Financial Performance - The net loss attributable to common stockholders for the years ended December 31, 2022, and 2021 was approximately $60.3 million and $50.2 million, respectively, with an accumulated deficit of $242.4 million as of December 31, 2022[270]. - The company expects to continue incurring significant losses for the foreseeable future as it develops product candidates and conducts clinical trials[270]. - As of December 31, 2022, the company had capital resources of approximately $283.1 million, which are expected to fund planned operating expenses into 2026[273]. - The company may require substantial additional funding to finance operations and achieve goals, with potential delays or limitations in product development if funding is not secured[271]. - The potential economic impact of COVID-19 may reduce the company's ability to access capital, negatively affecting liquidity and financial position[289]. Product Development Focus - The company plans to focus on developing product candidates for chronic myeloid leukemia (CML), non-alcoholic steatohepatitis (NASH), and obesity, with specific candidates like TERN-701, TERN-501, and TERN-601[277]. - The company has prioritized its resources based on a strategic review, deciding to advance TERN-701 and TERN-501 while limiting resources for TERN-201 in NASH[277]. - The successful development and commercialization of product candidates are heavily dependent on timely completion of clinical trials, which may be delayed due to various factors including COVID-19[296]. - The company does not expect to realize revenue from product sales or royalties in the foreseeable future until product candidates are approved and successfully marketed[276]. Clinical Trials and Regulatory Challenges - The ongoing COVID-19 pandemic has caused disruptions that could impact clinical trials, including delays in patient enrollment and site operations[281]. - The company has made adjustments to clinical trial protocols to enable remote visits in response to the COVID-19 pandemic[285]. - Future capital requirements will depend on various factors, including the success of clinical trials and regulatory approvals[274]. - The company faces significant risks related to the discovery and development of product candidates, with no drugs currently approved for sale[293]. - The regulatory approval process is lengthy and uncertain, with potential delays adversely affecting revenue generation and business operations[342]. - The FDA may require additional studies or trials for product candidates, which could delay or prevent commercialization[344]. - The company must comply with varying regulatory requirements in different countries, which may require significant resources[295]. Competition and Market Dynamics - The company may face significant competition in drug discovery and development, particularly in rapidly advancing therapeutic areas like NASH and obesity[320]. - The company is aware of numerous competitors in the development of NASH treatments, including major pharmaceutical companies like AbbVie and Gilead Sciences[323]. - Competitors possess greater financial resources, marketing capabilities, and clinical trial expertise, which may inhibit market penetration efforts[331]. - The number of companies developing drugs for serious diseases like NASH and obesity is expected to increase, intensifying competition[330]. Intellectual Property Risks - The company may face significant legal risks related to intellectual property disputes, which could impact its ability to commercialize its products[426]. - The competitive position in the pharmaceutical market depends on the ability to maintain and enforce intellectual property rights, which are subject to rapid technological changes[437]. - The company may face challenges in enforcing its intellectual property rights, which could lead to unauthorized use or reverse engineering of its technology[442]. - Legal assertions of patent invalidity could result in the loss of patent protection for product candidates, adversely affecting the company's competitive position[447]. Regulatory Compliance and Healthcare Legislation - Compliance with healthcare regulatory laws is essential, as violations could result in significant penalties and operational restructuring[406]. - Future healthcare legislation may increase the difficulty and cost of obtaining marketing approval and affect pricing strategies[411]. - The company may participate in the Medicaid Drug Rebate Program, which requires accurate reporting of pricing data; non-compliance could lead to penalties[409]. - The Inflation Reduction Act of 2022 mandates that manufacturers negotiate prices for certain drugs starting in 2026, with a cap on negotiated prices[417]. Manufacturing and Supply Chain Dependencies - The company relies completely on third parties for the manufacturing of clinical drug supplies and intends to do so for commercial supplies, which poses risks if these third parties fail to meet FDA approval or quality standards[376]. - The company does not have internal manufacturing capabilities and is dependent on contract manufacturers for compliance with regulatory requirements, which could impact the ability to develop and market product candidates[377]. - The company expects to continue depending on third-party contract manufacturers and has not entered into long-term agreements, which could adversely affect business operations[381].
Terns Pharmaceuticals(TERN) - 2022 Q4 - Annual Report