Zentalis Pharmaceuticals, Inc. annual report, FY2021

Zentalis Pharmaceuticals, Inc. — FY2021 Form 10-K

Reporting period: Year ended December 31, 2021; the filing is an annual report, not a standalone Q4 filing. Financial amounts are in U.S. dollars.

Business context

Zentalis is a clinical-stage oncology biopharmaceutical company with no approved products and no product-sales revenue. Its clinical pipeline includes ZN-c3 (Wee1 inhibitor), ZN-c5 (oral SERD), ZN-d5 (BCL-2 inhibitor) and ZN-e4 (EGFR inhibitor). The company also advances preclinical programs. It retains worldwide rights to most programs, with certain Asian rights licensed to SciClone or its joint venture, Zentera; Zentalis held a 40.3% interest in Zentera at year-end.

Financial and operating results

MetricFY2021FY2020
Revenue$0$0
Research and development expense$175.6 million$84.9 million
General and administrative expense$40.9 million$33.9 million
Total operating expenses / operating loss$216.5 million$118.8 million
Consolidated net loss$166.1 million$118.5 million
Net loss attributable to Zentalis$158.7 million$117.8 million
Net loss per share, basic and diluted$3.72$4.19
Net cash used in operating activities$154.1 million$86.8 million

Gross margin and operating margin are not meaningful because the company had no product revenue. FY2021 reported loss included a $51.6 million gain from deconsolidating Zentera, partly offset by an $8.8 million impairment of Kalyra in-process R&D and a $1.8 million equity-method investment loss. The Q4 2021 net loss attributable to Zentalis was $50.1 million; Q4 operating expenses were $48.2 million.

At December 31, 2021, cash and cash equivalents were $59.7 million and available-for-sale marketable securities were $280.2 million, totaling $339.9 million in cash and securities. Current assets were $350.8 million versus current liabilities of $43.9 million. The company reported no indebtedness; it had $45.9 million of operating lease liabilities, including $1.5 million current and $44.5 million long-term. Accumulated deficit was $359.6 million.

Financing provided $178.5 million of net cash in 2021, primarily from a July follow-on offering and ATM sales. The follow-on raised $172.9 million gross; ATM sales raised $10.0 million gross. Year-end common shares outstanding were 45.5 million.

Material changes and management outlook

  • R&D expense more than doubled, rising $90.7 million, reflecting pipeline advancement, higher clinical-trial and personnel costs, manufacturing costs, milestone payments and other program spending.
  • Operating cash use rose to $154.1 million from $86.8 million. Management said year-end cash, equivalents and marketable securities were expected to fund operating and capital requirements into Q3 2023, but not all activities needed to complete product development.
  • Zentera’s July 2021 financing diluted Zentalis’s ownership and changed governance; Zentalis deconsolidated the venture, recorded its retained interest at $37.5 million, and recognized a $51.6 million gain. The venture continues clinical development in China.
  • Management expected continued significant losses and higher R&D spending. Planned 2022 activities included combination trials of ZN-d5 plus ZN-c3 in AML and ZN-c5 plus ZN-c3 in breast cancer, and reporting selected trial updates. These are plans, not assured outcomes.

Pipeline updates, risks and unusual items

  • ZN-c3 received FDA Fast Track designation for recurrent or persistent uterine serous carcinoma; it also has orphan-drug and rare-pediatric-disease designations for osteosarcoma. The filing described early clinical findings, but emphasized that interim data may change and require verification.
  • ZN-c5 combination trials with palbociclib and abemaciclib were ongoing; initial results were expected in the first half of 2022. ZN-d5 and ZN-e4 remained early-stage clinical candidates.
  • Key risks include clinical and regulatory failure or delay, uncertain translation of early data, substantial future capital needs and potential dilution, competition, intellectual-property challenges, reliance on CROs and third-party manufacturers, and COVID-19-related trial and supply disruptions. The company had no long-term supply agreements or fully redundant manufacturing arrangements for all candidates.
  • The filing reported no material legal proceedings. Management stated disclosure controls and internal control over financial reporting were effective at year-end; the auditor issued unqualified opinions on the financial statements and internal controls.

Important facts for investors to verify

  • Current cash runway and spending against management’s Q3 2023 estimate, including whether additional financing is needed sooner.
  • Updated, complete clinical efficacy and safety data for each candidate, especially ZN-c3 and ZN-c5; distinguish interim results from confirmed outcomes.
  • Whether planned 2022 trials and data readouts occurred on schedule, and whether regulators agree with proposed trial designs or accelerated-development pathways.
  • The effect of Zentera’s deconsolidation, ongoing equity-method losses, ownership changes and any future financing on reported results and shareholder dilution.
  • Manufacturing capacity and supply continuity, particularly reliance on third parties and suppliers in China, alongside clinical-trial enrollment and COVID-19 impacts.