Delaware |
2836 |
47-2855917 | ||
(State or other jurisdiction of incorporation or organization) |
(Primary Standard Industrial Classification Code Number) |
(I.R.S. Employer Identification Number) |
Dan Koeppen Robert L. Wernli Jr. Jennifer Fang David Sharon Wilson Sonsini Goodrich & Rosati, P.C. 1301 Avenue of the Americas 40 th FloorNew York, New York 10019 (212) 999-5800 |
Lisa Firenze Jeffries L. Oliver-Li Wilmer Cutler Pickering Hale and Dorr LLP 7 World Trade Center 250 Greenwich Street New York, New York 10007 (212) 230-8800 |
Large accelerated filer | ☐ | Accelerated filer | ☐ | |||
Non-accelerated filer |
☒ | Smaller reporting company | ||||
Emerging growth company |
Per Shares |
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Public offering price |
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Underwriting discounts and commissions (1) |
$ |
$ |
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Proceeds, before expenses, to us |
$ |
$ |
(1) |
See the section titled “Underwriting” for additional information regarding compensation payable to the underwriters. |
BofA Securities |
SVB Securities |
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F-1 |
• | Of the 31 evaluable patients: |
○ |
12 (39%) patients have extramedullary disease (EMD); |
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100% overall response rate (ORR) achieved per IMWG criteria with median follow up of 12.1 months; |
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22 of 31 (71%) patients achieved complete response (CR) or a stringent complete response (sCR); |
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29 of 31 (94%) patients achieved very good partial response (VGPR) or better; and |
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2 of 31 (6%) patients achieved a partial response (PR). |
• | The longest response to date is ongoing at 27 months in the first patient ever dosed with CART-ddBCMA, a patient with EMD. |
• | Conversions to sCR have occurred as early as the 1-month follow-up visit and have currently been reported as late as the 12-month follow-up visit. |
• | Of the 16 patients who have had their 12-month follow-up visit: |
○ |
8 (50%) patients have EMD; |
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13 (81%) patients reached CR/sCR; and |
○ |
9 (56%) patients remain in ongoing response with a median follow up of 17.7 months. |
• | CART-ddBCMA dosed at the recommended Phase 2 dose (RP2D) of 100 million CAR+T cells (DL1) continues to be well-tolerated. |
○ |
Adverse events, including cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS), have been manageable, and all were resolved with standard management. |
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No cases of delayed neurotoxicity events or parkinsonian symptoms have been observed. |
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No cases of grade 3 (or greater) CRS and only one case (4%) of grade 3 ICANS event have been observed with no additional cases from those previously reported as of the November 4, 2021 cutoff date. |
• | Limited Long Term Efficacy CAR-Ts may offer higher response rates compared to other available therapies, but efficacy as measured by the DOR is highly variable. For example, of the patients with B-cell lymphoma with high response rates, approximately 40% or fewer patients were in ongoing response at 18 months. |
• | Significant Adverse Effects: “on-target, off-tumor” toxicities stifle the broader use of these therapies in several key ways. Specifically, they limit the number of patients that are eligible for treatment, relegate these therapies to later lines of treatment, preclude the use of these therapies in the non-academic and outpatient settings, and increase costs to patients, payers and providers due to the need for intensive care unit access when they are used. |
• | Narrow Applicability: CAR-T and other genetically modified cell therapies are utilized in only a few hematological oncology indications. Their activity in most tumors is primarily driven |
by a limited number of tumor specific antigen targets. Their utility is further limited by secondary resistance mechanisms arising in the r/r settings, as well as the antigen heterogeneity that is characteristic of some of these diseases. For example, within r/r MM, patients with EMD have been reported to experience worse outcomes in clinical trials of other BCMA-targeting CAR-T therapies than non-EMD patients. |
• | Promising Preliminary Clinical Data —High ORR and Durable Responses D-Domains not only to effectively bind target antigens and drive CAR-T cell proliferation but also to enable efficient killing of a substantial proportion of tumor cells. High cell surface expression and low propensity for tonic signaling of D-Domains may enable more effective interactions between the CAR and the antigen as well as reduced T-cell exhaustion, which may explain the rapid and long-term responses currently observed in our ongoing Phase 1 clinical trial. |
• | Potentially Differentiated Safety Profile D-Domain enables a high transduction rate, resulting in a high proportion of cells expressing the CAR construct on the cell surface (CAR+ cells). A high proportion of CAR+ cells lowers the total number of T cells required to be administered which we believe may yield a therapy with an improved toxicity profile, consistent with currently available results of the ongoing Phase 1 trial of CART-ddBCMA. |
• | Opportunity to Treat a Broader Group of Cancer Patients D-Domain, and the breadth and depth of our D-Domain libraries, we believe we can expand to a broader group of patients, including those with heterogeneously expressed tumor antigen and antigen targets that might be difficult to target. We are currently developing therapies within both our ddCAR and ARC-SparX platforms to treat a broad variety of indications, starting with r/r MM and AML/MDS and, in the future, solid tumors. |
• | Advance CART-ddBCMA to treat r/r MM patients in the United States and abroad; |
• | Develop comprehensive ARC-SparX AML/MDS program; |
• | Expand our pipeline to select solid tumor indications; |
• | Apply our D-Domain technology outside of autologous CAR-T solutions; |
• | Enable greater access to CAR-T therapy through clinical studies in broader patient populations that support improved market access; |
• | Invest in technologies that lower customer friction, increase capacity and improve responsiveness; |
• | Leverage novel AI and machine learning technologies to drive our discovery efforts; and |
• | Opportunistically pursue strategic partnerships and collaborations to maximize the full potential of our platform. |
• | Executives: 29% female; 36% diverse (racial & ethnic representation); |
• | Managers and senior scientists with managerial responsibilities: 32% female; 45% diverse; and |
• | Professionals and individual contributor scientific roles: 71% female; 49% diverse. |
• | We have a limited operating history and have incurred significant losses since our inception, and we anticipate that we will continue to incur losses for the foreseeable future, which makes it difficult to assess our future viability. |
• | Even if this offering is successful, we will need substantial additional funding. If we are unable to raise capital when needed, or on acceptable terms, we may be forced to delay, reduce and/or eliminate one or more of our research and development programs, future commercialization efforts or employee headcount. |
• | We currently generate no revenues from sales of any products and may never generate revenue or be profitable. Our product candidates are in the early stages of development. We only recently began a clinical trial to test our first product candidate in humans. |
• | Our ddCAR and ARC-SparX platforms represent novel and unproven approaches to treatment, which makes it difficult to predict the timing, results and costs of product candidate development and the likelihood of obtaining regulatory approval. In addition, we may experience difficulty in identifying appropriate target binding domains and fail to capitalize on product candidates or indications that may be more profitable or for which there is a greater likelihood of success. |
• | Our ARC-SparX platform is highly dependent on the success of ACLX-001. |
• | We rely on third parties to conduct our clinical trials and manufacture our product candidates. |
• | Clinical development is a lengthy, expensive and uncertain process. Our clinical trials may fail to demonstrate adequate safety and/or efficacy of any of our product candidates. |
• | We may encounter substantial delays, including difficulties enrolling patients, in our clinical trials. |
• | Our product candidates may cause undesirable side effects or have other properties that could halt their clinical development, prevent their regulatory approval, require expansion of the trial size, limit their commercial potential, or result in significant negative consequences. |
• | Interim, preliminary or topline data from our clinical trials that we announce or publish from time to time may change as more patient data become available. |
• | Manufacturing genetically engineered products is complex and subject to both human and systemic risks. We or our third-party manufacturers may encounter difficulties in production and sourcing and may be subject to variations and supply constraints of key components. Modifications in manufacturing may require additional studies and regulatory filings, resulting in additional costs or delay. |
• | We may receive unexpected or unfavorable feedback from FDA or foreign health authorities regarding satisfaction of safety, purity and potency (including clinical efficacy), amongst other factors, all of which would prevent or delay regulatory approval and commercialization and potentially impact the development of our other product candidates. |
• | We face significant competition from other biotechnology and pharmaceutical companies, and our operating results will suffer if we fail to compete effectively. |
• | Our success is highly dependent on our ability to attract and retain highly skilled executive officers and employees. |
• | We expect to significantly expand our organization, including creating additional infrastructure to support our operations as a public company and our growth as we advance our product candidates through clinical trials, and as a result, we may encounter difficulties in managing our growth, which could disrupt our operations. |
• | If we are unable to obtain and maintain sufficient intellectual property protection for our platform and our product candidates, or if the scope of the intellectual property protection is not sufficiently broad, our competitive position may be adversely affected. |
• | The price of our stock may be volatile, and you could lose all or part of your investment. Unstable market and economic conditions may have serious adverse consequences on our business, financial condition and stock price. |
• | Our business is affected by the ongoing COVID-19 pandemic and may be significantly adversely affected as the pandemic continues or if other events out of our control disrupt our business or that of our third-party providers. |
• | In February 2022, we entered into a statement of work with Lonza Houston, Inc. for the technology transfer and cGMP manufacturing of CART-ddBCMA and potentially other pipeline products. See “Business—Lonza Manufacturing Services Agreement” for more information. |
• | In March 2022, we issued and sold an aggregate of 590,318 shares of our common stock in a private placement to one accredited investor at a price of $16.94 per share for an aggregate purchase price of $10.0 million. |
• | In May 2022, we dosed our first patient in the Phase 1 clinical trial of ACLX-001 for the treatment of r/r MM. |
• | In May 2022, we announced the election of Olivia Ware as a member of our board of directors. |
• | In May 2022, we announced the appointment of Michelle Gilson as our Chief Financial Officer. |
• | In June 2022 at ASCO, we announced new positive clinical data for 31 patients from our ongoing Phase 1 trial of CART-ddBCMA for the treatment of r/r MM. |
• | We may avail ourselves of the exemption from the requirement to obtain an attestation and report from our auditors on the assessment of our internal control over financial reporting pursuant to the Sarbanes-Oxley Act; |
• | We may provide reduced disclosure about our executive compensation arrangements; and |
• | We are not required to hold stockholder non-binding advisory votes on executive compensation or golden parachute arrangements. |
Common stock offered by us |
4,000,000 shares. |
Underwriters’ option to purchase additional shares |
We have granted the underwriters an option for a period of 30 days to purchase up to 600,000 additional shares of our common stock. |
Common stock to be outstanding immediately after this offering |
39,736,584 shares (or 40,336,584 shares if the underwriters exercise their option to purchase additional shares in full). |
Use of proceeds |
We intend to use the net proceeds from this offering, together with our existing cash and cash equivalents, as follows: (1) to fund the development of our product candidates CART-ddBCMA, ACLX-001 and ACLX-002 and (2) for other research and development activities, working capital and other general corporate purposes. See the section titled “Use of Proceeds” for more information. |
Risk factors |
See the section of this prospectus titled “Risk Factors” beginning on page 15 and other information included in this prospectus for a discussion of factors you should carefully consider before deciding to invest in shares of our common stock. . |
Nasdaq trading symbol |
ACLX |
• | 8,113,589 shares of common stock issuable upon exercise of options to purchase shares of our common stock outstanding as of March 31, 2022, at a weighted-average exercise price of $8.83 per share; |
• | 702,663 shares of common stock subject to restricted stock units (RSUs) outstanding as of March 31, 2022; |
• | 95,638 shares of common stock subject to RSUs granted after March 31, 2022; |
• | 158,723 shares of common stock issuable upon exercise of options to purchase shares of our common stock that we granted after March 31, 2022, at a weighted-average exercise price of $8.29 per share; |
• | 550,513 shares of common stock reserved for future issuance under our 2022 Equity Incentive Plan (2022 Plan); and |
• | 312,500 shares of common stock reserved for issuance under our 2022 Employee Stock Purchase Plan (2022 ESPP). |
• | No exercise of outstanding options and no vesting of RSUs after March 31, 2022; and |
• | No exercise by the underwriters of their option to purchase additional shares of common stock from us in this offering. |
Three Months Ended March 31, |
Year Ended December 31, |
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(in thousands, except share and per share amounts) |
2022 |
2021 |
2021 |
2020 |
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(unaudited) |
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Statement of Operations Data: |
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Operating expenses: |
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Research and development |
$ | 24,401 | $ | 8,521 | $ | 46,883 | $ | 25,056 | ||||||||
General and administrative |
8,034 | 2,761 | 18,135 | 7,040 | ||||||||||||
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Total operating expenses |
32,435 | 11,282 | 65,018 | 32,096 | ||||||||||||
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Loss from operations |
(32,435 | ) | (11,282 | ) | (65,018 | ) | (32,096 | ) | ||||||||
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Other income: |
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Other income, net |
50 | 1 | 49 | 1 | ||||||||||||
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Net loss |
$ | (32,385 | ) | $ | (11,282 | ) | $ | (64,969 | ) | $ | (32,095 | ) | ||||
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Other comprehensive loss: |
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Unrealized loss on marketable securities |
24 | — | 20 | — | ||||||||||||
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Comprehensive loss |
$ | (32,409 | ) | $ | (11,281 | ) | $ | (64,989 | ) | $ | (32,095 | ) | ||||
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Net loss per share attributable to common stockholders—basic and diluted |
$ | (1.56 | ) | $ | (33.45 | ) | $ | (145.55 | ) | $ | (112.18 | ) | ||||
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Weighted-average common shares outstanding—basic and diluted |
20,760,722 | 337,302 | 446,379 | 286,105 | ||||||||||||
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As of March 31, 2022 |
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Actual |
As Adjusted (1)(2) |
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(unaudited) |
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Balance Sheet Data: |
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Cash and cash equivalents |
$ | 127,160 | $ | 208,140 | ||||
Marketable securities |
$ | 83,769 | $ | 83,769 | ||||
Total assets |
$ |
243,390 |
$ |
324,370 |
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Total liabilities |
$ | 21,799 | $ | 21,799 | ||||
Accumulated deficit |
$ | (162,496 | ) | $ | (162,496 | ) | ||
Total stockholders’ equity |
$ | 221,591 | $ | 302,571 |
(1) | Reflects the sale of shares of common stock in this offering at the assumed public offering price of $21.71 per share, which is the last reported sale price of our common stock on the Nasdaq Global Select Market on June 13, 2022, after deducting the estimated underwriting discounts and commissions and estimated offering expenses payable by us. |
(2) | Each $1.00 increase (decrease) in the assumed public offering price of $21.71 per share, which is the last reported sale price of our common stock on the Nasdaq Global Select Market on June 13, 2022, would increase (decrease) the as adjusted amount of each of cash and cash equivalents, total assets, and total stockholders’ equity by approximately $3.8 million, assuming that the number of shares offered by us, as set forth on the cover page of this prospectus, remains the same and after deducting estimated underwriting discounts and commissions and estimated offering expenses payable by us. Similarly, each increase (decrease) of 1.0 million shares in the number of shares offered by us at the assumed public offering price after deducting estimated underwriting discounts and commissions and estimated offering expenses payable by us would increase (decrease) each of cash and cash equivalents, total assets, and total stockholders’ equity by approximately $20.4 million. The as adjusted information discussed above is illustrative only and will be adjusted based on the actual public offering price and other terms of our public offering determined at pricing. |
• | The scope, progress, timing, results and costs of developing and manufacturing our product candidates, and their components, and conducting preclinical studies and clinical trials and other testing of our product candidates; |
• | Our ability to continue our business operations and product candidate research and development, and to adapt to any changes in the regulatory approval process, manufacturing supply, or clinical trial requirements and timing due to the ongoing COVID-19 pandemic and otherwise, including our ability to comply with new regulatory guidance or requirements on conducting clinical trials during and after the COVID-19 pandemic; |
• | The costs, timing and outcome of regulatory review of any of our product candidates; |
• | The costs and timing of preparing, filing and prosecuting patent applications, maintaining and enforcing our intellectual property rights and defending any intellectual property-related claims, including any claims by third parties that we are infringing upon their intellectual property rights; |
• | Our ability to establish and maintain strategic collaborations, licensing or other arrangements and the financial terms of any such agreements, including the timing and amount of any future milestone, royalty or other payments due under any such agreement; |
• | The costs and timing of future commercialization activities, including manufacturing, marketing, sales and distribution, for any of our product candidates for which we receive marketing approval; |
• | The extent to which our product candidates, if approved, can be offered by prescribers in various clinical settings, including academic hospitals and community practices, the acceptance of our products, if and when approved, by patients, the medical community and third-party payors, and the revenue received from commercial sale of any products for which we receive marketing approval; |
• | The effect of competing technologies and market developments; and |
• | The extent to which we acquire or invest in other businesses, products and technologies and any other licensing or collaboration arrangements for any of our product candidates. |
• | Identification of additional target antigens for desired indications; |
• | Identification and development of D-Domain-based binding regions that bind to the desired target antigens; |
• | Successful completion of preclinical studies; |
