LEXICON PHARMACEUTICALS, INC. Administration’s Dialogue and Evaluation of Monetary Situation and Outcomes of Operations (kind 10-Okay)

LEXICON PHARMACEUTICALS, INC. Management's Discussion and Analysis of Financial Condition and Results
of Operations (form 10-K)

The next dialogue and evaluation ought to be learn with our monetary
statements and notes included elsewhere on this annual report on Type 10-Okay.

Overview

We’re a biopharmaceutical firm with a mission of pioneering medicines that
rework sufferers’ lives. We’re devoting most of our assets to the
analysis, growth and preparation for commercialization of our most superior
drug candidates:

•Now we have a pending NDA for sotagliflozin, an orally-delivered small molecule
drug candidate, as a remedy for coronary heart failure. The NDA is presently underneath
overview by the FDA and has been assigned a PDUFA goal motion date of Could 27,
2023
. The NDA is supported by optimistic outcomes from two Part 3 scientific trials
evaluating the impact of sotagliflozin on long-term outcomes associated to
cardiovascular loss of life and coronary heart failure in roughly 10,500 and 1,200
sufferers, respectively. Below the NDA, we’re looking for regulatory approval to
market sotagliflozin to cut back the chance of cardiovascular loss of life and
hospitalization for coronary heart failure in adults with coronary heart failure and in adults
with sort 2 diabetes mellitus, persistent kidney illness and different cardiovascular
threat components. We at the moment are making ready for the anticipated industrial launch of
sotagliflozin in the USA following approval.

Now we have additionally engaged within the growth of sotagliflozin in sort 1 diabetes,
which was the topic of a separate NDA. That NDA was supported by optimistic
outcomes from three Part 3 scientific trials evaluating the impact of
sotagliflozin on sort 1 diabetes in roughly 800, 800 and 1,400 sufferers,
respectively. The FDA issued a whole response letter concerning our NDA for
sotagliflozin in sort 1 diabetes. At our request, the FDA has issued a public
Discover of Alternative for Listening to on whether or not there are grounds for denying
approval of our NDA and the listening to course of is ongoing.

•We’re creating LX9211, an orally-delivered small molecule drug candidate, as
a remedy for neuropathic ache. Now we have reported optimistic outcomes from a Part
2 scientific trial of LX9211 in diabetic peripheral neuropathic ache. Now we have
reported top-line outcomes from a separate Part 2 scientific trial of LX9211 in
post-herpetic neuralgia which demonstrated clear proof of impact. LX9211 has
obtained Quick Monitor designation from the FDA for growth in diabetic
peripheral neuropathic ache.

•We’re conducting preclinical analysis and growth and making ready to conduct
scientific growth of compounds from numerous further drug applications
originating from our inner drug discovery efforts.

Sotagliflozin and compounds from numerous further drug applications
originated from our personal inner drug discovery efforts, and LX9211 originated
from our collaborative neuroscience drug discovery efforts with Bristol-Myers
Squibb. Our efforts had been pushed by a scientific, goal biology-driven method
during which we used gene knockout applied sciences and an built-in platform of
superior medical applied sciences to systematically research the physiological and
behavioral capabilities of virtually 5,000 genes in mice and assessed the utility of
the proteins encoded by the corresponding human genes as potential drug targets.
Now we have recognized and validated in residing animals, or in vivo, greater than 100
targets with promising profiles for drug discovery.

We’re working each independently and thru collaborations and strategic
alliances with third events to capitalize on our drug goal discoveries and
drug discovery and growth applications. We search to retain unique or
co-exclusive rights to the advantages of sure drug discovery and growth
applications by creating and commercializing drug candidates from these applications
internally, notably in the USA for indications handled by
specialist physicians. We search to collaborate with different pharmaceutical and
biotechnology firms with respect to drug discovery or the event and
commercialization of sure of our drug candidates, notably with respect
to commercialization in territories exterior the USA or
commercialization in the USA for indications handled by major care
physicians, or when the collaboration could in any other case present us with entry to
experience and assets that we don’t possess internally or are complementary
to our personal.

