2836 |
85-1231852 | |||
(State or other jurisdiction of incorporation or organization) |
(Primary Standard Industrial Classification Code Number) |
(I.R.S. Employer Identification Number) |
Large accelerated filer | ☐ | Accelerated filer | ☐ | |||
☒ | Smaller reporting company | |||||
Emerging growth company |
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F-1 |
• | our ability to obtain funding for our operations and to grow our business; |
• | our ability to successfully commercialize and market JATENZO and any future product candidates, if approved, and the timing of any commercialization and marketing efforts; |
• | the potential market size, opportunity and growth potential for JATENZO and any future product candidates, if approved; |
• | the benefits of testosterone, or T, replacement therapy in certain populations, patients’ drug administration preferences and acceptance of JATENZO by physicians and patients; |
• | our plans and expectations regarding our strategic alternative review process and the timing and success of such process regarding a potential transaction; |
• | the timing of our product development activities and the initiation, timing, progress and results of our exploratory trials and studies to guide the development of JATENZO for additional potential indications; |
• | the implementation of our business model, strategic plans for our business, product candidates and technology; |
• | expectations regarding sales of JATENZO and the costs of supplying, manufacturing and continuing to commercialize JATENZO; |
• | our ability to obtain marketing approval and acceptance for JATENZO in territories outside of the United States; |
• | our ability to maintain the listing of the Common Stock on the Nasdaq Global Market and the potential liquidity and trading of our securities; |
• | our future financial performance and expectations regarding future expenditures; |
• | the accuracy of our estimates regarding expenses, capital requirements and our future needs for additional financing; |
• | our ability to retain the continued service of our key professionals and to identify, hire and retain additional qualified professional; |
• | developments relating to our competitors and our industry, and our ability to compete effectively in a competitive industry; |
• | our ability to contract with third-party suppliers, manufacturers and other service providers and their ability to perform adequately and to produce sufficient quantities of clinical and potentially future commercial supplies; |
• | our ability to enter into marketing or co-promotional arrangements and strategic partnerships; |
• | the scope of protection we are able to establish and maintain for intellectual property rights covering our product candidates and technology; |
• | regulatory, judicial, and legislative developments and their impact on our business; |
• | the impact from the outcome of any known and unknown litigation; and |
• | other risks and uncertainties, including those listed under the section titled “ Risk Factors |
• | We have incurred significant operating losses and there is substantial doubt about our ability to continue as a going concern, which may affect our ability to obtain future financing and may require us to curtail our operations. We will need to raise additional capital to support our operations. |
• | We have significant indebtedness and servicing our debt requires a significant amount of cash. We may not have sufficient cash flow from our operations to satisfy the financial covenants in our debt agreements. We may not receive a waiver of default for outstanding indebtedness for which we may be in default in the future. |
• | We may not be successful in identifying and implementing any strategic business combination or other transaction and any strategic transactions that we may consummate in the future could have negative consequences. |
• | JATENZO is the only product we are commercializing. If we fail to successfully commercialize JATENZO, we may need to acquire additional product candidates and our business may be impaired. |
• | We have limited experience as a commercial company and the marketing and sale of JATENZO or any future approved drugs may be unsuccessful or less successful than anticipated. |
• | Our ability to utilize our net operating loss carryforwards and certain other tax attributes may be limited. |
• | Our reliance on third-party suppliers and distributors could harm our ability to commercialize JATENZO or any product candidates that may be approved in the future. |
• | The ongoing COVID-19 pandemic is having, and is expected to have, an adverse impact on our business, financial condition and results of operations, including our commercial operations and sales. |
• | The FDA and other regulatory agencies actively enforce the laws and regulations prohibiting the promotion of off-label uses. If we are found to have improperly promoted off-label uses, we may become subject to significant liability. |
• | Even though we have received marketing approval for JATENZO in the United States, we may never receive marketing approval outside of the United States, or receive pricing and reimbursement outside the United States at acceptable levels. |