• | Submission of INDs or other regulatory applications for our planned clinical trials or future clinical trials and authorizations from regulators to initiate clinical studies; |
• | Successful enrollment in, and completion of, clinical trials; |
• | Achieving favorable results from clinical trials; |
• | Receipt of marketing approvals from applicable regulatory authorities; |
• | Establishing and maintaining sufficient manufacturing capabilities, whether internally or with third parties, for clinical and commercial supply; |
• | Establishing sales, marketing and distribution capabilities and launching commercial sales of our products, if and when approved, whether alone or in combination with other products; |
• | Sufficiency of our financial and other resources to complete the necessary preclinical studies and clinical trials and commercialization activities; |
• | Effectively competing with other therapies; |
• | Developing and implementing successful marketing and reimbursement strategies; |
• | Obtaining and maintaining patent, trade secret and other intellectual property protection and regulatory exclusivity for our product candidates; and |
• | Maintaining a continued acceptable safety profile of any product following approval, if any. |
• | Developing and deploying consistent and reliable processes for procuring a patient’s apheresis material, engineering a patient’s T cells ex vivo |
• | Developing protocols for the safe administration of our product candidates; |
• | Establishing integrated solutions in collaboration with specialty treatment centers and other clinical settings in order to reduce the burdens and complex logistics commonly associated with the administration of T cell therapies; |
• | Conditioning patients with chemotherapy in conjunction with delivering each of our products, which may increase the risk of adverse side effects of our product candidates; |
• | Educating medical personnel about the administration of our product candidates, particularly if our clinical trials permit expansion of participating physicians to those in various clinical settings; |
• | Educating medical personnel regarding the potential efficacy and safety profiles of our product candidates, as well as the challenges, of incorporating our product candidates, if approved, into treatment regimens; |
• | Sourcing, supplies for the materials used to manufacture and process our product candidates for clinical trials and, in the future, commercial sale, if our product candidates are approved; |
• | Developing reliable and scalable manufacturing processes; |
• | Establishing adequate manufacturing capacity suitable for the manufacture of our product candidates in line with expanding enrollment in our clinical studies and our projected commercial requirements; |
• | Achieving cost efficiencies in the scale-up of our manufacturing capacity; |
• | Obtaining and maintaining regulatory approval from the FDA or other health authorities; |
• | Establishing sales and marketing capabilities to successfully launch and commercialize our product candidates if and when we obtain any required regulatory approvals, and risks associated with gaining market acceptance of novel therapies if we receive approval; and |
• | Obtaining coverage and adequate reimbursement from third-party payors for our novel therapies in connection with commercialization of any approved product candidates. |
• | Regulatory requirements governing gene and cell therapy products have changed frequently and may continue to change in the future; |
• | Genetically modified products in the event of improper insertion of a gene sequence into a patient’s chromosome could lead to lymphoma, leukemia or other cancers, or other aberrantly functioning cells; |
• | Although our viral vectors are not able to replicate, there is a risk with the use of lentiviral vectors that they could lead to new or reactivated pathogenic strains of virus or other infectious diseases; and |
• | The FDA recommends a 15-year follow-up observation period for all patients who receive treatment using gene therapies, and we may need to adopt such an observation period for our product candidates. |
• | Incur unplanned costs; |
• | Be delayed in or prevented from obtaining marketing approval for our product candidates; |
• | Obtain approval for indications or patient populations that are not as broad as intended or desired; |
• | Obtain approval with labeling that includes significant restrictions on use or distribution or safety warnings including boxed warnings; |
• | Be subject to changes in the way the product is administered; |
• | Be required to perform additional clinical trials to support approval or be subject to additional post-marketing requirements; |
• | Have regulatory authorities withdraw their approval of the product or impose restrictions on its distribution in the form of a modified Risk Evaluation and Mitigation Strategy (REMS); |
• | Be subject to the addition of labeling statements, such as warnings or contraindications; |
• | Be sued; and/or |
• | Experience damage to our reputation. |
• | Delays associated with the COVID-19 global pandemic, as further described under “—Risks Related to Our Business”; |
• | Delays in reaching a consensus with regulatory agencies on trial design; |
• | Delays in reaching agreement on acceptable terms with prospective clinical research organizations (CROs), and clinical trial sites and obtaining required institutional review board (IRB), approval at each clinical trial site; |
• | Delays in recruiting and enrolling suitable patients to participate in our clinical trials; |
• | Failure to collect sufficiently viable white blood cells from patients, adequately expand or successfully transduce sufficient number of patient T cells for infusion or otherwise manufacture product candidates, or infuse patients in a timely manner with product candidate; |
• | Failure by our CROs, other third parties or us to adhere the trial protocol or the FDA’s good clinical practices (GCPs) or applicable regulatory guidelines in other countries; |
• | Third-party contractors becoming debarred or suspended or otherwise penalized by the FDA or foreign health authorities for violations of applicable regulatory requirements; |
• | Delays in the testing, validation, manufacturing and delivery of our product candidates to the clinical trial sites, including due to a facility manufacturing any of our product candidates or any of their components being ordered by the FDA or foreign health authorities to temporarily or permanently shut down due to violations of current good manufacturing practices (cGMPs) regulations or other applicable requirements, or infections or cross-contaminations of product candidates in the manufacturing process; |
• | Delays in having patients complete participation in a trial or return for post-treatment follow-up visits; |
• | Clinical trial sites or patients dropping out of a trial or experiencing changing health or other conditions that require removing them from the trial; |
• | Discovering that product candidates have unforeseen safety issues, undesirable side effects or other unexpected characteristics; |
• | To the extent that we conduct clinical trials in foreign countries, the failure of enrolled patients in foreign countries to adhere to clinical protocol as a result of differences in healthcare services or cultural customs, managing additional administrative burdens associated with foreign regulatory schemes, as well as political and economic risks relevant to such foreign countries; |
• | Receiving untimely or unfavorable feedback from applicable regulatory authorities regarding the trial or requests from regulatory authorities to modify the design of a trial; |
• | Suspensions or terminations by IRBs or Data Safety Monitoring Boards (DSMBs) or internal clinical holds and/or clinical holds from or by regulatory authorities; |
• | Lack of adequate funding to continue operations; or |
• | Changes in regulatory requirements and guidance that require amending or submitting new clinical protocols and/or amendments to INDs. |
• | Inability to enroll, or delay in enrollment of, patients due to outbreaks and public health crises, such as the COVID-19 global pandemic, as further described under “—Risks Related to Our Business”; |
• | The patient eligibility criteria defined in the protocol; |
• | The perceived risks and benefits of the product candidate being studied; |
• | The size of the patient population required for analysis of the trial’s primary endpoints; |
• | The proximity of patients to trial sites; |
• | The design of the trial; |
• | Our ability to recruit clinical trial investigators with the appropriate competencies and experience; |
• | Our ability to obtain and maintain patient consent; |
• | Reporting of the preliminary results of any of our clinical trials; and |
• | The risk that patients enrolled in clinical trials will drop out of the trials before completion of treatment and adequate follow up. |
• | T cells with CARs that are reactive to tumor associated antigens; |
• | T cells with T-cell receptors (TCRs) that are reactive to tumor associated antigens; |
• | T-cells with adapter platforms; |
• | Bispecifics that bring T cells and diseased cells into close proximity with each other; |
• | Other immune cells that can be targeted using antibodies; |
• | Natural killer (NK)-based cell therapies; |
• | In vivo |
• | Allogeneic cell therapies. |
• | Delays in supply chain and manufacturing, including the closure of apheresis collection centers, suspension of cell transport, limitations on transfer of technology, shutdown of manufacturing facilities and delays in delivery of supplies and reagents; |
• | Delays in discovery and preclinical efforts; |
• | Changes to procedures or shut down, or reduction in capacity, of clinical trial sites due to limited availability of clinical trial staff, reduced number of inpatient intensive care unit beds for patients receiving cell therapies, diversion of healthcare resources away from clinical trials and other business considerations; |
• | Limited patient access, enrollment and participation due to travel restrictions and safety concerns, as well as housing and travel difficulties for out of town patients and relatives; and |
• | Changes in regulatory and other requirements for conducting preclinical studies and clinical trials during the pandemic. |
• | Identifying, recruiting, integrating, maintaining and motivating additional employees; |
• | Managing our internal development efforts effectively, including the clinical and FDA review process for our product candidates, while complying with our contractual obligations to contractors and other third parties; and |
• | Improving our operational, financial and management controls, reporting systems and procedures. |
• | The federal Anti-Kickback Statute, which prohibits, among other things, knowingly and willfully soliciting, receiving, offering or paying any remuneration (including any kickback, bribe, or rebate), directly or indirectly, overtly or covertly, in cash or in kind, to induce, or in return for, either the referral of an individual, or the purchase, lease, order or recommendation of any good, facility, item or service for which payment may be made, in whole or in part, under a federal healthcare program, such as the Medicare and Medicaid programs. |
• | The federal civil and criminal false claims laws, including the civil False Claims Act (FCA), that can be enforced by private citizens through civil whistleblower or qui tam actions, prohibit individuals or entities from, among other things, knowingly presenting, or causing to be presented, to the federal government, claims for payment that are false or fraudulent or making a false statement to avoid, decrease or conceal an obligation to pay money to the federal government. No specific intent to defraud is required under the civil FCA. The criminal FCA provides for criminal penalties for submitting false claims, including imprisonment and criminal fines. |
• | The Civil Monetary Penalty Act of 1981 and implementing regulations, which impose penalties against any person or entity that, among other things, is determined to have presented or caused to |
be presented a claim to a federal healthcare program that the person knows or should know is for an item or service that was not provided as claimed or is false or fraudulent, or offered or transferred remuneration to a federal healthcare beneficiary that a person knows or should know is likely to influence the beneficiary’s decision to order or receive items or services reimbursable by the government from a particular provider or supplier. |
• | The federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), which created new federal criminal statutes that prohibit knowingly and willfully executing, or attempting to execute, a scheme to defraud any healthcare benefit program or obtain, by means of false or fraudulent pretenses, representations, or promises, any of the money or property owned by, or under the custody or control of, any healthcare benefit program, regardless of the payor (e.g., public or private) and knowingly and willfully falsifying, concealing or covering up by any trick or device a material fact or making any materially false statements in connection with the delivery of, or payment for, healthcare benefits, items or services relating to healthcare matters. |
• | HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH), and their respective implementing regulations, which impose requirements on certain covered healthcare providers, health plans, and healthcare clearinghouses as well as their respective business associates that perform services for them that involve the use, or disclosure of, individually identifiable health information, relating to the privacy, security and transmission of individually identifiable health information without appropriate authorization. |
• | The federal Physician Payment Sunshine Act, created under the Patient Protection and Affordable Care Act as amended by the Health Care and Education Reconciliation Act of 2010, collectively, the Affordable Care Act (ACA), and its implementing regulations, which require applicable manufacturers of covered drugs, devices, biologicals and medical supplies for which payment is available under Medicare, Medicaid or the Children’s Health Insurance Program (with certain exceptions) to report annually to the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) information related to payments or other transfers of value made to physicians (defined to include doctors, dentists, optometrists, podiatrists and chiropractors), non-physician healthcare professionals (such as physician assistants and nurse practitioners, among others) and teaching hospitals, as well as ownership and investment interests held by physicians and their immediate family members. |
• | Additional requirements and regulations applicable to the distribution of pharmaceutical products, including extensive record-keeping, licensing, price reporting, storage and security requirements intended to prevent the unauthorized sale of pharmaceutical products. Pricing and rebate programs must also comply with the Medicaid rebate requirements of the U.S. Omnibus Budget Reconciliation Act of 1990 and more recent requirements in the ACA. If products are made available to authorized users of the Federal Supply Schedule of the General Services Administration, additional laws and requirements apply. Manufacturing, sales, promotion and other activities also are potentially subject to federal and state consumer protection and unfair competition laws. |
• | Federal consumer protection and unfair competition laws, which broadly regulate marketplace activities and activities that potentially harm consumers. |
• | Decreased demand for our product candidates or products that we may develop; |
• | Impairment of our business reputation; |
• | Withdrawal of clinical trial participants; |
• | Initiation of investigations by regulators; |
• | Costs to defend the related litigation; |
• | A diversion of management’s time and our resources; |
• | Substantial monetary awards to trial participants or patients; |
• | Product recalls, withdrawals or labeling, marketing or promotional restrictions; |
• | Loss of revenue; |
• | Exhaustion of any available insurance and our capital resources; |
• | The inability to commercialize any product candidate; and |
• | A decline in our share price. |
• | We may be unable to identify manufacturers on acceptable terms or at all because the number of potential manufacturers is limited and the FDA must inspect any manufacturers for current cGMP. |
• | Non-compliance of our third-party manufacturers with requirements of our marketing application(s). In addition, a new manufacturer would have to be educated in, or develop substantially equivalent processes for, the production of our product candidates. |
• | Third-party manufacturers may have little or no experience with our product candidates, and therefore may require a significant amount of support from us in order to implement and maintain the infrastructure and processes required to manufacture our product candidates. |
• | Third-party manufacturers might be unable to timely manufacture our product candidates or produce the quantity and quality required to meet our clinical and commercial needs, if any. |
• | Third-party manufacturers may not be able to execute our manufacturing procedures and other logistical support requirements appropriately. |
• | Third-party manufacturers may not perform as agreed, may not devote sufficient resources to our product candidates or may not remain in the contract manufacturing business for the time required to supply our clinical trials or to successfully produce, store, and distribute our products, if any. |
• | Manufacturers are subject to ongoing periodic unannounced inspection by the FDA and corresponding state agencies to ensure strict compliance with cGMP and other government regulations and corresponding foreign standards. We do not have control over third-party manufacturers’ compliance with these regulations and standards. |
• | We may not own, or may have to share, the intellectual property rights to any improvements made by our third-party manufacturers in the manufacturing processes for our product candidates. |
• | Our third-party manufacturers could breach or terminate their agreements with us, and we may be required to pay fees upon suspension or termination of the agreement even if the manufacturers do not deliver adequate supply of the product candidates or their components. |
• | Raw materials and components used in the manufacturing processes, particularly those for which we have no other source or supplier, may not be available or may not be suitable or acceptable for use due to factors beyond our control. |
• | Our third-party manufacturers may have unacceptable or inconsistent product quality success rates and yields, and we have no direct control over their ability to maintain adequate quality control, quality assurance and qualified personnel. |
• | An inability to initiate or continue clinical trials of our product candidates under development; |
• | Delay in submitting regulatory applications, or receiving marketing approvals, for our product candidates; |
• | Loss of the cooperation of future collaborators; |
• | Subjecting third-party manufacturing facilities or our manufacturing facilities to additional inspections by regulatory authorities; |
• | Requirements to cease development or to recall batches of our product candidates; and |
• | In the event of approval to market and commercialize our product candidates, an inability to meet commercial demands for our product or any other future product candidates. |
• | Collaborators may not perform their obligations as expected; |
• | Collaborators may not pursue development and commercialization of product candidates that achieve regulatory approval or may elect not to continue or renew development or commercialization programs based on clinical trial results, changes in the collaborators’ strategic focus or available funding or external factors, such as an acquisition, that divert resources or create competing priorities; |
• | Collaborators may delay clinical trials, provide insufficient funding for a clinical trial program, stop a clinical trial or abandon a product candidate, repeat or conduct new clinical trials or require a new formulation of a product candidate for clinical testing; |
• | Collaborators could fail to make timely regulatory submissions for a product candidate; |
• | Collaborators may not comply with all applicable regulatory requirements or may fail to report safety data in accordance with all applicable regulatory requirements, which could subject them or us to regulatory enforcement actions; |
• | Collaborators could independently develop, or develop with third parties, products that compete directly or indirectly with our products or product candidates if the collaborators believe that competitive products are more likely to be successfully developed or can be commercialized under terms that are more economically attractive than ours; |
• | Product candidates discovered in collaboration with us may be viewed by our collaborators as competitive with their own product candidates or products, which may cause collaborators to cease to devote resources to the commercialization of our product candidates; |
