  which  represents 

the  amount  of  tax  currently  payable  to  or  receivable  from  a  taxing  authority;  and  (iii)  non-current  tax  expense,  which 

represents the increases and decreases in amounts related to uncertain tax positions from prior periods and not settled 

with cash or other tax attributes.

The  Company  recognizes  deferred  tax  assets  and  liabilities  for  temporary  differences  between  the  financial  statement 

and income tax bases of assets and liabilities, which are measured using enacted tax rates and laws that will be in effect 

when the differences are expected to reverse. A valuation allowance is provided when it is more likely than not that some 

portion or all of a deferred tax asset will not be realized. 

The  Company  evaluates  its  uncertain  tax  positions  using  the  provisions  of  ASC  740,  Income  Taxes,  which  requires  that 

realization of an uncertain income tax position be recognized in the financial statements. The benefit to be recorded in 

the financial statements is the amount most likely to be realized assuming a review by tax authorities having all relevant 

information  and  applying  current  conventions.  It  is  the  Company’s  policy  to  recognize  interest  and  penalties  related 

to  unrecognized  tax  benefits,  if  any,  as  a  component  of  income  tax  expense.  No  unrecognized  tax  benefits  and  related 

interest and penalties were recorded in any of the periods presented. 

(z)  Earnings (loss) per share 

Basic earnings (loss) per ordinary share is computed by dividing net income (loss) attributable to ordinary shareholders by 

weighted average number of ordinary shares outstanding during the period. 

Diluted  earnings  (loss)  per  ordinary  share  reflects  the  potential  dilution  that  could  occur  if  securities  were  exercised  or 

converted into ordinary shares. The Company had stock options and non-vested restricted shares, which could potentially 

dilute  basic  earnings  (loss)  per  share  in  the  future.  To  calculate  the  number  of  shares  for  diluted  earnings  (loss)  per 

share, the effect of the stock options and non-vested restricted shares is computed using the treasury stock method. The 

computation of diluted earnings (loss) per share does not assume exercise or conversion of securities that would have an 

anti-dilutive effect. 

(aa)  Segment information 

In  accordance  with  ASC  280,  Segment  Reporting,  the  Company’s  chief  operating  decision  maker,  the  Chief  Executive 

Officer, reviews the consolidated results when making decisions about allocating resources and assessing performance of 

the Company as a whole and therefore, the Company has only one operating and reportable segment. 

263

CONSOLIDATED FINANCIAL STATEMENTS2.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

(ab)  Concentration of risks

Concentration of Customers 

The following customers accounted for 10% or more of revenue ($ in thousands): 

A

Concentration of Suppliers

Year ended December 31,
2021

2022

52,534

40,634

The  following  suppliers  accounted  for  10%  or  more  of  research  and  development  expenses  and  inventory  purchases  

($ in thousands):

C

D

E

F

Year ended December 31,
2021

2022

*

*

*

*

*

*

165,431

66,650

* 

Represents less than 10% of research and development expenses and inventory purchases for the period.

Concentration of Credit Risk 

Financial  instruments  that  are  potentially  subject  to  significant  concentration  of  credit  risk  consist  of  cash  and  cash 

equivalents, short-term investments, accounts receivable, and notes receivable. 

The carrying amounts of cash and cash equivalents and short-term investments represent the maximum amount of loss 

due  to  credit  risk.  As  of  December  31,  2022  and  2021,  all  of  the  Company’s  cash  and  cash  equivalents  and  short-term 

investments  were  held  by  major  financial  institutions  located  in  mainland  China  and  international  financial  institutions 

outside  of  mainland  China  which  management  believes  are  of  high  credit  quality  and  continually  monitors  the  credit 

worthiness of these financial institutions. 

264

CONSOLIDATED FINANCIAL STATEMENTS2.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

(ab)  Concentration of risks (Continued)

Concentration of Credit Risk (Continued)

The following debtors accounted for 10% or more of accounts receivable balances ($ in thousands): 

A

B

December 31,

2022

9,342

*

2021

10,293

10,979

* 

Represents less than 10% of accounts receivable as of the applicable date.

Accounts  receivable  are  typically  unsecured  and  are  derived  from  product  sales  and  collaborative  arrangements.  The 

Company  manages  credit  risk  of  accounts  receivable  through  ongoing  monitoring  of  the  outstanding  balances  and 

limits the amount of credit extended based upon payment history and credit worthiness. Historically, the Company has 

collected receivables from customers within the credit terms with no significant credit losses incurred. 

Certain  accounts  receivable  balances  may  be  settled  in  the  form  of  notes  receivable.  As  of  December  31,  2022,  notes 

receivable  represented  bank  acceptance  promissory  notes  that  are  non-interest  bearing  and  due  within  six  months. 

Notes  receivable  were  used  to  collect  the  receivables  based  on  an  administrative  convenience,  given  these  notes  are 

readily convertible to be known amounts of cash. In accordance with the sales agreements, whether to use cash or bank 

acceptance promissory notes to settle the receivables is at the Company’s discretion, and this selection does not impact 

the agreed contractual purchase prices. 

Foreign Currency Risk 

RMB  is  not  a  freely  convertible  currency.  The  State  Administration  of  Foreign  Exchange,  under  the  authority  of  the 

People’s Bank of China, controls the conversion of RMB into foreign currencies. The value of RMB is subject to changes 

in central government policies and to international economic and political developments affecting supply and demand in 

the China Foreign Exchange Trading System market. The cash and cash equivalents of the Company included aggregated 

amounts  of  RMB316.8  million  and  RMB151.7  million,  which  were  denominated  in  RMB,  as  of  December  31,  2022  and 

2021, respectively, representing 5% and 2% of cash and cash equivalents as of December 31, 2022 and 2021, respectively. 

265

CONSOLIDATED FINANCIAL STATEMENTS 
2.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

(ac)  Recent accounting pronouncements 

Adopted Accounting Standards 

In November 2021, the FASB issued ASU2021-10, Government Assistance (Topic 832) — Disclosures by Business Entities 

about  Government  Assistance.  The  amendments  in  this  ASU  require  disclosures  about  transactions  with  a  government 

that have been accounted for by analogizing to a grant or contribution accounting model to increase transparency about 

(1) the types of transactions, (2) the accounting for the transactions, and (3) the effect of the transactions on an entity’s 

financial statements. The amendments in this ASU are effective for all entities within their scope for financial statements 

issued for annual periods beginning after December 15, 2021. The Company adopted this standard as of January 1, 2022. 

There was no material impact on the Company’s financial position or results of operations upon the adoption. 

3.  CASH AND CASH EQUIVALENTS 

The following table presents the Company’s cash and cash equivalents ($ in thousands):

Cash at bank and in hand

Cash equivalents (note (i))

Denominated in:

US$

RMB (note (ii))

HK$

A$

TWD

Notes: 

December 31,

2022

1,007,423

1,047

1,008,470

 957,824

45,486

4,378

598

184

2021

663,472

300,628

964,100

932,888

23,791

6,674

475

272

1,008,470

964,100

(i) 

Cash equivalents represent short-term and highly liquid investments in a money market fund. 

(ii) 

Certain cash and bank balances denominated in RMB were deposited with banks in mainland China. The conversion of these RMB denominated balances into 

foreign currencies is subject to the rules and regulations of foreign exchange control promulgated by the Chinese government. 

266

CONSOLIDATED FINANCIAL STATEMENTS 
4.  RESTRICTED CASH, NON-CURRENT

The  Company’s  restricted  cash  balance  was  $0.8  million  as  of  both  December  31,  2022  and  2021  and  consisted  of  long-term 

bank deposits held as collateral for issuance of letters of credit. These deposits will be released when the related letters of credit 

are settled by the Company.

5.  SHORT-TERM INVESTMENTS

Short-term investments are primarily comprised of time deposits with original maturities between three months and one year. 

The  short-term  investments  balance  was  nil  as  of  December  31,  2022.  The  Company’s  short-term  investments  balance  was 

$445.0 million as of December 31, 2021 and consisted entirely of short-term held to maturity debt instruments with high credit 

ratings,  which  were  determined  to  have  remote  risk  of  expected  credit  loss.  Accordingly,  no  allowance  for  credit  loss  was 

recorded as of December 31, 2021. 

6.  ACCOUNTS RECEIVABLE

The following table presents the Company’s accounts receivable as of December 31, 2022 and 2021 ($ in thousands):

Accounts receivable

Impairment

Total

December 31,

2022

39,974

(11)

39,963

2021

47,485

(11)

47,474

The  Company’s  trading  terms  with  its  customers  are  mainly  on  credit  and  the  credit  period  generally  ranges  from  40  to  90  days.  The 
Company seeks to maintain strict control over its outstanding receivables and overdue balances are regularly reviewed. The Company does 
not hold any collateral or other credit enhancements over its accounts receivable balances. Accounts receivable are non-interest-bearing.

The following table presents an aging analysis of the accounts receivable, based on the invoice date ($ in thousands):

Within 3 months

3 months to 6 months

6 months to 1 year

Total

December 31,

2022

39,953

4

6

2021

47,474

—

—

39,963

47,474

267

CONSOLIDATED FINANCIAL STATEMENTS7. 

INVENTORIES, NET

The Company’s net inventory balance was $31.6 million and $19.0 million as of December 31, 2022 and 2021, respectively, and 

mainly consisted of finished goods purchased from Tesaro Inc., now GlaxoSmithKline plc (“GSK”), for distribution in Hong Kong, 

from NovoCure Limited (“NovoCure”) for distribution in Hong Kong and mainland China, and from Deciphera Pharmaceuticals, 

LLC (“Deciphera”) for distribution in Hong Kong, mainland China, and Taiwan, as well as finished goods and certain raw materials 

for ZEJULA and NUZYRA commercialization in mainland China. 

The following table presents the Company’s inventories, net ($ in thousands):

Finished goods

Raw materials

Work in progress

Inventories

December 31,

2022

 12,156

19,029

436

31,621

2021

 5,632

13,231

88

18,951

The  Company  writes  down  inventory  for  any  excess  or  obsolete  inventories  or  when  the  Company  believes  that  the  net 

realizable value of inventories is less than the carrying value. The Company recorded write-downs in cost of sales of $0.5 million 

and $1.4 million during the years ended December 31, 2022 and 2021, respectively.

8.  LONG-TERM INVESTMENTS 

In July 2021, the Company made an equity investment in MacroGenics Inc. (“MacroGenics”), a biopharmaceutical company focused 

on developing and commercializing innovative monoclonal antibody-based therapeutics for the treatment of cancer, in a private 

placement with total contributions of $30,000 and obtained 958,467 newly issued common shares of MacroGenics at $31.30 per 

share. The Company recorded this investment at acquisition cost and subsequently measured it at fair value, with the changes in 

fair value recognized in other income (expenses), net in the consolidated statements of operations. The equity investments with 

readily determinable fair value are measured using level 1 inputs and were $6.4 million and $15.4 million as of December 31, 2022 

and 2021, respectively. The Company recognized a fair value loss of $9.0 million and $14.6 million for 2022 and 2021, respectively.

268

CONSOLIDATED FINANCIAL STATEMENTS9.  PROPERTY AND EQUIPMENT, NET

The following table presents the components of the Company’s property and equipment, net ($ in thousands):

Office equipment

Electronic equipment 

Vehicles

Laboratory equipment 

Manufacturing equipment 

Leasehold improvements

Construction in progress

Less: accumulated depreciation

Property and equipment, net

December 31,

2022

977

7,416

202

18,726

17,055

11,300

24,251

79,927

(22,064)

57,863

2021

836

5,036

220

17,069

14,600

10,432

11,334

59,527

(16,425)

43,102

Depreciation expense was $7.7 million and $6.0 million for 2022 and 2021, respectively.

