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Annual
Report
2022
2022 Annual Report including the
Annual Financial Statements for
the Year ended December 31, 2022
argenx SE (herein
argenx
or the
Company
and, together with its subsidiaries, the
Group,
we
or
us
) is a European public company (
Societas Europaea
) incorporated under the
laws of the Netherlands with its statutory seat in Rotterdam, the Netherlands, which
is publicly listed in Belgium and the United States of America (
U.S.
). The applicable
regulations with respect to public information and protection of investors, as well as the
commitments we make by argenx to securities and market authorities, are described in
this annual report (
Annual Report
).
Forward-looking Statements
This Annual Report contains certain forward-looking statements. A forward-looking
statement is any statement that does not relate to historical facts or events or to facts or
events as of the date of this Annual Report or that are derived from our management’s
beliefs and assumptions based on information currently available to our management.
Forward-looking statements are generally identified by the use of forward-looking
words, such as “anticipate”, “believe”, “can”, “could”, “estimate”, “expect”, “intend”,
“is designed to”, “may”, “might”, “objective”, “plan”, “potential”, “project”, “predict”,
“target”, “will”, “should”, or other variations or the negative of such terms, or by
discussion of strategy, although not all forward-looking statements contain these
identifying words. These statements relate to our future results of operations and
financial positions, prospects, developments, business strategies, plans and our
objectives for future operations, results of clinical trials and regulatory approvals, and
are based on analyses or forecasts of future developments and estimates of amounts
not yet determinable. These forward-looking statements represent the view of
management only as of the date of this Annual Report, and we disclaim any obligation
to update forward-looking statements, except as may be otherwise required by law. The
forward-looking statements in this Annual Report involve known and unknown risks,
uncertainties and other factors that could cause our actual future results, performance
and achievements to differ materially from those forecasted or suggested herein. These
include changes in general economic and business conditions, as well as the factors
described in section 2 “
Risk Factors
” of this Annual Report.
Table of Contents
To our Shareholders
Shareholder Letter
7
2022 In Brief
9
2023 Outlook
18
1
Presentation of the Group
1.1
Company Profile
27
1.2
Strategy and Objectives
33
1.3
Our Products and Product Candidates
37
1.4
Collaboration Agreements
59
1.5
License Agreements
63
1.6
Distribution Agreements
70
1.7
Manufacturing and Supply
70
1.8
Intellectual Property
70
1.9
Regulation
74
2
Risk Factors
2.1
Risk Factors Related to argenx’s Financial Position
and Need for Additional Capital
108
2.2
Risk Factors Related to Commercialization of
argenx’s Products and Product Candidates,
Including for New Indications
111
2.3
Risk Factors Related to Other Government Regulations
121
2.4
Risk Factors Related to the Development and Clinical
Testing of argenx’s Products and Product Candidates
127
2.5
Risk Factors Related to argenx’s Dependence
on Third Parties
134
2.6
Risk Factors Related to argenx’s Business and Industry
139
2.7
Risk Factors Related to argenx’s Intellectual Property
143
2.8
Risk Factors Related to argenx’s Organization
and Operations
150
3
Corporate Governance
3.1
Dutch Corporate Governance Code “Comply or Explain”
157
3.2
Management Structure
159
3.3
Report of the Non-Executive Directors
184
3.4
Remuneration Report and Compensation Statement
189
3.5
Risk Appetite & Control
222
4
General Description of the Company and
its Share Capital
4.1
Legal Information on the Company
228
4.2
Share Capital
229
4.3
Share Classes and Principal Shareholders
234
4.4
General Meeting and Voting Rights
236
4.5
Anti-Takeover Provisions
237
4.6
Amendments of Articles of Association
237
4.7
Transparency Directive
238
4.8
Dutch Financial Reporting Supervision Act
238
4.9
Dividends and Other Distributions
239
4.10
Financial Calendar 2023
239
5
Operating and Financial Review
5.1
Overview
241
5.2
Basis of Presentation
243
5.3
Capitalization and Indebtedness
250
5.4
Critical Accounting Estimates and Judgments
252
5.5
Results of Operation
253
5.6
Liquidity and Capital Resources
258
5.7
Off-Balance Sheet Arrangements
261
5.8
Contractual Obligations
262
5.9
Information Regarding the Independent Auditor
263
5.10
Material Contracts and Related Party Transactions
263
5.11
Employees
266
5.12
Legal and Arbitration Proceedings
267
5.13
Insurance
267
8
Non-Financial Information
8.1
Regulations and Compliance
359
8.2
NFRD
359
8.3
EU Taxonomy
368
9
Glossary
9.1
Cross Reference table for annual reporting requirement
372
9.2
Management Confirmations
373
9.3
Definitions
374
6
Consolidated Financial Statements
Consolidated Statements of Financial Position
269
Consolidated Statements of Profit or Loss
271
Consolidated Statements of Comprehensive Income and Loss
272
Consolidated Statements of Cash Flows
273
Consolidated Statements of Changes in Equity
275
Notes to the Consolidated Financial Statements
276
7
Company Financial Statements
Signatures of Executive and Non-Executive Directors
336
Company Balance Sheet on December 31, 2022 argenx SE
338
Company Profit and Loss Account for the Year Ended
December 31, 2022 argenx SE
339
Notes to the Company Financial Statements of argenx SE
340
Other Information
347
Independent Auditor’s Report
348
To our
Shareholders
Shareholder Letter
7
2022 In Brief
9
2023 Outlook
18
Shareholder Letter
Dear Shareowners,
Commitment is the word that comes to
mind when I look back at 2022 and all that
we accomplished as a team. For the first
time in our history, we were able to honor
our commitment and deliver a transforma-
tive therapy to patients with the potential
to change how generalized myasthenia
gravis (
gMG
) is treated. It was also
our first opportunity to show our
ability to execute commercially
in the same way we have in
developing breakthrough
pipeline candidates. We had
an ambitious task before us
to launch VYV-
GART globally
and bring
our first-in-
class im-
munology
innovation
to people
living with
gMG
. We
are proud
to say we
accomplished
what we set out to
do, thanks to the unwavering commitment
demonstrated by our team of Argonauts.
It was a year of pivotal growth for us as
an organization as we broadened our core
capabilities to launch VYVGART in the U.S.,
Japan and Europe. We expanded our
teams and our global reach, while main-
taining a strong connection among our
employees through our unified commit-
ment to our patients and their supporters.
This commitment helped drive our strong
commercial performance in the first year
of launch – generating over $400 million
in net sales globally. Our strategies to
engage and activate our key stakeholders
were the right ones to empower patients
to demand better, and to provide what we
believe is best-in-class patient support,
drive rapid physician adoption of VYVGART
and enable broad and appropriate access
to this important therapy.
The stories we hear from patients continue
to inspire our everyday work and fuel us
on our mission to reach argenx 2025. We
heard from a woman living with gMG, who
loved to garden before her diagnosis but
had to give it up because of her symptoms.
We talked to another patient who had
not been able to travel to see her family
because she was not able to physically sit
on a plane. There are gMG patients who
can no longer walk or hold a job, or who
had lost their love of food because of
difficulty swallowing. In the first year of
our VYVGART launch, we were motivated
by the significant unmet needs of all of
these patients and were humbled to be
able to bring another treatment option to
the gMG community.
Peter Verhaeghe
Tim Van Hauwermeiren
We will be prepared in the year ahead
to bring another first-in-class treatment
option to the gMG community with the
expected launch of our subcutaneous
formulation of efgartigimod, anticipated
in June 2023. We know gMG presents
itself differently for each person and want
to offer multiple ways in which patients
can individualize their treatment to their
unique experience.
2022 was also the first year where our
innovation mission and commitment to
patients truly intersected, bringing our
vision of redefining the treatment of
autoimmunity to life. This was clearly
demonstrated by the progress we made
across our pipeline, advancing our clinical
trials one step further. We reported
positive pivotal data from our second
autoimmune indication, immune throm-
bocytopenia (
ITP
), in May and presented
these data during a plenary session at the
American Society of Hematology annual
meeting. We initiated several clinical
trials and are evaluating efgartigimod in
ten autoimmune indications with three
more to start this year. We are set up for
a busy 2023 and are expecting five clinical
data readouts from efgartigimod and
ARGX-117.
Through our commitment to both science
and the patient, we are always striving to
better understand and learn about the cli-
nical findings we observe, which is perhaps
best demonstrated by our ‘bedside to
bench’ approach. In 2022, we produced
and published on new breakthrough
translational biology that emerged from
our Phase 2 clinical trial in pemphigus and
may show a potential disease-modifying
mechanism for efgartigimod. These data
were presented at the Society for Investi-
gative Dermatology in May 2022.
We are excited to continue to demonstrate
our commitment to innovation in 2023
and beyond as we progress closer to
‘argenx 2025’. This is our core mission
– simply put. We want to seek out break-
throughs in immunology and bring them
to patients. We see real innovation, real
impact as the only way to revolutionize
the way autoimmunity is treated. We
believe that when you follow scientific
breakthroughs to meet the needs of
patients – the opportunity is limitless.
Thank you first to the patients and their
families who inspire us, to our sharehol-
ders for your continued support and belief
in our mission, and to our employees for
your commitment and passion every day.
We are very proud of the progress we
continue to make and are confident that
we can achieve even more in the year to
come.
Sincerely,
Tim Van Hauwermeiren & Peter Verhaeghe
2022
In Brief
In 2022, we executed on our global launch
of VYVGART® (efgartigimod alfa) (
VYVGART
)
our first-in-class neonatal Fc receptor (
FcRn
)
blocker, which is now approved in the U.S.,
Japan and Europe. There are now over
3,000 people globally living with gMG
who are on VYVGART.
gMG is just the beginning and efgartigimod
is now being evaluated in ten autoimmune
indications with three more to start in
2023. We announced positive Phase 3 data
from ADAPT-SC evaluating subcutaneous
(
SC
) efgartigimod in gMG and also from
ADVANCE evaluating VYGART (intravenous
(
IV
)) in ITP. We are well on our way
to achieve our ‘argenx 2025’ vision of
efgartigimod either being commercially
available or in clinical development in
fifteen indications by 2025.
Operational
Highlights
We are advancing a pipeline of
differentiated immunology assets across
four commercial franchises including
neurology, hematology/rheumatology,
dermatology and nephrology. Our
wholly-owned pipeline currently consists
of efgartigimod, ARGX-117 targeting
component 2 (
C2
) and ARGX-119 targeting
muscle-specific kinase (
MuSK
). Our core
mission is innovation, and we continue
to invest in our immunology innovation
program (
IIP
) from which we drive pipeline
expansion by collaborating with leading
disease biologists who are researching
first-in-class disease targets or pathways.
We believe that our IIP has a track record
of success and eight programs have
demonstrated human proof-of-concept
since our inception.
Operational
Highlights
Global
Efgartigimod
Launch
•
Generated global net product VYVGART revenue of
$400.7 million in 2022.
•
VYVGART was approved for the treatment of gMG
in the U.S., Japan and Europe:
◦
On December 17, 2021, the U.S. Food and
Drug Administration (
FDA
) approved VYVGART
for the treatment of gMG in adult patients
who are anti-acetylcholine receptor antibody
positive (
AChR.AB+
). The U.S. commercial
launch was initiated in January 2022.
◦
On January 20, 2022, Japan’s Ministry of
Health, Labour and Welfare (
MHLW
) approved
VYVGART (efgartigimod alfa) for the treatment
of adult patients with gMG who do not have
sufficient response to steroids or non-steroidal
immunosuppressive therapies (
ISTs
). The Japan
commercial launch was initiated in May 2022.
◦
On August 11, 2022, the EU Commission
granted marketing authorization for VYVGART
(efgartigimod alfa-fcab) as an add-on to
standard therapy for the treatment of adult
patients with gMG who are AChR-AB+. The
approval is applicable in all 27 European Union
(
EU
) Member States, Iceland, Norway and
Liechtenstein. The commercial launch in
Germany was initiated in September 2022.
•
In addition, in 2022, we made the following progress
towards our global launch of VYVGART:
◦
argenx Canada was established in February
2022 in preparation for a potential Health
Canada approval, expected in the third quarter
of 2023, and, if granted, commercial launch
in Canada.
◦
argenx UK Ltd. was established in August
2022 in preparation for launch in the United
Kingdom (
UK
).
◦
argenx Netherlands Services B.V. was
established in September 2022 in preparation
for launch in the Netherlands.
◦
argenx Italy S.r.l. incorporated under the laws
of Italy, having its registered office in Milan,
Italy and its address at Largo Francesco Richini
6, 20122 Milan, Italy.
◦
Zai Lab Ltd (
Zai Lab
) filed for approval of
efgartigimod in the People’s Republic of China
(
PRC
) in the second quarter of 2022. The
approval decision is expected in 2023.
◦
Medison Pharma Ltd (
Medison
) filed for
approval of efgartigimod in Israel in the
second quarter of 2022. The approval decision
expected in 2023.
◦
Additional distribution partnership
agreements for other territories were
announced in 2022 to further expand global
patient reach. For example, we entered
into VYVGART commercial and distribution
agreements with Medison in Central and
Eastern Europe and with Genpharm Services
FZ-LLC (
Genpharm
) for the Gulf Cooperation
Council, comprising Saudi Arabia, Kuwait, the
United Arab Emirates, Qatar, Bahrain and Oman
(collectively, the
GCC
).
◦
Expanded large-scale manufacturing
capabilities and capacity through collaboration
with FUJIFILM Diosynth Biotechnologies
Denmark ApS (
Fujifilm
) based in Hillerød,
Denmark, to provide large-scale drug
substance manufacturing of efgartigimod
(in addition to Lonza Sales AG (
Lonza
)).
Pipeline of
Differentiated
Antibody
Candidates
Efgartigimod is our first-in-class neonatal FcRn
blocker. We expect our leadership in FcRn blockade
to expand to include thirteen autoimmune indications
in the pipeline by the end of 2023, including in our
commercial franchises listed below:
•
Neurology franchise:
◦
ADAPT-SC: Positive topline data of SC
efgartigimod, announced on March 22,
2022, followed by acceptance of a biologics
license application (
BLA
) by the FDA for SC
efgartigimod for gMG in adult patients. The
BLA was granted a Prescription Drug User
Fee Act (
PDUFA
) target action date that was
recently extended by three months to June
20, 2023.
◦
ADHERE: Topline data from registrational
ADHERE clinical trial of SC efgartigimod
for chronic inflammatory demyelinating
polyneuropathy (
CIDP
) expected in thesecond
quarter of 2023.
◦
ALKIVIA: Registrational Phase 2/3 ALKIVIA
clinical trial ongoing of SC efgartigimod for
three subtypes of idiopathic inflammatory
myopathies (
Myositis
), including immune-
mediated necrotizing myopathy (
IMNM
),
anti-synthetase syndrome (
ASyS
) and
dermatomyositis (
DM
), with an analysis
planned for the Phase 2 portion of the clinical
trial including 30 patients of each subtype.
◦
Thyroid eye disease (
TED
): Registrational
clinical trial to start in TED in the fourth
quarter of 2023.
Efgartigimod
◦
gMG data from our neuromuscular franchise
presented during the American Association
of Neuromuscular and Electrodiagnostic
Medicine annual meeting and Myasthenia
Gravis Foundation of America scientific session
on September 21, 2022, including new data
analyses from ADAPT+ and real-world case
studies on the adult AChR antibody negative
gMG patient population.
•
Hematology/rheumatology franchise:
◦
ADVANCE: Positive topline data of VYVGART
for ITP, announced on May 5, 2022.
◦
ADVANCE-SC: Topline data from the second
registrational ADVANCE-SC clinical trial of
SC efgartigimod for primary ITP expected
in the second half of 2023.
◦
Sjögren’s syndrome (
Primary
SjS
): Phase 2
proof-of-concept clinical trial ongoing through
partnership with IQVIA Ltd (
IQVIA
) with topline
results expected in 2024.
◦
Post-COVID-19 Postural Orthostatic
Tachycardia Syndrome (
PC-POTS
): Phase 2
proof-of-concept clinical trial ongoing through
partnership with IQVIA with topline results
expected in fourth quarter of 2023.
◦
Anti-neutrophil cytoplasmic antibody-
associated vasculitis (
AV
): Phase 2 proof-of-
concept clinical trial to start in fourth quarter
of 2023.
•
Dermatology franchise:
◦
ADDRESS: Topline data from registrational
ADDRESS trial of SC efgartigimod for
pemphigus vulgaris (
PV
) and pemphigus
foliaceus (
PF
) expected in the second half of
2023.
◦
BALLAD: Registrational Phase 2/3 BALLAD trial
of SC efgartigimod in bullous pemphigoid (
BP
)
ongoing with interim results after the first 40
patients expected in 2024.
◦
Novel translational data from the open-label
Phase 2 clinical trial of efgartigimod for the
treatment of PV and PF that further support
the potential role of FcRn blockade and
potential of efgartigimod in autoimmune
skin blistering disorders were published in
the journal Frontiers of Immunology and
presented during the Society for Investigative
Dermatology Annual Meeting in May 2022.
•
Nephrology franchise:
◦
Phase 2 proof-of-concept clinical trial
ongoing through partnership with Zai Lab.
Membranous Nephrology (
MN
).
◦
Phase 2 proof-of-concept clinical trial ongoing
through partnership with Zai Lab. Lupus
Nephritis (
LN
).
◦
Antibody-mediated rejection (
AMR
): Phase
2 proof-of-concept clinical trial to start in the
fourth quarter of 2023.
ARGX-117 (C2 inhibitor):
◦
ARDA: Phase 2 proof-of-concept clinical trial
of ARGX-117 in multifocal motor neuropathy
(
MMN
) ongoing with interim results expected
in mid-2023.
◦
Phase 2 proof-of-concept clinical trial to start
in delayed graft function (
DGF
) in the second
half of 2023.
◦
DM was announced as the third indication
for ARGX-117.
ARGX-119 (muscle-specific tyrosine kinase
(
MuSK
) agonist):
◦
Phase 1 dose-escalation trials in healthy
volunteers started in the first quarter of
2023 with subsequent Phase 1b clinical
trial to assess early signal detection in
patients.
LEO Pharma exercised it’s exclusive, worldwide option
to ARGX-112 targeting IL22 receptor, which triggered a
€5.0 million payment to us.
Creation of OncoVerity, Inc. (
OncoVerity
):
◦
argenx, the University of Colorado Anschutz
Medical Campus and the University of
Colorado Health (
UCHealth
) created an
asset-centric spin-off, OncoVerity, focused on
optimizing and advancing the development of
cusatuzumab, an anti-CD70 antibody, in acute
myeloid leukemia (
AML
). OncoVerity is an
entity of co-creation, combining the extensive
translational biology insights from Dr. Clayton
Smith, M.D. from the University of Colorado
with the experience from argenx on the CD70/
CD27 pathway. OncoVerity is the fourth spin-
off company from our IIP.
ARGX-117
OncoVerity
ARGX-119
LEO Pharma
Corporate
Achievements
Appointment of Camilla Sylvest and Ana Cespedes
in 2022, and Steve Krognes in the first quarter as
non-executive directors to our board of directors
(
Board of Directors
).
Expansion to 843 employees (as of December 31, 2022)
to support further growth of our business, including
fully staffed commercial teams in the U.S., Europe
and Japan.
Prof. Hans de Haard, our chief scientific officer, retired
effective January 1, 2023 and transitioned to consult
within our IIP and as a strategic advisor to the research
and development committee of our Board of Directors.
Peter Ulrichts, Ph.D., our former head of clinical
science, assumed the chief scientific officer role.
Keith Woods, our chief operating officer, was succee-
ded as chief operating officer by Karen Massey effective
March 13, 2023. Mr. Woods will transition to serve
as an advisor to our Board of Directors.
Board of
Directors
843
Employees
Hans de Haard
Keith Woods
$
400.7
million
Global net product
VYVGART revenue
$
2.2
billion
Cash
$
720.3
million
Operating loss
$
709.6
million
Loss
$
804.1
million
Raised
Fiscal 2022
In gross proceeds in global offering of
2,683,334 ordinary shares (including
ordinary shares represented by
American Depositary Shares (
ADSs
)),
which included the full exercise of
the underwriters’ option to purchase
350,000 additional ADSs.
(cash, cash-equivalents
and current financial
assets) enabling
execution of our
ambitious strategy
objectives.
Financial
Highlights
2023
Outlook
Initiate POC studies in ANCA and
AMR
ARDA MMN interim results
Initiate Phase 1 study
Initiate DGF POC study
VYVGART gMG Approval in China
VYVGART gMG Approval in Canada
VYVGART gMG Launch in France, UK, Italy
SC efgartigimod gMG PDUFA Date
SC efgartigimod gMG Approval in EU
SC efgartigimod gMG Submission in Japan
VYVGART ITP Submission in Japan
ADHERE data in CIDP
ADDRESS data in Pemphigus
POC data in Post-COVID POTS
Initiate registrational trial in TED
ADVANCE (SC) data in ITP
Planned Commercial Milestones
Efgartigimod
Additional pipeline
ARGX-117
Planned Clinical Milestones
ARGX-119
YE 2023
3Q 2023
YE 2023
June 20, 2023
4Q 2023
1Q 2023
Mid-2023
2Q 2023
2H 2023
2H 2023
4Q 2023
4Q 2023
4Q 2023
Mid-2023
2H 2023
1Q 2023
The table above is subject to risks and uncertainties that may materially impact the achievement
of our 2023 outlook. For more information, please refer to section 2 “
Risk Factors
” of this Annual
Report for a discussion of such risks and uncertainties.
David
“Pemphigus is always in the back
of my mind. If I have something on my
skin, I look twice. If I feel a strange itch or
sensation on my scalp, I wonder if that’s a
lesion popping up.”
The future belongs
to those who dare
to do more.
David was diagnosed with Pemphigus
Vulgaris 18 years ago
When he started experiencing symptoms, David was a
commercial airline pilot. It took almost a year to get a diagnosis,
and he wondered if he’d ever be able to fly again.
What was your life like when you started experiencing symptoms and
eventually got diagnosed with pemphigus vulgaris?
I’ll never forget the dermatologist saying: ‘I know what’s wrong with you. It’s very serious. But I
can’t treat it. You need to go see a specialist at a university.’ And he wrote two words on a piece
of paper, words I’d never seen before: Pemphigus vulgaris.
When the Director of Dermatology comes into your room and says, ‘I’ve tried everything, I don’t
know what else to do,’ that’s a low point for me. I didn’t know where to go from there. I needed
full-time care. I walked like I was 90 years old with 70% of my body covered in open sores and I
had a lot of nerve pain. I was on a fentanyl patch and it did nothing. I had to move back in with
my parents. I didn’t know if I’d ever get back to flying as a pilot.
How have you responded to treatments and adjusted to living with PV?
I returned to work in 2007. Not long after that I met my wife. We rode motorcycles together and
we were married 12 years ago. I entered into long-term remission. I had a minor flare at the end
of 2019, but this time I knew what to look for, so we caught it early.
While I wouldn’t wish pemphigus vulgaris on my worst enemy, I’m actually glad I have it. It might
sound strange, but it’s made me who I am today. I don’t know if I would have met my wife.
I’ve made lifelong friends through other patients.
How does having PV affect your mental health?
Pemphigus is always in the back of my mind. If I have something on my skin, I look twice. If I feel
a strange itch or sensation on my scalp, I wonder if that’s a lesion popping up. If I get a sore, I
wonder: is it pemphigus popping up? And what does that mean for the rest of my life? With
pemphigus, there are worries about income and insurance. I live with these concerns and
manage the stress, because stress is a big autoimmune trigger.
What are your coping mechanisms?
I love to cook. I’m into barbecue and slow smoking. A brisket can take 12-18 hours. For me the
process is very soothing and cathartic. And then getting to feed my friends and family is a big
stress reliever.
What advice do you have for others who are newly diagnosed with PV?
First, you need to become an expert in the disease. If you understand it and the available treat-
ments and future treatments in development, that will help you be your own advocate. Second,
you have to preserve your mental health. This disease is difficult and can lead to depression.
Sometimes it helps to talk to people. Finding another PV patient can help, and so can seeing
a professional.
Dina
“I believe it’s important that people
with ITP have an accurate source of
information and a way to connect with
others with ITP so we can learn from each
other and be with people who understand
the challenges of living with ITP.”
The future belongs
to those who dare
to do more.
Dina is working and raising children
while living with ITP
Diagnosed with immune thrombocytopenia (ITP) in 2014,
Dina became her own advocate. Today she struggles with the
fatigue of ITP, but still manages to work and raise her family.
How did your journey with ITP begin?
I was diagnosed with ITP in 2014. It was an accident when I was seeking treatment for a tick bite
and Lyme disease. When my platelets stayed low after Lyme, a hematologist monitored me for
6 months and confirmed ITP. During this time I began my self-advocacy efforts by researching ITP
on the internet and finding and reaching out to patient advocacy organizations.
How have the symptoms of ITP impacted your life?
My symptoms were atypical in that I did not experience excessive bruising while I had very low
platelet levels. My most significant symptom was and is debilitating fatigue and exhaustion that
impacts my ability to do my job and engage in my relationships with my family and manage my
responsibilities at home. I get frustrated some days, like when I don’t have the energy to prepare
the evening meal for the family, so I have to rely on the ready-made meals from the store. I also
struggle to do what I used to do with my family, like hiking and vacationing.
How have you relied on community to cope with ITP?
Belgium does not have an ITP patient advocacy organization of its own, but I was able to access
a Platelet Disorder Support Association (PDSA) international alliance member organization in the
Netherlands. In one of the organization’s publications, I saw a call out to join a study for people
with ITP who still had their spleen. So I reached out to the contact and was ultimately included in
the study. This opportunity helped me better understand my experience with ITP, and the treat-
ment allowed me to stop the roller coaster of ever-changing platelet levels.
It’s so important that people with ITP have a way to find valid sources of information, like medical
journals and organizations like PDSA or the Dutch ITP organization. We also need a way to
connect with others with ITP. We can learn from one another and it helps to be with people who
understand your challenges.
How else can people with ITP advocate for themselves?
It’s important to be part of the decision-making process about your treatment approaches.
I really embrace the idea that while my doctor may know the most about the treatment options,
I know the most about my body and have to be involved in all the decisions made about what’s
done to my body.
The future belongs
to those who dare
to do more.
Mihoko
“Above all, I want to become a role
model for other MG patients. We cannot
recover completely, and face challenges in
terms of mental health and our appearance,
but we can figure out ways and means
to live with the disease. I want to
encourage others by sharing
my experience.”
I didn’t even know what the next
day would bring after being diagnosed
with MG
Ms. Suzuki, 52 years old, was diagnosed with MG in 2008,
when she was in her 30s.
I felt heaviness in my body when I travelled a long distance for a relative’s wedding. I also felt
my eyelids drooping and found difficulty in swallowing food. I thought I was just tired because I
was very busy at work at the time and wasn’t getting enough sleep. But a little later, when I was
driving my car, I started to see two traffic signals or two roads. That’s when I thought: ‘There’s
something wrong with me,’ so I decided to see a doctor.
After undergoing MRI scans at the department of neurosurgery, Ms. Suzuki was
referred to a university hospital with a suspected disease, and was diagnosed
with MG. She underwent thymectomy and began medical treatment.
When I started receiving treatment, it was hard for me not knowing when I would lose my motor
functions, or even what tomorrow might bring. It was also difficult for me to make plans to meet
with my friends, and I could not commit to completing tasks at work. I was in an unstable state of
mind, as if I were walking down a narrow path and somehow trying to make it to tomorrow.
After ending up in the hospital due to MG symptoms, she met a doctor who
changed her life.
A doctor who always reaches out to patients accepted my desire to adjust my treatment so I
could go back to work. I came to think: ‘This doctor is helping me stay alive!’
I also met other patients with MG at the hospital. We were able to open up to each other right
away because we shared MG in common. Meeting other MG patients who had come through the
same situation and being able to talk with them helped me to become more positive, and start
thinking that ‘I want to do something.’
With the slogan: “We are now in a dark tunnel, but one day we will pass through the tunnel and
morning will surely come,” they encouraged each other. “There’s something fun even in the dark
tunnel. Never give up hope.”
I thought seriously about how to live with MG.
Ms. Suzuki was able to overcome her mental and physical suffering with the
help of medical care and her friends. Despite the limitations her illness imposes,
she is living her life by figuring out the best way to handle her situation.
In my daily life, I cannot cook at all. I live by myself, so I buy precooked food or ask my family to
send me food. I can’t go shopping frequently, so I buy things when I go out on an errand or use
home delivery services.
Since I cannot hold buttons between my fingers when changing clothes, I wear mainly pullovers
and shawls. In addition, I don’t use an electric toothbrush because according to my doctor it
could chip my teeth due to the impact of the treatment. Everything takes time, so I get up early
to make sure I have enough time to do everything.
I feel happy after changing my living environment, perspective, and mindset.
Above all, I want to become a role model for other MG patients. We cannot recover completely,
and face challenges in terms of mental health and our appearance, but we can figure out ways
and means to live with the disease. I want to encourage others by sharing my experience.
Many MG patients may think that their future is uncertain because of their disease. Although we
can’t change reality, I think it is important for all of us to change our current living environment,
perspective, and mindset and try to get to a place where we can achieve sufficient happiness to
alleviate some of the suffering and hardship we may experience. It’s not easy, but you can try it at
any time you like. If you are facing a tough time, why don’t you contact me as your friend? Let’s
go forward together without giving up!
1
Presentation
of the Group
1.1
Company Profile
27
1.2
Strategy and Objectives
33
1.3
Our Products and Product Candidates
37
1.4
Collaboration Agreements
59
1.5
License Agreements
63
1.6
Distribution Agreements
70
1.7
Manufacturing and Supply
70
1.8
Intellectual Property
70
1.9
Regulation
74
1
Presentation
of the Group
1.1
Company Profile
1.1.1
General
We are a commercial-stage, global, fully-integrated biopharma company developing
a deep pipeline of differentiated therapies for the treatment of severe autoimmune
diseases. By combining our suite of antibody engineering technologies with the disease
biology expertise of our research collaborators, we aim to translate immunology
breakthroughs into a pipeline of novel antibody-based medicines through our discovery
engine, the IIP. We have a particular focus on rare, autoimmune diseases that fit into our
growing commercial franchises focused on neurology, hematology and rheumatology,
dermatology and nephrology. Through the building and use of commercial franchises,
we plan to leverage capabilities and an organizational footprint for subsequent potential
launches across our broad immunology pipeline. On December 17, 2021, the FDA appro-
ved efgartigimod in the U.S., which is marketed as VYVGART (efgartigimod alfa-fcab), for
the treatment of gMG in adult patients who are AChR-AB+. On January 20, 2022, MHLW
approved VYVGART (efgartigimod alfa) for the treatment of adult patients with gMG
who do not have sufficient response to steroids or non-steroidal ISTs. On August 11,
2022 the EU Commission granted marketing authorization for VYVGART (efgartigimod
alfa-fcab) as an add-on to standard therapy for the treatment of adult patients with
gMG who are AChR-AB+ in all 27 EU Member States, Iceland, Norway and Liechtenstein
(collectively, with the U.S. and Japan, the
VYVGART Approved Countries
). With these
regulatory milestones, VYVGART is the first-and-only approved FcRn blocker in the U.S.,
Europe and Japan.
argenx was founded on April 25, 2008 and is registered with the trade register of the
Dutch Chamber of Commerce under number 24435214. Our registered office is at
Laarderhoogtweg 25, 1101 EB Amsterdam, the Netherlands. Our commercial name
is “argenx” and, since April 26, 2017, our corporate name is “argenx SE”.
Our ordinary shares are listed on the regulated market of Euronext Brussels in Belgium
under ISIN NL0010832176 under the symbol “ARGX” since 2014 and our ADSs, each
representing one ordinary share in argenx (or a right to receive such share), are listed
on the Nasdaq Global Select Market (
Nasdaq
) under the symbol “ARGX” since 2017.
argenx SE is the parent entity of the Group and the sole shareholder of:
•
argenx Benelux BV
(prior to October 31, 2022 known as argenx IIP BV), a private
company with limited liability (
besloten vennootschap/société à responsabilité
limitée
) incorporated under the laws of Belgium, having its registered seat in
Zwijnaarde, Belgium and its address at Industriepark-Zwijnaarde 7, 9052 Zwijnaarde,
Belgium, and
•
argenx BV
, a private company with limited liability (
besloten vennootschap/société à
responsabilité limitée
) incorporated under the laws of Belgium, having its registered
seat in Zwijnaarde, Belgium and its address at Industriepark-Zwijnaarde 7, 9052
Zwijnaarde, Belgium. argenx BV is the sole shareholder of:
◦
argenx US
,
Inc., incorporated under the laws of the state of Delaware, U.S.,
having its registered office in Wilmington, Delaware and its address at 33 Arch
Street, Boston, Massachusetts 02110;
◦
argenx Japan
KK., incorporated under the laws of Japan, having its registered
office in Tokyo, Japan and its address at HULIC JP Akasaka Building 2-5-8,
Akasaka, Minato-ku, Tokyo, 107-0052, Japan;
◦
argenx Switzerland
SA, incorporated under the laws of Switzerland, having its
registered office in Geneva, Switzerland, and its address at Rue du Pré-de-la-
Bichette 4, 1202 Geneva, Switzerland;
◦
argenx France
SAS, incorporated under the laws of France, having its registered
office in Paris, France, and its address at rue Camille Desmoulins 13, 92130 Issy
Les Moulineaux, France;
◦
argenx UK
Ltd., incorporated under the laws of the UK, having its registered
office in Gerrards Cross, UK, and its address at Spaces Gerrards Cross Chalfont
Park, Building 1 Gerrargs Cross, SL9 0BG, UK;
◦
argenx Netherlands
Services BV, incorporated under the laws of the
Netherlands, having its registered office in Laarderhoogtweg 25, 1101 EB
Amsterdam, the Netherlands;
◦
argenx Germany
GmbH, incorporated under the laws of Germany, having its
registered office in Munich, Germany, and its address at Konrad-Zuse-Platz 8,
81829 Munich, Germany;
◦
argenx Canada
, Inc., incorporated under the laws of Ontario, having its
registered office in Ontario, Canada and its address at 9131 Keele Street Suite
A4, Vaughan, Ontario, Canada, L4K 0G7; and
◦
argenx Italy
S.r.l., incorporated under the laws of Italy, having its registered
office in Milan, Italy and its address at Largo Francesco Richini 6,
20122 Milan, Italy.
The following chart provides an overview of the Group as of December 31, 2022 and
as of the date of this Annual Report. Percentages refer to both the share of capital
and voting rights.
argenx Corporate Legal Structure
1.1.2
Overview
Our Pipeline
•
Efgartigimod (FcRn blocker):
efgartigimod is a human IgG1 Fc fragment that is
designed to target the neonatal FcRn and reduce immunoglobulin G (
IgG
). FcRn
is foundational to the immune system and functions to recycle IgG, extending its
serum half-life over other Ontario that are not recycled by FcRn. IgGs that bind to
FcRn are rescued from lysosomal degradation. By binding to FcRn, efgartigimod can
reduce IgG recycling and increase IgG degradation. It has the potential to address
a multitude of severe autoimmune diseases where pathogenic IgGs are believed
to be mediators of disease. We are evaluating both IV efgartigimod (10 mg/kg)
(VYVGART) and SC efgartigimod (1000 mg efgartigimod PH20). SC efgartigimod is
co-formulated with recombinant human hyaluronidase PH20 (rHuPH20), Halozyme,
Inc.’s (
Halozyme
) ENHANZE® drug delivery technology. ENHANZE® facilitates the SC
injection delivery of biologics that are typically administered via IV infusion.
argenx Benelux BV
Belgium
100%
argenx BV
Belgium
100%
argenx
Switzerland SA
100%
argenx
Japan KK
100%
argenx
Canada Inc.
100%
argenx
France SAS
100%
argenx
Germany GMBH
100%
argenx
Netherlands
Services BV
100%
argenx
US Inc.
100%
argenx
UK Ltd.
100%
argenx
Italy S.r.l.
100%
argenx SE
the Netherlands
◦
gMG: In May 2020, we announced positive topline results from the Phase 3
ADAPT clinical trial of IV efgartigimod for the treatment of gMG. The topline
results from the ADAPT clinical trial showed that efgartigimod was well-
tolerated, demonstrated clinically meaningful improvements in strength and
quality of life measures, and provided the option of an individualized dosing
schedule for gMG patients. The full Phase 3 ADAPT results were published in
The Lancet Neurology in July 2021. Data from the ADAPT clinical trial and the
subsequent open-label extension (ADAPT+) formed the basis for the regulatory
approvals of VYVGART in the U.S., Japan and the EU.
◦
In March 2022, we announced positive topline results from the Phase 3
ADAPT-SC study. SC efgartigimod achieved the primary endpoint of total IgG
reduction from baseline at day 29, demonstrating statistical noninferiority to
VYVGART IV formulation in gMG patients. Based on these results, we announced
the acceptance of a BLA by the FDA with a PDUFA target action date that was
recently extended by three months to June 20, 2023.
◦
Registrational clinical trials are ongoing in five additional autoimmune
indications:
–
ITP:
The ADVANCE trial of VYVGART was initiated in the fourth quarter
of 2019 and positive topline data of IV efgartigimod for primary ITP were
announced on March 22, 2022. The ADVANCE-SC trial of SC efgartigimod
started in the fourth quarter of 2020 and topline data are expected in
the second half of 2023.
–
PV and PF:
The ADDRESS trial of SC efgartigimod was initiated in 2020.
The topline data of SC efgartigimod for PF and PV are expected in the
second half of 2023.
–
CIDP:
The ADHERE trial of SC efgartigimod was initiated at the end of
2019 and topline data are expected in the second quarter of 2023.
–
BP:
The BALLAD trial of SC efgartigimod in BP was initiated in the second
half of 2022. An interim analysis of the first 40 patients is expected in
2024.
–
Myositis:
The ALKIVIA trial of SC efgartigimod initiated in the third
quarter of 2022 for three subtypes of Myositis, including IMNM, ASyS
and DM. Interim analysis of the first 30 patients of each subset is
expected in 2024.
◦
Clinical trials in four additional autoimmune indications through partnership
agreements with Zai Lab and IQVIA started in 2022:
–
Zai Lab launched the Phase 2 proof-of-concept trials in two kidney
indications, LN and MN.
–
IQVIA launched the Phase 2 proof-of-concept trials in Primary SjS and
PC-POTS. Topline results from the PC-POTS trial are expected in the
fourth quarter of 2023 and from the Primary SjS trial in 2024.
•
ARGX-117 (C2 inhibitor):
ARGX-117 is a novel complement inhibitor targeting C2,
blocking function of both the classical and lectin pathways while leaving the
alternative pathway intact. ARGX-117 has the potential to be a pipeline-in-a-product
candidate with indications that fit within our commercial franchises.
◦
Final Phase 1 data of ARGX-117 confirmed the interim data reported in July
2021 showing a favorable safety profile across single and multiple ascending
doses (
MADs
) of both IV and SC formulations. Pharmacokinetic (
PK
) and
pharmacodynamic (
PD
) profiles demonstrated potential for infrequent dosing
schedules.
◦
Phase 2 ARDA proof-of-concept trial started at the end of 2021 in MMN
and interim data are expected in mid-2023.
◦
Phase 2 proof of concept clinical trial to start in DGF following kidney
transplantation in the second half of 2023.
◦
DM was announced as the third indication for ARGX-117.
•
ARGX-119 (MusK agonist):
ARGX-119 is an agonist SIMPLE Antibody™ to the MuSK
receptor with potential in multiple neuromuscular indications. Phase 1 dose-
escalation clinical trial started in the first quarter of 2023 with a subsequent Phase 1b
clinical trial planned to assess early signal detection in patients thereafter.
•
ARGX-118 (Galectin-10):
ARGX-118 is an antibody against Galectin-10, the protein
of Charcot-Leyden crystals which are implicated as a major contributor to airway
inflammation and to the persistence of mucus plugs.
•
In addition to our wholly-owned pipeline, we have candidates that emerged from our
IIP that we out-licensed to a partner for further development and for which we have
milestone, royalty or profit-share agreements. These candidates include:
◦
ARGX-112 (LP-0145)
, a SIMPLE Antibody inhibitor of interleukin-22 receptor
(
IL-22R
) and out-licensed to LEO Pharma.
◦
ARGX-114 (AGMB-101)
, a SIMPLE Antibody agonist to the mesenchymal-
epithelial transition factor (
MET
) receptor and out-licensed to AgomAb
Therapeutics NV (
AgomAb
).
◦
ARGX-115 (ABBV-151)
, a SIMPLE Antibody inhibitor of glycoprotein A
repetitions predominant (
GARP
)- transforming growth factor beta (
TGF-
β
) and
out-licensed to AbbVie S.A.R.L (
AbbVie
).
◦
ARGX-116 (STT-5058)
, a SIMPLE Antibody inhibitor of ApoC3 and out-licensed
to Staten Biotechnology B. V.
◦
Cusatuzumab (Anti-CD70 Antibody)
: Cusatuzumab is an anti-CD70 monoclonal
antibody. CD70, a tumor necrosis factor receptor ligand, and its receptor
CD27 are expressed on leukemic stem cells and AML blasts but not on
hematopoietic stem cells. OncoVerity, an asset-centric spin-off was created to
focus on optimizing and advancing the development of cusatuzumab, a novel
anti-CD70 antibody, in AML. OncoVerity is an entity of co-creation, combining
the extensive translational biology insights from Dr. Clayton Smith, M.D. from
the University of Colorado with the experience from argenx on the CD70/CD27
pathway.
Immunology Innovation Program
Our IIP is a core business strategy of co-creation and innovation. The IIP also serves as our
discovery engine to identify novel targets and together, in collaboration with our scienti-
fic and academic partners, to build potential new pipeline candidates. Every current
pipeline candidate from both our wholly-owned and partnered pipeline emerged from
an IIP collaboration. As part of our long-term strategy, we continue to invest in the IIP.
For example:
•
Efgartigimod emerged from a collaboration with Professor Sally Ward and University
of Texas Southwestern Medical Center (
UT Southwestern)
that later became one of
the blueprints for our IIP collaborations. Professor Ward’s research identified the
crucial role that FcRn plays in maintaining and distributing IgGs throughout the body.
Efgartigimod is a human IgG1 Fc fragment that is equipped with ABDEG mutations,
which we in-licensed from UT Southwestern. These proprietary mutations modified
efgartigimod to increase its affinity for FcRn while retaining the pH-dependent binding
that is characteristic of FcRn interactions with its natural ligand, endogenous IgG.
•
ARGX-117 was built in collaboration with Broteio Pharma B.V. (
Broteio
) which
was launched in 2017 with support from Professor Erik Hack and the University
of Utrecht, to conduct research to demonstrate preclinical proof-of-concept of
the mechanism of ARGX-117. Professor Hack has done renowned research in the
role of inflammation in disease, specifically in the complement system, and has
contributed research and expertise to the approval of two complement inhibitors.
His understanding of the mild phenotype associated with a natural C2 deficiency and
C2’s unique positioning at the junction of the classical and lectin pathways led to our
interest in engineering ARGX-117, which is equipped with our proprietary NHANCE®
mutations and LALA mutations.
•
ARGX-119 was built in collaboration with the Leiden University Medical Center
(
LUMC
) and New York University (
NYU
) with support from the teams led by Professor
Verschuuren and Professor Steve Burden, respectively. Both groups have world-class
expertise in unraveling the biological mechanism of neuromuscular disease and
translating these insights from the lab to the patient.
Our Suite of Technologies
Through our IIP, we collaborate with scientific and academic partners to identify im-
munology breakthroughs and build potential pipeline candidates. This is done through
co-creation. We bring to the collaboration our unique suite of antibody engineering
technologies and experience in clinical development and our partners bring a wealth of
disease and target biology expertise.
•
SIMPLE Antibody
platform: Our proprietary SIMPLE Antibody platform, based on
the powerful llama immune system, allows us to exploit novel and complex disease
biology targets. The platform sources antibody variable regions (
V-regions
) from the
immune system of outbred llamas, each of which has a different genetic background.
The llama produces highly diverse panels of antibodies with a high human homology,
or similarity, in their V-regions when immunized with targets of human disease. Our
SIMPLE Antibody platform allows us to access and explore a broad target universe
while potentially minimizing the long timelines associated with generating antibody
candidates using traditional methods.
•
NHance, ABDEG, POTELLIGENT®
, and dehydrated hereditary stomatocytosis (
DHS
)
mutations
focus on engineering the Fc region of antibodies in order to augment their
intrinsic therapeutic properties. In addition, we obtained a non-exclusive research
license and option from Chugai Pharmaceutical Co., Ltd. (
Chugai
) for the
SMART-Ig®
and
ACT-Ig®
technologies. These technologies are designed to enable us to expand
the therapeutic index of our product candidates, which is the ratio between toxic and
therapeutic dose, by potentially modifying their half-life, tissue penetration, rate of
disease target clearance and potency. In 2020, we also entered into a non-exclusive
research agreement with the Clayton Foundation under which we may access the
Clayton Foundation’s proprietary DHS mutations to extend the serum half-life of
therapeutic antibodies.
•
Halozyme’s
ENHANZE
SC drug delivery technology: We have exclusive access
to ENHANZE for the FcRn and C2 targets and four additional targets. The global
collaboration and license agreement with Halozyme was announced in February
2019 and expanded in October 2020. The ENHANZE® technology has the potential
to shorten drug administration time, reduce healthcare practitioner time and offer
additional flexibility and convenience for patients.
•
In April 2021, we entered into a collaboration and license agreement with Elektrofi,
Inc. (
Elektrofi
) to explore Elektrofi’s high-concentration, low-volume delivery
technology for efgartigimod, and up to one additional target.
1.2
Strategy and Objectives
1.2.1
Company’s Strategies
Our goal is to deliver therapies that are first-in-class and best-in-class to patients
suffering from serious autoimmune diseases for which a significant unmet medical need
exists. We focus on attaining this goal in a manner that is disciplined for a company of
our size. We plan to:
•
Execute our global launch.
With the commercial launch of VYVGART as the first-and-
only approved neonatal FcRn blocker in the U.S., Japan and the EU, we have already
taken the first steps in executing
our plans for a global launch for VYVGART for the
treatment of gMG. We aim for further approvals in additional jurisdictions in the
course of 2023. We have already built our commercial infrastructure to support the
commercialization of VYVGART in the U.S., Europe and Japan as well as built out
additional commercialization infrastructure to support other indications in certain
of these key territories if and when new indications receive approval. In 2023, we
expect VYVGART approvals in Canada in the third quarter of 2023, and in the PRC
and Israel by the end of 2023. We also plan to launch VYVGART in France, Italy
and the UK by the end of 2023 following review of each country’s respective
reimbursement dossier.
•
Expand applications for our lead product efgartigimod.
Our goal is to maximize the
commercial potential of our existing products and product candidates by exploring
additional indications, as well as formulations that may expand the target patient
populations within existing indications. We are further developing our lead product,
efgartigimod, to market regulatory approval for the treatment of gMG, ITP, PV, CIDP,
BP, Myositis, PC-POTS, Primary SjS, MN, LN, TED, AV and AMR. We expand the use
of our products and product candidates in existing indications by developing new
formulations, such as an SC version of efgartigimod, that may reach more patient
groups by capturing different patient preferences and providing additional optionality
with regards to dosing. In this respect, we announced the acceptance of a BLA by
the FDA with a PDUFA target action date of June 20, 2023 for SC efgartigimod in
gMG patients.
•
Advance our pipeline of assets.
In addition to new indications for efgartigimod, we
plan to advance our other product candidates. In particular, we have advanced the
clinical development of ARGX-117 in a Phase 2 proof-of-concept clinical trial in MMN
and plan to advance in Phase 2 proof-of-concept clinical trials in DGF in the context
of kidney transplants and DM. We have also advanced ARGX-119 into a Phase 1
clinical trial in healthy volunteers and plan to advance early-stage pipeline candidates
as well as expand our pipeline of future product candidates through the IIP.
•
Leverage our suite of technologies to seek strategic collaborations and maximize
the value of our pipeline.
Our suite of technologies and productive discovery
capabilities have yielded several potential product candidates for which we seek to
capture value, while maintaining our focus and discipline. We plan to collaborate on
product candidates that we believe have promising utility in disease areas or patient
populations but fall outside our commercial franchises or are better served by the
resources of larger biopharmaceutical companies. In addition to collaborating on our
products and product candidates, we may also elect to enter into collaborations for
access to partner technology platforms or capabilities from which we can develop
differentiated potential pipeline assets.
•
Implement our “argenx 2025” vision.
We hope to make efgartigimod globally
available to patients across our four commercial franchises. We aspire to make
efgartigimod either commercially available or in clinical development in fifteen active
indications. We plan to make progress across our broader immunology pipeline
with ARGX-117 in multiple late-stage clinical trials and demonstrate clinical proof-
of-concept with ARGX-119. Finally, we will invest in the continued expansion of our
differentiated pipeline through our IIP.
•
Continue to build innovation into every step of our development, highlighted by our
collaborative IIP translating immunology breakthroughs into medicines.
Our IIP is
our core business strategy connecting the specialized insight into disease and target
biology of our external scientific and academic collaborators with our unparalleled
experience as antibody engineers. Co-creation has led to a deep pipeline of highly
differentiated product candidates. Through the IIP, we hope to together transcend
breakthrough research and publications to our ultimate and unifying mission of
creating new potential treatment options for patients.
1.2.2
Trends
Other than as disclosed in section 1 “
Presentation of the Group
” and 2 “
Risk Factors
”
,
we are not aware of any trends, uncertainties, demands, commitments or events for the
current financial period that are reasonably likely to have a material effect on our net
revenues, income, profitability, liquidity, capital resources or prospects, or that caused
the disclosed financial information to be not necessarily indicative of future operating
results or financial conditions.
Following the approval of VYVGART for the treatment of gMG in the U.S. by the FDA
on December 17, 2021, we transitioned from a clinical-stage to a commercial-stage
biotechnology company, have commercialized VYVGART in the VYVGART Approved
Countries and are working to expand commercialization in other jurisdictions, and
to launch new products and product candidates, including new indications.
There has been no significant change in the financial performance or the financial
position of the Group since the balance sheet date of December 31, 2022.
For more information, please refer to section 1 “
Presentation of the Group
”
,
section 2 “
Risk Factors
”
,
and to note 29 “
Commitments
” of our consolidated
financial statements in section 6 “
Consolidated Financial Statements
”
.
1.2.3
Competitive Position
We participate in a highly innovative industry characterized by a rapidly growing under-
standing of disease biology, quickly changing technologies, strong intellectual property
barriers to entry, and a multitude of companies involved in the creation, development
and commercialization of novel therapeutics. Many of these companies are highly
sophisticated and often strategically collaborate with each other.
We compete with a wide range of biopharmaceutical companies, who are developing
products for the treatment of gMG and other autoimmune diseases, including products
that are in the same class as VYVGART, as well as products that are similar to some
of our product candidates. We are aware of several FcRn inhibitors that are in clinical
development. Competitive product launches may erode future sales of our products,
including our existing products and those currently under development, or result in
unanticipated product obsolescence. Such launches continue to occur, and potentially
competitive products are in various stages of development. We could also face com-
petition for use of limited international infusion sites, particularly in new markets as
competitors launch new products. We cannot predict with accuracy the timing or impact
of the introduction of competitive products that treat diseases and conditions like those
treated by our products or product candidates. In addition, our competitors compete
with us to recruit and retain qualified scientific and management personnel, establish
clinical trial sites and patient registration for clinical trials, as well as in acquiring techno-
logies complementary to, or necessary for, the development of our products.
Competition in the autoimmune field is intense and involves multiple monoclonal anti-
bodies, other biologics and small molecules either already marketed or in development
by many different companies including large pharmaceutical companies such as AbbVie
(Humira/rheumatoid arthritis), Amgen, Inc. (
Amgen
) (Enbrel/rheumatoid arthritis),
Biogen, Inc. (Tysabri/multiple sclerosis), GlaxoSmithKline plc (
GSK
) (Benlysta/lupus),
F. Hoffman-La Roche AG (
Roche
) (Rituxan/often used off label) and Janssen Pharmaceu-
ticals, Inc. (
Janssen
) (Remicade/rheumatoid arthritis and Stelara/psoriasis). In addition,
these and other pharmaceutical companies have monoclonal antibodies or other
biologics in clinical development for the treatment of autoimmune diseases.
In addition to the current standard of care, we are aware that AstraZeneca PLC is selling
Soliris and Ultomiris for the treatment of adult patients with gMG who are AChR-AB+
and that GSK, Roche, Novartis AG, CSL Behring, Grifols, S.A., BioMarin Pharmaceutical,
Inc., Curavac, UCB S.A./RA Pharmaceuticals, Inc., DAS Therapeutics, Inc., Takeda Phar-
maceutical Co Ltd, RemeGen Co, Immunovant, Inc., Cartesian Therapeutics, Inc., Horizon
Therapeutics PLC, AstraZeneca PLC, Chugai/Genentech, Inc., Regeneron Pharmaceuticals,
Inc./Alnylam Pharmaceuticals, Inc. and Johnson & Johnson Innovation, Inc., among
others, are developing drugs that may have utility for the treatment of myasthenia gravis
(
MG
). Competitive product launches may erode future sales of our products, including
our existing products and those currently under development, or result in unanticipated
product obsolescence. Such launches continue to occur, and potentially competitive
products are in various stages of development.
1.2.4
Our Competitive Strengths
We believe that the combination of our technologies, expertise and focus will enable us
to overcome many of the challenges associated with antibody drug development and
positions us to be a leader in delivering therapies to patients suffering from severe auto-
immune, neuromuscular, hematology, dermatology and nephrology diseases for which
the current treatment paradigm is inadequate.
Productive discovery capabilities through our IIP fuel a deep pipeline of clinical and
preclinical product candidates. We are advancing a deep pipeline of both clinical- and
preclinical-stage product candidates for the treatment of severe autoimmune diseases.
Leveraging our technology suite and clinical expertise, we have advanced several candi-
dates and believe this level of productivity affords us a breadth of options with regard to
independently advancing or partnering our pipeline assets.
In November 2020, we announced the agreement to acquire an FDA Priority Review
Voucher (
PRV
) from Bayer Healthcare Pharmaceuticals, Inc. for $98.0 million. A PRV
entitles the holder to FDA priority review of a single new drug application (
NDA
) or BLA,
which reduces the target review time and may potentially lead to an expedited approval.
During the third quarter of 2022, the Company utilized this PRV and submitted it with
the BLA filing for SC efgartigimod for the treatment of gMG.
In November 2022, we announced an agreement to acquire a new PRV for $102 million,
which we expect to redeem for a future marketing application for efgartigimod.
1.3
Our Products and
Product Candidates
The following table summarizes key information on our portfolio of lead product and
product candidates as of the date of this Annual Report.
Breadth and Depth within Autoimmune Pipeline
1.3.1
VYVGART
Approval
On December 17, 2021, the FDA approved VYVGART for the treatment of gMG in adult
patients who are AChR-AB+. These patients represent approximately 85% of the total
gMG population (Behin et al. New Pathways and Therapeutics Targets in Autoimmune
Myasthenia Gravis. J Neuromusc Dis 5. 2018. 265
–
277). On January 20, 2022, MHLW
granted marketing authorization for VYVGART (efgartigimod alfa) for the treatment of
adult patients with gMG who are AChR-AB+. With these regulatory milestones, VYV-
GART is the first-and-only approved neonatal FcRn blocker in the U.S., Japan and the EU.
Program
Indication
Preclinical
Phase 1
Proof of Concept
Registrational
Commercial
VYVGART
gMG (IV)
Efgartigimod
ARGX-117
ARGX-119
Multifocal Motor Neuropathy
Dermatomyositis
Neuromuscular Indications
NEUROLOGY
HEMATOLOGY AND RHEUMATOLOGY
DERMATOLOGY
NEPHROLOGY
Delayed Graft Function After Kidney Transplant
gMG (SC)
CIDP
Myositis
Thyroid Eye Disease
ITP (IV)
ITP (SC)
COVID-19 Mediated POTS
Sjogren's Syndrome
Anca Vasculitis
Pemphigus
Bullous Pemphigoid
Lupus Nephritis
Antibody Mediated Rejection
Membranous Nephropathy
gMG is a rare and chronic neuromuscular disease characterized by debilitating and
potentially life-threatening muscle weakness. VYVGART is a human IgG1 antibody
fragment that binds to FcRn, resulting in the reduction of circulating IgG antibodies.
The action of AChR autoantibodies at the neuromuscular junction is a key driver of
gMG (Howard JF Jr, Utsugisawa K, Benatar M, et al. Safety and efficacy of efficacy of
eculizumab in AChR antibody-positive refractory gMG (REGAIN): a phase 3, randomized,
double-blind, placebo-controlled, multicenter study. Lancet Neurol. 2017; 16: 976–86).
The approval of VYVGART is based on results from the global Phase 3 ADAPT clinical
trial, which were published in the July 2021 issue of The Lancet Neurology.
We integrated input from the gMG community into the ADAPT clinical trial design.
Through listening to and learning from the gMG patient community, we understand that
every gMG patient experiences the course of disease differently. As a result, we desig-
ned a clinical trial to reflect the individualized nature of gMG with a dosing approach
that we believe is adapted to each patient’s individual response.
The Phase 3 ADAPT clinical trial was a randomized, double-blind, placebo-controlled,
multi-center, global clinical trial evaluating the safety and efficacy of efgartigimod in
patients with gMG. A total of 167 adult patients with gMG in North America, Europe
and Japan enrolled in the clinical trial and were treated. Patients were eligible to enroll
in ADAPT regardless of antibody status, including patients with AChR antibodies and
patients where AChR antibodies were not detected. Patients were randomized in a
1:1 ratio to receive efgartigimod or placebo for a total of 26 weeks. ADAPT was designed
to enable an individualized treatment approach with an initial treatment cycle followed
by a variable number of subsequent treatment cycles.
The ADAPT clinical trial met its primary endpoint, demonstrating that significantly more
anti-AChR-AB+ gMG patients were responders on the MG-activities of daily living
(
MG-ADL
) scale following treatment with VYVGART compared with placebo (68% vs. 30%;
p<0.0001). Responders were defined as having at least a two-point reduction on
the MG-ADL scale sustained for four or more consecutive weeks during the first
treatment cycle.
Additionally, there were significantly more responders on the quantitative myasthenia
gravis (
QMG
) scale following treatment with VYVGART compared with placebo (63% vs.
14%; p<0.0001). Responders were defined as having at least a three-point reduction on
the QMG scale sustained for four or more consecutive weeks during the first treatment
cycle.
As shown in figure 1, minimal symptom expression (
MSE
) is an increasingly important
data point for physicians and patients because it is a measure of symptom-free status.
In ADAPT, 40% of patients achieved MSE – or an MG-ADL score of 0 or 1 – at any time
during cycle one. The right side shows depth of response. Over half of patients treated
with efgartigimod experienced an improvement of five points or more on the MG-ADL
scale by week four.
Figure 1: Percentage of patients with MG-ADL and QMG total score change four weeks after initial infusion
of the first cycle in AChR-Ab+ population.
VYVGART
Placebo
VYVGART
Placebo
0
5
10
15
20
25
30
≥10
9
8
7
6
5
4
3
2
1
No
Change
Worsening
Improvements in Total QMG at Week 4
Percent
26%
0%
0%
0%
3%
3%
3%
2%
8%
8%
7%
7%
5%
5%
5%
6%
5%
10%
10%
19%
24%
24%
10% 10%
0
5
10
15
20
≥9
8
7
6
5
4
3
2
1
No
Change
Worsening
14%
0%
2%
2%
6%
6%
5%
5%
5%
5%
15%
17%
3%
8%
13%
16%
12%
12%
13%
20%
13%
10%
Improvements in Total MG-ADL at Week 4
Percent
Figure 2: Mean change in total MG-ADL from cycle 1 baseline over time in AChR-Ab+ population.
VYVGART had a demonstrated safety profile in the ADAPT clinical trial. The most com-
mon adverse events in ADAPT were respiratory tract infection (33% vs 29% placebo),
headache (32% vs 29% placebo), and urinary tract infection (10% vs. 5% placebo).
There is a pre-approval access program (
PAA
) for gMG patients that remains open in
the EU, the UK, Hong Kong and Canada for eligible patients.
Commercialization and Regulatory Plans
VYVGART was launched in the U.S. in January 2022, in Japan in May 2022 and in
Germany in September 2022 following approval in each region. The European commer-
cial launch of VYVGART is still ongoing.
We have established our own sales force in the U.S., Japan and Europe for VYVGART for
the treatment of gMG. We plan to expand our own sales and marketing capabilities and
promote our products and product candidates if and when regulatory approval has been
obtained in the relevant jurisdictions. For example, we established argenx Canada in the
first quarter of 2022 in preparation for a potential Health Canada approval request and if
granted commercial launch in Canada. We also established argenx UK in August 2022 in
preparation for potential Medicines and Healthcare Products Regulatory Agency (
MHRA
)
approval.
Development and commercialization may also be done through collaborations with
third parties. In January 2021, we entered into an exclusive out-license agreement with
Zai Lab, a commercial-stage biopharmaceutical company, for the development and
commercialization of efgartigimod in Greater China (
Zai Lab Agreement
). Zai Lab filed
for approval in the PRC in the second quarter of 2022. Under the Zai Lab Agreement,
we received a $75.0 million upfront payment in the form of 568,182 newly issued
Zai Lab shares calculated at a price of $132.0 per share, a $75.0 million guaranteed
non-creditable, non-refundable development cost-sharing payment and a $25.0 million
-5
-4
-3
-2
-1
0
Placebo
VYVGART
Mean chane (+/-SE)
Week
0
1
2
3
4
5
6
7
8
10
milestone payment in connection with FDA approval of VYVGART (
Zai Lab Payments
).
We will also be eligible for tiered royalties based on annual net sales of efgartigimod in
Greater China.
In October 2021, we announced an exclusive distribution agreement with Medison to
commercialize efgartigimod for gMG in Israel (
Medison Agreement
). Medison will also
be responsible for seeking requisite regulatory approvals, and Medison filed for approval
in Israel in the second quarter of 2022. On June 6, 2022 we announced an exclusive
multi-regional agreement with Medison to commercialize efgartigimod in 14 countries,
including Poland, Hungary, Slovenia, Czech Republic, Romania, Bulgaria, Lithuania,
Croatia, Slovakia, Estonia, Latvia, Greece, and Cyprus, for the treatment of adult patients
with gMG (
Medison Multi-Regional Agreement
).
In January 2022, we entered into a partnership agreement with Genpharm, under which
Genpharm shall purchase VYVGART from us for the resale in the GCC on an exclusive
basis for Genpharm’s own account and own name (
Genpharm Agreement)
.
We intend to sign additional distribution partnerships for other territories.
For a discussion of total revenues by geographic market, please see note 18
“
Segment Reporting
” in our consolidated financial statements.
Pre-Approval Access Program
We are committed to improving the lives of people suffering from rare diseases. We are
driven to discover new treatment approaches in autoimmunity and fueled by the resi-
lience of patients to urgently deliver them. We aim to do this in partnership; we listen to
patients, supporters and advocacy communities, and we hear their stories. Their insights
guide us as we develop our investigational therapies and motivate us to advance the
understanding of rare diseases.
We implemented a PAA on February 21, 2022 through which investigational therapies
are made available in certain circumstances to treat gMG patients who are unable to
participate in an ongoing clinical trial. As of the date of this Annual Report, the PAA has
approved over 150 gMG patients in ten countries. With the approval of VYVGART in the
U.S., Japan and EU, the PAA program remains open only in countries where VYVGART is
not yet launched or reimbursed.
1.3.2
Efgartigimod (formerly ARGX-113)
Development
Mechanism of Action
As shown in figure 3, efgartigimod is a human IgG1 Fc fragment equipped with our
ABDEG mutations that is designed to target the FcRn and reduce IgG. FcRn is founda-
tional to the immune system and functions to recycle IgG, extending its serum half-life
over other Igs that are not recycled by FcRn. IgGs that bind to FcRn are rescued from
lysosomal degradation. By binding to FcRn, efgartigimod can reduce IgG recycling and
increase IgG degradation.
Compared to alternative immunosuppressive approaches, such as B-lymphocyte
(
B-cell)
, depleting agents, efgartigimod acts in a highly selective manner. As of the date
of this Annual Report, efgartigimod has been evaluated in over 1,300 subjects with a
cumulative exposure of over 1,000 patient years. Efgartigimod has been observed to
significantly reduce concentrations of all IgG subtypes without decreasing levels of other
Igs or human serum albumin, which is also recycled by FcRn.
In a randomized, double-blind, placebo-controlled
first-in-human study of 62 healthy volunteers, efgarti-
gimod treatment resulted in rapid and specific clea-
rance of serum IgG levels. Single administration of
efgartigimod reduced IgG levels up to 50% while mul-
tiple dosing further lowered IgGs on average by 75%
from baseline. Approximately eight weeks following
the last administration, IgG levels returned to baseline.
Efgartigimod did not alter homeostasis of albumin
or Igs other than IgG and no serious adverse events as
defined by the competent authorities related to efgar-
tigimod infusion were observed.
Based on its mechanism of action in targeting FcRn to
selectively reducing IgGs, efgartigimod has the potential
to address a multitude of severe autoimmune diseases
where pathogenic IgGs are believed to be mediators
of disease.
As of the date of this Annual Report, we continue to
evaluate efgartigimod in ten autoimmune indications
where significant unmet need exists despite the
availability of commonly used therapies. These include gMG, CIDP and Myositis within
our neurology franchise; ITP, PC-POTS and Primary SjS within our hematology and
rheumatology franchise; PV, PF and BP within our dermatology franchise; and LN and
MN within our nephrology franchise. In 2023, we announced our intention to expand
efgartigimod into three new indications: TED, AV and AMR.
Indication Selection Strategy
We utilize the following strategy to select indications for efgartigimod:
•
We first start with a strong, unifying biological rationale. The indications in our
pipeline are unified in that there exists a wide range of supportive evidence that
demonstrates that each is IgG-mediated. This ranges from published literature,
clinical trials with currently used therapies such as intravenous Ig (
IVIg
), PLEX, or
Rituximab, and other experiments, such as passive transfer models.
•
We also look at indications where a significant clinical or commercial opportunity
exists. These are disease areas where there is a significant unmet need for innovation
as patients are often not well-managed by current therapies and their respective
side effects. For example, steroids and ISTs are often used to treat a multitude of
autoimmune diseases, but for the indications in our pipeline thus far, these have
been observed to be lacking in both safety and tolerability.
•
Furthermore, for each indication, there is a defined path forward with established
precedent for how to run proof-of-concept and registrational clinical trials with
generally accepted clinical and regulatory endpoints.
Endosome
Lysosome
Endothelial Cell
lgG Antibody
VYVGART
FcRn
Figure 3: Efgartigimod’s mechanism of action
blocks the recycling of IgG antibodies and
removes them from circulation
•
Finally, as we work towards achieving our ‘argenx 2025’ vision, we select indications
where there is a reasonable fit within our growing commercial franchises.
Formulations
Overview
We are developing two formulations of efgartigimod to address the needs of patients,
physicians, and payors across indications and geographies, including IV efgartigimod
(VYVGART) and the ENHANZE® (licensed from Halozyme) SC formulation.
IV (VYVGART)
We conducted a Phase 1 clinical trial in healthy volunteers to evaluate the safety,
tolerability, PK, PD, and immunogenicity of single and multiple doses of efgartigimod. In
the first part of the clinical trial, 30 subjects were randomized to receive a single dose of
efgartigimod or placebo ranging from 0.2 mg/kg to 50 mg/kg. In the second part of the
clinical trial, 32 subjects were randomized to receive MADs of efgartigimod or placebo
up to a maximum of 25 mg/kg.
In the MAD part of the Phase 1 clinical trial, repeat administration of both 10 mg/kg
and 25 mg/kg of efgartigimod every seven days, four doses in total, and 10 mg/kg every
four days, six doses in total, was associated with a gradual reduction in levels of all four
classes of IgG antibodies by 60% to 85%, with 10 mg/kg dose results shown in figure 4.
For all doses in the MAD part of the Phase 1 clinical trial, we observed the reduction in
circulating IgG antibody levels to persist for more than four weeks after the last dose
with levels below 50% at approximately three weeks and did not return to baseline
levels for more than one month. PK analysis of serum baseline levels of efgartigimod
indicates that it has a half-life of approximately three to four days with no drug accumu-
lation following subsequent weekly dosing. The prolonged activity on the levels of IgG
antibodies is consistent with the mechanism of action of efgartigimod and the effect of
our proprietary ABDEG technology (detailed in section 1.8.2 “
Platform Technologies
”)
on increasing the intracellular recycling of efgartigimod. In both the single and MAD
portions, no significant reductions in IgM, IgA or serum albumin were observed.
IgG1
% T
% T
IgG2
placebo (n=2)
active (n=6)
IgG3
% T
% T
% T
IgG4
Days post infusion
Days post infusion
Days post infusion
Days post infusion
Days post infusion
0
50
100
150
50
100
150
50
100
150
50
100
150
50
100
150
40
20
60
0
40
20
60
0
40
20
60
0
40
20
60
0
40
20
60
Total IgG
Figure 4: Reduction in the levels of four IgG antibody classes and total IgG levels in the MAD part of our
Phase 1 clinical trial of efgartigimod in healthy volunteers at a dose of 10 mg/kg every seven days.
SC – Partnership with Halozyme
In 2020, we and Halozyme expanded the existing global collaboration and license agree-
ment that was signed in February 2019. Under the expansion, we gained the ability to
access Halozyme’s ENHANZE® drug delivery technology for three additional exclusive
targets upon nomination bringing the total to six potential targets under the collabora-
tion. To date, two targets have been nominated including the human FcRn and C2.
In July 2019, we evaluated an SC formulation of efgartigimod that incorporates Halozyme’s
ENHANZE® drug delivery technology in a Phase 1 clinical trial in healthy volunteers,
which demonstrated retained PD profile of IV-formulated efgartigimod.
ENHANZE® has demonstrated across multiple FDA-approved products the ability
to remove traditional limitations on the volume of biologics that can be delivered
subcutaneously, potentially shortening drug administration time, reducing healthcare
practitioner time, and offering additional flexibility and convenience for patients.
In November 2022, we announced that the FDA accepted for priority review a BLA for SC
efgartigimod (1000 mg efgartigimod-PH20) for the treatment of adult patients with gMG
who are AChR-AB+. The BLA has been granted a PDUFA target action date of June 20,
2023.
SC – Partnership with Elektrofi
In April 2021, we entered into a collaboration and license agreement with Elektrofi to
explore Elektrofi’s high-concentration, low-volume delivery technology for efgartigimod,
and up to one additional target. See section 1.5.1 “
Our Exclusive License with Elektrofi
for Efgartigimod
” for more information.
1.3.3
Efgartigimod (formerly ARGX-113)
Indications
gMG
Overview
gMG is a rare and chronic autoimmune disease where IgG autoantibodies disrupt
communication between nerves and muscles, causing debilitating and potentially life-
threatening muscle weakness.
In MG, IgG autoantibodies either bind and occupy or cross-link and internalize the
receptor on the muscle cells, thereby preventing the binding of acetylcholine, the signal
sent by the nerve cell. In addition, these autoantibodies can cause destruction of the
neuromuscular junction by recruiting complement, a potent cell-destroying mechanism
of the human immune system. The muscle weakness associated with MG usually
presents initially in ocular muscles and can then spread into a generalized form affecting
multiple muscles, known as gMG. Approximately 85% of people with MG progress to
gMG within 24 months (source: Behin et al. New Pathways and Therapeutics Targets in
Autoimmune Myasthenia Gravis. J Neuromusc Dis 5. 2018. 265 – 277). MG in the ocular
form initially causes droopy eyelids and blurred or double vision due to partial paralysis
of eye movements. As MG becomes generalized it affects muscles in the neck and jaw,
causing problems in speaking, chewing and swallowing. MG can also cause weakness in
skeletal muscles leading to problems in limb function. In the most severe cases, respi-
ratory function can be weakened to the point where it becomes life-threatening. These
respiratory crises occur at least once in the lives of approximately 15% to 20% of MG
patients. The U.S. prevalence of MG is estimated at approximately 20 cases per 100,000
(source: Philips et al, Ann NY Acad Sci. 2003).
Patients with confirmed AChR antibodies account for approximately 85% of the total
gMG population (Behin et al. New Pathways and Therapeutics Targets in Autoimmune
Myasthenia Gravis. J Neuromusc Dis 5. 2018. 265 – 277).
In May 2020, we announced positive topline results from the pivotal ADAPT clinical trial
of efgartigimod for the treatment of gMG. The topline results from the ADAPT clinical
trial showed that efgartigimod was well-tolerated, demonstrated clinically meaningful
improvements in strength and quality of life measures, and provided the option of an
individualized dosing schedule for gMG patients. The full Phase 3 ADAPT results were
published in The Lancet Neurology in July 2021. The data from the ADAPT clinical trial
and the subsequent open-label extension (ADAPT+) formed the basis for the regulatory
approvals of VYVGART in the U.S., Japan and the EU.
ADAPT-SC Trial Design
In January 2021, we initiated ADAPT-SC, a registrational non-inferiority bridging study
of SC efgartigimod for the treatment of gMG. The design of the bridging study is based
on the demonstrated association between total IgG reduction and clinical benefit in
gMG and incorporates feedback from the FDA. The study is comparing the PD effect
of 1000 mg SC efgartigimod with 10 mg/kg IV efgartigimod. The primary endpoint is
the percent change from baseline of total IgG levels measured at day 29.
On March 22, 2022, we announced positive topline results from the Phase 3 ADAPT-SC
study. SC efgartigimod achieved the primary endpoint of total IgG reduction from baseline
at day 29, demonstrating statistical noninferiority to VYVGART IV formulation in gMG
patients. Based on these results, we announced the acceptance of a BLA by the FDA with
a PDUFA target action date that was recently extended by three months to June 20, 2023.
Other Clinical Trials
We are currently evaluating alternative dosing regimens of efgartigimod IV in adult gMG
patients in the ADAPT NXT clinical trial. In addition, a clinical trial of efgartigimod IV in
pediatric gMG patients is ongoing. In 2022, a Phase 1 clinical trial evaluating the effect of
efgartigimod or placebo on immune response to the polyvalent pneumococcal vaccine
(PNEUMOVAX 23) was completed.
Primary ITP
Overview
Primary ITP is an acquired autoimmune bleeding disorder, characterized by a low
platelet count (<100×109/L) in the absence of other causes associated with thrombo-
cytopenia. In most patients, IgG autoantibodies directed against platelet receptors
can be detected. They accelerate platelet clearance and destruction, inhibit platelet
production, and impair platelet function, resulting in increased risk of bleeding and
impaired quality of life. Primary ITP is differentiated from secondary ITP, which is
associated with other illnesses, such as infections or autoimmune diseases, or which
occurs after transfusion or taking other drugs, such as cancer drugs. Platelet deficiency,
or thrombocytopenia, can cause bleeding in tissues, bruising and slow blood clotting
after injury. Patients may suffer from depression and fatigue as well as side effects of
existing therapies, impairing their quality of life. Current therapeutic approaches include
non-specific immunosuppression (e.g., steroids and rituximab), inhibition of platelet
clearance (e.g., splenectomy, IVIg, anti-D globulin, and spleen tyrosine kinase inhibitor
fostamatinib13) or stimulation of platelet production (e.g., thrombopoietin receptor
agonist TPO-RA). Splenectomy remains the only treatment that provides sustained
remission off therapy for one year or longer for a high proportion of patients. ITP affects
approximately 72,000 patients in the U.S. (sources: Current Medical Research and
Opinion, 25:12, 2961 – 2969; Am J Hematol. 2012 Sep; 87(9): 848 – 852; Pediatr Blood
Cancer. 2012 Feb; 58(2): 216 – 220).
Phase 3 ADVANCE Clinical Trials
In the fourth quarter of 2019, the first of two registrational clinical trials, the ADVANCE
Phase 3 clinical trial, was initiated to evaluate 10 mg/kg IV efgartigimod (VYVGART) for
the treatment of primary ITP. The second registrational ADVANCE-SC clinical trial of 1000
mg SC efgartigimod for the treatment of primary ITP was initiated in the fourth quarter
of 2020. Positive phase 3 topline data for the ADVANCE clinical trial were announced
on May 5, 2022. ADVANCE was the second registrational clinical trial of VYVGART and
the first Phase 3 clinical trial of a neonatal FcRn blocker in ITP. The ADVANCE clinical
trial enrolled 131 adult patients with chronic and persistent ITP. Patients were heavily
pretreated and 67% of patients had received three or more prior ITP therapies, including
59% who had prior thrombopoietin receptor agonist (TPO-RAs) experience, 34% with
prior rituximab experience and 37% with a history of splenectomy.
The clinical trial met its primary endpoint demonstrating that a significantly higher
proportion of patients with chronic ITP receiving VYVGART (17/78; 21.8%) compared
to placebo (2/40; 5%) achieved a sustained platelet response (p=0.0316), defined as
having platelet counts greater than or equal to 50x109/L on at least four of the last six
scheduled visits between weeks 19 and 24 of treatment.
Key platelet-derived secondary endpoints showed VYVGART-treated patients had a
statistically significant benefit compared to placebo on (1) cumulative number of weeks
where platelet counts were at least 50x109/L in the chronic ITP population (p=0.0009)
and (2) sustained platelet response in the overall population, including both chronic
and persistent ITP patients (p=0.0108). Numerically fewer WHO-classified bleeding
events occurred in treated patients throughout the clinical trial but the difference from
placebo was not statistically significant. A higher proportion of treated patients in the
overall population achieved a durable, sustained platelet response compared to placebo,
defined as a sustained platelet response on at least six of the last eight scheduled visits
between weeks 17 and 24 of treatment (p=0.0265), but was not considered statistically
significant based on hierarchical testing.
Additional secondary endpoint data from the ADVANCE clinical trial are consistent with
primary and secondary platelet-derived endpoints and provide additional context on
metrics that often drive treatment decisions, including on International Working Group
(
IWG
) responder status:
•
51.2% of VYVGART-treated patients were classified as IWG responders and 27.9% as
complete responders compared to 20% of placebo patients as IWG responders and
4.4% as complete responders.
•
IWG responders are defined as having a platelet count of at least 30x109/L, a two-
fold increase in platelet count from baseline, and the absence of bleeding for two
separate, consecutive weekly visits. Complete responders are patients with platelet
counts of 100x109/L and the absence of bleeding for two separate, consecutive
weekly visits.
Mean platelet count change from baseline: VYVGART-treated patients demonstrated
a rapid onset of platelet count improvement with statistically significant separation
from placebo observed at week one and maintained through 20 out of 24 weeks of the
clinical trial.
Ten VYVGART-treated patients switched to a biweekly (every two weeks) dosing schedule
after achieving platelet counts of 100x109/L for three out of four consecutive visits,
compared to one placebo patient. Nine of the ten treated patients achieved a sustained
platelet response.
VYVGART was well-tolerated in this 24-week study and the observed safety and
tolerability profile was consistent with previous clinical trials.
SC efgartigimod is being evaluated in a second registrational clinical trial in ITP,
ADVANCE-SC topline data are expected in the second half of 2023. The clinical trial
design for ADVANCE-SC is the same as for ADVANCE but the target enrollment was
increased based on the results of the Phase 3 ADVANCE clinical trial.
Phase 2 Trial
We completed a randomized, double-blind, placebo-controlled Phase 2 clinical trial to
evaluate the safety, efficacy and PK of efgartigimod in 38 adult primary ITP patients.
Full results from the Phase 2 clinical trial were published in the peer-reviewed American
Journal of Hematology. Efgartigimod was well-tolerated and showed a correlation of
reduced IgG levels, increased platelet counts and reduced bleeding in ITP patients.
The primary endpoint analysis demonstrated efgartigimod to be well-tolerated in all
patients, with most treatment emergent adverse events (
TEAEs
) observed characterized
as mild (Common Terminology Criteria for Adverse Events grading 1 and 2). There were
no dose-related safety observations and the safety profile was consistent with previous
observations in healthy volunteers and MG patients. No increased risk of infection was
apparent in the efgartigimod-treated groups compared to the placebo group.
PV
Overview
PV is an autoimmune disorder associated with mucosal and skin blisters that lead to
pain, difficulty swallowing and skin infection. This chronic, potentially life-threatening
disease is triggered by IgG autoantibodies targeting desmoglein-1 and -3, which are
present on the surface of keratinocytes and important for cell-to-cell adhesion in the
epithelium. Autoantibodies targeting desmogleins result in loss of cell adhesion, the
primary cause of blister formation in PV. Similar to MG and ITP, disease severity of
pemphigus correlates to the amount of pathogenic IgGs targeting desmogleins.
Currently, there are an estimated 19,000 pemphigus patients in the U.S., of which an
estimated 13,100 patients are suffering from PV. Several disease activity measurements
exist for the clinical evaluation of PV patients, including the pemphigus disease area
index (
PDAI
), autoimmune bullous skin disorder intensity score, and the PV activity score
(
PVAS
). The PDAI is reported to have the highest validity and is recommended for use in
clinical trials of PV.
Phase 3 ADDRESS Clinical Trial
In the fourth quarter of 2020, the registrational ADDRESS clinical trial was initiated of
SC efgartigimod for the treatment of PV and PF. This is a randomized, double-blinded,
placebo-controlled study, where the objective is to assess efficacy, safety and tolerability
in up to 150 newly diagnosed or relapsing patients with moderate to severe pemphigus.
Patients are randomized to receive either SC efgartigimod or placebo for 30 weeks.
Patients start on concomitant steroids based on what we determine to be the optimized
dosing regimen from the Phase 2 study. The primary endpoint will assess the proportion
of patients who achieve complete remission on a minimal steroid dose at 30 weeks.
The ADDRESS clinical trial will evaluate efficacy and safety, including the potential to
drive fast onset of disease control and complete remission and the ability to taper
corticosteroids. A relevant minority portion of the patients in the ADDRESS clinical trial
are participating at sites in Ukraine or Russia. Following a risk assessment relating to the
conflict between Russia and Ukraine, we increased target enrollment, which delayed
expected topline data of SC efgartigimod for PV and PF to the second half of 2023.
Phase 2 Trial
We completed an open-label Phase 2 adaptive clinical trial in which, through sequential
cohorts, 34 patients were dosed at 10 or 25 mg/kg IV efgartigimod (VYVGART) with
various dosing frequencies, as monotherapy or add-on therapy to low dose oral
prednisone. The primary endpoint of the clinical trial was safety and tolerability. The
full Phase 2 clinical trial results were published in The British Journal of Dermatology.
In this clinical trial, we observed:
•
a favorable tolerability profile, consistent with data from previous efgartigimod
studies and those adverse events were mostly mild;
•
a major decrease in serum total IgG and anti-desmoglein autoantibodies and
correlated with improved PDAI scores;
•
that 90% (28/31) of patients demonstrated early disease control; median time to
disease control for monotherapy and combination therapy was 17 days;
•
complete clinical remission in 64% (14/22) of patients receiving optimized prolonged
treatment with efgartigimod in combination with a median dose of 0.26 mg/kg/day
prednisone within 2 – 41 weeks; and
•
a favorable tolerability profile, consistent with data from previous efgartigimod
studies.
Novel translational data from the open-label Phase 2 study of efgartigimod for the
treatment of PV that further support the potential role of FcRn blockade and potential
of efgartigimod in autoimmune skin blistering disorders were published in the journal
Frontiers of Immunology and presented during the Society for Investigative Dermatology
annual meeting in May 2022.
CIDP
Overview
CIDP is a chronic autoimmune disorder of peripheral nerves and nerve roots caused by
an autoimmune-mediated destruction of the myelin sheath, or myelin producing cells,
insulating the axon of the nerves and enabling speed of signal transduction. The cause
of CIDP is unknown, but abnormalities in both cellular and humoral immunity have
been shown. CIDP is a chronic and progressive disease: onset and progression occur
over at least eight weeks in contrast with the more acute Guillain-Barré-syndrome.
Demyelination and axonal damage in CIDP lead to loss of sensory and/or motor neuron
function, which can lead to weakness, sensory loss, imbalance and/or pain. CIDP affects
approximately 16,000 patients in the U.S.
Most CIDP patients require treatment and IVIg which is the preferred first-line therapy.
Glucocorticoids and plasma exchange are used to a lesser extent as they are either
limited by side effects upon chronic use, in the case of glucocorticoids, or invasiveness
of the procedure and access, which is restricted to specialized centers in case of plasma
exchange. Alternative immunosuppressant agents are typically reserved for patients
ineligible for or refractory to IVIg, glucocorticoids or plasma exchange.
ADHERE Clinical Trial
At the end of 2019, we initiated the registrational ADHERE clinical trial evaluating
SC efgartigimod for the treatment of CIDP. The ADHERE clinical trial is a randomized,
withdrawal study evaluating 1000 mg weekly SC efgartigimod expected to enroll appro-
ximately 130 patients. The clinical trial consists of an open-label Stage A followed by a
randomized, placebo-controlled Stage B with a planned interim responder analysis after
the first 30 patients enroll in Stage A. In order to enter Stage A and receive efgartigimod,
both patients who are treatment-naïve or on therapy must first receive a confirmed
diagnosis of CIDP by an independent panel of experts and demonstrate active disease.
To show active disease, patients who are on current CIDP therapy have to demonstrate
a minimal clinically meaningful worsening after treatment withdrawal based on at least
one CIDP clinical assessment tool, including the Inflammatory Neuropathy Cause and
Treatment Disability Score (
INCAT Disability Score
), Inflammatory Rasch-built Overall
Disability Scale (
I-RODS
) or mean grip strength. To advance to Stage B, patients need to
demonstrate a minimal clinically meaningful response to efgartigimod equivalent with
the loss observed on the same efficacy scale on which worsening is observed during
the withdrawal period. In Stage B, patients are randomized to either SC efgartigimod
or placebo for up to 48 weeks. The primary endpoint is event-driven and based on the
adjusted INCAT Disability Score in Stage B.
Interim Analysis from ADHERE Clinical Trial
In February 2021, we announced a “go” decision to transition into the second, placebo-
controlled stage of this clinical trial based on a planned efficacy and safety assessment
following the enrollment of 30 patients into the initial part of the ADHERE clinical trial.
The ADHERE clinical trial is expected to enroll at least 130 patients in total to support
potential registration of SC efgartigimod for the treatment of CIDP. The interim analysis
achieved the pre-defined threshold for continuation, which was based on response
rates seen in precedent clinical trials of current standard of care in CIDP. The decision
to continue enrollment was confirmed by an independent data monitoring committee.
In addition, the safety and tolerability data observed to date is consistent with that of
efgartigimod in other clinical trials.
We expect to announce the topline data of the ADHERE clinical trial in the second
quarter of 2023.
Idiopathic Inflammatory Myopathies (Myositis)
Overview
Myositis are a rare group of autoimmune diseases that can be muscle specific or affect
multiple organs including the skin, joints, lung, gastrointestinal tract and heart. Myositis
can be very severe and disabling and have a material impact on quality of life. Initially
these Myositis were classified as either DM or polymyositis, but as the underlying
pathophysiology of Myositis has become better understood, including through the iden-
tification of characteristic autoantibodies, new polymyositis subgroups have emerged.
Two of these subtypes are IMNM and ASyS. Proximal muscle weakness is a unifying
feature of each Myositis subset.
•
IMNM is characterized by skeletal muscle weakness due to muscle cell necrosis. The
muscle weakness is typically symmetrical – on both sides of the body – and affects
proximal muscles including hips, thighs, upper arms, shoulder and neck. The muscle
weakness can be severe and lead to difficulty in completing daily tasks. Characteristic
autoantibodies of IMNM, include anti-signal recognition particle and anti-3-hydroxy-
3-methylglutaryl-coenzyme A reductase autoantibodies.
•
ASyS is characterized by muscle inflammation, inflammatory arthritis, interstitial lung
disease, thickening and cracking of the hands (“mechanic’s hands”) and Raynaud
phenomenon. Autoantibodies associated with ASyS attack tRNA synthetase enzymes
and include anti-Jo-1 and anti-PL1 and PL-12 most commonly.
•
DM is characterized by muscle inflammation and degeneration and skin
abnormalities, including heliotrope rash, Gottron papules, erythematous, calcinosis
and edema. DM is associated with Myositis-specific autoantibodies, including
anti-Mi-2, anti-MDA-5, anti-TIF-1γ and others.
There are no current FDA-approved therapies for IMNM or ASyS. IVIg (Octagam 10%)
was approved by the FDA for the treatment of DM in July 2021. Myositis patients are
most often treated with high-dose steroids.
ALKIVIA Clinical Trial
We initiated the registrational ALKIVIA clinical trial of SC efgartigimod for the treatment
of Myositis in the third quarter of 2022. The study plans to enroll approximately 240
patients in three Myositis subtypes, IMNM, ASys and DM. The study will be conducted
in 2 phases, with an analysis of the Phase 2 portion of the clinical trial, including 30
patients of each subtype, followed by conduct of the Phase 3 portion of the clinical trial.
The primary endpoint is the total improvement score (
TIS
) at the end of the treatment
period. Key secondary endpoints include response rates at the end of treatment,
time to response, and duration of response in TIS, as well as change from baseline in
individual TIS components. Other secondary endpoints include quality of life and other
functional scores.
An interim analysis of the first 30 patients in each subset is expected in 2024.
BP
Overview
BP is the most common autoimmune blistering disease and is driven by autoantibodies
affecting the skin. The disease typically affects elderly people and early key symptoms
are itch and rash and patients develop fluid-filled blisters during disease progression.
The prevalence of BP is twelve per 100,000 adults and the incidence increases with
age. BP is associated with a high disease burden and can have a significant impact on
the quality of life of patients. The mortality of BP in the U.S. is 2.4% or higher than the
mortality in the general population of the same age. There are currently no approved
therapies available for BP. First line treatment consists of topical or systemic cortico-
steroids, which result in substantial morbidity and increased mortality, conventional
immunosuppressants as corticosteroid-sparing agents, rituximab and IVIg.
BP is a well characterized autoimmune disease in which the binding of autoantibodies to
hemidesmosomal proteins, BP180 and BP230, initiates a cascade of inflammatory events
resulting in blister formation. BP180 and BP230 are involved in the stable attachment
of keratinocyte to the underlying matrix. The autoantibody actions include mechanical
disruption of keratinocyte adhesion and cytokine release. Immune complex formation
initiates complement activation leading to the recruitment mast cells, neutrophils,
eosinophils and other immune cells and to the release of proteases and inflammatory
mediators. All these effects, which start with the binding of the autoantibodies, induce
the blistering observed in BP.
BALLAD Trial
We initiated the Phase 2/3 BALLAD registrational clinical trial evaluating SC efgartigimod
in BP in the second half of 2022, in which we plan to enroll 160 patients.
The clinical trial population are newly diagnosed and relapsing patients within one year
from diagnosis. Patients will be randomized 1-to-1 to receive efgartigimod or placebo
for total duration of 36 weeks. The primary endpoint is the proportion of participants
in complete remission while off oral corticosteroids for at least eight weeks at week 36.
Secondary endpoints relate to cumulative steroid doses, IGA BP score, time to achieving
control of disease activity, change from baseline in average itch, and quality of life
measures. In our Half Year 2022 report, we announced that the registrational BALLAD
clinical trial is ongoing of SC efgartigimod for BP with interim analysis planned of first
40 patients in 2024.
New Efgartigimod Indications
We are also evaluating four indications in proof-of-concept clinical trials through our
partnerships with Zai Lab and IQVIA:
•
MN is an autoimmune, glomerular disease and the most frequent cause of nephrotic
syndrome. MN is characterized by thickening of the glomerular capillary walls caused
by immune complex deposition. 70% of MN patients have IgG autoantibodies against
PLA2R. In patients without PLA2R autoantibodies, there can be detectable anti-
THSd7A or anti-NELL1 antibodies. 20 – 30% of patients progress to end-stage renal
disease. There are no current approved therapies for MN.
•
LN is a glomerulonephritis and one of the most severe and common organ
manifestations of the autoimmune disease systemic lupus erythematosus (
SLE
).
LN is a substantial cause of morbidity and death among patients with SLE.
Autoantibodies associated with LN include anti-dsDNA and anti-nuclear antibodies.
5 –20% of LN patients progress to end-stage renal disease. Oral corticosteroids
and broad immunosuppressants are current standard of care but are not uniformly
effective.
•
Primary SjS is a systemic autoimmune disease of the exocrine glands that can affect
salivary and lacrimal glands, mostly, and result in severe dryness of mucosal surfaces,
primarily in the eyes and mouth. In addition to sicca symptoms, patients can
experience significant fatigue, chronic pain, major organ involvement, neuropathies
and lymphomas. Autoantibodies are present in the majority of patients and include
antinuclear antibodies and antibodies against Primary SjS-related antigen A and B
(anti-SSA Ro and SSB La). There are no current FDA-approved therapies and patients
are most often treated with IVIg, in severe cases, or eyes drops and corticosteroids in
more mild to moderate patients.
•
PC-POTS has been emerging after resolution of COVID-19 infection in previously
healthy patients. PC-POTS is a disorder of the autonomic nervous system that
is characterized by a rise in heart rate when moving to a standing position and
additional symptoms of shortness of breath, headache, fatigue, poor concentration,
weakness and anxiety. The large majority of patients are women between 15 and
50 years of age. There is a strong association of PC-POTS to activating autoantibodies
to autonomic G-protein coupled receptors, including the β1 and β2-adrenergic
receptors and M2 and M3 muscarinic receptors. There are no current FDA-approved
therapies and symptomatic treatments focus on blood volume, kidney sodium levels,
heart rate reduction and vessel constriction.
Zai Lab Limited
Our Zai Lab strategic collaboration allows us to accelerate development of efgartigimod
into new autoimmune indications with Zai Lab taking operational leadership of the
Phase 2 proof-of-concept clinical trials.
Zai Lab initiated the Phase 2 proof-of-concept clinical trials in 2022 in MN and LN, which
both fall within our emerging nephrology franchise.
IQVIA
On December 2, 2021 we entered into a strategic asset development agreement (
Asset
Development Agreement
) with IQVIA. Pursuant to the Asset Development Agreement,
IQVIA shall perform asset and indication development services for efgartigimod through
an advanced outsourcing model. Such services include, but are not limited to, overall
product indication development strategy, design of clinical trial protocol, set-up,
execution and oversight of clinical development plans for an indication for efgartigimod
selected by us.
To enable and encourage fast and innovative delivery of the services by IQVIA, the Asset
Development Agreement contains an innovative earn-back and bonus plan based upon
the performance of IQVIA.
Primary SjS and PC-POTS are the first indications we identified to be further developed
under the Asset Development Agreement.
In 2022, IQVIA launched the Phase 2 clinical trials in Primary SjS and PC-POTS.
Additional Efgartigimod Indications
In January 2023, we announced our plans to launch clinical trials in three new indica-
tions including a registrational clinical trial in TED and proof-of-concept clinical trials in
AV and AMR.
1.3.4
ARGX-117 Development
ARGX-117 is a highly differentiated therapeutic monoclonal antibody targeting C2
equipped with our proprietary NHANCE mutations. By addressing a novel target at
the intersection of the complement and lectin pathways of the complement cascade,
we believe ARGX-117 represents a broad pipeline opportunity across several severe
autoimmune indications. Activation of the classical and lectin pathway of complement
may contribute to tissue damage and organ dysfunction in a number of autoimmune
inflammatory diseases and ischemia-reperfusion conditions. Targeting C2 also leaves the
alternative pathway of the complement system intact, which is an important component
of the innate defense system.
ARGX-117 exhibits both pH- and calcium dependent binding. These unique characteris-
tics enable ARGX-117 to capture free C2 in circulation and release it in the endosome
to be sorted for degradation in the lysosome. ARGX-117 is equipped with NHANCE
mutations increasing its affinity for FcRn and allowing it to recycle back into circulation
to capture more C2.
We obtained the rights to ARGX-117 as part of our IIP. argenx and Broteio launched a
collaboration in 2017 to conduct research, with support from the University of Utrecht,
to demonstrate preclinical proof-of-concept of the mechanism of ARGX-117. Based on
promising preclinical data generated under this collaboration agreement, we exercised
the exclusive option to license the program and assumed responsibility for further
development and commercialization.
In addition to an IV formulation, we have exclusive access to Halozyme’s
ENHANZE® SC drug delivery technology for the C2 target.
