The following discussion and analysis of our financial condition and results of operations should be read in conjunction with our consolidated financial statements and related notes appearing elsewhere in this Annual Report on Form 10-K. Some of the information contained in this discussion and analysis or set forth elsewhere in this Annual Report on Form 10-K, including information with respect to our plans and strategy for our business, includes forward looking statements that involve risks and uncertainties. As a result of many factors, including those factors set forth in the "Risk Factors" section of this Annual Report on Form 10-K, our actual results could differ materially from the results described in or implied by, these forward-looking statements.
Overview
We are a clinical-stage biotechnology company pioneering the development of IgM antibodies for the treatment of cancer, infectious diseases, and autoimmune and inflammatory diseases. IgM antibodies have inherent properties that we believe may enable them to bind more strongly to targets on the surface of cells than comparable IgG antibodies. We have created a proprietary IgM antibody technology platform that we believe is particularly well suited for developing T cell engagers, receptor cross-linking agonists, targeted cytokines, and target neutralizers. Our product candidates currently in clinical testing include:
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IGM-2323: A bispecific T-cell engaging IgM antibody targeting CD20 and CD3 proteins currently in a Phase 2 clinical trial for the treatment of patients with relapsed/refractory B-cell non-Hodgkin’s lymphoma (NHL).
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IGM-8444: An IgM antibody targeting Death Receptor 5 (DR5) proteins, which may prove to be useful for the treatment of patients with solid and hematologic malignancies, currently in a Phase 1 clinical trial for the treatment of solid cancers. Our oncology pipeline also includes IGM-7354, an anti-PD-L1 IgM antibody that targets the delivery of interleukin-15 (IL-15) cytokines to the area of PD-L1 expressing cells for the treatment of patients with solid and hematologic malignancies; IGM-2644, a bispecific T cell engaging IgM antibody targeting CD38 and CD3 proteins for the treatment of patients with multiple myeloma; and IGM-2537, a bispecific T cell engaging IgM antibody targeting CD123, and CD3 proteins for the treatment of patients with Acute Myeloid Leukemia (AML), Myelodysplastic Syndromes (MDS) and Acute Lymphoblastic Leukemia (ALL). We believe that we have the most advanced research and development program focused on therapeutic IgM antibodies. We have created a portfolio of patents and patent applications, know-how and trade secrets directed to our platform technology, product candidates and manufacturing capabilities, and we retain worldwide commercial rights to all of our product candidates and the intellectual property related thereto. Since the commencement of our operations, we have focused substantially all of our resources on conducting research and development activities, including drug discovery, preclinical studies and clinical trials, establishing and maintaining our intellectual property portfolio, the manufacturing of clinical and research material, developing our in-house manufacturing capabilities, hiring personnel, raising capital and providing general and administrative support for these operations. Since 2010, such activities have primarily focused on the research, development and manufacture of IgM antibodies and to building our proprietary IgM antibody technology platform. We do not have any products approved for sale, and we have not generated any revenue from product sales. We have incurred significant net losses to date. Our ability to generate product revenue sufficient to achieve profitability will depend on the successful development and eventual commercialization of one or more of our current or future product candidates. Our net losses were$165.2 million ,$81.4 million , and$43.1 million for the years endedDecember 31, 2021 , 2020 and 2019, respectively. As ofDecember 31, 2021 , we had an accumulated deficit of$353.7 million . These losses have resulted primarily from costs incurred in connection with research and development activities and general and administrative costs associated with our operations. We expect to continue to incur significant expenses and increasing operating losses for the foreseeable future, and our net losses may fluctuate significantly from period to period, depending on the timing of and expenditures on our planned research and development activities. 90
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We expect our expenses and capital requirements to increase significantly in our ongoing operations as we:
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advancing the development of our clinical and other product candidates;
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develop our pipeline of IgM antibody product candidates;
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continue to invest in our IgM antibody technology platform;
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invest in our Infectious Diseases and Autoimmunity & Inflammation business units;
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develop and expand our in-house manufacturing capabilities;
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maintain, protect and develop our intellectual property portfolio, including patents, trade secrets and know-how;
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seek marketing approvals for any product candidates that have successfully completed clinical trials;
? establish a sales, marketing, and distribution infrastructure to commercialize any product candidate for which we may obtain marketing approval and related commercial manufacturing build-out; ?
implement operational, financial and management information systems; and
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attract, hire and retain additional clinical, scientific, managerial and administrative staff.