10.  LEASES

The Company leases facilities for its offices, research and development center, and manufacturing facilities in mainland China, 

Hong Kong, Taiwan, and the United States. Lease terms vary based on the nature of operations and market dynamics; however, 

all leased facilities are classified as operating leases with remaining lease terms between one and seven years.

The  following  table  presents  operating  lease  costs  ($  in  thousands).  Total  lease  expense  related  to  short-term  leases  was 

insignificant for those periods presented.

Operating fixed lease cost

The following table presents operating cash flows related to leases ($ in thousands):

Cash paid for amounts included in measurement of lease liabilities

Non-cash operating lease liabilities arising from obtaining

 operating right-of-use assets

269

Year ended December 31,
2021

2022

8,774

6,263

Year ended December 31,
2021

2022

8,084

14,801

5,840

2,183

CONSOLIDATED FINANCIAL STATEMENTS10.  LEASES (CONTINUED)

The maturities of lease liabilities in accordance with ASC Topic 842, Leases in each of the next five years and thereafter were as 

follows ($ in thousands):

2023

2024

2025

2026

2027

Thereafter

Total lease payments

Less: imputed interest

Present value of minimum operating lease payments

Weighted-average remaining lease terms and discount rates are as follows:

Weighted-average remaining lease term

Weighted-average discount rate

11.  ACCOUNTS PAYABLE

Year ended
December 31,

7,561

6,184

4,586

1,734

822

391

21,278

(885)

20,393

December 31,

2022

2.6 years

3.4%

2021

4.2 years

2.3%

The following table presents an aging analysis of the accounts payable, based on the invoice date ($ in thousands):

Within 3 months

3 months to 6 months

6 months to 1 year

Over 1 year

Total

December 31,

2022

65,249

132

577

16

2021

125,709

416

22

16

65,974

126,163

The accounts payable are non-interest-bearing and repayable within the normal operating cycle or on demand.

270

CONSOLIDATED FINANCIAL STATEMENTS12.  REVENUE

Product Revenue, Net

The Company’s product revenue is primarily derived from the sales of ZEJULA, Optune, QINLOCK, and NUZYRA in mainland China 

and Hong Kong. The table below presents the Company’s net product sales ($ in thousands):

Product revenue — gross

Less: Rebates and sales returns

Product revenue — net

Year ended December 31,
2021

2022

234,009

(21,337)

212,672

190,180

(46,075)

144,105

Sales rebates are offered to distributors in mainland China, and the amounts are recorded as a reduction of revenue. Estimated 

rebates are determined based on contracted rates, sales volumes, and level of distributor inventories.

The following table presents net revenue by product ($ in thousands):

ZEJULA

Optune

QINLOCK

NUZYRA

Total product revenue — net

Collaboration Revenue

Year ended December 31,

2022

145,194

47,321

14,957

5,200

212,672

2021

93,579

38,903

11,620

3

144,105

The  Company’s  collaboration  revenue  was  $2.4  million  and  $0.2  million  for  2022  and  2021,  respectively.  Accounts  receivable 

arising  from  the  Company’s  collaborative  arrangement  were  nil  and  $11.0  million  as  of  December  31,  2022  and  2021, 

respectively. The collaboration revenue was from the Company’s exclusive promotion arrangement with Huizheng.

271

CONSOLIDATED FINANCIAL STATEMENTS13.  INCOME TAX

Cayman Islands

Zai Lab Limited, ZLIP Holding Limited, Zai Auto Immune Limited, and Zai Anti Infectives Limited are incorporated in the Cayman 

Islands.  Under  the  current  laws  of  the  Cayman  Islands,  Zai  Lab  Limited,  ZLIP  Holding  Limited,  Zai  Auto  Immune  Limited,  and 

Zai Anti Infectives Limited are not subject to tax on income or capital gain. Additionally, the Cayman Islands does not impose a 

withholding tax on payments of dividends to shareholders.

British Virgin Islands Taxation

ZL  Capital  Limited  is  incorporated  in  the  British  Virgin  Islands.  Under  the  current  laws  of  the  British  Virgin  Islands,  ZL  Capital 

Limited is not subject to income tax.

Australia

Zai Lab (AUST) Pty. Ltd. is incorporated in Australia and is subject to corporate income tax at a rate of 30%. Zai Lab (AUST) Pty. 

Ltd. had no taxable income for the periods presented; therefore, no provision for income taxes is required.

United States

Zai  Lab  (US)  LLC  is  incorporated  in  the  United  States  and  is  subject  to  U.S.  federal  corporate  income  tax  at  a  rate  of  21%.  Zai 

Lab (US) LLC is also subject to state income tax in Delaware. Zai Lab (US) LLC had no taxable income for the periods presented; 

therefore, no provision for income taxes is required.

Taiwan

Zai  Lab  (Taiwan)  Limited  is  incorporated  in  Taiwan  and  is  subject  to  corporate  income  tax  at  a  rate  of  20%.  Zai  Lab  (Taiwan) 

Limited had no taxable income for the periods presented; therefore, no provision for income taxes is required.

Hong Kong

Zai  Lab  (Hong  Kong)  Limited,  ZL  China  Holding  Two  Limited,  Zai  Auto  Immune  (Hong  Kong)  Limited,  and  Zai  Anti  Infectives 

(Hong Kong) Limited are incorporated in Hong Kong. Companies registered in Hong Kong are subject to Hong Kong profits tax 

on the taxable income as reported in their respective statutory financial statements adjusted in accordance with relevant Hong 

Kong  tax  laws.  Under  the  two-tiered  profits  tax  rates  regime  in  Hong  Kong,  the  first  HK$2  million  of  profits  of  the  qualifying 

group entity will be taxed at 8.25%, and profits above HK$2 million will be taxed at 16.5%. For the years ended December 31, 

2022 and 2021, Zai Lab (Hong Kong) Limited, ZL China Holding Two Limited, Zai Auto Immune (Hong Kong) Limited, and Zai Anti 

Infectives (Hong Kong) Limited did not make any provisions for Hong Kong profit tax as there were no assessable profits derived 

from or earned in Hong Kong for any of the periods presented. Under the Hong Kong tax law, Zai Lab (Hong Kong) Limited, ZL 

China  Holding  Two  Limited,  Zai  Auto  Immune  (Hong  Kong)  Limited,  and  Zai  Anti  Infectives  (Hong  Kong)  Limited  are  exempted 

from income tax on its foreign-derived income, and there are no withholding taxes in Hong Kong on remittance of dividends.

272

CONSOLIDATED FINANCIAL STATEMENTS13.  INCOME TAX (CONTINUED)

People’s Republic of China

Under the Enterprise Income Tax Law of the People’s Republic of China (the “EIT Law”), the statutory income tax rate is 25%, 

and the EIT rate will be reduced to 15% for state-encouraged High and New Technology Enterprises (“HNTE”). Zai Lab (Shanghai) 

Co., Ltd., first obtained a HNTE certificate in 2018 and began to enjoy the preferential tax rate of 15% from 2018 to 2020 and 

further  extended  the  certificate  in  2021  effective  for  2021  to  2023.  Zai  Lab  International  Trading  (Shanghai)  Co.,  Ltd.,  Zai  Lab 

(Suzhou) Co., Ltd., Zai Biopharmaceutical (Suzhou) Co., Ltd., and Zai Lab Trading (Suzhou) Co., Ltd. are subject to the statutory 

rate of 25%.

No provision for income taxes has been required to be accrued because the Company and all of its subsidiaries are in cumulative 

loss positions for the periods presented.

The following table presents loss (income) before income taxes ($ in thousands):

Cayman Islands

British Virgin Islands

Mainland China

Hong Kong

United States

Australia

Taiwan

Year ended December 31,

2022

19,454

2

290,056

53,425

79,620

(260)

989

443,286

2021

28,401

2

340,865

243,400

89,374

1,758

671

704,471

Reconciliations of the differences between the Chinese statutory income tax rate and the Company’s effective income tax rate 

are as follows:

Statutory income tax rate

Share-based compensation

Research and development super deduction

Non-deductible expenses

Prior year tax filing adjustment

Effect of different tax rate of subsidiary operation in other jurisdictions

Preferential tax rate

Changes in valuation allowance

Effective income tax rate

273

Year ended December 31,

2022

25%

(1.40%)

2.51%

(2.31%)

6.33%

(2.85%)

(6.26%)

(21.02%)

—%

2021

25%

(0.92%)

—%

(5.78%)

1.50%

(4.60%)

(4.30%)

(10.90%)

—%

CONSOLIDATED FINANCIAL STATEMENTS13.  INCOME TAX (CONTINUED)

People’s Republic of China (Continued)

The following table presents the principal components of deferred tax assets and liabilities ($ in thousands):

Deferred tax assets:

 Depreciation of property and equipment, net

 Research and experimental capitalization

 Share-based compensation

 Accrued expenses

 Government grants

 Deferred revenue

 Qualified donation

Net operating loss carry forwards

Less: valuation allowance

Deferred tax assets, net

Year ended December 31,

2022

98

22,476

1,787

1,800

189

3,378

12,947

241,397

(284,072)

—

2021

108

—

—

—

496

3,733

10,246

175,101

(189,684)

—

The Company considers positive and negative evidence to determine whether some portion or all of the deferred tax assets will 

be more likely than not realized. This assessment considers, among other matters, the nature, frequency, and severity of recent 

losses and forecasts of future profitability. These assumptions require significant judgment, and the forecasts of future taxable 

income  are  consistent  with  the  plans  and  estimates  the  Company  is  using  to  manage  the  underlying  businesses.  Valuation 

allowances are established for deferred tax assets based on a more likely than not threshold. The Company’s ability to realize 

deferred  tax  assets  depends  on  its  ability  to  generate  sufficient  taxable  income  within  the  carry  forward  periods  provided 

for in the tax law. In 2022 and 2021, the Company determined that the deferred tax assets on temporary differences and net 

operating loss carry forwards were related to certain subsidiaries, for which the Company is not able to conclude that the future 

realization of those net operating loss carry forwards and other deferred tax assets are more likely than not. As such, it has fully 

provided valuation allowance for the deferred tax assets as of December 31, 2022 and 2021. As of December 31, 2022 and 2021, 

the Company had net operating losses of approximately $1,483.2 million and $1,089.7 million, respectively. As of December 31, 

2022,  net  operating  loss  carryforwards  related  to  the  Company’s  subsidiaries  in  mainland  China,  Hong  Kong,  Taiwan,  the 

United States, and Australia are $1,225.9 million, $43.9 million, $1.5 million, $208.1 million, and $3.8 million, respectively. Net 

operating loss carryforwards in mainland China and Taiwan expire through 2032 and those in Hong Kong, the United States, and 

Australia do not expire.

274

CONSOLIDATED FINANCIAL STATEMENTS13.  INCOME TAX (CONTINUED)

People’s Republic of China (Continued)

The following table presents that movement of the valuation allowance ($ in thousands):

Balance as of January 1,

Additions

Balance as of December 31,

2022

(189,684)

(94,388)

(284,072)

2021

(105,134)

(84,550)

(189,684)

Uncertainties  exist  with  respect  to  how  the  current  income  tax  law  in  mainland  China  applies  to  the  Company’s  overall 

operations,  and  more  specifically,  with  regard  to  tax  residency  status.  The  EIT  Law  includes  a  provision  specifying  that  legal 

entities  organized  outside  of  mainland  China  will  be  considered  residents  for  Chinese  income  tax  purposes  if  the  place  of 

effective management or control is within mainland China. The implementation rules to the EIT Law provide that non-resident 

legal  entities  will  be  considered  Chinese  residents  if  substantial  and  overall  management  and  control  over  the  manufacturing 

and business operations, personnel, accounting, and properties occurs within mainland China. Despite the present uncertainties 

resulting  from  the  limited  Chinese  tax  guidance  on  the  issue,  the  Company  does  not  believe  that  the  legal  entities  organized 

outside  of  mainland  China  within  the  Company  should  be  treated  as  residents  for  EIT  Law  purposes.  If  the  Chinese  tax 

authorities  subsequently  determine  that  the  Company  and  its  subsidiaries  registered  outside  of  mainland  China  should  be 

deemed resident enterprises, the Company and its subsidiaries registered outside of mainland China will be subject to Chinese 

income taxes, at a rate of 25%. The Company is not subject to any other uncertain tax position.