Now we have derived considerably all of our revenues from strategic collaborations
and different analysis and growth collaborations and expertise licenses, as
effectively as from industrial gross sales of our XERMELO product following its industrial
launch in February 2017 till our sale of XERMELO and associated property to TerSera
Therapeutics, LLC
in September 2020. Up to now, we have now generated a considerable
portion of our revenues from a restricted variety of sources.

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Our working outcomes and, particularly, our skill to generate further
revenues are depending on many components, together with the success of our deliberate
industrial launch of sotagliflozin in the USA for coronary heart failure, if
authorized; the success of our ongoing nonclinical and scientific growth
efforts and the flexibility to acquire mandatory regulatory approvals of the drug
candidates that are the topic of such efforts; our success in establishing
new collaborations and licenses and our receipt of milestones, royalties and
different funds underneath such preparations; and common and industry-specific
financial situations which can have an effect on analysis, growth and commercialization
expenditures.

Our skill to safe future revenue-generating agreements will rely on our
skill to deal with the wants of our potential future collaborators and
licensees, and to barter agreements that we consider are in our long-term finest
pursuits. We could decide, as we have now with sure of our drug candidates,
that our pursuits are higher served by retaining rights to our discoveries and
advancing our therapeutic applications to a later stage, which might restrict our
near-term revenues and enhance bills. Due to these and different components,
our working outcomes have fluctuated prior to now and are possible to take action within the
future, and we don’t consider that period-to-period comparisons of our working
outcomes are indication of our future efficiency.

Since our inception, we have now incurred important losses and, as of December 31,
2022
, we had an gathered deficit of $1.6 billion. Our losses have resulted
principally from prices incurred in analysis and growth, promoting, common
and administrative prices related to our operations, and non-cash
stock-based compensation bills related to inventory choices and restricted
inventory items granted to staff and consultants. Analysis and growth
bills consist primarily of salaries and associated personnel prices, exterior
analysis prices associated to our nonclinical and scientific efforts, materials prices,
facility prices, depreciation on property and tools, and different bills
associated to our drug discovery and growth applications. Promoting, common and
administrative bills consist primarily of salaries and associated bills for
govt, gross sales and advertising and marketing, and administrative personnel, skilled charges
and different company bills, together with data expertise, amenities prices
and common authorized actions. We anticipate to proceed to incur important
analysis and growth prices in reference to the persevering with analysis and
growth of our drug candidates. Consequently, we might want to generate
considerably larger revenues to attain profitability.

Essential Accounting Insurance policies

Our Consolidated Monetary Statements included on this Annual Report on Type
10-Okay have been ready in accordance with accounting ideas typically
accepted in the USA (“GAAP”), which require that we make quite a few
estimates and assumptions. Precise outcomes might differ from these estimates and
assumptions, thus impacting our reported outcomes of operations and monetary
place. The crucial accounting insurance policies and estimates described on this
part are these which can be most vital to the depiction of our monetary
situation and outcomes of operations and the applying of which requires our
most subjective judgments in making estimates concerning the impact of issues that
are inherently unsure. We describe our important accounting insurance policies extra
totally in Word 2, “Abstract of Important Accounting Insurance policies,” to the
Consolidated Monetary Statements included on this Annual Report on Type 10-Okay.

Analysis and Improvement Bills

Analysis and growth bills encompass prices incurred for analysis and
growth actions solely sponsored by us in addition to collaborative analysis
and growth actions. These prices embrace direct and research-related
overhead bills and are expensed as incurred. Know-how license charges for
applied sciences which can be utilized in analysis and growth and haven’t any
various future use are expensed when incurred.

We’re presently devoting most of our assets to the analysis and growth
of our most superior drug candidates:

•Sotagliflozin, an orally-delivered small molecule drug candidate that we’re
creating as a remedy for coronary heart failure and sort 1 diabetes; and

•LX9211, an orally-delivered small molecule drug candidate that we’re
creating as a remedy for neuropathic ache.

LX9211 originated from our collaborative neuroscience drug discovery efforts
with Bristol-Myers Squibb, and sotagliflozin and compounds from numerous
further drug applications originated from our personal inner drug discovery
efforts. These efforts had been pushed by a scientific, goal biology-driven
method during which we used gene knockout applied sciences and an built-in platform
of superior medical applied sciences to systematically research the physiological and
behavioral capabilities of virtually 5,000 genes in mice and assessed the utility of
the proteins encoded by the corresponding human


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genes as potential drug targets. Now we have recognized and validated in residing
animals, or in vivo, greater than 100 targets with promising profiles for drug
discovery.

