Financial Performance - The net loss for the fiscal year ended December 31, 2023, was $132.5 million, compared to $128.2 million for the previous year[83]. - The company has not generated any revenue from product sales to date and expects to incur significant expenses and operating losses for the foreseeable future[83]. - Total revenue from collaboration agreements decreased to $20.8 million in 2023 from $31.1 million in 2022, with Biogen contributing $10.6 million, Roche $9.1 million, and Calico $1.1 million[168]. - The company reported a net loss of $132.49 million for the year ended December 31, 2023, compared to a net loss of $128.18 million for the previous year[256]. - The company has an accumulated deficit of $528.4 million, reflecting ongoing financial challenges[260]. - The company expects to continue incurring operating losses for the foreseeable future, indicating a challenging path ahead[260]. - Cash, cash equivalents, and marketable securities totaled $281.7 million as of December 31, 2023, which the company believes will be sufficient to fund operations for at least the next twelve months[260]. Clinical Development - The company has initiated a first-in-human Phase 1/2 clinical trial for its product candidate CFT7455, which targets IKZF1 and IKZF3, in June 2021[87]. - CFT7455 has received orphan drug designation from the FDA for the treatment of multiple myeloma (MM) in August 2021[87]. - Positive clinical data from the dose escalation portion of the CFT7455 Phase 1/2 trial was presented in December 2023, showing efficacy as a monotherapy and in combination with dexamethasone in MM[87]. - CFT1946, an orally bioavailable BiDAC degrader, shows superior efficacy compared to standard therapies in preclinical studies for CRC and NSCLC, with ongoing Phase 1/2 trials initiated in January 2023[89]. - CFT8919, another orally bioavailable BiDAC degrader targeting EGFR mutations, has demonstrated equipotent antiproliferation activity in preclinical studies and received FDA IND clearance in June 2023[89]. - CFT7455 demonstrated anti-myeloma activity and International Myeloma Working Group (IMWG) responses in patients with multiple prior therapies, indicating potential for improved clinical outcomes[121]. - The company is advancing its clinical oral oncology degrader programs using the proprietary TORPEDO platform, aiming for expedited development and accelerated approval pathways with the FDA[90]. Research and Development - The company has a proprietary TORPEDO platform that enables the design of small molecule protein degraders, including MonoDAC and BiDAC degraders[61]. - The clinical pipeline includes several protein degraders targeting various cancers and other indications, focusing primarily on oncology[61]. - The company is developing new degraders for both clinically validated and undruggable targets, with a focus on therapeutic areas such as oncology and neurodegenerative diseases[89]. - The company focuses on Cereblon as the E3 ligase target due to its extensive clinical experience and ability to impact human disease through degradation of specific targets[119]. - The company has invested in a proprietary TORPEDO platform to design, analyze, and predict degrader performance, enhancing potency and selectivity[119]. - The platform includes high-throughput cellular degradation assays that provide quantitative data on the relationship between degrader concentration and target protein degradation, allowing for rapid optimization of candidates[120]. Collaborations and Agreements - The company has ongoing collaboration agreements with Roche, Betta Pharma, and Merck, and may seek additional collaborations in the future[83]. - The collaboration with Betta Pharma includes an upfront payment of $10 million and potential milestone payments of up to $357 million, along with tiered royalties on net sales in Greater China[104]. - The Biogen Agreement includes an upfront payment of $45 million for candidate development activities, with potential milestone payments ranging from $2 million to $5 million per target[123]. - The Roche Agreement includes an upfront payment of $40.0 million and potential milestone payments up to $273 million for each target upon achieving specific research, development, and commercial milestones[126]. - The company entered into a stock purchase agreement with Betta Investment for the purchase of 5,567,928 shares at $4.49 per share, totaling approximately $25.0 million[173]. - The Company entered into an exclusive license and collaboration agreement with Merck on December 11, 2023, receiving a $10.0 million upfront payment and potential milestone payments totaling approximately $600 million[248]. Regulatory and Compliance - The company is subject to rigorous regulatory requirements imposed by the FDA and other agencies regarding the clinical development and marketing of its pharmaceutical products[156]. - The FDA requires substantial user fees for NDA submissions, which must be paid at the time of the first application submission[146]. - The FDA's Project Optimus initiative aims to reform dose selection in oncology drug development, emphasizing safety and tolerability alongside efficacy[160]. - The FDA's expansion cohort trials may streamline the clinical trial process, potentially reducing costs and time for drug development[160]. Financial Position - As of December 31, 2023, the company reported cash and cash equivalents of $126.6 million, an increase from $29.8 million in 2022[221]. - The total current assets decreased to $271.2 million in 2023 from $287.6 million in 2022, primarily due to a reduction in marketable securities[221]. - Total liabilities decreased to $130.3 million in 2023 from $141.6 million in 2022, reflecting a reduction in long-term debt and operating lease liabilities[221]. - Stockholders' equity decreased to $246.1 million in 2023 from $289.2 million in 2022, driven by an increase in accumulated deficit to $528.4 million[221]. - The company has no long-term debt as of December 31, 2023, compared to $9.2 million in 2022, indicating a shift in financial strategy[221]. - The company’s interest income is sensitive to changes in U.S. interest rates, but historical fluctuations have not been significant[182].
C4 Therapeutics(CCCC) - 2023 Q4 - Annual Report