14.  OTHER CURRENT LIABILITIES

The following table presents the Company’s other current liabilities ($ in thousands):

Payroll

Accrued professional service fee

Payables for purchase of property and equipment

Accrued rebate to distributors

Tax payables

Others (i)

Total

• 

Others mainly include accrued travel and business-related expenses.

275

December 31,

2022

31,689

4,080

5,269

8,443

13,283

4,054

66,818

2021

25,685

4,319

2,568

15,001

8,817

4,421

60,811

CONSOLIDATED FINANCIAL STATEMENTS15.  LOSS PER SHARE

The following table presents the computation of the basic and diluted net loss per share ($ in thousands, except share and per 

share data):

Numerator:

Year ended December 31,

2022

2021

Net loss attributable to ordinary shareholders

(443,286)

(704,471)

Denominator:

Weighted average number of ordinary shares — basic and diluted

Net loss per share-basic and diluted

958,067,140

929,921,120

(0.46)

(0.76)

As a result of the Company’s net loss for the years ended December 31, 2022 and 2021, share options and non-vested restricted 

shares  outstanding  in  the  respective  periods  were  excluded  from  the  calculation  of  diluted  loss  per  share  as  their  inclusion 

would have been anti-dilutive.

Share options

Non-vested restricted shares

16.  RELATED PARTY TRANSACTIONS

December 31,

2022

91,181,420

33,433,890

2021

81,015,590

9,567,360

The Company incurred research and development expenses for product research and development services provided by MEDx 

(Suzhou) Translational Medicine Co., Ltd. (“MEDx”), over which an immediate family member of our Chief Executive Officer and 

Chairperson  of  the  Board  held  significant  influence.  The  Company  incurred  development  expenses  with  MEDx  of  $0.4  million 

and $0.7 million during the years ended December 31, 2022 and 2021, respectively.

276

CONSOLIDATED FINANCIAL STATEMENTS17.  SHARE-BASED COMPENSATION

In  March  2015,  the  Board  of  the  Company  approved  an  Equity  Incentive  Plan  (the  “2015  Plan”),  pursuant  to  which  the  Board 

could grant options to purchase ordinary shares to management including officers, directors, employees, and individual advisors 

who  rendered  services  to  the  Company.  In  August  2017,  in  connection  with  the  completion  of  the  Company’s  initial  public 

offering on Nasdaq (the “IPO”), the Board approved the 2017 Equity Incentive Plan (the “2017 Plan”). All equity-based awards 

subsequent to the IPO would be granted under the 2017 Plan. The 2017 Plan provided for an automatic annual increase to the 

number  of  ordinary  shares  reserved  under  the  2017  Plan  on  each  January  1st  between  January  1,  2018  and  January  1,  2027 

equal  to  the  lesser  of  4%  of  the  number  of  ordinary  shares  outstanding  as  of  the  close  of  business  on  the  immediately  prior 

December 31st or such number as approved by the Board on or prior to such date each year.

On June 22, 2022, at the 2022 Annual General Meeting of Shareholders of the Company, the Company’s shareholders approved 

the 2022 Equity Incentive  Plan  (the  “2022  Plan”), which was previously approved by  the  Board on April 20, 2022, conditioned 

on and subject to (i) the dual primary listing of the Company on the Main Board of The Stock Exchange of Hong Kong Limited 

(the “Hong Kong Stock Exchange”) and (ii) the granting of a waiver on Note 1 to Rule 17.03(9) of the Rules Governing the Listing 

of Securities on The Stock Exchange of Hong Kong Limited. The Company’s voluntary conversion of its secondary listing status to 

primary listing status on the Hong Kong Stock Exchange became effective on June 27, 2022 (the “Primary Conversion Effective 

Date”), and the waiver was granted to the Company in connection with the primary conversion. As such, the 2022 Plan became 

effective on June 27, 2022, and the aggregate number of shares that may be delivered in satisfaction of awards under the 2022 

Plan is 97,908,743 ordinary shares as of June 22, 2022. No new grants will be made under the 2015 Plan or the 2017 Plan as of 

the effective date of the 2022 Plan.

The  options  granted  have  a  contractual  term  of  ten  years  and  generally  vest  ratably  over  a  five-year  period,  with  20%  of  the 

awards vesting on each anniversary of the grant date, subject to continued employment with the Company on the vesting date. 

The  restricted  shares  granted  generally  vest  ratably  over  a  specified  period  on  the  anniversary  of  the  grant  date,  subject  to 

continued employment/service with the Company on the vesting date. The shares underlying restricted share grants represent 

shares  not  yet  vested  until  they  have  met  related  consideration  or  vesting  requirements,  which  are  generally  continued 

employment/service to the Company or satisfaction of specified performance conditions. The restricted shares will be released 

from  the  restrictions  once  they  vest.  Upon  termination  of  the  award  holders’  service  with  the  Company  for  any  reason,  any 

shares  that  are  outstanding  and  not  yet  vested  will  be  immediately  forfeited  unless  otherwise  set  forth  in  an  agreement 

between the Company and the award holder.

Upon each settlement date of certain share-based awards, shares were withheld to cover the required withholding tax, which 

was  based  on  the  value  of  a  share  on  the  settlement  date  as  determined  by  the  applicable  price  of  the  ADSs  on  the  trading 

day of the applicable settlement date. The remaining shares after the withholding were delivered to the recipient. The amount 

remitted to the tax authorities for employee tax obligations was reflected as a financing activity on the consolidated statements 

of cash flows. These shares withheld by the Company as a result of the net settlement were accounted for as treasury stock and 

considered issued but not outstanding.

277

CONSOLIDATED FINANCIAL STATEMENTS17.  SHARE-BASED COMPENSATION (CONTINUED)

Stock Option Activity

The following table presents a summary of option activity and related information during the year ended December 31, 2022:

Weighted
average 
exercise
price 
($)

2.79

4.37

1.14

5.66

3.05

1.48

Weighted 
average 
remaining
contractual 
term
(years)

Aggregate 
intrinsic 
value
($ in thousands)

5.98

339,570

—

—

—

5.89

4.22

—

—

—

115,969

112,582

Number of
options

81,015,590

22,571,050

(5,151,190)

(7,254,030)

91,181,420

54,682,520

Outstanding at December 31, 2021

Granted

Exercised

Forfeited

Outstanding at December 31, 2022

Vested and exercisable as of December 31, 2022

The aggregate intrinsic value of stock options exercised during 2022 and 2021 was $14.3 million and $170.4 million, respectively.

Stock Option Valuation Assumptions

The following table presents the assumptions used to estimate the fair values of the share options granted:

Risk-free rate of return

Expected term (in years)

Estimated volatility rate

Expected dividend rate

2022

1.4%–4.0%

6.5

65%

0%

2021

0.9%–1.4%

6, 6.25 or 6.5

65%

0%

278

CONSOLIDATED FINANCIAL STATEMENTS17.  SHARE-BASED COMPENSATION (CONTINUED)

Non-Vested Restricted Shares Activity

The following table summarized the Company’s non-vested restricted share activity in 2022:

Weighted
average
remaining
contractual 
term 
(years)

3.36

—

—

—

Aggregate
intrinsic value
($ in thousands)

60,131

—

—

—

3.55

102,642

Numbers of 
non-vested 
restricted shares

9,567,360

30,663,040

(1,940,680)

(4,855,830)

33,433,890

Non-vested as of December 31, 2021

Granted

Vested

Forfeited

Non-vested as of December 31, 2022

Stock-Based Compensation Expenses

Options granted are measured based on grant-date fair value estimated using the Black-Scholes option pricing model. The grant-

date fair value of restricted shares is the fair value of the underlying stock on the award’s grant date. Compensation expense is 

recognized over the vesting period of the applicable awards on a straight-line basis. The weighted-average grant-date fair value 

per share for options granted during 2022 and 2021 were $2.74 and $12.60 per share, respectively. The weighted-average grant-

date fair value per share for restricted shares granted in 2022 and 2021 were $3.71 and $10.55 per share, respectively.

The  following  table  presents  the  stock-based  compensation  expense  which  has  been  reported  in  the  Company’s  consolidated 

statements of operations ($ in thousands):

Selling, general and administrative

Research and development

Total

Year ended December 31,

2022

38,118

23,184

61,302

2021

23,194

17,520

40,714

As  of  December  31,  2022,  there  was  unrecognized  share-based  compensation  expense  related  to  unvested  share  options  and 

unvested restricted shares of $101.3 million and $128.6 million, respectively, which the Company expects to recognize over a 

weighted-average period of 3.34 years and 3.59 years, respectively.

279

CONSOLIDATED FINANCIAL STATEMENTS18.  LICENSE AND COLLABORATION AGREEMENTS

The  Company  may  enter  into  collaboration  agreements  with  third  parties  to  license  intellectual  property.  These  agreements 

may require the Company to make payments related to certain future development, regulatory, and sales-based milestones as 

well as tiered royalties on future sales of licensed products in the licensed territory. Payments under these agreements generally 

become due and payable upon the achievement of such milestones or sales. These commitments are not recorded as liabilities 

on  the  consolidated  balance  sheet  because  the  achievement  and  timing  of  these  milestones  are  not  fixed  and  determinable. 

Operating expenses for costs incurred pursuant to these arrangements are reported in their respective expense line item when 

the  Company  become  obligated  to  pay,  which  is  generally  in  the  same  fiscal  year  of  payment  unless  otherwise  noted.  The 

following is a description of the Company’s significant license and collaboration agreements as of December 31, 2022.

License and Collaboration Agreement with GSK (Niraparib)

In  September  2016,  the  Company  entered  into  a  collaboration,  development,  and  license  agreement  with  Tesaro,  Inc., 

a company later acquired by GSK, pursuant to which the Company obtained an exclusive sublicense under certain patents and 

know-how of GSK to develop, manufacture, and commercialize GSK’s proprietary PARP inhibitor, niraparib, in mainland China, 

Hong Kong, and Macau for the diagnosis and prevention of any human diseases or conditions (other than prostate cancer).

To date, the Company has made an upfront payment of $15.0 million and has paid $16.5 million development, regulatory, and 

sales-based milestones, including a $1.0 million milestone payment accrued in 2020 and made in 2021, a $4.0 million milestone 

payment made in 2022, and a $3.5 million development milestone and $8.0 million sales-based milestone paid in 2022, which 

were accrued in 2019 and 2021, respectively.

The Company may be required to pay an additional aggregate amount of up to $28.0 million in development, regulatory, and 

sales-based  milestones  as  well  as  certain  royalties  at  tiered  percentages  rates  ranging  from  mid-  to  high-teens  on  annual  net 

sales of the licensed products in the licensed territories.

License and Collaboration Agreement with Paratek Bermuda Ltd. (“Paratek”) (Omadacycline)

In  April  2017,  the  Company  entered  into  a  license  and  collaboration  agreement  with  Paratek,  pursuant  to  which  the 

Company  obtained  both  an  exclusive  license  under  certain  patents  and  know-how  of  Paratek  and  an  exclusive  sub-license 

under  certain  intellectual  property  that  Paratek  licensed  from  Tufts  University  to  develop,  manufacture,  and  commercialize 

products containing omadacycline (ZL-2401) as an active ingredient in Greater China in the field of all human therapeutic and 

preventative uses other than biodefense.