• | A collaborator with marketing and distribution rights to one or more of our product candidates that achieve regulatory approval may not commit sufficient resources to the marketing and distribution of such product candidate or product; |
• | Disagreements with collaborators, including disagreements over proprietary rights, contract interpretation or the preferred course of development, might cause delays or termination of the research, development or commercialization of product candidates, might lead to additional responsibilities for us with respect to product candidates, or might result in litigation or arbitration, any of which would be time consuming and expensive; |
• | Collaborators may not properly maintain or defend our intellectual property rights or may use our proprietary information in such a way as to invite litigation that could jeopardize or invalidate our intellectual property or proprietary information or expose us to potential litigation; and |
• | Collaborators may infringe the intellectual property rights of third parties, which may expose us to litigation and potential liability. |
• | The USPTO and various foreign governmental patent agencies require compliance with a number of procedural, documentary, fee payment and other provisions during the patent process. There are situations in which noncompliance can result in abandonment or lapse of a patent or patent application, resulting in partial or complete loss of patent rights in the relevant jurisdiction. In such an event, competitors might be able to enter the market earlier than would otherwise have been the case; |
• | The coverage claimed in a patent application can be significantly reduced before the patent is issued, and its scope can be reinterpreted after issuance; |
• | Patent applications may not result in any patents being issued; |
• | Patents that may be issued or in-licensed may be challenged, invalidated, modified, revoked, circumvented, narrowed, found to be unenforceable or otherwise may not provide any competitive advantage; |
• | Our competitors, many of whom have substantially greater resources and many of whom have made significant investments in competing technologies, may seek or may have already obtained patents that will limit, interfere with or eliminate our ability to make, use, and sell our potential product candidates; |
• | There may be significant pressure on the U.S. government and international governmental bodies to limit the scope of patent protection both in the United States and abroad for disease treatments that prove successful, as a matter of public policy regarding worldwide health concerns; and |
• | Countries other than the United States may have patent laws less favorable to patentees than those upheld by U.S. courts, allowing foreign competitors a better opportunity to create, develop and market competing product candidates. |
• | If and when patents will issue based on our patent applications; |
• | The scope of protection of any patent issuing based on our patent applications; |
• | The degree and range of protection any issued patents will afford us against competitors including whether third parties will find ways to invalidate or otherwise circumvent our patents; |
• | Whether any of our intellectual property will provide any competitive advantage; |
• | Whether or not others will obtain patents claiming aspects similar to those covered by our patents and patent applications; |
• | Whether we will need to initiate or defend litigation or administrative proceedings to enforce and/or defend our patent rights, which may be costly whether we win or lose; or |
• | Whether the patent applications that we own or may in-license will result in issued patents with claims that cover our product candidates or uses thereof in the United States or in other foreign countries. |
• | Pending patent applications that we own or may license may not lead to issued patents; |
• | Patents, should they issue, that we own or may license, may not provide us with any competitive advantages, or may be challenged and held invalid or unenforceable; |
• | Others may be able to develop and/or practice technology that is similar to our technology or aspects of our technology but that is not covered by the claims of any patents that we own or may license, should any such patents issue; |
• | Third parties may compete with us in jurisdictions where we do not pursue and obtain patent protection; |
• | We (or any licensors) might not have been the first to make the inventions covered by a pending patent application that we own or may license; |
• | We (or any licensors) might not have been the first to file patent applications covering a particular invention; |
• | Others may independently develop similar or alternative technologies without infringing our intellectual property rights; |
• | We may not be able to obtain necessary licenses on reasonable terms or at all; |
• | Third parties may assert an ownership interest in our intellectual property and, if successful, such disputes may preclude us from exercising exclusive rights, or any rights at all, over that intellectual property; |
• | We may need to initiate litigation or administrative proceedings to enforce and/or defend our patent rights, which will be costly whether we win or lose; |
• | We may not be able to maintain the confidentiality of our trade secrets or other proprietary information; |
• | We may not develop or in-license additional proprietary technologies that are patentable; and |
• | The patents of others may have an adverse effect on our business. |
• | Our inability to satisfactorily demonstrate that the product candidates have acceptable safety and efficacy profiles for the requested indication; |
• | The FDA’s disagreement with our trial designs or the interpretation of data from preclinical studies or clinical trials; |
• | The population studied in the clinical trial may not be sufficiently broad or representative to assess safety in the full population for which we seek approval; |
• | Our inability to demonstrate that clinical or other benefits of our product candidates outweigh any safety or other perceived risks; |
• | The FDA’s determination that additional preclinical or clinical trials are required; |
• | The FDA’s non-approval of the formulation, labeling or the specifications of our product candidates; |
• | The FDA’s failure to accept the manufacturing processes, drug product characteristics or facilities of third-party manufacturers with which we contract; or |
• | The potential for approval policies or regulations of the FDA to significantly change in a manner rendering our clinical data insufficient for approval. |
• | The availability of financial resources to commence and complete the planned trials; |
• | Reaching agreement on acceptable terms with prospective CROs and clinical trial sites, the terms of which can be subject to extensive negotiation and may vary significantly among different CROs and trial sites; |
• | Obtaining approval at each clinical trial site by an IRB or ethics committee; |
• | Recruiting suitable patients to participate in a trial; |
• | Enrolling and retaining sufficient number of patients to complete a trial, including post-treatment follow ups; |
• | Clinical trial sites deviating from trial protocol or dropping out of a trial; |
• | Adding new clinical trial sites; or |
• | Manufacturing sufficient quantities of qualified materials under cGMPs and applying them on a subject by subject basis for use in clinical trials. |
• | The FDA or foreign health authorities may disagree with the design, implementation or data analyses of our clinical trials; |
• | The FDA or foreign health authorities may determine that our product candidate(s) do not have adequate risk-benefit ratio or have undesirable or unintended side effects, toxicities or other characteristics that preclude our obtaining marketing approval or prevent or limit commercial use; |
• | The population studied in the clinical program may not be sufficiently broad or representative to assure efficacy and safety in the full population for which we seek approval; |
• | The FDA or foreign health authorities may disagree with our interpretation of data from preclinical studies or clinical trials; |
• | The data collected from clinical trials of our product candidates may not be sufficient to support the submission of a BLA or other submission or to obtain regulatory approval in the United States or elsewhere; |
• | The FDA or foreign health authorities may fail to approve the manufacturing processes, test procedures and specifications or facilities of third-party manufacturers with which we contract for clinical and commercial supplies; and |
• | The approval policies or regulations of the FDA or foreign health authorities may significantly change in a manner rendering our clinical data insufficient for approval. |
• | Restrictions on the marketing or manufacturing of our product candidates, withdrawal of the product from the market or voluntary or mandatory product recalls; |
• | Fines, warning letters or holds on clinical trials; |
• | Refusal by the FDA to approve pending applications or supplements to approved applications filed by us or suspension or revocation of license approvals; |
• | Withdrawal of the drug from the market or voluntary or mandatory product recalls; |
• | Adverse publicity, fines, warning letters or holds on clinical trials; |
• | Product seizure or detention, or refusal to permit the import or export of our product candidates; and |
• | Injunctions or the imposition of civil or criminal penalties. |
• | The demand for our product candidates, if we obtain regulatory approval; |
• | Our ability to set a price that we believe is fair for our products; |
• | Our ability to obtain coverage and reimbursement approval for a product; |
• | Our ability to generate revenue and achieve or maintain profitability; |
• | The level of taxes that we are required to pay; and |
• | The availability of capital. |
• | The clinical indications for which our product candidates are approved; |
• | The willingness of the target patient population to try new therapies and of physicians to prescribe these therapies; |
• | Physicians, hospitals, cancer treatment centers and patients considering our product candidates as a safe, pure and effective treatment; |
• | The potential and perceived advantages of our product candidates over alternative treatments; |
• | Our ability to demonstrate the advantages of our product candidates over other conventional CAR-T therapies; |
• | The perceived prevalence and severity of any side effects for our product candidates compared to the prevalence and severity of any side effects for conventional CAR-T products and other cell therapies; |
• | Product labeling, limitations, warnings or product insert requirements of the FDA or foreign health authorities; |
• | The timing of market introduction of our product candidates as well as competitive products; |
• | The cost of treatment in relation to alternative treatments; |
• | The availability of adequate coverage, reimbursement and pricing by third-party payors and government authorities; |
• | The willingness of patients to pay out-of-pocket |
• | Relative convenience and ease of administration, including as compared to alternative treatments and competitive therapies; and |
• | The effectiveness of our sales and marketing efforts. |
• | A covered benefit under its health plan; |
• | Medically necessary and has acceptable risk-benefit ratio; |
• | Appropriate for the specific patient; |
• | Cost-effective; and |
• | Neither experimental nor investigational. |
• | Differing regulatory requirements in foreign countries, including constraints on manufacturing; |
• | Additional trials in foreign countries; |
• | Requirement to secure and validate region-specific manufacturing and clinical and commercial supply; |
• | Unexpected changes in tariffs, trade barriers, price and exchange controls and other regulatory requirements; |
• | Economic weakness, including inflation, or political instability in particular foreign economies and markets; |
• | Compliance with tax, employment, immigration and labor laws for employees living or traveling abroad; |
• | Foreign taxes, including withholding of payroll taxes; |
• | Foreign currency fluctuations, which could result in increased operating expenses and reduced revenue, and other obligations incident to doing business in another country; |
• | Difficulties staffing and managing foreign operations; |
• | Workforce uncertainty in countries where labor unrest is more common than in the United States; |
• | Potential liability under the Foreign Corrupt Practices Act of 1977 or comparable foreign regulations; |
• | Challenges enforcing our contractual and intellectual property rights, especially in those foreign countries that do not respect and protect intellectual property rights to the same extent as the United States; |
• | Production shortages resulting from any events affecting raw material supply or manufacturing capabilities abroad; and |
• | Business interruptions resulting from geo-political actions, including war (including ongoing geopolitical tensions related to Russia’s actions in Ukraine, resulting sanctions imposed by the United States and other countries, and retaliatory actions taken by Russia in response to such sanctions), armed conflict, terrorist activities, global pandemics and terrorism. |
• | Our decision to initiate a clinical trial, not to initiate a clinical trial, or to terminate an existing clinical trial; |
• | The commencement, enrollment, or results of the clinical trials of our product candidates or any future clinical trials we may conduct, or changes in the development status of our product candidates; |
• | Results from ongoing clinical trials and future clinical trials of our competitors; |
• | Any delay in our regulatory filings for our product candidates and any adverse development or perceived adverse development with respect to the applicable regulatory authority’s review of such filings, including without limitation the FDA’s issuance of a “refusal to file” letter or a request for additional information; |
• | Our failure to achieve product development goals in the timeframes we announce; |
• | Adverse results or delays in clinical trials; |
• | Adverse regulatory decisions, including failure to receive regulatory approval of our product candidates; |
• | Changes in laws or regulations applicable to our product candidates, including, but not limited to, clinical trial requirements for approvals; |
• | Adverse developments concerning our manufacturers; |
• | Our inability to obtain adequate supply for any product candidate, or any component thereof, or approved product or inability to do so at acceptable prices; |
• | Our inability to establish collaborations if needed; |
• | Our failure to commercialize our product candidates; |
• | Unanticipated serious safety concerns related to the use of our product candidates; |
• | Introduction of new products or other therapies offered by us or our competitors; |
• | Announcements of significant acquisitions, strategic partnerships, joint ventures, or capital commitments by us or our competitors; |
• | Additions or departures of key scientific or management personnel; |
• | Our ability to effectively manage our growth; |
• | The size and growth of our initial cancer target markets; |
• | Our ability to successfully treat additional types of cancers or at different stages; |
• | Actual or anticipated variations in quarterly operating results; |
• | Our cash position; |
• | Our failure to meet the estimates and projections of the investment community or that we may otherwise provide to the public; |
• | Publication of research reports about us or our industry, or positive or negative recommendations or withdrawal of research coverage by securities analysts; |
• | Changes in the market valuations of similar companies; |
• | Our operating performance and the performance of other similar companies; |
• | Overall performance of the equity markets; |
• | The expiration of market stand-off or contractual lock-up agreements; |
• | Sales of our common stock by us or our stockholders in the future; |
• | Trading volume of our common stock; |
• | Changes in accounting practices; |
• | Ineffectiveness of our internal controls; |
• | Disputes or other developments relating to proprietary rights, including patents, litigation matters, and our ability to obtain patent protection for our technologies; |
• | Significant lawsuits, including patent or stockholder litigation; |
• | General political and economic conditions, including the impact of the COVID-19 global pandemic and the ongoing geopolitical tensions related to Russia’s actions in Ukraine, resulting sanctions imposed by the United States and other countries, and retaliatory actions taken by Russia in response to such sanctions; and |
• | Other events or factors, many of which are beyond our control. |
• | A board of directors divided into three classes serving staggered three-year terms, such that not all members of the board will be elected at one time, which could delay the ability of stockholders to change the membership of a majority of our board of directors; |
• | The exclusive right of our board of directors to elect a director to fill a vacancy created by the expansion of our board of directors or the resignation, death, disqualification or removal of a director, which prevents stockholders from being able to fill vacancies on our board of directors; |
• | A prohibition on stockholder action through written consent, which requires that all stockholder actions be taken at an annual or special meeting of our stockholders; |
• | A requirement that special meetings of stockholders be called only by the chairperson of our board of directors, our Chief Executive Officer, our President, or our board of directors acting pursuant to a resolution adopted by a majority of our board of directors, which could delay the ability of our stockholders to force consideration of a proposal or to take action, including the removal of directors; |
• | Advance notice requirements for stockholder proposals and nominations for election to our board of directors, which may discourage or deter a potential acquirer from conducting a solicitation of proxies to elect the acquirer’s own slate of directors or otherwise attempting to obtain control of us; |
• | A requirement that no member of our board of directors may be removed from office by our stockholders except for cause and, in addition to any other vote required by law, upon the approval of not less than a majority of the shares present in person or by proxy at the meeting and entitled to vote, which could delay the ability of stockholders to change the membership of our board of directors; |
• | A requirement of approval of not less than two-thirds of all outstanding shares of our voting stock to amend any bylaws by stockholder action or to amend specific provisions of our certificate of incorporation, which may inhibit the ability of an acquirer to affect such amendments to facilitate an unsolicited takeover attempt; and |
• | The authority of the board of directors to issue preferred stock on terms determined by the board of directors without stockholder approval, which preferred stock may include rights superior to the rights of the holders of common stock and could be used to significantly dilute the ownership of a hostile acquirer. |
• | Any derivative action or proceeding brought on our behalf; |
• | Any action asserting a claim of breach of fiduciary duty; |
• | Any action asserting a claim against us arising under the Delaware General Corporation Law (DGCL), our amended and restated certificate of incorporation or our amended and restated bylaws; and |
• | Any action asserting a claim against us that is governed by the internal-affairs doctrine. |
• | The impact of the ongoing COVID-19 pandemic or other related disruptions on our business; |
• | The ability of our clinical trials to demonstrate safety and efficacy of our product candidates, and other favorable results; |
• | Our plans relating to the clinical development of our product candidates, including the disease areas to be evaluated; |
• | The timing, progress, and results of preclinical studies and clinical trials for our programs and product candidates, including statements regarding the timing of initiation and completion of studies or trials and related preparatory work, the period during which the results of the trials will become available, and our research and development programs; |
• | Our ability to recruit and enroll suitable patients in our clinical trials; |
• | Our ability to take advantage of expedited regulatory pathways for our product candidates; |
• | Our plans relating to commercializing our product candidates, if approved, including the geographic areas of focus and sales strategy; |
• | The expected benefits of potential strategic collaborations with third parties and our ability to attract collaborators with development, regulatory and commercialization expertise; |
• | The size of the market opportunity for our product candidates and our ability to maximize those opportunities; |
• | The success of competing therapies that are or may become available; |
