UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM
(Mark One)
For the quarterly period ended
or
For the transition period from to
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TABLE OF CONTENTS
PTC Therapeutics, Inc.
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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations | 45 |
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Item 3. Quantitative and Qualitative Disclosures About Market Risk | 63 |
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63 | |
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64 | |
64 | |
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66 | |
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FORWARD-LOOKING STATEMENTS
This Quarterly Report on Form 10-Q contains forward-looking statements that involve substantial risks and uncertainties. All statements, other than statements of historical facts, contained in this Quarterly Report on Form 10-Q, including statements regarding our strategy, future operations, future financial position, future revenues, projected costs, prospects, plans and objectives of management, are forward-looking statements. The words “anticipate,” “believe,” “estimate,” “expect,” “intend,” “may,” “might,” “plan,” “predict,” “project,” “target,” “potential,” “will,” “would,” “could,” “should,” “continue,” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words.
The forward-looking statements in this Quarterly Report on Form 10-Q include, among other things, statements about:
● | expectations with respect to our gene therapy platform, including any potential regulatory submissions and potential approvals, including those related to our gene therapy for the treatment of Aromatic L-Amino Acid Decarboxylase, or AADC deficiency, or PTC-AADC, our manufacturing capabilities and the potential financial impact and benefits of our leased biologics manufacturing facility and the potential achievement of development, regulatory and sales milestones and contingent payments that we may be obligated to make; |
● | our ability to negotiate, secure and maintain adequate pricing, coverage and reimbursement terms and processes on a timely basis, or at all, with third-party payors for our products or product candidates that we commercialize or may commercialize in the future; |
● | our ability to maintain our marketing authorization of Translarna for the treatment of nonsense mutation Duchenne muscular dystrophy, or nmDMD, in the European Economic Area, or EEA, which is subject to the specific obligation to conduct and submit the results of Study 041 to the European Medicines Agency, or EMA, and annual review and renewal by the European Commission following reassessment of the benefit-risk balance of the authorization by the EMA; |
● | our ability to enroll, fund, and complete Study 041, a multicenter, randomized, double-blind, 18-month, placebo-controlled clinical trial of Translarna for the treatment of nmDMD followed by an 18-month open label extension, according to the protocol agreed with the EMA, and by the EMA’s deadline; |
● | the anticipated period of market exclusivity for Emflaza for the treatment of DMD in the United States under the Orphan Drug Act of 1983, or Orphan Drug Act, the Drug Price Competition and Patent Term Restoration Act of 1984, or the Hatch-Waxman Act; |
● | our ability to complete any dystrophin study necessary in order to resolve the matters set forth in the United States Food and Drug Administration’s, or the FDA, denial of our appeal to the Complete Response Letter we received from the FDA in connection with our New Drug Application, or NDA, for Translarna for the treatment of nmDMD, and our ability to perform additional clinical trials, non-clinical studies or CMC assessments or analyses at significant cost; |
● | the timing and scope of our commercialization of our products and product candidates; |
● | our expectations with respect to the COVID-19 pandemic and related response measures and their effects on our business, operations, clinical trials, potential regulatory submissions and approvals, our collaborators, contract research organizations, suppliers and manufacturers; |
● | our ability to obtain additional and maintain existing reimbursed named patient and cohort early access programs, or EAP programs, for our products on adequate terms, or at all; |
● | our expectations with respect to the development, regulatory and commercial status of EvrysdiTM (risdiplam) and our program directed against spinal muscular atrophy in collaboration with F. Hoffmann La Roche Ltd and Hoffmann La Roche Inc., which we refer to collectively as Roche, and the Spinal Muscular Atrophy Foundation, |
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or the SMA Foundation, and our estimates regarding future revenues from sales-based royalty payments or the achievement of milestones in that program; |
● | our expectations and the potential financial impact and benefits related to our Collaboration and Licensing Agreement with Akcea Therapeutics, Inc., or Akcea, including with respect to the timing of regulatory approval of TegsediTM (inotersen) and WaylivraTM (volanesorsen) in countries in which we are licensed to commercialize them, the commercialization of Tegsedi and Waylivra, and our expectations with respect to contingent payments to Akcea based on the potential achievement of certain regulatory milestones and royalty payments by us to Akcea based on our potential achievement of certain net sales thresholds; |