280

CONSOLIDATED FINANCIAL STATEMENTS18.  LICENSE AND COLLABORATION AGREEMENTS (CONTINUED)

License and Collaboration Agreement with Paratek Bermuda Ltd. (“Paratek”) (Omadacycline) (Continued)

To date, the Company has made an upfront payment of $7.5 million and has paid $14.0 million in development and regulatory 

milestone  payments,  including  a  $5.0  million  development  milestone  payment  upon  approval  by  the  U.S.  Food  and  Drug 

Administration  (“FDA”)  of  a  New  Drug  Application  submission  in  2018,  a  $3.0  million  development  milestone  payment  upon 

submission of the first regulatory approval application for a licensed product in the People’s Republic of China paid in 2020, and 

a  $6.0  million  development  milestone  upon  regulatory  approval  of  omadacycline  for  the  treatment  of  adults  with  ABSSSI  and 

CABP in the People’s Republic of China accrued in December 2021 and paid in 2022.

The Company may be required to pay an additional aggregate amount of up to $40.5 million in development, regulatory, and 

sales-based  milestones  as  well  as  certain  royalties  at  tiered  percentages  rates  ranging  from  low-  to  mid-teens  on  annual  net 

sales of licensed products in the licensed territory.

License and Collaboration Agreement with Amgen (Bemarituzumab)

In  December  2017,  the  Company  entered  into  a  license  and  collaboration  agreement  with  Five  Prime  Therapeutics,  Inc. 

(later  acquired  by  Amgen),  pursuant  to  which  it  obtained  an  exclusive  license  under  certain  patents  and  know-how  of 

Five  Prime  to  develop  and  commercialize  products  containing  Five  Prime’s  proprietary  afucosylated  FGFR2b  antibody  known 

as  bemarituzumab  (FPA144)  as  an  active  ingredient  in  the  treatment  or  prevention  of  any  disease  or  condition  in  humans  in 

Greater China.

To date, the Company has made an upfront payment of $5.0 million and a milestone payment of $2.0 million. The Company may 

be required to pay an additional aggregate amount of up to $37.0 million in development and regulatory milestones as well as 

certain royalties at tiered percentage rates ranging from high-teens to low twenties on annual net sales of the licensed product 

in the licensed territory.

Under  the  terms  of  the  agreement,  provided  that  the  Company  enrolls  and  treats  a  specified  number  of  patients  in  the 

bemarituzumab FPA144-004 study in mainland China, the Company is eligible to receive a low single-digit percentage quarterly 

royalty, on a licensed product-by-licensed product basis on net sales of all licensed product outside of the licensed territory until 

the tenth (10th) anniversary of the first commercial sale of each such licensed product outside the licensed territory. 

281

CONSOLIDATED FINANCIAL STATEMENTS 
18.  LICENSE AND COLLABORATION AGREEMENTS (CONTINUED)

License and Collaboration Agreement with Entasis Therapeutics Holdings Inc. (“Entasis”) (SUL-DUR)

In  April  2018,  the  Company  entered  into  a  license  and  collaboration  agreement  with  Entasis,  pursuant  to  which  it  obtained 

an  exclusive  license  under  certain  patents  and  know-how  of  Entasis  to  develop  and  commercialize  products  containing 

Entasis’  proprietary  compounds  known  as  durlobactam  (ETX2514)  and  Sulbactam  (ETX2514SUL)  as  an  active  ingredient  with 

the  possibility  of  developing  and  commercializing  a  combination  of  such  compounds  with  Imipenem  in  all  human  diagnostic, 

prophylactic,  and  therapeutic  uses  in  Greater  China,  Korea,  Vietnam,  Thailand,  Cambodia,  Laos,  Malaysia,  Indonesia,  the 

Philippines,  Singapore,  Australia,  New  Zealand,  and  Japan.  The  Company’s  rights  to  develop  and  commercialize  the  licensed 

products are limited to the lead product (Sulbactam) until such lead product receives initial FDA approval in the United States.

To  date,  the  Company  has  made  an  upfront  payment  of  $5.0  million  and  two  development  milestone  payments  totaling 

$7.0 million. The Company may be required to pay an additional aggregate amount of up to $91.6 million in development and 

commercial  milestones  as  well  as  certain  royalties  at  tiered  percentage  rates  ranging  from  high  single  digits  to  low-teens  on 

annual net sales of the licensed products in the licensed territory. The Company is also responsible for a portion of the costs of 

the global pivotal Phase III clinical trial of SUL-DUR outside of the territory.

The Company has the right to terminate this agreement at any time by providing written notice of termination to Entasis.

License and Collaboration Agreement with Crescendo Biologics Ltd. (“Crescendo”) (ZL-1102)

In May 2018, the Company entered into an agreement with Crescendo, pursuant to which the Company obtained an exclusive, 

worldwide license to develop, commercialize, and manufacture ZL-1102, a topical, innovative antibody VH domain therapeutic 

for all indications. Pursuant to the terms of the agreement, the Company will be responsible for conducting all regulatory filings, 

clinical studies, and commercialization activities, with both companies participating in a Joint Development Committee.

In October 2020, the Company and Crescendo entered into a supplemental license agreement, under which Crescendo granted 

to  the  Company  a  non-exclusive,  worldwide  license  to  use  the  Crescendo  VH  HLEs  in  connection  with  the  development, 

commercialization, manufacture, and other exploitation of VH HLE licensed products.

To date, the Company has made two upfront fee payments totaling $4.5 million, including a $2.5 million payment in 2020, and 

three milestone payments totaling $6.0 million, including a $2.0 million payment in 2020 and a $4.0 million payment in 2021. 

The Company may be required to pay an additional aggregate amount of up to $298.1 million in development, regulatory, and 

sales-based milestones as well as certain royalties at tiered percentage rates on annual global sales.

The Company has the right to terminate this agreement at any time by providing written notice of termination to Crescendo.

282

CONSOLIDATED FINANCIAL STATEMENTS18.  LICENSE AND COLLABORATION AGREEMENTS (CONTINUED)

License and Collaboration Agreement with NovoCure (Tumor Treating Fields)

In  September  2018,  the  Company  entered  into  a  license  and  collaboration  agreement  with  NovoCure,  pursuant  to  which  it 

obtained an exclusive license under certain patents and know-how of NovoCure to develop and commercialize Tumor Treating 

Fields products in all human therapeutic and preventative uses in the field of oncology in Greater China.

To date, the Company has made an upfront payment of $15.0 million in 2018 and two milestone payments totaling $10.0 million 

made  in  2020.  The  Company  may  be  required  to  pay  an  additional  aggregate  amount  of  up  to  $68.0  million  in  development, 

regulatory, and sales-based milestones as well as certain royalties at tiered percentage rates ranging from low- to mid-teens on 

annual net sales of the licensed products in the licensed territory. The Company will purchase licensed products exclusively from 

NovoCure at NovoCure’s fully burdened manufacturing cost. 

The Company has the right to terminate this agreement at any time by providing written notice of termination to NovoCure.

License and Collaboration Agreements with MacroGenics (including Margetuximab and Tebotelimab)

In  November  2018,  the  Company  entered  into  a  collaboration  agreement  with  MacroGenics,  pursuant  to  which  it  obtained 

an  exclusive  license  under  certain  patents  and  know-how  of  MacroGenics  to  develop  and  commercialize  margetuximab, 

tebotelimab  (MGD-013),  and  an  undisclosed  multi-specific  TRIDENT  molecule  in  pre-clinical  development,  each  as  an  active 

ingredient  in  all  human  fields  of  use,  except  to  the  extent  limited  by  any  applicable  third  party  agreement  of  MacroGenics  in 

Greater China.

To  date,  the  Company  has  made  an  upfront  payment  of  $25.0  million  and  three  milestone  payments  totaling  $9.0  million, 

including $4.0 million paid in 2020 and $5.0 million accrued in 2021 but paid in 2022. The Company may be required to pay an 

additional  aggregate  amount  of  up  to  $84.0  million  in  development  and  regulatory  milestones  as  well  as  certain  royalties  at 

tiered percentage rates ranging from low-teens to twenties on annual net sales of the licensed products in the licensed territory. 

The tebotelimab program was terminated in 2022, but the Company continue to collaborate with respect to the other licensed 

products.

The Company has the right to terminate this agreement at any time by providing written notice of termination to MacroGenics.

283

CONSOLIDATED FINANCIAL STATEMENTS18.  LICENSE AND COLLABORATION AGREEMENTS (CONTINUED)

License  and  Collaboration  Agreements  with  MacroGenics  (including  Margetuximab  and  Tebotelimab) 

(Continued)

In  June  2021,  the  Company  entered  into  another  collaboration  and  license  agreement  with  MacroGenics,  pursuant  to  which 

the  Company  and  MacroGenics  made  four  collaboration  programs  involving  up  to  four  immuno-oncology  molecules.  The 

first  collaboration  program  covers  a  lead  research  molecule  that  incorporates  MacroGenics’  DART  platform  and  binds  CD3 

and  an  undisclosed  target  that  is  expressed  in  multiple  solid  tumors.  The  second  collaboration  program  will  cover  a  target  to 

be  designated  by  MacroGenics.  For  both  molecules,  the  Company  received  commercial  rights  in  Greater  China,  Japan,  and 

Korea,  and  MacroGenics  received  commercial  rights  in  all  other  territories.  For  the  lead  molecule,  the  Company  receives  an 

option upon reaching a predefined clinical milestone to convert the regional arrangement into a global 50/50 profit share. The 

Company also obtained exclusive, global licenses from MacroGenics to develop, manufacture, and commercialize two additional 

molecules. For these four programs, each Company will contribute intellectual property to generate either CD3- or CD47-based 

bispecific antibodies.

To date, the Company has made an upfront payment of $25.0 million in 2021. Further, on June 15, 2021, as partial consideration 

for the rights granted to us under this agreement, the Company entered into a stock purchase agreement with MacroGenics, 

pursuant  to  which  the  Company  purchased  from  MacroGenics  in  a  private  placement  an  aggregate  of  958,467  newly  issued 

shares of common stock, par value $0.01 per share, of MacroGenics, with a per share purchase price of $31.30, for aggregate 

gross proceeds of approximately $30.0 million. The Company may be required to pay an additional aggregate amount of up to 

$1,386.0 million in development, regulatory, and sales-based milestones as well as certain royalties at tiered percentage rates 

on annual net sales of specified products, subject to reduction under specified circumstances. The Company also has an option 

to  convert  the  royalty  arrangement  for  the  lead  research  molecule  to  a  global  50/50  profit  and  loss  sharing  arrangement  by 

making a payment of approximately $85.0 million.

The Company has the right to terminate this agreement at any time by providing written notice of termination to MacroGenics.

License and Collaboration Agreement with Deciphera (Ripretinib)

In June 2019, the Company entered into a license agreement with Deciphera, pursuant to which it obtained an exclusive license 

under certain patents and know-how of Deciphera to develop and commercialize products containing ripretinib in the field of 

the prevention, prophylaxis, treatment, cure, or amelioration of any disease or medical condition in humans in Greater China.

284

CONSOLIDATED FINANCIAL STATEMENTS18.  LICENSE AND COLLABORATION AGREEMENTS (CONTINUED)

License and Collaboration Agreement with Deciphera (Ripretinib) (Continued)

To  date,  the  Company  has  made  an  upfront  payment  of  $20.0  million  and  three  milestone  payments  totaling  $12.0  million, 

including $2.0 million paid in 2020 and $5.0 million paid in 2021. The Company may be required to pay an additional aggregate 

amount  of  up  to  $173.0  million  in  development,  regulatory,  and  sales-based  milestones  as  well  as  certain  royalties  at  tiered 

percentage rates ranging from low- to high-teens on annual net sales of the licensed products in the licensed territory.

The Company has the right to terminate this agreement at any time by providing written notice of termination to Deciphera.

