The 2015 Enterprise Management Incentive Share Option Plan of ReplimuneUK (the "2015 Plan") provided for ReplimuneUK to grant incentive stock options, non-statutory stock options, stock awards, stock units, stock appreciation rights and other stock-based awards. Incentive stock options were granted under the 2015 Plan only to the Company's employees, including officers and directors who were also employees. Non-statutory stock options were granted under the 2015 Plan to employees, members of the board of directors, outside advisors and consultants of the Company.
2017 Equity Compensation Plan
InJuly 2017 , in conjunction with reorganization byReplimune Limited , pursuant to which each shareholder thereof exchanged their outstanding shares inReplimune Limited for shares inReplimune Group, Inc. , on a one-for-one basis (the "Reorganization"), the 2015 Plan was terminated, and all awards were cancelled with replacement awards issued under the 2017 Equity Compensation Plan (the "2017 Plan"). Subsequent to the Reorganization, no additional grants have been or will be made under the 2015 Plan and any outstanding awards under the 2015 Plan have continued, and will continue with their original terms. The Company concluded that the cancellation of the 2015 Plan and issuance of replacement awards under the 2017 Plan was a modification with no change in the material rights and preferences and therefore no recorded change in the fair value of each respective award. The Company's 2017 Plan provides for the Company to grant incentive stock options or non-statutory stock options, stock awards, stock units, stock appreciation rights and other stock-based awards. Incentive stock options were granted under the 2017 Plan only to the Company's employees, including officers and directors who were also employees. Restricted stock awards and non-statutory stock options were granted under the 2017 Plan to employees, officers, members of the board of directors, advisors and consultants of the Company. The maximum number of common shares that may be issued under the 2017 Plan was 2,659,885, of which none remained available for future grants as ofDecember 31, 2022 . Shares with respect to which awards have expired, terminated, surrendered or cancelled under the 2017 Plan without having been fully exercised will be available for future awards under the 2018 Plan referenced below. In addition, shares of common stock that are tendered to the Company by a participant to exercise an award are added to the number of shares of common stock available for the grant of awards.
2018 Omnibus Incentive Compensation Plan
OnJuly 9, 2018 , the Company's board of directors adopted, and the Company's stockholders approved the 2018 Omnibus Incentive Compensation Plan (the "2018 Plan"), which became effective immediately prior to the effectiveness of the registration statement filed in connection with the Company's initial public offering. The 2018 Plan provides for the issuance of incentive stock options, non-qualified stock options, stock awards, stock units, stock appreciation rights and other stock-based awards. The number of shares of common stock initially reserved for issuance under the 2018 Plan is 3,617,968 shares. If any options or stock appreciation rights, including outstanding options and stock appreciation rights granted under the 2017 Plan (up to 2,520,247 shares), terminate, expire, or are canceled, forfeited, exchanged, or surrendered without having been exercised, or if any stock awards, stock units or other stock-based awards, including outstanding awards granted under the 2017 Plan, are forfeited, terminated, or otherwise not paid in full in shares of common stock, the shares of the Company's common stock subject to such grants will be available for purposes of the 2018 Plan. The number of shares reserved for issuance under the 2018 Plan will increase automatically on the first day of each April equal to 4.0% of the total number of shares of common stock outstanding on the last trading day in the immediately preceding fiscal year, which includes for these purposes, the 5,284,238 shares issuable upon exercise of those pre-funded warrants described in Note 9 to these consolidated financial statements, or such lesser amount as determined by the Board. OnApril 1, 2022 , the number of shares reserved for issuance under the 2018 Plan automatically increased by 2,104,915 shares pursuant to the terms of the 2018 Plan and based on total 15
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number of shares of common stock outstanding onMarch 31, 2022 . OnApril 1, 2021 , the number of shares reserved for issuance under the 2018 Plan automatically increased by 2,074,028 shares pursuant to the terms of the 2018 Plan. As ofDecember 31, 2022 , 2,194,816 shares remained available for future grants under the 2018 Plan. The 2015 Plan, the 2017 Plan and the 2018 Plan are administered by the board of directors or, at the discretion of the board of directors, by a committee of the board of directors. However, the board of directors shall administer and approve all grants made to non-employee directors. The exercise prices, vesting and other restrictions are determined at the discretion of the board of directors, except that the exercise price per share of incentive stock options may not be less than 100% of the fair market value of the common stock on the date of grant (or 110% of fair value in the case of an award granted to employees who hold more than 10% of the total combined voting power of all classes of stock at the time of grant) and the term of stock options may not be greater than five years for an incentive stock option granted to a 10% stockholder and greater than ten years for all other options granted. Stock options awarded under both plans expire ten years after the grant date, unless the board of directors sets a shorter term. Vesting periods for the plans are determined at the discretion of the board of directors. Incentive stock options granted to employees and non-statutory options granted to employees, officers, members of the board of directors, advisors, and consultants of the Company typically vest over four years. In 2021 the board of directors initiated the award of restricted stock units ("RSUs"), under the 2018 Plan in addition to stock option awards available as part of the Company's equity incentive for employees, officers, advisors and consultants of the Company. The RSUs typically vest over four approximately equal annual installments with the first such installment occurring on a designated vesting date that is approximately on the one year anniversary of the date of grant and the subsequent installments occurring on the subsequent three annual anniversaries of the designated vesting date.
Employee Stock Purchase Plan
OnJuly 9, 2018 , the Company's board of directors adopted and the Company's stockholders approved the Employee Stock Purchase Plan (the "ESPP"), which became effective immediately prior to the effectiveness of the registration statement that was filed in connection with the Company's IPO. The total shares of common stock initially reserved for issuance under the ESPP is 348,612 shares. In addition, as of the first trading day of each fiscal year during the term of the ESPP (excluding any extensions), an additional number of shares of the Company's common stock equal to 1% of the total number of shares outstanding on the last trading day in the immediately preceding fiscal year, which includes for these purposes, the 9,484,238 shares issuable upon exercise of those pre-funded warrants described in Note 9 to these consolidated financial statements, or 697,224 shares, whichever is less (or such lesser amount as determined by the Company's board of directors) will be added to the number of shares authorized under the ESPP. In accordance with the terms of the ESPP, onApril 1, 2022 and 2021, the number of shares reserved for issuance under the ESPP automatically increased by 526,228 and 518,507 shares respectively, for a total of 2,076,603 shares reserved for the ESPP. If the total number of shares of common stock to be purchased pursuant to outstanding purchase rights on any particular date exceed the number of shares then available for issuance under the ESPP, then the plan administrator will allocate the available shares pro-rata and refund any excess payroll deductions or other contributions to participants. The Company's ESPP is not currently active.
Out-of-Plan Inducement Grants
InMay 2021 , the Company granted an equity award to a newly hired executive as a material inducement to enter into employment with the Company. The grant constitutes an "employment inducement grant" in accordance with Rule 5635(c)(4) of the Nasdaq Listing Rules and was issued outside of the 2018 Plan and each of the other stock incentive plans described above. The inducement grant included a nonqualified stock option to purchase up to 125,000 shares of the Company's common stock, as well as a restricted stock unit grant representing 88,333 shares of the Company's common stock. These stock option and restricted stock unit inducement grants have terms and conditions consistent with those set forth under the 2018 Plan and vest under the same respective vesting schedules as stock option and restricted stock unit awards granted under the 2018 Plan. The inducement grant is included in the stock option and RSU award tables below. InDecember 2022 , the Company granted an equity award to a newly hired executive as a material inducement to enter into employment with the Company. The grant constitutes an "employment inducement grant" in accordance with Rule 5635(c)(4) of the Nasdaq Listing Rules and was issued outside of the 2018 Plan and each of the other stock incentive plans described above. The inducement grant included a nonqualified stock option to purchase up to 82,500 shares of the Company's common stock, as well as a restricted stock unit grant representing 55,000 shares of the Company's common stock. These stock option and restricted stock unit inducement grants have terms and conditions consistent with those set forth under the 2018 Plan and vest under the same respective vesting schedules as stock option and restricted stock unit awards granted under the 2018 Plan. The inducement grant is included in the stock option and RSU award tables below.
Stock option valuation
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The fair value of stock option grants is estimated using the Black-Scholes option-pricing model. As the Company has limited company-specific historical and implied volatility information, the expected stock volatility is based on a combination ofReplimune volatility and the historical volatility of a publicly traded set of peer companies. For options with service-based vesting conditions, the expected term of the Company's stock options has been determined utilizing the "simplified" method for awards that qualify as "plain-vanilla" options. The expected term of stock options granted to non-employees is equal to the contractual term of the option award. The risk-free interest rate is determined by reference to theU.S. Treasury yield curve in effect at the time of grant of the award for time periods approximately equal to the expected term of the award. Expected dividend yield is based on the fact that the Company has never paid cash dividends and does not expect to pay any cash dividends in the foreseeable future. The following table presents, on a weighted-average basis, the assumptions that the Company used to determine the grant-date fair value of stock options granted to employees and directors: Three Months Ended Nine Months Ended December 31, December 31, 2022 2021 2022 2021 Risk-free interest rate 3.93 % 1.27 % 2.78 % 1.12 % Expected term (in years) 6.1 6.0 6.0 6.0 Expected volatility 73.7 % 78.3 % 75.3 % 80.0 % Expected dividend yield 0 % 0 % 0 % 0 % Stock options
The following table summarizes the Company's stock option activity:
Weighted Weighted Average Average Aggregate Number of Exercise Contractual Intrinsic Shares Price Term (Years) Value Outstanding as of March 31, 2022 6,514,334$ 16.78 7.26$ 30,358 Granted 1,514,524$ 18.78 Exercised (273,201)$ 11.61 Cancelled (245,199)$ 22.75 Outstanding as of December 31, 2022 7,510,458$ 17.17 7.12$ 85,400 Options exercisable as of March 31, 2022 3,645,749$ 10.85 6.31$ 24,875 Options exercisable as of December 31, 2022 4,504,534$ 14.07 6.14$ 63,812
As of
The weighted average grant-date fair value of stock options granted during the nine months endedDecember 31, 2022 and 2021 was$12.64 and$22.25 , respectively. The aggregate intrinsic value of stock options exercised during the nine months endedDecember 31, 2022 was$2.3 million .