● | our estimates regarding the potential market opportunity for our products or product candidates, including the size of eligible patient populations and our ability to identify such patients; |
● | our estimates regarding expenses, future revenues, third-party discounts and rebates, capital requirements and needs for additional financing, including our ability to maintain the level of our expenses consistent with our internal budgets and forecasts and to secure additional funds on favorable terms or at all; |
● | the timing and conduct of our ongoing, planned and potential future clinical trials and studies in our gene therapy, splicing, Bio-e and oncology programs, studies of PTC923 for phenylketonuria, or PKU, and studies of PTC299 for COVID-19 as well as studies in our products for maintaining authorizations, label extensions and additional indications, including the timing of initiation, enrollment and completion of the trials and the period during which the results of the trials will become available; |
● | our ability to realize the anticipated benefits of our acquisitions or other strategic transactions, including the possibility that the expected impact of benefits from the acquisitions or strategic transactions will not be realized or will not be realized within the expected time period, significant transaction costs, the integration of operations and employees into our business, our ability to obtain marketing approval of our product candidates we acquired from the acquisitions or other strategic transactions and unknown liabilities; |
● | the rate and degree of market acceptance and clinical utility of any of our products or product candidates; |
● | the ability and willingness of patients and healthcare professionals to access our product and product candidates through alternative means if pricing and reimbursement negotiations in the applicable territory do not have a positive outcome; |
● | our ability to complete the FDA post-marketing requirements to the marketing authorization of Emflaza and any other post-marketing requirements for our products; |
● | the timing of, and our ability to obtain additional marketing authorizations for our products and product candidates; |
● | the ability of our products and our product candidates to meet existing or future regulatory standards; |
● | our ability to maintain the current labeling under the marketing authorization in the EEA or expand the approved product label of Translarna for the treatment of nmDMD; |
● | the potential receipt of revenues from future sales of our products or product candidates; |
● | the potential impact that enrollment, funding and completion of Study 041 may have on our revenue growth; |
● | our sales, marketing and distribution capabilities and strategy, including the ability of our third-party manufacturers to manufacture and deliver our products and product candidates in clinically and commercially sufficient quantities and the ability of distributors to process orders in a timely manner and satisfy their other obligations to us; |
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● | our ability to establish and maintain arrangements for the manufacture of our products and product candidates that are sufficient to meet clinical trial and commercial launch requirements; |
● | our ability to establish and grow our manufacturing capabilities for our gene therapy platform; |
● | our expectations with respect to the potential financial impact and benefits of our leased biologics manufacturing facility and our ability to satisfy our obligations under the terms of the lease agreement for such facility; |
● | our ability to satisfy our obligations under the indenture governing our 3.00% convertible senior notes due August 15, 2022 and under the indenture governing our 1.50% convertible senior notes due September 15, 2026; |
● | our regulatory submissions, including with respect to timing and outcome of regulatory review; |
● | our plans to advance our earlier stage programs and pursue research and development of other product candidates, including our splicing, gene therapy, Bio-e and oncology programs; |
● | whether we may pursue business development opportunities, including potential collaborations, alliances, and acquisition or licensing of assets and our ability to successfully develop or commercialize any assets to which we may gain rights pursuant to such business development opportunities; |
● | the potential advantages of our products and any product candidate; |
● | our intellectual property position; |
● | the impact of government laws and regulations; |
● | the impact of litigation that has been or may be brought against us or of litigation that we are pursuing against others; and |
● | our competitive position. |
We may not actually achieve the plans, intentions or expectations disclosed in our forward-looking statements, and you should not place undue reliance on our forward-looking statements. Actual results or events could differ materially from the plans, intentions and expectations disclosed in the forward-looking statements we make. We have included important factors in the cautionary statements included in this Quarterly Report on Form 10-Q, particularly in Part II, Item 1A. Risk Factors as well as in Part I, Item 1A. Risk Factors in our Annual Report on Form 10-K for the year ended December 31, 2019, that we believe could cause actual results or events to differ materially from the forward-looking statements that we make. Our forward-looking statements do not reflect the potential impact of any future acquisitions, mergers, dispositions, joint ventures or investments we may make.