The drug growth course of takes a few years to finish. The fee and size
of time varies because of many components together with the kind, complexity and meant
use of the drug candidate. We estimate that drug growth actions are
usually accomplished over the next durations:

          Part                 Estimated Completion Interval
Preclinical growth                  1-2 years
Part 1 scientific trials                  1-2 years
Part 2 scientific trials                  1-2 years
Part 3 scientific trials                  2-4 years


We anticipate analysis and growth prices to stay substantial sooner or later as
we proceed to fund our nonclinical and scientific growth efforts and advance
new drug candidates into scientific growth. Because of the variability within the
size of time mandatory for drug growth, the uncertainties associated to the
value of those actions and supreme skill to acquire regulatory approval for
commercialization, correct and significant estimates of the final word prices to
carry our drug candidates to market aren’t obtainable.

We file important accrued liabilities associated to unbilled bills for
services or products that we have now obtained from service suppliers, particularly
associated to ongoing nonclinical research and scientific trials. These prices
primarily relate to scientific research administration, monitoring, laboratory and
evaluation prices, drug provides, toxicology research and investigator grants. We
could have a number of medicine in concurrent nonclinical research and scientific trials at
scientific websites all through the world. With a purpose to make sure that we have now adequately
offered for ongoing nonclinical and scientific growth prices throughout the
interval during which we incur such prices, we keep accruals to cowl these
bills. Substantial parts of our nonclinical research and scientific trials
are carried out by third social gathering laboratories, medical facilities, contract analysis
organizations and different distributors. For nonclinical research, we accrue bills
based mostly upon estimated proportion of labor accomplished and the contract milestones
remaining. For scientific research, bills are accrued based mostly upon the variety of
sufferers enrolled and the period of the research. We monitor affected person enrollment,
the progress of scientific research and associated actions to the extent attainable
by way of inner critiques of information reported to us by the distributors and scientific web site
visits. Our estimates rely upon the timeliness and accuracy of the information offered
by our distributors concerning the standing of every program and complete program spending.
We periodically consider the estimates to find out if changes are mandatory
or applicable based mostly on data we obtain. Though we use constant
milestones or topic or affected person enrollment to drive expense recognition, the
evaluation of those prices is a subjective course of that requires judgment. Upon
settlement, these prices could differ materially from the quantities accrued in our
consolidated monetary statements.

The monetary phrases of those agreements are topic to negotiation and range from
contract to contract. In accruing the related prices, we estimated the time
interval over which companies had been to be carried out and the extent of effort required
to finish or wind down every research. Upon completion and settlement, these prices
could differ materially from the quantities accrued in our consolidated monetary
statements.

We file our analysis and growth prices by sort or class, reasonably than by
undertaking. Important classes of prices embrace personnel, amenities and
tools prices and third-party and different companies. As well as, a big
portion of our analysis and growth bills just isn’t tracked by undertaking because it
advantages a number of initiatives. Consequently, fully-loaded analysis and growth
value summaries by undertaking aren’t obtainable.

Impairment of Lengthy-Lived Belongings

Our long-lived property embrace property, plant and tools, right-of-use property
for leases and goodwill. We often overview long-lived property for impairment.
The recoverability of long-lived property, apart from goodwill, is measured by
evaluating the property carrying quantity to the anticipated undiscounted future money
flows that the asset is anticipated to generate. Figuring out whether or not an impairment
has occurred usually requires varied estimates and assumptions, together with
figuring out which money flows are straight associated to the possibly impaired
asset, the helpful life over which money flows will happen, their quantity, and the
asset’s residual worth, if any. We use inner money movement estimates, quoted
market costs when obtainable and unbiased value determinations as applicable to
decide truthful worth. We derive the required money movement estimates from our
historic expertise and our inner enterprise plans and apply an applicable
low cost price. In 2020, we acknowledged an impairment lack of $1.6 million to
cut back the carrying worth of the property comprising our campus in The Woodlands,
Texas
, which had been offered in December 2020, to an estimated truthful worth, much less
estimated promoting prices. There have been no important impairments of long-lived
property in 2022 or 2021.