We plan to continue to use third-party service providers, including contract research organizations (CROs) and contract manufacturing organizations (CMOs), to carry out our preclinical and clinical development and manufacture and supply of our preclinical and clinical materials to be used during the development of our product candidates. We do not have any products approved for sale and have not generated any revenue since inception. We have funded our operations primarily from the sale of common stock and pre-funded warrants in our public offerings and the sale of convertible preferred stock and the issuance of unsecured promissory notes in private placements. InSeptember 2019 , we completed our initial public offering (IPO) and sold and issued an aggregate of 12,578,125 shares of common stock, including 1,640,625 shares issued in connection with the full exercise by the underwriters of their option to purchase additional shares of common stock, at$16.00 per share for gross proceeds of$201.3 million . Immediately prior to the closing of our IPO, all shares of convertible preferred stock then outstanding automatically converted into 10,787,861 shares of common stock and 6,431,205 shares of non-voting common stock. The aggregate net proceeds from our IPO, inclusive of the full exercise by the underwriters of their option to purchase additional shares of common stock, were approximately$183.0 million after deducting underwriting discounts and commissions and other offering costs. OnDecember 11, 2020 , pursuant to our registration statement on Form S-3, we completed a public offering (2020 Public Offering) of 1,221,224 shares of our common stock, which included the exercise of the underwriters' option to purchase 333,333 shares in full, and Pre-funded Warrants to purchase an additional 1,334,332 shares of common stock for aggregate gross proceeds of$230.0 million . The public offering price of common stock was$90.00 per share and the public offering price of each Pre-funded Warrant was$89.99 , with each Pre-funded Warrant having an exercise price of$0.01 . After deducting underwriting discounts and commissions and offering costs paid or payable by us of approximately$14.6 million , the aggregate net proceeds from our 2020 Public Offering were approximately$215.4 million .
Components of operating results
Income
To date, we have not generated any revenue and do not expect to generate revenue from product sales in the near future.
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Research and development expenses mainly consist of expenses incurred for the discovery and development of product candidates, which include:
Direct expenses composed of:
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Fees paid to third parties, such as consultants, contractors and CROs, for animal studies and other costs related to preclinical studies and clinical trials;
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Costs related to the acquisition and manufacture of research and clinical trial materials, including under agreements with third parties such as CMOs and other suppliers;
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Costs related to the preparation of regulatory submissions;
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Expenses related to laboratory supplies and services; and
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Charges under license agreements where no other future use exists.
Indirect expenses made up of:
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Personnel-related expenses, including salaries, benefits and stock-based compensation expenses, for personnel in our research and development functions; and
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Amortization of capital expenditure and facilities.
We expense research and development costs in the periods in which they are incurred. Nonrefundable advance payments for goods or services to be received in future periods for use in research and development activities are deferred and capitalized. The capitalized amounts are then expensed as the related goods are delivered and as services are performed. All direct research and development expenses are tracked by stage of development. We do not track our indirect research and development costs by product candidate or program. We expect our research and development expenses to increase substantially for the foreseeable future as we continue to invest in research and development activities to advance our product candidates and our clinical programs, expand our product candidate pipeline and continue to build out and expand our in-house manufacturing capabilities. The process of conducting the necessary preclinical and clinical research to obtain regulatory approval is costly and time-consuming. To the extent that we initiate additional clinical development activities for our product candidates, as well as advance into larger and later stage clinical trials, our expenses will increase substantially and may become more variable. The actual probability of success for our product candidates may be affected by a variety of factors, including the safety and efficacy of our product candidates, investment in our clinical programs, manufacturing capability and competition with other products. As a result of these variables, we are unable to determine the duration and completion costs of our research and development projects or when and to what extent we will generate revenue from the commercialization and sale of our product candidates. We may never succeed in achieving regulatory approval for any of our product candidates.