Restricted stock units
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A summary of the changes in the Company's RSUs during the nine months ended
Weighted Average Number of Restricted Shares Grant Date Fair Value Outstanding as of March 31, 2022 826,213 31.38 Granted 782,862 18.93 Vested (184,042) 32.38 Cancelled (71,288) 26.38 Outstanding as of December 31, 2022 1,353,745 24.30 As ofDecember 31, 2022 , there was$27.5 million of unrecognized compensation cost related to unvested restricted stock units, which is expected to be recognized over a weighted average period of 3.0 years. As ofDecember 31, 2021 , there was$21.6 million unrecognized compensation cost related to unvested restricted stock units.
11 Net loss per share
Basic and diluted net loss per share attributable to common stockholders was calculated as follows:
Three Months Ended December 31, Nine Months Ended December 31, 2022 2021 2022 2021 Numerator: Net loss$ (39,690) $ (29,674) $ (125,045) $ (86,340) Denominator: Weighted average common shares outstanding, basic and diluted 57,857,132 52,319,877 55,618,052 52,104,548
Net loss per share, basic and diluted $ (0.69)
The 9,484,238 shares of the Company's common stock issuable upon exercise of Pre-Funded Warrants described in Note 9 to these consolidated financial statements are included as outstanding common stock in the calculation of basic and diluted net loss per share. The Company's potentially dilutive securities, which include stock options and warrants to purchase shares of common stock that resulted from the conversion of warrants to purchase shares of series seed preferred stock existing before the Company's IPO, have been excluded from the computation of diluted net loss per share as the effect would be to reduce the net loss per share. Therefore, the weighted average number of common shares outstanding used to calculate both basic and diluted net loss per share is the same. The Company excluded the following potential common shares, presented based on amounts outstanding at each period end, from the computation of diluted net loss per share for the periods indicated because including them would have had an anti-dilutive effect: Three and Nine Months EndedDecember 31, 2022 2021 Options to purchase common stock 7,510,458
6,695,387
Warrants to purchase common stock 497,344 497,344 8,007,802 7,192,731 12 Significant agreements
Agreement with Bristol-Myers Squibb Company
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InFebruary 2018 , the Company entered into an agreement with Bristol-Myers Squibb Company ("BMS"). Pursuant to the agreement, BMS will provide to the Company, at no cost, a compound for use in the Company's ongoing clinical trial ofRP1 . Under the agreement, the Company will sponsor, fund and conduct the clinical trial in accordance with an agreed-upon protocol. BMS granted the Company a non-exclusive, non-transferrable, royalty-free license (with a right to sublicense) under its intellectual property to its compound in the clinical trial and agreed to supply its compound, at no cost to the Company, for use in the clinical trial. InJanuary 2020 , this agreement was expanded to cover an additional cohort of 125 patients with anti-PD-1 failed melanoma. Unless earlier terminated, the agreement will remain in effect until (i) the completion of the clinical trial, (ii) all related clinical trial data have been delivered to both parties and (iii) the completion of any statistical analyses and bioanalyses contemplated by the clinical trial protocol or any analysis otherwise agreed upon by the parties. The agreement may be terminated by either party (x) in the event of an uncured material breach by the other party, (y) in the event the other party is insolvent or in bankruptcy proceedings or (z) for safety reasons. Upon termination, the licenses granted to the Company to use BMS's compound in the clinical trial will terminate. InApril 2019 , the Company entered into a separate agreement with BMS on terms similar to the terms set forth in the agreement described above, pursuant to which BMS will provide to the Company, at no cost, nivolumab for use in the Company's Phase 1 clinical trial ofRP2 in combination with nivolumab.
Agreement with Regeneron Pharmaceuticals, Inc.
InMay 2018 , the Company entered into an agreement with Regeneron Pharmaceuticals, Inc. ("Regeneron"). The Company and Regeneron are each independently developing compounds for the treatment of certain tumor types. Pursuant to the agreement, the Company and Regeneron will undertake one or more clinical trials using a combination of the compounds being developed by each entity. Under the agreement, each clinical trial will be conducted under terms set out in a separately agreed upon study plan that will identify the name of the sponsor and which party will manage the particular clinical trial, and include the protocol, the budget and a schedule of clinical obligations. InJune 2018 , under the terms of the agreement between the Company and Regeneron, the parties agreed to the first study plan. The Company and Regeneron have agreed to the protocol, budget, sample testing and clinical obligations schedule under the study plan. Development and supply costs associated with the first study plan will be split equally between the Company and Regeneron. Pursuant to the terms of the agreement, each party granted the other party a non-exclusive license under its respective intellectual property and agreed to contribute the necessary resources needed to fulfill its respective obligations, in each case, under the terms of the agreed-upon or to-be agreed upon study plans. Development costs of a particular clinical trial will be split equally between the Company and Regeneron in accordance with the agreed upon study plan. The agreement may be terminated by either party if (i) there is no active study plan for which a final study report has not been completed and the parties have not entered into a study plan for an additional clinical trial within a period of time after the delivery of the most recent final study report or (ii) in the event of a material breach. The agreement with Regeneron is accounted for under ASC 808, Collaborative Arrangements ("ASC 808"), as both parties are active participants and each party pays its own compound costs and shares equally in development costs in accordance with and up to the amount in the agreed upon first study plan. The Company will account for costs incurred as part of the study, including costs to supply compounds for use in the study, as research and development expenses within the consolidated statement of operations. The Company will recognize any amounts received from Regeneron in connection with this agreement as an offset to research and development expense within the consolidated statement of operations. Under the terms of the agreement, on a quarterly basis the Company and Regeneron true-up costs of the study and make corresponding payments to the party that incurred the majority of the costs up to the amount in the study plan or modified version thereof agreed by theJoint Development Committee established to govern the collaboration. InJuly 2022 , Regeneron informed the Company that the costs of the study have reached the initial budget for the initial study plan ofJune 2018 and that Regeneron's reimbursement of CERPASS study costs to the Company have completed in the period endingJune 30, 2022 in relation to the initial study budget. As a result of this notice from, and the ongoing communications with, Regeneron, the Company has not recorded any cost-sharing reimbursements from Regeneron in prepaid expenses and other current assets in the consolidated balance sheet or as an offset to research and development expense within the consolidated statement of operations since Regeneron informed the Company that Regeneron's reimbursement of CERPASS study costs to the Company have completed. The Company does not expect any further reimbursements from Regeneron related to the initial study plan ofJune 2018 . 19
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During the three months endedDecember 31, 2022 and 2021, the Company recorded$0.0 million and$1.9 million , respectively as an offset to research and development expenses. During the nine months endedDecember 31, 2022 and 2021, the Company recorded$1.1 million and$4.8 million , respectively as an offset to research and development expenses. During the three and nine months endedDecember 31, 2022 and 2021, the Company did not make any payments to Regeneron under the terms of the agreement. During the nine months endedDecember 31, 2022 and 2021, the Company received payments under the terms of the agreement from Regeneron of$3.1 million and$4.3 million , respectively. As ofDecember 31, 2022 andMarch 31, 2022 , the Company had a balance of$0.0 million and$2.0 million of receivables from Regeneron in connection with this agreement in prepaid expenses and other current assets in the consolidated balance sheet, respectively.