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Goodwill just isn’t amortized, however is examined not less than yearly for impairment on the
reporting unit degree. Now we have decided that the reporting unit is the only
working phase disclosed in our present monetary statements. Impairment is
the situation that exists when the carrying quantity of goodwill exceeds its
implied truthful worth. Step one within the impairment course of is to find out the
truthful worth of the reporting unit after which examine it to the carrying worth,
together with goodwill. We decided that the market capitalization method is the
most applicable technique of measuring truthful worth of the reporting unit. Below
this method, truthful worth is calculated as the typical closing value of our
widespread inventory for the 30 days previous the date that the annual impairment check
is carried out, multiplied by the variety of excellent shares on that date. A
management premium, which is consultant of premiums paid within the market to
purchase a controlling curiosity in an organization, is then added to the market
capitalization to find out the truthful worth of the reporting unit. If the truthful
worth exceeds the carrying worth, no additional motion is required and no
impairment loss is acknowledged. Extra impairment assessments could also be
carried out on an interim foundation if we encounter occasions or modifications in circumstances
that might point out that, extra possible than not, the carrying worth of goodwill
has been impaired. There was no impairment of goodwill in 2022, 2021 and 2020.

Current Accounting Pronouncements

See Word 3, Current Accounting Pronouncements, of the Notes to Consolidated
Monetary Statements, for a dialogue of the affect of latest accounting requirements
on our consolidated monetary statements.

Outcomes of Operations – Comparability of Years Ended December 31, 2022, 2021 and
2020

The next dialogue and evaluation ought to be learn with “Outcomes of
Operations” and our monetary statements and notes included in our annual report
on Type 10-Okay for the yr ended December 31, 2021.

Revenues

Royalties and different income – Revenues from royalties and different income
decreased to $0.1 million in 2022 from $0.3 million in 2021. In 2022, one
firm represented 100% of revenues. In 2021, two firms represented 76% and
24% of revenues, respectively.

Analysis and Improvement Bills

Analysis and growth bills and greenback and proportion modifications as in contrast
to the prior yr are as follows (greenback quantities are introduced in tens of millions):

                                                Yr Ended December 31,
                                            2022          2021         2020
Complete analysis and growth expense   $  52.8       $  55.0       $ 153.6
Greenback lower                          $  (2.2)      $ (98.6)
Share lower                           (4) %        (64) %


Analysis and growth bills consist primarily of third-party and different
companies principally associated to nonclinical and scientific growth actions,
salaries and different personnel-related bills, facility and tools prices and
stock-based compensation.

Years Ended December 31, 2022 and 2021

•Third-party and different companies – Third-party and different companies decreased 14%
in 2022 to $29.9 million, primarily because of decreases in skilled and
consulting charges referring to preparations for the submission of our software
for regulatory approval to market sotagliflozin in the USA for coronary heart
failure. Third-party and different companies relate principally to our scientific trial
and associated growth actions, similar to nonclinical and scientific research and
contract manufacturing.

•Personnel – Personnel prices elevated 25% in 2022 to $13.5 million, primarily
because of larger worker salaries and profit prices because of growing
headcount throughout 2022 in preparation for commercialization of sotagliflozin.
Salaries, bonuses, worker advantages, payroll taxes, recruiting and relocation
prices are included in personnel prices.


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•Inventory-based compensation – Inventory-based compensation expense was $4.3 million in
2022 and 2021.

•Services and tools – Services and tools prices was $1.6 million and
$1.5 million in 2022 and 2021, respectively.

•Different – Different prices was $3.6 million and $3.5 million in 2022 and 2021,
respectively. Different prices primarily embrace journey, coaching, software program licenses
and insurance coverage prices.