General and administrative
Our general and administrative expenses consist primarily of personnel-related expenses for personnel in our executive, finance, corporate and other administrative functions, intellectual property, facilities and other allocated expenses, other expenses for outside professional services, including legal, human resources, audit and accounting services, and insurance costs. Personnel-related expenses consist of salaries, benefits, recruiting costs, and stock-based compensation. We expect our general and administrative expenses to increase for the foreseeable future as we increase our headcount to support our continued and expanding research activities and development of product candidates in the areas of hematology and oncology, infectious diseases, and autoimmunity and inflammation, and as a result of operating as a public company, including compliance with the rules and regulations of theSecurities and Exchange Commission (SEC) and those of any national securities exchange on which our securities are traded, legal, auditing, additional insurance expenses, investor relations activities and other administrative and professional 92
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services. We also expect our intellectual property expenses to increase as we expand our intellectual property portfolio.
Other income, net
Other income, net includes interest income earned on our cash and investments and non-cash interest income (expense) related to accretion (amortization) of the discount (premium) on marketable securities.
Operating results
Comparison of the years ended
Year Ended December 31, (in thousands) 2021 2020 Change Operating expenses: Research and development$ 127,026 $ 65,030 $ 61,996 General and administrative 38,297 18,250 20,047 Total operating expenses 165,323 83,280 82,043 Loss from operations (165,323 ) (83,280 ) (82,043 ) Other income, net 159 1,925 (1,766 ) Net loss$ (165,164 ) $ (81,355 ) $ (83,809 )
Research and development costs
The following table summarizes our research and development expenses incurred during the periods indicated:
Year Ended December 31, (in thousands) 2021 2020 Change Direct expenses Clinical stage programs (1)$ 47,866 $ 24,126 $ 23,740 Preclinical stage programs 28,008 15,035 12,973 Indirect expenses Personnel-related 39,573 21,184 18,389 Depreciation and facilities 11,579 4,685 6,894
Total research and development expenditure
(1)
For the year endedDecember 31, 2021 , includes direct expenses related to: (i) IGM-2323, for which we announced the dosing of the first patient in our Phase 1 clinical trial inOctober 2019 ; (ii) IGM-8444, for which we announced the dosing of the first patient in our Phase 1 clinical trial inSeptember 2020 ; and (iii) IGM-6268, for which we initiated a Phase 1 clinical trial inDecember 2021 . Research and development expenses were$127.0 million in 2021 compared to$65.0 million in 2020. The increase of$62.0 million was primarily driven by advancement of our product candidates. Clinical stage program expenses increased by$23.7 million , primarily driven by a$9.5 million increase in expenses related to IGM-2323, a$9.4 million increase in expenses related to IGM-6268, and a$2.4 million increase in expenses related to IGM-8444. Preclinical stage program expenses increased by$13.0 million , primarily driven by an increase in expenses related to IGM-7354 and our other preclinical programs. Personnel-related expenses increased by$18.4 million , driven by an increase in headcount and stock-based compensation expense. Depreciation and facilities expenses increased by$6.9 million , primarily due to depreciation expense of our cGMP manufacturing facility which was placed in service in 2021, and higher rental expense under a new lease agreement for additional space. 93
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General and administrative expenses
General and administrative expenses were
Other income, net
Other income, net was$0.2 million in 2021 compared to$1.9 million in 2020. The decrease of$1.8 million was primarily due to lower cash and investment balances and lower interest rates.