13 Commitments and contingencies
Leases
The table below presents the lease-related assets and liabilities recorded on
the consolidated balance sheet as of
Three Months Ended December 31, Nine Months Ended December 31, 2022 2021 2022 2021 Lease cost Finance lease costs: Amortization of right-to-use asset$ 607 $ 607 $ 1,821$ 1,821 Interest on lease liabilities 548 555 1,650 1,670 Operating lease costs 252 249 763 736 Total lease cost$ 1,407 $ 1,411 $ 4,234$ 4,227
The following table summarizes the classification of lease costs in the
consolidated statement of operations for the three months ended
Three Months EndedDecember 31 ,
Nine Months Ended
2022 2021 2022 2021 Finance Lease Costs Research and development $ 518$ 518 $ 1,553$ 1,553 Selling, general and administrative 89 89 268 268 Other income (expense) 548 555 1,650 1,670 Operating Lease Costs Research and development 103 105 316 294 Selling, general and administrative 149 144 447 442 Total lease cost $ 1,407$ 1,411 $ 4,234$ 4,227 The following table summarizes the maturity of the Company's lease liabilities on an undiscounted cash flow basis and a reconciliation to the operating and financing lease liabilities recognized on its balance sheet as ofDecember 31, 2022 : 20
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Table of Contents December 31, 2022 Operating leases Financing lease Total 2023 (remaining three months) $ 260 $ 647$ 907 2024 1,041 2,639 3,680 2025 1,051 2,718 3,769 2026 1,060 2,799 3,859 2027 1,028 2,883 3,911 Thereafter 2,862 38,022 40,884 Total lease payments 7,302 49,708 57,010 Less: interest 1,998 23,003 25,001 Total lease liabilities $ 5,304 $ 26,705$ 32,009 The following table provides lease disclosure as ofDecember 31, 2022 andMarch 31, 2022 : December 31, 2022 March 31, 2022 Leases Right-to-use operating lease asset $ 5,002 $
5,552
Right-to-use finance lease asset 40,272
42,094
Total lease assets $ 45,274 $
47,646
Operating lease liabilities, current $ 1,039 $
1,070
Finance lease liabilities, current 2,619
2,562
Operating lease liabilities, non-current 4,265
4,801
Finance lease liabilities, non-current 24,086 24,406 Total lease liabilities $ 32,009$ 32,839
The following table provides lease disclosure for the nine months ended
Nine Months Ended
2022 2021 Other information Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 717$ 648 Operating cash flows from finance leases$ 1,651 $ 1,670 Financing cash flows from finance leases $ 262$ 188 Right-to-use asset obtained in exchange for new operating lease liabilities $ -$ 365 Weighted-average remaining lease term - operating leases 6.9 years 7.9 years Weighted-average remaining lease term - financing leases 16.6 years 17.6 years Weighted-average discount rate - operating leases 10.0 % 10.2 % Weighted-average discount rate - financing leases 8.3 % 8.3 %
The variable lease costs and short-term lease costs were insignificant for three
and nine months ended
Manufacturing commitments
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The Company has entered into an agreement with a contract manufacturing
organization to provide clinical trial products. As of
Indemnification agreements
In the ordinary course of business, the Company may provide indemnification of varying scope and terms to vendors, lessors, business partners and other parties with respect to certain matters including, but not limited to, losses arising out of breach of such agreements or from intellectual property infringement claims made by third parties. In addition, the Company has entered into indemnification agreements with members of its executive management team and its board of directors that will require the Company, among other things, to indemnify them against certain liabilities that may arise by reason of their status or service as directors or officers. The maximum potential amount of future payments the Company could be required to make under these indemnification agreements is, in many cases, unlimited. To date, the Company has not incurred any material costs as a result of such indemnifications. The Company is not aware of any claims under indemnification arrangements, and therefore it has not accrued any liabilities related to such obligations in its consolidated financial statements as ofDecember 31, 2022 orMarch 31, 2022 .
Legal proceedings
The Company is not a party to any litigation and does not have contingency reserves established for any litigation liabilities.
14 Geographic information
The Company operates in two geographic regions:
December 31, 2022 March 31, 2022 United States $ 6,046$ 6,318 United Kingdom 1,633 1,615 $ 7,679$ 7,933 22
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Item 2. Management's discussion and analysis of financial condition and results of operations.
You should read the following discussion and analysis of our financial condition and results of operations together with our unaudited consolidated financial statements and related notes appearing in Part I, Item 1 of this Quarterly Report on Form 10-Q, or this Quarterly Report, and with our audited consolidated financial statements and notes thereto for the year endedMarch 31, 2022 , included in our Annual Report on Form 10-K for the fiscal year endedMarch 31, 2022 . In addition to historical information, some of the statements contained in this discussion and analysis or set forth elsewhere in this Quarterly Report, including information with respect to our plans and strategy for our business, constitute forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, or the Exchange Act. We have based these forward-looking statements on our current expectations and projections about future events. The following information and any forward-looking statements should be considered in light of factors discussed elsewhere in this Quarterly Report, particularly including those risks identified in Part II, Item 1A "Risk Factors" and our other filings with theSecurities Exchange Commission , orSEC . We caution you that forward-looking statements are not guarantees of future performance and that our actual results of operations, financial condition and liquidity, and the development of the industry in which we operate may differ materially from the forward-looking statements contained in this Quarterly Report. Statements made herein are as of the date of the filing of this Quarterly Report with theSEC and should not be relied upon as of any subsequent date. Even if our results of operations, financial condition and liquidity, and the development of the industry in which we operate are consistent with the forward-looking statements contained in this Quarterly Report, they may not be predictive of results or developments in future periods. We disclaim any obligation, except as specifically required by law and the rules of theSEC , to publicly update or revise any such statements to reflect any change in our expectations or in events, conditions or circumstances on which any such statements may be based or that may affect the likelihood that actual results will differ from those set forth in the forward-looking statements.
Overview
General
We are a clinical-stage biotechnology company committed to applying our leading expertise in the field of oncolytic immunotherapy to transform the lives of cancer patients through our novel tumor-directed oncolytic immunotherapies. Our proprietary tumor-directed oncolytic immunotherapy product candidates are designed and intended to maximally activate the immune system against cancer. Oncolytic immunotherapy is an emerging drug class, which we intend to establish as the second cornerstone of immune-based cancer treatments, alongside checkpoint blockade. Oncolytic immunotherapy exploits the ability of certain viruses to selectively replicate in and directly kill tumors, as well as induce a potent, patient-specific, anti-tumor immune response. Our product candidates incorporate multiple mechanisms of action into a practical "off-the-shelf" approach that is intended to maximize the immune response against a patient's cancer and to offer significant advantages over other approaches to inducing anti-tumor immunity, including personalized vaccine approaches. We believe that the bundling of multiple approaches for the treatment of cancer into single therapies will increase clinical efficacy and simplify the development path of our product candidates, while also improving patient outcomes at a lower cost to the healthcare system than the use of multiple different drugs. Our proprietary RPx platform is based on a proprietary, engineered strain of herpes simplex virus 1, or HSV-1, backbone with payloads added to maximize immunogenic cell death and the induction of a systemic anti-tumor immune response. The RPx platform has a dual local and systemic mechanism of action, or MOA, consisting of direct selective virus-mediated killing of the tumor resulting in the release of tumor-derived antigens and altering of the tumor microenvironment to ignite a strong and durable systemic response. This MOA is expected to be synergistic with most established and experimental cancer treatment modalities, and, with an attractive safety profile the RPx platform is expected to have the versatility to be developed alone or combined with a variety of other treatment options. We currently have three RPx product candidates in our development pipeline,RP1 (vusolimogene oderparepvec), our lead product candidate,RP2 andRP3 . Although our fiscal year endsMarch 31st , our programs and program updates are reported on a calendar year basis. We are conducting a number of clinical trials ofRP1 , both as a monotherapy and in combination with anti-PD-1 therapy, with a focus on immune-responsive tumors. We have completed enrolling patients in a randomized, controlled Phase-2 clinical trial ofRP1 with cutaneous squamous cell carcinoma, or CSCC,RP1 's lead indication, which is referred to herein as CERPASS or the CERPASS trial, under an agreement with our partner Regeneron. CERPASS is a registration directed clinical 23 -------------------------------------------------------------------------------- Table of Contents trial evaluatingRP1 in combination with cemiplimab, an anti-PD-1 therapy developed by Regeneron, versus cemiplimab alone. Regeneron has granted to us a non-exclusive royalty-free license to cemiplimab for use in this trial, is supplying cemiplimab at no cost and funded one-half of the clinical trial costs up to the amount agreed in the first study plan. CERPASS enrolled 211 patients with locally advanced or metastatic CSCC who are naïve to anti-PD1 therapy. The CERPASS protocol evaluates complete response, or CR rate, and overall response rate, or ORR, as its two primary efficacy endpoints as assessed by independent review, as well as duration of response, progression-free survival, or PFS, and overall survival, or OS, as secondary endpoints. InFebruary 2023 , we received a response from the FDA following submission of our draft statistical analysis plan inSeptember 2022 , which raised a number of points and recommendations requiring further discussion. We intend to respond promptly to theFDA's points and recommendations and to engage in any necessary dialog to address the points raised. Topline data from the CERPASS trial is now expected to be announced in Q3 2023, due primarily to the decision to trigger the primary analysis at 40 weeks from last patient in, or LPI, rather than the minimum follow up of 27 weeks post LPI in accordance with the statistical analysis plan. This is to allow for responses to be documented and confirmed, including per protocol response confirmation biopsies to be taken, before central reviews take place. This decision also took account of the time required to process patient data to and through central review. If the CERPASS trial generates compelling clinical data demonstrating the benefits of the combined treatment, we believe the data could support a filing with regulatory authorities seeking marketing approval. We continue our collaboration with Bristol Myers Squibb Company, or BMS, under which BMS has granted us a non-exclusive, royalty-free license to, and is supplying at no cost, its anti-PD-1 therapy, nivolumab, for use in combination withRP1 in a multi-cohort Phase 1/2 clinical trial which is referred to herein as IGNYTE, or the IGNYTE trial. The leading tumor specific cohort in the IGNYTE trial is our registration directed Phase 2 expansion cohort enrolling 125 patients with anti-PD-1 failed cutaneous melanoma who are being treated withRP1 in combination with nivolumab. We are also continuing enrollment into the cohorts of patients with anti-PD-1 failed non-melanoma skin cancers, or NMSC, which includes patients with both naïve and anti-PD-1 failed disease, including CSCC. We initiated the registration directed Phase 2 expansion cohort in the IGNYTE trial enrolling 125 patients with anti-PD-1 failed cutaneous melanoma after completing enrollment in a prior Phase 2 cohort in the same clinical trial of approximately 30 patients with melanoma, which demonstrated the tolerability and clinical activity of the combination ofRP1 and nivolumab in patients with melanoma, including those who had failed prior anti-PD-1 when given alone or in combination with CTLA-4 blockade. InMarch 2021 , we held a Type B meeting with the FDA to discuss the design of the 125 patient expansion cohort in the IGNYTE