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Omeros(OMER) - 2024 Q4 - Annual Report
OMEROmeros(OMER)2025-03-31 20:28

Product Development and Pipeline - Omeros Corporation's lead product candidate, Narsoplimab (OMS721), is focused on treating hematopoietic stem cell transplant-associated thrombotic microangiopathy (TA-TMA) and is currently in the process of resubmitting a Biologics License Application (BLA) to the FDA, with a target action date expected in September 2025[40]. - Omeros is developing zaltenibart (OMS906), a monoclonal antibody targeting MASP-3, for conditions such as paroxysmal nocturnal hemoglobinuria (PNH) and complement 3 glomerulopathy (C3G), with ongoing clinical trials[27]. - The clinical development pipeline includes OMS1029, a long-acting antibody targeting the lectin pathway, with Phase 1 studies completed and plans for Phase 2 development[34]. - The company is also advancing OMS527, a phosphodiesterase 7 (PDE7) inhibitor for addiction and movement disorders, with a Phase 1b study in adult cocaine use disorder patients initiated[28][34]. - Omeros has a diverse preclinical pipeline, including small-molecule inhibitors for MASP-2 and MASP-3, and therapies targeting a wide range of cancers[34]. - The company has generated positive preclinical data for MASP-2 inhibition in various disease models, indicating potential for significant therapeutic applications[37]. - The Phase 3 program for zaltenibart in PNH includes 120 clinical sites across 30 countries, with active comparator drug sourced and clinical site activation underway[59]. - Interim analysis from the Phase 2 trial of zaltenibart in PNH patients showed statistically significant improvements in hemolysis markers, including hemoglobin and lactate dehydrogenase[61]. - The ongoing Phase 2 clinical program for zaltenibart in C3G is expected to complete enrollment later this year, with plans for a Phase 3 trial contingent on efficacy results[64]. - The company received a 6.24milliongrantfromNIDAtodevelopthePDE7inhibitorOMS527forcocaineusedisorder,fundingaclinicalstudyoverthreeyears[68].OMS527demonstratedareductioninadverseeffectsassociatedwithcocaineinanimalstudies,indicatingpotentialtherapeuticbenefits[69].Thecompanyreceivedafundingcommitmentof6.24 million grant from NIDA to develop the PDE7 inhibitor OMS527 for cocaine use disorder, funding a clinical study over three years[68]. - OMS527 demonstrated a reduction in adverse effects associated with cocaine in animal studies, indicating potential therapeutic benefits[69]. - The company received a funding commitment of 4.02 million from NIDA for a clinical trial assessing the safety and efficacy of the OMS527 compound, with preliminary data readout targeted by year-end 2025[70]. - In a Phase 1 clinical trial, the OMS527 compound was well tolerated with no safety concerns and showed favorable pharmacokinetics for once daily dosing[71]. - The company is evaluating an OMS527 PDE7 inhibitor for treating levodopa-induced dyskinesia (LID) in Parkinson's disease patients, with over 10 million patients affected globally[72]. - The PPARγ program has shown positive results in Phase 2 trials for addiction treatment, with significant reductions in cravings and anxiety reported[75]. Financials and Funding - The company received a milestone payment of 200millionfromRaynerSurgicalInc.inFebruary2023relatedtothesaleofOMIDRIA,contingentuponitsuseinambulatorysurgerycentersforatleastfouryears[30].OmeroshasenteredintoaRoyaltyPurchaseAgreementwithDRIHealthcareAcquisitionsLP,receiving200 million from Rayner Surgical Inc. in February 2023 related to the sale of OMIDRIA, contingent upon its use in ambulatory surgery centers for at least four years[30]. - Omeros has entered into a Royalty Purchase Agreement with DRI Healthcare Acquisitions LP, receiving 125 million for a portion of the royalties from OMIDRIA sales, with an amended agreement in February 2024 eliminating annual caps on royalty payments[31][32]. - The company has borrowed approximately 67.1millionunderaCreditandGuarantyAgreement,pledgingsubstantiallyallassetsascollateral,whilemaintainingacovenanttokeep67.1 million under a Credit and Guaranty Agreement, pledging substantially all assets as collateral, while maintaining a covenant to keep 25 million in unrestricted cash[33]. - As of December 31, 2024, the company had cash, cash equivalents, and short-term investments of 90.1million,withcashusedinoperationsamountingto90.1 million, with cash used in operations amounting to 148.8 million and a net loss of 