• | Our estimates of the number of patients who suffer from the diseases we are targeting and the number of participants that will enroll in our clinical trials; |
• | The beneficial characteristics, safety, efficacy and therapeutic effects of our product candidates; |
• | The timing or likelihood of regulatory filings and approvals, including our expectation to seek special designations, such as orphan drug designation, for our product candidates for various diseases; |
• | Our ability to obtain and maintain regulatory approval of our product candidates; |
• | Our ability to adequately secure our information technology systems and the regulated data stored therein, as required by law; |
• | The pricing and reimbursement of our product candidates, if approved; |
• | Our plans relating to the further development and manufacturing of our product candidates, including for additional indications that we may pursue; |
• | Existing regulations and regulatory developments in the United States and other jurisdictions; |
• | Our plans and ability to obtain or protect intellectual property rights, including extensions of existing patent terms where available; |
• | Our reliance on third parties to conduct clinical trials of our product candidates and manufacture of our product candidates for preclinical studies and clinical trials; |
• | The need to hire additional personnel and our ability to attract and retain such personnel; |
• | The accuracy of our estimates regarding expenses, future revenue, capital requirements and needs for additional financing; |
• | Our financial performance; |
• | The sufficiency of our existing cash and cash equivalents to fund our future operating expenses and capital expenditure requirements; |
• | Our expectations regarding the period during which we will qualify as an emerging growth company under the JOBS Act; and |
• | Our anticipated use of our existing resources and the proceeds from this offering. |
• | Approximately $55 million to $65 million to fund the development of CART-ddBCMA, our first product candidate based on our ddCAR platform, as a treatment for r/r MM; |
• | Approximately $5 million to $10 million to fund the development of product candidates under our ARC-SparX platform, including our Phase 1 clinical trial of ACLX-001 as a treatment for r/r MM and our planned Phase 1 clinical trial of ACLX-002 as a treatment for r/r AML and high risk MDS; and |
• | The remaining proceeds, if any, for other research and development opportunities, working capital and general corporate purposes. |
• | On an actual basis; |
• | On an as adjusted basis to reflect our issuance and sale of 4,000,000 shares of common stock in this offering at the assumed public offering price of $21.71 per share, which is the last reported sale price of our common stock on the Nasdaq Global Select Market on June 13, 2022, after deducting the estimated underwriting discounts and commissions and estimated offering expenses payable by us. |
As of March 31, 2022 | ||||||||
Actual |
As Adjusted (1) |
|||||||
(in thousands, except per share data) | ||||||||
(unaudited) | ||||||||
Cash, cash equivalents and marketable securities |
$ | 210,929 | $ | 291,909 | ||||
|
|
|
|
|||||
Stockholders’ equity: |
||||||||
Preferred stock, $0.001 par value; no shares authorized, issued or outstanding, actual; 200,000,000 shares authorized and no shares issued or outstanding, as adjusted |
$ | — | $ | — | ||||
Common stock, $0.001 par value per share; 1,000,000,000 shares authorized, 35,718,764 shares issued and outstanding, actual; 1,000,000,000 shares authorized, 39,718,764 shares issued and outstanding, as adjusted |
36 | 40 | ||||||
Additional paid-in capital |
384,095 | 465,071 | ||||||
Accumulated other comprehensive loss |
(44 | ) | (44 | ) | ||||
Accumulated deficit |
(162,496 | ) | (162,496 | ) | ||||
|
|
|
|
|||||
Total stockholders’ equity |
221,591 | 302,571 | ||||||
|
|
|
|
|||||
Total capitalization |
$ | 221,591 | $ | 302,571 | ||||
|
|
|
|
(1) | Each $1.00 increase (decrease) in the assumed public offering price of $21.71 per share, which is the last reported sale price of our common stock on the Nasdaq Global Select Market on June 13, 2022, would increase (decrease) our as adjusted cash and cash equivalents and marketable securities, additional paid-in capital, total stockholders’ equity and total capitalization by approximately $3.8 million, assuming that the number of shares of common stock offered by us, as set forth on the cover page of this prospectus, remains the same, and after deducting the estimated underwriting discounts and commissions and estimated offering expenses payable by us. Each increase (decrease) of 1.0 million shares in the number of shares of common stock offered by us would increase (decrease) our as adjusted cash and cash equivalents and marketable securities, additional paid-in capital, total stockholders’ equity and total capitalization by approximately $20.4 million, assuming that the public offering price of $21.71 per share, which is the last reported sale price of our common stock on the Nasdaq Global Select Market on June 13, 2022, remains the same, and after deducting estimated underwriting discounts and commissions and estimated offering expenses payable by us. The as adjusted information discussed above is illustrative only and will be adjusted based on the actual public offering price and other terms of this offering determined at pricing. |
• | 8,113,589 shares of common stock issuable upon exercise of options to purchase shares of our common stock outstanding as of March 31, 2022, at a weighted-average exercise price of $8.83 per share; |
• | 702,663 shares of common stock subject to restricted stock units (RSUs) outstanding as of March 31, 2022; |
• | 95,638 shares of common stock subject to RSUs granted after March 31, 2022; |
• | 158,723 shares of common stock issuable upon exercise of options to purchase shares of our common stock that we granted after March 31, 2022, at a weighted-average exercise price of $8.29 per share; |
• | 550,513 shares of common stock reserved for future issuance under our 2022 Plan; and |
• | 312,500 shares of common stock reserved for issuance under our 2022 ESPP. |
Assumed public offering price per share |
$ | 21.71 | ||||||
Historical net tangible book value per share as of March 31, 2022 |
$ | 6.20 | ||||||
Increase in net tangible book value per share attributable to new investors purchasing shares in this offering |
1.41 | |||||||
|
|
|||||||
As adjusted net tangible book value per share after this offering |
7.61 | |||||||
|
|
|||||||
Dilution per share to new investors purchasing shares in this offering |
$ | 14.10 | ||||||
|
|
• | 8,113,589 shares of common stock issuable upon exercise of options to purchase shares of our common stock outstanding as of March 31, 2022, at a weighted-average exercise price of $8.83 per share; |
• | 702,663 shares of common stock subject to restricted stock units (RSUs) outstanding as of March 31, 2022; |
• | 95,638 shares of common stock subject to RSUs granted after March 31, 2022; |
• | 158,723 shares of common stock issuable upon exercise of options to purchase shares of our common stock that we granted after March 31, 2022, at a weighted-average exercise price of $8.29 per share; |
• | 550,513 shares of common stock reserved for future issuance under our 2022 Plan; and |
• | 312,500 shares of common stock reserved for issuance under our 2022 ESPP. |
• | Expand the clinical program for CART-ddBCMA to include expanded enrollment of the Phase 1 clinical trial, the initiation of the planned Phase 2 pivotal trial and subsequent clinical trials focused on earlier lines of therapy; |
• | Grow our supply and contract manufacturing infrastructure to support the continued development of CART-ddBCMA; |
• | Initiate or continue clinical trials to evaluate our lead ARC-SparX product candidates, ACLX-001, ACLX-002, and ACLX-003; |
• | Expand our pipeline of product candidates, including through our own product discovery and development efforts or through acquisition or in-licensing; |
• | Continue to develop our proprietary platforms to extend their use; |
• | Attract, hire, and retain additional clinical, scientific, manufacturing, management and administrative personnel; |
• | Add operational, financial, and management information systems and personnel, including personnel to support our product development, as well as to support our transition to a public reporting company; |
• | Require increased manufacturing capabilities with third parties for our preclinical studies and clinical trials; |
• | Determine and execute our long-term manufacturing strategy; |
• | Pursue regulatory approval of product candidates that successfully complete clinical trials; |
• | Establish a sales, marketing and distribution infrastructure to commercialize any product candidate for which we may obtain regulatory approval; |
• | Obtain, maintain, expand and protect our intellectual property portfolio, and |
• | Incur costs associated with being a public company, including legal, accounting and auditing, investor relations, and compliance. |
• | In February 2022, we entered into a statement of work with Lonza Houston, Inc. for the technology transfer and cGMP manufacturing of CART-ddBCMA and potentially other pipeline products. See “Business—Lonza Manufacturing Services Agreement” for more information. |
• | In March 2022, we issued and sold an aggregate of 590,318 shares of our common stock in a private placement to one accredited investor at a price of $16.94 per share for an aggregate purchase price of $10.0 million. |
• | In May 2022, we dosed our first patient in the Phase 1 clinical trial of ACLX-001 for the treatment of r/r MM. |
• | In May 2022, we announced the election of Olivia Ware as a member of our board of directors. |
• | In May 2022, we announced the appointment of Michelle Gilson as our Chief Financial Officer. |
• | In June 2022 at ASCO, we announced new positive clinical data for 31 patients from our ongoing Phase 1 trial of CART-ddBCMA for the treatment of r/r MM. |
• | Payments to third parties in connection with the clinical development of our product candidates, including contract research organizations (CROs) and consultants; |
• | The cost of manufacturing products for use in our preclinical studies and clinical trials, including payments to contract manufacturing organizations (CMOs) and consultants; |
• | Payments to third parties in connection with the preclinical development of our product candidates, including outsourced professional scientific development services, consulting research fees and for sponsored research arrangements with third parties; |
• | Laboratory supplies used in the preclinical development of our product candidates; and |
• | Allocated facilities, depreciation, and other expenses, which include direct or allocated expenses for IT, rent and maintenance of facilities. |
• | Identification of additional target antigens for desired indications; |
• | Identification and engineering of D-Domain-based binding regions that bind to the desired target antigens; |
• | Successful completion of preclinical studies; |
• | Submission of INDs or other regulatory applications for our planned clinical trials or future clinical trials and authorizations from regulators to initiate clinical studies; |
• | Successful enrollment in, and completion of, clinical trials; |
• | Achieving favorable results from clinical trials; |
• | Receipt of marketing approvals from applicable regulatory authorities; |
• | Establishing and maintaining sufficient manufacturing capabilities, whether internally or with third parties, or arrangements for clinical supplies; |
• | Sufficiency of our financial and other resources to complete the necessary preclinical studies and clinical trials; |
• | Effectively competing with other therapies; |
• | Developing and implementing successful marketing and reimbursement strategies; |
• | Obtaining and maintaining patent, trade secret, and other intellectual property protection and regulatory exclusivity for our product candidates; and |
• | Maintaining a continued acceptable safety profile of any product following approval, if any. |
Three Months Ended March 31, |
||||||||||||
2022 |
2021 |
Change |
||||||||||
Operating expenses: |
||||||||||||
Research and development |
$ | 24,401 | $ | 8,521 | $ | 15,880 | ||||||
General and administrative |
8,034 | 2,761 | 5,273 | |||||||||
Total operating expenses |
32,435 | 11,282 | 21,153 | |||||||||
|
|
|
|
|
|
|||||||
Loss from operations |
(32,435 | ) | (11,282 | ) | (21,153 | ) | ||||||
|
|
|
|
|
|
|||||||
Other income, net |
50 | 1 | 49 | |||||||||
|
|
|
|
|
|
|||||||
Net loss |
$ | (32,385 | ) | $ | (11,281 | ) | $ | (21,104 | ) | |||
|
|
|
|
|
|
Three Months Ended March 31, |
||||||||||||
2022 |
2021 |
Change |
||||||||||
External costs: |
||||||||||||
CART-ddBCMA |
$ | 14,414 | $ | 1,739 | $ | 12,675 | ||||||
Preclinical and discovery costs |
5,388 | 4,295 | 1,093 | |||||||||
|
|
|
|
|
|
|||||||
Total external costs |
19,802 | 6,034 | 13,768 | |||||||||
Internal costs |
4,599 | 2,487 | 2,112 | |||||||||
|
|
|
|
|
|
|||||||
Total research and development expenses |
$ | 24,401 | $ | 8,521 | $ | 15,880 | ||||||
|
|
|
|
|
|
Year Ended December 31, |
||||||||||||
2021 |
2020 |
Change |
||||||||||
Operating expenses: |
||||||||||||
Research and development |
$ | 46,883 | $ | 25,056 | $ | 21,827 | ||||||
General and administrative |
18,135 | 7,040 | 11,095 | |||||||||
|
|
|
|
|
|
|||||||
Total operating expenses |
65,018 | 32,096 | 32,922 | |||||||||
|
|
|
|
|
|
|||||||
Loss from operations |
(65,018 | ) | (32,096 | ) | (32,922 | ) | ||||||
|
|
|
|
|
|
|||||||
Other income, net |
49 | 1 | 48 | |||||||||
|
|
|
|
|
|
|||||||
Net loss |
$ | (64,969 | ) | $ | (32,095 | ) | $ | (32,874 | ) | |||
|
|
|
|
|
|
Year Ended December 31, |
||||||||||||
2021 |
2020 |
Change |
||||||||||
External costs: |
||||||||||||
CART-ddBCMA |
$ | 16,170 | $ | 3,986 | $ | 12,184 | ||||||
Preclinical and discovery costs |
17,196 | 14,365 | 2,831 | |||||||||
|
|
|
|
|
|
|||||||
Total external costs |
33,366 | 18,351 | 15,015 | |||||||||
Internal costs |
13,517 | 6,705 | 6,812 | |||||||||
|
|
|
|
|
|
|||||||
Total research and development expenses |
$ | 46,883 | $ | 25,056 | $ | 21,827 | ||||||
|
|
|
|
|
|
• | The scope, progress, timing, results, and costs of developing and manufacturing our product candidates, and their components, and conducting preclinical studies and clinical trials and other testing of our product candidates; |
• | Our ability to continue our business operations and product candidate research and development, and to adapt to any changes in the regulatory approval process, manufacturing supply, or clinical trial requirements and timing due to the ongoing COVID-19 pandemic and otherwise, including our ability to comply with new regulatory guidance or requirements on conducting clinical trials during and after the COVID-19 pandemic; |
• | The costs, timing, and outcome of regulatory review of any of our product candidates; |
• | The costs and timing of preparing, filing, and prosecuting patent applications, maintaining and enforcing our intellectual property rights, and defending any intellectual property-related claims, including any claims by third parties that we are infringing upon their intellectual property rights; |
• | Our ability to establish and maintain strategic collaborations, licensing or other arrangements and the financial terms of any such agreements, including the timing and amount of any future milestone, royalty or other payments due under any such agreement; |
• | The costs and timing of future commercialization activities, including manufacturing, marketing, sales and distribution, for any of our product candidates for which we receive marketing approval; |
• | The extent to which our product candidates, if approved, can be offered by prescribers in various clinical settings, including academic hospitals and community practices, the acceptance of our products, if and when approved, by patients, the medical community and third-party payors, and the revenue received from commercial sale of any products for which we receive marketing approval; |
• | The effect of competing technologies and market developments; and |
• | The extent to which we acquire or invest in other businesses, products and technologies, and any other licensing or collaboration arrangements for any of our product candidates. |
Three Months Ended March 31, |
Years Ended December 31, |
|||||||||||||||
(in thousands) |
2022 |
2021 |
2021 |
2020 |
||||||||||||
Net cash used in operating activities |
$ | (32,586 | ) | $ | (9,507 | ) | $ | (54,238 | ) | $ | (28,662 | ) | ||||
Net cash used in investing activities |
(10,643 | ) | (1,066 | ) | (79,976 | ) | (888 | ) | ||||||||
Net cash provided by (used in) financing activities |
139,556 | 81,628 | 118,451 | 41,656 | ||||||||||||
|
|
|
|
|
|
|
|
|||||||||
Net increase (decrease) in cash, cash equivalents, and restricted cash |
$ | 96,327 | $ | 71,055 | $ | (15,763 | ) | $ | 12,106 | |||||||
|
|
|
|
|
|
|
|
• | Probability-weighted expected return method non-marketable indication of value for the common stock. |
• | Option pricing method |
• | Hybrid return method |
• | We may avail ourselves of the exemption from the requirement to obtain an attestation and report from our auditors on the assessment of our internal control over financial reporting pursuant to the Sarbanes-Oxley Act; |
• | We may provide reduced disclosure about our executive compensation arrangements; and |
• | We are not required to hold stockholder non-binding advisory votes on executive compensation or golden parachute arrangements. |
• | Of the 31 evaluable patients: |
○ |
12 (39%) patients have extramedullary disease (EMD); |
○ |
100% overall response rate (ORR) was achieved per IMWG criteria with median follow up of 12.1 months; |
○ |
22 (71%) patients achieved complete response (CR) or a stringent complete response (sCR); |
○ |
29 (94%) patients achieved very good partial response (VGPR) or better; and |
○ |
2 (6%) patients achieved a partial response (PR). |
• | The longest response to date is ongoing at 27 months in the first patient ever dosed with CART-ddBCMA, a patient with EMD. |
• | Conversions to sCR have occurred as early as the 1-month follow-up visit and have currently been reported as late as the 12-month follow-up visit; |
• | Of the 16 patients who have had their 12-month follow-up visit: |
○ |
8 (50%) patients have EMD; |
○ |
13 (81%) patients reached CR/sCR; and |
○ |
9 (56%) patients remain in ongoing response with a median follow up of 17.7 months. |
• | CART-ddBCMA dosed at the recommended Phase 2 dose (RP2D) of 100 million CAR+T cells (DL1) continues to be well-tolerated. |
○ |
Adverse events, including cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS), have been manageable, and all were resolved with standard management. |
○ |
No cases of delayed neurotoxicity events or parkinsonian symptoms have been observed. |
○ |
No cases of grade 3 (or greater) CRS and only one case (4%) of grade 3 ICANS event have been observed with no additional cases from those previously reported as of the November 4, 2021 cutoff date. |
• | Executives: 29% female; 36% diverse (defined as racial & ethnic representation); |
• | Managers and senior scientists with managerial responsibilities: 32% female; 45% diverse; and |
• | Professionals and individual contributor scientific roles: 71% female; 49% diverse. |
• | Advance CART-ddBCMA to treat r/r MM patients in the United States and abroad: |
• | Develop comprehensive ARC-SparX AML/MDS program: CAR-T solution with development of various SparX proteins for personalized therapy tailored to the molecular profile of each AML/MDS patient’s disease. We believe AML/MDS is particularly well suited to the ARC-SparX approach given the heterogeneity of AML/MDS antigen targets and the high unmet need of the indication. We plan to initiate the Phase 1 clinical trial for ACLX-002, an ARC-SparX product candidate targeting CD123, for the treatment of AML/MDS in the second half of 2022 and plan to initiate a Phase 1 clinical trial for ACLX-003, an ARC-SparX product candidate directed at another antigen associated with AML/MDS in 2024. |
• | Expand our pipeline to select solid tumor indications: D-Domain technology through our ddCAR and ARC-SparX platforms, we plan to diversify development programs beyond hematologic tumors to solid tumors. We believe this combination of |
therapeutic platforms will allow us to select mechanisms that are most appropriate for each target and indication we choose to pursue based on underlying disease biology and patient need. We continue to invest in solid tumor programs, including SCLC and HCC. |
• | Apply our D-Domain technology outside of autologous CAR-T solutions: D-Domain binders can be applied across cell modalities, we plan to expand beyond autologous T cells into healthy donor- and/or iPSC-derived allogeneic T cells, as well as other cell types such as natural killer (NK) cells. At the same time, we intend to expand our discovery efforts to generate D-Domain binders against additional targets which can then be deployed across either or both of our ddCAR or ARC-SparX platforms as well as any of the cell types we are pursuing. Ultimately, we hope to develop multiple therapeutic options incorporating different mechanisms, cell modalities, and targets to treat hematologic cancers, solid tumors, and indications outside of oncology, such as autoimmune diseases. |
