Akebia Therapeutics, Inc. quarterly report, Q2 FY2014

Akebia Therapeutics, Inc. — Q2 2014 Form 10-Q

Business context and reporting period

Unaudited results cover the three and six months ended June 30, 2014, compared with the same 2013 periods. Akebia is a pre-revenue biopharmaceutical company developing HIF-based therapeutics. Its lead candidate, oral AKB-6548, was in a Phase 2b trial for anemia associated with chronic kidney disease (CKD) in patients not on dialysis. The company reported that Phase 2b data were expected in Q4 2014. AKB-6899 remained in preclinical development.

Financial performance and position

MetricQ2 2014Q2 2013Six months 2014Six months 2013
Revenue$0$0$0$0
Research and development$5.525m$2.453m$11.683m$4.351m
General and administrative$2.315m$0.668m$6.066m$1.347m
Operating loss$(7.840)m$(3.121)m$(17.749)m$(5.698)m
Net loss$(7.618)m$(2.830)m$(17.315)m$(3.451)m
Net loss per share, basic and diluted$(0.39)$(103.19)$(9.48)$(109.21)

For the six months ended June 30, 2014, operating cash use was $12.677m, investing cash use was $17.717m, and financing provided $104.573m. Cash and cash equivalents were $95.394m and investments were $28.852m at June 30, for total cash, cash equivalents and investments of $124.246m. Current assets were $126.051m and current liabilities were $4.770m. Total liabilities were $4.806m; capital lease obligations totaled approximately $10,000. The filing reports no product revenue, so operating margins are not meaningful.

Material changes versus prior comparable periods

  • Q2 net loss rose $4.788m year over year; six-month net loss rose $13.864m. Higher R&D spending primarily reflected continued AKB-6548 Phase 2b trial activity, plus higher personnel, patent and stock-based compensation costs.
  • Six-month G&A increased $4.720m, including higher stock-based compensation, IPO-related professional fees, personnel and consulting costs, and severance.
  • Six-month 2013 results included a $2.420m gain on extinguishment of debt and other liabilities; its absence contributed to lower other income in 2014. The 2013 six-month net loss also included $0.751m of net interest expense.
  • Akebia completed its IPO on March 25, 2014, raising approximately $104.365m net. Preferred shares converted into 12.115m common shares. The company recorded $86.900m of preferred-stock accretion upon conversion; this affected prior-period comparisons of loss applicable to common stockholders and per-share loss. Per-share data also reflect the 1.75-for-1 stock split.

Outlook, risks and unusual items

  • Management estimated that IPO proceeds and existing cash and investments would fund projected operating requirements through the first half of 2016. This estimate is subject to change; the company expected significant losses and increasing expenses for several years and may need further financing.
  • Subject to positive Phase 2b results, management expected to begin Phase 3 development in 2015 and anticipated a U.S. NDA by 2018 if Phase 3 results were favorable. It also planned an efficacy study in dialysis patients. These are forward-looking plans, not assured outcomes.
  • AKB-6899 IND-enabling work was underway, with a possible Phase 1 start in the second half of 2015. The company also described intended AKB-6548 studies in idiopathic anemia of aging.
  • Key risks include clinical efficacy, safety and enrollment; regulatory requirements and potential delays; reliance on contract research and manufacturing providers; competition; and the need for additional capital. Akebia depended heavily on AKB-6548 and had no approved products, sales infrastructure or manufacturing facilities.
  • Patent proceedings could affect commercialization abroad: Akebia’s European patent is under appeal, it opposed a FibroGen European patent, and it challenged a FibroGen Japanese patent. Outcomes remain uncertain.
  • Six-month stock-based compensation was $3.889m versus $0.108m in 2013, including approximately $1.0m related to a modification of awards tied to an employee separation. A $0.324m severance charge was recorded in Q1 2014. Remaining R&D contract costs were approximately $8.157m; contracts were modifiable and cancellable on notice.

Important facts for investors to verify

  • Whether the Phase 2b results were delivered as expected and supported advancement of AKB-6548 to Phase 3.
  • Whether actual cash burn and trial costs remained consistent with management’s funding runway estimate through the first half of 2016.
  • How Phase 3 design, regulatory feedback, enrollment and manufacturing arrangements affected the development timeline and financing needs.
  • Developments in the European and Japanese patent proceedings and any resulting impact on AKB-6548’s potential markets.