UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

Form 10-K

ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.

For the fiscal year ended December 31, 2016

2019

or

TRANSITION REPORTS PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.

For the transition period from       to

Commission File Number: 0-24006

NEKTAR THERAPEUTICS

(Exact name of registrant as specified in its charter)

Delaware

94-3134940

Delaware94-3134940
(State or other jurisdiction of

incorporation or organization)

(IRS Employer

Identification No.)

455 Mission Bay Boulevard South

San Francisco, California94158

(Address of principal executive offices and zip code)

415-482-5300

415-482-5300
(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:

Title of Each Class

Trading Symbol

Name of Each Exchange on Which Registered

Common Stock, $0.0001 par value

NKTR

NASDAQ Global Select Market

Securities registered pursuant to Section 12(g) of the Act:
None

None

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.  Yes  No

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.  Yes No

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days).  Yes  No

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).  Yes  No

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§ 229.405) is not contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K.    

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer”filer,” “smaller reporting company” and “smaller reporting“emerging growth company” in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filer

Accelerated filer

Large Accelerated Filer

Accelerated filer
Non-accelerated filer

  (Do not check if a smaller reporting company)

Smaller reporting company

Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.
Indicate by check mark whether the registrant is a shell company (as defined in Exchange Act Rule 12b-2).  Yes     No  

  No☒

The approximate aggregate market value of voting stock held by non-affiliates of the registrant, based upon the last sale price of the registrant’s common stock on the last business day of the registrant’s most recently completed second fiscal quarter, June 30, 2016,28, 2019, as reported on theThe NASDAQ Global Select Market, was approximately $1,935,384,918.$6,184,040,785. This calculation excludes approximately 595,1151,159,402 shares held by directors and executive officers of the registrant. Exclusion of these shares does not constitute a determination that each such person is an affiliate of the registrant.

As of February 24, 2017,19, 2020, the number of outstanding shares of the registrant’s common stock was 153,831,047.

177,557,144.

DOCUMENTS INCORPORATED BY REFERENCE

Portions of registrant’s definitive Proxy Statement to be filed for its 20172019 Annual Meeting of Stockholders are incorporated by reference into Part III hereof. Such Proxy Statement will be filed with the Securities and Exchange Commission within 120 days of the end of the fiscal year covered by this Annual Report on Form 10-K.



NEKTAR THERAPEUTICS

2016

2019 ANNUAL REPORT ON FORM 10-K

TABLE OF CONTENTS

Page

PART I

Item 1.

Business

4

Page

Item 1A.

30

43

43

43

43

44

46

47

58

59

91

91

92

93

93

93

93

93

94

99

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Forward-Looking Statements

This report includes “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. All statements other than statements of historical fact are “forward-looking statements” for purposes of this annual report on Form 10-K, including any projections of market size, earnings, revenue, milestone payments, royalties, sales or other financial items, any statements of the plans and objectives of management for future operations (including, but not limited to, preclinical development, clinical trials and manufacturing), any statements related to our financial condition and future working capital needs, any statements regarding potential future financing alternatives, any statements concerning proposed drug candidates, any statements regarding the timing for the start or end of clinical trials or submission of regulatory approval filings, any statements regarding future economic conditions or performance, any statements regarding the initiation, formation or success of our collaboration arrangements, timing of commercial launches and product sales levels by our collaboration partners and future payments that may come due to us under these arrangements, any statements regarding our plans and objectives to initiate or continue clinical trials, any statements related to potential, anticipated, or ongoing litigation and any statements of assumptions underlying any of the foregoing. In some cases, forward-looking statements can be identified by the use of terminology such as “may,” “will,” “expects,” “plans,” “anticipates,” “estimates,” “potential” or “continue,” or the negative thereof or other comparable terminology. Although we believe that the expectations reflected in the forward-looking statements contained herein are reasonable, such expectations or any of the forward-looking statements may prove to be incorrect and actual results could differ materially from those projected or assumed in the forward-looking statements. Our future financial condition and results of operations, as well as any forward-looking statements, are subject to inherent risks and uncertainties, including, but not limited to, the risk factors set forth in Part I, Item 1A “Risk Factors” below and for the reasons described elsewhere in this annual report on Form 10-K. All forward-looking statements and reasons why results may differ included in this report are made as of the date hereof and we do not intend to update any forward-looking statements except as required by law or applicable regulations. Except where the context otherwise requires, in this annual report on Form 10-K, the “Company,” “Nektar,” “we,” “us,” and “our” refer to Nektar Therapeutics, a Delaware corporation, and, where appropriate, its subsidiaries.

Trademarks

The Nektar brand and product names, including but not limited to Nektar®Nektar®, contained in this document are trademarks and registered trademarks of Nektar Therapeutics in the United States (U.S.) and certain other countries. This document also contains references to trademarks and service marks of other companies that are the property of their respective owners.

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PART I
PART I

Item 1.

Item 1. Business

Nektar Therapeutics is a research-based biopharmaceutical company that discoversfocused on discovering and developsdeveloping innovative medicines in areas of high unmet medical need. Our research and development pipeline of new investigational drugs includes treatmentspotential therapies for cancer auto-immune disease and chronic pain.autoimmune disease. We leverage our proprietary and proven chemistry platform to discover and design new drug candidates. These drug candidates utilize our advanced polymer conjugate technology platforms, which are designed to enable the development of new molecular entities that target known mechanisms of action. We continue to make significant investments in building and advancing our pipeline of proprietary drug candidates as we believe that this is the best strategy to build long-term stockholder value. We refer to our drug candidates where we retain at least U.S. commercial rights as “proprietary programs”programs,” and refer to our other drug candidate programs thatwhere we have licensed U.S. and potentially other commercial rights to collaboration partners as “collaboration partner programs.”

Our Proprietary Programs

Immuno-oncology (I-O)

In the area of I-O, we are developing medicines that target biological pathways, which stimulate and sustain the body’s immune response in order to fight cancer. We are developing medicines designed to directly or indirectly modulate the activity of key immune cells, such as cytotoxic T cells and Natural Killernatural killer (NK) cells, to increase their numbers and improve their function to recognize and attack cancer cells.

NKTR-214,

Bempegaldesleukin (previously referred to as NKTR-214), our lead I-O candidate, is a biologic with biased signaling through one of the IL-2Interleukin-2 (IL-2) receptor subunits (CD 122)(CD122) that can stimulate proliferation and growth of tumor-killing immune cells in the tumor micro-environment and increase expression of PD-1 on these immune cells. A Phase 1 trial for NKTR-214Our strategic objective is to establish bempegaldesleukin as a single-agentkey component of many I-O combination regimens with the potential to improve the standard of care in cancer patientsmultiple oncology settings. We are executing a comprehensive clinical development program for bempegaldesleukin, including a broad clinical collaboration with solid tumors has completed recruitment. Data was presented at the 2016 Society for Immunotherapy of Cancer (SITC) meeting in November 2016 and the ASCO-GU meeting inBristol-Myers Squibb Company (BMS), several clinical collaborations with other third parties with pharmacological agents that have potential complementary mechanisms to bempegaldesleukin, as well as pursuing our own independent clinical studies.
On February 2017.

On September 21, 2016,13, 2018, we entered into a Clinical TrialStrategic Collaboration Agreement (BMS Collaboration Agreement) with Bristol-Myers Squibb Company (BMS),BMS pursuant to which we and BMS are collaboratingjointly developing bempegaldesleukin in combination with BMS’s Opdivo® (nivolumab) and certain other agents. The key economic components of the collaboration transaction included BMS making a non-refundable up-front payment of $1.0 billion to conductNektar and an $850.0 million premium equity investment in our common stock, BMS being responsible for a majority of the clinical costs of the collaboration development plan, wherein our annual funding obligation for collaboration development is limited to $125.0 million, Nektar retaining a 65% profit interest in bempegaldesleukin, and Nektar having the right to record global revenue for bempegaldesleukin commercial sales. Pursuant to the BMS Collaboration Agreement, we and BMS are jointly developing bempegaldesleukin under a broad joint development plan (Collaboration Development Plan) that was updated pursuant to an Amendment No. 1 that was entered into on January 9, 2020. The Collaboration Development Plan includes the ongoing registrational trials in first-line metastatic melanoma (for which the U.S. Food and Drug Administration (FDA) granted Breakthrough Therapy designation), first-line cisplatin ineligible, PD-L1 low, locally advanced or metastatic urothelial cancer, first-line metastatic renal cell carcinoma (RCC), and muscle-invasive bladder cancer, and also includes an additional registrational trial in adjuvant melanoma, as well as a Phase 1/2 clinical trials evaluating NKTR-214dose escalation and BMS’ human monoclonal antibody that binds PD-1, knownexpansion study to evaluate bempegaldesleukin plus Opdivo® in combination with axitinib in first line RCC to support a future Phase 3 registrational trial. Several other registrational-supporting pediatric and safety studies for the combination of bempegaldesleukin and Opdivo® are either currently underway or planned to begin in 2020. Also, as Opdivo® (nivolumab), as a potential combination treatment regimen in five tumor types and eight potential indications, and such other clinical trials evaluating the combined therapy as may be mutually agreed upon by the parties (each, a Combined Therapy Trial). Underspecifically allowed under the BMS Collaboration Agreement, BMS will supply nivolumabNektar is independently studying bempegaldesleukin and be responsible for 50% of all out-of-pocket costs reasonably incurredpembrolizumab in connection with the Combined Therapy Trials.

The first stage of the large Phase 1/2 clinical program for NKTR-214 is underway with BMS and is evaluating a potential combination treatment regimen of NKTR-214 with BMS’ PD-1 immune checkpoint inhibitor, Opdivo® in up to 260 patients. This clinical program will explore eight potential indications in five solid tumor types: melanoma, kidney, triple-negative breast cancer, bladder and non-small cell lung cancer.

In additioncancer (NSCLC) Phase 1/2 trial, and BMS plans to independently study bempegaldesleukin and Opdivo® in a NSCLC dose-optimization Phase 1/2 trial scheduled to begin in 2020.

We are also conducting a broad array of development activities evaluating bempegaldesleukin in combination with other agents that have potential complementary mechanisms of action. On November 6, 2018, we entered into a clinical trial collaboration with Pfizer, Inc. (Pfizer) to evaluate several combination regimens in multiple cancer settings, including metastatic castration-resistant prostate cancer and squamous cell carcinoma of the clinical programhead and neck. The combination regimens in this collaboration will evaluate bempegaldesleukin with avelumab, a human anti-PD-L1 antibody in development by Merck KGaA, and Pfizer; talazoparib, a poly (ADP-ribose) polymerase (PARP) inhibitor developed by Pfizer; or enzalutamide, an androgen receptor inhibitor in development by Pfizer and Astellas Pharma Inc. We are planning a Phase 1 study in pancreatic

cancer patients in collaboration with BMS, weBioXcel Therapeutics to evaluate a triplet combination of bempegaldesleukin, BXCL-701 (a small molecule immune-modulator, DPP 8/9), and avelumab being supplied to BioXcel by Pfizer and Merck KGaA. We are also plan to initiate a broad clinical development program, both on our own orworking in collaboration with Vaccibody AS to evaluate bempegaldesleukin in combination with Vaccibody’s personalized cancer neoantigen vaccine in a Phase 1 proof-of-concept study in patients with locally advanced or metastatic tumors.
We are also advancing other potential partners, to explore the potential of combining NKTR-214 with therapies such as cancer vaccines, adoptive cell therapy, small molecules, including NKTR-262 and other biological agentsNKTR-255, in order to generate novel immune-oncology approaches.

our I-O portfolio. NKTR-262 is a small molecule agonist that targets toll-like receptors (TLRs) found on innate immune cells in the body. NKTR-262 is designed to stimulate the innate immune system and promote maturation and activation of antigen-presenting cells (APC)(APCs), such as dendritic cells, which are critical to induce the body’s adaptive immunity and create antigen-specific cytotoxic T cells. NKTR-262 is being developed as a singlean intra-tumoral injection in combination with systemic NKTR-214 in orderbempegaldesleukin to induce an abscopal response and achieve the goal of complete tumor regression in cancer patients treated with both therapies. NKTR-262The Phase 1 dose-escalation trial is currently advancing through preclinical development.  

ongoing. NKTR-255 is a biologic that targets the interleukin-15 (IL-15) pathway in order to activate the body’s innate and adaptive immunity. SignalingActivation of the IL-15 pathway enhances the survival and function of NK cells and induces the proliferationsurvival of both effector and growth of CD8 memory T cells socells. Preclinical findings suggest NKTR-255 has the body’s immune system retainspotential to synergistically combine with antibody-dependent cellular toxicity molecules as well as enhance CAR-T therapies. We have initiated a Phase 1 clinical study of NKTR-255 in adults with relapsed or refractory non-Hodgkin lymphoma or multiple myeloma. We are also designing other clinical trials of NKTR-255 in both liquid and solid tumor settings. Additionally, we have entered into separate preclinical research collaborations with Gilead Sciences, Inc. (Gilead) and Janssen Research & Development, LLC (Janssen) to test the abilitycombination of NKTR-255 with therapies in Gilead’s antiviral portfolio and Janssen’s oncology portfolio, respectively.