License and Collaboration Agreement with Incyte Corporation (“Incyte”) (Retifanlimab)

In  July  2019,  the  Company  entered  into  a  collaboration  and  license  agreement  with  Incyte,  pursuant  to  which  it  obtained  an 

exclusive license under certain patents and know-how of Incyte to develop and commercialize products containing retifanlimab 

(INCMGA012) as an active ingredient in the treatment, palliation, diagnosis, or prevention of diseases in the fields of hematology 

or  oncology  in  humans  in  Greater  China.  The  Company  terminated  this  license  agreement,  in  accordance  with  its  terms, 

effective January 11, 2023.

Collaboration Agreement with Regeneron Pharmaceuticals, Inc (“Regeneron”) (Odronextamab)

In  April  2020,  the  Company  entered  into  a  collaboration  agreement  with  Regeneron  Ireland  Designated  Activity  Company,  an 

affiliate of Regeneron, pursuant to which it obtained oncology development and exclusive commercialization rights for products 

containing odronextamab as the sole active ingredient in Greater China. the Company also obtained a right of first negotiation 

for additional indications outside the field of cancer.

To  date,  the  Company  has  made  an  upfront  payment  of  $30.0  million  in  2020.  The  Company  may  be  required  to  pay  an 

additional  aggregate  amount  of  up  to  $160.0  million  in  regulatory  and  sales-based  milestones.  Additionally,  the  Company  will 

make  payments  to  Regeneron  based  on  annual  net  sales,  such  that  Regeneron  shares  in  a  significant  portion  of  any  potential 

profits. The Company is also responsible for contributing to the global development costs of odronextamab for certain trials and 

will purchase odronextamab exclusively from Regeneron.

The Company has the right to terminate this agreement at any time by providing written notice of termination to Regeneron.

285

CONSOLIDATED FINANCIAL STATEMENTS18.  LICENSE AND COLLABORATION AGREEMENTS (CONTINUED)

License Agreement with BMS (Formerly Turning Point Therapeutics Inc (“Turning Point”)) (Repotrectinib and 

TPX-0022)

In July 2020, the Company entered into an exclusive license agreement with Turning Point (a company later acquired by BMS) 

pursuant to which the Company received an exclusive license to develop and commercialize products containing repotrectinib 

as an active ingredient in all human therapeutic indications in Greater China.

To  date,  the  Company  has  made  an  upfront  payment  of  $25.0  million  in  2020  and  three  milestone  payments  in  2021  totaling 

$5.0  million.  The  Company  may  be  required  to  pay  an  additional  aggregate  amount  of  up  to  $146.0  million  in  development, 

regulatory, and sales-based milestones as well as certain royalties at tiered percentage rates ranging from mid- to high-teens on 

annual net sales of the licensed product in the licensed territory.

The Company has the right to terminate this agreement at any time by providing written notice of termination.

In  January  2021,  the  Company  entered  into  an  additional  license  agreement  with  Turning  Point,  which  expanded  their 

collaboration. Under the terms of this agreement, the Company obtained an exclusive license under certain patents and know-

how to develop and commercialize products containing Turning Point’s product candidate, TPX-0022, as an active ingredient in 

all human therapeutic indications in Greater China.

To  date,  the  Company  has  made  an  upfront  payment  of  $25.0  million.  the  Company  may  be  required  to  pay  an  additional 

aggregate amount  of  up  to  $336.0  million  in  development, regulatory,  and sales-based milestone payments  as  well  as  certain 

royalties at tiered percentage rates ranging from mid-teen to low twenties on annual net sales of the licensed products in the 

licensed  territory.  In  addition,  Turning  Point  will  have  the  right  of  first  negotiation  to  develop  and  commercialize  an  oncology 

product candidate discovered by the Company.

License  Agreement  with  Taiho  Pharmaceutical  Co.,  Ltd.  (“Taiho”)  (formerly  Cullinan  Pearl  Corp. 

(“Cullinan Pearl”)) (Zipalertinib, formerly CLN-081)

In  December  2020,  the  Company  entered  into  a  license  agreement  with  Cullinan  Pearl,  a  subsidiary  of  Cullinan  Oncology, 

Inc.,  pursuant  to  which  it  obtained  an  exclusive  license  under  certain  patents  and  know-how  of  Cullinan  Pearl  to  develop, 

manufacture,  and  commercialize  products  containing  CLN-081  as  an  active  ingredient  in  all  uses  in  humans  and  animals  in 

Greater China.

286

CONSOLIDATED FINANCIAL STATEMENTS18.  LICENSE AND COLLABORATION AGREEMENTS (CONTINUED)

License  Agreement  with  Taiho  Pharmaceutical  Co.,  Ltd.  (“Taiho”)  (formerly  Cullinan  Pearl  Corp. 

(“Cullinan Pearl”)) (Zipalertinib, formerly CLN-081) (Continued)

To  date,  the  Company  has  made  an  upfront  payment  of  $20.0  million,  which  was  accrued  in  2020  and  paid  in  2021.  The 

Company  may  be  required  to  pay  an  additional  aggregate  amount  of  up  to  $211.0  million  in  development,  regulatory,  and 

sales-based  milestones  as  well  as  certain  royalties  at  tiered  percentage  rates  ranging  from  high-single-digit  to  low-teens  on 

annual net sales of the licensed product in the licensed territory. Cullinan Pearl received worldwide rights for CLN-081, excluding 

Japan, from Taiho in 2018. In June 2022, Taiho acquired Cullinan Pearl and obtained exclusive global rights to CLN-081 outside of 

the United States. In December 2022, the Company agreed with Taiho on the assignment of our license agreement with Cullinan 

Pearl to Taiho.

The Company has the right to terminate this agreement at any time by providing written notice of termination to Taiho.

License Agreement with Takeda Pharmaceutical Company Limited (“Takeda”) (Simurosertib)

In  December  2020,  the  Company  entered  into  an  exclusive  license  agreement  with  Takeda.  Under  the  terms  of  the  license 

agreement, Takeda exclusively licensed to the Company the right to research, develop, and commercialize the licensed products 

in the licensed field during the term. To date, the Company has made an upfront payment of $6.0 million to Takeda, which was 

accrued in 2020 and paid in 2021. This program was terminated in 2022.

Collaboration and License Agreement with argenx BV (“argenx”) (Efgartigimod)

In January 2021, the Company entered into a collaboration and license agreement with argenx pursuant to which the Company 

received an exclusive license under certain patents and know-how of argenx to develop and commercialize products containing 

efgartigimod  as  an  active  ingredient  in  all  human  and  animal  uses  for  any  preventative  or  therapeutic  indications  in  Greater 

China.

Pursuant to the collaboration and license agreement, the Company and argenx entered into a share issuance agreement. The 

Company issued as an upfront payment to argenx 5,681,820 ordinary shares of the Company. In determining the fair value of 

the ordinary shares at closing, the Company considered the closing price of the ordinary shares on the closing date and included 

a  lack  of  marketability  discount  because  the  shares  were  subject  to  certain  restrictions.  The  fair  value  of  the  shares  on  the 

closing date was determined to be $62.3 million in the aggregate. In addition, the Company made a $75.0 million cash payment 

as a guarantee for non-creditable, non-refundable development cost-sharing payment in 2021.

287

CONSOLIDATED FINANCIAL STATEMENTS18.  LICENSE AND COLLABORATION AGREEMENTS (CONTINUED)

Collaboration and License Agreement with argenx BV (“argenx”) (Efgartigimod) (Continued)

The Company has made a milestone payment of $25.0 million in 2022 which was accrued in the fourth quarter of 2021 related 

to the first regulatory approval for the licensed product by the FDA in December 2021.

The  Company  may  be  required  to  pay  certain  royalties  at  tiered  percentages  rates  ranging  from  mid-teen  to  low-twenties  on 

annual net sales of the licensed products in the licensed territory.

Collaboration and License Agreement with Mirati Therapeutics, Inc. (“Mirati”) (Adagrasib)

In  May  2021,  the  Company  entered  into  a  collaboration  and  license  agreement  with  Mirati  pursuant  to  which  the  Company 

obtained  the  right  to  research,  develop,  manufacture,  and  exclusively  commercialize  adagrasib  in  all  indications  in  Greater 

China, with Mirati retaining exclusive rights for the development, manufacturing, and commercialization of adagrasib outside of 

Greater China and certain co-commercialization, manufacture, and development rights in Greater China.

To  date,  the  Company  has  made  an  upfront  payment  of  $65.0  million  to  Mirati  in  2021  and  two  development  milestone 

payments  totaling  $10.0  million  in  2022.  The  Company  may  be  required  to  pay  an  additional  aggregate  amount  of  up  to 

$263.0  million  in  development,  regulatory,  and  sales-based  milestones  as  well  as  certain  royalties  at  tiered  percentage  rates 

ranging from high-teens to low-twenties on annual net sales of the licensed product in the licensed territory.

Collaboration  and  License  Agreement  with  Blueprint  Medicines  Corporation  (“Blueprint”)  (BLU-945  and 

BLU-701)

In  November  2021,  the  Company  entered  into  a  collaboration  and  license  agreement  with  Blueprint,  pursuant  to  which 

the  Company  obtained  rights  to  develop  and  exclusive  commercialize  BLU-701  and  BLU-945  and  BLU-701  and  certain  other 

forms  thereof,  including  backup  compounds,  for  the  treatment  of  patients  with  EGFR-driven  non-small  cell  lung  cancer  in 

Greater China.

To  date,  the  Company  has  made  an  upfront  payment  of  $25.0  million  in  2021.  The  Company  may  be  required  to  pay  an 

additional  aggregate  amount  of  up  to  $590.0  million  in  clinical,  regulatory,  and  sales-based  milestones  as  well  as  certain 

royalties  at  tiered  percentage  rates  ranging  from  the  low-  to  mid-teens  on  annual  net  sales  of  the  licensed  products  in  the 

licensed territory. Blueprint deprioritized BLU-701 in 2022, but the Company continue to collaborate with respect to BLU-945.

The Company has the right to terminate this agreement after the second anniversary of the effective date by providing written 

notice of termination to Blueprint.

288

CONSOLIDATED FINANCIAL STATEMENTS18.  LICENSE AND COLLABORATION AGREEMENTS (CONTINUED)

License Agreement with Karuna Therapeutics, Inc. (“Karuna”) (KarXT)

In November 2021, the Company entered into a license agreement with Karuna, pursuant to which the Company obtained an 

exclusive license to develop, manufacture, and commercialize KarXT (xanomeline-trospium) in Greater China.

To  date,  the  Company  has  made  an  upfront  payment  of  $35.0  million  in  2021  and  two  development  milestone  payments 

totaling  $10.0  million  in  2022.  The  Company  may  be  required  to  pay  an  additional  aggregate  amount  of  up  to  $142.0  million 

in  development,  regulatory,  and  sales-based  milestones  as  well  as  certain  royalties  at  tiered  percentage  rates  ranging  from 

low- to high-teens on annual net sales of the licensed products in Greater China.

Collaboration and License Agreement with Seagen Inc. (“Seagen”) (TIVDAK)

In  September  2022,  the  Company  entered  into  a  collaboration  and  license  agreement  with  Seagen,  pursuant  to  which  the 

Company and Seagen agreed to collaboratively develop and commercialize TIVDAK (tisotumab vedotin). Under the agreement, 

the Company obtained an exclusive license to develop and commercialize TIVDAK in Greater China.

To  date,  the  Company  has  made  an  upfront  payment  of  $30.0  million  in  2022.  The  Company  may  be  required  to  pay  an 

additional aggregate amount of up to $263.0 million in development, regulatory, and sales-based milestone payments as well as 

certain royalties at tiered percentage rates ranging from mid-teens to low-twenties on annual net sales of the licensed products 

in Greater China.

The  agreement  will  remain  in  effect,  unless  earlier  terminated,  until  the  expiration  of  the  last-to-expire  royalty  term  for  the 

last licensed product. The agreement contains customary provisions for termination by either party, including in the event of a 

material breach by the other party that remains uncured, by the Company for convenience, for certain bankruptcy events, and 

by Seagen upon a challenge of the licensed patent rights.