Figure 5
Cell
ARGX-117
pH 7.4
Ca
2+
: 1.5mM
Lysosome
Endosome
FcRn
C2
pH and Ca
2+
switch
No effector
function
Optimal
recycling
Phase 1 Data
We conducted a Phase 1 healthy volunteer clinical trial of IV and SC ARGX-117. This first-
in-human clinical trial was a double-blind placebo-controlled study designed to assess
the safety, tolerability, PK and PD of a broad dose range of ARGX-117 in 102 healthy
subjects. In the single ascending dose part, we evaluated 70 subjects and tested up to
80 mg/kg administered IV and up to 60 mg/kg administered SC. In the MAD part of the
study, we evaluated 32 subjects to understand the safety and tolerability of repeated
administrations and in particular to generate a data-set to optimally inform a PK/PD
model.
The majority of the observed TEAEs were categorized as grade 1 (or mild). Few grade
2 (or moderate) TEAE were observed and, in the MAD part of the study, no grade 2 or
higher TEAEs were observed. Overall, we concluded that single and multiple administra-
tions of ARGX-117 or placebo have a favorable safety and tolerability profile supporting
the investigation of study drug in patient studies.
We observed a dose-dependent reduction of free C2 levels. After one dose of 30 mg/kg
ARGX-117, free C2 levels were reduced by 95% for more than 100 days. In the MAD part
of the study, we could reach full complement blockade with more than 99% reduction of
free C2 levels.
Following analysis of Phase 1 data, and the observed favorable safety and tolerability
profile and consistent PK/PD profile, we launched a Phase 2 proof-of-concept clinical
trial in MMN in the fourth quarter of 2021 within our neuromuscular franchise. Proof-of-
concept ARDA clinical trial is ongoing to evaluate safety, tolerability, and potential dosing
regimen in MMN. Interim data from ARDA are expected in mid-2023.
Overview of MMN and Current Treatment
MMN is a debilitating neuromuscular autoimmune disorder that is characterized by
slowly progressive muscle weakness due to motor neuron degeneration. It mainly
affects hands and forearms, mainly in males, and the median age of diagnosis is around
40 years. Diagnosis takes about a year and a half and is usually misdiagnosed as amyo-
trophic lateral sclerosis (
ALS
). There are estimated to be around 13,000 patients with
MMN in the U.S. and this number is increasing.
Specific pathophysiologic characteristics of MMN include the presence of IG M (
IgM
)
autoantibodies against the ganglioside GM1 and conduction block, i.e., impaired
propagation of action potentials along the axon. GM1 is widely expressed in the nervous
system by neurons, particularly around the nodes of Ranvier, and Schwann cells.
IVIg is the only approved treatment for MMN and needs to be dosed regularly to
address the disease’s progressive nature.
DGF and/or Allograft Failure
We intend to start a phase 2 proof-of-concept clinical trial in the second half of 2023 to
evaluate ARGX-117 for the prevention of DGF (n) and/or allograft failure after kidney
transplantation. This occurs in up to 40% of kidney transplant recipients and is often a
result of ischemia reperfusion injury.
There is compelling evidence from kidney biopsies of mannose-binding lectin and C4d
co-staining indicating involvement of both the classical and lectin pathways, making C2
an ideal target. Furthermore, there is a well-established process to measure kidney func-
tion and establish proof-of-concept and achieve registration. On this basis, combined
with the significant unmet medical need, we have chosen DGF (n) and allograft failure
after kidney transplantation as second indication for ARGX-117.
Dermatomyositis
In January 2023, we announced DM as the third indication for ARGX-117.
1.3.5
Immunology Innovation Program
Overview
Our IIP is a core business strategy of co-creation and innovation. The IIP also serves as
our discovery engine to identify novel targets and together, in collaboration with our
scientific and academic partners, to build potential new pipeline candidates. The IIP has
been foundational in building our pipeline, and every current pipeline candidate from
both our wholly-owned and partnered pipeline emerged from an IIP collaboration. As
part of our long-term strategy, we have committed to continued investment in the IIP.
Our Suite of Technologies
Through our IIP, we collaborate with scientific and academic partners to identify immu-
nology breakthroughs and build potential pipeline candidates. This is done through co-
creation where we bring to the collaboration our unique suite of antibody engineering
technologies and experience in clinical development and our partners bring a wealth of
disease and target biology expertise.
Together with our antibody discovery and development expertise, this suite of techno-
logies has enabled us to build our broad pipeline of products and product candidates,
across all stages of development and we believe will ensure continuous development
of innovative and relevant programs. Our key technologies are outlined below:
Antibody Engineering and Other Technology Capabilities
Our Proprietary SIMPLE Antibody Platform
Our proprietary SIMPLE Antibody platform sources V-regions from conventional
antibodies existing in the immune system of outbred llamas. Outbred llamas are those
that have been bred from genetically diverse parents, and each has a different genetic
background. The llama produces highly diverse panels of antibodies with a high human
homology in their V-regions when immunized with human disease targets. We then
combine these llama V-regions with Fc regions of fully human antibodies, resulting in
antibodies that we then produce in industry-validated production cell lines. The resulting
antibodies are diverse and, due to their similarity to human antibodies, we believe they
are well suited to human therapeutic use. With this breadth of antibodies, we are able
to test many different epitopes. Being able to test many different epitopes with our
antibodies enables us to search for an optimized combination of safety, potency and
species cross-reactivity with the potential for maximum therapeutic effect on disease.
These antibodies are often cross-reactive with the rodent version of chosen disease
targets. This rodent cross-reactivity enables more efficient preclinical development
of our product candidates because most animal efficacy models are rodent-based. By
contrast, most other antibody discovery platforms start with antibodies generated in
inbred mice or synthetic antibody libraries, approaches that we believe are limited by
insufficient antibody repertoires and limited diversity, respectively. Our SIMPLE Antibody
platform allows us to access and explore a broad target universe, including novel and
complex targets, while minimizing the long timelines associated with generating anti-
body candidates using traditional methods.
Our Fc Engineering Technologies
Our antibody engineering technologies – NHance, ABDEG, POTELLIGENT and DHS muta-
tions – focus on engineering the Fc region of antibodies in order to augment their inter-
actions with components of the immune system, thereby potentially expanding the the-
rapeutic index of our product candidates by modifying their half-life, tissue penetration,
rate of disease target clearance and potency. In addition, we obtained a non-exclusive
research license and option for the SMART-Ig and ACT-Ig technologies. For example, our
NHance and ABDEG engineering technologies enable us to modulate the interaction of
the Fc region with FcRn, which is responsible for regulating half-life, tissue distribution
and PD properties of IgG antibodies. Similarly, the POTELLIGENT engineering technology
modulates the interaction of the antibody Fc region with receptors located on speciali-
zed immune cells known as natural killer (
NK
) cells. These NK cells can destroy the target
cell, resulting in enhanced antibody-dependent cell-mediated cytotoxicity (
ADCC
).
NHance and ABDEG: Modulation of Fc Interaction with FcRn.
An illustration of the FcRn-mediated antibody
recycling mechanism is shown in figure 6.
[1] Serum proteins, including IgG antibodies,
are routinely removed from the circulation
by cell uptake. [2] Antibodies can bind to
FcRn, which serves as a dedicated recycling
receptor in the endosomes, which have an
acidic environment, and then [3A] return to
the circulation by binding with their Fc region
to FcRn. [3B] Unbound antibodies end up in
the lysosomes and are degraded by enzymes.
Because this Fc/FcRn interaction is highly
pH-dependent, antibodies tightly bind to
FcRn at acidic pH (pH 6.0) in the endosomes
but release again at neutral pH (pH 7. 4) in
the circulation.
NHANCE
NHance refers to two mutations that we in-
troduce into the Fc region of an IgG antibody.
NHance is designed to extend antibody serum
half-life and increase tissue penetration. In
certain cases, it is advantageous to engineer
antibodies that remain in the circulation
longer, allowing them to potentially exert a
greater therapeutic effect or be dosed less
frequently. As shown in figure 7, [1] NHance
antibodies bind to FcRn with higher affinity,
specifically under acidic pH conditions. [2]
Blood Circulation (pH 7.4)
Cell
Antibody
Lysosome
Endosome
(pH 6.0)
FcRn
Degraded serum proteins
Figure 6: The FcRn-mediated recycling mechanism
Due to these tighter bonds, NHance FcRn-me-
diated antibody recycling is strongly favored
over lysosomal degradation, although some
degradation does occur. [3] NHance allows
a greater proportion of antibodies to return
to the circulation potentially resulting in
increased bioavailability and reduced dosing
frequency. ARGX-109, ARGX-111, ARGX-117
and a number of our discovery-stage pro-
grams utilize NHance.
ABDEG
ABDEG refers to five mutations that we
introduce in the Fc region that increase its
affinity for FcRn at both neutral and acidic pH.
In contrast to NHance, ABDEG-modified Fc
regions remain bound to FcRn if the pH chan-
ges, occupying FcRn with such high affinity
that they deprive endogenous IgG antibodies
of their recycling mechanism, leading to
enhanced clearance of such antibodies by the
lysosomes. Some diseases mediated by IgG
antibodies are directed against self-antigens.
These self-directed antibodies are referred to
as autoantibodies. We use our ABDEG techno-
logy to reduce the level of these pathogenic
autoantibodies in the circulation by increasing
the rate at which they are cleared by the
lysosomes. ABDEG is a component in a num-
ber of our products and product candidates,
including efgartigimod.
As shown in figure 8, our ABDEG technology
can also be used with our pH-dependent
SIMPLE Antibodies in a mechanism referred to
as sweeping. Certain SIMPLE Antibodies bind
to their target in a pH-dependent manner.
These antibodies [1] bind tightly to a target at
neutral pH while in circulation, and [2] release
the target at acidic pH in the endosome.
[3] The unbound target is degraded in the
lysosome. [4] However, when equipped
with our ABDEG technology, the therapeutic
antibodies remain tightly bound to FcRn at all
pH levels and are not degraded themselves.
Instead, they are returned to the circulation
where they can bind new targets. We believe
this is especially useful in situations where
high levels of the target are circulating or
where the target needs to be cleared very
quickly from the system.
Cell
Antibody with NHance
Lysosome
Endosome
FcRn
Degraded serum proteins
Figure 7
Figure 8: SIMPLE Antibody and ABDEG
technologies work in concert to sweep diseases
targets.
Cell
SIMPLE Antibody with ABDEG
Lysosome
Endosome
FcRn
Target
POTELLIGENT
POTELLIGENT modulates the interaction of the Fc region with the Fc gamma receptor IIIa
located on specialized immune cells, known as NK cells. These NK cells can destroy the
target cell, resulting in enhanced ADCC. POTELLIGENT changes the Fc structure by exclu-
ding a particular sugar unit such that it enables a tighter fit with the Fc gamma receptor
IIIa. The strength of this interaction is a key factor in determining the killing potential of
NK cells. An independent publication reported that the exclusion of this sugar unit of
the Fc region increases the ADCC-mediated cell-killing potential of antibodies by 10- to
1000-fold. Cusatuzumab and ARGX-111 utilize POTELLIGENT (source:
Expert Opin Biol
Ther 2006; 6:1161 – 1173
).
Chugai and Clayton
In 2020, we entered into a research license and option agreement with Chugai under
which we may access Chugai’s SMART-Ig (“Recycling Antibody” and part of “Sweeping
Antibody” technology) and ACT-Ig (Antibody half-life extending technology). In 2020,
we also entered into a non-exclusive research agreement with the Clayton Foundation
under which we may access the Clayton Foundation’s proprietary DHS mutations to
extend the serum half-life of therapeutic antibodies.
SC Drug Delivery Technologies
We have exclusive access to Halozyme’s ENHANZE® SC drug delivery technology for
the FcRn and C2 targets and four additional targets. The ENHANZE® has the potential
to shorten drug administration time, reduce healthcare practitioner time, and offer
additional flexibility and convenience for patients.
In addition, in April 2021, we entered into a collaboration and license agreement with
Elektrofi to explore new SC formulations utilizing Elektrofi’s small volume injection
technology for efgartigimod, and up to one additional target.
For more information on our collaborations, see section 1.4 “
Collaboration Agreements
”.
Other IIP Programs
ARGX-119
In January 2022, we announced that ARGX-119 is an antibody that targets MuSK, a
protein located at the neuromuscular junction, in an agonistic or activating manner. We
intend to develop ARGX-119 in a range of neuromuscular diseases, potentially including
congenital MG, a rare hereditary subtype of MG, MuSK-associated MG, a rare autoim-
mune subtype of MG, spinal muscular atrophy and ALS, both rare, severe neuromuscular
indications.
Phase 1 dose-escalation clinical trial in healthy volunteers started in the first quarter of
2023, with a subsequent Phase 1b clinical trial to assess early signal detection in patients
thereafter.
ARGX-118
We have exercised our option to exclusively acquire rights to ARGX-118, a highly differen-
tiated antibody against Galectin-10, the protein of Charcot-Leyden crystals, which are
implicated as a major contributor to severe asthma and to the persistence of mucus plugs.
argenx and VIB vzw (
VIB
) continue to pursue pre-clinical development of the program
under the collaboration.
Other Partnered Programs
See sections 1.4 “
Collaboration Agreements
” and 1.5 “
License Agreements
” for a
description of collaboration and license agreements that we have entered into to further
leverage our IIP.
1.4
Collaboration Agreements
We follow a disciplined strategy to maximize the value of our pipeline. We plan to retain
all development and commercialization rights to those products and product
candidates that we believe we can commercialize successfully, if approved.
We have partnered, and plan to continue to partner to develop products and product
candidates that we believe have promising utility in disease areas or have patient
populations that may benefit from resources of other biopharmaceutical companies.
We expect to continue to collaborate selectively with pharmaceutical and biotechno-
logy companies to leverage our platform technology and accelerate product candidate
development. We have entered into multiple collaboration agreements with pharma-
ceutical partners, as described below.
1.4.1
Our Strategic Partnership with AbbVie
for ARGX-115 (ABBV-151)
In April 2016, we entered into a collaboration agreement with AbbVie to develop and
commercialize ARGX-115 (ABBV-151) as a cancer immunotherapy against the novel
target GARP (the
AbbVie Collaboration Agreement
). ARGX-115 (ABBV-151) employs our
SIMPLE Antibody technology and works by stimulating a patient’s immune system after
a tumor has suppressed the immune system by co-opting immunosuppressive cells such
as regulatory T cells. Under the terms of the AbbVie Collaboration Agreement, we were
responsible for conducting and funding all ARGX-115 (ABBV-151) research and develop-
ment activities up to completion of investigational new drug (
IND
)-enabling studies.
AbbVie has an exclusive option to obtain a worldwide, exclusive license to the ARGX-115
(ABBV-151) program to develop and commercialize products and has now assumed
development obligations, including the sole responsibility for all research, development
and regulatory costs relating to ARGX-115 (ABBV-151)-based products. Subject to the
continuing progress of ARGX-115 (ABBV-151) by AbbVie, we are eligible to receive
development, regulatory and commercial milestone payments in aggregate amounts of
up to $110 million, $190 million and $325 million, respectively, as well as tiered royalties
on product sales at percentages ranging from the mid-single digits to the lower teens,
subject to customary reductions.
Pursuant to the AbbVie Collaboration Agreement, we have the right, on a product-by-
product basis, to co-promote ARGX-115 (ABBV-151) based products in the European
Economic Area (
EEA
) and Switzerland and to combine the product with our own future
oncology programs (if any). The co-promotion effort would be governed by a co-pro-
motion agreement negotiated in good faith by the parties.
Unless earlier terminated upon mutual agreement, for material breach or as otherwise
specified in the AbbVie Collaboration Agreement, the term of the option and license
agreement ends, with respect to the ARGX-115 (ABBV-151) program, upon the earliest
of (i) a technical failure of the IND-enabling studies which is outside of our control, (ii)
AbbVie’s election to not exercise its option or (iii) following AbbVie’s exercise of the
option, fulfilment of all payment obligations under the agreement.
AbbVie may terminate the AbbVie Collaboration Agreement for any reason upon prior
written notice to us. AbbVie’s royalty payment obligations expire, on a product-by-
product and country-by-country basis, on the date that is the later of (i) such time as
there are no valid claims covering such product, (ii) expiration of regulatory or market
exclusivity in respect of such product or (iii) ten years after the first commercial sale of
such product sold in that country under the AbbVie Collaboration Agreement.
1.4.2
Our Strategic Partnership with Zai Lab
for Efgartigimod
Pursuant to the Zai Lab Agreement, Zai Lab obtains the exclusive right to develop and
commercialize efgartigimod in the aforementioned countries. Zai Lab will also contribute
patients to our global Phase 3 clinical trials of efgartigimod. Additionally, the collabora-
tion with Zai Lab is expected to accelerate efgartigimod global development by initiating
multiple Phase 2 proof-of-concept clinical trials in new autoimmune indications under
our supervision; first indications for such proof-of-concepts studies are kidney conditions
LN and MN.
Pursuant to the Zai Lab Agreement, we have received value worth $175.0 million from
the Zai Lab Payments. We are also eligible to receive tiered royalties (mid-teen to low-
twenties on a percentage basis) based on annual net sales of efgartigimod in the PRC.
1.4.3
Our Strategic Partnership with
LEO Pharma for ARGX-112 (LP0145)
In May 2015, we entered into a collaboration agreement with LEO Pharma A/S (
LEO
Pharma
) to develop and commercialize ARGX-112 (LP0145) for the treatment of der-
matologic indications involving inflammation (
LEO Pharma Collaboration Agreement
).
ARGX-112 (LP0145) employs our SIMPLE Antibody technology and blocks the IL-22R in
order to neutralize the signaling of cytokines implicated in autoimmune diseases of the
skin. LEO Pharma funded more than half of all product development costs up to clinical
trial application (
CTA
) approval of a first product in a Phase 1 clinical trial, with our share
of such costs capped, which was achieved in April 2018. Since then, LEO Pharma has
been solely responsible for funding the clinical development of the program. In May
2021, clinical trial application CTA approval of a Phase 2a clinical trial for LP0145 was
received.
LEO Pharma, against payment of an option fee to us, was granted an option to obtain an
exclusive, worldwide license to further develop and commercialize a product, following
the exercise of the option, LEO Pharma will assume full responsibility for the continued
development, manufacture and commercialization of such product and be subject to
diligence obligations in respect of continuation of development and commercialization
of such product. We are eligible to receive additional development, regulatory and
commercial milestone payments in aggregate amount of up to €120.0 million, as well as
tiered royalties on product sales at percentages ranging from the low single digits to the
low teens, subject to customary reductions.
Unless earlier terminated, the term of the LEO Pharma Collaboration Agreement ends
upon the later of (i) the expiration of the last license granted under the agreement, and
(ii) the fulfilment of all payment obligations under the agreement. LEO Pharma may
terminate the LEO Pharma Collaboration Agreement for any reason upon prior written
notice to us. LEO Pharma’s royalty payment obligations expire, on a product-by-product
and country-by-country basis, upon the later of (i) a time when no valid claims covering
such product, and (ii) (a) in major market countries with no composition of matter
patent covering such product, the expiration of the data exclusivity period or (b) in
countries that are not major market countries, a double-digit number of years after the
first commercial sale of such product sold in that country.
In 2021, we signed two amendments to the LEO Pharma Collaboration Agreement, to
extend LEO Pharma’s option period with six months, to allow LEO Pharma to undertake
chemistry, manufacturing and control development work in advance of the exercise by
LEO Pharma of its option, and updating the provisions regarding the management of
patents.
In September 2022, LEO Pharma exercised its option and has assumed full responsibility
of the program for the continued development, manufacture and commercialization of
such product and be subject to diligence obligations in respect of continuation of de-
velopment and commercialization of such product, which triggered a milestone payment
of €5.0 million.
1.4.4
Our Strategic Collaboration with Shire
In February 2012, we entered into a collaboration agreement with Shire AG (
Shire
,
now known as Shire International GmbH) to discover, develop and commercialize novel
human therapeutic antibodies against up to three targets to address diverse, rare and
unmet diseases (
Shire Collaboration Agreement
). Pursuant to the Shire Collaboration
Agreement, for any target selected for study under the collaboration, the parties worked
together to conduct research and development through discovery of antibodies with
certain specificity for and functional activity against those targets.
Up through a specified period, we have granted Shire an exclusive option, against
payment of a one-time option fee, to obtain all right, title and interest in any antibodies
discovered under a study and to obtain an exclusive, worldwide license under our
intellectual property which is necessary to further develop and commercialize products
incorporating such antibodies. Following such exercise, Shire has the diligence obligation
to continue to develop and commercialize at least one licensed product.
Shire may exercise exclusive options to develop and commercialize programs arising
under our expanded agreement against an option fee. In July 2018, Shire exercised
such an exclusive option to in-license an antibody discovered and developed using our
licensed technologies, triggering a milestone payment by Shire to us.
In addition to option fees, Shire is obligated to pay us on a per-product basis upon
achievement of specified development, regulatory and commercial milestones and a
percentage of net sales as a royalty. Accordingly, we are eligible to receive payments in
aggregate amounts of up to $3.8 million, $4.5 million and $22.5 million, upon achieve-
ment of development, regulatory and commercial milestones, respectively, for a product
generated against one of the three initial targets named in the Shire Collaboration
Agreement. For products generated against additional targets, development and regu-
latory milestone payments remain the same, and we are eligible to receive payments in
aggregate amounts of up to $60.0 million for achievement of commercial milestones. The
royalties payable to us are tiered, single digit and are subject to customary reductions.
If Shire does not exercise its option with respect to any discovered antibody within
a specified period, we are free to research, develop and commercialize antibodies in
relation to the applicable study target, subject to negotiation of a license from Shire for
the use of any antibodies that were discovered during the applicable study, or any Shire
confidential information, Shire intellectual property or Shire’s interest in any joint intel-
lectual property. If (a) Shire (i) does not exercise its option, or (ii) exercises its option but
later abandons development of such antibody or (iii) the Shire Collaboration Agreement
is terminated other than for our breach or insolvency, and (b) Shire is no longer pursuing
a development program with respect to the applicable study target, we may elect to
continue the development of such antibody at our sole cost and expense, subject to
negotiation of a license from Shire under which Shire will receive either specified
royalties, if we commercialize the program ourselves, or a percentage of sublicensing
revenues, if the program is subsequently sublicensed to a third party.
Unless earlier terminated, the collaboration term ends with the expiry of the last royalty
term under the Shire Collaboration Agreement. Each royalty term expires, on a product-
by-product and country-by-country basis, on the date that is the later of (i) such time as
there are no valid claims covering such product or (ii) ten years after the first commercial
sale of such product sold in that country under the Shire Collaboration Agreement. Shire
may terminate the agreement for any reason upon prior written notice to us.
1.4.5
Creation of OncoVerity for Cusatuzumab
In 2022, we, the University of Colorado Anschutz Medical Campus and UCHealth created
an asset-centric spin-off, OncoVerity, focused on optimizing and advancing the develop-
ment of cusatuzumab, a novel anti-CD70 antibody, in AML. OncoVerity is an entity of
co-creation, combining the extensive translational biology insights from Dr. Clayton
Smith, M.D. from the University of Colorado with the experience from argenx on the
CD70/CD27 pathway.
1.5
License Agreements
We are party to several license agreements under which we license patents, patent
applications and other intellectual property to third parties. We have also entered into
several license agreements under which we license patents, patent applications and
other intellectual property from third parties. License agreements can relate to research
and development and/or commercialization of the relevant product candidates (and
technologies) or products. The licensed intellectual property covers some of our product
candidates and some of the Fc engineering technologies that we use. Some of these
licenses impose various diligence and financial payment obligations on us. We expect to
continue to enter into these types of license agreements in the future.
1.5.1
Our Exclusive License with Elektrofi
for Efgartigimod
In April 2021, we entered into a collaboration and license agreement with Elektrofi to
explore new SC formulations utilizing Elektrofi’s small volume injection technology for
efgartigimod, and up to one additional target (the
Elektrofi Agreement
). The Elektrofi-
enabled formulations are aimed to promote additional optionality for patients through
at-home and self-administration capabilities.
Under the terms of the Elektrofi Agreement, we made an upfront payment and future
milestones payments across both targets pending achievement of pre-defined develop-
ment, regulatory, and commercial milestones. Elektrofi will also receive a mid-single
digit royalty on sales of commercialized products.
1.5.2
Our Non-Exclusive Research License
with Chugai for SMART-lg and ACT-lg
In September 2020, we entered into a non-exclusive research license and option agree-
ment with Chugai, allowing us to access Chugai’s SMART-lg and ACT-lg Fc engineering
technologies for conducting feasibility studies. These technologies are designed to
enable us to expand the therapeutic index of our product candidates, which is the ratio
between toxic and therapeutic dose, by potentially modifying their half-life, tissue
penetration, rate of disease target clearance and potency.
1.5.3
Our Non-Exclusive License with the
Clayton Foundation for DHS Mutations
In October 2020, we entered into a non-exclusive research agreement with the Clayton
Foundation relating to the non-exclusive in-license for the Clayton Foundation’s proprie-
tary DHS mutations to extend the serum half-life of therapeutic candidates.
1.5.4
Our Exclusive License with Halozyme
for ENHANZE®
In February 2019, we entered into an in-license agreement with Halozyme for the use
of certain patents, materials and know-how owned by Halozyme and relating to its
ENHANZE®, for application in the field of prevention and treatment of human diseases
(the
ENHANZE License Agreement
). Pursuant to the ENHANZE License Agreement,
we were granted exclusive rights to apply ENHANZE® to biologic products against pre-
specified targets, in order to research, develop and commercialize SC formulations of
our therapeutic antibody-based product candidates.
Our first therapeutic target for which we received an exclusive license from Halozyme
was FcRn, which allows us to apply ENHANZE® to efgartigimod and any other product
candidates selective and specific for FcRn. Moreover, the breadth of our exclusive
license to FcRn precludes either Halozyme itself or any of its current or future partners
from utilizing ENHANZE® in the context of an FcRn-targeted product. Our second
therapeutic target for which we received an exclusive license from Halozyme was human
C2 associated with the product candidate ARGX-117, which is being developed to treat
severe autoimmune diseases. Pursuant to the ENHANZE License Agreement, we also
have the right to nominate future targets for an exclusive ENHANZE® license if the target
in question has not already been licensed by Halozyme or is not already being pursued
by Halozyme.
In October 2020, we expanded our collaboration with Halozyme for ENHANZE® drug
delivery technology to include three additional exclusive targets upon nomination
bringing the total to six potential targets. From the effective date of the ENHANZE
License Agreement, we have a seven-year period in which to conduct research and
preclinical studies on other target-specific molecules in combination with ENHANZE®
and may nominate up to four additional targets we have not yet nominated for an
exclusive commercial license.
Pursuant to the ENHANZE License Agreement, we have the right to grant sublicenses
to our subsidiaries and to third parties both for research/preclinical work (for example,
to subcontractors) and for development and commercialization. Halozyme has no rights
to any of our current or future product candidates which use ENHANZE®. Halozyme
provides dedicated specialist support to us which it has accrued over ten years of
licensing ENHANZE® to its collaborators.
In return for achieving the first patient dosed with SC efgartigimod in the Phase 3 study
for ITP, we made a $15.0 million milestone payment in February 2021. Upon nomination
of any future target for an exclusive commercialization license and confirmation by
Halozyme that such a license is available, we will pay $12.5 million to Halozyme per
target. We will be obligated to pay clinical development, regulatory and commercial
milestones totaling $160.0 million for the first product that uses ENHANZE® and is
specific for a given target. Throughout the term of the ENHANZE License Agreement, we
must provide Halozyme on an annual basis a guidance forecast setting out all projected
milestone payments for products for the following four calendar quarters. We are also
obligated to pay Halozyme a percentage of net sales as a royalty of any licensed product
that uses ENHANZE®. This royalty varies with net sales volume, ranging from the low to
mid-single digits, and it is reduced by a maximum of 50% if following ten years from the
first commercial sale of the product in a country, the last valid claim within the licensed
ENHANZE® patent(s) expires. We have diligence obligations with respect to the conti-
nuation of development and commercialization of product candidates, but we are not
obligated to utilize ENHANZE® for every product candidate directed to a given exclusive
target(s).
We may terminate the ENHANZE License Agreement at any time, either in its entirety
or on a target-by-target basis, by sending Halozyme prior written notice. Absent early
termination, the ENHANZE License Agreement will automatically expire upon the expiry
of our royalty payment obligations under the agreement. In the event the ENHANZE
License Agreement is terminated for any reason, the license granted to us would
terminate but Halozyme would grant our sublicensees a direct license following such
termination. In the event the ENHANZE License Agreement is terminated other than
for our breach, we would retain the right to sell licensed products then on hand for a
certain period of time post-termination.
As also set out in section 3 “
Corporate Governance
”, our non-executive director
James M. Daly is also a non-executive member of the board of directors of Halozyme.
The ENHANZE License Agreement with Halozyme was not a related party transaction
in accordance with IAS 24 – Related Party Disclosures, since Mr. Daly, in his role as
non-executive director, does not control or have significant influence over argenx or
Halozyme. However, the ENHANZE License Agreement does constitute a related party
transaction under the applicable SEC rules and will therefore be reported as such in our
annual report on Form 20-F for the fiscal year ended December 31, 2022. Mr. Daly did
not participate in any discussions and decision making relating to the ENHANZE License
Agreement. Consequently, no further disclosures regarding Halozyme have been added
in section 5.10.2 “
Related Party Transactions
”.
In March 2022, we announced our Phase 3 ADAPT-SC clinical trial evaluating SC
efgartigimod achieved the primary endpoint of total IgG reduction from baseline at
day 29, demonstrating statistical non-inferiority to VYVGART (efgartigimod alfa-fcab) IV
formulation in gMG patients. Based on these results, we submitted a BLA to the FDA on
September 21, 2022. The BLA has been granted a PDUFA target action date of June 20,
2023.
1.5.5
Our Exclusive License with AgomAb
for ARGX-114 (AGMB-101)
In March 2019, we entered into an exclusive out-license with AgomAb for the use of
certain patent rights relating to our proprietary suite of technologies for the develop-
ment and commercialization of a series of agonistic anti-MET SIMPLE Antibodies,
including ARGX-114 (AGMB-101), a halofuginone-mimetic SIMPLE Antibody directed
against the MET receptor. AgomAb is required to use commercially reasonable efforts to
develop and commercialize at least one licensed product. In connection with our entry
into this agreement, we received a profit-sharing certificate which entitles us to 20%
of all distributions to AgomAb’s shareholders (which shall be reduced to 10% following
the filing of an IND and is subject to further adjustment upon the occurrence of certain
financings). Upon the occurrence of a qualified initial public offering of AgomAb, the
profit-sharing certificate will automatically be converted into the equivalent number of
ordinary shares in AgomAb. This agreement is subject to mutual termination for material
breach or insolvency and automatically expires upon the expiration of the last to expire
of our licensed patent rights.
1.5.6
Our Exclusive License with Broteio
for ARGX-117
In March 2017, we entered into a collaboration with Broteio in connection with our IIP,
to develop an antibody against a novel target in the complement cascade, ARGX-117
(
Broteio Agreement
). Under the Broteio Agreement, we and Broteio jointly developed
the complement-targeted antibody to seek to establish preclinical proof-of-concept
using our proprietary suite of technologies. Upon successful completion of these studies,
we exercised an exclusive option to in-license the program in March 2018 and assumed
responsibility for further development and commercialization. Pursuant to the Broteio
Agreement, we are obligated to make milestone payments upon the occurrence of
certain development milestones (up to an aggregate of €4.0 million), commercialization
milestones (up to an aggregate of €10.0 million) and pay tiered royalties on net sales in
the low single digits. We may terminate the Broteio Agreement for convenience upon 90
days prior written notice. The Broteio Agreement is also subject to mutual termination
for material breach or insolvency and automatically expires upon the expiration of our
financial obligations thereunder.
1.5.7
Our Exclusive License with VIB
for ARGX-118
In November 2016, we entered into a collaboration under our IIP with VIB to develop
antibodies against Galectin-10, the protein of Charcot-Leyden Crystals, which play a
major role in severe asthma and the persistence of mucus plugs, including ARGX-118
(
VIB Agreement
). Pursuant to the VIB Agreement, we and VIB jointly developed anti-
bodies against Galectin-10 using our proprietary suite of technologies. Upon successful
completion of this initial research, we exercised an exclusive option to in-license the
program and assumed responsibility for further development and commercialization.
Under the VIB Agreement, including as amended in November 2018, we are obligated
to make milestone payments upon the occurrence of certain development milestones
(up to an aggregate of €4.0 million), commercialization milestones (up to an aggregate
of €11.0 million) and pay tiered royalties on net sales in the low single digits. We may
terminate the VIB Agreement for convenience upon 90 days prior written notice. The
VIB Agreement is also subject to mutual termination for material breach, insolvency or
certain patent challenges and automatically expires upon the expiration of VIB’s licensed
patent rights.
1.5.8
Our Exclusive License with the University
of Texas for NHance and ABDEG
In February 2012, we entered into an exclusive in-license with the Board of Regents of
the University of Texas System (
UT BoR
) for use of certain patent rights relating to the
NHance platform for any use worldwide (the
UT Agreement
). The UT Agreement was
amended on December 23, 2014 to also include certain additional patent rights relating
to the ABDEG platform. Upon commercialization of any of our products that use the
in-licensed patent rights, we will be obligated to pay UT BoR a percentage of net sales
as a royalty until the expiration of any patents covering the product. This royalty varies
with net sales volume and is subject to an adjustment for royalties we receive from a
sublicensee of our rights under the UT Agreement, but in any event does not exceed
1%. In addition, we must make annual license maintenance payments to UT BoR until
termination of the UT Agreement and we have assumed certain development and
commercial milestone payment and reimbursement obligations. We also have diligence
requirements with respect to development and commercialization of products which
use the in-licensed patent rights.
Pursuant to the UT Agreement, we may grant sublicenses to third parties. If we receive
any non-royalty income in connection with such sublicenses, we must pay UT BoR a
percentage of such income varying from low-middle single digits to middle-upper single
digits depending on the nature of the sublicense. Such fees are waived if a sublicensee
agrees to pay the milestone payments as set forth in the UT Agreement.
We may unilaterally terminate the UT Agreement for convenience upon prior written
notice. Absent early termination, the UT Agreement will automatically expire upon the
expiration of all issued patents and filed patent applications within the patent rights
covered by the UT Agreement. Our royalty payment obligations expire, on a product-by-
product and country-by-country basis, at such time as there are no valid claims covering
such product.
1.5.9
Our Non-Exclusive License with BioWa
and Non-Exclusive Commercial Licenses
with BioWa and Lonza for POTELLIGENT
In October 2010, we entered into a non-exclusive license agreement with BioWa, Inc.
(
BioWa
) for the use of certain patents and know-how owned by BioWa and relating to
its POTELLIGENT platform technology, for use in the field of prevention and treatment
of human diseases (the
BioWa Agreement
). Pursuant to the BioWa Agreement, we are
granted a non-exclusive right to use POTELLIGENT to research and develop antibodies
and products containing such antibodies using POTELLIGENT.
In 2013 and 2014, we entered into non-exclusive license agreements for POTELLIGENT
CHOK1SV with BioWa and Lonza for the further development, manufacturing and
commercialization of ARGX-110 and ARGX-111, respectively (the
POTELLIGENT License
Agreements
).
Upon commercialization of our products developed using POTELLIGENT, we will be
obligated to pay BioWa and Lonza a percentage of net sales of a licensed product as a
royalty. This royalty varies with net sales volume, ranging in the low single digits, and
it is reduced by half if during the following ten years from the first commercial sale of
the product in a country the last valid claim within the licensed patent(s) that covers
the product expires or ends. In addition, we must make annual research license mainte-
nance payments which cease with commencement of our royalty payments to BioWa.
We have diligence requirements with respect to the continuation of development and
commercialization of products. We have also assumed certain development, regulatory
and commercial milestone payment obligations and must report on our progress toward
achieving these milestones on an annual basis. Milestones to BioWa are to be paid on a
commercial target-by-commercial target basis, and we are obligated to make milestone
payments in aggregate amounts of up to $36.0 million per commercial target should we
achieve annual global sales of over $1.0 billion.
Pursuant to the POTELLIGENT License Agreements, we have the right to grant subli-
censes to third parties. BioWa retains a right of first negotiation for the exclusive right
to develop and commercialize, in certain countries only, any product we develop using
POTELLIGENT.
We may terminate the POTELLIGENT License Agreements at any time by sending BioWa
and Lonza prior written notice. Absent early termination, the POTELLIGENT License
Agreements will automatically expire upon the expiry of our royalty obligations under
the POTELLIGENT License Agreements. In the event a POTELLIGENT License Agreement
is terminated for any reason, the license granted to us would terminate but BioWa
would grant our sublicensees a direct license following such termination. In the event
the POTELLIGENT License Agreement is terminated other than for our breach or
insolvency, we would retain the right to sell licensed products then on hand for a certain
period of time post-termination.
1.5.10 Our Non-Exclusive License with Lonza
for Multi-Product GS Xceed-License
On February 4, 2015, we entered into a non-exclusive multi-product in-license agree-
ment with Lonza (the
Multi-Product License
) for use of Lonza’s proprietary glutamine
synthetase gene expression system known as GS Xceed™ consisting of Chinese hamster
ovary cell line and the vectors for the manufacturing of drug substance (the
System
).
The System is used for the manufacturing of, amongst others, efgartigimod, ARGX-117
and ARGX-119.
Pursuant to the Multi-Product License, we have the right to grant sublicenses to certain
pre-approved third parties without prior written consent of Lonza, but otherwise must
obtain Lonza’s prior written consent.
We have assumed certain development, regulatory and commercial milestone payment
obligations to Lonza. We are required to pay such milestones using the System. We are
obligated to make development, regulatory and commercial milestone payments to
Lonza. Through December 31, 2022, we paid Lonza an aggregate amount of £0.6 million,
which includes milestone payments made under the Multi-Product License. Upon
commercialization of our products developed using the System, we are obligated to pay
Lonza a percentage of net sales as a royalty for each product manufactured, except for
ARGX-109, which is wholly-owned, and next generation efgartigimod. The Lonza royalty
is tiered, ranging in the low single digits and is reduced by half if the product in a country
is not protected by a valid claim. During 2022, we made an aggregate payment of
$1.7 million to Lonza for the royalty on net sales for manufacturing of efgartigimod.
We may terminate the Multi-Product License on a product-by-product basis by giving
Lonza prior written notice. Lonza may terminate the Multi-Product License solely in case
of breach or insolvency events. Absent early termination, the Multi-Product License will
automatically expire upon the expiry of the last valid claim for such product. We or our
strategic partners would retain the right to sell the respective products then on hand
post-termination.
1.5.11
Our Collaboration with Université
Catholique de Louvain (UCL) and
Sopartec S.A. (Sopartec) for GARP
In January 2013, we entered into a collaboration and exclusive product license agree-
ment with UCL and its technology transfer company Sopartec to discover and develop
novel human therapeutic antibodies against GARP (
GARP Agreement
). Pursuant to the
GARP Agreement, each party is responsible for all of its own costs in connection with the
activities assigned to it under a mutually agreed research plan.
In January 2015, we exercised the option we were granted under the GARP Agreement to
enter into an exclusive, worldwide commercial in-license for use of certain GARP-related
intellectual property rights owned by UCL and the Ludwig Institute for Cancer Research
to further develop and commercialize licensed products, including the GARP-neutralizing
antibody ARGX-115 (ABBV-151) which was discovered under the original collaboration
(
GARP License
). Upon the expiration of the GARP Agreement, the GARP License will be-
come a fully paid-up, perpetual worldwide exclusive license under the GARP intellectual
property for any purpose, subject to UCL’s retention of non-commercial research rights.
Pursuant to the GARP License, we may grant sublicenses to third parties and affiliates
of such third parties. In 2016, we entered into an exclusive collaboration and license
agreement with AbbVie regarding ARGX-115. From any income we receive in connection
with these sublicenses, such as in connection with AbbVie Collaboration Agreement, we
must pay Sopartec a percentage of that income in the lower teen digit range. Royalty
payment obligations expire on a product-by-product and country-by-country basis when
there are no valid claims covering the ARGX-115 (ABBV-151) product. We also have
diligence obligations with respect to the continued development and commercialization
of ARGX-115 (ABBV-151) products.
1.5.12 Our Exclusive License with NYU Langone
Health and LUMC for ARGX-119
In 2019 and 2020, we entered into collaboration and exclusive license agreements with
NYU Langone Health and LUMC under our IIP to develop antibodies targeting the MuSK,
for the treatment neuromuscular diseases, which play a major role at the neuromuscular
junction (
NYU and LUMC Agreements
). Pursuant to the NYU and LUMC Agreements, we,
NYU and LUMC jointly developed antibodies against MuSK using our proprietary suite
of technologies. Under the NYU and LUMC Agreements, as amended, we are obligated
to make milestone payments upon the occurrence of certain development milestones,
commercialization milestones and pay tiered royalties on net sales in the low single
digits.
1.6
Distribution Agreements
We are parties to the Medison Agreement, the Medison Multi-Regional Agreement and
the Genpharm Agreeement.
1.7
Manufacturing and Supply
We utilize third-party contract manufacturers who act in accordance with the FDA’s
good laboratory practices (
GLPs
) and current good manufacturing practices (
cGMPs
) for
the manufacture of drug substance and drug product. We continue to build our global
network of contract manufacturers to support the development and commercialization
of our products. We contract with Lonza based in Slough, UK, Portsmouth, U.S. and
Singapore for activities relating to the development of cell banks, development of our
manufacturing processes and the manufacturing of drug substance, thereby using
validated and scalable systems broadly accepted in our industry. In 2022, we contracted
with Fujifilm based in Hillerød, Denmark, for activities relating to the large-scale manu-
facturing of efgartigimod drug substance. We use additional contract manufacturers to
fill, label, package, store and distribute (investigational) drug products.
1.8
Intellectual Property
1.8.1
Introduction
We strive to protect the proprietary technologies that we believe are important to our
business, including pursuing and maintaining patent protection intended to cover the
platform technologies incorporated into, or used to produce, our product candidates,
the compositions of matter of our product candidates and their methods of use, as well
as other inventions that are important to our business. In addition to patent protection,
we also rely on trademarks and trade secrets to protect aspects of our business that are
not amenable to, or that we do not consider appropriate for, patent protection, including
certain aspects of our llama immunization and antibody affinity maturation approaches.
Our commercial success depends in part upon our ability to obtain and maintain patent
and other proprietary protection for commercially important technologies, inventions
and know-how related to our business, defend and enforce our intellectual property
rights, particularly our patent rights, preserve the confidentiality of our trade secrets
and operate without infringing valid and enforceable intellectual property rights of
others. Specifically, we are materially dependent on patent and other proprietary pro-
tection related to our core platform technologies, described in section 1.8.2 “
Platform
Technologies
”, and our product candidates, as described in section 1.8.3 “
Our Internal
Programs
” and section 1.8.4 “
Our Partnered Programs
”.
The patent positions for biotechnology companies like us are generally uncertain
and can involve complex legal, scientific and factual issues. In addition, the coverage
claimed in a patent application can be significantly reduced before a patent is issued,
and its scope can be reinterpreted and even challenged after issuance. As a result,
we cannot guarantee that any of our platform technologies and product candidates
will be protectable or remain protected by enforceable patents. We cannot predict
whether the patent applications we are currently pursuing will issue as patents in any
particular jurisdiction or whether the claims of any issued patents will provide sufficient
proprietary protection from competitors. Any patents that we hold may be challenged,
circumvented or invalidated by third parties.
As of January 1, 2023, our patent portfolio (which includes both proprietary and
in-licensed patent families) comprised approximately 433 granted patents and approxi-
mately 402 pending patent applications, including approximately 46 issued U.S. patents,
approximately 17 granted European patents and approximately 370 issued patents in
other jurisdictions.
1.8.2
Platform Technologies
With regard to our platform technologies, we own or have intellectual property rights di-
rected to our SIMPLE Antibody discovery platform, the ABDEG and NHance technologies.
With regard to our SIMPLE Antibody discovery platform, we own a patent family
containing six issued U.S. patents with composition of matter claims directed to chimeric
antibodies containing variable domains comprising complementary determining
regions (
CDRs
) obtained from conventional heterotetrameric llama antibodies fused
to one or more domains of a human antibody, polynucleotides encoding such chimeric
antibodies, libraries of expression vectors comprising cDNA sequences encoding camelid
antibodies, method claims directed to the preparation of such chimeric antibodies, and
methods of modulating the binding of a human target antigen to its ligand or receptor
by administering such a chimeric antibody. The U.S. patents are expected to expire in
2029 to 2033. In addition, the patent family contains patents that have been granted in
Australia, Canada, Europe, the UK, Israel, India and Japan, and pending applications in
the PRC and Japan (divisional). In addition, we have a second patent family containing
patents granted in the U.S. (two), Australia, Europe, the UK, Israel, India and Japan, and
one patent application pending in Canada, with composition of matter claims directed to
a chimeric antibody containing variable regions with CDRs derived from a llama antibody
and certain amino acid substitutions corresponding to amino acids present in a human
germline variable region. The granted patents have a basic patent expiry date in 2031.
With regard to the ABDEG™ platform, we co-own with, and exclusively license from,
UT Southwestern, a patent family containing a granted U.S. patent with composition of
matter claims directed to an isolated FcRn-antagonist comprising a variant Ig Fc region
having an increased affinity for an Fc gamma receptor relative to a wild-type IgG1 Fc
region, and method of use claims directed to a method of using such an FcRn-antagonist
to treat certain antibody-mediated disorders. The U.S. parent patent expires in 2036
(including patent term adjustment). In addition, in this patent family, we also have gran-
ted patents in Australia, the PRC, Eurasia, Europe, Japan, Macao, Mexico, New Zealand
and Singapore, and we have multiple patent applications pending in the U.S. (divisional)
and various other countries and regions in North America, South America, Europe, Asia
and South Africa. The granted patents have a basic expiry date in 2034. In addition, we
own a second patent family containing pending patent applications in the U.S. and 15
other jurisdictions with claims directed to methods of reducing the serum levels of an
Fc-containing agent in a subject by administering to the subject an FcRn-antagonist con-
taining a variant Ig Fc region containing certain amino acid substitutions. A U.S. patent, if
issued from the U.S. patent application, is expected to expire in 2036.
With regard to the NHance platform, we have exclusively licensed from the UT
Southwestern two U.S. patents with composition of matter claims directed to an IgG
molecule comprising a variant human Fc domain, and method of use claims directed to
a method of blocking FcRn function in a subject by providing to the subject such an IgG
molecule. The U.S. patents are expected to expire earliest in 2027 to 2028. The patent
family also includes a granted European patent.
1.8.3
Our Internal Programs
Efgartigimod
efgartigimod incorporates the ABDEG platform technology.
Our ARGX-109 Product Candidate
With regard to our wholly-owned ARGX-109 product candidate, we have one patent
family with composition of matter claims directed to ARGX-109. This patent family has
granted patents in Australia, Canada, Chile, the PRC, Colombia, Hong Kong, Israel, Japan,
Mexico, New Zealand, Russia, the U.S. and South Africa, and pending patent applications
in Brazil, India and the U.S. (divisional application). The patent family has a basic expiry
date in 2033. Furthermore, ARGX-109 incorporates or employs the SIMPLE Antibody
platform technology and the NHance platform technology.
Our ARGX-117 Product Candidate
With regard to the ARGX-117 product candidate, we own or have rights in three patent
families (including one in-licensed patent family from Broteio) with several granted
patents and pending patent applications in multiple jurisdictions in North America,
South America, Europe and Asia, directed to composition of matter claims and method
of treatment claims. The in-licensed patent family from Broteio has granted patents in
Australia, the PRC, Europe, Hong Kong, Mexico and the U.S. (two issued patents in the
U.S.), which have a basic expiry date in 2034. The other two patent families have basic
expiry dates in 2039 and 2040. ARGX-117 product candidate incorporates or employs
the NHance® platform technology.
Our ARGX-119 Product Candidate
With regard to the ARGX-119 product candidate, we in-licensed two patent families
from/with NYU Langone Health, a U.S. medical center based in New York, and three
patent families from/with the LUMC, with one U.S. granted patent and several pending
applications in multiple jurisdictions.
Our ARGX-118 Product Candidate
With regard to the ARGX-118 product candidate, we co-own one patent family with VIB,
an inflammation research center in Ghent, Brussels, and Ghent University, with one U.S.
granted patent and pending patent applications in multiple jurisdictions in North Ame-
rica, South America, Europe and Asia. The patent family has a basic expiry date in 2039.
1.8.4
Our Partnered Programs
Our Cusatuzumab (ARGX-110) Product Candidate
With regard to the cusatuzumab product candidate, we have five issued U.S. patents,
including, one U.S. granted patent with composition of matter claims directed to the
cusatuzumab antibody, one U.S. granted patent with claims directed to the epitope
cusatuzumab binds to, one U.S. granted patent with claims directed to a polynucleotide
that encodes antibodies that bind to the epitope cusatuzumab binds to, and, one U.S.
granted patent and one U.S. granted patent with method of use claims directed to the
treatment of cancer and immunological disorders with the cusatuzumab antibody. The
issued U.S. patents expire in 2032 and 2033, without taking a potential patent term
extension into account. In addition, we have patents that have been granted in Australia,
Canada, the PRC, Europe, Indonesia, Israel, India, Japan and Russia and patent applica-
tions pending in Brazil and the U.S. (divisional application). Cusatuzumab incorporates
or employs the SIMPLE Antibody and POTELLIGENT platform technologies.
Our ARGX-115 (ABBV-151) Product Candidate
With regard to the ARGX-115 (ABBV-151) product candidate that we co-own with, and
exclusively license from, the Ludwig Institute for Cancer Research and UCL, we have
a granted U.S. patent with composition of matter claims directed to an antibody that
binds GARP the presence of TGF-β and method of use claims directed to the use of such
an antibody in the treatment of cancer. The U.S. patent has a basic expiry date in 2034,
without taking a potential patent term extension into account. In addition, the patent
family contains at least 18 patent applications pending in U.S. (continuation-in-part) and
various other countries and regions in North America, South America, Europe and Asia.
Further, we co-own with, and exclusively license from, UCL two more patent families
with composition of matter claims directed to an antibody that binds an epitope of a
complex formed by human GARP and TGF-β as well as method of use claims directed to
the use of such an antibody in the treatment of cancer. These two patent families have
basic expiry dates in 2036 and 2038. Furthermore, ARGX-115 (ABBV-151) incorporates or
employs the SIMPLE Antibody platform technology.
Our ARGX-112 (LP-0145) Product Candidate
With regard to the ARGX-112 (LP-0145) product candidate, we have one patent family
with composition of matter claims directed to an antibody that binds human IL-22R.
The patent family has a basic expiry date in 2037. Furthermore, ARGX-112 (LP-0145)
incorporates the SIMPLE Antibody platform technology.
The term of individual patents depends upon the legal term of the patents in the count-
ries in which they are obtained. In most countries in which we file, the patent term is
20 years from the earliest date of filing a non-provisional patent application.
In the U.S., the term of a patent covering an FDA-approved drug may be eligible for
a limited patent term extension under the Drug Price Competition and Patent Term
Restoration Act of 1984 (
Hatch-Waxman Act
) as compensation for the loss of patent
term during the FDA regulatory review process as described in section 1.9.1 “
Licensure
and Regulation of Biologics in the U.S.
”. Similar provisions are available in Europe and in
certain other jurisdictions to extend the term of a patent that covers an approved drug.
It is possible that issued U.S. patents covering each of our product candidates may be
entitled to patent term extensions. If our product candidates receive FDA approval, we
intend to apply for patent term extensions, if available, to extend the term of patents
that cover the approved product candidates. We also intend to seek patent term exten-
sions in any jurisdictions where they are available, however, there is no guarantee that
the applicable authorities, including the FDA, will agree with our assessment of whether
such extensions should be granted, and if granted, the length of such extensions.
1.8.5
Trade Secret Protection
In addition to patent protection, we also rely on trade secret protection for our
proprietary information that is not amenable to, or that we do not consider appropriate
for, patent protection, including, for example, certain aspects of our llama immunization
and antibody affinity maturation approaches. However, trade secrets can be difficult
to protect. Although we take steps to protect our proprietary information, including
restricting access to our premises and our confidential information, as well as entering
into agreements with our employees, consultants, advisors and potential collaborators,
third parties may independently develop the same or similar proprietary information or
may otherwise gain access to our proprietary information. As a result, we may be unable
to meaningfully protect our trade secrets and proprietary information.
1.9
Regulation
Government authorities in the U.S., at the federal, state and local level, and in the EU
and other countries and jurisdictions, extensively regulate, among other things, the
research, development, testing, manufacture, quality control, approval, packaging,
storage, recordkeeping, labeling, advertising, promotion, distribution, marketing, post-
approval monitoring and reporting, and import and export of pharmaceutical products,
including biological products. In addition, some jurisdictions regulate the pricing of
pharmaceutical products. The processes for obtaining marketing approvals in the U.S.
and in other countries and jurisdictions, along with subsequent compliance with applica-
ble statutes and regulations and other regulatory authorities, require the expenditure of
substantial time and financial resources.
1.9.1
Licensure and Regulation of Biologics
in the U.S.
In the U.S., biological products used for the prevention, treatment, or cure of a disease
or condition in a human being are subject to regulation under the U.S. Federal Food,
Drug, and Cosmetic Act (
FDCA
) and its implementing regulations, with the exception
that the section of the FDCA that governs the approval of drugs via NDAs does not apply
to the approval of biologics. Biologics are approved for marketing under provisions of
the Public Health Service Act (
PHSA
) via BLAs. However, the application process and
requirements for approval of BLAs are very similar to those for NDAs. The failure to
comply with the applicable U.S. requirements at any time during the product develop-
ment process, including preclinical testing and clinical testing, the approval process
or post-approval process may subject an applicant to delays in the conduct of a study,
regulatory review and approval, and/or administrative or judicial sanctions. These
sanctions may include, but are not limited to, the FDA’s refusal to allow an applicant to
proceed with clinical testing, refusal to approve pending applications, license suspension
or revocation, warning or untitled letters, adverse publicity, product recalls, product
seizures, total or partial suspension of production or distribution, injunctions, fines and
civil or criminal investigations and penalties brought by the FDA or the Department of
Justice or other governmental entities.
An applicant seeking approval to market and distribute a new biologic in the U.S. gene-
rally must satisfactorily complete each of the following steps:
•
preclinical laboratory tests, animal studies and formulation studies all performed in
accordance with applicable regulations, including the GLPs;
•
submission to the FDA of an IND application for human clinical testing, which must
become effective before human clinical trials may begin;
•
approval by an institutional review board (
IRB
) representing each clinical site before
each clinical trial may be initiated;
•
performance of adequate and well-controlled human clinical trials to establish the
safety, potency and purity of the product candidate for each proposed indication, in
accordance with good clinical practices (
GCPs
);
•
preparation and submission to the FDA of a BLA for a biological product requesting
marketing for one or more proposed indications, including submission of detailed
information on the manufacture and composition of the product in clinical
development and proposed labeling;
•
one or more FDA inspections of the manufacturing facility or facilities, including
those of third parties, at which the product, or components thereof, are produced to
assess compliance with cGMP requirements and to assure that the facilities, methods
and controls are adequate to preserve the product’s identity, strength, quality and
purity;
•
FDA audits of the clinical trial sites to assure compliance with GCPs, and the integrity
of clinical data in support of the BLA;
•
payment of user fees and securing FDA approval of the BLA and licensure of the new
biological product; and
•
compliance with any post-approval requirements, including the potential
requirement to implement a risk evaluation and mitigation strategy (
REMS
) and any
post-approval studies required by the FDA.
Preclinical Studies and INDs
Before testing any biological product candidate in humans, the product candidate must
undergo preclinical testing. Preclinical tests include laboratory evaluations of product
chemistry, formulation and stability, as well as animal studies to evaluate the potential
for activity and toxicity. The conduct of the preclinical tests and formulation of the
compounds for testing must comply with federal regulations and requirements. The
results of the preclinical tests, together with manufacturing information and analytical
data, are submitted to the FDA as part of an IND application. The IND automatically be-
comes effective 30 days after receipt by the FDA, unless before that time the FDA raises
concerns or questions about the product candidate or conduct of the proposed clinical
trial, including concerns that human research subjects will be exposed to unreasonable
health risks, and places the proposed clinical trial on clinical hold. In that case, the IND
sponsor and the FDA must resolve any outstanding FDA concerns before the clinical trial
can begin.
As a result, submission of the IND may result in the FDA not allowing the clinical trial
to commence or on the terms originally specified by the sponsor in the IND. If the FDA
imposes a partial or complete clinical hold, this action would delay either a proposed
clinical trial or cause suspension of an ongoing study, or in the case of a partial clinical
hold place limitations on the conduct of the study such as duration of treatment, until
all outstanding concerns have been adequately addressed and the FDA has notified the
company that investigation may proceed and then only under terms authorized by the
FDA. This could cause significant delays or difficulties in completing planned clinical trials
in a timely manner. The FDA may impose clinical holds on a biological product candidate
at any time before or during clinical trials due to safety concerns or non-compliance.
Human Clinical Trials in Support of a BLA
Clinical trials involve the administration of the investigational product candidate to
healthy volunteers or patients with the disease to be treated under the supervision of
a qualified principal investigator in accordance with GCPs. Clinical trials are conducted
under study protocols detailing, among other things, the objectives of the study,
inclusion and exclusion criteria, the parameters to be used in monitoring safety, and
the effectiveness criteria to be evaluated. A protocol for each clinical trial and any sub-
sequent protocol amendments must be submitted to the FDA as part of the IND.
A sponsor who wishes to conduct a clinical trial outside the U.S. may, but need not,
obtain FDA authorization to conduct the clinical trial under an IND. If a foreign clinical
trial is not conducted under an IND, the sponsor may submit data from the clinical trial
to the FDA in support of the BLA so long as the clinical trial is well-designed and well-
conducted in accordance with GCPs, including review and approval by an independent
ethics committee, and the FDA is able to validate the study data through an onsite
inspection, if necessary.
Further, each clinical trial must be reviewed and approved by the IRB either centrally
or individually at each institution at which the clinical trial will be conducted. The IRB
will consider, among other things, clinical trial design, patient informed consent, ethical
factors and the safety of human subjects. An IRB must operate in compliance with FDA
regulations. The FDA, IRB, or the clinical trial sponsor may suspend or discontinue a cli-
nical trial at any time for various reasons, including a finding that the clinical trial is not
being conducted in accordance with FDA requirements or the subjects or patients are
being exposed to an unacceptable health risk. Clinical testing also must satisfy extensive
GCPs and the requirements for informed consent. Additionally, some clinical trials are
overseen by an independent group of qualified experts organized by the clinical trial
sponsor, known as a data safety monitoring board or committee. This group may recom-
mend continuation of the study as planned, changes in study conduct, or cessation of
the study at designated check points based on access to certain data from the study.
Clinical trials typically are conducted in three sequential phases, but the phases may
overlap or be combined. Additional studies may be required after approval.
•
Phase 1 clinical trials are initially conducted in a limited population to test the
product candidate for safety, including adverse effects, dose tolerance, absorption,
metabolism, distribution, excretion and PD in healthy humans or, on occasion, in
patients, such as cancer patients.
•
Phase 2 clinical trials are generally conducted in a limited patient population to
identify possible adverse effects and safety risks, evaluate the efficacy of the product
candidate for specific targeted indications and determine dose tolerance and optimal
dosage. Multiple Phase 2 clinical trials may be conducted by the sponsor to obtain
information prior to beginning larger Phase 3 clinical trials.
•
Phase 3 clinical trials proceed if the Phase 2 clinical trials demonstrate that a dose
range of the product candidate is potentially effective and has an acceptable safety
profile. Phase 3 clinical trials are undertaken within an expanded patient population
to gather additional information about safety and effectiveness necessary to evaluate
the overall benefit-risk relationship of the drug and to provide an adequate basis for
physician labeling.
In some cases, the FDA may approve a BLA for a product candidate but require the spon-
sor to conduct additional clinical trials to further assess the product candidate’s safety
and effectiveness after approval. Such post-approval clinical trials are typically referred
to as Phase 4 clinical trials. These studies are used to gain additional experience from
the treatment of patients in the intended therapeutic indication and to document a
clinical benefit in the case of biologics approved under accelerated approval regulations.
If the FDA approves a product while a company has ongoing clinical trials that were not
necessary for approval, a company may be able to use the data from these clinical trials
to meet all or part of any Phase 4 clinical trial requirement or to request a change in
the product labeling. Failure to exhibit due diligence with regard to conducting required
Phase 4 clinical trials could result in withdrawal of approval for products.
Progress reports detailing the results of the clinical trials, among other information,
must be submitted at least annually to the FDA, and written IND safety reports must be
submitted to the FDA and the investigators fifteen days after the clinical trial sponsor
determines the information qualifies for reporting for serious and unexpected suspected
adverse events, findings from other studies or animal or in vitro testing that suggest a
significant risk for human subjects and any clinically important increase in the rate of a
serious suspected adverse reaction over that listed in the protocol or investigator bro-
chure. The sponsor must also notify the FDA of any unexpected fatal or life-threatening
suspected adverse reaction as soon as possible but in no case later than seven calendar
days after the sponsor’s initial receipt of the information.
A drug being studied in clinical trials may be made available to individual patients in
certain circumstances. Pursuant to the 21
st
Century Cures Act, as amended, the manu-
facturer of an investigational drug for a serious disease or condition is required to make
available, such as by posting on its website, its policy on evaluating and responding to
requests for individual patient access to such investigational drug. This requirement
applies on the earlier of the first initiation of a Phase 2 or Phase 3 clinical trial of the
investigational drug, or as applicable, 15 days after the drug receives a designation as a
breakthrough therapy, fast track product, or regenerative advanced therapy.
Compliance with cGMP Requirements
Before approving a BLA, the FDA typically will inspect the facility or facilities where the
product is manufactured. The FDA will not approve an application unless it determines
that the manufacturing processes and facilities are in compliance with cGMP require-
ments and adequate to assure consistent production of the product within required spe-
cifications. The PHSA emphasizes the importance of manufacturing control for products
like biologics whose attributes cannot be precisely defined. The manufacturing process
must be capable of consistently producing quality batches of the product candidate
and, among other things, the sponsor must develop methods for testing the identity,
strength, quality, potency, and purity of the final biological product. Additionally, appro-
priate packaging must be selected and tested, and stability studies must be conducted
to demonstrate that the biological product candidate does not undergo unacceptable
deterioration over its shelf life.
Manufacturers and others involved in the manufacture and distribution of products
must also register their establishments with the FDA and certain state agencies. Both
domestic and foreign manufacturing establishments must register and provide additio-
nal information to the FDA upon their initial participation in the manufacturing process.
Establishments may be subject to periodic unannounced inspections by government
authorities to ensure compliance with the FDCA, cGMPs and other requirements.
Manufacturers may have to provide, on request, electronic or physical records regarding
their establishments.
Disclosure of Clinical Trial Information
Sponsors of clinical trials of FDA-regulated products, including biological products,
are required to register and disclose certain clinical trial information on the
website
.
Information related to the product, patient population, phase of investigation, clinical
trial sites and investigators, and other aspects of a clinical trial are then made public
as part of the registration. Sponsors are also obligated to disclose the results of their
clinical trials after completion. Disclosure of the results of clinical trials can be delayed
in certain circumstances for up to two years after the date of completion of the clinical
trial. Competitors may use this publicly available information to gain knowledge regar-
ding the progress of clinical development programs as well as clinical trial design.
Review and Approval of a BLA
The results of product candidate development, preclinical testing and clinical trials,
including negative or ambiguous results as well as positive findings, are submitted to the
FDA as part of a BLA requesting a license to market the product. The BLA must contain
extensive manufacturing information and detailed information on the composition of
the product and proposed labeling as well as payment of a user fee.
The FDA has 60 days after submission of the application to conduct an initial review
to determine whether the BLA is sufficient to file based on the agency’s threshold
determination that it is sufficiently complete to permit substantive review. If the FDA
determines the BLA is not sufficiently complete, it will refuse to file the BLA. Once the
submission has been filed, the FDA begins an in-depth review of the application. Under
the goals agreed to by the FDA under the PDUFA, the FDA has ten months from the filing
date in which to complete its initial review of a standard application and respond to the
applicant, and six months from the filing date for a priority review of an application,
if the BLA is not filed under the program. If the BLA is submitted under the program,
additional 2 months are added to the review clock, whether standard or priority review
for a total review time of 12 or 8 months, respectively. The FDA does not always meet its
PDUFA goal dates for standard and priority reviews. The review process and the PDUFA
goal date may also be extended by three months if the FDA so requests or if the appli-
cant otherwise provides additional information or clarification regarding information
already provided in the submission which may be deemed as substantial information.
After the FDA’s evaluation of the application and accompanying information, including
the results of any potential inspections of the manufacturing facilities and any FDA audits
of clinical trial sites to assure compliance with GCPs, the FDA will issue an approval let-
ter, or a complete response letter. An approval letter authorizes commercial marketing
of the product with specific prescribing information for specific indications. Under the
PHSA, the FDA may approve a BLA if it determines that the product is safe, pure and
potent and the facility where the product will be manufactured meets standards designed
to ensure that it continues to be safe, pure and potent. If the application is not approved,
the FDA will issue a complete response letter, which will identify the deficiencies in
the application and the conditions that must be met in order to secure approval of the
application, and when possible, will outline recommended actions the sponsor might
take to obtain approval of the application. Sponsors that receive a complete response
letter may submit to the FDA information that represents a complete response to the
issues identified by the FDA, withdraw the application or request a hearing. The FDA will
not approve an application until issues identified in the complete response letter have
been addressed.
The FDA may also refer the application to an advisory committee for review, evaluation
and recommendation as to whether the application should be approved. In particular,
the FDA may refer applications for novel biological products or biological products that
present difficult questions of safety or efficacy to an advisory committee. Typically, an
advisory committee is a panel of independent experts, including clinicians and other
scientific experts, that reviews, evaluates and provides a recommendation as to whether
the application should be approved and under what conditions. The FDA is not bound by
the recommendations of an advisory committee, but it considers such recommendati-
ons carefully when making decisions.
If the FDA approves a new product, it may limit the approved indications for use of the
product. It may also require that contraindications, warnings or precautions be included
in the product labeling. In addition, the FDA may call for post-approval studies, including
Phase 4 clinical trials, to further assess the product’s safety after approval. The agency
may also require testing and surveillance programs to monitor the product after com-
mercialization, or impose other conditions, including distribution restrictions or other
risk management mechanisms, including REMS, to help ensure that the benefits of the
product outweigh the potential risks. REMS can include medication guides, communica-
tion plans for healthcare professionals and elements to assure safe use (
ETASU
). ETASU
can include, but are not limited to, special training or certification for prescribing or
dispensing, dispensing only under certain circumstances, special monitoring and the use
of patent registries. The FDA may prevent or limit further marketing of a product based
on the results of post-market studies or surveillance programs.
After approval, many types of changes to the approved product, such as adding new
indications, manufacturing changes and additional labeling claims, are subject to further
testing requirements and FDA review and approval.
Such regulatory reviews can result in denial or modification of the planned changes, or
requirements to conduct additional tests or evaluations that can substantially delay or
increase the cost of the planned changes.
Fast Track, Breakthrough Therapy and Priority Review Designations
The FDA is authorized to designate certain products for expedited review if they are
intended to address an unmet medical need in the treatment of a serious or life-threa-
tening disease or condition. These programs are referred to as fast track designation,
breakthrough therapy designation and priority review designation.
The FDA may designate a product for fast track review if it is intended, whether alone or
in combination with one or more other products, for the treatment of a serious or life-
threatening disease or condition, and it demonstrates the potential to address unmet
medical needs for such a disease or condition. For fast track products, sponsors may
have greater interactions with the FDA and the FDA may initiate review of sections of
a fast track product’s application before the application is complete. This rolling review
may be available if the FDA determines, after preliminary evaluation of clinical data
submitted by the sponsor, that a fast track product may be effective. The sponsor must
also provide, and the FDA must approve, a schedule for the submission of the remaining
information and the sponsor must pay applicable user fees. However, the FDA’s goal
for reviewing a rolling review does not begin until the last section of the application is
submitted. Fast track designation may be withdrawn by the FDA if the FDA believes that
the designation is no longer supported by data emerging in the clinical trial process.
A product may be designated as a breakthrough therapy if it is intended, either alone or
in combination with one or more other products, to treat a serious or life-threatening
disease or condition and preliminary clinical evidence indicates that the product may
demonstrate substantial improvement over existing therapies on one or more clinically
significant endpoints, such as substantial treatment effects observed early in clinical
development. The FDA may take certain actions with respect to breakthrough therapies,
including holding meetings with the sponsor throughout the development process;
providing timely advice to the product sponsor regarding development and approval;
involving more senior staff in the review process; assigning a cross-disciplinary project
lead for the review team; and taking other steps to design the clinical trials in an
efficient manner.
The FDA may designate a product for priority review if it is a product that treats a
serious condition and, if approved, would provide a significant improvement in safety
or effectiveness. The FDA determines, on a case-by-case basis, whether the proposed
product represents a significant improvement when compared with other available
therapies. Significant improvement may be illustrated by evidence of increased effecti-
veness in the treatment of a condition, elimination or substantial reduction of a treat-
ment-limiting product reaction, documented enhancement of patient compliance that
may lead to improvement in serious outcomes and evidence of safety and effectiveness
in a new subpopulation. A priority designation is intended to direct overall attention and
resources to the evaluation of such applications, and to shorten the FDA’s goal for taking
action on a marketing application from ten months to six months.
Accelerated Approval Pathway
The FDA may grant accelerated approval to a product for a serious or life-threatening
condition that provides meaningful therapeutic advantage to patients over existing
treatments based upon a determination that the product has an effect on a surrogate
endpoint that is reasonably likely to predict clinical benefit or on a clinical endpoint that
can be measured earlier than an effect on irreversible morbidity or mortality (
IMM
) and
that is reasonably likely to predict an effect on IMM or other clinical benefit, taking into
account the severity, rarity, or prevalence of the condition and the availability or lack
of alternative treatments. Products granted accelerated approval must meet the same
statutory standards for safety and effectiveness as those granted traditional approval.
For the purposes of accelerated approval, a surrogate endpoint is a marker, such as a
laboratory measurement, radio-graphic image, physical sign, or other measure that is
thought to predict clinical benefit but is not itself a measure of clinical benefit. Surrogate
endpoints can often be measured more easily or more rapidly than clinical endpoints.
An intermediate clinical endpoint is a measurement of a therapeutic effect that is
considered reasonably likely to predict the clinical benefit of a product, such as an effect
on IMM. The FDA has limited experience with accelerated approvals based on inter-
mediate clinical endpoints, but has indicated that such endpoints generally may support
accelerated approval where the therapeutic effect measured by the endpoint is not itself
a clinical benefit and basis for traditional approval, if there is a basis for concluding that
the therapeutic effect is reasonably likely to predict the ultimate clinical benefit of a
product.
The accelerated approval pathway is most often used in settings in which the course of
a disease is long and an extended period of time is required to measure the intended
clinical benefit of a product, even if the effect on the surrogate or intermediate clinical
endpoint occurs rapidly. Thus, accelerated approval has been used extensively in the
development and approval of products for treatment of a variety of cancers in which the
goal of therapy is generally to improve survival or decrease morbidity and the duration
of the typical disease course requires lengthy and sometimes large clinical trials to
demonstrate a clinical or survival benefit.
The accelerated approval pathway is usually contingent on a sponsor’s agreement to
conduct, in a diligent manner, a post-approval confirmatory study or studies to verify
and describe the product’s clinical benefit. As a result, a product candidate approved on
this basis is subject to rigorous post-marketing compliance requirements, including the
completion of Phase 4 or post-approval clinical trials to confirm the effect on the clinical
endpoint. These confirmatory clinical trials must be completed with due diligence, and
the FDA may require that the confirmatory clinical trial be designed, initiated, and/
or fully enrolled prior to approval. Failure to conduct required post-approval studies,
or confirm a clinical benefit during post-marketing studies, would allow the FDA
to withdraw the product from the market on an expedited basis. Unless otherwise
informed by the FDA, all promotional materials for product candidates approved under
accelerated regulations are subject to prior review by the agency. The Food and Drug
Omnibus Reform Act (
FDORA
) was recently enacted and includes provisions related to
the accelerated approval pathway. Pursuant to FDORA, the FDA is authorized to require
a post-approval study to be underway prior to approval or within a specified time
period following approval. FDORA also requires the FDA to specify the conditions of any
required post-approval study not later than 180 days following approval and not less
frequently than every 180 days thereafter until completion or termination of such study.
Such conditions may include imposing milestones such as a target date of study com-
pletion or requiring sponsors to submit progress reports. FDORA also enables the FDA
to initiate enforcement actions or criminal prosecutions for the failure to conduct with
due diligence a required post-approval study, including a failure to meet any required
conditions specified by the FDA or to submit timely reports.
Orphan Drug Designation
Orphan drug designation in the U.S. is designed to encourage sponsors to develop
products intended for rare diseases or conditions. In the U.S., a rare disease or condition
is statutorily defined as a condition that affects fewer than 200,000 individuals in the
U.S. or that affects more than 200,000 individuals in the U.S. and for which there is no
reasonable expectation that the cost of developing and making available the product for
the disease or condition will be recovered from sales of the product in the U.S.
Orphan drug designation qualifies a company for tax credits and market exclusivity for
seven years following the date of the product’s marketing approval if granted by the FDA
and if it is the first FDA approval for that product for the disease for which it has such
designation. An application for designation as an orphan product can be made any time
prior to the filing of an application for approval to market the product. If the FDA grants
orphan drug designation, the generic identity of the product and its potential orphan
use are disclosed publicly by the FDA. The product must then go through the review and
approval process like any other product in order to be marketed.
A sponsor may request orphan drug designation of a previously unapproved product
or new orphan indication for an already marketed product. In addition, a sponsor of a
product that is otherwise the same product as an already approved orphan drug may
seek and obtain orphan drug designation for the subsequent product for the same rare
disease or condition if it can present a plausible hypothesis that its product may be
clinically superior to the first drug. Whether a large molecule product (i.e., a biological
product) is the same as another product is based on whether the two products have
the same principal molecular structural features. More than one sponsor may receive
orphan drug designation for the same product for the same rare disease or condition,
but each sponsor seeking orphan drug designation must file a complete request for
designation.
If orphan drug exclusivity is granted by the FDA, the period of exclusivity begins on
the date that the marketing application is approved by the FDA and applies only to
the indication for which the product has been designated. The FDA may approve a
second application for the same product for a different use or a second application for
a clinically superior version of the product for the same use. The FDA cannot, however,
approve the same product made by another sponsor for the same indication during
the market exclusivity period unless it has the consent of the sponsor or the sponsor is
unable to provide sufficient quantities of the product.
Post-Approval Regulation
If regulatory approval for marketing of a product or new indication for an existing
product is obtained, the sponsor will be required to comply with all post-approval
regulatory requirements as well as any post-approval requirements that the FDA
has imposed as part of the approval process. The sponsor will be required to report
certain adverse reactions and production problems to the FDA, provide updated safety
and efficacy information and comply with requirements concerning advertising and
promotional labeling. Manufacturers and other parties involved in the drug supply chain
for prescription drug and biological products must also comply with product tracking
and tracing requirements and for notifying the FDA of counterfeit, diverted, stolen and
intentionally adulterated products or products that are otherwise unfit for distribution
in the U.S. Manufacturers and certain of their subcontractors are required to register
their establishments with the FDA and certain state agencies, and are subject to periodic
unannounced inspections by the FDA and certain state agencies for compliance with
ongoing regulatory requirements, including cGMPs, which impose certain procedural
and documentation requirements upon manufacturers. Accordingly, the sponsor and
its third-party manufacturers must continue to expend time, money and effort in the
areas of production and quality control to maintain compliance with cGMPs and other
regulatory requirements.
A biological product may also be subject to official lot release, meaning that the
manufacturer is required to perform certain tests on each lot of the product before it is
released for distribution. If the product is subject to official lot release, the manufacturer
must submit samples of each lot, together with a release protocol showing a summary
of the history of manufacture of the lot and the results of all of the manufacturer’s tests
performed on the lot, to the FDA. The FDA may in addition perform certain confirmatory
tests on lots of some products before releasing the lots for distribution. Finally, the FDA
will conduct laboratory research related to the safety, purity, potency and effectiveness
of pharmaceutical products. Any distribution of prescription biological products and
pharmaceutical samples must comply with the U.S. Prescription Drug Marketing Act and
the PHSA.
Once an approval is granted, the FDA may revoke or suspend the approval of the BLA if
compliance with regulatory requirements and standards is not maintained or if problems
occur after the product reaches the market. Later discovery of previously unknown pro-
blems with a product, including adverse events of unanticipated severity or frequency,
or with manufacturing processes, or failure to comply with regulatory requirements,
may result in revisions to the approved labeling to add new safety information; impo-
sition of post-market studies or clinical trials to assess new safety risks; or imposition
of distribution or other restrictions under a REMS program. FDA also has authority to
require post-market studies, in certain circumstances, on reduced effectiveness of a
product and may require labeling changes related to new reduced effectiveness infor-
mation. Other potential consequences for a failure to maintain regulatory compliance
include, among other things:
•
restrictions on the marketing or manufacturing of the product, complete withdrawal
of the product from the market or product recalls;
•
fines, untitled letters or warning letters or holds on post-approval clinical trials;
•
refusal of the FDA to approve pending applications or supplements to approved
applications, or suspension or revocation of product license approvals;
•
product seizure or detention, or refusal to permit the import or export of products;
or
•
injunctions or the imposition of civil or criminal penalties.
The FDA strictly regulates marketing, labeling, advertising and promotion of products
that are placed on the market. Pharmaceutical products may be promoted only for the
approved indications and in accordance with the provisions of the approved labeling.
Although physicians may prescribe legally available products for unapproved uses or in
patient populations that are not described in the product’s approved labeling (known
as “off-label use”), companies with approved products may not market or promote such
off-label uses. The FDA does not regulate the behavior of physicians in their choice of
treatments, but the FDA regulations do impose stringent restrictions on manufacturers’
communications regarding off-label uses. The FDA and other agencies actively enforce
the laws and regulations prohibiting the promotion of off-label uses, and a company
that is found to have improperly promoted off-label uses may be subject to significant
liability, including investigation by federal and state authorities. Prescription biological
product promotional materials must be submitted to the FDA in conjunction with their
first use or first publication.
Pediatric Studies and Exclusivity
Under the Pediatric Research Equity Act of 2003 (as amended,
PREA
), a BLA or supple-
ment thereto must contain data that are adequate to assess the safety and effectiveness
of the product for the claimed indications in all relevant pediatric sub-populations, and
to support dosing and administration for each pediatric subpopulation for which the
product is safe and effective. Sponsors must also submit pediatric study plans prior to
the assessment data. Those plans must contain an outline of the proposed pediatric
study or studies the applicant plans to conduct, including study objectives and design,
any deferral or waiver requests and other information required by regulation. The
applicant, the FDA, and the FDA’s internal review committee must then review the
information submitted, consult with each other and agree upon a final plan. The FDA or
the applicant may request an amendment to the plan at any time.
The FDA may, on its own initiative or at the request of the applicant, grant deferrals for
submission of some or all pediatric data until after approval of the product for use in
adults, or full or partial waivers from the pediatric data requirements. Unless otherwise
required by regulation, PREA does not apply to a biologic for an indication for which
orphan designation has been granted, except that PREA will apply to an original BLA
for a new active ingredient that is orphan-designated if the biologic is a molecularly
targeted cancer product intended for the treatment of an adult cancer and is directed
at a molecular target that FDA determines to be substantially relevant to the growth or
progression of a pediatric cancer.
Pediatric exclusivity is another type of non-patent marketing exclusivity in the U.S. and,
if granted, provides for the attachment of an additional six months of marketing protec-
tion to the term of any existing regulatory exclusivity. This six-month exclusivity may be
granted if a BLA sponsor submits pediatric data that fairly respond to a written request
from the FDA for such data. The data do not need to show the product to be effective in
the pediatric population studied; rather, if the clinical trial is deemed to fairly respond to
the FDA’s request, the additional protection is granted. If reports of requested pediatric
studies are submitted to and accepted by the FDA within the statutory time limits,
whatever statutory or regulatory periods of exclusivity cover the product are extended
by six months.
Biosimilars and Exclusivity
The Biologics Price Competition and Innovation Act (
BPCIA
) established a regulatory
scheme authorizing the FDA to approve biosimilars and interchangeable biosimilars.
Under the BPCIA, an applicant may submit an application for licensure of a biologic pro-
duct that is “biosimilar to” or “interchangeable with” a previously approved biological
product or “reference product”. For the FDA to approve a biosimilar product, it must find
that there are no clinically meaningful differences between the reference product and
proposed biosimilar product in terms of safety, purity and potency. For the FDA to ap-
prove a biosimilar product as interchangeable with a reference product, the agency must
find that the biosimilar product can be expected to produce the same clinical results as
the reference product, and (for products administered multiple times) that the biologic
and the reference biologic may be switched after one has been previously administered
without increasing safety risks or risks of diminished efficacy relative to exclusive use of
the reference biologic.
Under the BPCIA, an application for a biosimilar product may not be submitted to the
FDA until four years following the date of approval of the reference product. The FDA
may not approve a biosimilar product until twelve years from the date on which the
reference product was approved. Even if a product is considered to be a reference
product eligible for exclusivity, another company could market a competing version of
that product if the FDA approves a full BLA for such product containing the sponsor’s
own preclinical data and data from adequate and well-controlled clinical trials to
demonstrate the safety, purity and potency of their product. However, to rely on such
exclusivities for establishing or protecting our market position is not without risk, as
such laws are subject to changes by the legislature. The BPCIA also created certain exclu-
sivity periods for biosimilars approved as interchangeable products. At this juncture, it is
unclear whether products deemed “interchangeable” by the FDA will, in fact, be readily
substituted by pharmacies, which are governed by state pharmacy law.
U.S. Patent Term Restoration
Depending upon the timing, duration and specifics of FDA approval of our product
candidates, some of our U.S. patents may be eligible for limited patent term extension
under the Hatch-Waxman Act that permits restoration of the patent term of up to five
years as compensation for patent term lost during the FDA regulatory review process.
Patent-term restoration, however, cannot extend the remaining term of a patent beyond
a total of 14 years from the product’s approval date and only those claims covering
such approved product, a method for using it or a method for manufacturing it may be
extended. The patent-term restoration period is generally one-half the time between
the effective date of an IND and the submission date of a BLA plus the time between
the submission date of a BLA and the approval of that application, except that the
review period is reduced by any time during which the applicant failed to exercise due
diligence. Only one patent applicable to an approved biologic is eligible for the extension
and the application for the extension must be submitted prior to the expiration of the
patent. The USPTO, in consultation with the FDA, reviews and approves the application
for any patent term extension or restoration. In the future, we may apply for restoration
of patent term for our currently owned or licensed patents to add patent life beyond its
current expiration date, depending on the expected length of the clinical trials and other
factors involved in the filing of the relevant BLA.
1.9.2
Regulation and Procedures Governing
Approval of Medicinal Products in the
EU and the UK
In order to market any medicinal product outside of the U.S., a company also must
comply with numerous and varying regulatory requirements of other countries and
jurisdictions regarding quality, safety and efficacy and governing, among other things,
clinical trials, marketing authorization, commercial sales and distribution of products.
Whether or not it obtains FDA approval for a product, an applicant will need to obtain
the necessary approvals by the comparable regulatory authorities before it can initiate
clinical trials or marketing of the product in those countries or jurisdictions. Specifically,
no medicinal product may be placed on the market of an EU member state unless a
marketing authorization has been issued by the competent authorities of that member
state in accordance with Directive 2001/83/EC or a centralized marketing authorization
has been granted in accordance with Regulation (EC) No 726/2004, read in conjunction
with Regulation (EC) No 1901/2006 and Regulation (EC) No 1394/2007. The process go-
verning approval of medicinal products in the EU and the UK generally follows the same
lines as in the U.S. It entails satisfactory completion of pharmaceutical development,
pre-clinical studies and adequate and well-controlled clinical trials to establish the safety
and efficacy of the medicinal product for each proposed indication. The EU also requires
the submission to relevant competent authorities for clinical trials authorization and
to the European Medicines Agency (
EMA
) or to competent authorities in EU Member
States of a marketing authorization application (
MAA
) and granting of such MAA by
these authorities before the product can be marketed and sold in the EU. Following
the UK’s departure from the EU, a separate MAA is required in order to place medicinal
products on the market in the Great Britain (England, Wales and Scotland) (under
the Northern Ireland Protocol, the EU regulatory framework will continue to apply in
Northern Ireland in this regard and centralized EU marketing authorizations will continue
to be recognized).
Clinical Trial Approval
In April 2014, the EU adopted the new Clinical Trials Regulation (EU) No 536/2014, which
replaced the Clinical Trials Directive 2001/20/EC as of January 31, 2022. The transitional
provisions of the new Regulation offered sponsors the possibility to choose between
the requirements of the previous Directive and the new Regulation if the request for
authorization of a clinical trial was submitted by January 30, 2023. If the sponsor chose
to submit under the previous Directive, the clinical trial continues to be governed by the
Directive until three years after the new Regulation became applicable (i.e., January 31,
2025). If a clinical trial continues for more than three years after the Regulation became
applicable, the new Regulation will at that time begin to apply to the clinical trial. The
new Regulation (EU), which is directly applicable in all EU Member States, aims to sim-
plify and streamline the approval of clinical trials in the EU. The main characteristics of
the new Regulation include: a streamlined application procedure via a single-entry point
through the Clinical Trials Information System; a single set of documents to be prepared
and submitted for the application as well as simplified reporting procedures for clinical
trial sponsors; and a harmonized procedure for the assessment of applications for clini-
cal trials, which is divided in two parts (Part I contains scientific and medicinal product
documentation and Part II contains the national and patient-level documentation). Part
I is assessed by a coordinated review by the competent authorities of all EU Member
States in which an application for authorization of a clinical trial has been submitted
(
Concerned Member States
) of a draft report prepared by a reference member state.
Part II is assessed separately by each Concerned Member State. Strict deadlines have
also been established for the assessment of CTAs.
Prior to its exit from the EU, the UK implemented Directive 2001/20/EC into national law
through the Medicines for Human Use (Clinical Trials) Regulations 2004 (as amended).
However, implementation of the new EU Clinical Trials Regulation took place after the
UK’s departure from the EU, and so the new Clinical Trial Regulation described in the
preceding paragraph does not apply to Great Britain. The MHRA, the UK medicines
regulator, ran a consultation on reforms to the UK clinical trials legislation which closed
in March 2022. The outcome of that consultation has not yet been published and the
future regulatory framework for clinical trials in the UK is currently uncertain.
Orphan Designation and Exclusivity
Regulation (EC) No. 141/2000 and Regulation (EC) No. 847/2000 provide that a product
can be designated as an orphan drug by the EU Commission if its sponsor can establish:
(1) that the product is intended for the diagnosis, prevention or treatment of a life-threa-
tening or chronically debilitating condition, (2) either (i) the prevalence of the condition
is not more than five in ten thousand persons in the EU when the application is made,
or (ii) without incentives it is unlikely that the marketing of the product in the EU would
generate sufficient return to justify the necessary investment in its development and (3)
there exists no satisfactory method of diagnosis, prevention, or treatment of the condition
in question that has been authorized in the EU or, if such method exists, the product has
to be of a significant benefit compared to products available for the condition.
An orphan designation provides a number of benefits, including fee reductions and,
regulatory assistance. If a marketing authorization is granted for an orphan medicinal
product, this results in a ten-year period of market exclusivity. During this market exclu-
sivity period, neither the EMA, the European Commission nor the EU Member States
can accept an application or grant a marketing authorization for a “similar medicinal
product”. A “similar medicinal product” is defined as a medicinal product containing a
similar active substance or substances as contained in an authorized orphan medicinal
product, and which is intended for the same therapeutic indication. The market exclu-
sivity period for the authorized therapeutic indication may, however, be reduced to six
years if, at the end of the fifth year, it is established that the product no longer meets
the criteria for orphan designation because, for example, the product is sufficiently pro-
fitable not to justify market exclusivity. Market exclusivity may also be revoked in very
select cases, such as if (i) it is established that a similar medicinal product is safer, more
effective or otherwise clinically superior; (ii) the marketing authorization holder for the
authorized orphan product consents to the second orphan application; or (iii) the mar-
keting authorization holder for the authorized orphan product cannot supply enough
orphan medicinal product. Orphan designation must be requested before submitting an
application for marketing approval. Orphan designation does not convey any advantage
in, or shorten the duration of, the regulatory review and approval process.
Since January 1, 2021, a separate process for orphan designation has applied in Great
Britain. There is now no pre-marketing authorization orphan designation (as there is in
the EU) and the application for orphan designation will be reviewed by the MHRA, at
the time of an MAA for a UK or Great Britain marketing authorization. The criteria are
the same as in the EU, save that they apply to Great Britain only (e.g., there must be no
satisfactory method of diagnosis, prevention or treatment of the condition concerned
in Great Britain, as opposed to the EU, and the prevalence of the condition must be no
more than five in 10,000 persons in Great Britain).
Marketing Authorization
To obtain a marketing authorization for a product under the EU regulatory system, an
applicant must submit an MAA, either to the EMA using the centralized procedure or to
competent authorities in the EU using the other procedures (decentralized procedure,
national procedure, or mutual recognition procedure). A marketing authorization may
be granted only to an applicant established in the EU. Regulation (EC) No. 1901/2006
provides that prior to obtaining a marketing authorization in the EU, an applicant must
demonstrate compliance with all measures included in an EMA-approved pediatric
investigation plan (
PIP
), covering all subsets of the pediatric population, unless the EMA
has granted a product-specific waiver, class waiver, or a deferral for one or more of the
measures included in the PIP.
The centralized procedure provides for the grant of a single marketing authorization by
the EU Commission that is valid for all EEA Member States. Pursuant to Regulation (EC)
No. 726/2004, the centralized procedure is compulsory for specific products, including
for medicines produced by certain biotechnological processes, products designated as
orphan medicinal products, advanced therapy medicinal products (gene therapy, soma-
tic cell therapy or tissue engineered products) and products with a new active substance
indicated for the treatment of certain diseases, including products for the treatment of
cancer and auto-immune diseases and other immune dysfunctions and neurodegene-
rative disorders. The centralized procedure is optional for products that contain a new
active substance for any other indications, which are a significant therapeutic, scientific
or technical innovation and whose authorization would be in the interest of public
health in the EU.
Under the centralized procedure, the EMA’s Committee for Medicinal Products for
Human Use (
CHMP
) is responsible for conducting the assessment of a product to define
its risk/benefit profile. The CHMP recommendation is then sent to the EU Commission,
which adopts a decision binding in all EEA Member States. Under the centralized proce-
dure, the maximum timeframe for the evaluation of an MAA is 210 days, excluding clock
stops when additional information or written or oral explanation is to be provided by the
applicant in response to questions asked by the CHMP. Clock stops may extend the ti-
meframe of evaluation of an MAA considerably beyond 210 days. Accelerated evaluation
may be granted by the CHMP in exceptional cases, when a medicinal product is of major
interest from the point of view of public health and, in particular, from the viewpoint of
therapeutic innovation. If the CHMP accepts such a request, the time limit of 210 days
will be reduced to 150 days (excluding clock stops), but it is possible that the CHMP may
revert to the standard time limit for the centralized procedure if it determines that it is
no longer appropriate to conduct an accelerated assessment.
Following the departure of the UK from the EU, Great Britain is no longer covered by
centralized marketing authorizations (under the Northern Ireland Protocol, centralized
EU authorizations will continue to be recognized in Northern Ireland). However, all medi-
cinal products with a current centralized authorization were automatically converted to
UK marketing authorizations on January 1, 2021, and there is a further period, recently
extended to December 31, 2023, during which the MHRA may rely on a decision
taken by the EU Commission on the approval of a new marketing authorization in the
centralized procedure, in order to more quickly grant a new Great Britain marketing
authorization. A separate application is, however, still required.
European Data and Market Exclusivity
In the EU, innovative medicinal products, approved on the basis of a complete indepen-
dent data package, qualify for eight years of data exclusivity upon marketing authoriza-
tion and an additional two years of market exclusivity. The data exclusivity, if granted,
prevents generic or biosimilar applicants from referencing the innovator’s preclinical
and clinical trial data contained in the dossier of the reference product when applying
for a generic or biosimilar marketing authorization in the EU, for a period of eight years
from the date on which the reference product was first authorized in the EU. During
the additional two-year period of market exclusivity, a generic or biosimilar MAA can
be submitted, and the innovator’s data may be referenced, but no generic or biosimilar
product can be marketed in the EU until the expiration of the market exclusivity period.
The overall ten-year period will be extended to a maximum of eleven years if, during
the first eight years of those ten years, the marketing authorization holder obtains a
marketing authorization for one or more new therapeutic indications which, during the
scientific evaluation prior to their authorization, are determined to bring a significant
clinical benefit in comparison with currently approved therapies. There is no guarantee
that a product will be considered by the EMA to be an innovative medicinal product,
and products may not qualify for data exclusivity. Even if a product is considered to be
an innovative medicinal product so that the innovator gains the prescribed period of
data exclusivity, another company nevertheless could also market another version of
the product if such company obtained a marketing authorization based on an MAA with
a complete independent data package of pharmaceutical tests, preclinical tests and
clinical trials. Similar arrangements apply in the UK.
Periods of Authorization and Renewals
A marketing authorization is valid for five years, in principle, and it may be renewed after
five years on the basis of a reevaluation of the risk benefit balance by the EMA for a
centrally authorized product, or by the competent authority of the authorizing member
state for a nationally authorized product. Once renewed, the marketing authorization
is valid for an unlimited period, unless the EU Commission or the competent authority
decides, on justified grounds relating to pharmacovigilance, to proceed with one addi-
tional five-year renewal period. Any marketing authorization that is not followed by the
placement of the drug on the EU market (in the case of the centralized procedure) or on
the market of the authorizing member state (for a nationally authorized product) within
three years after authorization, or if the drug is removed from the market for three
consecutive years, ceases to be valid. In Great Britain, centrally authorized products
converted from EU to UK marketing authorizations will have the same renewal date.
Regulatory Requirements after Marketing Authorization
Following approval, the holder of the marketing authorization is required to comply with
a range of requirements applicable to the manufacturing, marketing, promotion and
sale of the medicinal product. These include compliance with the EU’s stringent pharma-
covigilance or safety reporting rules, pursuant to which post-authorization studies and
additional monitoring obligations can be imposed. In addition, the manufacturing of aut-
horized products, for which a separate manufacturer’s license is mandatory, must also
be conducted in strict compliance with the EMA’s GMP requirements and comparable
requirements of other regulatory bodies in the EU, which mandate the methods, facili-
ties and controls used in manufacturing, processing and packing of products to assure
their safety and identity. Finally, the marketing and promotion of authorized products,
including industry-sponsored continuing medical education and advertising directed
toward the prescribers of products and/or the general public, are strictly regulated in
the EU under Directive 2001/83EC, as amended.
The aforementioned EU rules are generally applicable in the EEA, and similar arrange-
ments apply in the UK.
Brexit and the Regulatory Framework in the UK
In June 2016, the electorate in the UK voted in favor of leaving the EU (commonly
referred to as “Brexit”), and the UK officially withdrew from the EU on January 31,
2020. Pursuant to the formal withdrawal arrangements agreed between the UK and
the EU, the UK was subject to a transition period until December 31, 2020, during
which EU rules continued to apply. However, the EU and the UK concluded a trade and
cooperation agreement (
TCA
), which was provisionally applicable since January 1, 2021
and has been formally applicable since May 1, 2021. The TCA includes specific provisions
concerning pharmaceuticals, which include the mutual recognition of GMP, inspections
of manufacturing facilities for medicinal products and GMP documents issued, but does
not foresee wholesale mutual recognition of UK and EU pharmaceutical regulations.
The UK has implemented EU legislation on the marketing, promotion and sale of
medicinal products through the Human Medicines Regulations 2012 (as amended) and
has not yet enacted significant legislative change in this area following its exit from
the EU. The regulatory regime in Great Britain therefore largely aligns with current EU
regulations. However, these regimes may diverge increasingly as time passes, now that
Great Britain’s regulatory system is independent from the EU, and the TCA does not
provide for mutual recognition of UK and EU pharmaceutical legislation. For example, as
already explained, the new Clinical Trials Regulation which became effective in the EU on
January 31, 2022 has not been implemented into UK law, and a separate application will
need to be submitted for clinical trial authorization in the UK. Furthermore, the position
in Northern Ireland differs in certain respects from that of the rest of the UK (England,
Wales and Scotland) as some EU rules continue to be applicable to Northern Ireland
following the UK’s departure from the EU.