• | Recent federal legislation may increase pressure to reduce prices of certain pharmaceutical products paid for by Medicare, which could materially adversely affect our revenue and our results of operations. |
• | T is a Schedule III (non-narcotic) substance under the Controlled Substances Act and any failure to comply with this Act or its state equivalents would have a negative impact on our business. |
• | If coverage and reimbursement for JATENZO are limited, it may be difficult for us to profitably sell JATENZO. |
• | Our market is subject to intense competition. If we are unable to compete effectively, our opportunity to generate revenue from the sale of JATENZO will be impaired. |
• | If we are unable to obtain or protect intellectual property rights related to JATENZO, we may not be able to compete effectively in our market. |
• | We may be involved in lawsuits and proceedings to protect or enforce our patents, which could be expensive, time consuming and unsuccessful. |
• | We have identified material weaknesses in our internal control over financial reporting, and we may identify future material weaknesses in our internal control over financial reporting. |
• | We will need to grow our company, and we may encounter difficulties in managing this growth, which could disrupt our operations. |
• | Our future success depends on our ability to retain our chief executive officer, chief financial officer, chief commercial officer and chief administrative officer and to attract, retain and motivate qualified personnel. |
• | Our debt agreements contain restrictions that limit our flexibility in operating our business. |
• | establish and maintain our relationships with healthcare providers who will be treating the patients who may receive JATENZO and any future products; |
• | obtain adequate pricing and reimbursement for JATENZO and any future products; |
• | develop and maintain successful strategic alliances; and |
• | manage our spending as costs and expenses increase due to clinical trials, marketing approvals, and commercialization. |
• | adversely impacting the third parties we solely rely on to sufficiently manufacture JATENZO in quantities we require including the availability of raw materials and other supply chain requirements; |
• | decreasing the demand for JATENZO; and |
• | the ability of our sales representatives to reach healthcare customers. |
• | physicians’ views as to the scope of the approved indication and limitations on use and warnings and precautions contained in JATENZO’s approved labeling; |
• | the availability, efficacy and safety of competitive therapies; |
• | pricing and the perception of physicians and payors as to cost effectiveness; |
• | the existence of sufficient third-party coverage or reimbursement; and |
• | the effectiveness of our sales, marketing and distribution strategies. |
• | issue warning or untitled letters or notice of violation letters; |
• | seek an injunction or impose civil or criminal penalties or monetary fines; |
• | suspend or withdraw marketing approval; |
• | suspend any ongoing clinical trials; |
• | refuse to approve pending applications or supplements to applications submitted by us; |
• | suspend or impose restrictions on operations, including costly new manufacturing requirements; or |
• | seize or detain products, refuse to permit the import or export of products, or request that we initiate a product recall. |
• | the demand for our products and any products for which we may obtain regulatory approval; |
• | our ability to set a price that we believe is fair for our products; |
• | our ability to obtain coverage and reimbursement approval for a product; |
• | our ability to generate revenues and achieve or maintain profitability; and |
• | the level of taxes that we are required to pay. |
• | T-gels, such as AndroGel, marketed by AbbVie Inc., or AbbVie; Testim, marketed by Endo Pharmaceutical, or Endo; and Fortesta, marketed by Endo in the United States; |
• | generic T-injectables; |
• | oral methyl-T; |
• | transdermal patches, such as Androderm, marketed by Allergan Sales, LLC, a subsidiary of AbbVie; buccal patches, such as Striant, marketed by Endo; |
• | implanted subcutaneous pellets, such as Testopel, marketed by Endo; |
• | Aveed, a long-acting T-injectable marketed by Endo; |
• | Xyosted, a sub-cutaneous weekly auto-injector T-therapy marketed by Antares Pharma, Inc.; and |
• | Natesto, an intranasal T-therapy, marketed by Acerus Pharmaceuticals. |
• | TLANDO, an oral TU formulation developed by Lipocine, was licensed to Antares Pharma who announced on March 29, 2022 that FDA had granted full approval to TLANDO. Such approval required the expiry of JATENZO’s Hatch-Waxman market exclusivity that occurred on March 27, 2022. |
• | KYZATREX, an oral TU formulation as a T-replacement therapy being developed by Marius Pharmaceuticals with a Prescription Drug User Fee Act, or PDUFA, date of October 31, 2021. To date, the status of the NDA for KYZATREX is unknown but it has not received FDA approval. |
• | BGS-649 (leflutrozole), a once weekly aromatase inhibitor (that increases testosterone levels), as first-line therapy for the treatment of infertility in obese men with hypogonadotropic hypogonadism, which has completed its Phase 2b trials, currently being developed by Mereo BioPharma Group Ltd; and |