trial. In this meeting, the FDA expressed that while a randomized controlled clinical trial would always be preferred for registration purpose, that in this patient population with no clear standard of care, if the clinical data is sufficiently compelling then the data could be considered for submission by the FDA under the accelerated approval pathway. The FDA also indicated that a randomized confirmatory trial would also be needed as is required under the accelerated approval pathway. The design of the confirmatory trial is intended to be discussed with the FDA prior to a BLA submission. InDecember 2022 , we reported data from the first 75 patients with at least six months follow-up. The data snapshot based on investigator response showed a 20% CR rate and a 36% ORR with activity across all disease stages and strong durability. In January, we competed target enrollment of 125 patients with patients in screening at that time continuing to be enrolled. Enrollment is expected to complete this month with a final total study size of approximately 140 patients. The primary analysis is expected in Q1 2024, 12 months after enrollment of the last patient. We continue to enroll patients in our additional IGNYTE Phase-2 cohorts under our collaboration with BMS in which we are evaluatingRP1 in combination with nivolumab. In NMSC, enrollment in the anti-PD-1 naïve NMSC cohort has completed, included patients with cutaneous squamous cell carcinoma, or CSCC, basal cell carcinoma, or BCC, merkel cell carcinoma, or MCC, and angiosarcoma. Updated data from the CSCC patients in the anti-PD-1 naïve NMSC cohort, presented inMarch 2022 , continued to show nearly half of the patients achieving a complete response and nearly 65% achieving a complete or partial response. We are currently enrolling an extension of the NMSC cohort ofRP1 in combination with nivolumab in NMSC patients who have failed prior treatment with anti-PD(L)-1. InMarch 2022 , we reported initial data (N=12) from this extension cohort where responses had been observed in anti-PD(L)-1 failed CSCC, MCC and angiosarcoma tumors. We believe the activity ofRP1 combined with nivolumab in this anti-PD(L)-1 failed cohort represents a new potential therapeutic option for these patients and supports the broad potential forRP1 in anti-PD(L)-1 failed disease beyond melanoma. Recruitment remains ongoing, with a data update expected in Q3 2023 in at least 30 patients with a minimum of six months follow-up. We also have open for enrollment a Phase 1b/2 clinical trial of single agentRP1 in solid organ transplant recipients with skin cancers, including CSCC, which is referred to herein as ARTACUS or the ARTACUS trial, which we believe to be potentially registrational (in its own right or, subject to discussion with regulatory authorities, following enrollment of additional patients, including as a potential label expansion after an initial approval ofRP1 in a different indication). We are currently enrolling up to 65 patients in the ARTACUS trial to assess the safety and efficacy ofRP1 in liver and kidney transplant recipients with skin cancers. Enrollment in this clinical trial has been impacted by COVID-19, as the patient 24 -------------------------------------------------------------------------------- Table of Contents population is severely immune-compromised and considered very high risk. Even though the patient numbers are currently small, as reported inMarch 2022 , we have observed responses in these patients with RP1as monotherapy with a similar safety profile to that observed in our otherRP1 clinical trials in patients who are not immune suppressed. Enrollment continues in the ARTACUS trial and we expect to provide a data update in Q3 2023. In addition to these ongoing trials withRP1 , we are currently evaluating all strategic opportunities forRP1 in skin cancers, including the setting for the confirmatory clinical trial in melanoma which is expected to be required to support a potential accelerated approval ofRP1 in anti-PD1 failed melanoma. We are also developing additional product candidates,RP2 andRP3 , that have been further engineered to enhance anti-tumor immune responses and are intended to address additional tumor types, including traditionally less immune responsive tumor types. In addition to the expression of GALV-GP R(-) and human GM-CSF as inRP1 ,RP2 has been engineered to express an antibody-like molecule intended to block the activity of CTLA-4, a protein that inhibits the full activation of an immune response, including to tumors.RP3 has been engineered with the intent to further stimulate an anti-tumor immune response through activation of immune co-stimulatory pathways through the additional expression of the ligands for CD40 and 4-1BBL, as well as anti-CTLA-4 and GALV-GP R(-), but without the expression of GM-CSF. We initiated a Phase-1 clinical trial ofRP2 alone and in combination with nivolumab in the second half of 2019. This clinical trial is also being conducted as part of our collaboration with BMS, under which BMS has granted us a non-exclusive, royalty-free license to, and will supply at no cost, nivolumab, for use in combination withRP2 . InNovember 2020 , we and BMS agreed to increase the number of patients in the combination part of the clinical trial from 12 to 30 patients. We have presented data from the single agentRP2 portion of this clinical trial that showed deep and durable responses, including demonstration of tumor response in uninjected lesions and in patients with difficult to treat advanced cancers. We believe that this data supports the hypothesis that anti-CTLA-4 delivered intra-tumorally through oncolytic virus replication, with accompanying antigen release and presentation, can provide potent anti-tumor effects. We have also presented combination data from both the clinical trial that showed compelling activity in patients with immune insensitive tumors and with anti-PD-1 failed disease. In the second half of 2021, we reported full enrollment in the initial 30 patient combination with nivolumab part of the Phase 1 clinical trial following which a protocol amendment was made to expand this clinical trial to enroll additional patients who are required to have specific tumor types of interest, including gastro-intestinal cancers, breast cancer, lung cancer, head and neck cancer and uveal melanoma, rather than any type of tumor as were eligible for the initial 30 patient group. InDecember 2022 , we reported that of 14 patients with uveal melanoma for which sufficient follow-up was available for assessment, 4 patients had achieved a response. A data update from ourRP2 expansion trial is expected in H2 2023. InDecember 2020 , we initiated dosing in a Phase 1 clinical trial designed to evaluateRP3 alone and combined with anti-PD-1 therapy in advanced solid tumor patients. InMarch 2022 , we reported initial data from the single agent monotherapy cohort ofRP3 in superficial and deep tumors exploring two dose levels ofRP3 , including injections into deep tumors. The higher dose level has been confirmed as the recommended Phase 2 dose and no new safety signals have been observed as compared toRP1 orRP2 . Enrollment of the combination part of this study has begun, combiningRP3 with nivolumab under a collaboration and supply agreement with BMS. This cohort is focusing on enrolling patients with gastro-intestinal cancers, breast cancer, lung cancer and head and neck cancer. InDecember 2022 , the Company presented data from its Phase 1 trial ofRP3 in combination with nivolumab (N=5) in patients with multiple soft tissue sarcomas including in leiomyosarcoma, osteosarcoma, chondrosarcoma, and epithelioid sarcomas who have all failed standard of care. At the data cut-off date, 3 of 5 patients had sufficient follow-up for response assessment, and all three were responding to therapy in settings with no viable alternative treatment option, indicating the potential utility ofRP3 in treating this difficult to treat tumor type. A data update from thisRP3 trial is expected in H2 2023. We are working to initiate a Phase 2 development plan forRP2 and/orRP3 to target a range of tumor types with un-met need, including where liver tumors are common and in patients with early disease where the objective of treatment would be to increase the proportion of patients achieving cure. This includes the development ofRP2 and/orRP3 in combination with the current standard of care, including immunotherapy, chemotherapy and radiation, and in settings following the current standard of care. We are planning for initial signal finding single arm Phase 2 clinical trials in the following tumor types: squamous cell carcinoma of the head and neck, or SCCHN, locally advanced and recurrent/metastatic; hepatocellular carcinoma, or HCC, both first and second line; and colorectal cancer, or CRC, third line; with additional studies in other tumor types intended to follow. As we announced inDecember 2022 , our signal finding studies in HCC and CRC are being developed in combination with atezolizumab and bevacizumab under a supply and cost share clinical collaboration arrangement with Roche. In HCC we plan to conduct two signal finding cohorts of 30 patients. The first cohort will enroll 1L patients treated with standard of care, or SOC, atezolizumab combined with bevacizumab andRP3 , and the second cohort will enroll patients who have progressed on 1L immunotherapy (including atezolizumab/bevacizumab), and will be treated with atezolizumab combined with bevacizumab andRP3 . In CRC, we plan to conduct two signal finding cohorts of 30 patients. The first cohort will enroll 3L patients to be treated with atezolizumab combined with bevacizumab andRP2 and the second cohort with atezolizumab and bevacizumab andRP3 .Replimune believes that data with bothRP2 andRP3 in CRC will allow the comparative efficacy ofRP2 andRP3 to be evaluated in a particularly difficult to treat patient population. We are on track to initiate this Phase 2 25 -------------------------------------------------------------------------------- Table of Contents development work around mid-year 2023. In addition, the study in SCCHN will be conducted under our collaboration with BMS. This study is intended to include two cohorts of patients, the first with locally advanced disease is planned to enroll approximately 100 patients randomized 1:1 to either SOC chemotherapy combined with radiation, or SOC combined withRP3 followed by adjuvant nivolumab, and the second cohort of approximately 30 patients with recurrent or metastatic SCCHN with low PD-L1 levels (CPS<20) who will be treated with chemotherapy, nivolumab andRP3 .RP1 ,RP2 andRP3 are administered by direct injection into solid tumors, guided either visually or by ultrasound, computerized tomography, or CT, or other imaging methods. We believe that direct injection maximizes virus-mediated tumor cell death, provides the most efficient delivery of virus-encoded immune activating proteins into the tumor with the goal of activating systemic immunity, and limits the systemic toxicities that could be associated with intravenous administration. Activation of systemic immunity through local administration is intended to lead to the induction of anti-tumor immune responses leading to clinical response of tumors that have not themselves been injected. Financial Since our inception, we have devoted substantially all of our resources to developing our proprietary RPx platform, building our intellectual property portfolio, conducting research and development of our product candidates, business planning, raising capital and providing general and administrative support for our operations. To date, we have incurred significant operating losses and we have financed our operations primarily with proceeds from the sale of equity securities and to a lesser extent, the proceeds from the issuance of debt securities. Our ability to generate product revenue sufficient to achieve profitability will depend on the successful development and eventual commercialization of one or more of our product candidates. We do not have any products approved for sale and have not generated any revenue from product sales. Since our initial public offering, or IPO, onJuly 20, 2018 , we have raised an aggregate of approximately$849.1 million in net proceeds to fund our operations, of which$101.2 million was from our IPO,$706.0 million was from four separate follow-on offerings, or the Public Offerings, that we closed inNovember 2019 ,June 2020 ,October 2020 andDecember 2022 , respectively, and$41.9 million was from at-the-market offerings. We sold 7,407,936 shares of common stock in our IPO, an aggregate of 20,430,480 shares of our common stock and pre-funded warrants to purchase 9,484,238 shares of common stock in the Public Offerings, and 2,313,997 shares of common stock through our at-the-market facilities. Our net losses were$39.7 million and$29.7 million for the three months endedDecember 31, 2022 and 2021, respectively. As ofDecember 31, 2022 , we had an accumulated deficit of$436.2 million . These losses have resulted primarily from costs incurred in connection with research and development activities and general and administrative costs associated with our operations. We expect to continue to incur significant expenses and increasing operating losses for at least the next several years.
