Financial Performance - XBiotech generated a total of $750 million in income from the sale of its True Human™ antibody Bermekimab between December 30, 2019, and June 30, 2021[27]. - The company has returned a total of $495 million to shareholders through stock repurchase and dividends since 2020[27]. - The company incurred a net loss for the fiscal year ended December 31, 2023, continuing a trend of significant losses since its inception in 2005[50]. - The company has not generated any revenue from product sales to date and may never sustain profitability[55]. - Total revenue for the year ended December 31, 2023 was $0, compared to $4.0 million for the year ended December 31, 2022, indicating a significant decline in manufacturing revenue[177]. - The net loss for 2023 was $(24.6) million, an improvement from $(32.9) million in 2022, with net loss per share decreasing from $(1.08) to $(0.81)[211]. - The total shareholders' equity decreased to $218.8 million in 2023 from $240.4 million in 2022, largely due to accumulated losses[209]. - The company does not expect to generate any revenues during the fiscal year of 2024[157]. Research and Development - XBiotech is developing two anti-IL-1a product candidates in parallel, targeting oncology, rheumatology, and neurology[26]. - A clinical study for the Natrunix™ True Human antibody targeting IL-1a in pancreatic cancer included 60 subjects, with results expected within weeks of data lock[30]. - A new clinical program in rheumatology commenced in August 2023, with a 210 patient study in rheumatoid arthritis currently enrolling[31]. - XBiotech completed a Phase I study for its True Human™ antibody Hutrukin, demonstrating safety and tolerability, with a Phase II study planned for 2024[32]. - Approximately $32.8 million was recognized in expenses associated with research and development during the year ended December 31, 2023[52]. - Total research and development expenses for the year ended December 31, 2023, were $32.8 million, compared to $31.5 million in 2022, with research and development expenses accounting for 88% of total operating expenses[162]. - The company has recorded total research and development expenses of $311.9 million since inception[162]. - Clinical trial costs increased significantly by 163% to $5.4 million for the year ended December 31, 2023, compared to $2.0 million for the year ended December 31, 2022[181]. Regulatory and Market Challenges - The company has no products approved by regulatory authorities for marketing or commercial sale[50]. - The FDA review process typically takes years to complete, and approval is never guaranteed, impacting the company's ability to generate revenue[61]. - Delays in clinical trials could harm the commercial prospects of product candidates and impair revenue generation[70]. - The regulatory approval process by the FDA typically takes several years and is unpredictable, with no current approvals for any product candidates[71]. - Factors leading to potential failure in obtaining marketing approval include disagreement over clinical trial design and failure to demonstrate safety and efficacy[73]. - Undesirable side effects could delay or prevent regulatory approval, impacting the commercial viability of product candidates[76]. - Coverage and adequate reimbursement from third-party payers are critical for successful commercialization of products[88]. - Delays in obtaining coverage and reimbursement for newly approved drugs may limit their market acceptance[89]. - Changes in government regulations could adversely affect the ability to obtain regulatory approvals and sustain profitability[86]. - Failure to obtain regulatory approval in foreign jurisdictions could significantly diminish the commercial prospects of product candidates[87]. Competition and Market Position - The company faces substantial competition, which may hinder its ability to commercialize products successfully[50]. - The company faces substantial competition from larger pharmaceutical and biotechnology companies with greater financial and technical resources[96]. - The success of the company's product candidates depends on market acceptance among physicians, patients, and healthcare payers, which is not guaranteed[91]. - The company may not achieve adequate market acceptance for its product candidates, which would compromise its ability to sustain profitability[93]. Operational and Financial Risks - The company may require substantial additional capital to continue clinical development and potential commercialization activities[53]. - The company is highly dependent on its Chief Executive Officer and key personnel, which poses a risk to its operations[50]. - The company may face significant liabilities from product liability lawsuits, which could limit commercialization efforts[100]. - The company must comply with numerous environmental, health, and safety laws, and failure to do so could result in substantial fines and penalties[111]. - The company is predominantly self-insured against various business disruptions, including natural disasters and public health threats, which could significantly harm future revenues and financial condition[114]. - The company has a risk of dilution to existing shareholders if additional capital is raised[137]. Shareholder and Stock Information - As of March 15, 2024, directors, executive officers, and principal shareholders own approximately 38.7% of the outstanding common stock, potentially increasing to 43.5% if stock options are fully exercised[127]. - The company repurchased $420 million of its common shares in February 2020 and distributed a $75 million cash dividend to shareholders in July 2021[128]. - XBiotech's common stock began trading on the NASDAQ Global Select Market on April 15, 2015, under the symbol "XBIT"[152]. Future Plans and Developments - The company intends to allocate net proceeds from public offerings and the Janssen Transaction to fund the development of its next generation True Human™ anti-IL-1⍺ antibody program and other antibody therapeutics[128]. - A new multi-story 46,000 ft² research and development facility is under construction to further enhance discovery and product development capabilities[39]. - The company plans to construct a new multi-story 46,000 ft² R&D facility in 2024, adjacent to its existing R&D facility[146].
XBiotech(XBIT) - 2023 Q4 - Annual Report