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Nanobiotix(NBTX) - 2021 Q4 - Annual Report

Financial Performance - The company incurred net losses of €47.0 million for the year ended December 31, 2021, and anticipates continuing to incur significant losses for the foreseeable future[45]. - The company has not generated significant revenues from product sales or royalties and relies primarily on payments from collaboration agreements and research tax credits[45]. - The company has incurred significant operating losses since inception, primarily due to expenditures on developing nanotechnology and clinical programs[45]. - The company anticipates that its expenses and capital requirements will increase substantially as it progresses its clinical and preclinical programs[45]. - The company may require additional funding to continue its operations and product development, which may not be available on acceptable terms[60]. - The company faces restrictions from the EIB loan covenants that limit its operational flexibility and ability to raise additional financing[66]. - The company may need to seek additional capital sooner than planned due to changing operational needs and market conditions[61]. - The company recognizes that unfavorable outcomes in clinical trials could materially affect its business and financial condition[72]. Product Development and Regulatory Challenges - The successful development and commercialization of the lead product candidate, NBTXR3, is critical for the company's future success and market opportunities[46]. - NBTXR3 has received CE marking for the treatment of locally advanced STS, enabling commercialization in the EU, but remains in clinical development for other indications[47]. - The company must navigate a complex regulatory framework that could impact the development and approval of its product candidates[38]. - The company is prioritizing the development of NBTXR3 for head and neck cancers in the US and EU, with no assurance of receiving FDA approval or completing conformity assessment procedures in the EU[93]. - The company is conducting clinical trials for NBTXR3 across eight cancer indications, with a collaboration involving approximately 340 patients with MD Anderson[68]. - The company expects delays in clinical trial activities due to COVID-19, including recruitment and monitoring challenges[54]. - Regulatory authorities impose stringent requirements that can increase the cost and complexity of obtaining marketing authorizations, potentially limiting the economic value of new products[89]. - The company is subject to stringent regulatory requirements, including post-marketing studies and compliance with safety and efficacy monitoring[125]. Competition and Market Risks - The company faces significant competition from other entities with greater financial and technical resources, which may impact its ability to develop and commercialize products[48]. - Government restrictions on pricing and reimbursement may negatively impact the company's ability to generate revenues even after successful regulatory approvals[95]. - The potential for future healthcare reforms may lead to more rigorous coverage criteria and lower reimbursement rates, impacting commercialization prospects[104]. - The pricing of therapeutic products in foreign markets is subject to government control, which may limit favorable reimbursement arrangements[105]. Manufacturing and Supply Chain - The company is heavily dependent on third parties for the supply of materials necessary for production, which poses risks to its product development timelines[38]. - The company opened a new manufacturing facility in Villejuif BioPark, France, to expand production capacity for NBTXR3[117]. - The company is dependent on third parties for raw materials, and any supply interruptions could significantly compromise product development[115]. - The company must ensure that third-party manufacturers comply with safety protocols, as any interruption in nanoparticle production could compromise product development efforts[78]. Intellectual Property and Legal Risks - The company relies on both patent protection and trade secrets to safeguard its proprietary technology, but the effectiveness of these protections is uncertain[158]. - Legal actions to enforce patent rights can be costly and may divert management's attention, potentially harming the company's competitive position[156]. - The company may face challenges in obtaining and maintaining a robust patent portfolio, which is essential for its commercial success[152]. - The complexity of patent laws and potential challenges to patents could negatively impact the company's competitive position in the oncology therapeutic market[161]. - The company may face ownership disputes regarding intellectual property developed through collaborations, which could limit its ability to capitalize on market potential[174]. Employee and Operational Risks - The company currently has 100 full-time employees and plans to increase this number to support development and commercialization efforts[131]. - The company may face significant costs and operational challenges in establishing its own sales, marketing, and distribution capabilities[130]. - The company is exposed to risks related to employee misconduct, which could lead to regulatory sanctions and reputational harm[137]. - The company may encounter difficulties in managing its expansion, which could disrupt operations and increase expenses[131]. Shareholder and Market Considerations - The company does not currently intend to pay dividends on its ordinary shares, focusing instead on reinvesting future earnings for growth[181]. - As of December 31, 2021, the company had 34,825,872 ordinary shares outstanding, with potential sales by existing shareholders possibly depressing market prices[187]. - Holders of ADSs may experience dilution in their holdings due to limitations on preferential subscription rights and dividend options[191]. - U.S. investors may encounter difficulties in enforcing civil liabilities against the company and its management due to their non-resident status[208]. Compliance and Regulatory Environment - The company is classified as an "emerging growth company" and intends to utilize exemptions from certain reporting requirements until it no longer qualifies[194]. - A material weakness in internal control over financial reporting was identified prior to the issuance of interim financial statements for the six months ended June 30, 2021[197]. - The company remediated the identified material weakness in internal control over financial reporting during the year ended December 31, 2021[198]. - The company is in the process of implementing critical actions suggested by external experts to comply with GDPR requirements[150]. Foreign Investment and Exchange Risks - The company is exposed to foreign exchange risks, particularly as it incurs expenses in U.S. dollars while generating revenue in euros[215]. - An increase in the euro's value against the U.S. dollar could negatively impact revenue and earnings growth, as U.S. dollar revenues would be translated into euros at a reduced value[216]. - The company currently does not engage in hedging transactions to protect against future exchange rate fluctuations[215]. - Non-French investors may require prior governmental authorization for investments in French entities, particularly in strategic industries like biotechnology[229].