1.9.3
Regulation and Procedures Governing
Approval of Medicinal Products in Japan
In order to market any medical products in Japan, a company must comply with nume-
rous and varying regulatory requirements in Japan regarding quality, safety and efficacy in
the context, among other things, of clinical trials, marketing approval, commercial sales
and distribution of products. A person who manufactures or markets medical products
in Japan is subject to the supervision of the MHLW, primarily under the Act on Securing
Quality, Efficacy and Safety of Pharmaceuticals and Medical Devices (
Pharmaceutical and
Medical Devices Act
). This entails the satisfactory completion of pharmaceutical develop-
ment, preclinical studies and adequate and well-controlled clinical trials to establish the
safety and efficacy of the medical product for each proposed indication. It also requires
the filing of a notification of clinical trials with the Pharmaceuticals and Medical Devices
Agency (Japan) (
PMDA
) and the obtaining of marketing approval from the relevant
authorities before the product can be marketed and sold in the Japanese market.
Business License
Under the Pharmaceutical and Medical Devices Act, a person is required to obtain from
the MHLW a marketing license in order to conduct the business of marketing, leasing
or providing medical products that are manufactured (or outsourced to a third party for
manufacturing) or imported by such person.
Also, in order to conduct the business of manufacturing medical products which will
be marketed in Japan, a person is required to obtain from the MHLW a manufacturing
license for each manufacturing site.
Marketing Approval
Under the Pharmaceutical and Medical Devices Act, it is generally required to obtain
marketing approval from the MHLW for the marketing of each medical product. An
application for marketing approval must be made through the PMDA, which implements
a marketing approval review.
Clinical Trial
Under the Pharmaceutical and Medical Devices Act, it is required to file notification of
clinical trials with the PMDA. Also, the data of clinical trials and other pertinent data,
which must be attached for an application for marketing approval, must be obtained
in compliance with the standards established by the MHLW, such as GLPs and GCPs
stipulated by the ministerial ordinances of the MHLW.
Regulatory Requirements after Marketing Approval
A marketing license-holder that has obtained marketing approval for a new pharmaceu-
tical must have that pharmaceutical re-examined by the PMDA for a specified period
after receiving marketing approval. Such re-examination period for VYVGART is stated
to be ten (10) years after the marketing approval in January 2022. The purpose of this
re-examination process is to ensure the safety and efficacy of a newly approved phar-
maceutical by imposing on the marketing license-holder the obligation to gather clinical
data for a certain period after the marketing approval was granted so that the PMDA has
the opportunity to re-examine the product. Results of usage and other pertinent data
must be attached for an application for a re-examination. A marketing license holder
that has obtained a marketing approval is also required to investigate, among other
things, the results of usage and to periodically report to the PMDA pursuant to the
Pharmaceutical and Medical Devices Act.
Price Regulation
In Japan, public medical insurance systems cover virtually the entire Japanese population.
The public medical insurance system, however, does not cover any medical product which
is not listed on the National Health Insurance (
NHI
) price list published by the Minister of
the MHLW. Accordingly, a marketing license-holder of medical products must first have a
new medical product listed on the NHI price list in order to obtain its coverage under the
public medical insurance system. The NHI price list listed VYVGART in April 2022.
The NHI price of a medical product is determined either by price comparison of com-
parable medical products with necessary adjustments for innovativeness, usefulness or
size of the market; or, in the absence of comparable medical products, by the cost calcu-
lation method, determined after considering of the opinion of the manufacturer. Prices
on the NHI price list will be subject to revision, generally once every year, on the basis of
the actual prices at which the medical products are purchased by medical institutions.
1.9.4
Coverage, Pricing and Reimbursement
Significant uncertainty exists as to the coverage and reimbursement status of any
product candidates for which we may obtain regulatory approval. Even if our product
candidates are approved for marketing, sales of such product candidates will depend, in
part, on the extent to which third-party payors, including government health programs
in the U.S. (such as Medicare and Medicaid), commercial health insurers, and managed
care organizations, provide coverage and establish adequate reimbursement levels for
such product candidates. Moreover, increasing efforts by governmental and third-party
payors in the EU, the U.S. and other markets to cap or reduce healthcare costs may
cause such organizations to limit both coverage and the level of reimbursement for
newly approved products and, as a result, they may not cover or provide adequate
payment for our product candidates. We expect to experience pricing pressures in con-
nection with the sale of any of our product candidates due to the trend toward managed
healthcare, the increasing influence of health maintenance organizations and additional
legislative changes. The downward pressure on healthcare costs in general, particularly
prescription drugs and surgical procedures and other treatments, has become very
intense. As a result, increasingly high barriers are being erected to the entry of new
products.
In the U.S. and markets in other countries, patients generally rely on third-party payors
to reimburse all or part of the costs associated with their treatment. Adequate coverage
and reimbursement from governmental healthcare programs, such as Medicare and
Medicaid, and commercial payors is critical to new product acceptance. Patients are
unlikely to use any product candidates we may develop unless coverage is provided and
reimbursement is adequate to cover a significant portion of the cost of such product
candidates.
Factors payors consider in determining reimbursement are based on whether the
product is (i) a covered benefit under its health plan; (ii) safe, effective and medically
necessary; (iii) appropriate for the specific patient; (iv) cost-effective; and (v) neither
experimental nor investigational.
The Medicare and Medicaid programs increasingly are used as models for how private
payors and other governmental payors develop their coverage and reimbursement
policies for drugs and biologics. Some third-party payors may require pre-approval of
coverage for new or innovative devices or drug therapies before they will reimburse
healthcare providers who use such therapies. It is difficult to predict at this time what
third-party payors will decide with respect to the coverage and reimbursement for
our product candidates. No uniform policy for coverage and reimbursement for drug
products exists among third-party payors in the U.S. Therefore, coverage and reimbur-
sement for drug products can differ significantly from payor to payor. As a result, the
coverage determination process is often a time-consuming and costly process that will
require us to provide scientific and clinical support for the use of our products to each
payor separately, with no assurance that coverage and adequate reimbursement will
be applied consistently or obtained in the first instance. Each plan determines whether
or not it will provide coverage for a product, what amount it will pay the manufacturer
for the product, on what tier of its formulary the product will be placed and whether
to require step therapy. The position of a product on a formulary generally determines
the co-payment that a patient will need to make to obtain the product and can strongly
influence the adoption of a product by patients and physicians. Third-party payors
may limit coverage to specific products on a formulary, which might not include all of
the approved products for a particular indication. Additionally, a payor’s decision to
provide coverage for a product does not imply that an adequate reimbursement rate
will be approved. For example, the payor may require co-payments that patients find
unacceptably high. Further, one payor’s determination to provide coverage for a product
does not assure that other payors will also provide coverage and reimbursement for the
product, and the level of coverage and reimbursement can differ significantly from payor
to payor.
Third-party payors are increasingly challenging the price and examining the medical
necessity and cost-effectiveness of medical products and services and imposing controls
to manage costs, especially drugs when an equivalent generic drug or a less expensive
therapy is available. It is possible that a third-party payor may consider our product
candidate and other therapies as substitutable and only offer to reimburse patients for
the less expensive product. Even if we show improved efficacy or improved convenience
of administration with our product candidate, pricing of existing drugs may limit the
amount we will be able to charge for our product candidate. These payors may deny
or revoke the reimbursement status of a given drug product or establish prices for
new or existing marketed products at levels that are too low to enable us to realize an
appropriate return on our investment in product development. If reimbursement is
not available or is available only at limited levels, we may not be able to successfully
commercialize our product candidates and may not be able to obtain a satisfactory
financial return on products that we may develop. Third-party payors may limit coverage
to specific products on an approved list, also known as a formulary, which might not
include all of the approved products for a particular indication.
In the PRC, the newly created National Healthcare Security Administration (
NHSA
) an
agency responsible for administering the PRC’s social security system, organized a price
negotiation with drug companies for certain new drugs that had not been included in
the national Reimbursable Drug List (
RDL
) at the time of the negotiation in November
2019, which resulted in an average price reduction by over 60% for 70 of the 119 drugs
that passed the negotiation. NHSA, together with other government authorities, review
the inclusion or removal of drugs from the PRC’s National Drug Catalog for Basic Medical
Insurance, Work-related Injury Insurance and Maternity Insurance, or provincial or local
medical insurance catalogues for the national medical insurance program regularly,
and the tier under which a drug or device will be classified, both of which affect the
amounts reimbursable to program participants for their purchases of those drugs. These
determinations are made based on a number of factors, including price and efficacy. We
may also be invited to attend the price negotiation with NHSA upon receiving regulatory
approval in the PRC, but we will likely need to significantly reduce our prices, and to
negotiate with each of the provincial healthcare security administrations on reimburse-
ment ratios. On the other hand, if the NHSA or any of its local counterpart includes our
drugs and devices in the national RDL or provincial RDL, which may increase the demand
for our drug candidates and devices, our potential revenue from the sales of our drug
candidates and devices may still decrease as a result of lower prices. Moreover, eligibility
for reimbursement in the PRC does not imply that any drug or device will be paid for in
all cases or at a rate that covers our costs, including licensing fees, research, develop-
ment, manufacture, sale and distribution.
Furthermore, rules and regulations regarding reimbursement change frequently, in
some cases at short notice, and we believe that changes in these rules and regulations
are likely. Outside the U.S., we will face challenges in ensuring obtaining adequate
coverage and payment for any product candidates we may develop. Pricing of prescrip-
tion pharmaceuticals is subject to governmental control in many countries. In order to
secure coverage and reimbursement for any product that might be approved for sale,
we have needed and may need to conduct expensive pharmacoeconomic studies in
order to demonstrate the medical necessity and cost-effectiveness of the product, and
the cost of these studies would be in addition to the costs required to obtain FDA or
other comparable marketing approvals. Conducting such studies could be expensive,
involve additional risk and result in delays in our commercialization efforts. Even after
pharmacogenomic studies are conducted, product candidates may not be considered
medically necessary or cost-effective. A decision by a third-party payor not to cover any
product candidates we may develop could reduce physician utilization of such product
candidates once approved and have a material adverse effect on our sales, results of
operations and financial condition. Third-party reimbursement and coverage may not be
adequate to enable us to maintain price levels sufficient to realize an appropriate return
on our investment in product development. The insurance coverage and reimbursement
status of newly approved products for orphan diseases is particularly uncertain, and fai-
lure to obtain or maintain adequate coverage and reimbursement for any such product
candidates could limit our ability to generate revenue. Further, due to the COVID-19
pandemic, millions of individuals have lost/will lose employer-based insurance coverage,
which may adversely affect our ability to commercialize our products. As noted above,
in the U.S., we plan to have various programs to help patients afford our products,
including patient assistance programs and co-pay coupon programs for eligible patients.
More specifically, patients can enroll into MY VYVGART Path, a patient support program
that provides personalized support from a nurse case manager and committed support
team. In addition to providing support on questions on the treatment and on navigating
the insurance process, the program provides a VYVGART Co-pay Program to eligible
patients, aids in referring patients to charitable foundations that may be able to help
with out-of-pocket costs and informs patients of financial assistance programs that may
be available.
The containment of healthcare costs also has become a priority of U.S. federal, state and
international governments and the prices of pharmaceuticals have been a focus in this
effort. Governments have shown significant interest in implementing cost-containment
programs, including price controls, restrictions on reimbursement and requirements
for substitution of generic products. Net prices for drugs may be reduced by mandatory
discounts or rebates required by government healthcare programs or private payors and
by any future relaxation of laws that presently restrict imports of drugs from countries
where they may be sold at lower prices than in the U.S. Increasingly, third-party payors
are requiring that drug companies provide them with predetermined discounts from list
prices and are challenging the prices charged for medical products. We cannot be sure
that reimbursement will be available for any future product candidate that we com-
mercialize and, if reimbursement is available, the level of reimbursement. In addition,
many pharmaceutical manufacturers must calculate and report certain price reporting
metrics to the government, such as average sales price and best price. Penalties may
apply in some cases when such metrics are not submitted accurately and timely. Further,
these prices for drugs may be reduced by mandatory discounts or rebates required by
government healthcare programs. Adoption of price controls and cost-containment
measures, and adoption of more restrictive policies in jurisdictions with existing controls
and measures, could further limit our potential revenue from the sale of any products
for which we may obtain approval. Coverage policies and third-party reimbursement
rates may change at any time. Even if favorable coverage and reimbursement status
is attained for one or more of our products for which we or our collaborators receive
marketing approval, less favorable coverage policies and reimbursement rates may be
implemented in the future. Obtaining and maintaining reimbursement status is time-
consuming and costly.
In the EU, pricing and reimbursement schemes vary widely from country to country.
Some countries provide that products may be marketed only after a reimbursement
price has been agreed. Some countries may require the completion of additional studies
that compare the cost-effectiveness of a particular product candidate to currently
available therapies (so called health technology assessments) in order to obtain reim-
bursement or pricing approval. For example, the EU provides options for its Member
States to restrict the range of products for which their national health insurance systems
provide reimbursement and to control the prices of medicinal products for human use.
EU Member States may approve a specific price for a product or may instead adopt
a system of direct or indirect controls on the profitability of the company placing the
product on the market. Other Member States allow companies to fix their own prices
for products but monitor and control prescription volumes and issue guidance to
physicians to limit prescriptions. Recently, many countries in the EU have increased the
amount of discounts required on pharmaceuticals and these efforts could continue as
countries attempt to manage healthcare expenditures, especially in light of the severe
fiscal and debt crises experienced by many countries in the EU. The downward pressure
on healthcare costs in general, particularly prescription products, has become intense.
As a result, increasingly high barriers are being erected to the entry of new products.
Political, economic and regulatory developments may further complicate pricing nego-
tiations, and pricing negotiations may continue after reimbursement has been obtained.
Reference pricing used by various EU Member States and parallel trade (arbitrage
between low-priced and high-priced Member States) can further reduce prices. Special
pricing and reimbursement rules may apply to orphan drugs. Inclusion of orphan drugs
in reimbursement systems tend to focus on the medical usefulness, need, quality and
economic benefits to patients and the healthcare system as for any drug. Acceptance
of any medicinal product for reimbursement may come with cost, use and often
volume restrictions, which again can vary by country. In addition, results-based rules of
reimbursement may apply. There can be no assurance that any country that has price
controls or reimbursement limitations for pharmaceutical products will allow favorable
reimbursement and pricing arrangements for any of our products, if approved in those
countries. Historically, products launched in the EU do not follow price structures of the
U.S. and generally prices tend to be significantly lower.
Outside the U.S., international operations are generally subject to extensive governmen-
tal price controls and other market regulations, and we believe the increasing emphasis
on cost-containment initiatives in Europe, Canada and other countries has and will
continue to put pressure on the pricing and usage of our product candidates. In many
countries, the prices of medical products are subject to varying price control mecha-
nisms as part of national health systems. Other countries allow companies to fix their
own prices for medical products but monitor and control company profits. Additional
foreign price controls or other changes in pricing regulation could restrict the amount
that we are able to charge for our product candidates. Accordingly, in markets outside
the U.S., the reimbursement for our products may be reduced compared with the U.S.
and may be insufficient to generate commercially reasonable revenue and profits.
The delivery of healthcare in the EU, including the establishment and operation of
health services and the pricing and reimbursement of medicines, is almost exclusively
a matter for national, rather than EU, law and policy. National governments and health
service providers have different priorities and approaches to the delivery of healthcare
and the pricing and reimbursement of products in that context. In general, however, the
healthcare budgetary constraints in most EU Member States have resulted in restrictions
on the pricing and reimbursement of medicines by relevant health service providers.
Coupled with ever-increasing EU and national regulatory burdens on those wishing to
develop and market products, this could prevent or delay marketing approval of our
product candidates, restrict or regulate post-approval activities and affect our ability to
commercialize any products for which we obtain marketing approval.
1.9.5
Government Pricing and Reimbursement
Programs for Marketed Drugs in the U.S.
Medicaid, the 340B Drug Pricing Program, and Medicare
Federal law requires that a pharmaceutical manufacturer, as a condition of having its
products receive federal reimbursement under Medicaid and Medicare Part B, must pay
rebates to state Medicaid programs for all units of its covered outpatient drugs dispen-
sed to Medicaid beneficiaries and paid for by a state Medicaid program under either
a fee-for-service arrangement or through a managed care organization. This federal
requirement is effectuated through a Medicaid drug rebate agreement between the ma-
nufacturer and the Secretary of U.S. Department of Health and Human Services (
HHS
).
The Centers for Medicare & Medicaid Services (
CMS
) administers the Medicaid drug
rebate agreements, which provide, among other things, that the drug manufacturer will
pay rebates to each state Medicaid agency on a quarterly basis and report certain price
information on a monthly and quarterly basis. The rebates are based on prices reported
to CMS by manufacturers for their covered outpatient drugs. For non-innovator pro-
ducts, generally generic drugs marketed under abbreviated NDAs, the rebate amount is
13% of the average manufacturer price (
AMP
) for the quarter. The AMP is the weighted
average of prices paid to the manufacturer (1) directly by retail community pharmacies
and (2) by wholesalers for drugs distributed to retail community pharmacies. For inno-
vator products (i.e., drugs that are marketed under NDAs or BLAs), the rebate amount
is the greater of 23.1% of the AMP for the quarter or the difference between such AMP
and the best price for that same quarter. The best price is essentially the lowest price
available to non-governmental entities. Innovator products may also be subject to an
additional rebate that is based on the amount, if any, by which the product’s AMP for a
given quarter exceeds the inflation-adjusted baseline AMP, which for most drugs is the
AMP for the first full quarter after launch. Since 2017, non-innovator products are also
subject to an additional rebate. To date, the rebate amount for a drug has been capped
at 100% of the AMP; however, effective January 1, 2024, this cap will be eliminated,
which means that a manufacturer could pay a rebate amount on a unit of the drug that
is greater than the average price the manufacturer receives for the drug.
The terms of participation in the Medicaid drug rebate program impose an obligation
to correct the prices reported in previous quarters, as may be necessary. Any such cor-
rections could result in additional or lesser rebate liability, depending on the direction
of the correction. In addition to retroactive rebates, if a manufacturer were found to
have knowingly submitted false information to the government, federal law provides for
civil monetary penalties for failing to provide required information, late submission of
required information, and false information.
A manufacturer must also participate in a federal program known as the 340B drug
pricing program in order for federal funds to be available to pay for the manufacturer’s
drugs under Medicaid and Medicare Part B. Under this program, the participating
manufacturer agrees to charge certain safety net healthcare providers no more than an
established discounted price for its covered outpatient drugs. The formula for determin-
ing the discounted price is defined by statute and is based on the AMP and the unit
rebate amount as calculated under the Medicaid drug rebate program, discussed above.
Manufacturers are required to report pricing information to the Health Resources and
Services Administration (
HRSA
) on a quarterly basis. HRSA has also issued regulations
relating to the calculation of the ceiling price as well as imposition of civil monetary
penalties for each instance of knowingly and intentionally overcharging a 340B covered
entity.
Federal law also requires that manufacturers report data on a quarterly basis to CMS
regarding the pricing of drugs that are separately reimbursable under Medicare Part B.
These are generally drugs, such as injectable products, that are administered incident
to a physician service and are not generally self-administered. The pricing information
submitted by manufacturers is the basis for reimbursement to physicians and suppliers
for drugs covered under Medicare Part B. As with the Medicaid drug rebate program,
federal law provides for civil monetary penalties for failing to provide required informa-
tion, late submission of required information, and false information.
Recently, the Infrastructure Investment and Jobs Act, effective January 1, 2023, added
a requirement for manufacturers of certain single-source drugs (including biologics
and biosimilars) separately paid for under Medicare Part B for at least 18 months and
marketed in single-dose containers or packages (known as refundable single-dose con-
tainers or single-use package drugs) to provide annual refunds if those portions of the
dispensed drug that are unused and discarded exceed an applicable percentage defined
by statute or regulation. Manufacturers will be subject to periodic audits and those that
fail to pay refunds for their refundable single-dose containers or single-use package
drugs shall be subject to civil monetary penalties.
Medicare Part D provides prescription drug benefits for seniors and people with disa-
bilities. Medicare Part D enrollees once had a gap in their coverage (between the initial
coverage limit and the point at which catastrophic coverage begins) where Medicare did
not cover their prescription drug costs, known as the coverage gap. However, beginning
in 2019, Medicare Part D enrollees paid 25% of brand drug costs after they reached
the initial coverage limit – the same percentage they were responsible for before they
reached that limit – thereby closing the coverage gap from the enrollee’s point of view.
Most of the cost of closing the coverage gap is being borne by innovator companies and
the government through subsidies. Each manufacturer of drugs approved under NDAs or
BLAs is required to enter into a Medicare Part D coverage gap discount agreement and
provide a 70% discount on those drugs dispensed to Medicare Part D enrollees in the
coverage gap, in order for its drugs to be reimbursed by Medicare Part D. Beginning in
2025, the Inflation Reduction Act (
IRA
) eliminates the coverage gap under Medicare Part
D by significantly lowering the enrollee maximum out-of-pocket cost and requiring ma-
nufacturers to subsidize, through a newly established manufacturer discount program,
10% of Part D enrollees’ prescription costs for brand drugs below the out-of-pocket
maximum, and 20% once the out-of-pocket maximum has been reached. Although these
discounts represent a lower percentage of enrollees’ costs than the current discounts
required below the out-of-pocket maximum (that is, in the coverage gap phase of Part
D coverage), the new manufacturer contribution required above the out-of-pocket ma-
ximum could be considerable for very high-cost patients and the total contributions by
manufacturers to a Part D enrollee’s drug expenses may exceed those currently provided.
The IRA will also allow HHS to negotiate the selling price of certain drugs and biologics
that CMS reimburses under Medicare Part B and Part D, although only high-expenditure
single-source biologics that have been approved for at least 11 years (7 years for drugs)
can be selected by CMS for negotiation, with the negotiated price taking effect two
years after the selection year. The negotiated prices, which will first become effective in
2026, will be capped at a statutory ceiling price. Beginning in October 2022 for Medicare
Part D and January 2023 for Medicare Part B, the IRA will also penalize drug manufactu-
rers that increase prices of Medicare Part D and Part B drugs at a rate greater than the
rate of inflation.
U.S. Federal Contracting and Pricing Requirements
Manufacturers are also required to make their covered drugs, which are generally drugs
approved under NDAs or BLAs, available to authorized users of the Federal Supply Sche-
dule (
FSS
) of the General Services Administration. The law also requires manufacturers
to offer deeply discounted FSS contract pricing for purchases of their covered drugs
by the Department of Veterans Affairs, the Department of Defense, the Coast Guard,
and the Public Health Service (including the Indian Health Service) in order for federal
funding to be available for reimbursement or purchase of the manufacturer’s drugs
under certain federal programs. FSS pricing to those four federal agencies for covered
drugs must be no more than the Federal Ceiling Price (
FCP
), which is at least 24% below
the Non-Federal Average Manufacturer Price (
Non-FAMP
) for the prior year. The Non-
FAMP is the average price for covered drugs sold to wholesalers or other middlemen,
net of any price reductions.
The accuracy of a manufacturer’s reported Non-FAMPs, FCPs, or FSS contract prices may
be audited by the government. Among the remedies available to the government for
inaccuracies is recoupment of any overcharges to the four specified federal agencies
based on those inaccuracies. If a manufacturer were found to have knowingly reported
false prices, in addition to other penalties available to the government, the law provides
for significant civil monetary penalties per incorrect item. Finally, manufacturers are
required to disclose in FSS contract proposals all commercial pricing that is equal to
or less than the proposed FSS pricing, and subsequent to award of an FSS contract,
manufacturers are required to monitor certain commercial price reductions and extend
commensurate price reductions to the government, under the terms of the FSS contract
Price Reductions Clause. Among the remedies available to the government for any
failure to properly disclose commercial pricing and/or to extend FSS contract price
reductions is recoupment of any FSS overcharges that may result from such omissions.
1.9.6
Healthcare Law and Regulation
Healthcare providers and third-party payors play a primary role in the recommendation
and prescription of pharmaceutical products that are granted marketing approval. Our
current and future arrangements with providers, researchers, consultants, third-party
payors and customers are subject to broadly applicable federal and state fraud and
abuse, anti-kickback, false claims, transparency and patient privacy laws and regulations
and other healthcare laws and regulations that may constrain our business and/or
financial arrangements. Restrictions under applicable federal and state healthcare laws
and regulations include, without limitation, the following:
•
the U.S. federal Anti-Kickback Statute (
AKS
) prohibits, among other things, persons
and entities from knowingly and willfully soliciting, receiving, offering, or paying
remuneration, directly or indirectly, in cash or in kind, to induce or reward either
the referral of an individual for, or the purchase, order or recommendation of, any
good or service, for which payment may be made, in whole or in part, under a
federal healthcare program such as Medicare and Medicaid. This statute has been
interpreted to apply to arrangements between pharmaceutical manufacturers
on the one hand and prescribers, purchasers and formulary managers on the
other. A person or entity can be found guilty of violating the AKS without actual
knowledge of the statute or specific intent to violate it. In addition, the government
may assert that a claim including items or services resulting from a violation of
the AKS constitutes a false or fraudulent claim for purposes of the federal False
Claims Act or federal civil money penalties statute. Violations of the AKS carry
potentially significant civil and criminal penalties, including imprisonment, fines,
administrative civil monetary penalties, and exclusion from participation in federal
healthcare programs. On December 2, 2020, the Office of Inspector General (
OIG
)
published further modifications to the AKS. Under the final rules, OIG added safe
harbor protections under the AKS for certain coordinated care and value-based
arrangements among clinicians, providers, and others. This rule (with exceptions)
became effective January 19, 2021. We continue to evaluate what effect, if any, the
rule will have on our business;
•
the U.S. federal false claims and civil monetary penalties laws, including the civil
False Claims Act and federal civil monetary penalty laws, which, among other things,
impose criminal and civil penalties, including through civil whistleblower or qui
tam actions, against individuals or entities for knowingly presenting, or causing to
be presented, to the U.S. federal government, claims for payment or approval that
are false or fraudulent, knowingly making, using or causing to be made or used,
a false record or statement material to a false or fraudulent claim or obligation
to pay or transmit money to the federal government, or from knowingly making
a false statement to avoid, decrease or conceal an obligation to pay money to
the U.S. federal government. In addition, the government may assert that a claim
including items and services resulting from a violation of the AKS constitutes a
false or fraudulent claim for purposes of the False Claims Act. Manufacturers can
be held liable under the False Claims Act even when they do not submit claims
directly to government payors if they are deemed to “cause” the submission of false
or fraudulent claims. The False Claims Act also permits a private individual acting
as a “whistleblower” to bring qui tam actions on behalf of the federal government
alleging violations of the False Claims Act and to share in any monetary recovery.
When an entity is determined to have violated the federal civil False Claims Act, the
government may impose civil fines and penalties for each false claim, plus treble
damages, and exclude the entity from participation in Medicare, Medicaid and other
federal healthcare programs;
•
the U.S. federal Health Insurance Portability and Accountability Act of 1996 (
HIPAA
)
which imposes criminal and civil liability for, among other things, knowingly and
willfully executing, or attempting to execute, a scheme to defraud any healthcare
benefit program, or obtaining by means of false or fraudulent pretenses,
representations, or promises, any of the money or property owned by, or under
the custody or control of, any healthcare benefit program, regardless of the pay
(e.g., public or private) or knowingly and willfully falsifying, concealing or covering
up a material fact or making any materially false statement, in connection with
the delivery of, or payment for, healthcare benefits, items or services relating to
healthcare matters; similar to the AKS, a person or entity does not need to have
actual knowledge of the statute or specific intent to violate it in order to have
committed a violation;
•
HIPAA, as amended by the Health Information Technology for Economic and Clinical
Health Act of 2009 (
HITECH
) and its implementing regulations, and as amended
again by the Omnibus Rule in 2013, which imposes certain obligations, including
mandatory contractual terms, with respect to safeguarding the privacy, security
and transmission of individually identifiable health information without appropriate
authorization by covered entities subject to the Final HIPAA Omnibus Rule, i.e.,
certain covered health plans, healthcare clearinghouses and healthcare providers,
as well as their business associates, those independent contractors or agents of
covered entities that perform certain services for or on their behalf involving the use
or disclosure of individually identifiable health information. HITECH also created new
tiers of civil monetary penalties, amended HIPAA to make civil and criminal penalties
directly applicable to business associates and possibly other persons, and gave state
attorneys general new authority to file civil actions for damages or injunctions in
federal courts to enforce the federal HIPAA laws and seek attorneys’ fees and costs
associated with pursuing federal civil actions;
•
the federal transparency requirements known as the federal Physician Payments
Sunshine Act, under the Patient Protection and Affordable Care Act, as amended
by the Health Care and Education Reconciliation Act of 2010 (collectively, the
ACA
),
which requires certain manufacturers of drugs, devices, biologics and medical
supplies to report annually to CMS information related to payments and other
transfers of value made by that entity to physicians (currently defined to include
doctors, dentists, optometrists, podiatrists and chiropractors), certain non-physician
providers such as physician assistants and nurse practitioners and teaching
hospitals, as well as ownership and investment interests held by physicians and their
immediate family members. Failure to submit required information may result in civil
monetary penalties for all payments, transfers of value or ownership or investment
interests that are not timely, accurately, and completely reported in an annual
submission;
•
federal government price reporting laws, which require us to calculate and report
complex pricing metrics in an accurate and timely manner to government programs;
•
federal consumer protection and unfair competition laws, which broadly regulate
marketplace activities and activities that potentially harm consumers;
•
analogous state laws and regulations, including: state anti-kickback and false
claims laws, which may apply to our business practices, including, but not limited
to, research, distribution, sales and marketing arrangements and claims involving
healthcare items or services reimbursed by any third party payor, including
commercial insurers; state laws that require pharmaceutical companies to comply
with the pharmaceutical industry’s voluntary compliance guidelines and the
relevant compliance guidance promulgated by the U.S. federal government, or
otherwise restrict payments that may be made to healthcare providers and other
potential referral sources; state and local laws that require the licensure of sales
representatives; state laws that require drug manufacturers to report information
related to payments and other transfers of value to physicians and other healthcare
providers or marketing expenditures and pricing information; state laws governing
the privacy and security of health information in certain circumstances, many of
which differ from each other in significant ways and may not have the same effect;
and state laws related to insurance fraud in the case of claims involving private
insurers; and
•
EU, UK and other foreign law equivalents, including reporting requirements detailing
interactions with and payments to healthcare providers and data privacy and security
laws and regulations that may be more stringent than those in the U.S.
Some state laws require pharmaceutical companies to comply with the April 2003
Office of Inspector General Compliance Program Guidance for Pharmaceutical Manu-
facturers and/or the Pharmaceutical Research and Manufacturers of America’s Code on
Interactions with Healthcare Professionals, in addition to requiring pharmaceutical
manufacturers to report information related to payments to physicians and other
healthcare providers or marketing expenditures. Several states also impose other
marketing restrictions or require pharmaceutical companies to make marketing or price
disclosures to the state and require the registration of pharmaceutical sales representa-
tives State and foreign laws, including for example the EU General Data Protection
Regulation, which became effective May 2018, also govern the privacy and security
of health information in some circumstances, many of which differ from each other in
significant ways and often are not preempted by HIPAA, thus complicating compliance
efforts. There are ambiguities as to what is required to comply with these state
requirements and if we fail to comply with an applicable state law requirement,
we could be subject to penalties.
We have and will continue to spend substantial time and money to ensure that our
business arrangements with third parties comply with applicable healthcare laws and
regulations. Recent healthcare reform legislation has strengthened these federal and
state healthcare laws. Because of the breadth of these laws and the narrowness of the
statutory exceptions and safe harbors available, it is possible that some of our business
activities could be subject to challenge under one or more of such laws.
Other laws that may affect our ability to operate include:
•
the anti-inducement law prohibits, among other things, the offering or giving of
remuneration, which includes, without limitation, any transfer of items or services
for free or for less than fair market value (with limited exceptions), to a Medicare or
Medicaid beneficiary that the person know or should know is likely to influence the
beneficiary’s selection of a particular supplier of items or services reimbursable by a
federal or state governmental program; and
•
European and other foreign law equivalents of each of the laws, including reporting
requirements detailing interactions with and payments to healthcare providers.
In the U.S., to help patients afford our approved product, we may utilize programs to
assist them, including patient assistance programs and co-pay coupon programs for
eligible patients. Government enforcement agencies have shown increased interest in
pharmaceutical companies’ product and patient assistance programs, including reim-
bursement support services, and a number of investigations into these programs have
resulted in significant civil and criminal settlements. In addition, at least one insurer has
directed its network pharmacies to no longer accept co-pay coupons for certain specialty
drugs the insurer identified. Our co-pay coupon programs could become the target of
similar insurer actions. In addition, in November 2013, the CMS issued guidance to the
issuers of qualified health plans sold through the ACA’s marketplaces encouraging such
plans to reject patient cost-sharing support from third parties and indicating that the
CMS intends to monitor the provision of such support and may take regulatory action
to limit it in the future. The CMS subsequently issued a rule requiring individual market
qualified health plans to accept third-party premium and cost-sharing payments from
certain government-related entities. In September 2014, the OIG of the HHS issued a
Special Advisory Bulletin warning manufacturers that they may be subject to sanctions
under the AKS and/or civil monetary penalty laws if they do not take appropriate steps
to exclude Part D beneficiaries from using co-pay coupons. Accordingly, companies
exclude these Part D beneficiaries from using co-pay coupons. It is possible that changes
in insurer policies regarding co-pay coupons and/or the introduction and enactment of
new legislation or regulatory action could restrict or otherwise negatively affect these
patient support programs, which could result in fewer patients using affected products,
and therefore could have a material adverse effect on our sales, business, and financial
condition.
Third party patient assistance programs that receive financial support from companies
have become the subject of enhanced government and regulatory scrutiny. The OIG has
established guidelines that suggest that it is lawful for pharmaceutical manufacturers to
make donations to charitable organizations who provide co-pay assistance to Medicare
patients, provided that such organizations, among other things, are bona fide charities,
are entirely independent of and not controlled by the manufacturer, provide aid to
applicants on a first-come basis according to consistent financial criteria and do not link
aid to use of a donor’s product. However, donations to patient assistance programs have
received some negative publicity and have been the subject of multiple government
enforcement actions, related to allegations regarding their use to promote branded
pharmaceutical products over other less costly alternatives. Specifically, in recent years,
there have been multiple settlements resulting out of government claims challenging
the legality of their patient assistance programs under a variety of federal and state
laws. It is possible that we may make grants to independent charitable foundations that
help financially needy patients with their premium, co-pay, and co-insurance obligations.
If we choose to do so, and if we or our vendors or donation recipients are deemed to
fail to comply with relevant laws, regulations or evolving government guidance in the
operation of these programs, we could be subject to damages, fines, penalties, or other
criminal, civil, or administrative sanctions or enforcement actions. We cannot ensure
that our compliance controls, policies, and procedures will be sufficient to protect
against acts of our employees, business partners, or vendors that may violate the laws
or regulations of the jurisdictions in which we operate. Regardless of whether we have
complied with the law, a government investigation could impact our business practices,
harm our reputation, divert the attention of management, increase our expenses, and
reduce the availability of foundation support for our patients who need assistance.
On December 2, 2020, the HHS published a regulation removing safe harbor protection
for price reductions from pharmaceutical manufacturers to plan sponsors under Part
D, either directly or through pharmacy benefit managers (
PBMs
), unless the price
reduction is required by law. The rule also creates a new safe harbor for price reductions
reflected at the point-of-sale, as well as a safe harbor for certain fixed fee arrangements
between PBMs and manufacturers. Implementation of this change and new safe harbors
for point-of-sale reductions in price for prescription pharmaceutical products and PBM
service fees has been delayed until January 1, 2032. Further, on December 31, 2020,
CMS published a new rule, effective January 1, 2023, requiring manufacturers to ensure
the full value of co-pay assistance is passed on to the patient or these dollars will count
toward the AMP and Best Price calculation of the drug. On May 21, 2021, PhRMA sued
the HHS in the U.S. District Court for the District of Columbia, to stop the implemen-
tation of the rule claiming that the rule contradicts federal law surrounding Medicaid
rebates, and on May 17, 2022, the court vacated the rule.
Violations of these laws can subject us to criminal, civil and administrative sanctions
including monetary penalties, damages, fines, disgorgement, individual imprisonment
and exclusion from participation in government funded healthcare programs, such as
Medicare and Medicaid, additional reporting requirements and oversight if we become
subject to a corporate integrity agreement or similar agreement to resolve allegations
of non-compliance with these laws, reputational harm, and we may be required to
curtail or restructure our operations. Moreover, we expect that there will continue to be
federal and state laws and regulations, proposed and implemented, that could impact
our future operations and business.
Because of the breadth of these laws and the narrowness of the statutory exceptions
and safe harbors available, it is possible that some of our business activities could
be subject to challenge under one or more of such laws. Ensuring that our internal
operations and future business arrangements with third parties comply with applicable
healthcare laws and regulations will involve substantial costs. It is possible that govern-
mental authorities will conclude that our business practices do not comply with current
or future statutes, regulations, agency guidance or case law involving applicable fraud
and abuse or other healthcare laws and regulations. If our operations are found to be
in violation of any of the laws described above or any other governmental laws and
regulations that may apply to us, we may be subject to significant penalties, including
administrative, civil and criminal penalties, damages, fines, disgorgement, the exclusion
from participation in federal and state healthcare programs, individual imprisonment,
reputational harm, and the curtailment or restructuring of our operations, as well as ad-
ditional reporting obligations and oversight if we become subject to a corporate integrity
agreement or other agreement to resolve allegations of non-compliance with these
laws. Further, defending against any such actions can be costly and time-consuming,
and may require significant financial and personnel resources. Therefore, even if we are
successful in defending against any such actions that may be brought against us, our
business may be impaired. If any of the physicians or other providers or entities with
whom we expect to do business are found to not be in compliance with applicable laws,
they may be subject to criminal, civil or administrative sanctions, including exclusions
from government funded healthcare programs and imprisonment. If any of the above
occur, our ability to operate our business and our results of operations could be adver-
sely affected.
1.9.7
Healthcare Reform
In the U.S., the EU and other foreign jurisdictions, there have been a number of
legislative and regulatory changes to the healthcare systems that could affect our future
results of operations. In particular, there have been and continue to be a number of
initiatives at the U.S. federal and state levels that seek to reduce healthcare costs and
improve the quality of healthcare. For example, in March 2010, the ACA entered into
force. The ACA is a sweeping law intended to broaden access to health insurance,
reduce or constrain the growth of healthcare spending, enhance remedies against fraud
and abuse, add new transparency requirements for the healthcare and health insurance
industries, impose new taxes and fees on the health industry and impose additional
health policy reforms.
Healthcare reforms that have been adopted, and that may be adopted in the future,
could result in further reductions in coverage and levels of reimbursement for pharma-
ceutical products, increases in rebates payable under U.S. government rebate programs
and additional downward pressure on pharmaceutical product prices. On September 9,
2021, the Biden administration published a wide-ranging list of policy proposals, most
of which would need to be carried out by Congress, to reduce drug prices and drug
payment. The HHS plan includes, among other reform measures, proposals to lower
prescription drug prices, including by allowing Medicare to negotiate prices and disin-
centivize price increases, and to support market changes that strengthen supply chains,
promote biosimilars and generic drugs, and increase price transparency. As discussed
above, these initiatives recently culminated in the enactment of the IRA in August
2022, which will, among other things, allow HHS to negotiate the selling price of certain
drugs and biologics that CMS reimburses under Medicare Part B and Part D, although
only high-expenditure single-source drugs that have been approved for at least 7 years
(11 years for biologics) can be selected by CMS for negotiation, with the negotiated
price taking effect two years after the selection year. The negotiated prices, which will
first become effective in 2026, will be capped at a statutory ceiling price. Beginning in
January 2023 for Medicare Part B and October 2022 for Medicare Part D, the IRA will
also penalize drug manufacturers that increase prices of Medicare Part B and Part D
drugs at a rate greater than the rate of inflation. The IRA permits the Secretary of HHS to
implement many of these provisions through guidance, as opposed to regulation, for the
initial years. Manufacturers that fail to comply with the IRA may be subject to various
penalties, including civil monetary penalties. The IRA also extends enhanced subsidies
for individuals purchasing health insurance coverage in ACA marketplaces through plan
year 2025. These provisions will take effect progressively starting in 2023, although they
may be subject to legal challenges.
We expect that additional U.S. federal healthcare reform measures will be adopted in
the future, any of which could limit the amounts that the U.S. federal government will
pay for healthcare products and services, which could result in reduced demand for our
product candidates or additional pricing pressures.
Further, legislative and regulatory proposals have been made to expand post-approval
requirements and restrict sales and promotional activities for pharmaceutical products.
We cannot be sure whether additional legislative changes will be enacted, or whether
FDA regulations, guidance or interpretations will be changed, or what the impact of
such changes on the marketing approvals, if any, of our product candidates, may be.
In addition, increased scrutiny by the U.S. Congress of the FDA’s approval process may
significantly delay or prevent marketing approval, as well as subject us to more stringent
product labeling and post-marketing conditions and other requirements.
Individual states in the U.S. have also become increasingly aggressive in passing
legislation and implementing regulations designed to control pharmaceutical and bio-
logical product pricing, including price or patient reimbursement constraints, discounts,
restrictions on certain product access and marketing cost disclosure and transparency
measures, and, in some cases, designed to encourage importation from other countries
and bulk purchasing. Legally mandated price controls on payment amounts by third-
party payors or other restrictions could harm our business, results of operations, finan-
cial condition and prospects. In addition, regional healthcare authorities and individual
hospitals are increasingly using bidding procedures to determine what pharmaceutical
products and which suppliers will be included in their prescription drug and other
healthcare programs. This could reduce the ultimate demand for our products or put
pressure on our product pricing, which could negatively affect our business, results of
operations, financial condition and prospects.
In the EU, similar political, economic and regulatory developments may affect our ability
to profitably commercialize our current or any future products. In addition to continuing
pressure on prices and cost containment measures, legislative developments at the EU
or member state level may result in significant additional requirements or obstacles
that may increase our operating costs. The delivery of healthcare in the EU, including
the establishment and operation of health services and the pricing and reimbursement
of medicines, is almost exclusively a matter for national, rather than EU, law and
policy. National governments and health service providers have different priorities
and approaches to the delivery of health care and the pricing and reimbursement of
products in that context. In general, however, the healthcare budgetary constraints in
most EU Member States have resulted in restrictions on the pricing and reimbursement
of medicines by relevant health service providers. Coupled with ever-increasing EU and
national regulatory burdens on those wishing to develop and market products, this
could prevent or delay marketing approval of our product candidates, restrict or regulate
post-approval activities and affect our ability to commercialize any products for which
we obtain marketing approval. In international markets, reimbursement and healthcare
payment systems vary significantly by country, and many countries have instituted price
ceilings on specific products and therapies.
We cannot predict the likelihood, nature or extent of government regulation that may
arise from future legislation or administrative action, either in the U.S. or abroad. If we
or our collaborators are slow or unable to adapt to changes in existing requirements or
the adoption of new requirements or policies, or if we or our collaborators are not able
to maintain regulatory compliance, our product candidates may lose any regulatory
approval that may have been obtained and we may not achieve or sustain profitability,
which would adversely affect our business.
1.9.8
Environmental Issues which may
Influence the Use of our Material
Fixed Assets
Our primary research and development activities take place in our facilities in Zwij-
naarde, Belgium. For these activities we require, and have obtained, the necessary
environmental and biohazard permits from the responsible governments, required by us
for the manner in which we use said facilities.
2
Risk Factors
2.1
Risk Factors Related to argenx’s Financial Position
and Need for Additional Capital
108
2.2
Risk Factors Related to Commercialization of
argenx’s Products and Product Candidates,
Including for New Indications
111
2.3
Risk Factors Related to Other Government Regulations
121
2.4
Risk Factors Related to the Development and Clinical
Testing of argenx’s Products and Product Candidates
127
2.5
Risk Factors Related to argenx’s Dependence
on Third Parties
134
2.6
Risk Factors Related to argenx’s Business and Industry
139
2.7
Risk Factors Related to argenx’s Intellectual Property
143
2.8
Risk Factors Related to argenx’s Organization
and Operations
150
2
Risk Factors
The occurrence of any of the events or circumstances described
in these risk factors, individually or together with other
circumstances, could have a material adverse effect on the
business, results of operations, financial condition and prospects
of argenx. These are not the only risks argenx faces. Additional
risks and uncertainties not presently known to argenx or that it
currently considers immaterial or not specific may also impair its
business, results of operation and financial condition.
2.1
Risk Factors Related to
argenx’s Financial Position
and Need for Additional Capital
2.1.1
We have Incurred Significant Losses Since
our Inception and Expect to Incur Losses
for the Foreseeable Future. We may Never
Achieve or Sustain Profitability.
Since our inception, we have incurred significant operating losses, totaling $2,109.8 million
of cumulative losses. To date we have commercialized VYVGART for the treatment of
gMG in the VYVGART Approved Countries (see section
1.1.1
above). We do not currently
have any marketing approvals for any other product candidates or VYVGART in other
indications. Our losses resulted principally from costs incurred in research and develop-
ment, preclinical testing and clinical development of our research programs, and from
general and administrative costs associated with our operations. We intend to continue
to conduct research and development, preclinical testing, clinical trials and regulatory
compliance activities as well as the continued commercialization of VYVGART and other
products candidates, for current and future indications, and we intend to continue our
efforts to expand our sales, marketing and distribution infrastructure. These expenses,
together with anticipated general and administrative expenses, may result in incurring
further significant losses for the foreseeable future. We anticipate that our expenses will
increase substantially if and as we execute our strategic objectives and as we experience
delays or encounter issues relating thereto, including failed clinical trials, ambiguous
clinical trial results, safety issues or other regulatory challenges.
Although we have generated revenue of $400.7 million from global product net sales
of VYVGART in fiscal year 2022, we can provide no assurances that we will be able to
achieve or sustain profitability based on sales in that indication alone or that we will be
able to receive regulatory approval of and commercialize VYVGART in other indications
or in other countries. To become and remain profitable, we must succeed in developing
and commercializing products that generate significant revenue. This will require us to
be successful in a range of challenging activities, including completing preclinical testing
and clinical trials of our products and our product candidates, including new indications,
discovering and developing additional products and product candidates, including new
indications, obtaining regulatory approval for any product candidates that successfully
complete clinical trials, establishing manufacturing and marketing capabilities, obtaining
funding or reimbursement for our products, and ultimately selling products for which we
may obtain regulatory approval. We may never succeed in these activities and, even if
we do, may never generate revenue that is significant enough to achieve profitability.
2.1.2
We may Need to Raise Substantial
Additional Funding Which may not be
Available to us on Acceptable Terms
or at all.
Although we have significant positions of cash and cash equivalents of $800.7 million
and other current financial assets of $1,391.8 million as of December 31, 2022, our cash
burn increased significantly in 2022 as compared to 2021 and to previous fiscal years,
in part due to the commercial launches of VYVGART. We expect to sustain our current
cash burn in the near term as we continue to develop new products and new product
candidates, and to obtain regulatory approval of our products in additional jurisdictions.
Developing products and product candidates, including new indications, and conducting
clinical trials is time-intensive, expensive and risky. Our future capital requirements will
depend on many factors, including: (i) the success, cost and timing of our development
activities, preclinical testing and clinical trials for our product and product candidates,
(ii) the time and costs involved in obtaining regulatory approvals and any delays we may
encounter, including as we seek regulatory approval in additional jurisdictions or other
indications, (iii) commercialization, manufacturing, sales and marketing of products and
product candidates, (iv) securing adequate and uninterrupted supply chains, (v) the
costs involved in growing our organization to the size needed to allow for the research,
development and potential commercialization of our products or product candidates,
(vi) the costs involved in filing patent applications and maintaining and enforcing
patents or defending against claims or infringements raised by third parties, (vii) the
maintenance of our existing collaboration agreements and entry into new collaboration
agreements, and (viii) the amount of revenue, if any, we may derive either directly or in
the form of royalty payments from future sales of our products or product candidates,
if approved.
To finance our operations, we may need to raise additional capital through a combi-
nation of public or private equity or debt financings or other sources, which may include
collaborations with third parties. Our ability to raise additional funds on acceptable
terms or at all will depend on financial, economic and market conditions and other fac-
tors, over which we may have no or limited control. If we are unable to raise additional
capital if and when needed, or if the terms are not acceptable, our business strategy
could be impacted, and we may be forced to delay, reduce or terminate the one or
more of our research or development programs or the commercialization of any of our
products or product candidates, including new indications, or be unable to expand our
operations or otherwise capitalize on our business opportunities, all of which may have
a material adverse impact on our business, financial condition and results of operations.
2.1.3
Our Assets, Earnings and Cash Flows
and the Investment of our Cash and
Cash Equivalents may be Subject to Risks
Which may Cause Losses and Affect the
Liquidity of these Investments.
As of December 31, 2022, we had cash and cash equivalents and current financial assets
of $2,192.5 million compared to $2,336.7 million in December 31, 2021. We historically
have invested substantially all of our available cash and cash equivalents and current
financial assets in either current accounts, savings accounts, term accounts or highly
liquid money market funds, pending their use in our business. For example, we have
invested in USD denominated cash deposit accounts and in current financial assets
with a significant portion of the proceeds from our U.S. public offerings. Any future
investments may include term deposits, corporate bonds, commercial paper, certificates
of deposit, government securities and money market funds in accordance with our cash
management policy. These investments may be subject to general credit, liquidity, mar-
ket, inflation and interest rate risks and we may realize losses in the fair value of these
investments or a complete loss of these investments, which would have a negative
effect on our financial condition. The market risks associated with our cash flows
and investment portfolio may adversely affect our results of operations, liquidity and
financial condition.
Due to the international scope of our operations, our assets, earnings and cash flows are
influenced by movements in exchange rates of several currencies, particularly between
the U.S. dollar, our functional currency since January 1, 2021, and the euro, Swiss francs,
Japanese yen and British pounds. Our revenue from outside of the U.S. will increase as
our products, whether commercialized by us or our business partners or our collabo-
rators gain marketing approval in such jurisdictions. We do not have any exchange rate
hedging arrangements in place. Accordingly, if the U.S. dollar weakens against a specific
foreign currency, our revenues will increase, having a positive impact on net income, but
our overall expenses will increase, having a negative impact. Conversely, if the U.S. dollar
strengthens against a specific foreign currency, our revenues will decrease, having a
negative impact on net income, but our overall expenses will decrease, having a positive
impact. Continued volatility in foreign exchange rates is likely to impact our operating
results and financial condition.
2.2
Risk Factors Related to
Commercialization of
argenx’s Products and
Product Candidates,
Including for New Indications
2.2.1
We will Face Significant Challenges
in Successfully Commercializing our
Products and Additional Product
Candidates After they are Launched.
The commercialization of VYVGART in other indications or other approved product
candidates, or entrance of any of our products or product candidates into other markets
will require us to further expand our sales and marketing organization, enter into colla-
boration arrangements with third parties, outsource certain functions to third parties, or
use some combination of each. We have built, and continue to expand, our sales forces
in certain of the VYVGART Approved Countries and plan to further develop our sales
and marketing capabilities to promote our products, and product candidates, including
new indications, if and when marketing approval has been obtained in other relevant
jurisdictions.
Even if we successfully expand our sales and marketing capabilities, either on our own
or in collaboration with third parties, we may fail to launch or market our products
effectively. Recruiting and training a specialized sales force is expensive and the costs
of expanding an independent sales, marketing and/or promotion organization could
be greater than we anticipate. We could further encounter difficulties in our sales or
marketing, due to regulatory actions, shut-downs, work stoppages or strikes, approval
delays, withdrawals, recalls, penalties, supply disruptions, shortages or stock-outs at our
facilities or third-party facilities that we rely on, reputational harm, the impact to our
facilities due to pandemics or natural or man-made disasters, including as a result of
climate change, product liability, and/or unanticipated costs. In addition, recruiting and
training a sales force is time-consuming and could delay any product launch. In the event
that any such launch is delayed or does not occur for any reason, we would have prema-
turely or unnecessarily incurred these commercialization expenses, and our investment
would be lost if we cannot retain or reposition our sales and marketing personnel.
We have entered into distribution agreements with Medison, Zai Lab and Genpharm
to perform sales and marketing services in Israel and Central and Eastern Europe, the
PRC and the GCC, respectively. Under these agreements, our product revenues or the
profitability of these product revenues could be lower than if we were to market and
sell the products that we develop ourselves. Such distribution agreements may place the
commercialization of our products outside of our control, including over the amount or
timing of resources that our distribution partners devote to our products. Furthermore,
our distributors’ willingness or ability to comply with and complete their obligations
under our arrangements may be adversely affected by business combinations or signifi-
cant changes in our distributors’ business strategies. In addition, we may not succeed in
entering into arrangements with third parties to sell and market our products or may be
unable to do so on terms that are favorable to us.
2.2.2
The Commercial Success of our Products
and Product Candidates, Including in New
Indications or Methods of Administration,
will Depend on the Degree of Market
Acceptance.
Our products and product candidates, including for new indications or methods of
administration, if and when approved and available on the market, may never achieve
an adequate level of acceptance by physicians, patients, the medical community, or
healthcare payors for us to be profitable. This will depend on a number of factors, many
of which are beyond our control, including, but not limited to:
•
the efficacy and safety as demonstrated by clinical trials and subsequent prevalence
and severity of any side effects;
•
approval may be for indications, dosage and methods of administration or patient
populations that are not as broad as intended or desired;
•
changes in the standard of care for the targeted indications for any product and
product candidate;
•
availability of alternative approved therapies;
•
sales, marketing and distribution support;
•
labeling may require significant use or distribution restrictions or safety warnings;
•
potential product liability claims;
•
acceptance by physicians, patients and healthcare payors of each product as safe,
effective and cost-effective, and any subsequent changes thereof;
•
relative convenience, ease of use, including administration, perceived dosing
complexity and other perceived advantages over alternative and/or new products;
•
patient continued commitment required to receive periodic in-center infusions;
•
prevalence and severity of adverse events discovered before or after marketing
approval has been received;
•
consumer perceptions or publicity regarding the Company or the safety and quality
of our product and product candidates, clinical trials for new indications, or any
similar products distributed by other companies;
•
limitations, precautions or warnings listed in the summary of product characteristics,
patient information leaflet, wording of package labeling or instructions for use, and
any subsequent changes thereof;
•
the cost of treatment with our products in relation to alternative and/or new
treatments;
•
the extent to which products are approved for inclusion and reimbursed on
formularies of hospitals and managed care organizations, and any subsequent
changes thereof; and
•
whether our products are designated in the label, under physician treatment
guidelines or under reimbursement guidelines as a first-line, second-line, or third-line
last-line therapy, and any subsequent changes thereof.
In addition, because we are developing our products and product candidates for the
treatment of different indications, negative results in a clinical trial evaluating the
efficacy and safety of a product or product candidate for one indication could negatively
impact the perception of the efficacy and safety of such product or product candidate in
a different indication, which could have an adverse effect on our reputation, commercia-
lization efforts and financial condition.
Moreover, efforts to educate the medical community and third-party payors on the
benefits of our products may require significant resources and may never be successful.
If our product candidates or methods of use of existing products or new indications fail
to gain market acceptance, this will have a material adverse impact on our ability to
generate revenues. Even if some products achieve market acceptance, they may not be
able to retain market acceptance and/or the market may prove not to be large enough
to allow us to generate significant revenues.
2.2.3
We Face Significant Competition for our
Drug Discovery and Development Efforts.
The market for pharmaceutical products is highly competitive and characterized by
rapidly growing understanding of disease biology, quickly changing technologies, strong
intellectual property barriers to entry, and a multitude of companies involved in the
creation, development, and commercialization of novel therapeutics. Currently, our
only commercial revenue is generated by VYVGART in gMG. We face and expect to
continue to face intense competition from other biopharmaceutical companies, who
are developing products for the treatment of gMG and other autoimmune diseases,
including products that are in the same class as VYVGART, as well as products that are
similar to some of our product candidates. Competition for other (potential) future
indications is also fierce, with significant development in almost all of the indications we
are currently developing or planning to develop for our product or product candidates.
For example, we are aware of several FcRn inhibitors that are in clinical development.
Competitive product launches may erode future sales of our products, including our
existing products and those currently under development, or result in unanticipated
product obsolescence. Such launches continue to occur, and potentially competitive
products are in various stages of development. We could also face competition for use
of limited international infusion sites, particularly in new markets as competitors launch
new products. We cannot predict with accuracy the timing or impact of the introduction
of competitive products that treat diseases and conditions like those treated by our
products or product candidates. In addition, our competitors and potential competitors
compete with us in recruiting and retaining qualified scientific, clinical research and
development and management personnel, establishing clinical trial sites, registering
patients for clinical trials, as well as in acquiring technologies complementary to, or
necessary for, the development of our products.
There can be no assurance that our competitors are not currently developing, or will
not in the future develop, technologies and products that are equally or more effective,
are more economically attractive, and can be administered more easily than any of our
current or future technologies or products.
Competing products or technology platforms may gain faster or greater market accep-
tance than our products or technology platforms and medical advances or rapid techno-
logical development by competitors may result in our products and product candidates
or technology platforms becoming non-competitive or obsolete before we are able to
recover our research and development and commercialization expenses. If we, our pro-
ducts and product candidates or our technology platforms do not compete effectively, it
is likely to have a material adverse effect on our business, financial condition and results
of operation.
2.2.4
Our Products, Product Candidates and
new Indications for Which we have
Obtained or Intend to Seek Approval as
Biological Products, Including for New
Indications, may Face Competition Sooner
than Anticipated.
In the U.S., the BPCIA created an abbreviated approval pathway for biological products
that are biosimilar to or interchangeable with an FDA-licensed reference biological pro-
duct. Under the BPCIA, an application for a biosimilar product may not be submitted to
the FDA until four years following the date that the reference product was first licensed
by the FDA. In addition, the approval of a biosimilar product may not be made effective
by the FDA until twelve years from the date on which the reference product was first
licensed. During this twelve-year period of exclusivity, another company may still market
a competing version of the reference product if the FDA approves a full BLA for the com-
peting product containing the sponsor’s own preclinical data and data from adequate
and well-controlled clinical trials to demonstrate the safety, purity and potency of their
product. The law is complex and is still being interpreted and implemented by the FDA.
As a result, its ultimate impact, implementation and meaning are subject to uncertainty.
We believe that any of our product candidates approved as a biological product under
a BLA should qualify for the twelve-year period of exclusivity, as was the case with
VYVGART. However, there is a risk that this exclusivity could be shortened due to cong-
ressional action or otherwise, or that the FDA will not consider our product candidates
to be reference products for competing products, potentially creating the opportunity
for competition by biosimilar products sooner than anticipated. Moreover, an inter-
changeable biosimilar product, once approved, may be substituted under existing state
law for any one of our reference products in a way that is similar to traditional generic
substitution for non-biological products. Any non-interchangeable biosimilar products
may also be substituted by a healthcare provider but, under existing law, will not be
automatically substituted at the pharmacy. The extent of the impact of such substitution
will depend on a number of marketplace and regulatory factors that are still developing.
In the EU, biosimilars are evaluated for marketing authorization pursuant to a set of
general and product class-specific guidelines. In addition, in an effort to spur biosimilar
utilization and/or increase potential healthcare savings, some EU Member States
have adopted, or are considering the adoption of, biosimilar uptake measures such as
physician prescribing quotas or automatic pharmacy substitution of biosimilars for the
corresponding reference products. Some EU Member States impose automatic price
reductions upon market entry of one or more biosimilar competitors. While the degree
of competitive effects of biosimilar competition differs among EU Member States and
among products, the overall use of biosimilars and the rate at which product sales of
innovative products are being affected by biosimilar competition is increasing.
2.2.5
Enacted and Future Legislation could
Impact Demand for our Products Which
could Impact our Business and Future
Results of Operations.
In the U.S., the UK, the EU and other jurisdictions, there have been a number of
legislative and regulatory changes to the healthcare systems that could affect our
future results of operations. Governmental regulations that mandate price controls or
limitations on patient access to our products or establish prices paid by government
entities or programs for our products could impact our business, and our future results
of operations could be adversely affected by changes in such regulations or policies.
In particular, there have been and continue to be a number of initiatives at the U.S.
federal and state levels that seek to reduce healthcare costs in general and the cost of
pharmaceuticals in particular. Healthcare reform initiatives in the U.S. recently culmina-
ted in the enactment of IRA in August 2022, which, among other things, will allow HHS
to negotiate the selling price of certain drugs and biologics that the CMS reimburses
under Medicare Part B and Part D, although only high-expenditure single-source biolo-
gics that have been approved for at least 11 years (7 years for drugs) can be selected by
CMS for negotiation, with the negotiated price taking effect two years after the selection
year. The negotiated prices, which will first become effective in 2026, will be capped at
a statutory ceiling price. Beginning in October 2022 for Medicare Part D and January
2023 for Medicare Part B, the IRA also penalizes drug manufacturers that increase prices
of Medicare Part D and Part B drugs at a rate greater than the rate of inflation. The IRA
will also cap out-of-pocket spending for Medicare Part D enrollees and make other Part
D benefit design changes beginning in 2024. Beginning in 2025, the IRA eliminates the
coverage gap under Medicare Part D by significantly lowering the enrollee maximum
out-of-pocket cost to $2,000 and by requiring manufacturers to subsidize, through a
newly established manufacturer discount program, 10% of Part D enrollees’ prescription
costs for brand drugs below the out-of-pocket maximum, and 20% once the out-of-po-
cket maximum has been reached (plans will also be required to cover 20% in this case).
Although these discounts represent a lower percentage of enrollees’ costs than the
current discounts required below the out-of-pocket maximum (that is, in the coverage
gap phase of Part D coverage), the new manufacturer contribution required above the
out-of-pocket maximum could be considerable for very high-cost patients and the total
contributions by manufacturers to a Part D enrollee’s drug expenses may exceed those
currently provided. These Part D design changes may also incentivize Part D plans to
exclude certain drugs in their formularies, which could affect the supply, demand, and
pricing of our product and product candidates.
The IRA permits the Secretary of HHS to implement many of these provisions through
guidance, as opposed to regulation, for the initial years. Manufacturers that fail to com-
ply with IRA may be subject to various penalties, including civil monetary penalties. IRA
also extends enhanced subsidies for individuals purchasing health insurance coverage in
ACA marketplaces through plan year 2025. These provisions will take effect progressively
starting in 2023, although they may be subject to legal challenges. The full economic im-
pact of IRA is unknown at this time, but the law’s passage is likely to affect the pricing of
our products and product candidates. The adoption of restrictive price controls in new
jurisdictions, more restrictive controls in existing jurisdictions or the failure to obtain or
maintain timely or adequate pricing could also adversely impact revenue. We expect
pricing pressures will continue globally.
Further, at the U.S. state level, legislatures are increasingly enacting laws and imple-
menting regulations designed to control pharmaceutical and biological product pricing,
including price or reimbursement constraints, discount requirements, marketing cost
disclosure and price transparency reporting, and programs designed to encourage im-
portation from other countries and bulk purchasing. We expect that additional state and
federal healthcare reform measures will be adopted in the future, any of which could
limit the amounts that federal and state governments will pay for healthcare products
and services, including pharmaceuticals, which could result in reduced demand for our
products and product candidates or additional pricing pressures.
2.2.6
We are Subject to Government Pricing
Laws, Regulation and Enforcement.
These Laws Affect the Prices we may
Charge the Government for our Products
and the Reimbursement our Customers
may Obtain from the Government. Our
Failure to Comply with these Laws could
Harm our Results of Operations and
Financial Conditions.
In the U.S., we are required to participate in various government programs for our
products to be reimbursed or purchased by the federal government. We participate in
programs such as the Medicaid Drug Rebate Program, the 340B drug discount program,
Medicare Part B, Medicare Part D and the U.S. Department of Veterans Affairs Federal
Supply Schedule pricing program. The requirements vary by program, but among these
and any other programs in which we participate, we are, among other things, required
to enter into agreements with and calculate and report prices and other information to
certain government agencies, charge no more than statutorily mandated ceiling prices
and calculate and pay rebates and refunds for certain products.
The calculations are complex and are often subject to interpretation by us, govern-
mental agencies and the courts. If we determine that the prices we reported were in
error, we may be required to restate those prices and pay additional rebates or refunds
to the extent we understated the rebate or overcharged the government due to the
error. Additionally, there are penalties associated with submission of incorrect pricing
or other data. We may incur significant civil monetary penalties if we are found to have
knowingly submitted false prices or other information to the government, or to have
charged 340B covered entities more than the statutorily mandated ceiling price. Certain
failures to timely submit required data also could result in a civil monetary penalty for
each day the information is late. We could also become subject to allegations under the
False Claims Act and other laws and regulations. In addition, misreporting and failure
to timely report data to CMS also can be grounds for CMS to terminate our Medicaid
rebate agreement, pursuant to which we participate in the Medicaid Drug Rebate
Program. In the event that CMS terminates our rebate agreement, no federal payments
would be available under Medicaid or Medicare Part B for our covered outpatient drugs.
Recently enacted legislation in the U.S. has imposed additional rebates under govern-
ment programs. For example, under the American Rescue Plan Act of 2021, effective
January 1, 2024, the statutory cap on Medicaid Drug Rebate Program rebates that
manufacturers pay to state Medicaid programs will be eliminated. Elimination of this
cap may require pharmaceutical manufacturers to pay more in Medicaid rebates than
they receive on the sale of products for products that have undergone substantial price
increases. In addition, the Infrastructure Investment and Jobs Act, effective January 1,
2023, added a requirement for manufacturers of certain single-source drugs (including
biologics and biosimilars) separately paid for under Medicare Part B for at least
18 months and marketed in single-dose containers or packages (known as refundable
single-dose containers or single-use package drugs) to provide annual refunds if those
portions of the dispensed drug that are unused and discarded exceed an applicable
percentage defined by statute or regulation. Manufacturers will be subject to periodic
audits and those that fail to pay refunds for their refundable single-dose containers or
single-use package drugs shall be subject to civil monetary penalties. We expect that this
requirement will apply to VYVGART and potentially other of our products in the future.
As a result, we expect that we will owe refunds to CMS starting this year. Although we
will evaluate options to reduce the amount of refunds owed, pursuing any such actions
will be time-consuming and costly. Even if we invest resources to reduce the amount of
refunds owed to CMS, it is possible that we will be delayed or unsuccessful in achieving
a reduction worthy of our investment.
Maintaining compliance with these government price reporting and discounting
obligations is time-consuming and costly, and a failure to comply can result in substantial
fines, penalties, all of which could adversely impact our financial results.
2.2.7
We may not Obtain or Maintain Adequate
Coverage or Reimbursement Status for
our Products and Product Candidates.
Sales of VYVGART for gMG and our product candidates, if approved, will depend, in part,
on the extent to which third-party payors, including government health programs in the
U.S. (such as Medicare Parts B and D and Medicaid) and other countries, commercial
health insurers, and managed care organizations, provide coverage and establish ade-
quate reimbursement levels for such products and product candidates. In the U.S., no
uniform policy of coverage and reimbursement for products exists among commercial
third-party payors. Commercial third-party payors decide which products they will pay
for and establish reimbursement levels. Commercial payors often rely upon Medicare
coverage policy and payment limitations in setting their own coverage and reimbur-
sement policies. However, decisions regarding the extent of coverage and amount of
reimbursement to be provided for any product candidate that we develop through
approval will be made on a plan-by-plan basis. One commercial payor’s determination
to provide coverage for a product does not assure that other commercial payors will
also provide coverage and adequate reimbursement for the product. Additionally, a
commercial third-party payor’s decision to provide coverage for a drug does not imply
that an adequate reimbursement rate will be approved. Each plan determines whether
or not it will provide coverage for a product, what amount it will pay the manufacturer
for the product, on what tier of its formulary the product will be placed and whether
to require step therapy. The position of a product on a formulary generally determines
the co-payment that a patient will need to make to obtain the product and can strongly
influence the adoption of a product by patients and physicians.
Even under U.S. government healthcare programs such as Medicare and Medicaid,
coverage and reimbursement policies can vary significantly. Medicare Part D is adminis-
tered by commercial insurance companies under contract with the CMS. The many Part
D plans operated by these companies vary considerably in their coverage and reimbur-
sement policies, much like the commercial plans that these same companies offer, as
described above. Medicare Part B and Medicaid coverage and reimbursement rates are
more uniform, but even Medicaid programs vary from state to state in their coverage
policies and reimbursement rates.
Patients who are prescribed treatments for their conditions and providers prescribing
such services generally rely on third-party payors to reimburse all or part of the
associated healthcare costs. Patients are unlikely to use our products unless coverage
is provided and reimbursement is adequate to cover a significant portion of the cost of
our products. Further, from time to time, typically on an annual basis, payment rates are
updated and revised by third-party payors. Such updates could impact the demand for
our products, to the extent that patients who are prescribed our products, if approved,
are not separately reimbursed for the cost of the product.
The process for determining whether a third-party payor will provide coverage for
a product may be separate from the process for setting the price of a product or for
establishing the reimbursement rate that such a payor will pay for the product. Even if
we do obtain adequate levels of reimbursement, third-party payors, such as government
or private healthcare insurers, carefully review and increasingly question the coverage
of, and challenge the prices charged for, products. Increasingly, third-party payors are
requiring that biopharmaceutical companies provide them with predetermined dis-
counts from list prices and are challenging the prices charged for products. We may also
be required to conduct expensive pharmacoeconomic studies to justify the coverage
and the amount of reimbursement for particular medications. We cannot be sure that
coverage and reimbursement will be available for any product that we commercialize
and, if reimbursement is available, what the level of reimbursement will be.
Moreover, coverage policies and third-party payor reimbursement rates may change at
any time. Therefore, even if favorable coverage and reimbursement status is attained
for one or more products for which we receive marketing approval in one or more indi-
cations, less favorable coverage policies and reimbursement rates may be implemented
in the future. For instance, even though favorable coverage and reimbursement status
has been attained for VYVGART for the treatment of gMG in the U.S., access to VYVGART
for the treatment of gMG or for any other indication may be reduced or restricted by
limited payer coverage due to treatment criteria, which may prevent us from realizing
its full commercial potential. In addition, the coverage and reimbursement levels for
our products for the treatment in one indication may have an adverse impact on the
coverage and reimbursement levels of such products or product candidates in other
indications for which marketing approval has previously been or may subsequently be
obtained. Inadequate coverage or reimbursement may diminish or prevent altogether
any significant demand for our products and/or may prevent us entirely from entering
certain markets or indications, which would prevent us from generating significant
revenues or becoming profitable, which would adversely affect our business, financials
and results of operations.
2.2.8
If we Fail to Obtain Orphan Drug
Designation or Obtain or Maintain
Orphan Drug Exclusivity for our
Products or Product Candidates,
our Competitors may Sell Products
to Treat the same Conditions and
our Revenue will be Reduced.
Under the Orphan Drug Act, the FDA may designate a product as an orphan drug if it is
intended to treat a rare disease or condition, defined as a patient population of fewer
than 200,000 in the U.S., or a patient population greater than 200,000 in the U.S. where
there is no reasonable expectation that the cost of developing the drug will be recove-
red from sales in the U.S. In the EU, after a recommendation from the EMA’s Committee
for Orphan Medicinal Products (
COMP
), the EU Commission grants orphan drug de-
signation to promote the development of products that are intended for the diagnosis,
prevention or treatment of a life-threatening or chronically debilitating condition either
affecting not more than five in 10,000 persons in the EU or when, without incentives,
it is unlikely that sales of the drug in the EU would be sufficient to justify the necessary
investment in developing the drug or biological product. In each case there must be no
satisfactory method of diagnosis, prevention or treatment of such condition, or, if such
a method exists, the medicine must be of significant benefit to those affected by the
condition.
In the U.S., orphan drug designation entitles a party to financial incentives such as tax
advantages and user fee waivers. In addition, if a product receives the first FDA approval
for the indication for which it has orphan designation, the product is entitled to orphan
drug exclusivity, which means the FDA may not approve any other application submitted
by another applicant to market a same or similar biological product for the same indica-
tion for a period of seven years, except in limited circumstances. Whether a biological
product is the same as another product is based on whether the two products have the
same principal molecular structural features. Orphan designation does not, however,
truncate the duration of the regulatory review and approval process.
In the EU, orphan drug designation entitles a party to financial incentives such as
reduction of fees or fee waivers and ten years of market exclusivity following drug or
biological product approval. This period may be reduced to six years if the orphan drug
designation criteria are no longer met, including where it is shown that the product
is sufficiently profitable not to justify maintenance of market exclusivity. If we fail to
obtain or if we lose orphan drug status for one or more of our products and product
candidates, the aforementioned incentives and market exclusivity may not or no longer
be available to us, which is likely to increase the overall cost of development and to
decrease the competitive position of such product and product candidate including from
biosimilars. Similar considerations apply in the UK.
We may from time to time seek orphan drug designation in the U.S. or Europe for
certain indications addressed by our products and product candidates. For example, in
September 2017, the FDA granted orphan drug designation for the use of efgartigimod
for gMG, and upon approval of VYVGART, the FDA granted seven years of orphan drug
exclusivity for VYVGART for the treatment of gMG in adult patients who are AChR-AB+.
In July 2022, the FDA granted orphan drug designation for the use of efgartigimod
co-formulated with rHuPH20 for the treatment of gMG, and we expect to obtain orphan
drug exclusivity for this product with this use if our BLA is approved. In January 2019, the
FDA granted orphan drug designation for the use of efgartigimod for the treatment of
ITP and for the use of cusatuzumab for the treatment of AML, and in August 2021, the
FDA granted orphan drug designation for the use of efgartigimod co-formulated with
rHuPH20 for the treatment of CIDP. In December 2022, the MHLW granted orphan drug
designation for the use of efgartigimod for the treatment of ITP. With regard to these
designations or future designations we may obtain, we may not be the first to obtain
marketing approval of these drugs for such indication due to the uncertainties associa-
ted with developing therapeutic products, and we may not obtain orphan designation
upon approval. In addition, exclusive marketing rights in the U.S. may be limited if we
seek approval for an indication broader than the orphan-designated indication or may
be lost if the FDA later determines that the request for designation was materially defec-
tive or if we are unable to assure sufficient quantities of the product to meet the needs
of patients with the rare disease or condition. Further, even if we obtain orphan drug
exclusivity for a product, that exclusivity may not effectively protect the product from
competition because different drugs with different active moieties or different principal
molecular structural features can be approved for the same condition. Even after an
orphan drug is approved, the FDA, EMA or other foreign regulator can subsequently
approve the same drug with the same principal molecular structural features for the
same condition if the regulator concludes that the later drug is safer, more effective,
or makes a major contribution to patient care.
2.3
Risk Factors Related to Other
Government Regulations
2.3.1
We are Subject to Healthcare Laws,
Regulation and Enforcement. The Failure
to Comply with these Laws could Harm
our Results of Operations and Financial
Conditions.
Our current and future operations may be directly, or indirectly through our customers
and third-party payors, subject to various U.S. federal and state, EU, Japanese, Chinese,
UK, Canadian and other jurisdictions’ healthcare laws including anti-kickback statutes,
anti-bribery, anti-corruption provisions, false claims acts, including the AKS, Food, Drug
& Cosmetic Act, False Claims Act and more. Healthcare providers, physicians and others
play a primary role in the recommendation and prescription of any products for which
we obtain marketing approval. These laws may impact, among other things, our propo-
sed sales, marketing and education programs and constrain our business and financial
arrangements with third-party payors, healthcare professionals who participate in our
clinical research programs, healthcare professionals and others who recommend, pur-
chase, or provide our approved products, and other parties through which we market,
sell and distribute our products for which we obtain marketing approval.
In addition, our current and future operations are subject to other healthcare-related
statutory and regulatory requirements and enforcement by regulatory authorities in
jurisdictions in which we conduct our business. For example, the provision of benefits
or advantages to physicians to induce or encourage the prescription, recommendation,
endorsement, purchase, supply, order or use of medical products is generally not per-
mitted in the countries that form part of the EU. Some EU Member States have enacted
laws explicitly prohibiting the provision of these types of benefits and advantages to
induce or reward improper performance generally, and the UK has enacted similar
restrictions through the Bribery Act 2010. Infringements of these laws can result in
substantial fines and imprisonment, as well as associated reputational harm. We are also
subject to EU Directive 2001/83/EC and the Human Medicines Regulations 2012. Any
action against us for violation of these laws, even if we successfully defend against it,
could cause us to incur significant legal expenses and divert our management’s attention
from the operation of our business.
The shifting compliance environment and the need to maintain robust and expandable
systems to comply with multiple jurisdictions with different compliance or reporting
requirements increases the possibility that we or our collaborative partners may run
afoul of one or more of the requirements. We continue to expand, enhance and refine
our internal ethics and compliance function and program to ensure compliance with the
different healthcare laws and regulations. The expansion and maintenance of an internal
compliance program involves substantial costs and, notwithstanding our investment,
mechanisms put in place to ensure compliance with applicable laws and regulations and
our best efforts, the program may not be fully successful as there can be no assurance
that our policies and procedures will be followed at all times or will effectively detect
and/or prevent all compliance violations by our employees, consultants, subcontractors,
agents and partners.
It is possible that governmental authorities will conclude that our business practices do
not comply with current or future statutes, regulations or case law involving applicable
fraud and abuse or other healthcare laws and regulations. If our operations are found
to be in violation of any of these laws or any other governmental regulations that may
apply to us, we may be subject to significant civil, criminal and administrative investiga-
tions, penalties, damages, fines, disgorgement, imprisonment, exclusion of drugs from
government funded healthcare programs, such as Medicare and Medicaid in the U.S.,
additional reporting requirements and oversight if we become subject to a corporate
integrity agreement or similar agreement to resolve allegations of non-compliance with
these laws, reputational harm and the curtailment or restructuring of our operations.
Managing such investigations and defending against or appealing any such actions
or penalties can be costly and time-consuming and may require significant financial
and personnel resources. Therefore, even if we are successful in managing any such
governmental investigations and/or defending against or appealing any such actions
or penalties that may be brought against or imposed upon us, our business may be
impaired. Further, if any of the physicians or other healthcare providers or entities with
whom we expect to do business is found to be not in compliance with applicable laws,
they may be subject to criminal, civil or administrative sanctions, including exclusions
from government funded healthcare programs. Efforts to ensure that our business
arrangements with third parties comply with applicable healthcare laws and regulations
also involves substantial costs.
The scope and enforcement of each of these laws is uncertain and subject to rapid
change in the current environment of healthcare reform. Federal and state enforcement
bodies have recently increased their scrutiny of interactions between healthcare
companies and healthcare providers, which has led to a number of investigations,
prosecutions, convictions and settlements in the healthcare industry. Ensuring business
arrangements comply with applicable healthcare laws, as well as responding to possible
investigations by government authorities, can be time and resource consuming and can
divert a company’s attention from the business.
2.3.2
All Aspects of our Business Ranging from
Preclinical, Clinical Trials, Marketing and
Commercialization are Highly Regulated
and any Delay by Relevant Regulatory
Authorities could Jeopardize our
Development and Approval Process
or Result in Other Suspensions, Refusals
or Withdrawal of Approvals.
Before we can commence clinical trials for a product candidate, we must complete
extensive preclinical testing and studies that support our planned IND applications in the
U.S. or Japan, or our CTAs in the UK or in the EU, or a comparable application in other
jurisdictions. We cannot be sure that we will be able to submit INDs or CTAs or compara-
ble applications for our preclinical programs on the timelines we expect, if at all. We also
cannot guarantee that submission of INDs or CTAs or comparable applications will result
in the MHRA, EMA, FDA, MHLW (collectively, the
Relevant Regulatory Authorities
) or
other regulatory authorities allowing clinical trials to even begin.
Clinical trials must be conducted in accordance with Relevant Regulatory Authorities
and other applicable regulatory authorities’ legal requirements and regulations and are
subject to oversight by these governmental agencies and IRBs and ethics committees
at the medical institutions where the clinical trials are conducted. In addition, clinical
trials must be conducted in compliance with GCPs and with supplies of our products and
product candidates produced under cGMPs and other regulations. We could encounter
delays if a clinical trial is suspended or terminated, by us, by the IRBs or ethics com-
mittees of the institutions in which such clinical trials are being conducted, by the data
review committee or data safety monitoring board for such clinical trial by the Relevant
Regulatory Authorities or other comparable regulatory authorities. Such authorities
may impose a suspension or termination due to a number of factors, including failure
to conduct the clinical trial in accordance with regulatory requirements or our clinical
protocols, inspection of the clinical trial operations or clinical trial site by the Relevant
Regulatory Authorities or other applicable authorities resulting in the imposition of a
clinical hold, unforeseen safety issues or adverse side effects, including those relating to
the class to which our products and product candidates belong, failure to demonstrate a
benefit from using the product or product candidate, changes in governmental regulati-
ons or administrative actions or lack of adequate funding to continue the clinical trial.
If we experience delays in the completion of, or termination of, any clinical trial of our
products or product candidates, the costs to our clinical trials will increase, the com-
mercial prospects of our products and product candidates may be harmed, our ability to
generate product revenues from any of these products and product candidates will be
delayed and our product candidate development and approval process may be jeopardi-
zed. Significant clinical trial delays could also allow our competitors to bring products to
market before we do or shorten any periods during which we have the exclusive right to
commercialize our products and product candidates.
Moreover, we must obtain separate regulatory approvals in each jurisdiction where we
want to market and approval by one regulatory authority does not ensure approval by
any other regulatory authority. As approval procedures can vary among countries and
may change over time, this can require additional clinical testing and the time required
to obtain approval may differ. For instance, only VYVGART for the treatment of gMG
has obtained regulatory approval in the VYVGART Approved Countries. Efgartigimod
was recently awarded a positive scientific opinion under the Early Access to Schemes
program by the MHRA. Zai Lab and Medison have submitted a request for approval of
VYVGART in gMG in the PRC and Israel, respectively. We can provide no assurances that
such approval will be obtained on the timeline that we expect or at all. In addition, we
anticipate to file requests for approval of VYVGART in new indications, but can provide
no assurances that such requests will be accepted or that we will receive approval on
our anticipated timeline, or at all.
If VYVGART™ or any new formulations of VYVGART are not approved in one or more
jurisdictions including beyond the VYVGART Approved Countries, or if such approvals
are significantly delayed, it could have a material adverse effect on our business. It is
possible that none of our other existing product candidates or any product candidates
we may seek to develop in the future will ever obtain regulatory approval in any other
jurisdiction or indication.
Further, Relevant Regulatory Authorities may impose extensive and ongoing unique
regulatory requirements, for example, they:
•
may withdraw an approval or revoke a license;
•
may refuse to grant approval, or may require additional data before granting
approval, notwithstanding that approval may have been granted by another
comparable foreign authority;
•
may approve a product candidate for fewer or more limited indications or patient
sub-segments than requested; or
•
may grant approval contingent on the performance of costly post-marketing clinical
trials, including Phase 4 clinical trials, and surveillance to monitor the safety and
efficacy of the product candidate; or
•
may approve a product candidate with a label that does not include the labeling
claims necessary or desirable for the successful commercialization of that product
candidate.
The costs of compliance with all Relevant Regulatory Authorities and applicable
authorities regulations, requirements or guidelines could be substantial, and failure
to comply could result in sanctions, including fines, injunctions, civil penalties, denial
of applications for marketing authorization of our products, delays, suspension or
withdrawal of approvals, license revocation, seizures or recalls of products, operating
restrictions and criminal prosecutions, any of which could significantly increase our
collaborative partners’ costs or delay the development and commercialization of our
product candidates. At this time, we cannot guarantee or know the exact nature, precise
timing and detailed costs of the efforts that will be necessary to complete the remainder
of the development of our research programs and product candidates.
2.3.3
We are Subject to Privacy Laws,
Regulation and Potential Enforcement.
Our Failure to Comply with these Laws
could Harm our Results of Operations
and Financial Conditions.
Privacy laws, regulation and potential enforcement are particularly relevant to our
business as we collect, store and process patient data, including sensitive health data as
well as human biological samples such as blood or tissue, in the context of our clinical
development activities, post-marketing approval monitoring obligations, and associated
activities. We also collaborate on a regular basis with third parties where we may seek to
use data collected by third parties on our or their behalf, or we may seek to share data
collected by us with such third parties to further our research or commercial initiatives.
The EU General Data Protection Regulation (
GDPR
) imposes a broad range of strict
requirements on companies, including with respect to cross-border transfers of personal
data. The GDPR allows the imposition of substantial penalties in the event of non-com-
pliance, including fines of up to €10,000,000 or up to 2% of total worldwide annual
turnover for certain comparatively minor offenses, or up to €20,000,000 or up to 4% of
total worldwide annual turnover for more serious offenses. We face uncertainty as to
the exact interpretation of the requirements under the GDPR, and we may be unsuc-
cessful in implementing all measures required by data protection authorities or courts in
interpretation of the GDPR.
In addition, national laws of EU Member States may partially deviate from the GDPR
and impose different obligations from country to country, so that we do not operate
in a uniform legal landscape in the EU. Also, in the field of handling genetic data, the
GDPR specifically allows EU Member States’ laws to impose additional and more specific
requirements or restrictions, and European national laws have historically differed quite
substantially in this field, leading to additional uncertainty.
Following its departure from the EU, the UK has maintained in force substantially equi-
valent provisions to the GDPR (
UK GDPR
). Similar concerns as those described above
apply to our compliance with the UK GDPR.
Privacy laws continue to evolve and expand in Europe. For example, Directive 2002/58/
EC of the European Parliament and of the Council of July 12, 2002 (as amended, the
e-Privacy Directive
) required the EU Member States to implement laws to meet
strict privacy requirements related to electronic communications, cookies and online
monitoring, and other digital privacy. Violations of these requirements can result in
administrative measures, including fines, or criminal sanctions. The EU is in the process
of developing a new e-Privacy Regulation to replace the e-Privacy Directive, and the new
e-Privacy Regulation may impose additional obligations and risk for our business.
Beyond the EU and UK, privacy and data protection laws and regulations continue to
develop and expand around the world, including in other jurisdictions in which we
operate, such as the U.S., Japan, and Canada. Such laws and regulations impose increa-
sing restrictions and obligations on the processing of personal data, including sensitive
personal data such as genetic data. For example, in the U.S., the federal Health Insu-
rance Portability and Accountability Act of 1996, as amended by the Health Information
Technology for Economic and Clinical Health Act, imposes specific requirements relating
to the privacy, security, and transmission of individually identifiable health information
and the California Consumer Privacy Act of 2018 imposes obligations on covered
businesses, including, but not limited to, providing specific disclosures in privacy notices
and affording California residents certain rights related to their personal data. If we are
investigated by a data protection authority, we may face fines and other penalties. Any
such investigation or charges by such data protection authorities could have a negative
effect on our existing business and on our ability to attract and retain new clients or
pharmaceutical partners. We may also experience hesitancy, reluctance, or refusal
by clients or pharmaceutical partners to continue to use our products and solutions
due to the potential risk exposure as a result of the current (and, in particular, future)
data protection obligations imposed on them by certain data protection authorities in
interpretation of current law. Such clients or pharmaceutical partners may also view any
alternative approaches to compliance as being too costly, too burdensome, too legally
uncertain, or otherwise objectionable and therefore decide not to do business with us.
Any of the foregoing could harm our business, prospects, financial condition and results
of operations.
2.3.4
Failure to Comply with Anti-Corruption
Laws and Regulations, Anti-Money
Laundering Laws and Regulations,
Economic Sanctions, and/or Export
Control Regulations could have an
Adverse Impact on our Business.
We are subject to various federal and foreign laws and regulations regarding anti-corrup-
tion, anti-money laundering, economic sanctions, and export control regulations. These
include the UK Bribery Act 2010 and the U.S. Foreign Corrupt Practices Act of 1977, as
amended, which prohibits, among other things, payments, offers, or promises made for
the purpose of improperly influencing any act or decision of a foreign official. The nature
of our business means that we engage in significant interactions with foreign officials.
We are also subject to economic sanctions and export controls rules and regulations
imposed by, amongst others, the U.S. Department of the Treasury’s Office of Foreign
Assets Control, other agencies of the U.S. government, HM Treasury and other agencies
of the UK government, the EU, and the United Nations. Any change in export or import
regulations, economic sanctions regulations or related legislation, shift in the enforce-
ment or scope of existing regulations, or change in the countries, governments, persons
or technologies targeted by such regulations, could decrease our ability to export or sell
our products internationally. Any limitation on our ability to export or sell our products
could adversely affect our business.
We have mechanisms in place to ensure compliance with applicable anti-corruption,
anti-money laundering, and economic sanctions rules and regulations. However, there
can be no assurance that our policies and procedures will be followed at all times or will
effectively detect and/or prevent violations of applicable compliance regimes by our em-
ployees, consultants, sub-contractors, agents and partners. As a result, in the event of
non-compliance, we could be subject to substantial civil or criminal penalties, including
economic sanctions against us, incarceration for responsible employees and managers,
the possible loss of export or import privileges, reputational harm, and resulting loss
of revenue and profits, which could have a material adverse impact on our business,
financial conditions and operations.
2.3.5
We may Become Exposed to Liability
and Substantial Expenses in Connection
with Environmental Compliance or
Remediation Activities.
Our operations, including our research, development, testing and third-party manu-
facturing activities, are subject to numerous environmental, health and safety laws
and regulations and for which we may become liable.
If we or one of our contract manufacturing organizations (
CMOs
) or other third-party
distributors, manufacturers, licensees or co-marketers fail to comply with such laws and
regulations, such failure could result in substantial fines, penalties or other sanctions
which could also bring significant reputational loss to our business.
Furthermore, environmental, health and safety laws and regulations are becoming more
stringent. Our CMOs may be required to incur substantial expenses in connection with
future environmental compliance or remediation activities, in which case, our produc-
tion and development efforts may be interrupted or delayed, and our financial condition
and results of operations may be materially adversely affected.
2.4
Risk Factors Related to the
Development and Clinical
Testing of argenx’s Products
and Product Candidates
2.4.1
Failure to Successfully Identify, Select
and Develop Efgartigimod in Other
Indications, Additional Products or
Product Candidates could Impair
our Ability to Grow.
Our long-term growth strategy entails developing and marketing additional products and
product candidates, including efgartigimod in new indications, which requires substantial
resources, whether or not any product candidates or new indications are ultimately
identified. The success of this strategy depends partly upon our ability to identify, select,
develop, and ultimately, commercialize promising product candidates. We are heavily
dependent on precise, accurate and reliable scientific data to identify, select and develop
promising product candidates and products. Our business decisions may therefore be
adversely influenced by improper or fraudulent scientific data sourced from third parties.
Any irregularities in the scientific data used by us to determine our focus in research
and development of product and product candidates, could impair our ability to grow.
Even with accurate scientific data, our technology platforms may fail to discover and
to generate additional products and products candidates, that are suitable for further
development.
Even if we identify additional product candidates, they may not be suitable for clinical
development as a result of harmful side effects, limited efficacy or other characteristics
that indicate that it is unlikely to be a product that will receive approval by the Relevant
Regulatory Authorities and other comparable regulatory authorities or achieve market
acceptance. If we do not successfully identify, develop and commercialize product
candidates and efgartigimod in new indications based upon our technological approach,
we may not be able to obtain product or collaboration revenues in future periods.
2.4.2
VYVGART for the Treatment of gMG
is our Only Product that has Obtained
Regulatory Approval in the VYVGART
Approved Countries. Our Other Products
and Product Candidates – including
Additional Indications or Methods of Use
for Efgartigimod, ARGX-117 and ARGX-119
– are Either in Preclinical or Clinical
Development or are Pending Marketing
Approval.
To obtain the requisite regulatory approvals to market and sell any of our products
and product candidates, we or our collaborators for such candidates must successfully
demonstrate that our products are safe, pure, and effective in humans. Clinical trials
are expensive and can take many years to complete, and their outcome is inherently
uncertain. Further, success in early clinical trials or in one indication does not guarantee
success in later clinical trials or in other indications.
The time required to obtain approval by the Relevant Regulatory Authorities is unpredic-
table but typically takes many years, if obtained at all, following the commencement of
clinical trials and depends upon numerous factors, including the substantial discretion of
the regulatory authorities. This lengthy approval process as well as the unpredictability
of future clinical trial results may result in our failing to obtain regulatory approval to
market any of our product candidates, including for new indications. We may experience
delays in our ongoing or planned clinical trials, for a large variety of reasons outside our
control in complying with regulatory approvals which can adversely affect the timing of
trials, including as described in the header “ – All aspects of our business ranging from
preclinical, clinical trials, marketing and commercialization are highly regulated and any
delay by relevant regulatory authorities could jeopardize our development and approval
process or result in other suspensions, refusals or withdrawal of approvals.”
If we are unable to obtain regulatory approval of our products and product candidates
on a timely basis or at all, our business may be impacted.
2.4.3
Our Clinical Trials may Fail, and Even
if they Succeed, we may not Obtain
Regulatory Approval for our Products
and Product Candidates or Regulatory
Approval may be Delayed.
Even if clinical trials are initiated, our development efforts may not be successful.
Many of our clinical trials are blinded, which may cause us to incur significant expenses
without any visibility as to the likelihood of successful results. Even if we obtain positive
results from preclinical studies or initial clinical trials, we may not achieve the same
success in future trials.
Regulatory approval of our products or product candidates may be delayed or refused
for many reasons, including:
•
the Relevant Regulatory Authorities may disagree with the design or implementation
of our clinical trials;
•
we may be unable to demonstrate, to the satisfaction of the FDA or comparable
foreign regulatory authorities, that our product candidates are safe, pure, potent and
effective for any of their proposed indications;
•
we may be unable to demonstrate our product candidates’ clinical and other benefits
outweigh their safety risks;
•
the FDA may determine that clinical trial results are not generalizable to the U.S.
population and/or U.S. medical practice based on the proportion and results of
subjects outside of the U.S. where differences in patient management might affect
the treatment response;
•
the results of clinical trials may not meet the level of statistical significance required
by the FDA or comparable foreign regulatory authorities for approval;
•
the chemistry, manufacturing and controls information submitted in a marketing
application is insufficient; and
•
the facilities of third-party manufacturers with which we contract for the
manufacture of our product candidates are not adequate to support approval of our
product candidates.
Any of these occurrences may harm our business, results of operations and financial
condition significantly.
We could also experience operational challenges as we undertake an increasing number
of clinical trials, including those conducted in countries outside the EU and the U.S.
that may subject us to further delays and expenses as a result of increased shipment
costs, additional regulatory requirements and the engagement of non-EU and non-U.S.
contract research organizations (
CROs
), as well as expose us to risks associated with
clinical investigators who are unknown to the Relevant Regulatory Authorities, and apply
different standards of diagnosis, screening and medical care.
If we experience delays in the completion of, or termination of, any clinical trial of our
products or product candidates, our commercial prospects may be harmed. Any delays
in completing our clinical trials may increase our costs, slow down our product candidate
development and approval process and jeopardize our ability to commence product
sales and generate revenues. Many of the factors that cause, or lead to, a delay in the
commencement or completion of clinical trials may also ultimately lead to the denial
of regulatory approval of our product candidates or result in the development of our
product candidates being stopped early. Significant clinical trial delays could also allow
our competitors to bring products to market before we do or shorten any periods during
which we have the exclusive right to commercialize our products and product candidates.
2.4.4
If we Decide to Pursue Accelerated
Approval for any of our Product
Candidates, it may not Lead to a
Faster Development or Regulatory
Review or Approval Process and does
not Increase the Likelihood that our
Product Candidates will Receive
Marketing Approval. If we are Unable to
Obtain Approval Under an Accelerated
Pathway, we may be Required to Conduct
Additional Clinical Trials Beyond those
that we Contemplate, Which could
Increase the Expense of Obtaining,
Reduce the Likelihood of Obtaining,
and/or Delay the Timing of Obtaining,
Necessary Marketing Approvals.
