Savara Inc annual report, FY2018

Savara Inc. — FY2018 Form 10-K Summary

Business context and reporting period

Savara is a clinical-stage orphan lung disease biopharmaceutical company. This Form 10-K covers the fiscal year ended December 31, 2018; it is an annual report, not a standalone fourth-quarter filing. The company had no product sales and depended on external financing while developing its pipeline.

  • Molgradex: Phase 3 for autoimmune pulmonary alveolar proteinosis (aPAP); Phase 2a for nontuberculous mycobacterial (NTM) lung infection.
  • AeroVanc: Phase 3 inhaled vancomycin for persistent MRSA lung infection in people with cystic fibrosis.

Financial performance and condition

MetricFY2018FY2017
Product revenueNoneNone
Research and development expense$37.2 million$18.5 million
General and administrative expense$10.7 million$11.1 million
Operating loss$70.0 million$30.0 million
Net loss$61.5 million$29.8 million
Net loss per share$1.85$1.76
Cash used in operating activities$39.3 million$28.2 million
  • FY2018 revenue was reported as zero in the quarterly data. A $0.3 million Japan-license milestone received in October was recorded as deferred revenue because performance obligations remained unmet.
  • Cash and cash equivalents were $24.3 million and short-term investments were $86.5 million at year-end, totaling $110.8 million. Working capital was $106.1 million.
  • Total assets were $152.3 million; total liabilities were $44.1 million; stockholders’ equity was $108.2 million. Accumulated deficit was $129.7 million.
  • Debt facility carrying value was $24.5 million at year-end, against $25.0 million gross principal. The loan bears interest at prime plus 3.0%; interest-only payments run through October 2020, with maturity on November 1, 2022.
  • No meaningful operating margin can be calculated because the company had no product revenue and incurred operating losses.

Fourth-quarter and year-over-year changes

  • In Q4 2018, revenue was zero, operating loss was $13.2 million, net loss was $10.5 million, and basic and diluted loss per share was $0.29.
  • FY2018 net loss increased by $31.7 million from FY2017. R&D expense approximately doubled, driven by expanded Molgradex aPAP and NTM work and Phase 3 AeroVanc costs.
  • A $21.7 million noncash impairment was recorded in Q1 2018 for Aironite after an unsuccessful Phase 2 study; Savara discontinued development. A related $4.6 million deferred tax liability reversal contributed to the year’s $8.5 million income tax benefit.
  • Operating cash use rose by $11.0 million year over year. Financing cash inflows were $55.2 million, including $45.8 million net proceeds from a July 2018 share offering and $9.4 million net debt proceeds. Shares outstanding rose from 30.5 million to 35.1 million during 2018.
  • Management corrected quarterly 2018 loss-per-share calculations to include pre-funded warrants; the revised quarterly values are shown in the filing and the change was assessed as not material to prior periods.

Outlook, risks and unusual items

  • Management expected Molgradex IMPALA topline results at the end of Q2 2019; patient enrollment had completed in October 2018 with 139 participants. AeroVanc AVAIL enrollment was expected to finish in Q3 2019, with topline results expected in Q2 2020. These are forward-looking targets, not reported outcomes.
  • OPTIMA interim results disclosed in December 2018 covered 14 evaluable patients: among 10 with MAC infection, four had sputum-smear conversion by week 24 and three had negative cultures at weeks 16 and 20, with week-24 culture results pending. No conversions were observed in four evaluable MABSC patients. The study was extended from 24 to 48 weeks; final results were expected in Q1 2020.
  • Across all 32 OPTIMA participants, six (19%) experienced serious adverse events, including one death by suicide considered unrelated to treatment. One pulmonary-exacerbation/worsening-NTM SAE was considered possibly treatment-related; three patients discontinued because of adverse events. Savara reported increased blood eosinophils in 17 patients (53%).
  • Management stated existing capital resources were expected to fund planned operations into 2020, while also warning that substantial additional capital would be needed. The financial-statement note said available cash and investments were sufficient for operations for twelve months after issuance of the statements. Funding needs, clinical outcomes, approval timing and commercial prospects remain uncertain.
  • The amended SVB facility increased to $45 million: $25 million became available, including refinancing of the prior $15 million balance; a further $20 million tranche was available on request before September 30, 2019, subject to conditions. Drawing that tranche could require $20 million cash collateral if market capitalization fell below $200 million. The lender holds a first-priority lien on assets and the agreement contains restrictive covenants.
  • Key risks include clinical-trial failure or delay, regulatory and manufacturing hurdles, dependence on contract vendors without backup suppliers, further financing and dilution, reimbursement and market-acceptance uncertainty, and limited aPAP patent protection. No material pending litigation was reported. Management and the auditor reported effective internal controls; the financial statements received an unqualified audit opinion.

Important facts for investors to verify

  1. Whether IMPALA and AVAIL timelines and endpoints were ultimately met, and what the complete trial results and regulatory discussions showed.
  2. Current cash runway and financing needs, including actual operating cash burn, any subsequent equity issuance, and whether the additional SVB tranche was drawn or collateralized.
  3. OPTIMA’s complete 48-week efficacy and safety results, particularly differences between MAC and MABSC outcomes.
  4. Manufacturing readiness, supply agreements and remaining contingent milestones, royalties and other obligations tied to Molgradex and AeroVanc.
  5. Potential dilution from outstanding options, warrants and future fundraising, as well as the practical value of orphan-drug and patent protections.