• | TesoRx Pharma, LLC is developing an oral TU product (TSX-049) for testosterone replacement therapy in hypogonadal men. |
• | substantial monetary awards to patients from our clinical trials or other claimants; |
• | decreased demand for JATENZO; |
• | damage to our business reputation and exposure to adverse publicity; |
• | increased FDA warnings on product labels; |
• | costs of related litigation; |
• | distraction of management’s attention from our primary business; |
• | loss of revenue; and |
• | the inability to successfully commercialize JATENZO. |
• | sell, transfer, lease or dispose of certain assets; |
• | encumber or permit liens on certain assets; |
• | make certain restricted payments, including paying dividends on, or repurchasing or making distributions with respect to, Common Stock; and |
• | enter into certain transactions with affiliates. |
• | a limited availability of market quotations for our securities; |
• | reduced liquidity for our securities; |
• | a determination that the Common Stock is a “penny stock,” which will require brokers trading in Common Stock to adhere to more stringent rules and possibly result in a reduced level of trading activity in the secondary trading market for our securities; |
• | a limited amount of news and analyst coverage; |
• | a decreased ability to issue additional securities or obtain additional financing in the future. |
• | potential loss of confidence by partners and employees; and |
• | loss of institutional investor interest and fewer business development opportunities. |
• | results of operations that vary from the expectations of securities analysts and investors; |
• | results of operations that vary from those our competitors; |
• | changes in expectations as to our future financial performance, including financial estimates and investment recommendations by securities analysts and investors; |
• | declines in the market prices of stocks generally; |
• | strategic actions by us or our competitors; |
• | announcements by us or our competitors of significant contracts, acquisitions, joint ventures, other strategic relationships or capital commitments; |
• | any significant change in our management; |
• | changes in general economic or market conditions or trends in our industry or markets; |
• | changes in business or regulatory conditions, including new laws or regulations or new interpretations of existing laws or regulations applicable to our business; |
• | future sales of Common Stock or other securities; |
• | investor perceptions of the investment opportunity associated with the Common Stock relative to other investment alternatives; |
• | the public’s response to press releases or other public announcements by our or third parties, including our filings with the SEC; |
• | litigation involving our business, our industry, or both, or investigations by regulators into our operations or those of our competitors; |
• | guidance, if any, that we provide to the public, any changes in this guidance or our failure to meet this guidance; |
• | the development and sustainability of an active trading market for the Common Stock; |
• | actions by institutional or activist stockholders; |
• | changes in accounting standards, policies, guidelines, interpretations or principles; and |
• | other events or factors, including those resulting from pandemics, natural disasters, war, including the ongoing conflict due to the Russian invasion of Ukraine, acts of terrorism or responses to these events. |
• | a classified board of directors with three-year staggered terms, which could delay the ability of stockholders to change the membership of a majority of the Board; |
• | opting out of Section 203 of the DGCL to allow us to establish our own rules governing business combinations with interested parties; |
• | the ability of the Board to issue shares of preferred stock, including “blank check” preferred stock and to determine the price and other terms of those shares, including preferences and voting rights, without stockholder approval, which could be used to significantly dilute the ownership of a hostile acquirer; |
• | the limitation of the liability of, and the indemnification of, our directors and officers; |
• | the exclusive right of the Board to elect a director to fill a vacancy created by the expansion of the Board or the resignation, death or removal of a director, which prevents stockholders from being able to fill vacancies on the Board; |
• | the requirement that directors may only be removed from the Board for cause; |
• | a prohibition on stockholder action by written consent, which forces stockholder action to be taken at an annual or special meeting of stockholders and could delay the ability of stockholders to force consideration of a stockholder proposal or to take action, including the removal of directors; |
• | the requirement that a special meeting of stockholders may be called only by the Board, the chairperson of the Board, our chief executive officer or our president (in the absence of a chief executive officer), |
which could delay the ability of stockholders to force consideration of a proposal or to take action, including the removal of directors; |