156.8millionfortheyear[170].Thecompanyhasincurredcumulativeoperatinglossessinceinceptionandmayrequireadditionalcapitaltocompletethedevelopmentandcommercializationofitsproductcandidates[170].Thecompanyfacessubstantialdoubtregardingitsabilitytocontinueasagoingconcern,whichmaymateriallyadverselyaffectitssharepriceandabilitytoraisenewcapital[169].Thecompanyexpectstocontinueincurringadditionallossesuntilitgeneratessignificantrevenuefromcommercialproductsorpartnerships[171].Ifunabletoraiseadditionalcapital,thecompanymayhavetodelay,scaleback,ordiscontinuethedevelopmentofitsproductcandidates[171].ThecompanysfinancialconditionmaylimititsabilitytoaccesscapitalandcouldresultinmandatoryprepaymentsoftheInitialTermLoan[171].Thetotalaggregateprincipalamountofthecompanys2026Notesoutstandingis156.8 million for the year[170]. - The company has incurred cumulative operating losses since inception and may require additional capital to complete the development and commercialization of its product candidates[170]. - The company faces substantial doubt regarding its ability to continue as a going concern, which may materially adversely affect its share price and ability to raise new capital[169]. - The company expects to continue incurring additional losses until it generates significant revenue from commercial products or partnerships[171]. - If unable to raise additional capital, the company may have to delay, scale back, or discontinue the development of its product candidates[171]. - The company’s financial condition may limit its ability to access capital and could result in mandatory prepayments of the Initial Term Loan[171]. - The total aggregate principal amount of the company's 2026 Notes outstanding is 97.2 million, alongside 67.1millionundertheInitialTermLoanandapproximately67.1 million under the Initial Term Loan and approximately 2.0 million of finance lease obligations[175]. Regulatory and Compliance - Narsoplimab has received breakthrough therapy designation and orphan drug designation from the FDA for multiple indications, including TA-TMA and complement-mediated TMAs[46]. - The European Medicines Agency confirmed narsoplimab's eligibility for centralized review, with a marketing authorization application targeted for submission in the first half of 2025[47]. - The FDA issued a Complete Response Letter (CRL) for the BLA of narsoplimab for TA-TMA, indicating the need for additional information to support regulatory approval[177]. - The regulatory environment for drug candidates is extensive, with compliance required for research, development, testing, and marketing[102]. - The FDA provides fast-track designation for drugs intended to treat serious diseases, expediting development and review processes[116]. - Breakthrough therapy designation allows for increased FDA interactions to expedite product development for serious conditions[117]. - Accelerated approval can be granted for drugs showing meaningful therapeutic advantages based on surrogate endpoints[119]. - Post-approval, the FDA requires confirmatory studies to verify clinical benefits of drugs granted accelerated approval[120]. - Orphan drug designation offers incentives for drugs treating rare diseases affecting fewer than 200,000 individuals in the U.S.[122]. - Pediatric exclusivity can extend market exclusivity by six months if pediatric studies are conducted as requested by the FDA[123]. - Expanded access allows investigational drugs to be used for patients with serious conditions when no satisfactory alternatives exist[125]. - The Drug Supply Chain Security Act mandates tracking and tracing obligations for manufacturers to ensure drug safety[129]. - The Hatch-Waxman Act provides exclusivity periods for new drugs, preventing generic applications for specified durations[135]. - The CREATES Act allows generic developers to sue brand manufacturers for access to necessary samples for product development[137]. - The company is subject to various federal and state healthcare compliance laws, including the Anti-Kickback Statute and the False Claims Act, which could impact its operations[141]. - The company operates in a highly regulated environment, with governments in the EU controlling the price of medicinal products through pricing and reimbursement rules[151]. - The company is subject to extensive government regulation, and failure to comply may result in significant penalties and operational disruptions[191]. - The company cannot guarantee timely FDA or EMA approval for narsoplimab or any other product candidates, which may require substantial time and resources[192]. Intellectual Property - As of March 31, 2025, the company owned or held exclusive licenses to a total of 81 issued patents and 64 pending patent applications in the U.S., and 1,443 issued patents and 655 pending patent applications in foreign markets[98]. - The MASP-2 program includes 42 issued patents and 33 pending patent