Product Development and Approvals - ANKTIVA has been approved by the U.S. FDA for the treatment of adult patients with BCG-unresponsive non-muscle invasive bladder cancer (NMIBC) with CIS, with commercial distribution beginning in May 2024[309]. - The company submitted a supplemental Biologics License Application (sBLA) for BCG-unresponsive NMIBC Papillary in March 2025 and received a Complete Response Letter (RTF) from the FDA in May 2025[310]. - ANKTIVA is being evaluated in multiple oncology indications, including lung, colorectal, prostate, and ovarian cancers, as well as glioblastoma multiforme and non-Hodgkin lymphoma[311]. - The company is exploring ANKTIVA's potential in combination with other therapies, including therapeutic monoclonal antibodies and in infectious diseases like HIV and long COVID[311]. - The proprietary platforms for product development include cytokine fusion proteins, DNA and vaccine vectors, and cell therapies, with prioritized studies across various cancer types and infectious diseases[312]. - The company aims to enhance the activity of therapeutic monoclonal antibodies across a wide range of tumor types, indicating a focus on improving treatment efficacy[311]. - ANKTIVA has shown potential to increase lymphocyte count in healthy adults, suggesting its use as a lymphopenia rescue agent[311]. - The company is committed to developing next-generation therapies and vaccines that leverage the immune system to combat cancers and infectious diseases[307]. Financial Performance - As of March 31, 2025, ImmunityBio reported an accumulated deficit of $3.5 billion, with net losses of $129.6 million and $134.1 million for the three months ended March 31, 2025, and 2024, respectively[320]. - ImmunityBio achieved net product revenue of approximately $16.5 million in Q1 2025, a 129% increase from $7.2 million in Q4 2024, with ANKTIVA unit sales volume growing 150% over Q4 2024[321]. - Product revenue increased by $16.5 million to $16.5 million for the three months ended March 31, 2025, compared to the same period in 2024, driven by sales of ANKTIVA[348]. - Total revenue for the three months ended March 31, 2025, was $16.5 million, a significant increase from $40,000 in the same period in 2024[347]. - Research and development expense decreased by $5.1 million to $48.2 million for the three months ended March 31, 2025, compared to $53.4 million in 2024[351]. - Selling, general and administrative expense decreased by $9.2 million to $32.7 million for the three months ended March 31, 2025, compared to $41.9 million in 2024[354]. - Total other expense increased by $26.5 million during the three months ended March 31, 2025, primarily due to a $42.6 million increase in the change in fair value of a related-party convertible note[355]. - Cash and cash equivalents, and marketable securities decreased to $61.6 million as of March 31, 2025, from $149.8 million as of December 31, 2024[357]. - The company reported a net loss of $129.7 million for the three months ended March 31, 2025, with adjustments for non-cash items totaling $65.8 million[368]. - The company generated $4.1 million in net cash from investing activities during the three months ended March 31, 2025, compared to a cash outflow of $35.6 million in the same period in 2024[372][373]. - The company reported a net change in cash and cash equivalents of $(82.8) million for the three months ended March 31, 2025[367]. Commercialization and Market Strategy - The company is focused on obtaining additional financing to support the commercialization of ANKTIVA and the development of other product candidates[298]. - The company emphasizes the importance of regulatory approvals and market acceptance for its product candidates to achieve its strategic goals[298]. - The company began commercial distribution of ANKTIVA in May 2024 after receiving FDA approval on April 22, 2024, marking its first approved product for commercial sale[333]. - Nearly 200 urology practices in the U.S. are registering for ImmunityBio's rBCG Expanded Access Program (EAP) to address the BCG shortage and broaden the market for ANKTIVA[321]. - The company expects selling, general and administrative expenses to increase as it commercializes its approved product and expands operations[343]. - The company expects to incur significant incremental commercialization expenses for product sales, marketing, manufacturing, and distribution as it commercializes its approved product[378]. - The company anticipates substantial additional funding will be required to support ongoing operations and commercialization efforts[379]. Financing and Obligations - ImmunityBio completed a $75 million equity financing in April 2025 to support ongoing operations[321]. - As of March 31, 2025, the company had $565.6 million available for use under its $750 million shelf registration statement filed in 2023[358]. - The company entered into a Revenue Interest Purchase Agreement (RIPA) on December 29, 2023, with a $100 million second payment received following FDA approval of ANKTIVA on April 22, 2024[360]. - Under the RIPA, the company will pay tiered revenue interest payments ranging from 4.5% to 10.0% of worldwide net sales, excluding those in China[361]. - The company has obligations to pay approximately $304.0 million in contingent consideration related to the acquisition of Altor, contingent on net sales of ANKTIVA exceeding $1.0 billion before December 31, 2026[369]. - The company has approximately $5.0 million remaining available for future exercise under the SPOA as of March 31, 2025[363]. - The company is obligated to spend an aggregate of $1.52 billion on operational expenses during the initial 10-year term of the Dunkirk Facility lease, with an additional $1.50 billion if the lease is renewed[394]. - The company is obligated to make payments to related-party affiliates and third parties under various contractual obligations, including promissory notes and revenue interest liabilities[388]. - The maximum amount payable related to contingent consideration obligations from acquisitions is $292.9 million, contingent upon achieving various milestones[394]. Regulatory and Compliance Issues - The company is working to reconcile an inconsistency with the FDA regarding the requirement for a randomized trial for ANKTIVA's sBLA submission[321]. - The company received a response to its sBLA submission for ANKTIVA plus BCG indicating that a randomized trial is required, which contradicts previous guidance from the FDA[396]. - The company has no committed source of additional capital and may need to delay or reduce research or development programs if unable to raise sufficient funds[385]. - The company’s financial condition and results of operations are based on estimates and assumptions that could materially differ from actual results[391]. - There have been no material changes to the company's financial market risks related to interest rates, foreign currency exchange rates, and stock price volatility as of the date of the quarterly report[398].
ImmunityBio(IBRX) - 2025 Q1 - Quarterly Report