Comparison of the years ended
Year Ended December 31, (in thousands) 2020 2019 Change Operating expenses: Research and development$ 65,030 $ 35,257 $ 29,773 General and administrative 18,250 9,241 9,009 Total operating expenses 83,280 44,498 38,782 Loss from operations (83,280 ) (44,498 ) (38,782 ) Other income, net 1,925 1,365 560 Net loss$ (81,355 ) $ (43,133 ) $ (38,222 )
Research and development costs
The following table summarizes our research and development expenses incurred during the periods indicated:
Year Ended December 31, (in thousands) 2020 2019 Change Direct expenses Clinical stage programs (1)$ 24,126 $ 10,554 $ 13,572 Preclinical stage programs 15,035 12,095 2,940 Indirect expenses Personnel-related 21,184 9,546 11,638 Depreciation and facilities 4,685 3,062 1,623
Total research and development expenditure
(1)
For the year endedDecember 31, 2020 , includes direct expenses related to: (i) our lead product candidate, IGM-2323, for which we announced the dosing of the first patient in our Phase 1 clinical trial inOctober 2019 ; and (ii) our second product candidate, IGM-8444, for which we announced the dosing of the first patient in our Phase 1 clinical trial inSeptember 2020 . Research and development expenses were$65.0 million in 2020 compared to$35.3 million in 2019. The increase of$29.8 million was primarily driven by advancement of our product candidates, including$13.6 million of expenses related to our clinical stage programs, which consisted of clinical and manufacturing expense incurred in the development of our lead product candidate, IGM-2323, and our second product candidate, IGM-8444. Preclinical stage programs expenses increased by$2.9 million primarily driven by a$2.4 million increase in activities related to our infectious disease program, a$2.6 million increase in license and fees, and a$1.7 million increase in expenses related to our discovery and other programs, partially offset by a decrease of$3.8 million for IGM-8444 expenses which are classified within clinical related expenses for 2020. Effective for 2020, expenses for IGM-8444 were classified as clinical stage program expenses due to the dosing of the first patient in our Phase 1 clinical trial in 2020. Personnel-related expenses, including stock-based compensation, increased by$11.6 million due to an increase in headcount, stock option grants, and an increase in the price of our common stock, which resulted in an increase in the stock option grant fair value. Depreciation and facilities increased by$1.6 million primarily due to new lease agreements for additional office, laboratory and manufacturing space inMountain View, California which commenced in 2019. 94
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General and administrative expenses
General and administrative expenses were$18.3 million in 2020 compared to$9.2 million in 2019. The increase of$9.0 million was primarily due to a$5.7 million increase in personnel-related expenses, including stock-based compensation, due to an increase in headcount, stock option grants, combined with an increase in the price of our common stock, which resulted in an increase in stock option grant fair value. In relation to our public company status, administrative expenses increased by$1.8 million primarily due to an increase in directors' and officers' liability insurance and professional services increased by$1.1 million due to legal, accounting and consulting services.
Other income, net
Other income, net was$1.9 million in 2020 compared to$1.4 million in 2019. The increase of$0.6 million was primarily due to interest earned from higher cash and investment balances.
Cash and capital resources
Liquidity
Due to our significant research and development expenditures, we have generated operating losses since our inception. We have funded our operations primarily through the sale of common stock and Pre-Funded Warrants in our public offerings, the sale of convertible preferred stock and the issuance of unsecured promissory notes in private placements. As ofDecember 31, 2021 , we had cash and investments of$229.5 million . As ofDecember 31, 2021 , we had an accumulated deficit of$353.7 million . We believe that our cash and investments will be sufficient to fund our planned operations for at least one year past the issuance date of the consolidated financial statements appearing elsewhere in this Annual Report on Form 10-K.