You should read this Quarterly Report on Form 10-Q and the documents that we have filed as exhibits to this Quarterly Report on Form 10-Q and our Annual Report on Form 10-K for the year ended December 31, 2019 completely and with the understanding that our actual future results may be materially different from what we expect. We do not assume any obligation to update any forward-looking statements whether as a result of new information, future events or otherwise, except as required by applicable law.
In this Quarterly Report on Form 10-Q, unless otherwise stated or the context otherwise requires, references to “PTC,” “PTC Therapeutics,” “the Company,” “we,” “us,” “our,” and similar references refer to PTC Therapeutics, Inc. and, where appropriate, its subsidiaries. The trademarks, trade names and service marks appearing in this Quarterly Report on Form 10-Q are the property of their respective owners.
All website addresses given in this Quarterly Report on Form 10-Q are for information only and are not intended to be an active link or to incorporate any website information into this document.
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PART I—FINANCIAL INFORMATION
Item 1. Financial Statements.
PTC Therapeutics, Inc.
Consolidated Balance Sheets (unaudited)
In thousands (except shares)
September 30, | December 31, | ||||||
| 2020 |
| 2019 | ||||
Assets | |||||||
Current assets: |
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Cash and cash equivalents | $ | | $ | | |||
Marketable securities |
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Trade receivables, net |
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Inventory, net |
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Prepaid expenses and other current assets |
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Total current assets |
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Fixed assets, net |
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Intangible assets, net |
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Goodwill |
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Operating lease ROU assets | | | |||||
Deposits and other assets |
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Total assets | $ | | $ | | |||
Liabilities and stockholders’ equity |
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Current liabilities: |
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Accounts payable and accrued expenses | $ | | $ | | |||
Current portion of long-term debt |
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Deferred revenue |
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Operating lease liabilities- current | | | |||||
Finance lease liabilities- current | | ||||||
Liability for sale of future royalties- current | | ||||||
Deferred consideration payable |
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Other current liabilities |
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Total current liabilities |
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Deferred revenue- long term |
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Long-term debt |
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Contingent consideration payable |
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Deferred tax liability |
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Operating lease liabilities- noncurrent | | | |||||
Finance lease liabilities- noncurrent | | ||||||
Liability for sale of future royalties- noncurrent | | ||||||
Other long-term liabilities |
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Total liabilities |
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Stockholders’ equity: |
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Common stock, $ |
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Additional paid-in capital |
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Accumulated other comprehensive income |
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Accumulated deficit |
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Total stockholders’ equity |
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Total liabilities and stockholders’ equity | $ | | $ | |
See accompanying unaudited notes.
4
PTC Therapeutics, Inc.
Consolidated Statements of Operations (unaudited)
In thousands (except shares and per share data)
Three Months Ended September 30, | Nine Months Ended September 30, | ||||||||||||
| 2020 |
| 2019 |
| 2020 |
| 2019 | ||||||
Revenues: |
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Net product revenue | $ | | $ | | $ | | $ | | |||||
Collaboration and grant revenue |
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Royalty revenue | | | | | |||||||||
Total revenues |
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Operating expenses: |
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Cost of product sales, excluding amortization of acquired intangible assets |
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Amortization of acquired intangible assets |
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Research and development |
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Selling, general and administrative |
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Change in the fair value of deferred and contingent consideration |
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Settlement of deferred and contingent consideration | | | | | |||||||||
Total operating expenses |
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Loss from operations |
| ( |
| ( |
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Interest expense, net |
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Other income, net |
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Loss before income tax expense |
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Income tax (expense) benefit |
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Net loss attributable to common stockholders | $ | ( | $ | ( | $ | ( | $ | ( | |||||
Weighted-average shares outstanding: | |||||||||||||
Basic and diluted (in shares) |
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Net loss per share—basic and diluted (in dollars per share) | $ | ( | $ | ( | $ | ( | $ | ( |
See accompanying unaudited notes.
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PTC Therapeutics, Inc.
