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Spero Therapeutics(SPRO) - 2022 Q4 - Annual Report

Product Development and Regulatory Approval - The company currently has no products approved for sale and has invested a significant portion of its resources in the development of tebipenem HBr for treating bacterial infections causing cUTI[218]. - The timeline for obtaining FDA approval for tebipenem HBr may impact its commercialization attractiveness through the partnership with GSK[218]. - Clinical trials are expensive and can take many years to complete, with inherent uncertainties regarding outcomes[219]. - The company may face significant setbacks in clinical trials, even after promising results in earlier studies[220]. - Variability in safety and efficacy results can occur between different trials of the same product candidate due to various factors[222]. - Delays in patient enrollment for clinical trials could significantly increase development costs and slow down the approval process[228]. - The company may incur additional unplanned costs and face delays in obtaining marketing approval for its product candidates[225]. - Serious adverse events or undesirable side effects could lead to interruptions or halts in clinical trials, affecting regulatory approval[232]. - The company may need to abandon product development or limit it to specific uses if unexpected adverse events occur during trials[233]. - Regulatory authorities may impose additional requirements or withdraw approvals if serious adverse events are identified post-marketing[235]. - The lengthy review process and unpredictability of clinical trial results may result in failure to obtain regulatory approval, significantly harming the company's business and financial condition[358]. - The company has limited experience in filing applications for marketing approvals and relies on third-party contract research organizations for assistance[354]. - The FDA's approval policies and requirements for clinical data may change during the development of product candidates, impacting the approval process[355]. - The company has not obtained regulatory approval for any product candidate to date, and it is possible that none of its future candidates will receive approval[356]. - The company faces challenges in obtaining marketing approvals in international jurisdictions, which may delay or prevent the marketing of product candidates abroad[369]. - Regulatory approvals, if granted, will require ongoing compliance and could lead to significant additional expenses for the company[370]. - Marketing approvals may come with limitations on indicated uses and may require costly post-marketing testing and surveillance[371]. - The FDA imposes stringent regulations on post-approval marketing and promotion, and non-compliance could lead to enforcement actions[372]. Financial Condition and Capital Requirements - The company reported a net loss of $46.4 million for the year ended December 31, 2022, with no revenue generated from product sales since its inception in 2013[272]. - The company expects to incur significant expenses and increasing operating losses for the foreseeable future as it advances product candidates through preclinical and clinical development[274]. - The company believes its existing cash and cash equivalents will fund operating expenses for at least 12 months from the issuance of the financial statements, with a cash runway sufficient to extend beyond 2024[273][279]. - The company has a history of losses and anticipates substantial future losses, which could adversely affect stockholders' equity and working capital[276]. - The company may need to raise additional capital through equity or debt financings, collaborations, or grant funding to continue operations[273][278]. - The company has not maintained insurance for environmental liability or toxic tort claims, which may expose it to significant costs[260]. - The company has received an upfront payment of $66 million from GSK for securing rights to tebipenem HBr, with potential milestone payments totaling approximately $150 million for development milestones[316]. - The company is obligated to pay future milestone payments of up to $1 million upon achieving specified regulatory milestones for tebipenem HBr[315]. - As of December 31, 2022, the company had net operating loss carryforwards (NOLs) of $291.9 million federally, $282.9 million at the state level, and $4.6 million internationally[284]. - The federal NOLs of $73.0 million will expire between 2033 and 2037, while approximately $218.9 million can be carried forward indefinitely[284]. - The company filed a universal shelf registration statement with the SEC for the sale of up to $300.0 million in various securities, including $75.0 million of common stock available for issuance[281]. - The company may seek additional capital through public or private equity offerings, debt financings, collaborations, and government funding arrangements[282]. - The company has broad discretion in the use of cash reserves, which may not be applied effectively, risking financial losses and impacting stock price[407]. - The company does not anticipate paying any cash dividends in the foreseeable future, relying on capital appreciation for stockholder returns[413]. Market Competition and Commercialization Challenges - The company may face challenges in achieving market acceptance for its product candidates, which could adversely affect commercial success and revenue generation[236]. - Competition from major pharmaceutical and biotechnology companies is significant, with