applications in the U.S., and 861 issued patents and 474 pending patent applications in foreign markets, with patent terms expiring as late as 2043[98]. - The MASP-3 program has five issued patents and eight pending patent applications in the U.S., and 212 issued and 109 pending patent applications in foreign markets, with patent terms expiring as late as 2043[98]. - The PPARγ program includes three issued patents and one pending patent application in the U.S., and 42 issued patents and one pending patent application in foreign markets, with terms expiring as late as 2030[98]. - The PDE7 program has two issued patents and two pending patent applications in the U.S., and 61 issued patents and seven pending patent applications in foreign markets, with terms expiring as late as 2043[98]. - The oncology program has two patent applications pending in the U.S. related to potential cancer therapies[99]. - The company is operating its oncology program in stealth mode to confirm results and generate new data for intellectual property[99]. - Protecting intellectual property and proprietary technologies is challenging and costly, impacting the company's commercial success[218]. - The patent positions in the pharmaceutical and biotechnology sectors are uncertain, with potential changes in patent laws affecting the value of the company's intellectual property[219]. - The company cannot assure that its patent applications will be found patentable or that they will issue as patents, which could limit protection for its product candidates[220]. - The degree of future protection for proprietary rights is uncertain, and inability to maintain patent protection may hinder the development of follow-on indications[221]. Competition and Market Risks - The company expects to face competition from established pharmaceutical companies and new entrants in the biotechnology sector, which may impact market share[94]. - Narsoplimab and other product candidates will compete against several approved complement-targeted therapeutics, including Soliris and Ultomiris[96]. - The success of future products depends heavily on adequate coverage and reimbursement from government and private payers, which may be delayed or insufficient[180]. - The company faces significant risks in obtaining regulatory approvals outside the U.S., which may involve additional testing and data review[179]. - The operating results of the company are unpredictable and may fluctuate due to various factors, including market acceptance and pricing policies[187]. - The company may experience delays in obtaining coverage or reimbursement for newly approved products, impacting revenue and profitability[181]. - Changes in government regulations or reimbursement policies could adversely affect revenue generation and profitability[196]. - The company faces challenges in securing sufficient manufacturing capacity from contract manufacturers, which may lead to delays or inadequate supply[198]. - The availability of necessary ingredients and materials for manufacturing may not be guaranteed, potentially delaying commercialization[204]. - Clinical trials may be delayed due to various factors, including regulatory approvals and patient enrollment challenges[207]. - The company may need to establish additional manufacturing arrangements if current suppliers fail to meet requirements, which could be time-consuming and costly[199]. - There is a risk that product candidates may not successfully complete clinical development or be suitable for commercialization[212]. - The company must focus its limited resources on the most promising product candidates, potentially forgoing other opportunities[211]. Human Resources - The company had 202 full-time employees as of December 31, 2024, with 136 in research and development, 19 in sales and marketing, and 47 in finance, legal, business development, and administration[153]. - The company has built a research and development organization that includes expertise in discovery research, preclinical development, product formulation, analytical and medicinal chemistry, manufacturing, clinical development, and regulatory and quality assurance[152]. - The company is not substantially dependent on any third parties for its preclinical research and engages multiple clinical sites to conduct clinical trials[152]. - The company’s chief commercial officer has nearly three decades of international experience in the biopharmaceutical industry, having held leadership roles at various companies[157]. - The company’s vice president of chemistry, manufacturing, and controls has 20 years of pharmaceutical experience and has contributed to the commercialization of nine drug/device combination products[158].