Consolidated Statements of Comprehensive Loss (unaudited)
In thousands
Three Months Ended September 30, | Nine Months Ended September 30, | ||||||||||||
| 2020 |
| 2019 |
| 2020 |
| 2019 | ||||||
Net loss | $ | ( | $ | ( | $ | ( | $ | ( | |||||
Other comprehensive (loss) income: |
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Unrealized (loss) gain on marketable securities, net of tax |
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Foreign currency translation loss, net of tax |
| ( |
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Comprehensive loss | $ | ( | $ | ( | $ | ( | $ | ( |
See accompanying unaudited notes.
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PTC Therapeutics, Inc.
Consolidated Statements of Stockholders’ Equity (unaudited)
In thousands (except shares)
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| Accumulated |
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| Additional |
| other |
| Total | ||||||||||||
Three months ended September 30, 2020 | Common stock | paid-in |
| comprehensive | Accumulated | stockholders’ | |||||||||||
| Shares |
| Amount |
| capital |
| loss |
| deficit |
| equity | ||||||
Balance, June 30, 2020 | |
| $ | |
| $ | |
| $ | ( |
| $ | ( |
| $ | | |
Issuance of common stock related to equity offering | | — | | — | — | | |||||||||||
Exercise of options |
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Restricted stock vesting and issuance, net |
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Share-based compensation expense |
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Net loss |
| — |
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| — |
| — |
| ( |
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Comprehensive loss |
| — |
| — |
| — |
| ( |
| — |
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Balance, September 30, 2020 |
| | $ | | $ | | $ | ( | $ | ( | $ | |
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| Accumulated |
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| Additional |
| other |
| Total | ||||||||||||
Three months ended September 30, 2019 | Common stock | paid-in |
| comprehensive | Accumulated | stockholders’ | |||||||||||
| Shares |
| Amount |
| capital |
| income (loss) |
| deficit |
| equity | ||||||
Balance, June 30, 2019 |
| | $ | | $ | | $ | | $ | ( | $ | | |||||
Issuance of common stock related to equity offering |
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| — |
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Equity component of the convertible notes issuance, net | — | — | | | |||||||||||||
Exercise of options |
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| — |
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| — |
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Restricted stock vesting and issuance, net |
| ( |
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| — |
| — |
| — |
| — | |||||
Share-based compensation expense |
| — |
| — |
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| — |
| — |
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Net loss |
| — |
| — |
| — |
| — |
| ( |
| ( | |||||
Comprehensive loss |
| — |
| — |
| — |
| ( |
| — |
| ( | |||||
Balance, September 30, 2019 |
| | $ | | $ | | $ | | $ | ( | $ | |
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| Accumulated |
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| Additional |
| other |
| Total | ||||||||||||
Nine months ended September 30, 2020 | Common stock | paid-in |
| comprehensive | Accumulated | stockholders’ | |||||||||||
| Shares |
| Amount |
| capital |
| loss |
| deficit |
| equity | ||||||
Balance, December 31, 2019 |
| | $ | | $ | | $ | ( | $ | ( | $ | | |||||
Issuance of common stock related to equity offering |
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Issuance of common stock related to acquisition |
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Issuance of common stock related to rights exchange | | | | — | — | | |||||||||||
Exercise of options |
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Restricted stock vesting and issuance, net |
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Issuance of common stock in connection with an employee stock purchase plan |
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Share-based compensation expense |
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Other | — | — | — | — | ( | ( | |||||||||||
Net loss |
| — |
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| — |
| — |
| ( |
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Comprehensive loss |
| — |
| — |
| — |
| ( |
| — |
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Balance, September 30, 2020 |
| | $ | | $ | | $ | ( | $ | ( | $ | |
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| Accumulated |
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| Additional |
| other |
| Total | ||||||||||||
Nine months ended September 30, 2019 | Common stock | paid-in |
| comprehensive | Accumulated | stockholders’ | |||||||||||
| Shares |
| Amount |
| capital |
| income (loss) |
| deficit |
| equity | ||||||
Balance, December 31, 2018 |
| | $ | | $ | | $ | | $ | ( | $ | | |||||
Issuance of common stock related to equity offering |
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| — |
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Equity component of the convertible notes issuance, net | — | — | | — | — | | |||||||||||
Exercise of options |
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Restricted stock vesting and issuance, net |
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Issuance of common stock in connection with an employee stock purchase plan |
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Share-based compensation expense |
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Net loss |
| — |
| — |
| — |
| — |
| ( |
| ( | |||||
Comprehensive loss |
| — |
| — |
| — |
| ( |
| — |
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Balance, September 30, 2019 |
| | $ | | $ | | $ | | $ | ( | $ | |
See accompanying unaudited notes.