In the future, we may decide to pursue accelerated approval for one or more of our
product candidates. Under the FDA’s accelerated approval program, the FDA may
approve a drug or biological product for a serious or life-threatening disease or condition
that provides a meaningful advantage over available therapies based upon a surrogate
endpoint that is reasonably likely to predict clinical benefit, or on a clinical endpoint that
can be measured earlier than irreversible morbidity or mortality that is reasonably likely
to predict an effect on irreversible morbidity or mortality or other clinical benefit. For
products granted accelerated approval, post-marketing confirmatory trials are required
to verify and describe the anticipated effect on irreversible morbidity or mortality or
other clinical benefit. These confirmatory trials must be completed with due diligence,
and the FDA may require that the trial be designed, initiated, and/or fully enrolled prior
to approval. If we were to pursue accelerated approval for a product candidate for a
disease or condition, we would do so on the basis that there is no available therapy for
that disease or condition. If standard of care were to evolve or if any of our competitors
were to receive full approval on the basis of a confirmatory trial for a drug or biological
product for a disease or condition for which we are seeking accelerated approval before
we receive accelerated approval, the disease or condition may no longer qualify as
one for which there is no available therapy, and accelerated approval of our product
candidate may not occur.
Moreover, the FDA may withdraw approval of any product candidate approved under
the accelerated approval pathway if, for example:
•
the trial or trials required to verify the predicted clinical benefit of our product
candidate fail to verify such benefit or do not demonstrate sufficient clinical benefit
to justify the risks associated with such product;
•
other evidence demonstrates that our product candidate is not shown to be safe or
effective under the conditions of use;
•
we fail to conduct any required post-approval trial of our product candidate with due
diligence; or
•
we disseminate false or misleading promotional materials relating to the relevant
product candidate.
Recently, the accelerated approval pathway has come under scrutiny within the FDA and
by Congress. The FDA has put increased focus on ensuring that confirmatory studies are
conducted with diligence and, ultimately, that such studies confirm the benefit. FDORA
was recently enacted, which included provisions related to the accelerated approval
pathway. Pursuant to FDORA, the FDA is authorized to require a post-approval study
to be underway prior to approval or within a specified time period following approval.
FDORA also requires the FDA to specify conditions of any required post-approval study
and requires sponsors to submit progress reports for required post-approval studies.
FDORA enables the FDA to initiate enforcement action for the failure to conduct with
due diligence a required post-approval study, including a failure to meet any required
conditions specified by the FDA or to submit timely reports.
Failure to obtain accelerated approval for our product candidates could result in a longer
time period to commercialization of such product candidate, if any, and could increase
the cost of development of such product candidate and harm our competitive position
in the marketplace.
2.4.5
Our Products and Product Candidates
may have Serious Adverse, Undesirable
or Unacceptable Side Effects or Even
Cause Death, and we or Others may
Identify Undesirable or Unacceptable Side
Effects Caused by VYVGART or any of our
Products or Product Candidates After they
have Received Marketing Approval.
Undesirable side effects that may be caused by our product candidates, or by the
combination of our product candidates with other medical products could cause us or
regulatory authorities to interrupt, delay or halt clinical trials and could result in more
restrictive labeling or the delay or denial of regulatory approval by the Relevant Regula-
tory Authorities. While our preclinical studies and clinical trials for our product candida-
tes to date show that our product candidates have generally been well tolerated from a
risk-benefit perspective, we have observed adverse events and TEAEs in our clinical trials
to date, and we may see additional adverse events and TEAEs in our ongoing and future
clinical trials. Such side effects may be more serious than those observed to date, and as
a result, our ongoing and future clinical trials may be negatively impacted. Moreover, as
we seek to develop product candidates, including products in new indications, patients
may experience new or more serious effects. Drug-related side effects could affect
patient recruitment, the ability of enrolled patients to complete the clinical trial, result
in potential product liability claims, damage sales of our existing products, result in
significant reputational damage for us and our product development, and other issues
including the delay of other programs.
Additionally, if we or others identify undesirable or unacceptable side effects caused by
VYVGART or any of our other product candidates after they receive marketing approval,
a number of potentially significant negative consequences could arise, including:
•
regulatory authorities may withdraw approvals or revoke licenses of such products
and require us to take such products off the market;
•
regulatory authorities may require the addition of labeling statements, specific
warnings, or a contraindication or request the issuance of field alerts to physicians
and pharmacies;
•
regulatory authorities may require a medication guide outlining the risks of such side
effects for distribution to patients, or that we implement a REMS plan to ensure that
the benefits of the product outweigh its risks;
•
we may be required to change the way the product is administered, conduct
additional clinical trials or change the labeling of the product;
•
we may be subject to limitations on how we may promote the product;
•
sales of the product may decrease significantly;
•
we may be subject to litigation or product liability claims; and
•
our reputation may suffer.
Any of these events could negatively impact us, our collaborators or our potential future
partners. Further, we are developing an SC formulation of efgartigimod co-formulated
with rHuPH20, an SC drug delivery technology, for the treatment of gMG and other
indications, and side effects or adverse events associated with rHuPH20, may affect
multiple of our products, and our product candidates. Further, the Relevant Regulatory
Authorities could require a change of label or even revoke the license, which could
harm our reputation and have a material adverse effect on our ability to commercialize
VYVGART.
2.4.6
If our Target Patient Population is
Smaller than Expected, we are Unable
to Successfully Enroll and Retain Patients
in our Clinical Trials, or Experience
Significant Delays in Doing so, we may
not Realize the Full Commercial Potential
of any Products or Product Candidates.
Currently, we mainly develop products or product candidates for the treatment of rare
diseases for which the target patient population can be small. If the actual number of
patients with these disorders is smaller than we expected, we may encounter difficulties
in enrolling sufficient patients in our clinical trials, thereby delaying or preventing de-
velopment and approval of our products or product candidates. Physicians, who are an
important source of referral of patients for clinical trials, may also be less familiar with
these rare diseases and may therefore fail to identify these conditions in their patients
and therefore may not refer them to our clinical trials.
Patient enrollment, a significant factor in the timing of clinical trials, depends on many
factors, including the size and nature of the patient population, eligibility criteria for
the clinaical trial, the proximity of patients to clinical sites, competition for patient
recruitment from competing clinical trials, the design of the clinical protocol, the
eligibility criteria for the clinical trials, the availability of alternate approved therapies for
the indication the clinical trial is investigating, and clinicians’ and patients’ perceptions
as to the potential advantages of the drug being studied in relation to other available
therapies. We compete with other companies to enroll target patient populations, as set
forth in the risk factor header “ – We face significant competition for our drug discovery
and development efforts.” Even if product candidates obtain significant market share
for their approved indications, because certain potential target populations are small,
we may never recoup our investment in such product candidate without obtaining
regulatory approval for additional indications for such product candidates.
Even once enrolled, we may be unable to retain a sufficient number of patients to com-
plete any of our clinical trials. In addition, any negative results we may report in clinical
trials of our drug candidates may make it difficult or impossible to recruit and retain
patients in other clinical trials of that same drug candidate. Delays in the completion of
any clinical trial of our product candidates will increase our costs, slow down our product
candidate development and approval process and delay or potentially jeopardize our ab-
ility to commence product sales and generate revenue. In addition, some of the factors
that cause, or lead to, a delay in the commencement or completion of clinical trials may
also ultimately lead to the denial of regulatory approval of our product candidates.
In addition, certain of patients enrolled in our clinical trials are located in areas subject
to conflict, hostilities or war, or countries that continue to be impacted by COVID-19.
See the risk factors under the headers – “Global geo- and socio-political threats and
macro-economic uncertainty and other unforeseen political crises could materially and
adversely affect our business and financial performance.” and “We face risks related to
natural disasters and public health issues, such as the COVID-19 pandemic, that could
negatively affect our business and financial condition.”
2.5
Risk Factors Related
to argenx’s Dependence
on Third Parties
2.5.1
We Rely, and Expect to Continue to Rely,
on Third Parties to Conduct Some of our
Research Activities and Clinical Trials
and for Parts of the Development and
Commercialization of our Existing and
Future Research Programs, Products and
Product Candidates. If our Relationships
with such Third Parties are not
Successful, our Business may be
Adversely Affected.
We have relied upon and plan to continue to rely upon third parties, including indepen-
dent clinical investigators, CROs, CMOs and other third-party service providers, to assist
us in the conduct of certain of our research activities and clinical trials and to monitor
and manage data for our ongoing preclinical studies and clinical trials. We also depend
on our collaborators and on medical institutions and CROs to conduct our research
activities and clinical trials in compliance with regulatory and legal requirements, inclu-
ding GCPs or GMPs, our standard operating procedures and our applicable protocols.
Nevertheless, we are responsible for ensuring that each of our studies and clinical
trials is conducted in accordance with the applicable protocol, legal and regulatory
requirements and scientific standards, and our reliance on these third parties does not
relieve us of our regulatory responsibilities. To the extent our collaborators or the CROs
or investigators fail to enroll participants for our clinical trials, fail to conduct the clinical
trial to GCP standards or in full compliance with legal and regulatory requirements or are
delayed for a significant time in the execution of clinical trials, including achieving full
enrollment, we may be affected by increased costs, program delays or both, which may
harm our business.
In addition, we are, and expect to continue to be, dependent on partnerships with
partners and licensees relating to the development and commercialization of our
existing and future research programs, products and product candidates. We currently
have collaborative research relationships with various pharmaceutical companies such
as AbbVie, Zai Lab and with various academic and research institutions worldwide for
the development of product candidates resulting from such collaborations. We also have
distribution agreements with Medison and Genpharm for the distribution of VYVGART.
We had, have and will continue to have discussions on potential partnering oppor-
tunities with various pharmaceutical companies. If we fail to enter into or maintain
collaborations on reasonable terms or at all, our ability to develop our existing or future
research programs and product candidates and to commercialize our existing or future
products could be delayed, the commercial potential of our products could change and
our costs of development and commercialization could increase.
While we have agreements governing our relationships with these third parties, we
have limited influence over their actual performance and control only certain aspects
of their activities. If independent investigators, third-party service providers or CROs fail
to devote sufficient resources to the development of our product candidates, or if their
performance is substandard, it may delay or compromise the prospects for approval and
commercialization of any product candidates that we develop. In addition, regulatory
authorities enforce these GCPs through periodic inspections of trial sponsors, principal
investigators and trial sites. If we, our investigators or any of our CROs fail to comply
with applicable GCPs, the clinical data generated in our clinical trials may be deemed
unreliable and the Relevant Regulatory Authorities or comparable regulatory authorities
may require us to perform additional clinical trials before approving our marketing
applications. Upon inspection by a given regulatory authority, such regulatory authority
may determine that our clinical trials do not fully comply with GCP regulations, which
may require us to repeat clinical trials and delay the regulatory approval process. Our
collaborative partners may not adhere or terminate collaboration agreements with all
associated consequences or disagree on the interpretation of contractual terms. We
may not be able to control our collaborative partners’ compliance with all applicable
requirements for the commercialization of our products, which could adversely affect
such commercialization and the profitability of such products. Failures by our collabo-
rative partners to meet their contractual, regulatory, or other obligations to us or any
disruption in the relationships between us and our collaborative partners, could have a
material adverse effect on our product pipeline and business.
We face significant competition in establishing successful relationships with third-party
service providers and appropriate collaborative partners. These third-party service
providers may have contractual relationships with other entities, some of which may be
our competitors, which may draw their time and resources away from our programs. In
addition, some of our third-party service providers or CROs have the ability to terminate
their respective agreements with us, and if such agreements terminate, we may not be
able to enter into arrangements with alternative CROs or investigators or to do so on
commercially reasonable terms. In addition, we may not be able to find appropriate
collaboration partners. Our ability to reach a definitive agreement for a partnership will
depend, among other things, upon an assessment of the collaborator’s resources and
expertise, the terms and conditions of the proposed partnership and the proposed colla-
borator’s evaluation of a number of factors. These factors may include the design or re-
sults of clinical trials, the likelihood of regulatory approval, the potential market for the
subject product candidate, the costs and complexities of manufacturing and delivering
such product candidate to patients, the potential of competing products, the existence
of uncertainty with respect to our ownership of technology, which can exist if there is
a challenge to such ownership regardless of the merits of the challenge and industry
and market conditions generally. The collaborator may also consider alternative product
candidates or technologies for similar indications that may be available to collaborate on
and whether such a partnership could be more attractive than the one with us.
2.5.2
Disruptions Caused by our Reliance
on Third Parties for our Manufacturing
Process may Delay or Disrupt our
Business, Product Development
and Commercialization Efforts.
We do not have the ability to internally source the raw materials necessary to produce
our product or product candidates, and do not currently have, nor do we plan to acquire,
the infrastructure or capability internally to manufacture our products or product can-
didates and depend on a worldwide supply chain and third parties for both. Disruptions
caused by our reliance on such third-party suppliers, service providers and manufacturers
may delay or disrupt our business, product development and commercialization efforts.
Reliance on Third-Party Suppliers and Service Providers
For some of our raw materials, we rely on a single source of supply and there are limited
supplies of the raw materials. If we were to experience an unexpected loss of supply of
or if any supplier was unable to meet our demand for any of our products and product
candidates, including for example if VYVGART is approved for additional indications,
we could experience delays in our research or planned clinical trials or risk shortages in
commercial supply which could materially impact our revenue potential. These issues
could be made worse during a pandemic or due to geopolitical events, including trade
disputes or economic sanctions enacted as a result of international conflict.
Additionally, certain of the raw materials required in the manufacture and the
formulation of our products and product candidates may be derived from biological
sources, including mammalian tissues, bovine serum and human serum albumin. There
are certain European regulatory restrictions on using these biological source materials
including rigorous testing requirements, which could limit or delay production. If there
are changes in the regulation requirements that our suppliers are unable to meet, our
clinical development or commercial activities may be delayed or interrupted.
We may not be able to engage a back-up or alternative supplier or service provider in a
timely manner or at all if any of these third parties were to cease or interrupt production
or otherwise fail to supply these materials, products, or services to us for any reasons,
including due to regulatory requirements or actions (including recalls), adverse financial
developments at or affecting the supplier, failure by the supplier to comply with cGMPs,
contamination, business interruptions, or labor shortages or disputes. Interruptions in
the supply of these materials, products or services may also result from international
conflict, trade disputes or economic sanctions enacted by, or imposed on, the U.S., the
UK, the EU or any other country or region.
Reliance on Third-Party Manufacturing
We rely on and expect to continue to rely on CMOs. We also rely on certain third parties
to perform filling, finishing, distribution, laboratory testing and other services related to
the manufacture of our products and product candidates.
Although we do not control the manufacturing process at our CMOs and are completely
dependent on them for the production of our products and product candidates in
accordance with relevant regulations (such as cGMPs), we are responsible for ensuring
that our products comply with regulatory requirements. If our CMOs cannot successfully
manufacture material that conforms to our specifications and the strict regulatory
requirements of the Relevant Regulatory Authorities or other comparable regulatory
authorities, our business could be adversely affected in a number of ways, including an
inability to initiate or continue clinical trials of product candidates under development,
delay in submitting regulatory applications, or receiving regulatory approvals for product
candidates, including new indications, subjecting third-party manufacturing facilities to
additional inspections by regulatory authorities, requirements to cease distribution or to
recall batches of our products or product candidates and an inability to meet commer-
cial demands for our marketed products.
We contract with Lonza based in Slough, UK, Portsmouth, U.S. and Singapore and
Fujifilm for activities relating to the development of cell banks, development of our
manufacturing processes and the manufacturing of drug substance, and use additional
contract manufacturers to fill, test, label, package, store and distribute our (investiga-
tional) drug products. Our products and product candidates are biologics and require
multiple processing steps that are more difficult than those required for most small
molecule chemical pharmaceuticals. Problems with these manufacturing processes,
such as capacity issues, or even minor deviations from the normal process or from the
materials used in the manufacturing process, which may not be detectable by us in a
timely manner, could lead to manufacturing failures or product defects, resulting in lot
failures, product recalls, product liability claims and insufficient inventory.
We face risks inherent in relying on limited CMOs, as any failure in their ability to
successfully manufacture our products or product candidates as described above or
any disruption, such as a fire, pandemic, natural hazards or vandalism at the CMO could
significantly interrupt our manufacturing capability. Alternative production plans in
place or disaster-recovery facilities available to us may not be sufficient. In case of a
disruption, we may have to establish additional alternative manufacturing sources. This
would require substantial investment on our part, which we may not be able to obtain
on commercially acceptable terms or at all. Additionally, we may experience significant
manufacturing delays as we build or locate replacement facilities and seek and obtain
necessary regulatory approvals. If this occurs, we will be unable to satisfy manufacturing
needs on a timely basis, if at all. Also, operating any new facilities may be more expen-
sive than operating at our current facilities. Further, business interruption insurance may
not adequately compensate us for any losses that may occur, and we would have to bear
the additional cost of any disruption. For these reasons, a significant disruptive event
of the manufacturing facility could have drastic consequences, including placing our
financial stability at risk.
2.5.3
Accuracy and Timing of our Financial
Reporting is Partially Dependent on
Information Received from Third-Party
Partners, Which we do not Control.
We have collaborated, and plan to continue to collaborate, with third parties, including
distributor and licensing partners, on certain product candidates. As part of some of
these collaborations, our collaboration partners are responsible for providing us with
financial information regarding specific projects, including funds spent, liabilities incur-
red and expected future costs, on which we rely for our own financial reporting. If our
collaboration partners fail to provide us with the necessary financial information within
the agreed upon timeframes, or if such financial information proves inaccurate, it would
adversely impact the timing and accuracy of our own financial reporting. Any inaccuracy
in our financial reporting could cause investors to lose confidence in our financial repor-
ting. This in turn may lead to reputational damage or affect our ability to obtain, and the
terms of, any future financing, which may harm our business.
2.5.4
We and our Third-Party Manufacturers
and Suppliers may Become Exposed
to Liability, Fines, Penalties or Other
Sanctions and Substantial Expenses
in Connection with Environmental
Compliance or Remediation Activities.
Our and our third-party manufacturers and suppliers operations, including research, de-
velopment, testing and manufacturing activities, are subject to numerous environmental,
health and safety laws and regulations. These laws and regulations govern, among other
things, the controlled use, handling, release and disposal of and the maintenance of a
registry for, hazardous materials and biological materials, laboratory procedures and
exposure to pathogens. We do not have control over our manufacturers’ or suppliers’
compliance with environmental, health and safety laws and regulations. If we, or they fail
to comply with such laws and regulations, we could be subject to liability, fines, penalties
or other sanctions and incur substantial expenses to comply or remediate the activities.
We face a risk of environmental liability inherent in our current and historical activities,
including liability relating to releases of or exposure to hazardous or biological materials.
Environmental, health and safety laws and regulations are becoming more stringent. We
may be required to incur substantial expenses in connection with future environmental
compliance or remediation activities, in which case, our production and development
efforts may be interrupted or delayed, and our financial condition and results of opera-
tions may be materially adversely affected.
2.6
Risk Factors Related to
argenx’s Business and Industry
2.6.1
Our Employees may Engage in Misconduct
or Other Improper Activities, Including
Noncompliance with Regulatory
Standards and Requirements, or
Consider Trading Violations, Which
could Significantly Harm our Business.
We are exposed to the risk of employee fraud or other misconduct. Misconduct by
employees could include intentional failures to comply with governmental regulations,
comply with healthcare fraud and abuse and anti-kickback laws and regulations in the
U.S. and other markets, or failure to report financial information or data accurately or
disclose unauthorized activities to us. In particular, sales, marketing and business arran-
gements in the healthcare industry are subject to extensive laws and regulations inten-
ded to prevent fraud, misconduct, kickbacks, self-dealing and other abusive practices.
These laws and regulations may restrict or prohibit a wide range of pricing, discounting,
marketing and promotion, sales commission, customer incentive programs and other
business arrangements. Employee misconduct could also involve the improper use of,
including improper trading based upon, information obtained in the course of clinical
studies, which could result in regulatory sanctions and serious harm to our reputation.
We maintain a global compliance program and remain focused on its evolution and
enhancement. Our program includes efforts such as risk assessment and monitoring,
fostering a culture encouraging employees and third parties to raise good faith questions
or concerns, and defined processes and systems for reviewing and remediating allegati-
ons and identified potential concerns. It is not always possible, however, to identify and
deter employee misconduct, and the precautions we take to detect and prevent this
activity may not be effective in controlling unknown or unmanaged risks or losses or in
protecting us from governmental investigations or other actions or lawsuits stemming
from a failure to comply with these laws or regulations. If any such actions are instituted
against us, and we are not successful in defending ourselves or asserting our rights,
those actions could have a significant impact on our business and results of operations,
including the imposition of significant fines or other sanctions.
2.6.2
We may Become Exposed to Costly
and Damaging Liability Claims.
We are exposed to potential product liability and professional indemnity risks that are
inherent in the research, development, manufacturing, marketing and use of pharma-
ceutical products and marketing of human therapeutic products. The current and future
use of products and product candidates by us and our collaborators in clinical trials and
the sale of any approved products may further expose us to liability claims. If any of our
products or product candidates were to cause adverse side effects during clinical trials
or after approval of the product candidate, we may be exposed to substantial liabilities.
These claims might be made by patients who use the product, healthcare providers,
pharmaceutical companies, physicians, payors, caregivers, investors, employees,
government agencies, or our collaborators or others selling such products. Physicians
and patients may not comply with any warnings that identify known potential adverse
effects and patients who should not use our product candidates. Any claims against us,
regardless of their merit, could be difficult and costly to defend and could materially ad-
versely affect the market for our products and product candidates or any prospects for
commercialization of our products and product candidates. Any such claims, regardless
of their merit, could also adversely affect our reputation and the trust that physician and
patients place in our products.
Regardless of the merits or eventual outcome litigation or liability claims may result in:
•
decreased demand for our products due to negative public perception;
•
damage to our reputation;
•
withdrawal of clinical trial participants or difficulties in recruiting new clinical trial
participants;
•
initiation of investigations by regulators;
•
costs to defend or settle the related litigation;
•
a diversion of management’s time and our resources;
•
substantial monetary awards to clinical trial participants or patients;
•
product recalls, withdrawals or labeling, marketing or promotional restrictions;
•
loss of revenues from product sales; and
•
the inability to successfully commercialize VYVGART and any of our other product
candidates, if approved.
Although we maintain product liability insurance, we may not be able to maintain insu-
rance coverage at a reasonable cost or to obtain adequate insurance coverage to satisfy
any liability that may arise. Product liability claims could delay or prevent completion of
our clinical development programs. In addition, claims made by patients, healthcare
professionals or others might not be fully covered by product liability insurance and
could result in investigations of the safety of our products or product candidates or
may result in recalls. If a successful product liability claim or series of claims is brought
against us for uninsured liabilities or in excess of insured liabilities, our assets may not
be sufficient to cover such claims and our business, financial condition and results of
operations would be adversely affected.
2.6.3
We may Engage in Strategic Transactions,
Including Acquisitions, Collaborations,
Licenses or Investments in Other
Companies or Technologies, and we
may not Realize the Benefits of such
Transactions.
We may enter into strategic transactions, including acquisitions, collaborations, licenses
or investments for or in other companies or technologies that complement or augment
our existing business and facilitate our access to new products, research projects or
geographical areas. However, we may not be able to identify appropriate targets or
enter into such transactions under satisfactory conditions. In addition, we may need
additional funding to finance these transactions including through issuances of public or
private equity or convertible debt securities, which could be dilutive to our shareholders
and ADS holders.
Integrating any newly acquired companies, business, technologies or products could be
expensive, time-consuming, and may never be successful. Integration efforts often take
a significant amount of time, place a significant strain on managerial, operational and
financial resources, result in loss of key personnel and could prove to be more difficult
or expensive than we predict. The diversion of our management’s attention and any
delay or difficulties encountered in connection with any future transactions we may
consummate could result in the disruption of our ongoing business or inconsistencies in
standards and controls that could negatively affect our ability to maintain third-party re-
lationships. We cannot assure that we will achieve the expected synergies to justify any
such transaction, which could have a material adverse effect on our business, financial
condition, results of operations and future growth prospects and our investors’ ability to
realize on their investment.
2.6.4
Our Business and Operations Could
Suffer in the Event of System Failures
or Unauthorized or Inappropriate Use
of or Access to our Systems.
We are increasingly dependent on our information technology systems and infrastruc-
ture for our business. We collect, store and transmit sensitive information including
intellectual property, proprietary business information, including highly sensitive clinical
trial data, and personal information in connection with business operations. The secure
maintenance of this information is critical to our operations and business strategy.
Some of this information could be an attractive target of criminal attack or unauthorized
access and use by third parties with a wide range of motives and expertise, including
organized criminal groups, “hacktivists,” patient groups, disgruntled current or former
employees and others. Cyber-attacks are of ever-increasing levels of sophistication,
and despite our security measures, our information technology and infrastructure may
be vulnerable to such attacks or may be breached, including due to employee error or
malfeasance.
The pervasiveness of cybersecurity incidents in general and the risks of cyber-crime are
complex and continue to evolve. Although we are making significant efforts to maintain
the security and integrity of our information systems and are exploring various measures
to manage the risk of a security breach or disruption, there can be no assurance that
our security efforts and measures will be effective or that attempted security breaches
or disruptions would not be successful or damaging. Despite the implementation of
security measures, our internal computer systems and those of our contractors and con-
sultants are vulnerable to damage or interruption from computer viruses, unauthorized
or inappropriate access or use, natural disasters, pandemics (including COVID-19),
terrorism, war (including the ongoing conflict in Ukraine), and telecommunication and
electrical failures. Such events could cause interruption of our operations. For example,
the loss of pre-clinical trial data or data from completed or ongoing clinical trials for
our product candidates could result in delays in our regulatory filings and development
efforts, as well as delays in the commercialization of our products, and significantly
increase our costs. To the extent that any disruption, security breach or unauthorized or
inappropriate use or access to our systems were to result in a loss of or damage to our
data, or inappropriate disclosure of confidential or proprietary information, including
but not limited to patient, employee or vendor information, we could incur notification
obligations to affected individuals and government agencies, liability, including potential
lawsuits from patients, collaborators, employees, stockholders or other third parties
and liability under foreign, federal and state laws that protect the privacy and security
of personal information, and the development and potential commercialization of our
product candidates could be delayed.
2.6.5
We are Highly Dependent on Public
Perception of our Products.
We are highly dependent upon consumer perceptions of the safety and quality of our
products. We could be adversely affected if we, or any of our collaborators, are subject
to negative publicity or if any of our products or any similar products distributed by ot-
her companies prove to be, or are asserted to be, harmful to patients, or for example, be
deemed cruel to animals. Because of our dependence upon consumer perception, any
adverse publicity associated with illness or other adverse effects resulting from patients’
use or misuse of our products or any similar products distributed by other companies
could have a material adverse impact on our business, prospects, financial condition and
results of operations.
2.7
Risk Factors Related to
argenx’s Intellectual Property
2.7.1
Failure to Adequately Enforce or Protect
our Intellectual Property Rights in
Products, Product Candidates and
Platform Technologies could Adversely
Affect our Ability to Develop and Market
our Products and Product Candidates.
Our commercial success depends in part on obtaining and maintaining patents and
other forms of intellectual property rights for our products, product candidates and
platform technologies. Failure to protect or to obtain, maintain or extend adequate
patent and other intellectual property rights, which may be challenging and costly, could
adversely affect our ability to develop and market our products and product candidates
and erode or negate any competitive advantage we may have.
We cannot be certain that patents will be issued or granted with respect to applications
that are currently pending. The scope of patent protection that the European Patent
Office and the U.S. Patent and Trademark Office (
USPTO
) will grant with respect to the
antibodies in our product pipeline is uncertain and may vary by jurisdiction. It is possible
that the European Patent Office and the USPTO will not allow broad antibody claims that
cover antibodies closely related to our products and product candidates as well as the
specific antibody. As a result, upon receipt of EMA or FDA approval, competitors may
be free to market antibodies almost identical to ours thereby decreasing our market
potential.
We and our current or future licensors, licensees or collaboration partners may not be
able to prepare, file and prosecute all necessary or desirable patent applications at a
reasonable cost or in a timely manner. Further, the issuance, scope, validity, enforceabi-
lity and commercial value of our and our current or future licensors’, licensees’ or colla-
boration partners’ patent rights are highly uncertain. Moreover, in some circumstances,
we may need to rely on patent procurement activities of our licensors, licensees or colla-
boration partners or obtain additional costly licenses. Such parties may not fully comply
with applicable patent rules or disagree with us as to the prosecution, maintenance or
enforcement of any patent rights. Even if patents do issue and such patents cover our
products and product candidates, third parties may initiate proceedings challenging the
validity, enforceability or scope of such patents, which may result in the patent claims
being narrowed or invalidated. Our and our licensors’, licensees’ or collaboration part-
ners’ patent applications cannot be enforced against third parties practicing the techno-
logy claimed in such applications unless and until a patent issues from such applications,
and then only to the extent the issued claims cover the technology.
Furthermore, because patent applications are confidential for a period of time after
filing, and some remain so until issued, we cannot be certain that we or our licensors
were the first to file any patent application related to a product and product candidate.
Even where we have a valid and enforceable patent, we may not be able to exclude
others from practicing our invention where the other party can show that they used
the invention in commerce before our filing date, or if the other party is able to obtain
a compulsory license. Any of the aforementioned situations could cause harm to our
ability to protect our intellectual property, which in turn would allow competitors to
market comparable products which could materially adversely affect our competitive
position and as such our business, financial condition and results of operation.
We enjoy only limited geographical protection with respect to certain patents and may
face difficulties in certain jurisdictions. We often file our first patent application (i.e.,
priority filing) at the UK Intellectual Property Office, the European Patent Office or the
USPTO. International applications under the Patent Cooperation Treaty are usually
filed within twelve months after the priority filing. We have so far not filed for patent
protection in all national and regional jurisdictions where such protection may be avai-
lable. If we fail to timely file a patent application in any such country or major market,
we may be precluded from doing so at a later date. In addition, the grant proceeding
of each national/regional patent may lead to situations in which applications might in
some jurisdictions be refused by the relevant patent offices, while granted by others.
Furthermore, competitors may use our and our licensors’ or collaboration partners’
technologies in jurisdictions where we have not obtained patent protection to develop
their own products and, further, may export otherwise infringing products to territories
where we and our licensors or collaboration partners have patent protection, but
enforcement is not as strong as that in the U.S., UK and the EU. Finally, some countries
have compulsory licensing laws under which a patent owner may be compelled to grant
licenses to third parties, and other countries limit the enforceability of patents against
government agencies or government contractors. In these countries, the patent owner
may have limited remedies, which could materially diminish the value of such patent.
2.7.2
Issued Patents could be Found Invalid
or Unenforceable if Challenged in the
Applicable Patent Office or Court.
Once granted, patents may remain open to invalidity challenges for a given period after
allowance or grant, during which time third parties can raise objections against such
granted patent. In the course of such proceedings, the patent owner may be compelled
to limit the scope of the allowed or granted claims thus challenged or may lose the
allowed or granted claims altogether.
To protect our competitive position, we may from time to time need to resort to litiga-
tion in order to enforce or defend any intellectual property rights owned by or licensed
to us, or to determine or challenge the scope or validity of intellectual property rights
of third parties. Enforcement of intellectual property rights is difficult, unpredictable
and expensive, and many of our or our licensors’ or collaboration partners’ adversaries
in these proceedings may have the ability to dedicate substantially greater resources to
prosecuting these legal actions than we or our licensors or collaboration partners can.
In addition, litigation involving our patents carries the risk that one or more of our
patents will be held invalid or held unenforceable. Such an adverse court ruling could
allow third parties to commercialize our products or use our platform technologies, and
then compete directly with us, without payment to us.
2.7.3
We may be Subject to Claims Challenging
the Inventorship or Ownership of our
Intellectual Property or be Required to
Make Additional Payments to Secure
Intellectual Property from Collaborators.
Many of our consultants and employees, including our senior management, were
previously employed at other biotechnology or pharmaceutical companies, including
our competitors or potential competitors. Some of these consultants and employees
executed proprietary rights, non-disclosure and non-competition agreements in connec-
tion with such previous employment. Although we try to ensure that our consultants
and employees do not use the proprietary information or know-how of others in their
work for us, we may be subject to claims that we or these consultants and employees
have used or disclosed confidential information or intellectual property of any such
consultant’s or employee’s former employer or have breached their non-competition
agreement. Additionally, many of our collaborators do not commit to assigning all
intellectual property arising out of the collaboration to us and, instead, grant us options
to acquire intellectual property or commit to making such intellectual property available
to us at a fair price. As such, we or our licensors may have inventorship disputes arise
from conflicting obligations of employees, consultants or others who are involved in
developing our products and product candidates.
In addition, while it is our policy to require our employees and contractors who may be
involved in the development of intellectual property to execute agreements assigning
such intellectual property to us, we may be unsuccessful in executing such an agreement
with such party. Our and their assignment agreements may not be self-executing or
may be breached and we may be forced to bring claims against third parties or defend
claims they may bring against us to determine the ownership of what we regard as our
intellectual property.
There is no guarantee we will be successful in defending such claims, which would
result in us paying monetary damages, or lose valuable personnel or intellectual
property rights.
2.7.4
Third-Party Intellectual Property
Rights could Adversely Affect our
Ability to Commercialize our Products
and Product Candidates.
Our competitive position may suffer if third-party intellectual property rights cover our
products or product candidates or our manufacture or uses relevant to our development
plans. In such cases, we may not be in a position to develop or commercialize products
or product candidates unless we successfully pursue costly and time-consuming
litigation to nullify or invalidate the third-party intellectual property right concerned or
enter into a license agreement with the intellectual property right holder. We are aware
of certain U.S. issued patents held by third parties that arguably cover certain aspects
of our product candidates, including cusatuzumab. One such third-party patent family
of potential relevance to cusatuzumab is scheduled to expire in 2028. In the event that
a patent has not expired at the time of approval of such product candidate and the
patent owner were to bring an infringement action against us, we may have to argue
that our product, its manufacture or use does not infringe a valid claim of the patent in
question. Alternatively, if we were to challenge the validity of any issued U.S. patent in
court, we would need to overcome a statutory presumption of validity that attaches to
every U.S. patent. In the event that a patent is successfully asserted against us such that
the patent is found to be valid and enforceable and infringed by our product, unless we
obtain a license to such a patent, we could be prevented from continuing to develop or
commercialize our product. Similarly, other companies have filed patent applications or
have patents on the targets for certain of our products or their uses. There can be no
assurance any such patents will not be asserted against us or that we will not need to
seek licenses from such third parties.
It is also possible that we are unaware of relevant patents or applications or of relevant
scientific discoveries. In general, patent applications in the U.S. and elsewhere are
published approximately 18 months after the earliest filing from which priority is
claimed, with such earliest filing date being commonly referred to as the priority date.
Additionally, publications of discoveries in scientific literature often lag behind the actual
discoveries. Therefore, patent applications covering our products, product candidates or
platform technology could have been filed by others and relevant discoveries may have
been made without our knowledge. Additionally, pending patent applications which
have been published can, subject to certain limitations, be later amended in a manner
that could cover our products or platform technologies.
Third-party intellectual property right holders, including our competitors, may actively
bring infringement claims against us that we may not be able to successfully settle or
otherwise resolve.
If we fail in any such dispute, we or our licensees may be temporarily or permanently
prohibited from commercializing any of our products and product candidates that are
held to be infringing. We might, if possible, also be forced to redesign products and
product candidates so that we no longer infringe the third-party intellectual property
rights. We may be required to seek a license to any such technology that we are found
to infringe, which license may not be available on commercially reasonable terms, or
at all. Even if we or our licensors or collaboration partners obtain a license, it may be
non-exclusive, thereby giving our competitors access to the same technologies licensed
to us or our licensors or collaboration partners. In addition, if the breadth or strength
of protection provided by our or our licensors’ or collaboration partners’ patents and
patent applications is threatened, it could dissuade companies from collaborating with
us to license, develop or commercialize current products and product candidates. Furt-
hermore, because of the substantial amount of discovery required in connection with
intellectual property litigation, there is a risk that some of our confidential information
could be compromised by disclosure during this type of litigation.
2.7.5
We may not be Successful in Obtaining
or Maintaining Necessary Rights to our
Products and Product Candidates Through
Acquisitions and In-Licenses.
We may be unable to acquire or in-license third-party intellectual property rights that
we identify as an appropriate strategic fit for our Company and necessary for our pro-
duct candidates and technology. A number of more established companies with greater
resources may pursue strategies to license or acquire third-party intellectual property
rights that we may consider attractive.
We sometimes collaborate with U.S. and non-U.S. academic institutions to accelerate
our preclinical research or development. Typically, these institutions provide us with
an option to negotiate a license to any of the institution’s rights in technology resulting
from the collaboration. Regardless of such option, we may be unable to negotiate a li-
cense within the specified timeframe or under terms that are acceptable to us, in which
case the institution may offer the intellectual property rights to other parties, potentially
blocking our ability to pursue our applicable product candidate or program.
In addition, companies that perceive us to be a competitor may be unwilling to assign or
license rights to us. We also may be unable to license or acquire third-party intellectual
property rights on terms that would allow us to make an appropriate return on our
investment, in which case we may have to abandon development of that product
candidate or program.
Existing license agreements impose various development, payment and other obligati-
ons. If we fail to comply with our obligations under these agreements, the licensor may
have the right to terminate the license. Several of our existing license agreements are
sub-licenses from third parties who are not the original licensors of the intellectual pro-
perty at issue. If the licensors fail to comply with their obligations under these upstream
license agreements, the original third-party licensor may have the right to terminate the
original license, which may terminate the sublicense, causing us to lose our rights to the
applicable intellectual property if we are unable to secure our own direct license with
the owner of the relevant rights on reasonable terms.
Further, if disputes over intellectual property that we have licensed or our associated
obligations prevent or impair our ability to maintain our current licensing arrangements
on acceptable terms, we may be unable to successfully develop and commercialize the
affected products and product candidates.
2.7.6
If our Trademarks and Trade Names are
not Adequately Protected, we may not
be Able to Build Name Recognition in our
Markets of Interest.
Our registered or unregistered trademarks or trade names may be challenged, infringed,
circumvented or declared generic or determined to be infringing on other marks. Third
parties may oppose or attempt to cancel our trademark applications or trademarks or
otherwise challenge our use of the trademarks. In the event that our trademarks are
successfully challenged, we may not be able to use these trademarks to market our
products in those countries and could be forced to rebrand our products, which could
result in loss of brand recognition and could require us to devote resources to adver-
tising and marketing new brands. Our competitors may infringe our trademarks and we
may not have adequate resources to enforce our trademarks. If we attempt to enforce
our trademarks and assert trademark infringement claims, a court may determine that
the marks we have asserted are invalid or unenforceable or that the party against whom
we have asserted trademark infringement has superior rights to the marks in question.
Over the long term, if we are unable to establish name recognition, we may not be
able to compete effectively. If other entities use trademarks similar to ours in different
jurisdictions, or have senior rights to ours, it could interfere with our use of our current
trademarks throughout the world.
2.7.7
We may not be Able to Obtain Protection
Under the Hatch-Waxman Act and
Similar Non-U.S. Legislation for Extending
the Term of Patents Covering Each of our
Products and Product Candidates.
Depending upon the timing, duration and conditions of FDA marketing approval of our
product candidates, one or more of our U.S. patents may be eligible for limited patent
term extension under the Hatch-Waxman Act and similar legislation in the EU and the
Asia Pacific region. The Hatch-Waxman Act permits a patent term extension of up to
five years for a patent covering an approved product as compensation for effective
patent term lost during product development and the FDA regulatory review process.
The patent term extension cannot extend the remaining term of a patent beyond a total
of 14 years from the date of product approval, and only one patent applicable to an
approved drug may be extended. However, we may not receive an extension if we fail to
apply within applicable deadlines or prior to expiration of relevant patents or otherwise
fail to satisfy applicable requirements. Moreover, the length of the extension could be
less than we request. If we are unable to obtain patent term extension or the term of
any such extension is less than we request, the period during which we can enforce
our patent rights for that product will be shortened and our competitors may obtain
approval to market competing products sooner than we expect.
2.7.8
Changes in Patent Laws or Patent
Jurisprudence could Diminish the Value
of Patents in General, Thereby Impairing
our Ability to Protect our Products.
Changes in patent law and regulations in the various countries or jurisdictions or
changes in the governmental bodies that enforce them or changes in how the relevant
governmental authority enforces them may weaken our ability to obtain new patents or
to enforce patents that we have licensed or that we may obtain in the future. We cannot
predict future changes in the interpretation of patent laws or changes to patent laws
that might be enacted into law by U.S. and foreign legislative bodies. For example, the
U.S. Supreme Court has ruled on several patent cases in recent years, either narrowing
the scope of patent protection available in certain circumstances or weakening the rights
of patent owners in certain situations. Such changes may materially affect our patents or
patent applications and our ability to obtain additional patent protection in the future.
2.7.9
We may be Unable to Protect the
Confidentiality of our Trade Secrets
and Know-How.
In addition to patent protection, we rely on trade secret protection for our proprietary
information, including, for example, certain aspects of our llama immunization and
antibody affinity maturation approaches. However, trade secrets are difficult to protect,
and we have limited control over the protection of trade secrets used by our numerous
licensors, collaborators and suppliers.
We require our employees, consultants, advisors and potential collaborators to enter
into confidentiality agreements. Moreover, we put in place appropriate procedures to
identify confidential material and restrict access to documentation. However, current or
former employees, consultants, advisors and potential collaborators may unintentionally
or willfully disclose our confidential information to competitors despite these procedu-
res or in violation of our confidentiality agreements. In addition, the need to share trade
secrets and other confidential information increases the risk that such trade secrets
become known to our competitors or inadvertently incorporated into the technology
of others. Any disclosure, either intentional or unintentional, or misappropriation by
third parties (such as through a cybersecurity breach) of our trade secrets or proprietary
information could enable competitors to duplicate or surpass our technological
achievements.
Enforcing a claim that a third party illegally obtained and is using trade secrets is
expensive, time-consuming and the outcome is unpredictable, and the enforceability
of confidentiality agreements may vary from jurisdiction to jurisdiction. Moreover, if
any of our trade secrets were to be lawfully obtained or independently developed by a
competitor or other third party, we would have no right to prevent them from using that
technology or information to compete with us.
2.8
Risk Factors Related to
argenx’s Organization
and Operations
2.8.1
Our Future Growth and Ability to Compete
Depends on Retaining our Key Personnel
and Recruiting Additional Qualified
Personnel.
As a global organization in a highly competitive and specialized industry, our success
depends upon the continued contributions of our key management, scientific, medical
and technical personnel, many of whom have been instrumental for us and have sub-
stantial experience with our product and related technologies. These key management
individuals include the members of our Board of Directors and senior management
team. Difficulties in recruiting or the loss of key managers, scientific, medical or
technical personnel could delay our research and development activities. In addition, it
may be difficult to attract and retain highly qualified management, scientific and medical
personnel, particularly if we expand into fields that will require additional skills.
As a Dutch company listed on Euronext Brussels in addition to Nasdaq, our remuneration
practices and policies may be limited by local governance rules or shareholder guidance
for EU companies. Such limitations may make it more difficult to successfully compete
for key talent in a number of markets that have differing remuneration practices and
policies as we are bound by more restrictive remuneration practices than our compe-
titors. For example, the Dutch Corporate Governance Code 2016 (
DCGC
) places certain
limitations on the ability to grant equity incentives to non-executive directors, while
Belgian law requires non-executive directors to receive part of their remuneration in the
forms of shares, but not stock options. The DCGC also places limitations on amount of
severance payment permitted in the event of dismissal. In addition, the U.S. has propo-
sed legislation that imposes restrictions on our ability to prevent departing employees
from competing with us following their departure. If finalized, such legislation could also
adversely affect our ability to retain employees who may go to competitors with more
resources than us and who are not bound by similar remuneration policies.
Many other biotechnology and pharmaceutical companies and academic institutions
that we compete against for qualified personnel have greater financial and other
resources, different risk profiles and a longer history in the industry than we do.
Additionally, an inflationary environment, combined with the tight labor market for the
recruitment and retention of skilled workers, could make it more costly for us to attract
or retain employees. In order to meet the compensation expectations of our prospective
and current employees due to inflationary factors, we may be required to increase our
operating costs. Therefore, we might not be able to attract or retain these key persons
on conditions that are economically acceptable.
2.8.2
Global Geo- and Socio-Political Threats
and Macro-Economic Uncertainty and
Other Unforeseen Political Crises could
Materially and Adversely Affect our
Business and Financial Performance.
Many geo- and socio-political threats and macro-economic uncertainties are outside of
our control, including general economic and market conditions, consumer and commer-
cial credit availability, inflation, interest rates, unemployment, consumer debt levels,
political crises, such as terrorist attacks, war and other political instability, economic
sanctions and other challenges affecting the global economy, including the Russia-
Ukraine conflict, disruptions in supply chains, and changes in trade agreements which
could adversely affect consumer confidence and disposable income levels, increase
difficulty in forecasting our financial results and have other impacts on our business and
financial performance. Such geo- and socio-political threats could also result in volatility
in stock markets in general, causing our stock to have extreme price and volume fluctua-
tions unrelated to our business and financial performance.
Due to our international operations and the fact that we run clinical trials in a large
number of jurisdictions, the eruption of global conflicts, such as the continuing conflict
between Russia and Ukraine may negatively impact our ability to conduct or complete
clinical trials in the affected regions, which could adversely affect our business and
financial performance. For example, a relevant minority of the patients in the ADDRESS
trial of SC efgartigimod for PF and PV are participating in studies conducted in Ukraine or
Russia. The U.S. Department of the Treasury’s Office of Foreign Assets Control has issued
General License 6B, which authorizes “ongoing clinical trials and medical research acti-
vities”. Following a risk assessment relating to the conflict between Russia and Ukraine,
we increased target enrollment, which delayed expected topline data of SC efgartigimod
for PV and PF to the second half of 2023. Additionally, the conflict between Russia and
Ukraine and the sanctions imposed upon Russia by the U.S., the UK, and the EU, among
others could disrupt:
•
the recruitment and enrollment of eligible patients who may not be able to travel
safely to clinical trial sites or may be forced to withdraw for a number of reasons;
•
the closure or destruction of clinical sites or treatment facilities;
•
the ability to compensate patients or staff living in sanctioned countries;
•
the manufacturing process for our products or supply chain, which could increase
the costs of raw material and production costs;
•
the ability to transport, deliver, supply and collect necessary materials, products
or services to clinical trial sites or deliver them to third-party central laboratories’
for analysis;
•
the ability to collect data from clinical trial sites and ensure the integrity of any
data collected;
•
the destruction or disruption of our data centers or our critical business or
information technology systems; or
•
the ability to submit data collected at Russian or Ukrainian sites due to the
incompleteness or the fact that auditing by regulatory authorities was not fully
possible.
To date, other than as described above and elsewhere in this Annual Report, we have no
indication that the conflict between Russia and Ukraine and the corresponding sanctions
imposed on Russia will significantly hinder our clinical development activities performed
in the affected regions or regulatory activities relevant for our pending or expected ap-
proval requests. Moreover, we do not generate revenues in Russia, and we gather more
regular feedback from and to stakeholders and team members in Russia and Ukraine.
However, we also perform development activities in a number of countries neighboring
Russia and Ukraine and if the conflict were to escalate further and impact neighboring
countries, it could impact our development activities in those countries.
2.8.3
We Face Risks Related to Natural
Disasters and Public Health Issues,
such as the COVID-19 Pandemic, that
could Negatively Affect our Business
and Financial Condition.
Our business could be adversely impacted by the effects of catastrophic global events
including natural disasters such as an earthquake, fire, hurricane, tornado, flood or
significant power outage and pandemics, such as the COVID-19 pandemic.
For example, the manufacturing of all of our products and product candidates requires
using cells which are stored in a cell bank. We have one master cell bank for each pro-
duct manufactured in accordance with cGMPs. However, it is possible that we could lose
multiple cell banks and have our manufacturing significantly impacted by the need to
replace these cell banks, which could materially adversely affect our business, prospects,
financial condition and results of operations.
Public health issues could also negatively affect our business and financial condition. We
operate and conduct our clinical trials globally, including in areas impacted by COVID-19
in North America, Europe, the PRC and Japan. We cannot presently predict the scope
and severity of any potential future business shutdowns or disruptions as a result of CO-
VID-19. If we or any of the third parties with whom we engage, including the suppliers,
contract manufacturers, clinical trial sites, regulators and other third parties, were to
experience shutdowns, quarantines, or other business disruptions to stop the spread of
a pandemic, it may impair our or our third-party partners’ ability to initiate clinical trials
and recruit and retain patients, particularly if quarantine or travel restrictions impede
healthcare provider or patient movement, impact the usability of the data due to treat-
ment interruptions and require protocol amendments. We and our third-party partners
will continue to monitor the impact of COVID-19 on all ongoing clinical trials and will
implement changes as necessary. In addition, if we and/or one of our partners elect not
to move forward with some or all of our clinical programs as a result of the COVID-19
pandemic or otherwise, we would not be entitled to some or all of the future payments
which we are eligible to receive under the collaboration agreement with such partner.
The COVID-19 pandemic has also impacted third parties in a number of different ways.
For example, we were informed by our drug substance and drug product manufacturing
partners about potential limitations in the availability of critical manufacturing materials
due to the demand outweighing the available manufacturing capacity for these
materials and prioritizations imposed by the U.S. government on the manufacturing of
COVID-19 vaccines and therapeutics. Moreover, as of the date of this Annual Report,
the FDA is subject to ongoing travel restrictions that impact FDA oversight operations.
Should the FDA determine that an inspection is necessary for approval of a marketing
application and an inspection cannot be completed during the review cycle due to
restrictions on travel, the FDA has stated that it generally intends to issue, depending on
the circumstances, a complete response letter or defer action on the application until
an inspection can be completed. While the number of FDA inspection-related delays de-
creased in 2022, there is a risk that such delays may occur again. Regulatory authorities
outside the U.S. may adopt similar restrictions or other policy measures in response to
the COVID-19 pandemic and may experience delays in their regulatory activities. Such
restrictions and delays could adversely affect our ability to obtain regulatory approval for
and to commercialize our products and product candidates and have a material adverse
effect on our business and financial results.
2.8.4
We may Encounter Difficulties Efficiently
Managing our Growth and our Increasing
Development, Regulatory and Sales and
Marketing Capabilities, which could
Disrupt our Operations.
We have grown significantly in the number of employees and scope of operations over
recent years and expect to experience significant growth in the number of our employees
and the scope of our operations also in the near future, particularly in the areas of drug
research, drug development, regulatory affairs and sales and marketing. To manage our
anticipated future growth, we must continue to implement and improve our managerial,
operational and financial systems, expand our facilities and continue to recruit and train
additional qualified personnel. In particular, we must efficiently leverage our own sales and
marketing capabilities in order to launch or market our products candidates effectively.
Due to our limited financial resources and the limited experience of our management
team in managing a company with such anticipated growth, we may not be able to
effectively manage the expansion of our operations or recruit and train additional
qualified personnel. Our limited financial, manufacturing and management resources,
could cause us to forgo or delay the pursuit of opportunities with potential product
candidates that later prove to have greater market potential, fail to capitalize on viable
commercial products or profitable market opportunities or relinquish rights to such
product candidates through collaborations, licensing or royalty arrangements in circums-
tances where it would have been more advantageous for us to retain sole development
and commercialization rights. Any inability to manage growth could delay the execution
of our strategic objectives or disrupt our operations, which in turn could materially harm
our business and prospects.
2.8.5
We have benefited from certain research
and development incentives in Belgium,
which may be re-evaluated if our
shareholder base changes significantly.
The Belgian authorities may challenge
our eligibility for or our calculation of
such incentives.
As a company active in research and development in Belgium, we have benefited from
certain research and development tax incentives, in particular a tax credit and a payroll
withholding tax exemption. The tax credit is calculated as a percentage of qualifying
investments in research and development; it can be offset against corporate income
tax and is refunded to us in cash after five years to the extent it could not be offset.
The payroll tax exemption results in a reduction of the payroll cost for highly qualified
personnel engaged in research and development projects. We also expect to benefit
from the Belgian innovation income deduction, which allows net profits attributable
to revenue from among others patented products (or products for which the patent
application is pending) to be taxed at a lower effective tax rate than other revenues. The
relevant Belgian authorities may challenge our eligibility for, or our calculation of, such
tax incentives and, should such a challenge be successful, we may be liable for additional
taxes, and penalties and interest related thereto, which could have a significant impact
on our results of operations and future cash flows. In case of a change of control of the
Company, we could be exposed to the risk of losing the unused tax credit and innovation
income deduction. Furthermore, if the Belgian legislator decides to eliminate, or change
the conditions for claiming, such tax incentives, or reduce the scope or the rate of, such
incentives, any of which it could decide to do at any time, our results of operations could
be adversely affected.
2.8.6
We are exposed to unanticipated changes
in tax laws and regulations, adjustments
to our tax provisions, exposure to
additional tax liabilities, or forfeiture of
our tax assets.
The determination of our provision for income taxes and other tax liabilities requires
significant judgment, including the adoption of certain accounting policies and our
determination of whether our deferred tax assets are, and will remain, fully available
in future periods. We cannot guarantee that our interpretation of applicable tax laws or
our structure will not be questioned by the relevant tax authorities, or that the relevant
tax laws and regulations, or the interpretation thereof, including through tax rulings,
by the relevant tax authorities, will not be subject to change. Any adverse outcome of
such a review or change in law may lead to adjustments in the amounts recorded in our
financial statements and could have a materially adverse effect on our operating results
and financial condition.
Dealings between current and former group companies as well as additional companies
that may form part of our group in the future are subject to transfer pricing regulations,
which may be subject to change and could affect us. Compliance with these laws and
regulations will be more challenging as we expand our international operations, inclu-
ding in connection with potential approvals of our products and product candidates in
Europe, the U.S. and elsewhere.
Our effective tax rates could be adversely affected by changes in tax laws, treaties and
regulations or the interpretation thereof by the relevant tax authorities in countries
where we have material operations, including changes to the Belgian innovation
income deduction, to the corporate income tax base, or to other tax incentives and the
implementation of new tax incentives. A successful challenge to our qualifications for
and application of these tax incentives by the tax authorities in Belgium or other country
where we have material operations would have a significant impact on our effective tax
rate and on our tax assets. An increase of the effective tax rates could have an adverse
effect on our business, financial position, results of operations and cash flows.
On December 14, 2022, the Council of the EU adopted Directive (EU) 2022/2523 on
ensuring a global minimum level of taxation for multinational enterprise groups and
large-scale domestic groups in the Union (Pillar Two Directive). The Pillar Two Directive
should be implemented in the EU Member States’ national law by December 31, 2023.
If the Pillar Two Directive is implemented under domestic laws in any of the jurisdictions
in which the Group operates, or via international treaties entered into between such
jurisdictions, the Pillar Two Directive may have an impact on the Group’s effective tax
rate as well as increase the Group’s tax compliance costs incurred to track and collect
such taxes. Based on current information, we expect that the Group could become
subject to the Pillar Two Directive and implementing domestic laws as early as 2025.
However, whether the Pillar Two Directive will have an impact on the Group’s tax
liabilities and operations cannot be determined accurately and remains uncertain.
In addition, we may not be able to use, or changes in tax regulations may affect the
use of, certain unrecognized tax assets or credits that we have built over the years.
For instance, we have considerable material tax assets in Belgium and some of these tax
assets may be forfeited in whole, or in part, as a result of various transactions, including
corporate reorganizations or transactions relating to our shareholding structure, or their
utilization may be restricted by statutory law in the relevant jurisdiction.
3
Corporate
Governance
3.1
Dutch Corporate Governance Code “Comply or Explain”
157
3.2
Management Structure
159
3.3
Report of the Non-Executive Directors
184
3.4
Remuneration Report and
Compensation Statement
189
3.5
Risk Appetite & Control
222
3
Corporate Governance
3.1
Dutch Corporate Governance
Code “Comply or Explain”
As a Dutch company, we are subject to the DCGC. A copy of the DCGC can be found
on
www.mccg.nl
.The DCGC is based on the notion that a company is a long-term
alliance between the various stakeholders of the company. Stakeholders are groups and
individuals who, directly or indirectly, influence – or are influenced by – the attainment
of our objectives: employees, shareholders and other lenders, suppliers, customers
and other stakeholders. Our Board of Directors has responsibility for weighing these
interests, generally with a view to ensuring our and our subsidiaries’ continuity of us and
our subsidiaries, as we seek to create long-term value. If stakeholders are to cooperate
within and with the company, they need to be confident that their interests are duly
taken into consideration. Good entrepreneurship and effective supervision are essential
conditions for stakeholder confidence in management and supervision. This includes
integrity and transparency of the actions of, and accountability for the supervision by,
the Board of Directors.
The DCGC is based on a “comply or explain” principle. Accordingly, companies are
required to state the extent to which they comply with the principles and best practice
provisions of the DCGC in their annual report and, where they do not comply with them,
why and to what extent they deviate from them.
We acknowledge the importance of good corporate governance and we fully endorse
the underlying principles of the DCGC, which is reflected in a policy that complies with
the best practice provisions as stated in the DCGC (the
Board By-Laws
). The Board By-
Laws are available on our website (
www.argenx.com/investors
). However, we deviate
from the best practice provisions in the areas set out below, for the reasons explained
in this section. These deviations all relate to our remuneration practices, which are in
line with our remuneration policy as approved by our annual general meeting of share-
holders held in 2021 (
2021 General Meeting
).
•
Pursuant to best practice provisions 3.1.2 under vi of the DCGC, shares should
be held for at least five years after they are awarded. In accordance with our
remuneration policy, pursuant to our equity incentive plan (
Equity Incentive Plan
),
restricted stock units (
RSUs
) vest in four equal tranches, which means that one
fourth of the RSUs granted are settled at each anniversary of the date of grant, and
no lock-up period applies to any shares acquired at such settlement, except as may
be applicable pursuant to our minimum equity holding guidelines for directors and
senior management personnel further specified in section 3.4.2 “
Reference Group
and Setting Reward Levels
”. Our Equity Incentive Plan was crafted recognizing
that equity incentives are an important factor in the key jurisdictions in which we
operate for attracting and retaining qualified personnel. The Equity Incentive Plan is
regularly reviewed by our Board of Directors and our remuneration and nomination
committee in particular, based on external benchmarking done by an independent
third party. The main purpose of such review and benchmark is to test whether the
Equity Incentive Plan, including the type, size and conditions of grants and their
vesting and exercisability thereunder, is fair and competitive in the key markets
where we compete for talent and as such can support our ability to attract and retain
talent in such markets. Hence, we deviate from best practice provision 3.1.2 under
vi to allow for a competitive equity incentive plan. At the same time, we believe our
current Equity Incentive Plan promotes long-term value creation. For instance, the
four-year vesting period of the RSUs ensures that a RSU package granted cannot be
fully settled within four years after the grant date. In 2021, our Board of Directors
amended our Equity Incentive Plan in line with our updated remuneration policy,
adding specifically the granting of RSUs to the equity incentive scheme and including
the aforementioned vesting schemes. In 2023, our Board of Directors adopted
equity holding guidelines for our Board of Directors and senior management
team. Considering the importance of competitive remuneration for our ability to
attract and retain highly qualified persons, alignment with the reference group is
prioritized over compliance with this best practice provision 3.1.2. We will continue
to review our Equity Incentive Plan conditions against our reference group, and if our
benchmark exercise shows that a five-year lockup period as prescribed by the DCGC
becomes competitive practice in our key talent markets, we will consider adhering in
full to this best practice principle.
•
Pursuant to best practice provision 3.2.3. of the DCGC, the severance payment
in the event of dismissal should not exceed one year’s base compensation. Our
remuneration policy provides that a severance payment equal to 18 months base
compensation to our chief executive officer (
CEO
). The severance component of
the remuneration package is, like all other components, benchmarked against and
aligned with the severance components as identified within the reference group. On
this topic, considering the importance of competitive remuneration for our ability
to attract and retain highly qualified persons, alignment with the reference group is
prioritized over compliance with this best practice provision 3.2.3. We currently do
not envision to change our practice in this respect.
•
Pursuant to best practice provision 3.3.2. of the DCGC, non-executive directors
should not be granted any shares or rights to shares as remuneration. We note that
the ‘best practices’ and usages regarding granting equity incentives to non-executive
directors vary significantly between the key jurisdictions in which we operate. For
example, we conduct a significant part of our operations in Belgium and the Belgian
Corporate Governance Code requires that non-executive directors receive part of
their remuneration in the form of shares, but not stock options. Our benchmarking
confirms that offering equity incentives to non-executive directors in the form of
options and/or shares is on the other hand widely accepted market practice in the
U.S., with over 90% of our U.S. reference group companies granting stock options
to directors (benchmark of September 2022). We believe it is in the interest of our
stakeholders that we are equipped to recruit the talent on our Board of Directors
proportionate to our international ambitions. For this reason, we aligned our
remuneration practices with those prevalent in the key markets in which we need
to compete for talent. Considering specifically our significant activities in the U.S.
and the specialized knowledge and experience needed on our Board of Directors to
maximize our chances of success in this region, we need to align our remuneration
practices for non-executive directors with the U.S. companies in our reference group,
meaning we offer share options and/or restricted share units to our non-executive
directors. We believe this is a conscious and well-considered deviation from the
DCGC that is required to serve our long-term global goals and ambitions. On this
topic, considering the importance of competitive remuneration for our ability to
attract and retain highly qualified persons, alignment with the reference group is
prioritized over compliance with this best practice provision 3.3.2. We currently
do not envision to change our practice in this respect, unless the practice in our
reference group changes. If our benchmark exercise shows that offering only cash
(no equity incentives) or equity excluding stock options becomes competitive practice
in our key markets, we will consider adhering in full to this best practice principle.
3.2
Management Structure
3.2.1
General
We have a one-tier board structure consisting of one executive director and eight
non-executive directors (as of December 31, 2022), and a senior management team
(consisting of our CEO and senior personnel reporting directly to the CEO) responsible
for the day-to-day operations. We have opted for this structure to allow for a division
of responsibilities between our Board of Directors and our senior management team,
keeping our Board of Directors at a manageable size whilst being able to involve some or
all members of our senior management team in discussions with the Board of Directors
if and when necessary.
In practice, all members of our senior management team are regularly involved in the
discussions of our Board of Directors and its committees, in order to provide information
and context to the various issues the Board of Directors needs to decide on. In addition
to being present at meetings from time to time, our senior management and other
senior leaders in the organization keep regular contact (face to face or via electronic
means) with members of the Board of Directors and its committees.
Set out below is a summary of certain provisions of Dutch corporate law as of the
date of this Annual Report, as well as a summary of relevant information concerning
our Board of Directors and certain provisions of our articles of association (
Articles of
Association
) and Board By-Laws (terms of reference) concerning our Board of Directors.
This summary does not purport to give a complete overview and should be read in
conjunction with and is qualified in its entirety by reference to the relevant provisions of
Dutch law as in force on the date of this Annual Report, the Articles of Association and
Board By-Laws. The Articles of Association are available in the governing Dutch language
and an unofficial English translation thereof, and the Board By-laws are available in
English, on our website.
3.2.2
Statement of the Board of Directors
Responsibilities for the Financial Statements and Management Report
In accordance with Article 5:25c(2)(c) of the Dutch Financial Supervision Act (Wet
toezicht financiële verslaggeving) (
DFSA
), the Board of Directors hereby certifies that,
to the best of our knowledge, our consolidated financial statements as of December 31,
2022, prepared in accordance with International Financial Reporting Standards (
IFRS
) as
adopted by the EU, and with the legal requirements applicable in the Netherlands, give
a true and fair view of the assets, liabilities, financial position and profit or loss of the
company and the undertakings included in the consolidation taken as a whole, and that
the management report includes a fair review of the development and performance of
the business and the position of argenx and the undertakings included in the consolida-
tion taken as a whole, together with a description of the principal risks and uncertainties
that they face.
Responsibility for this Annual Report
The Board of Directors declares that the information contained in this Annual Report,
including our consolidated financial statements as of December 31, 2022 and the
management report, is, to the best of its knowledge, in accordance with the facts and
contains no omission likely to affect its import. The Board of Directors is responsible for
the information given in this Annual Report.
In Control Statement
Our Board of Directors is responsible for the oversight of our risk management activities
and has specifically designated the audit and compliance committee to assist our Board
of Directors in this task and prepare recommendations in this respect to the Board of
Directors. While our Board of Directors oversees our risk management, our senior
management is responsible for day-to-day risk management processes. Our Board of
Directors expects our senior management to consider risk and risk management in
each business decision, to proactively develop and monitor risk management strategies
and processes for day-to-day activities and to effectively implement risk management
strategies adopted by the Board of Directors. We believe this division of responsibilities
is the most effective approach for addressing the risks we face.
See section 3.5 “
Risk Appetite & Control
” for further information on our risk appetite
and control.
3.2.3
Board of Directors
Responsibilities
Under Dutch law (Section 2:129 paragraph 1 of the Dutch Civil Code (
DCC
)), our Board
of Directors is collectively responsible for our general affairs. Our Board of Directors, our
executive director as well as our non-executive directors, define our strategy (as further
set out in section 1.2 “
Strategy and Objectives
”). Our strategy is regularly discussed and
monitored at our Board of Directors meetings.
Pursuant to our Articles of Association, our Board of Directors will divide its duties
among its members, with our day-to-day management entrusted to the executive
director(s). The non-executive directors are tasked with supervising our management
and advising the executive director(s). In addition, both the executive director(s) and
the non-executive directors must perform the duties assigned to them pursuant to the
Articles of Association. The division of tasks within our Board of Directors is determined
(and amended, if necessary) by our Board of Directors. Our executive director(s) may not
(i) serve as chairperson of our Board of Directors; (ii) determine the remuneration of an
executive director or (iii) nominate directors for appointment.
Each director has a duty to properly perform the duties assigned to him or her and to
act in our corporate interest. Under Dutch law, the corporate interest extends to the
interests of all corporate stakeholders, such as shareholders, creditors, employees and
other stakeholders.
Composition, Appointment and Dismissal
The Articles of Association provide that our Board of Directors will consist of our execu-
tive director(s) and non-executive directors. The number of executive directors must at
all times be less than the number of non-executive directors. The number of directors,
as well as the number of executive directors and non-executive directors, is determined
by our Board of Directors, provided that the Board of Directors must consist of at least
three members.
Our directors are appointed by the shareholders at a general meeting of our shareholders
(
General Meeting
) for a period of four years as either executive directors or as non-
executive directors. In accordance with best practice principle 2.2.1 of the DCGC, execu-
tive directors may be re-appointed for periods of not more than four years at a time. In
accordance with best practice principle 2.2.2 of the DCGC, non-executive directors are
appointed for a period of four years and may subsequently be re-appointed for another
four-year period. Non-executive directors may subsequently be reappointed again for
a period of two years, which appointment may be extended by at most two years. In
the event of a reappointment after an eight-year period, reasons will be given in the
report of the Board of Directors. The Board of Directors is required to make one or more
proposals for each seat on our Board of Directors to be filled. A resolution to nominate a
director by our Board of Directors (with support from the remuneration and nomination
committee) may be adopted by a simple majority of the votes cast. A nomination for
appointment of an executive director must state the candidate’s age and the positions
he or she holds, or has held, insofar as these are relevant for the performance of the du-
ties of an executive director. The nomination must state the reasons for the nomination
of the relevant person. A nomination for appointment of a non-executive director must
state the candidate’s age, his or her profession, the number of shares he or she holds
and the employment positions he or she holds, or has held, insofar as these are relevant
for the performance of the duties of a non-executive director. Furthermore, the names
of the legal entities of which he or she is already a supervisory board member or a non-
executive member of the board shall be indicated; if those include legal entities which
belong to the same group, a reference to that group will be sufficient. The nomination
must state the reasons for the nomination of the relevant person.
Our Board of Directors designates one executive director as CEO. In addition, the Board
of Directors may grant other titles to executive directors. Our Board of Directors also
designates a non-executive director as chairperson of the Board of Directors and a non-
executive director as vice chairperson of the Board of Directors. The legal relationship
between an executive member of the Board of Directors and argenx will not be consi-
dered as an employment agreement. Employment agreements between an executive
director and a Group company (other than argenx SE) are permitted. In the absence of
an employment agreement, members of a board of directors generally do not enjoy the
same protection as employees under Dutch labor law.
As a foreign private issuer, under the listing requirements and rules of Nasdaq, we are
not required to have a majority independent directors on our Board of Directors, except
that our audit and compliance committee is required to consist fully of independent
directors. However, our Board of Directors has determined that, taking into account any
applicable committee independence standards, all of our non-executive directors, inclu-
ding the members of our audit and compliance committee, are “independent directors”
under Rule 10A-3 of the U.S. Securities Exchange Act of 1934, as amended (
Exchange
Act
) and the applicable rules of Nasdaq and of the DCGC. In making such determination,
our Board of Directors considered the relationships that each non-executive director has
with us and all other facts and circumstances our Board of Directors deemed relevant
in determining the director’s independence, including the number of ordinary shares
beneficially owned by the director and his or her affiliated entities (if any).
The DCGC requires that the composition of non-executive directors is such that the
members are able to operate independently and critically vis-à-vis one another, the
executive directors, and any particular interests involved. As of the date of this Annual
Report, all non-executive directors meet the independence criteria contained in the
DCGC. Therefore, in the opinion of the non-executive directors, the composition of our
non-executive directors complies with the independence requirements of best practice
provisions 2.1.7 to 2.1.9 of the DCGC. Our Board of Directors has consequently also
determined that all members of our committees are independent under the applicable
rules of the DCGC.
As of the date of this Annual Report (or in any period before), none of the members of
our Board of Directors and senior management has or has had a family relationship with
any other member of our Board of Directors or senior management.
Directors may be suspended or removed by the shareholders at a General Meeting at
any time, with or without cause, by means of a resolution passed by a simple majority
of the votes cast. Under Dutch law (Section 2:134 paragraph 1 of the DCC), executive
directors may also be suspended by the board of directors. A suspension of an executive
director by the board of directors may be discontinued by the shareholders at any time
at a General Meeting.
Diversity
We value diversity among our colleagues as an integral component in building a
sustainable growth platform and believe that a diverse workforce enhances our
overall performance and success. We take pride in creating and sustaining a culture
and environment where each of us can excel. We bring together people with diverse
backgrounds experiences and functional expertise. By doing so, we broaden the scope
of ideas and creativity essential to developing and delivering innovative therapies to
patients. Acknowledging and benefiting from different perspectives promotes diversity
of thought and empowers innovation. It also contributes to our commitment to improve
lives of patients, wherefore we need teams with a healthy mix of contrasting perspecti-
ves and backgrounds that reflect the diverse communities we serve. We recognize that
our people are our greatest strength. Fostering an inclusive work environment where
everyone feels safe and encouraged to contribute leads to better work outcomes and
supports high levels of employee commitment and retention. We aspire to be a con-
sciously global company. Our success is built on, and dependent on true collaboration
in cross-functional and often cross-regional teams in which open communication is
encouraged and safeguarded. Everyone has a voice and is encouraged to contribute to
the benefit of our common goals, irrespective of race, ethnicity, age, gender or cultural
background. Good ideas as well as real concerns are taken seriously, regardless of who
brings them forward.
In 2022, we adopted our new diversity, equity and inclusion policy, which sets out the
basis for our inclusion, equity and diversity management throughout our organization
in a way that we believe best supports our business objectives and our people. We mo-
nitor and annually report on relevant diversity, equity and inclusion metrics, initiatives
and developments in this Annual Report and in our 2021 environmental, social and
corporate governance (
ESG
) reports, of which an updated version will be published in
the second quarter of fiscal 2023.
Our policy is that we aim to balance our Board of Directors and senior management
team in terms of gender, age, background, race, ethnicity, sexual orientation, experience
and nationality as much as reasonably possible while still having our Board of Directors
and senior management team composed of the best possible candidates overall. It has
been and will remain our priority to have the best available specialists on our Board of
Directors and in our senior management team, who make a balanced panel of directors
and managers able to advise and guide argenx to further growth and success for all its
stakeholders. This means we require a number of specialties and character traits to be
present. We will actively seek to further improve diversity on our Board of Directors if
and when proposing new appointments to our Board of Directors, whilst recognizing
that, considering the specialist nature of our business, aspects other than diversity are
relevant as well for the ultimate decision to select a board member.
We aim to foster an inclusive work environment in support of our strategic plan and
priorities. We continue to raise the bar in this regard, and to commit to measures and
goals designed to support our maturing company culture. We have set ourselves the
goal of gender balance across all levels at argenx, including our Board of Directors.
Our plan of action to achieve our goal of gender balance includes a number of recruit-
ment and development-related initiatives to promote balanced and diversified candidate
pools as well as diversity amongst persons receiving promotion and development
opportunities. We value our fair, inclusive recruitment process, which is standardized
across the organization and focuses on pre-identified ‘what counts’ factors. The process
involves a diverse group of colleagues from across the organization, who are provided
with training to recognize existing biases. Recruitment decisions are based on a group
evaluation of available candidates, to encourage different perspectives. Our onboarding
program is designed to promote inclusion by building a strong social fabric across teams,
functions and geographic locations. Once hired, employees are encouraged to participate
in a personal development program aimed at building on their individual strengths to
benefit the broader team and taking into account their individual career aspirations. We
offer opportunities for promotion, training and career development solely based on job-
related, appropriate criteria such as skills, competencies, experience, aptitude and en-
thusiasm and giving account to each individual’s experience, ambitions and capabilities.
We will continue to implement our diversity, equity and inclusion policy by seeking new
ways to improve and support diversity, equity and inclusion at the Company. We from
time to time report on specific initiatives taken with respect to our diversity, equity and
inclusion policy in our annual ESG report, of which an updated version will be published
in the second quarter of fiscal 2023.
In accordance with Dutch legislation as entered into force on January 1, 2022, we will
report to the Sociaal-Economische Raad whether or not we have complied with our
diversity goals, and if we have not, the reasons for this.
As of December 31, 2022, our Board of Directors consisted of 9 directors, including
1 executive director and 8 non-executive directors. Of the directors who chose to
disclose their gender, the Board of Directors contained 5 male directors and 3 female
directors (non-executive directors), translating into a 55.55% male / 33
1/3
% female
balance for our full Board of Directors (compared to 6 males and 2 females (75% / 25%)
as of December 31, 2021) and a 62.5% male / 37.5% female balance for our non-exe-
cutive directors (compared to 5 males and 2 females (71.4% / 28.6%) as of December
31, 2021). As of December 31, 2022 and December 31, 2021, we estimated that our
Company leadership team consisted of 31 persons, comprised of a mix of 19 males and
12 females, (61% / 39% respectively). In making this calculation we define our leader-
ship team as consisting of our senior management team and the (other) leaders of our
largest functions and projects. Each of these positions is characterized by a high impact
across the organization, leading a global and cross functional team and having a global
reach. We estimate that as of December 31, 2022, 63% of our workforce were female
and 37% were male (compared to 58% female and 42% male as of December 31, 2021).
Board Diversity Matrix (as of the Date of this Annual Report)
Country of Principal Executive Offices
The Netherlands
Foreign Private Issuer in the U.S.
Yes
Disclosure of gender identity prohibited
by Dutch Law
No
Total Number of Directors
9
Gender:
Number of Directors
Female:
3
Male:
5
Non-
Binary: 0
Did Not Disclose
Gender identity: 1
Demographic Background Categories
Number of Directors in Each Demographic Category
Underrepresented individual in home
country jurisdiction
1
LGTBQ+
0
Did not disclose demographic background
8
Meetings and Decision-Making
Our Board By-Laws, that describe, inter alia, the procedure for holding meetings of the
Board of Directors, for the decision-making by the Board of Directors and the Board of
Directors’ operating procedures.
In accordance with our Articles of Association, our Board of Directors meets at least
once every three months to discuss the state of affairs within the Company and the
expected developments.
Under our Board By-Laws, the members of our Board of Directors must endeavor, inso-
far as is possible, to ensure that resolutions are adopted unanimously. Where unanimity
cannot be achieved and Dutch law, the Articles of Association or the Board By-Laws do
not prescribe a larger majority, all resolutions of our Board of Directors must be adopted
by a simple majority of the votes cast in a meeting at which at least a majority of the
members of our Board of Directors then in office are present or represented. The Artic-
les of Association provide that in case of a tie of votes, the chairperson does not have a
casting vote and as such the proposal will be rejected in case of a tie.
Under the Board By-Laws, some specific matters require approval of the majority of the
non-executive directors. These matters are set out in Schedule 1 of our Board By-Laws.
Our Board By-Laws are available on our website.
Resolutions of the Board of Directors may also be adopted outside of a meeting in wri-
ting, provided that all directors in office (in respect of whom no conflict of interest exists
as referred to in the Articles of Association) have consented in writing to this manner of
decision-making. A director may issue a proxy for a specific Board of Directors meeting
to another director in writing.
A director having a direct or indirect personal interest that conflicts with the interest of
the Company and its affiliated enterprise has a conflict of interest. Each director shall
inform all other directors of a conflict of interest without delay. A director shall not
participate in the deliberations and decision-making process in relation to an item if
he has a conflict of interest with respect thereto. In such case, the other directors shall
resolve the item. In case because of this no resolution can be adopted by the executive
directors, the non-executive directors will resolve on the matter. In case because of this
no resolution can be adopted by the non-executive directors, the Board of Directors will
resolve on the matter as if there were no conflict of interest.
The executive director(s) are required to be asked their vision on their own remune-
ration in accordance with best practice provision 3.2.2 but may not participate in the
adoption of resolutions (including any deliberations in respect of such resolutions)
relating to their remuneration.
Committees
In accordance with the DCGC, our non-executive directors can set up specialized com-
mittees to analyze specific issues and advise the non-executive directors on those issues
and prepare resolutions with respect thereto.
The committees are advisory bodies only, and the decision-making remains within the
collegial responsibility of the Board of Directors. The non-executive directors determine
the terms of reference of each committee with respect to the organization, procedures,
policies and activities of the committee.
Our non-executive directors have established and appointed:
•
an audit and compliance committee; and
•
a remuneration and nomination committee.
The composition and function of all these committees complies with all applicable requi-
rements of Euronext Brussels, the DCGC, the Exchange Act, the exchange on which the
ordinary shares and the ADSs are listed and U.S. Securities and Exchange Commission
(
SEC
) rules and regulations.
Only non-executive directors qualify for membership of these committees. The audit
and compliance committee and the remuneration and nomination committee may not
be chaired by the chairperson of the Board of Directors or by a former executive director
of the Company.
In addition to the aforementioned legally required subcommittees, our Board of
Directors may also opt to incorporate informal committees consisting of non-executive
directors and other internal and external persons in argenx, in order to facilitate discus-
sions and act as a sounding board on specific projects, as well as on a more permanent
basis. Our Board of Directors has incorporated a research and development committee
and a commercial committee.
Audit and Compliance Committee
Our audit and compliance committee consists of four members: Steve Krognes (chair-
person), effective February 27, 2023, Peter K. M. Verhaeghe, Anthony A. Rosenberg and
James M. Daly. Mr. Lanthaler was chairperson until February 27, 2023. Our Board of
Directors previously established that Mr. Lanthaler qualified and Mr. Krognes qualifies
as an “audit committee financial expert” as defined under the Exchange Act and Article
39 paragraph 1 of Directive 2014/56/EU of the European Parliament and of the Council
of 16 April 2014 amending Directive 2006/43/EC on statutory audits of annual accounts
and consolidated accounts and that the composition of the audit and compliance
committee meets the requirements under the Dutch Decree on Establishing Audit
Committees.
Our audit and compliance committee assists our Board of Directors in overseeing the ac-
curacy and integrity of our accounting and financial reporting processes and audits and
reviews of our consolidated financial statements, the implementation and effectiveness
of an internal control system and our compliance with legal and regulatory require-
ments, the independent auditors’ qualifications and independence and the performance
of the independent auditors. Our audit and compliance committee is also responsible
for monitoring the status of, and compliance with, our global ethics and compliance
program and meets with our head of ethics and compliance at least quarterly to discuss
the status and overall effectiveness of the program as well as any issues or incidents
that occurred and remedial actions needed (if applicable). The committee furthermore
supervises the status of the Company’s cyber security program and regularly (at least
quarterly) discusses the status thereof with our senior management team.
Our audit and compliance committee is governed by a charter that complies with
Nasdaq listing rules and the DCGC, that was last updated on February 28, 2022 and is
publicly available on our website. It is responsible for, among other things, establishing
methods and procedures for supervising, and where necessary requiring improvements
of, our financial reporting, risk management, ethics and compliance and organization for
the purpose of making appropriate recommendations to our Board of Directors in that
regard.
Our audit and compliance committee meets as often as is required for its proper func-
tioning, but at least four times a year and at least once a year meets separately with our
independent auditor. See section 3.3.7 “
Report Research and Development Committee
”
for an overview of the number of meetings and attendance rates.
Our audit and compliance committee reports regularly to our Board of Directors on the
exercise of its functions. It informs our Board of Directors about all areas in which action
or improvement is necessary in its opinion and produces recommendations concerning
the necessary steps or resolutions that need to be taken. The audit review and the
reporting on that review cover us and our subsidiaries as a whole. The members of the
audit and compliance committee are entitled to receive all information which they need
for the performance of their function, from our Board of Directors and employees. Every
member of the audit and compliance committee shall exercise this right in consultation
with the chairperson of the audit and compliance committee.
Remuneration and Nomination Committee
We have established a remuneration and nomination committee, which serves as both
the remuneration committee and selection and appointment committee as prescribed
by the DCGC. Our remuneration and nomination committee currently consists of three
members: J. Donald deBethizy (chairperson), Peter K. M. Verhaeghe and Ana Cespedes.
Our remuneration and nomination committee is responsible for, among other things:
•
regularly reviewing the remuneration policy and practices in light of all relevant
circumstances and benchmarks, and recommending to the non-executive directors
the remuneration of the individual executive directors;
•
advising our Board of Directors in respect of the remuneration for the non-executive
directors;
•
preparing the remuneration report to be included in our annual report;
•
drawing up selection criteria and appointment procedures for directors and making
proposals for appointment and re-appointment of the directors;
•
periodically assessing the size and composition of our Board of Directors and making
a proposal for a composition profile of the non-executive directors;
•
periodically assessing the diversity (including gender diversity) on our Board of
Directors and leadership teams, and taking into account any gaps between our then
current diversity metrics and the goals specified in our diversity, equity and inclusion
policy when making recommendations to the Board of Directors;
•
periodically assessing the functioning of individual directors and reporting on this to
the non-executive directors; and
•
supervising the policy of the executive directors on the selection criteria and
appointment procedures for senior management.
The remuneration and nomination committee consists of at least three members. The
remuneration and nomination committee meets as often as is required for its proper
functioning, but at least once per year to evaluate its functioning. See section 3.3.8
“
Report Commercial Committee
” for an overview of the number
of meetings and attendance rates.
Informal subcommittees
Research and development committee
The research and development committee consists of members of our Board of
Directors and other persons, which composition may vary from time to time. Currently,
the research and development committee consists of two members, who are also
members of our Board of Directors: J. Donald deBethizy and Pamela Klein. Non-director
members of the research and development committee include David Lacey, Hans de
Haard and Wim Parys. Ad-hoc participants to the committee meetings include a variety
of employees and/or external advisors, depending on the needs of the committee and
the topics under discussion.
The research and development committee is responsible for, among other things:
•
monitoring and overseeing our research and development goals, strategies and
measures;
•
serving as a sounding board to our research and development management, general
management and Board of Directors;
•
performing strategic reviews of our key research and development programs;
•
reporting to our Board of Directors on the outcome of the strategic reviews;
•
reviewing our scientific publication and communications plan;
•
evaluating and challenging the effectiveness and competitiveness of our research
and development endeavors;
•
reviewing and discussing emerging scientific trends and activities critical to the
success of our research and development;
•
reviewing our clinical and preclinical product pipeline; and
•
engaging in attracting, retaining and developing our senior research and
development personnel.
All members of the research and development committee shall have adequate
industrial, academic and/or practical experience with the research and development of
biopharmaceuticals.
One purpose of our research and development committee is to engage in discussion
with our research and development personnel, and the committee’s responsibilities to
carry out this purpose include, among others: monitoring the research and development
activities, performing strategic reviews of the key research and development programs
and reviewing the scientific publication plan, all with the intent to support our innova-
tion mission.
Our research and development committee meets as often as is required for its proper
functioning, but typically meets at least once prior to each meeting of our Board of
Directors and reports regularly to our Board of Directors on the outcome of its delibera-
tions, including any recommendations to the Board of Directors or the senior manage-
ment team. The chairperson of our research and development committee reports to
our Board of Directors on the research and development committee’s discussions and
strategic advice after each meeting on all matters within its duties and responsibilities.
See section 3.3.7 “
Report Research and Development Committee
” for an overview of
the number of meetings and attendance rates.
Commercial Committee
Our commercial committee consists of members of our Board of Directors and other
persons, which composition may vary from time to time. As of the date of this Annual
Report, the commercial committee consists of three permanent members: James M.
Daly (chairperson), Anthony A. Rosenberg and Camilla Sylvest.
The commercial committee is responsible for, among other things:
•
reviewing the performance of our commercial activities;
•
serving as a sounding board to our branded and unbranded strategic marketing plans,
size and scope of our franchises, pre and post launch market access plan of action;
•
reviewing and discussing global commercial and political trends affecting our
industry and development; and
•
reporting to our Board of Directors on the outcome of the strategic reviews.
The non-executive directors shall appoint and dismiss the members of the com-
mercial committee. All members of the commercial committee shall have adequate
industrial, academic and/or practical experience with the commercialization of (bio)
pharmaceuticals.
Our commercial committee meets as often as is required for its proper functioning and
in practice meets at least once per quarter. The commercial committee reports regularly
to our Board of Directors on the outcome of its strategic reviews and any recommenda-
tions to the Board of Directors or senior management team. See section 3.3.8 “
Report
Commercial Committee
” for an overview of the number of meetings and attendance
rates.
3.2.4 Non-Executive Directors
Our Board of Directors as of December 31, 2022 comprised the following eight non-
executive directors:
Peter K. M. Verhaeghe
Peter Verhaeghe has served as a member and chairperson of the board of arGEN-X B.V.
since October 2008 and as non-executive director on our Board of Directors since July
2014. Mr. Verhaeghe is the managing partner of VVGB Advocaten-Avocats, a corporate
finance law and tax law firm, a position he has held since July 1999. He is
currently lead counsel to a number of Belgian, Dutch, French, U.S.
and Swiss life sciences companies. Mr. Verhaeghe also serves on
the board of directors of Participatiemaatschappij Vlaanderen
NV since May 2018, as chairman of the board of Haretis SA
(Luxembourg) since March 2011, and as member of the board
of directors of miDiagnostics since April 2020. Mr. Verhaeghe
also serves as the chairman of the LP & advisory committee
of Bioqube Factory Fund I NV. Mr. Verhaeghe served as the
president of the board of directors of Merisant France SAS, as a
member of the management board of Merisant Company 2 sàrl
and as a member of the board of directors of CzechPak Manufac-
turing s.r.o. He previously also served as director of Innogenetics NV
(Belgium), Tibotec-Virco NV, Biocartis SA, and as the chairman of the
board of directors of PharmaNeuroBoost NV and as liquidator in charge of KBC Private
Equity Fund Biotech NV from April 2009 to December 2012. Mr. Verhaeghe holds a
degree in law (J.D.) from the University of Leuven and an LL.M. degree from Harvard Law
School. At the annual General Meeting held on May 10, 2022 (
2022 Annual Meeting
),
he was reappointed for a new term of 2 years.
Dr. Werner Lanthaler (until February 27, 2023)
Dr. Werner Lanthaler has served as a member of our Board of Directors from July 2014
until February 27, 2023. Dr. Lanthaler is the CEO of Evotec SE, a global drug discovery
and development organization, a position he has held since March 2009.
He also serves on the supervisory board of AC Immune SA (Switzerland).
Dr. Lanthaler previously served on the supervisory boards of Bioxell SpA
and Pantec Biosolutions AG. Dr. Lanthaler holds a degree in psycho-
logy, a Ph. D. in business administration from Vienna University
of Economics and Business and a Master’s degree in public
administration from Harvard University. The Board of Directors
nominated Mr. Lanthaler for re-appointment for a term of an
additional 2 years during our 2022 General Meeting. Such re-
appointment beyond the first 8 years on our Board of Directors
was deemed in the best interest of the Company, to allow for the
successful selection, appointment and onboarding of Mr. Lanthaler’s
successor. Mr. Lanthaler resigned from our Board of Directors following
our board meeting of February 28, 2023 upon appointment and onboarding of
Mr.Krognes, who was appointed as a non-executive director of the Company and
chairperson of the Company’s audit and compliance committee.
Mr. Steve Krognes (effective February 27, 2023)
Mr. Krognes serves as a member of our Board of Directors and as a chairperson of our
audit and compliance committee since February 27, 2023. Mr. Krognes also serves on
the boards of directors of Guardant Health, Inc., Denali Therapeutics, Inc.,
and Gritstone bio, Inc. He previously served on the board of directors
of RLS Global AB and Corvus Pharmaceuticals, Inc. Mr. Krognes was
the chief financial officer of Denali Therapeutics, Inc., from 2015
until retiring from that position in April 2022. Steve joined Denali
Therapeutics, Inc., as the founding chief financial officer, building
and leading the finance team as well as supervising the IT and
facilities functions. He led successful financings for Denali
Therapeutics, Inc., including the initial public offering in 2017,
and has contributed significantly to the company’s strategy,
growth and strong financial position. His extensive leader-
ship experience in the biotech and pharmaceutical industry
includes 12 years in total at Roche and Genentech, Inc., serving
as chief financial officer of Genentech, Inc., for six years and global
head of Roche’s mergers & acquisition team for six years. He chaired
the Genentech Access to Care Foundation and represented Genentech on the board and
executive committee of the California Life Science Association. Before that, he worked
as an investment banker at Goldman Sachs, as a management consultant at McKinsey
& Company, and as a venture capitalist in Scandinavia. Mr. Krognes holds a master’s in
business administration (
MBA
) from Harvard Business School and a Bachelor of Science
in economics from the Wharton School of the University of Pennsylvania.
Dr. J. Donald deBethizy
Dr. J. Donald deBethizy has served as a member of our Board of Directors since May
2015. Dr. deBethizy has 30 years of experience in research and development and
financial, business and operating management and board work in the biotechnology and
consumer products industry. He is the president of White City Consulting ApS an
executive coaching company. He currently serves on the supervisory boards of
Lophora ApS, Newron Pharmaceuticals SpA, Proterris, Inc. and a board
advisor for NDA Regulatory Service AB. Previously, Dr. deBethizy ser-
ved as president and CEO of Santaris Pharma A/S until October
2014, when the company was sold to Roche. From August
2000 to June 2012, Dr. deBethizy was co-founder and
CEO of Targacept, Inc. (
Targacept
), a U.S. biotechnology
company listed on Nasdaq. From May 2013 to Novem-
ber 2014, he served as executive chairman of Contera
Pharma ApS until it was sold to Bukwang Pharma
(Korea), and from July 2015 to November 2017, he served
as chairman of Rigotec GmbH until it was sold to Merck, Inc.
He previously served on the boards of Albumedix Ltd (Chair, company
sold to Sartorius AG in September 2022), Saniona AB (Chair), Asceneuron SA,
TME Pharma NV (Chair, TME NV and AG), Serendex Pharmaceuticals A/S, Enbiotix, Inc.,
Targacept, Ligocyte Pharmaceuticals until it was sold to Takeda Pharmaceutical Co Ltd
and Biosource, Inc. Dr. deBethizy has held adjunct appointments at Wake Forest Uni-
versity Babcock School of Management, Wake Forest University School of Medicine and
Duke University. Dr. deBethizy holds a B. Sc. in biology from the University of Maryland,
and an M.Sc. and a Ph.D. in toxicology from Utah State University.
Dr. Pamela Klein
Dr. Pamela Klein has served as a member of our Board of Directors since April 2016.
Dr. Klein is a principal and founder of PMK BioResearch, which offers strategic consulting
in oncology drug development to corporate boards, management teams and
the investment community, a position she has held since 2008. She
currently serves as a member of the board of directors of several
companies including F-Star Therapeutics, Inc., I-Mab and Patrys
Ltd; as well as various scientific advisor boards. Previously,
Dr. Klein served on the board of directors of Jiya Acquisition
Corp. Dr. Klein also spent seven years at the National Cancer In-
stitute as Research Director of the NCI-Navy Breast Center, af-
ter which she joined Genentech as Vice President, Development
until 2001. She served as chief medical officer for Intellikine, Inc.,
which was acquired by Takeda American Holdings. Dr. Klein holds
a Bachelor’s degree in biology from California State University and
an M.D. from Stritch School of Medicine, Loyola University Chicago
and is trained in internal medicine and medical oncology.
Anthony A. Rosenberg
Anthony A. Rosenberg has served as a member of our Board of Directors since April
2017. He currently serves as CEO of TR Advisory Services GmbH, his own consultancy firm
advising on business development, licensing and mergers and acquisitions. Mr. Rosenberg
also currently serves on the boards of directors of SiO2 Material Science,
Oculis SA (chairman) and Cullinan Oncology (chairman). Previously
Mr. Rosenberg held the positions of Managing Director at MPM Capital,
a venture capital firm (2015 until 2020); head of M&A and Licensing
of Novartis International (2013 to 2015) and head of business
development and licensing at Novartis Pharma (2005 to 2012).
Mr. Rosenberg also previously served on the boards of directors
at Radius Health, Inc., TriNetX, Inc., iOmx Therapeutics AG, and
Clinical Ink. Msc. A.A. Rosenberg has a B.Sc. (Hons) from the
University of Leicester and a M.Sc. Physiology from the University
of London.
James M. Daly
James M. Daly has served as a member of our Board of Directors since May 2018.
He joined GlaxoSmithKline in 1985 where he held various positions, including
sr. vice president – respiratory division with with full responsibility for sales,
marketing and medical affairs. He moved to Amgen in 2002 where he
was sr. vice president for the North America commercial opera-
tions 2011. In 2012, he joined Incyte Corp, a publicly-traded
company focused on oncology and inflammation, where
he was chief commercial officer until June 2015. Mr. Daly
currently serves as a director of Acadia Pharmaceuticals,
Inc., Halozyme, Bellicum Pharmaceuticals, Inc. and Mad-
rigal Pharmaceuticals, Inc., all Nasdaq-listed companies.
Mr. Daly holds a Bachelor of Science and an MBA from
the University at Buffalo, State University of New York. He was
reappointed for a new 4-year term at the 2022 General Meeting.
Camilla Sylvest
Camilla Sylvest was appointed as non-executive director on September 8, 2022 and
brings strong strategic and operational leadership in the scaling of global commercial
pharmaceutical organizations with a specific focus on company culture and sustainability.
Camilla Sylvest currently serves as the executive vice president, commer-
cial strategy & corporate affairs of Novo Nordisk A/S. Ms. Sylvest also
serves as the vice chair of the World Diabetes Foundation Board
and as a member of the board of directors of Danish Crown A/S.
Camilla Sylvest has more than 25 years of working experience
within Novo Nordisk A/S and was based in Switzerland, Denmark,
Germany, Malaysia and the PRC.
Over the years, Camilla Sylvest headed up affiliates of growing
size and complexity in Europe within Novo Nordisk A/S and
she was also corporate vice president business area Oceania and
Southeast Asia and senior vice president and general manager Novo
Nordisk region China. Camilla Sylvest holds a Master of Science in Economics
from the University of Odense, Denmark and an executive MBA from the Scandinavian
Management Institute in Copenhagen, Denmark.
Ana Cespedes
Ana Cespedes was appointed as non-executive director on December 12, 2022 and
brings robust experience across a broad range of critical areas for commercialization and
access, as well as for organizational effectiveness.
Ana Cespedes is the chief operating officer of the International
AIDS Vaccine Initiative (
IAVI
), a global organization dedicated to
developing accessible vaccines and antibodies for infectious
diseases. Prior to joining IAVI, Ms. Cespedes held several roles
at Merck KGaA, based in Boston, MA, most recently serving
as senior vice president, global marketing & strategy.
Ms. Cespedes founded and led the global market access and
pricing function for the company and worked with stakeholders
to communicate the clinical, economic, and societal value of in-
novative medicines. Prior to that, Ms. Cespedes led the first integ-
rated corporate affairs group at Serono Iberia and Merck Spain, was
managing director of the Spanish branch of the company’s nonprofit
organization, and worked as a senior consultant at Arthur Andersen.
Ms. Cespedes is a founding member of the National Congress of Corporate Affairs in
Spain, the London School of Economics Market Access Academy, and the Cooperation
for Oncology Data. She is also the founder of Living Mindfulness S.L.
Ms. Cespedes holds a B.S. and a Pharm.D. from the Complutense University of Madrid,
and an MBA from IESE Business School.