Future funding needs
Our primary uses of cash are to fund operating expenses, which consist primarily of research and development expenditures related to our programs and related personnel costs. The timing and amount of our future funding requirements depends on many factors, including the following: ?
the initiation, scope, rate of progress, results and cost of our preclinical studies, clinical trials and other related activities for our product candidates;
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costs associated with manufacturing our product candidates, including building and expanding our own manufacturing facilities, and establishing commercial supplies and sales, marketing and distribution capabilities;
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the timing and cost of capital expenditures to support our research, development and manufacturing efforts;
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the number and characteristics of other product candidates we are pursuing;
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the costs, timing and outcome of researching and obtaining
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our ability to maintain, expand and defend the scope of our intellectual property portfolio, including the amount and timing of payments we may be required to make in licensing, filing, defending and the application of any patent or other intellectual property right;
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the timing, receipt and amount of sales of our potential products;
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our need for and ability to hire additional management, scientific and medical personnel;
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the effect of competing products which may limit the market penetration of our product candidates;
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our need to implement additional internal systems and infrastructure, including financial and reporting systems;
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the economic and other terms, timing and success of any collaboration, license or other agreement we may enter into in the future, including the timing of receipt of any milestone or royalty payments under such agreements;
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the effects of credit and financial market disruptions and volatility
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compliance and administrative costs associated with being a public company; and
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the extent to which we acquire or invest in businesses, products or technologies, although we currently have no commitments or agreements regarding any of these types of transactions.
In addition, we will continue to require additional funding in order to complete development of our product candidates and commercialize our products, if approved. We may seek to raise any necessary additional capital through a combination of public or private equity offerings, debt financings, collaborations, strategic alliances, licensing arrangements and other marketing and distribution arrangements. For example, inDecember 2020 the Company completed a public offering of common stock and Pre-funded Warrants for aggregate net proceeds of$215.4 million . Additionally, inAugust 2021 , we filed with theSEC a shelf registration statement on Form S-3, pursuant to which we may offer debt securities, preferred stock, common stock, non-voting common stock and certain other securities from time to time up to a maximum aggregate amount of$400,000,000 . There can be no assurance that, in the event we require additional financing, such financing will be available at terms acceptable to us, if at all. Failure to raise sufficient capital when needed or generate sufficient cash flow from operations, would impact our ability to pursue our business strategies and could require us to delay, scale back or discontinue one or more of our product development programs, or other aspects of our business objectives. Because of the numerous risks and uncertainties associated with the development and commercialization of our product candidates we are unable to estimate the amounts of increased capital outlays and operating expenditures associated with our current and anticipated preclinical studies and clinical trials. To the extent that we raise additional capital through collaborations, strategic alliances or licensing arrangements with third parties, we may have to relinquish valuable rights to our product candidates, future revenue streams or research programs at an earlier stage of development or on less favorable terms than we would otherwise choose or to grant licenses on terms that may not be favorable to us. If we do raise additional capital through public or private equity or convertible debt offerings, the ownership interest of our existing stockholders will be diluted, and the terms of these securities may include liquidation or other preferences that adversely affect our stockholders' rights. If we raise additional capital through debt financing, we may be subject to covenants limiting or restricting our ability to take specific actions, such as incurring additional debt, making capital expenditures or declaring dividends. If we are unable to obtain additional funding from these or other sources, it may be necessary to significantly reduce our rate of spending through reductions in staff and delaying, scaling back, or stopping certain research and development programs.