8
PTC Therapeutics, Inc.
Consolidated Statements of Cash Flows (unaudited)
In thousands
Nine Months Ended September 30, | |||||||
| 2020 |
| 2019 | ||||
Cash flows from operating activities | |||||||
Net loss | $ | ( | $ | ( | |||
Adjustments to reconcile net loss to net cash used in operating activities: |
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Depreciation and amortization |
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Non-cash operating lease expense |
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Non-cash finance lease amortization expense | | ||||||
Non-cash royalty revenue related to sale of future royalties | ( | | |||||
Non-cash interest expense on liability related to sale of future royalties | | | |||||
Change in valuation of deferred and contingent consideration |
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Settlement of deferred and contingent consideration | | ||||||
Non-cash stock consideration, acquisition | | ||||||
Unrealized gain on equity investment |
| ( |
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Unrealized gain on ClearPoint convertible debt security | ( | ||||||
Non-cash interest expense | | | |||||
Loss on disposal of asset | | | |||||
Amortization of discounts on investments, net |
| ( |
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Amortization of debt issuance costs |
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Share-based compensation expense |
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Unrealized foreign currency transaction (gains) losses, net |
| ( |
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Changes in operating assets and liabilities: |
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Inventory, net |
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Prepaid expenses and other current assets |
| ( |
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Trade receivables, net |
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Deposits and other assets |
| ( |
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Accounts payable and accrued expenses |
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Other liabilities |
| ( |
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Deferred revenue |
| ( |
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Net cash used in operating activities | $ | ( | $ | ( | |||
Cash flows from investing activities |
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Purchases of fixed assets | $ | ( | $ | ( | |||
Purchase of convertible debt security | ( | ||||||
Purchases of marketable securities | ( | ( | |||||
Sale and redemption of marketable securities | | | |||||
Acquisition of product rights and licenses | ( | ( | |||||
Purchase of equity investment |
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Net cash provided by (used in) investing activities | $ | ( | $ | ( | |||
Cash flows from financing activities |
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Proceeds from issuance of convertible notes | $ | | $ | | |||
Proceeds from exercise of options | | | |||||
Termination and exit fees related to payoff of secured term loan |
| ( | | ||||
Net proceeds from public offerings |
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Repayment of senior secured term loan |
| ( |
| ( | |||
Payments on deferred consideration obligation | ( | ||||||
Proceeds from employee stock purchase plan | | | |||||
Payment of finance lease principal | ( | | |||||
Cash consideration received from Royalty Purchase Agreement | | | |||||
Net cash provided by financing activities | $ | | $ | | |||
Effect of exchange rate changes on cash |
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| ( | |||
Net decrease in cash and cash equivalents |
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Cash and cash equivalents, and restricted cash beginning of period |
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Cash and cash equivalents, and restricted cash end of period | $ | | $ | |
9
Supplemental disclosure of cash information |
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Cash paid for interest | $ | | $ | | |||
Cash paid for income taxes | | | |||||
Supplemental disclosure of non-cash investing and financing activity |
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Unrealized gain on marketable securities, net of tax | $ | | $ | | |||
Right-of-use assets obtained in exchange for operating lease obligations | | | |||||
Right-of-use assets obtained in exchange for finance lease obligations | | ||||||
Acquisition of product rights and licenses | | | |||||
Issuance of common stock related to rights exchange | | ||||||
Accrued transaction costs related to public offerings | | | |||||
Accrued transaction costs related to issuance of convertible notes | | |
See accompanying unaudited notes.
10
PTC Therapeutics, Inc.
Notes to Consolidated Financial Statements (unaudited)
September 30, 2020
In thousands (except per share data unless otherwise noted)
1. The Company
PTC Therapeutics, Inc. (the “Company” or “PTC”) is a science-driven global biopharmaceutical company focused on the discovery, development and commercialization of clinically-differentiated medicines that provide benefits to patients with rare disorders. The Company’s ability to globally commercialize products is the foundation that drives its continued investment in a robust diversified pipeline of transformative medicines and its mission to provide access to best-in-class treatments for patients who have an unmet medical need. The Company’s strategy is to bring best-in-class therapies with differentiated clinical benefit to patients affected by rare disorders and to leverage its global commercial infrastructure to maximize value for its patients and other stakeholders.