We anticipate that our expenses and capital requirements will increase substantially in connection with our ongoing activities, particularly as we advance the preclinical activities and clinical trials of our product candidates, and if and as we:
•conduct our current and future clinical trials with
•further preclinical development of our platform;
•operate our in-house manufacturing facility;
•seek to identify and develop additional product candidates;
•seek marketing approvals for any of our product candidates that successfully complete clinical trials, if any;
•establish a sales, marketing and distribution infrastructure to commercialize any products for which we may obtain marketing approval;
•until our manufacturing facility is fully validated, continued limited manufacturing by third parties for clinical development;
•maintain, expand, protect and defend our intellectual property portfolio;
•hire and retain additional clinical, quality control, scientific and general and administration personnel;
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•acquire or in-license other drugs, technologies or intellectual property rights; and
•add operational, financial and management information systems and personnel, including personnel to support our research and development programs, any future commercialization efforts and operations as a public company. Because of the numerous risks and uncertainties associated with pharmaceutical product development, we are unable to accurately predict the timing or amount of increased expenses or when, or if, we will be able to achieve or maintain profitability. Even if we are able to generate product sales, we may not become profitable. If we fail to become profitable or are unable to sustain profitability on a continuing basis, then we may be unable to continue our operations at planned levels and be forced to reduce or terminate our operations. As ofDecember 31, 2022 , we had cash and cash equivalents and short-term investments of$616.4 million . We believe that our existing cash and cash equivalents and short-term investments will enable us to fund our operating expenses and capital expenditure requirements through at least 12 months from the issuance of the consolidated financial statements included in this Quarterly Report.
See "-Liquidity and capital resources" and "Risk factors-Risks related to our financial position and need for additional capital."
The COVID-19 pandemic
We are continuing to generally monitor the spread of COVID-19, and, throughout the pandemic, have implemented measures designed to comply with applicable federal, state and local guidelines, as well as care for our employee's health and well-being. We will continue to examine our protocols as the pandemic and health guidance evolves. The COVID-19 pandemic continues to affectthe United States and global economies and has affected and may continue to affect our operations and those of third parties on which we rely, including by causing disruptions in our raw material and anti-PD-1 supply, the manufacturing of our product candidates and our developing commercialization processes. In addition, timing of patient enrollment and treatment in certain of our ongoing clinical studies has been impacted by the pandemic. However, the extent of these delays is currently unknown and has and will likely continue to vary by clinical study. In addition, we may incur unforeseen costs as a result of disruptions in raw material supplies, clinical product supplies, and preclinical studies or clinical trial delays. The full extent to which the COVID-19 pandemic will directly or indirectly impact our business, results of operations and financial condition will depend on future developments that are highly uncertain and cannot be accurately predicted, including new information that may emerge concerning COVID-19, the actions taken in an effort to contain it or to potentially treat or continue to vaccinate against COVID-19 and the economic impact on local, regional, national and international markets. We continue to monitor this situation and the possible effects on our financial condition, liquidity, operations, suppliers, supplies, industry and workforce. For additional information, see "Risk Factors-Our financial condition and results of operations could be adversely affected by the coronavirus disease-2019, or COVID-19, outbreak." in Part II, Item 1A of this Quarterly Report.
Components of our results of operations
Revenue
To date, we have not generated any revenue from product sales as we do not have any approved products and do not expect to generate any revenue from the sale of products in the near future. If our development efforts forRP1 or any other product candidates that we may develop in the future are successful and result in regulatory approval, or if we enter into collaboration or license agreements with third parties, we may generate revenue in the future from a combination of product sales or payments from those collaborations or license agreements.
Operating expenses
Our expenses since inception have consisted solely of research and development costs and general and administrative costs.
Research and development expenses
Research and development expenses consist primarily of costs incurred for our research activities, including our discovery efforts and the development of our product candidates, and include: 27
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•expenses incurred under agreements with third parties, including clinical research organizations, or CROs, that conduct research, preclinical activities and clinical trials on our behalf as well as contract manufacturing organizations, or CMOs, that manufacture our product candidates for use in our preclinical and clinical trials;
•salaries, benefits and other related costs, including stock-based compensation expense, for personnel engaged in research and development functions;
•costs of outside consultants engaged in research and development functions, including their fees, stock-based compensation and related travel expenses;
•the costs of laboratory supplies and acquiring, developing and manufacturing preclinical study and clinical trial materials;
•costs related to compliance with regulatory requirements in connection with the development of our product candidates; and
•facility-related expenses, which include direct depreciation costs and allocated expenses for rent and maintenance of facilities and other operating costs.
These costs may be partially offset by cost-sharing arrangements under collaboration agreements that we may enter from time to time.
We expense research and development costs as incurred. We recognize external development costs based on an evaluation of the progress to completion of specific tasks using information provided to us by our service providers. Payments for these activities are based on the terms of the individual agreements, which may differ from the pattern of costs incurred, and are reflected in our consolidated financial statements as prepaid or accrued research and development expenses.
Our direct external research and development expenses are tracked on a program-by-program basis and consist of costs, such as fees paid to consultants, contractors, CMOs, and CROs in connection with our preclinical and clinical development activities. We do not allocate personnel costs, costs associated with our discovery efforts, laboratory supplies, and facilities, including depreciation or other indirect costs, to specific product development programs because these costs are deployed across multiple product development programs and, as such, are not separately classified. All non-employee costs associated with our manufacturing facility have been fully burdened to ourRP1 program. Research and development activities are central to our business model. Product candidates in later stages of clinical development generally have higher development costs than those in earlier stages of clinical development, primarily due to the increased size and duration of later-stage clinical trials. We expect that our research and development expenses will continue to increase for the foreseeable future as we continue enrollment and initiate additional clinical trials and continue to discover and develop additional product candidates. The successful development and commercialization of our product candidates is highly uncertain. This is due to the numerous risks and uncertainties associated with product development and commercialization, including the following:
•the scope, rate of progress, expense and results of our ongoing clinical trials, as well as future clinical trials or other product candidates and other research and development activities that we may conduct;
•the number and scope of preclinical and clinical programs we decide to pursue;
•our ability to maintain our current research and development programs and to establish new ones;
•uncertainties in clinical trial design;
•the rate of enrollment in clinical trials;
•the successful completion of clinical trials with safety, tolerability, and efficacy profiles that are satisfactory to the FDA or any comparable foreign regulatory authority;
•the receipt of regulatory approvals from applicable regulatory authorities;
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•our success in operating our manufacturing facility, or securing manufacturing supply through relationships with third parties;
•our ability to obtain and maintain patents, trade secret protection, and
regulatory exclusivity, both in
•our ability to maintain, expand, protect and defend our rights in our intellectual property portfolio;
•the commercialization of our product candidates, if and when approved;
•the acceptance of our product candidates, if approved, by patients, the medical community, and third-party payors;
•our ability to successfully develop our product candidates for use in combination with third-party products or product candidates;
•negative developments in the field of immuno-oncology;
•competition with other products; and
•significant and changing government regulation and regulatory guidance.
A change in the outcome of any of these variables with respect to the development of a product candidate could mean a significant change in the costs and timing associated with the development of that product candidate. For example, if the FDA or another regulatory authority were to require us to conduct clinical trials beyond those that we anticipate will be required for the completion of clinical development of a product candidate, or if we experience significant trial delays due to patient enrollment or other reasons, we could be required to expend significant additional financial resources and time on the completion of clinical development. We may never succeed in obtaining regulatory approval for any of our product candidates.