The following table sets forth certain information with respect to the current non-execu-
tive members of our Board of Directors, including their ages, as of December 31, 2022.
Name
Age
Gender
Position
Nation-
ality
Date of Initial
Appointment
Date of last (re-)
appointment
Term
expiration
Peter K. M. Verhaeghe
64
M
Non-Executive
Director
(chairperson)
Belgium
October 15, 2008
May 10, 2022
2026
Werner Lanthaler
1)
54
M
Non-Executive
Director (vice-
chairperson)
Austria
July 9, 2014
May 10, 2022
2024
J. Donald deBethizy
72
M
Non-Executive
Director
U.S.
May 13, 2015
May 7 2019
2023
Pamela Klein
61
F
Non-Executive
Director
U.S.
April 28, 2016
May 12, 2020
2024
Anthony A. Rosenberg
69
M
Non-Executive
Director
UK
April 26, 2017
May 11, 2021
2025
James M. Daly
61
M
Non-Executive
Director
U.S.
May 8, 2018
May 10, 2022
2026
Camilla Sylvest
50
F
Non-executive
director
Denmark
September 8,
2022
September 8,
2022
2026
Ana Cespedes
49
F
Non-executive
director
Spain
December 12,
2022
December 12,
2022
2026
1)
Werner Lanthaler resigned effective February 27, 2023 and was succeeded by Steve Krognes effective February 27, 2023 whose
term will expire at our 2027 annual General Meeting.
The address for our non-executive directors is our registered office, Laarderhoogtweg
25, 1101 EB Amsterdam, the Netherlands.
Steve Krognes was appointed at an extraordinary General Meeting on February 27,
2023. Peter K.M. Verhaeghe, and James M. Daly were re-appointed at the 2022 General
Meeting.
The following table sets forth the companies and partnerships of which the current non-
executive members of our Board of Directors have been a member of the administrative,
management or supervisory bodies or partner at any time in the previous five years,
indicating whether or not the individual is still a member of the administrative, manage-
ment or supervisory bodies or partner, as of the date of this Annual Report, other than
argenx or our subsidiaries:
Name
Current
Past
Peter K. M. Verhaeghe
VVGB Advocaten – Avocats
PharmaNeuroBoost NV
Haretis SA
Biocartis SA
Participatiemaatschappij
Vlaanderen NV
Fujirebio Europe NV
(formerly Innogenetics NV)
miDiagnostics NV
Tibotec-Virco NV
Bioqube Factory Fund I NV
Merisant France SAS
Merisant Company 2 sàrl
CzechPak Manufacturing s. r. o.
Bever Zwerfsport BV
Werner Lanthaler
1)
Evotec SE
Bioxell SpA
AC Immune SA
Pantec Biosolutions AG
J. Donald deBethizy
White City Consulting ApS
Rigotec GmbH
Newron Pharmaceuticals SpA
TME Pharma NV and AG
Protteris, Inc.
Saniona AB
Lophora ApS
Albumedix A/S
Albumin Holdings ApS
Asceneuron SA
Innovent LLC
Pamela Klein
PMK BioResearch
Olema Oncology
Patrys Limited
Jiya Acquisition Corp.
I-Mab
F-Star Therapeutics, Inc.
1)
Werner Lanthaler resigned effective February 27, 2023 and was succeeded by Steve Krognes effective February
27, 2023 whose term will expire at our 2027 annual General Meeting.
Name
Current
Past
Anthony A. Rosenberg
Cullinan Oncology, Inc.
Radius Health, Inc.
Oculis SA
TriNetX, Inc.
TR Advisory Services GmbH
Clinical Ink, Inc.
iOmx Therapeutics AG
MPM Capital
SiO2 Material Science
James M. Daly
Acadia Pharmaceuticals, Inc.
Chimerix, Inc.
Halozyme Therapeutics, Inc.
Bellicum Pharmaceuticals, Inc.
Madrigal Pharmaceuticals
Coherus Biosciences
Camilla Sylvest
Novo Nordisk
–
World Diabetes Foundation
Crown A/S
Ana Cespedes
Instituto ProPatients
Merck KGaA
Merck Spain
Serono Iberia
Arthur Andersen
Steve Krognes
Denali Therapeutics, Inc.
R/S Global
Guardant Health, Inc.
Corvus Pharmaceuticals, Inc.
Gritstone bio, Inc.
3.2.5 Senior Management
Our senior management team acts as our executive management. Of these people,
only our CEO, Mr. Tim Van Hauwermeiren, is part of our Board of Directors as executive
director. Our senior management team comprised of the following persons in 2022 and
on the date of this Annual Report (appointment/retirement dates noted as relevant):
Tim Van Hauwermeiren
Tim Van Hauwermeiren co-founded our Company in 2008 and has served as our
CEO since July 2008. He has served as a member of our Board of Directors
since July 2014. Mr. Van Hauwermeiren has more than 20 years of
general management and business development experience
across the life sciences and consumer goods sectors.
Mr. Van Hauwermeiren holds a Bachelor of Science and
Master of Science in bioengineering from Ghent Univer-
sity (Belgium) and an executive MBA from The Vlerick
School of Management. Tim Van Hauwermeiren serves
on the board of directors of iTeos Therapeutics, Inc.,
and Aelin Therapeutics NV where he is chairman. At our
2022 General Meeting, he was reappointed as executive
director to the Board of Directors for a new term of four years.
Keith Woods
Keith Woods has served as our chief operating officer from April
2018 to March 2023, at which time, he was succeeded by Karen
Massey. Mr. Woods will transition to serve as an advisor to our
Board of Directors. Mr. Woods has over 30 years of experience
in the biopharmaceutical industry. He most recently served
as senior vice president of North American operations for
Alexion Pharmaceuticals, Inc. (
Alexion
), where he managed
a team of several hundred people in the U.S. and Canada
and was responsible for more than $1 billion in annual sales.
Within Alexion, he previously served as vice president and
managing director of Alexion UK, overseeing all aspects of Alexion’s
UK business, vice president of U.S. operations and executive director
of sales, leading the launch of Soliris in atypical hemolytic uremic syndrome.
Prior to joining Alexion, he held various positions of increasing responsibility within
Roche, Amgen and Eisai Co., Ltd., over a span of 20 years. Keith Woods holds a Bachelor
of Science in marketing from Florida State University.
Karen Massey (effective March 13, 2023)
Karen Massey has served as our chief operating officer since March 2023. Ms. Massey
has over 20 years of experience in the pharmaceutical and biotechnology industry,
including in commercial, product development, corporate strategy and
innovation roles. Prior to joining argenx, Ms. Massey was with
Genentech (Roche Group) for over nine years, where she most
recently served as senior vice president of product develop-
ment and global clinical operations and previously held
various commercial leadership roles across marketing and
business operations, including as the vice president of
the multiple sclerosis and neuromyelitis optica business.
Ms. Massey started her biopharmaceutical career in marketing
at Pfizer, Inc., and returned there, after two years as a ma-
nagement consultant at Bain & Company, to take on leadership
positions in corporate strategy, sales and as a commercial lead in
Latin America. Ms. Massey holds a Bachelor of Economics from the
University of Sydney and an MBA from the NYU Stern School of Business.
Karl Gubitz
Karl Gubitz has served as our chief financial officer since June 2021. Mr. Gubitz worked
at Pfizer, Inc., for nearly 20 years, most recently as vice president of finance within the
global oncology business. During his tenure at Pfizer, Inc., he successfully negotiated
the commercialization model for tanezumab with Eli Lilly and Company in all non-U.S.
markets as well as the Myovant Sciences Ltd. co-commercialization agreement
for Orgovyx™.
Within Pfizer, Inc., Mr. Gubitz held country, regional, and global
positions, and consistently delivered top-line growth. He mana-
ged teams of over 250 colleagues in financial leadership roles
within the global internal medicine and global innovative
products businesses. Prior to joining Pfizer, Inc., in 2003,
Mr. Gubitz held various management roles at Pricewater-
houseCoopers LLP.
He holds an MBA from Henley Management College in the UK,
Bachelor’s degree in computing from the University of South Africa,
and Bachelor of commerce from the University of Pretoria.
Prof. Hans de Haard
Prof. Hans de Haard is a co-founder of argenx and has served as our chief
scientific officer since July 2008. Prof. de Haard has been active in the
antibody engineering field since 1989. He also serves as a Professor
of immunology at University of Franche-Comté (France). Prof. de
Haard holds a Master of Science in biochemistry from the Higher
Professional Education for Laboratory Technicians (Oss, the
Netherlands) and a Master of Science in chemistry from the
Institute of Technology (Rotterdam, the Netherlands) and a
Ph. D. in molecular immunology from Maastricht University.
Prof. de Haard retired as chief scientific officer as of December
31, 2022 and was subsequently appointed as member of our
research and development committee, in which capacity Prof. de
Haard will remain involved with the Company as scientific advisor
and as ambassador of our IIP.
Dr. Peter Ulrichts
Peter Ulrichts has served as our chief scientific officer since January
2023. In this role, he oversees the development of all clinical and
pre-clinical compounds within our pipeline. Dr. Ulrichts previously
served in various roles at the Company since he joined us in
2010; most recently, as our head of clinical science. As a re-
search scientist, Dr. Ulrichts was involved in the development of
various therapeutic antibodies for the treatment of cancer and
autoimmune diseases. In 2013, he headed the development of
our FcRn antagonist efgartigimod until the first-in-human study.
He subsequently transitioned to become the lead scientist of our
efgartigimod program. Dr. Ulrichts holds a Bachelor of Science in
chemistry from Katholieke Universiteit Leuven, Belgium, as well as a
Master’s degree in Biotechnology and Ph.D. in Biomedical Sciences, both
from the University of Ghent, Belgium.
Malini Moorthy
Malini Moorthy has served as our general counsel since February 2022. She has over 25
years of extensive global legal and compliance experience in the biopharmaceu-
tical and medical device industries. She was most recently senior vice
president and chief deputy general counsel, legal, compliance
and government affairs at Medtronic plc where she played a
pivotal role in shaping and driving enterprise and functional
strategies. Before joining Medtronic plc, Ms. Moorthy spent
four years at Bayer Corporation as the head of global litigation
and investigations and ten years at Pfizer Inc., where she
progressed to lead civil litigation globally. Ms. Moorthy began
her career as a law firm associate, first with McCarthy Tétrault
LLP and Genest Murray Desbrisay Lamek LLP in Toronto, Canada
and then Salans LLP (now Dentons US LLP) in New York City. She
holds a Bachelor of Arts in political science and economics from
the University of North Carolina at Chapel Hill and a Bachelor of Laws
from the Faculty of Law at Queen’s University in Canada.
Luc Truyen
Luc Truyen has served as our chief medical officer since April 2022 and
previously served as our head of research and development opera-
tions management from September 2021 to April 2022. Prior to
this, Dr. Truyen was with Johnson & Johnson for over 20 years
holding various leadership positions, primarily within neuro-
science. In his most recent position prior to joining argenx, Dr.
Truyen was global head of development and external affairs –
neuroscience for neuroscience managing strategy and delivery
of the early and late portfolio of assets for mood disorders
and schizophrenia, and neurodegenerative and neuroinflam-
matory disorders. Besides Dr. Truyen’s strong track record in
clinical development resulting in several global innovative drug
approvals, his broad-based experience also includes leading
global clinical development operations for the whole Johnson &
Johnson pharmaceutical group as well as serving as head of the re-
search and development and chief medical officer of Janssen Alzheimer Immunotherapy
Research & Development LLC, an internal spin-out from Johnson & Johnson. Dr. Truyen
holds an M.D. and Ph.D. in Neurology from the University of Antwerp, Belgium.
Wim Parys (until March 31, 2022)
Wim Parys joined the Company as chief medical officer in 2019 and retired as on March
31, 2022. He had over 25 years of experience leading successful clinical programs in
biopharma, including the development and regulatory submission of seven
now-approved drugs. Prior to argenx, Mr. Parys was the research and
development head of the newly established global public health group
at Janssen (Johnson & Johnson) responsible for a portfolio including
programs in human immunodeficiency virus (
HIV
) (developing first
long-acting therapy), tuberculosis (
TB
), dengue fever and malaria.
Before this, Mr. Parys was the head of development of the
infectious disease therapeutic area of Janssen and Tibotec Phar-
maceuticals Ltd. where he developed and launched innovative
drugs for HIV (Prezista™, Intelence™ and Edurant™), Hepatitis C
(Incivo™, Olysio™/Sovriad™), and TB (Sirturo™). Mr. Parys star-
ted his career within the Johnson & Johnson organization at the
Janssen Research Foundation in Belgium where he led the research
and development team developing galantamine (Reminyl™/Raza-
dyne™) for Alzheimer’s disease. Mr. Parys obtained his medical degree from
the Katholieke Universiteit in Leuven, Belgium and worked in private practice for nine
years prior to joining the industry. Following his retirement, Mr. Parys was appointed as
member of our research and development committee, in which capacity Mr. Parys has
agreed to continue to serve as medical advisor to the Company.
Arjen Lemmen
Arjen Lemmen joined argenx in 2016 and has served as our
vice president of corporate development & strategy since 2019.
He has successfully executed several transactions including
a number of programs within the IIP.
Prior to joining the Company, Mr. Lemmen served as a
corporate finance specialist at Kempen & Co NV focusing on
mergers and acquisitions, equity capital markets and strategic
advisory transactions in the European life sciences industry.
He holds a Bachelor of Science in life science & technology
from the University of Groningen and a Master of engineering
management from Duke University.
Andria Wilk
Andria Wilk joined argenx as global head of quality in 2020. Ms. Wilk has more
than 20 years of experience in quality assurance (
QA
) within the phar-
maceutical industry. Most recently, Ms. Wilk served as senior direc-
tor, head of medical, regulatory & clinical QA (
MRC QA
) at H
Lundbeck A/S (
Lundbeck
), where she managed the global MRC
QA group based in the EU, U.S. and Asia. In this role, she was re-
sponsible for the global audit programs and QA support for all
clinical trial and post-marketing activities and related computer-
ized systems. Prior to Lundbeck, she held various QA positions of
increasing responsibility within AstraZeneca PLC, Takeda Global
Research and Development Centre Europe and Astellas Pharma,
Inc. Ms. Wilk holds a joint Bachelor of Science in pharmacology
and biochemistry and is a member of Research Quality Association.
The following table sets forth certain information with respect to the members of our
senior management, including their ages, as of December 31, 2022 and as of the date
of this Annual Report:
Name
Age
Position
Nationality
Date of Initial
Appointment
Tim Van Hauwermeiren
50
CEO and Executive Director
Belgium
July 15, 2008
Keith Woods
1)
55
Chief Operating Officer
U.S.
April 5, 2018
Karen Massey
1)
44
Chief Operating Officer
Australian
March 13, 2023
Karl Gubitz
53
Chief Financial Officer
South Africa
June 1, 2021
Prof. Hans de Haard
2)
63
Chief Scientific Officer
The Netherlands
July 1, 2008
Peter Ulrichts
2)
43
Chief Scientific Officer
Belgium
January 1, 2023
Malini Moorthy
3)
53
General Counsel
Canada
February 14, 2022
Arjen Lemmen
38
Vice-President Corporate
Development & Strategy
The Netherlands
May 1, 2016
Andria Wilk
50
Global Head of Quality
UK
January 13, 2020
Luc Truyen
4)
58
Chief Medical Officer
Belgium
April 1, 2022
1)
Keith Woods retired as COO effective March 13, 2023 and was succeeded by Karen Massey effective
March 13, 2023.
2)
Hans de Haard retired effective January 1, 2023 and was succeeded by Peter Ulrichts effective
January 1, 2023.
3)
Malini Moorthy was appointed as general counsel effective February 14, 2022.
4)
Luc Truyen succeeded Wim Parys who retired as our chief medical officer effective April 1, 2022.
The address for our senior management is Industriepark-Zwijnaarde 7, 9052 Zwijnaarde
(Ghent), Belgium.
The following table sets forth the companies and partnerships of which the members
of our senior management (or persons who have been members of our senior manage-
ment in 2022) have been a member of the administrative, management or supervisory
bodies or partner at any time in the previous five years, indicating whether or not the
individual is still a member of the administrative, management or supervisory bodies
or partner, as of the date of this Annual Report, other than argenx or our subsidiaries:
Name
Current
Past
Tim Van Hauwermeiren
Iteos Therapeutics, Inc.
–
Aelin Therapeutics NV
Keith Woods
1)
–
–
Karen Massey
–
Genentech, Inc.
Karl Gubitz
–
Pfizer, Inc.
Prof. Hans de Haard
–
–
Peter Ulrichts
–
–
Malini Moorthy
2)
–
Pfizer, Inc.
Bayer Corporation
Medtronic plc
Arjen Lemmen
–
–
Andria Wilk
–
H Lundbeck A/S
Luc Truyen
3)
–
Johnson & Johnson
1)
Keith Woods retired as COO effective March 13, 2023 and was succeeded by Karen Massey effective
March 13, 2023.
2)
Malini Moorthy was appointed as our general counsel effective February 14, 2022.
3)
Luc Truyen succeeded Wim Parys who retired as our chief medical officer effective April 1, 2022.
3.2.6
Confirmation of No Past Offenses
As of the date of this Annual Report and except as set out below, none of the members of
our Board of Directors and senior management team for at least the previous five years:
•
has been convicted of any fraudulent offenses;
•
has been a senior manager or a member of the administrative, management or
supervisory bodies of any company at the time of or preceding any bankruptcy,
receivership, liquidation or of such company being put into administration;
•
has been subject to any official public incrimination and/or sanction by any statutory
or regulatory authority (including any designated professional body); or
•
has ever been disqualified by a court from acting as a member of the administrative,
management or supervisory bodies of any company or from acting in the
management or conduct of affairs of any company.
3.2.7
Conflict-of-Interest Transactions
Directors must immediately report any (potential) direct or indirect personal interest in a
matter that conflicts with the interests of the Company and the business connected with
it to the chairperson of our Board of Directors and to the other directors. Directors must
also provide all relevant information, including information concerning their spouse,
registered partner or other partner, foster child and relatives by blood or marriage up
to the second degree as defined under Dutch law (Section 1:3 paragraph 1 of the DCC).
The non-executive directors will decide, without the director concerned being present,
whether there is a conflict of interest. Under Dutch requirements, a conflict of interest
in relation to a director in any event exists if we intend to enter into a transaction with
a legal entity (i) in which such director personally has a material financial interest,
(ii) which has an executive director or a member of the management board who is
related under family law to such director or (iii) in which such director has an executive
or non-executive position. A director will not participate in any discussions and decision
making if he or she has a conflict of interest in the matter being discussed. In case be-
cause of this no resolution can be adopted by the executive directors, the non-executive
directors will resolve on the matter. All transactions in which there are conflicts of inte-
rest with directors will be agreed on terms that are customary in the sector concerned.
Decisions to enter into transactions in which there are conflicts of interest with directors
that are of material significance to us or to the relevant director require the approval
of the non-executive directors. All transactions between us and legal or natural persons
who hold at least one tenth of our shares will be agreed on terms that are customary
in the sector in which we and our combined businesses are active. The non-executive
directors are required to approve such transactions that are of a material significance to
us or to such persons.
Dutch law provides that transactions with related parties are material and thereby
require approval of the Board of Directors if they are (a) not entered into in the ordinary
course of our business or (b) not concluded on normal market terms. The Board of Di-
rectors has established an internal procedure to periodically assess whether transactions
are concluded in the ordinary course of business and on normal market terms. We must
make material transactions must be made public by argenx at the time the transaction is
entered into. Transactions with related parties are considered material if (i) information
on the transaction qualifies as inside information under the (Regulation (EU) No.
596/2014) (
MAR
) and (ii) such transaction is entered into with one or more
holders of shares in argenx representing at least 10% of issued share capital, or a
member of our Board of Directors. Transactions that are individually non-material, but
which are entered into with the same related party during the same fiscal year, must be
evaluated in the aggregate to determine if they are material.
There are no arrangements or understandings in place with major shareholders,
customers, suppliers or others pursuant to which any member of our Board of Directors
or senior management team has been appointed. There are no conflicts of interests
between argenx and any administrative, management and supervisory bodies and
senior management, nor are there any potential conflicts of interests of the members of
our Board of Directors and senior management between any duties to argenx and their
private interests and or other duties.
3.2.8
Code of Business Conduct and Ethics
We adopted a Code of Business Conduct and Ethics (
Code of Conduct
), that is applicable
to all of our employees and directors. The Code of Conduct is available on our
website
.
The audit and compliance committee of our Board of Directors is responsible for overse-
eing the Code of Conduct and is required to approve any waivers of the Code of Conduct
for employees and directors. We expect that any amendments to the Code of Conduct,
and any waivers of its requirements, will be
disclosed on our website.
3.3
Report of the
Non-Executive Directors
3.3.1
Meetings
Our Board of Directors had five formal meetings in the course of 2022. The meetings
were held in the months March, May, July, September and December, most of which
were held (partially) via videoconferencing due to restrictions related to the COVID-19
pandemic. The committees of the Board of Directors also convened regularly (see also
sections 3.3.5 “
Report Audit and Compliance Committee
” to 3.3.8 “
Report Commercial
Committee
” below for the separate reports of the committees).
All Board of Director meetings and all formal committee meetings were also attended by
Mr. Van Hauwermeiren, as executive director. In addition, several members of the senior
management team were invited to discuss specific items included on the Board
of Director and committee meetings’ agendas.
3.3.2
Attendance Record Board
of Director Meetings
In 2022, five Board of Directors meetings were held. The meeting attendance rate for
our directors is set out in the table below.
Name
Number of meetings attended
in 2022 since appointment
Attendance
(in %)
Peter K. M. Verhaeghe (chairperson)
5
100
Tim Van Hauwermeiren
5
100
Werner Lanthaler
5
100
J. Donald deBethizy
5
100
Pamela Klein
5
100
Anthony A. Rosenberg
5
100
James M. Daly
5
100
Yvonne Greenstreet
1)
–
–
Camilla Sylvest
2)
2
100
Ana Cespedes
3)
1
100
1)
Yvonne Greenstreet resigned from our Board of Directors in March 2022.
2)
Camilla Sylvest was appointed as member of our Board of Directors on September 8, 2022.
3)
Ana Cespedes was appointed as member of our Board of Directors on December 12, 2022.
In 2022, all of the five Board of Directors meetings with solely the non-executive
directors being present were held as closed sessions at the beginning or the end of
other meetings. These meetings were attended by all non-executive directors appointed
at such time, except one meeting held in March, which was not attended by Yvonne
Greenstreet.
Name
Number of meetings attended
in 2022 since appointment
Attendance
(in %)
Peter K. M. Verhaeghe (chairperson)
5
100
Werner Lanthaler
5
100
J. Donald deBethizy
5
100
Pamela Klein
5
100
Anthony A. Rosenberg
5
100
James M. Daly
5
100
Yvonne Greenstreet
1)
–
–
Camilla Sylvest
2)
2
100
Ana Cespedes
3)
1
100
1)
Yvonne Greenstreet resigned from our Board of Directors in March 2022.
2)
Camilla Sylvest was appointed as member of our Board of Directors on September 8, 2022.
3)
Ana Cespedes was appointed as member of our Board of Directors on December 12, 2022.
3.3.3 Activities
The agenda for the Board of Directors included long-term value creation as well as the
manner in which the senior management team implements our strategy, our culture to
ensure proper monitoring by the non-executive directors, our financial position as well
as the results of our subsidiaries, acquisitions, large investment proposals, yearly bud-
get, director changes and the internal risk management and control system, diversity,
equity and inclusion policy, adjustment of board fees and changes of office locations.
In 2022, specific attention was given to the statutory and governance topics including
the long-term succession and contingency planning of the Board of Directors and senior
management, leading to the appointment of Ms. Camilla Sylvest and Ms. Ana Cespedes
as non-executive director to our Board of Directors, the re-appointment of Mr. Peter
K.M. Verhaeghe, Mr. James Michael Daly and Mr. Werner Lanthaler as non-executive
directors and the re-appointment of Mr. Tim Van Hauwermeiren as executive director.
The Board of Directors furthermore discussed the long-term succession planning of the
senior management team leading to the appointment of Ms. Malini Moorthy as our
general counsel, Mr. Luc Truyen as our chief medical officer and Mr. Peter Ulrichts as
our chief scientific officer. The Board of Directors discussed the impact of COVID-19 and
related mitigating measures, business updates, review and approval of forecasts, the
Company’s preparation of and execution of commercial launches relating to VYVGART
in the U.S., Japan and Europe, and product portfolios, business and corporate develop-
ment, review and approval of consolidated financial statements, update research and
developments, committee reports, financing of the Company and the approval of the
proposed agenda’s and other meeting documents for General Meetings. The Board of
Directors discussed the appointment of Mr. Hans de Haard and Mr. Wim Parys as mem-
bers of our research and development committee. The Board of Directors furthermore
specifically discussed the input received from shareholders with respect to its remune-
ration policy and practices, its progress towards achieving the newly approved goals for
gender diversity in the Board of Directors and the Company leadership team and the
implementation and oversight over the Company’s healthcare compliance program.
3.3.4 Board Evaluation
The Board of Directors evaluates its functioning and the functioning of its committees
and of each individual director annually. The evaluation process is performed with
the help of an external professional board evaluation consultant (in 2022 this was
performed by Nasdaq Governance Solutions). The evaluation includes preparing specific
questionnaires focusing on the skills and competences most relevant to us, and the most
material board topics and challenges we face. The written questionnaire is then followed
up by one-to-one interviews with each member of the Board of Directors, followed by
a debrief to the entire Board of Directors both in writing (in form of a report) and in the
form of a live discussion of the evaluation report aimed at distilling specific learnings
and conclusions.
Based on the self-evaluation performed, the non-executive directors concluded that
the Board of Directors and its committees had properly discharged their responsibilities
during 2022. The Board of Directors identified certain strengths and weaknesses and
adopted a plan for further board development and succession in 2023.
3.3.5
Report Audit and Compliance Committee
The audit and compliance committee reports regularly to our Board of Directors on the
exercise of its functions. It informs our Board of Directors about all areas in which action
or improvement is necessary in its opinion and produces recommendations concerning
the necessary steps that need to be taken. The audit review and the reporting on that
review cover argenx and its subsidiaries as a whole.
In 2022, the main points of discussion at the meetings were the key findings and risk
areas of the 2022 gap analysis on compliance, the key findings of the 2022 gap analysis
on ESG, the 2021 ESG report, the 2021 consolidated financial statements and press re-
lease, internal audit plan for 2022, internal and external auditors’ 2021 audit reports, the
interim consolidated financial statements and press releases, the external auditor’s 2021
audit plan and external audit report for the year 2022, the interim financial statements,
review of quarterly forecasts, updates on internal control activities, updates on corporate
audit activities, updates on tax priorities, policy and audit, update on the impact of the
Russia/Ukraine conflict on the risk reporting, and updates on cash, cash equivalents and
financial assets, the Company’s enterprise risk management system and dashboard, the
company’s corporate ethics and compliance program and the Company’s data privacy
program.
In 2022, seven audit and compliance committee meetings were held. The meeting
attendance rate for our directors is set out in the table below.
Name
Number of meetings attended
in 2022 since appointment
Attendance
(in %)
Peter K. M. Verhaeghe
100 %
80
Werner Lanthaler (chairperson)
85.71 %
100
Anthony A. Rosenberg
100 %
100
James M. Daly
100 %
100
3.3.6
Report Remuneration and
Nomination Committee
The remuneration and nomination committee assists the Board of Directors by, amongst
other matters, regularly reviewing our remuneration policy, preparing remuneration
proposals and periodically assessing the size and composition of the Board of Directors,
as well as preparing the policy of the senior management team on the selection criteria
and appointment procedures for senior management. During their deliberations in
2022, the main topics of discussion were the design and implementation of our diversity,
equity and inclusion policy, the review and discussion of our social disclosures in our
2021 ESG report, the long-term succession and contingency planning for the Board of
Directors and senior management, the achievements of senior management’s 2022
targets and their remuneration, the outcome of our say-on-pay vote at our 2022 General
Meeting and the numerous investor interactions in relation thereto to ensure broad
societal support for our remuneration practices and the strategy for our ESG reporting
on social aspects in 2023 and beyond.
In 2022, four formal remuneration and nomination committee meetings were held.
The meeting attendance rate for our directors is set out in the table below.
Name
Number of meetings attended
in 2022 since appointment
Attendance
(in %)
Peter K. M. Verhaeghe
4
100
Werner Lanthaler
4
100
J. Donald deBethizy (chairperson)
4
100
Yvonne
Greenstreet
1)
–
–
1)
One meeting was held prior to Yvonne Greenstreet’s resignation in 2022, which Mrs. Greenstreet was
unable to attend.
3.3.7
Report Research and
Development Committee
The research and development committee functions as a sounding board to our re-
search and development management, general management and the Board of Directors,
and monitors our research and development goals, strategies and measures. In 2022,
the committee held five formal meetings, in which it focused mainly on the vision and
strategy on science, the Company’s research and development pipeline including its
preclinical and clinical stage product-candidates, potential future indications for its
commercial stage products and developments in relation to our IIP.
The meeting attendance rate for our directors is set out in the table below.
Name
Number of meetings attended
in 2022 since appointment
Attendance %
J. Donald deBethizy
4
80
Pamela Klein
5
100
David Lacey
5
100
Wim Parys
1)
3
100
1)
Wim Parys was appointed as non-director member of the research and development committee as of
May 3, 2022.
3.3.8 Report Commercial Committee
The commercial committee functions as a sounding board on branded and unbranded
strategic marketing plans for the Board of Directors. In 2022, the committee held
five formal meetings, in which it focused mainly on our preparation and subsequent
execution of our launch of VYVGART in gMG in the U.S., Japan, Europe, the Middle East
and Africa as well as the preparation for potential future launches, subject to obtaining
further approvals.
The meeting attendance rate for our directors is set out in the table below.
Name
Number of meetings attended
in 2022 since appointment
Attendance %
Anthony A. Rosenberg
5
100
James M. Daly (chairperson)
5
100
Camilla Sylvest
1)
2
100
1)
Camilla Sylvest was appointed as a member of the commercial committee as of September 8, 2022.
3.4
Remuneration Report and
Compensation Statement
3.4.1
Introduction
We are pleased to present our 2022 remuneration report and compensation state-
ment. At our 2021 General Meeting, we received just over 51% approval for our 2021
remuneration report and compensation statement. Recognizing that there is room for
improvement, we have since had over 30 bilateral engagement meetings with share-
holders and shareholder representatives (jointly representing an estimated 50% or
more of our share capital) to obtain their feedback and understand any concerns with
our remuneration policy and practices. We believe that shareholder engagement is a
fundamental element in the decision-making process and therefore we actively seek
feedback on an ongoing basis. We have carefully considered the feedback received and
have reviewed our remuneration practices in the key markets where we compete for
talent. We also compared our practices to our most recent reference group data (as
of September 2022). The results of these efforts have led to a number of key changes
to our remuneration practices and a higher level of detail in this remuneration report
compared to prior years. We are committed to continually reviewing and improving our
remuneration and remuneration reporting practices.
Before going into detail on the key changes we have made, we want to highlight the
fact that as a dual listed, global biotech company, we face some unique challenges in
establishing an effective and appropriate performance-based remuneration programme.
In particular, it is challenging to balance adherence to local market (Dutch) remuneration
best practices and those of the countries in which we are listed (Belgium and the U.S.) as
these requirements are different and sometimes in conflict. Adding to this challenge, we
are simultaneously striving to ensure a remuneration structure that is competitive in the
global markets for talent in which we compete, in particular in the U.S. This is especially
true with respect to the design of our long-term incentive program in the form of equity
compensation, which was a recurring topic in most of the investor engagements we had
in the 12 month period leading up to this Annual Report. To be succesful in our global
mission, we need to effectively compete for top talent across a number of regions which
have differing and at times conflicting remuneration practices. To be able to effectively
compete for talent, we collect benchmark data on the composition and size of remune-
ration packages offered by our reference companies in these key jurisdictions, including
both EU and U.S. companies in our reference group (as further detailed in section 3.4.4
below), and to a large extent align our remuneration practices with those of our peers.
We aim to take a balanced approach by adopting practices that help attract top talent
while taking account of the best practices in our home jurisdiction (the Netherlands)
and those of the countries in which our shares are listed (Belgium and the U.S.).
3.4.2
Changes to our remuneration practices
in response to shareholder dissent
The feedback we collected showed differing views on the various remuneration practi-
ces and components including on our equity incentive practices and other methods of
linking pay and performance.
In particular:
1.
We grant stock options to non-executive directors which is a form of performance-
based incentives and as such not in line with Dutch remuneration best practices;
2.
We grant stock options and RSUs to our executives which are linked to Company
(share price) performance but are not linked to individual performance targets;
3.
Some shareholders were of the view that we did not sufficiently disclose the met-
hod of setting award levels under our equity plan;
4.
The RSUs we grant vest in equal portions of 25% over a four-year period, and under-
lying shares may be sold on vesting. This is not in line with Dutch remuneration best
practices (requiring a five-year holding period for shares). Additionaly, we did not
impose holding requirement for executives;
5.
We did not disclose in detail the short-term performance targets and their achieve-
ments and corresponding pay-outs for our CEO and other key executives;
6.
Certain proxy voting agencies held that we did not sufficiently address shareholder
concerns raised in relation to our 2020 annual report (76% majority approved).
To address shareholder feedback, we want to take the opportunity to further explain our
rationale for the abovementioned remuneration practices, and report on any changes to
our remuneration practices (implemented or expected) in relation thereto.
1.
We grant stock options to our non-executive directors which is a form of perfor-
mance-based incentives and is as such not in line with Dutch remuneration best
practices.
With regard to non-executive directors participating in our Equity Incentive Plan
specifically: the DCGC recommends, as best practice, not to grant equity incentives to
non-executive directors; in contrast, the Belgian Corporate Governance Code requires
that at least part of the compensation of non-executive directors be paid in the form of
equity. Moreover, granting equity to non-executive directors is common practice among
the companies in our U.S. reference group (100% of these companies granted equity
in 2021, 94% of which also offered stock options) and to a lesser but still significant
extent, our 2022 EU reference group (56% grant equity, 33% of which also offered stock
options). Considering the anticipated need to attract a number of new, highly qualified
directors to our Board of Directors, our remuneration and nomination committee
recommended our Board of Directors continue to align the remuneration practices for
non-executive directors with those of our global reference group. We note that this
practice continues to be fully aligned with our shareholder-approved remuneration
policy. In 2022, based on the benchmarking exercise performed, we reduced the total
number of equity instruments to be granted to non-executive directors, to re-align the
projected value with the 50th percentile of our reference group.
In addition to stock options being a common remuneration component in the markets
where we compete for talent, they have the advantage of aligning the interests of
our non-executive directors with those of our shareholders. The use of stock options
rewards a focus on long-term value creation over short-term successes, as the value of a
stock option depends on the company’s value increasing in the time between the grant
and exercise of the stock option. To further solidify this effect, we have implemented a
three-year cliff vesting on stock options for non-executive directors and post-termination
holding requirements, to ensure equity incentive instruments are held as long term
investments in the Company.
Some shareholders hold that alignment of interests between the non-executive directors
and the shareholders should be avoided, as it could impact our directors’ independence.
We note that our Board of Directors (with the exception of our CEO) qualifies as
independent under Dutch, Belgian and U.S. independence rules. To address this concern
further, we have updated our Equity Performance Plan such that equity incentives
granted to directors and vested will not be forfeited if directors leave our Board of
Directors, unless they are discharged by the shareholders, thereby ensuring that directors
are not disincentivized from resigning from the Board of Directors if they are unable to
reconcile their views with management team’s or the other directors’. Directors who are
discharged by shareholders, however, will lose their unvested equity. Finally, we have
implemented post-termination holding requirements for non-executive directors which
continue to apply for 24 months after a director leaves the Board of Directors.
2.
We grant stock options and RSUs to our executives which are linked to company
(share price) performance but are not linked to individual performance targets.
Some shareholders disagree with the use of stock options altogether.
Stock options are by nature performance-linked equity instruments. When we grant
options, the exercise price is set at the market value of the shares at the grant date. The
stock options vest over an extended time period (three years) and are bound to further
holding requirements or exercise restrictions for our directors and senior management
team, in line with our equity holding guidelines (see section 3.4.2, paragraph 4 below).
In addition, our executives who are Belgian tax residents (including our CEO) may not
exercise stock options in the first three years after they are granted. As a result, only
successful long-term value creation will lead to an actual value attribution to stock op-
tions, thereby directly aligning shareholder interests with the interests of individual key
persons. Multi-year vesting periods ensure that decision making in favor of long-term
value creation is prioritized over short-term successes. The post-termination holding
requirements further amplify this effect.
A vast majority of our reference group companies continue to use stock options as
an important compensation element. Moving away from stock options may harm our
competitive position in the key jurisdictions where we operate and compete for talent,
which we believe would not support long-term value creation.
Some shareholders have questioned the overall award levels or overall value generated
in the form of stock options. We note that the number of stock options and RSUs we
grant, is based on an expected value of such grant at the time the award level is set,
and which is aligned with the peer group percentile targets explained in section 3.4.4
below. Any value creation beyond the projected value at grant corresponds with real
value generated for our stakeholders, including shareholders, patients and employees,
by delivering on our key company goals and building our Company’s long-term success
and value. We believe that award value realized should not be viewed in isolation, but
should be viewed in light of the overall shareholder return realized. For illustration
purposes, we provide shareholder return realized in the 5-year period for argenx share-
holders versus European and U.S. biotech peers, as well as the Bel20 as reference for
other large cap Belgian listed companies.
Period: 5 years
(comparing closing prices on January 1, 2018 and December 31, 2022)
argenx stock price evaluation
+545%
NASDAQ Biotech index
+22.45%
Next Biotech
+23.55%
Bel20
-6.99%
We have so far not linked the vesting or exercisability of stock options to individual per-
formance targets. However, continued engagement with the Company is a requirement
for vesting equity. Persons who have not performed adequately do not receive full
recurring equity grants but may receive a reduced grant or no grant at all. As a result,
granted and vested stock options are linked to Company performance but are no longer
linked to individual performance, receiving and vesting a grant of stock options requires
continued high performance of the individual.
3.
We are evaluating our options to address shareholder feedback with respect to lin-
king equity awards to performance. Some shareholders were of the view that we did
not sufficiently disclose the method of setting award levels under our equity plan;
We have included a more detailed explanation on how we set award levels under the
Equity Incentive Plan in section 3.4.4 of this Annual Report.
4.
The RSUs we grant, vest in equal portions of 25% over a 4 year period, and under-
lying shares may be sold upon vesting. This is not in line with Dutch remuneration
best practices (requiring a 5 year holding period for shares). Additionally, we did not
impose a holding requirement for executives;
In addition to the participation of non-executive directors in our Equity Incentive
Plan, we also reviewed our reference group’s practices with respect to equity vesting
and exercisability requirements. The DCGC recommends that any shares granted to
executive directors are held for at least five years. However, 100% of our U.S. peers
granted annual equity which vested after one year. Instead of a five- year lockup, our
U.S. reference group companies typically implemented holding requirements which
prescribe a continued holding of company stock at a certain multiple of an individual’s
base salary, but they did not implement extended lock-up periods. In order not to risk
the competitiveness of our plan and to ensure it is in line with market practice, we
continue to allow RSUs to vest over four-years (25% each anniversary of the grant date).
However, to ensure that company equity is held as a long term investment by our non-
executive directors and our senior management team, we have implemented holding
requirements for the duration of their engagement with the Company and a period of
24 months thereafter, as further detailed below:
Holding requirements
Following feedback from our shareholders on our 2021 remuneration report, our Board
of Directors introduced equity holding guidelines for our Board of Directors and senior
management team. The guidelines became effective in February 2022. Under these
guidelines, the following minimum shareholding requirements apply for the following
persons:
•
Non-executive directors: 1-year cash compensation
•
Executive directors: 3-year base cash compensation
•
Senior management members: 1-year base cash compensation
The holding requirements must be built up over a period of no more than five years, and
the shares beneficially held under such holding requirement may not be disposed of for
the duration of such director or senior management member’s service period with the
Company and a period of 24 months thereafter. The holding requirements do not apply
to directors or executives who had already retired or announced their retirement prior
to implementation of the policy on 3 March 2023.
5.
We did not disclose in detail the short term performance targets and their
achievement and corresponding pay out for our CEO and other key executives.
We now disclose (retrospectively) the full set of short term performance targets for our
CEO, CFO and COO, which we understand to be market practice for companies of our
size and in our industry.
6.
Certain proxy voting agencies held that we did not sufficiently address shareholder
concerns raised in relation to our 2021 report (76% majority approved).
We have attempted to collect as much feedback as we could by reaching out to a large
number of stakeholders. We have summarized the key findings of those engagements
in this section and provided detailed explanations and (where appropriate) remediating
actions accordingly.
3.4.3 Remuneration Policy
Our remuneration policy rewards contributions to achieving Company objectives and
generating stakeholder value. We aim to provide competitive remuneration packages
that align with market practices in the key markets where we compete for talent. We
conduct regular reviews (at least once every three years) of director and senior manage-
ment members’ total remuneration compared to our reference companies. Our remu-
neration policy and total compensation aligns or slightly exceeds the market median
for fixed compensation, benefits, and short-term variable compensation. The long-term
incentive component consists of equity grants, is the size of which is positioned between
the 50
th
and the 75
th
percentile of our global reference group. Our remuneration policy
2021 is available on our
website
. Our remuneration policy was adopted at the 2021
General Meeting with a 76% majority vote.
3.4.4
Reference Group and Setting
Reward Levels
As explained in section 3.4.1 above, we face challenges in setting remuneration levels
and structures which are competitive in the key markets where we compete for talent,
due to the global nature of our operations. As a result, a key aspect of how we set our
remuneration levels is how we define our reference group for benchmarking purposes,
which is explained in detail in this section 3.4.4.
This section describes how our Board of Directors sets the level of cash compensation
and the award levels under our equity plan. With the help of an independent outside
advisory firm, we conduct periodic reviews of compensation levels for senior manage-
ment and the Board of Directors by comparing against our reference group compensation
levels. The Company reviews the benchmark at least once every three years (the last
review was conducted in September 2022). The outcome of these benchmarking
activities is subsequently reviewed and discussed by our remuneration and nomination
committee, which then prepares recommendations to the Board of Directors for the
adjustment of our remuneration package composition, size and corresponding terms
and conditions.
We use a combined reference group composed of U.S.- and European-based biopharma-
ceutical companies, as we consider Europe and the U.S. key markets for talent in which
we compete. Japanese biopharmaceutical companies were not included in the reference
group as we did not identify any Japanese company that meets the relevant combina-
tion of criteria defined by our remuneration and nomination committee (shared below).
The companies included in the reference group take into account our global ambitions
and include relevant industry peers based on a combination of key criteria as reflected in
the below overview.
As the industry in which we operate is highly dynamic, marked by uncertainty, mergers,
acquisitions, setbacks and successes we aim to maintain a reference group that is com-
prised out of at least 24 companies, meeting a combination of the defined key criteria.
We deem this necessary to ensure that the reference group is representative
of the industry’s current landscape in which we compete for talent and includes relevant
companies with similar characteristics. As we grow and our industry evolves, companies
may enter or exit the market, or their business models may shift, making it necessary
to reassess the reference group for accurate comparisons. Therefore, regular updates to
the reference group and the criteria used is essential to ensure accurate benchmarking
and informed decision-making, and to ensure long-term stability and relevance of the
benchmarking outcomes.
Key Peer Company Selection Criteria for most recent benchmark (September 2022)
Element
Historical 2021 Peer Company
Selection Criteria
Current 2022 Peer Company
Selection Criteria
Sector
•
Biotechnology and
pharmaceutical industries
•
No change
Stage of
Development
•
Primarily phase 3 with some NDA/
recently market-stage companies
•
Market-stage companies
Market
Capitalization
•
$5 billion to $50 billion based on
our 30-day average market value
of approximately $16 billion as of
July 16, 2021
•
1/3x – 3x our 30-day average
market value as of May 20, 2022
•
$5 billion to $50 billion
(no change)
Headcount
•
200 to 2,000 employees based on
our projected FYE21 headcount at
that time (650 employees)
•
1/3x – 3x the midpoint of our
projected FYE 22 and FYE 23
headcount
•
300 to 2,500 employees
Revenue
•
N/A – not a criterion last year
•
Less than $1 billion in revenues
Years Public
(Secondary)
•
Preference towards companies
that went public in the last
ten years
•
No change
Current Reference Companies
US Peers
EU Peers
Acadia Pharmaceuticals, Inc.
Galapagos NV
Alnylam Pharmaceuticals, Inc.
UCB SA
Amicus Therapeutics, Inc.
ALK-Abelló A/S
BeiGene Ltd
Ascendis Pharma A/S
Biohaven Pharmaceutical Holding Co Ltd
Genmab A/S
BioMarin Pharmaceutical, Inc.
BioNTech SE
Blueprint Medicines Corp
Evotec SE
Denali Therapeutics, Inc.
Incyte Corporation
Intellia Therapeutics, Inc.
Horizon Therapeutics PLC
Intra-Cellular Therapies, Inc.
Recordati S.p.A.
Ionis Pharmaceuticals, Inc.
uniQure NV
Mirati Therapeutics, Inc.
Swedish Orphan Biovitrum AB
Neurocrine Biosciences, Inc.
CRISPR Therapeutics AG
Sarepta Therapeutics, Inc.
Idorsia Ltd.
Seagen, Inc.
Vifor Pharma AG
Abcam PLC
Hikma Pharmaceuticals PLC
Our Board of Directors sets award levels based on the outcome of our benchmarking
exercise. Our remuneration policy, contains the following guidance in this respect:
Non-executives
Senior management team
(including our CEO)
Cash-based
compensation
50
th
percentile of the companies in
our global reference group
50
th
percentile of U.S. companies in
our reference group for U.S.-based
executives, and at or around the
75
th
percentile of EU companies in
our reference group for EU-based
executives
Equity-based
compensation
50
th
percentile of the U.S. companies
in our reference group
50
th
to 75
th
percentile of the U.S.
companies in our reference group
3.4.5
Remuneration Components of our Senior
Management Team Compensation
Pursuant to our shareholder-approved remuneration policy, the remuneration
of our executive director(s) consists of the following components:
•
fixed-base compensation;
•
short-term variable compensation, based on the achievement of
pre-determined targets;
•
severance arrangements;
•
long-term variable compensation, in the form of stock options and RSUs; and
•
pension and fringe benefits.
We note that while our remuneration policy by law applies only to members of our
Board of Directors, we apply its principles to all our employees. In the rest of this
chapter 3.4, we have limited our reporting to members of our Board of Directors and
our senior management team unless explicitly mentioned otherwise.
Fixed-Base Compensation
We grant our senior management team members a fixed base (cash) compensation
determined on the basis of our benchmarking exercise explained in section
3.4.2
above.
The final determination of a senior management member’s fixed-base pay is made
considering the benchmark, the individual’s skills, experience and performance, the
remuneration practices and conditions across the wider organization and our inter-
actions with key stakeholders to secure broad public support for our remuneration
practices and the feedback from the individual on their own remuneration levels.
The target fixed cash compensation levels are set in accordance with our remuneration
policy (as detailed in section
3.4.4
) but we note that the actual base cash remuneration
for our executive director is below the targeted percentiles, taking into account the
feedback from our executive director on proposals of the remuneration and nomination
committee to increase the base pay to align more closely with the targeted percentile of
the benchmark.
Short-Term Variable Compensation based on the Achievement
of Pre-Determined Targets
The objective of our short-term annual incentive compensation is to ensure that our
senior management team is incentivized to achieve pre-defined performance targets
in the shorter term. Variable cash incentives are granted for achieving predetermined
specific performance targets. Our senior management team is eligible for an annual
short-term variable incentive of their annual base compensation. The short-term target
percentage is equal to up to 60% of the fixed-base compensation for our CEO, between
40–50% for our C-level employees (benchmarked per role) and up to 35% for vice pre
-
sident level members of our senior management team. The short-term incentive oppor-
tunity is capped at 200% of the target percentages, in line with the principles applied for
the broader employee base at the Company. We have not established pay-out caps per
individual target, but apply the pay-out cap of 200% of the total variable pay opportunity
(i.e. in case of our CEO, the maximum variable pay cap of 200% represents 120% of base
cash remuneration).
Long-term variable compensation, in the form of stock options and RSUs
Stock options and RSUs may be awarded every year, in accordance with our Equity In-
centive Plan, whereby the stock options vest over a three-year period and the RSUs vest
over a four-year period. Stock options may not be exercised by our Belgian tax resident
employees (including our CEO) until the fourth calendar year following the year of the
grant. RSUs vest 25% of the total grant at each anniversary of the grant date. Shares
obtained through the vesting of RSUs and through the exercise of stock options, are
subject to our equity holding requirements further explained in section
3.4.2
.
Severance Arrangements
Our CEO has a severance arrangement in place of 18 months if he is discharged for
reasons other than for cause.
Pension and Fringe Benefits
Pension and fringe benefits are awarded based on local market practices. For Belgium
tax resident employees (including our CEO) this includes a defined contribution pension
scheme operated by a third-party pension insurance organization, a company car
(as from a certain paygrade level) and a hospitalization plan. We note that the pension
arrangements offered to our Belgian based executives including our CEO mirror those
offered to other Belgian based employees.
Performance of Scenario Analyses
In accordance with the DCGC, when determining the remuneration package of our
executive director(s), scenario analyses are performed annually and taken into account
in setting the level of the base remuneration to be paid as well as the variable remune-
ration and the corresponding targets.
3.4.6
Executive Remuneration paid in 2022
Compensation of our CEO
The following table sets forth information regarding compensation we paid to Mr. Van
Hauwermeiren for services performed during the fiscal year ended December 31, 2022.
Compensation
(in $)
Financial year
ended December 31, 2022
Base salary
638,901
Short-term Incentive
766,689
Option awards
1)
4,174,684
RSUs
2)
2,159,689
Employer social security contribution stock options
3)
–
Non-Equity Incentive Plan compensation
–
Pension contributions
23,384
Social security costs
–
Other
4)
14,958
Total
7,778,305
1)
Amount shown represents the expenses with respect to the option awards granted in 2022 to Mr. Van
Hauwermeiren measured using the Black Scholes formula. For a description of the assumptions used
in valuing these awards, see
note 13
to our financial statements included elsewhere in this Annual
Report. These amounts do not reflect the actual economic value realized by Mr. Van Hauwermeiren.
2)
Amounts shown represent the expenses with respect to the RSUs awards granted in 2022, measured
using the Black Scholes formula. For a description of the assumptions used in valuing these awards,
see
note 13
to our consolidated financial statements in section 6 “
Consolidated Financial Statements
”.
3)
We incur employer social security costs with respect to the options granted to members of our senior
management. The amount of employer social security costs depends on the actual economic value
realized and therefore varies based on the price of our ordinary shares. At each reporting date, we
make a calculation of the exposure.
4)
Consists of $11,615 attributable to the lease of a company car, $182 in employer-paid medical
insurance premiums and $3,161 of allowance.
Increase in base salary for our CEO
Our CEO base salary increased by 10% from fiscal year 2021 to fiscal year 2022. The 10%
increase was deemed appropriate by our remuneration & nomination committee to
more closely align our CEO base pay to that of the reference group, and considering the
continued high performance of the CEO and the Company through its rapid growth over
the past years. We note that our CEO’s base pay continues to be below the reference
group 50th percentile. The aforementioned 10% includes inflation correction and merit
increase.
Variable vs Fixed Compensation Determination for CEO
The mix between fixed and variable cash based remuneration components (excluding
equity compensation) for our executive director for the last three years is set out below:
(in $)
1)
2022
2021
2020
Fixed
677,243
621,071
599,230
Variable
766,682
523,799
456,362
Total
1,443,925
1,144,870
1,055,592
1)
Using a fixed exchange rate of 1.05 USD / 1 EUR, taking into account that our CEO’s salary is paid in EUR
but our functional and reporting currency is in USD.
The ratio between fixed and variable cash payments to our CEO for the fiscal year ended
December 31, 2022 equals $677,243 / $766,682 or 46.9% / 53.1%, respectively.
Short term incentives
Name
Type
Company
strategy
Measure
Assesment of
performance
Achievement
Overall
achieve-
ment
(in %)
Overall
pay-out
(in %)
Tim Van
Hauwermeiren
CEO
Building the
Business
Commercial
launch
performance
Outperform VYVGART
launch forecast
Four quarterly beat & raise
events. Internal launch
forecast significantly
exceeded, while reinforcing
our science-based, patient-
focused and transparent
foundation and reputation
Overachieved
200
200
Financing
Raise >$500 million to
finance business plan
$805 million raised despite
unfavorable market
conditions
Overachieved
Building the
Organization
Pipeline
development
(co-creation)
Live the cultural pillar of
co-creation, including
modelling exemplary
collaboration with external
experts in our IIP
Personally engaged in our
IIP work for undisclosed
antibody targets;
successfully coached
next-
gen scientists and
guided
seamless transition of the
chief scientist officer role
Achieved
Commercial
launch
performance
(empowerment)
Ensure Company-wide
alignment behind business
plan to support key
priorities and empower
our people
Spent more than five
months on the road with
newly installed commercial
organization in support
of our launch priorities.
Personally welcomed all
new hires and reinforced
key priorities across the
company
Achieved
Keith Woods
COO
Building the
Business
Commercial
launch
performance
Outperform VYVGART
launch forecast
Four quarterly beat & raise
events. Internal launch
forecast significantly
exceeded, while reinforcing
our science-based, patient-
focused and transparent
foundation and reputation
Overachieved
200
200
Commercial
expansion
Deliver successful Japan
launch, EMA approval
for VYVGART in gMG in
Q3, sales in Germany in
Q4, Canada regulatory
submission in Q3
Significantly exceeded
internal target. Marketing
approval in Germany
ahead of schedule
Overachieved
Building the
Organization
Commercial
performance
(co-creation)
Live the cultural pillar of
co-creation leveraging
collaboration between
local teams globally
New operating model
for cross-regional
collaboration between
local commercial
organizations implemented
and fully operational,
contributing to above
expectation launches,
cross-regional sharing
of learnings on ongoing
basis and commercial and
scientific teams aligned on
patient-focused objectives
Achieved
Succession
planning &
development
High quality personal
development plans in
place for all direct reports.
Identify excellent successor
with broad buy-in across
the entire commercial
organization in accordance
with long-term succession
plan
High quality personal
development plans
in place. Selection of
successor progressed
significantly (and
completed as of the date
of this Annual Report) per
succession plan.
Achieved
Name
Type
Company
strategy
Measure
Assesment of
performance
Achievement
Overall
achieve-
ment
(in %)
Overall
pay-out
(in %)
Karl Gubitz
CFO
Building the
Business
Financing
Raise >$500 million to
finance the business plan
$805 million raised
despite unfavorable
market conditions
Overachieved
125
125
Commercial
performance,
transparency,
stakeholder
relations
Ensure internal and
external alignment of
expectations around
financial launch
performance
Expectations on
commercial launch
performance evolved in
line with launch dynamic,
while reinforcing science-
based, patient-focused and
transparent foundation
and reputation.
Achieved
Building the
Organization
Financial
performance,
Excellence
Drive expense discipline
and capital allocation
focused on innovation.
Establish procurement,
management reporting
Procurement and
management reporting
established; internal
efficiency gain measured
as significantly cost-saving.
Significantly improved
forecasting and budgeting
processes.
Achieved
Financial
performance,
Innovation
Improve our enterprise-
wide processes and tools,
including usability and
user-friendliness
Achieved, including
in relation to finance
related tools (enterprise
resource planning system
simplification) as measured
through internal survey
results.
Achieved
Remuneration of other members of our senior management
The following table sets forth information regarding aggregate compensation we paid to
members of our senior management team (excluding our CEO Mr. Van Hauwermeiren)
during the fiscal year ended December 31, 2022. We note that these numbers also
include compensation paid to persons who were part of our senior management for
part of 2022 (i.e., Mr. Wim Parys, Ms. Malini Moorthy and Mr. Luc Truyen).
(in $)
Compensation
Base salary
3,560,204
Short-term incentive
2,310,530
Option awards
1)
14,218,284
RSUs
2)
7,434,327
Employer social security contribution stock options
3)
1,100,665
Termination benefits
–
Pension contributions
81,030
Social security costs
1,014,821
Other
4)
356,581
Total
30,076,443
1)
Amounts shown represent the expenses with respect to the option awards granted in 2022 to Mr. Karl
Gubitz, Mr. Keith Woods, Mr. Luc Truyen, Mr. Arjen Lemmen. Ms. Malini Moorthy and Ms. Andria Wilk
measured using the Black Scholes formula. For a description of the assumptions used in valuing these
awards, see
note 13
to our consolidated financial statements incorporated elsewhere in this Annual
Report. These amounts do not reflect the actual economic value realized by these members of our
senior management.
2)
Amounts shown represent the expenses with respect to the RSUs awards granted in 2022, measured
using the Black Scholes formula. For a description of the assumptions used in valuing these awards,
see
note 13
to our consolidated financial statements in section 6 “
Consolidated Financial Statements
”.
3)
The Company incurs employer social security costs with respect to the option awards granted to the
members of our senior management. The amount of employer social security costs depends on the
actual economic value realized and therefore varies based on the price of our ordinary shares. At each
reporting date, the Company makes a calculation of the exposure.
4)
Consists of $35,536 attributable to the leases of company cars, $232,517 in car, housing and other
allowances and $88,529 in employer-paid medical insurance premiums.
Option Awards to our Senior Management in 2022
The following table sets forth information regarding option awards granted to our senior
management during the fiscal year ended December 31, 2022:
Name
Stock
options
Expiration
date
Exercise price
(in $)
Exercise price
(in EUR)
Tim Van Hauwermeiren
1)
25,000
23/12/2032
383.55
359.6
Keith Woods
2)
16,000
23/12/2032
383.55
359.6
Karl Gubitz
16,000
01/07/2032
381.31
357.5
Prof. Hans de Haard
3)
–
–
–
–
Malini Moorthy
24,000
01/04/2032
301.31
282.5
Luc Truyen
1)
16,000
23/12/2032
383.55
359.6
Wim Parys
4)
–
–
–
–
Arjen Lemmen
16,000
23/12/2032
383.55
359.6
Andria Wilk
1)
4,600
23/12/2032
383.55
359.6
1)
On December 23, 2022, the Company granted options for which Belgian tax resident beneficiaries have
a 60-day period to choose between a contractual term of five or ten years.
2)
Keith Woods retired as COO effective March 13, 2023 and was succeeded by Karen Massey effective
March 13, 2023.
3)
Prof. de Haard retired effective December 31, 2022 and, therefore, was not granted any equity in 2022
and was succeeded by Peter Ulrichts effective January 1, 2023.
4)
Mr. Parys retired effective March 30, 2022 and, therefore, was not granted any equity in 2022 and was
succeeded by Mr. Truyen effective April 1, 2022.
The following table sets forth information regarding RSUs granted to our senior manage-
ment during the fiscal year ended December 31, 2022:
Name
# of RSUs
Vesting End Date
2)
Tim Van Hauwermeiren
5,700
23/12/2026
Keith Woods
3,600
23/12/2026
Karl Gubitz
3,600
01/07/2026
Prof. Hans de Haard
–
–
Malini Moorthy
5,400
01/04/2026
Wim Parys
1)
–
–
Arjen Lemmen
3,600
23/12/2026
Luc Truyen
1)
3,600
23/12/2026
Andria Wilk
1,000
23/12/2026
1)
Mr. Parys retired effective March 30, 2022 and, therefore, was not granted any equity incentives in
2021 and was succeeded by Luc Truyen effective April 1, 2022.
2)
RSUs vest equally over a period of four years with 1/4
th
of the total grant vesting at each anniversary of
the date of grant. RSUs do not have an expiry date.
The table below shows (i) the stock options held as of January 1, 2022, (ii) the stock op-
tions granted to our senior management which vested during the year ended December
31, 2022, (iii) the number of stock options exercised and vested during the year, (iv) the
respective exercise price of such stock options and (v) the stock options held as of De-
cember 31, 2022. Each stock option was granted pursuant to our Equity Incentive Plan:
Remuneration in Stock Options CEO and Senior Management
Information regarding the reported financial year
Opening
balance
During the Year
Closing balance
Name of Directors,
Position
Specification
of plan
Performance
period
Award date
Vesting
date
1)
End of
retention
period
Exercise
period
Exercise
price of
stock
option
(in €)
Stock
options
held at the
beginning
of the year
Stock
options
awarded
Stock
options
exercised
Stock
options
vested
during the
year
Stock
options
subject to a
performance
condition
Stock
options
awarded
and
unvested
Stock
options
held at the
end of the
year
Stock
options
subject to
a retention
period
Tim van
Hauwermeiren,
chief executive
officer
Equity
Incentive
Plan
14/12/2017–
01/12/2020
14/12/2017
Please
refer to
footnote.
31/12/2020
01/01/2021–
14/12/2027
21.17
80,000
–
(7,500)
–
–
–
72,500
–
21/12/2018–
01/12/2021
21/12/2018
31/12/2021
01/01/2022–
21/12/2028
86.32
80,000
–
–
–
–
–
80,000
–
20/12/2019–
01/12/2022
20/12/2019
31/12/2022
01/01/2023–
20/12/2029
135.75
80,000
–
–
26,667
–
–
80,000
–
21/12/2020–
01/12/2023
21/12/2020
31/12/2023
01/01/2024–
21/12/2030
247.60
50,000
–
–
16,667
16,667
16,667
50,000
50,000
24/12/2021–
01/12/2024
24/12/2021
31/12/2024
01/01/2025–
24/12/2031
309.20
25,000
–
–
8,333
16,667
16,667
25,000
25,000
23/12/2022–
01/12/2025
23/12/2022
31/12/2025
01/01/2026–
23/12/2032
359.60
–
25,000
–
–
25,000
25,000
25,000
25,000
Total
315,000
25,000
(7,500)
51,667
58,334
58,334
332,500
100,000
Keith Woods,
chief operations
officer
Equity
Incentive
Plan
21/12/2018–
01/12/2021
21/12/2018
Please
refer to
footnote.
N/A
21/12/2019–
21/12/2028
86.32
25,000
–
(25,000)
–
–
–
–
N/A
20/12/2019–
01/12/2022
20/12/2019
N/A
20/12/2020–
20/12/2029
135.75
50,000
–
(15,000)
16,700
–
–
35,000
N/A
21/12/2020–
01/12/2023
21/12/2020
N/A
21/12/2021–
21/12/2030
247.60
50,000
–
–
16,668
16,667
16,667
50,000
N/A
24/12/2021–
01/12/2024
24/12/2021
N/A
24/12/2022–
24/12/2031
309.20
16,000
–
–
5,333
10,667
10,667
16,000
N/A
23/12/2022–
01/12/2025
23/12/2022
N/A
23/12/2023–
23/12/2032
359.60
–
16,000
–
–
16,000
16,000
16,000
N/A
Total
141,000
16,000
(40,000)
38,701
43,334
43,334
117,000
1)
1/3 of the option vests on the first anniversary of the Award Date and the remaining 2/3rd vest during the following two years in equal parts of 1/24
th
, each time upon the 1
st
day of each month.
Information regarding the reported financial year
Opening
balance
During the Year
Closing balance
Name of Directors,
Position
Specifica-
tion of plan
Performance
period
Award date
Vesting
date
1)
End of
retention
period
Exercise
period
Exercise
price of
stock
option
(in €)
Stock
options
held at the
beginning
of the year
Stock
options
awarded
Stock
options
exercised
Stock
options
vested
during the
year
Stock
options
subject to a
performance
condition
Stock
options
awarded
and
unvested
Stock
options
held at the
end of the
year
Stock
options
subject to
a retention
period
Karl Gubitz,
chief financial
officer
Equity
Incentive
Plan
01/07/2021–
01/07/2024
01/07/2021
Please
refer to
footnote.
N/A
01/07/2022–
01/07/2031
255.10
24,000
–
–
11,333
12,667
12,667
24,000
N/A
01/07/2022–
01/07/2025
01/07/2022
N/A
01/07/2023–
01/07/2032
357.50
–
16,000
–
–
16,000
16,000
16,000
N/A
Total
24,000
16,000
–
11,333
28,667
28,667
40,000
Prof. Hans de
Haard,
chief scientific
officer
Equity
Incentive
Plan
29/06/2012–
29/06/2015
29/06/2012
Please
refer to
footnote.
31/12/2017
01/01/2018–
18/12/2024
2.44
108,996
–
(108,996)
–
–
–
–
–
30/09/2014–
30/09/2017
30/09/2014
31/12/2018
01/01/2019–
15/12/2025
2.44
35,826
–
(35,826)
–
–
–
–
–
18/12/2014–
01/12/2017
18/12/2014
31/12/2017
01/01/2018–
18/12/2024
7.17
109,000
–
–
–
–
–
109,000
–
15/12/2015–
01/12/2018
15/12/2015
31/12/2018
01/01/2019–
15/12/2025
9.47
28,200
–
–
–
–
–
28,200
–
25/05/2016–
01/05/2019
25/05/2016
31/12/2019
01/01/2020–
25/05/2026
11.47
28,200
–
–
–
–
–
28,200
–
13/12/2016–
01/12/2019
13/12/2016
31/12/2019
01/01/2020–
13/12/2026
14.13
28,200
–
–
–
–
–
28,200
–
26/06/2017–
01/06/2020
26/06/2017
31/12/2020
01/01/2021–
26/06/2027
18.41
14,353
–
–
–
–
–
14,353
–
14/12/2017–
01/12/2020
14/12/2017
31/12/2020
01/01/2021–
14/12/2027
21.17
43,200
–
–
–
–
–
43,200
–
21/12/2018–
01/12/2021
21/12/2018
31/12/2021
01/01/2022–
21/12/2028
86.32
50,000
–
–
–
–
–
50,000
–
20/12/2019–
01/12/2022
20/12/2019
31/12/2022
01/01/2023–
20/12/2029
135.75
50,000
–
–
16,666
–
–
50,000
–
21/12/2020–
01/12/2023
21/12/2020
31/12/2023
01/01/2024–
21/12/2030
247.60
50,000
–
–
33,334
–
–
50,000
50,000
24/12/2021–
01/12/2024
24/12/2021
31/12/2024
01/01/2025–
24/12/2031
309.20
16,000
–
–
16,000
–
–
16,000
16,000
Total
561,975
(144,822)
66,000
417,153
66,000
1)
1/3 of the option vests on the first anniversary of the Award Date and the remaining 2/3rd vest during the following two years in equal parts of 1/24
th
, each time upon the 1
st
day of each month.
Information regarding the reported financial year
Opening
balance
During the Year
Closing balance
Name of Directors,
Position
Specification
of plan
Performance
period
Award date
Vesting
date
1)
End of
retention
period
Exercise
period
Exercise
price of
stock
option
(in €)
Stock
options
held at the
beginning
of the year
Stock
options
awarded
Stock
options
exercised
Stock
options
vested
during the
year
Stock
options
subject to a
performance
condition
Stock
options
awarded
and
unvested
Stock
options
held at the
end of the
year
Stock
options
subject to
a retention
period
Luc Truyen,
chief medical
officer
Equity
Incentive
Plan
01/10/2021–
01/10/2024
01/10/2021
Please
refer to
footnote.
31/12/2024
01/01/2025–
01/10/2026
259.50
24,000
–
–
9,333
14,667
14,667
24,000
24,000
23/12/2022–
01/12/2025
23/12/2022
31/12/2025
01/01/2026–
23/12/2032
359.60
–
16,000
–
–
16,000
16,000
16,000
16,000
Total
24,000
16,000
9,333
30,667
30,667
40,000
40,000
Wim Parys,
chief medical
officer
Equity
Incentive
Plan
21/12/2018–
01/12/2021
21/12/2018
Please
refer to
footnote.
31/12/2021
01/01/2022–
21/12/2028
86.32
125,000
–
(85,000)
–
–
–
40,000
–
20/12/2019–
01/12/2022
20/12/2019
31/12/2022
01/01/2023–
20/12/2029
135.75
50,000
–
–
16,667
–
–
50,000
–
21/12/2020–
01/12/2023
21/12/2020
31/12/2023
01/01/2024–
21/12/2030
247.60
50,000
–
–
16,666
16,667
16,667
50,000
50,000
Total
225,000
(85,000)
33,333
16,667
16,667
140,000
50,000
1)
1/3 of the option vests on the first anniversary of the Award Date and the remaining 2/3rd vest during the following two years in equal parts of 1/24
th
, each time upon the 1
st
day of each month.
Information regarding the reported financial year
Opening
balance
During the Year
Closing balance
Name of Directors,
Position
Specification
of plan
Performance
period
Award date
Vesting
date
1)
End of
retention
period
Exercise
period
Exercise
price of
stock
option
(in €)
Stock
options
held at the
beginning
of the year
Stock
options
awarded
Stock
options
exercised
Stock
options
vested
during the
year
Stock
options
subject to a
performance
condition
Stock
options
awarded
and
unvested
Stock
options
held at the
end of the
year
Stock
options
subject to
a retention
period
Arjen Lemmen,
vice president of
corporate
development
& strategy
Equity
Incentive
Plan
26/06/2017–
01/06/2020
26/06/2017
Please
refer to
footnote.
31/12/2020
01/01/2021–
26/06/2027
18.41
4,306
–
(4,306)
–
–
–
–
–
14/12/2017–
01/12/2020
14/12/2017
31/12/2020
01/01/2021–
14/12/2027
21.17
6,328
–
(6,328)
–
–
–
–
–
28/06/2018–
01/06/2021
28/06/2018
31/12/2021
01/01/2022–
21/12/2028
80.82
3,195
–
(2,500)
–
–
–
695
–
21/12/2018–
01/12/2021
21/12/2018
31/12/2021
01/01/2022–
21/12/2028
86.32
15,952
–
–
–
–
–
15,952
–
20/12/2019–
01/12/2022
20/12/2019
31/12/2022
01/01/2023–
20/12/2029
135.75
50,000
–
–
12,518
–
–
50,000
–
21/12/2020–
01/12/2023
21/12/2020
31/12/2023
01/01/2024–
21/12/2030
247.60
50,000
–
–
16,666
16,667
16,667
50,000
50,000
24/12/2021–
01/12/2024
24/12/2021
31/12/2024
01/01/2025–
24/12/2031
309.20
16,000
–
–
5,333
10,667
10,667
16,000
16,000
23/12/2022–
01/12/2025
23/12/2022
N/A
23/12/2023–
23/12/2032
359.60
–
16,000
–
–
16,000
16,000
16,000
–
Total
145,781
16,000
(13,134)
34,517
43,334
43,334
148,647
66,000
Andria Wilk,
Global Head of
Quality
Equity
Incentive
Plan
20/12/2019–
01/12/2022
20/12/2019
Please
refer to
footnote.
31/12/2022
01/01/2023–
20/12/2029
135.75
9,400
–
–
2,354
–
–
9,400
–
21/12/2020–
01/12/2023
21/12/2020
31/12/2023
01/01/2024–
21/12/2030
247.60
9,900
–
–
2,663
2,662
2,662
9,900
9,900
24/12/2021–
01/12/2024
24/12/2021
31/12/2024
01/01/2025–
24/12/2031
309.20
4,446
–
–
2,935
756
756
4,446
4,446
23/12/2022–
01/12/2025
23/12/2022
31/12/2025
01/01/2026–
23/12/2032
359.60
–
4,600
–
–
4,600
4,600
4,600
4,600
Total
23,746
4,600
–
7,952
8,018
8,018
28,346
18,946
Malini Moorthy,
general counsel
Equity
Incentive
Plan
01/04/2022–
01/04/2025
01/04/2022
Please
refer to
footnote.
N/A
01/04/2023–
01/04/2035
282.50
–
24,000
–
–
24,000
24,000
24,000
N/A
Total
–
24,000
–
–
24,000
24,000
24,000
1)
1/3 of the option vests on the first anniversary of the Award Date and the remaining 2/3rd vest during the following two years in equal parts of 1/24
th
, each time upon the 1
st
day of each month.
The table below shows (i) the RSUs held as of January 1, 2022, (ii) the RSUs granted to
our senior management which vested during the year ended December 31, 2022 and
(iii) the number of RSUs held as of December 31, 2022. Each RSU was granted pursuant
to the Equity Incentive Plan:
Remuneration in Restricted Stock Units (RSU’s) CEO and Senior Management
Information regarding the reported financial year
The main conditions of RSU plan
Opening
balance
During the Year
Closing balance
Name of Directors,
Position
Specification
of plan
Performance period
Award date
Vesting date
1)
End of
retention
period
RSU’s held
at the
beginning
of the year
RSU’s
awarded
RSU’s
vested
RSU’s
subject to a
performance
condition
RSU’s
awarded
and unves-
ted
RSU’s held
at the
closing of
the year
RSU’s
subject to
a retention
period
Tim van Hauwermeiren,
chief executive officer
Equity
Incentive
Plan
24/12/2021 – 24/12/2025
24/12/2021
Please refer to
footnote.
N/A
5,700
–
(1,425)
4,275
4,275
4,275
N/A
23/12/2022 – 23/12/2026
23/12/2022
N/A
–
5,700
–
5,700
5,700
5,700
N/A
Total
5,700
5,700
(1,425)
9,975
Luc Truyen,
chief medical officer
Equity
Incentive
Plan
01/10/2021 – 01/10/2025
01/10/2021
Please refer to
footnote.
N/A
5,400
–
(1,350)
4,050
4,050
4,050
N/A
23/12/2022 – 23/12/2026
23/12/2022
N/A
–
3,600
–
3,600
3,600
3,600
N/A
Total
5,400
3,600
(1,350)
7,650
Keith Woods,
chief operations officer
Equity
Incentive
Plan
24/12/2021 – 24/12/2025
24/12/2021
Please refer to
footnote.
N/A
3,600
–
(900)
2,700
2,700
2,700
N/A
23/12/2022 – 23/12/2026
23/12/2022
N/A
–
3,600
–
3,600
3,600
3,600
N/A
Total
3,600
3,600
(900)
6,300
Karl Gubitz,
chief financial officer
Equity
Incentive
Plan
01/07/2021 – 01/07/2025
01/07/2021
Please refer to
footnote.
N/A
5,400
–
(1,350)
4,050
4,050
4,050
N/A
01/07/2022 – 01/07/2026
01/07/2022
N/A
–
3,600
–
3,600
3,600
3,600
N/A
Total
5,400
3,600
(1,350)
7,650
1)
Options vest over a period of four years with 1/4
th
of the total grant vesting at each anniversary of the date of grant.
Information regarding the reported financial year
The main conditions of RSU plan
Opening
balance
During the Year
Closing balance
Name of Directors,
Position
Specification
of plan
Performance period
Award date
Vesting date
1)
End of
retention
period
RSU’s held
at the
beginning
of the year
RSU’s
awarded
RSU’s
vested
RSU’s
subject to a
performance
condition
RSU’s
awarded
and unves-
ted
RSU’s held
at the
closing of
the year
RSU’s
subject to
a retention
period
Prof. Hans de Haard,
chief scientific officer
Equity
Incentive
Plan
24/12/2021 – 31/12/2022
24/12/2021
Please refer to
footnote.
N/A
3,600
–
(3,600)
–
–
–
N/A
Total
3,600
–
(3,600)
–
Malini Moorthy,
general counsel
Equity
Incentive
Plan
01/04/2022 – 01/04/2026
01/04/2022
Please refer to
footnote.
N/A
–
5,400
–
5,400
5,400
5,400
N/A
Total
–
5,400
–
5,400
Wim Parys
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
–
N/A
Total
–
–
–
–
Arjen Lemmen,
vice president of
corporate development
& strategy
Equity
Incentive
Plan
24/12/2021 – 24/12/2025
24/12/2021
Please refer to
footnote.
N/A
3,600
–
(900)
2,700
2,700
2,700
N/A
23/12/2022 – 23/12/2026
23/12/2022
N/A
–
3,600
–
3,600
3,600
3,600
N/A
Total
3,600
3,600
(900)
6,300
Andria Wilk,
global head of quality
Equity
Incentive
Plan
24/12/2021 – 24/12/2025
24/12/2021
Please refer to
footnote.
N/A
988
–
(247)
741
741
741
N/A
23/12/2022 – 23/12/2026
23/12/2022
N/A
–
1,000
–
1,000
1,000
1,000
N/A
Total
988
1,000
(247)
1,741
1)
Options vest over a period of four years with 1/4
th
of the total grant vesting at each anniversary of the date of grant.
Arrangements with Respect to Leaver Equity
With respect to Mr. Wim Parys, the Board of Directors approved that his equity awards
will continue to vest until the end of the month in which he last performs services as
an advisor to the research and development committee of the Board of Directors. With
respect to Prof. Hans de Haard, the Board of Directors determined his long-term equity
incentives vested in full on December 31, 2022, consistent with the terms of his employ-
ment contract and in recognition of his significant contributions made as a founder of
argenx and his ever-lasting impact on our current and future value creation including as
a future member of the research and development committee, ambassador of our IIP
and mentor to talent, all as set out in a service agreement entered into between us and
Prof. de Haard, and for which no remuneration shall be paid.
3.4.7
Remuneration of Non-Executive Directors
The remuneration of the individual members of the Board of Directors is determined
by the Board of Directors, at the recommendation of our remuneration and nomination
committee, within the limits of the remuneration policy adopted by the shareholders at
a General Meeting. The description below reflects the remuneration policy approved at
our 2022 General Meeting.
Pursuant to the remuneration policy, the remuneration of the non-executive directors
consists of the following fixed and variable components:
•
a fixed fee;
•
if applicable, a fee for chairing the audit and compliance committee, the research
and development committee, the remuneration and nomination committee or the
commercial committee;
•
a fixed fee for board committee membership; and
•
a long-term variable incentive in the form of stock options and RSUs.
Fixed Fee
The Board of Directors has set the annual base remuneration, the annual remuneration
for members of the audit and compliance committee, the research and development
committee, the remuneration and nomination committee and the commercial committee
and, in each case, the additional remuneration for the respective chairperson as follows:
Relevant Body
Position
Fees
(in $)
Fees
(in €)
Board of Directors
Chairperson
79,024
75,000
Member
47,414
45,000
Audit and compliance committee/
Research and development committee
Chairperson
15,805
15,000
Member
7,902
7,500
Remuneration and nomination committee
Chairperson
10,537
10,000
Member
5,268
5,000
Commercial committee
Chairperson
10,537
10,000
Member
5,268
5,000
Research and development committee
Chairperson
15,805
15,000
Member
7,902
7,500
In 2022, the non-executive director cash remuneration was increased by €10,000 to
re-align with the benchmark. These fees had not been increased to re-aligned the
benchmark since our Euronext initial public offering in 2014.
Long-Term Incentive Plan
Non-executive directors receive stock options and/or RSUs from time to time, ensuring
an overall fair and competitive remuneration that is in line with the remuneration practi-
ces of our reference companies. The conditions of our Equity Incentive Plan apply to our
non-executive directors, as set forth in section 3.4.7 “
Remuneration of Non-Executive
Directors
”.
The following table sets forth the information regarding the compensation earned by
our non-executive directors during the fiscal year ended December 31, 2022:
Name
Fees earned
or paid in cash
(in $)
Option awards
(in $)
1)
RSU awards
(in $)
2)
Total
(in $)
Peter K.M. Verhaeghe
92,194
456,407
230,130
778,731
Werner Lanthaler
68,487
–
–
68,487
Pamela Klein
55,317
444,481
230,130
729,927
J. Donald deBethizy
65,853
444,481
230,130
740,464
Anthony A. Rosenberg
60,585
444,481
230,130
735,195
James M. Daly
65,853
444,481
230,130
740,464
Yvonne Greenstreet
7,044
–
–
7,044
Camilla Sylvest
17,561
741,510
353,738
1,112,808
Ana Cespedes
4,390
666,721
345,194
1,016,306
1)
These amounts do not reflect the actual economic value realized by the non-executive directors.
Amounts shown represent the expenses with respect to the stock option awards granted in 2022
to the non-executive directors measured using the Black Scholes formula. For a description of the
assumptions used in valuing these awards, see
note 13
to our consolidated financial statements in
section 6 “
Consolidated Financial Statements
”.
2)
These amounts do not reflect the actual economic value realized by the non-executive directors.
Amounts shown represent the expenses with respect to the RSUs awards granted in 2022 to the non-
executive directors measured using the Black Scholes formula. For a description of the assumptions
used in valuing these awards, see
note 13
to our consolidated financial statements in section 6
“
Consolidated Financial Statements
”.
The table below shows (i) the stock options held at January 1, 2022, (ii) the stock options
granted to the non-executive directors which have vested during the year ended Decem-
ber 31, 2022, (iii) the number of stock options exercised and vested during the year,
(iv)
the respective exercise price of such stock options and (v) the stock options held as of
December 31, 2022:
Remuneration in Stock Options Non-Executive Directors
Information regarding the reported financial year
Opening
balance
During the Year
Closing balance
Name of
Directors,
Position
Specifi-
cation
of plan
Performance
period
Award date
Vesting date
1)
End of
retention
period
Exercise
period
Exercise
price of
stock
option
(in €)
Stock
options
held at the
beginning
of the year
Stock
options
awarded
Stock
options
exercised
Stock
options
vested
during the
year
Stock
options
subject to a
performance
condition
Stock
options
awarded
and
unvested
Stock
options
held at the
end of the
year
Stock
options
subject to
a retention
period
Peter Verhaeghe
Equity
Incentive
Plan
29/06/2012–
29/06/2015
29/06/2012
Please refer to
footnote.
N/A
01/01/2016–
29/06/2022
2.44
8,741
–
(8,741)
–
–
–
–
N/A
30/09/2014–
30/09/2017
30/09/2014
N/A
30/09/2015–
30/09/2024
2.44
2,885
–
–
–
–
–
2,885
N/A
30/09/2014–
30/09/2017
30/09/2014
N/A
30/09/2015–
30/09/2024
3.95
1,969
–
–
–
–
–
1,969
N/A
18/12/2014–
18/12/2017
18/12/2014
N/A
18/12/2015–
18/12/2024
7.17
5,000
–
–
–
–
–
5,000
N/A
16/06/2016–
18/06/2019
18/06/2016
N/A
18/06/2017–
18/06/2026
11.38
10,000
–
–
–
–
–
10,000
N/A
21/12/2018–
21/12/2021
21/12/2018
N/A
21/12/2019–
21/12/2028
86.32
10,000
–
–
–
–
–
10,000
N/A
20/12/2019–
20/12/2022
20/12/2019
N/A
20/12/2020–
20/12/2029
135.75
10,000
–
–
3,333
–
–
10,000
N/A
21/12/2020–
21/12/2023
21/12/2020
N/A
21/12/2021–
21/12/2030
247.60
10,000
–
–
3,334
3,333
3,333
10,000
N/A
24/12/2021–
24/12/2024
24/12/2021
Upon third
anniversary of
the grant
24/12/2024
24/12/2024–
24/12/2031
309.20
2,700
–
–
–
2,700
2,700
2,700
2,700
23/12/2022–
23/12/2025
23/12/2022
23/12/2025
23/12/2025–
23/12/2032
359.60
–
2,700
–
–
2,700
2,700
2,700
2,700
Total
61,295
2,700
(8,741)
6,667
8,733
8,733
55,254
5,400
Yvonne
Greenstreet
Equity
Incentive
Plan
01/07/2021–
03/03/2022
01/07/2021
Upon third
anniversary of
the grant
01/07/2022
01/07/2022–
01/07/2031
255.10
1,350
–
–
1,350
–
–
1,350
N/A
Total
1,350
–
–
1,350
–
–
1,350
–
3)
1/3
rd
upon the first anniversary of the option’s date of grant and for the remaining 2/3
rd
during the following two years in equal parts of 1/24
th
, each time upon the 1
st
day of each next month.
Information regarding the reported financial year
Opening
balance
During the Year
Closing balance
Name of Direc-
tors, Position
Specifi-
cation
of plan
Performance
period
Award date
Vesting date
1)
End of
retention
period
Exercise
period
Exercise
price of
stock
option
(in €)
Stock
options
held at the
beginning
of the year
Stock
options
awarded
Stock
options
exercised
Stock
options
vested
during the
year
Stock
options
subject to a
performance
condition
Stock
options
awarded
and
unvested
Stock
options
held at the
end of the
year
Stock
options
subject to
a retention
period
Werner
Lanthaler
Equity
Incentive
Plan
21/12/2018–
21/12/2021
21/12/2018
Please refer to
footnote.
N/A
21/12/2019–
21/12/2028
86.32
10,000
–
–
–
–
–
10,000
–
20/12/2019–
20/12/2022
20/12/2019
N/A
20/12/2020–
20/12/2029
135.75
5,580
–
–
3,333
–
–
5,580
–
21/12/2020–
21/12/2023
21/12/2020
N/A
21/12/2021–
21/12/2030
247.60
10,000
–
–
3,334
3,333
3,333
10,000
N/A
24/12/2021–
24/12/2024
24/12/2021
Upon third
anniversary of
the grant
24/12/2024
24/12/2024–
24/12/2031
309.20
2,700
–
–
–
2,700
2,700
2,700
2,700
Total
28,280
–
–
6,667
6,033
6,033
28,280
2,700
J. Donald
deBethizy
Equity
Incentive
Plan
16/06/2016–
18/06/2019
18/06/2016
Please refer to
footnote.
N/A
18/06/2017–
18/06/2026
11.38
10,000
–
–
–
–
–
10,000
N/A
21/12/2018–
21/12/2021
21/12/2018
N/A
21/12/2019–
21/12/2028
86.32
10,000
–
–
–
–
–
10,000
N/A
20/12/2019–
20/12/2022
20/12/2019
N/A
20/12/2020–
20/12/2029
135.75
10,000
–
–
3,333
–
–
10,000
N/A
21/12/2020–
21/12/2023
21/12/2020
N/A
21/12/2021–
21/12/2030
247.60
10,000
–
–
3,334
3,333
3,333
10,000
N/A
24/12/2021–
24/12/2024
24/12/2021
Upon third
anniversary of
the grant
24/12/2024
24/12/2024–
24/12/2031
309.20
2,700
–
–
–
2,700
2,700
2,700
2,700
23/12/2022–
23/12/2025
23/12/2022
23/12/2025
23/12/2025–
23/12/2032
359.60
–
2,700
–
–
2,700
2,700
2,700
2,700
Total
42,700
2,700
6,667
8,733
8,733
45,400
5,400
4)
1/3
rd
upon the first anniversary of the option’s date of grant and for the remaining 2/3
rd
during the following two years in equal parts of 1/24
th
, each time upon the 1
st
day of each next month.
Information regarding the reported financial year
Opening
balance
During the Year
Closing balance
Name of
Directors,
Position
Specifi-
cation
of plan
Performance
period
Award date
Vesting date
1)
End of
retention
period
Exercise
period
Exercise
price of
stock
option
(in €)
Stock
options
held at the
beginning
of the year
Stock
options
awarded
Stock
options
exercised
Stock
options
vested
during the
year
Stock
options
subject to a
performance
condition
Stock
options
awarded
and
unvested
Stock
options
held at the
end of the
year
Stock
options
subject to
a retention
period
Pamela Klein
Equity
Incentive
Plan
18/06/2015–
18/06/2016
18/06/2015
Please refer to
footnote.
N/A
18/06/2016–
18/06/2025
11.44
2,500
–
(2,500)
–
–
–
–
N/A
18/06/2016–
18/06/2017
18/06/2016
N/A
18/06/2017–
18/06/2026
11.38
10,000
–
(10,000)
–
–
–
–
N/A
21/12/2018–
21/12/2021
21/12/2018
N/A
21/12/2019–
21/12/2028
86.32
10,000
–
–
–
–
–
10,000
N/A
20/12/2019–
20/12/2022
20/12/2019
N/A
20/12/2020–
20/12/2029
135.75
10,000
–
–
3,333
–
–
10,000
N/A
21/12/2020–
21/12/2023
21/12/2020
N/A
21/12/2021–
21/12/2030
247.60
10,000
–
–
3,334
3,333
3,333
10,000
N/A
24/12/2021–
24/12/2024
24/12/2021
Upon third
anniversary of
the grant
24/12/2024
24/12/2024–
24/12/2031
309.20
2,700
–
–
–
2,700
2,700
2,700
2,700
23/12/2022–
23/12/2025
23/12/2022
23/12/2025
23/12/2025–
23/12/2032
359.60
–
2,700
–
–
2,700
2,700
2,700
2,700
Total
45,200
2,700
(12,500)
6,667
8,733
8,733
35,400
5,400
Anthony A.
Rosenberg
Equity
Incentive
Plan
13/12/2016–
13/12/2019
13/12/2016
Please refer to
footnote.
N/A
18/06/2017–
18/06/2026
14.13
15,000
–
–
–
–
–
15,000
N/A
21/12/2018–
21/12/2021
21/12/2018
N/A
21/12/2019–
21/12/2028
86.32
10,000
–
–
–
–
–
10,000
N/A
20/12/2019–
20/12/2022
20/12/2019
N/A
20/12/2020–
20/12/2029
135.75
8,840
–
–
3,333
–
–
8,840
N/A
21/12/2020–
21/12/2023
21/12/2020
N/A
21/12/2021–
21/12/2030
247.60
10,000
–
(4,160)
3,334
3,333
3,333
5,840
N/A
24/12/2021–
24/12/2024
24/12/2021
Upon third
anniversary of
the grant
24/12/2024
24/12/2024–
24/12/2031
309.20
2,700
–
–
–
2,700
2,700
2,700
2,700
23/12/2022–
23/12/2025
23/12/2022
23/12/2025
23/12/2025–
23/12/2032
359.60
–
2,700
–
–
2,700
2,700
2,700
2,700
Total
46,540
2,700
(4,160)
6,667
8,733
8,733
45,080
5,400
5)
1/3
rd
upon the first anniversary of the option’s date of grant and for the remaining 2/3
rd
during the following two years in equal parts of 1/24
th
, each time upon the 1
st
day of each next month.
Information regarding the reported financial year
Opening
balance
During the Year
Closing balance
Name of
Directors,
Position
Specifi-
cation
of plan
Performance
period
Award date
Vesting date
1)
End of
retention
period
Exercise
period
Exercise
price of
stock
option
(in €)
Stock
options
held at the
beginning
of the year
Stock
options
awarded
Stock
options
exercised
Stock
options
vested
during the
year
Stock
options
subject to a
performance
condition
Stock
options
awarded
and
unvested
Stock
options
held at the
end of the
year
Stock
options
subject to
a retention
period
James M. Daly
Equity
Incentive
Plan
28/06/2018–
28/06/2021
28/06/2018
Please refer to
footnote.
N/A
28/06/2019–
28/06/2028
80.82
5,000
–
(5,000)
–
–
–
–
N/A
21/12/2018–
21/12/2021
21/12/2018
N/A
21/12/2019–
21/12/2028
86.32
10,000
–
(10,000)
–
–
–
–
N/A
20/12/2019–
20/12/2022
20/12/2019
N/A
20/12/2020–
20/12/2029
135.75
10,000
–
–
3,333
–
–
10,000
N/A
21/12/2020–
21/12/2023
21/12/2020
N/A
21/12/2021–
21/12/2030
247.60
10,000
–
–
3,334
3,333
3,333
10,000
N/A
24/12/2021–
24/12/2024
24/12/2021
Upon third
anniversary of
the grant
24/12/2024
24/12/2024–
24/12/2031
309.20
2,700
–
–
–
2,700
2,700
2,700
2,700
23/12/2022–
23/12/2025
23/12/2022
23/12/2025
23/12/2025–
23/12/2032
359.60
–
2,700
–
–
2,700
2,700
2,700
2,700
Total
37,700
2,700
(15,00)
6,667
8,733
8,733
25,400
5,400
Camilla Sylvest
Equity
Incentive
Plan
03/10/2022–
03/10/2025
03/10/2022
Upon third
anniversary of
the grant
03/10/2025
03/10/2025–
03/10/2032
368.50
–
4,050
–
–
4,050
4,050
4,050
4,050
Total
–
4,050
–
–
4,050
4,050
4,050
4,050
Ana Cespedes
Equity
Incentive
Plan
23/12/2022–
23/12/2025
23/12/2022
Upon third
anniversary of
the grant
23/12/2025
23/12/2025–
23/12/2032
359.60
–
4,050
–
–
4,050
4,050
4,050
4,050
Total
–
4,050
–
–
4,050
4,050
4,050
4,050
6)
1/3
rd
upon the first anniversary of the option’s date of grant and for the remaining 2/3
rd
during the following two years in equal parts of 1/24
th
, each time upon the 1
st
day of each next month.
The table below shows (i) the RSUs held at January 1, 2022, (ii) the RSUs granted to the
non-executive directors which have vested during the year ended December 31, 2022
and (iii) the number of RSUs held at December 31, 2022:
Remuneration in restricted stock units (RSU’s) non-executive directors
Information regarding the reported financial year
The main conditions of RSU plan
Opening
balance
During the Year
Closing balance
Name of Directors,
Position
Specification
of plan
Performance period
Award date
Vesting date
1)
End of
retention
period
RSU’s held
at the
beginning
of the year
RSU’s
awarded
RSU’s
vested
RSU’s
subject to a
performance
condition
RSU’s
awarded
and unves-
ted
RSU’s held
at the
closing of
the year
RSU’s
subject to
a retention
period
Peter Verhaeghe
Equity
Incentive Plan
24/12/2021 – 24/12/2025
24/12/2021
Please refer to
footnote.
N/A
600
–
(150)
450
450
450
N/A
23/12/2022 – 23/12/2026
23/12/2022
N/A
–
600
–
600
600
600
N/A
Total
600
600
(150)
1,050
1,050
1,050
Yvonne Greenstreet
Equity
Incentive Plan
01/07/2021 – 03/03/2022
01/07/2021
Please refer to
footnote.
N/A
225
–
(225)
–
–
–
N/A
Total
225
–
(225)
–
–
–
Werner Lanthaler
Equity
Incentive Plan
24/12/2021 – 24/12/2025
24/12/2021
Please refer to
footnote.
N/A
600
–
(150)
450
450
450
N/A
Total
600
–
(150)
450
450
450
J. Donald deBethizy
Equity
Incentive Plan
24/12/2021 – 24/12/2025
24/12/2021
Please refer to
footnote.
N/A
600
–
(150)
450
450
450
N/A
23/12/2022 – 23/12/2026
23/12/2022
N/A
–
600
–
600
600
600
N/A
Total
600
600
(150)
1,050
1,050
1,050
1)
Vesting date: vest over a period of 4 years with 1/4
th
of the total grant vesting at each anniversary of the date of grant.
Information regarding the reported financial year
The main conditions of RSU plan
Opening
balance
During the Year
Closing balance
Name of Directors,
Position
Specification
of plan
Performance period
Award date
Vesting date
1)
End of
retention
period
RSU’s held
at the
beginning
of the year
RSU’s
awarded
RSU’s
vested
RSU’s
subject to a
performance
condition
RSU’s
awarded
and unves-
ted
RSU’s held
at the
closing of
the year
RSU’s
subject to
a retention
period
Pamela Klein
Equity
Incentive Plan
24/12/2021 – 24/12/2025
24/12/2021
Please refer to
footnote.
N/A
600
–
(150)
450
450
450
N/A
23/12/2022 – 23/12/2026
23/12/2022
N/A
–
600
–
600
600
600
N/A
Total
600
600
(150)
1,050
1,050
1,050
Anthony A. Rosenberg
Equity
Incentive Plan
24/12/2021 – 24/12/2025
24/12/2021
Please refer to
footnote.
N/A
600
–
(150)
450
450
450
N/A
23/12/2022 – 23/12/2026
23/12/2022
N/A
–
600
–
600
600
600
N/A
Total
600
600
(150)
1,050
1,050
1,050
James M. Daly
Equity
Incentive Plan
24/12/2021 – 24/12/2025
24/12/2021
Please refer to
footnote.
N/A
600
–
(150)
450
450
450
N/A
23/12/2022 – 23/12/2026
23/12/2022
N/A
–
600
–
600
600
600
N/A
Total
600
600
(150)
1,050
1,050
1,050
Camilla Sylvest
Equity
Incentive Plan
03/10/2022 – 03/10/2026
03/10/2022
Please refer to
footnote.
N/A
–
900
–
900
900
900
N/A
Total
–
900
–
900
900
900
Ana Cespedes
Equity
Incentive Plan
23/12/2022 – 23/12/2026
23/12/2022
Please refer to
footnote.
N/A
–
900
–
900
900
900
N/A
Total
–
900
–
900
900
900
1)
Vesting date: vest over a period of 4 years with 1/4
th
of the total grant vesting at each anniversary of the date of grant.