• | Enable greater access to CAR-T therapy through clinical studies in broader patient populations that support improved market access: |
• | Invest in technologies that enable access: CAR-Ts continues to increase, we plan to invest in technologies ranging from manufacturing to logistics and demand planning that enable lower customer friction and improved responsiveness. We believe these investments can help us provide much needed access to patients and clinicians and differentiate us in the marketplace. |
• | Leverage novel technologies to drive our discovery efforts: D-Domain libraries to identify indication-specific SparX proteins. We believe this investment has the potential to improve the efficiency of our drug development efforts by accelerating clinical trial timelines and increasing the probability of success of the programs that we advance. |
• | Opportunistically pursue strategic partnerships and collaborations to maximize the full potential of our platform: |
• | Limited Long-Term Efficacy: CAR-Ts may offer higher response rates compared to other available therapies, but efficacy as measured by the DOR is highly variable depending on the drug or patient population studied. |
• | Significant Adverse Effects: “on-target, off-tumor” toxicities stifle the broader use of these therapies in several key ways. Specifically, they limit the number of patients that are eligible for treatment, relegate these therapies to later lines of treatment, preclude the use of these therapies in the non-academic and outpatient settings, and increase costs to patients, payers and providers due to the need for intensive care unit access when they are used. |
• | Narrow Applicability: CAR-T and other genetically modified cell therapies are utilized in only a few hematological oncology indications. Their activity in most tumors is primarily driven by a limited number of tumor specific antigen targets. Their utility is further limited by secondary resistance mechanisms arising in the r/r settings, as well as the antigen heterogeneity that is characteristic of some of these diseases. For example, within r/r MM, patients with EMD have been reported to experience worse outcomes in clinical trials of other BCMA-targeting CAR-T therapies than non-EMD patients. |
• | Promising Preliminary Clinical Data—High ORR and Durable Responses D-Domains to not only effectively bind target antigens and drive CAR-T cell proliferation, but also to efficiently kill substantial proportion of tumor cells. High cell surface expression and low propensity for tonic signaling of D-Domains may enable more effective interactions between the CAR and the antigen as well as reduced T-cell exhaustion, which may explain the rapid and long term responses currently observed in our ongoing Phase 1 clinical trial. |
• | Potential Differentiated Safety Profile: D-Domain enables a high transduction rate, resulting in a high proportion of cells expressing the CAR construct on the cell surface (CAR+ cells). A high proportion of CAR+ cells lowers the total number of T cells required to be administered which we believe may yield a therapy with an improved toxicity profile, consistent with currently available results of the ongoing Phase 1 trial of CART-ddBCMA. |
• | Opportunity to Treat a Broader Group of Patients: D-Domains across a wide variety of tumor antigen targets in the future. Based on the differentiation of the D-Domain, and the breadth and depth of our D-Domain libraries, we believe we can expand to a broader group of patients, including those with heterogeneously expressed tumor antigens and antigen targets that might be difficult to target. We are currently developing therapies within both our ddCAR and ARC-SparX platforms to treat a broad variety of indications, starting with r/r MM and AML/MDS, and, in the future, including solid tumors. |
• | Small Size : D-Domain compared to other antigen binding domains used in CAR constructs such as the scFv and bi-valent camelid VHh structure of approximately 25kDa. A smaller antigen binding domain will decrease the overall lentiviral construct size which may improve transduction efficiency. The small antigen binding domain may also function to improve the immunological synapse formation and thus CAR-T cell killing. |
• | Hydrophobic Core D-Domain highlighting the triple alpha helical bundle with the tight hydrophobic core (in red). The hydrophobic core results in ultrafast folding kinetics of the D-Domain creating a stable structure when expressed in cells. |
• | Stability : D-Domains are highly stable proteins compared to scFvs which facilitates expression of CARs on T cells and manufacturing of SparX proteins. As shown in the middle panels of the figure below, using size exclusion chromatography, we have demonstrated that a higher level of monomeric protein content can be purified from human embryonic kidney (HEK) 293 cells expressing D-Domain-based SparX proteins compared to scFv, indicating lower levels of aggregation of the D-Domain based SparX proteins and thus greater stability. In addition, we have tested the thermal stability of D-Domains as compared to a PD-L1 binding scFv by heating them to temperatures about 100 degrees Celsius and measuring the retention of PD-L1 binding. As shown in the panels on the far right, D-Domains that were heated to the indicated temperatures retained greater PD-L1 binding as compared to the PD-L1-binding D-Domains. |
• | High Transduction Rate : CAR-T therapies, these data are based on a cross-trial comparison and not a head-to-head D-Domain was replaced by an scFv targeting BCMA while leaving all other conditions identical to isolate the effects on transduction from using a D-Domain as compared to scFv. As shown in the right panel of the figure below, our CART-ddBCMA transduced T cells demonstrated superior transduction efficiency when compared to scFv transduced T cells derived from multiple normal human donors. |
Clinical Transduction Efficiency* ![]() |
Preclinical Transduction Efficiency ![]() |
• | High Cell Surface Expression : |
• | Low Tonic Signaling : CAR-T cells when the CAR construct signals without engaging an antigen on a target cell, which can exhaust a T cell prematurely. Tonic signaling has been described in the literature for several scFv-based CARs. To determine the percentage of D-Domains that induce tonic signaling, we examined 42 D-Domains isolated from two different screening campaigns for their ability to signal without antigen stimulation when incorporated into a CAR construct. Pooled data indicated that only 3 out of the 42 D-Domains exhibited a level of tonic signaling above background, as measured by relative luciferase units, a signal detecting CAR activation, as represented by the blue dots in the left hand column of the figure below. In contrast, the 42 D-Domains exhibited a much higher level of CAR activation in the presence of the CAR antigen, as illustrated by the right hand column of the figure below. We believe the low propensity for tonic signaling of D-Domain-based CARs may lower T cell exhaustion. |
• | Engineered D-Domain Scaffolds: D-Domain make it particularly well suited as a scaffold protein that can be modified by inserting selected amino acids to generate diverse libraries of proprietary target-binding domains. We create highly diverse libraries of variants of α-3D by randomly replacing 12-14 amino acid residues (blue regions in the figure below) on the outward facing surface of α-3D with one of 18 amino acids. |
• | Humans have a pre-established tolerance to hAFP from experiencing high levels in utero and as pregnant mothers. We believe that creating our TAG from a normal human protein will reduce the likelihood of immunogenicity of the TAG and by extension, the SparX protein containing the TAG. |
• | We believe the small size of the SparX protein will allow it to penetrate complex tumor microenvironments with a half-life short enough (estimated to be several hours in humans) that physicians could manage an emerging toxicity by withholding or decreasing the next SparX protein dose thereby causing the ARC-T cells to deactivate. Such control is not possible with most mAb-based adapters due to their half-life of several weeks. |
• | The TAG can also be readily fused to multiple binding regions, enabling SparX proteins to be multi-valent or multi-specific. |
• | Evaluate the efficacy of our lead product candidate, CART-ddBCMA, in our iMMagine Phase 2 pivotal trial in r/r MM and seek regulatory approval; |
• | Pursue expanded access to CART-ddBCMA through label expansion clinical trials, which we refer to as iMMagine-2; |
• | Pursue clinical development of CART-ddBCMA in other key geographies, such as Europe and Asia; and |
• | Evaluate the potential of our ARC-SparX technology through our Phase 1 clinical trial of ACLX-001 in r/r MM. |
• | Pursue AML/MDS with a library of SparX proteins beginning with ACLX-002 and ACLX-003; and |
• | Explore trials that evaluate the use of a single administration of ARC-T cells together with a combination of SparX proteins engineered to target different AML and MDS antigens, including AML-3 and AML-4, to extend the power of the platform. |
• | Extend benefits of our D-Domain platform by applying ddCARs and ARC-SparXs to new indications, including SCLC and HCC. |
• | stringent Complete Response (sCR) k /l ) ≤4:1 or ≥1:2 for k or l patients, respectively, after counting ≥100 plasma cells). |
• | Complete Response (CR) |
• | Very Good Partial Response (VGPR) |
• | Partial Response (PR) |
• | The first patent family includes three pending U.S. non-provisional applications, and several pending foreign patent applications in Australia, Brazil, Canada, China, the Eurasian Patent Organization, the European Patent Organization, Indonesia, India, Israel, Japan, the Republic of Korea, Mexico, New Zealand, Philippines, and Singapore. The family further includes three issued U.S. patents (U.S. Pat. Nos 10,662,248, 10,647,775 and 11,008,397), two granted European patents (EP Pat. Nos. 3280432 and 3280433) and nine patents granted (or applications allowed) in other commercially significant jurisdictions (Australian Pat. No. 2016246426, Israeli Pat. No. 254907, Indonesian Pat. No. 2018/07812, Japanese Pat. Nos. 6871232 and 6873101, Mexican Pat. No. 387517, Singaporean Pat. No. 11201708257U, and South African Pat. No. 2017/06875). EP Pat. No. 3280432 has been validated in Albania, Austria, Belgium, Bulgaria, Switzerland/Liechtenstein, Croatia, Cyprus, Czech Republic, Germany, Denmark, Estonia, Spain, Finland, France, United Kingdom, Greece, Hungary, Ireland, Iceland, Italy, Lithuania, Luxembourg, Latvia, Monaco, North Macedonia, Malta, Netherlands, Norway, Poland, Portugal, Romania, Serbia, Sweden, Slovenia, Slovakia, San Marino, and Turkey; EP Pat. No. 3280433 is being validated in Belgium, Switzerland/Liechtenstein, Germany, Denmark, Spain, France, United Kingdom, Italy, Luxembourg, Monaco, Netherlands, Norway, and Sweden. Both EP patents were registered in Hong Kong. The patent family broadly covers libraries of our proprietary D-Domain binding domains, compositions comprising our proprietary D-Domain binding domains and methods of using our proprietary D-Domain binding domains. Compositions covered by the issued/granted claims include fusion polypeptides comprising our proprietary D-Domain binding domain and CARs comprising our proprietary D-Domain binding domains. Methods covered by the issued/granted claims include the use of CARs comprising our proprietary D-Domain binding domain in the treatment of cancer. The issued/granted claims encompass CART-ddBCMA and universal ARC-T cells, ACLX001: BCMA and ACLX002: CD123 SparXs, and methods of using thereof in the treatment of cancer. Any patent issuing from the first family is expected to expire in 2036, not including any patent term adjustment and patent term extension. |
• | The second patent family is directed to proprietary D-Domain binding domains that bind commercially relevant target antigens and fusion polypeptides containing these domains. The second family includes an issued U.S. patent (U.S. Pat. Nos 11,318,165), an allowed U.S. application, a pending U.S. non-provisional application, and pending foreign patent applications in Australia, Brazil, Canada, China, the Eurasian Patent Organization, the European Patent Organization, Indonesia, India, Israel, Japan, the Republic of Korea, Mexico, New Zealand, Philippines, Singapore, South Africa, and Hong Kong. The issued claims encompass CART-ddBCMA cells, ACLX001: BCMA SparXs, and methods of using thereof in the treatment of cancer. Any patent issuing from the second family is expected to expire in 2038, not including any patent term adjustment and patent term extension. |
• | The third patent family is directed to proprietary D-Domain binding domains that bind commercially relevant target antigens and fusion polypeptides containing these domains. The family includes a pending U.S. provisional patent application. We plan to convert the pending application into an international application. Any patent issuing from the family is expected to expire in 2042, not including any patent term adjustment and patent term extension. |
• | One patent family is directed to our ARC construct and SparX protein technologies, and to methods of using them in T cell-based and other therapeutic applications. The family includes a pending U.S. non-provisional application, and pending foreign patent applications in Australia, |
Brazil, Canada, China, the Eurasian Patent Organization, the European Patent Organization, Indonesia, India, Israel, Japan, the Republic of Korea, Mexico, New Zealand, Philippines, Singapore, South Africa, and Hong Kong. Any patent issuing from the family is expected to expire in 2038, not including any patent term adjustment and patent term extension. |
• | A second patent family is directed to dosing regimens for employing the proprietary ARC-SparX platform technology in therapeutic methods. The family includes an international application. We plan to enter national phase in the United States and commercially relevant foreign jurisdictions. Any patent issuing from the family is expected to expire in 2042, not including any patent term adjustment and patent term extension. |
• | Completion of extensive preclinical studies in accordance with applicable regulations, including studies conducted in accordance with good laboratory practice (GLP) requirements; |
• | Submission to the FDA of an IND, which must become effective before human clinical trials may begin; |
• | Approval by an independent institutional review board (IRB), or ethics committee at each clinical trial site before each trial may be initiated; |
• | Performance of adequate and well-controlled human clinical trials in accordance with applicable IND regulations, GCP requirements and other clinical trial-related regulations to establish the potency, purity and safety of the investigational product for each proposed indication; |
• | Submission to the FDA of a BLA; |
• | A determination by the FDA within 60 days of its receipt of a BLA to accept the filing for review; |
• | Satisfactory completion of a FDA pre-approval inspection of the manufacturing facility or facilities where the biologic will be produced to assess compliance with cGMP, requirements to assure that the facilities, methods and controls are adequate to preserve the biologic’s identity, strength, quality and purity; |
• | Potential FDA audit of the preclinical study and/or clinical trial sites that generated the data in support of the BLA; |
• | FDA review and approval of the BLA, including consideration of the views of any FDA advisory committee, prior to any commercial marketing or sale of the biologic in the United States; and |
• | Compliance with any post-approval requirements, including the potential requirement to implement a REMS, and the potential requirement to conduct post-approval studies. |
• | Phase 1 clinical trials generally involve a small number of healthy volunteers or disease-affected patients who are initially exposed to a single dose and then multiple doses of the product candidate. The primary purpose of these clinical trials is to assess the metabolism, pharmacologic action, tolerability and safety of the drug. |
• | Phase 2 clinical trials involve studies in disease-affected patients to determine the dose required to produce the desired benefits. At the same time, safety and further pharmacokinetic and |
pharmacodynamic information is collected, possible adverse effects and safety risks are identified and a preliminary evaluation of efficacy is conducted. |
• | Phase 3 clinical trials generally involve a large number of patients at multiple sites and are designed to provide the data necessary to demonstrate the effectiveness of the product for its intended use, its safety in use and to establish the overall benefit/risk relationship of the product and provide an adequate basis for product approval. These trials may include comparisons with placebo and/or other comparator treatments. The duration of treatment is often extended to mimic the actual use of a product during marketing. |
• | Analytical studies demonstrating that the proposed biosimilar product is highly similar to the approved product notwithstanding minor differences in clinically inactive components; |
• | Animal studies (including the assessment of toxicity); and |
• | A clinical trial or trials (including the assessment of immunogenicity and pharmacokinetic or pharmacodynamic) sufficient to demonstrate safety, purity and potency in one or more conditions for which the reference product is licensed and intended to be used. |
• | The proposed biosimilar product and reference product utilize the same mechanism of action for the condition(s) of use prescribed, recommended or suggested in the proposed labeling, but only to the extent the mechanism(s) of action are known for the reference product; |
• | The condition or conditions of use prescribed, recommended or suggested in the labeling for the proposed biosimilar product have been previously approved for the reference product; |
• | The route of administration, the dosage form and the strength of the proposed biosimilar product are the same as those for the reference product; and |
• | The facility in which the biological product is manufactured, processed, packed or held meets standards designed to assure that the biological product continues to be safe, pure and potent. |
• | The proposed product is biosimilar to the reference product; |
• | The proposed product is expected to produce the same clinical result as the reference product in any given patient; and |
• | For a product that is administered more than once to an individual, the risk to the patient in terms of safety or diminished efficacy of alternating or switching between the biosimilar and the reference product is no greater than the risk of using the reference product without such alternation or switch. |
• | Restrictions on the marketing or manufacturing of the product, complete withdrawal of the product from the market, or product recalls; |
• | Warning letters, or holds on post-approval clinical studies; |
• | Refusal of the FDA to approve pending applications or supplements to approved applications; |
• | Applications, or suspension or revocation of product license approvals; |
• | Product seizure or detention, or refusal to permit the import or export of products; or |
• | Injunctions or the imposition of civil or criminal penalties. |
• | The Community MA is issued by the European Commission through the Centralized Procedure, based on the opinion of the Committee for Medicinal Products for Human Use (CHMP), of the European Medicines Agency (EMA), and is valid throughout the entire territory of the EEA. The Centralized Procedure is mandatory for certain types of products, such as biotechnology medicinal products, orphan medicinal products, advanced-therapy medicines such as gene-therapy, somatic cell-therapy or tissue-engineered medicines and medicinal products containing a new active substance indicated for the treatment of HIV, AIDS, cancer, neurodegenerative disorders, diabetes, auto-immune and other immune dysfunctions and viral diseases. The Centralized Procedure is optional for products containing a new active substance not yet authorized in the EEA, or for products that constitute a significant therapeutic, scientific or technical innovation or for products that are in the interest of public health in the European Union. |