Pain
NKTR-181 (also known as oxycodegol) is a novel mu-opioid analgesic drug candidate. In a Phase 3 efficacy study, NKTR-181 met its primary and key secondary endpoints in opioid-naïve patients with chronic low back pain. In a long-term safety study, NKTR-181 was shown to identify cancer cells if they re-growhave a favorable safety profile with analgesic effect maintained over 52-weeks. In a human abuse liability study (HAL), NKTR-181 had highly statistically significant lower “drug liking” scores and reduced “feeling high” scores as compared to oxycodone at all doses tested (p < 0.0001). In a human abuse potential study (HAP), NKTR-181 (400 mg and 600 mg) rated less likable compared to oxycodone 40 mg and 60 mg (p<0.0001), and a supratherapeutic dose of NKTR-181 (1200 mg) rated less likable than oxycodone 60 mg (p=0.0071). In numerous experiments using laboratory and home-based chemistry techniques, NKTR-181 was not able to be converted into a rapidly-acting, more abusable form of opioid.
On May 31, 2018, we announced that we submitted a New Drug Application (NDA) for NKTR-181, which had been granted a Fast Track designation by the FDA. Following our submission, the FDA missed the target action date of August 29, 2019 that it had assigned to our NDA under the Prescription Drug User Fee Act (PDUFA), and postponed product-specific advisory committee meetings for opioid analgesics, including one for NKTR-181 that was scheduled to take place on August 21, 2019. At the rescheduled advisory committee meeting held on January 14, 2020, the joint FDA Anesthetic Drug Products Advisory Committee and Drug Safety and Risk Management Committee did not recommend approval of NKTR-181, and, as a result, we subsequently withdrew the NDA and announced we would make no further investment in the body. NKTR-255 has also been shownprogram.
On February 26, 2020, the Audit Committee of the Board of Directors of the Company approved a plan to stimulate NK cell development. NKTR-255halt further development activities of the NKTR-181 program. The plan calls for the Company to terminate contracts with third party vendors (such as contract manufacturers and service providers) that were entered into for the purpose of supporting the commercialization of NKTR-181, and for the Company to enter into severance agreements with employees of Inheris Biopharma, Inc., a wholly owned subsidiary of the Company that was formed to develop and commercial NKTR-181. The plan is currently advancing through preclinical development.  

Immunology

We are developingultimately expected to result in a new biologic, cost savings to us of between $75 million and $125 million in 2020, based upon projections of the estimated costs attributed to commercialization plans and post-approval studies. In addition, in the first quarter of 2020, we expect to incur charges of $45.0 million to $50.0 million, including non-cash charges of $19.7 million for the impairment of advance payments to contract manufacturers for commercial batches of NKTR-181, as well as other charges, primarily for non-cancellable commitments to our contract manufacturers and certain severance costs. The plan will allow us to focus our resources on the existing I-O and autoimmune disease programs.


Collaboration Partner Programs
Autoimmune Disease
NKTR-358 which is an investigational drug designed to correct the underlying immune system imbalance in the body which occurs in patients with auto-immuneautoimmune disease. The breakdown of mechanisms assuring recognition of self and non-self is what

underlies all autoimmune diseases. A failure of the body'sbody’s self-tolerance mechanisms is known to result from pathogenic auto

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reactive T lymphocytes. By increasing the number of regulatory T regulatory cells (which are specific immune cells in the body that modulate the immune system and prevent auto-immuneautoimmune disease by maintaining self-tolerance), these pathogenic auto reactive T cells can be reduced and the proper balance of effector and regulatory T cells can be achieved to restore the body'sbody’s self-tolerance mechanisms. There is consistent evidence that suboptimal regulatory T regulatory cell numbers and their lack of activity play a significant role in a myriad of autoimmune diseases.

NKTR-358 is designed to optimally target the IL-2 receptor complex in order to stimulate proliferation and growth of regulatory T regulatory cells. NKTR-358 is being developed as a once or twice monthly self-administered injection for a number of auto-immuneautoimmune diseases. In

On July 23, 2017, we entered into a worldwide license agreement with Eli Lilly and Company (Lilly) to co-develop NKTR-358. We received an initial payment of $150.0 million in September 2017 and are eligible for up to an additional $250.0 million for development and regulatory milestones. We are responsible for completing Phase 1 clinical trialsdevelopment and certain drug product development and supply activities. We also share Phase 2 development costs with Lilly, with Lilly responsible for 75% and Nektar responsible for 25% of these costs. We will have the option to contribute funding to Phase 3 development on an indication-by-indication basis, ranging from zero to 25% of the global Phase 3 development costs. We are plannedeligible for tiered royalties on global sales up to the low twenties that escalate based upon our level of contribution to Phase 3 development costs and the level of global product annual sales. Lilly will be responsible for all costs of global commercialization and we will have an option to co-promote in the U.S. under certain conditions.
We have completed the first Phase 1 dose-finding trial of NKTR-358 to evaluate single-ascending doses of NKTR-358 in approximately 100 healthy volunteerspatients, and we also completed treatment of a Phase 1 multiple-ascending dose trial to evaluate NKTR-358 in patients with systemic lupus erythematouserythematosus (SLE) and other indications. We submitted an IND for NKTR-358 with the FDA in February 2017.  

Pain - NKTR-181

NKTR-181. Lilly is expected to initiate a novel mu-opioid analgesic drug candidate for chronic pain conditions and is currently in Phase 3 clinical development. We enrolled the first patient in the first Phase 3 efficacy study, which we call SUMMIT-07 in February 2015 and we completed enrollment in the2 study in late 2016. We are now conducting blinded data verification activitiesSLE in mid-2020 and currently plan to un-blind and announce the top-line data from SUMMIT-07start an additional Phase 2 study in March 2017. In this study,another auto-immune disease in 2020. On October 7, 2019, we randomizedannounced Lilly had initiated two Phase 1b studies in patients with chronic low back pain in an enriched enrollment randomized withdrawal design which included a qualifying screening period, an open-label titration period where NKTR-181 is given to all patients, followed by a 12-week double-blind randomized period where subjects were randomized on a 1:1 basis to receive either NKTR-181 or placebo. In 2016, we increased the sample size of this trial by approximately 200 patients following a pre-specified sample size assessment by the independent analysis center (IAC) after approximately fifty percent of the initially planned 416 patients completed the study. In 2013, we conducted a human abuse liability study, or HAL study, for NKTR-181 dose levels that were included in SUMMIT-07. In this study, NKTR-181 had highly statistically significant lower “drug liking” scorespsoriasis and reduced “feeling high” scores as compared to oxycodone at all doses tested (p < 0.0001). In January 2017, we started enrollment in a second HAL study where we are assessing abuse liability of supra-therapeutic doses of NKTR-181 in order to further evaluate NKTR-181 for labeling and scheduling purposes. The Phase 3 program for NKTR-181 is anticipated to also include a Phase 3 efficacy and safety trial in people who are opioid-experienced. If the top-line data from the SUMMIT-07 study is positive, we plan to seek a collaboration partner for this program to support further development investments and commercialize NKTR-181.

Oncology  - ONZEALDTM

ONZEALDTM (also known as NKTR-102, etirinotecan pegol) is our next-generation topoisomerase I inhibitor proprietary drug candidate.  On March 17, 2015, we announced topline data from a Phase 3 clinical study for ONZEALDTM, which we call the BEACON study (BrEAst Cancer Outcomes with NKTR-102), as a single-agent therapy for women with advanced metastatic breast cancer. The BEACON study compared ONZEALDTM to an active control arm comprised of a single chemotherapy agent of physician’s choice (TPC) in patients who were heavily pre-treated with a median of three prior therapies for metastatic disease. In a topline analysis of 852 patients from the trial, ONZEALDTM provided a 2.1 month improvement in median overall survival over TPC (12.4 months for patients receiving ONZEALDTM compared to 10.3 months for patients receiving TPC). Based on a stratified log-rank analysis, the primary endpoint measuring the Hazard Ratio (HR) for survival in the ONZEALDTM group compared to the active control arm was 0.87 with a p-value of 0.08, which did not achieve statistical significance.  Secondary endpoints in the BEACON study included objective response rate and progression-free survival, which did not achieve statistical significance in the study.  We also announced that we observed a significant overall survival benefit in two pre-specified subgroup populations—patients with a history of brain metastases and patients with baseline liver metastases at study entry.  

We have explored future regulatory and development paths forward for ONZEALDTM with the EU and U.S. health authorities. In Europe, we met with the National Authorities in Sweden and the United Kingdom, as well as the European Medicines Agency (EMA) to discuss the BEACON data. In June 2016, we filed an MAA for conditional approval of ONZEALDTM for adult patients with advanced breast cancer who have brain metastases. On July 14, 2016, we received a letter from the EMA notifying us that the ONZEALDTM MAA successfully passed validation to be accepted for review. In connection with our commercialization collaboration with Daiichi Sankyo Europe GmbH (Daiichi Europe) and in connection with MAA filing for ONZEALDTM, in the fourth quarter of 2016 we initiated a randomized Phase 3 confirmatory study to evaluate ONZEALDTM as compared to treatment of physician's choice (TPC) in approximately 350 adult patients with advanced breast cancer who have brain metastases, which we call the ATTAIN study. The primary endpoint of the ATTAIN study will be overall survival (OS) and the ATTAIN study will include a pre-specified interim analysis for OS which is to be conducted after 130 events have occurred in the study. In addition, based on our meetings with the FDA’s Oncology Division, the FDA staff has indicated that positive results from the ATTAIN study could potentially support a New Drug Application (NDA) filing in the U.S. where Nektar has retained all rights to ONZEALDTM.


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atopic dermatitis.

Other Collaboration Partner Programs

In 2014, we achieved the first approval of one of our proprietary drug candidates, MOVANTIK® (naloxegol), under a global license agreement with AstraZeneca AB (AstraZeneca). MOVANTIK® is an oral peripherally-acting opioid antagonist, for the treatment of opioid-induced constipation, or OIC, a side effect caused by chronic administration of prescription opioid pain medicines. AstraZeneca markets and sells MOVANTIK® in the United States in collaboration with Daiichi Sankyo, Inc. (Daiichi). Kyowa Hakko Kirin Co. Ltd. (Kirin) has exclusive marketing rights to MOVENTIG® (the naloxegol brand name in the EU) in the EU, Iceland, Liechtenstein, Norway and Switzerland.

We have a collaboration with Baxalta, Incorporated, (aInc. (Baxalta, a wholly-owned indirect subsidiary of Shire plc)Takeda Pharmaceutical Company Limited, Takeda) to develop and commercialize PEGylated drug candidates with the objective of providing new long-acting therapies for hemophilia patients. Under this collaboration, we worked with Baxalta to develop ADYNOVATE® (previously referred to as BAX 855), an extended half-life recombinant factor VIII (rFVIII) treatment for Hemophilia A based on ADVATE® [Antihemophilic (Antihemophilic Factor (Recombinant)]). In November 2015, ADYNOVATE®, was first approved by the U.S. Food and Drug Administration (FDA)FDA in late 2015 for use in adults and adolescents, aged 12 years and older, who have Hemophilia A. Baxalta announced the launch and first shipments of ADYNOVATE® in the U.S. on November 30, 2015. On April 4, 2016, Baxalta announced that the Ministry of Health, Labour and Welfare in Japan approved ADYNOVATE® for patients aged 12 years and older with Hemophilia A. On December 27, 2016, Shire plc announced that the FDA has also been approved ADYNOVATE® for use in surgical settings for both adult and pediatric patients and the FDA also approved ADYNOVATE® for the treatment for Hemophilia A in pediatric patients under 12 years of age. ADYNOVATE® is also under regulatory review in the European Union, SwitzerlandJapan, Korea, Canada, and Canada.