Summary statement of cash flows
The following table sets forth the primary sources and uses of cash for each of the periods presented below: Year Ended December 31, (in thousands) 2021 2020 2019 Net cash used in operating activities$ (124,339 ) $ (67,303 ) $ (45,116 ) Net cash provided by (used in) investing activities 14,818 57,711 (203,238 ) Net cash provided by financing activities 2,476
214 781 282 258
In 2021, net cash used in operating activities was$124.3 million , which consisted primarily of a net loss of$165.2 million , partially offset by$34.4 million in non-cash charges and a net change of$6.4 million in our net operating assets and liabilities. The net change in our operating assets and liabilities was primarily due to an increase in accrued liabilities of$12.6 million , partially offset by an increase in prepaid expenses and other current assets of$3.3 million , a decrease in lease liabilities, net of$3.0 million , an increase in other assets of$0.5 million , and a 96
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Table of Contents Index to Financial Statements decrease in accounts payable of$0.7 million . The non-cash charges primarily consisted of stock-based compensation expense of$25.9 million , depreciation expense of$4.5 million , non-cash lease expense of$3.2 million , net amortization of premiums and accretion of discounts on investments of$0.6 million , and loss on disposal of property, plant and equipment of$0.2 million . In 2020, net cash used in operating activities was$67.3 million , which consisted primarily of a net loss of$81.4 million , partially offset by$12.0 million in non-cash charges and a net change of$2.0 million in our net operating assets and liabilities. The net change in our operating assets and liabilities was primarily due to an increase in accrued liabilities of$2.8 million and an increase in accounts payable of$2.2 million partially offset by a decrease in lease liabilities of$2.5 million , an increase in prepaid expenses of$0.3 million , and an increase in other assets of$0.3 million . The non-cash charges primarily consisted of stock-based compensation of$8.5 million , non-cash lease expense of$2.6 million , and depreciation expense of$1.0 million . In 2019, net cash used in operating activities was$45.1 million , which consisted of a net loss of$43.1 million and a net change of$5.0 million in our net operating assets and liabilities, partially offset by$3.0 million in non-cash charges. The net change in our operating assets and liabilities was primarily due to an increase in prepaid expenses of$5.4 million , an increase in other assets of$0.3 million and a decrease in lease liabilities of$1.3 million , partially offset by an increase in accounts payable of$2.0 million . The non-cash charges primarily consisted of non-cash lease expense of$1.7 million , stock-based compensation of$1.0 million and depreciation expense of$0.6 million , partially offset by net amortization of premiums and accretion of discounts on investments of$0.3 million .
Net cash provided by (used in) investing activities
In 2021, net cash from investing activities was
In 2020, net cash provided by investing activities was
In 2019, net cash used in investing activities was
Net cash provided by financing activities
In 2021, net cash provided by financing activities was$2.5 million , which consisted primarily of$4.0 million of proceeds received from purchases under our employee stock purchase plan (ESPP) and from the exercise of stock options under our equity plans. These proceeds were offset by$1.6 million related to payments of employee taxes and exercise costs for shares withheld in connection with stock option exercises. In 2020, net cash provided by financing activities was$214.8 million , which consisted primarily of$215.7 million of net proceeds from our public offering of common stock and pre-funded warrants as well as$0.8 million of proceeds received from purchases under our ESPP and from the exercise of stock options under our equity plans. These proceeds were offset by$1.7 million related to payments of employee taxes and exercise costs for shares withheld in connection with stock option exercises. 97
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Table of Contents Index to Financial Statements In 2019, net cash provided by financing activities was$282.3 million , which consisted primarily of$182.8 million of net proceeds from our IPO,$81.7 million of net proceeds from the issuance of shares of our Series C convertible preferred stock,$15.0 million of proceeds from the issuance of an unsecured promissory note to a related party which was subsequently settled as Series C convertible preferred stock inJune 2019 , the receipt of a$2.6 million receivable that was due from a related party, and$0.2 million from the issuance of common stock and exercise of stock options under our equity plans. Contractual Obligations and Commitments The following table summarizes our contractual obligations and other commitments as of December 31, 2021: Payments Due by Period Less than 1 (in thousands) Year 1 to 3 Years 3 to 5 Years More than 5 Years Total Contractual obligations: Operating lease obligations (1)$ 5,210 $ 9,460 $ 5,756 $ 17,503$ 37,929 (1) Payments due for our lease of office, laboratory and manufacturing spaces. The payments represent gross operating lease obligations, and includes$2.2 million for a building lease signed inNovember 2021 , which had not commenced as ofDecember 31, 2021 . In addition, we enter into agreements in the normal course of business with CROs, CMOs and other vendors for research and development services for operating purposes, which are generally cancelable upon written notice. These payments are not included in this table of contractual obligations. We have not included milestone or royalty payments or other contractual payment obligations in the table above as the timing and amount of such obligations are unknown or uncertain. See Note 5 to our consolidated financial statements included elsewhere in this Annual Report on Form 10-K.