• | controlling the procedures for the conduct and scheduling of board of directors and stockholder meetings; |
• | the requirement for the affirmative vote of holders of at least 2/3 of the voting power of all of the then outstanding shares of the voting stock, voting together as a single class, to amend, alter, change or repeal any provision of the Certificate of Incorporation and Bylaws, which could preclude stockholders from bringing matters before annual or special meetings of stockholders and delay changes in the Board and also may inhibit the ability of an acquirer to effect such amendments to facilitate an unsolicited takeover attempt; |
• | the ability of the Board to amend the bylaws, which may allow the Board to take additional actions to prevent an unsolicited takeover and inhibit the ability of an acquirer to amend the bylaws to facilitate an unsolicited takeover attempt; and |
• | advance notice procedures with which stockholders must comply to nominate candidates to the Board or to propose matters to be acted upon at a stockholders’ meeting, which could preclude stockholders from bringing matters before annual or special meetings of stockholders and delay changes in the Board and also may discourage or deter a potential acquirer from conducting a solicitation of proxies to elect the acquirer’s own slate of directors or otherwise attempting to obtain control of our company. |
• | continue to commercialize JATENZO in the United States for the treatment of adult males with a deficiency or absence of endogenous T; |
• | incur sales and marketing costs to support the commercialization of JATENZO; |
• | incur contractual manufacturing costs for JATENZO; |
• | implement post-approval requirements related to JATENZO; |
• | actively pursue additional indications and line extensions for JATENZO for the treatment of adult males with a deficiency or absence of endogenous T; |
• | seek to attract and retain new and existing skilled personnel; |
• | invest in measures to protect and expand our intellectual property; |
• | seek to discover and develop additional product candidates; |
• | seek to in-license or acquire additional product candidates for other medical conditions; |
• | adapt our regulatory compliance efforts to incorporate requirements applicable to marketed products; |
• | maintain, expand and protect our intellectual property portfolio; |
• | hire additional clinical, manufacturing and scientific personnel; |
• | add operational, financial and management information systems and personnel, including personnel to support our product development and planned future commercialization efforts; |
• | create additional infrastructure to support operations as a public company and incur increased legal, accounting, investor relations and other expenses; and |
• | experience delays or encounter issues with additional outbreaks of the pandemic in addition to any of the above. |
• | salaries, benefits and other related costs, including stock-based compensation expense, for personnel engaged in research and development functions; |
• | post-marketing requirements of the FDA for JATENZO and pharmaceutical development expense related to our internally -in-licensed |
• | costs of outside consultants, including their fees and related travel expenses engaged in research and development functions. |
Three Months Ended March 31, |
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2022 |
2021 |
Change ($) |
Change (%) |
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Net product revenue |
$ | 4,011 | $ | 2,330 | $ | 1,681 | 72 | % | ||||||||
Cost of product sales |
664 | 367 | 297 | 81 | % | |||||||||||
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Gross profit |
3,347 | 1,963 | 1,384 | 71 | % | |||||||||||
Operating expenses: |
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Sales and marketing |
10,729 | 7,937 | 2,792 | 35 | % | |||||||||||
General and administrative |
5,285 | 3,605 | 1,680 | 47 | % | |||||||||||
Research and development |
881 | 1,210 | (329 | ) | (27 | %) | ||||||||||
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Loss from operations |
(13,548 | ) | (10,789 | ) | (2,759 | ) | 26 | % | ||||||||
Other expense, net: |
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Change in fair value of warrant liability and derivative, net |
642 | — | 642 | 100 | % | |||||||||||
Interest income |
1 | — | 1 | 100 | % | |||||||||||
Interest expense |
(1,965 | ) | (4,640 | ) | 2,675 | (58 | %) | |||||||||
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Total other expense, net |
(1,322 | ) | (4,640 | ) | 3,318 | (72 | %) | |||||||||
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Net loss |
$ | (14,870 | ) | $ | (15,429 | ) | $ | 559 | (4 | %) | ||||||
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• | a $2.0 million increase in outsourced advertising and promotion costs due to timing of media buys and agency activities; |
• | a $0.6 million increase in patient assistance costs; |
• | a $0.6 million increase in other sales and marketing related costs; offset by |
• | a $0.5 million decrease in commercial analytic and market research costs, primarily related to prescription and payor data. |
