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Phathom Pharmaceuticals(PHAT) - 2024 Q1 - Quarterly Report

Sales and Market Performance - Vonoprazan generated approximately $850 million in net sales in its seventh full year on the market since its approval in Japan in late 2014[132]. - As of April 26, 2024, over 43,000 prescriptions for VOQUEZNA tablets, VOQUEZNA Triple Pak, and VOQUEZNA Dual Pak have been written, with over 17,500 prescriptions filled[136]. - Approximately 72 million, or an estimated 48 percent, of U.S. commercial lives now have access to VOQUEZNA tablets[136]. - Product revenue for the three months ended March 31, 2024, was $1.9 million, attributed to the sales of VOQUEZNA launched in Q4 2023[155]. Financial Performance - The net loss for the three months ended March 31, 2024, was $82.9 million, compared to $37.8 million for the same period in 2023[139]. - As of March 31, 2024, the accumulated deficit was $1.0 billion[139]. - The company has incurred significant operating losses since inception and expects to continue doing so for the foreseeable future[139]. - The company anticipates continued net losses and negative cash flows from operations for the foreseeable future[161]. - Net cash used in operating activities was approximately $69.0 million for the three months ended March 31, 2024, compared to $39.7 million for the same period in 2023[189]. - The company incurred approximately $61.9 million in research and development and administrative expenses for the three months ended March 31, 2024[189]. Research and Development - The company plans to initiate a Phase 3 trial for a novel dosing regimen of vonoprazan as an "as-needed" treatment for episodic heartburn relief in 2024[135]. - Research and development expenses decreased to $9.4 million from $11.5 million year-over-year, a reduction of $2.1 million[157]. Cash and Financing - The company has cash and cash equivalents of $322.2 million as of March 31, 2024, and believes this is sufficient to fund operations through the end of 2026[138]. - The company expects to fund operations for at least the next twelve months and through the end of 2026 with existing cash, cash equivalents, and remaining $150 million under the Loan Agreement[184]. - The Loan Agreement with Hercules allows for term loans up to $300 million, with various tranches available based on milestones[166]. - The cash interest rate under the Fourth Loan Amendment is capped at 10.35%, with a variable rate starting at 9.85%[167]. - The company generated net proceeds of approximately $14.1 million from the sale of 1,514,219 shares under the 2020 ATM Offering for the year ended December 31, 2023[182]. - The company completed an underwritten public offering, selling 12,793,750 shares at a price of $11.75 per share, generating net proceeds of $141.8 million[183]. Expenses and Liabilities - Cost of revenue for the same period was $0.4 million, with prior manufacturing costs related to VOQUEZNA already expensed[156]. - Selling, general and administrative expenses increased significantly to $62.0 million from $18.6 million, an increase of $43.4 million[159]. - Interest income rose to $4.3 million for the three months ended March 31, 2024, compared to $1.5 million in the same period of 2023[160]. - Interest expense increased to $17.2 million for the three months ended March 31, 2024, from $9.2 million in the prior year[160]. - The company is obligated to pay a 10% royalty on net sales of products containing vonoprazan to the Initial Investors until aggregate payments equal 200% of the Investment Amount[178]. - The company recorded a $1.3 million fair value of the warrant and $9.7 million in final interest payment fees as debt discount, amortized over the term of the Term Loan[176]. Regulatory and Market Considerations - The FDA has assigned a PDUFA target action date of July 19, 2024, for the NDA seeking approval of vonoprazan for Non-Erosive GERD[135]. - The company plans to evaluate commercial partnerships for vonoprazan in Europe and Canada and expand development into other indications and formulations[137]. - The company remains an emerging growth company until it meets certain criteria, including total annual gross revenue of at least $1.235 billion[196]. - The market value of the company's common stock held by non-affiliates must exceed $700 million to be deemed a "large accelerated filer"[196]. - There are no off-balance sheet arrangements currently in place as defined under SEC rules[198]. - As of March 31, 2024, there have been no material changes in market risk, including interest rate risk, foreign currency exchange risk, and inflation risk[199].