Promoting, Basic and Administrative Bills

Promoting, common and administrative bills and greenback and proportion modifications
as in comparison with the prior yr are as follows (greenback quantities are introduced in
tens of millions):

                                                           Yr Ended December 31,
                                                       2022           2021         2020

Complete promoting, common and administrative expense $ 48.1 $ 32.3 $ 47.2
Greenback
enhance (lower)

                          $   15.8       $ (14.9)
Share enhance (lower)                            49  %        (32) %



Promoting, common and administrative bills consist primarily of personnel
prices to assist the commercialization of sotagliflozin and actions from
analysis and growth; skilled and consulting charges, stock-based
compensation expense, and facility and tools prices.

Years Ended December 31, 2022 and 2021

•Personnel – Personnel prices elevated 75% in 2022 to $18.8 million, primarily
because of larger worker salaries and profit prices because of growing
headcount throughout 2022 in preparation for commercialization of sotagliflozin.
Salaries, bonuses, worker advantages, payroll taxes, recruiting and relocation
prices are included in personnel prices.

•Skilled and consulting charges – Skilled and consulting charges elevated
50% in 2022 to $16.3 million, primarily because of larger advertising and marketing and
skilled and consulting charges, partially offset by decrease authorized charges.

•Inventory-based compensation – Inventory-based compensation expense elevated 15% in
2022 to $7.3 million, primarily because of growing headcount within the present yr.

•Services and tools – Services and tools prices was $1.4 million in
2022 and 2021.

•Different – Different prices elevated 39% in 2022 to $4.3 million, primarily because of
will increase in journey, coaching and software program license bills in 2022.

Curiosity Expense and Curiosity and Different Revenue, Internet

Curiosity Expense. Curiosity expense elevated to $2.8 million in 2022 from $0.8
million
in 2021, primarily as a result of Oxford debt financings throughout March and
December of 2022.

Curiosity and Different Revenue (Expense), Internet. Curiosity and different revenue, internet was
$1.6 million and $0.1 million within the years ended December 31, 2022 and 2021,
respectively.

Internet Loss and Internet Loss per Frequent Share

Internet loss was $101.9 million, or a lack of $0.62 per share, in 2022, as in contrast
to a internet lack of $87.8 million, or $0.60 per share in 2021.

Liquidity and Capital Assets

Now we have financed our operations from inception primarily by way of gross sales of widespread
and most well-liked inventory, contract and milestone funds we obtained underneath our
collaborations and strategic licenses, goal validation, database subscription
and expertise license agreements, product gross sales, authorities grants and
contracts, and financing underneath debt, lease and different

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undertaking financing preparations, in addition to from industrial gross sales of our XERMELO
product following its industrial launch in February 2017 till our sale of
XERMELO and associated property to TerSera Therapeutics, LLC in September 2020. In
March 2022, we entered right into a mortgage and safety settlement with Oxford Finance
LLC
that gives as much as $150 million in borrowing capability, obtainable in 4
tranches, underneath which $50 million has been funded.

As of December 31, 2022, we had $138.4 million in money, money equivalents and
short-term investments. As of December 31, 2021, we had $86.7 million in money,
money equivalents and short-term investments. We used money of $88.9 million in
our operations in 2022. This consisted primarily of the online loss for the yr of
$101.9 million, partially offset by a internet lower in working property internet of
liabilities of $0.4 million and non-cash costs of $12.7 million primarily
associated to stock-based compensation expense. Investing actions used money of
$71.1 million in 2022, primarily because of $69.8 million internet purchases of
investments and $1.3 million of asset purchases. Financing actions offered
money of $142.2 million, primarily because of $94.2 million internet proceeds from
the issuance of widespread inventory and $48.9 million of internet proceeds from the Oxford
debt financing, which had been partially offset by $0.9 million used to repurchase
widespread inventory by retaining shares in substitution of the tax withholding
obligations of recipients of restricted inventory items granted underneath our 2017
Fairness Incentive Plan with respect to the vesting of such restricted inventory
items.

Different commitments. In January 2021, sotagliflozin was authorized within the United
Kingdom
to be used as an adjunct to insulin remedy to enhance glycemic management in
adults with sort 1 diabetes and a physique mass index ? 27 kg/m2, who couldn’t
obtain enough glycemic management regardless of optimum insulin remedy. Upon the
achievement of sure European regulatory approvals, we will probably be required to
make sure royalty funds, totaling $4.5 million, in three equal annual
installments of $1.5 million.