Significant Accounting Policies and Use of Estimates
Our consolidated financial statements have been prepared in accordance withU.S. generally accepted accounting principles (GAAP). The preparation of these consolidated financial statements requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported expenses incurred during the reporting periods. Our estimates are based on our historical experience and on various other factors that we believe are reasonable under the circumstances, the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions. We believe that the accounting policies discussed below are critical to understanding our historical and future performance, as these policies relate to the more significant areas involving management's judgments and estimates. While our significant accounting policies are described in the notes to our consolidated financial statements included elsewhere in this Annual Report on Form 10-K, we believe that the following critical accounting policies are most important to understanding and evaluating our reported financial results.
We record accruals for estimated costs of research, preclinical studies, clinical trials, and manufacturing, which are significant components of research and development expenses. A substantial portion of our ongoing research and development activities is conducted by third-party service providers, CROs and CMOs. Our contracts with the CMOs generally include fees such as initiation fees, reservation fees, costs related to animal studies and safety tests, verification run costs, materials and reagents expenses, taxes, etc. Our contracts with CROs generally include pass-through fees such as regulatory expenses, investigator fees, travel costs and other miscellaneous costs, including shipping and printing fees. The financial terms of these contracts are subject to negotiations, which vary from contract to contract and may result in payment flows that do not match the periods over which materials or services are provided to us under such contracts. We accrue the costs incurred under agreements with these third parties 98
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Table of Contents Index to Financial Statements based on estimates of actual work completed in accordance with the respective agreements. We determine the estimated costs through discussions with internal personnel and external service providers as to the progress, or stage of completion or actual timeline (start-date and end-date) of the services and the agreed-upon fees to be paid for such services. In the event we make advance payments, the payments are recorded as a prepaid expense and recognized as the services are performed. As actual costs become known, we adjust our accruals. Although we do not expect our estimates to be materially different from amounts actually incurred, such estimates for the status and timing of services performed relative to the actual status and timing of services performed may vary and could result in us reporting amounts that are too high or too low in any particular period. Our accrual is dependent, in part, upon the receipt of timely and accurate reporting from CROs and other third-party vendors. Variations in the assumptions used to estimate accruals including, but not limited to, the number of patients enrolled, the rate of patient enrollment and the actual services performed, may vary from our estimates, resulting in adjustments to clinical trial expenses in future periods. Changes in these estimates that result in material changes to our accruals could materially affect our financial condition and results of operations. ThroughDecember 31, 2021 , there have been no material differences from our estimated accrued research and development expenses to actual expenses.
Stock-based compensation
We account for stock-based compensation by measuring and recognizing compensation expense for all share-based awards made to employees and directors based on estimated grant-date fair values. We use the straight-line method to allocate compensation cost to reporting periods over the requisite service period, which is generally the vesting period. The grant date fair value of restricted stock units is estimated based on the closing stock price of our common stock on the date of grant. The grant date fair value of stock options granted to employees and directors is estimated using the Black-Scholes option-pricing valuation model. The Black-Scholes model requires the input of subjective assumptions, including fair value of common stock, expected term, expected volatility, risk-free interest rate and expected dividends, which are described in greater detail below. Fair Value of Common Stock-Prior to the IPO, as there was no public market for our common stock, the board of directors determined the fair value of our common stock by taking into consideration, among other things, timely valuations of our common stock prepared by an unrelated third-party valuation firm in accordance with the guidance provided by theAmerican Institute of Certified Public Accountants Practice Guide , Valuation of Privately-Held-Company Equity Securities Issued as Compensation. Given the absence of a public trading market for our common stock prior to our IPO, our board of directors exercised reasonable judgment and considered a number of objective and subjective factors to determine the best estimate of the fair value of our common stock, including our stage of development; progress of our research and development efforts; the rights, preferences and privileges of our convertible preferred stock relative to those of our common stock; equity market conditions affecting comparable public companies and the lack of marketability of our common stock. Since the completion of our IPO, the fair value of each share of common stock underlying stock option grants is based on the closing price of our common stock on the Nasdaq Global Select Market as reported on the date of grant. Expected Term-The expected term of the options represents the average period the stock options are expected to remain outstanding. As we do not have sufficient historical information 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. Expected Volatility- Since we have only recently become a public company and have only a limited trading history for our common stock, the expected volatility was estimated based on the average historical volatilities of common stock of comparable publicly traded entities over a period equal to the expected term of the stock option grants. We selected companies with comparable characteristics, including enterprise value, risk profiles, position within the industry, and, where applicable, with historical share price information sufficient to meet the expected life of our stock-based awards. We will continue to apply this 99
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process until sufficient historical information regarding the price volatility of our own shares is available.
