Tscan Therapeutics, Inc. annual report, FY2022

TScan Therapeutics, Inc. — FY2022 Form 10-K

Reporting period: Fiscal year ended December 31, 2022. This is an annual report, not a standalone fourth-quarter filing; the filing separately reports a fourth-quarter net loss of $18.7 million.

Business context

TScan is a clinical-stage biotechnology company developing engineered T-cell receptor (TCR-T) therapies for cancer. It has no approved products and has not generated product-sales revenue. Its lead candidates, TSC-100 and TSC-101, target hematologic malignancies after stem-cell transplantation; its solid-tumor program is intended to enable customized combinations of TCRs.

Financial results and liquidity

Metric (USD millions, except per-share data)FY2022FY2021
Collaboration and license revenue13.510.1
Research and development expense59.845.0
General and administrative expense20.413.8
Total operating expenses80.258.8
Operating loss(66.6)(48.6)
Net loss(66.2)(48.6)
Basic and diluted net loss per share(2.75)(4.17)
Cash used in operating activities(66.5)(48.7)
Cash used in investing activities(4.2)(9.9)
Cash provided by financing activities29.4189.7

Revenue came from collaboration and licensing arrangements, principally Novartis; there were no product sales. The filing does not report a meaningful product gross margin.

At year-end, cash and cash equivalents were $120.0 million, restricted cash was $5.0 million, and current assets and current liabilities were $124.1 million and $17.3 million, respectively. Accumulated deficit was $158.4 million. Management estimated existing cash would fund operating expenses and capital requirements into the second quarter of 2024, based on its then-current plan; the filing cautions that assumptions could change.

Long-term debt and accrued interest totaled $29.3 million. The September 2022 K2 HealthVentures agreement provides up to $60 million in tranches: $30 million was drawn, a further $10 million is milestone-dependent, and a $20 million tranche is uncommitted. The loans bear interest at a rate capped at 9.90% under the stated formula, have a September 2026 maturity, and include a 6% final fee. The agreement is secured by substantially all assets other than intellectual property and includes operating restrictions and a minimum-liquidity covenant. Operating lease liabilities were $56.7 million, with undiscounted future payments of $89.7 million.

Changes versus FY2021

  • Revenue increased by $3.4 million, or about 33%, reflecting the timing of Novartis research activities.
  • Operating expenses rose by $21.4 million, or about 36%; R&D growth reflected staffing, facilities and equipment expansion, and Phase 1 start-up costs.
  • Net loss widened by $17.6 million, or about 36%. R&D expense increased $14.9 million and G&A increased $6.5 million.
  • Operating cash use increased by $17.8 million. Financing cash inflow fell sharply from 2021, which included the IPO and preferred-stock proceeds; 2022 financing was primarily the K2HV loan.

Outlook, commentary and material risks

  • Hematologic program: The company had initiated a multi-arm Phase 1 study of TSC-100 and TSC-101, with sites activated; it had not yet dosed patients in this program as of February 28, 2023. Management expected safety and biomarker updates in 2023, further data and recommended Phase 2 doses by year-end 2023, and relapse-prevention data in 2024.
  • Solid-tumor program: FDA-cleared INDs for T-Plex and two TSC-204 candidates enabled study start-up. Management expected screening to begin by mid-2023, dosing in the third quarter, initial safety and biomarker data by year-end 2023, and initial multiplexed-therapy data in the first half of 2024. These are forward-looking plans, not reported outcomes.
  • The company expects continued operating losses and says substantial additional funding will be required to complete development and commercialization. The Novartis research term was expected to conclude in March 2023; $3.9 million of deferred revenue was current at year-end. Potential option fees, milestones and royalties are contingent and are not assured revenue.
  • Key risks include clinical safety or efficacy failure, delays or enrollment challenges, manufacturing quality and scale-up, reliance on limited suppliers and third parties, financing availability and loan covenants, competition, and early-stage intellectual-property protection. Cell therapy risks include off-target effects, graft-versus-host disease, autoimmune reactions and gene-integration risks. Solid-tumor activity remains unproven.
  • The company reported no material legal proceedings. Management concluded disclosure controls and internal control over financial reporting were effective at the reasonable-assurance level; the auditor did not provide an internal-control attestation.

Investor verification priorities

  1. Check subsequent clinical disclosures against the stated 2023–2024 timelines, including patient dosing, safety, biomarkers, dose selection and relapse outcomes.
  2. Assess cash burn, financing needs and actual runway against management’s estimate, and review compliance with K2HV’s liquidity covenant, repayment terms and potential dilution from conversion.
  3. Confirm the Novartis collaboration’s status, remaining option rights and any resulting payments; distinguish contingent milestones and royalties from recognized revenue.
  4. Review lease commitments and restricted cash, and monitor whether facility and manufacturing capacity support planned clinical programs.
  5. Evaluate whether TCR-T safety, efficacy, manufacturability and patent protection are substantiated by clinical and regulatory evidence rather than company expectations.