We also have two significant drug development programs with Bayer Healthcare LLC (Bayer). The first is a collaboration to develop BAY41-6551 (Amikacin Inhale, formerly knowncertain other countries using the same or similar brand names such as NKTR-061), which is an inhaled solution of amikacin, an aminoglycoside antibiotic. We originally developed the liquid aerosol inhalation platform and the NKTR-061 drug candidate and entered into a collaboration agreement with Bayer to further advance the drug candidate’s development and potential commercialization. Bayer is currently enrolling patients in a Phase 3 clinical study for Amikacin Inhale. Bayer is conducting this study under a Special Protocol Assessment process agreed to with the FDA. The second program is the Cipro DPI (Cipro Dry Powder Inhaler, previously called Cipro Inhale) program with Bayer Schering Pharma AG (Bayer Schering) that we transferred to Novartis as part of the 2008 pulmonary asset divestiture transaction. In August 2012, Bayer Schering initiated a global Phase 3 program called RESPIRE for the Cipro DPI product candidate in patients with non-cystic fibrosis bronchiectasis. In September 2016, Bayer Schering presented data from the first Phase 3 trail (RESPIRE 1) at the 2016 European Respiratory Society Annual Meeting which showed that the study met its co-primary endpoints for the every 14-day dosing arm of Cipro DPI.  The second Phase 3 trial (RESPIRE 2) completed recruitment in September 2016 and Bayer Schering has not yet reported the results from RESPIRE 2.

We have a license, manufacturing and supply agreement with UCB Pharma for dapirolizumab pegol, a monovalent pegylated Fab antibody fragment against the CD40 ligand (CD40L), being developed for the treatment of autoimmune diseases, including systemic lupus erythematosus (SLE) for which the candidate is entering Phase 2 development with UCB partner Biogen. ADYNOVI™.

We also have a number of license, manufacturing and supply agreements with other leading biotechnology and pharmaceutical companies, including Amgen, Inc., Allergan, Inc., Opthotech Corporation (Fovista), Merck & Co., Inc., Pfizer Inc. and F. Hoffmann-La Roche Ltd (Roche)UCB Pharma (UCB). A total of tenMore than 10 products using our PEGylation technology have received regulatory approval in the U.S. or the EU. There are also a number of other products in clinical development that incorporate our advanced polymer conjugate technologies.

Corporate Information

We were incorporated in California in 1990 and reincorporated in Delaware in 1998. We maintain our executive offices at 455 Mission Bay Boulevard South, San Francisco, California 94158, and our main telephone number is (415) 482-5300. Our website is located at www.nektar.com. The information contained in, or that can be accessed through, our website is not part of, and is not incorporated in, this Annual Report.

Report on Form 10-K.

Our Technology Platform

As a leader in the polymer conjugation field, we have advanced our technology platform to include new advanced polymer technologies that can be tailored in specific and customized ways with the objective of optimizing and significantly improving the profile of a wide range of molecules, including many classes of drugs targeting numerous disease areas. Polymer conjugation or PEGylation has been a highly effective technology platform for the development of therapeutics with significant commercial success, such as Amgen’s Neulasta® (pegfilgrastim) and Roche’s PEGASYSUCB’s CIMZIA® (PEG-interferon alfa-2a) (certolizumab pegol). Nearly all of the PEGylated drugs approved over the last fifteen years were enabled with our PEGylation technology through our collaborations

and licensing partnerships with a number of well-known biotechnology and pharmaceutical companies. PEGylation is a versatile technology as a result of polyethylene glycol (PEG) being a water soluble, amphiphilic, non-toxic, non-immunogenic compound that has been shown to safely clear from the body. Its primary use to date has been in currently approved biologic drugs to favorably alter their

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pharmacokinetic or pharmacodynamic properties. However, in spite of its widespread success in commercial drugs, there are some limitations with the first-generation PEGylation approaches that have been used with biologics. For example, these techniques cannot be used successfully to create small molecule drugs which could potentially benefit from the application of the technology. Other limitations of the early applications of PEGylation technology include sub-optimal bioavailability and bioactivity, and its limited ability to be used to fine-tune properties of the drug, as well as its inability to be used to create oral drugs.

drug.

With our expertise and proprietary technology in polymer conjugation, we have created the next generation of PEGylation technology. Our advanced polymer conjugateconjugation technology platform is designed to overcome the limitations of the first generation of the technology platform and to allow the platform to be utilized with a broader range of molecules across many therapeutic areas. We have also developed robust manufacturing processes for generating second generation PEGylation reagents that allow us to utilize the full potential of these newer approaches.

Our advanced polymer conjugate technology platforms have the potential to offer one or more of the following benefits:

improve efficacy or safety of a drug as a result of better pharmacokinetics, pharmacodynamics, longer half-life and sustained exposure of the drug;

improve targeting or binding affinity of a drug to its target receptors with the potential to improve efficacy and reduce toxicity or drug resistance;

improve solubility of a drug;

enable oral administration of parenterally-administered drugs, or drugs that must be administered intravenously or subcutaneously, and increase oral bioavailability of small molecules;

prevent drugs from crossing the blood-brain barrier, or reduce their rate of passage into the brain, thereby limiting undesirable central nervous system effects;

reduce first-pass metabolism effects of certain drug classes with the potential to improve efficacy, which could reduce the need for other medicines and reduce toxicity;

reduce the rates of drug absorption and of elimination or metabolism by improving stability of the drug in the body and providing it with more time to act on its target;

differentially alter binding affinity of a drug for multiple receptors, improving its selectivity for one receptor over another; and

reduce immune response to certain macromolecules with the potential to prolong their effectiveness with repeated doses.

We have a broad range of approaches that we may use when designing our own drug candidates, some of which are further described below.

Large Molecule Pro-Drug Releasable Polymer Conjugates (Cytokines)
Our customized approaches with large molecule polymer conjugates have expanded to include a new approach with biologics, in particular cytokines, which utilize the polymer as a means to bias action to a certain receptor or receptor sub-type. In addition, a cytokine’s pharmacokinetics and pharmacodynamics can be substantially improved and its half-life can be significantly extended. An example of this is bempegaldesleukin, which is a CD122-preferential IL-2 pathway agonist designed to provide rapid activation and proliferation of cancer-killing CD8+ effector T cells and NK cells, without over-activating the immune system, with an every two or every three-week dosing schedule.
Large Molecule Polymer Conjugates (Proteins and Peptides)
Our customized approaches with large molecule polymer conjugates have enabled numerous successful PEGylated biologics on the market today. Through rational drug design, a protein’s or peptide’s pharmacokinetics and pharmacodynamics can be substantially improved and its half-life can be significantly extended. An example of this is Baxalta’s ADYNOVATE®, a longer-acting (PEGylated) form of a full-length recombinant factor VIII (rFVIII) protein, which was approved by the FDA in November 2015 for use in adults and adolescents, aged 12 years and older, who have Hemophilia A. In December 2016, the FDA expanded the approval of ADYNOVATE® for use in surgical settings for both adults and pediatric patients, and also for the treatment of Hemophilia A in pediatric patients under 12 years of age.

More recently, our scientists have shown that we can also optimize relative receptor binding characteristics of large molecule conjugates. For instance, the cytokine IL-2 has two different receptor complexes in the body that cause opposing effects on the immune system. We have engineered different novel conjugates of IL-2 with optimized differential receptor binding to the IL-2 receptor categories in the immune system. By biasing the receptor binding of these molecules in complementary ways, we have made two different drug candidates: bempegaldesleukin, which selectively activates effector T cells, which kill tumors; and NKTR-358, which selectively activates regulatory T cells, which can reduce the pathological immune activation that underlies many autoimmune diseases.
Small Molecule Stable Polymer Conjugates

Our customized approach for small molecule polymer conjugates allows for the fine-tuning of the physicochemical and pharmacological properties of small molecule oral drugs to potentially increase their therapeutic benefit. In addition, this approach can enable oral administration of subcutaneously or intravenously delivered small molecule drugs that have low bioavailability when delivered orally. The benefits of this approach can also include: improved potency, modified biodistribution with enhanced pharmacodynamics, and reduced transport across specific membrane barriers in the body, such as the blood-brain barrier. An example of reducing transport across the blood-brain barrier is MOVANTIK®, an orally-available peripherally-acting opioid antagonist that is approved in the United States and European Union. An additional example of the application of membrane transport, specifically slowing transport across the blood-brain barrier is NKTR-181, an orally-available mu-opioid analgesic molecule that is currently in Phase 3 clinical development.

EU.

Small Molecule Pro-Drug Releasable Polymer Conjugates

The pro-drug polymer conjugation approach can be used to optimize the pharmacokinetics and pharmacodynamics of a small molecule drug to substantially increase its efficacy and improve its side effect profile. We are currently using this platform withfor NKTR-262. For NKTR-262 and other oncolytics, which typically havethis platform can improve sub-optimal half-lives that can limit their therapeutic efficacy. With our releasable polymer conjugate technology platform, we believe that theseoncolytic drugs can be modulated for programmed release within the body, optimized bioactivity and increased sustained exposure of active drug to tumor cells in the body. We are using this approach with our lead oncolytic drug candidate, ONZEALDTM next-generation topoisomerase I-inhibitor currently in Phase 3 clinical development.

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Large Molecule Polymer Conjugates (Proteins and Peptides)

Our customized approaches with large molecule polymer conjugates have enabled numerous successful PEGylated biologics on the market today. Based on our knowledge of the technology and biologics, our scientists have designed novel hydrolyzable linkers that in many cases can be used to optimize bioactivity. Through rational drug design, a protein or peptide’s pharmacokinetics and pharmacodynamics can be substantially improved and its half-life can be significantly extended. An example of this is Baxalta’s ADYNOVATE®, a longer-acting (PEGylated) form of a full-length recombinant factor VIII (rFVIII) protein, which was approved by the FDA in November 2015 for use in adults and adolescents, aged 12 years and older, who have Hemophilia A. In December 2016, Shire plc announced the FDA approved ADYNOVATE® for use in surgical settings for both adults and pediatric patients, and that the FDA also approved ADYNOVATE® for the treatment of Hemophilia A in pediatric patients under 12 years of age.

More recently, our scientists have shown that we can also optimize relative receptor binding characteristics of large molecule conjugates.  For instance, the cytokine Interleukin-2 (IL-2) has two different receptor complexes in the body that cause opposing effects on the immune system. We have engineered different novel conjugates of IL-2 with optimized differential receptor binding to the IL-2 receptor categories in the immune system.  By biasing the receptor binding of these molecules in complementary ways, we have made two different drug candidates: NKTR-214, which selectively activates effector T-cells, which kill tumors; and NKTR-358, which selectively activates regulatory T-cells, which can reduce the pathological immune activation that underlies many autoimmune diseases.   

Large Molecule Pro-Drug Releasable Polymer Conjugates (Cytokines)

Our customized approaches with large molecule polymer conjugates have expanded to include a new approach with biologics, in particular cytokines, which utilizes the polymer as a means to bias action to a certain receptor or receptor sub-type. In addition, a cytokine’s pharmacokinetics and pharmacodynamics can be substantially improved and its half-life can be significantly extended. An example of this is NKTR-214, which is a CD122-biased immune-stimulatory cytokine with an every two or every three-week dosing schedule.

Antibody Fragment Polymer Conjugates

This approach uses a large molecular weight PEG conjugated to antibody fragments in order to potentially improve their toxicity profile, extend their half-life and allow for ease of synthesis with the antibody. The specially designed PEG replaces the function of the fragment crystallizable (Fc) domain of full length antibodies with a branched architecture PEG with either stable or degradable linkage. This approach can be used to reduce antigenicity, reduce glomerular filtration rate, enhance uptake by inflamed tissues, and retain antigen-binding affinity and recognition. There is currently oneOne approved product on the market that utilizes our technology with an antibody fragment is CIMZIA® (certoluzimab pegol), which was developed by our partner UCB Pharma and is approved for the treatment of Crohn’s Disease psoriatic arthritis and ankylosing spondylitis in the U.S., axial spondyloarthritis in the EU and psoriatic arthritis and rheumatoid arthritis in the U.S. and EU.

Our Strategy

The key elements of our business strategy are described below:

Advance Our Proprietary Clinical Pipeline of Drug Candidates that Leverage Our Advanced Polymer Conjugate Platform

Our objective is to create value by advancing our lead drug candidates through various stages of clinical development. To support this strategy, we have significantly expanded and added expertise to our internal research, preclinical, clinical development and regulatory departments. A key component of our development strategy is to potentially reduce the risks and time associated with drug development by capitalizing on the known safety and efficacy of existing drugs and drug candidates as well as established pharmacologic targets and drugs directed to those targets. For many of our novel drug candidates, we may seek to study the drug candidates in indications for which the parent drugs have not been studied or approved. We believe that the improved characteristics of our drug candidates will provide meaningful benefit to patients compared to the existing therapies. In addition, in certain instances we have the opportunity to develop new treatments for patients for which the parent drugs are not currently approved.