Risk-free interest rate – The risk-free interest rate is based on the zero coupon yield
Expected Dividends – The expected dividend assumption is based on our expectation of not paying dividends in the foreseeable future; therefore, we used an expected dividend yield of zero.
We account for forfeitures as they occur. Disclosures related to stock-based compensation have been included for employee stock-based compensation only. Stock-based compensation awarded to non-employees for the years endedDecember 31, 2021 , 2020, and 2019 was not material. The fair value of each purchase under our ESPP is estimated at the beginning of the offering period using the Black-Scholes option pricing model.
The assumptions we have used in applying the Black-Scholes option pricing model to determine the estimated fair value of our stock options grants involve inherent uncertainties and the application of significant judgment. Therefore, if the factors or expected results change and we use materially different assumptions or estimates, our stock-based compensation could be materially different.
Leases
In 2019, we elected to early adopt Accounting Standard (ASU) Update No. 2016-02, Leases (ASC 842) and its associated amendments effective
using the modified retrospective transition approach. No adjustment for cumulative effect was recorded in the accumulated deficit at the time of adoption.
Under ASC 842, we determine if an arrangement is a lease at inception. In addition, we determine whether leases meet the classification criteria of a finance or operating lease at the lease commencement date considering: (1) whether the lease transfers ownership of the underlying asset to the lessee at the end of the lease term, (2) whether the lease grants the lessee an option to purchase the underlying asset that the lessee is reasonably certain to exercise, (3) whether the lease term is for a major part of the remaining economic life of the underlying asset, (4) whether the present value of the sum of the lease payments and residual value guaranteed by the lessee equals or exceeds substantially all of the fair value of the underlying asset, and (5) whether the underlying asset is of such a specialized nature that it is expected to have no alternative use to the lessor at the end of the lease term. As ofDecember 31, 2021 , our lease population consisted of real estate operating leases. As ofDecember 31, 2021 , we did not have finance leases. Operating leases are included in operating lease right-of-use (ROU) assets, lease liabilities, current, and lease liabilities, non-current in our balance sheet. ROU assets represent our right to use an underlying asset for the lease term and lease liabilities represent our obligation to make lease payments arising from the lease. Operating lease ROU assets and liabilities are recognized at the lease commencement date based on the present value of lease payments over the lease term. In determining the present value of lease payments, we use our incremental borrowing rate based on the information available at the lease commencement date if the rate implicit in the lease is not readily determinable. We determine the incremental borrowing rate base on an analysis of corporate bond yields with a credit rating similar ours. The determination of our incremental borrowing rate requires management judgment including the development of a synthetic credit rating and cost of debt as we currently do not carry any debt. We believe that the estimates used in determining the incremental borrowing rate are reasonable based upon current facts and circumstances. Applying different judgments to the same facts and circumstances could result in the estimated amounts to vary. The operating lease ROU assets also include adjustments for prepayments and accrued lease payments and exclude lease incentives. Our lease terms may include options to extend or terminate the lease when it is reasonably certain that we will exercise such options. Operating lease cost is recognized on a straight-line basis over the expected lease term. Lease agreements entered into after the adoption of ASC 842 that include lease and non-lease components are accounted for as a single lease component. Lease agreements with a noncancelable term of less than 12 months are not recorded on our balance sheet. For more information about the impact of adoption and disclosures on our leases, refer to "Note 10 - Commitments and Contingencies" in our notes to consolidated financial statements included elsewhere in this Annual Report on Form 10-K. 100
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