3.4.8
Pay Ratios Within the Company
Our total expense for the non-equity remuneration paid to our CEO (and only executive
director) for the year ended December 31, 2022, equaled $1,443,925.
The table below shows the evolution over the past five years of CEO compensation, the
performance of our stock price and the median remuneration on a full-time equivalent
basis (annualized for the employees who joined or left us during the year) of our emp-
loyees, other than the executive director:
Financial year ended December 31,
(in thousands of $,
unless otherwise indicated)
2018
2019
2020
2021
2022
Base salary of our CEO (EUR)
1)
500,000
525,000
525,000
551,250
606,368
Base salary of our CEO (USD)
526,825
553,167
553,167
580,825
638,901
Non-equity remuneration of our
CEO (base salary, short-term cash
incentive, pension contributions
and other compensation
elements)
2)
996,215
1,001,891
1,144,301
1,285,136
1,443,925
Non-equity median salary paid
to our employees
110,196
121,603
163,062
157,349
153,193
Ratio employee/CEO
11%
12%
14%
12%
11%
Average compensation paid to
non-executive director
59,891
60,372
57,925
54,484
48,587
Number of employees at end of
year
105
188
336
650
843
Share price at end of year
Euronext EUR
85.20
143.60
242
315.30
348.3
Share price at end of year
Euronext USD
97.55
161.32
296.96
357.11
371.50
1)
Shown in USD, using a fixed exchange rate of 1.05 USD / 1 EUR, taking into account that our CEO’s
salary is paid in EUR but our functional and reporting currency is in USD.
2)
In our prior years remuneration reports, the cash value of benefits like medical insurance and car
allowances was not included. For transparency, we have included these numbers in prior year and
current year numbers. No significant increase of these contributions was granted between the prior
financial years and 2022.
The decrease in the remuneration ratio between members of our CEO and other em-
ployees between 2021 and 2022 is primarily caused by our CEO receiving a short-term
incentive payout equal to 200% of the target for 2022, in comparison to 150% payout
related to 2021.
The comparison of non-equity compensation above is made between the compensation
paid to our single executive director, and the median compensation paid to our emp-
loyees. We have opted to compare non-equity salaries, because whereas the number of
options granted is linked to the overall size of remuneration packages granted, the value
of equity components depends on the evolution of our share price, volatility and the
risk-free rate, which is unknown at granting and as such the forward-looking valuation
methods for options normally do not provide an accurate representation of actual
economic value granted.
Due to the global spread of our employees over multiple continents, we deem it
relevant to also include the above comparison separately to our U.S. employees, EU
employees and Japanese employees. Due to the overall higher compensation level in
our business segment in the U.S. and Japan compared to the EU, there is a significant
difference in the pay ratio when the CEO’s compensation is compared to the median
compensation of all our employees (the majority of which are EU citizens), as set out
above, or compared to employees in the U.S. and Japan. The following information is
provided for reference purposes:
Ratio of non-equity compensation of the median employee compared to the
CEO for the fiscal year ended December 31, 2022
All employees
11%
European employees
7%
U.S. employees
15%
Japanese employees
7%
Canadian employees
16%
Share-based payment ratios are as follows:
Financial year ended December 31,
2018
2019
2020
2021
2022
Stock options granted to our CEO
80,000
80,000
50,000
25,000
1)
25,000
1)
Median stock options granted to
our employees
2,500
2,800
2,900
981
900
Ratio employee/CEO
3.13%
3.50%
5.80%
3.9%
3.6%
Average number of stock options
granted to non-executive
directors
12,143
10,000
10,000
2,869
3,086
Median stock options granted to
our employees
2,500
2,800
2,900
981
900
Ratio non-executive directors/
employee
20.59%
28%
29%
34.20%
29.17%
1)
The Board of Directors had offered Tim Van Hauwermeiren long-term equity equal to 130% of target,
resulting in 41,600 stock options and 9,360 RSUs but at the request of Tim Van Hauwermeiren, the
Board of Directors agreed to reduce the grant for 2022 to 25,000 stock options and 5,700 RSUs, and to
distribute the difference (of 16,600 stock options and 3,660 RSUs) to certain top-performing lower-
level employees of the Company identified by Tim Van Hauwermeiren.
Total employment costs (excluding any stock options) we paid in fiscal year 2022 was
split between regions as follows:
Total remuneration paid in the fiscal year ended December 31, 2022
(in millions of $)
EU
57.5
U.S.
80.9
Japan
8.3
Canada
1.2
3.4.9
Long-Term Incentives Granted to
Key Persons – Equity Incentive Plan
Our Equity Incentive Plan providing for the granting of a mix of stock options and RSUs
was approved by our Board of Directors on March 15, 2021, as subsequently amended
on December 15, 2021. The aim of our Equity Incentive Plan is to encourage our senior
management, directors, all other key employees, and key outside consultants and
advisors to acquire an economic and beneficial ownership interest in our growth and
performance, to increase their incentive to contribute to our value and to attract and
retain key individuals.
Our Board of Directors has also established an equity incentive allocation scheme that
contains (i) the dates on which stock options and RSUs are granted each year, which
shall be the same date each year (other than for new hires) and (ii) the number of stock
options and RSUs granted to each person or to each group of persons, which shall be
based on objective criteria only.
Stock options granted pursuant to the Equity Incentive Plan shall vest with respect to
one third of the shares upon the first anniversary of the date of grant, with the remai-
ning two thirds vesting in twenty-four equal monthly instalments with the stock options
fully vesting upon the third anniversary of the date of grant, subject, in each case,
to the optionee’s continued status as a service provider. Stock options are exercisable
when vested, and in any case not after the stock option expiration date included in each
individual stock option grant, which is 10 years or in the case of Belgian tax resident
employees, at their election either five years or ten years from the date of grant.
Each stock option shall be granted with an exercise price equal to the fair market value
upon the date of grant and shall have a term equal to five or ten years from the date of
grant. Optionees may prefer to elect the five-year period as this may limit their personal
tax obligations in respect of the option in respect to the jurisdiction where options are
taxed at grant, compared to a ten-year option. Stock options granted to Belgian tax
resident beneficiaries (including our CEO) are not exercisable prior to the fourth year
following the year of the grant. Stock options granted to non-executive directors vest at
once on the third anniversary of the date of grant.
RSUs granted under the Equity Incentive Plan shall vest over a period of four years with
respect to one fourth of the shares upon each anniversary of the date of grant. At the
time of vesting, the holder of such RSUs receives our shares for free equal to the num-
ber equal of RSUs vested minus a certain number of shares required to cover employee
taxes payable by us on behalf of the holder of RSUs, if applicable.
100% of any unvested equity incentives shall vest in the event of a (i) sale, merger, con-
solidation, tender offer or similar acquisition of shares or other transaction or series of
related transactions as a result of which a change in control occurs, (ii) sale or other dis-
position of all or substantially all of our assets or (iii) our dissolution and/or liquidation.
Our Board of Directors, upon approval of a majority of the non-executive directors, may
amend or terminate the Equity Incentive Plan or may amend the terms of this Equity
Incentive Plan, also for any outstanding stock options or RSUs, provided that we will
compensate any affected optionee for any direct negative impact of such amendment.
Other Arrangements
In fiscal year 2022, no severance payments were granted to our senior management and
non-executive directors.
In fiscal year 2022, no variable remuneration was clawed back and no variable remune-
ration was adjusted (retroactively).
In fiscal year 2022, no remuneration was granted and allocated by subsidiaries or other
companies whose financials we consolidate, other than the regular remuneration
payments made by the entities with whom our management members have their
employment contracts.
In fiscal year 2022, no (personal) loans were granted to our senior management and
non-executive directors and no guarantees or the like have been granted in favor of any
of the senior management and the non-executive directors.
Deviations
In 2022, we did not deviate from the decision-making process for the implementation of
the 2021 remuneration policy for our senior management and non-executive directors
and no temporary deviations took place from the 2021 Remuneration Policies.
3.5
Risk Appetite & Control
Before reading this section, please carefully review the following cautionary statement:
3.5.1
Introduction
This section 3.5 provides a general description of our willingness to mitigate the risks
and uncertainties we face (also called our ‘risk appetite’), and to give a description of
the mitigating actions we have taken with regard to our most relevant risks.
3.5.2
General Description of our Risk Appetite
Our risk appetite serves as a guideline to determine the measures we may take in
mitigating some of the risks and uncertainties we face. Our risk appetite is aligned with
our strategy and priorities. The business we operate in is inherently high-risk. In general,
we are willing, and in our view required, to take significant risks to be able to operate
successfully in our line of business. Some of the risks and uncertainties we face are
entirely outside of our control whereas others may be influenced or mitigated.
The process of developing, implementing and improving risk management procedures
remains an ongoing effort. In accordance with guideline 400.110c of the Dutch Counsel
for annual reporting (Raad voor de Jaarverslaggeving), this risk management section
provides an overview of the risk mitigating actions taken or planned to be taken by us.
The mentioning of these mitigating actions may not in any way be viewed as an implied
or express guarantee that such mitigation will in practice be effective in limiting the risk
exposure and/or the potential damage to us from any such risk materializing.
In this section we will make the required disclosures regarding our risk appetite and
mitigating actions. We fully take the risk mitigation actions and risk management
described in this section into account while preparing the description of the main
risks and uncertainties we face, as set out in section 2 “
Risk Factors
”. Any mitigating
language used in this section does not have any impact on the risks and uncertain-
ties we face or their potential adverse effects as they are described in section 2
“
Risk Factors
”.
Section 2 “
Risk Factors
” describes the main risks and uncertainties we face already
fully having taken into account our risk management and the risk mitigating actions
described herein.
3.5.3
Controlling Actions We Take with
Regard to our most Relevant Risks
and Uncertainties
The following is a description of the main risks and uncertainties we face (being the first
risk of each category of risk factors set out in section 2 “
Risk Factors
”) and a description
of the measures we took to control them. A description of the expected impact upon
materialization of these risks is included for each risk in section 2 “
Risk Factors
”.
Risk factor
Measures taken to control these risks
We have incurred significant losses
since our inception and expect to
incur losses for the foreseeable
future. We may never achieve or
sustain profitability.
We have adopted a business model and strategic portfolio
management approach to spread risks over wholly-owned
programs as well as partnered programs, and to manage
risks within our own proprietary product candidates pipe-
line. We continue to conduct research and development,
preclinical testing, clinical trials and regulatory compliance
activities as well as the continued commercialization
of VYVGART and other products candidates, for current
and future indications, and we intend to continue our
efforts to expand our sales, marketing and distribution
infrastructure.
We will face significant challenges
in successfully commercializing our
products and additional product
candidates after they are launched.
We plan to focus on the successful development and
commercialization of the products and product candidates
after they are launched. We aim to expand our sales and
marketing organization, enter into collaboration arrange-
ments with third parties, outsource certain functions to
third parties, or use some combination of each. We have
already built, and continue to expand, our sales forces in
certain of the VYVGART Approved Countries and plan to
further develop our sales and marketing capabilities to
promote our products, and product candidates, including
new indications, if and when marketing approval has been
obtained in other relevant jurisdictions.
We are subject to healthcare laws,
regulation and enforcement. Our
failure to comply with these laws
could harm our results of opera-
tions and financial conditions.
We are continuing to build and refine an internal pro-
gram to ensure compliance with the different healthcare,
compliance and reporting laws and regulations in multiple
jurisdictions.
Failure to successfully identify,
select and develop efgartigimod in
other indications, additional pro-
ducts or product candidates could
impair our ability to grow.
We remain committed to using technology and con-
tracting with parties that are able to achieve the level of
sophistication we need to accurately and reliably identi-
fy, select and develop efgartigimod in other indications,
additional products or product candidates. We expect
our spending to continue to increase as we expand our
global commercial infrastructure and drug inventory for
VYVGART™ for the treatment of gMG, the progress of our
clinical-stage pipeline, including ongoing clinical trials for
five indications of efgartigimod.
Risk factor
Measures taken to control these risks
We rely, and expect to continue
to rely, on third parties to conduct
some of our research activities
and clinical trials and for parts of
the development and commercia-
lization of our existing and future
research programs, products and
product candidates. If our relation-
ships with such third parties are
not successful, our business may be
adversely affected.
We endeavor to meet our contractual obligations and any
relevant milestone achievements under our collaboration
contracts, maintain a rich pipeline of possible collabo-
ration partners as well as foster good relationships with
existing and potential future collaboration partners in or-
der to limit reliance on a limited number of collaboration
partners. Furthermore, third-party contractor selection
and management is subject to our quality management
system. Customary contractual agreements are put in
place in an effort to protect us from under-performance.
We are typically spreading operational risks over various
service providers. Project management belongs to our
core internal competences.
Our employees may engage in
misconduct or other improper
activities, including noncomplian-
ce with regulatory standards and
requirements, or insider trading
violations, which could significantly
harm our business.
We have adopted a Code of Conduct, that is applicable to
all of our employees and directors, which addresses the
key risks related to potential breaches of ethical stan-
dards. All employees have accepted and are trained (and
retrained annually) on our Code of Conduct. We expect all
newcomers to accept, and commit to, the contents of the
Code of Conduct. To increase compliance and ensure our
colleagues know where to go with questions on the Code
of Conduct and its application, we have established the
argenx COMPASS Helpline, where our employees can raise
any concerns they may have regarding potential violations
of our policy confidentially or anonymously (to the extent
allowed by law).
Failure to adequately enforce or
protect our intellectual property
rights in products, product candi-
dates and platform technologies
could adversely affect our ability to
develop and market our products
and product candidates.
We strive to protect the proprietary technologies that we
believe are important to our business, including pursuing
and maintaining patent protection intended to cover the
platform technologies incorporated into, or used to produ-
ce, our product candidates, the compositions of matter of
our product candidates and their methods of use, as well
as other inventions that are important to our business. In
addition to patent protection, we also rely on trademarks
and trade secrets to protect aspects of our business that
are not amenable to, or that we do not consider appro-
priate for, patent protection, including certain aspects of
our llama immunization and antibody affinity maturation
approaches.
Our future growth and ability to
compete depends on retaining our
key personnel and recruiting ad-
ditional qualified personnel.
We offer competitive remuneration packages and share-
based incentives in the form of the Equity Incentive Plan.
We perform periodic benchmark analyses with an external
service provider to ensure the competitiveness of the
compensation offered to our key personnel in comparison
to other (reference group) companies. We pay close atten-
tion to creating an environment that supports the further
development of the talents of our key people.
3.5.4
Material Impact of Risk
Materialization in 2022
During the period between January 1, 2022 and December 31, 2022, we did not identify
any material impact as a result of materialization of previously identified risks and
uncertainties.
3.5.5
Financial Risks and Controls
In running our business, we seek to implement a sustainable policy regarding internal
control and risk management. Our Board of Directors has delegated an active role to our
audit and compliance committee in the design, implementation and monitoring of an
internal risk management and control system to manage the significant risks to which
we are exposed.
Our financial reporting is structured within a tight framework of budgeting, reporting
and forecasting. A distinction is made between reports for internal and external use.
External reporting at group level consists of an annual report (in the form of this Annual
Report), including financial statements audited by the independent auditor, as well semi-
annual reporting and quarterly updates, containing summarized financial information.
The external reports are based on the internal financial reporting.
Internal financial reporting consists of extensive consolidated monthly reports in which
current developments are compared to the monthly (cumulative) budgets and previous
forecasts. In addition, each quarter we reiterate or update our forecast for the annual
results, including the cash flow position at the end of the fiscal year. The quarterly
budgets are part of the annual group budget, which is prepared every year by our senior
management and approved by our Board of Directors. Our specialized finance and ad-
ministration department are primarily responsible for evaluating the draft internal and
external reporting, before these are finally approved by our Board of Directors.
Our Board of Directors discusses the financial results of the group at all formal board
meetings, which meetings are minuted.
Our internal controls over financial reporting are a subset of internal controls and
include policies and procedures that:
•
pertain to the maintenance of records that, in reasonable detail, accurately and fairly
reflect the transactions and dispositions of our assets;
•
provide reasonable assurance that transactions are recorded as necessary to permit
preparation of our financial statements in accordance with IFRS as issued by the
International Accounting Standards Board and as adopted by the EU, and that
receipts and expenditures are being made only by authorized persons; and
•
provide reasonable assurance regarding prevention or timely detection of
unauthorized acquisition, use or disposition of our assets that could have a material
effect on the financial statements.
Since we have securities registered with the SEC and are a large accelerated filer within
the meaning of Rule 12b-2 of the Exchange Act, we need to assess the effectiveness of
our internal controls over financial reporting and provide a report on the results of our
assessment. Our Board of Directors reviewed its internal controls over financial repor-
ting based on criteria established in the Internal Control – Integrated Framework (2013)
issued by the Committee of Sponsoring Organizations of the Treadway Commission and
engaged an external advisor to help assess the effectiveness of its controls.
3.5.6
Recent or Current Developments in our
System of Risk Management
In 2022, we further increased our attention to pro-active risk management by
making the evaluation of our core risks and uncertainties a standing discussion topic
for our Board of Directors.
4
General Description
of the Company and
its Share Capital
4.1
Legal Information on the Company
228
4.2
Share Capital
229
4.3
Share Classes and Principal Shareholders
234
4.4
General Meeting and Voting Rights
236
4.5
Anti-Takeover Provisions
237
4.6
Amendments of Articles of Association
237
4.7
Transparency Directive
238
4.8
Dutch Financial Reporting Supervision Act
238
4.9
Dividends and Other Distributions
239
4.10
Financial Calendar 2023
239
4
General Description
of the Company and
its Share Capital
4.1
Legal Information
on the Company
4.1.1
General
We were incorporated on April 25, 2008 in the Netherlands and under Dutch law. Our
commercial name is ‘argenx’ and since April 26, 2017, our corporate name is ‘argenx SE’.
We are a Dutch European public company (
Societas Europaea
or SE) registered
with the trade register of the Dutch Chamber of Commerce under number 24435214.
Our corporate seat is in Rotterdam, the Netherlands, and our registered office is at
Laarderhoogtweg 25, 1101 EB Amsterdam, the Netherlands. Our telephone number
is +31 (0) 10 70 38 441. Our website address is
http://www.argenx.com
.
Our European legal entity identifier number (
LEI
) is 7245009C5FZE6G9ODQ71. Our
ordinary shares are listed on Euronext Brussels under ISIN NL0010832176 under the
symbol “ARGX”. The ADSs are listed on Nasdaq, under the symbol “ARGX”.
4.1.2
Statutory/Corporate Objective
Pursuant to Article 3 of our Articles of Association, our corporate objectives are: (a) to
exploit, including all activities relating to research, development, production, marketing
and commercial exploitation; biological, chemical or other products, processes and
technologies in the life sciences sector in general, and more specifically in the diagnostic,
pharmaceutical, medical, cosmetic, chemical and agricultural sector; (b) to design and
develop instruments which may be used in medical diagnosis and affiliated areas; (c) the
worldwide distribution of, sale of and rendering services relating to our products and
subsidiaries directly to customers as well as through third parties; (d) to incorporate,
to participate in any way whatsoever, to manage, to supervise, to operate and to
promote enterprises, businesses and companies; (e) to render advice and services
to businesses and companies with which we form a group and to third parties; (f) to
finance businesses and companies; (g) to borrow, to lend and to raise funds, including
the issue of bonds, promissory notes or other securities or evidence of indebtedness as
well as to enter into agreements in connection with the aforementioned; (h) to render
guarantees, to bind us and to pledge our assets for obligations of the companies and
enterprises with which we form a group and on behalf of third parties; (i) to obtain,
alienate, manage and exploit registered property and items of property in general; (j) to
trade in currencies, securities and items of property in general; (k) to develop and trade
in patents, trademarks, licenses, know-how and other industrial property rights; and
(l) to perform any and all activities of industrial, financial or commercial nature, as well
as everything pertaining the foregoing, relating thereto or conductive thereto, all in the
widest sense of the word.
4.2 Share Capital
4.2.1
Authorized and Issued Share Capital
Under Dutch Law, a company’s authorized share capital sets out the maximum amount
and number of shares that it may issue without amending its articles of association.
Our Articles of Association provide for an authorized share capital in the amount
of €9.0 million divided into 90 million shares, each with a nominal value of €0.10.
All issued and outstanding shares have been fully paid up and the shares are held
in dematerialized form.
As of December 31, 2022 our issued and paid up share capital amounted to
€5,539,585.60, represented by 55,395,856 ordinary shares with a nominal value of
€0.10, each representing an identical fraction of our share capital. As of December 31,
2022, neither we nor any of our subsidiaries held any of our own shares.
4.2.2
Stock Options and Restricted Stock Units
In addition to the shares already outstanding, we have granted stock options which
upon exercise will lead to an increase in the number of our outstanding shares. A total
of 5,511,767 stock options (where each stock option entitles the holder to subscribe for
one new ordinary share) were outstanding and granted as of December 31, 2022. Upon
exercise of these 5,511,767 stock options, a total amount of $1,130 million in stock
option exercise price we will receive, increasing our share capital and share premium by
the same amount.
Further, we have granted RSUs which upon vesting will lead to an increase in the
number of our outstanding shares. A total of 385,280 RSUs (where the holder receives
an equal number of new ordinary shares, minus a certain number of shares required
to cover certain costs, if applicable) were outstanding and granted as of December 31,
2022.
Apart from the stock options and RSUs granted under our Equity Incentive Plan, we do
not currently have other stock options, RSUs, options to purchase securities, convertible
securities or other rights to subscribe for or purchase securities outstanding. For stock
option information through December 31, 2022, see note 13 “
Share-Based Payments
” in
our consolidated financial statements in section 6 “
Consolidated Financial Statements
”
.
4.2.3
New shares created during 2022
As a result of the exercise of stock options and vesting of RSUs under our Equity
Incentive Plan, 1,044,207 new shares were created in 2022.
On March 23, 2022, we offered 2,333,334 of our ordinary shares through a global
offering which consisted of (i) a public offering of 1,433,701 ADSs in the U.S. and certain
other countries outside the EEA at a price of $300 per ADS, before underwriting dis-
counts and commissions and offering expenses and (ii) a concurrent private placement
of 899,633 ordinary shares in the EEA and the UK at an offering price of €273.10 per
share, before underwriting discounts and commissions and offering expenses. On March
29, 2022, the underwriters of the offering exercised their over-allotment option to
purchase 350,000 additional ADSs in full. As a result, we received $804.1 million of gross
proceeds from this offering, decreased by $44.2 million of underwriter discounts and
commissions, and offering expenses, of which $44.0 million has been deducted from
equity. The total net cash proceeds from the offering amounted to $761.0 million.
The following table shows the developments in our share capital for the fiscal year
ending December 31, 2022:
Number of shares outstanding on December 31, 2020
47,571,283
Number of shares outstanding on December 31, 2021
51,668,315
Exercise of stock options in 2022
1,024,626
Vesting of RSUs
19,581
Global public offering in Euronext and Nasdaq on March 23, 2022
2,333,334
Over-allotment option exercised by underwriters on March 29, 2022
350,000
Number of shares outstanding on December 31, 2022
55,395,856
Issuance of shares in January 2023 relating to exercise of stock options
and vesting of RSU in December 2022
15,076
Exercise of stock options in January 2023
159,385
Exercise of stock options in February 2023
217
Number of shares outstanding on February 15, 2023
55,570,534
4.2.4 American Depository Shares
In connection with our initial public offering on Nasdaq, the Bank of New York Mellon,
as depositary, registered and delivered ADSs. Each ADS represents one share (or a right
to receive one share) deposited with ING Bank N.V., as custodian for the depositary in
the Netherlands. Each ADS also represents any other securities, cash or other property
which may be held by the depositary. The depositary’s office at which the ADSs are
administered is located at 101 Barclay Street, New York, New York 10286. The Bank of
New York Mellon’s principal executive office is located at 225 Liberty Street, New York,
New York 10286.
An ADS holder will not be treated as one of our shareholders and does not have share-
holder rights. Dutch law governs shareholder rights. The depositary will be the holder of
the shares underlying the ADSs. A registered holder of ADSs has ADS holder rights.
A deposit agreement among us, the depositary, ADS holders and all other persons
indirectly or beneficially holding ADSs sets out ADS holder rights as well as the rights
and obligations of the depositary. New York law governs the deposit agreement and
the ADSs.
The depositary has agreed to pay or distribute to ADS holders the cash dividends or
other distributions it or the custodian receives on shares or other deposited securities,
upon payment or deduction of its fees and expenses. ADS holders will receive these
distributions in proportion to the number of shares their ADSs represent. An ADS
holder may surrender his ADSs at the depositary’s office. Upon payment of its fees and
expenses and of any taxes or charges, such as stamp taxes or stock transfer taxes or fees,
the depositary will deliver the shares and any other deposited securities underlying
the ADSs to the ADS holder or a person the ADS holder designates at the office of the
custodian. Or, at an ADS holder’s request, risk and expense, the depositary will deliver
the deposited securities at its office, if feasible.
The depositary may charge the ADS holder a fee and its expenses for instructing the
custodian regarding delivery of deposited securities. ADS holders may instruct the
depositary how to vote the number of deposited shares their ADSs represent. If we
request the depositary to solicit the ADS holders’ voting instructions (and we are not
required to do so), the depositary will notify them of a General Meeting and send or
make voting materials available to them. Those materials will describe the matters to
be voted on and explain how ADS holders may instruct the depositary how to vote. For
instructions to be valid, they must reach the depositary by a date set by the depositary.
The depositary will try, as far as practical, subject to Dutch law and the provisions of
our Articles of Association or similar documents, to vote or to have its agents vote the
shares or other deposited securities as instructed by ADS holders. If we do not request
the depositary to solicit the ADS holders’ voting instructions, an ADS holder can still
send voting instructions, and, in that case, the depositary may try to vote as he instructs,
but it is not required to do so. In any event, the depositary will not exercise any discre-
tion in voting deposited securities and it will only vote or attempt to vote as instructed
or as described in the following sentence. If we asked the depositary to solicit an ADS
holder’s instructions at least 45 days before the meeting date but the depositary does
not receive voting instructions from an ADS holder by the specified date, it will consider
such ADS holder to have authorized and directed it to give a discretionary proxy to a
person designated by us to vote the number of deposited securities represented by its
ADSs. The depositary will give a discretionary proxy in those circum¬stances to vote on
all questions to be voted upon unless we notify the depositary that:
•
we do not wish to receive a discretionary proxy;
•
there is substantial shareholder opposition to the particular question; or
•
the particular question would have an adverse impact on our shareholders.
We are required to notify the depositary if one of the conditions specified above exists.
In order to give an ADS holder a reasonable opportunity to instruct the depositary as
to the exercise of voting rights relating to our shares, if we request the depositary to
act, we agree to give the depositary notice of any meeting and details concerning the
matters to be voted upon at least 30 days in advance of the meeting date.
4.2.5 Issue of Shares
The Articles of Association provide that shares may be issued or rights to subscribe for
our shares may be granted pursuant to a resolution of the shareholders at a General
Meeting, or alternatively, by our Board of Directors if so designated by the shareholders
at a General Meeting. A resolution of the shareholders at a General Meeting to issue
shares, to grant rights to subscribe for shares or to designate our Board of Directors as
the corporate body authorized to do so can only take place at the proposal of our Board
of Directors with the consent of the majority of the non-executive directors. Shares
may be issued or rights to subscribe for shares may be granted by resolution of our
Board of Directors, if and insofar as our Board of Directors is designated to do so by the
shareholders at a General Meeting. Designation by resolution of the shareholders at a
General Meeting cannot be withdrawn unless determined otherwise at the time of de-
signation. The scope and duration of our Board of Directors’ authority to issue shares or
grant rights to subscribe for shares (such as granting stock options or issuing convertible
bonds) is determined by a resolution of the shareholders at a General Meeting and
relates, at the most, to all unissued shares in our authorized capital at the relevant time.
The duration of this authority may not exceed a period of five years. Designation of our
Board of Directors as the body authorized to issue shares or grant rights to subscribe
for shares may be extended by a resolution of the shareholders at a General Meeting
for a period not exceeding five years in each case. The number of shares that may be
issued is determined at the time of designation. No shareholders’ resolution or Board of
Directors’ resolution is required to issue shares pursuant to the exercise of a previously
granted right to subscribe for shares. A resolution of our Board of Directors to issue
shares and to grant rights to subscribe for shares can only be taken with the consent of
the majority of the non-executive directors.
The 2022 General Meeting designated our Board of Directors as the corporate body
competent to issue additional shares and grant rights to subscribe for shares up to a
maximum of 10% of the outstanding capital at the date of the 2022 General Meeting,
and to limit or exclude pre-emptive rights of shareholders for such shares with the prior
consent of the majority of the non-executive directors for a period of 18 months.
4.2.6 Pre-Emption Rights
Dutch law (Section 2:96a of the DCC) and the Articles of Association give shareholders
pre-emptive rights to subscribe on a pro rata basis for any issue of new shares or, upon
a grant of rights, to subscribe for shares. Holders of shares have no pre-emptive rights
upon 1) the issue of shares against a payment in kind (being a contribution other than
in cash); (2) the issue of shares to our employees or the employees of a member of our
group; and (3) the issue of shares to persons exercising a previously granted right to
subscribe for shares.
A shareholder may exercise pre-emptive rights during a period of at least two weeks
from the date of the announcement of the issue of shares. Pursuant to the Articles
of Association, the shareholders at a General Meeting may restrict or exclude the pre-
emptive rights of shareholders. A resolution of the shareholders at a General Meeting to
restrict or exclude the pre-emptive rights or to designate our Board of Directors as our
corporate body authorized to do so, may only be adopted on the proposal of our Board
of Directors with the consent of the majority of the non-executive directors. A resolution
of the shareholders at a General Meeting to exclude or restrict pre-emptive rights, or
to authorize our Board of Directors to exclude or restrict pre-emptive rights, requires
a majority of at least two-thirds of the votes cast, if less than 50% of our issued and
outstanding share capital is present or represented at a General Meeting.
With respect to an issuance of shares pursuant to a resolution of our Board of Directors,
the pre-emptive rights of shareholders may be restricted or excluded by resolution of
our Board of Directors if and insofar as our Board of Directors is designated to do so by
the shareholders at a General Meeting. A resolution of our Board of Directors to restrict
or exclude pre-emptive rights can only be taken with the consent of the majority of the
non-executive directors.
The designation of our Board of Directors as the body competent to restrict or exclude
the pre-emptive rights may be extended by a resolution of the shareholders at a General
Meeting for a period not exceeding five years in each case. Designation by resolution
of the shareholders at the General Meeting cannot be withdrawn unless determined
otherwise at the time of designation.
See also sections 4.2.5 “
Issue of Shares
”
and 4.2.6 “
Pre-Emption Rights
” with respect to
the current right of the Board of Directors to limit or exclude pre-emptive rights.
4.2.7
Acquisition of Shares in our Capital
We may not subscribe for our own shares on issue. We may acquire fully paid-up shares
at any time for no consideration or, if:
•
our shareholders’ equity less the payment required to make the acquisition, does not
fall below the sum of called-up and paid-in share capital and any statutory reserves;
•
we and our subsidiaries would thereafter not hold shares or hold a pledge over
shares with an aggregate nominal value exceeding 50% of our issued share capital;
and
•
our Board of Directors has been authorized thereto by the shareholders at a
General Meeting.
As part of the authorization, the shareholders at a General Meeting must specify the
number of shares that may be repurchased, the manner in which the shares may be
acquired and the price range within which the shares may be acquired. An authorization
by the shareholders at a General Meeting to our Board of Directors for the repurchase
of shares can be granted for a maximum period of 18 months. No authorization of the
shareholders at a General Meeting is required if ordinary shares are acquired by us with
the intention of transferring such ordinary shares to our employees under the Equity
Incentive Plan. A resolution of our Board of Directors to repurchase shares can only be
taken with the consent of the majority of the non-executive directors.
Shares held by us in our own share capital do not carry a right to any distribution.
Furthermore, no voting rights may be exercised for any of the shares held by us or our
subsidiaries unless such shares are subject to the right of usufruct or to a pledge in favor
of a person other than us or our subsidiaries and the voting rights were vested in the
pledgee or usufructuary before we or our subsidiaries acquired such shares. Neither we
nor our subsidiaries may exercise voting rights in respect of shares for which we or our
subsidiaries have a right of usufruct or a pledge.
4.2.8 Reduction of Share Capital
The shareholders at a General Meeting may, upon a proposal by our Board of Directors
with the consent of the majority of the non-executive directors, resolve to reduce the
issued share capital by cancelling shares or by amending the Articles of Association to
reduce the nominal value of the shares. Only shares held by us or shares for which we
hold the depositary receipts may be cancelled. A resolution of the shareholders at a
General Meeting to reduce the number of shares must designate the shares to which
the resolution applies and must lay down rules for the implementation of the resolution.
A resolution to reduce the issued share capital requires a majority of at least two-thirds
of the votes cast, if less than 50% of our issued and outstanding share capital is present
or represented at a General Meeting.
4.3
Share Classes and
Principal Shareholders
As of February 15, 2023 our issued share capital amounted to €5,557,053.40 and was
represented by 55,570,534 ordinary shares. There is only one class of shares (ordinary
shares, including ordinary shares represented by ADSs), and there are no special rights
attached to any of the ordinary shares, nor special shareholder rights, including voting
rights, for any of our shareholders. Each shareholder has one vote.
Any substantial holding and gross short positions in issuing institutions and shares with
special controlling rights have to be notified. An issuing institution is a public limited
company (
naamloze vennootschap
) incorporated under Dutch law whose (depositary
receipts for) shares are admitted to trading on a regulated market in the Netherlands
or in another EU Member State or an EEA Member State, or a legal entity incorporated
under the law of a state that is not an EU Member State and whose (depositary receipts
for) shares are admitted to trading on a regulated market in the Netherlands.
Holders are required to report as soon as their substantial holding or short position
equals or exceeds 3% of the issued capital. Subsequently, holders should notify the
Dutch Authority for the Financial Markets (Stichting Autoriteit Financiële Markten)
(
AFM
) again when their substantial holding or short position consequently reaches,
exceeds or falls below a threshold. This can be caused by the acquisition or disposal
of shares by the shareholder or because the issued capital of the issuing institution is
increased or decreased. Pursuant to chapter 5.3 of the DFSA, relevant thresholds are:
3%, 5%, 10%, 15%, 20%, 25%, 30%, 40%, 50%, 60%, 75% and 95%.
The duty to notify applies to legal entities as well as natural persons.
As of February 15, 2023, the following major shareholdings fall under the mandatory
notice provisions of chapter 5.3 of the DFSA on the basis of information provided by the
shareholders and/or the public register of all notifications made available pursuant to
the DFSA at the AFM’s website (see also section 4.2 “
Share Capital
”). No shareholdings
above 3% were reported to the Company directly.
Name of beneficial owner
Number
of shares
Capital
interest
Number of
voting rights
Voting
rights
T. Rowe Price Group, Inc.
1)
5,505,351
2)
9.95%
5,426,030
3)
9.81%
FMR LLC
1)
5,532,361.06
4)
10.00%
5,527,972.06
4)
9.99%
Artisan Investments GP LLC
1)
2,674,146
5)
4.89%
2,674,146
5)
4.89%
The Vanguard Group
1)
1,978,464
4.16%
–
–
BlackRock, Inc.
1)
2,792,002
6)
5.04%
3,319,096
7)
5.99%
Baillie Gifford & Co.
1)
–
–
2,966,216
6.24%
Wellington Management
Group LLP
1)
–
–
2,276,361
8)
4.81%
1)
Based on the number of shares reported in, and at the time of, the most recent transparency
notification filed with the AFM.
2)
Consisting of 7,110 ordinary shares and 5,498,241 ADSs. T. Rowe Price Group, Inc. has reported
holding 3,959,686 ADSs in its Schedule 13G/A filed with the SEC on February 14, 2023.
3)
Consisting of voting rights on 7,110 ordinary shares and 5,418,920 ADSs.
4)
FMR LLC has reported holding 5,532,356 ordinary shares in its Schedule 13G/A filed with the SEC on
February 9, 2023.
5)
Consisting of 46,766 ordinary shares and 2,627,380, according to the AFM filing, depository receipts
and the respective number of voting rights. Artisan Investments GP LLC reported holding 2,615,415
ordinary shares in its Schedule 13G/A filed with the SEC on February 10, 2023.
6)
Consisting of 2,045,011 ordinary shares, 1,291 contracts for difference, and 745,700, according to the
AFM filing, depository receipts.
7)
Consisting of voting rights on 2,497,994 ordinary shares, 1,775 contracts for difference and 819,327,
according to the AFM filing, depository receipts.
8)
Consisting of voting rights on 1,545,652 ordinary shares, 729,479 ADSs and 1,230 equity swaps.
The total number of stock options and RSUs outstanding as of February 15, 2023
amounts to 5,352,165 stock options and 385,280 RSUs.
As of the date of this Annual Report, we are not directly or indirectly owned or
controlled by any shareholder, whether individually or acting in concert. We are not
aware of any arrangement that may, at a subsequent date, result in a change of control
of our company.
As of the date of this Annual Report, as far as we are aware, there are no direct or
indirect relationships between us and any of our significant shareholders.
4.4 General Meeting and
Voting Rights
The Articles of Association provide that at least one annual General Meeting shall be
held within six months after the close of each fiscal year. Other General Meetings will
be held whenever our Board of Directors deems such to be necessary. Shareholders
representing alone or in aggregate at least one-tenth of our issued and outstanding
share capital may, pursuant to the DCC, request that a General Meeting be convened.
Within three months of it becoming apparent to our Board of Directors that our equity
has decreased to an amount equal to or lower than one-half of the paid-in and called-up
capital, a General Meeting would be held to discuss any requisite measures.
We will give notice of any General Meeting by publication on our website and further-
more, to the extent required, in another manner in accordance with the applicable stock
exchange regulations. The notice convening any General Meeting must include, among
other items, an agenda indicating the place and date of the meeting, the items for
discussion and voting, the proceedings for registration including the registration date,
as well as any proposals for the agenda. Pursuant to Dutch law, shareholders holding at
least 3% of our issued and outstanding share capital have a right to request our Board of
Directors to include items on the agenda of the General Meeting. Our Board of Directors
must agree to these requests, provided that (i) the request was made in writing and
motivated, and (ii) the request was received by the Chair of our Board of Directors at
least sixty days prior to the date of a General Meeting.
Our Board of Directors must give notice of a General Meeting, by at least such number
of days prior to the day of the meeting as required by Dutch law, which is currently forty-
two days.
Shareholders (as well as other persons with voting rights or meeting rights) may attend a
General Meeting, to address the General Meeting and, in so far as they have such right,
to exercise voting rights pro rata to its shareholding, either in person or by proxy. Share-
holders may exercise these rights, if they are the holders of shares on the registration
date which is currently the 28
th
day before the day of a General Meeting, and they or
their proxy have notified our Board of Directors of their intention to attend a General
Meeting in writing at the address and by the date specified in the notice of said meeting.
Each shareholder may cast one vote for each ordinary share held.
Members of our Board of Directors may attend a General Meeting in which they have an
advisory role. The voting rights attached to shares are suspended as long as such shares
are held by us.
General Meetings resolutions are taken by an absolute majority, except where Dutch law
or our Articles of Association provide for a qualified majority or unanimity.
Three General Meetings were held in 2022. The 2022 General Meeting was held on
May 10, 2022. In this meeting our annual report and annual accounts for the fiscal year
2021 were approved, Mr. Van Hauwermeiren was reappointed as an executive director
to the Board of Directors for a term of four years, each of Peter Verhaeghe and Werner
Lanthaler were reappointed as non-executive directors to the Board of Directors for
terms of two years, James Daly was reappointed as a non-executive director to the
Board of Directors for a term of four years, and the Board of Directors was authorized to
issue shares and grant rights to subscribe for shares in our share capital for up to 10% of
the outstanding share capital at the date of the meeting and for a period of 18 months
from the meeting, proposed amendments to our Articles of Association were approved
and the appointment of Deloitte Accountants B.V. as the Company’s auditor for the 2022
fiscal year.
On September 8, 2022, an extraordinary General Meeting was held, to appoint Camilla
Sylvest as a non-executive director to the Board of Directors for a term of four years.
On December 12, 2022, an extraordinary General Meeting was held, to appoint Ana
Cespedes as non-executive director to the Board of Directors for a term of approxima-
tely four years ending on the day of the annual General Meeting to be held in 2026.
4.5 Anti-Takeover Provisions
Various protective measures are possible and permissible within the boundaries set by
Dutch law and Dutch case law. We have not implemented specific measures with the
aim of deterring takeover attempts. However, we have adopted several provisions that
may have the effect of making a takeover of argenx more difficult or less attractive,
including requirements that certain matters, including an amendment of our Articles of
Association, may only be brought to our shareholders for a vote upon a proposal by our
Board of Directors. No takeover bid has been instigated by third parties in respect of our
equity during the current or previous financial year and the current fiscal year.
4.6
Amendments of Articles
of Association
The shareholders at a General Meeting may amend the Articles of Association, at the
proposal of our Board of Directors, with the consent of the majority of the non-exe-
cutive directors.
Changing the rights of any of the shareholders will require the Articles of Association to
be amended.
The 2022 General Meeting approved the amendment of our Articles of Association to
align with current Dutch law and practice. The Articles of Association were amended
pursuant to the notarial deed of partial amendment of the Articles of Association,
executed on May 10, 2022. The full text of the Articles of Association and an unofficial
English translation thereof are available on our
website
.
4.7
Transparency Directive
We are a European public company with limited liability (
Societas Europaea
or SE)
incorporated and existing under the laws of the Netherlands. The Netherlands is our EU
home member state (
lidstaat van herkomst
) for the purposes of Directive 2004/109/EC
(as amended by Directive 2013/50/EU), or the Transparency Directive, as a consequence
of which we are subject to the DFSA in respect to certain ongoing transparency and
disclosure obligations. In addition, as long as our shares are listed on Euronext Brussels
and the ADSs on Nasdaq, we are required to disclose any regulated information which
has been disclosed pursuant to the DFSA as well as in accordance with the Belgian Law
of May 2, 2007, the Belgian Royal Decree of November 14, 2007 as well as Nasdaq listing
rules. We must publish our annual accounts within four months after the end of each
financial year and our half-yearly figures within two months after the end of the first six
months of each financial year. Within five calendar days after adoption of our annual
accounts, we must file our adopted annual accounts with the AFM. Pursuant to the
DFSA, we will be required, among other things, to make public without delay any change
in the rights attaching to our shares or any rights to subscribe our shares.
4.8 Dutch Financial Reporting
Supervision Act
DFSA applies to financial years starting from 1 January 2006. On the basis of the DFSA,
the AFM supervises the application of financial reporting standards by, among others,
companies whose corporate seat is in the Netherlands and whose securities are listed
on a Dutch Regulated Market or foreign stock exchange. Pursuant to the DFSA, the AFM
has an independent right to (i) request an explanation from us regarding its application
of the applicable financial reporting standards and (ii) recommend to us the making
available of further explanations. If we do not comply with such a request or recom-
mendation, the AFM may request that the Dutch Enterprise Chamber of the Amsterdam
Court of Appeal (Ondernemingskamer van het Gerechtshof te Amsterdam) (
Enterprise
Chamber
) order us to (i) make available further explanations as recommended by the
AFM, (ii) provide an explanation of the way we have applied the applicable financial
reporting standards to its financial reports or (iii) prepare our financial reports in accor-
dance with the Enterprise Chamber’s instructions.
This Annual Report also concerns the annual financial reporting within the meaning of
5:25c(2) DFSA.
4.9 Dividends and
Other Distributions
Our Board of Directors has declared a series of interim distributions on account of the
Company’s freely distributable reserves for such amounts as was required to pay up the
aggregate nominal value of all such shares that were issued to holders of vested RSUs,
all in accordance with our Equity Incentive Plan. In accordance with Dutch law, our Board
of Directors prepared and filed an interim simplified balance sheet demonstrating that
there were sufficient freely distributable reserves for such interim distributions. Such
interim simplified balance sheet was filed with the Dutch trade register. The aggregate
amount of these interim distributions amounted to approximately €3,000 ($3,500) in 2022.
Other than these interim distributions, we have not paid or declared any cash dividends
on our ordinary shares, and we do not anticipate paying any cash dividends in the
foreseeable future. All of our outstanding shares have the same dividend rights. We
intend to retain all available funds and any future earnings to fund the development and
expansion of our business.
Even if future operations lead to significant levels of distributable profits, we currently
intend that any earnings will be re¬invested in our business and that cash dividends will
not be paid until we have an established revenue stream to support continuing cash di-
vidends. In addition, payment of any future dividends to shareholders would be subject
to shareholder approval at a General Meeting, upon proposal of our Board of Directors,
which proposal would be subject to the approval of the majority of the non-executive
directors after taking into account various factors including our business prospects, cash
requirements, financial performance and new product development.
Under Dutch law, a Dutch European public company with limited liability (Societas Euro-
paea or SE) may only pay dividends if the shareholders’ equity (eigen vermogen) exceeds
the sum of the paid-up and called-up share capital plus the reserves required to be
maintained by Dutch law or our Articles of Association. Subject to such restrictions, any
future determination to pay dividends would be at the discretion of the shareholders at
our General Meeting.
Our Articles of Association, as available on our website, contain the provision on the
distribution of profits in article 20 (Profits, distributions and losses).
4.10 Financial Calendar 2023
May 2, 2023
Annual General Meeting in Amsterdam, the Netherlands
May 4, 2023
First quarter 2023 financial results
July 27, 2023
Half year and second quarter 2023 financial results
October 27, 2023
Third quarter 2023 financial results
5
Operating and
Financial Review
5.1
Overview
241
5.2
Basis of Presentation
243
5.3
Capitalization and Indebtedness
250
5.4
Critical Accounting Estimates and Judgments
252
5.5
Results of Operation
253
5.6
Liquidity and Capital Resources
258
5.7
Off-Balance Sheet Arrangements
261
5.8
Contractual Obligations
262
5.9
Information Regarding the Independent Auditor
263
5.10
Material Contracts and Related Party Transactions
263
5.11
Employees
266
5.12
Legal and Arbitration Proceedings
267
5.13
Insurance
267
5
Operating and
Financial Review
5.1
Overview
Since our inception in 2008, we have focused most of our financial resources and efforts
towards developing our SIMPLE AntibodyTM Platform and antibody engineering techno-
logies, identifying potential product candidates, establishing process, development and
manufacturing capabilities for our product candidates and advancing multiple discovery
programs into the clinic. In 2022, we executed on our global launch of VYVGART our
first-in-class neonatal FcRn blocker, which is now approved in the U.S, Japan and Europe,
the successful commercialization of which generated a global product net sales of
$400.7 million. On our research and development, we continue towards advancing a
deep pipeline of both clinical- and preclinical-stage product candidates for the treat-
ment of severe autoimmune diseases, hematological disorders and cancer. Leveraging
our technology suite and clinical expertise, we have advanced several candidates into
late-stage clinical development and we currently have multiple programs in the disco-
very stage. Through December 31, 2022, we have raised aggregate gross proceeds of
$4,318.5 million, including total net cash proceeds of $761.0 million from our U.S. public
offering on Nasdaq in March 2022.
As of December 31, 2022 and December 31, 2021, we had cash, cash equivalents and
current financial assets of $2,192.5 million and $2,336.7 million, respectively.
Our balance sheet shows our total assets accumulate to $3,134.3 million for the year
ended December 31, 2022, compared to $2,850.3 million for the year ended December
31, 2021 and $2,279.4 million for the year ended December 31, 2020. The main reason
for the material change in balance sheet total are the various equity financing rounds,
completed over the period covered by the financial statements.
Since our inception, we have incurred significant operating losses. For the years ended
December 31, 2022 and 2021, we incurred total comprehensive losses of $730.3 million
and $450.6 million, respectively. As of December 31, 2022, we had accumulated losses
of $2,109.8 million.
Although we have generated revenue of $400.7 million from global product net sales
of VYVGART in fiscal year 2022, we can provide no assurances that we will be able to
achieve or remain profitable based on sales in that indication alone or that we will be
able to receive regulatory approval of and commercialize VYVGART in other indications
or in other countries. On December 17, 2021, the FDA approved efgartigimod, which
is marketed as VYVGART™ (efgartigimod alfa-fcab), for the treatment of gMG in adult
patients who are AChR-AB+. On January 20, 2022, the PMDA approved VYVGART™
(efgartigimod alfa) for the treatment of adult patients with gMG who do not have suffi-
cient response to steroids or non-steroidal ISTs. On August 11, 2022, the EU Commission
granted marketing authorization for VYVGART™ (efgartigimod alfa-fcab) as an add-on
to standard therapy for the treatment of adult patients with gMG who are AChR-AB+.
These are the only approved products we currently have.
We expect our expenses to continue to increase as we expand our global commercial
infrastructure and drug product inventory for VYVGART™ for the treatment of gMG,
the advancement of our clinical-stage pipeline, including ongoing registrational clinical
trials across five indications of efgartigimod, and continued investment in our IIP. We
anticipate that our expenses will increase substantially if and as we:
Research and Development Activities:
•
execute the Phase 2/3 clinical trials of efgartigimod in ITP, CIDP, PF and in PV;
•
execute the Phase 2/3 clinical trials of efgartigimod in BP and Myositis and launch
Phase 2/3 clinical trials in other indications;
•
continue the research and development of our other clinical- and preclinical-stage
product candidates and discovery stage programs; and
•
seek regulatory approvals for any product candidates, including new indications,
that successfully complete clinical trials.
Pre-Commercial and Commercial Activities
•
further build-out our sales, marketing and distribution infrastructure and scale-up
manufacturing capabilities for the continued commercialization of VYVGART™ for
which we obtained regulatory approval from the FDA, PMDA and EU Commission and
any product candidate, including new indications, for which we may obtain approval;
and
•
expand our global reach enabling us to commercialize any product candidates,
including new indications, for which we may obtain regulatory approval.
Other Activities
•
seek to enhance our technology platform and discover and develop additional
product candidates;
•
maintain, expand and protect our intellectual property portfolio, including litigation
costs associated with defending against alleged patent infringement claims;
•
add clinical, scientific, operational, financial and management information systems
and personnel, including personnel to support our product development and
potential future commercialization efforts; and
•
experience any delays or encounter any issues, including failed studies, ambiguous
clinical trial results, safety issues or other regulatory challenges.
We expect that the costs of development and commercialization might also significantly
increase due to current and future collaborations with research and development
partners as well as commercial partners.
Information pertaining to the year ended December 31, 2021 was included in our annual
report on Form 20-F for the year ended December 31, 2021 under section 5, “
Operating
and Financial Review
”, which was filed with the SEC on March 21, 2022.
5.2
Basis of Presentation
5.2.1
Foreign Currency Transactions
Functional and Presentation Currency
Items included in the consolidated financial statements of each of our entities are va-
lued using the currency of their economic environment in which the entity operates. As
of January 1, 2021, and for all periods thereafter, the consolidated financial statements
are presented in USD, which is the Company’s presentation currency.
Change in Functional and Presentation Currency as of January 1, 2021
As of January 1, 2021, the Company changed its functional and presentation currency
from EUR to USD. The change in functional currency was made to reflect that USD has
become the predominant currency for the Company, representing a significant part
of the Company’s cash flows and financing. The change has been implemented with
prospective effect.
The change in presentation currency, effective January 1, 2021, from EUR to USD is retro-
actively applied to comparative figures according to IAS 8 and IAS 21, as if USD had always
been the presentation currency of the consolidated financial statements. The change was
made to better reflect the economic footprint of the Company’s business going forward.
The Company believes that the presentation currency change will give investors and
other stakeholders a clearer understanding of the Company’s performance over time.
5.2.2
Revenue from Sale of Product
Revenue from the sale of goods is recognized at an amount that reflects the conside-
ration that we expect to be entitled to receive in exchange for transferring goods to a
customer, at the time when the customer obtains control of the goods rendered. This
means when the customer has the ability to direct the use of the asset. The considera-
tion that is committed in a contract with a customer can include fixed amounts, variable
amounts, or both. The amount of the consideration may vary due to discounts, rebates,
returns, chargebacks or other similar items. Contingent consideration is included in the
transaction price when it is highly probable that the amount of revenue recognized is
not subject to future significant reversals.
Our product net sales consist of sales of VYVGART in U.S., Japan and Europe. Product net
sales are recognized once we satisfy the performance obligation at a point in time under
the revenue recognition criteria in accordance with IFRS 15 “Revenue from Contracts
with Customers”.
Revenue arising from the commercial sale of VYVGART is presented in the consolidated
financial statements of profit or loss under note 15 “
Product Net Sales
”. In accordance
with IFRS 15 “Revenue from Contracts with Customers”, such revenue is recognized
when the product is physically transferred, in accordance with the delivery and accep-
tance terms agreed with the customer. Payment of the transaction price is payable at
the point the customer obtains the legal title to the goods.
5.2.3
Revenue from Collaborations
and License Agreements
Revenues to date have consisted principally of milestones, license fees, non-refundable
upfront fees and research and development service fees in connection with collabora-
tion and license agreements.
We recognize revenue when the customer obtains control of promised goods or ser-
vices, in an amount that reflects the consideration that we expect to receive in exchange
for those goods and services. In order to determine revenue recognition for agreements
that we determine to be in the scope of IFRS 15, the following five steps are performed:
1. Identify the Contracts
In our current collaboration and license agreements, we are mainly licensing our
intellectual property and/or providing research and development products/services,
which might include a cost-sharing mechanism and/or in the future, selling our products
to collaborative partner entities. Revenue is generated through these arrangements
via upfront payments, milestone payments based on clinical and regulatory criteria,
research and development service fees and future sales-based milestones and sales-
based royalties. In some cases, the collaboration and license agreements also include an
equity subscription component. If this is the case, we analyze if the criteria to combine
contracts, as set out by IFRS 15, are met.
2. Identify Performance Obligations
Depending on the type of contract, there can be one or more distinct performance
obligations under IFRS 15. This is based on an assessment of whether the promises in
an agreement are capable of being distinct and are distinct from the other promises to
transfer goods and/or services in the context of the contract.
For our material ongoing collaboration and license agreement (i.e., the Zai Lab Agree-
ment), we assessed that there is more than one distinct performance obligation, being
the transfer of a license and supply of clinical and commercial product.
This is because we consider the performance obligation is distinct in the context of the
contract as the license has stand-alone value without our further involvement in the
research and development collaboration and that there is no interdependence between
the license and the clinical and commercial supply to be provided.
For other material collaboration and license agreements, we assessed that there is one
single performance obligation in our collaboration and license agreements, being the
transfer of a license combined with performance of research and development services.
3. Determine the Transaction Price
Our material ongoing collaboration and license agreements include non-refundable up-
front payments or license fees, milestone payments, the receipt of which is dependent
upon the achievement of certain clinical, regulatory or commercial milestones, royalties
on sales and research and development service fees.
3.1 Non-Refundable Upfront Payments or License Fees
If the license to our intellectual property is determined to be distinct from the other
performance obligations identified in the arrangement, we recognize revenue from
non-refundable upfront fees allocated to this license at the point in time the license
is transferred to the customer and the customer has the right to use the license.
For all our material ongoing collaboration and license agreements, we consider the
performance obligations related to the transfer of the license as distinct from the other
promises to transfer goods and/or services; we use judgement to assess the nature
of the performance obligation to determine whether the performance obligation is
satisfied over time or at a point in time. If over time, revenue is then recognized based
on a pattern that best reflects the transfer of control of the service to the customer.
3.2 Milestone Payments Other than Sales-Based Milestones
A milestone payment, being a variable consideration, is only included in the transaction
price to the extent it is highly probable that a significant reversal in the amount of
cumulative revenue recognition will not occur when the uncertainty associated with the
variable consideration is subsequently resolved. We estimate the amount to be included
in the transaction price upon achievement of the milestone event. The transaction price
is then allocated to each performance obligation on a stand-alone selling price basis, for
which we recognize revenue as or when the performance obligations under the contract
are satisfied. At the end of each reporting period, we re-evaluate the probability of
achievement of such milestones and any related constraint, and, if necessary, adjusts
the estimate of the overall transaction price. Any such adjustments are recorded on a
cumulative catch-up basis, which would affect revenue and earnings in the period of
adjustment.
3.3 Research and Development Service Fees
Our material ongoing collaboration and license agreements may include reimbursement
or cost sharing for research and development services. Research and development
services are performed and satisfied over time given that the customer simultaneously
receives and consumes the benefits provided by us. Such costs reimbursements received
are recognized in revenues when costs are incurred and agreed by the parties.
3.4 Sales-Based Milestone Payments and Royalties
Our material ongoing collaboration and license agreements include sales-based
royalties, including commercial milestone payments based on the level of sales, and
the license has been deemed to be the predominant item to which the royalties and
commercial milestone payments relate. Related revenue is recognized as the subsequent
underlying sales occur.
4. Allocate the Transaction Price
In principle, an entity shall allocate the transaction price to each performance obligation
identified in the contract on a relative stand-alone selling price basis. As our material on-
going collaboration and license agreement (i.e., the Zai Lab Agreement) contains more
than one performance obligation, we allocate the transaction price to all performance
obligations identified.
5. Recognize Revenue
Revenue is recognized when the customer obtains control of the goods and/or services
as provided in the collaboration and license agreements. The control can be transferred
over time or at a point in time – which results in the recognition of revenue over time or
at a point in time, respectively.
As our ongoing collaboration and license agreement (i.e., the Zai Lab Agreement)
contains more than one performance obligation, we recognized revenue at the point in
time of the transfer of license and we recognize revenue over time for supply of clinical
and commercial products as the customer simultaneously receives the benefits provided
by our performance, satisfied over time.
Other ongoing collaboration and license agreements only contain one single perfor-
mance obligation which is, as the customer simultaneously receive the benefits provided
by our performance, satisfied over time, we recognize revenue over time.
The recognition of revenue over time is based on a pattern that best reflects the
satisfaction of the related performance obligation, applying the input method. The input
method estimates the satisfaction of the performance obligation as the percentage of
total collaboration costs that are completed each period compared to the total estima-
ted collaboration costs.
Research and development service fees are recognized as revenue when costs are
incurred and agreed by the parties as we act as a principal in the scope of its stake
of the research and development activities of its ongoing collaboration and license
agreements.
5.2.4 Other Operating Income
As a company that carries extensive research and development activities, we benefit
from various grants, research and development incentives and payroll tax rebates from
certain governmental agencies. These grants and research and development incentives
generally aim to partly reimburse approved expenditures incurred in our research and
development efforts. The primary grants, research and development incentives and
payroll tax rebates are as follows:
Government Grants
We have received several grants from agencies of the Flemish government to support
various research programs focused on technological innovation in Flanders. These grants
require us to maintain a presence in the Flemish region for a number of years and invest
according to pre agreed budgets.
Research and Development Incentives
Companies in Belgium can benefit from tax savings on amounts spent on research and
development by applying a one time or periodic tax deduction on research and develop-
ment expenditures for the acquisition or development of patents. This tax credit is a
reduction of the corporate income taxes for Belgian statutory purposes and is transfer-
rable to the next four accounting periods. These tax credits are paid to us in cash after
five years to the extent they have not been offset against corporate taxes due.
Payroll Tax Rebates
We also benefit from certain rebates on payroll withholding taxes for scientific person-
nel. The government grants and research and development incentives generally aim
to partly reimburse approved expenditures incurred in our research and development
efforts and are credited to the income statement, under other operating income, when
the relevant expenditure has been incurred and there is reasonable assurance that the
grant or research and development incentive is receivable.
Changes in Fair Value on Non-Current Financial Assets
In March 2019, we entered into a license agreement with AgomAb for the use of hepa-
tocyte growth factor-mimetic SIMPLE Antibodies™, developed under our IIP. In exchange
for granting this license, we received a profit share in AgomAb.
In June 2022, AgomAb secured €38.4 million as a result of the extension of Series B.
We used the post-money valuation of this Series B financing round and the number of
outstanding shares in determining the fair value of the profit-sharing instrument, which
results in a change in fair value of non-current financial assets of $4.3 million recorded
through profit or loss. The fair value of non-current financial assets is updated at the end
of each reporting period.
5.2.5
Research and Development Expenses
Research and development expenses consist principally of:
•
external research and development expenses related to (i) chemistry, manufacturing
and control costs for our product candidates, both for preclinical and clinical testing,
all of which is conducted by specialized contract manufacturers, (ii) fees and other
costs paid to CROs in connection with preclinical testing and the performance of
clinical trials for our product candidates and (iii) costs associated with regulatory
submissions and approvals, QA and pharmacovigilance;
•
personnel expense related to compensation of research and development staff and
related expenses, including salaries, benefits and share based compensation expenses;
•
materials and consumables expenses;
•
depreciation and amortization of tangible and intangible fixed assets used to develop
our product candidates; and
•
other expenses consisting of (i) costs associated with obtaining and maintaining
patents and other intellectual property and (ii) other costs such as travel expenses
related to research and development activities.
We incur various external expenses under our collaboration and license agreements for
material and services consumed in the discovery and development of our partnered pro-
duct candidates. Under our agreement with AbbVie, our own research and development
expenses were not reimbursed. Under our agreement with Zai Lab, we are responsible
for certain costs relating to future clinical trials involving efgartigimod conducted parti-
ally by Zai Lab.
Our research and development expenses may vary substantially from period to period
based on the timing of our research and development activities, including the timing of
the initiation of clinical trials, production of product batches and enrolment of patients
in clinical trials. Research and development expenses are expected to increase as we
advance the clinical development of efgartigimod and ARGX-117 and further advance
the research and development of our other early-stage pipeline candidates. The success-
ful development of our product candidates is highly uncertain. At this time, we cannot
reasonably estimate the nature, timing and estimated costs of the efforts that will be
necessary to complete the development of, or the period, if any, in which material
net cash inflows may commence from, any of our product candidates. This is due to
numerous risks and uncertainties associated with developing drugs, as fully described in
section 2 “
Risk Factors
” and including the uncertainty of:
•
the scope, rate of progress and expense of our research and development activities;
•
the successful enrollment in, and completion of clinical trials;
•
the ability to market, commercialize and achieve market acceptance for efgartigimod
or any other product candidate that we may develop in the future, if approved;
•
establishing and maintaining a continued acceptable safety profile for our product
candidates;
•
the terms, timing and receipt of regulatory approvals from applicable regulatory
authorities;
•
the successful completion of preclinical studies necessary to support IND applications
in the U.S. or similar applications in other countries;
•
the expense of filing, prosecuting, defending and enforcing patent claims and other
intellectual property rights; and our current and future collaborators continuing their
collaborations with us.
5.2.6
Selling, General and
Administrative Expenses
Selling, general and administrative expenses consist primarily of:
•
personnel expenses relating to salaries and related costs for personnel, including
share-based compensation, of our employees in executive, finance, business
development, marketing, commercial and support functions;
•
professional fees for business development, marketing, IT, audit, commercial, legal
services and investor relations costs;
•
Board of directors expenses consisting of directors’ fees, travel expenses and share-
based compensation for non-executive board members;
•
costs associated with commercial launch of VYVGART™ for the treatment of gMG
and marketing and promotional activities and continued investment in supply chain;
•
allocated facilities costs; and
•
other selling, general and administrative expenses, including leasing costs, office
expenses, travel costs.
We expect our general and administrative expenses to increase as we continue to
support our growth. Such costs include increases in our finance and legal personnel,
additional IT-related expenses, and expenses and costs associated with compliance
with the regulations governing public companies. We expect our selling and marketing
expenses to increase due to marketing and promotional activities with respect to the
ongoing commercial launch of VYVGART™ and preparation of commercial launch of our
other product candidates.
5.2.7
Financial Income (Expense)
Financial income mainly reflects interest earned on our cash and cash equivalents and
current financial assets and net gains on our cash and cash equivalents and current
financial assets held at fair value through profit or loss. Financial expense corresponds
mainly to net losses on cash and cash equivalents and current financial assets held at fair
value through profit or loss and other financial expenses.
5.2.8 Exchange Gains (Losses)
Our exchange gains (losses) relate to (i) our transactions denominated in foreign
currencies, mainly in euro, Swiss francs, British pounds and Japanese yens which
generate exchange gains or losses and (ii) the translation at the reporting date of assets
and liabilities denominated in foreign currencies into USD, which is our functional and
presentation currency since January 1, 2021 and therefore the presentation currency
throughout this Annual Report unless otherwise specified. For more information on
currency exchange fluctuations on our business, please see note 26 “
Financial Risk
Management
”. We have no derivative financial instruments to hedge interest rate and
foreign currency risk.
5.2.9
Income Tax Expense
We have a history of losses. We expect to continue to incur losses as we continue to
invest in our clinical and pre-clinical development programs and our discovery platform,
and as we incur costs for the commercial launch of VYVGART, following the regulatory
approval by the FDA, the PMDA and the EU Commission. Consequently, we do not have
any deferred tax asset regarding certain tax losses on our consolidated statements of
financial position.
We incur current income tax expense on the profit generated in various subsidiaries in
view of the transfer price agreements set up between argenx BV and these subsidiaries.
5.3
Capitalization and
Indebtedness
The table below sets forth our capitalization as of December 31, 2022 on an actual basis:
(in thousands of $)
As of December 31,
2022
(audited)
Total current debt
(including current portion of non-current debt)
–
Guaranteed
–
Secured
–
Unguaranteed/unsecured
–
Total non-current debt
(excluding current portion of non-current debt)
–
Guaranteed
–
Secured
–
Unguaranteed/unsecured
–
Shareholder equity
2,813,699
Share capital
6,639
Share premium
4,309,887
Legal reserve(s)
1)
129,280
Retained earnings
(2,109,791)
Other reserves
477,691
Total
2,813,699
1)
Legal reserves are the amount of translation differences.
The table below sets forth our indebtedness as of December 31, 2022 on an actual basis:
(in thousands of $)
As of December 31,
2022
(audited)
A. Cash
77,477
B.
Cash equivalents
1)
723,263
C.
Other current financial assets
2)
1,391,808
D. Liquidity
(A)+(B)+(C)
2,192,548
E.
Current financial debt
(including debt instruments,
but excluding current portion of non-current financial debt)
–
F.
Current portion of non-current financial debt
3)
3,417
G.
Current financial indebtedness
(E + F)
3,417
H.
Net current financial indebtedness
(G – D)
(2,189,131)
I.
Non-current financial debt
(excluding current portion
and debt instruments)
3)
9,009
J.
Debt instruments
–
K.
Non-current trade and other payables
–
L.
Non-current financial indebtedness
(I)+(J)+(K)
9,009
M. Total financial indebtedness
(H)+(L)
(2,180,122)
1)
See note 11 “
Cash and cash equivalents
” to our consolidated financial statements in section 6
“
Consolidated Financial Statements
”.
2)
See note 10 “
Financial assets — current
” to our consolidated financial statements in section 6
“
Consolidated Financial Statements
”.
3)
Please note that financial debt balances as presented in the table above do not include any indirect
or contingent indebtedness. For more information on the Company’s indirect and contingent
indebtedness, please see note 29 “
Commitments
” to our consolidated financial statements in section
6 “
Consolidated Financial Statements
”.
As of December 31, 2022, current financial debt (as disclosed in item E. in the table
above) included current liabilities related to short-term leases in the amount of
$3.4 million and non-current financial debt (as disclosed in item I. in the table above)
included non-current liabilities related to long-term leases in the amount of $9.0 million.
More information is included in our consolidated financial statements and related notes
included in section 6 “
Consolidated Financial Statements
”
.
5.4
Critical Accounting Estimates
and Judgments
In the application of the Company’s accounting policies, which are described above, the
Company is required to make judgments, estimates and assumptions about the carrying
amounts of assets and liabilities that are not readily apparent from other sources. The
estimates and associated assumptions are based on historical experience and other fac-
tors that are considered to be relevant. Actual results may differ from these estimates.
The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions
to accounting estimates are recognized in the period in which the estimate is revised if
the revision affects only that period or in the period of the revision and future periods if
the revision affects both current and future periods.
5.4.1
Critical Estimates in
Applying Accounting Policies
Gross to Net Adjustments
Our product gross sales are subject to various deductions, which are primarily composed
of rebates to government agencies, distributors, health insurance companies and
managed healthcare organizations. These deductions represent estimates of the related
obligations, requiring the use of judgment when estimating the effect of these sales de-
ductions on product gross sales for a reporting period. These adjustments are deducted
from product gross sales to arrive at product net sales. The significant components of
variable consideration under revenue recognition policy summarizes the nature of these
deductions and how the deduction is estimated. After recording these, product net sales
represent our best estimate of the cash that we expect to ultimately collect.
5.5
Results of Operation
Year Ended December 31,
(in thousands of $)
2022
2021
% Change
Product net sales
400,720
–
100
Collaboration revenue
10,026
497,277
(98)
Other operating income
34,520
42,141
(18)
Total operating income
445,267
539,418
(17)
Cost of sales
(29,431)
–
100
Research and development expenses
(663,366)
(580,520)
14
Selling, general and administrative expenses
(472,132)
(307,644)
53
Loss from investment in joint venture
(677)
–
100
Total operating expenses
(1,165,607)
(888,164)
31
Operating loss
(720,340)
(348,746)
107
Financial income
27,665
3,633
661
Financial expense
(3,906)
(4,578)
(15)
Exchange loss
(32,732)
(50,053)
(35)
Loss for the year before taxes
(729,314)
(399,744)
82
Income tax (expense)/benefit
19,720
(8,522)
(331)
Loss for the year
(709,593)
(408,266)
74
Weighted average number of shares outstanding
54,381,371
51,075,827
Basic and diluted profit/(loss) per share (in $)
(13.05)
(7.99)
5.5.1
Product Net Sales
(in thousands of $)
Year Ended December 31,
2022
U.S.
377,659
Japan
15,764
Europe
5,678
Other
1)
1,619
Total product net sales
400,720
1)
The product net sales relate to sales made outside of the U.S., Japan and Europe and relate to named
patient sales made with the U.S. label.
For the twelve months ended December 31, 2022, the product net sales were related
to sales of VYVGART in the U.S. following the approval of VYVGART by the FDA on
December 17, 2021, in Japan following the approval of VYVGART by PMDA on January
20, 2022 and the EU following the approval of VYVGART by the EU Commission on
August 11, 2022. No product net sales were recognized during the comparable prior
periods. Product gross sales for twelve months ended December 31, 2022 was $446.9
million and the gross to net adjustment for twelve months ended December 31, 2022
was $46.2 million, resulting in $400.7 million of product net sales for twelve months
ended December 31, 2022.
5.5.2 Collaboration Revenue
Year Ended December 31,
(in thousands of $)
2022
2021
% Change
Zai Lab
–
151,903
(100)
Janssen
–
292,279
(100)
AbbVie
–
121
(100)
Upfront payments
–
444,303
(100)
Zai Lab
–
25,634
(100)
Janssen
–
22,865
(100)
AbbVie
–
102
(100)
Other
5,365
1,214
342
Milestone payments
5,365
49,815
(89)
Janssen
–
2,028
(100)
Other
424
298
42
Research and development service fees
424
2,326
(82)
Zai Lab
4,238
833
409
Other revenues
4,238
833
409
Total revenue
10,026
497,277
(98)
Our collaboration revenue decreased by $487.2 million to $10.0 million for the year
ended December 31, 2022, compared to $497.3 million for the year ended December
31, 2021. The collaboration revenue recognized in the year ended December 31, 2021
was the result of the recognition of the transaction price from Janssen due to the
termination of the collaboration agreement in 2021 and the closing of the strategic
collaboration for efgartigimod with Zai Lab during 2021.
There was no revenue recognized from upfront payments during the year ended
December 31, 2022. The revenue recognition from upfront payments for the year ended
December 31, 2021 was $444.3 million. The revenue recognized during the year ended
December 31, 2021 was primarily driven by the recognition of the upfront payment
received from Zai Lab upon strategic collaboration for efgartigimod and the recognition
of the upfront payment received under the collaboration agreement with Janssen upon
termination of the agreement.
The revenue recognition from milestone payments for the year ended December 31,
2022 and December 31, 2021 was $5.4 million and $49.8 million respectively. The
revenue recognized during the year ended December 31, 2022, from milestone pay-
ments primarily relates to €5.0 million triggered by the option exercised by LEO Pharma
to enter into the LEO Pharma Collaboration Agreement for ARGX-112. The revenue
recognized during the year ended December 31, 2021, from milestone payments was
mainly due to recognition of $25.0 million from Zai Lab upon regulatory approval of
efgartigimod by the FDA in the U.S. and recognition of $22.9 million as a result of the
termination of the collaboration agreement with Janssen.
The increase in revenue recognition from other revenues of $3.4 million was primarily
driven by the clinical and commercial supply of efgartigimod to Zai Lab.
5.5.3
Other Operating Income
Year Ended December 31,
(in thousands of $)
2022
2021
% Change
Grants
2,186
4,398
(50)
Research and development incentives
19,502
13,970
40
Payroll tax rebates
8,576
12,621
(32)
Change in fair value on non-current financial assets
4,256
11,152
(62)
Total
34,520
42,141
(18)
Other operating income decreased by $7.6 million to $34.5 million for the year ended
December 31, 2022, compared to $42.1 million for the year ended December 31, 2021.
The decrease was primarily driven by:
•
the change in fair value on our profit share in AgomAb was $4.3 million for the
year ended December 31, 2022, as compared to $11.2 million for the year ended
December 31, 2021;
•
the decrease in payroll tax rebates for the year ended December 31, 2022, as a result
of lower research and development personnel expenses eligible for rebates for the
year ended December 31, 2022; and
•
the decrease was offset by an increase in research and development incentives
due to a Belgian research and development tax incentive scheme, as a result of the
overall increased research and development costs incurred.
For more information regarding governmental policies that could affect our operations,
see section 1.9 “
Regulation
”.
5.5.4
Research and Development Expenses
Year Ended December 31,
(in thousands of $)
2022
2021
% Change
Personnel expense
162,010
160,464
1
External research and development expenses
366,955
382,902
(4)
Materials and consumables
2,396
2,735
(12)
Depreciation and amortization
102,132
3,742
2,629
Other expenses
29,872
30,677
(3)
Total
663,366
580,520
14
Our research and development expenses totaled $663.4 million and $580.5 million
for the years ended December 31, 2022 and 2021, respectively. The increase of
$82.8 million for fiscal year 2022 as compared to fiscal year 2021 was primarily from the
derecognition of the PRV submitted with the BLA filing for SC efgartigimod for the treat-
ment of gMG, which resulted in a research and development expenses of $99.1 million
recorded under depreciation and amortization in the table above.
Personnel expense primarily relates to internal and external personnel. The expense
also includes share-based compensation expenses related to the grant of stock options
and RSUs to our research and development employees. We employed on average
474.8 full-time equivalents in our research and development functions in the year
ended December 31, 2022, compared to 349.7 in the year ended December 31, 2021.
Our external research and development expenses for the year ended December 31,
2022 totaled approximately $367.0 million, compared to approximately $382.9 million
for the year ended December 31, 2021. The expense reflects clinical trial costs and
manufacturing expenses related to the development of our product candidate portfolio.
The table below provides additional detail on our external research and development
expenses by program:
Year Ended December 31,
(in thousands of $)
2022
2021
% Change
efgartigimod
280,572
311,038
(10)
cusatuzumab
13,554
24,630
(45)
ARGX-117
32,384
22,759
42
Other programs
1)
40,445
24,475
65
Total
366,955
382,902
(4)
1)
Other programs include general expenses not allocated to specific program of $22.7 million in 2022
and $6.6 million in 2021.
External research and development expenses for our lead product candidate efgartigimod
totaled $280.6 million for the year ended December 31, 2022, compared to $311.0 million
for the year ended December 31, 2021. This decrease corresponds primarily to manu-
facturing and clinical development activities in relation to:
•
the execution of the bridging study for ENHANZE® efgartigimod in MG;
•
the execution of two Phase 3 clinical trials in CIDP;
•
the execution of two Phase 3 clinical trials in ITP;
•
the execution of the Phase 3 clinical trial in PV and PF;
•
the execution of Phase 2 clinical trial in BP;
•
the execution of Phase 1 clinical trial in Myositis; and
•
the execution of pre-clinical and Phase 1 trials in new indications identified.
External research and development expenses for cusatuzumab totaled $13.6 million
for the year ended December 31, 2022 compared to $24.6 million for the year ended
December 31, 2021. This decrease of $11.1 million is the result of the termination of
the collaboration agreement with Janssen.
External research and development expenses for ARGX-117 totaled $32.4 million for the
year ended December 31, 2022 compared to $22.8 million for the year ended December
31, 2021. This increase of $9.6 million was due to increased research and development
expenses in relation to the advancement of our ARGX-117 program, a complement-
targeting antibody against C2.
External research and development expenses on other programs increased by
$16.0 million to $40.4 million for the year ended December 31, 2022, compared to
$24.5 million for the year ended December 31, 2021. Of the total research and develop-
ment expense, $22.7 million relates to general allocation of expenses.
5.5.5
Selling, General and
Administrative Expenses
Year Ended December 31,
(in thousands of $)
2022
2021
% Change
Personnel expenses
234,740
164,646
43
Professional and marketing fees
178,570
102,674
74
Supervisory board
6,912
12,958
(47)
Depreciation and amortization
2,211
2,126
4
IT expenses
17,431
8,977
94
Other expenses
32,268
16,263
98
Total Selling, general and administrative expenses
472,132
307,644
53
Our selling, general and administrative expenses totaled $472.1 million and
$307.6 million for the years ended December 31, 2022 and 2021, respectively. The in-
crease in our selling, general and administrative expenses for the year ended December
31, 2022 was principally due to an increase of personnel expense and professional and
marketing fees, resulting from:
•
increased costs of the salary and wages and benefits to our selling, general and
administrative employees due to planned increase in the headcount;
•
increased costs associated with additional employees recruited to strengthen our
selling, general and administrative activities, for the commercial launch of VYVGART;
•
increased professional and marketing fees, including promotional and marketing
costs primarily due to the commercial launch of VYVGART; and
•
continued investment in our IT infrastructure.
We employed on average 442.4 full-time equivalents in our selling, general and adminis-
trative functions in the year ended December 31, 2022, compared to 264.4 in the year
ended December 31, 2021.
5.5.6
Financial Income (and Expense)
For the year ended December 31, 2022, financial income amounted to $27.7 million
compared to $3.6 million for the year ended December 31, 2021. The increase of $24.0
million in 2022 related primarily to higher interest on term accounts.
For the year ended December 31, 2022, financial expense amounted to $3.9 million
compared to $4.6 million for the year ended December 31, 2021.
5.5.7
Exchange Gains (Losses)
Exchange losses totaled $32.7 million for the year ended December 31, 2022, compared
to exchange losses of $50.1 million for the year ended December 31, 2021. The decrease
was mainly attributable to unrealized exchange rate losses on the cash, cash equivalents
and current financial assets position in euro during the year ended December 31, 2022
as compared to unrealized exchange rate losses on the cash, cash equivalents and
current financial assets position during the year ended December 31, 2021.
5.6
Liquidity and Capital Resources
5.6.1
Sources of Funds
Since our inception in 2008, we have invested most of our resources in developing our
product candidates, building our intellectual property portfolio, developing our supply
chain, conducting business planning, raising capital and providing general and adminis-
trative support for these operations. We currently have only one approved product and
as of the year ended December 31, 2022, net product sales also started to contribute to
the funding of our operations. To date, we have funded our operations through public
and private placements of equity securities, upfront, milestone and expense reimburse-
ment payments received from our collaborators, funding from governmental bodies and
interest income from the investment of our cash, cash equivalents and financial assets.
Through December 31, 2022, we have raised gross proceeds of $4,318.5 million from
private and public offerings of equity securities. We have made net product sales of
$400.7 million during the twelve months ended December 31, 2022.
Our cash flows may fluctuate and are difficult to forecast and will depend on many
factors. On December 31, 2022, we had cash, cash equivalents and current financial
assets of $2,192.5 million, compared to $2,336.7 million on December 31, 2021.
We have no ongoing material financing commitments, such as lines of credit or
guarantees, that are expected to affect our liquidity over the next five years, other
than leases and our commitments to Lonza and Fujifilm which are detailed in note 29
“
Commitments
” to our consolidated financial statements in section 6 “
Consolidated
Financial Statements
”
.
For more information as to the risks associated with our future funding needs, see
section 2.1 “
Risk Factors Related to argenx’s Financial Position and Need for Additional
Capital
”
.
For more information as to our financial instruments, please see note 26 “
Financial Risk
Management
” in section 6 “
Consolidated Financial Statements
”
.
5.6.2 Cash Flows
The table below summarizes our cash flows for the years ended December 31, 2022
and 2021.
Year Ended December 31,
(in thousands of $)
2022
2021
Variance
Cash and cash equivalents at beginning
of the period
1,334,676
1,216,803
117,873
Net cash flows (used in)/from operating activities
(862,807)
(606,812)
(255,995)
Net cash flows (used in)/from investing activities
(461,184)
(347,070)
(114,114)
Net cash flows (used in)/from financing activities
843,757
1,121,342
(277,585)
Effect of exchange rate differences on cash and
cash equivalents
(53,702)
(49,587)
(4,115)
Cash and cash equivalents at end of the period
800,740
1,334,676
(533,936)
Net Cash Used in Operating Activities
Net cash outflow from our operating activities increased by $256.0 million to a net
outflow of $862.8 million for the year ended December 31, 2022, compared to a net
outflow of $606.8 million for the year ended December 31, 2021. The net cash outflow
from operating activities for the year ended December 31, 2022 resulted primarily from
(i) the research and development expenses incurred in relation to the manufacturing
and clinical development activities of efgartigimod and the advancement of other
clinical, preclinical and discovery-stage product candidate, (ii) the personnel expenses
and consulting expenses incurred for the commercial launch of efgartigimod in the U.S.,
Japan, and Europe and (iii) the increase in working capital, primarily due to increase in
accounts receivables related to product net sales and the increase in inventory levels.
The net cash outflow of $606.8 million for the year ended December 31, 2021 was
primarily influenced by (i) the research and development expenses incurred in relation
to the manufacturing and clinical development activities of efgartigimod and the
advancement of other clinical, preclinical and discovery-stage product candidate, (ii) the
personnel expenses and consulting expenses incurred in preparation of the commercial
launch of efgartigimod in the U.S. and Japan, and (iii) the manufacturing of inventory
ahead of the commercial launch of efgartigimod in the U.S.
Net Cash Used in/from Investing Activities
Investing activities for the year ended December 31, 2022, consist primarily of the
purchases of current financial assets and intangible assets. Cash flow from investing
activities represented a net outflow of $461.2 million for the year ended December 31,
2022, compared to a net outflow of $347.1 million for the year ended December 31,
2021.
The net outflow for the year ended December 31, 2022 related primarily to (i) the net
investment of $368.5 million in current financial assets, including money market funds
and term deposit accounts, compared to a net investment of $228.2 million for the year
ended December 31, 2021 and (ii) the cash outflow of $102.0 million during 2022 in
relation to the purchase of a PRV compared to a cash outflow of $98.0 million for a
PRV which was acquired in 2020, however, paid in 2021.
Net Cash Provided by Financing Activities
Financing activities primarily consist of net proceeds from our private placements and
public offerings of our securities and exercise of stock options. The net cash inflow from
financing activities was $843.8 million for the year ended December 31, 2022, compared
to a net cash inflow of $1,121.3 million for the year ended December 31, 2021. The net
cash inflows were attributed to (i) $760.6 million net cash proceeds from our global
offering in February 2022, compared to $1,091.7 million net cash proceeds from our
global offering and concurrent private placement in February 2021 and (ii) $93.2 million
proceeds received from the exercise of stock options in 2022, compared to $33.4 million
for the year ended 2021.
Operating and Capital Expenditure Requirements
We have never achieved profitability and, as of December 31, 2022, we had accumula-
ted losses of $2,109.8 million. We expect to continue to incur significant operating losses
for the foreseeable future as we continue our research and development efforts, incur
higher costs for continued commercialization of VYVGART, and seek to obtain regulatory
approval and commercialization of other pipeline candidates.
On the basis of current assumptions, we expect that our existing cash and cash equiva-
lents and current financial assets will enable us to fund our operating expenses and
capital expenditure requirements through at least the next twelve months. Our future
equity capital will depend on many factors. Because of the numerous risks and uncer-
tainties associated with the development and commercialization of efgartigimod and
our other product candidates and discovery stage programs and because the extent to
which we may enter into collaborations with third parties for the development of these
product candidates is unknown, we are unable to estimate the amounts of increased
capital outlays and operating expenses associated with completing the research and
development of our product candidates. Our future capital requirements for efgartigimod
and our other product candidates and discovery stage programs will depend on many
factors, including:
•
the progress, timing and completion of preclinical testing and clinical trials for our
current or any future product candidates;
•
the number of potential new product candidates we identify and decide to develop;
•
the time and costs involved in obtaining regulatory approval for our product
candidates and any delays we may encounter as a result of evolving regulatory
requirements or adverse results with respect to any of our product candidates;
•
selling and marketing activities undertaken in connection with the commercialization
of VYVGART or potential commercialization of any of our current or any future
product candidates, if approved, and costs involved in the creation of an effective
sales and marketing organization;
•
manufacturing activities undertaken for VYVGART and potential commercialization of
any of our current or any future product candidates, if approved, and costs involved
in the creation of an effective supply chain;
•
the costs involved in growing our organization to the size needed to allow for the
research, development and potential commercialization of our current or any future
product candidates;
•
the costs involved in filing patent applications and maintaining and enforcing patents
or defending against claims or infringements raised by third parties;
•
the maintenance of our existing collaboration agreements and entry into new
collaboration agreements;
•
developments related to COVID-19 and its impact on the costs and timing associated
with the conduct of our clinical trials, preclinical programs, manufacturing activities
and other related activities; and
•
developments related to the global economic uncertainties and political instability
resulting from the conflict between Russia and the Ukraine.
For more information as to the risks associated with our future funding needs, see sec-
tion 2.1 of this Annual Report titled “
Risk Factors Related to argenx’s Financial Position
and Need for Additional Capital
”
.
5.6.3
Working Capital Statement
In accordance with item 3.1 of Annex 11 of the Commission Delegated Regulation (EU)
2019/980 we make the following statement:
In our opinion, the working capital of the Company is sufficient for the Company’s
present requirements, at least for a period of twelve months from the date of this
Annual Report.
5.7
Off-Balance Sheet
Arrangements
We did not have during the periods presented, and we do not currently have, any off
balance sheet arrangements, as defined in the applicable rules and regulations, such
as relationships with unconsolidated entities or financial partnerships, which are often
referred to as structured finance or special purpose entities, established for the purpose
of facilitating financing transactions that are not required to be reflected on our balance
sheets.
5.8 Contractual Obligations
Below an overview is given of our material contractual obligations at December 31,
2022:
Payments due by period
(in thousands of $)
Total
Less than
1 year
1 – 3 years
3 – 5 years
More than
5 years
Lease liabilities
12,402
3,408
4,784
3,043
1,167
Lease commitments not
commenced
18,038
–
–
–
18,038
We signed lease agreements for laboratory and office space in Zwijnaarde, Belgium,
offices in Amsterdam, Netherlands, Boston, U.S., and Tokyo, Japan, as disclosed in note 4
“
Property, Plant and Equipment
” in the consolidated financial statements in section 6
“
Consolidated Financial Statements
”
.
In January 2021, we entered into a binding lease agreement related to the envisioned
relocation of our Zwijnaarde facility to a newly built office in Zwijnaarde, with an annual
base rent of $1.8 million, which will be operational in the third quarter of 2028, and with
an initial term of 10.5 years. Included in the binding lease commitment is a rent-free
period of six months following the completion of the building. The total future cash
outflows related to this lease are represented in note 29 “
Commitments
” in our conso-
lidated financial statements which are appended to our Annual Report for the period
ended December 31, 2022 as “Lease commitments not commenced”.
In August 2022, we terminated our lease in Breda, the Netherlands in relation to office
space and replaced this on the same date with an annual lease in Amsterdam, the
Netherlands with an initial term of one year. We also lease office space in Boston (U.S.),
Tokyo (Japan), Geneva (Switzerland), Munich (Germany), Issy Les Moulineaux (France),
Vaughan Ontario (Canada), Gerrards Cross (UK) and Milan (Italy).
In addition, our lease liabilities include a lease plan for company cars with maturity dates
up to four years.
For a discussion of contractual obligations, please see note 29 “
Commitments
” in our
consolidated financial statements in section 6 “
Consolidated Financial Statements
”
.
5.9
Information Regarding the
Independent Auditor
The audited consolidated financial statements as of and for the fiscal year ended
December 31, 2022 and 2021 and 2020 have been audited by our independent auditor,
Deloitte Accountants B.V. (Deloitte), who rendered an unqualified audit report on these
financial statements. The partner of Deloitte who signed the auditors’ reports is a
member of the Netherlands Institute of Chartered Accountants (
Koninklijke Nederlandse
Beroepsorganisatie van Accountants
). The office of Deloitte is located at Wilhelminakade
1, 3072 AP Rotterdam, the Netherlands.
5.10 Material Contracts and
Related Party Transactions
5.10.1 Material Contracts
Our material contracts are described in sections 1.4 “
Collaboration Agreements
”,
1.5 “
License Agreements
” and 1.6 “
Distribution Agreements
”.
5.10.2 Related Party Transactions
Since January 1, 2022, we have not entered into any transactions with any related
parties which are – as a single transaction or in their entirety – material to us.
In addition, since January 1, 2022, there has not been, nor is there currently proposed,
any material transaction or series of similar material transactions to which we were or
are a party in which any of the members of our Board of Directors or senior management,
holders of more than 10% of any class of our voting securities, or any member of the
immediate family of any of the foregoing persons, had or will have a direct or indirect
material interest, other than the compensation and shareholding arrangements we
describe in section 4.3 “
Share Classes and Principal Shareholders
”, and the transactions
we describe below.
From time to time, in the ordinary course of our business, we may contract for services
from companies in which certain of the members of our senior management or directors
may serve as director or advisor. The costs of these services are negotiated on an at
arm’s length basis and none of these arrangements are material to us.
Agreements with our Senior Management
We have entered into a management agreement with Tim Van Hauwermeiren as our CEO,
our sole executive director. The key terms of his agreement are as follows:
Tim Van Hauwermeiren
Fixed-base compensation
$638,901
Short-term variable compensation
A target of 60% of the fixed-base compensation based
on previously determined bonus targets established by
the non-executive directors
Pension contributions
1)
$23,384
Duration
Indefinite
1)
Amounts shown represent pension contributions paid during the year ended December 31, 2022.
We may terminate Mr. Van Hauwermeiren’s services upon 18 months’ notice, or
payment of 18 months’ pro-rated base compensation in lieu of notice. Mr. Van Hauwer-
meiren would be entitled to the same payment in lieu of notice in the event he termin-
ates his services with us in circumstances in which it cannot reasonably be expected for
him to continue providing services to us (and after our failure to remedy such conditions
after being provided at least 14 days’ notice). Mr. Van Hauwermeiren would also be
entitled to payment in lieu of notice in the event he terminated his services with us in
certain cases of our failure to comply with obligations under applicable law or his agree-
ment (and after our failure to remedy such non-compliance, if non-deliberate, after
being provided at least 14 days’ notice). In these cases, there will be a full acceleration
of the vesting of any outstanding stock options held by Mr. Van Hauwermeiren. There
will be no notice period or payment in lieu of notice in certain cases of Mr. Van Hauwer-
meiren’s failure to comply with obligations under applicable law or his agreement.
Mr. Van Hauwermeiren may be dismissed immediately as an executive director.
Karl Gubitz, our chief financial officer, has an employment contract with our subsidiary,
argenx US Inc., for an indefinite term.
Keith Woods, our chief operating officer, has an employment contract with our subsidiary,
argenx US Inc., for an indefinite term. We may terminate his employment contract at
any time, subject to a notice period and a severance payment of at least twelve months.
Karen Massey, our chief operating officer, joined argenx in March 2023 and has an
employment contract with our subsidiary, argenx US, Inc..
Prof. Hans de Haard, our chief scientific officer, had an employment contract with our
subsidiary, argenx BV, for an indefinite term. The contract was terminated with effect
as at December 31, 2022.
Peter Ulrichts, our chief scientific officer, since January 2023, has an employment
contract with our subsidiary, argenx BV, for an indefinite term.
Arjen Lemmen, our vice president corporate development and strategy, has an
employment contract with our subsidiary, argenx BV, for an indefinite term. We
may terminate his employment contract at any time, subject to a notice period and
a severance payment of at least twelve months.
Andria Wilk, our global head of quality, has an employment contract with our subsidiary,
argenx BV, for an indefinite term.
Malini Moorthy, our general counsel, joined argenx in February 2022 and has an
employment contract with our subsidiary, argenx US, for an indefinite term.
Luc Truyen, our head of research and development management operations and, since
April 1, 2022, our chief medical officer, has an employment contract with our subsidiary,
argenx US, for an indefinite term.
Indemnification Agreements
In connection with our initial U.S. public offering, we entered into indemnification
agreements with each of our non-executive directors and each member of our senior
management. We have entered into such agreements with each new non-executive di-
rector or member of our senior management when they have joined us since our initial
U.S. public offering. Insofar as indemnification for liabilities arising under the Securities
Act may be permitted to non-executive directors, officers or persons controlling us
pursuant to the foregoing provisions, we have been informed that in the opinion of the
SEC such indemnification is against public policy as expressed in the U.S. Securities Act
of 1933, as amended (
Securities Act
) and is therefore unenforceable.
5.11 Employees
As of December 31, 2022, we had 843 employees and 216 consultants, which we refer
to as “contingent workers.” At each date shown below, we had the following number of
employees, broken out by department and geography.
At December 31,
2022
2021
2020
Function
Research and development
367
289
193
Selling, general and administrative
476
361
143
Total
843
650
336
Geography
Belgium
363
296
213
U.S.
340
276
108
Japan
75
57
13
The Netherlands
–
–
–
Switzerland
15
9
2
France
11
3
–
Germany
11
9
–
Canada
5
–
–
Other EU - remote
23
–
–
Total
843
650
336
Collective bargaining agreements (
CBAs
) can be entered into in Belgium at the national,
industry, or company levels. These CBAs are binding on both employers and employees.
We have no trade union representation or CBAs at the company level, but we are
subject to the national and chemical industry CBAs. The CBAs currently applicable to us
relate to employment conditions such as wages, working time, job security, innovation
and supplementary pensions. We have not had, and do not anticipate having, disputes
on any of these subjects. CBAs may, however, change the employment conditions of our
employees in the future and hence adversely affect our employment relationships.
5.12 Legal and Arbitration
Proceedings
From time to time we may become involved in legal, governmental or arbitration
proceedings or be subject to claims arising in the ordinary course of our business.
Regardless of the outcome, litigation can have an adverse impact on us because of
defense and settlement costs, diversion of management resources and other factors.
During the previous twelve months, there have not been any legal, governmental or
arbitration proceedings (including any such proceedings which are pending or threatened
of which we are aware) which may have, or have had in the recent past, significant
effects on argenx and/or the Group’s financial position or profitability.
5.13 Insurance
We maintain an insurance portfolio that is common and appropriate for our business.
Our main insurances are commercial general liability insurances, including products
liability insurance, director and officer liability insurance and our maritime insurance
covering the risk of loss of product during transit and storage.
6
Consolidated
Financial Statements
Audited consolidated Financial Statements
for the Year ended December 31, 2022
Consolidated Statements of Financial Position
269
Consolidated Statements of Profit or Loss
271
Consolidated Statements of Comprehensive Income and Loss
272
Consolidated Statements of Cash Flows
273
Consolidated Statements of Changes in Equity
275
Notes to the Consolidated Financial Statements
276
Consolidated Statements of
Financial Position
Assets
As of December 31,
(in thousands of $)
Note
2022
2021
2020
Non current assets
Property, plant and equipment
4
16,234
15,844
11,582
Intangible assets
5
174,901
171,684
167,344
Deferred tax asset
6
79,222
32,191
15,038
Other non-current assets
7
40,894
54,876
7,816
Research and development incentive receivables
47,488
32,707
20,626
Investment in joint venture
1,323
–
–
Total non current assets
360,064
307,303
222,406
Current assets
Inventories
8
228,353
109,076
25,195
Prepaid expenses
76,022
58,946
27,913
Trade and other receivables
9
275,697
38,221
6,978
Research and development incentive receivables
1,578
–
463
Financial assets
10
1,391,808
1,002,052
779,649
Cash and cash equivalents
11
800,740
1,334,676
1,216,803
Total current assets
2,774,197
2,542,971
2,057,001
Total assets
3,134,261
2,850,274
2,279,407
The accompanying notes form an integral part of these consolidated financial statements.