competitors potentially developing more effective or less costly products[243]. - Tebipenem HBr, if approved, may face competition from established therapies like Levaquin and Cipro, which could impact its market position[244]. - The company anticipates that some product candidates will be administered in hospital settings, where reimbursement challenges may affect adoption[249]. - Coverage and reimbursement from government programs and third-party payors are critical for the commercial success of outpatient products[250]. - The emergence of bacterial resistance to product candidates could significantly impact their revenue potential[252]. - The company aims to discover and develop a portfolio of therapeutics for drug-resistant infections, which is essential for its growth strategy[254]. - Product liability lawsuits could divert resources and limit commercialization efforts, posing a significant risk to the company[256]. Operational Risks and Compliance - The company is subject to numerous environmental, health, and safety laws, and non-compliance could result in substantial fines or penalties[259][261]. - The company faces risks related to cybersecurity threats that could disrupt product development programs and lead to liability[262][263]. - The COVID-19 pandemic has adversely impacted the company's operations, including preclinical studies and clinical trials, with ongoing monitoring of its effects[270][271]. - The company relies on third parties for conducting all nonclinical studies and clinical trials, which poses risks if these parties do not meet their obligations[300]. - The company may face significant competition in securing collaborations for product development and commercialization[293]. - The company is subject to audits by U.S. government agencies, and negative outcomes could impact its business operations[327]. - The company must register clinical trials and post results on ClinicalTrials.gov, with non-compliance potentially leading to fines and adverse publicity[1]. - The company faces potential civil and criminal penalties, including contract termination and fines, if audits reveal improper cost allocations or illegal activities[328]. - Changes in government contracting laws and regulations could adversely affect the company's ability to maintain existing contracts and secure new ones, impacting operational results[331]. - The company may lose profits and face suspension of payments if contracts are terminated due to violations of laws or regulations[332]. - The company is exposed to risks of misconduct by employees and third parties, which could lead to regulatory sanctions and harm its reputation[387]. - The company has undertaken internal restructuring activities that may disrupt its business and adversely affect its financial condition[394]. - The company is at risk of losing key executives, which could significantly harm its ability to implement its business strategy[393]. Intellectual Property and Legal Risks - The company’s intellectual property rights may be affected by government contracts, particularly those funded by BARDA, which could grant the government certain rights to patents[334]. - The company’s ability to protect its proprietary technology through patents is uncertain, with potential challenges from competitors leading to loss of competitive advantage[335]. - The patent application process is costly and time-consuming, and the company may not be able to secure necessary patent protections in a timely manner[335]. - The company may face litigation regarding its patents, which could be expensive and time-consuming, potentially affecting its competitive position[342]. - The company could be forced to cease development or commercialization of products if found to infringe third-party intellectual property rights[346]. - Claims of misappropriation of intellectual property by the company or its employees could lead to costly litigation and distract management[347]. - The company may struggle to enforce ownership of intellectual property if agreements with employees and contractors are not successfully executed[348]. Corporate Governance and Stockholder Matters - The company reduced its workforce from 146 full-time employees as of December 31, 2021, to 41 full-time employees by the end of Q2 2022 following a restructuring[392]. - The company received a deficiency letter from Nasdaq on August 8, 2022, due to the closing bid price of its common stock being below the $1.00 requirement for 30 consecutive trading days[400]. - The company regained compliance with the Nasdaq Bid Price Requirement on October 6, 2022, after the closing bid price was at least $1.00 per share for a minimum of 10 consecutive trading days[400]. - The company is subject to increased costs and compliance requirements as a public entity, impacting operational efficiency[409]. - The market value of the company's common stock held by non-affiliates must remain below $250 million to qualify as a smaller reporting company, affecting disclosure requirements[408]. - The company has issued a total of 3,215,000 shares of Series D Convertible Preferred Stock, convertible on a one-to-one basis into common stock[406]. - The exclusive forum provision in the corporate charter may limit stockholder rights in certain legal actions, creating uncertainty[416]. - Provisions in the corporate charter may hinder beneficial acquisitions and complicate management changes, potentially depressing stock price[414]. - The company has not declared or paid cash dividends historically, indicating a focus on reinvestment rather than shareholder payouts[413].