Ensure Future Growth of our Proprietary Pipeline through Internal Research Efforts and Advancement of our Preclinical Drug Candidates into Clinical Trials


We believe it is important to maintain a diverse pipeline of new drug candidates to continue to build on the value of our business. Our discovery research organization is continuing to identify new drug candidates by applying our technology platform to a wide range of molecule classes, including small molecules and large proteins, peptides and antibodies, across multiple therapeutic areas. We continue to advance our most promising research drug candidates into preclinical development with the objective of advancing these early stageearly-stage research programs to human clinical studies over the next several years.

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Selectively Enter into Strategic and High-Value Partnerships to Bring Certain of Our Drug Candidates to Market

Collaboration Agreements

We decide on a drug candidate-by-drug candidatedrug-candidate-by-drug-candidate basis, how far to advance clinical development (e.g., Phase 1, 2 or 3) and whether to commercialize products on our own, or seek a partner, or pursue a combination of these approaches. When we determine to seek a partner, our strategy is to enter into collaborations with leading pharmaceutical and biotechnology companies to fund further clinicalselectively access a partner’s development, manage the global regulatory, filing process, and market and sell drugs in one or more geographies. The options for future collaboration arrangements range from comprehensive licensing and commercialization arrangements to co-promotion and co-development agreementscommercial capabilities with the structure of the collaboration depending on factors such as the structure of economic risk sharing, the cost and complexity of development, marketing and commercialization needs, therapeutic areaareas, potential for combination of drug programs, and geographic capabilities.

Transition to a Fully-Integrated Specialty Biotechnology Company with a Commercial Capability in the I-O Therapeutic Area
If we are successful with the development of bempegaldesleukin or one of our I-O drug candidates and one or more of them is approved, we plan to establish a commercial capability in the U.S. and other select major markets to market, sell and distribute these proprietary I-O therapies.  Under our BMS Collaboration Agreement, we retained significant global commercial rights to bempegaldesleukin including global co-promotion rights for all combinations of bempegaldesleukin with any BMS proprietary therapy and we lead global commercialization for all other bempegaldesleukin combination regimens.  We also have the contractual right under our BMS Collaboration Agreement to record all worldwide sales and revenue for bempegaldesleukin and we have final decision-making authority regarding the pricing of bempegaldesleukin.
Continue to Build a Leading Intellectual Property Estate in the Field of Polymer Conjugate Chemistry across Therapeutic Modalities

We are committed to continuing to build on our intellectual property position in the field of polymer conjugate chemistry. To that end, we have a comprehensive patent strategy with the objective of developing a patent estate covering a wide range of novel inventions, including among others, polymer materials, conjugates, formulations, synthesis, therapeutic areas, methods of treatment and methods of manufacture.

Nektar Proprietary Programs

The following table summarizes our proprietary drugs and drug candidates that have either received regulatory approval or are being developed by us or in collaboration with other pharmaceutical companies or independent investigators. The table includes the type of molecule or drug, the target indications for the drug candidate, and the status of the clinical development program.

Drug Candidate

Target Indication

Status(1)

ONZEALDTM (next-generation topoisomerase I inhibitor)

Drug Candidate

Advanced metastatic breast cancer in patients with brain metastases

Target Indication

Status(1)
Bempegaldesleukin (CD122-preferential IL-2 pathway agonist)Immuno-oncologyPhase 1, Phase 2, and Phase 3 Confirmatory Trial (Partnered with Daiichi Sankyo Europe)

studies ongoing in multiple indications

NKTR-358 (cytokine Treg stimulant)

Autoimmune Disease

Phase 1

NKTR-181 (orally-available mu-opioid analgesic molecule)

Moderate to severe chronic pain

Phase 3

NKTR-262 (toll-like receptor agonist)

Oncology

Phase 1

NKTR-214 (CD122-biased immune-stimulatory cytokine)

NKTR-255 (IL-15 receptor agonist)

Oncology

Immuno-oncology

Phase 1/2 in eight potential solid tumor indications

NKTR-358

Autoimmune Disease

IND Filed

NKTR-262

Solid Tumors

Research/Preclinical

NKTR-255

Immuno-Oncology

Research/Preclinical

1

(1)

(1)Status definitions are:

Phase 3 or Pivotalproductdrug candidate in large-scale clinical trials conducted to obtain regulatory approval to market and sell the drug (these trials are typically initiated following encouraging Phase 2 trial results).


Phase 2— a drug candidate in clinical trials to establish dosing and efficacy in patients.

Phase 1— a drug candidate in clinical trials, typically in healthy subjects, to test safety.

Research/Preclinical— a drug candidate is being studied in research by way of in vitro studies and/or animal studies


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Overview of Nektar Proprietary Programs

Immuno-Oncology (I/O)

Immuno-oncology (I-O)
Bempegaldesleukin (previously known as NKTR-214, (cytokinecytokine immunostimulatory therapy)

NKTR-214

Bempegaldesleukin is a CD122-biased immune-stimulatory cytokine designed for the treatment of solid tumors.  NKTR-214 isCD122-preferential IL-2 pathway agonist designed to preferentially activate the IL-2 beta sub-receptorsprovide rapid activation and gamma sub-unitsproliferation of the IL-2 receptor in order to proliferate tumor-killing T cells within the body (CD8-positivecancer-killing CD8+ effector T cells and natural killerNK cells, without over-activating the immune system.  Bempegaldesleukin stimulates these cancer-killing immune cells in the body by targeting CD122-specific receptors found on the surface of these immune cells. CD122, which is also known as the IL-2 receptor beta subunit, is a key signaling receptor that is known to increase proliferation of these CD8+ effector T cells) without stimulating regulatory T cells (CD4-positive T cells).cells. This receptor selectivity is intended to increase efficacy and improve safety over existing immunostimulatory cytokine drugs.

In June 2015, we and

Under a research collaboration with The University of Texas MD Anderson Cancer Center, announced a research collaboration that includesin December 2015 we commenced a Phase 1/2 clinical1 study to evaluate NKTR-214bempegaldesleukin as a monotherapy in a variety of tumor types as a monotherapy and in combination with other therapies, including PD-1 pathway inhibitors.  In December 2015, we announced that dosing had commenced in the Phase 1/2 clinical study evaluating the safety, tolerability and efficacy of NKTR-214 in patients with advanced solid tumors, including melanoma, renal cell carcinoma and non-small cell lung cancer. We are currently conducting a Phase 1/2 clinical study for NKTR-214, which is our engineered immunostimulatory CD122-biased cytokine designed to preferentially activate the beta and gamma sub-units of the IL-2 receptor with the objective to induce proliferation and accumulation of tumor-killing lymphocyte cells within the body (CD8-positive effector T cells and natural killer T cells) with limited activity on regulatory T cells (CD4-positive T cells). The study is being conducted initially at three primary investigator sites: the University of Texas MD Anderson Cancer Center, Yale Cancer Center and the Providence Cancer Center in Portland, Oregon.  The dose-escalation stage of the Phase 1/2 study is designed to evaluate safety and efficacy, and define the recommended Phase 2 dose of NKTR-214bempegaldesleukin in patients with solid tumors. In addition, to a determination of the recommended Phase 2 dose, the study will assessalso assessed the safety profile of NKTR-214,bempegaldesleukin, the immunologic effect of NKTR-214bempegaldesleukin on tumor-infiltrating lymphocytes and other immune activation markers in both blood and tumor tissue, the pharmacokinetic/pharmacokinetic and pharmacodynamic profile as well as preliminary anti-tumor activity based on objective response rate. 

We plan to study NKTR-214 in combinationof bempegaldesleukin.

The development program for bempegaldesleukin includes combinations with a number of therapeutic approaches where we believe there is a strong biologic rationale for complimentarycomplementary mechanisms of action. On September 21, 2016, we entered into a Clinical Trial Collaboration Agreement (BMS Agreement) with Bristol-Myers Squibb Company (BMS),BMS, pursuant to which we and BMS are collaboratingcollaborated to conduct Phase 1/2 clinical trials evaluating NKTR-214bempegaldesleukin and BMS’ human monoclonal antibody that binds to PD-1, known as Opdivo® (nivolumab), as a potential combination treatment regimen in five tumor types and eight potential indications and such other clinical trials evaluating the combined therapy as may be mutually agreed upon by the parties (each, a Combined Therapy Trial). The dose escalation stage of the Phase 1/2 program evaluating NKTR-214 in combination with Opdivo®, which we call the PIVOT study is currently enrolling patients at multiple clinical sites. In the first phase of the PIVOTPIVOT-02 study, we expect to evaluateevaluated the clinical benefit, safety, and tolerability of combining NKTR-214bempegaldesleukin with Opdivo® in thirty-eight patients. Interim data from the dose-escalation phase of the trial was presented at the 2017 SITC meeting in November 2017. We identified the recommended Phase 2 dose for bempegaldesleukin in combination with Opdivo®. The second phase of the expansion cohorts, which now falls under the BMS Collaboration Agreement entered into on February 13, 2018, and described below, is expected to evaluateevaluating the safety and efficacy of combining NKTR-214bempegaldesleukin with Opdivo®. Under the BMSinitial Clinical Trial Collaboration Agreement, BMS iswas responsible for 50% of all out-of-pocket costs reasonably incurred in connection with third party contract research organization, laboratories, clinical sites and institutional review boards. Each party willwas otherwise be responsible for its own internal costs, including internal personnel costs, incurred in connection with each Combined Therapy Trial.
On February 13, 2018, we entered into the second agreement with BMS (the BMS Collaboration Agreement), pursuant to which we and BMS are jointly developing bempegaldesleukin, including, without limitation, in combination with BMS’s Opdivo®, and other compounds of BMS, us or any third party. The parties have agreed to jointly commercialize bempegaldesleukin on a worldwide basis. On April 3, 2018, the closing date of the transaction, BMS paid us a non-refundable upfront cash payment of $1.0 billion and purchased $850.0 million of our common stock at a purchase price of $102.60 per share pursuant to a Share Purchase Agreement (Purchase Agreement). We are eligible to receive additional cash payments of a total of up to $1.455 billion upon achievement of certain development and regulatory milestones and a total of up to $350.0 million upon achievement of certain sales milestones. Under the BMS Collaboration Agreement, we have the contractual right to record all worldwide sales and revenue for bempegaldesleukin. We will share global commercialization profits and losses with BMS for bempegaldesleukin, with Nektar sharing 65% and BMS sharing 35% of the net profits and losses. BMS will lead commercialization for combinations of bempegaldesleukin with BMS proprietary medicines, and we will lead all other commercialization efforts for bempegaldesleukin. We will have the final decision-making authority regarding the pricing for bempegaldesleukin. Bempegaldesleukin will be sold on a stand-alone basis and there will be no fixed-dose combinations or co-packaging without the consent of both parties.
Under the BMS Collaboration Agreement, we and BMS will use commercially reasonable effortscollaborate to manufacturedevelop and supply its compoundconduct clinical studies of bempegaldesleukin pursuant the Collaboration Development Plan. The current Collaboration Development Plan includes a series of registration-enabling trials in five indications in three tumor types and may only be further revised upon mutual agreement of the parties. On August 1, 2019, we and BMS announced that the FDA granted Breakthrough Therapy Designation for each Combinedbempegaldesleukin in combination with Opdivo® for the treatment of patients with previously untreated unresectable or metastatic melanoma. Breakthrough Therapy TrialDesignation is intended to expedite the development and will bearreview of medicines

aimed at treating serious or life-threatening disease where there is preliminary evidence that the costs related thereto.

investigational therapy may offer substantial improvement over existing therapies on at least one clinically significant endpoint. In addition to the clinicalfirst-line metastatic melanoma trial, additional ongoing registrational trials currently being pursued under the current Collaboration Development Plan include first-line cisplatin ineligible, PD-L1 low, locally advanced or metastatic urothelial cancer, first-line metastatic renal cell carcinoma (RCC), and muscle-invasive bladder cancer, as well as an additional registrational trial in adjuvant melanoma scheduled to begin in 2020. In addition, the Collaboration Development Plan includes a Phase 1/2 dose escalation and expansion study to evaluate bempegaldesleukin plus Opdivo® in combination with axitinib in first line RCC in order to support a future Phase 3 registrational trial. Further, as part of the Collaboration Development Plan, several other registrational-supporting pediatric and safety studies for the combination of bempegaldesleukin and Opdivo® are either currently underway or planned to begin in 2020. Also, as specifically allowed under the BMS Collaboration Agreement, Nektar is independently studying bempegaldesleukin and pembrolizumab in a non-small cell lung cancer (NSCLC) Phase 1/2 trial, and BMS plans to independently study bempegaldesleukin and Opdivo® in a NSCLC dose-optimization Phase 1/2 trial in 2020.