Equity and liabilities
As of December 31,
(in thousands of $)
Note
2022
2021
2020
Equity
12
Equity attributable to owners of the parent
Share capital
6,640
6,233
5,744
Share premium
4,309,880
3,462,775
2,339,033
Translation differences
129,280
131,684
134,732
Accumulated losses
(2,109,791)
(1,400,197)
(991,932)
Other reserves
477,691
333,729
186,474
Total equity
2,813,699
2,534,224
1,674,051
Non-current liabilities
Provisions for employee benefits
870
417
156
Lease liabilities
22
9,009
7,956
6,181
Deferred tax liabilities
6
8,406
6,438
1,487
Deferred revenue
16
–
–
269,039
Total non-current liabilities
18,285
14,811
276,863
Current liabilities
Lease liabilities
22
3,417
3,509
3,476
Trade and other payables
14
295,679
293,415
275,192
Tax liabilities
3,181
4,315
3,497
Deferred revenue
16
–
–
46,328
Total current liabilities
302,277
301,239
328,493
Total liabilities
320,562
316,050
605,356
Total equity and liabilities
3,134,261
2,850,274
2,279,407
The accompanying notes form an integral part of these consolidated financial statements.
Consolidated Statements of
Profit or Loss
Year Ended December 31,
(in thousands of $ except for shares and EPS)
Note
2022
2021
1)
2020
1)
Product net sales
15, 18
400,720
–
–
Collaboration revenue
16, 18
10,026
497,277
41,243
Other operating income
17
34,520
42,141
23,668
Total operating income
445,267
539,418
64,911
Cost of sales
(29,431)
–
–
Research and development expenses
19
(663,366)
(580,520)
(370,885)
Selling, general and administrative expenses
20
(472,132)
(307,644)
(171,643)
Loss from investment in joint venture
(677)
–
–
Total operating expenses
(1,165,607)
(888,164)
(542,528)
Operating loss
(720,341)
(348,746)
(477,617)
Financial income
23
27,665
3,633
6,459
Financial expense
23
(3,906)
(4,578)
(7,960)
Exchange losses
23
(32,732)
(50,053)
(126,234)
Loss for the year before taxes
(729,314)
(399,743)
(605,352)
Income tax (expense)/benefit
24
19,720
(8,522)
(3,103)
Loss for the year
(709,594)
(408,265)
(608,455)
Loss for the year attributable to:
Owners of the parent
(709,594)
(408,265)
(608,455)
Weighted average number of shares outstanding
54,381,371
51,075,827
45,410,442
Basic and diluted loss per share (in $)
25
(13.05)
(7.99)
(13.40)
1)
The financial income and financial expense for 2021 and 2020 presented in here has been adjusted to present on gross basis.
The accompanying notes form an integral part of these consolidated financial statements.
Consolidated Statements of
Comprehensive Income and Loss
Year Ended December 31,
(in thousands of $)
Note
2022
2021
2020
Loss for the year
(709,594)
(408,265)
(608,455)
Items that may be reclassified subsequently to profit or loss, net of tax
Currency translation differences, arisen from translating foreign
activities
(2,404)
(3,048)
–
Translation effect
–
–
162,273
Items that will not be reclassified subsequently to profit or loss, net of tax
Fair value gain/(loss) on investments in equity instruments designated
as at FVTOCI
7
(18,267)
(39,290)
–
Other comprehensive loss, net of income tax
(20,671)
(42,338)
162,273
Total comprehensive loss attributable to:
Owners of the parent
(730,266)
(450,603)
(446,182)
The accompanying notes form an integral part of these consolidated financial statements.
Consolidated Statements of
Cash Flows
Year Ended December 31,
(in thousands of $)
Note
2022
2021
2020
Operating loss
(720,341)
(348,746)
(477,617)
Adjustments for non-cash items
Amortization of intangible assets
5
99,766
776
246
Depreciation of property, plant and equipment
4
4,576
5,091
3,671
Provisions for employee benefits
459
260
76
Expense recognized in respect of share-based payments
13
157,026
179,366
96,932
Fair value gains on financial assets at fair value through
profit or loss
7
(4,256)
(11,152)
(2,951)
Non-cash revenue
16
–
(75,000)
–
Loss from investment in joint venture
677
–
–
(462,093)
(249,405)
(379,643)
Movements in current assets/liabilities
(Increase)/decrease in trade and other receivables
9
(222,260)
(31,632)
21,961
(Increase)/decrease in inventories
8
(119,277)
(83,880)
(23,852)
(Increase)/decrease in other current assets
(18,294)
(30,990)
(16,189)
Increase/(decrease) in trade and other payables
14
329
134,892
50,537
Increase/(decrease) in deferred revenue – current
16
–
(46,327)
(40,441)
Movements in non-current assets/liabilities
(Increase)/decrease in other non-current assets
7
(16,220)
(13,975)
(10,299)
Increase/(decrease) in deferred revenue – non-current
16
–
(269,039)
2,655
Net cash flows used in operating activities
(837,815)
(590,356)
(395,272)
Interest paid
(851)
(684)
(401)
Income taxes paid
(24,141)
(15,772)
(2,791)
Net cash flows used in operating activities
(862,807)
(606,812)
(398,463)
Year Ended December 31,
(in thousands of $)
Note
2022
2021
2020
Purchase of intangible assets
5
(102,986)
(117,811)
(4,071)
Purchase of property, plant and equipment
4
(837)
(3,623)
(1,068)
(Increase)/decrease in current financial assets
10
–
(228,239)
341,869
Purchase of current financial investments
1)
10
(1,694,046)
–
–
Sale of current financial investments
1)
10
1,325,540
–
–
Interest received
13,146
2,603
7,962
Investment in joint venture
(2,000)
–
–
Net cash flows (used in)/from from investing activities
(461,184)
(347,070)
344,692
Principal elements of lease payments
22
(4,165)
(3,855)
(2,550)
Proceeds from issue of new shares, gross amount
12
760,953
1,091,326
813,186
Issue costs paid
12
(781)
(528)
(613)
Exchange gain from currency conversion on proceeds from
issue of new shares
410
966
68
Payment of employee withholding taxes relating to restricted
stock unit awards
(5,855)
–
–
Proceeds from exercise of stock options
12
93,195
33,433
22,912
Net cash flows from financing activities
843,757
1,121,342
833,003
Net increase/(decrease) in cash and cash equivalents
(480,234)
167,460
779,232
Cash and cash equivalents at the beginning of the period
1,334,676
1,216,803
372,162
Exchange gains/(losses) on cash & cash equivalents
(53,702)
(49,587)
65,409
Cash and cash equivalents at the end of the period
800,740
1,334,676
1,216,803
1)
Due to the change in the maturity of the current financial assets during current year, the presentation has been changed from
net basis to gross basis.
The accompanying notes form an integral part of these consolidated financial statements.
Consolidated Statements of
Changes in Equity
Attributable to owners of the parent
(in thousands of $)
Share
capital
Share
premium
Accumula-
ted losses
Translation
differences
Share-based
payment and
income tax
deduction on
share-based
payments
Other com-
prehensive
income
Total equity
attributable
to owners of
the parent
Total
equity
Balance at January 1, 2020
5,209
1,505,641
(383,477)
(27,541)
80,577
–
1,180,409
1,180,409
Loss for the year
(608,455)
(608,455)
(608,455)
Other comprehensive income/(loss)
162,273
162,273
162,273
Total comprehensive income/(loss)
for the year
(608,455)
162,273
(446,182)
(446,182)
Income tax benefit from excess tax
deductions related to share-based
payments
8,965
8,965
8,965
Share-based payment
96,932
96,932
96,932
Issue of share capital
468
812,718
813,186
813,186
Transaction costs for equity issue
(613)
(613)
(613)
Exercise of stock options
67
21,287
21,354
21,354
Balance year ended December 31, 2020
5,744
2,339,033
(991,932)
134,732
186,474
–
1,674,051
1,674,051
Loss for the year
(408,265)
(408,265)
(408,265)
Other comprehensive income/(loss)
(3,048)
(39,290)
(42,338)
(42,338)
Total comprehensive income/(loss)
for the year
(408,265)
(3,048)
(39,290)
(450,603)
(450,603)
Income tax benefit from excess tax
deductions related to share-based
payments
7,179
7,179
7,179
Share-based payment
179,366
179,366
179,366
Issue of share capital
430
1,090,896
1,091,326
1,091,326
Transaction costs for equity issue
(528)
(528)
(528)
Exercise of stock options
59
33,374
33,433
33,433
Balance year ended December 31, 2021
6,233
3,462,775
(1,400,197)
131,684
373,019
(39,290)
2,534,224
2,534,224
Loss for the year
(709,594)
(709,594)
(709,594)
Other comprehensive income/(loss)
(2,404)
(18,267)
(20,671)
(20,671)
Total comprehensive income/(loss)
for the year
(709,594)
(2,404)
(18,267)
(730,266)
(730,266)
Income tax benefit from excess tax
deductions related to share-based
payments
3,946
3,946
3,946
Share-based payment
158,282
158,282
158,282
Issue of share capital
294
760,659
760,953
760,953
Transaction costs for equity issue
(781)
(781)
(781)
Exercise of stock options
113
93,082
93,195
93,195
Ordinary shares withheld for payment
of employees’ withholding tax liability
(5,855)
(5,855)
(5,855)
Balance year ended December 31, 2022
6,640
4,309,880
(2,109,791)
129,280
535,247
(57,557)
2,813,699
2,813,699
Please refer to
note 12
for more information on the share capital and movement in number of shares. See also
note 13
for more
information on the share-based payments.
The accompanying notes form an integral part of these consolidated financial statements.
Notes to the Consolidated
Financial Statements
1
General Information about
the Company
argenx SE is a Dutch European public company with limited liability incorporated
under the laws of the Netherlands. The company (COC 24435214) has its official seat
in Rotterdam, the Netherlands, and its registered office is at Laarderhoogtweg 25,
1101 EB Amsterdam, the Netherlands. An overview of the company and its subsidiaries
(the Company) are described in
note 31
.
argenx SE is a publicly traded company with ordinary shares listed on Euronext Brussels
under the symbol “ARGX” since July 2014 and with American Depositary Shares listed on
Nasdaq under the symbol “ARGX” since May 2017.
2
Significant Accounting Policies
The significant Company’s accounting policies are summarized below.
2.1
Statement of Compliance and Basis
of Preparation
The consolidated financial statements are prepared in accordance with the International
Financial Reporting Standards and the interpretations issued by the IASB’s International
Financial Reporting Interpretation Committee as adopted by the European Union
(
EU-IFRS
) and in accordance with the legal requirements of Part 9 of Book 2 of the
Dutch Civil Code. The consolidated financial statements provide a general overview
of the Company’s activities and the results achieved. They provide a true and fair view
of the entity’s financial position, its financial performance and cash flows, on a going
concern basis.
The significant accounting policies applied in the preparation of the above consolidated
financial statements are set out below. All amounts are presented in thousands of dollar,
unless otherwise indicated, rounded to the nearest $ ‘000.
The consolidated financial statements have been approved for issue by the Company’s
Board of Directors (the
Board
) on March 15, 2023.
2.2
Adoption of New and Revised Standards
New Standards and Interpretations applicable for the Annual Period beginning on
January 1, 2022
New standards and interpretations for the annual period beginning on January 1, 2022
did not have any material impact on our consolidated financial statements.
New Standards and Interpretations issued, but not yet applicable for the Annual Period
beginning on January 1, 2022
We have not early adopted any other standard, interpretation, or amendment that
has been issued but is not yet effective. Of the standards that are not yet effective, we
expect no standard to have a material impact on our financial statements in the period
of initial application.
2.3
Basis of Consolidation
The consolidated financial statements include the financial statements of the Company
and entities controlled by the Company (its subsidiaries). Control is achieved when the
Company:
•
has power over the investee;
•
is exposed, or has rights, to variable returns from its involvement with the investee;
and
•
has the ability to use its power to affect its returns.
The Company reassesses whether or not it controls an investee if facts and circums-
tances indicate that there are changes to one or more of the three elements of control
listed above.
The results of the subsidiaries are included in the consolidated statements of profit or
loss and consolidated statements of other comprehensive income from the effective
date of acquisition up to the date when control ceases to exist. When necessary,
adjustments are made to the financial statements of subsidiaries to bring their accoun-
ting policies into line with those used by other members of the Group.
All intercompany transactions and unrealized gains on transactions between group
companies are eliminated. Unrealised losses are also eliminated unless the transaction
provides evidence of an impairment of the transferred asset.
2.4
Foreign Currency Transactions
2.4.1
Functional and Presentation Currency
Items included in the consolidated financial statements of each of our entities are
valued using the currency of their economic environment in which the entity operates.
The consolidated financial statements are presented in USD ($), which is the Company’s
presentation currency.
2.4.2
Transactions and Balances
Transactions in foreign currencies are translated at the exchange rate ruling at the date
of the transaction. Monetary assets and liabilities denominated in foreign currencies are
translated at the exchange rate ruling at the reporting date. Foreign exchange differen-
ces arising on translation are recognized in the consolidated statements of profit or loss
and the consolidated statements of other comprehensive income. Non monetary assets
and liabilities denominated in foreign currencies are translated at the foreign exchange
rate ruling at the date of the transaction.
2.4.3
Financial Statements of Foreign Entities
For foreign entities using a different functional currency than USD:
•
assets and liabilities for each balance sheet presented are translated at the closing
rate at the date of the balance sheet.
•
income and expenses for each statement presenting profit or loss and statements
of other comprehensive income are translated at average exchange rates (unless
this average is not a reasonable approximation of the cumulative effect of the
rates prevailing on the transaction dates, in which case income and expenses are
translated at the rate on the dates of the transactions).
•
all resulting exchange differences are recognised in the statements of other
comprehensive income.
2.5
Intangible Assets
2.5.1
Internally Generated Intangible Assets
Expenditure on research activities is recognized as an expense in the period in which
it is incurred.
An internally generated intangible asset arising from development (or from the
development phase of an internal project) is recognized if, and only if, all of the following
have been demonstrated:
•
the technical feasibility of completing the intangible asset so that it will be available
for use or sale;
•
the intention to complete the intangible asset and use or sell it;
•
the ability to use or sell the intangible asset;
•
how the intangible asset will generate probable future economic benefits;
•
the availability of adequate technical, financial and other resources to complete the
development and to use or sell the intangible asset; and
•
the ability to measure reliably the expenditure attributable to the intangible asset
during its development.
The amount initially recognized for internally generated intangible assets is the sum
of the expenditure incurred from the date when the intangible asset first meets the
recognition criteria listed above. Where no internally generated intangible asset can be
recognized, development expenditures are recognized in the consolidated statements
of profit or loss and the consolidated statements of other comprehensive income in the
period in which they are incurred.
Due to uncertainties inherent to the development and registration with the relevant
healthcare authorities of its products, the Company estimates that the conditions for
capitalization are not met until the regulatory procedures required by such healthcare
authorities have been finalized.
2.5.2
Acquired In-Process R&D, Software and
Databases and Other intangible assets
Intangible assets with finite useful lives that are acquired separately related to in-pro-
cess research and development projects, software and databases and other intangible
assets are carried at cost less accumulated amortization and accumulated impairment
losses. Intangible assets with indefinite useful lives are carried at cost less accumulated
impairment losses.
Payments for acquired in-process research and development projects obtained through
in-licensing arrangements are capitalized as intangible assets provided that they are
separately identifiable, controlled by the Company and expected to provide future
economic benefits. As the probability criterion in IAS 38 is always considered to be
satisfied for separately acquired research and development assets and the amount of
the payments is determinable, upfront and milestone payments to third parties for
pharmaceutical products or compounds for which regulatory marketing approval has
not yet been obtained are recognized as intangible assets.
Other intangible assets includes the PRV which the Company can use to obtain the prio-
rity review by the FDA for one of its future regulatory submissions or may sell or transfer
to a third party. The PRV is initially measured at cost and reviewed for impairment when
events or circumstances indicate that the carrying value may not be recoverable.
2.5.3
Amortization of Intangible Assets
Intangible assets, which comprises of acquired in-process research and development,
software and databases and other intangible assets, are amortized on a straight-line
basis over the estimated useful life as from the time they are available for use, or when
the underlying drug candidate is approved, generally on the following basis:
•
Acquired In-Process R&D – the longer of the patent protection life and the useful life
of the combined product
•
Software and Databases: 3 – 5 years
The estimated useful life and amortization method are reviewed at the end of each
reporting period, with the effect of any changes in estimate being accounted for on a
prospective basis.
During 2022, the Company used the PRV to accelerate the review of drug application of
SC efgartigimod for the treatment of generalized mysthania gravis, the intangible asset
for $99.1 million was amortized and derecognized upon filing of the related Biologic
License Application.
2.5.4
Derecognition of Intangible Assets
An intangible asset is derecognized either on disposal or when no future economic
benefits are expected from its use. Gains or losses arising from derecognition of an
intangible asset, measured as the difference between the net disposal proceeds, if any,
and the carrying amount of the asset, are recognized in the consolidated statements of
profit or loss and the consolidated statements of other comprehensive income when the
asset is derecognized.
2.6
Property, Plant and Equipment
Items of property, plant and equipment held for use in the production or supply of goods
or services, or for administrative purposes, are stated in the consolidated statement of
financial position at their cost, less accumulated depreciation and impairment losses.
Depreciation is recognized as from acquisition date onwards (unless asset is not ready
for use) so as to write off the cost or valuation of assets (other than freehold land and
properties under construction) less their residual values over their useful lives, using
the straight line method. The estimated useful lives, residual values and depreciation
method are reviewed at the end of each reporting period, with the effect of any changes
in estimate accounted for on a prospective basis.
Unless revised due to specific changes in the estimated useful life, annual depreciation
rates are as follows:
•
Office and lab equipment: 3 – 5 years
•
IT equipment: 3 years
An item of property, plant and equipment is derecognized upon disposal or when no
future economic benefits are expected to arise from the continued use of the asset.
Any gain or loss arising on the disposal or retirement of an item of property, plant and
equipment is determined as the difference between the sales proceeds, if any, and the
carrying amount of the asset and is recognized in the consolidated statements of profit
or loss and the consolidated statements of other comprehensive income.
2.7
Inventories
Inventories are carried at cost or net realisable value, whichever is lowest. Cost is deter-
mined using the first-in, first-out method. Cost comprises of costs of purchase, costs of
conversion and other costs incurred in bringing the inventories to their present location
and condition.
If the expected sales price less completion costs to execute sales (net realizable value)
is lower than the carrying amount, a write-down is recognised for the amount by which
the carrying amount exceeds its net realisable value.
Included in inventory are products which could, besides commercial activities, be used
in preclinical and clinical programs as well as in non-reimbursed pre-approval access
program. These products are charged to research & development expenses or selling,
general and administrative expenses, respectively, when dedicated to this channel.
We capitalize inventory costs associated with products prior to the regulatory approval
of these products, or for inventory produced in production facilities not yet approved,
when it is highly probable that the pre-approval inventories will be saleable. The deter-
mination to capitalize is based on the particular facts and circumstances relating to the
expected regulatory approval of the product or production facility being considered. The
assessment of whether or not the product is considered highly probable to be saleable
is made on a quarterly basis and includes, but is not limited to, how far a particular pro-
duct or facility has progressed along the approval process, any known safety or efficacy
concern, potential labelling restrictions and other impediments.
Previously capitalized costs related to pre-launch inventories could be required to be
written down upon a change in such judgement or due to a denial or delay of approval
by regulatory bodies, a delay in commercialization or other potential factors, which will
be recorded to research and development expenses in the consolidated statements of
profit or loss and the consolidated statements of other comprehensive income.
2.8
Leases
The Company assesses whether a contract is or contains a lease, at inception of the
contract. The Company recognises a right-of-use asset and a corresponding lease liability
with respect to all lease arrangements in which it is the lessee, except for short-term
leases (defined as leases with a lease term of 12 months or less) and leases of low value
assets. For these leases, the Company recognises the lease payments as an operating
expense on a straight-line basis over the term of the lease unless another systematic
basis is more representative of the time pattern in which economic benefits from the
leased assets are consumed.
The lease liability is initially measured at the present value of the lease payments
that are not paid at the commencement date, discounted by using the rate implicit
in the lease. If this rate cannot be readily determined, the lessee uses its incremental
borrowing rate. The lease liability is subsequently measured by increasing the carrying
amount to reflect interest on the lease liability (using the effective interest method) and
by reducing the carrying amount to reflect the lease payments made. The lease liability
is presented as a separate line in the consolidated statements of financial position.
The right-of-use assets comprise the initial measurement of the corresponding lease
liability, lease payments made at or before the commencement day, less any lease incen-
tives received and any initial direct costs. They are subsequently measured at cost less
accumulated depreciation and impairment losses. Right-of-use assets are depreciated
over the shorter period of lease term and useful life of the underlying asset. If a lease
transfers ownership of the underlying asset or the cost of the right-of-use asset reflects
that the Company expects to exercise a purchase option, the related right-of-use asset is
depreciated over the useful life of the underlying asset. The right-of-use assets are pre-
sented in the consolidated statements of financial position under the caption “
Property,
Plant and Equipment
”.
2.9
Impairment of Assets
2.9.1
Financial Assets
The impairment loss of a financial asset measured at amortised cost is calculated based
on the expected loss model.
For trade receivables, in the absence of a significant financing component, the allowance
is measured at an amount equal to lifetime expected credit losses. Those are the
expected credit losses that result from possible default events over the expected life
of those trade receivables.
2.9.2
Property, Plant and Equipment and Intangible Assets
At the end of each reporting period, the Company reviews the carrying amounts of its
tangible and intangible assets to determine whether there is any indication that those
assets have suffered an impairment loss. If any such indication exists, the recoverable
amount of the asset is estimated in order to determine the extent of the impairment
loss, if any. Where it is not possible to estimate the recoverable amount of an individual
asset, the Company estimates the recoverable amount of the cash generating unit to
which the asset belongs.
Intangible assets with indefinite useful lives and intangible assets not yet available for
use are tested for impairment at least annually, and whenever there is an indication that
the asset may be impaired.
If the recoverable amount of an asset or cash generating unit is estimated to be less
than its carrying amount, the carrying amount of the asset or cash generating unit is
reduced to its recoverable amount. An impairment loss is recognized immediately in
the consolidated statements of profit or loss and the consolidated statements of other
comprehensive income.
Where an impairment loss subsequently reverses, the carrying amount of the asset is
increased to the revised estimate of its recoverable amount, but so that the increased
carrying amount does not exceed the carrying amount that would have been deter-
mined had no impairment loss been recognized for the asset or cash generating
unit in prior years. A reversal of an impairment loss is recognized immediately in the
consolidated statements of profit or loss and the consolidated statements of other
comprehensive income.
2.10
Financial Instruments
Financial assets and financial liabilities are recognized in the consolidated statements of
financial position when the Company becomes party to the contractual provisions of the
instrument. The Company does not use currency derivatives to hedge planned future
cash flows, nor does it make use of forward foreign exchange contracts. Additionally, the
Company does not have financial debt at December 31, 2022.
2.10.1
Financial Assets
Financial assets are initially recognized either at fair value or at transaction price. All
recognized financial assets are subsequently measured at either amortized cost or fair
value under EU-IFRS 9 on the basis of both the Company’s model for managing the
financial assets and the contractual cash flow characteristics of the financial asset.
•
A financial asset that (i) is held within a business model whose objective is to
collect the contractual cash flows and (ii) has contractual cash flows that are solely
payments of principal and interest on the principal amount outstanding is measured
at amortized cost (net of any write down for impairment), unless the asset is
designated at fair value through profit or loss (
FVTPL
) under the fair value option.
•
A financial asset that (i) is held within a business model whose objective is achieved
both by collecting contractual cash flows and selling financial assets and (ii) has
contractual term that give rise on specified dates to cash flows that are solely
payments of principal and interest on the principal outstanding, is measured at fair
value through other comprehensive income (
FVTOCI
), unless the asset is designated
at FVTPL under the fair value option.
•
All other financial assets are measured at FVTPL.
A financial asset is classified as current when the cash flows expected to flow from the
instrument mature within one year.
The Company derecognizes a financial asset when the contractual rights to the cash
flows from the asset expire, or the Company transfers the right to receive the contrac-
tual cash flows on the financial asset in a transaction in which substantially all the risks
and rewards of ownership of the financial asset are transferred.
The Company classifies non-derivative financial assets into the following categories:
•
financial asset at fair value through profit or loss or OCI (non-current financial assets,
current financial assets and cash equivalents)
•
financial assets at amortized cost (receivables and cash and cash equivalents)
Financial Assets at fair value through profit or loss or loss or OCI
Financial assets are designated at fair value through profit or loss if the Company mana-
ges such investments and makes purchases and sales decisions based on their fair value
in accordance with the Company’s investment strategy. Attributable transaction costs
are recognised in the consolidated statements of profit or loss and the consolidated
statements of other comprehensive income as incurred. Financial assets at fair value
through profit or loss are measured at fair value, and changes therein, which take into
account any dividend income, are recognized in the consolidated statements of profit or
loss and the consolidated statements of other comprehensive income.
2.10.1.1
Non-Current Financial Assets at fair value through profit
or loss or OCI
The Company holds investments in non-current financial assets, which based on EU-IFRS
9, are designated as financial assets at fair value through profit or loss or financial assets
at fair value through OCI. The fair value of listed investments is based upon the closing
price of such securities at each reporting date. If there is no active market for an equity
instrument, the Company establishes the fair value by using valuation techniques.
Based on EU-IFRS 9, the Company irrevocably elected to designate specific invest-
ments as a financial asset at fair value through OCI as the participation is not held for
trading purposes nor contingent consideration recognised by an acquirer in a business
combination.
2.10.1.2
Current Financial Assets at fair value through profit or loss
Current financial assets measured at fair value through profit or loss comprise of money
market funds.
2.10.1.3
Cash Equivalents Measured at fair value through profit or loss
Cash equivalents measured at fair value through profit or loss comprise of money
market funds that are readily convertible to cash and are subject to insignificant risk of
changes in value. These financial assets are used by the Company in the management of
the short-term commitments.
Financial Assets at Amortized Cost
2.10.1.4
Receivables
Trade and other receivables are designated as financial assets measured at amortized
cost. They are initially measured either at fair value or at transaction price, in the
absence of a significant financing component less adjustments for estimated revenue
deductions such as rebates, chargebacks and returns.
All receivables are subsequently measured at amortized cost, which generally corre-
sponds to nominal value less expected credit loss provision.
Receivables mainly comprise trade and other receivables and current and non-current
research and development incentive receivables. These research and development
incentive receivables relate to refunds resulting from research and development
incentives on research and development expenses in Belgium and are credited to the
consolidated statements of profit or loss and the consolidated statements of other
comprehensive income under the line “Other operating income” when the relevant
expenditure has been incurred and there is a reasonable assurance that the research
and development incentives are receivable.
Loss allowance for expected credit losses are established using a simplified approach of
forward-looking expected credit loss model (ECL), which includes possible default events
on the trade receivables over the entire holding period of the trade receivable. These
provisions represent the difference between the trade receivable’s carrying amount in
the consolidated statements of financial position and the estimated collectible amount.
Charges for loss allowance for expected credit losses are recorded as marketing and
selling costs recognized in the consolidated statements of profit or loss and consolidated
statements of other comprehensive income within “Selling, general and administrative”
expenses.
2.10.1.5
Cash
Cash are financial assets measured at amortized cost and comprise of cash balances and
savings accounts.
2.10.1.6
Cash Equivalents Measured at Amortized Costs
Cash equivalents measured at amortized cost comprise of term accounts that have an
initial maturity of less than 3 months that are subject to an insignificant risk of changes
in values. The financial assets are used by the Company in the management of short-
term commitments.
Cash and cash equivalents exclude restricted cash, which is presented in the consolida-
ted statements of financial position under the line “Other non-current assets”.
2.10.1.7
Current Financial Assets Measured at Amortized Costs
Current financial assets include financial assets measured at amortized costs and
comprise of term accounts that have an initial maturity equal or less than 12 months,
but exceeding 3 months.
2.10.2
Financial Liabilities
Financial liabilities are initially measured at their transaction price. Subsequent to initial
recognition, financial liabilities are measured at amortized cost.
Financial liabilities mainly comprise of trade and other payables and other liabilities.
Trade and other liabilities are comprised of liabilities that are due less than one year
from the balance sheet date and are in general not interest bearing and settled on an
ongoing basis during the financial year. They also include accrued expense related to
the Company’s research and development costs and gross-to-net accruals.
2.11
Investment in Joint Venture
The Group has an investment which qualifies as joint ventures under IAS 28 Investment
in associates and joint ventures. For joint ventures and associates, the Group recognises
its interest in the joint venture or associate as an investment and uses the equity met-
hod of accounting. The Group recognises its initial investment at cost and the investors’
share of the profits or losses is determined based on the proportionate ownership
interest.
Investment in joint ventures on December 31, 2022 was related to the investment in
Onco Verity, Inc. In July 2022, the Company entered into a joint venture agreement
with the University of Colorado Anschutz Medical Campus and UCHealth and created a
separate legal entity, OncoVerity, Inc., which is focused on optimizing and advancing the
development of cusatuzumab, a novel anti-CD70 antibody, in acute myeloid leukemia
(AML). The Company contributed $2 million and the investment has been designated
as investment in joint venture and accounted under IAS 28 Investment in associates
and joint ventures. The share of net loss resulting from investment in joint ventures is
presented in consolidated statements of profit or loss in line “
Loss from investment in
joint ventures
”.
2.12
Shareholder’s Equity
An equity instrument is any contract that evidences a residual interest in the assets of an
entity after deducting all of its liabilities. Equity instruments issued by the Company are
recognized at the proceeds received, net of direct issue costs.
The Company has never distributed any dividends to its shareholders. As of December
31, 2022, no profits were available for distribution.
2.13
Short-Term Employee Benefits
Short-term employee benefits include payables and accruals for salaries and bonuses
to be paid to the employees of the Company. They are recognized as expenses for the
period in which employees perform the corresponding services.
2.14
Share-Based Payments
Equity settled share based payments to employees and others providing similar services
are measured at the fair value of the equity instruments at the acceptance date. Equity
settled share based payments includes expenses related to stock options and restricted
stock units granted by the Company.
The fair value determined at the acceptance date of the equity settled share based
payments is expensed on a straight line basis over the vesting period, based on the Com-
pany’s estimate of equity instruments that will eventually vest, with a corresponding
increase in equity. At the end of each reporting period, the Company revises its estimate
of the number of equity instruments expected to vest. The impact of the revision of
the original estimates, if any, is recognized in the consolidated statements of profit or
loss and the consolidated statements of other comprehensive income such that the
cumulative expense reflects the revised estimate, with a corresponding adjustment to
the equity settled share based payment reserve.
2.15
Deferred Revenue
Current and non-current deferred revenue relates to cash received from collaboration
& license agreements prior to completion of the earnings process. These payments are
recognized as revenue over the estimated duration of the Company’s involvement in the
research and development programs provided for under the terms of the agreements.
2.16
Income Taxes
Income tax in the consolidated statements of profit or loss and the consolidated
statements of other comprehensive income represents the total of the current tax and
deferred tax.
The current tax is based on taxable profit for the year. Taxable profit differs from profit
as reported in the consolidated statements of profit or loss and consolidated statements
of other comprehensive income as it excludes items of income or expense that are
taxable or deductible in other years and items that are never taxable or deductible. The
Company’s liability for current tax is calculated using tax rates that have been enacted or
substantively enacted by the end of the reporting period.
Deferred tax is recognized on temporary differences between the carrying amounts of
assets and liabilities in the consolidated financial statements and the corresponding tax
basis used in the computation of taxable profit. Deferred tax assets are recognized to the
extent that it is probable that future taxable profits will be available against which those
deductible temporary differences can be utilized. The carrying amount of deferred tax
assets is reviewed at the end of each reporting period and reduced to the extent that it
is not probable that sufficient taxable profits will be available to allow all or part of the
asset to be recovered. Deferred tax assets and liabilities are offset if there is a legally
enforceable right to offset current tax liabilities and assets, and they relate to income
taxes levied by the same tax authority on the same taxable entity, or on different taxable
entities which intend either to settle current tax liabilities and assets on a net basis, or to
realize the assets and settle the liabilities simultaneously.
Deferred tax assets and liabilities are measured at the tax rates that are expected to
apply in the period in which the liability is settled or the asset realized, based on tax
rates (and tax laws) that have been enacted or substantially enacted by the end of the
reporting period.
2.17
Revenue and Other Operating Income
Recognition
2.17.1
Product Net Sales
Revenue from the sale of goods is recognized at an amount that reflects the conside-
ration that the Company expects to be entitled to receive in exchange for transferring
goods to a customer, at the time when the customer obtains control of the goods
rendered, this means when the customer has the ability to direct the use of the asset.
The consideration that is committed in a contract with a customer can include fixed
amounts, variable amounts, or both. The amount of the consideration may vary due to
discounts, rebates, returns, chargebacks or other similar items. Contingent consideration
is included in the transaction price when it is highly probable that the amount of
revenue recognized is not subject to future significant reversals.
Our product net sales consists of sales of VYVGART in U.S., Japan and Europe. Product
net sales are recognized once we satisfy the performance obligation at a point in time
under the revenue recognition criteria in accordance with EU-IFRS 15
Revenue from
contracts with customers
.
Revenue arising from the commercial sale of VYVGART is presented in the consolidated
statements of profit or loss under “Product net sales”. In accordance with EU-IFRS 15
Revenue from contracts with customers
, such revenue is recognized when the product
is physically transferred, in accordance with the delivery and acceptance terms agreed
with the customer. Payment of the transaction price is payable at the point the customer
obtains the legal title to the goods.
The amount of revenue recognized reflects the various types of price reductions or
rights of return offered by the Company to its customers. Such price reductions and
rights of return qualify as variable consideration under EU-IFRS 15
Revenue from
contracts with customers
.
Products sold are covered by various Government and State programs (such as Medicare
and Medicaid) under which products are sold at a discount. Rebates are granted to
healthcare authorities, and under contractual arrangements with certain customers.
Some wholesalers are entitled to chargeback incentives based on the selling price to the
end customer, under specific contractual arrangements. Rebates, chargebacks and other
incentives are recognized in the period in which the underlying sales are recognized as a
reduction of product sales.
Our significant components of variable consideration are as follows:
Co-payment assistance:
We provide co-payment assistance to patients who have com-
mercial insurance and meet certain eligibility requirements. We use the expected-value
method for estimating co-payment assistance based on estimates of program redemp-
tion using data provided by third-party administrators. Estimates for the co-payment
assistance are adjusted quarterly to reflect actual experience. We record an accrued
liability for unredeemed co-payment assistance related to products for which control
has been transferred to customers.
Chargebacks:
Chargebacks are discounts that occur when contracted parties purchase
directly from a specialty distributor. Contracted parties, which currently consist primarily
of Public Health Service Institutions and federal government entities purchasing via
the Federal Supply Schedule, generally purchase the product at a discounted price. The
specialty distributor, in turn, charges back the difference between the price initially paid
by the specialty distributor and the discounted price paid to the specialty distributor
by the contracted parties to the Company. The reserves for chargeback are based on
known sales to contracted parties. We establish the reserves for chargebacks in the
same period that the related revenue is recognized, resulting in an accrued liability and
reduction of product gross sales.
Rebates:
We are subject to government mandated rebates for Medicaid Drug Rebate
Program, Medicare Part D Prescription Drug Benefit Program, and other government
health care programs in the U.S. Rebate amounts are based upon contractual
agreements or legal requirements with public sector benefit providers. We use the
expected-value method for estimating these rebates. The expected utilization of rebates
is estimated based on third-party data from the specialty pharmacies and specialty
distributor. Estimates for these rebates are adjusted quarterly to reflect the most recent
information. We record an accrued liability and reduction of product sales for unpaid
rebates related to products for which control has been transferred to customers.
Medicare Part D Coverage Gap:
The Medicare Part D coverage gap is a federal program
to subsidize the costs of prescription drugs for Medicare beneficiaries in the U.S.,
which mandates manufacturers to fund a portion of the Medicare Part D insurance
coverage gap for prescription drugs sold to eligible patients. Funding of the coverage
gap is generally invoiced and paid in arrears. We estimate the impact of the Medicare
Part D coverage gap using the expected-value method based on an amount expected
to be incurred for the current quarter’s activity, plus an accrual balance for known prior
quarters. Estimates for the impact of the Medicare Part D coverage gap are adjusted
quarterly to reflect actual experience. We record an accrued liability for unpaid reserves
related to the Medicare Part D coverage gap.
Distributor fees:
The specialty distributor provides distribution services to the Company
for a fee, based on a contractually determined fixed percentage of sales. As the services
being provided by the specialty distributor are not distinct, the recurring service fees
paid to specialty distributors are treated as variable consideration and a reduction to the
transaction price. We estimate these distributor fees and record such estimates in the
same period the related revenue is recognized, resulting in a reduction of product gross
sales. We record an accrued liability for unpaid distributor fees.
The estimated amounts described above are recognized in the consolidated statement
of Profit or Loss within “Product net sales” as a reduction of gross sales, and within
“Trade and other payables” in the consolidated statements of financial position. They
are subject to regular review and adjustment as appropriate based on the most recent
data available to management. Each of the above items require significant estimates,
judgement and information obtained from external sources. If management’s estimates
differ from actual results, we will record adjustments that would affect product sales in
the period of adjustment.
2.17.2
Collaborations and License Agreements
Collaboration revenue have consisted principally of milestones, license fees, non-
refundable upfront fees and research and development service fees in connection
with collaboration and license agreements.
The Company recognizes revenue when the customer obtains control of promised goods
or services, in an amount that reflects the consideration that the Company expects
to receive in exchange for those goods and services. In order to determine revenue
recognition for agreements that the Company determines to be in the scope of IFRS 15,
following five steps are performed:
1. Identify the Contracts
In our current collaboration and license agreements, we are mainly licensing our
intellectual property and/or providing research and development products/services,
which might include a cost-sharing mechanism and/or in the future, selling its products
to collaborative partner entities. Revenue is generated through these arrangements
via upfront payments, milestone payments based on clinical and regulatory criteria,
research and development service fees and future sales-based milestones and sales-
based royalties. In some cases, the collaboration and license agreements also include an
equity subscription component. If this is the case, the Company analyses if the criteria to
combine contracts, as set out by IFRS 15, are met.
2. Identify Performance Obligations
Depending on the type of contract, there can be one or more distinct performance
obligations under IFRS 15. This is based on an assessment of whether the promises in
an agreement are capable of being distinct and are distinct from the other promises to
transfer goods and/or services in the context of the contract.
For our material ongoing collaboration and license agreement (i.e. the Zai Lab Agree-
ment), the Company has assessed that there is more than one distinct performance
obligation, being the transfer of a license and supply of clinical and commercial product.
This is because the Company considers the performance obligations is distinct in the
context of the contract as the license has stand-alone value without the Company being
further involved in the research and development collaboration and that there is no
interdependence between the license and the clinical and commercial supply to be
provided.
For our material ongoing collaboration and license agreement (i.e., the Zai Lab Agree-
ment), the Company has assessed that there is more than one distinct performance
obligation, being the transfer of a license and supply of clinical and commercial product.
3. Determine the Transaction Price
Our material ongoing collaboration and license agreements include non-refundable upf-
ront payments or license fees, milestone payments, the receipt of which is dependent
upon the achievement of certain clinical, regulatory or commercial milestones, royalties
on sales and research and development service fees.
3.1 Non-refundable Upfront Payments or License Fees
If the license to the Company’s intellectual property is determined to be distinct from
the other performance obligations identified in the arrangement, the Company recog-
nizes revenue from non-refundable upfront fees allocated to this license at the point in
time the license is transferred to the customer and the customer has the right to use the
license.
For all our material ongoing collaboration and license agreements, the Company consi-
ders the performance obligations related to the transfer of the license as distinct from
the other promises to transfer goods and/or services. The Company utilizes judgement
to assess the nature of the performance obligation to determine whether the perfor-
mance obligation is satisfied over time or at a point in time. If over time, revenue is then
recognized based on a pattern that best reflects the transfer of control of the service to
the customer.
3.2 Milestone Payments Other than Sales Based Milestones
A milestone payment, being a variable consideration, is only included in the transaction
price to the extent it is highly probable that a significant reversal in the amount of
cumulative revenue recognition will not occur when the uncertainty associated with the
variable consideration is subsequently resolved. The Company estimates the amount
to be included in the transaction price upon achievement of the milestone event. The
transaction price is then allocated to each performance obligation on a stand-alone
selling price basis, for which the Company recognizes revenue as or when the perfor-
mance obligations under the contract are satisfied. At the end of each reporting period,
the Company re-evaluates the probability of achievement of such milestones and any
related constraint, and, if necessary, adjusts the estimate of the overall transaction price.
Any such adjustments are recorded on a cumulative catch-up basis, which would affect
revenue and earnings in the period of adjustment.
3.3 Research and Development Service Fees
Our material ongoing collaboration and license agreements may include reimbursement
or cost sharing for research and development services. R&D services are performed and
satisfied over time given that the customer simultaneously receives and consumes the
benefits provided by us. Such costs reimbursements received are recognized in revenues
when costs are incurred and agreed by the parties.
3.4 Sales-Based Milestone Payments and Royalties
Our material ongoing collaboration and license agreements include sales based
royalties, including commercial milestone payments based on the level of sales, and
the license has been deemed to be the predominant item to which the royalties and
commercial milestone payments relate. Related revenue is recognized as the subsequent
underlying sales occur.
4. Allocate the Transaction Price
In principle, an entity shall allocate the transaction price to each performance obligation
identified in the contract on a relative stand-alone selling price basis. As our ongoing
collaboration and license agreement (i.e. the Zai Lab Agreement) contains more than
one performance obligation, the Company assesses to allocate the transaction price to
all performance obligations identified.
5. Recognize Revenue
Revenue is recognized when the customer obtains control of the goods and/or services
as provided in the collaboration and license agreements. The control can be transferred
over time or at a point in time – which results in the recognition of revenue over time or
at a point in time.
As our ongoing collaboration and license agreement (i.e. the Zai Lab Agreement) con-
tains more than one performance obligation, the Company recognised revenue at point
in time for transfer of license and the Company recognises revenue over time for supply
of clinical and commercial products as the customer simultaneously receive the benefits
provided by the Company’s performance, satisfied over time.
Other ongoing collaboration and license agreements only contain one single perfor-
mance obligation which is, as the customer simultaneously receive the benefits provided
by the Company’s performance, satisfied over time. As such, the Company recognizes
revenue over time. The recognition of revenue over time is based on a pattern that
best reflects the satisfaction of the related performance obligation, applying the input
method. The input method estimates the satisfaction of the performance obligation as
the percentage of total collaboration costs that are completed each period compared to
the total estimated collaboration costs.
Research and development service fees are recognized as revenue when costs are
incurred and agreed by the parties as the Company is acting as a principal in the scope
of its stake of the research and development activities of its ongoing collaboration and
license agreements.
2.17.3
Grants, Research and Development Incentives,
Payroll Tax Rebates and Changes in Fair Value on
Non-Current Financial Assets
Because it carries out extensive research and development activities, the Company
benefits from various grants, research and development incentives and payroll tax
rebates from certain governmental agencies. These grants, research and development
incentives and payroll tax rebates generally aim to partly reimburse approved expendi-
tures incurred in research and development efforts of the Company and are credited to
the consolidated statements of profit or loss, under the line “Other operating income”,
when the relevant expenditure has been incurred and there is reasonable assurance
that the grants or research and development incentives are receivable. Fair value gains
resulting from the change in the fair value of non-current financial assets are credited to
the consolidated statements of profit or loss, under the line “Other operating income”.
2.18
Cost of Sales
Cost of sales are related to the sale of VYVGART and are recognised when the associated
revenue is recognised. Cost of sales include material, manufacturing costs and other
costs attributable to production, including shipping costs, as well as royalties payable on
sales of VYVGART.
2.19
Trade Receivables
Trade receivables are initially recognized at their invoiced amounts less adjustments for
estimated revenue deductions such as rebates, chargebacks and returns.
Loss allowance for expected credit losses are established using a simplified approach of
forward-looking expected credit loss model (ECL), which includes possible default events
on the trade receivables over the entire holding period of the trade receivable. These
provisions represent the difference between the trade receivable’s carrying amount
in the consolidated statements of financial position and the estimated collectible
amount. Charges for loss allowance for expected credit losses are recorded as marketing
and selling costs recognized in the consolidated statements of profit or loss and the
consolidated statements of other comprehensive income within “Selling, general and
administrative” expenses.
2.20
Segment Reporting
Segment results include revenue and expenses directly attributable to a segment and
the relevant portion of revenue and expenses that can be allocated on a reasonable
basis to a segment. Segment assets and liabilities comprise those operating assets
and liabilities that are directly attributable to the segment or can be allocated to the
segment on a reasonable basis. Segment assets and liabilities do not include income
tax items.
The Company manages its activities and operates as one business unit which is reflected
in its organizational structure and internal reporting. The Company does not distinguish
in its internal reporting different segments, neither business nor geographical segments.
The chief operating decision maker is the Board of Directors.
3
Critical Accounting Estimates
and Judgments
In the application of the Company’s accounting policies, which are described above, the
Company is required to make judgments, estimates and assumptions about the carrying
amounts of assets and liabilities that are not readily apparent from other sources. The
estimates and associated assumptions are based on historical experience and other fac-
tors that are considered to be relevant. Actual results may differ from these estimates.
The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions
to accounting estimates are recognized in the period in which the estimate is revised if
the revision affects only that period or in the period of the revision and future periods if
the revision affects both current and future periods.
Critical Estimates in Applying Accounting Policies
Gross to Net Adjustments
Our product gross sales are subject to various deductions, which are primarily composed
of rebates to government agencies, distributors, health insurance companies and
managed healthcare organizations. These deductions represent estimates of the related
obligations, requiring the use of judgment when estimating the effect of these sales de-
ductions on product gross sales for a reporting period. These adjustments are deducted
from product gross sales to arrive at product net sales. The significant components of
variable consideration under revenue recognition policy summarizes the nature of these
deductions and how the deduction is estimated. After recording these, product net sales
represent our best estimate of the cash that we expect to ultimately collect.
4
Property, Plant and Equipment
(in thousands of $)
IT, office
and lab
equipment
Right-of-
use assets
Buildings
Right-of-
use assets
Vehicles
Leasehold
improve-
ments
Lease
equipment
Total
Cost
On January 1, 2020
3,906
7,741
1,098
908
317
13,970
Additions
733
3,335
1,074
432
–
5,574
Disposals
(110)
–
–
–
–
(110)
Translation differences
360
645
101
84
29
1,219
On December 31, 2020
4,889
11,721
2,273
1,424
346
20,653
Additions
3,163
4,923
802
543
–
9,430
Disposals
(217)
–
–
–
–
(217)
Currency translation adjustment
104
(182)
–
14
–
(64)
On December 31, 2021
7,938
16,462
3,075
1,981
346
29,802
Additions
962
3,353
905
–
–
5,219
Disposals
(105)
–
–
–
–
(105)
Currency translation adjustment
(635)
–
–
–
–
(635)
On December 31, 2022
8,160
19,815
3,980
1,981
346
34,282
Depreciation and impairment
On January 1, 2020
(2,909)
(1,477)
(262)
(103)
(44)
(4,795)
Depreciation
(535)
(2,262)
(441)
(401)
(32)
(3,671)
Disposals
103
–
–
–
–
103
Translation differences
(301)
(305)
(57)
(39)
(6)
(708)
On December 31, 2020
(3,642)
(4,044)
(760)
(543)
(82)
(9,071)
Depreciation
(1,118)
(2,714)
(651)
(539)
(34)
(5,055)
Disposals
158
–
–
–
–
158
Currency translation adjustment
37
(15)
–
(11)
–
10
(in thousands of $)
IT, office
and lab
equipment
Right-of-
use assets
Buildings
Right-of-
use assets
Vehicles
Leasehold
improve-
ments
Lease
equipment
Total
On December 31, 2021
(4,565)
(6,774)
(1,411)
(1,093)
(116)
(13,958)
Depreciation
(1,388)
(2,179)
(735)
(257)
(35)
(4,593)
Disposals
90
–
–
–
–
90
Currency translation adjustment
408
5
1
1
–
414
On December 31, 2022
(5,454)
(8,948)
(2,145)
(1,350)
(150)
(18,047)
Carrying Amount
On December 31, 2020
1,247
7,677
1,513
881
264
11,582
On December 31, 2021
3,373
9,688
1,664
888
230
15,844
On December 31, 2022
2,706
10,867
1,835
631
196
16,234
As of December 31, 2022, there are no material commitments to acquire property, plant
and equipment, except as set forth in
note 29
. Furthermore, no items of property, plant
and equipment are pledged. See
note 22
for information for leases where the Company
is a lessee.
5
Intangible Assets
(in thousands of $)
Acquired In-
Process R&D
Software &
databases
Other
Intangibles
Total
Cost
On January 1, 2020
44,802
473
–
45,275
Additions
16,182
2,814
98,000
116,996
Translation differences
4,196
256
1,058
5,510
On December 31, 2020
65,180
3,543
99,058
167,781
Additions
5,000
–
–
5,000
Disposals
–
(190)
–
(190)
On December 31, 2021
70,180
3,353
99,058
172,591
Additions
992
–
102,000
102,992
Disposals
–
(5)
–
(5)
Derecognition
–
–
(99,058)
(99,058)
On December 31, 2022
71,171
3,348
102,000
176,519
Amortization and impairment
On January 1, 2020
–
(158)
–
(158)
Amortization
–
(246)
–
(246)
Translation differences
–
(33)
–
(33)
On December 31, 2020
–
(437)
–
(437)
Amortization
–
(470)
–
(470)
On December 31, 2021
–
(907)
–
(907)
Amortization
–
(711)
(99,058)
(99,768)
Derecognition
–
–
99,058
99,058
On December 31, 2022
–
(1,618)
–
(1,618)
Carrying Amount
On December 31, 2020
65,180
3,106
99,058
167,344
On December 31, 2021
70,180
2,446
99,058
171,684
On December 31, 2022
71,171
1,730
102,000
174,901
The Company performed an annual impairment review on the intangible assets not yet
available for use. This review did not result in the recognition of an impairment charge.
During the third quarter of 2022, the Company utilized the PRV submitted with the BLA
filing for SC efgartigimod for the treatment of gMG, which resulted in amortization of
$99.1 million of research and development expenses within the consolidated statements
of profit or loss and subsequent derecognition of $99.1 million of intangibles included in
other intangibles on the consolidated statements of financial position.
In December 2022, we acquired a PRV for $102 million.
As of December 31, 2022, there are no material commitments to acquire additional
intangible assets, except as set forth in
note 29
. No intangible assets are pledged as
security for liabilities nor are there any intangible assets whose title is restricted.
6
Deferred Taxes
The available deferred tax assets relates to argenx US, Inc. and argenx Japan KK which
are profitable due to the global transfer pricing model of argenx, and the deferred tax
liabilities are related to argenx BV. The amount of deferred tax assets and liability by
type of temporary difference can be detailed as follow:
At December 31, 2022
(in thousands of $)
Assets
Liabilities
Net
Deferred tax assets/(liabilities)
Accruals and allowances
8,884
–
8,884
Income tax benefit from excess tax deductions related
to share-based payments
26,887
–
26,887
Profit in inventory
29,711
–
29,711
R&D capitalized expense
11,316
–
–
Property, plant and equipment
2,569
(549)
2,020
Intangible assets
–
(3,430)
(3,430)
Non-current fixed assets
–
(4,975)
(4,975)
Other
404
–
404
Netting by taxable entity
(549)
549
–
Net deferred tax assets/(liabilities)
79,222
(8,406)
70,817
At December 31, 2021
(in thousands of $)
Assets
Liabilities
Net
Deferred tax assets/(liabilities)
Accruals and allowances
2,858
–
2,858
Income tax benefit from excess tax deductions related
to share-based payments
26,026
–
26,026
Profit in inventory
3,305
–
3,305
Property, plant and equipment
532
(740)
(208)
Intangible assets
–
(2,714)
(2,714)
Non-current fixed assets
–
(3,725)
(3,725)
Other
210
–
210
Netting by taxable entity
(740)
740
–
Net deferred tax assets/(liabilities)
32,191
(6,438)
25,753
At December 31, 2020
(in thousands of $)
Assets
Liabilities
Net
Deferred tax assets/(liabilities)
Accruals and allowances
2,147
–
2,147
Income tax benefit from excess tax deductions related
to share-based payments
13,362
–
13,362
Property, plant and equipment
–
(167)
(167)
Intangible assets
–
(1,792)
(1,792)
Other
–
–
–
Netting by taxable entity
(471)
471
–
Net deferred tax assets/(liabilities)
15,038
(1,487)
13,551
The change in net deferred taxes recorded in the consolidated statements of financial
position can be detailed as follows:
(in thousands of $)
Deferred tax
assets
Deferred tax
liabilities
Balance at January 1, 2022
32,191
(6,438)
Recognized in profit or loss
49,075
(2,180)
Recognized in equity
(1,960)
–
Effects of change in foreign exchange rate
(84)
212
Balance at December 31, 2022
79,222
(8,406)
(in thousands of $)
Deferred tax
assets
Deferred tax
liabilities
Balance at January 1, 2021
15,038
(1,487)
Recognized in profit or loss
11,385
(5,082)
Recognized in equity
5,494
–
Effects of change in foreign exchange rate
274
131
Balance at December 31, 2021
32,191
(6,438)
(in thousands of $)
Deferred tax
assets
Deferred tax
liabilities
Balance at January 1, 2020
–
–
Recognized in profit or loss
8,351
(1,384)
Recognized in equity
6,225
–
Effects of change in foreign exchange rate
462
(103)
Balance at December 31, 2020
15,038
(1,487)
7
Other Non-Current Assets
Other non-current assets consisted of non-current restricted cash and financial assets
held at fair value through profit or loss or through OCI.
Non-current restricted cash on December 31, 2022 was mainly composed of deposit
guarantees paid under the lease agreements for the laboratory and offices of the
Company.
Non-current financial assets held at fair value through profit or loss is comprised of the
profit share in AgomAb Therapeutics NV. In March 2019, the Company entered into a
license agreement with AgomAb Therapeutics NV for the use of HGF-mimetic SIMPLE
Antibodies™, developed under the Company’s Immunology Innovative Program. In
exchange for granting this license, the Company received a profit share in AgomAb
Therapeutics NV. Since AgomAb Therapeutics NV is a private company, the valuation of
the profit share is based on level 3 assumptions.
At December 31,
(in thousands of $)
2022
2021
2020
Non-current restricted cash
1,736
1,707
1,509
Non-current financial assets held at fair value
through profit or loss
21,715
17,459
6,307
Non-current financial assets held at fair value
through OCI
17,443
35,710
–
Total other non-current assets
40,894
54,876
7,816
In June 2022, AgomAb Therapeutics NV secured €38.4 million as a result of the exten-
sion of Series B. The Company used the post-money valuation of this Series B financing
round and the number of outstanding shares in determining the fair value of the profit-
sharing instrument, which results in a change in fair value of non-current financial assets
of $4.3 million recorded through profit or loss.
Fair value changes on non-current financial assets with fair value through profit or loss
are recognized in the consolidated statements of profit or loss in line “Other operating
income”.
As part of the license agreement for the development and commercialization for
efgartigimod in Greater China, the Company obtained, amongst others, 568,182 newly
issued Zai Lab shares calculated at a price of $132 per share. The fair value of the equity
instrument at reporting date is determined by reference to the closing price of such se-
curities at each reporting date (classified as level 1 in the fair value hierarchy), resulting
in a change in fair value. The Company made the irrevocable election to recognize sub-
sequent changes in fair value through OCI in line “Fair value gain/(loss) on investments
in equity instruments designated as at FVTOCI”.
The table below illustrates these non-current financials assets at fair value through profit
or loss or OCI as of December 31, 2022, 2021 and 2020.
At December 31,
(in thousands of $)
2022
2021
2020
Cost at January 1
76,659
1,659
1,659
Additions of the year
–
75,000
–
Cost at December 31
76,659
76,659
1,659
Fair value adjustments at January 1
(23,490)
4,648
1,257
Fair value adjustment of the year through profit or loss
4,256
11,152
2,951
Fair value adjustment of the year through OCI
(18,267)
(39,290)
–
Translation difference
–
–
440
Fair value adjustment at December 31
(37,501)
(23,490)
4,648
Net book value at December 31
39,158
53,169
6,307
8
Inventories
At December 31,
(in thousands of $)
2022
2021
2020
Raw materials and consumables
126,046
70,134
18,608
Inventories in process
65,016
37,705
6,587
Finished goods
37,291
1,237
–
Total inventories
228,353
109,076
25,195
The cost of inventories, which is recognized as an expense and included in the “cost of
sales” on the consolidated statements of profit or loss, amounted to $29.4 million for
the year ended December 31, 2022.
On December 31, 2022, inventories amounted to $99.3 million was related to pre-launch
SC efgartigimod inventory. Of the total inventory, $76.5 million relates to inventory
which is currently awaiting facility approval. As of December 31, 2022, no inventory
write-downs were recorded.
Included in inventory are products which could, besides commercial activities, be used
for in-house preclinical and clinical programs, non-reimbursed pre-approval programs
and clinical programs carried out by Zai Lab.
9
9 Trade and Other Receivables
The trade and other receivables are composed of receivables which are detailed below:
At December 31,
(in thousands of $)
2022
2021
2020
Trade receivable
241,228
28,058
287
Interest receivable
12,918
1,325
993
Other receivable
21,551
8,838
5,698
Total trade and other receivables
275,697
38,221
6,978
The carrying amounts of trade and other receivables approximate their respective fair
values. On December 31, 2022, we did not have any provision for expected credit losses.
Please also refer to
note 26
for more information on the financial risk management.
10
Financial Assets – Current
These current financial assets relate to term accounts with an initial maturity longer
than 3 months but less than 12 months and money market funds that do not qualify
as cash equivalents.
At December 31,
(in thousands of $)
2022
2021
2020
Money market funds
46,162
73,052
130,290
Term accounts
1,345,646
929,000
649,359
Total current financial assets
1,391,808
1,002,052
779,649
On December 31, 2022, the current financial assets included $376.8 million
(€353.3 million) held in EUR, which could generate a foreign currency exchange gain or
loss in our financial results in accordance with the fluctuations of the USD/EUR exchange
rate as the Company’s functional currency is USD.
Please also refer to
note 26
for more information on the financial risk management.
11
Cash and Cash Equivalents
Cash and cash equivalents may comprise of cash and bank balances, saving accounts,
term accounts with an original maturity not exceeding 3 months and money market
funds that are readily convertible to cash and are subject to an insignificant risk of
changes in value.
At December 31,
(in thousands of $)
2022
2021
2020
Money market funds
669,147
997,092
858,291
Term accounts
54,116
95,090
61,356
Cash and bank balances
77,477
242,494
297,156
Total cash and cash equivalents
800,740
1,334,676
1,216,803
Cash positions are invested with preferred financial partners, which are mostly
considered to be high quality financial institutions with sound credit ratings to reduce
credit risk.
On December 31, 2022, the cash and cash equivalents included $237.1 million
(€222.3 million) held in EUR, and $59.0 million (£49.1 million) held in GBP which could
generate a foreign currency exchange gain or loss in our financial results in accordance
with the fluctuations of the USD/EUR and USD/GBP exchange rates as the Company’s
functional currency is USD.
Please also refer to
note 26
for more information on the financial risk management.
12
Share Capital and Share Premium
On December 31, 2022, the Company’s share capital was represented by 55,395,856
shares. All shares were issued, fully paid up and of the same class. The table below
summarizes our share issuances as a result of offerings, exercise of stock options and
the vesting of restricted stock units under the Company’s Employee Stock Option Plan.
Roll forward of number of shares outstanding:
Number of shares outstanding on January 1, 2020
42,761,528
Exercise of stock options
602,463
Global public offering in Euronext and Nasdaq on May 28, 2020
3,658,515
Over-allotment option exercised by underwriters on May 29, 2020
548,777
Number of shares outstanding on December 31, 2020
47,571,283
Exercise of stock options
503,282
Global public offering in Euronext and Nasdaq on February 2, 2021
3,125,000
Over-allotment option exercised by underwriters on February 4, 2021
468,750
Number of shares outstanding on December 31, 2021
51,668,315
Exercise of stock options
1,024,626
Vesting of RSUs
19,581
Global public offering in Euronext and Nasdaq on March 23, 2022
2,333,334
Over-allotment option exercised by underwriters on March 29, 2022
350,000
Number of shares outstanding on December 31, 2022
55,395,856
Issuance of shares in January 2023 relating to exercise of stock options and
vesting of RSU in December 2022
15,076
On March 23, 2022, argenx SE offered 2,333,334 of its ordinary shares through a
global offering which consisted of 1,433,701 ADSs in the U.S. at a price of $300.0 per
ADS, before underwriting discounts and commissions and offering expenses; and
899,633 ordinary shares in the European Economic Area at a price of €273.10 per share,
before underwriting discounts and commissions and offering expenses. On March 29,
2022, the underwriters of the offering exercised their overallotment option to purchase
350,000 additional ADSs in full. As a result, argenx SE received $804.1 million in gross
proceeds from this offering, decreased by $44.2 million of underwriter discounts and
commissions, and offering expenses, of which $44.0 million has been deducted from
equity. The total net cash proceeds from the offering amounted to $761 million.
On May 10, 2022, at the annual general meeting, the shareholders of the Company
approved the authorization to the Board to issue up to a maximum of 10% of the
then-outstanding share capital, for a period of 18 months.
On December 31, 2022, an amount of €428,954.5, represented by 4,289,545 shares,
still remained available under the authorization to issue shares as granted to the Board
by the shareholders of the Company.
13
Share-Based Payments
The Company has an equity incentive plan for the employees, key consultants, board
members, senior managers and key outside advisors (“key persons”) of the Company
and its subsidiaries. In accordance with the terms of the plan, as approved by share-
holders, employees may be granted stock options and/or restricted stock units.
13.1
Stock Option
The stock options are granted to key persons of the Company and its subsidiaries. The
stock options may be granted to purchase ordinary shares at an exercise price. The stock
options have been granted free of charge. Each employee’s stock option converts into
one ordinary share of the Company upon exercise. The stock options carry neither rights
to dividends nor voting rights. Stock options may be exercised at any time from the date
of vesting to the date of their expiry. As of January 1, 2021, the Company decided to
change the vesting period of its sign-on stock options from 4 years to 3 years to make
the vesting consistent for all the options granted.
The stock options granted (regular and sign-on) vest, in principle, as follows:
•
1/3
rd
of the total stock options granted will vest on the first anniversary of the
granting of the stock options, and
•
1/36
th
of the total grant on the first day of each month following the first anniversary
of the date of grant of the stock options.
Upon leave of the employee, consultant or director, stock options must be exercised
before the later of (i) 90 days after the last working day at argenx, or (ii) March 31 of the
4
th
year following the date of grant of those stock options, and in any case no later than
the expiration date of the option.
In order to prefinance the taxes that are paid upon the grant of stock options, Belgian
employees have the ability, in exchange for the taxes due upon the grant of the stock
options, to transfer the economic benefits related to part of those stock options to a
third party. As of December 31, 2022, the economic benefits of 242,729 stock options,
for which accelerated vesting applies, were transferred to a third party.
No other conditions are attached to the stock options.
The following stock option arrangements were in existence during the current and prior
years and which are exercisable at the end of each period presented:
Outstanding stock options on December 31,
Expiry date
Exercise price per
stock options
(in $)
1)
2022
2021
2020
2022
2.60
–
125,339
–
2023
2.60
–
–
165,693
2024
2.60
19,743
94,088
100,086
2024
4.21
5,127
6,113
6,238
2024
7.65
214,800
276,500
294,167
2025
12.20
2,000
4,500
21,500
2025
11.02
–
–
950
2025
10.10
101,861
105,857
114,232
2026
12.13
30,000
41,000
45,000
2026
12.23
99,772
102,840
127,252
2026
15.08
115,211
117,581
176,426
2027
19.64
42,509
53,143
102,479
2027
22.58
303,867
361,350
460,701
2023
86.20
12,111
85,080
85,077
2028
86.20
19,490
39,515
49,532
2023
92.07
124,338
321,473
325,661
2028
92.07
264,392
350,631
381,317
2024
121.04
110,774
111,174
111,174
2029
121.04
110,756
146,765
163,410
2024
144.79
202,852
203,658
195,452
2029
144.79
537,110
611,122
692,914
2025
127.49
16,712
16,712
19,000
2030
127.49
71,486
102,558
123,700
2025
209.21
127,731
129,711
131,770
2030
209.21
223,812
282,475
325,150
2025
213.55
32,100
32,100
32,100
2030
213.55
117,790
136,601
175,200
2030
264.09
620,014
692,214
728,517
2025
264.09
202,475
203,214
211,045
2026
250.01
23,491
24,366
–
2026
272.09
60,890
61,505
–
2026
276.78
45,862
48,138
–
2031
250.01
35,214
42,282
–
2031
272.09
167,406
207,464
–
2031
276.78
81,311
92,456
–
Outstanding stock options on December 31,
Expiry date
Exercise price per
stock options
(in $)
1)
2022
2021
2020
2026
329.79
80,833
82,430
–
2031
329.79
286,353
307,158
–
2027
301.31
14,976
–
–
2032
301.31
79,155
–
–
2027
381.31
61,816
–
–
2032
381.31
238,532
–
–
2027
393.04
13,764
–
–
2032
393.04
85,199
–
–
2027/2032
2)
383.55
508,132
–
–
5,511,767
5,619,113
5,365,743
1)
Amounts have been converted to USD at the closing rate as of December 31, 2022.
2)
As of December 2022, the Company granted options for which the beneficiaries had a 60-day period to
choose between a contractual term of five or ten years.
2022
2021
2020
Number
of stock
options
Weighted
average
exercise
price
1)
(in $)
Number
of stock
options
Weighted
average
exercise
price
1)
(in $)
Number
of stock
options
Weighted
average
exercise
price
1)
(in $)
Outstanding at January 1
5,619,113
164.33
5,365,743
142.87
4,358,069
78.23
Granted
1,021,642
375.58
882,584
314.99
1,797,652
266.71
Exercised
(1,025,780)
92.62
(503,282)
64.72
(602,463)
38.86
Forfeited
(103,208)
273.93
(125,932)
234.98
(187,515)
170.98
Outstanding at December 31
5,511,767
205.02
5,619,113
164.33
5,365,743
142.87
Exercisable at December 31
3,983,960
148.11
3,613,371
106.53
2,833,680
65.24
1)
Amounts have been converted to USD at the closing rate of the respective period.
The weighted average share price at the date of exercise of options exercised during
the year ended December 31, 2022 was $336.5, compared to $305.9 during the year
ended December 31, 2021 and $254.54 during the year ended December 31, 2020. The
weighted average remaining contractual life of the stock options outstanding amounted
to 6.2 years on December 31, 2022 compared to 6.3 years on December 31, 2021 and
7.08 years on December 31, 2020. The table below shows the weighted average remai-
ning contractual life for each range of exercise price:
Exercise price
(in $)
Outstanding on
December 31, 2022
Weighted average
remaining contrac-
tual life
(in years)
2.6 – 4.21
24,870
1.75
7.65 – 10.1
316,661
2.29
11.03 – 15.07
246,983
3.66
19.64 – 22.58
346,376
4.90
86.2 – 92.07
420,331
4.32
121.05 – 144.79
1,049,690
5.32
209.21 – 264.09
1,382,627
6.43
272.09 – 329.79
816,786
7.60
381.31 – 393.04
907,443
9.38
The fair market value of the stock options has been determined based on the Black and
Scholes model using the following unobservable assumptions:
•
The expected volatility, determined on the basis of the implied volatility of the share
price over the expected life of the option.
•
The expected option life, calculated as the estimated duration until exercise, taking
into account the specific features of the plans.
Below is an overview of the parameters used in relation to the determination of the fair
value of the grants during 2022:
Stock options granted in
April 2022
July 2022
Oct 2022
Dec 2022
1)
Number of options granted
102,081
311,311
100,118
508,132
Average Fair value of options (in $)
2)
111.27 – 140.23
153.45 – 190.53
136.66 – 169.96
163.94 – 168.34
Share price (in $)
2)
320.84 – 321.06
378.11 – 397.92
352.97 – 376.01
377.61
Exercise price (in $)
2)
312.22
372.69
359.80
381.97
Expected volatility (in %)
39.18 – 40.87
41.30 – 43.10
39.64 – 45.97
39.70 – 39.74
Average Expected option life (in years)
4 – 6.50
4 – 6.50
4 – 6.50
6.15 – 6.50
Risk free interest rate (in %)
1.05 – 1.62
1.77 – 2.28
2.57 – 2.80
3.09 – 3.10
Expected dividends (in %)
–
–
–
–
1)
In December 2022, the Company granted a total of 508,132 stock options. The beneficiary can choose between a contractual
term of five or ten years. The expected option life ranges between 6.15 and 6.50 years. This estimate will be reassessed once
the acceptance period of 60 days has passed and the beneficiaries will have made a choice between a contractual term of five
or ten years. The total fair value of the grant would range from $77.4 million (100% of the stock options with a contractual term
of five years) to $84.1 million (100% of the stock options with a contractual term of ten years ).
2)
Amounts have been converted to USD at the applicable rate prevailing at the grant date.
Below is an overview of the parameters used in relation to the determination of the fair
value of grants during 2021:
Stock options granted in
April 2021
July 2021
Oct 2021
Dec 2021
Number of options granted
67,833
280,339
144,824
389,588
Average Fair value of options (in $)
1)
98.96 – 154.88
131.65 – 159.13
101.53 – 131.80
75.03 – 145.34
Share price (in $)
1)
248.9 – 283.67
300.78 – 340.95
286.52 – 304.5
277.72 – 351.73
Exercise price (in $)
1)
275.33
303.16
301.02
349.92
Expected volatility (in %)
54.24 – 60.08
45.58 – 47.96
46.01 – 48.46
43.24 – 43.64
Average Expected option life (in years)
4 – 6.50
4 – 6.50
4 – 6.50
4 – 6.50
Risk free interest rate (in %)
(0.41) – (0.08)
(0.41) – (0.17)
(0.18) – (0.05)
0.03 – 0.67
Expected dividends (in %)
–
–
–
–
1)
Amounts have been converted to USD at the applicable rate prevailing at the grant date.
Below is an overview of the parameter used in relation to the determination of the fair
value of grants during 2020:
Stock options granted in
April 2020
June 2020
Oct 2020
Dec 2020
Number of options granted
142,700
550,090
196,500
908,362
Average Fair value of options (in $)
1)
76.46 – 148.03
83.46 – 129.64
91.10 – 156.68
101.23 – 229.20
Share price (in $)
1)
155.23 – 252.29
224.80 – 281.25
256.46 – 293.52
273.15 – 383.10
Exercise price (in $)
1)
146.68
240.70
245.69
303.83
Expected volatility (in %)
44.44 – 64.77
43.46 – 52.19
44.17 – 52.71
46.80 – 59.94
Average Expected option life (in years)
4 – 6.68
4 – 6.68
4 – 6.68
4 – 6.68
Risk free interest rate (in %)
(0.32) – (0.18)
(0.43) – (0.28)
(0.51) – (0.34)
(0.51) – (0.28)
Expected dividends (in %)
–
–
–
–
1)
Amounts have been converted to USD at the closing rate of the respective period.
The total share-based payment expense related to stock options recognized in the
consolidated statements of profit or loss totaled $120.2 million for the year ended
December 31, 2022, compared to $171.2 million for the year ended December 31, 2021
and $96.9 million for the year ended December 31, 2020.
13.2
Restricted Stock Units (RSUs)
The RSUs are granted to key persons of the Company and its subsidiaries. The RSUs have
been granted free of charge. Each employee’s RSUs converts into one ordinary share of
the Company upon vesting. The RSUs carry neither rights to dividends nor voting rights.
RSUs once converted into ordinary shares, may be sold at any time from the date of
vesting, have no expiry date and may be held by the participant without limitation.
The fair value of RSUs is based on the closing sale price of our common stock on the
day prior to the date of issuance. RSUs vest over a period of 4 years with 1/4
th
of the
total grant vesting at each anniversary of the date of grant.
The following restricted stock units arrangements were in existence during the current
and prior years:
2022
2021
Number
of RSUs
Weighted
average Grant
Date Fair Value
(in$)
Number
of RSUs
Weighted
average Grant
Date Fair Value
(in$)
Non-vested units – at January 1
213,038
314.25
–
–
Granted
243,010
375.81
216,522
313.84
Vested
(53,872)
–
–
–
Forfeited
(16,896)
307.11
(3,484)
288.92
Non-vested units – at December 31
385,280
387.20
213,038
314.25
The total share-based payment expense related to RSUs recognized in the consolidated
statements of profit or loss totaled $36.9 million for the year ended December 31, 2022
compared to $8.1 million for the year ended December 31, 2021. There was no RSUs
related expense during the year ended December 31, 2020 as the Company only started
granting the RSUs in 2021.
14
Trade and Other Payables
At December 31,
(in thousands of $)
2022
2021
2020
Trade payables
188,721
208,850
206,325
Short term employee benefits
84,337
83,737
68,867
Gross-to-net-accruals
19,478
–
–
Other
3,142
828
–
Total trade and other payables
295,679
293,415
275,192
The carrying amounts of trade and other payables approximate their respective fair
values.
Trade payables correspond primarily to clinical and manufacturing activities and include
accrued expenses related to these activities.
Short-term employee benefits include payables and accruals for salaries and bonuses to
be paid to the employees of the Company.
As of December 31, 2022, the movement in the gross-to-net-accruals was as follows:
(in thousands of $)
Rebates and
chargebacks
Distribution fees,
product returns
and other
Total
Balance at January 01, 2022
–
–
–
Current estimate related to the
sales made in the current year
35,426
10,740
46,166
(Credits or payments related to
sales made during the year)
(20,028)
(6,661)
(26,689)
Balance at December 31, 2022
15,399
4,079
19,478
15
Product Net Sales
For the twelve months ended December 31, 2022, the product net sales was related
to sales of VYVGART in the US following the approval of VYVGART by U.S. Food and
Drug Administration (FDA) on December 17, 2021, in Japan following the approval of
VYVGART by Pharmaceuticals and Medical Devices Agency (
PMDA
) on January 20, 2022
and Europe following the approval of VYVGART by European Commission on August
11, 2022. No product net sales were recognized during the comparable prior periods.
Product gross sales for twelve months ended December 31, 2022 was $446.9 million
and the gross to net adjustment for twelve months ended December 31, 2022 was
$46.2 million, resulting in $400.7 million of product net sales for twelve months ended
December 31, 2022. Refer to
note 18
for the breakdown of Product net sales by country
of sale for twelve month ended December 31, 2022.
16
Collaboration Revenue
The following table summarizes details of collaboration revenues for the year ended
December 31, 2022, 2021 and 2020 by collaboration agreement and by category of
revenue: upfront payments, milestone payments, research and development service
fees and other revenue.
Year Ended December 31,
(in thousands of $)
2022
2021
2020
Zai Lab
–
151,903
–
Janssen
–
292,279
33,759
AbbVie
–
121
565
Other
–
–
38
Upfront payments
–
444,303
34,362
Zai Lab
–
25,634
–
Janssen
–
22,865
2,641
AbbVie
–
102
762
Other
5,365
1,214
19
Milestone payments
5,365
49,815
3,422
Janssen
–
2,028
3,175
Other
424
298
284
Research and development service fees
424
2,326
3,459
Zai Lab
4,238
833
–
Other revenues
4,238
833
–
Total revenue
10,026
497,277
41,243
For the years ended December 31, 2022, 2021 and 2020, the collaboration revenue was
generated under the agreements with Zai Lab, Janssen and AbbVie, each as described
below.
The table below summarizes the change in deferred revenue – current and non-current
for the year ended December 31, 2022, 2021 and 2020.
(in thousands of $)
Janssen
AbbVie
Other
Total
On January 1, 2020
324,629
1,517
56
326,202
Received
Milestone
–
–
–
–
Revenue recognition
Upfront
(33,759)
(565)
(38)
(34,362)
Milestone
(2,641)
(762)
(19)
(3,422)
Translation difference
26,915
33
1
26,949
On December 31, 2020
315,144
223
–
315,367
Received
Upfront
–
–
–
–
Milestone
–
–
–
–
Revenue recognition
Upfront
(292,279)
(121)
–
(292,400)
Milestone
(22,865)
(102)
–
(22,967)
On December 31, 2021
–
–
–
–
Received
Upfront
–
–
–
–
Milestone
–
–
–
–
Revenue recognition
Upfront
–
–
–
–
Milestone
–
–
–
–
On December 31, 2022
–
–
–
–
Below are summaries of the key collaborations:
Zai Lab
On January 6, 2021, argenx and Zai Lab announced the License agreement for the
development and commercialization of efgartigimod in Greater China, granting Zai Lab
the exclusive rights to develop and commercialize efgartigimod in Greater China.
Under the terms of the agreement, the Company received $175 million in collaboration
payments, comprised of a $75 million upfront payment in the form of 568,182 newly
issued Zai Lab shares calculated at a price of $132 per share, $75 million as guaranteed
non-creditable, non-refundable payment, received in the first quarter of 2021, and an
additional $25 million milestone payment upon regulatory approval of efgartigimod by
FDA in the U.S. The Company is also eligible to receive tiered royalties (mid-teen to low
twenties on a percentage basis) based on annual net sales of efgartigimod in Greater
China.
With regard to this collaboration with Zai Lab:
•
The Company concluded there are two performance obligations under EU-IFRS
15, being the transfer of a license and the at arms-length supply of clinical and
commercial product. The Company concluded that these performance obligations
are distinct in the context of the contract.
•
The Company concluded that the Subscription Shares granted by Zai Lab, as included
in the Share Issuance Agreement, entered into on January 6, 2021, was obtained
because of the existing obligations under the terms of the Collaboration and License
Agreement, and is therefore to be considered to be part of the overall consideration
received.
•
The transaction price of these two agreements is composed of a fixed part, that
being an upfront payment of $75 million in the form of newly issued Zai Lab shares,
and a $75 million guaranteed, non-creditable, non-refundable payment and
$25 million milestone for approval of efgartigimod in the U.S. and the consideration
received in return for the supply of clinical and commercial product. Sales-based
milestones and sales-based royalties are a part of the Company’s arrangements but
are not yet included in its revenue.
•
The fixed part of the transaction price, as well as the $25 million milestone for
approval of efgartigimod in the U.S. has been allocated to the transfer of a license
performance obligation.
•
The Company concludes that the license as of the effective date of the contract has
standalone value. As such, the Company concluded that the promise in granting the
license to Zai is to provide a right to use the entity’s intellectual property as it exists
at the point in time at which the license is granted and therefore, revenue accrued
has been recognized at a point in time. This conclusion was reached, taking into
account following aspects:
◦
there are no material restrictions included in the contract which would prevent
Zai Lab to direct the use of, and obtain substantially all of the remaining
benefits, within Greater China and considering the sales-based royalties which
become due to the Company upon successful commercialization.
◦
the current phase of efgartigimod, successfully completed the Phase III trials.
•
Under the collaboration agreement, the Company provides clinical and commercial
supply to Zai Lab. Company concludes to recognize such sales as revenue given that
the Company acts as principal in the transaction as the risk related to inventory is
born by the Company until the inventory is transferred to Zai. The revenue related to
clinical and commercial supply is recorded under line item “Other revenues” within
the collaboration revenue footnote.
AbbVie
In April 2016, the Company entered into a collaboration agreement with AbbVie S.À.R.L.
(AbbVie) to develop and commercialize ARGX-115 (ABBV-151). Under the terms of the
collaboration agreement, the Company was responsible for conducting and funding
all ARGX 115 (ABBV-151) research and development activities up to completion of IND
enabling studies.
The Company granted AbbVie an exclusive option, for a specified period following
completion of IND enabling studies, to obtain a worldwide, exclusive license to the ARGX
115 (ABBV-151) program to develop and commercialize products. The Company received
an upfront, non-refundable, non-creditable payment of $40 million from AbbVie for the
exclusive option to license ARGX 115 (ABBV-151). The Company achieved two preclinical
milestones, each of which triggered a $10.0 million payment.
In August 2018, AbbVie exercised its option and has assumed certain development
obligations, being solely responsible for all research, development and regulatory costs
relating to ARGX-115 based products. In March 2019, the Company achieved the first de-
velopment milestone upon initiation of a first-in-human clinical trial, triggering a $30.0
million payment. Subject to the continuing progress of ARGX-115 (ABBV-151) by AbbVie,
the Company is eligible to receive development, regulatory and commercial milestone
payments in aggregate amounts of up to $110 million, $190 million and
$325 million, respectively, as well as tiered royalties on sales at percentages ranging
from the mid single digits to the lower teens, subject to customary reductions.
The Company has the right, on a product by product basis to co promote ARGX 115
(ABBV-151) based products in the European Economic Area and Switzerland and to com-
bine the product with the Company’s own future immuno oncology programs. The co-
promotion effort would be governed by a co promotion agreement negotiated in good
faith by the parties. AbbVie will fund further GARP related research by the Company for
an initial period of two years. AbbVie will have the right to license additional therapeutic
programs emerging from this research, for which the Company could receive associated
milestone and royalty payments.
With regard to its collaboration with AbbVie, the Company concluded as follows:
•
There is one single performance obligation under EU-IFRS 15, that being the transfer
of a license combined with performance of research and development activities. The
Company concluded that the license is not distinct in the context of the contract.
•
The transaction price of these two agreements is currently composed of a fixed part,
that being an upfront license fee, and a variable part, being milestone payments and
cost reimbursements of research and development activities delivered. Milestone
payments are only included in the transaction price to the extent it is highly probable
that a significant reversal in the amount of cumulative revenue recognition will not
occur when the uncertainty associate with the variable consideration is subsequently
resolved. We estimate the amount to be included in the transaction price upon
achievement of the milestone event. Sales-based milestones and sales-based
royalties are a part of the Company’s arrangements but are not yet included in its
revenues.
•
The transaction price has been allocated to the single performance obligation
and revenues have been recognized over the estimated service period based on a
pattern that reflects the transfer of the license and progress to complete satisfaction
of the research and development activities. This is because we considered that
there is a transformational relationship between the license and the research and
development activities to be delivered.
•
The Company has chosen an input model to measure the satisfaction of the single
performance obligation that considers percentage of costs incurred for these
programs that are completed each period (percentage of completion method).
•
Cost reimbursements received are recognized in revenues when costs are incurred
and agreed by the parties, as the Company is acting as a principal in the scope of its
stake of the research and development activities of its ongoing collaboration and
license agreements.
Janssen
On June 4, 2021, the Company received a termination notification from Cilag GmbH
International, an affiliate of Janssen, which results in the termination of the Collabo-
ration Agreement to jointly develop and commercialize cusatuzumab. As a result, the
Company regains the worldwide rights to its anti-CD70 antibody cusatuzumab.
Under the terms of the agreement, Janssen committed to an upfront payment of
$500 million consisting of a license payment of $300 million and a $200 million equity
investment in the Company by subscribing to 1,766,899 new shares at a price of
€100.02 per share, including an issuance premium. In December 2019, the Company
achieved the first development milestone, triggering a $25.0 million payment.
With regard to this collaboration with Janssen, the Company concluded as follows:
•
There was one single performance obligation under EU-IFRS 15, that being the
transfer of a license combined with performance of research and development
activities. The Company concluded that the license is not distinct in the context of
the contract.
•
The Company concluded that the share premium that Janssen paid above the closing
price on the day of entering into the investment agreement (being December 2,
2018) was paid because of the existing obligations to deliver development services
under the terms of the collaboration agreement and was therefore considered to be
part of the overall consideration received.
•
The transaction price of these two agreements composed of a fixed part, that being
an upfront license fee, and a variable part, being milestone payments and cost
reimbursements of research and development activities delivered.
•
The transaction price was allocated to the single performance obligation and revenue
was previously recognized over the estimated service period based on a pattern
that reflects the transfer of the license and progress to complete satisfaction of the
research and development activities.
Following the termination, the Company concluded that it has substantially satisfied
the performance obligation, and as a consequence, recorded $315.1 million for the
12 months ending December 31, 2021.
17
Other Operating Income
Year Ended December 31,
(in thousands of $)
2022
2021
2020
Grants
2,186
4,398
1,365
Research and development incentives
19,502
13,970
10,257
Payroll tax rebates
8,576
12,621
9,095
Change in fair value on non-current financial assets
4,256
11,152
2,951
Total other operating income
34,520
42,141
23,668
17.1
Grants
The grant income is related to grants received from the Flanders Innovation and
Entrepreneurship Agency. No conditions related to the above government grants were
unfulfilled, nor were there any material contingencies related thereon at the date of the
approval of these consolidated financial statements.
17.2
Research and Development Incentives
The Company has accounted for a tax incentive of $19.5 million in the year ended
December 31, 2022, compared to $14.0 and $10.3 million in the year ended December
31, 2021 and December 31, 2020, respectively, following a research and development
tax incentive scheme in Belgium according to which the incentive will be refunded after
a five-year period, if not offset against the current tax payable over the period.
17.3
Payroll Tax Rebates
The Company accounted for $8.6 million payroll tax rebates in the year ended December
31, 2022, compared to $12.6 and $9.1 million in the year ended December 31, 2021
and December 31, 2020, respectively, as a reduction in withholding income taxes for its
highly qualified personnel employed in its research and development department.
18
Segment Reporting
The Company operates from the Netherlands, Belgium, the United States of America,
Japan, Switzerland, Germany, France, Canada, UK, and Italy.
Following table summarizes our product net sales by country of sales based on the
country of the entity that recognizes product net sales:
(in thousands of $)
Year Ended
December 31, 2022
United States
377,659
Japan
15,764
Europe
5,678
Other
1)
1,619
Total product net sales
400,720
1)
The product net sales relates to sales made outside of the U.S., Japan and Europe and relates to named
patient sale made with the U.S. label.
We sell our products through a limited number of distributors and wholesellers. Four
US customers represent approximately 91% of our product net sales in United States
during twelve months ended December 31, 2022.
Collaboration revenue is generated by external customers with their main registered
office geographically located as shown in the table below:
Year Ended December 31,
(in thousands of $)
2022
2021
2020
Denmark
5,365
1,389
342
Belgium
–
–
–
United States
–
317,396
40,901
China
4,238
178,370
–
Other
424
123
–
Total collaboration revenue
10,026
497,277
41,243
The non-current assets of the Company, with the exception of the deferred tax assets,
are geographically located as shown in the table below:
At December 31,
(in thousands of $)
2022
2021
2020
Netherlands
–
–
1
Belgium
275,620
268,733
200,125
United States
2,325
3,138
4,751
Japan
2,763
3,232
2,491
Switzerland
–
8
–
Germany
130
–
–
France
4
–
–
Total
280,841
275,111
207,368
19
Research and
Development Expenses
Year Ended December 31,
(in thousands of $)
2022
2021
2020
Personnel expenses
162,010
160,464
86,036
External research and development expenses
366,955
382,902
259,943
Materials and consumables
2,396
2,735
3,562
Depreciation and amortization
102,132
3,742
2,835
Other expenses
29,872
30,677
18,509
Total research and development expenses
663,366
580,520
370,885
20
Selling, General and
Administrative Expenses
Year Ended December 31,
(in thousands of $)
2022
2021
2020
Personnel expenses
234,740
164,646
108,507
Professional and marketing fees
178,570
102,674
48,681
Supervisory board
6,912
12,958
4,838
Depreciation and amortization
2,211
2,126
1,092
IT expenses
17,431
8,977
–
Other expenses
32,268
16,263
8,525
Total Selling, general and administrative expenses
472,132
307,644
171,643
21
Personnel Expenses
The personnel expenses mentioned in
note 19
and
20
above are as follows:
Year Ended December 31,
(in thousands of $)
2022
2021
2020
Short term employee benefits – Salaries
216,847
135,676
75,437
Short term employee benefits – Social Security
16,274
12,785
9,087
Post-employment benefits
5,406
2,864
1,242
Termination benefits
401
818
1,005
Share based payment
151,912
167,965
92,558
Employer social security contributions stock options
5,910
5,002
15,214
Total personnel expenses
396,750
325,110
194,543
The post employment benefits relate to the pension plans the Company has in place for
its employees.
The average number of full-time equivalents (FTE) employees by function is presented
below:
Year Ended December 31,
(Average Number of FTE)
2022
2021
2020
Research and development
474.8
349.7
213.0
Selling, general and administrative
442.4
264.4
119.5
917.2
614.1
332.5
22
Leases
The statement of financial position shows the following amounts relating to leases:
Year Ended December 31,
(in thousands of $)
2022
2021
2020
Right-of-use assets
Buildings
10,867
9,688
7,677
Vehicles
1,835
1,664
1,513
Equipment
196
230
264
12,897
11,583
9,454
Lease liabilities
Current
3,417
3,509
3,476
Non-current
9,009
7,956
6,181
12,426
11,465
9,657
Additions to the right-of-use assets amounted to $4.2 million for the year ended
December 31, 2022.
The table below shows a maturity analysis of the lease liabilities as on
December 31, 2022:
(in thousands of $)
Less than
1 year
1 – 3 years
3 – 5 years
More than
5 years
Total
contractual
cash flows
Carrying
amount
Lease liabilities
3,408
4,784
3,043
1,167
12,402
12,426
The consolidated statements of profit or loss and the consolidated statements of other
comprehensive income shows the following amounts relating to leases:
Year Ended December 31,
(in thousands of $)
2022
2021
2020
Depreciation charges
Buildings
2,179
2,714
2,262
Vehicles
735
651
441
Equipment
35
34
32
2,949
3,399
2,735
Interest expense (included in finance cost)
1,343
412
201
Expense relating to short-term leases
732
212
264
Expense relating to leases of low-value assets that are
not shown above as short-term leases
21
7
6
The total cash outflow for leases in 2022, 2021 and 2020 was $4.2 million, $4.5 million
and $3.0 million respectively.
The Company did not enter into any lease agreement with variable lease payments
or residual value guarantees. The Company has leases that include extension options.
These options provide flexibility in managing the leased assets and align with the
Company’s business needs. The Company exercises judgement in deciding whether it is
reasonably certain that the extension options will be exercised.
23
Financial Result and Exchange
Gains/(Losses)
Year Ended December 31,
(in thousands of $)
2022
2021
2020
Interest income
24,741
3,489
5,119
Net gain on cash equivalents & current financial
assets held at fair value through profit or loss and
cash equivalents
2,924
144
1,340
Financial income
27,665
3,633
6,459
Net loss on cash equivalents & current financial
assets held at fair value through profit or loss and
cash equivalents
(1,713)
(3,482)
(7,559)
Other financial expense
(2,193)
(1,096)
(401)
Financial expense
(3,906)
(4,578)
(7,960)
Realized exchange gains/(losses)
(3,743)
15
(443)
Unrealized exchange gains/(losses)
(28,989)
(50,068)
(125,791)
Exchange gains/(losses)
(32,732)
(50,053)
(126,234)
The exchange losses of $32.7 million for the year ended December 31, 2022 were pri-
marily attributable to unrealized exchange rate losses on our cash and cash equivalents
and current financial assets position in EUR due to the unfavorable fluctuation of the
EUR/USD exchange rate over the period.
24
Income Tax Expense
The income tax expense for the year can be reconciled to the accounting loss as follows:
Year Ended December 31,
(in thousands of $)
2022
2021
2020
Loss before taxes
729,314
399,743
605,352
Income tax (expense)/benefit calculated at 25.8% for
2022 & 25% for 2021 & 2020
188,163
99,936
151,338
Effect of intercompany asset deal / transaction
(112,200)
—
—
Effect of expenses not deductible in determining
taxable results
(1,570)
(4,441)
868
Effect of share based payment expenses that are not
deductible in determining taxable results
(27,043)
(29,925)
(13,681)
Effect of stock issue expenses that are not taxable in
determining taxable results
11,412
14,119
14,139
Effect of concessions
18,264
13,413
7,900
Effect of change of (de)recognition of deferred tax
assets on tax losses
(194)
(44,232)
(116,711)
Effect of different tax rates in jurisdictions in which
the company operates
(5,566)
(2,084)
(195)
Effect of change of (de)recognition of deferred tax
assets
(51,321)
(50,389)
(45,601)
Withholding tax paid
—
(5,076)
—
(Underprovided)/overprovided in prior years
(12)
398
1,014
Other
(213)
(241)
(146)
Income tax (expense)/benefit recognized in the
consolidated statements of profit or loss
19,720
(8,522)
(3,103)
The tax rate used for the reconciliations above is the corporate income tax rate of
25.8% payable by corporate entities in the Netherlands. The tax rate used for the 2021
and 2020 reconciliations is the corporate income tax rate of 25% payable by corporate
entities in the Netherlands.
On December 27, 2022, argenx Benelux BV transferred certain pipeline activities to
argenx BV through a transfer of assets, (hereafter referred to as “asset deal”), for a
total amount of $449.0 million. As a result of the asset deal, argenx Benelux BV realised
a capital gain on this intellectual property. argenx BV has an unrecognized deferred
tax asset amounting to $112.2 million on the future amortizations on IP assets, which
results in the rate reconciling item categorized as “effect of intercompany asset deal /
transaction”.
Deferred tax have been measured using the substantively enacted or enacted tax rate
as applicable in the respective jurisdictions.
The unrecognized deferred tax asset on unused tax losses amounts to $189.3 million
on December 31, 2022, compared to $203.8 million on December 31, 2021 and
$174.2 million on December 31, 2020. The Company has unused tax losses carried
forward for an amount of $756.1 million on December 31, 2022, compared to
$815.3 million on December 31, 2021, and $696.7 million on December 31, 2020.
The available tax losses carried forward in Belgium and the Netherlands do not have
an expiration date based upon the applicable enacted tax legislation.
As a company active in research and development in Belgium, we expect to benefit from
the innovation income deduction, or IID, in Belgium. The innovation income deduction
regime allows net profits attributable to revenue from among others patented products
to be taxed at a lower effective tax rate than other revenues. At the end of 2022,
2021 and 2020, we had $428.8 million, $213.6 million and $52.1 million of cumulative
carry-forward IID in Belgium. The unrecognized deferred tax asset on IID amounts to
$107.2 million on December 31, 2022, compared to $53.4 million on December 31,
2021, and $13.0 million on December 31, 2020.
Due to the uncertainty surrounding the Company’s ability to realize taxable profits in the
future, the Company did not recognize any deferred tax assets, with the exception of
those further detailed in
note 6
.
Income taxes recognized in the income statement can be detailed as follows:
Year Ended December 31,
(in thousands of $)
2022
2021
2020
Current year
(27,162)
(15,224)
(7,847)
Income tax prior years
(12)
398
(1,732)
Current tax expense
(27,174)
(14,826)
(9,579)
Originating and reversal of temporary differences
46,894
6,304
6,476
Deferred tax expense/(benefit)
46,894
6,304
6,476
Total tax expense/(benefit)
19,720
(8,522)
(3,103)
25
Loss per Share
Year Ended December 31,
(in thousands of $)
2022
2021
2020
Loss for the year
(709,594)
(408,265)
(608,455)
Weighted average number of shares outstanding
54,381,371
51,075,827
45,410,442
Basic and diluted loss per share (in $)
(13.05)
(7.99)
(13.40)
Earnings/losses per ordinary share are calculated by dividing the loss for the period by
the weighted average number of ordinary shares during the year.
As the Company reported a net loss in 2022, 2021 and 2020, stock options and RSUs
have an anti dilutive effect rather than a dilutive effect. As such, there is no difference
between basic and diluted loss per ordinary share.
26
Financial Risk Management
The financial risks are managed centrally. The Company coordinates the access to na-
tional and international financial markets and considers and manages continuously the
financial risks concerning the Company’s activities. These relate to the financial markets
risk, credit risk, liquidity risk and currency risk. There are no other important risks, such
as interest rate risk on borrowings, as the Company has no financial debt. The Company
does not buy or trade financial instruments for speculative purposes.