• | National MAs, which are issued by the competent authorities of the Member States of the EEA and only cover their respective territory, are available for products not falling within the mandatory scope of the Centralized Procedure. Where a product has already been authorized for marketing in a Member State of the EEA, this National MA can be recognized in another Member States through the Mutual Recognition Procedure. If the product has not received a National MA in any Member State at the time of application, it can be approved simultaneously in various Member States through the Decentralized Procedure. Under the Decentralized Procedure an identical dossier is submitted to the competent authorities of each of the Member States in which the MA is sought, one of which is selected by the applicant as the Reference Member State (RMS). The competent authority of the RMS prepares a draft assessment report, a draft summary of the product characteristics (SPC) and a draft of the labeling and package leaflet, which are sent to the other Member States (referred to as the Member States Concerned) for their approval. If the Member States Concerned raise no objections, based on a potential serious risk to public health, to the assessment, SPC, labeling or packaging proposed by the RMS, the product is subsequently granted a national MA in all the Member States (i.e., in the RMS and the Member States Concerned). |
Name |
Age |
Position | ||||
Executive Officers: |
||||||
Rami Elghandour |
43 |
President, Chief Executive Officer and Chairman of the Board of Directors | ||||
Christopher Heery, M.D. |
43 |
Chief Medical Officer | ||||
Michelle Gilson |
30 | Chief Financial Officer | ||||
Non-Employee Directors: |
||||||
Ali Behbahani, M.D. (1)(3) |
46 |
Director | ||||
Jill Carroll, M.S. (2)(3) |
47 |
Director | ||||
David Lubner, M.S., C.P.A. (1)(2) |
58 |
Director | ||||
Kavita Patel, M.D. (2) |
48 | Director | ||||
Derek Yoon (1) |
47 |
Director | ||||
Olivia Ware (3) |
65 | Director |
(1) | Member of the audit committee |
(2) | Member of the compensation committee |
(3) | Member of the corporate governance and nominating committee |
• | The Class I directors are Ali Behbahani, M.D. and Derek Yoon, and their terms will expire at the annual meeting of stockholders to be held in 2023; |
• | The Class II directors are Jill Carroll, M.S., Olivia Ware, and Kavita Patel, M.D., and their terms will expire at the annual meeting of stockholders to be held in 2024; and |
• | The Class III directors are Rami Elghandour and David Lubner, M.S., C.P.A., and their terms will expire at the annual meeting of stockholders to be held in 2025. |
• | Selects and hires the independent registered public accounting firm to audit our financial statements; |
• | Helps to ensure the independence and performance of the independent registered public accounting firm; |
• | Approves audit and non-audit services and fees; |
• | Reviews financial statements and discusses with management and the independent registered public accounting firm our annual audited and quarterly financial statements, the results of the independent audit and the quarterly reviews and the reports and certifications regarding internal controls over financial reporting and disclosure controls; |
• | Prepares the audit committee report that the SEC requires to be included in our annual proxy statement; |
• | Reviews reports and communications from the independent registered public accounting firm; |
• | Reviews the adequacy and effectiveness of our internal controls and disclosure controls and procedures; |
• | Reviews our policies on risk assessment and risk management; |
• | Reviews and monitors conflicts of interest situations, and approves or prohibits any involvement in matters that may involve a conflict of interest or taking of a corporate opportunity; |
• | Reviews related party transactions; and |
• | Establishes and oversees procedures for the receipt, retention and treatment of accounting related complaints and the confidential submission by our employees of concerns regarding questionable accounting or auditing matters. |
• | Oversees our overall compensation philosophy and compensation policies, plans and benefit programs; |
• | Reviews and approves or recommends to the board of directors for approval compensation for our executive officers and directors; |
• | Prepares the compensation committee report that the SEC will require to be included in our annual proxy statement; and |
• | Administers our equity compensation plans. |
• | Identifies, evaluates and makes recommendations to our board of directors regarding nominees for election to our board of directors and its committees; |
• | Considers and makes recommendations to our board of directors regarding the composition of our board of directors and its committees; |
• | Reviews developments in corporate governance practices; |
• | Evaluates the adequacy of our corporate governance practices and reporting; and |
• | Evaluates the performance of our board of directors and of individual directors. |
Fees Earned or Paid in Cash ($) |
Option Awards ($) (2)(3) |
All Other Compensation ($) |
Total ($) |
|||||||||||||
Tiba Aynechi, Ph.D. (1) |
— | — | — | — | ||||||||||||
Ali Behbahani, M.D. |
— | — | — | — | ||||||||||||
Raymond Camahort, Ph.D. (4) |
— | — | — | — | ||||||||||||
Jill Carroll, M.S. |
— | — | — | — | ||||||||||||
David Lubner, M.S., C.P.A. |
— | 510,185 | — | 510,185 | ||||||||||||
Kavita Patel, M.D. |
— | 409,379 | — | 409,379 | ||||||||||||
Lewis T. Williams, M.D., Ph.D. |
— | — | — | — | ||||||||||||
Derek Yoon |
— | — | — | — |
(1) | Dr. Ayenchi resigned from our board of directors on November 8, 2021. |
(2) | The amounts disclosed represent the aggregate grant date fair value of the award as calculated in accordance with ASC 718. The assumptions used in calculating the grant date fair value of the award disclosed in this column are set forth in Note 2 to our audited financial statements included elsewhere in this prospectus. These amounts do not correspond to the actual value that may be recognized by the directors upon vesting of the applicable awards. |
(3) | As of December 31, 2021, Mr. Lubner held stock options to purchase 110,825 shares of our common stock and Dr. Patel held stock options to purchase 79,031 shares of our common stock. None of our other non-employee directors held stock awards or option awards as of December 31, 2021. |
(4) | Dr. Camahort resigned from our board of directors effective February 3, 2022. |
• | $40,000 per year for service as a board member; |
• | $20,000 per year for service as a lead independent director; |
• | $15,000 per year for service as chair of the audit committee; |
• | $7,500 per year for service as a member of the audit committee; |
• | $10,000 per year for service as chair of the compensation committee; |
• | $5,000 per year for service as a member of the compensation committee; |
• | $8,000 per year for service as chair of the corporate governance and nominating committee; and |
• | $4,000 per year for service as a member of the corporate governance and nominating committee. |
• | Rami Elghandour, our current President and Chief Executive Officer; |
• | David Hilbert, our former President and Chief Executive Officer; |
• | Christopher Heery, our current Chief Medical Officer; and |
• | Neeraj Teotia, our current Chief Commercial Officer. |
Name and Principal Position |
Year |
Salary ($) |
Bonus ($) (1) |
Stock Awards ($) |
Option Awards ($) (2) |
Nonequity Incentive Plan Compensation ($) |
All Other Compensation ($) |
Total ($) |
||||||||||||||||||||||||
Rami Elghandour |
2021 | 470,272 | 325,000 | 10,300,000 | (4) |
12,299,542 | (5) |
— | 8,700 | (3) |
23,403,514 | |||||||||||||||||||||
President and Chief Executive Officer |
||||||||||||||||||||||||||||||||
David Hilbert, Ph.D. |
2021 |
416,433 |
291,320 |
— |
431,865 |
(6) |
— |
92,843 |
(9) |
1,232,461 |
||||||||||||||||||||||
Former President and Chief Executive Officer |
||||||||||||||||||||||||||||||||
Christopher Heery, M.D. |
2021 |
295,336 |
227,539 |
— |
1,535,520 |
(7) |
— |
8,700 |
(3) |
2,067,095 |
||||||||||||||||||||||
Chief Medical Officer |
||||||||||||||||||||||||||||||||
Neeraj Teotia |
2021 |
245,785 |
126,937 |
— |
1,535,960 |
(8) |
— |
7,381 |
(3) |
1,916,063 |
||||||||||||||||||||||
Chief Commercial Officer |
(1) | The amounts reported represent discretionary bonuses paid in lump sum in March 2022 based upon the achievement of company goals for the year ended December 31, 2021, as determined by our board of directors. |
(2) | The assumptions used in calculating the grant date fair value of the options disclosed in this column are set forth in Note 2 to our audited financial statements included elsewhere in this prospectus. |
(3) | The amounts reported represent matching contributions under our 401(k) plan. |
(4) | The amount reported represents the grant date fair value of a restricted stock unit award covering 952,804 shares of our common stock granted to Mr. Elghandour on June 9, 2021, as amended December 7, 2021, in the amount of $10,300,000 as computed in accordance with ASC Topic 718. |
(5) | The amount reported represents the sum of the following: (i) the grant date fair value of the stock option to purchase 1,068,005 shares of our common stock granted to Mr. Elghandour on February 6, 2021 with an exercise price of $8.65 per share, in the amount of $7,784,451 as computed in accordance with ASC Topic 718, (ii) the incremental increase in the fair value of the stock option originally granted to Mr. Elghandour on February 6, 2021 arising from the repricing of such stock option from an exercise price of $8.65 per share to an exercise price of $6.28 per share on June 9, 2021, in the amount of $213,700 as computed in accordance with ASC Topic 718, and (iii) the grant date fair value of the stock option to purchase 837,602 shares of our common stock granted to Mr. Elghandour on June 9, 2021 with an exercise price of $6.28 per share, in the amount of $4,301,391 as computed in accordance with ASC Topic 718. |
(6) | The amount reported represents the grant date fair value of the stock option to purchase 81,757 shares of our common stock granted to Dr. Hilbert on June 9, 2021 with an exercise price of $6.28 per share, in the amount of $431,865 as computed in accordance with ASC Topic 718. |
(7) | The amount reported represents the grant date fair value of the stock option to purchase 290,692 shares of our common stock granted to Dr. Heery on June 9, 2021 with an exercise price of $6.28 per share, in the amount of $1,535,520 as computed in accordance with ASC Topic 718. |
(8) | The amount reported represents the sum of the following: (i) the grant date fair value of the stock option to purchase 254,355 shares of our common stock granted to Mr. Teotia on June 9, 2021 with an exercise price of $6.28 per share, in the amount of $1,343,580 as computed in accordance with ASC Topic 718, and (ii) the grant date fair value of the stock option to purchase 36,336 shares of our common stock granted to Mr. Teotia on October 21, 2021 with an exercise price of $6.28 per share, in the amount of $192,380 as computed in accordance with ASC Topic 718. |
(9) | The amount reported consists of (i) $8,700 for matching contributions under our 401(k) plan and (ii) the cancellation of $84,143 in aggregate principal and interest under a promissory note held by our company. |
Option Awards |
Stock Awards |
|||||||||||||||||||||||
Name |
Grant Date (1) |
Number of Securities Underlying Unexercised Options (#) Exercisable |
Number of Securities Underlying Unexercised Options (#) Unexercisable |
Option Exercise Price ($) (2) |
Option Expiration Date |
Number of Shares of Stock that Have Not Vested (#) |
Market Value of Shares of Stock That Have Not Vested ($) (3) |
|||||||||||||||||
Rami Elghandour |
2/6/2021 | 1,068,005 | (4) |
— | 6.28 | (5) |
2/6/2031 | |||||||||||||||||
6/9/2021 | 837,602 | (6) |
— | 6.28 | 6/9/2031 | |||||||||||||||||||
6/9/2021 | — | — | 952,804 | (7) |
6,345,675 | |||||||||||||||||||
David Hilbert, Ph.D. |
9/18/2018 | 206,298 | (8) |
— | 0.78 | 9/18/2028 | ||||||||||||||||||
1/31/2020 | 375,485 | (9) |
— | 3.20 | 1/31/2030 | |||||||||||||||||||
6/9/2021 | 81,757 | (10) |
— | 6.28 | 6/9/2031 | |||||||||||||||||||
Christopher Heery, M.D. |
6/9/2021 | 261,623 | (11) |
— | 6.28 | 6/9/2031 | ||||||||||||||||||
6/9/2021 | 29,069 | (12) |
— | 6.28 | 6/9/2031 | |||||||||||||||||||
Neeraj Teotia |
6/9/2021 | 249,632 | (13) |
— | 6.28 | 6/9/2031 | ||||||||||||||||||
6/9/2021 | 4,723 | (14) |
— | 6.28 | 6/9/2031 | |||||||||||||||||||
10/21/2021 | 36,336 | (15) |
— | 6.28 | 10/21/2031 |
(1) | Each of the outstanding options to purchase shares of our common stock was granted pursuant to our 2017 Plan. |
(2) | Except as otherwise provided below, this column represents the fair market value of a share of our common stock on the date of grant, as determined by our board of directors. |
(3) | This column represents the fair market value of a share of our common stock as of December 31, 2021, the market value has been calculated based on an estimated per-share common stock value of $6.66 per share as of December 31, 2021. |
(4) | 1/36th of the shares subject to this option vest monthly after the vesting commencement date of January 22, 2021, subject to the optionee’s continued status as a service provider through each vest date. All of the shares underlying this option are subject to an early exercise provision, pursuant to which the optionee may exercise the option for shares of restricted stock with the same vesting schedule as would have applied to such shares under the option. See the section title “Executive Compensation—Employment Arrangements with Our Named Executive Officers—Rami Elghandour” for additional terms regarding Mr. Elghandour’s stock options. |
(5) | This stock option was originally granted with an exercise price of $8.65 per share. It was repriced by our board of directors on June 9, 2021 from an exercise price of $8.65 per share to an exercise price of $6.28 per share. No other terms or conditions of the option were changed in connection with the repricing. |
(6) | 1/36th of the shares subject to this option vest monthly after the vesting commencement date of January 22, 2021, subject to the optionee’s continued status as a service provider through each vest date. All of the shares underlying this option are subject to an early exercise provision, pursuant to which the optionee may exercise the option for shares of restricted stock with the same vesting schedule as would have applied to such shares under the option. See the section title “Executive Compensation—Employment Arrangements with Our Named Executive Officers—Rami Elghandour” for additional terms regarding Mr. Elghandour’s stock options. |
(7) | See the section title “Executive Compensation—Employment Arrangements with Our Named Executive Officers—Rami Elghandour” for vesting details of Mr. Elghandour’s restricted stock units. |
(8) | 1/4th of the shares subject to this option vested on the first anniversary of the vesting commencement date of July 18, 2018 and 1/48th of the shares vest monthly thereafter, subject to the optionee’s continued status as a service provider through each vest date. All of the shares underlying this option are subject to an early exercise provision, pursuant to which the optionee may exercise the option for shares of restricted stock with the same vesting schedule as would have applied to such shares under the option. |
(9) | 1/4th of the shares subject to this option vested on the first anniversary of the vesting commencement date of August 9, 2019 and 1/48th of the shares vest monthly thereafter, subject to the optionee’s continued status as a service provider through each vest date. All of the shares underlying this option are subject to an early exercise provision, pursuant to which the optionee may exercise the option for shares of restricted stock with the same vesting schedule as would have applied to such shares under the option. |
(10) | 1/48th of the shares subject to this option vest monthly after the vesting commencement date of June 9, 2021, subject to the optionee’s continued status as a service provider through each vest date. All of the shares underlying this option are subject to an early exercise provision, pursuant to which the optionee may exercise the option for shares of restricted stock with the same vesting schedule as would have applied to such shares under the option. |
(11) | 1/4th of the shares subject to this option vested on the first anniversary of the vesting commencement date of April 26, 2021 and 1/48th of the shares vest monthly thereafter, subject to the optionee’s continued status as a service provider through each vest date. All of the shares underlying this option are subject to an early exercise provision, pursuant to which the optionee may exercise the option for shares of restricted stock with the same vesting schedule as would have applied to such shares under the option. |
(12) | 1/48th of the shares subject to this option vest monthly after the vesting commencement date of June 9, 2021, subject to the optionee’s continued status as a service provider through each vest date. All of the shares underlying this option are subject to an early exercise provision, pursuant to which the optionee may exercise the option for shares of restricted stock with the same vesting schedule as would have applied to such shares under the option. |
(13) | 1/4th of the shares subject to this option vested on the first anniversary of the vesting commencement date of April 5, 2021 and 1/48th of the shares vest monthly thereafter, subject to the optionee’s continued status as a service provider through each vest date. All of the shares underlying this option are subject to an early exercise provision, pursuant to which the optionee may exercise the option for shares of restricted stock with the same vesting schedule as would have applied to such shares under the option. |
(14) | 1/48th of the shares subject to this option vest monthly after the vesting commencement date of June 9, 2021, subject to the optionee’s continued status as a service provider through each vest date. All of the shares underlying this option are subject to an early exercise provision, pursuant to which the optionee may exercise the option for shares of restricted stock with the same vesting schedule as would have applied to such shares under the option. |
(15) | 1/48th of the shares subject to this option vest monthly after the vesting commencement date of October 13, 2021, subject to the optionee’s continued status as a service provider through each vest date. All of the shares underlying this option are subject to an early exercise provision, pursuant to which the optionee may exercise the option for shares of restricted stock with the same vesting schedule as would have applied to such shares under the option. |
• | 4,296,875 shares of our common stock; |
• | 5.0% of the outstanding shares of our common stock on the last day of our immediately preceding fiscal year; or |
• | such number of shares of our common stock as the administrator may determine. |
• | 312,500 shares of our common stock; |
• | 1.0% of the outstanding shares of our common stock as of the last day of the immediately preceding fiscal year; or |
• | such other amount as the administrator may determine. |
• | immediately after the grant would own capital stock and/or hold outstanding options to purchase such stock possessing 5% or more of the total combined voting power or value of all classes of capital stock of ours or of any parent or subsidiary of ours; or |
• | holds rights to purchase shares of our common stock under all employee stock purchase plans of ours or any parent or subsidiary of ours that accrue at a rate that exceeds $25,000 worth of shares of our common stock for each calendar year in which such rights are outstanding at any time. |
• | Any breach of the director’s duty of loyalty to us or to our stockholders; |
• | Acts or omissions not in good faith or that involve intentional misconduct or a knowing violation of law; |
• | Unlawful payment of dividends or unlawful stock repurchases or redemptions; and |
• | Any transaction from which the director derived an improper personal benefit. |
• | We have been or are to be a participant; |
• | The amount involved exceeded or exceeds $120,000; and |
• | Any of our directors, executive officers or holders of more than 5% of our outstanding capital stock, or any immediate family member of, or person sharing the household with, any of these individuals or entities, had or will have a direct or indirect material interest. |
Investor |
Affiliated Director(s) or Officer(s) |
Shares of Series B-1 Preferred Stock |
Total Purchase Price |
|||||||
Quan Venture Fund II, L.P. |
Lewis T. Williams | 1,163,886 | $ | 10,000,000 | ||||||
New Enterprise Associates 15, L.P. |
Ali Behbahani | 872,915 | $ | 7,500,001 | ||||||
Novo Holdings A/S |
Raymond Camahort |
666,651 |
$ |
5,727,805 |
||||||
SR One Capital Fund I Aggregator, L.P. |
Jill Carroll | 666,651 | $ | 5,727,805 | ||||||
Aju Life Science 3.0 Venture Fund |
Derek Yoon | 581,943 | $ | 5,000,000 | ||||||
Takeda Ventures, Inc. |
— | 312,503 | $ | 2,684,995 |
Investor |
Affiliated Director(s) or Officer(s) |
Shares of Series B-2 Preferred Stock |
Total Purchase Price |
|||||||
Quan Venture Fund II, L.P |
Lewis T. Williams | 931,228 | $ | 10,000,001 | ||||||
New Enterprise Associates 15, L.P |
Ali Behbahani | 698,421 | $ | 7,500,001 | ||||||
Novo Holdings A/S |
Raymond Camahort |
533,389 |
$ |
5,727,804 |
||||||
SR One Capital Fund I Aggregator, LP |
Jill Carroll | 533,389 | $ | 5,727,804 | ||||||
Aju Life Science 3.0 Venture Fund |
Derek Yoon | 465,614 | $ | 5,000,001 | ||||||
Takeda Ventures, Inc |
— | 250,034 | $ | 2,684,995 |
Investor |
Affiliated Director(s) or Officer(s) |
Shares of Series C Preferred Stock |
Total Purchase Price |
|||||||
New Enterprise Associates 15, L.P. |
Ali Behbahani | 1,732,786 | $ | 20,000,001 | ||||||