The parties share the development costs for bempegaldesleukin in combination regimens, with BMS generally responsible for 67.5% and Nektar generally responsible for 32.5% of the development costs, based on each party’s relative ownership interest in the compounds included in the regimens. For costs of producing bempegaldesleukin, however, BMS is responsible for 35% and Nektar is responsible for 65% of costs. Our share of such development costs are limited to an annual cap of $125.0 million. Neither party will develop a therapy using an IL-2 agonist in combination with a small or large molecule that binds to the PD(L)-1 target, in indications included in the Collaboration Development Plan (each, a Competing Combination), whether alone or in collaboration with any third party, during a limited exclusivity period from the closing date under the BMS Collaboration Agreement until the later of (i) the first commercial sale of bempegaldesleukin or (ii) the third anniversary of the closing date, but each party may develop a Competing Combination on its own (but not in collaboration with any third party) during the three years after the end of the foregoing limited exclusivity period. Other than as described above, Nektar may independently develop and commercialize bempegaldesleukin either alone or in combination with other Nektar proprietary compounds or third party compounds.
Outside of the Collaboration Development Plan with BMS, we are also planconducting a broad array of development activities evaluating bempegaldesleukin in combination with other agents that have potential complementary mechanisms of action. Our strategic objective is to establish bempegaldesleukin as a key component with many immuno-oncology combination regimens with the potential to raise the standard of care in multiple oncology settings:
On November 6, 2018, we entered into a clinical collaboration with Pfizer to evaluate several combination regimens in multiple cancer settings, including metastatic castration-resistant prostate cancer and squamous cell carcinoma of the head and neck. The combination regimens in this collaboration will evaluate bempegaldesleukin with avelumab, a human anti-PD-L1 antibody in development by Merck KGaA and Pfizer; talazoparib, a poly (ADP-ribose) polymerase (PARP) inhibitor developed by Pfizer; or enzalutamide, an androgen receptor inhibitor in development by Pfizer and Astellas Pharma Inc.
A Phase 1 study in pancreatic cancer patients in collaboration with BioXcel is planned to evaluate a triplet combination of bempegaldesleukin, BXCL-701 (a small molecule immune-modulator, DPP 8/9), and avelumab (being supplied to BioXcel by Pfizer and Merck KGaA).
We are also working in collaboration with Vaccibody AS to evaluate bempegaldesleukin with Vaccibody’s personalized cancer neoantigen vaccine in a Phase 1 proof-of-concept study.
With our non-BMS clinical collaborations for bempegaldesleukin, each party generally supplies its own drug candidate and we generally share 50% of the other clinical development costs with our partners. We expect to continue to make significant and increasing investments exploring the potential of bempegaldesleukin with mechanisms of action that we believe are synergistic with bempegaldesleukin based on emerging scientific findings in cancer biology and preclinical development work.
In addition to these non-BMS clinical collaborations for bempegaldesleukin, we intend to initiate a broadfurther clinical development program, bothprograms, on our own or in collaboration with other potential partners, to explore the potential of combining NKTR-214bempegaldesleukin with other therapies such as cancer vaccines (other than Vaccibody’s personalized cancer neoantigen vaccine), adoptive cell therapy, and other small molecules and other biological agents in order to generate novel immune-oncologyimmuno-oncology approaches.

NKTR-262


NKTR-262 is a small molecule agonist that targets toll-like receptors (TLRs) found on innate immune cells in the body. NKTR-262 is designed to overcome the body’s dysfunction of antigen-presenting cells (APC)(APCs), such as dendritic cells, which are critical to induce the body’s adaptive immunity and create antigen-specific cytotoxic T cells. NKTR-262 is being developed as a single intra-tumoral injection to be administered at the start of therapy with NKTR-214bempegaldesleukin in order to induce an abscopal response and achieve the goal of complete tumor regression in cancer patients treated with both therapies. NKTR-262We initiated enrollment of patients in the initial Phase 1/2 clinical study in April 2018, which we call the REVEAL study, and the dose-escalation portion of this clinical study is currently advancing through preclinical development with the objective of filing an INDongoing and beginning clinical development.  

expected to be completed in 2020.

NKTR-255

NKTR-255 is a memory T cell stimulating cytokine designed to engagebiologic that targets the IL-15 pathway in order to induce long-term T cell activationactivate the body’s innate and improve the quality of T cell memory response to treat cancer. Through optimal engagementadaptive immunity. Activation of the IL-15Rα/IL-2Rγ receptor complex, NKTR-255 stimulates proliferationIL-15 pathway enhances the survival and function of NK cells and induces survival of CD8+both effector and CD8 memory T cells, natural killer (NK) cells and enhances formation of long-term immunological memory which may lead to sustained anti-tumor immune response.cells. Native rhIL-15 is rapidly cleared from the

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body and must be administered frequently and in high doses limiting its utility due to toxicity. NKTR-255 is designed with IL-15 receptor alpha specificity to optimize biological activity and is uniquely engineered to provide optimal exposure and an improved safety profile.

Immunology  

NKTR-358 is designed  Preclinical findings suggest NKTR-255 has the potential to correct the underlying immune system imbalance in the body which occurs in patientssynergistically combine with auto-immune disease. Current systemic treatments for autoimmune disease, including corticosteroids and anti-TNF agents, suppress the immune system broadly and come with severe side effects. NKTR-358 targets the CD25 sub-receptor in the interleukin-2 pathway in order to stimulate proliferation and growth of T regulatory cells, which are specific immune cells in the body that modulate the immune system and prevent auto-immune disease by maintaining self-tolerance.antibody-dependent cellular toxicity molecules as well as enhance CAR-T therapies. We plan to evaluate NKTR-358 in clinical studies for the treatment of systemic lupus erythematosus and other indications. We filed an IND for Nektar-358 in February 2017.  

Pain - NKTR-181 (mu-opioid analgesic molecule for chronic pain)

NKTR-181 is an orally-available novel mu-opioid analgesic molecule in development as a long-acting analgesic to treat chronic pain. NKTR-181 is designed with the objective to address the abuse liability and serious central nervous system (CNS) side effects associated with current opioid therapies. NKTR-181 was created using Nektar’s proprietary polymer conjugate technology, which provides it with a long-acting profile and slows its entry into the CNS. NKTR-181’s abuse deterrent properties are inherent to its novel molecular structure and do not rely on a formulation approach to prevent its conversion into a more abusable form of an opioid. In May 2012, the FDA granted Fast Track designation for the NKTR-181 development program.  

In June 2012, wehave initiated a Phase 2 clinical study to evaluate the efficacy, safety and tolerability of NKTR-181 in patients with moderate to severe chronic pain from osteoarthritis of the knee. The Phase 2 clinical study utilized a double-blind, placebo-controlled, randomized withdrawal, enriched enrollment study design. The study enrolled 295 opioid-naïve patients with osteoarthritis of the knee who were not getting adequate pain relief from their current non-opioid pain medication. Patients who qualified during the baseline period entered a titration phase, during which they were titrated on NKTR-181 tablets administered orally twice-daily until a dose was reached that provided a reduction of at least 20% in the patient’s pain score as compared to the patient’s own baseline. Patients that achieved this level of analgesia were then randomized on a 1:1 basis to either continue to receive their analgesic dose of NKTR-181 or to receive placebo for up to 25 days. The primary endpoint of the study was the average change in a patient’s pain score from baseline to the end of the double-blind, randomized treatment period.  

In the first half of 2013, we conducted a human abuse liability study, or HAL study, for NKTR-181. In this study, NKTR-181 had highly statistically significant lower "drug liking" scores and reduced "feeling high" scores as compared to oxycodone at all doses tested (p < 0.0001). On June 19, 2013, we presented data from the HAL study at the 2013 Annual Meeting of The College on Problems of Drug Dependence in San Diego, California.  

On September 26, 2013, we announced results from this Phase 2 efficacy study. Of the 295 patients that entered the study, only 9 patients (representing 3% of the patient population) were unable to achieve meaningful pain relief with NKTR-181. A total of 213 patients achieved an average 40% reduction in pain and entered the randomized phase of the study. NKTR-181 performed as expected as an opioid analgesic throughout the study with patients continuing to show a reduction in pain scores throughout the randomized phase of the study. However, patients who were randomized to placebo did not show the expected increase in pain scores observed in similar enriched enrollment, randomized withdrawal studies. This unusual lack of a placebo rebound caused the Phase 2 study to miss the primary endpoint in the study.

In October 2014, we engaged in an end-of-Phase 2 meeting for NKTR-181 with the FDA, which included discussions of the design of the Phase 3 clinical study program.  We enrolled the first patient in the first Phase 3 efficacy study, which we call SUMMIT-07 in February 2015 and we completed enrollment in the study in the fourth quarter of 2016. In this study, we randomized patients with chronic low back pain in an enriched enrollment randomized withdrawal design which included a qualifying screening period, an open-label titration period where NKTR-181 was given to all patients, followed by a 12-week double-blind randomized period where subjects were randomized on a 1:1 basis to receive either NKTR-181 or placebo. On February 29, 2016, we increased the sample size of this trial by approximately 200 patients following a pre-specified sample size assessment by the independent analysis center (IAC) after approximately fifty percent of the initially planned 416 patients completed the study. The protocol for the NKTR-181 study defined only two possible outcomes for this pre-planned blinded interim sample size assessment: (1) if the conditional powering at the midpoint of the trial fell between 50-85%, the sample size was to be increased by approximately 200 patients; or (2) if the conditional powering fell below 50%, or above 85%, the sample size was not to be changed. The IAC’s determination was nondiscretionary and was based upon our determination of pre-defined acceptable power to detect a statistically significant difference between NKTR-181 and placebo based on the primary efficacy endpoint. In 2013, we conducted a human abuse liability study, or HAL study, for NKTR-181 dose levels that were included in SUMMIT-07. In this study, NKTR-181 had highly statistically significant lower “drug liking” scores and reduced “feeling high” scores as compared to oxycodone at all doses tested (p < 0.0001). In January 2017, we started

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enrollment in a second HAL study where we are assessing abuse liability of supra-therapeutic doses of NKTR-181 in order to further evaluate NKTR-181 for labeling and scheduling purposes.  The Phase 3 program for NKTR-181 is anticipated to also include a Phase 3 efficacy and safety trial in people who are opioid-experienced.  We are now conducting blinded data verification activities and currently plan to un-blind and announce the top-line data from SUMMIT-07 in March 2017.

According to a 2011 report from the National Academy of Sciences, chronic pain conditions, such as osteoarthritis, back pain and cancer pain, affect at least 100 million adults in the U.S. annually and contribute to over $300 billion a year in lost productivity. Opioids are considered to be the most effective therapeutic option for pain. However, opioids cause significant problems for physicians and patients because of their serious side effects such as respiratory depression and sedation, as well as the risks they pose for addiction, abuse, misuse, and diversion. The FDA has cited prescription opioid analgesics as being at the center of a major public health crisis of addiction, misuse, abuse, overdose and death. According to the American Society of Addiction Medicine 2016 report, there are 1.9 million Americans which have a substance use disorder involving prescription pain relievers. This same report attributes 18,893 overdose deaths in 2015 were related to prescription pain relievers.

Oncology - ONZEALDTM (next generation, long-acting topoisomerase I inhibitor)

ONZEALDTM (previously known as NKTR-102 or etirinotecan pegol) is our next-generation topoisomerase I inhibitor proprietary drug candidate.  In 2015, we announced topline data from a Phase 3 clinical study for ONZEALDTM, which we call the BEACON study (BrEAst Cancer Outcomes with ONZEALDTM), as a single-agent therapy for women with advanced metastatic breast cancer. The BEACON study compared ONZEALDTM to an active control arm comprised of a single chemotherapy agent of physician’s choice (TPC) in patients who were heavily pre-treated with a median of three prior therapies for metastatic disease. In a topline analysis of 852 patients from the trial, ONZEALDTM provided a 2.1 month improvement in median overall survival over TPC (12.4 months for patients receiving ONZEALDTM compared to 10.3 months for patients receiving TPC). Based on a stratified log-rank analysis, the primary endpoint measuring the hazard ratio for survival in the ONZEALDTM group compared to the active control arm was 0.87 with a p-value of 0.08, which did not achieve statistical significance. Secondary endpoints in the BEACON study included objective response rate and progression-free survival, which did not achieve statistical significance in the study.  We also announced that we observed a significant overall survival benefit in two pre-specified subgroups—patients with a history of brain metastases and patients with baseline liver metastases at study entry.