Selling, general and administrative expenses
Selling, general and administrative expenses consist primarily of salaries and other related costs, including stock-based compensation, for personnel in our executive, finance, corporate, commercial and business development and administrative functions. Selling, general and administrative expenses also include professional fees for legal, patent, accounting, auditing, tax and consulting services, pre-commercial planning, travel expenses, and facility-related expenses, which include direct depreciation costs and allocated expenses for rent and maintenance of facilities and other operating costs. We expect that our selling, general and administrative expenses will continue to increase in the future as we increase our selling, general and administrative headcount to support our continued research and development and pre-launch activities to prepare for potential commercialization of our product candidates. We also expect to continue to incur increased expenses, including accounting, audit, legal, regulatory and tax-related services associated with maintaining compliance with exchange listing andSEC requirements; director and officer insurance costs; and investor and public relations costs.
Other income (expense), net
Research and development incentives
Research and development incentives consists of reimbursements of research and development expenditures. We participate, through our subsidiary in theUnited Kingdom , in the research and development program provided by theUnited Kingdom tax relief program, such that a percentage of up to 14.5% of our qualifying research and development expenditures are reimbursed by theUnited Kingdom government, and such incentives are reflected as other income.
Investment income
Investment income consists of income earned on our cash and cash equivalents and short-term investments.
Interest expense on debt obligations
Interest expense on debt obligations consists of the amortization of debt discount and cash paid for interest under the loan agreement with Hercules.
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Interest expense on finance lease liability
Interest expense on finance lease liability consists of amortization of finance charges under our financing lease.
Other income (expense), net
Other income (expense), net consists primarily of realized and unrealized foreign currency transaction gains and losses.
Income taxes
Since our inception and throughDecember 31, 2022 , we have not recorded any income tax benefits for the net losses we incurred in each jurisdiction in which we operate, as we believe, based upon the weight of available evidence, that it is more likely than not that all of our net operating loss carryforwards will not be realized. Results of operations
Comparison of the three months ended
The following chart summarizes our results of operations for the three months
ended
Three Months Ended December 31, 2022 2021 Change (Amounts in thousands) Operating expenses: Research and development$ 30,261 $ 19,353 $ 10,908 Selling, general and administrative 11,369 10,345 1,024 Total operating expenses 41,630 29,698 11,932 Loss from operations (41,630) (29,698) (11,932) Other income (expense): Research and development incentives 607 733
(126)
Investment income 2,675 87
2,588
Interest expense on finance lease liability (548) (555)
7
Interest expense on debt obligations (941) -
(941)
Other income (expense) 147 (241)
388
Total other income (expense), net 1,940 24 1,916 Net loss$ (39,690) $ (29,674) $ (10,016)
Research and development expenses
Research and development expenses for the three months endedDecember 31, 2022 were$30.3 million , compared to$19.4 million for the three months endedDecember 31, 2021 . The following table summarizes our research and development expenses for the three months endedDecember 31, 2022 and 2021: 30
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Direct research and development expenses by program:
RP1 10,176 4,025 6,151RP2 588 3,639 (3,051)RP3 2,516 362 2,154 Unallocated research and development expenses: - Personnel related (including stock-based compensation) 13,048 9,143 3,905 Other 3,933 2,184 1,749 Total research and development expenses$ 30,261 $
19,353
The change in our direct research and development expenses between our product candidates is associated with technology transfer, process development, qualification and comparability of our in-house manufactured materials compared to our third-party manufactured materials in readiness for utilizing our product candidates made at our in-house manufacturing facility in our clinical development programs and preparation for potential commercial manufacture, if approved. The increase inRP1 is primarily the result of an increase in our number of clinical trial sites and patient enrollment as compared to the prior year, and a reduction of$1.9 million of costs sharing in the CERPASS trial from Regeneron during the current period as discussed in Note 12 to the consolidated financial statements appearing elsewhere in this Quarterly Report. During the three months endedDecember 31, 2022 , manufacturing shifted focus from technology transfer and consistency batches forRP2 andRP3 to validation batches forRP1 , which is the driver of the change in program costs year over year. The increase of$5.7 million in our unallocated expenses was due to a$3.9 million increase in personnel-related costs and$1.7 million increase in other expenses. The increase in personnel-related costs included a$3.2 million increase in payroll and fringe benefits and a stock-based compensation increase of$0.8 million . The increase in personnel-related costs largely reflected the hiring of additional personnel in our research and development functions as we continue to expand the development plan in multiple indications. Personnel related costs for the three months endedDecember 31, 2022 and 2021 included stock-based compensation expense of$2.6 million and$1.8 million , respectively. Furthermore, the change in other expenses is primarily driven by an increase of approximately$0.6 million in consulting costs across our platform and a$0.5 million increase in facility, depreciation and amortization costs.
Selling, general and administrative expenses
Selling, general and administrative expenses were$11.4 million for the three months endedDecember 31, 2022 , compared to$10.3 million for the three months endedDecember 31, 2021 . The increase of$1.0 million is primarily the result of an increase of$1.0 million in personnel related costs, including a stock-based compensation increase of$0.3 million , and an increase of$0.7 million in payroll and fringe benefits. The increase in personnel related costs was driven by the continued hiring of additional personnel in our selling, general and administrative functions, focusing on additional pre-launch planning and initial build of the Company's commercial infrastructure, which accounts for approximately$0.3 million of the increase.
Total other income (expense), net
Other net expense was$1.9 million for the three months endedDecember 31, 2022 , compared to$24 thousand for the three months endedDecember 31, 2021 . The net change of$1.9 million is primarily attributable to an increase in investment income of$2.6 million as a result of higher interest rates during the quarter combined with increased securities in our portfolio quarter over quarter from the proceeds of theDecember 2022 stock offering, as well as a decrease in expense of$0.4 million in the current year compared to the prior year due to exchange rate fluctuations related to the changes in foreign exchange rates of the British Pound Sterling to the United States Dollar, specifically on intercompany and other non-functional currency transactions. This income is partially offset by an increase in interest expense of approximately$0.9 million on debt obligations related to the Hercules Loan Agreement which was entered into during the quarter.
Comparison of the nine months ended
The following chart summarizes our results of operations for the nine months
ended
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Table of Contents Nine Months Ended December 31, 2022 2021 Change (Amounts in thousands) Operating expenses: Research and development$ 88,573 $ 57,809 $ 30,764 Selling, general and administrative 35,512 28,517 6,995 Total operating expenses 124,085 86,326 37,759 Loss from operations (124,085) (86,326) (37,759) Other income (expense): Research and development incentives 2,032 2,246
(214)
Investment income 4,130 259
3,871
Interest expense on finance lease liability (1,650) (1,670)
20
Interest expense on debt obligations (941) -
(941)
Other (expense) income (4,531) (849)
(3,682)
Total other income (expense), net (960) (14) (946) Net loss$ (125,045) $ (86,340) $ (38,705)
Research and development expenses
Nine Months Ended December 31, 2022 2021 Change
Direct research and development expenses by program:
RP1 25,669 11,976 13,693RP2 3,008 10,426 (7,418)RP3 10,006 877 9,129 Unallocated research and development expenses: - Personnel related (including stock-based compensation) 38,048 27,380 10,668 Other 11,842 7,150 4,692 Total research and development expenses$ 88,573 $
57,809
Research and development expenses for the nine months endedDecember 31, 2022 were$88.6 million , compared to$57.8 million for the nine months endedDecember 31, 2021 . The increase of$30.8 million was due primarily to an increase of approximately$15.4 million in direct research costs related to our ongoing clinical trials forRP1 ,RP2 andRP3 , as well as an additional$15.4 million in unallocated research and development costs. The change in our research and development expense between our product candidates is associated with technology transfer and process development underway in readiness for bringing our manufacturing facility online to support our clinical development and prepare for commercial launch. Furthermore, the increase inRP1 is primarily the result of an increase in our number of clinical trial sites and patient enrollment as compared to the prior year, as well as a$3.7 million reduction of cost sharing in the CERPASS trial from Regeneron during the nine months endedDecember 31, 2022 as discussed in Note 12 to the consolidated financial statements appearing elsewhere in this Quarterly Report. In addition, manufacturing focused on the advancement of theRP2 andRP3 technology transfer and studies necessary to qualify the in-house manufacturedRP2 andRP3 product candidates for use in clinical trials during the first two quarters, with a shifted focus to validation batches forRP1 during the third quarter, as well as continued clinical trial development of our product candidates during the nine months endedDecember 31, 2022 . The increase in unallocated research and development costs is mainly attributable to a$10.7 million increase in personnel-related costs, including a$9.4 million increase in payroll and fringe benefits and a stock-based compensation increase of$1.2 million . The increase in personnel-related costs largely reflected the hiring of additional personnel in our research and development functions as we expanded the development plan in multiple indications. Personnel related costs for the nine months endedDecember 31, 2022 and 2021 included stock-based compensation expense of$7.7 million and$6.5 million , respectively. In addition to the increase in personnel-related costs, other expenses increased by$4.7 million . This 32
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change is primarily due to an increase of
Selling, general and administrative expenses
Selling, general and administrative expenses were$35.5 million for the nine months endedDecember 31, 2022 , compared to$28.5 million for the nine months endedDecember 31, 2021 . The increase of$7.0 million is primarily the result of an increase of$3.5 million in personnel related costs, including a stock-based compensation increase of$1.5 million , and an increase of$2.0 million in payroll and fringe benefits. The increase in personnel related costs was driven by the hiring of additional personnel, including the initial expenses related to commercial personnel associated with pre-launch commercial planning and initial build of our commercial infrastructure. Personnel related costs for the nine months endedDecember 31, 2022 and 2021 included stock-based compensation expense of$13.5 million and$12.0 million , respectively.