Aggregate Potential Payments under License and Collaboration Agreements

As  noted  above,  the  Company  has  entered  into  various  license  and  collaboration  agreements  with  third  party  licensors  to 

develop  and  commercialize  product  candidates.  Based  on  the  terms  of  these  agreements,  the  Company  is  contingently 

obligated  to  make  additional  material  payments  upon  the  achievement  of  certain  contractually  defined  milestones.  Based  on 

management’s evaluation of the progress of each project noted above, as of December 31, 2022, the Company may be required 

to pay licensors an aggregate additional amount of up to approximately $5,300.4 million in development, regulatory, and sales-

based milestones as well as certain royalties at tiered percentage rates on annual net sales. The development milestones, such 

as regulatory approval for the product candidates, may occur before the Company has commercialized the product or received 

any  revenue  from  sales  of  such  product  candidate.  These  milestone  payments  are  subject  to  uncertainties  and  contingencies 

and may not occur.

289

CONSOLIDATED FINANCIAL STATEMENTS19.  OTHER INCOME (EXPENSES), NET

The following table presents other income (expenses), net ($ in thousands):

Government grants

Loss on equity investments with readily determinable fair value

Others miscellaneous gain

Total

20.  RESTRICTED NET ASSETS

Year ended December 31,
2021

2022

11,471

(8,952)

594

3,113

4,113

(14,617)

303

(10,201)

The  Company’s  ability  to  pay  dividends  may  depend  on  the  Company  receiving  distributions  of  funds  from  its  Chinese 

subsidiaries. Relevant Chinese laws and regulations permit payments of dividends by the Company’s Chinese subsidiaries only 

out of its retained earnings, if any, as determined in accordance with Chinese accounting standards and regulations. The results 

of  operations  reflected  in  the  consolidated  financial  statements  prepared  in  accordance  with  U.S.  GAAP  differ  from  those 

reflected in the statutory financial statements of the Company’s Chinese subsidiaries. 

In  accordance  with  the  Company  Law  of  the  People’s  Republic  of  China,  a  domestic  enterprise  is  required  to  provide  statutory 

reserves of at least 10% of its annual after-tax profit until such reserve has reached 50% of its respective registered capital based 

on the enterprise’s Chinese statutory accounts. A domestic enterprise may provide discretionary surplus reserve, at the discretion 

of  the  Board,  from  the  profits  determined  in  accordance  with  the  enterprise’s  Chinese  statutory  accounts.  The  aforementioned 

reserves can only be used for specific purposes and are not distributable as cash dividends. The Company’s Chinese subsidiaries 

were established as domestic enterprises and therefore are subject to the above-mentioned restrictions on distributable profits. 

No  appropriation  to  statutory  reserves  was  made  during  the  years  ended  December  31,  2022  and  2021  because  the  Chinese 

subsidiaries had substantial losses during such periods. 

As  a  result  of  these  Chinese  laws  and  regulations,  subject  to  the  limits  discussed  above  that  require  annual  appropriations 

of  10%  of  after-tax  profit  to  be  set  aside,  prior  to  payment  of  dividends,  as  a  general  reserve  fund,  the  Company’s  Chinese 

subsidiaries are restricted in their ability to transfer out a portion of their net assets. 

Foreign  exchange  and  other  regulation  in  mainland  China  may  further  restrict  the  Company’s  Chinese  subsidiaries  from 

transferring out funds in the form of dividends, loans, and advances. As of December 31, 2022 and 2021, amounts restricted are 

the paid-in capital of the Company’s Chinese subsidiaries, which amounted to $456.0 million and $406.0 million, respectively.

290

CONSOLIDATED FINANCIAL STATEMENTS21.  EMPLOYEE DEFINED CONTRIBUTION PLANS

Full  time  employees  of  the  Company  in  mainland  China  participate  in  a  government  mandated  defined  contribution  plan, 

pursuant  to  which  certain  pension  benefits,  medical  care,  employee  housing  fund,  and  other  welfare  benefits  are  provided 

to  employees.  Chinese  labor  regulations  require  that  the  Company’s  subsidiaries  in  China  mainland  make  contributions  to 

the  government  for  these  benefits  primarily  based  on  certain  percentages  of  the  employees’  salaries  subject  to  certain  caps 

and  other  government  requirements.  The  total  amounts  for  such  employee  benefits,  which  were  expensed  as  incurred,  were 

$23.6 million and $17.6 million for 2022 and 2021, respectively.

The Company’s employees who are U.S. taxpayers and who meet certain age and service requirements are eligible to participate 

in a broad-based, defined contribution retirement plan which is qualified under Section 401 of the Internal Revenue Code. In 2022, 

the Company makes a matching contribution equal to 50% of the first 5% of the employee’s elective contributions under the plan, 

up to 2.5% of an employee’s eligible compensation. Contributions made by the Company vest 100% upon contribution. The total 

amounts for such employee benefits, which were expensed as incurred, was $0.5 million in 2022 and was not material in 2021. 

The Company also provides required Mandatory Provident Fund contribution for its full-time employees located in Hong Kong 

and  provides  social  benefits  contribution  for  its  full-time  employees  located  in  Taiwan.  The  total  amounts  for  these 

contributions, which were expensed as incurred, was $0.2 million in 2022 and was not material in 2021.

There is no forfeiture of contribution related to any of the Company’s employee defined contribution plans as described above.

22.  COMMITMENTS AND CONTINGENCIES

(a)  Purchase Commitments

The  Company’s  commitments  related  to  purchase  of  property  and  equipment  contracted  but  not  yet  reflected  in  the 

consolidated  financial  statements  were  $9.0  million  as  of  December  31,  2022  and  were  expected  to  be  incurred  within 

one year. 

(b)  Legal Proceedings

The  Company  is  not  currently  a  party  to  any  material  legal  proceedings.  Each  quarter,  the  Company  evaluates  whether 

there have been any developments in legal proceedings that would require an accrual. In accordance with the accounting 

guidance for contingencies, the Company will accrue for losses that are both probable and reasonably estimable.

291

CONSOLIDATED FINANCIAL STATEMENTS22.  COMMITMENTS AND CONTINGENCIES (CONTINUED)

(c) 

Indemnifications

In  the  normal  course  of  business,  the  Company  enters  into  agreements  that  indemnify  others  for  certain  liabilities 

that  may  arise  in  connection  with  a  transaction  or  certain  events  and  activities.  If  the  indemnified  party  were  to  make 

a  successful  claim  pursuant  to  the  terms  of  the  indemnification,  the  Company  may  be  required  to  reimburse  the  loss. 

These  indemnifications  are  generally  subject  to  various  restrictions  and  limitations.  The  Company’s  exposure  under 

these agreements is unknown because it involves claims that may be made against the Company in the future but have 

not yet been made. To date, the Company has not paid any claims or been required to defend any action related to its 

indemnification obligations. 

23.  DIRECTOR AND CHIEF EXECUTIVE REMUNERATION

Director and chief executive remuneration for the years ended December 31, 2022 and 2021 are disclosed pursuant to the Rules 

Governing the Listing of Securities on The Stock Exchange of Hong Kong Limited (the “HK Listing Rules”), section 383(1)(a), (b), 

(c)  and  (f)  of  the  Hong  Kong  Companies  Ordinance,  and  Part  2  of  the  Companies  (Disclosure  of  Information  about  Benefits  of 

Directors) Regulation and are as follows ($ in thousands):

Fees  

Other emoluments:

Salaries, allowances and benefits in kind

Performance related and discretionary bonuses

Share-based compensation expenses*

Pension scheme contributions

Year ended December 31,

2022

473

861

832

12,438

6

14,137

14,610

2021
(unaudited)

355 

1,262

1,108

10,601

11

12,982

13,337

* 

The fair value of share-based compensation, which has been recognized in the consolidated statements of operations over the vesting period, was determined 

on the date of grant in accordance with ASC 718, Compensation-Stock Compensation under U.S. GAAP. Refer to Note 17 for additional information.

None of the Company’s directors waived any emoluments during 2022 and 2021.

During  2022  and  2021,  no  emoluments  were  paid  or  payable  by  the  Company  to  any  of  the  Company’s  directors  as  an 

inducement to join or upon joining the Company or as compensation for loss of office.

292

CONSOLIDATED FINANCIAL STATEMENTS 
23.  DIRECTOR AND CHIEF EXECUTIVE REMUNERATION (CONTINUED)

The remuneration of each director for the years ended December 31, 2022 and 2021 were as follows ($ in thousands):

Salaries, 
allowances and 
benefits
 in kind

Fees

Performance 
related and 
discretionary 
bonuses

Share-based 
compensation 
expense

Pension 
scheme 
contributions

Total 
remuneration

—

56

88

—

61

68

75

64

61

861

832

9,438

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

500

500

—

500

500

500

250

250

6

—

—

—

—

—

—

—

—

11,137

556

588

—

561

568

575

314

311

Salaries, 
allowances and 
benefits
 in kind

Performance 
related and 
discretionary 
bonuses

Fees

Share-based 
compensation 
expense

Pension 
scheme 
contributions

Total 
remuneration

—

—

51

75

—

66

68

75

13

7

800

462

—

—

—

—

—

—

—

—

864

244

—

—

—

—

—

—

—

—

6,384

1,515

521

521

—

521

535

521

54

29

4

7

—

—

—

—

—

—

—

—

8,052

2,228

572

596

—

587

603

596

67

36

Year ended December 31, 2022

Executive director and chief executive
Dr. Samantha DuNote (i)

Independent non-executive directors
Dr. Kai-Xian Chen 

Dr. John Diekman 

Ms. Nisa Leung 

Mr. William Lis 

Mr. Leon O. Moulder, Jr. 

Mr. Peter Wirth 

Mr. Scott W. Morrison 

Mr. Richard Gaynor, M.D. 

Year ended December 31, 2021 

(Unaudited)

Executive director and chief executive
Dr. Samantha DuNote (i)

Executive director
Mr. Tao FuNote (i)(ii)

Independent non-executive directors
Dr. Kai-Xian Chen 

Dr. John Diekman 

Ms. Nisa Leung 

Mr. William Lis 

Mr. Leon O. Moulder, Jr. 

Mr. Peter Wirth 

Mr. Scott W. Morrison 

Mr. Richard Gaynor, M.D. 

Notes:

(i) 

 The  Company  compensates  its  independent  non-executive  directors  pursuant  to  its  non-employee  director  compensation  policy.  Executive  officers  that  also 

serve as directors, including Dr. Samantha Du and Mr. Tao Fu, are not compensated separately for their services to the Company as directors.

(ii) 

 Effective on May 7, 2021, the Board appointed Mr. Tao Fu as Chief Strategy Officer of the Company. Concurrent with this appointment, Mr. Tao Fu resigned 

from  his  positions  as  President  and  Chief  Operating  Officer  of  the  Company  and  from  his  position  as  an  executive  director  of  the  Company,  effective 

immediately. 

293

CONSOLIDATED FINANCIAL STATEMENTS24.  FIVE HIGHEST PAID INDIVIDUALS

The five highest paid individuals for the years ended December 31, 2022 and 2021 included the following number of directors 

and chief executive (headcount):

Director and chief executive# 

Neither director nor chief executive 

Year ended December 31,

2022

1

4

5

2021

(unaudited)

1

4

5

# 

Details of the remuneration of the Director and chief executive are set out in Note 23 above.

The aggregate of the emoluments in respect of the remaining individuals who are neither a director nor chief executive of the 

Company are as follows ($ in thousands):

Salaries, allowances and benefits in kind

Performance related and discretionary bonuses

Share-based compensation expenses*

Pension scheme contributions

Inducement to join or upon joining the Company

Year ended December 31,

2022

2,238

1,084

12,176

34

—

2021

(unaudited)

2,092

1,187

8,671

37

300

15,532

12,287

* 

The fair value of share-based compensation, which has been recognized in the consolidated statements of operations over the vesting period, was determined 

on the date of grant in accordance with ASC 718, Compensation — Stock Compensation under U.S. GAAP. Refer to Note 17 for additional information.