• | a $1.6 million increase in personnel costs, including stock-based compensation expense, primarily due to an increase in headcount and external consultants; |
• | a $0.5 million increase in insurance fees, related to directors’ and officers’ insurance; |
• | a $0.2 million increase in other general and administrative costs; offset by |
• | a $0.6 million decrease in consulting and professional fees. |
• | a $0.7 million decrease in clinical costs related to costs incurred as part of the Phase 4 trials related to the development of JATENZO, our lead commercial product, during the three months ended March 31, 2021; offset by |
• | a $0.4 million increase in personnel costs. |
Years Ended December 31, |
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2021 |
2020 |
Change |
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Net product revenue |
$ | 13,957 | $ | 6,369 | $ | 7,588 | ||||||
Cost of product sales |
2,720 | 8,687 | (5,967 | ) | ||||||||
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Gross profit |
11,237 | (2,318 | ) | 13,555 | ||||||||
Operating expenses: |
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Sales and marketing |
30,677 | 30,524 | 153 | |||||||||
General and administrative |
16,662 | 11,937 | 4,725 | |||||||||
Research and development |
3,630 | 2,398 | 1,232 | |||||||||
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Total operating expenses |
50,969 | 44,859 | 6,110 | |||||||||
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Loss from operations |
(39,732 | ) | (47,177 | ) | 7,445 | |||||||
Other (expense) income, net: |
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Change in fair value of warrant liability and derivative, net |
12,508 | 66,891 | (54,383 | ) | ||||||||
Interest income |
2 | 25 | (23 | ) | ||||||||
Interest expense |
(15,895 | ) | (15,394 | ) | (501 | ) | ||||||
Litigation settlement |
2,500 | — | 2,500 | |||||||||
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Total other (expense) income, net |
(885 | ) | 51,522 | (52,407 | ) | |||||||
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Net (loss) income |
$ | (40,617 | ) | $ | 4,345 | $ | (44,962 | ) | ||||
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• | a $1.8 million increase in in commercial analytic and market research costs, primarily related to prescription and payor data; |
• | a $1.5 million decrease in in outsourced advertising and promotion costs due to timing of media buys and agency activities; and |
• | a $0.1 million increase in other sales and marketing related costs. |
• | a $2.8 million increase in personnel costs, including stock-based compensation expense, primarily due to an increase in headcount and external consultants; |
• | a $1.0 million increase in insurance fees, related to directors’ and officers’ insurance; |
• | a $0.6 million increase in in consulting and professional fees, primarily in connection with operating as a public company; and |
• | a $0.3 million increase in in other general and administrative costs. |
• | a $0.9 million increase in license fees related to the license agreements with HavaH Therapeutics, or HavaH, and McGill University, or McGill; |
• | a $0.7 million increase in clinical costs related to Phase 4 trials related to the development of JATENZO, our lead commercial product; offset by |
• | a $0.4 million decrease in costs related to research and development consulting services. |
Three Months Ended March 31, |
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2022 |
2021 |
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Net cash used in operating activities |
$ | (17,268 | ) | $ | (7,042 | ) | ||
Net cash used in investing activities |
(10 | ) | (11 | ) | ||||
Net cash provided by financing activities |
— | 7,184 | ||||||
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Net (decrease) increase in cash and cash equivalents |
$ | (17,278 | ) | $ | 131 | |||
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Years Ended December 31, |
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2021 |
2020 |
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Net cash used in operating activities |
(43,786 | ) | (41.580 | ) | ||||
Net cash used in investing activities |
(25 | ) | (63 | ) | ||||
Net cash provided by financing activities |
62,993 | 47,220 | ||||||
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Net increase in cash and cash equivalents |
$ | 19,182 | $ | 5,577 | ||||
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• | The costs, timing and ability to manufacture JATENZO; |
• | the costs of future activities, including product sales, marketing, manufacturing and distribution of JATENZO; |
• | the costs of manufacturing commercial-grade product and necessary inventory to support continued commercial launch; |
• | the costs of potential milestones related to license agreements; |
• | the ability to receive additional non-dilutive funding, including grants from organizations and foundations; |
• | the revenue from commercial sale of its products; |
• | the costs of preparing, filing and prosecuting patent applications, obtaining, maintaining, expanding and enforcing its intellectual property rights and defending intellectual property-related claims; and |