Categories of financial assets and liabilities:
Measurement
category
Carrying amount
at December 31,
(in thousands of $)
2022
2021
2020
Financial assets – non-current
FVTPL
21,715
17,459
6,307
Financial assets – non-current
FVTOCI
17,443
35,710
–
Research and development incentive
receivables – non-current
Amortized cost
47,488
32,707
20,626
Restricted cash – non-current
Amortized cost
1,736
1,707
1,509
Trade and other receivables
Amortized cost
275,697
38,221
6,978
Financial assets – current
FVTPL
46,162
73,052
130,290
Financial assets – current
Amortized cost
1,345,646
929,000
649,359
Research and development incentive
receivables – current
Amortized cost
1,578
–
463
Cash and bank balances
Amortized cost
77,477
242,494
297,156
Cash equivalents
FVTPL
669,147
997,092
858,291
Cash equivalents
Amortized cost
54,116
95,090
61,356
Trade and other payables
Amortized cost
295,679
293,415
275,192
The carrying amounts of trade and other payables and trade and other receivables are
considered to be the same as their fair values, due to their short-term nature.
Financial Assets held at Fair Value through Profit or Loss or OCI
Financial assets held at fair value through profit or loss or OCI consisted of equity
instruments of listed and non-listed companies and money market funds.
The Company has no restrictions on the sale of these equity instruments and the assets
are not pledged under any of its liabilities. These instruments are classified as financial
assets held at fair value through profit or loss or OCI which qualify for:
•
Level 1 fair value measurement with respect to current financial assets and cash
equivalents based upon the closing price (net asset value) of such securities at each
reporting date.
•
Level 3 fair value measurement with respect to non-current financial assets.
The market price of these financial instruments might face fluctuations and might be
affected by a variety of factors, such as the global economic situation. Current financial
assets and cash equivalents include collective investment funds nominated in € and $ of
which the underlying investments include bonds and other international debt securities.
Based on the weighted average maturity of the underlying instruments, amongst others,
these investments are either classified as current financial assets or cash equivalents.
The maximum exposure to credit risk is the carrying amount at reporting date.
The Company carried the following assets at fair value on December 31, 2022, 2021 and
2020 respectively:
At December 31, 2022
(in thousands of $)
Level 1
Level 2
Level 3
Non-current financial assets
17,443
–
21,715
Current financial assets
46,162
–
–
Cash and cash equivalents
669,147
–
–
Assets carried at fair value
732,752
–
21,715
At December 31, 2021
(in thousands of $)
Level 1
Level 2
Level 3
Non-current financial assets
35,710
–
17,459
Current financial assets
73,052
–
–
Cash and cash equivalents
997,092
–
–
Assets carried at fair value
1,105,854
–
17,459
At December 31, 2020
1)
(in thousands of $)
Level 1
Level 2
Level 3
Non-current financial assets
–
–
6,307
Current financial assets
130,290
–
–
Cash and cash equivalents
858,291
–
–
Assets carried at fair value
988,581
–
6,307
1)
The historical consolidated financial information for 2020 presented in this disclosure note has been
adjusted to correct for the amounts of current financial assets that are measured at fair value.
During the disclosed calendar year, no transfers occurred between the applicable
categories.
Non-Current Financial Assets – Level 3
In March 2019, the Company entered into a license agreement with AgomAb Thera-
peutics NV for the use of HGF-mimetic SIMPLE Antibodies™, developed under the
Company’s Immunology Innovative Program. In exchange for granting this license, the
Company received a profit share in AgomAb Therapeutics NV.
In March 2021, AgomAb Therapeutics NV secured $74 million in Series B financing by
issuing 286,705 of Preferred B Shares. The Company used the post-money valuation of
Series B financing round and the number of outstanding shares in determining the fair
value of the profit-sharing instrument, which results in a change in fair value of non-
current financial assets of $11.2 million recorded through profit or loss. Since AgomAb
Therapeutics NV is a private company, the valuation of the profit share is based on level
3 assumptions.
In June 2022, AgomAb Therapeutics NV secured €38.4 million as a result of the exten-
sion of Series B. The Company used the post-money valuation of this Series B financing
round and the number of outstanding shares in determining the fair value of the profit-
sharing instrument, which results in a change in fair value of non-current financial assets
of $4.3 million recorded through profit or loss.
Non-Current Financial Assets – Level 1
In January 2021, as part of the license agreement for the development and commerciali-
zation for efgartigimod in Greater China (see
note 16
for further information), the Com-
pany obtained, amongst others, 568,182 newly issued Zai Lab shares calculated at a price
of $132 per share. The fair value of the equity instrument at period-end is determined by
reference to the closing price of such securities at each reporting date (classified as level
1 in the fair value hierarchy), resulting in a change in fair value. The Company made the
irrevocable election to recognize subsequent changes in fair value through OCI.
Capital Risk
The Company manages its capital to ensure that it will be able to continue as a going
concern. The capital structure of the Company consists of equity attributed to the hol-
ders of equity instruments of the Company, such as capital, reserves and accumulated
losses as mentioned in the consolidated statements of changes in equity. The Company
makes the necessary adjustments in the light of changes in the economic circumstances,
risks associated to the different assets and the projected cash needs of the current
and projected research activities. On December 31, 2022, cash and cash equivalents
amounted to $800.7 million and total capital amounted to $4,316.5 million. The current
cash situation and the anticipated cash generation are the most important parameters in
assessing the capital structure. The Company’s objective is to maintain the capital struc-
ture at a level to be able to finance its activities for at least twelve months. Cash income
from existing and new partnerships is taken into account and, if needed and possible,
the Company can issue new shares or enter into financing agreements.
Credit Risk
Credit risk refers to the risk that a counterparty will default on its contractual obligations
resulting in financial loss to the Company. The Company has adopted a policy of only
dealing with creditworthy counterparties and obtaining sufficient collateral, where
appropriate, as a means of mitigating the risk of financial loss from defaults. Concen-
trations in credit risk are determined based on an analysis of counterparties and their
importance on the overall outstanding contractual obligations at year-end.
The Company has a limited number of collaboration and license partners and therefore
has a significant concentration of credit risk. However, it has policies in place to ensure
that credit exposure is kept to a minimum and significant concentrations of credit
exposure are only granted for short periods of time to high credit quality collaboration
partners.
The Company applied the EU-IFRS 9 simplified approach to measuring expected credit
losses which uses a lifetime expected loss allowance for all receivables. To measure the
expected credit losses, receivables have been grouped based on credit risk characteris-
tics and the days past due. The provision for expected credit losses was not significant
given that there have been no credit losses over the last three years and the high quality
nature of our customers.
Cash and cash equivalents and current financial assets are invested with several
highly reputable banks and financial institutions. The Company holds its cash and cash
equivalents mainly with different banks which are independently rated with a minimum
rating of ‘A-’. The Company also holds short term investment funds in the form of money
market funds with a recommended investment horizon of 6 months or shorter but with
a low historical volatility. These money market funds are highly liquid investments, can
be readily convertible into a known amount of cash. Since they are a basket of funds
there is no individual credit risk involved. The company has adopted a policy whereby
money market funds must have an average rating of “BBB” or higher.
Liquidity Risk
The Company manages liquidity risk by maintaining adequate reserves, by continuously
monitoring forecast and actual cash flows, and by matching the maturity profiles of
financial assets and liabilities.
The Company’s main sources of cash inflows are obtained through capital increases and
collaboration agreements. This cash is invested in savings accounts, term accounts and
short-term investment funds in the form of money market funds. These money market
funds represent the majority of the Company’s available sources of liquidity however
since all of these are immediately tradable and convertible in cash they have a limited
impact on the liquidity risk.
Interest Rate Risk
The only variable interest-bearing financial instruments are cash and cash equivalents
and current financial investments. Changes in interest rates may cause variations in inte-
rest income and expense resulting from short-term interest-bearing assts. Management
does not expect the short-term interest rates to decrease significantly in the immediate
foreseeable future, which limits the interest exposure on our cash and cash equivalents
and current financial assets.
For the year ended December 31, 2022, if applicable interest rates would increase/
decrease by 25 basis points, this would have a positive/negative impact of $0.9 million
(compared to $6.2 million for the year ended December 31, 2021 and $1.7 million for
the year ended December 31, 2020).
Foreign Exchange Risk
The Company undertakes transactions denominated in foreign currencies; consequently,
exposures to exchange rate fluctuations arise. The Company is mainly exposed to the
Euro, Japanese yen, British pound and Swiss franc. To limit this risk, the Company
attempts to align incoming and outgoing cash flows in currencies other than USD.
The net exposure to exchange differences of the monetary assets (being cash, cash
equivalents and current financial assets) of the Company at the end of the reporting
period are as follows:
At December 31,
(in thousands of $)
2022
2021
2020
EUR
613,866
591,887
703,016
JPY
5,613
6,316
264
GBP
59,026
1,237
48
CHF
3,832
727
2
CAD
657
–
–
SEK
7
–
–
DKK
6
–
–
On December 31, 2022, if the EUR/USD exchange rate would have increased/decreased
by 10%, this would have had a negative/positive impact of $61.39 million, compared
to $53.81 million and $63.91 million on December 31, 2021 and December 31, 2020,
respectively. On December 31, 2022, if the exchange rate for other currencies would
have increased/decreased by 10%, this would have had no significant impact.
27
Related Party Transactions
27.1
Relationship and Transactions with
Joint Venture Entity
In July 2022, the Company entered into a joint venture agreement with the University
of Colorado Anschutz Medical Campus and UCHealth and created a separate legal entity,
OncoVerity, Inc., which is focused on optimizing and advancing the development of
cusatuzumab, a novel anti-CD70 antibody, in acute myeloid leukemia (AML). The
Company contributed $2 million and the investment has been designated as investment
in joint venture and accounted under IAS 28 Investment in associates and joint ventures.
At December 31, 2022, the Company has commitments towards its joint venture,
OncoVerity, Inc. to fund the operations of the joint venture amounting to $13.0 million.
27.2
Relationship and Transactions with
Subsidiaries
See
note 31
for an overview of the consolidated companies of the group, which are all
wholly-owned subsidiaries of argenx SE.
Balances and transactions between the Company and its subsidiaries, which are related
parties of the Company, have been eliminated on consolidation and are not disclosed in
this note.
27.3
Relationship and Transactions with
Key Personnel
The Company’s key management personnel consists of the members of the manage-
ment team and the members of the board of directors.
Remuneration of Key Management Personnel
On December 31, 2022, the senior management consisted of 8 members: Chief
Executive Officer, Chief Operating Officer, Chief Financial Officer, Chief Scientific Officer,
General Counsel, Chief Medical Officer, Vice President Corporate Development and
Strategy and Global Head of Quality Assurance. They provide their services on a full-time
basis.
On December 31, 2022, the board of directors consisted of 9 members: Peter
Verhaeghe, Don deBethizy, Pamela M. Klein, Werner Lanthaler, A. A. Rosenberg,
James M. Daly, Camilla Sylvest, Ana Cespedes and Tim Van Hauwermeiren.
Only the Chief Executive Officer is a member of both the senior management team and
the board of directors. The Chief Executive Officer does not receive any remuneration
for his board membership, as this is part of his total remuneration package in his capa-
city as member of the senior management team.
The remuneration package of the members of key management personnel comprises:
Year Ended December 31,
(in thousands of $,
except for the number of stock options & RSUs)
2022
2021
2020
Remuneration of key management personnel
Short-term benefits for senior management members
as a group
Gross salary
4,199
3,465
3,246
Variable pay
3,077
2,020
1,510
Employer social security
1,015
789
753
Other short-term benefits
372
274
156
Termination Benefits
–
382
385
Post-employment benefits for senior management
members as a group
104
150
161
Cost of stock options granted in the year for senior
management members as a group
18,393
15,060
42,824
Cost of restricted stock units granted in the year for
senior management members as a group
9,594
8,025
–
Employer social security cost related to stock options
1,101
4,172
11,206
Total benefits for key management personnel
37,855
34,337
60,241
Numbers of stock options granted in the year
Senior Management as a group
117,600
101,446
334,900
Numbers of RSUsrestricted stock units granted in the
year
Senior Management as a group
26,500
22,888
–
Remuneration of non-executive directors
Board fees and other short-term benefits for non-
executive directors
437
435
405
Cost of stock options granted in the year for non-
executive directors
3,643
3,263
9,576
Cost of restricted stock units granted in the year for
non-executive directors
1,850
1,731
–
Total benefits for non-executive board members
5,929
5,429
9,981
Numbers of stock options granted in the year
Non-executive directors
21,600
22,950
70,000
Numbers of restricted stock units granted in the year
Non-executive directors
4,800
5,100
–
Other
No loans, quasi-loans or other guarantees were given by the Company or any of its
subsidiaries to members of the board of directors or the senior management. We have
not entered into transactions with our key management personnel, other than as descri-
bed above with respect to remuneration arrangements relating to the exercise of their
mandates as members of the senior management and the board of directors.
28
Contingencies
The Company is currently not facing any outstanding claims or litigations that may have
a significant adverse impact on the Company’s consolidated financial position.
29
Commitments
At balance sheet date, there were no commitments signed for the acquisition of pro-
perty, plant and equipment. In January 2021, the Company entered into a binding lease
commitment related to the envisioned relocation to a newly built office in Zwijnaarde,
Belgium. Included in the binding lease commitment is a rent free period for 6 months
following the completion of the building. The total future cash outflows related to this
lease are as follows:
(in thousands of $)
Less than 1
year
1 – 3 years
3 – 5 years
More than
5 years
Total
contractual
cash flows
Lease commitments
not commenced
–
–
–
18,038
18,038
In February 2019, and as amended in September 2020, the Company entered into a
global collaboration and license agreement with Halozyme Therapeutics, Inc. Under
the terms of the agreement, the Company will pay $12.5 million per target for future
target nominations and potential future payments of up to $160.0 million per selected
target subject to achievement of specified development, regulatory and sales-based
milestones and up to $40.0 million subject to the achievement of additional, specified
sales-based milestones. This amount represents the maximum amount that would be
paid if all milestones would be achieved but excludes variable royalty payments based
on unit sales. In 2019, the Company exercised the option to nominate an additional
target (triggering a $10.0 million development milestone payment) and initiated a Phase
1 clinical trial using Halozyme‘s proprietary ENHANZE® drug delivery technology (trigge-
ring a $5.0 million development milestone payment). In 2020, the Company initiated a
Phase 3 clinical trial using Halozyme’s proprietary ENHANZE® drug delivery technology
(triggering a $15.0 million development milestone payment). In 2021, the Company
initiated a Phase 1 clinical trial using Halozyme’s proprietary ENHANZE® drug delivery
technology (triggering a $5.0 million development milestone payment).
The Company’s manufacturing commitments with Lonza, its drug substance manufactu-
ring contractor, relate to the ongoing execution of the biologic license application (BLA)
services for efgartigimod and its manufacturing activities related to the potential future
commercialization. In December 2018, the Company signed its first commercial supply
agreement with Lonza related to the reservation of commercial drug substance supply
capacity for efgartigimod. In the aggregate, the Company has outstanding commitments
for efgartigimod under the first commercial supply agreement of $419.0 million.
During 2022, Company signed an agreement with Fujifilm, for activities relating to
the large-scale manufacturing of efgartigimod drug substance. In the aggregate, the
Company has outstanding commitments for efgartigimod under the commercial supply
agreement of $13.3 million.
At December 31, 2022, the Company has commitments towards its joint venture, Onco-
Verity, Inc. to fund the operations of the joint venture amounting to $13.0 million.
30
Audit Fees
The following auditors’ fees were expensed in the consolidated statements of profit or
loss:
Year Ended December 31,
(in thousands of $)
2022
2021
2020
Audit Fees
1)
1,394
1,183
923
Audit-related Fees
280
267
188
Tax Fees
2)
–
79
–
Total
1,774
1,529
1,111
1)
Audit services performed by Deloitte Accountants B.V. as the external auditor referred to in Section 1 of
the Dutch Accounting Firms Oversight Act (Wta) as well as by the Deloitte network.
2)
Tax services performed by the Deloitte network.
31
Overview of Consolidation Scope
The parent company argenx SE is domiciled in the Netherlands. The Company, argenx
SE, has two subsidiaries, argenx BV and argenx Benelux BV, based in Belgium. argenx BV
has nine subsidiaries. Details of the Company’s consolidated entities at the end of the
reporting period are as follows:
Name
Country
Participation
argenx SE
The Netherlands
100.00 %
argenx BV
Belgium
100.00 %
argenx Benelux BV
Belgium
100.00 %
argenx US, Inc.
USA
100.00 %
argenx Switzerland, SA
Switzerland
100.00 %
argenx Japan KK
Japan
100.00 %
argenx France SAS
France
100.00 %
argenx Germany GmbH
Germany
100.00 %
argenx Canada, Inc.
Canada
100.00 %
argenx UK Ltd.
United Kingdom
100.00 %
argenx Netherlands Services B.V.
The Netherlands
100.00 %
argenx Italy S.r.l.
Italy
100.00 %
32
Events After the
Balance Sheet Date
No events have occurred after the balance sheet date that could have a material impact
on the consolidated financial statements.
7
Company Financial
Statements
for argenx SE for the Year ended December 31, 2022
Signatures of Executive and Non-Executive Directors
336
Company Balance Sheet on December 31, 2022 argenx SE
338
Company Profit and Loss Account for the Year Ended
December 31, 2022 argenx SE
339
Notes to the Company Financial Statements of argenx SE
340
Other Information
347
Independent Auditor’s Report
348
Signatures of Executive
and Non-Executive
Directors
In accordance with article 2:101 of the Dutch Civil Code, the annual accounts were
signed by all executive and non-executive directors on March 15, 2023.
Company Financial
Statements for argenx SE
For argenx SE
For the year ended December 31, 2022
Company Balance Sheet
on December 31, 2022 argenx SE
At December 31,
(in thousands of $)
Note
2022
2021
1)
Assets
Non current assets
Financial Fixed Assets
2
Investments in Group Companies
2,583,759
2,387,237
Other financial assets
1
1
Total financial fixed assets
2,583,760
2,387,238
Total non current assets
2,583,760
2,387,238
Current assets
Receivables
3
140,185
1,993
Financial assets – current
4
–
4,985
Cash and cash equivalents
5
92,096
142,853
Total current assets
232,281
149,831
Total assets
2,816,041
2,537,069
Equity and liabilities
Equity
6
Share capital
6,640
6,233
Share premium
4,309,880
3,462,775
Accumulated losses
(2,109,791)
(1,400,197)
Share-based payment reserves
515,158
356,875
Other reserves
(37,467)
(23,146)
Translation reserves
129,280
131,684
Total equity
2,813,699
2,534,224
Current liabilities
7
Accounts payable
20
70
Intercompany payables
1,130
1,232
Taxes payable
155
95
Accrued expenses
474
620
Other payables
563
827
Total liabilities
2,342
2,845
Total equity & liabilities
2,816,041
2,537,069
1)
The comparative figures for December 31, 2021 have been adjusted to reflect changes booked directly
in equity at the subsidiaries.
Company Profit and Loss Account
for the Year Ended December 31,
2022 argenx SE
Year ended December 31,
(in thousands of $)
Note
2022
2021
Intercompany Recharges
–
–
Total operating income
–
–
G&A Expenses
(15,543)
(21,944)
Total operating expenses
(15,543)
(21,944)
Operating result
(15,543)
(21,944)
Financial income and expense
8
344,696
(5,231)
Share in result of subsidiaries
9
(1,038,746)
(381,493)
Result before taxation
(709,594)
(408,668)
Taxation on result of ordinary activities
–
404
Result after taxation
(709,594)
(408,265)
Notes to the Company
Financial Statements
of argenx SE
1
Accounting Information
and Policies
1.1
Basis of Preparation
The company financial statements of argenx SE (hereafter: the company) have been
prepared in accordance with Part 9, Book 2 of the Dutch Civil Code. In accordance with
article 362 sub8, Book 2 of the Dutch Civil Code, the company’s financial statements are
prepared based on the accounting principles of recognition, measurement and determi-
nation of profit, as applied in the consolidated IFRS financial statements.
1.2
Summary of Significant
Accounting Policies
In case no other policies are mentioned, refer to the accounting policies as described in
the summary of significant accounting policies in the consolidated IFRS financial state-
ments. For an appropriate interpretation, the company financial statements of argenx SE
should be read in conjunction with the consolidated IFRS financial statements.
Participating Interests in Group Companies
Participating interests in group companies are valued using the equity method, applying
the IFRS accounting policies endorsed by the European Union. Following the adoption of
IFRS 9 by the group, and our interpretation of the Dutch Accounting Standard 100.108,
the company shall, upon identification of a credit loss on an intercompany loan and/or
receivable, eliminate the carrying amount of the intercompany loan and/or receivable
for the value of the identified credit loss.
Result of Participating Interests
The share in the result of participating interests consists of the share of the Company
in the result of these participating interests. In so far as gains or losses on transactions
involving the transfer of assets and liabilities between the Company and its participating
interests or between participating interests themselves can be considered unrealized,
they have not been recognized.
All amounts are presented in thousands of USD, unless stated otherwise. The balance
sheet and income statement references have been included. These refer to the notes.
1.3
Change in Functional and Presentation
Currency as of January 1, 2021
As of January 1, 2021, the Company changed its functional and presentation currency
from EUR to USD. The change in functional currency was made to reflect that USD has
become the predominant currency in the Company, representing a significant part
of the Company’s cash flows and financing. The change has been implemented with
prospective effect.
The change in presentation currency, effective January 1, 2021, from EUR to USD is
retroactively applied on comparative figures according to IAS 8 and IAS 21, as if USD had
always been the presentation currency of the consolidated financial statements. The
change was made to better reflect the economic footprint of the Company’s business
going forward. The Company believes that the presentation currency change will give
investors and other stakeholders a clearer understanding of the Company’s performance
over time.
2
Financial Fixed Assets
The Company has two Belgian subsidiaries, argenx BV and argenx Benelux BV, which
carry out the research and development activities of the Group. Argenx Benelux BV was
incorporated through a partial demerger of argenx BV in 2020. On December 27, 2022,
argenx Benelux BV transferred certain pipeline activities to argenx BV through a transfer
of assets, (hereafter referred to as “asset deal”), for a total amount of $449 million. As
a result of the asset deal, argenx Benelux BV realized a capital gain. argenx Benelux BV
has distributed an interim dividend of EUR 325 million to argenx SE, which in turn has
increased the share capital of argenx BV for $345 million.
Argenx BV has nine subsidiaries, argenx US, Inc., argenx Japan KK, argenx Switzerland
SA, argenx Germany GmbH, argenx France SAS, argenx Canada, Inc., argenx Netherlands
Services BV, argenx UK Ltd and argenx Italy SRL. The financial fixed assets consist of the
100% participations in argenx BV and argenx Benelux BV, both registered at Industrie-
park 7, Zwijnaarde, Belgium.
The movement in financial fixed assets is as follows:
At December 31,
(in thousands of $)
2022
2021
1)
Investments in Group companies
Opening Balance
2,386,238
1,544,024
Share of loss of Investments
(1,038,746)
(437,968)
Share-based payment expenses of investments
153,169
167,965
Changes booked directly in equity at subsidiary level
(22,580)
(34,470)
Fair Value gain on Financial Assets at FVTPL
1,105,678
1,146,687
Closing balance
2,583,759
2,386,238
Receivable/(payable) on Group companies
–
999
Investments in Group companies
2,583,759
2,387,237
Other financial assets
Opening Balance
1
1
Balance as at year-end
1
1
Total financial fixed assets
2,583,760
2,387,238
1)
The comparative figures for December 31, 2021 have been adjusted to reflect changes booked directly
in equity at the subsidiaries.
3
Receivables
At December 31,
(in thousands of $)
2022
2021
Interest receivable
323
–
Other receivables
138,918
949
Prepaid expenses
943
1,044
Total receivables
140,185
1,993
Receivables fall due in less than one year. The fair value of the receivables approximates
the nominal value, due to their short-term character.
4
Financial Assets
At December 31,
(in thousands of $)
2022
2021
Money market funds
–
4,985
Total financial assets
–
4,985
5
Cash and Cash Equivalents
At December 31,
(in thousands of $)
2022
2021
Money market funds
91,002
47,365
Current bank accounts
1,094
95,488
Total cash in banks
92,096
142,853
6
Equity
(in thousands of $)
Share
capital
Share
premium
Accumula-
ted losses
Share
based
payment
reserves
Other
reserves
Translation
reserves
Total
equity
Equity per 31
December 2021
1)
6,233
3,462,775
(1,400,197)
356,875
(23,146)
131,684
2,534,224
Result of the year
–
–
(709,594)
–
–
–
(709,594)
SBP expense
–
–
–
158,282
–
–
158,282
Capital increase
294
759,878
–
–
–
–
760,172
Exercised stock
options
113
93,082
–
–
–
–
93,195
Changes booked
directly in equity
at subsidiary
level
–
(5,855)
–
–
(14,321)
(2,404)
(22,580)
Equity per 31
December 2022
6,640
4,309,880
(2,109,791)
515,158
(37,467)
129,280
2,813,699
1)
The comparative figures for December 31, 2021 have been adjusted to reflect changes booked directly in equity at the
subsidiaries.
For the details on Sharebased payments we refer to
note 13
of the consolidated IFRS
financial statements. The company holds no legal reserves as part of the equity.
7
Current Liabilities
At December 31,
(in thousands of $)
2022
2021
Accounts payable
20
70
Intercompany payables
1,130
1,232
Taxes payable
155
95
Accrued expenses
474
620
Other payables
563
827
Total current liabilities
2,342
2,845
All current liabilities fall due in less than one year. The fair value of the current liabilities
approximates the nominal value, due to their short-term character.
8
Financial Result and Exchange
Gains/(Losses)
At December 31,
(in thousands of $)
2022
2021
Interest income on bank deposits
2
–
Net gains on investments at FVTPL
1,151
–
Fees collected from ADS holders
466
484
Interest on I/C current account
321
–
Dividend income
345,784
–
Financial income
347,724
484
Net losses on investments at FVTPL
–
(364)
Interest expense
(199)
(116)
Other financial expenses
(143)
(44)
Financial expenses
(342)
(524)
Exchange gains/(losses)
(2,686)
(5,191)
Financial income and expense
344,696
(5,231)
9
Share in Result of Subsidiaries
The Company has two Belgian subsidiaries, argenx BV and argenx Benelux BV, which
jointly carry out the research and development activities of the Group.
Year ended December 31,
(in thousands of $)
2022
2021
argenx BV
(562,594)
(421,774)
argenx Benelux BV
(476,152)
(16,195)
(1,038,746)
(437,968)
10
Other Disclosures
Contingent Liabilities
The contingent liabilities of the Company consist of a rental agreement for office space
in Amsterdam for an amount of KEUR 7 per annum. The lease contract has a duration of
two years.
Related-Party Transactions
All legal entities that can be controlled, jointly controlled or significantly influenced are
considered as a related party. Also, entities which can control the company are conside-
red a related party. In addition, directors, other key management of argenx SE and close
relatives are regarded as related parties. Other than the intercompany cross-charges,
there were no related party transactions.
Remuneration
Remuneration of executive director for 2022 and 2021 is as follows:
Compensation
(in $)
2022
2021
Base salary
638,901
651,986
Short term incentive
766,682
586,787
Option awards
4,174,684
3,895,370
Restricted stock units
2,159,689
2,084,509
Pension contributions
23,384
26,894
Social security costs
–
3,456
Other
14,958
14,827
Total current liabilities
7,778,298
7,263,829
Part of the remuneration of the executive director is being paid by subsidiaries of
argenx SE.
See
note 27
of the notes to the consolidated IFRS financial statements for the
remuneration of non-executive Board of directors.
Information Relating to Employees
During the year 2022, the Company had an average of 0.2 FTE (2021: 0.2 FTE).
Auditor’s Fees
See
note 31
of the notes to the consolidated IFRS financial statements.
Proposal for Appropriation of the Result
The Company reported a net loss of $709.6 million for the year ended on December 31,
2022. The Board of Directors proposes to carry forward the net loss of the year 2022
to the accumulated losses. Anticipating the approval of the financial statements by the
shareholders at the annual general meeting of shareholders, this proposal has already
been reflected in the 2022 financial statements.
Events After the Balance Sheet Date
For the events after balance sheet date, we refer to
note 32
of the consolidated IFRS
financial statements.
Amsterdam, March 16, 2023
The Director
Tim Van Hauwermeiren, CEO
Other Information
Provision in the Articles of Association
Governing the Appropriation of Results
•
The company shall have a policy on reserves and dividends which shall be
determined and may be amended by the board of directors. The adoption and
thereafter each material change of the policy on reserves and dividends shall be
discussed at the general meeting under a separate agenda item.
•
From the profits, shown in the annual accounts, as adopted, the board of directors
shall determine which part shall be reserved. Any profits remaining thereafter
shall be at the disposal of the general meeting. The board of directors shall make
a proposal for that purpose. A proposal to pay a dividend shall be dealt with as a
separate agenda item at the general meeting.
•
Distribution of dividends on the shares shall be made in proportion to the nominal
value of each share.
•
Distributions may be made only insofar as the company’s equity exceeds the amount
of the paid in and called up part of the issued capital, increased by the
reserves which must be kept by virtue of the law.
•
If a loss was suffered during any one year, the board of directors may resolve to
offset such loss by writing it off against a reserve which the company is not required
to keep by virtue of the law.
•
The distribution of profits shall be made after the adoption of the annual accounts,
from which it appears that the same is permitted.
•
The board of directors may, subject to due observance of the policy of the company
on reserves and dividends, resolve to make an interim distribution, provided the
requirement of paragraph 4 of this article has been complied with, as shown by interim
accounts. Such interim accounts shall show the financial position of the company
not earlier than on the first day of the third month before the month in which the
resolution to make the interim distribution is announced. Such interim accounts shall
be signed by all members of the board of directors. If the signature of one or more of
them is missing, this shall be stated and reasons for this omission shall be given. The
interim accounts shall be deposited in the offices of the trade register within eight
days after the day on which the resolution to make the interim distribution has been
announced.
•
At the proposal of the board of directors, the general meeting may resolve to make a
distribution on shares wholly or partly not in cash but in shares.
•
The board of directors may, subject to due observance of the policy of the company
on reserves and dividends, resolve that distributions to holders of shares shall be
made out of one or more reserves.
•
A claim of a shareholder for payment of a distribution shall be barred after five years
have elapsed.
Independent
Auditor’s Report
To: the Shareholders and the Board of Directors of argenx SE
Report on the Audit of the Financial Statements
2022 Included in the Annual Report
Our Opinion
We have audited the financial statements 2022 of argenx SE, based in Amsterdam, the
Netherlands. The financial statements comprise the consolidated financial statements
and the company financial statements.
In our opinion:
•
The accompanying consolidated financial statements give a true and fair view of the
financial position of argenx SE as at December 31 2022, and of its result and its cash
flows for 2022 in accordance with International Financial Reporting Standards as
adopted by the European Union (EU-IFRS) and with Part 9 of Book 2 of the Dutch
Civil Code.
•
The accompanying company financial statements give a true and fair view of the
financial position of argenx SE as at December 31 2022, and of its result for 2022
in accordance with Part 9 of Book 2 of the Dutch Civil Code.
The consolidated financial statements comprise:
1.
The consolidated statements of financial position as at December 31 2022.
2.
The following statements for 2022: the consolidated statements of profit or loss,
the consolidated statements of comprehensive income and loss, the consolidated
statements of cash flows and the consolidated statements of changes in equity.
3.
The notes comprising a summary of the significant accounting policies and other
explanatory information.
The company financial statements comprise:
1.
The company balance sheet as at December 31 2022.
2.
The company profit and loss account for 2022.
3.
The notes comprising a summary of the significant accounting policies and other
explanatory information.
Basis for our Opinion
We conducted our audit in accordance with Dutch law, including the Dutch Standards
on Auditing. Our responsibilities under those standards are further described in the
‘Our responsibilities for the audit of the financial statements’ section of our report.
We are independent of argenx SE in accordance with the EU Regulation on specific
requirements regarding statutory audit of public-interest entities, the Wet toezicht
accountantsorganisaties (Wta, Audit firms supervision act), the Verordening inzake de
onafhankelijkheid van accountants bij assurance-opdrachten (ViO, Code of Ethics for
Professional Accountants, a regulation with respect to independence) and other relevant
independence regulations in the Netherlands. Furthermore, we have complied with the
Verordening gedrags- en beroepsregels accountants (VGBA, Dutch Code of Ethics).
We believe the audit evidence we have obtained is sufficient and appropriate to provide
a basis for our opinion.
Information in Support of our Opinion
We designed our audit procedures in the context of our audit of the financial statements
as a whole and in forming our opinion thereon. The following information in support of
our opinion was addressed in this context, and we do not provide a separate opinion or
conclusion on these matters.
Materiality
Based on our professional judgement we determined the materiality for the financial
statements as a whole at USD 39,700,000. The materiality is based on 3.5% of operating
expenses excluding cost of sales and excluding the loss in joint venture. We have also
taken into account misstatements and/or possible misstatements that in our opinion are
material for the users of the financial statements for qualitative reasons.
We agreed with the Board of Directors that misstatements in excess of USD 1,985,000,
which are identified during the audit, would be reported to them, as well as smaller
misstatements that in our view must be reported on qualitative grounds.
Scope of the Group Audit
argenx SE is at the head of a group of entities. The financial information of this group is
included in the consolidated financial statements of argenx SE.
Because we are ultimately responsible for the opinion, we are also responsible for di-
recting, supervising and performing the group audit. In this respect we have determined
the nature and extent of the audit procedures to be carried out for group entities. The
audit procedures on all group entities have been performed by the group engagement
team.
By performing the procedures mentioned above at group entities, together with addi-
tional procedures at group level, we have been able to obtain sufficient and appropriate
audit evidence about the group‘s financial information to provide an opinion on the
consolidated financial statements.
Audit Approach Fraud Risks
We identified and assessed the risks of material misstatements of the financial state-
ments due to fraud. During our audit we obtained an understanding of the entity and
its environment and the components of the system of internal control, including the
risk assessment process and management‘s process for responding to the risks of fraud
and monitoring the system of internal control and how the Board of Directors exercises
oversight, as well as the outcomes.
We evaluated the design and relevant aspects of the system of internal control and
in particular the fraud risk assessment, as well as among others the code of conduct,
whistle blower procedures and incident registration. We evaluated the design and the
implementation and, where considered appropriate, tested the operating effectiveness,
of internal controls designed to mitigate fraud risks.
As part of our process of identifying fraud risks, we evaluated fraud risk factors with
respect to financial reporting fraud, misappropriation of assets and bribery and
corruption in close co-operation with our forensic specialists. We evaluated whether
these factors indicate that a risk of material misstatement due to fraud is present.
We identified the following fraud risk and performed the following specific procedures:
•
We identified a risk of material misstatement due to fraud related to management
override of controls. Management is in a unique position to perpetrate fraud because
of management‘s ability to manipulate accounting records and prepare fraudulent
financial statements by overriding controls that otherwise appear to be operating
effectively.
•
We incorporated elements of unpredictability in our audit. We also considered the
outcome of our other audit procedures and evaluated whether any findings were
indicative of fraud or non-compliance.
•
We considered available information and made enquiries of relevant management
team members (including the Chief Executive Officer, Chief Operating Officer,
Chief Financial Officer, General Counsel, Global Head of Quality, Global Head of
Compliance, and Chief Medical Officer) and the Board of Directors.
•
We tested the appropriateness of journal entries recorded in the general ledger and
other adjustments made in the preparation of the financial statements.
•
We evaluated whether the selection and application of accounting policies by
the group, particularly those related to subjective measurements and complex
transactions, may be indicative of fraudulent financial reporting.
•
We evaluated whether the judgments and decisions made by management in making
the accounting estimates included in the financial statements indicate a possible
bias that may represent a risk of material misstatement due to fraud. Management
insights, estimates and assumptions that might have a major impact on the financial
statements are disclosed in note 3. Critical accounting estimates and judgments of
the financial statements. Reference is made to the section ‘Our key audit matters’.
•
For significant transactions and transactions of interest, for instance regarding
donations to patient charities, we evaluated whether the business rationale of the
transactions suggests that they may have been entered into to engage in activities in
relation to bribery and corruption.
This did not lead to indications for fraud potentially resulting in material misstatements.
Audit Approach Compliance with Laws and Regulations
We assessed the laws and regulations relevant to the Company through discussion with
the General Counsel, the Head of Global Quality and the Head of Global Compliance,
reading minutes and reports of internal audit.
We involved our forensic specialists in this evaluation.
As a result of our risk assessment procedures, and while realizing that the effects
from non-compliance could considerably vary, we considered the following laws and
regulations: adherence to (corporate) tax law and financial reporting regulations, the
requirements under the International Financial Reporting Standards as adopted by the
European Union (EU-IFRS) and Part 9 of Book 2 of the Dutch Civil Code with a direct
effect on the financial statements as an integrated part of our audit procedures, to the
extent material for the related financial statements.
We obtained sufficient appropriate audit evidence regarding provisions of those laws
and regulations generally recognized to have a direct effect on the financial statements.
Apart from these,argenx SE is subject to other laws and regulations where the conse-
quences of non- compliance could have a material effect on amounts and/or disclosures
in the financial statements, for instance, through imposing fines or litigation.
Given the nature of argenx SE‘s business and the complexity of FDA regulations and
other healthcare authority regulations, there is a risk of non-compliance with the
requirements of such laws and regulations. In addition, we considered major laws and
regulations applicable to listed companies.
Our procedures are more limited with respect to these laws and regulations that do not
have a direct effect on the determination of the amounts and disclosures in the financial
statements. Compliance with these laws and regulations may be fundamental to the
operating aspects of the business, to argenx SE‘s ability to continue its business, or to
avoid material penalties (e.g., compliance with healthcare regulations) and therefore
non-compliance with such laws and regulations may have a material effect on the financial
statements. Our responsibility is limited to undertaking specified audit procedures to
help identify non- compliance with those laws and regulations that may have a material
effect on the financial statements. Our procedures are limited to (i) inquiry of manage-
ment, the Board of Directors and others within argenx SE as to whether argenx SE is
in compliance with such laws and regulations and (ii) inspecting correspondence,
if any, with the relevant licensing or regulatory authorities to help identify non-
compliance with those laws and regulations that may have a material effect on
the financial statements.
Naturally, we remained alert to indications of (suspected) non-compliance throughout
the audit.
Finally, we obtained written representations that all known instances of (suspected)
fraud or non-compliance with laws and regulations have been disclosed to us.
Audit Approach Going Concern
As explained in the note 2.1 “
Statement of Compliance and Basis of Preparation
” and
note 26 “
Financial Risk Management
” of the financial statements, management has
prepared the financial statements of argenx SE based on the going concern assumption.
No events or circumstances have been identified which cause significant doubt about
the entity‘s ability to continue its operations (going concern risks). Our procedures to
evaluate the going concern assessment of management include:
•
Consider whether management‘s assessment of going concern contains all relevant
information of which we are aware as a result of our audit and review of the other
information. In addition, we inquired with management about the key assumptions
underlying the going concern assessment.
•
Inquiry with management regarding their knowledge of events and/or circumstances
beyond the period of management‘s assessment.
•
We reconciled the cash and cash equivalents position as used in the going concern
assessment to the audited position at December 31, 2022.
•
We evaluated managements’ financial forecasts and analysis prepared for a period
of at least 12 months from the date of preparation of the financial statements. This
included consideration of the reasonableness of key underlying assumptions by
evaluating historically realized and future expected operating and capital expenditure
as well as evaluating mathematical accuracy of the assessment.
•
We evaluated the adequacy of disclosures made in the financial statements in
respect of going concern.
Our audit procedures did not produce results that were inconsistent with management‘s
assumptions and judgments in applying the going concern assumption.
Our Key Audit Matters
Key audit matters are those matters that, in our professional judgement, were of most
significance in our audit of the financial statements. We have communicated the key
audit matters to the Board of Directors. The key audit matters are not a comprehensive
reflection of all matters discussed.
Product Net Sales — Refer to Note 15 & 18
to the Financial Statements
Description
The Company recognizes product net sales of USD 400.7 million, relating to the sale of
their product VYVGART, as specified in
note 15
and
18
to the financial statements. These
product sales are accounted for in accordance with IFRS 15 Revenue from Contracts
with Customers (
IFRS 15
), whereby the sale of VYVGART to customers is recognized
for an amount that reflects the consideration to which the Company expects to be
entitled in exchange for these goods. The majority of the product gross sales are in the
United States of America, which are subject to various deductions which are primarily
composed of rebates to government agencies, distributors, health insurance companies
and managed healthcare organizations.
Together, these deductions are referred to as gross-to-net (
GtN
) adjustments. The GtN
adjustments that are recognized by the Company represent estimates of the related
obligations that will be settled in a future period. The estimated amounts are based on
contractual arrangements with healthcare authorities, government and state programs,
and gross sales and third-party data.
We identified the GtN adjustments for product net sales in the United States of America
as a key audit matter, because of the significant effort spent on auditing these adjust-
ments and the judgment required to obtain sufficient appropriate audit evidence that
supports the Company’s estimate, due to the reporting data being subject to a time lag.
Our response
Our audit procedures related to the gross-to-net included the following, among others:
•
We evaluated the key revenue contracts and supply chain contracts, including
evaluation of the accounting treatment of the GtN adjustments and the disclosures
thereof in accordance with IFRS 15.
•
We evaluated the independent service auditor reports for the service providers used
by the Company to process rebates on behalf of the Company.
•
We evaluated the Company’s methodology and assumptions in developing the GtN
adjustments, including testing the completeness and accuracy of the underlying data
used by management in their estimates.
•
We evaluated the Company’s ability to estimate the GtN adjustments by evaluating
the historical accuracy of estimates made during the year.
Observations
The scope and nature of the audit procedures we performed was sufficient and appro-
priate to address the risks of material misstatement related to the GtN adjustments.
In comparison with prior year, we have not included the key audit matters around the
R&D accruals and the accounting treatment of the Zai collaboration. The complexity of
the estimates related to the R&D accruals decreased as a result of a change in internal
processes. The accounting treatment of the Zai collaboration was related to the initial
accounting treatment and as such was no longer identified as a key audit matter.
Report on the Other Information Included in the
Annual Report
The Annual Report contains other information, in addition to the financial statements
and our auditor‘s report thereon.
The other information consists of:
•
Management‘s Report, including, amongst others, the Remuneration Report and
Compensation Statement, and Non-Financial Information.
•
Other Information as required by Part 9 of Book 2 of the Dutch Civil Code.
Based on the following procedures performed, we conclude that the other information:
•
Is consistent with the financial statements and does not contain material
misstatements.
•
Contains all the information regarding the management report and the other
information as required by Part 9 of Book 2 of the Dutch Civil Code.
We have read the other information. Based on our knowledge and understanding
obtained through our audit of the financial statements or otherwise, we have
considered whether the other information contains material misstatements.
By performing these procedures, we comply with the requirements of Part 9 of Book
2 of the Dutch Civil Code and the Dutch Standard 720. The scope of the procedures
performed is substantially less than the scope of those performed in our audit of the
financial statements.
Management is responsible for the preparation of the other information, including
Management’s Report in accordance with Part 9 of Book 2 of the Dutch Civil Code,
and the other information as required by Part 9 of Book 2 of the Dutch Civil Code.
Report on Other Legal and Regulatory
Requirements and ESEF
Engagement
We were engaged by the Board of Directors as auditor of argenx SE on May 13, 2015,
as of the audit for the year 2015 and have operated as statutory auditor ever since that
financial year.
No Prohibited Non-Audit Services
We have not provided prohibited non-audit services as referred to in Article 5(1) of
the EU Regulation on specific requirements regarding statutory audit of public-interest
entities.
European Single Electronic Format (ESEF)
argenx SE has prepared its annual report in ESEF. The requirements for this are set out in
the Commission Delegated Regulation (EU) 2019/815 with regard to regulatory technical
standards on the specification of a single electronic reporting format (hereinafter: the
RTS on ESEF).
In our opinion, the annual report, prepared in XHTML format, including the (partly)
marked-up consolidated financial statements, as included in the reporting package by
argenx SE complies in all material respects with the RTS on ESEF.
Management is responsible for preparing the annual report including the financial state-
ments in accordance with the RTS on ESEF, whereby management combines the various
components into a single reporting package.
Our responsibility is to obtain reasonable assurance for our opinion whether the annual
report in this reporting package complies with the RTS on ESEF.
We performed our examination in accordance with Dutch law, including Dutch Standard
3950N ‘Assurance- opdrachten inzake het voldoen aan de criteria voor het opstellen van
een digitaal verantwoordingsdocument’ (assurance engagements relating to compliance
with criteria for digital reporting).
Our examination included amongst others:
•
Obtaining an understanding of the company‘s financial reporting process, including
the preparation of the reporting package.
•
Identifying and assessing the risks that the annual report does not comply
in all material respects with the RTS on ESEF and designing and performing
further assurance procedures responsive to those risks to provide a basis for
our opinion, including:
◦
obtaining the reporting package and performing validations to determine
whether the reporting package containing the Inline XBRL instance and the
XBRL extension taxonomy files has been prepared in accordance with the
technical specifications as included in the RTS on ESEF;
◦
examining the information related to the consolidated financial statements in
the reporting package to determine whether all required mark-ups have been
applied and whether these are in accordance with the RTS on ESEF.
Description of Responsibilities Regarding
the Financial Statements
Responsibilities of Management and the Board of Directors for the
Financial Statements
Management is responsible for the preparation and fair presentation of the financial
statements in accordance with EU-IFRS and Part 9 of Book 2 of the Dutch Civil Code.
Furthermore, management is responsible for such internal control as management
determines is necessary to enable the preparation of the financial statements that are
free from material misstatement, whether due to fraud or error.
As part of the preparation of the financial statements, management is responsible for
assessing the company‘s ability to continue as a going concern. Based on the financial
reporting frameworks mentioned, management should prepare the financial statements
using the going concern basis of accounting unless management either intends to
liquidate the company or to cease operations, or has no realistic alternative but to do so.
Management should disclose events and circumstances that may cast significant doubt
on the company‘s ability to continue as a going concern in the financial statements.
The Board of Directors is responsible for overseeing the company‘s financial reporting
process.
Our Responsibilities for the Audit of the Financial Statements
Our objective is to plan and perform the audit assignment in a manner that allows us to
obtain sufficient and appropriate audit evidence for our opinion.
Our audit has been performed with a high, but not absolute, level of assurance, which
means we may not detect all material errors and fraud during our audit.
Misstatements can arise from fraud or error and are considered material if, individually
or in the aggregate, they could reasonably be expected to influence the economic de-
cisions of users taken on the basis of these financial statements. The materiality affects
the nature, timing and extent of our audit procedures and the evaluation of the effect of
identified misstatements on our opinion.
We have exercised professional judgement and have maintained professional scepticism
throughout the audit, in accordance with Dutch Standards on Auditing, ethical
requirements and independence requirements. Our audit included among others:
•
Identifying and assessing the risks of material misstatement of the financial
statements, whether due to fraud or error, designing and performing audit
procedures responsive to those risks, and obtaining audit evidence that is
sufficient and appropriate to provide a basis for our opinion. The risk of not
detecting a material misstatement resulting from fraud is higher than for one
resulting from error, as fraud may involve collusion, forgery, intentional omissions,
misrepresentations, or the override of internal control.
•
Obtaining an understanding of internal control relevant to the audit in order to
design audit procedures that are appropriate in the circumstances, but not for the
purpose of expressing an opinion on the effectiveness of the company‘s internal
control.
•
Evaluating the appropriateness of accounting policies used and the reasonableness
of accounting estimates and related disclosures made by management.
•
Concluding on the appropriateness of management‘s use of the going concern
basis of accounting, and based on the audit evidence obtained, whether a material
uncertainty exists related to events or conditions that may cast significant doubt on
the company‘s ability to continue as a going concern. If we conclude that a material
uncertainty exists, we are required to draw attention in our auditor‘s report to the
related disclosures in the financial statements or, if such disclosures are inadequate,
to modify our opinion. Our conclusions are based on the audit evidence obtained up
to the date of our auditor‘s report. However, future events or conditions may cause
the company to cease to continue as a going concern.
•
Evaluating the overall presentation, structure and content of the financial
statements, including the disclosures.
•
Evaluating whether the financial statements represent the underlying transactions
and events in a manner that achieves fair presentation.
Because we are ultimately responsible for the opinion, we are also responsible for
directing, supervising and performing the group audit. In this respect we have determi-
ned the nature and extent of the audit procedures to be carried out for group entities.
Decisive were the size and/or the risk profile of the group entities or operations. On this
basis, we selected group entities for which an audit or review had to be carried out on
the complete set of financial information or specific items.
We communicate with the Board of Directors regarding, among other matters, the plan-
ned scope and timing of the audit and significant audit findings, including any significant
findings in internal control that we identified during our audit. In this respect we also
submit an additional report to the audit committee in accordance with Article 11 of
the EU Regulation on specific requirements regarding statutory audit of public- interest
entities. The information included in this additional report is consistent with our audit
opinion in this auditor‘s report.
We provide the Board of Directors with a statement that we have complied with
relevant ethical requirements regarding independence, and to communicate with them
all relationships and other matters that may reasonably be thought to bear on our
independence, and where applicable, related safeguards.
From the matters communicated with the Board of Directors, we determine the key
audit matters: those matters that were of most significance in the audit of the financial
statements. We describe these matters in our auditor‘s report unless law or regulation
precludes public disclosure about the matter or when, in extremely rare circumstances,
not communicating the matter is in the public interest.
Rotterdam, March 16, 2023
Deloitte Accountants B.V.
V. Fruytier
8
Non-Financial
Information
8.1
Regulations and Compliance
359
8.2
NFRD
359
8.3
EU Taxonomy
368
8
Non-Financial
Information
8.1
Regulations and Compliance
The Company recognizes the importance of non-financial factors in creating long-term
financial value, which involves identifying and mitigating aspects of economic activities
that undermine non-financial value, as well as identifying and seizing opportunities to
create the long-term value. We are dedicated to conducting our business in a safe and
environmentally sustainable manner as part of our commitment to not only improve the
lives of patients we hope to serve, but also to positively impact our stakeholders.
The Company encourages the recently increased regulation in this area and does its
utmost to comply with applicable regulations to the best of its ability. Since last year,
we became subject to the Directive 2014/95/EU of the European Parliament and of the
Council of 22 October 2014 amending Directive 2013/34/EU as regards disclosure of
non-financial and diversity information by certain large undertakings and groups (
NFRD
),
as implemented in Dutch law and the Regulation (EU) 2020/852 of the European
Parliament and of the Council of 18 June 2020 on the establishment of a framework
to facilitate sustainable investment, and amending Regulation (EU) 2019/2088
(
EU Taxonomy Regulation
) and ancillary delegated regulations.
In this section 8, we make all disclosures required for our compliance with NFRD and
the EU Taxonomy Regulation, and ancillary legislation and guidelines applicable to us. In
addition to the non-financial disclosures made in this Annual Report, we have published
a separate and dedicated report on ESG in 2021, of which an updated version will be
published in the second quarter of fiscal 2023, in which we give more context as well
as additional, voluntary disclosures on ESG and related subjects.
8.2 NFRD
8.2.1
Introduction to the NFRD
The NFRD requirements, applicable to argenx are included in Article 29a of Directive
2013/34/EU (
Accounting Directive
). Article 29a of the Accounting Directive is
implemented in Dutch law under Article 391 of Book 2 of the DCC in the Decree on the
contents of the management report (
Besluit inhoud bestuursverslag
), in the Decree on
the establishment of further provisions on the content of the annual report (
Besluit tot
vaststelling van nadere voorschriften omtrent de inhoud van het jaarverslag
) and in
the Decree on the publication of non-financial information (
Besluit bekendmaking
niet-financiële informatie
).
The NFRD requires ‘large companies’ to provide information on how they address and
manage social and environmental challenges. In particular, companies are required to
report on social, employee and environmental matters, human rights, bribery and anti-
corruption, as well as board diversity.
8.2.2
Compliance with the NFRD
On the basis of the above-mentioned Decrees, the Company is required to publish non-
financial information in (consolidated) non-financial statements. To this end, the table
below provides for the required disclosures.
Subtopic
Disclosure
Social and employee matters
A brief description
of the undertaking’s
business model
At argenx, we are on a journey together to achieve the unthinkable.
We are all working hard to build an integrated, immunology company
improving the lives of patients. As we continue to scale up the business
to achieve this vision, it is critical that we do so with integrity and
passion. When each of us acts with honesty and integrity, we gain the
trust of our colleagues, patients and communities. We are dedicated to
fostering a workplace where all people feel free to share their thoughts
and ideas. And we insist on building and maintaining a safe and secure
work environment, where no one is subject to unnecessary risk. We
commit to developing our people based on their strengths, to the benefit
of the broader team. We comply with international labor standards as
well as applicable labor and employment laws, wherever we operate.
This includes prohibiting child labor and forced labor, upholding the
right to freedom of association, and eliminating discrimination at work.
When selecting our business associates, we strive to work with third
parties who share our commitment to respecting and improving human
rights, and we do not conduct business with any individual or company
that participates in forced, bonded or indentured labor or involuntary
prison labor, the exploitation of children (including child labor), harsh
or inhumane treatment or threat of any such treatment or any form of
modern slavery or human trafficking. We believe open communication
is critical to guaranteeing a positive work environment and our ultimate
success. We understand that to make a difference we need to foster a
culture of openness, where colleagues are encouraged to share their
thoughts and ideas because diversity of thought leads to and empowers
innovation. We actively listen to our colleagues and make sure all voices
are heard.
Subtopic
Disclosure
Social and employee matters
A description of the
policies pursued,
including due
diligence processes
Our Code of Conduct reflects our core values: a way of working
that celebrates innovation, co-creation, excellence, humility, and
empowerment. Our Code of Conduct translates the core values into
a set of clear standards to help guide our conduct as we navigate the
complexities of the highly regulated and competitive global marketplace
in which we operate as we work to become an independent, fully
integrated, and global immunology company. Our commitment to
the Code of Conduct enables our core business of innovation and our
culture of collaboration. We are all dedicated to and responsible for
its success. Each of us contributes to our reputation by living our core
values every day and making the best choices for argenx and the many
people we serve. Our Code of Conduct sets out core principles for the
way we commit to important employee and social matters, including
our commitment to maintaining the highest scientific and ethical
standards in our research and development activities and complying
with all internationally accepted standards that apply to our clinical
trials, including the ICH Guidelines for Good Clinical Practice and the
ethical principles articulated in the Declaration of Helsinki, as well as
applicable local laws and regulations. We monitor compliance with
these standards through a number of policies which we regularly train
relevant employees on. We operate a personal development program in
which we encourage all employees to participate. We operate short-term
and long-term incentive plans to encourage attraction and retention of
qualified personnel. We take a stance against all forms of discrimination
and commit to promoting diversity, equity and inclusion as set out in
our Code of Conduct and in our diversity, equity and inclusion policy. We
encourage respect of the individual, their integrity and their dignity, by
ensuring that the working environment and relations between colleagues
are free of discrimination and harassment, whether based on race,
religion, color, political convictions, sex, language, pregnancy, ethnic or
national origin, civil state, social status, sexual orientation, handicap,
age or otherwise. We will protect any colleague who in good faith
believes they are victims of harassment or discrimination. This includes
actions that can reasonably be considered offensive, intimidating or
discriminatory, including sexual harassment, power harassment and
bullying, whether physical, verbal or visual. We encourage colleagues
to speak up against any incident that could be viewed as harassment
or discrimination and to support those affected. Once informed, we
will take all measures required to stop any such behavior and to deal
appropriately with the person or persons involved. The matter will be
treated with discretion and diligence. We strictly prohibit retaliation or
retribution against anyone who in good faith reports a concern about
harassment, discrimination, or other issues, or cooperates with an
investigation into alleged harassment and discrimination, even if the
initial concern is ultimately determined to be unfounded, as is further set
out in our Speak-up Policy.
The outcome of
those policies
All employees have accepted and are trained (and retrained annually)
on our Code of Conduct, and accepting, and committing to, the contents
thereof is expected of all newcomers to argenx. At the date of this
Annual Report, for the fiscal year ended December 31, 2022, we have not
identified any material breaches of our Code of Conduct in relation to
social or employee matters.
Principal risks
Our employees and relevant third parties may engage in misconduct
or other improper activities, including non-compliance with regulatory
standards and requirements, which could have a material adverse effect
on our business. Our future growth and ability to compete depends in
part on our ability to retain key personnel and recruit additional qualified
personnel.
Subtopic
Disclosure
Social and employee matters
How these risks
are managed
In order to maintain oversight over compliance with the our Code of
Conduct and other company policies including in relation to potential
violations in the area of employee and social matters, and to increase
compliance and ensure our colleagues know where to go with questions
on the Code of Conduct and its application, we have established
the argenx COMPASS Helpline, where our employees can raise any
concerns they may have regarding potential violations of our policy
confidentially or anonymously (to the extent allowed by law). We revised
our Whistleblower Policy into our new Speak-up Policy to comply with
Directive (EU) 2019/1937 of the European Parliament and of the Council
of 23 October 2019 on the protection of persons who report breaches of
Union EU law, which policies (jointly our
Speak Up and Anti-retaliation
Policy
) enables and encourages our employees to speak up and
report any suspected violation of our Code of Conduct, and to protect
employees from retaliation. We have set-up a specific helpline reachable
through different channels including by phone, also anonymously, to
report any suspected potential violations. Also to mitigate the risks of
non-compliance with our Code of Conduct in relation to employee and
social matters, we require all new employees to confirm their acceptance
and adherence to the Code of Conduct and we train existing and new
employees annually on our Code of Conduct and our Speak-up Policy. We
offer competitive remuneration packages and share-based incentives in
the form of an Equity Incentive Plan in which all employees are offered
the opportunity to participate. We perform periodic benchmark analyses
with an external service provider to ensure the competitiveness of the
compensation offered to our key personnel in comparison to other
(reference group) companies. We pay close attention to creating an
environment that supports the further development of the talents of our
key people, including through our personal development plan program.
Non-financial
key performance
indicators
At the date of this Annual Report, for the fiscal year ended December
31, 2022, we have not identified any material breaches of our Code
of Conduct in relation to social or employee matters. Our voluntary
employee turnover rate for the fiscal year 2022 is 4.27% and our
involuntary employee turnover rate for the fiscal year 2022 was 2.25%,
both numbers we believe to be below industry averages.
Subtopic
Disclosure
Environmental matters
A brief description
of the undertaking’s
business model
argenx is dedicated to conducting its business in a safe and
environmentally sustainable manner as part of our commitment to not
only improve the lives of patients we hope to serve, but also to positively
impact our colleagues, business partners, and surrounding communities
as well. In an effort to do this we:
•
comply with environmental laws and regulations that are related to
our specific work and responsibilities.
•
encourage colleagues to respect the environment and natural
resources available to us by taking sustainability steps like limiting
energy use, reducing waste, and recycling.
•
have awareness and training programs to teach our employees how
to deal with different waste systems.
We are committed to expanding and developing our sustainability
initiatives in the future. Given the present state of scientific knowledge,
it is not possible to examine the complex interactions in a living organism
solely by the use of modeling or performing experiments in cell cultures
and tissue samples. Research using living animals remains essential
in the discovery, development and production of new medicines. We
cannot replace all animal experiments in the foreseeable future, but
we continuously review the welfare and use of animals and develop
procedures that reduce or replace animal experiments. If we engage in
research using live animals, we follow all applicable laws and regulations,
and argenx policies including our Animal Welfare Policy.
A description of the
policies pursued,
including due
diligence processes
We do not currently have an environmental policy. We conduct our
activities within the environmental regulatory framework set out by
those jurisdictions in which we operate in and have obtained all required
environmental licenses and permits. With the goal of mitigating the
risk of failure to obtain any required environmental permits or licenses,
or of losing granted permits or licenses we may need to operate our
business, we regularly evaluate the requirements of such environmental
permits and licenses to ensure continued compliance. We commit to
treating research animals in a humane and responsible manner, in
accordance with Code of Conduct and our Animal Welfare Policy. Our
Animal Welfare Policy requires us to perform due diligence on third
party collaborators who engage in research activities on our behalf, by
reviewing their external certification on this topic (such as Association for
Assessment and Accreditation of Laboratory Animal Care International
certification) or if they have not (yet) been certified, by performing our
own confirmatory due diligence through reviews and/or interviews or
written questions and answers to gain comfort that the standards applied
are at the same level as our internal standards on this topic. Compliance,
audits and certification of all third parties is overseen by a management-
level Animal Welfare Committee, who are responsible for organizing
regular lab visits in the EU. Where we are unable to perform in-person
audits at our U.S.-based academic collaborators, or elsewhere, our audits
are performed virtually.
The outcome of
those policies
All employees have accepted and are trained (and retrained annually)
on our Code of Conduct, and accepting, and committing to, the contents
thereof is expected of all newcomers to argenx. At the date of this
Annual Report, for the fiscal year ended December 31, 2022, we have not
identified any material breaches of our Code of Conduct in relation to
environmental matters.
Subtopic
Disclosure
Environmental matters
Principal risks
We have assessed our activities to date and did not identify specific risks
of material environmental violations and as such we have not identified
environmental risks as principal risks for argenx. Our primary research
and development activities take place in our facilities in Zwijnaarde,
Belgium. For these activities we require, and have obtained, the
necessary environmental and biohazard permits from the responsible
governments, required by us for the manner in which we use said
facilities. We may become exposed to liability and substantial expenses in
connection with environmental compliance or remediation activities. Our
personnel could breach the animal welfare commitments set out in our
Code of Conduct or our Animal Welfare Policy.
How these risks
are managed
We comply with environmental laws and regulations that are related to
our specific work and responsibilities and offer training to our employees
depending on their area of work. In addition, we have a dedicated safety
advisor and facility manager supervising compliance with environmental
law on our premises. All employees receive health and safety training
relevant to their specific job role. We train all personnel involved in
research activities with live animals, on our Animal Welfare Policy. The
COMPASS Helpline enables us to maintain oversight over compliance
with our Code of Conduct and other Company policies including in
relation to potential violations in the area of environmental matters, and
to increase compliance and ensure our colleagues know where to go with
questions on the Code of Conduct and its application. Employees can
raise any concerns they may have regarding potential violations of our
Code of Conduct confidentially or anonymously (to the extent allowed
by law) through our COMPASS Helpline, including in relation to violations
of our Code of Conduct on environmental matters or in relation to
violations of our Animal Welfare Policy.
Non-financial
key performance
indicators
At the date of this Annual Report, for the fiscal year ended December
31, 2022, we have not identified any material breaches of our Code of
Conduct in relation to environmental matters, and we have not identified
any material breaches of our Animal Welfare Policy.
Matters with respect to human rights
A brief description
of the undertaking’s
business model
At argenx, we are on a journey together to achieve the unthinkable. We
are all working hard to build an integrated, immunology company and
reach patients. As we continue to scale up the business to achieve this
vision, it is critical that we do so with integrity and passion. When each
of us acts with honesty and integrity, we gain the trust of our colleagues,
patients and communities.
A description of the
policies pursued,
including due
diligence processes
We commit to compliance with international labor standards as well
as applicable labor and employment laws, wherever we operate. This
includes prohibiting child labor and forced labor, upholding the right
to freedom of association, and eliminating discrimination at work.
When selecting our business associates, we strive to work with third
parties who share our commitment to respecting and improving human
rights, and we do not conduct business with any individual or company
that participates in forced, bonded or indentured labor or involuntary
prison labor, the exploitation of children (including child labor), harsh
or inhumane treatment or threat of any such treatment or any form of
modern slavery or human trafficking. Our Code of Conduct includes our
commitment to respecting the human rights of all people and ensure
fairness in the workspace. All our personnel is trained annually on our
Code of Conduct including its provisions on respecting human rights.
Accepting, and committing to, the contents of the aforementioned Code
of Conduct is expected of all newcomers to argenx.
Subtopic
Disclosure
Matters with respect to human rights
The outcome of
those policies
In fiscal year were no alleged breaches of our Code of Conduct on the
topics of human rights or alleged forced labor or child labor.
Principal risks
We have assessed our activities to date and did not identify specific risks
of violations of human rights in relation to our business activities and
as such we have not identified the risk of violations of human rights as
principal risk for argenx.
How these risks
are managed
In order to maintain oversight over compliance with the our Code of
Conduct and other company policies including in relation to potential
violations in the area of human rights, and to increase compliance and
ensure our colleagues know where to go with questions on the Code of
Conduct and its application, we have established the argenx COMPASS
Helpline, where our employees can raise any concerns they may have
regarding potential violations of our policy confidentially or anonymously
(to the extent allowed by law), including in relation to violations of our
Code of Conduct on human rights related topics.
Non-financial
key performance
indicators
In fiscal year 2022 there were no alleged breaches of our Code of
Conduct on the topics of human rights or alleged forced labor or
child labor.
Matters with respect to anti-corruption and bribery
A brief description
of the undertaking’s
business model
We work with healthcare professionals for the benefit of all. The spirit of
co-creation is one of our core values. To provide better, more effective
products for patients, we regularly engage healthcare professionals to
provide various services in support of our business. The services provided
by healthcare professionals include clinical investigations, advisory
services, and speaking engagements at argenx events.
A description of the
policies pursued,
including due
diligence processes
At argenx, we promote our products ethically and honestly, and only for
the uses for which they have been approved. We believe that healthcare
professionals and patients have the right to decide the most appropriate
treatment options available based on truthful, accurate, and balanced
product information that is supported by scientific evidence and is
consistent with approved product labeling. We only use promotional
material and other product information that have been approved through
our internal review process. When acting in a promotional capacity,
colleagues and agents of argenx are required to always give a balanced
presentation of our products, including relevant safety information.
Whenever argenx hires a healthcare professional as a consultant, advisor,
investigator, speaker, or in any other capacity, we require the following
requirements are met:
•
There must be a documented legitimate business need for the
services on the part of argenx. Business relationships must not
be created as a disguised means to induce or reward healthcare
professionals to prescribe, purchase, or recommend argenx products.
•
The selection of healthcare professionals must be based on
their qualifications, expertise, capabilities, experience and other
appropriate criteria directly related to the identified need.
•
A written contract must be executed prior to the commencement of
the services that accurately describes the nature of the services and
the basis for remuneration.
•
All compensation to healthcare professionals must reflect fair market
value for the services provided.
•
Meetings or events organized or sponsored by argenx involving
healthcare professionals’ services must be held at appropriate venues
that are conducive to the purpose of the meeting or event.
Subtopic
Disclosure
Matters with respect to anti-corruption and bribery
All arrangements (or reimbursement of expenses) for travel, lodging,
and meals that are provided to healthcare professionals relating to their
performance of services must be consistent with Company policies.
We ensure that that we avoid even the perception of improper influence
by refraining from offering gifts or other items of value.
The outcome of
those policies
In fiscal year 2022, we did not identify any breaches of our Code of
Conduct in relation to anti-corruption or antibribery matters.
Principal risks
We may be subject to healthcare laws, regulation and enforcement.
Our failure to comply with these laws could harm our results of
operations and financial conditions. Because many of our healthcare
professional are also our customers, there is the risk that patients and
others might perceive potential conflicts of interest, even when none
exist. Failure to comply with applicable healthcare laws and regulations
may lead to enforcement including civil and administrative penalties,
fines or criminal prosecution and may cause us to incur significant costs
and harm to our business and reputation.
How these risks
are managed
To avoid even the suggestion of a conflict of interest, we conduct all
interactions with healthcare professionals with the utmost integrity,
scrupulously adhering to government and industry body regulations, as
well as enforcing our own strict internal guidelines. We have designed
and implemented a targeted compliance program consisting of a body
of codes, policies and procedures, which we actively and regularly train
all relevant personnel on. We have recruited a dedicated legal and
compliance team to support and monitor compliance with relevant
rules and regulations. Furthermore, all employees are trained annually
on our Code of Conduct, including its provisions on anti-bribery and
anti-corruption. Accepting, and committing to, the contents thereof
is expected of all newcomers to argenx. We established the argenx
COMPASS Helpline in order to maintain oversight over compliance
with our Code of Conduct and other of our company policies including
in relation to potential violations in the area of anti-bribery and anti-
corruption, and to increase compliance and ensure our colleagues know
where to go with questions on the Code of Conduct and its application.
Employees can raise any concerns they may have regarding potential
violations of our policy confidentially or anonymously (to the extent
allowed by law), including in relation to violations of our Code of Conduct
on human rights related topics.
Non-financial
key performance
indicators
In fiscal year 2022, we did not identify any breaches of our Code of
Conduct in relation to anti-corruption or antibribery matters.
Subtopic
Disclosure
Insight into our diversity, equity and inclusion policy and practices
A description of the
policies pursued,
including due
diligence processes
We value diversity among our colleagues as an integral component
in building a sustainable growth platform. We believe that a diverse
workforce enhances our overall performance and success. We take
pride in creating and sustaining a culture and environment where each
of us can excel. We bring together people with diverse backgrounds
experiences and functional expertise. By doing so, we broaden the scope
of ideas and creativity essential to developing and delivering innovative
therapies to patients. Acknowledging and benefiting from different
perspectives promotes diversity of thought and empowers innovation.
It also contributes to our commitment to improve lives of patients,
wherefore we need teams with a healthy mix of contrasting perspectives
and backgrounds that reflect the diverse communities we serve. We
recognize that our people are our greatest strength. Fostering an
inclusive work environment where everyone feels safe and encouraged
to contribute leads to better work outcomes and supports high levels
of employee commitment and retention. We aspire to be a consciously
global company. Our success is built on, and dependent on true
collaboration in cross-functional and often cross-regional teams in which
open communication is encouraged and safeguarded. Everyone has a
voice and is encouraged to contribute to the benefit of our common
goals, irrespective of race, ethnicity, age, gender or cultural background.
Good ideas as well as real concerns are taken seriously, regardless of who
brings them forward.
How our diversity,
equity and inclusion
policy is being
implemented.
Our diversity, equity and inclusion policy is implemented in the way we
recruit, develop and promote our employees and Board of Directors.
We value our fair, inclusive recruitment process, which is standardized
across the organization and focuses on pre-identified ‘what counts’
factors. The process involves a diverse group of colleagues from across
the organization, who are provided with training to recognize any
existing biases. Recruitment decisions are based on a group evaluation
of available candidates, ensuring different perspectives. Our onboarding
program is designed to promote inclusion by building a strong social
fabric across teams, functions and geographic locations. Furthermore,
all employees are encouraged to participate in a personal development
program aimed at building on their individuals strengths to benefit the
broader team. We offer opportunities for promotion, training and career
development solely based on job-related, appropriate criteria such as
skills, competencies, experience, aptitude and enthusiasm and giving
account to each individual’s experience, ambitions and capabilities. We
will continue to implement our diversity, equity and inclusion policy by
seeking new ways to improve and support diversity, equity and inclusion
in our company.
Diversity targets
We aim to foster an inclusive work environment in support of our
strategic plan and priorities. We continue to raise the bar in this regard,
and to commit to measures and goals designed to support our maturing
company culture. We aim to have an equal gender balance in our Board
of Directors and in our Company leadership (including functional leaders
and project leaders).
Subtopic
Disclosure
Insight into our diversity, equity and inclusion policy and practices
The outcome of
those policies,
results of the
Diversity, Equity and
Inclusion Policy
As of December 31, 2022, our Board of Directors consisted of 9 directors,
including 1 executive director and 8 non-executive directors. The full
board contained 6 male directors (including 1 executive director) and
3 female directors (non-executive directors), translating into a 66% male
/ 33% female balance for our full Board of Directors and a 71.4% male /
28.6% female balance for our non-executive directors. As of December
31, 2022, we estimate that our company leadership team consisted of
31 persons of whom 19 identified as male (61%) and 12 identified
as female (39%). For the purpose of this statement we defined the
leadership team as consisting of our C-level people as well as the
leaders of our largest functions and projects. Each of these positions is
characterized by a high impact across the organization, leading a global
and cross functional team and having a global reach. As of December 31,
2022, 63% of the members of our workforce who disclosed their gender
identity, were female, and 37% male.
8.3 EU Taxonomy
8.3.1
Introduction to the
EU Taxonomy Regulation
The
EU Taxonomy Regulation
entered into force on July 12, 2020 and establishes the
general framework for determining whether an economic activity qualifies as environ-
mentally sustainable for the purposes of establishing the degree to which an investment
is environmentally sustainable. The EU taxonomy framework will develop over time.
On April 21, 2021, the EU Commission adopted the Commission Delegated Regulation
(EU) 2021/2139 of June 4, 2021 supplementing Regulation (EU) 2020/852 of the
European Parliament and of the Council by establishing the technical screening criteria
for determining the conditions under which an economic activity qualifies as contri-
buting substantially to climate change mitigation or climate change adaptation and for
determining whether that economic activity causes no significant harm to any of the
other environmental objectives (the
Climate Delegated Act
), which became effective in
January 2022.
The EU Commission further adopted the Commission Delegated Regulation (EU)
2021/2178 of 6 July 2021 supplementing Regulation (EU) 2020/852 of the European
Parliament and of the Council by specifying the content and presentation of information
to be disclosed by undertakings subject to Articles 19a or 29a of Directive 2013/34/EU
concerning environmentally sustainable economic activities, and specifying the metho-
dology to comply with that disclosure obligation (the
Article 8 CDR
), which also became
effective in January 2022.
On March 9, 2022, the EU Commission adopted a complementary climate delegated act
including, under strict conditions, specific nuclear and gas energy activities in the list of
economic activities covered by the EU taxonomy. It was published in the Official Journal
on July 15, 2022 and became effective in January 2023.
In this section we present our compliance with the EU Taxonomy Regulation, the Climate
Delegated Act, the Article 8 CDR and ancillary legislation applicable to us.
8.3.2
Compliance with the
EU Taxonomy Regulation
In 2022 we performed a reassessment of all potential taxonomy-eligible economic
activities listed in the Climate Delegated Act based on our activities as a biopharma-
ceutical group for the current year’s activity. The Climate Delegated Act focuses on those
economic activities and sectors that have the greatest potential to achieve the objective
of climate change mitigation or climate change adaption. The sectors covered include
energy, selected manufacturing activities, transport and buildings. Our assessment
methodology is listed below.
Companies are required to identify if their activities are eligible under the EU Taxonomy
Regulation. Our main activity is NACE 72.11 – Research and experimental development
on biotechnology. Our assessment of taxonomy-eligibility is focused on economic
activities, defined as the provision of goods or services on a market, thus (potentially)
generating revenues. In this context, we, as a commercial-stage biopharmaceutical
group, define the research and development and marketing of pharmaceutical products
as the core of our business activities. We define activities such as the manufacturing
or the transport of our pharmaceutical products to our clients as underlying activities
necessary to conduct our core business activities.
Turnover Eligibility and Alignment
These activities do not contribute to climate adaptation or climate mitigation, therefore,
they are not reported as taxonomy-eligible activities and not included in our turnover
key performance indicators (
KPI
). We have concluded that as eligibility is nil, alignment
related to turnover is also considered to be nil and totals 0%. Our net turnover KPI
denominator totals $400.7 million. Non-financial undertakings related to turnover are
included in the consolidated financial statements, under footnote 15, product net sales.
We will continue to monitor any future reporting obligations and their impact, including
the addition of four new taxonomy environmental objectives. We acknowledge these
additional requirements and will include these calculations in future assessments.
CapEx Eligibility and Alignment
We have reviewed our core and non-core activities related to CapEx as defined by the
taxonomy regulations in accordance with the updated requirements relating to the fiscal
year 2022. These activities do not contribute to climate adaptation or climate mitigation.
We have concluded that as eligibility is nil, alignment related to CapEx is also considered
to be nil and totals 0%. We have concluded that our denominator for calculation of
CapEx KPIs, covering tangibles and intangible assets during the financial year (as listed in
Annex I, point 1.1.2.1 of Article 8 CDR) total $108.2 million. Non-financial undertakings
related to CapEx are listed in the consolidated financial statements, included in footnote
4, property, plant and equipment and footnote 5, Intangible assets.
We will continue to monitor any future reporting obligations and their impact, including
the addition of four new taxonomy environmental objectives. We acknowledge these
additional requirements and will include these calculations in future assessments.
After a thorough review involving all relevant divisions and functions, we concluded
that our core and non-core economic activities related to CapEx are not covered by the
Climate Delegated Act and consequently are taxonomy-non-eligible and total 0%.
OpEx Eligibility and Alignment
We have reviewed our core and non-core activities related to OpEx as defined by the
taxonomy regulations in accordance with the updated requirements relating to the fiscal
year 2022. These activities do not contribute to climate adaptation or climate mitigation;
therefore, they are not reported as taxonomy-eligible activities
Additionally, we note that our non-core activities are non-taxonomy eligible, as we
do not own or independently manage our offices or research sites and therefore any
actions to improve energy efficiency are controlled by the building leaseholder, additio-
nally, we do not manufacture or transport our products.
We have concluded that as eligibility is nil, alignment related to OpEx is also considered
to be nil and totals 0%. We have concluded that our denominator for calculation of
OpEx KPIs, covering non-capitalised costs such as research and development, building
renovation, short-term lease, maintenance and repair, and day to day service of plant,
property and equipment during the financial year (as listed in Annex I, point 1.1.3.1 of
Article 8 CDR), total $663.4 million across research and development only, as the remai-
ning topics defined are not currently part of operational expenditure. We acknowledge
the addition of four new environmental objectives for assessment in future Taxonomy
eligibility assessments and will continue to monitor, evaluate, and report against these
criteria if eligible.
After a thorough review involving all relevant divisions and functions, we concluded
that our core and non-core economic activities related to OpEx are not covered by the
Climate Delegated Act and consequently are taxonomy-non-eligible and total 0%.
Future EU Taxonomy disclosures
We are committed to the continual and ongoing assessment of our taxonomy eligibility
on an annual basis, we recognise the expansion of the taxonomy to include four new
environmental objectives, should our economic activity become material in future
years we will ensure to disclose our turnover, CapEx and OpEx KPIs in a tabular format
in accordance with Annex II of Article 8 CDR. This table is currently not included for the
reasons mentioned above, notably due to the fact that we concluded that our activities
qualify as taxonomy-non-eligible activities (concurrently resulting in the absence of any
taxonomy-eligible activities) and nil alignment with the environmental objectives listed
under the EU Taxonomy Regulation, which will be reviewed annually.
9
Glossary
9.1
Cross Reference table for annual reporting requirement
372
9.2
Management Confirmations
373
9.3
Definitions
374
9
Glossary
9.1
Cross Reference table for
annual reporting requirement
The following list of cross references identifies where each item required for us to
disclose in our yearly financial report can be found in this Annual Report.
Source of Requirement
Topic
Location
Article 2:391 DCC, RJ 400, RJ 405
Report on the Company’s activities
Shareholder Letter
1
Presentation of the Group
Corporate structure
4
General description of the
Company and its Share
Capital
Board of Directors report
3
Corporate Governance
Primary risks and uncertainties
2
Risk Factors
Risk appetite & control
3.5
Risk Appetite & Control
Analysis of financial condition and
results
5
Operating and Financial
Review
Information on research and
development activities
1.3
Our Products and Product
Candidates
1.4
Collaboration Agreements
1.5
License Agreements –
General
Forward looking paragraph
2023 Outlook
Compensation statements and
remuneration report
3.4
Remuneration Report and
Compensation Statement
RJ 430
Key figures, ratios etc.
5
Operating and Financial
Review
Article 2:392 DCC/RJ 410
Auditor’s opinion
7
Attached to the 2022
Annual Report included
herein
Articles of association on the
distribution of profits
4.9
Articles of Association on
Profits, distributions and
losses
List of subsidiaries
1.1
Company Profile – Group
Structure
Source of Requirement
Topic
Location
Decree on contents of board report
(Besluit inhoud bestuursverslag)
Article 2:391 sub 5 DCC
Corporate governance code comply-
or-explain
3.1
Dutch Corporate
Governance Code,
“Comply or Explain”
Main elements of financial
management & control systems
in connection with the company’s
financial reporting
3.5.5
Financial Risks and
Controls
Functioning of the general meeting
4.4
General Meeting and
Voting Rights
Composition and functioning of
the board of directors and its
committees
3.2.3
Board of Directors
3.2.4
Non-Executive Directors
Article 10 Decree
Takeover Directive
(Besluit artikel 10 overnamerichtlijn),
Article 2:391 sub 5 DCC
Capital structure
4
General description of the
Company and its Share
Capital
Principal shareholders
4.3
Share Classes and
Principal Shareholders
Particular shareholder rights and
limitations thereof
4.4
General Meetings and
Voting Rights
Procedure for appointment of board
members
3.2
Management Structure
Procedure for amending the articles
of association
4.6
Amendment of Articles of
Association
Authority of the board of directors
to issue or acquire shares
4.2.5
Issue of Shares
4.2.7
Acquisition of Shares in
our Capital
Material arrangements, to which the
company is a party, in relation to a
public offer
4.5
Anti-Takeover Provisions
RJ = Guidelines on Annual Reporting (Richtlijnen voor de Jaarverslaggeving)
9.2
Management Confirmations
With due regard to best practice principle 1.4.3 of the DCGC, we confirm that:
1.
This Annual Report provides sufficient insights into any failings in the effectiveness
of the internal risk management and control systems, as is further substantiated in
section 2 “
Risk Factors
”, and section 3.5 “
Risk Appetite & Control
”;
2.
The risk- and control systems described herein, particularly in paragraph
3.5.5 “
Financial Risks and Controls
” provide reasonable assurance that the
financial reporting does not contain any material inaccuracies;
3.
We confirm that we expect that our existing cash and cash equivalents and
current financial assets will enable us to fund our operating expenses and capital
expenditure requirements through at least the next twelve months. On the basis of
the current state of affairs, it is justified that the financial reporting is prepared on a
going concern basis; and
4.
This Annual Report, particularly section 2 “
Risk Factors
” states those material
risks and uncertainties that are relevant to the expectation of our continuity for
the period of twelve months after the preparation of this Annual Report. The
aforementioned statement does not in any way limit the relevance or applicability
of the Risk Factors set out in this Annual Report to the aforementioned period of
twelve months.
Signed on behalf of argenx SE
9.3
Definitions
The following explanations are intended to assist the general reader to understand
certain terms used in this Annual Report. The definitions set out below apply throughout
this Annual Report, unless the context requires otherwise.
Term
Definition
AbbVie
AbbVie, Inc.
AbbVie Collaboration Agreement
the collaboration agreement with AbbVie, Inc. to develop
and commercialize ARGX-115 (ABBV-151) as a cancer
immunotherapy against the novel target GARP
ACA
the Patient Protection and Affordable Care Act, as
amended by the Health Care and Education Reconciliation
Act of 2010
AChR
anti-acetylcholine receptor
AChR-AB+
AChR antibody positive
ADCC
antibody-dependent cell-mediated cytotoxicity
ADS
American Depositary Share
AFM
the Dutch Authority for the Financial Markets (Stichting
Autoriteit Financiële Markten)
AgomAb
AgomAb Therapeutics NV
AKS
the U.S. federal Anti-Kickback Statute
ALS
amyotrophic lateral sclerosis
Amgen
Amgen, Inc.
AML
acute myeloid leukemia
AMP
average manufacturer price
AMR
antibody-mediated rejection
Annual Report
this annual report
argenx or the Company
argenx SE
Article 8 CDR
Commission Delegated Regulation (EU) 2021/2178 of
6 July 2021 supplementing Regulation (EU) 2020/852 of
the European Parliament and of the Council by specifying
the content and presentation of information to be
disclosed by undertakings subject to Articles 19a or
29a of Directive 2013/34/EU concerning environmentally
sustainable economic activities, and specifying the
methodology to comply with that disclosure obligation
Term
Definition
Articles of Association
our current articles of association
Asset Development Agreement
the asset development agreement with IQVIA
ASyS
anti-synthetase syndrome
AV
anti-neutrophil cytoplasmic antibody-associated Vasculitis
B-cell
B-lymphocyte producing a specific antibody
BioWa
BioWa, Inc
BioWa Agreement
non-exclusive license agreement
BLA
biologics license application
Board By-Laws
the rules adopted by our Board of Directors that
describe the procedure for holding meetings of the
Board of Directors, for the decision-making by the
Board of Directors and the Board of Directors’ operating
procedures
Board of Directors
consisting of our executive director(s) and our non-
executive directors.
BLA
biologics license application
BP
bullous pemphigoid
BPCIA
the U.S. Biologics Price Competition and Innovation Act
Broteio
Broteio Pharma B.V.
Broteio Agreement
collaboration with Broteio
C2
component 2
CapEx
capital expenditure
CBA
a collective bargaining agreement
CEO
chief executive officer
CDR
complementary determining region
cGMPs
current good manufacturing practices
CHMP
Committee for Medicinal Products for Human Use
Chugai
Chugai Pharmaceutical Co., Ltd.
CIDP
chronic inflammatory demyelinating polyneuropathy
Climate Delegated Act
Commission Delegated Regulation (EU) 2021/2139 of
4 June 2021 supplementing Regulation (EU) 2020/852
of the European Parliament and of the Council by
establishing the technical screening criteria for determining
the conditions under which an economic activity qualifies
as contributing substantially to climate change mitigation
or climate change adaptation and for determining
whether that economic activity causes no significant
harm to any of the other environmental objectives
CMOs
contract manufacturing organizations
CMS
Centers for Medicare & Medicaid
Code of Conduct
our Code of Business Conduct and Ethics
COMP
European Medicines Authority’s Committee for Orphan
Medicinal Products
Concerned Member States
the competent authorities of all European Union Member
States in which an application for authorization of a
clinical trial has been submitted
Term
Definition
CRO
contract research organization
CTA
clinical trial application
DCC
Dutch Civil Code (Burgerlijk Wetboek)
DCGC
the Dutch Corporate Governance Code 2016, dated
December 8, 2016
Deloitte
Deloitte Accountants B.V.
DFSA
Dutch Financial Supervision Act (Wet op het financieel
toezicht)
DGF
delayed graft function
DHS
dehydrated hereditary stomatocytosis
DM
dermatomyositis
e-Privacy Directive
Directive 2002/58/EC of the European Parliament and of
the Council of July 12, 2002
ECL
expected credit loss
EEA
European Economic Area
Elektrofi
Elektrofi, Inc.
Elektrofi Agreement
collaboration and license agreement with Elektrofi
EMA
European Medicines Authority
ENHANZE®
ENHANZE technology
ENHANZE License Agreement
in-license agreement with Halozyme, Inc.
Enterprise Chamber
the Dutch Enterprise Chamber of the Amsterdam Court
of Appeal (Ondernemingskamer van het Gerechtshof te
Amsterdam)
Equity Incentive Plan
the equity incentive plan as adopted by our Board of
Directors on December 18, 2014, which was approved by
the General Meeting on May 13, 2015, and amended by
the General Meeting on April 28, 2016, and November 25,
2019, and the Board of Directors on December 18, 2019,
November 5, 2020, December 15, 2021 and on February
27, 2023.
ESG
environmental, social and corporate governance
ETASU
elements to assure safe use
EU
European Union
EU-IFRS
International Financial Reporting Standards and the
interpretations issued by the IASB’s International Financial
Reporting Interpretation Committee as adopted by the
European Union
EU Taxonomy Regulation
Regulation (EU) 2020/852 of the European Parliament
and of the Council of 18 June 2020 on the establishment
of a framework to facilitate sustainable investment, and
amending Regulation (EU) 2019/2088
Euronext Brussels
the regulated market operated by Euronext Brussels
SA/NV, a regulated market within the meaning of
Directive 2014/65/EU of the European Parliament and
of the Council of May 15, 2014, on markets in financial
instruments amending Council Directives 2004/39/EC,
Directive 85/611/EEC, 93/6/EEC and Directive 2000/12/
EC of the European Parliament and of the Council and
repealing Council Directive 93/22/EEC (MiFID II)
Term
Definition
Exchange Act
the U.S. Securities Exchange Act of 1934, as amended
Fc
antibody region interacting with cell surface Fc receptors
FCP
Federal Ceiling Price
FcRn
neonatal Fc receptor
FDA
U.S. Food and Drug Administration
FDCA
the U.S. Federal Food, Drug, and Cosmetic Act
FDORA
Food and Drug Omnibus Reform Act
FSS
Federal Supply Schedule
Fujifilm
FUJIFILM Diosynth Biotechnologies Denmark ApS
FVTPL
fair value through profit or loss
FVTOCI
fair value through other comprehensive income
GARP
glycoprotein A repetitions predominant
GARP Agreement
a collaboration and exclusive product license agreement
with UCL and its technology transfer company Sopartec
GARP License
exclusive, worldwide commercial in-license for use of
certain GARP-related intellectual property rights owned
by UCL and the Ludwig Institute for Cancer Research
GCC
Gulf Cooperation Council, comprising Saudi Arabia,
Kuwait, the United Arab Emirates, Qatar, Bahrain and
Oman
GCPs
good clinical practices
GDPR
Regulation (EU) 2016/679 of the European Parliament
and of the Council of April 27, 2016, on the protection of
natural persons with regard to the processing of personal
data and on the free movement of such data
General Meeting
any general meeting of shareholders of argenx SE (i.e.,
any annual general meeting and any extraordinary general
meeting)
Genpharm
Genpharm Services FZ-LLC
Genpharm
partnership agreement with Genpharm Services FZ-LLC
GLPs
good laboratory practices
gMG
generalized myasthenia gravis
Greater China
Mainland China, Hong Kong, Taiwan and Macau
Group
argenx SE together with its subsidiaries
GSK
GlaxoSmithKline plc
Halozyme
Halozyme, Inc.
Hatch-Waxman Act
the U.S. Drug Price Competition and Patent Term
Restoration Act of 1984
HGF
hepatocyte growth factor
HHS
U.S. Department of Health and Human Services
HIPAA
the U.S. federal Health Insurance Portability and
Accountability Act of 1996
HITECH
the Health Information Technology for Economic and
Clinical Health Act of 2009
Term
Definition
HRSA
Health Resources and Services Administration
I-RODS
Inflammatory Rasch-built Overall Disability Scale
IAVI
International AIDS Vaccine Initiative
IFRS
International Financial Reporting Standards, as issued
by the International Accounting Standards Board, and as
adopted by the European Union
IgA
Immunoglobulin A
IgD
Immunoglobulin D
IgG
Immunoglobulin G
IgM
Immunoglobulin M
IIP
Immunology innovation program
IL-22R
interleukin-22 receptor
IMM
irreversible morbidity or mortality
IMNM
immune-mediated necrotizing myopathy
INCAT
Inflammatory Neuropathy Cause and Treatment
IND
investigational new drug
IQVIA
IQVIA LTD
IRA
Inflation Reduction Act
IRB
institutional review board
ISTs
immunosuppressive therapies
ITP
immune thrombocytopenia
IV
intravenous
IVIg
intravenous IgG
IWG
International Working Group
Janssen
Janssen Pharmaceuticals, Inc.
KPI
key performance indicator
LEI
European legal entity identifier number
LEO Pharma
Pharma LEO Pharma A/S
LEO Pharma Collaboration
Agreement
collaboration agreement with LEO Pharma A/S
LN
lupus nephritis
Lonza
Lonza Sales AG
LUMC
Leiden University Medical Center
Lundbeck
H Lundbeck A/S
MAA
marketing authorization application
MAD
multiple ascending dose
MAR
Regulation (EU) No 596/2014 of the European Parliament
and of the Council of April 2014 on market abuse (market
abuse regulation) and repealing Directive 2003/6/EC
European Parliament and of the Council and Commission
Directives 2003/124/EC, 2003/EC and 2004/72/EC, and
the rules and regulations promulgated pursuant thereto
Term
Definition
Medison
Medison Pharma Ltd.
Medison Agreement
exclusive distribution agreement with Medison Pharma
Ltd. To commercialize efgartigimod in Israel
Medison Multi-Regional Agreement
multi-regional agreement with Medison Pharma Ltd. to
commercialize efgartigimod in 14 countries
MET
mesenchymal-epithelial transition factor
MG
myasthenia gravis
MHLW
Ministry of Health, Labour and Welfare
MHRA
Medicines and Healthcare products Regulatory Agency
MMN
multifocal motor neuropathy
MN
membranous nephropathy
MRC QA
Medical Regulatory and Clinical QA
MSE
minimal symptom expression
Multi-Product License
a non-exclusive multi-product in-license agreement with
Lonza
MuSK
muscle-specific kinase
myositis
idiopathic inflammatory myopathies
Nasdaq
the Nasdaq Global Select Market
NDA
new drug application
NHI
National Health Insurance
NHSA
National Healthcare Security Administration
NK
natural killer
Non-FAMP
Non-Federal Average Manufacturer Price
NYU
New York University
NYU and LUMC Agreement
collaboration and exclusive license agreements with NYU
Langone Health and LUMC
OCI
other comprehensive income
OIG
the Office of Inspector General
OncoVerity
OncoVerity, Inc.
OpEx
operating expenditure
PAA
pre-approval access program
PBM
pharmacy benefit managers
PC-POTS
Post-COVID-19 Postural Orthostatic Tachycardia Syndrome
PD
pharmacodynamic
PDAI
pemphigus disease area index
PDUFA
Prescription Drug User Fee Act
PF
pemphigus foliaceous
Pharmaceutical and Medical Device
Act
the Act on Securing Quality, Efficacy and Safety of
Pharmaceuticals and Medical Devices
PHSA
the U.S. Public Health Service Act
Term
Definition
Pillar Two Directive
Directive (EU) 2022/2523 on ensuring a global minimum
level of taxation for multinational enterprise groups and
large-scale domestic groups in the Union
PIP
pediatric investigation plan
PK
pharmacokinetic
PMDA
Pharmaceuticals and Medical Devices Agency (Japan)
POTELLIGENT License Agreements
non-exclusive license agreements for POTELLIGENT
CHOK1SV with BioWa and Lonza
PRC
the People’s Republic of China
PREA
Pediatric Research Equity Act of 2003, as amended
PRV
Priority Review Voucher
PV
pemphigus vulgaris
PVAS
pemphigus vulgaris activity score
QA
quality assurance
QMG
quantitative myasthenia gravis
Relevant Regulatory Authorities
the MHRA, EMA, FDA, MHLW
RDL
Reimbursable Drug List
REMS
risk evaluation and mitigation strategy
Roche
F. Hoffman-La Roche AG
RSUs
restricted stock units
SC
subcutaneous
SEC
the U.S. Securities and Exchange Commission
Securities Act
the U.S. Securities Act of 1933, as amended
Shire
Shire AG, now known as Shire International GmbH
Shire Agreement
collaboration agreement with Shire AG, now known as
Shire International GmbH
Primary SjS
Sjögren’s syndrome
SLE
systemic lupus erythematosus
Sopartec
Sopartec S.A.
System
Lonza Sales AG’s proprietary glutamine synthetase gene
expression system known as GS Xceed™
TCA
trade and cooperation agreement between the European
Union and the United Kingdom formally applicable since
May 1, 2021
TEAE
treatment emergent adverse events
TED
Thyroid eye disease
TGF-β
transforming growth factor beta
TIS
total improvement score
Term
Definition
Transparency Directive
Directive 2004/109/EC of the European Parliament and of
the Council of December 15, 2004, on the harmonization
of transparency requirements in relation to information
about issuers whose securities are admitted to trading
on a regulated market and amending Directive 2001/34/
EC and the rules and regulations promulgated pursuant
thereto, as amended by various directives including
2013/50/EU
UCHealth
University of Colorado Health
U.S.
the United States of America
USPTO
the United States Patent and Trademark Office
UCL
Université Catholique de Louvain
UK
the United Kingdom
UK GDPR
Legal framework adopted by the United Kingdom
substantially equivalent to the Regulation (EU) 2016/679
of the European Parliament and of the Council of April
27, 2016, on the protection of natural persons with
regard to the processing of personal data and on the free
movement of such data
UT Agreement
an exclusive in-license with the Board of Regents of the
University of Texas System
UT BoR
The Board of Regents of the University of Texas System
UT Southwestern
University of Texas Southwestern Medical Center
VIB
VIB vzw
VIB Agreement
collaboration agreement concluded with VIB
V-regions
antibody variable regions
VYVGART
VYVGART®
VYVGART Approved Countries
U.S., Japan, all 27 EU Member States plus Iceland, Norway
and Liechtenstein
we, us or our
argenx SE together with its wholly owned subsidiaries
and, as applicable, its former wholly owned subsidiaries
Zai Lab
Zai Lab Ltd
Zai Lab Agreement
collaboration agreement with Zai Lab Ltd, relating
to an exclusive out-license for the development and
commercialization of efgartigimod in Greater China
Zai Lab Payments
$75.0 million upfront payment under the collaboration
with Zai Lab Ltd in the form of 568,182 newly issued Zai
Lab shares calculated at a price of $132.0 per share, a
$75.0 million guaranteed non-creditable, non-refundable
development cost-sharing payment and a $25.0 million
milestone payment in connection with FDA approval of
VYVGART
2021 General Meeting
annual general meeting of shareholders held in 2021