Novo Holdings A/S |
Raymond Camahort | 433,196 | $ | 5,000,001 | ||||||
SR One Capital Fund I Aggregator, L.P. |
Jill Carroll | 649,795 | $ | 7,500,000 | ||||||
SR One Co-Invest II, LLC |
Jill Carroll | 433,196 | $ | 5,000,001 | ||||||
Takeda Ventures, Inc. |
— | 86,639 | $ | 1,000,001 | ||||||
David Lubner |
— | 21,659 | $ | 250,000 |
• | Each person, or group of affiliated persons, who is known by us to beneficially own more than 5% of our common stock; |
• | Each of our named executive officers; |
• | Each of our directors; and |
• | All of our current executive officers and directors as a group. |
Shares Beneficially Owned Prior to This Offering |
Shares Beneficially Owned After This Offering |
|||||||||||||||
Name of Beneficial Owner |
Shares |
Percentage |
Shares |
Percentage |
||||||||||||
5% Stockholders |
||||||||||||||||
Entities affiliated with New Enterprise Associates (1) |
6,437,764 | 18.01 | % | 6,437,764 | 16.20 | % | ||||||||||
Entities affiliated with SR One Capital Fund I Aggregator, L.P. (2) |
5,500,007 | 15.39 | % | 5,500,007 | 13.84 | % | ||||||||||
Novo Holdings A/S (3) |
4,016,878 | 11.24 | % | 4,016,878 | 10.11 | % | ||||||||||
Quan Venture Fund II, L.P. (4) |
2,095,114 | 5.86 | % | 2,095,114 | 5.27 | % | ||||||||||
Named Executive Officers and Directors |
||||||||||||||||
Rami Elghandour, M.B.A. (5) |
1,989,992 | 5.27 | % | 1,989,992 | 4.77 | % | ||||||||||
David Hilbert, Ph.D. (6) |
869,838 | 2.40 | % | 869,838 | 2.16 | % | ||||||||||
Christopher Heery, M.D. (7) |
317,796 | * | 317,796 | * | ||||||||||||
Neeraj Teotia (8) |
316,561 | * | 316,561 | * | ||||||||||||
Ali Behbahani, M.D., M.B.A. |
— | — | — | — | ||||||||||||
Jill Carroll, M.S. |
— | — | — | — | ||||||||||||
David Lubner, M.S., C.P.A. (9) |
132,484 | * | 132,484 | * | ||||||||||||
Derek Yoon, M.B.A |
— | — | — | — | ||||||||||||
Kavita Patel, M.D. (10) |
79,031 | * | 79,031 | * | ||||||||||||
Olivia Ware, M.B.A. |
— | — | — | — | ||||||||||||
All directors and executive officers as a group (9 persons) (11) |
2,519,304 | 6.59 | % | 2,519,304 | 5.97 | % |
* | Represents beneficial ownership of less than one percent (1%) of the outstanding shares of our common stock. |
(1) | Consists of (i) 6,432,762 shares of common stock held by New Enterprise Associates 15, L.P. (NEA 15) and (ii) 5,002 shares of common stock held of record by NEA Ventures 2016, L.P. (Ven 2016). NEA Partners 15, L.P. (NEA Partners 15) is the sole general partner of NEA 15. NEA 15 GP, LLC (NEA 15 LLC) is the sole general partner of NEA Partners 15. Forest Baskett, Anthony A. Florence, Jr., Mohamad Makhzoumi, Scott D. Sandell and Peter Sonsini are the managers of NEA 15 LLC. The shares held directly by Ven 2016 are indirectly held by Karen P. Welsh, the general partner of Ven 2016. The address for these entities is 1954 Greenspring Drive, Suite 600, Timonium, MD 21093. Dr. Behbahani is a General Partner at New Enterprise Associates, Inc. and a member of our board of directors, and has no voting or dispositive power with respect to any of the above referenced shares and disclaims beneficial ownership of such shares except to the extent of his respective pecuniary interest therein. All indirect holders of the above referenced shares disclaim beneficial ownership of all applicable shares except to the extent of their pecuniary interest therein. |
(2) | Consists of (i) 3,466,811 shares of common stock held by SR One Capital Fund I Aggregator, L.P. (SR One Fund), and (ii) 2,033,196 shares of common stock held by SR One Co-Invest II, LLC (SR One Co-Invest). SR One Capital Partners I, LP (SR One Capital Partners) is the general partner of SR One Capital Fund. SR One Capital Management, LLC (SR One Management) is the general partner of SR One Capital Partners. Simeon George, M.D. is the manager of SR One Management. SR One Co-Invest II Manager, LLC (SR One Co-Invest Manager) is the managing member of SR One Co-Invest. SR One Management is the managing member of SR One Co-Invest Manager. Jill Carroll is a Partner at SR One Capital Management, LP, an entity affiliated with SR One Fund and SR One Co-Invest, and a member of our board of directors, and has no voting or dispositive power with respect to any of the above referenced shares and disclaims beneficial ownership of such shares except to the extent of her pecuniary interest therein. All indirect holders of the above referenced shares disclaim beneficial ownership of all applicable shares except to the extent of their pecuniary interest therein. The address for these entities is 985 Old Eagle School Road, Suite 511, Wayne, PA 19087. |
(3) | Consists of 4,016,878 shares of common stock held by Novo Holdings A/S (Novo). Novo has the sole power to vote and dispose these shares, and no person or entity is deemed to have any beneficial ownership or reportable pecuniary interest in the shares held by Novo. The address for Novo is Tuborg Havnevej 19, DK-2900 Hellerup, Denmark. |
(4) | Consists of 2,095,114 shares of common stock held by Quan Venture Fund II, L.P. (Quan Capital). The general partner of Quan Capital is Quan Venture Partners II, L.L.C. The principal business address of Quan Capital is Ugland House, PO Box 309, Grand Cayman, Cayman Islands KYI-1104. |
(5) | Consists of 1,989,992 shares of common stock issuable pursuant to options held directly by Mr. Elghandour exercisable within 60 days of May 31, 2022, of which 1,037,189 are vested as of such date and the remainder of which may be exercised for shares of restricted stock with the same vesting schedules as would have applied to such shares under the options. This does not include 1,163,437 restricted stock units to be settled for shares of common stock held directly by Mr. Elghandour. See the section title “Executive Compensation—Employment Arrangements with Our Named Executive Officers—Rami Elghandour” for vesting details of such restricted stock units. |
(6) | Consists of (i) 206,298 shares of common stock held by Jan M. Casadei, as Trustee of the 2021 Gift Trust FBO Jan M. Casadei (ii) 206,298 shares of common stock held directly by Dr. Hilbert, and (iii) 457,242 shares of common stock issuable pursuant to options |
held directly by Dr. Hilbert exercisable within 60 days of May 31, 2022, of which 295,933 are vested as of such date and the remainder of which may be exercised for shares of restricted stock with the same vesting schedule as would have applied to such shares under the option. |
(7) | Consists of 317,796 shares of common stock issuable pursuant to options held directly by Dr. Heery exercisable within 60 days of May 31, 2022, of which 116,734 are vested as of such date and the remainder of which may be exercised for shares of restricted stock with the same vesting schedule as would have applied to such shares under the option. This does not include 67,666 restricted stock units to be settled for shares of common stock held directly by Dr. Heery. |
(8) | Consists of 316,561 shares of common stock issuable pursuant to options held directly by Mr. Teotia exercisable within 60 days of May 31, 2022, of which 111,972 are vested as of such date and the remainder of which may be exercised for shares of restricted stock with the same vesting schedule as would have applied to such shares under the option. This does not include 64,566 restricted stock units to be settled for shares of common stock held directly by Mr. Teotia. |
(9) | Consists of (i) 110,825 shares of common stock issuable pursuant to an option held directly by Mr. Lubner exercisable within 60 days of May 31, 2022, of which 28,595 are vested as of such date and the remainder of which may be exercised for shares of restricted stock with the same vesting schedules as would have applied to such shares under the options and (ii) 21,659 shares of common stock held directly by Mr. Lubner. |
(10) | Consists of 79,031 shares of common stock issuable pursuant to options held directly by Dr. Patel exercisable within 60 days of May 31, 2022, of which 11,525 are vested as of such date and the remainder of which may be exercised for shares of restricted stock with the same vesting schedule as would have applied to such shares under the option. |
(11) | Consists of 2,519,304 shares of common stock beneficially owned by our current directors and executive officers, of which (i) 21,659 are shares of common stock, and (ii) 2,497,645 are shares of common stock issuable pursuant to options exercisable within 60 days of May 31, 2022, of which approximately 1,601,951 are vested as of such date and the remainder of which may be exercised for shares of restricted stock with the same vesting schedules as would have applied to such shares under the options. |
• | no shares will be eligible for sale on the date of this prospectus; |
• | 26,143,959 shares will be eligible for sale upon expiration of the lock-up agreements and market stand-off provisions beginning more than 180 days after the date of the prospectus related to our initial public offering; and |
• | 21,659 shares will be eligible for sale upon expiration of the lock-up agreements described below, beginning more than 90 days after the date of this prospectus. |
• | 1% of the number of shares of our capital stock then outstanding, which will equal 397,366 shares immediately after the completion of this offering, assuming no exercise by the underwriters of their option to purchase additional shares; or |
• | The average weekly trading volume of our common stock during the four calendar weeks preceding the filing of a notice on Form 144 with respect to such sale. |
• | Banks, insurance companies or other financial institutions (except to the extent specifically set forth below), regulated investment companies, real estate investment trusts or other financial institutions; |
• | Persons subject to the alternative minimum tax or the tax on net investment income; |
• | Tax-exempt organizations or governmental organizations; |
• | Pension plans and tax-qualified retirement plans; |
• | Controlled foreign corporations, passive foreign investment companies and corporations that accumulate earnings to avoid U.S. federal income tax; |
• | Brokers or dealers in securities or currencies; |
• | Traders in securities or other persons that elect to use a mark-to-market |
• | Persons that own, or are deemed to own, more than five percent of our capital stock (except to the extent specifically set forth below); |
• | U.S. expatriates or certain former citizens or long-term residents of the United States; |
• | Persons who hold our common stock as a position in a hedging transaction, “straddle,” “conversion transaction” or other risk reduction transaction or integrated investment; |
• | Persons who hold or receive our common stock pursuant to the exercise of any option or otherwise as compensation; |
• | Persons who do not hold our common stock as a capital asset within the meaning of Section 1221 of the Code (generally, property held for investment); |
• | Persons subject to special tax accounting rules as a result of any item of gross income with respect to our common stock being taken into account in an “applicable financial statement” as defined in Section 451(b) of the Code; or |
• | Persons deemed to sell our common stock under the constructive sale provisions of the Code. |
• | An individual who is a citizen or resident of the United States (for U.S. federal income tax purposes); |
• | A corporation or other entity taxable as a corporation created or organized in the United States or under the laws of the United States or any political subdivision thereof, or otherwise treated as such for U.S. federal income tax purposes; |
• | An estate whose income is subject to U.S. federal income tax regardless of its source; or |
• | A trust (x) whose administration is subject to the primary supervision of a U.S. court and that has one or more U.S. persons who have the authority to control all substantial decisions of the trust or (y) that has made a valid election under applicable Treasury Regulations to be treated as a U.S. person. |
• | The gain is effectively connected with your conduct of a U.S. trade or business (and, if an applicable income tax treaty so provides, the gain is attributable to a permanent establishment or fixed base maintained by you in the United States); |
• | You are a non-resident alien individual who is present in the United States for a period or periods aggregating 183 days or more during the calendar year in which the sale or disposition occurs and certain other conditions are met; or |
• | Our common stock constitutes a United States real property interest by reason of our status as a “United States real property holding corporation” (USRPHC) for U.S. federal income tax purposes at any time within the shorter of the five-year period preceding your disposition of, or your holding period for, our common stock. |
Underwriter |
Number of Shares |
|||
BofA Securities, Inc |
||||
SVB Securities LLC |
||||
|
|
|||
Total |
4,000,000 | |||
|
|
Per Share |
Without Option |
With Option |
||||||||||
Public offering price |
$ | $ | $ | |||||||||
Underwriting discounts and commissions |
$ | $ | $ | |||||||||
Proceeds, before expenses, to Arcellx |
$ | $ | $ |
• | offer, pledge, sell or contract to sell any common stock, |
• | sell any option or contract to purchase any common stock, |
• | purchase any option or contract to sell any common stock, |
• | grant any option, right or warrant for the sale of any common stock, |
• | lend or otherwise dispose of or transfer any common stock, |
• | request or demand that we file or make a confidential submission of a registration statement related to the common stock, or |
• | enter into any swap or other agreement that transfers, in whole or in part, the economic consequence of ownership of any common stock whether any such swap or transaction is to be settled by delivery of shares or other securities, in cash or otherwise. |
a. | to any legal entity which is a qualified investor as defined under the Prospectus Regulation; |
b. | to fewer than 150 natural or legal persons (other than qualified investors as defined under the Prospectus Regulation), subject to obtaining the prior consent of the global coordinator for any such offer; or |
c. | in any other circumstances falling within Article 1(4) of the Prospectus Regulation, |
a. | to any legal entity which is a qualified investor as defined under the UK Prospectus Regulation; |
b. | to fewer than 150 natural or legal persons (other than qualified investors as defined under the UK Prospectus Regulation), subject to obtaining the prior consent of the global coordinator for any such offer; or |
c. | at any time in other circumstances falling within section 86 of the FSMA, |
(a) | a corporation (which is not an accredited investor (as defined in Section 4A of the SFA)) the sole business of which is to hold investments and the entire share capital of which is owned by one or more individuals, each of whom is an accredited investor; or |
(b) | a trust (where the trustee is not an accredited investor) whose sole purpose is to hold investments and each beneficiary of the trust is an individual who is an accredited investor, |
(a) | to an institutional investor or to a relevant person, or to any person arising from an offer referred to in Section 275(1A) or Section 276(4)(i)(B) of the SFA; |
(b) | where no consideration is or will be given for the transfer; |
(c) | where the transfer is by operation of law; or |
(d) | as specified in Section 276(7) of the SFA. |
Audited Consolidated Financial Statements |
||||
F-2 |
||||
F-3 |
||||
F-4 |
||||
F-5 |
||||
F-6 |
||||
F-7 |
||||
Unaudited Condensed Consolidated Financial Statements |
||||
F-30 |
||||
F-31 |
||||
F-32 |
||||
F-34 |
||||
F-35 |
December 31, |
||||||||
2021 |
2020 |
|||||||
Assets |
||||||||
Current assets: |
||||||||
Cash and cash equivalents |
$ | $ | ||||||
Marketable securities |
— | |||||||
Prepaid expenses and other current assets |
||||||||
Total current assets |
||||||||
Restricted cash |
||||||||
Property and equipment, net |
||||||||
Deferred offering costs |
||||||||
Other long-term assets |
||||||||
Total assets |
$ | $ | ||||||
Liabilities, redeemable convertible preferred stock, and stockholders’ deficit |
||||||||
Current liabilities: |
||||||||
Accounts payable |
$ | $ | ||||||
Accrued liabilities |
||||||||
Deferred rent, current portion |
||||||||
Other current liabilities |
||||||||
Total current liabilities |
||||||||
Deferred rent, net of current portion |
||||||||
Other long-term liabilities |
||||||||
Total liabilities |
||||||||
Commitments and contingencies |
||||||||
Redeemable convertible preferred stock: |
||||||||
Series A redeemable convertible preferred stock, par value of $ |
||||||||
Series B redeemable convertible preferred stock, par value $ |
||||||||
Series C redeemable convertible preferred stock, par value $ |
— | |||||||
Total redeemable convertible preferred stock |
||||||||
Stockholders’ deficit: |
||||||||
Common stock, par value of $ |
||||||||
Additional paid-in capital |
||||||||
Accumulated other comprehensive loss |
( |
) | — | |||||
Accumulated deficit |
( |
) | ( |
) | ||||
Total stockholders’ deficit |
( |
) | ( |
) | ||||
Total liabilities, redeemable convertible preferred stock, and stockholders’ deficit |
$ | $ | ||||||
Year Ended December 31, |
||||||||
2021 |
2020 |
|||||||
Revenue |
$ | $ | ||||||
Operating expenses: |
||||||||
Research and development |
||||||||
General and administrative |
||||||||
Total operating expenses |
||||||||
Loss from operations |
( |
) | ( |
) | ||||
Other income, net |
||||||||
Net loss |
( |
) | ( |
) | ||||
Other comprehensive loss: |
||||||||
Unrealized loss on marketable securities |
||||||||
Comprehensive loss |
$ | ( |
) | $ | ( |
) | ||
Net loss per share attributable to common stockholders—basic and diluted |
$ | ( |
) | $ | ( |
) | ||
Weighted-average common shares outstanding—basic and diluted |
Redeemable Convertible Preferred Stock |
Stockholders’ Deficit |
|||||||||||||||||||||||||||||||||||||||||||||||
Series A |
Series B |
Series C |
Common Stock |
|||||||||||||||||||||||||||||||||||||||||||||
Shares |
Amount |
Shares |
Amount |
Shares |
Amount |
Shares |
Amount |
Additional Paid-in Capital |
Accumulated Deficit |
Accumulated Other Comprehensive Loss |
Stockholders’ Deficit |
|||||||||||||||||||||||||||||||||||||
Balance as of December 31, 2019 |
$ | $ | — | $ | — | $ | $ | $ | ( |
) | $ | — | $ | ( |
) | |||||||||||||||||||||||||||||||||
Issuance of Series B redeemable convertible preferred stock for cash, net of transaction costs |
— | — | — | — | — | — | — | — | — | — | ||||||||||||||||||||||||||||||||||||||
Issuance of common stock from vesting of restricted stock |
— | — | — | — | — | — | — | — | — | |||||||||||||||||||||||||||||||||||||||
Exercise of stock options |
— | — | — | — | — | — | — | — | — | |||||||||||||||||||||||||||||||||||||||
Share-based compensation |
— | — | — | — | — | — | — | — | — | — | ||||||||||||||||||||||||||||||||||||||
Net loss |
— | — | — | — | — | — | — | — | — | ( |
) | — | ( |
) | ||||||||||||||||||||||||||||||||||
Balance as of December 31, 2020 |
$ | $ | — | $ | — | $ | $ | $ | ( |
) | $ | — | $ | ( |
) | |||||||||||||||||||||||||||||||||
Issuance of Series C redeemable convertible preferred stock for cash, net of transaction costs |
— | — | — | — | — | — | — | — | — | — | ||||||||||||||||||||||||||||||||||||||
Issuance of common stock from vesting of restricted stock |
— | — | — | — | — | — | — | — | — | |||||||||||||||||||||||||||||||||||||||
Exercise of stock options |
— | — | — | — | — | — | — | — | — | |||||||||||||||||||||||||||||||||||||||
Share-based compensation |
— | — | — | — | — | — | — | — | — | |||||||||||||||||||||||||||||||||||||||
Unrealized loss on investment |
— | — | — | — | — | — | — | — | — | — | ( |
) | ( |
) | ||||||||||||||||||||||||||||||||||
Net loss |
— | — | — | — | — | — | — | — | — | ( |
) | — | ( |
) | ||||||||||||||||||||||||||||||||||
Balance as of December 31, 2021 |
$ | $ | $ | $ | $ | $ | ( |
) | $ | ( |
) | $ | ( |
) | ||||||||||||||||||||||||||||||||||
Year Ended December 31, |
||||||||
2021 |
2020 |
|||||||
Cash flows from operating activities |
||||||||
Net loss |
$ | ( |
) | $ | ( |
) | ||
Adjustments to reconcile net loss to net cash used in operating activities: |
||||||||
Depreciation and amortization |
||||||||
Amortization of premiums and discounts on marketable securities |
— | |||||||
Share-based compensation |
||||||||
Loss on disposal of property and equipment |
— | |||||||
Changes in operating assets and liabilities: |
||||||||
Prepaid expenses and other current and non-current assets |
( |
) | ||||||
Accounts payable and other current liabilities |
( |
) | ||||||
Accrued liabilities |
||||||||
Deferred rent |
( |
) | ||||||
Net cash used in operating activities |
( |
) | ( |
) | ||||
Cash flows from investing activities |
||||||||
Purchases of property and equipment |
( |
) | ( |
) | ||||
Purchases of marketable securities |
( |
) | — | |||||
Net cash used in investing activities |
( |
) | ( |
) | ||||
Cash flows from financing activities |
||||||||
Payments under capital leases |
( |
) | — | |||||
Proceeds from the exercise of stock options |
||||||||
Payments of deferred offering costs |
( |
) | ( |
) | ||||
Payment for repurchase of restricted stock |
( |
) | — | |||||
Proceeds from issuance of Series B redeemable convertible preferred stock, net of transaction costs |
