Financial Overview - The company has received $420.9 million from equity and convertible debt securities, $101.8 million from collaborations, and $19.8 million from a Term Loan as of December 31, 2022[29]. - As of December 31, 2022, the company had cash, cash equivalents, and short-term investments totaling $39.2 million[29]. - As of December 31, 2022, the company had approximately $39.2 million in cash, cash equivalents, and short-term investments, with $6.0 million in outstanding debt obligations[131]. - The company expects its research and development expenses to substantially increase as it advances product candidates through clinical trials[132]. - The company will need to raise additional capital to fund operations and service debt obligations, with existing resources projected to last into early Q1 2024[131]. - The company incurred net losses of $28.3 million and $27.8 million for the years ended December 31, 2022, and 2021, respectively, with an accumulated deficit of $483.2 million as of December 31, 2022[142]. - The company has not generated any revenue from product sales and does not anticipate doing so for the foreseeable future[146]. Clinical Development - The lead product candidate, RGLS8429, is in Phase 1 clinical development for the treatment of autosomal dominant polycystic kidney disease (ADPKD) and has received orphan drug designation from the FDA[23]. - The Phase 1 single-ascending dose study of RGLS8429 in healthy volunteers has been completed, showing it was well-tolerated with no serious adverse events reported[36]. - Enrollment is ongoing in the Phase 1b multiple-ascending dose study for RGLS8429 in adult patients with ADPKD, with top-line data expected in the second half of 2023[36]. - The company is conducting clinical trials in three phases to evaluate the safety and efficacy of its drug candidates, with Phase 1 focusing on safety and dosage, Phase 2 on efficacy and dosage tolerance, and Phase 3 on broader patient populations[79]. - The FDA may require post-marketing clinical trials (Phase 4) to further assess the safety and effectiveness of approved drugs[83]. - Adverse effects (AEs) from product candidates could delay or prevent regulatory approval, impacting market acceptance and increasing commercialization costs[162]. - Regulatory authorities may impose restrictions on product distribution or require additional clinical trials, which could lead to significant delays in obtaining marketing approval[164]. Intellectual Property - The company has a comprehensive intellectual property estate with approximately 145 U.S. and foreign patents and patent applications related to microRNA drug products, expected to expire between 2024 and 2042[46]. - The company holds approximately 145 patents and patent applications related to microRNA and microRNA drug products, along with numerous patents licensed from Alnylam and Ionis related to RNA technologies[51]. - The company may face challenges in negotiating licenses for intellectual property rights from academic institutions, potentially blocking program pursuits[172]. - Patent applications may not result in enforceable patents, affecting collaboration and commercialization[194]. - The company may need to obtain licenses from third parties, which could hinder product development if not secured[204]. - Litigation to protect patents may be expensive and time-consuming, with uncertain outcomes[205]. Regulatory Environment - The FDA regulates the drug development process, which requires substantial time and financial resources, and non-compliance can lead to severe sanctions[69]. - The company must submit preclinical test results and other data to the FDA as part of the IND process, which becomes effective 30 days after submission unless a clinical hold is imposed[71]. - The FDA has a 10-month review period for standard New Drug Applications (NDAs) and a 6-month period for priority NDAs, although these timelines may be extended if additional information is required[78]. - The company must submit annual progress reports and IND safety reports to the FDA for any serious adverse events during clinical trials[74]. - The company is subject to ongoing FDA regulation post-approval, including record-keeping and reporting of adverse experiences[91]. - The company must ensure compliance with FDA regulations regarding advertising and promotion, particularly concerning off-label uses of approved drugs[91]. - The company is subject to various regulations governing clinical trials and commercial sales in different jurisdictions, impacting product development timelines[117]. Market and Competition - The biotechnology industry is characterized by intense competition, with potential competitors having greater financial resources and expertise in research and development[63]. - The company faces significant competition for talent in the life sciences field, which may affect its ability to attract and retain employees[124]. - The biotechnology and pharmaceutical industries are highly competitive, with established companies having greater financial and technical resources, which could adversely affect the company's operating results[209]. - The company's ability to compete will depend on its experience in drug discovery and development, as well as the acceptance of its product candidates by the medical community[212]. - The commercial success of product candidates is contingent upon demonstrating clinical safety and efficacy compared to existing products[212]. Collaboration and Partnerships - The collaboration with Sanofi was terminated in January 2023, which included the only product candidate advanced into the clinic, lademirsen[33]. - The company relies on third-party collaborations for the development and commercialization of certain microRNA product candidates, which may limit control over development processes[178]. - Collaborations with third parties for marketing and sales are essential, especially in markets outside the United States, to mitigate resource limitations[215]. Compliance and Legal Risks - The company is subject to increased civil and criminal penalties under HIPAA and HITECH for violations related to the privacy and security of health information[102]. - The company may face significant civil and criminal penalties for violations of the U.S. Foreign Corrupt Practices Act, which prohibits bribery of foreign officials[97]. - The company must report annually to CMS information related to payments or transfers of value made to healthcare professionals under the Physician Payments Sunshine Act[104]. - The company could be adversely affected by challenges under federal and state healthcare laws, which may result in penalties and reputational harm[101]. - The company anticipates potential expansion into the EU and UK, which would subject it to GDPR and UK GDPR regulations[103]. - The company may face increased compliance costs and legal risks due to various state privacy laws, such as the California Consumer Privacy Act[103]. - The company is affected by ongoing healthcare reform initiatives that seek to reduce healthcare costs, which could impact future operations[107]. Manufacturing and Supply Chain - The company contracts with third parties for manufacturing and does not own or operate its own manufacturing facilities[61]. - The company relies on third-party manufacturers to produce clinical and commercial quantities of its products, which must comply with FDA's current good manufacturing practices (cGMP)[92]. - The company is dependent on third-party manufacturers for producing clinical supplies, and any disruptions in the supply chain could delay product development and commercialization[183]. - Limited sources of supply for drug substances may cause delays in developing and commercializing product candidates if disruptions occur[184]. - Manufacturing issues may increase product and regulatory approval costs or delay commercialization[188]. Financial Obligations and Future Outlook - The company is required to maintain a cash balance of no less than $5.0 million under the Loan Agreement and is in compliance with all covenants as of the filing date[136]. - The outstanding amounts under the Term Loan mature on May 1, 2024[137]. - The company may incur additional indebtedness in the future, which could contain provisions as restrictive as those in the current Loan Agreement[140]. - The transition from LIBOR to alternative reference rates like SOFR could result in higher interest rates on the outstanding principal amount under the Term Loan, affecting the company's financial position[138]. - The company anticipates significant expenses and increasing operating losses for the foreseeable future, with fluctuations in net losses expected from quarter to quarter[145].
Regulus(RGLS) - 2022 Q4 - Annual Report