Total other (expense) income, net
Other net expense was$0.9 million for the nine months endedDecember 31, 2022 , compared to a net expense of$13.8 thousand for the nine months endedDecember 31, 2021 . The net change of$0.9 million is primarily driven by increases in expense of$3.7 million in the current year compared to the prior year due to exchange rate fluctuations related to the changes in foreign exchange rates of the British Pound Sterling to the United States Dollar, specifically on intercompany and other non-functional currency transactions. Additionally, there is a year over year increase in interest expense of approximately$0.9 million on debt obligations related to the Hercules Loan Agreement which was entered into during the third quarter This increase in expense is somewhat offset by an increase in investment income of approximately$3.9 million compared to the prior year.
Liquidity and capital resources
Since our inception, we have not generated any revenue from product sales and have incurred significant operating losses and negative cash flows from our operations. We have not yet commercialized any of our product candidates, which are in various phases of preclinical and clinical development, and we do not expect to generate revenue from sales of any products for the foreseeable future, if at all.
Sources of liquidity
To date, we have financed our operations primarily with proceeds from the sale of equity securities and, to a lesser extent, proceeds from borrowing under a secured loan facility. ThroughDecember 31, 2022 , we had received net proceeds of$935.9 million through the sale of shares of common stock and warrants exercisable for common stock in public offerings and at-the-market offerings, as well as$30.0 million from our incurrence of debt under the term loan agreement with Hercules. As ofDecember 31, 2022 , we had cash and cash equivalents and short-term investments of$616.4 million .
Cash flows
The following table summarizes our cash flows for each of the periods presented: Nine Months Ended December 31, 2022 2022 2021 (Amounts in thousands) Net cash used in operating activities$ (95,254) $ (59,623) Net cash used in investing activities (119,750) 2,520 Net cash provided by financing activities 311,380 6,239
Effect of exchange rate changes on cash and cash equivalents 4,343
621 Net decrease in cash and cash equivalents$ 100,719 $ (50,243) Operating activities 33
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During the nine months endedDecember 31, 2022 , net cash used in operating activities was$95.3 million , primarily resulting from our net loss of$125.0 million , partially offset by non-cash charges of$21.6 million , primarily consisting of stock-based compensation expense of$21.2 million , and an increase in cash of$8.2 million related to changes in our operating assets and liabilities. Changes in our operating assets and liabilities for the nine months endedDecember 31, 2022 consisted primarily of a$5.6 million increase in accrued expenses and other current liabilities, a$0.8 million decrease in research and development incentives receivable from theUnited Kingdom government due to the timing and amount of our qualifying expenditures, a net$1.8 million change in operating and financing right-of-use assets and lease liabilities, a$0.4 million decrease in accounts payable, as well as a$0.4 million increase in prepaid expenses and other current assets. During the nine months endedDecember 31, 2021 , net cash used in operating activities was$59.6 million , primarily resulting from our net loss of$86.3 million , partially offset by an increase in non-cash charges of$21.9 million , primarily consisting of an increase in stock-based compensation expense of$18.5 million , and an increase in cash of$4.8 million related to changes in our operating assets and liabilities. Changes in our operating assets and liabilities for the nine months endedDecember 31, 2021 consisted primarily of a$2.0 million increase accrued expenses and other current liabilities, a net$1.8 million change in operating and financing right-of-use assets and lease liabilities, a$1.2 million increase in accounts payable and a$0.7 million decrease in research and development incentives receivable from theUnited Kingdom government due to the timing and amount of our qualifying expenditures, as well as a$0.9 million increase in prepaid expenses and other current assets.
Investing activities
During the nine months ended
During the nine months endedDecember 31, 2021 , net cash provided by investing activities was$2.5 million , consisting of$196.3 million in proceeds from sales and maturities of short-term investments, partially offset by$192.5 million in purchases of available for sale securities and$1.2 million in purchases of property, plant and equipment.
Financing Activities
During the nine months endedDecember 31, 2022 , net cash provided by financing activities was$311.4 million , consisting primarily of$150.1 million in proceeds from the issuance of common stock,$92.8 million from the issuance of pre-funded warrants to purchase common stock,$37.4 million from the issuance of common stock through sales under our at-the-market facilities,$30.0 million in proceeds from the issuance of debt under the Hercules Loan Agreement, as well as approximately$3.2 million in proceeds from the exercise of stock options. During the nine months endedDecember 31, 2021 , net cash provided by financing activities was$6.2 million , consisting of primarily$6.4 million in proceeds from the exercise of stock options.
Funding requirements
Our plan of operation is to continue implementing our business strategy, continue research and development ofRP1 and our other product candidates and continue to expand our research pipeline and our internal research and development capabilities. We expect our expenses to increase substantially in connection with our ongoing activities, particularly as we advance the preclinical activities and clinical trials of our product candidates and if and as we:
•conduct our current and future clinical trials with
•further preclinical development of our RPx platform;
•operate, qualify and maintain our in-house manufacturing facility and qualify and maintain our product candidates made therein for use in our clinical trials;
•seek to identify and develop additional product candidates;
•seek marketing approvals for any of our product candidates that successfully complete clinical trials, if any;
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•establish a sales, marketing and distribution infrastructure to commercialize any products for which we may obtain marketing approval;
•until our planned manufacturing facility is fully validated, continued limited manufacturing by third parties for clinical development.
•maintain, expand, protect and defend our intellectual property portfolio;
•hire and retain additional clinical, quality control, scientific and general and administration personnel;
•acquire or in-license other drugs, technologies or third-party intellectual property; and
•add operational, financial and management information systems and personnel, including personnel to support our research and development programs, any future commercialization efforts and operations as a public company. As ofDecember 31, 2022 , we had cash and cash equivalents and short-term investments of$616.4 million . In addition, inOctober 2022 , the Company completed a$200 million non-dilutive debt financing with Hercules Capital, Inc. We believe that our existing cash, cash equivalents and short-term investments as ofDecember 31, 2022 , together with unrestricted proceeds available to be drawn under the Hercules Term Loan Facility, will enable us to fund our operations into the second half of 2025, inclusive of the costs of funding commercial infrastructure and running a confirmatory clinical trial to support a potential filing for FDA approval in anti-PD1 failed melanoma under the accelerated approval pathway. We have based these estimates on assumptions that may prove to be wrong, and we could utilize our available capital resources sooner than we expect. Because of the numerous risks and uncertainties associated with the development ofRP1 and other product candidates and programs, and because the extent to which we may enter into collaborations with third parties for development of our product candidates is unknown, we are unable to estimate the timing and amounts of increased capital outlays and operating expenses associated with completing the research and development of our product candidates. Our future capital requirements will depend on many factors, including those described in this section and above under "-Operating expenses-Research and development expenses." Developing novel biopharmaceutical products, including conducting preclinical studies and clinical trials, is a time-consuming, expensive and uncertain process that takes years to complete, and we may never generate the necessary data or results required to obtain marketing approval for any product candidates or generate revenue from the sale of any products for which we may obtain marketing approval. In addition, our product candidates, if approved, may not achieve commercial success. Our commercial revenues, if any, will be derived from sales of therapies that we do not expect to be commercially available for many years, if ever. Accordingly, we will need to obtain substantial additional funds to achieve our business objectives. Adequate additional funds may not be available to us on acceptable terms, or at all. We do not currently have any committed external source of funds. To the extent that we raise additional capital through the sale of our equity or convertible debt securities, our shareholders' interest may be diluted, and the terms of these securities may include liquidation or other preferences and anti-dilution protections that could adversely affect the rights of our common stockholder. Additional debt or preferred equity financing, if available, may involve agreements that include restrictive covenants that may limit our ability to take specific actions, such as incurring debt adversely impact our ability to conduct our business, and may require the issuance of warrants, which could potentially dilute your ownership interest. If we raise additional funds through collaborations, strategic alliances or licensing arrangements with third parties, we may have to relinquish valuable rights to our technology, future revenue streams, research programs, or product candidates or grant licenses on terms that may not be favorable to us. If we are unable to raise additional funds through equity or debt financings or collaborations, strategic alliances or licensing arrangements with third parties when needed, we may be required to delay, limit, reduce and/or terminate our product development programs or any future commercialization efforts or grant rights to develop and market product candidates that we would otherwise prefer to develop and market ourselves.