We have explored future regulatory and development paths forward for ONZEALDTM with the EU and U.S. health authorities.  In Europe, we met with the National Authorities in Sweden and the United Kingdom, as well as the European Medicines Agency (EMA) to discuss the BEACON data.  In June 2016, we filed an MAA for conditional approval of ONZEALDTM for adult patients with advanced breast cancer who have brain metastases.  On July 14, 2016, we received a letter from the EMA notifying us that the ONZEALDTM MAA successfully passed validation to be accepted for review.  In 2016 we initiated a randomized Phase 3 confirmatory study to evaluate ONZEALDTM as compared to treatment of physician’s choice (TPC) in approximately 350 adult patients with advanced breast cancer who have brain metastases (ATTAIN Study). The primary endpoint of the ATTAIN Study will be overall survival (OS) and the ATTAIN Study will include a pre-specified interim analysis for OS which is to be conducted after 130 events have occurred in the study. In addition, based on our meetings with the FDA’s Oncology Division, the FDA staff has indicated that positive results from the ATTAIN Study could potentially support a New Drug Application (NDA) filing in the U.S. where Nektar has retained all rights to ONZEALDTM.

According to the American Cancer Society and World Health Organization, more than 1.4 million women worldwide are diagnosed with breast cancer globally every year. The chance of developing invasive breast cancer at some time in a woman’s life is a little less than one in eight (approximately 12%). In 2017, the American Cancer Society estimates there will be 252,710 new cases of invasive breast cancer diagnosed in the U.S. and about 40,610 women will die from breast cancer. Anthracyclines and taxanes are the among the most active and widely used chemotherapeutic agents for breast cancer, but the increased use of these agents at an early stage of disease often renders tumors resistant to these drugs by the time the disease recurs, thereby reducing the number of treatment options for metastatic disease. There are currently no FDA-approved topoisomerase I inhibitors indicated to treat breast cancer.

We have also conducted clinical studies for ONZEALDTM in other solid tumor settings. In 2013, we completed a Phase 2 clinical study for ONZEALDTM in approximately 170 patients with platinum-resistant/refractory ovarian cancer. We also initiated a Phase 2 clinical study of ONZEALDTM monotherapy versus irinotecanNKTR-255 in second-line metastatic colorectal cancer patients with the KRAS mutant gene. The Phase 2 clinical study was designed to enroll 174 patients with metastatic colorectal cancer. In February 2014, we decided to close enrollment in this study after 80 patients were randomized due to challenges in recruiting new patients because the comparator arm of this study, single-agent irinotecan, is not the common standard of care for second line metastatic colorectal therapy in the U.S. or EU. 

We also conducted a Phase 1 dose-escalation clinical study which enrolled 26 patients to evaluate ONZEALDTM in combination with 5-Fluorouracil (5-FU)/leucovorin in refractory solid tumor cancers. The chemotherapy agent 5-FU is currently used as a part of a combination treatment regimen for colorectal cancer in combination with irinotecan, which is also known as the FOLFIRI regimen.

12


On January 18, 2014, we presented data from this study at the 2014 Gastrointestinal Cancers Symposium in San Francisco, California.  In addition to the clinical study of ONZEALDTM being conducted by us, we have also provided support for four investigator-initiated Phase 2 studies being conducted for ONZEALDTM. On August 7, 2012, we announced a Phase 2 investigator-initiated clinical study of ONZEALDTM in patients with bevacizumab (Avastin)-resistant high-grade glioma being conducted at the Stanford Cancer Institute. In May 2013, the study completed enrollment of 20 patients with high-grade glioma who had received a median of three prior lines of therapy before enrolling in the study. A separate investigator-initiated clinical study is also being conducted at Stanford to evaluate ONZEALDTM in patients with brain metastasis from primary lung cancer. On February 5, 2013, we announced a Phase 2 investigator-initiated clinical study of ONZEALDTM in patients with metastatic and recurrent non-small cell lung cancer being conducted at the Abramson Cancer Center of the University of Pennsylvania. On October 24, 2013, we announced a Phase 2 investigator-initiated clinical study of ONZEALDTM in patientsadults with relapsed or refractory small-cell lung cancer atnon-Hodgkin lymphoma or multiple myeloma. We are also designing other clinical trials of NKTR-255 in both liquid and solid tumor settings. Additionally, we have entered into separate preclinical research collaborations with Gilead and Janssen to test the Roswell Park Cancer Institute.

combination of NKTR-255 with therapies in Gilead’s antiviral portfolio and Janssen’s oncology portfolio, respectively.

Collaboration Partner Programs

The following table outlines our collaborations with a number of pharmaceutical companies that currently license our intellectual property and, in some cases, purchase our proprietary PEGylation materials for their drug products. A total ofMore than ten products using our PEGylation technology have received regulatory approval in the U.S. or Europe. There are also a number of other candidates that have been filed for approval or are in various stages of clinical development. These collaborations generally contain one or more elements including a license to our intellectual property rights and manufacturing and supply agreements under which we may receive manufacturing revenue, milestone payments, and/or royalties on commercial sales of drug products.


Drug

Drug
Primary or Target

Indications

Drug

Marketer/Partner

Status(1)

NKTR-358

Autoimmune disease

Eli Lilly and Company

Phase 1

MOVANTIK

ADYNOVATE® (previously referred to as BAX 855, PEGylated rFVIII) and ADYNOVI® (brand name for ADYNOVATE® in Europe)
Hemophilia ATakeda Pharmaceutical Company LimitedApproved 2015
MOVANTIK® (naloxegol tablets)

and  MOVENTIG
® (brand name for MOVANTIK® in Europe)

Opioid-induced constipation in adult patients with chronic non-cancer pain

AstraZeneca AB

Approved

MOVENTIG® (brand name for MOVANTIK® in Europe)

Opioid-induced (US); Opiod-induced constipation in adult patients who have anand inadequate response to laxatives

(EU).

AstraZeneca AB

Approved

2014

ADYNOVATE

CIMZIA®  (previously referred to as BAX 855, PEGylated rFVIII)

 (certolizumab pegol)

Hemophilia A

Crohn’s disease, Rheumatoid arthritis, and Psoriasis/ Ankylosing Spondylitis

Shire plc

UCB Pharma

Approved in U.S. and filed in European Union

2008*

Somavert

MIRCERA® (pegvisomant)

Acromegaly

Pfizer Inc.

Approved

Neulasta® (pegfilgrastim)

Neutropenia

Amgen Inc.

Approved

PEG-INTRON® (peginterferon alfa-2b)

Hepatitis-C

Merck (through its acquisition of Schering-Plough Corporation)

Approved

Macugen® (pegaptanib sodium injection)

Age-related macular degeneration

Valeant Pharmaceuticals International, Inc.

Approved

CIMZIA® (certolizumab pegol)

Rheumatoid arthritis

UCB Pharma

Approved *

CIMZIA® (certolizumab pegol)

Crohn’s disease

UCB Pharma

Approved *

CIMZIA® (certolizimab pegol)

Psoriasis/Ankylosing Spondylitis

UCB Pharma

Approved *

MIRCERA® (C.E.R.A.) (Continuous Erythropoietin Receptor Activator)

Anemia associated with chronic kidney disease in patients on dialysis and patients not on dialysis

F. Hoffmann-La Roche Ltd

Approved **

2007*

SEMPRANA®

Migraine

Allergan, Inc.

Filed for approval in U.S.

Macugen® (pegaptanib sodium injection)

Age-related macular degeneration

Bausch Health Companies Inc. (formerly, Valeant Pharmaceuticals International, Inc.)

Approved 2004

BAY41-6551 (Amikacin Inhale, formerly NKTR-061)

Gram-negative pneumonias

Bayer Healthcare

Phase 3

Somavert® (pegvisomant)

Acromegaly

Pfizer Inc.

Approved 2003

Fovista®

Neovascular age-related macular degeneration

Ophthotech Corporation

Phase 3

13


Drug

Primary or Target

Indications

Drug

Marketer/Partner

Status(1)

Neulasta® (pegfilgrastim)

Neutropenia

Amgen Inc.

Approved 2002

Cipro Dry Powder Inhaler (Cipro DPI)

Non-cystic fibrosis bronchiectasis

Bayer Schering Pharma AG

Phase 3***

Dapirolizumab Pegol

Systemic Lupus Erythematosus

UCB Pharma (Biogen)

Phase 2

PEGPH20

Pancreatic, Non-Small Cell Lung Cancer, and other multiple tumor types

Halozyme Therapeutics, Inc.

Phase 1, 2, and 3

Further development halted.

Longer-acting blood clotting proteins

Hemophilia

Baxalta

Takeda

Research/Preclinical

(1)

(1)Status definitions are:

Approved— regulatory approval to market and sell product obtained in one or more of the U.S., EU or other countries.

Year indicates first regulatory approval.

Filed— an application for approval and marketing has been filed with the applicable government health authority.

Phase 3 or Pivotalproductdrug candidate in large-scale clinical trials conducted to obtain regulatory approval to market and sell the drug

(these (these trials are typically initiated following encouraging Phase 2 trial results).

Phase 2— a drug candidate in clinical trials to establish dosing and efficacy in patients.

Phase 1 —a drug candidate in clinical trials, typically in healthy subjects, to test safety.


Research/Preclinical —a drug candidate is being studied in research by way of in vitro studies and/or animal studies

studies.

*

*
In February 2012, we sold our rights to receive royalties on future worldwide net sales of CIMZIA® and MIRCERA® effective as of January 1, 2012.

**

In February 2012, we sold our rights to receive royalties on future worldwide net sales of MIRCERA® effective as of January 1, 2012 until the agreement with Roche is terminated or expires.

***

This drug candidate was developed using our proprietary pulmonary delivery technology that was transferred by us to Novartis in an asset sale transaction that closed on December 31, 2008. As part of the transaction, Novartis assumed our rights and obligations for Cipro DPI (formerly known as Cipro Inhale) under our agreements with Bayer Schering Pharma AG; however, we maintained the rights to receive royalties on commercial sales of Cipro DPI if the drug candidate is approved.

With respect to all of our collaboration and license agreements with third parties, please refer to Item 1A,1A. Risk Factors, including without limitation, “We are a party to numerous collaboration agreements and other significant agreements which contain complex commercial terms that could result in disputes, litigation or indemnification liability that could adversely affect our business, results of operations and financial condition.condition” and “We are involved in legal proceedings and may incur substantial litigation costs and liabilities that will adversely affect our business, financial condition and results of operations.

Overview of Collaboration Partner Programs

We have a number of product candidates in clinical development and approved products in collaboration with our partners where we invented the drug candidate or where our collaboration partners have licensed our proprietary intellectual property to enable one of their drug candidates. Our agreements with collaboration partners may involve several elements including a technology license as well as the development, commercialization, and manufacturing and supply obligations. We typically receive consideration from our collaboration partners in the form of upfront payments, or milestone paymentpayments and royalties on sales. In certain cases, we also manufacture and supply our proprietary polymer materials to our partners.

MOVANTIK® and MOVANTIK® Fixed-Dose Combination Products (MOVANTIK® previously referred to as naloxegol or NKTR-118 and MOVANTIK® Fixed-Dose Combination Products previously referred to as NKTR-119), License

NKTR-358, Agreement with AstraZeneca AB

In September 2009,Eli Lilly and Company

NKTR-358 is designed to correct the underlying immune system imbalance in the body which occurs in patients with autoimmune disease. Current systemic treatments for autoimmune disease, including corticosteroids and anti-TNF agents, suppress the immune system broadly and come with severe side effects. NKTR-358 targets the CD25 sub-receptor in the IL-2 pathway in order to stimulate proliferation and growth of regulatory T cells, which are specific immune cells in the body that modulate the immune system and prevent autoimmune disease by maintaining self-tolerance.
On July 23, 2017, we entered into a global license agreement with AstraZeneca AB (AstraZeneca)the Lilly Agreement, pursuant to which we granted AstraZeneca a worldwide, exclusive, perpetual, royalty-bearing license under our patents and other intellectual property to Lilly will co‑develop market and sell MOVANTIK® and MOVANTIK® fixed-dose combination products.  MOVANTIK® was developed using our oral small molecule polymer conjugate technology and we advanced this drug through the completion of Phase 2 clinical studies prior to licensing it to AstraZeneca.  MOVANTIK® is an orally-available peripherally-acting mu-opioid antagonist being investigated for the treatment of opioid-induced constipation (OIC), which is a common side effect of prescription opioid medications. Opioids attach to specific proteins called opioid receptors. When the opioids attach to certain opioid receptors in the gastrointestinal tract, constipation may occur. OIC is a result of decreased fluid absorption and lower gastrointestinal motility due to opioid receptor binding in the gastrointestinal tract.

