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DBV Technologies(DBVT) - 2022 Q4 - Annual Report

Financial Performance - The company incurred net losses of $96.3 million and $97.8 million for the years ended December 31, 2022 and 2021, respectively, with an accumulated deficit of $259.6 million as of December 31, 2022[232]. - As of December 31, 2022, the company had cash and cash equivalents of $209.2 million, expected to fund operations for at least the next 12 months[236][244]. - The company has not generated any product revenue and continues to advance the clinical and regulatory development of Viaskin Peanut in the United States and European Union[232][243]. - Future revenues will depend on the successful development, regulatory approval, and commercialization of Viaskin Peanut, with anticipated significant expenses and operating losses[235][242]. - The company plans to seek additional capital through public or private equity or debt financings, collaborations, and other forms of non-dilutive financing as it prepares for the potential launch of Viaskin Peanut[237][245]. - The company may face challenges in obtaining necessary financing due to disruptions in global financial markets, particularly as a result of the COVID-19 pandemic[239][246]. - The company expects its research and development expenses to increase substantially as it seeks regulatory approval for Viaskin Peanut and develops the necessary commercialization infrastructure[242]. - The company is limited in its ability to raise additional share capital under French law, which may complicate future fundraising efforts[250]. - Economic downturns, inflation, and geopolitical events could adversely affect the company's business and financial performance[252][255]. - The COVID-19 pandemic has caused significant disruptions that may continue to impact the company's ability to conduct clinical trials and access capital[256][258]. Regulatory and Clinical Development - The company is currently conducting a Phase 3 pivotal study (VITESSE) for the modified Viaskin Peanut system in children aged 4-7 years, which is crucial for seeking regulatory approval[275]. - The company has no drug or biological product approved for sale and may never be able to develop a marketable drug or biological product[273]. - The development of biopharmaceutical products is capital-intensive, and the company anticipates requiring additional financing to fund operations[264]. - The company may face significant challenges in obtaining regulatory approval for its product candidates, which could delay or prevent commercialization[278]. - The company is subject to extensive and rigorous review and regulation by government authorities, which can prolong the approval process for its product candidates[275]. - The company’s future capital requirements could increase significantly due to various factors, including the costs of clinical trials and commercialization activities[265]. - The company may need to delay, reduce the scope of, or eliminate research or development programs if additional funding is not secured[266]. - The FDA issued a Complete Response Letter (CRL) in August 2020, indicating that the Viaskin Peanut BLA could not be approved in its current form due to concerns about system adhesion impacting efficacy[282]. - A partial clinical hold on the VITESSE trial was imposed by the FDA in September 2022, which was lifted in December 2022 after protocol revisions were made[288]. - Clinical trials are expensive and time-consuming, with potential delays due to various factors including safety demonstrations, patient enrollment, and regulatory approvals[287]. - The company has obtained Fast Track designation from the FDA for Viaskin Peanut and Viaskin Milk, which may allow for a rolling review process[293]. - Regulatory approval processes vary internationally, and failure to obtain such approvals could prevent marketing abroad[296]. - Even with regulatory approval, products may face limitations on marketing and usage, impacting revenue generation[299]. - Post-marketing requirements may impose additional costs and obligations on the company to monitor product safety and efficacy[303]. - The company may face significant penalties for non-compliance with regulatory requirements post-approval[301]. - The FDA's approval does not guarantee approval from foreign regulatory authorities, and vice versa[298]. - Delays in clinical trials could materially harm the commercial prospects of product candidates, affecting revenue generation[289]. Manufacturing and Supply Chain - The company relies on third-party manufacturers for the production of active pharmaceutical ingredients (API) and patches, which may lead to delays in clinical development and commercialization efforts[309]. - The company has only one supplier for the active ingredients used in its Viaskin product candidates, raising concerns about the ability to scale production for commercialization[316]. - The company plans to hire sales representatives for the marketing of Viaskin Peanut in the United States, contingent upon regulatory approval[320]. - The company anticipates that reliance on third-party manufacturers may adversely affect future profit margins and the timely commercialization of products[313]. - The company is diversifying its supply sources to mitigate risks associated with reliance on single suppliers for critical raw materials[308]. - The company has not built commercial-scale manufacturing facilities and has limited manufacturing experience with Viaskin patches, which may impact production capabilities[314]. - The company faces potential delays in commercialization if it fails to achieve announced milestones within expected timeframes[307]. - The company’s business continuity plans may not adequately protect against disruptions caused by natural disasters or outbreaks of contagious diseases[317]. - The company may incur significant costs if it fails to establish effective sales and marketing capabilities or if it relies on third parties for these functions[323]. - The company’s future prospects could be significantly impacted if its product candidates cannot be manufactured in sufficient quantities for commercialization[316]. Competition and Market Dynamics - The Biologics Price Competition and Innovation Act (BPCIA) establishes a 12-year exclusivity period for biological products, with applications not accepted for review until four years after the reference product's first licensure[325]. - The European Union provides eight years of data exclusivity and ten years of market exclusivity for innovative medicinal products, with potential extensions based on new therapeutic indications[328]. - The company believes its product candidates should qualify for the 12-year exclusivity period under BPCIA, but risks exist that this exclusivity could be shortened due to congressional actions[326]. - The company faces substantial competition from larger companies, which may lead to others commercializing products before it does[332]. - Government