294

CONSOLIDATED FINANCIAL STATEMENTS24.  FIVE HIGHEST PAID INDIVIDUALS (CONTINUED)

The  number  of  non-director  and  non-chief  executive  highest  paid  individuals  whose  remuneration  fell  within  the  following 

bands is as follows (headcount):

HK$22,000,001 to HK$22,500,000

HK$23,500,001 to HK$24,000,000

HK$25,500,001 to HK$26,000,000

HK$26,500,001 to HK$27,000,000

HK$29,000,001 to HK$29,500,000

HK$29,500,001 to HK$30,000,000

HK$36,000,001 to HK$36,500,000

2022

2021

(unaudited)

—

—

—

1

1

1

1

4

1

2

1

—

—

—

—

4

Share-based compensation amount is included in the above disclosures. The fair value of share-based compensation, which has been 

recognized in the consolidated statements of operations over the vesting period, was determined on the date of grant in accordance 

with ASC 718, Compensation — Stock Compensation under U.S. GAAP. Refer to Note 17 for additional information.

During 2022 and 2021, no emoluments were paid or payable by the Company to any of the five highest paid individuals of the 

Company as compensation for loss of office.

25.  AUDITORS’ REMUNERATION

The  fees  paid  or  payable  by  the  Company  in  relation  to  audit  services  for  the  year  ended  December  31,  2022  and  2021 

(unaudited)  were  $4.7  million  and  $1.2  million,  respectively.  The  auditor’s  remuneration  paid  or  payable  by  the  Company 

in  relation  to  non-audit  services  for  the  year  ended  December  31,  2022  and  2021  (unaudited)  were  nil  and  $0.1  million, 

respectively. 

26. DIVIDENDS

The Board did not recommend any final dividend for the years ended December 31, 2022 and 2021.

295

CONSOLIDATED FINANCIAL STATEMENTSPARENT COMPANY CONSOLIDATED BALANCE SHEET
($ in thousands except for number of shares and per share data)

Assets

Current assets:

 Cash and cash equivalents

 Short-term investments

 Prepayments and other current assets

Total current assets

 Investment in subsidiaries

Total assets

Liabilities and shareholders’ equity

Liabilities

Current liabilities:

 Other current liabilities 

Total current liabilities 

 Deferred income 

Total liabilities

Shareholders’ equity

 Ordinary shares (par value of $0.000006 per share; 

  5,000,000,000 shares authorized, 962,455,850 and 

  955,363,980 shares issued as of December 31, 2022 and 2021, 

  respectively; 960,219,570 and 954,981,050 shares issued and outstanding as of 

  December 31, 2022 and 2021, respectively)

 Additional paid-in capital 

 Accumulated deficit 

 Accumulated other comprehensive income (loss)

 Treasury stock

Total shareholders’ equity 

Total liabilities and shareholders’ equity 

296

December 31,

2022

2021

944,649

—

10,203

954,852

93,363

1,048,215

2,620

2,620

—

2,620

591,842

445,000

2,364

1,039,206

341,980

1,381,186

996

996

234

1,230

6

2,893,120

(1,861,360)

25,685

(11,856)

1,045,595

1,048,215

6

2,825,948

(1,418,074)

(23,645)

(4,279)

1,379,956

1,381,186

FINANCIAL STATEMENTS SCHEDULE I — FINANCIAL INFORMATION OF PARENT COMPANY  PARENT COMPANY STATEMENTS OF SHAREHOLDERS’ EQUITY 
($ in thousands except for number of shares and per share data)

Ordinary shares

Number of 
Shares
878,110,260

Amount
5

Additional 
paid 
in capital
1,897,467

Accumulated 
deficit
(713,603)

Accumulated 
other 
comprehensive 
income (loss) 
(14,524)

Treasury Stock

Number of 
Shares
—

Amount
—

Total
1,169,345

2,054,500
12,353,400

57,164,000

5,681,820
—

—
—
—
—
955,363,980

1,940,680
5,151,190

—
—
—
—
962,455,850

0
0

1

0
—

—
—
—
—
6

0
0

—
—
—
—
6

0
7,417

818,035

62,250
65

—
40,714
—
—
2,825,948

0
5,870

—
61,302
—
—
2,893,120

—
—

—

—
—

—
—
(704,471)
—
(1,418,074)

—
—

—
—
(443,286)
—
(1,861,360)

—
—

—

—
—

—
—
—
(9,121)
(23,645)

—
—

—
—

—

—
—

—
—

—

—
—

—
7,417

818,036

62,250
65

(382,930)

—
—
—

(382,930)

(4,279)
—
—
—
(4,279)

(4,279)
40,714
(704,471)
(9,121)
1,379,956

—
—

—
—

—
5,870

—
—
—
49,330
25,685

(1,853,350)
—
—
—
(2,236,280)

(7,577)
—
—
—
(11,856)

(7,577)
61,302
(443,286)
49,330
1,045,595

Balance at December 31, 2020
Issuance of ordinary shares upon vesting of 
 restricted shares
Exercise of shares option
Issuance of ordinary shares upon follow-on 
 public offering, net of issuance cost of $839
Issuance of ordinary shares in connection with 
 collaboration and license arrangement (Note 18)
Issuance cost adjustment for secondary listing
Receipt of employees’ shares to satisfy tax 
 withholding obligations related to share-based 
 compensation
Share-based compensation
Net loss
Foreign currency translation
Balance at December 31, 2021
Issuance of ordinary shares upon 
 vesting of restricted shares
Exercise of shares option
Receipt of employees’ shares to satisfy tax 
 withholding obligations related to share-based 
 compensation
Share-based compensation
Net loss
Foreign currency translation
Balance at December 31, 2022

The accompanying notes are an integral part of these consolidated financial statements. “0” in above table means less than $1,000.

297

FINANCIAL STATEMENTS SCHEDULE I —  FINANCIAL INFORMATION OF PARENT COMPANY  RECONCILIATION BETWEEN U.S. GAAP AND INTERNATIONAL FINANCIAL 
REPORTING STANDARDS

The  consolidated  financial  statements  of  the  Company  are  prepared  in  accordance  with  U.S.  GAAP,  which  differ  in  certain  respects 

from  the  International  Financial  Reporting  Standards  (“IFRS”).  The  following  tables  present  the  effect  of  material  differences  on  the 

financial information of the Company prepared under U.S. GAAP and IFRS, as of and for the year ended December 31, 2022 and 2021 

(the “Reconciliation Statements”).

The following information is extracted from the consolidated financial statements as of and for the year ended December 31, 2022, 

which  were  prepared  for  the  purpose  of  these  Reconciliation  Statements  in  accordance  with  the  accounting  policies  that  are 

consistent with the recognition and measurement requirements of IFRS, and audited by KPMG, Certified Public Accountants.

Reconciliation of consolidated statements of operations ($ in thousands)

Consolidated statements of operations

Expenses

Research and development

Selling, general and administrative

Net loss

Net loss attributable to ordinary shareholders

Consolidated statements of operations

Expenses

Research and development

Selling, general and administrative

Net loss

Net loss attributable to ordinary shareholders

Year ended December 31, 2022
IFRS adjustments
Share-based
compensation
(note (i))

Amounts as
reported under
U.S. GAAP

Amounts as
reported under
IFRS

(286,408)

(258,971)

(443,286)

(443,286)

(4,726)

(10,644)

(15,370)

(15,370)

(291,134)

(269,615)

(458,656)

(458,656)

Year ended December 31, 2021
IFRS adjustments
Share-based
compensation
(note (i))

Amounts as
reported under
U.S. GAAP

Amounts as
reported under
IFRS

(573,306)

(218,831)

(704,471)

(704,471)

(6,436)

(7,014)

(13,450)

(13,450)

(579,742)

(225,845)

(717,921)

(717,921)

298

FINANCIAL STATEMENTS SCHEDULE I —  FINANCIAL INFORMATION OF PARENT COMPANY  RECONCILIATION BETWEEN U.S. GAAP AND INTERNATIONAL FINANCIAL 
REPORTING STANDARDS (CONTINUED)

Reconciliation of consolidated balance sheets ($ in thousands)

As of December 31, 2022
IFRS adjustments
Share-based
compensation
(note (i))

Amounts as
reported under
U.S. GAAP

Amounts as
reported under
IFRS

2,893,120

(1,861,360)

1,045,595

46,070

(46,070)

2,939,190

(1,907,430)

—

1,045,595

As of December 31, 2021
IFRS adjustments
Share-based
compensation
(note (i))

Amounts as
reported under
U.S. GAAP

Amounts as
reported under
IFRS

2,825,948

(1,418,074)

1,379,956

30,700

(30,700)

2,856,648

(1,448,774)

—

1,379,956

Consolidated balance sheets

Additional paid-in capital

Accumulated deficit

Total shareholders' equity

Consolidated balance sheets

Additional paid-in capital

Accumulated deficit

Total shareholders' equity

NOTES:

(i) 

Share-based compensation

Under U.S. GAAP, the Company has elected to use the straight-line method to recognize compensation expense for instruments 

granted  to  employees  with  graded  vesting  based  on  service  conditions,  subject  to  the  minimum  amount  of  cumulative 

compensation expense recognized is not less than the portion of the award vested to date.

Under IFRS, the graded vesting method must be applied to recognize compensation expense.

In  addition,  under  U.S.  GAAP,  the  Company  has  elected  to  recognize  the  effect  of  forfeitures  as  they  occur,  and  previously 

recognized compensation cost is reversed in the period that the award is forfeited. 

Under  IFRS,  the  number  of  instruments  that  are  expected  to  vest  are  estimated  by  the  Company  initially.  Subsequently, 

these  estimates  are  trued  up  for  differences  between  the  number  of  instruments  expected  to  vest  and  the  actual  number  of 

instruments vested. 

299

FINANCIAL STATEMENTS SCHEDULE I —  FINANCIAL INFORMATION OF PARENT COMPANY  NOTES: (CONTINUED)

(i) 

Share-based compensation (Continued)

A difference of $15.4 million arose between the amount of share-based compensation (included in research and development 

expenses,  and  selling,  general  and  administrative  expenses)  recognized  under  U.S.  GAAP  and  IFRS  for  the  year  ended 

December 31, 2022 (the difference was $13.5 million for the year ended December 31, 2021). 

The  accumulated  difference  on  share-based  compensation  recognized  in  accumulated  deficit  and  additional  paid  in  capital 

under  U.S.  GAAP  and  IFRS  was  $46.1  million  as  of  December  31,  2022  (the  accumulated  difference  was  $30.7  million  as  of 

December 31, 2021).

(ii) 

Leases

Under  U.S.  GAAP,  as  a  lessee,  the  Company  recognized  a  lease  liability  based  on  the  present  value  of  the  total  remaining 

lease payments, and a corresponding right of use asset. The amortization of the right-of-use assets and the interest expenses 

related to the lease liabilities are recorded together as a single total lease expense on a straight-line basis on the consolidated 

statements of operations.

Under IFRS, the amortization of the right-of-use assets is recognized on a straight-line basis while the interest expense related 

to the lease liabilities is recognized on the basis that the lease liabilities are measured at amortized cost. Compared to the U.S. 

GAAP, this changes the allocation and the total amount of expenses recognized for each period of the lease terms, and results 

in a higher total charge to profit or loss in the early years and a decreasing expense during the latter years of the lease terms. 

The  amortization  on  the  right-of-use  assets  and  the  interest  expense  on  the  lease  liabilities  are  separately  recorded  on  the 

consolidated statements of operations.