• | our ability to establish and maintain collaborations on favorable terms, if at all. |
• | Establish JATENZO as the preferred choice among appropriate hypogonadal men for T-replacement |
• | Accelerate the build of our commercial infrastructure to successfully grow the market for JATENZO and launch any additional products we develop or acquire |
• | Explore additional indications for JATENZO and consider business development opportunities to grow our pipeline and product portfoli female-to-male |
• | a growing awareness among physicians to diagnose and treat hypogonadism and willingness by patients to discuss signs and symptoms of their medical condition than in the past; |
• | recognition and association by HCPs of the association of hypogonadism with other increasingly prevalent diseases, such as metabolic syndrome, type 2 diabetes, chronic renal disease and chronic heart disease; |
• | the ability to easily identify low serum T levels through a simple blood test; and |
• | continuing guidance from medical societies (including the Endocrine Society, American Association of Clinical Endocrinologists and American Urological Association), that clinicians measure serum T levels of patients if they present with symptoms or signs typically associated with hypogonadism. |
• | Convenient Oral Dosing easy-to-swallow |
• | Normalized T Levels |
• | Avoids Administration Challenges non-oral products. JATENZO avoids the risk of T transfer to partners and children that exists with gel treatment; injection site pain, risk of POME and polycythemia seen with injections, and the gum, nasal and skin irritation and difficulty of administration seen with other TRT products. |
• | Safety Profile |
• | qualified two sources of bulk TU, Pfizer and Xianju, both of which are subject to continuing FDA review and periodic inspection, and entered into a commercial supply agreement with each; |
• | entered into an exclusive manufacturing agreement with Catalent for the manufacture of JATENZO softgel capsules; and |
• | entered into an agreement with a commercial packager for finished JATENZO capsules. |
• | nonclinical laboratory and animal tests that must be conducted in accordance with Good Laboratory Practices; |
• | submission to the FDA of an Investigational New Drug, or IND, which must become effective before clinical trials may begin; |
• | approval by an independent institutional review board, or IRB, for each clinical site or centrally before each trial may be initiated; |
• | adequate and well controlled human clinical trials to establish the safety and efficacy of the proposed product candidate for its intended use, performed in accordance with good clinical practices, or GCPs; |
• | submission to the FDA of an NDA and payment of user fees; |
• | satisfactory completion of an FDA advisory committee review, if applicable; |
• | pre-approval inspection of manufacturing facilities and selected clinical investigators for their compliance with cGMP and GCP; |
• | satisfactory completion of FDA audits of clinical trial sites to assure compliance with GCPs and the integrity of the clinical data; and |
• | FDA review and approval of an NDA to permit commercial marketing for particular indications for use. |
• | Phase 1—Studies are initially conducted to test the product candidate for safety, dosage tolerance, structure-activity relationships, mechanism of action, absorption, metabolism, distribution and excretion in healthy volunteers or subjects with the target disease or condition. If possible, Phase 1 clinical trials may also be used to gain an initial indication of product effectiveness. |
• | Phase 2—Controlled studies are conducted with groups of subjects with a specified disease or condition to provide enough data to evaluate the preliminary efficacy, optimal dosages and dosing schedule and expanded evidence of safety. Multiple Phase 2 clinical trials may be conducted to obtain information prior to beginning larger and more expansive Phase 3 clinical trials. |
• | Phase 3—These clinical trials are generally undertaken in larger subject populations to provide statistically significant evidence of clinical efficacy and to further test for safety in an expanded subject population at multiple clinical trial sites. These clinical trials are intended to establish the overall risk/benefit ratio of the product and provide an adequate basis for product labeling. These clinical trials may be done at trial sites outside the United States as long as the global sites are also representative of the U.S. population and the conduct of the study at global sites comports with FDA regulations and guidance, such as compliance with GCPs. In most cases, FDA requires two adequate and well-controlled Phase 3 clinical trials to demonstrate the efficacy of the drug. A single trial may be sufficient in rare instances, including (1) where the study is a large multicenter trial demonstrating internal consistency and a statistically very persuasive finding of a clinically meaningful effect on mortality, irreversible morbidity or prevention of a disease with a potentially serious outcome and confirmation of the result in a second trial would be practically or ethically impossible or (2) when in conjunction with other confirmatory evidence. |