Contractual obligations and commitments
During the three months endedDecember 31, 2022 , there were no material changes to our contractual obligations and commitments from those described under the heading "Management's Discussion and Analysis of Financial Condition and 35
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Results of Operations-Contractual Obligations and Commitments" in our Annual Report on Form 10-K for the year endedMarch 31, 2022 , which was filed with theSEC onMay 20, 2021 . Collaborations BMS InFebruary 2018 , we entered into a Clinical Trial Collaboration and Supply Agreement with BMS. Pursuant to the agreement, BMS is providing to us, at no cost, nivolumab, its anti-PD-1 therapy, for use in combination withRP1 in our ongoing Phase 1/2 clinical trial. Under the agreement, we will sponsor, fund and conduct the clinical trial in accordance with an agreed-upon protocol. BMS granted us a non-exclusive, non-transferrable, royalty-free license (with a right to sublicense) under its intellectual property to use nivolumab in the clinical trial and has agreed to supply nivolumab, at no cost to us, for use in the clinical trial. Both parties will own the study data produced in the clinical trial, other than study data related solely to nivolumab, which will belong solely to BMS, or study data related solely toRP1 , which will belong solely to us. InJanuary 2020 , this agreement was expanded to cover an additional cohort of 125 patients with anti-PD-1 failed melanoma. Unless earlier terminated, the agreement will remain in effect until (i) the completion of the clinical trial, (ii) all related clinical trial data have been delivered to both parties and (iii) the completion of any statistical analyses and bioanalyses contemplated by the clinical trial protocol or any analysis otherwise agreed upon by the parties. The agreement may be terminated by either party (x) in the event of an uncured material breach by the other party, (y) in the event the other party is insolvent or in bankruptcy proceedings or (z) for safety reasons. Upon termination, the licenses granted to us to use nivolumab in the clinical trial will terminate. The agreement contains representations, warranties, undertakings and indemnities customary for a transaction of this nature. InApril 2019 , we entered into a separate agreement with BMS on terms similar to the terms set forth in the agreement described above, pursuant to which BMS will provide, at no cost to us, nivolumab for use in our Phase 1 clinical trial ofRP2 in combination with nivolumab.
Regeneron
InMay 2018 , we entered into a Master Clinical Trial Collaboration and Supply Agreement with Regeneron. Pursuant to the agreement we agreed to undertake one or more clinical trials with Regeneron for the administration of our product candidates in combination with cemiplimab, an anti-PD-1 therapy developed by Regeneron, across multiple solid tumor types, the first of which, agreed inJune 2018 , is our ongoing Phase 2 clinical trial testingRP1 in combination with cemiplimab versus cemiplimab alone in patients with CSCC. Each clinical trial will be conducted pursuant to an agreed study plan which, among other things, will identify the name of the sponsor and which party will manage the particular study, and include the protocol, the budget and a schedule of clinical obligations. The first study plan related to the Phase 2 clinical trial in CSCC has been agreed. Pursuant to the terms of the agreement, each party granted the other party a non-exclusive license of their respective intellectual property and agreed to contribute the necessary resources needed to fulfill their respective obligations, in each case, under the terms of agreed study plans. Development costs of an agreed study plan will be split equally. InJuly 2022 , Regeneron informed the Company that the costs of the study have reached the initial budget for the initial study plan ofJune 2018 and that Regeneron's reimbursement of CERPASS study costs to the Company have completed in the period endingJune 30, 2022 in relation to the initial study budget. As a result of this notice from, and the ongoing communications with, Regeneron, we have not recorded any cost-sharing reimbursements from Regeneron in prepaid expenses and other current assets in the consolidated balance sheet or as an offset to research and development expense within the consolidated statement of operations since Regeneron informed us that Regeneron's reimbursement of CERPASS study costs have completed. The Company does not expect any further reimbursements from Regeneron related to the initial study plan ofJune 2018 . The agreement contains representations, warranties, undertakings and indemnities customary for a transaction of this nature. The agreement also contains certain time-based covenants that restrict us from entering into a third-party arrangement with respect to the use of our product candidates in combination with an anti-PD-1 therapy and that restrict Regeneron from entering into a third-party arrangement with respect to the use of cemiplimab in combination with an HSV-1 virus, in each case, for the treatment of a tumor type that is the subject of a clinical trial to which the covenants apply. Unless otherwise mutually agreed in a future study plan, these covenants are only applicable to our ongoing Phase 2 clinical trial in CSCC. The agreement may be terminated by either party if (i) there is no active study plan for which a final study report has not been completed and the parties have not entered into a study plan for an additional clinical trial within a period of time after the delivery of the most recent final study report or (ii) in the event of a material breach. 36
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Roche
InDecember 2022 , we announced entering into a Master Clinical Trial Collaboration and Supply Agreement with Roche in relation to ourRP2 andRP3 programs in colorectal cancer, or CRC, and hepatocellular carcinoma, or HCC. Under the agreement, the companies will collaborate in 30 patient cohort signal finding studies in third-line, or 3L, CRC and in first- and second-line, or 1L and 2L, respectively, HCC. Under the terms of the agreement, the companies will share costs and Roche will supply its currently approved drugs, atezolizumab and bevacizumab for 2L HCC and 3L CRC combined withRP3 . Roche will also supply atezolizumab and bevacizumab for 1L HCC combined withRP3 , and for 3L CRC combined withRP2 . We have retained the responsibility of operating the clinical trials as well as retaining all the rights to the development and commercialization of our product candidates. The agreement may be terminated by either party upon sixty (60) days prior written notice to the other party.
Critical accounting policies and estimates
Our management's discussion and analysis of financial condition and results of operations is based on our consolidated financial statements, which have been prepared in accordance with generally accepted accounting principles inthe United States . The preparation of our consolidated financial statements and related disclosures requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities, costs and expenses and the disclosure of contingent assets and liabilities in our consolidated financial statements. We base our estimates on historical experience, known trends and events and various other factors that we believe are reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. We evaluate our estimates and assumptions on an ongoing basis. Our actual results may differ from these estimates under different assumptions or conditions. While our significant accounting policies are described in greater detail in Note 2 to our consolidated financial statements appearing elsewhere in this Quarterly Report, we believe that the following accounting policies are those most critical to the judgments and estimates used in the preparation of our consolidated financial statements.
Accrued research and development expenses
As part of the process of preparing our consolidated financial statements, we are required to estimate our accrued research and development expenses. This process involves reviewing open contracts and purchase orders, communicating with our personnel to identify services that have been performed on our behalf and estimating the level of service performed and the associated cost incurred for the service when we have not yet been invoiced or otherwise notified of actual costs. The majority of our service providers invoice us in arrears for services performed, on a pre-determined schedule or when contractual milestones are met; however, some require advanced payments. We make estimates of our accrued expenses as of each balance sheet date in the consolidated financial statements based on facts and circumstances known to us at that time. Examples of estimated accrued research and development expenses include fees paid to:
•CROs in connection with performing research activities and conducting preclinical studies and clinical trials on our behalf;
•CMOs in connection with the production of preclinical and clinical trial materials;
•investigative sites or other service providers in connection with clinical trials;
•vendors in connection with preclinical and clinical development activities; and
•vendors related to product manufacturing and development and distribution of preclinical and clinical supplies.
We base our expenses related to preclinical studies and clinical trials on our estimates of the services received and efforts expended pursuant to quotes and contracts with multiple CMOs and CROs that supply, conduct and manage preclinical studies and clinical trials on our behalf. The financial terms of these agreements are subject to negotiation, vary from contract to contract and may result in uneven payment flows. There may be instances in which payments made to our vendors will exceed the level of services provided and result in a prepayment of the expense. Payments under some of these contracts depend on factors such as the successful enrollment of patients and the completion of clinical trial milestones. In accruing service fees, we estimate the time period over which services will be performed and the level of effort to be expended in each period. If the actual timing of the performance of services or the level of effort varies from the estimate, we adjust the accrual or the amount of prepaid expenses accordingly. Although we do not expect our estimates to be materially different from amounts actually 37
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incurred, our understanding of the status and timing of services performed relative to the actual status and timing of services performed may vary and may result in reporting amounts that are too high or too low in any particular period. To date, there have not been any material adjustments to our prior estimates of accrued research and development expenses.
Stock-based compensation
We issue stock-based awards to employees, directors, consultants and non-employees in the form of stock options and restricted stock units. We measure such stock-based awards in accordance with ASC 718, Compensation - Stock Compensation, which requires all stock-based awards to be recognized in the consolidated statements of operations and comprehensive loss based on their fair value on the date of the grant and the related compensation expense for those awards is recognized over the requisite service period, which is generally the vesting period of the respective award. We have, to date, only issued stock-based awards with service-based vesting conditions and record the expense for these awards using the straight-line method. The fair value of each stock option grant is estimated on the date of grant using the Black-Scholes option-pricing model, which requires inputs based on certain subjective assumptions, including the expected stock price volatility, the expected term of the option, the risk-free interest rate for a period that approximates the expected term of the option, and our expected dividend yield. See Note 10 to our consolidated financial statements appearing elsewhere in this Quarterly Report for more information. Forfeitures are accounted for as they occur. The fair value of each stock-based award is estimated on the date of grant based on the fair value of our common stock on that same date. We classify stock-based compensation expense in our consolidated statements of operations in the same manner in which the award recipient's payroll costs are classified or in which the award recipient's service payments are classified.
Recently issued accounting pronouncements
A description of recently issued accounting pronouncements that may potentially impact our financial position and results of operations is disclosed in Note 2 to our consolidated financial statements appearing elsewhere in this Quarterly Report.
Emerging growth company status
As an "emerging growth company," the Jumpstart Our Business Startups Act of 2012 permits us to take advantage of an extended transition period to comply with new or revised accounting standards applicable to public companies until those standards would otherwise apply to private companies. We have irrevocably elected to "opt out" of this provision and, as a result, we will comply with new or revised accounting standards when they are required to be adopted by public companies that are not emerging growth companies.
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