Based  on  the  Company’s  assessment,  the  differences  on  leases  recognized  under  U.S.  GAAP  and  IFRS  did  not  have  material 

impact on the consolidated financial statements as of and for the years ended December 31, 2022 and 2021.

300

FINANCIAL STATEMENTS SCHEDULE I —  FINANCIAL INFORMATION OF PARENT COMPANY  “2015 Plan”

the 2015 Equity Incentive Plan approved by the Board on March 5, 2015 and most recently amended with effect 
on April 10, 2016

“2017 Plan”

the 2017 Equity Incentive Plan approved by the Board on August 7, 2017

“2022 Plan”

the 2022 Equity Incentive Plan approved by the Board and at the Company’s 2022 annual general meeting of 
shareholders on April 20, 2022 and June 22, 2022, respectively

“AACR”

American Association for Cancer Research

“ADS(s)”

“affiliate(s)”

American depositary share(s), each representing ten ordinary shares, on deposit with a U.S. banking institution 
selected by the Company and which are registered pursuant to a Form F-1

with respect to any specified person or any other person, directly or indirectly, controlling or controlled by or 
under direct or indirect common control with such specified person

“Amended AML”

amendments  to  the  PRC  Anti-Monopoly  Law,  which  was  published  by  the  SCNPC  on  June  24,  2022  and  came 
into effect on August 1, 2022

“America 
 Invents Act”

“Arrangement”

Leahy-Smith America Invents Act, which was signed into law in September 2011

Arrangement  on  Reciprocal  Recognition  and  Enforcement  of  Judgments  in  Civil  and  Commercial  Matters  by 
the  Courts  of  the  Mainland  and  of  the  Hong  Kong  Special  Administrative  Region  Pursuant  to  Choice  of  Court 
Agreements Between Parties Concerned

“BLA”

Biologics License Application

“BMTPZ”

Hainan Bo’ao Lecheng International Medical Tourism Pilot Zone

“Board”

the board of directors of the Company

“CAC”

“CDE”

Cyberspace Administration of China

Center for Drug Evaluation of the NMPA

“CFIUS”

the Committee on Foreign Investment in the United States

“CG Code”

the Corporate Governance Code as set out in Appendix 14 of the HK Listing Rules

“chief executive”

has the meaning ascribed to it in the HK Listing Rules

“China”, “P.R. 
 China” or the 
 “PRC”

the People’s Republic of China

“CJEU”

Court of Justice of the European Union

301

DEFINITIONS“Companies 
 Ordinance”

the Companies Ordinance (Chapter 622 of the Laws of Hong Kong), as amended, supplemented, or otherwise 
modified from time to time

“Company”, “we” 
 or “us”

Zai Lab Limited, a company incorporated in the Cayman Islands with limited liability on March 28, 2013, and its 
subsidiaries from time to time

“Crescendo”

Crescendo Biologics Ltd.

“CSRC”

“CTA”

“Draft Management
 Regulations”

China Securities Regulatory Commission

clinical trial application

Regulations on Network Data Security Management (Draft for Comment)

“Deciphera”

Deciphera Pharmaceuticals, LLC

“Director(s)”

the director(s) of the Company

“DP”

“DS”

“EEA”

drug product

drug substance

European Economic Area

“EIT Law”

the Enterprise Income Tax Law of the People’s Republic of China

“EMA”

“ESG”

“FCPA”

“FDA”

European Medicines Agency

Environmental, Social and Governance

U.S. Foreign Corrupt Practices Act

U.S. Food and Drug Administration

“Fifth Restated 
 Articles”

the  Fifth  Amended  and  Restated  Memorandum  of  Association  adopted  by  a  special  resolution  passed  on 
September 4, 2020, and the Fifth Amended and Restated Articles of Association adopted by a special resolution 
passed on June 24, 2021

“Five Prime”

Five Prime Therapeutics, Inc.

“GDPR”

General Data Protection Regulation

“Global Offering”

the global offering of the Company as described in the Prospectus

“GLP”

Good Laboratory Practices

“Greater China”

mainland China, Hong Kong, the Macau Special Administrative Region of the PRC, and Taiwan

302

DEFINITIONS “GSK”

GlaxoSmithKline plc 

“Hanhui”

Hanhui Pharmaceutical Co., Ltd.

“HFCAA”

Holding Foreign Companies Accountable Act, as amended

“HGRAC”

Human Genetic Resources Administration Office of China

“HIPAA”

“HK dollar” 
 or “HK$”

the  Health  Insurance  Portability  and  Accountability  Act  of  1996,  as  amended  by  the  Health  Information 
Technology for Economic and Clinical Health Act and its implementing regulations

Hong Kong dollars, the lawful currency of Hong Kong

“HK Listing Rules”

the  Rules  governing  the  Listing  of  Securities  on  The  Stock  Exchange  of  Hong  Kong  Limited,  as  amended, 
supplemented, or otherwise modified from time to time

“HKMA”

Hong Kong Monetary Authority

“Hong Kong” 
 or “HK”

the Hong Kong Special Administrative Region of the PRC

“Hong Kong Share 
 Register”

a  branch  register  of  members  in  Hong  Kong  on  which  our  ordinary  shares  that  are  traded  on  the  Hong Kong 
Stock Exchange are registered

“Hong Kong Stock 
 Exchange”

The Stock Exchange of Hong Kong Limited

“Huizheng”

Huizheng (Shanghai) Pharmaceutical Technology Co., Ltd.

“Internal Revenue 
 Code”

the Internal Revenue Code of 1986, as amended

“IRA”

the Inflation Reduction Act

“Latest Practicable 
 Date”

April 21, 2023, being latest practicable date prior to the issue of this annual report

“M&A Rules”

the Regulations on Mergers and Acquisitions of Domestic Enterprises by Foreign Investors

“MAA”

“MLPS”

marketing authorization application

multi-level protection scheme

“Model Code”

the  Model  Code  for  Securities  Transactions  by  Directors  of  Listed  Issuers  set  out  in  Appendix  10  of  the  HK 
Listing Rules

“Nasdaq”

Nasdaq Global Market

“NDA”

new drug application

303

DEFINITIONS “New
 Arrangement”

the Arrangement on Reciprocal Recognition and Enforcement of Judgments in Civil and Commercial Matters by 
the Courts of the Mainland and of the Hong Kong Special Administrative Region

“NHSA”

National Healthcare Security Administration of the People’s Republic of China

“NMPA”

National Medical Products Administration of the People’s Republic of China

“NovoCure”

NovoCure Ltd.

“NRDL”

National Reimbursement Drug List

“ordinary share(s)”

ordinary share(s) in the authorized share capital of the Company with a par value of $0.000006 per share (or 
$0.00006 per share where “before Share Subdivision” is indicated)

“Paratek”

Paratek Pharmaceuticals, Inc.

“PBOC”

People’s Bank of China

“PCAOB”

U.S. Public Company Accounting Oversight Board

“PFIC”

a passive foreign investment company

“Primary 
 Conversion 
 Effective Date”

the date on which the Company’s voluntary conversion from secondary listing status to primary listing on the 
Hong Kong Stock Exchange became effective, i.e., June 27, 2022

“Prospectus”

the prospectus of the Company dated September 17, 2020

“PSUs”

“R&D”

performance-based restricted share units

research and development

“Reporting Period”

the year ended December 31, 2022

“RMB” or 
 “Renminbi”

Renminbi, the lawful currency of PRC

“RSAs”

“RSUs”

“SAFE”

“SAT”

restricted shares

restricted share units

State Administration of Foreign Exchange of China 

State Taxation Administration of the People’s Republic of China

“SCNPC”

Standing Committee of the National People’s Congress 

“SEC”

U.S. Securities and Exchange Commission

304

DEFINITIONS “Securities Act”

the Securities Act of 1933, as amended

“Security Assessment
 Measures”

Measures on Security Assessment of Cross-Border Data Transfer

“SFO”

the Securities and Futures Ordinance (Chapter 571 of the Laws of Hong Kong), as amended, supplemented, or 
otherwise modified from time to time

“Share(s)”

ordinary share(s), or ADS(s) represented by such number of ordinary shares

“Shareholder(s)”

holder(s) of the Share(s)

“Share 
 Subdivision”

the subdivision of each of the Company’s issued and unissued ordinary shares into ten ordinary shares effective 
as of March 30, 2022

“Sixth Restated 
 Articles”

the  Sixth  Amended  and  Restated  Memorandum  and  Articles  of  Association  adopted  by  a  special  resolution 
passed on June 22, 2022

“subsidiary(ies)”

has the meaning ascribed to it thereto in section 15 of the Companies Ordinance

“substantial
 shareholder”

“supplemental 
 insurance plans”

has the meaning ascribed to it in the HK Listing Rules

regional customized commercial health insurance plans guided by provincial or municipal governments

“Takeda”

Takeda Pharmaceutical Company Limited

“United States” 
 or “U.S.”

“U.S. dollars”, 
 “US$”, or “$”

the United States of America, its territories, its possessions, and all areas subject to its jurisdiction

United States dollars, the lawful currency of the United States

“U.S. GAAP”

United States generally accepted accounting principles

“USPTO”

United States Patent and Trademark Office

305

DEFINITIONS “ABSSSI”

“ADC”

“ADCC”

“ADCP”

acute bacterial skin and skin structure infections

antibody drug conjugate 

antibody-dependent cellular cytotoxicity

antibody-dependent cellular phagocytosis

“anti-AchR”

anti-acetylcholine receptor

“bemarituzumab FPA144-004 Study”

bemarituzumab (FPA144) in combination with FOLFOX in front-line gastric and 

“CABP”

“CI”

“CIDP”

“CNS”

“cORR”

“CRAB”

“CRABC”

“CRC”

“DCR”

“DLBCL”

“DOR”

“EGFR”

“FcRn”

gastroesophageal cancer

community-acquired bacterial pneumonia 

confidence internal

chronic inflammatory demyelinating polyneuropathy

central nervous system

confirmed objective response rate

carbapenem-resistant Acinetobacter baumannii

CRAB-calcoaceticus

colorectal cancer

disease control rate

diffuse large B-cell lymphoma

duration of response

epidermal growth factor receptor

neonatal Fc receptor

306

GLOSSARY OF TECHNICAL TERMS“FL”

“GBM”

“GEJ”

“GI”

“GIST”

“gMG”

“HER2”

“HRD”

“IC”

“IgG”

“ITP”

“mDOR”

“MDR”

follicular lymphoma

glioblastoma multiforme

gastroesophageal junction

gastrointestinal

gastrointestinal stromal tumors

generalized myasthenia gravis

human epidermal growth factor receptor 2

homologous recombination deficiency

intracranial

immunoglobulin G

immune thrombocytopenia

median duration of response

multidrug-resistant

“mFOLFOX6”

modified FOLFOX6

“MMAE”

“mOS”

“mPFS”

“MPM”

“NSCLC”

monomethyl auristatin E

median overall survival

median progression-free survival

malignant pleural mesothelioma

non-small cell lung cancer

307

GLOSSARY OF TECHNICAL TERMS“ORR”

“OS”

“PANSS”

“PARP”

“R/R”

“SC”

objective response rate

overall survival

positive and negative syndrome scale

poly (ADP-ribose) polymerase

relapsed/refractory 

subcutaneous

“SUL-DUR”

Sulbactam/durlobactam 

“TKI”

“TMZ”

“TRAEs”

“TTFields”

tyrosine kinase inhibitor

temozolomide

treatment-related adverse events

Tumor Treating Fields

308

GLOSSARY OF TECHNICAL TERMSwww.zailaboratory.com

Incorporated in the Cayman Islands 
with limited liability

HKEX: 9688

NASDAQ: ZLAB

2022
Annual
Report

Z
a

i

L
a
b

L
i
m

i
t
e
d

2
0
2
2

A
n
n
u
a

l

R
e
p
o
r
t