Below our drug discovery alliance with Bristol-Myers Squibb, we will probably be required
to make a royalty cost of $5 million upon dosing of the primary affected person in a
Part 3 scientific trial of LX9211.

Services. In February 2021, we leased a 25,000 square-foot workplace house in The
Woodlands, Texas
. The time period of the sublease extends from March 1, 2021 by way of
August 31, 2025, and offers for escalating yearly base lease funds beginning
at $506,000 and growing to $557,000 within the ultimate yr of the lease.

In July 2022, our subsidiary, Lexicon Prescription drugs (New Jersey), Inc. leased
a 22,000 square-foot workplace house in Bridgewater, New Jersey. The time period of the
lease extends from February 2023 by way of January 2034 and offers for
escalating yearly base lease funds beginning at $820,000 and growing to
$986,000 within the ultimate yr of the lease.

Our future capital necessities will probably be substantial and can rely upon many
components, together with the success of our deliberate industrial launch of sotagliflozin
in coronary heart failure, if authorized,; the success of our ongoing nonclinical and
scientific growth efforts and the flexibility to acquire mandatory regulatory
approvals of the drug candidates that are the topic of such efforts; our
success in establishing new collaborations and licenses and our receipt of
milestones, royalties and different funds underneath such preparations; the quantity and
timing of our analysis, growth and commercialization expenditures; the
assets we commit to creating and supporting our merchandise and different
components. Our capital necessities may even be affected by any expenditures we
make in reference to license agreements and acquisitions of and investments
in complementary applied sciences and companies. We anticipate to proceed to commit
substantial capital assets to organize for the commercialization of
sotagliflozin, if authorized; to efficiently full our nonclinical and
scientific growth efforts with respect to sotagliflozin, LX9211 and our different
drug candidates; and for different common company actions. We consider that our
present unrestricted money and funding balances and money and revenues we
anticipate to derive from strategic and different collaborations and different sources will
be adequate to fund our presently deliberate operations for not less than the following 12
months from the date of this report. Throughout or after this era, if money
generated by operations is inadequate to fulfill our liquidity necessities,
we might want to promote further fairness or debt securities or acquire further
credit score preparations. If we’re unable to acquire enough financing when wanted,
we could should delay or cut back the scope of a number of of our scientific trials,
or analysis and growth applications. Extra financing might not be obtainable
on phrases acceptable to us or in any respect. The sale of further fairness or
convertible debt securities could lead to further dilution to our
stockholders.

Once in a while, our board of administrators could authorize us to repurchase shares
of our widespread inventory. If and when our board of administrators ought to decide to
authorize any such motion, it might be on phrases and underneath market situations that
our board of administrators determines are in the perfect curiosity of us and our
stockholders. Any such actions might deplete important quantities of our money
assets and/or lead to further dilution to our stockholders.

Disclosure about Market Danger

We’re uncovered to restricted market and credit score threat on our money equivalents which
have maturities of three months or much less on the time of buy. We keep a
short-term funding portfolio which consists of U.S. Treasury payments and
company debt

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securities that mature three to 12 months from the time of buy, which we
consider are topic to restricted market and credit score threat. We presently don’t hedge
rate of interest publicity or maintain any by-product monetary devices in our
funding portfolio.

We had roughly $138.4 million in money and money equivalents and short-term
investments as of December 31, 2022. We consider that the working capital
obtainable to us will probably be adequate to fulfill our money necessities for not less than
the following 12 months. We’re topic to rate of interest sensitivity on our
excellent Oxford Time period Loans which bear curiosity at a floating price equal to
the 30-day U.S. Greenback LIBOR plus 7.90%, however not lower than 8.01%, topic to
further curiosity if an occasion of default happens and is constant. As of
December 31, 2022, the rate of interest was 12.04%.

Now we have operated primarily in the USA and considerably all gross sales to
date have been made in U.S. {dollars}. Accordingly, we have now not had any materials
publicity to international forex price fluctuations.

Merchandise 7A. Quantitative and Qualitative Disclosures About Market Danger

See “Disclosure about Market Danger” underneath “Merchandise 7. Administration’s Dialogue and
Evaluation of Monetary Situation and Outcomes of Operations” for quantitative and
qualitative disclosures about market threat.

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