The Company has two products, Translarna™ (ataluren) and Emflaza™ (deflazacort), for the treatment of Duchenne muscular dystrophy, or DMD, a rare, life threatening disorder. Translarna has marketing authorization in the European Economic Area (the “EEA”) for the treatment of nonsense mutation Duchenne muscular dystrophy (“nmDMD”), in ambulatory patients aged 2 years and older and in Brazil for the treatment of nmDMD in ambulatory patients aged 5 years and older, subject to annual renewal and other conditions. In July 2020, the European Commission approved the removal of the statement “efficacy has not been demonstrated in non-ambulatory patients” from the indication statement for Translarna. Emflaza is approved in the United States for the treatment of DMD in patients two years and older.
The Company has a pipeline of gene therapy product candidates for rare monogenic diseases that affect the central nervous system (“CNS”) including PTC-AADC for the treatment of Aromatic L-Amino Acid Decarboxylase (“AADC deficiency”), a rare CNS disorder arising from reductions in the enzyme AADC that results from mutations in the dopa decarboxylase gene. The Company is preparing a biologics license application ("BLA") for PTC-AADC for the treatment of AADC deficiency in the United States and it anticipates submitting a BLA to the United States Food and Drug Administration ("FDA") in the first half of 2021. In January 2020, the Company submitted a marketing authorization application ("MAA") to the European Medicines Agency (“EMA”) for PTC-AADC for the treatment of AADC deficiency in the EEA, and the Company expects an opinion from the Committee for Medical Products for Human Use (“CHMP”) in the first half of 2021.
The Company holds the rights for the commercialization of Tegsedi™ (inotersen) and Waylivra™ (volanesorsen) for the treatment of rare diseases in countries in Latin America and the Caribbean pursuant to the Company’s Collaboration and License Agreement with Akcea Therapeutics, Inc. (“Akcea”). Tegsedi has received marketing authorization in the United States, the European Union (the “EU”) and Brazil for the treatment of stage 1 or stage 2 polyneuropathy in adult patients with hereditary transthyretin amyloidosis (“hATTR amyloidosis”). Waylivra has received marketing authorization in the EU for the treatment of familial chylomicronemia syndrome (“FCS”). The Company filed for marketing authorization for Waylivra for the treatment of FCS with ANVISA, the Brazilian health regulatory authority, in June 2020 and, subject to potential delays in the review process related to the COVID-19 pandemic, expects a regulatory decision on approval from ANVISA in 2021.
The Company also has a spinal muscular atrophy ("SMA") collaboration with F. Hoffman-La Roche Ltd and Hoffman-La Roche Inc., referred to collectively as Roche, and the Spinal Muscular Atrophy Foundation ("SMA Foundation"). The SMA program has one approved product, Evrysdi™ (risdiplam), which was approved in August 2020 by the FDA for the treatment of SMA in adults and children two months and older. Evrysdi also received marketing authorization for the treatment of SMA in Brazil in October 2020 and the EMA accepted the MAA filed by Roche for Evrysdi for the treatment of SMA in August 2020.
On October 25, 2019, the Company completed the acquisition of substantially all of the assets of BioElectron Technology Corporation (“BioElectron”), a Delaware corporation, including certain compounds that the Company has begun to develop as part of its Bio-e platform, (the “Asset Acquisition”) pursuant to an asset purchase agreement by and between the Company and BioElectron, dated October 1, 2019 (the “Asset Acquisition Agreement”). The transaction was
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accounted for as an asset acquisition. The two most advanced molecules in the Company’s Bio-e platform are vatiquinone and PTC857. The Company initiated a registration-directed Phase 2/3 placebo-controlled trial of vatiquinone in approximately 60 children with mitochondrial disease and associated refractory epilepsy in the third quarter of 2020. The Company expects to initiate a registration-directed Phase 3 trial of vatiquinone in approximately 100 patients with Friedrich ataxia in the fourth quarter of 2020. In the second quarter of 2020, the Company initiated a Phase 1 trial in healthy volunteers to evaluate the safety and pharmacology of PTC857, which the Company believes has the potential to address multiple CNS disorders with glucocerebrosidase Parkinson’s disease as its first planned indication. The Company completed dosing within the single ascending dose study and expects to complete dosing within the multiple ascending dose study from the Phase 1 trial by the end of 2020.
