Financial Performance and Losses - The company has incurred net losses of $41.7 million, $39.9 million, and $32.6 million for the years ended December 31, 2018, 2017, and 2016, respectively, and anticipates continuing significant losses in the foreseeable future [215]. - As of December 31, 2018, the company had U.S. federal, state, and foreign net operating loss carryforwards of $100.4 million, $100.3 million, and $11.7 million, respectively, which may be limited in their utilization [229]. - The company anticipates needing substantial additional funding to support ongoing and planned clinical trials and product development efforts [219]. - The company expects its financial condition and operating results to fluctuate significantly from quarter to quarter and year to year due to various uncontrollable factors [234]. Product Development and Regulatory Approval - The successful completion of clinical trials for SPR994 is critical, with satisfactory safety, tolerability, and efficacy profiles required for FDA approval [238]. - The company has never obtained regulatory approval for a drug, which poses significant risks for the commercialization of SPR994 [239]. - Delays in clinical trials could lead to increased costs and hinder the ability to seek marketing approval, potentially affecting the company's revenue generation [248]. - The planned pivotal Phase 3 clinical trial of SPR994 is subject to risks, including the lack of direct clinical evidence of its effectiveness in treating cUTI in humans [256]. - Enrollment challenges in clinical trials may arise due to competition from other companies, potentially delaying the development of SPR994 [257]. - The company is relying on clinical data from exploratory Phase 2 trials conducted by Meiji and Global Pharma, which may not align with FDA guidance, risking delays and additional costs [258]. - If the Phase 3 clinical trial does not confirm the efficacy of SPR994, it could materially harm the company's business [259]. - The company faces the risk of additional unplanned costs and delays in obtaining marketing approval for its product candidates [247]. - Regulatory changes and policies may increase the time and cost required for conducting clinical trials, impacting the development timeline [252]. - Serious adverse events related to SPR994 could delay or prevent regulatory approval, impacting commercial potential [262]. - The active ingredient in SPR994, tebipenem, has been associated with side effects such as diarrhea and allergic reactions, although it has been generally well tolerated in trials [263]. - The company may need to limit the development of SPR994 if unexpected adverse events arise during clinical trials [264]. Market and Competitive Landscape - Market acceptance of SPR994 is uncertain, as physicians may be reluctant to switch from existing therapies [270]. - The company faces substantial competition from established pharmaceutical companies and other product candidates in development for treating urinary tract infections [280]. - SPR994 may be priced at a significant premium compared to existing therapies, which could hinder its competitiveness [281]. - Competitors with greater financial resources may pose a significant challenge in the development and commercialization of SPR994 [284]. - The commercial success of the product candidates will depend on the extent of coverage and reimbursement from government health programs and third-party payors, both domestically and abroad [289]. - The pricing, coverage, and reimbursement for new drug products vary widely from country to country, which may affect the commercial launch and revenues [286]. - The company anticipates pricing pressures due to managed healthcare trends and legislative proposals, which could reduce future revenues [387]. Collaboration and Funding - The BARDA award commits funding of $15.7 million over a three-year base period from July 1, 2018, to June 30, 2021, with additional potential funding from DTRA of up to $10.0 million [225]. - The company has entered into a license agreement with Everest Medicines II Limited for the development and commercialization of SPR206 in Greater China, South Korea, and certain Southeast Asian countries [309]. - The company may derive revenue from research and development fees, license fees, milestone payments, and royalties under collaborative arrangements [310]. - The company is exploring strategic partnerships for the development of new product candidates to expand its portfolio [293]. - Additional funds will be required to complete the development and potential commercialization of SPR994 and other product candidates [312]. Operational Risks and Challenges - The company has a limited operating history since its establishment in 2013 and has not yet demonstrated the ability to successfully commercialize pharmaceutical products [232]. - The company is heavily dependent on the success of SPR994, which is still under development, for its near-term prospects [235]. - The company must navigate various factors affecting patient enrollment in clinical trials, which is crucial for timely completion [254]. - The company relies on third parties for all preclinical studies and clinical trials, which may impact regulatory approval and commercialization [315]. - There is a risk of delays in product development and increased costs if third-party contractors do not meet their obligations [319]. - The company does not have long-term agreements with third-party manufacturers, which could lead to supply chain disruptions [322]. - The company is dependent on third-party manufacturers for compliance with regulatory requirements, which could affect product availability [324]. - The company faces risks related to U.S. government contracts, including unilateral control and unfavorable termination provisions [335]. - Compliance with numerous laws and regulations related to government contracts increases operational costs and complexity [341]. Intellectual Property and Legal Risks - The company faces risks related to intellectual property, including potential challenges to patent validity and enforceability [347]. - The biotechnology and pharmaceutical industries are prone to intellectual property litigation, which can be costly and time-consuming [357]. - Infringement of third-party intellectual property rights could result in the company being forced to cease development or commercialization of products [358]. - The company may be liable for monetary damages if found to willfully infringe a patent, which could materially harm business operations [359]. - The company has not yet registered its trademarks in the United States or other countries, which could adversely affect its business [363]. - The company may face claims regarding the misappropriation of intellectual property, which could lead to litigation and distract management [361]. Management and Operational Growth - The company is highly dependent on the expertise of its CEO and key executives, with a high turnover rate in management personnel posing a risk to business strategy implementation [400]. - Difficulty in attracting and retaining qualified personnel may limit the company's ability to develop and commercialize product candidates due to intense competition in the industry [401]. - The company anticipates significant growth in employee numbers and operational scope, which may lead to challenges in managing this growth effectively [402]. - Future acquisitions may disrupt business operations, dilute stockholder value, and reduce financial resources, with potential integration challenges [405]. Stock and Market Risks - The company's common stock price may experience substantial volatility, influenced by various market factors and competitive product developments [406]. - The trading market for the company's stock relies on analyst coverage, and a lack of coverage or negative downgrades could lead to a decline in share price [411]. - The company has the authority to issue up to 10 million shares of preferred stock, which could adversely affect the rights of common stockholders if converted [412].
Spero Therapeutics(SPRO) - 2018 Q4 - Annual Report