14


On September 16, 2014, the FDA approved MOVANTIK® as the first once-daily oral peripherally-acting mu-opioid receptor antagonist (PAMORA) medication for the treatment of OIC in adult patients with chronic, non-cancer pain.  On December 9, 2014, the European Commission, or EC, granted Marketing Authorisation to MOVENTIG® (the naloxegol brand name in the European Union) as the first once-daily oral PAMORA to be approved in the EU for the treatment of OIC in adult patients who have had an inadequate response to laxative(s).  The EC’s approval applies to all 28 EU member countries plus Iceland and Norway. AstraZeneca launched the commercial sales of MOVANTIK® in the United States in March 2015 and MOVENTIG® in Germany, the first EU member country, in August 2015.NKTR-358. Under the terms of our license agreement with AstraZeneca, AstraZeneca madethe Lilly Agreement, we received an initial license payment of $125.0$150.0 million in September 2017 and are eligible for up to us$250.0 million in additional development and has responsibilityregulatory milestones. We are responsible for completing Phase 1 clinical development and certain drug product development and supply activities. We will also share Phase 2 development costs with Lilly, with Lilly responsible for 75% and Nektar responsible for 25% of these costs. We will have the option to contribute funding to Phase 3 development on an indication-by-indication basis, ranging from zero to 25% of the global Phase 3 development costs. We are eligible to receive up to double-digit sales royalty rates that escalate based upon our contribution to Phase 3 development costs and the level of global product annual sales. Lilly will be responsible for all activitiescosts of global commercialization and bears all costs associated with research, development and commercialization for MOVANTIK® and MOVANTIK® fixed-dose combination products.  We received milestone payments of $70.0 million and $25.0 million upon the acceptance of regulatory approval applications of MOVANTIK® by the FDA and European Medicines Agency (EMA), respectively, in 2013. We receivedwe will have an additional developmental milestone payment of $35.0 million upon the FDA’s approval of MOVANTIK® in 2014 and a total of $140.0 million upon commercial launches in 2015, including $100.0 million for MOVANTIK®option to co-promote in the U.S. under certain conditions.

We have completed a Phase 1 dose-finding trial of NKTR-358 to evaluate single-ascending doses of NKTR-358 in approximately 100 healthy patients. Results from this study demonstrated a multiple-fold increase in regulatory T cells with no change in CD8 positive or natural killer cell levels and $40.0 million for MOVENTIGno dose-limiting toxicities were observed. We also completed treatment of a Phase 1 multiple-ascending dose trial to evaluate NKTR-358 in patients with systemic lupus erythematosus (SLE). Lilly is expected to initiate a Phase 2 study in SLE in mid-2020 and to start an additional Phase 2 study in another auto-immune disease in 2020. These clinical studies are in addition to the two ongoing Phase 1b studies in patients with psoriasis and atopic dermatitis being run by Lilly.     
ADYNOVATE® in Germany. We are also entitled to up to $375.0 million in sales milestones for MOVANTIK® if the program achieves certain annual commercial sales levels.  For the MOVANTIK® fixed-dose combination products, we are also eligible to receive significant development milestones as well as significant sales milestone payments if the program achieves certain annual commercial sales levels. For both MOVANTIK® and the fixed-dose combination products, we are also entitled to significant double-digit royalty payments starting at 20% of net sales in the U.S. and 18% of net sales in the EU and rest of world, varying by country of sale and level of annual net sales. Our right to receive royalties (subject to certain adjustments) in any particular country will expire upon the later of (a) a specified period of time after the first commercial sale of the product in that country or (b) the expiration of patent rights in that particular country. AstraZeneca has agreed to use commercially reasonable efforts to develop one MOVANTIK® fixed-dose combination product and has the right to develop multiple products which combine MOVANTIK® with opioids.

There are a number of patents relevant to MOVANTIK®, some of which are listed in the FDA’s “Orange Book.” The “Orange Book” currently lists six patents for MOVANTIK®. Four patents (i.e., U.S. Patent Nos. 7,056,500, 7,662,365, 7,786,133 and 9,012,469) are “composition of matter patents” - one of which has a patent expiry extending into 2032. In addition, two patents (i.e., U.S. Patent Nos. 8,067,431 and 8,617,530) are directed to methods of treatment.

ADYNOVATE® (previously referred to as BAX 855), ADYNOVI® (brand name for ADYNOVATE® in Europe) and Long-Acting TherapiesLonger-Acting Blood Clotting Proteins for Hemophilia A, Agreement with Subsidiaries of Baxalta Incorporated

In September 2005, we entered into an exclusive research, development, license, manufacturing and supply agreement (Baxalta License Agreement) with certain subsidiaries of Baxalta formerly Baxter before the separation of Baxalta from Baxter in July 2015,(which has been acquired by Takeda), to develop products with an extended half-life for the treatment and prophylaxis of Hemophilia A patients using our proprietary PEGylation technology. The first product in this collaboration, ADYNOVATE® (previously referred to as BAX 855), is a longer-acting (PEGylated) form of a full-length recombinant factor VIII (rFVIII) protein. ADYNOVATE® is a full-length PEGylated longer-acting recombinant factor VIII (rFVIII)protein that was developed to increase the half-life of ADVATE® (Antihemophilic Factor (Recombinant) Plasma/Albumin-Free Method). ADYNOVATE® was first approved by the FDA on November 30, 2015.  Since then it has been approved in one or more indications for Hemophilia A in the EU, Japan, and other countries around the world.

We are entitled to up to $55.0$35.0 million in total development andof sales milestone payments, as well as royalties on net sales varying by product and country of sale. TheWith regard to the sales milestone payments, we received a $10.0 million dollar milestone payment in 2019 for annual net sales in 2018 achieving the sales milestone specified in the Baxalta License Agreement for this payment. With regard to royalties, our royalties start in the mid-single digits for net sales of ADYNOVATE®up to $1.2 billion and then in the low teens for net sales exceeding $1.2 billion. Our right to receive these royalties in any particular country will expire upon the later of ten years after the first commercial sale of the product in that country or the expiration of patent rights in certain designated countries or in that particular country.

In 2012,October 2017, we entered into a right to sublicense agreement with Baxalta, completedunder which we granted to Baxalta the right to grant a Phase 1 clinical study for ADYNOVATE®nonexclusive sublicense to certain patents to a third party that was a prospective, open-label study assessingwere previously exclusively licensed to Baxalta under the safety, tolerabilityBaxalta License Agreement. Under the right to sublicense agreement, Baxalta paid us $12.0 million in November 2017 and pharmacokinetics of ADYNOVATE®  in 19 previously treated patients age 18 years or older with severe Hemophilia A. In January 2013, Baxalta announced the top level results from this Phase 1 clinical study. This study demonstrated that the half-life (measuring the duration of activityagreed to pay us single digit royalty payments based upon net sales of the drug inthird party products covered under the body)sublicense throughout the term of ADYNOVATE® was approximately 1.5-fold higher comparedthe right to ADVATE®. A longer half-life was achieved in all patients in the study using ADYNOVATE®, no patients developed inhibitors to either base molecule, ADYNOVATE® or PEG, and no patients had allergic reactions. Eleven adverse events were reported in eight patients across both treatment arms, but none was serious, treatment-related or resulted in withdrawal from the study. Baxalta commenced patient enrollment in a Phase 3 clinical study of ADYNOVATE® in the U.S. in February 2013 and completed enrollment in November 2013. The Phase 3 clinical study, a multi-center, open-label study called PROLONG-ATE, enrolled 146 previously treated adult patients with severe Hemophilia A in order to assess the efficacy, safety and pharmacokinetics of ADYNOVATE® for prophylaxis and on-demand treatment of bleeding. In August 2014, Baxalta announced positive top-line results from the PROLONG-ATE clinical study which met the primary endpoint for the control and prevention of bleeding, routine prophylaxis and perioperative management for patients who were 12 years or older. In December 2014, Baxalta announced that it filed a biologic license application with the FDA for ADYNOVATE®. In November 2015, ADYNOVATE® was approved by the FDA for use in adults and adolescents, aged 12 years and older, who have Hemophilia A. On November 30, 2015, Baxalta announced that it had initiated sales of ADYNOVATE® in the U.S.

15


In December 2015, Baxalta (a wholly owned, indirect subsidiary of Shire plc) announced positive study results from its prospective, uncontrolled, open-label, multi-center Phase 3 clinical study designed to assess the safety and immunogenicity of ADYNOVATE®. The study enrolled 73 previously-treated patients  with severe Hemophilia A younger than 12 years of age and assessed the treatment’s hemostatic efficacy in prophylaxis and treatment of bleeding episodes. All participants received prophylactic ADYNOVATE® treatment (median 1.9 infusions per week) and were followed for six months. ADYNOVATE® met its primary endpoint in the study, as no patients developed inhibitory antibodies to ADYNOVATE®. In addition, no treatment-related serious adverse events were reported. On April 4, 2016, Baxalta announced that the Ministry of Health, Labour and Welfare in Japan approved ADYNOVATE® for patients aged 12 years and older with Hemophilia A. On December 27, 2016, Shire plc announced that the FDA approved ADYNOVATE® for use in surgical settings for both adult and pediatric patients and that the FDA also approved ADYNOVATE® for the treatment of Hemophilia A in pediatric patients under 12 years of age. ADYNOVATE® is also under regulatory review in the European Union,  Canada, and Switzerland.

sublicense agreement.

Hemophilia A, also called factor VIII (FVIII) deficiency or classic hemophilia, is a genetic disorder caused by missing or defective factor VIII, a clotting protein. According to the US Centers for Disease Control and Prevention, hemophilia occurs in approximately one in 5,000 live births and there are about 20,000 people with hemophilia in the US. All races and ethnic groups are affected. Hemophilia A is four times as common as Hemophilia B while more than half of patients with Hemophilia A have the severe form of hemophilia. In 2014, accordingAccording to 360 Research Reports, the Evaluate Group, sales of FVIII replacementworldwide market for human coagulation Factor VIII products exceeded $6was $7.4 billion globally.

Amikacin Inhale (BAY41-6551, formerly NKTR-061)in 2019.

MOVANTIK® and MOVENTIG® (brand name for MOVANTIK® in Europe), Agreement with Bayer Healthcare LLC