In June 2020, the FDA authorized the initiation of a Phase 2/3 clinical trial evaluating PTC299, a dihydroorotate dehydrogenase inhibitor that the Company has also been developing in oncological indications, as a potential treatment for COVID-19. The integrated Phase 2/3 study, which has been initiated and is being conducted in two stages, will evaluate the efficacy and safety of PTC299 in patients hospitalized with SARS-CoV-2 infection. The Company expects Stage 1 of the clinical trial to be completed in the fourth quarter of 2020 and it anticipates reporting top-line results from both stages in the first half of 2021.
In addition, the Company has a pipeline of product candidates and discovery programs that are in early clinical, pre-clinical and research and development stages focused on the development of new treatments for multiple therapeutic areas, including rare diseases and oncology.
The Company’s marketing authorization for Translarna in the EEA is subject to annual review and renewal by the European Commission following reassessment by the EMA of the benefit-risk balance of the authorization, which the Company refers to as the annual EMA reassessment. This marketing authorization is further subject to the specific obligation to conduct and submit the results of a multi-center, randomized, double-blind, 18-month, placebo-controlled trial, followed by an 18-month open-label extension, according to an agreed protocol, in order to confirm the efficacy and safety of Translarna. The final report on the trial and open-label extension is to be submitted by the Company to the EMA by the end of the third quarter of 2022. The Company refers to the trial and open-label extension together as Study 041.
The marketing authorization in the EEA was last renewed in June 2020 and is effective, unless extended, through August 5, 2021. The renewal was based on the Company’s commitment to conduct Study 041 and the totality of the clinical data available from its trials and studies of Translarna for the treatment of nmDMD, including the safety and efficacy results of the Phase 2b and Phase 3 clinical trials. The primary efficacy endpoint was not achieved in either trial within the pre-specified level of statistical significance.
Translarna is an investigational new drug in the United States. During the first quarter of 2017, the Company filed a New Drug Application (“NDA”), over protest with the FDA, for which the FDA granted a standard review. In October 2017, the Office of Drug Evaluation I of the FDA issued a complete response letter for the NDA, stating that it was unable to approve the application in its current form. In response, the Company filed a formal dispute resolution request with the Office of New Drugs of the FDA. In February 2018, the Office of New Drugs of the FDA denied the Company’s appeal of the Complete Response Letter. In its response, the Office of New Drugs recommended a possible path forward for the ataluren NDA submission based on the accelerated approval pathway. This would involve a re-submission of an NDA containing the current data on effectiveness of ataluren with new data to be generated on dystrophin production in nmDMD patients’ muscles. The Company intends to follow the FDA’s recommendation and will collect, using newer technologies via procedures and methods that the Company designed, such dystrophin data in a new study, Study 045, which the Company initiated in the fourth quarter of 2018. The final study muscle biopsies for the patients in Study 045 were completed in October 2020 and the Company has begun the process of analyzing the samples according to its protocol. The Company expects to report top-line results from Study 045 in the first quarter of 2021 followed by a potential resubmission of the NDA for Translarna for the treatment of nmDMD thereafter. Additionally, should a re-submission of an NDA receive accelerated approval, the Office of New Drugs stated that Study 041, which is currently enrolling, could serve as the confirmatory post-approval trial required in connection with the accelerated approval framework.
On August 23, 2018, the Company completed its acquisition of Agilis Biotherapeutics, Inc. (“Agilis”), pursuant to an Agreement and Plan of Merger, dated as of July 19, 2018 (the “Merger Agreement”), by and among the Company, Agility
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Merger Sub, Inc., a Delaware corporation and the Company’s wholly owned, indirect subsidiary, Agilis and, solely in its capacity as the representative, agent and attorney-in-fact of the equityholders of Agilis, Shareholder Representative Services LLC, (the "Merger").
Upon the closing of the Merger, the Company paid to Agilis equityholders total upfront consideration comprised of $