— | |||||||
Proceeds from issuance of Series C redeemable convertible preferred stock, net of transaction costs |
— | |||||||
Net cash provided by financing activities |
||||||||
Net (decrease) 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 period |
$ | $ | ||||||
Supplemental disclosures of noncash investing and financing activities: |
||||||||
Purchase of property and equipment included in accounts payable and accrued liabilities |
$ | $ | ||||||
Deferred offering costs included in accrued liabilities |
$ | $ |
Estimated Useful Life | ||
Computer equipment |
||
Furniture and fixtures |
||
Lab equipment |
||
Leasehold improvements |
||
Equipment under capital lease |
December 31, |
||||||||
2021 |
2020 |
|||||||
Cash and cash equivalents |
$ | $ | ||||||
Restricted cash |
||||||||
Total |
$ | $ | ||||||
December 31, 2021 |
||||||||||||
Level 1 |
Level 2 |
Level 3 |
||||||||||
Assets |
||||||||||||
Money market fund (cash equivalent) |
$ | $ | — | $ | — | |||||||
Money market fund (long-term restricted cash) |
— | — | ||||||||||
Marketable securities |
— | — | ||||||||||
Total assets measured at fair value |
$ | $ | $ | — | ||||||||
December 31, 2020 |
||||||||||||
Level 1 |
Level 2 |
Level 3 |
||||||||||
Assets |
||||||||||||
Money market fund (long-term restricted cash) |
$ | $ | — | $ | — | |||||||
Total assets measured at fair value |
$ | $ | — | $ | — | |||||||
December 31, 2021 |
||||
Amortized costs |
$ | |||
Gross unrealized gains |
||||
Gross unrealized loss |
( |
) | ||
Fair value |
$ | |||
December 31, |
||||||||
2021 |
2020 |
|||||||
Prepaid research and development costs |
$ | $ | ||||||
Other prepaid expense and current assets |
||||||||
Total prepaid expenses and other current assets |
$ | $ | ||||||
December 31, |
||||||||
2021 |
2020 |
|||||||
Lab equipment |
$ | $ | ||||||
Leasehold improvements |
||||||||
Lab equipment under capital leases |
||||||||
Computer equipment |
||||||||
Furniture and fixtures |
||||||||
Construction in progress |
||||||||
Property and equipment, gross |
||||||||
Less: accumulated depreciation and amortization |
( |
) | ( |
) | ||||
Property and equipment, net |
$ | $ | ||||||
2022 |
$ | |||
2023 |
||||
2024 |
||||
Total minimum lease payments |
||||
Less: Amount representing interest |
( |
) | ||
Present value of net minimum lease payments |
$ | |||
December 31, |
||||||||
2021 |
2020 |
|||||||
Research and development accrued expenses |
$ | $ | ||||||
Accrued offering costs |
||||||||
Accrued bonus |
||||||||
Accrued vacation |
||||||||
Other liabilities |
||||||||
Total accrued liabilities |
$ | $ | ||||||
2022 |
$ | |||
2023 |
||||
2024 |
||||
2025 |
||||
2026 |
||||
Thereafter |
||||
$ | ||||
December 31, |
||||||||
2021 |
2020 |
|||||||
Total shares of common stock legally issued and outstanding (including shares early exercised) |
||||||||
Less: (unvested early exercised shares of common stock) |
( |
) | ( |
) | ||||
Total shares issued and outstanding |
||||||||
Options Outstanding and Exercisable |
||||||||||||||||
Number of Shares |
Weighted Average Exercise Price |
Weighted Average Remaining Contractual Life (Years) |
Aggregate Intrinsic Value (1) (in thousands) |
|||||||||||||
Outstanding as of January 1, 2021 |
$ | $ | ||||||||||||||
Granted |
||||||||||||||||
Forfeited |
( |
) | ||||||||||||||
Exercised |
( |
) | ||||||||||||||
Outstanding as of December 31, 2021 |
$ | $ | ||||||||||||||
Exercisable as of December 31, 2021 |
$ | $ | ||||||||||||||
(1) | The aggregate intrinsic value is calculated as the difference between the exercise price of the underlying options and the estimated fair value of the common stock for the options that were in the money as of December 31, 2021. |
Year Ended December 31, |
||||||||
2021 |
2020 |
|||||||
Research and development |
$ | $ | ||||||
General and administrative |
||||||||
Total |
$ | $ | ||||||
2021 |
2020 |
|||||||
Expected term |
||||||||
Expected volatility |
||||||||
Risk free interest rate |
||||||||
Expected dividend yield |
—% | —% |
Change in Control |
IPO |
Change in Control Following an IPO |
||||||||||
Date of grant |
||||||||||||
Time to liquidity event (years) |
||||||||||||
Equity volatility |
||||||||||||
Risk-free interest rate |
||||||||||||
Discount for lack of marketability |
||||||||||||
Fair value of the RSU award (in thousands) |
$ | $ | $ |
December 31, |
||||||||
2021 |
2020 |
|||||||
Redeemable convertible preferred stock |
||||||||
Options to purchase common stock |
||||||||
Unvested shares of restricted common stock from early exercises |
||||||||
Restricted stock units |
||||||||
Total |
||||||||
Year Ended December 31, |
||||||||
2021 |
2020 |
|||||||
Current income tax provision (benefit): |
||||||||
U.S. federal |
$ | $ | ||||||
State |
||||||||
Total |
||||||||
Deferred income tax provision (benefit): |
||||||||
U.S. federal |
( |
) | ( |
) | ||||
State |
( |
) | ( |
) | ||||
Total |
( |
) | ( |
) | ||||
Change in valuation allowance |
||||||||
Total provision (benefit) for income taxes |
$ | $ | ||||||
Year Ended December 31, |
||||||||
2021 |
2020 |
|||||||
U.S. federal tax |
% | % | ||||||
State tax, net of federal benefit |
||||||||
Change in valuation allowance |
( |
) | ( |
) | ||||
Research and development tax credits |
||||||||
Change in tax rates and other |
( |
) | ( |
) | ||||
Income tax expense |
% | % | ||||||
December 31, |
||||||||
2021 |
2020 |
|||||||
Deferred income tax assets: |
||||||||
U.S. federal net operating loss carryforward |
$ | $ | ||||||
State net operating loss carryforward |
||||||||
Research and development credits |
||||||||
Non-qualified stock options |
||||||||
Accrued bonus |
||||||||
Operating lease liabilities |
||||||||
Other |
||||||||
Gross deferred income tax assets |
||||||||
Less: Valuation allowance |
( |
) | ( |
) | ||||
Total deferred income tax assets |
||||||||
Deferred income tax liabilities: |
||||||||
Depreciation |
( |
) | ( |
) | ||||
Net deferred income tax assets (liabilities) |
$ | $ | ||||||
March 31, 2022 |
December 31, 2021 |
|||||||
Assets |
(unaudited) |
|||||||
Current assets: |
||||||||
Cash and cash equivalents |
$ | $ | ||||||
Marketable securities |
||||||||
Prepaid expenses and other current assets |
||||||||
Total current assets |
||||||||
Restricted cash |
||||||||
Property and equipment, net |
||||||||
Operating lease right-of-use |
— | |||||||
Deferred offering costs |
— | |||||||
Prepaid research and development expenses and other long-term assets |
||||||||
Total assets |
$ | $ | ||||||
Liabilities, redeemable convertible preferred stock, and stockholders’ equity (deficit) |
||||||||
Current liabilities: |
||||||||
Accounts payable |
$ | $ | ||||||
Accrued liabilities |
||||||||
Operating lease liabilities, current portion |
— | |||||||
Deferred rent, current portion |
— | |||||||
Other current liabilities |
||||||||
Total current liabilities |
||||||||
Operating lease liabilities, net of current portion |
— | |||||||
Deferred rent, net of current portion |
— | |||||||
Other long-term liabilities |
||||||||
Total liabilities |
||||||||
Commitments and contingencies |
||||||||
Redeemable convertible preferred stock: |
||||||||
Series A redeemable convertible preferred stock, par value $ |
— | |||||||
Series B redeemable convertible preferred stock, par value $ |
— | |||||||
Series C redeemable convertible preferred stock, par value $ |
— | |||||||
Total redeemable convertible preferred stock |
— | |||||||
Stockholders’ equity (deficit): |
||||||||
Preferred stock, par value of $ |
||||||||
Common stock, par value of $ |
||||||||
Additional paid-in capital |
||||||||
Accumulated other comprehensive loss |
( |
) | ( |
) | ||||
Accumulated deficit |
( |
) | ( |
) | ||||
Total stockholders’ equity (deficit) |
( |
) | ||||||
Total liabilities, redeemable convertible preferred stock, and stockholders’ equity (deficit) |
$ | $ | ||||||
Three Months Ended March 31, |
||||||||
2022 |
2021 |
|||||||
Revenue |
$ | $ | ||||||
Operating expenses: |
||||||||
Research and development |
||||||||
General and administrative |
||||||||
Total operating expenses |
||||||||
Loss from operations |
( |
) | ( |
) | ||||
Other income, net |
||||||||
Net loss |
( |
) | ( |
) | ||||
Other comprehensive loss: |
||||||||
Unrealized loss on marketable securities |
||||||||
Comprehensive loss |
$ | ( |
) | $ | ( |
) | ||
Net loss per share attributable to common stockholders—basic and diluted |
$ | ( |
) | $ | ( |
) | ||
Weighted-average common shares outstanding—basic and diluted |
||||||||
Redeemable Convertible Preferred Stock |
Stockholders’ Equity (Deficit) |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
Series A |
Series B |
Series C |
Common Stock |
|||||||||||||||||||||||||||||||||||||||||||||||||||||
Shares |
Amount |
Shares |
Amount |
Shares |
Amount |
Subscription Receivable |
Shares |
Amount |
Additional Paid-in Capital |
Accumulated Deficit |
Accumulated Other Comprehensive Loss |
Stockholders’ Equity (Deficit) |
||||||||||||||||||||||||||||||||||||||||||||
Balance as of December 31, 2021 |
$ | $ | $ | $ | — | $ | $ | $ | ( |
) | $ | ( |
) | $ | ( |
) | ||||||||||||||||||||||||||||||||||||||||
Issuance of common stock (initial public offering), net of transaction costs of $ |
— | — | — | — | — | — | — | — | — | |||||||||||||||||||||||||||||||||||||||||||||||
Issuance of common stock (private placement), net of transaction costs of $ |
— | — | — | — | — | — | — | — | — | |||||||||||||||||||||||||||||||||||||||||||||||
Conversion of preferred stock to common stock |
( |
) | ( |
) | ( |
) | ( |
) | ( |
) | ( |
) | — | — | — | |||||||||||||||||||||||||||||||||||||||||
Issuance of common stock from vesting of restricted stock |
— | — | — | — | — | — | — | — | — | — | ||||||||||||||||||||||||||||||||||||||||||||||
Exercise of stock options |
— | — | — | — | — | — | — | — | — | — | ||||||||||||||||||||||||||||||||||||||||||||||
Share-based compensation |
— | — | — | — | — | — | — | — | — | — | — | |||||||||||||||||||||||||||||||||||||||||||||
Unrealized loss on investment |
— | — | — | — | — | — | — | — | — | — | — | ( |
) | ( |
) | |||||||||||||||||||||||||||||||||||||||||
Net loss |
— | — | — | — | — | — | — | — | — | — | ( |
) | — | ( |
) | |||||||||||||||||||||||||||||||||||||||||
Balance at March 31, 2022 |
— | $ | — | — | $ | — | — | $ | — | $ | — | $ | $ | $ | ( |
) | $ | ( |
) | $ | ||||||||||||||||||||||||||||||||||||
Redeemable Convertible Preferred Stock |
Stockholders’ Equity (Deficit) |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
Series A |
Series B |
Series C |
Common Stock |
|||||||||||||||||||||||||||||||||||||||||||||||||||||
Shares |
Amount |
Shares |
Amount |
Shares |
Amount |
Subscription Receivable |
Shares |
Amount |
Additional Paid-in Capital |
Accumulated Deficit |
Accumulated Other Comprehensive Loss |
Stockholders’ Deficit |
||||||||||||||||||||||||||||||||||||||||||||
Balance as of December 31, 2020 |
$ | $ | — | $ | — | $ | — | $ | 1 | $ | $ | ( |
) | $ | — | $ | ( |
) | ||||||||||||||||||||||||||||||||||||||
Issuance of Series C redeemable convertible preferred stock for cash, net of transaction costs of $ |
— | — | — | — | ( |
) | — | — | — | — | — | — | ||||||||||||||||||||||||||||||||||||||||||||
Issuance of common stock from vesting of restricted stock |
— | — | — | — | — | — | — | — | — | — | ||||||||||||||||||||||||||||||||||||||||||||||
Exercise of stock options |
— | — | — | — | — | — | — | — | — | — | ||||||||||||||||||||||||||||||||||||||||||||||
Share-based compensation |
— | — | — | — | — | — | — | — | — | — | ||||||||||||||||||||||||||||||||||||||||||||||
Net loss |
— | — | — | — | — | — | — | — | — | — | ( |
) | — | ( |
) | |||||||||||||||||||||||||||||||||||||||||
Balance as of March 31, 2021 |
$ | $ | $ | $ | ( |
) | $ | $ | $ | ( |
) | $ | — | $ | ( |
) | ||||||||||||||||||||||||||||||||||||||||
Three Months Ended March 31, |
||||||||
2022 |
2021 |
|||||||
Cash flows from operating activities |
||||||||
Net loss |
$ | ( |
) | $ | ( |
) | ||
Adjustments to reconcile net loss to net cash used in operating activities: |
||||||||
Depreciation and amortization |
||||||||
Noncash operating lease expense |
— | |||||||
Amortization of premiums and discounts on marketable securities |
— | |||||||
Share-based compensation |
||||||||
Changes in operating assets and liabilities: |
||||||||
Prepaid expenses and other current and non-current assets |
( |
) | ||||||
Accounts payable and other current liabilities |
||||||||
Accrued liabilities |
||||||||
Operating lease liabilities |
( |
) | — | |||||
Deferred rent |
— | |||||||
Net cash used in operating activities |
( |
) | ( |
) | ||||
Cash flows from investing activities |
||||||||
Purchases of property and equipment |
( |
) | ( |
) | ||||
Purchases of marketable securities |
( |
) | — | |||||
Proceeds from maturities of marketable securities |
— | |||||||
Net cash used in investing activities |
( |
) | ( |
) | ||||
Cash flows from financing activities |
||||||||
Proceeds from issuance of common stock (initial public offering), net of transactions costs |
— | |||||||
Proceeds from issuance of common stock (private placement), net of transactions costs |
— | |||||||
Proceeds from issuance of Series C redeemable convertible preferred stock, net of transaction costs |
— | |||||||
Proceeds from the exercise of stock options |
||||||||
Payments under finance leases |
( |
) | ( |
) | ||||
Payments of deferred offering costs |
— | ( |
) | |||||
Net cash provided by financing activities |
||||||||
Net increase in cash and cash equivalents and restricted cash |
||||||||
Cash and cash equivalents and restricted cash, beginning of the year |
||||||||
Cash and cash equivalents and restricted cash, end of the period |
$ | $ | ||||||
Supplemental disclosures of noncash investing and financing activities: |
||||||||
Purchase of property and equipment included in accounts payable and accrued liabilities |
$ | $ | ||||||
Deferred offering costs included in accrued liabilities |
$ | $ | — | |||||
March 31, 2022 |
March 31, 2021 |
|||||||
Cash and cash equivalents |
$ | $ | ||||||
Restricted cash |
||||||||
Total |
$ | $ | ||||||
March 31, 2022 |
||||||||||||
Level 1 |
Level 2 |
Level 3 |
||||||||||
Money market fund (cash equivalent) |
$ | $ | — | $ | — | |||||||
Money market fund (long-term restricted cash) |
— | — | ||||||||||
Marketable securities: |
||||||||||||
Commercial paper |
— | — | ||||||||||
Corporate debt |
— | — | ||||||||||
U.S. government agency |
— | — | ||||||||||
Asset-backed securities |
— | — | ||||||||||
Total assets measured at fair value |
$ | $ | $ | — | ||||||||
December 31, 2021 |
||||||||||||
Level 1 |
Level 2 |
Level 3 |
||||||||||
Money market fund (cash equivalent) |
$ | $ | — | $ | — | |||||||
Money market fund (long-term restricted cash) |
— | — | ||||||||||
Marketable securities (1) : |
||||||||||||
Commercial paper |
— | — | ||||||||||
Corporate debt |
— | — | ||||||||||
U.S. government agency |
— | — | ||||||||||
Asset-backed securities |
— | — | ||||||||||
Total assets measured at fair value |
$ | $ | $ | — | ||||||||
(1) | These items have been reclassified to conform to current period presentation. |
March 31, 2022 |
||||||||||||||||
Amortized Cost |
Unrealized Gains |
Unrealized Losses |
Fair Value |
|||||||||||||
Commercial paper |
$ | $ | — | $ | — | $ | ||||||||||
Corporate debt |
( |
) | ||||||||||||||
U.S. government agency |
— | ( |
) | |||||||||||||
Asset-backed securities |
— | ( |
) | |||||||||||||
Total |
$ | $ | $ | ( |
) | $ | ||||||||||
December 31, 2021 (1) |
||||||||||||||||
Amortized Cost |
Unrealized Gains |
Unrealized Losses |
Fair Value |
|||||||||||||
Commercial paper |
$ | $ | — | $ | — | $ | ||||||||||
Corporate debt |
— | ( |
) | |||||||||||||
U.S. government agency |
— | ( |
) | |||||||||||||
Asset-backed securities |
— | ( |
) | |||||||||||||
Total |
$ | $ | — | $ | ( |
) | $ | |||||||||
(1) | These items have been reclassified to conform to current period presentation. |
March 31, 2022 |
December 31, 2021 |
|||||||
Prepaid research and development costs |
$ | $ | ||||||
Other prepaid expense and current assets |
||||||||
Total prepaid expenses and other current assets |
$ | $ | ||||||
March 31, 2022 |
December 31, 2021 |
|||||||
Research and development accrued expenses |
$ | $ | ||||||
Accrued offering costs |
||||||||
Accrued bonus |
||||||||
Other liabilities |
||||||||
Total accrued liabilities |
$ | $ | ||||||
Three Months Ended March 31, 2022 |
||||
Operating lease costs |
$ | |||
Short-term lease costs |
||||
Variable lease costs |
||||
$ | ||||
Through December 31, 2022 |
$ | |||
2023 |
||||
2024 |
||||
2025 |
||||
2026 |
||||
2027 |
||||
Thereafter |
||||
Total operating lease payments |
||||
Less: imputed interest |
( |
) | ||
Present value of total operating lease liabilities |
$ | |||
Three Months Ended March 31, 2022 |
||||
Cash paid for amounts included in the measurement of operating lease liabilities |
$ | |||
ROU assets obtained in exchange for operating lease liabilities |
March 31, 2022 |
December 31, 2021 |
|||||||
Total shares of common stock legally issued and outstanding |
||||||||
Less: unvested early exercised shares of common stock |
( |
) | ( |
) | ||||
Total shares issued and outstanding |
||||||||
Three Months Ended March 31, |
||||||||
2022 |
2021 |
|||||||
Stock options |
$ | $ | ||||||
Restricted stock units |
— | |||||||
Restricted stock units—executive officer |
— | |||||||
Total share-based compensation expense |
$ | $ | ||||||
Options Outstanding and Exercisable |
||||||||||||||||
Number of Shares |
Weighted Average Exercise Price |
Weighted Average Remaining Contractual Life (Years) |
Aggregate Intrinsic Value (1) (in thousands) |
|||||||||||||
Outstanding as of January 1, 2022 |
$ | $ | ||||||||||||||
Granted |
||||||||||||||||
Forfeited |
( |
) | ||||||||||||||
Exercised |
( |
) | ||||||||||||||
Outstanding as of March 31, 2022 |
$ | $ | ||||||||||||||
Exercisable as of March 31, 2022 |
$ | $ | ||||||||||||||
(1) | The aggregate intrinsic value is calculated as the difference between the exercise price of the underlying options and the estimated fair value of the common stock for the options that were in the money as of March 31, 2022. |
Number of Shares |
Weighted Average Grate Date Fair Value |
|||||||
Outstanding as of January 1, 2022 |
— | $ | — | |||||
Granted |
||||||||
Vested |
— | — | ||||||
Forfeited |
( |
) | ||||||
Outstanding as of March 31, 2022 |
$ | |||||||
March 31, |
||||||||
2022 |
2021 |
|||||||
Redeemable convertible preferred stock |
||||||||
Options to purchase common stock |
||||||||
Unvested shares of restricted common stock from early exercises |
||||||||
Restricted stock units |
||||||||
Restricted stock units—executive officer |
||||||||
Total |
||||||||
Amount To Be Paid |
||||
SEC registration fee |
$ | 9,257.58 | ||
FINRA filing fee |
15,479.90 | |||
Printing and engraving expenses |
100,000.00 | |||
Legal fees and expenses |
350,000.00 | |||
Accounting fees and expenses |
100,000.00 | |||
Miscellaneous expenses |
75,262.52 | |||
|
|
|||
Total |
$ | 650,000.00 | ||
|
|
Incorporation by Reference |
||||||||||||||||||
Exhibit Number |
Description |
Form |
Exhibit Number |
Filing Date |
Filed Herewith |
|||||||||||||
10.18+ | Offer Letter between Registrant and Michelle Gilson dated April 3, 2022. | 8-K |
10.1 | 5/23/2022 | ||||||||||||||
23.1 | Consent of Independent Registered Public Accounting Firm. | X | ||||||||||||||||
23.2* | Consent of Wilson Sonsini Goodrich & Rosati, Professional Corporations (included in Exhibit 5.1). | |||||||||||||||||
24.1* | Power of Attorney (reference is made to signature page hereto). | |||||||||||||||||
101.INS | Inline XBRL Instance Document—the instance document does not appear in the Interactive Data File because XBRL tags are embedded within the Inline XBRL document. | X | ||||||||||||||||
101.SCH | Inline XBRL Taxonomy Extension Schema Document. | X | ||||||||||||||||
101.CAL | Inline XBRL Taxonomy Extension Calculation Linkbase Document. | X | ||||||||||||||||
101.DEF | Inline XBRL Taxonomy Extension Definition Linkbase Document. | X | ||||||||||||||||
101.LAB | Inline XBRL Taxonomy Extension Label Linkbase Document. | X | ||||||||||||||||
101.PRE | Inline XBRL Taxonomy Extension Presentation Linkbase Document. | X | ||||||||||||||||
104 | Cover Page Interactive Data File (embedded within the Inline XBRL document). | X | ||||||||||||||||
107* | Filing Fee Table. |
* | Previously Filed |
+ | Indicated management contract or compensatory plan. |
† | Portions of this exhibit have been omitted in accordance with Item 601 of Regulation S-K. |
ARCELLX, INC. | ||
By: | /s/ Rami Elghandour | |
Rami Elghandour | ||
President, Chief Executive Officer and Chairman of the Board of Directors |
Signature |
Title |
Date | ||
/s/ Rami Elghandour Rami Elghandour |
President, Chief Executive Officer and Chairman of the Board of Directors (Principal Executive Officer) |
June 14, 2022 | ||
/s/ Michelle Gilson Michelle Gilson |
Chief Financial Officer (Principal Financial and Accounting Officer) |
June 14, 2022 | ||
* Ali Behbahani, M.D. |
Director |
June 14, 2022 | ||
* Jill Carroll, M.S. |
Director |
June 14, 2022 | ||
* David Lubner, M.S., C.P.A. |
Director |
June 14, 2022 | ||
* Kavita Patel, M.D. |
Director |
June 14, 2022 | ||
* Olivia Ware |
Director |
June 14, 2022 | ||
* Derek Yoon |
Director |
June 14, 2022 |
*By: | /s/ Rami Elghandour | |
Rami Elghandour | ||
Attorney-in-fact |