restrictions on pricing and reimbursement may negatively impact the company's revenue generation if products receive regulatory approval[337]. - The Affordable Care Act (ACA) and subsequent legislation have introduced mandatory reductions in Medicare payments, which could affect the company's market potential[342]. - The company may need to compile additional data for reimbursement in some European countries, as Health Technology Assessment (HTA) processes are becoming more common[346]. - The company is aware of ongoing academic studies and pharmaceutical efforts related to food allergy treatments, which may impact its competitive landscape[334]. - The company acknowledges that even if products are commercialized, acceptance by the medical community is uncertain and could affect market performance[331]. - The company may face challenges in obtaining coverage and reimbursement for newly approved products, which could limit physician usage and adversely affect sales[340]. - The EU Regulation No 2021/2282 on Health Technology Assessment (HTA) will apply from January 2025, allowing EU Member States to use common HTA tools and methodologies[347]. - The financial strain from the COVID-19 pandemic may lead EU legislators to implement cost-containing measures, potentially limiting pricing and reimbursement for new product candidates[348]. - Historical pricing structures in the EU for biopharmaceutical products are generally lower than those in the United States, which may affect future product pricing and market acceptance[350]. - The Viaskin Peanut product's reimbursement and usage may be influenced by guidelines from various organizations, which could adversely affect its market acceptance if recommendations are negative[352]. - Future growth depends on the ability to penetrate foreign markets, which presents additional regulatory and market acceptance risks[356]. - Brexit has introduced uncertainties in the regulatory framework for medicinal products, potentially increasing costs and affecting market access in the UK and EU[361]. Compliance and Legal Risks - Compliance with healthcare laws exposes the company to risks including criminal sanctions and civil penalties, which could impact financial performance[363]. - The company may face reputational risks and penalties for non-compliance with strict laws governing interactions with healthcare professionals in various countries[366]. - Compliance with healthcare laws and regulations may lead to significant civil, criminal, and administrative penalties, potentially disrupting operations[367]. - Changes in regulatory requirements during clinical trials of Viaskin products could increase costs and delay development timelines[368]. - The Physician Payments Sunshine Act mandates manufacturers to report payments to healthcare professionals, impacting transparency and compliance costs[369]. - The EU Clinical Trials Regulation (CTR) became applicable on January 31, 2022, streamlining clinical trial approvals across EU Member States[371]. - The UK may diverge from EU regulations post-2023, potentially affecting clinical trial costs and marketing authorizations[372]. - Collaboration agreements are crucial for product development, with revenues dependent on successful outcomes and regulatory approvals[378]. - The company has scaled down research efforts since 2020, focusing primarily on Viaskin Peanut, with no new clinical trials for other candidates initiated[377]. Intellectual Property - Intellectual property protection is vital for competitive advantage, with risks associated with patent validity and enforcement[384]. - Legal actions to enforce patent rights can be costly and may divert management resources, impacting overall business operations[389]. - Failure to adapt to regulatory changes could adversely affect development plans and market competitiveness[374]. - The patent positions of biopharmaceutical companies are highly uncertain and may be adversely affected by changes in patent laws, which could impact the company's competitive advantage[390]. - The transition to a "first-to-file" system under the America Invents Act may favor larger companies, potentially affecting the company's ability to obtain and enforce patents[395]. - The company may face challenges in protecting its intellectual property rights in foreign jurisdictions, where laws may not provide the same level of protection as in the U.S.[402]. - Enforcement of patent rights in foreign jurisdictions could result in substantial costs and divert the company's focus from other business aspects[403]. - The company may be exposed to future litigation regarding intellectual property rights, which could result in significant damages or hinder product development[412]. - If the company infringes on third-party intellectual property rights, it may face substantial costs, including potential treble damages and the need to obtain licenses[414]. - The company relies on trade secret protection, which is difficult to enforce, and any misappropriation could harm its competitive position[397]. - The company may not seek patent protection in all jurisdictions, leading to potential competition from products developed without patent infringement[400]. - Changes in patent law and legal decisions could adversely affect the company's ability to protect its technology and enforce intellectual property rights[404]. - The company may face claims regarding the ownership of inventions developed in collaboration with third parties, which could limit its ability to capitalize on market potential[405]. Tax and Financial Incentives - The company received a total reimbursement of $26.1 million for the French research tax credit for the fiscal years 2019, 2020, and 2021[428]. - The French research tax credit represented $5.7 million and $7.5 million as of December 31, 2022 and 2021, respectively[428]. - The company is exposed to foreign currency exchange risk, particularly with fluctuations between the euro and the U.S. dollar, which could negatively impact revenue and earnings growth[429]. - The company does not currently engage in hedging transactions to protect against foreign currency exchange rate fluctuations[429]. - The company may face significant costs from class action litigation, which could divert management's attention and resources[425]. - The company maintains liability insurance; however, if litigation costs exceed coverage, it may bear substantial expenses directly[426]. - The company may be subject to legal or administrative proceedings that could materially harm its business and financial condition[427]. - The loss of key personnel could adversely affect the company's ability to achieve its research, development, and commercialization objectives[417]. - The company competes for qualified personnel against larger, more established companies with greater financial resources[418]. - The company may face challenges in maintaining certain tax benefits applicable to French technology companies, which could impact future cash flows[428].