AstraZeneca AB

In August 2007,September 2009, we entered into a co-development,global license and co-promotion agreement with Bayer Healthcare LLC (Bayer)AstraZeneca AB (AstraZeneca) pursuant to which we granted AstraZeneca a worldwide, exclusive, perpetual, royalty-bearing license under our patents and other intellectual property to develop, market and sell MOVANTIK®. MOVANTIK® was developed using our oral small molecule polymer conjugate technology and we advanced this drug through the completion of Phase 2 clinical studies prior to licensing it to AstraZeneca. MOVANTIK® is an orally-available peripherally-acting mu-opioid antagonist which is a specially-formulated Amikacin (BAY41-6551, Amikacin Inhale, formerly called NKTR-061)medication for the treatment of gram-negative pneumonias.opioid-induced constipation (OIC), which is a common side effect of prescription opioid medications. Opioids attach to specific proteins called opioid receptors. When the opioids attach to certain opioid receptors in the gastrointestinal tract, constipation may occur. OIC is a result of decreased fluid absorption and lower gastrointestinal motility due to opioid receptor binding in the gastrointestinal tract.
On September 16, 2014, the FDA approved MOVANTIK® as the first once-daily oral peripherally-acting mu-opioid receptor antagonist (PAMORA) medication for the treatment of OIC in adult patients with chronic, non-cancer pain. On December 9, 2014, the European Commission, or EC, granted Marketing Authorisation to MOVENTIG® (the naloxegol brand name in the EU) as the first once-daily oral PAMORA to be approved in the EU for the treatment of OIC in adult patients who have had an inadequate response to laxative(s). The EC’s approval applies to all EU member countries plus Iceland and Norway. AstraZeneca launched the commercial sales of MOVANTIK® in the U.S. in March 2015 and MOVENTIG® in Germany, the first EU member country, in August 2015. Under the terms of theour license agreement Bayer is responsiblewith AstraZeneca, AstraZeneca made an initial license payment of $125.0 million to us and has responsibility for most future clinicalall activities and bears all costs associated with research, development and commercialization costs, all activities to support worldwide regulatory filings, approvals and related activities, further development of formulated Amikacin and final product packaging for Amikacin Inhale.MOVANTIK®. We are responsible for all future development, manufacturing and supply of the nebulizer device for clinical and commercial use. We have engaged third party contract manufacturers to perform our device manufacturing activities for this program. We are entitled to up to $50.0 million in developmentreceived milestone payments as well as salesof $70.0 million and $25.0 million upon the acceptance of regulatory approval applications of MOVANTIK® by the FDA and the EMA, respectively, in 2013. We received an additional developmental milestone paymentspayment of $35.0 million upon achievementthe FDA’s approval of certain annual sales targets.MOVANTIK® in 2014 and a total of $140.0 million upon commercial launches in 2015, including $100.0 million for MOVANTIK® in the U.S. and $40.0 million for MOVENTIG® in Germany. We are also entitled to royalties based onup to $375.0 million in sales milestones for MOVANTIK® if the program achieves certain annual worldwidecommercial sales levels and significant double-digit royalty payments starting at 20% of net sales of Amikacin Inhale. Inin the U.S. and, for countries AstraZeneca has not entered into sublicensing agreements, 18% of net sales in rest of world. On March 1, 2016, AstraZeneca announced that it had entered into an agreement with Kyowa Hakko Kirin Co. Ltd. (Kirin), ourgranting Kirin exclusive marketing rights to MOVENTIG® in the EU, Iceland, Liechtenstein, Norway and Switzerland. Nektar’s receipt of a 40% share of royalty payments made by Kirin to AstraZeneca will be financially equivalent to Nektar receiving high single-digit to low double-digit royalties depending on Kirin’s annual net sales is a flat 30% and outside of the U.S. our royalty on annual net sales is an escalating royalty equal to an approximate average of 22%.levels. Our right to receive these royalties (subject to certain adjustments) in any particular country will expire upon the later of ten years(a) a specified period of time after the first commercial sale of the product in that country or (b) the expiration of certain patent rights in that particular country, subjectcountry. AstraZeneca has agreed to certain exceptions. We shareuse commercially reasonable efforts to develop one MOVANTIK® fixed-dose combination product and has the right to develop multiple products which combine MOVANTIK® with opioids.
There are a portionnumber of these royaltiespatents relevant to MOVANTIK®, some of which are listed in the FDA’s “Orange Book.” The “Orange Book” currently lists six patents for MOVANTIK®. Four patents (i.e., U.S. Patent Nos. 7,056,500, 7,662,365,

7,786,133 and 9,012,469) are “composition of matter patents,” one of which has a patent expiry extending into 2032. In addition, two patents (i.e., U.S. Patent Nos. 8,067,431 and 8,617,530) are directed to methods of treatment.
CIMZIA®, Agreement with UCB
In December 2000, we entered into a license, manufacturing and supply agreement covering our proprietary PEGylation materials for use in CIMZIA® (certolizumab pegol) with Celltech Chiroscience Ltd., which was acquired by UCB in 2004. Under the Research Foundationterms of the State Universityagreement, UCB is responsible for all clinical development, regulatory, and commercialization expenses. We also manufacture and supply UCB with our proprietary PEGylation reagent used in the manufacture of New York underCIMZIA® on a license agreement. The agreement expiresfixed price per gram. We were also entitled to receive royalties on net sales of the CIMZIA® product for the longer of ten years from the first commercial sale of the product anywhere in relation tothe world or the expiration of patent rights in a particular countrycountry. In February 2012, we sold our rights to receive royalties on future worldwide net sales of CIMZIA® effective as of January 1, 2012 until the agreement with UCB is terminated or expires. This sale is further discussed in Note 7 of our Consolidated Financial Statements. Our agreement with UCB Pharma expires upon the expiration of all of UCB’s royalty and payment obligations, betweenprovided that the parties related to such country.

Gram-negative pneumonias are often the result of complications of other patient conditions or surgeries. Gram-negative pneumonias carry a mortality risk thatagreement can exceed 50% in mechanically-ventilated patients and accountsbe extended for a substantial proportionsuccessive two year renewal periods upon mutual agreement of the pneumonias in intensive care units today. Amikacin Inhale is designed to be an adjunctive therapy toparties. In addition, UCB may terminate the current antibiotic therapies administered intravenously as standard of care. The aerosol generator withinagreement should it cease the nebulizer for Amikacin Inhale delivers a fine aerosol of the antimicrobial agent directly to the site of infection in the lungs. This nebulizer device containing amikacin can be integrated with conventional mechanical ventilators or used as a hand-held “off-vent” device for patients no longer requiring breathing assistance.

In April 2013, Bayer initiated enrollment in a global Phase 3 clinical study, which it calls INHALE, to evaluate the efficacy and safety of Amikacin Inhale versus aerosolized placebo in the treatment of intubated and mechanically ventilated patients with Gram-negative pneumonia receiving standard of care intravenous antibiotics.  The global INHALE development program is comprised of two prospective, randomized, double-blind, placebo-controlled, large multi-center global programs involving centers in North America, South America, Europe, Japan, Australia and Asia. The INHALE development program is being conducted by Bayer under a Special Protocol Assessment agreement with the FDA that is intended to support the submission of an NDA if the INHALE clinical studies are successful.  In November 2014, the FDA granted qualified infectious disease product (QIDP) designation to Amikacin Inhale. Antimicrobial drugs designed to treat serious and life-threatening infections, designated as QIDP, are eligible for fast-track designation, priority review by FDA and a five-year extension of market exclusivity.

Cipro DPI (formerly known as Cipro Inhale), Bayer Schering Pharma AG

We were a party to a collaborative research, development and commercialization agreement with Bayer Schering Pharma AG (Bayer Schering), related to the developmentmarketing of an inhaled powder formulation of ciprofloxacin delivered by way of a dry powder inhaler, Cipro DPI (formerly known as Cipro Inhale)CIMZIA® and either party may terminate for the treatment of chronic lung infections caused by Pseudomonas aeruginosa in cystic fibrosis patients. On December 31, 2008, we assigned the agreement to Novartis Pharma AG in connection with the completion of the pulmonary asset sale transaction. However, we retained our economic interest in the future potential net sales

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royalties if Cipro DPI is approved by health authorities and is successfully commercialized by Bayer Schering. Cipro DPI has completed Phase 2 clinical development for the treatment of chronic lung infections. In August 2012, Bayer Schering initiated a Phase 3 clinical development program which it calls RESPIRE for Cipro DPI in patients with non-cystic fibrosis bronchiectasis. In patients with bronchiectasis, the bronchial tubes are enlarged, allowing mucus to pool and making the area prone to infection. In September 2016, Bayer Schering presented data from the first Phase 3 trail (RESPIRE 1) at the 2016 European Respiratory Society Annual Meeting which showed that the study met its co-primary endpoints for the every 14-day dosing arm of Cipro DPI. The second Phase 3 trial (RESPIRE 2) completed recruitment in September 2016 and Bayer Schering has not yet reported the results from RESPIRE 2.

FOVISTAcause under certain conditions.

MIRCERA® (Anti-PDGF Therapy) (C.E.R.A.) (Continuous Erythropoietin Receptor Activator), Agreement with Ophthotech Corporation

F. Hoffmann-La Roche Ltd and Hoffmann-La Roche Inc.

In September 2006,December 2000, we entered into a license, manufacturing and supply agreement with (OSI) Eyetech,F. Hoffmann-La Roche Ltd and Hoffmann-La Roche Inc. (Eyetech) under(Roche), which was amended and restated in its entirety in December 2005. Pursuant to the agreement, we granted Eyetech a worldwide, exclusive license our intellectual property related to certain of our proprietary PEGylation technology to develop,materials for the manufacture and commercialize particular products that use our proprietary PEGylation reagent linked with the active ingredient in Fovistacommercialization of Roche’s MIRCERA®. In July 2007, as product. MIRCERA® is a result of a divestiture agreement between Eyetech and Ophthotech Corporation (Ophthotech), Ophthotech acquired from Eyetech certain technology rights and other assets owned or controlled by Eyetech relating to particular anti-platelet-derived growth factor aptamers, or anti-PDGFs, including Fovista®. As a result of this transaction, Ophthotech assumed the license, manufacturing and supply agreement between Eyetech and us.  Fovista® is an anti-PDGF agent administered in combination with anti-vascular endothelial growth factor (anti-VEGF) therapynovel continuous erythropoietin receptor activator indicated for the treatment of neovascular age-related macular degeneration (or wet AMD). On May 19, 2014, Ophthotechanemia associated with chronic kidney disease in patients on dialysis and patients not on dialysis. As of the end of 2006, we were no longer required to manufacture and supply our proprietary PEGylation materials for MIRCERA® under our original agreement. In February 2012, we entered into a Licensing and Commercialization Agreement with Novartis Pharma AG to develop and commercialize Fovista® and related combination products in all countries outside of the U.S. Under ourtoll-manufacturing agreement with Ophthotech,Roche under which we receivedmanufactured our proprietary PEGylation material for MIRCERA®. Roche entered into the toll-manufacturing agreement with the objective of establishing us as a $19.75secondary back-up source on a non-exclusive basis through December 31, 2016. Under the terms of this agreement, Roche paid us an up-front payment of $5.0 million paymentplus a total of $22.0 million in June 2014 in connection with this licensing agreement.performance-based milestone payments upon our achievement of certain manufacturing readiness, validation and production milestones, including the delivery of specified quantities of PEGylation materials, all of which were successfully completed by the end of January 2013. In 2013, we delivered additional quantities of PEGylation materials used by Roche to produce PEGASYS® and MIRCERA® for total consideration of approximately $18.6 million. We arewere also entitled to up to $9.5 million in total development and sales milestone payments, low- to mid- single-digitreceive royalties on net sales that vary by sales levels and are subject to reduction inof the absenceMIRCERA® product. In February 2012, we sold all of patent coverage, and additional consideration if Ophthotech grants certain third-party commercializationour future rights to Fovista®. Our right to receive royalties on future worldwide net sales of MIRCERA® effective as of January 1, 2012. This sale is further discussed in any particular country will expire upon the later of ten years after first commercial sale of the product or expiration of patent rights in the particular country. We are the exclusive supplier for all of Ophthotech’s clinical and future commercial requirementsNote 7 of our proprietary PEGylation materials used in the manufactureConsolidated Financial Statements. As of FovistaDecember 31, 2016, we no longer had any continuing manufacturing or supply obligations under this MIRCERA®.

In June 2012, Ophthotech announced completion of a prospective, randomized, controlled Phase 2b clinical study of 449 patients with wet AMD comparing Fovistaagreement.

Macugen®, administered in combination with Lucentis® (ranibizumab injection) anti-VEGF therapy with Lucentis® monotherapy.  Fovista® met the pre-specified primary efficacy endpoint of mean vision gain. Patients receiving the combination of Fovista® (1.5 mg) and Lucentis® gained a mean of 10.6 letters of vision at 24 weeks on the Early Treatment Diabetic Retinopathy Study standardized eye chart, compared to 6.5 letters for patients receiving Lucentis monotherapy (p=0.019), representing a statistically significant 62% additional benefit. In September 2013, Ophthotech announced the initiation of patient enrollment in the first of three planned pivotal Phase 3 clinical studies of Fovista® in combination with anti-VEGF therapy for the treatment of newly diagnosed patients with wet AMD.  These three studies were to enroll a total of approximately 1,866 patients to evaluate the efficacy and safety of Fovista®. In December 2016, Ophthotech announced that the pre-specified primary endpoint of mean change in visual acuity at 12 months was not achieved in its two pivotal Phase 3 clinical trials investigating the superiority of Fovista® (pegpleranib) anti-PDGF therapy in combination with Lucentis® (ranibizumab) anti-VEGF therapy compared to Lucentis® monotherapy for the treatment of wet age-related macular degeneration (AMD).  The addition of Fovista® to a monthly Lucentis® regimen did not result in benefit as measured by the mean change in visual acuity at the 12 month time point.

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PEGPH20, Agreement with Halozyme Therapeutics, Inc.

In December 2006, we entered into a license agreement with Halozyme pursuant to which we granted Halozyme a worldwide, limited exclusive license to certain of our proprietary PEGylation technology to develop, manufacture and commercialize particular products that use our proprietary PEGylation materials linked only with certain qualifying hyaluronidase protein molecules including PEGPH20. According to Halozyme, certain cancers, including pancreatic, breast, colon and prostate, have been shown to accumulate high levels of hyaluronan (HA). Halozyme’s FDA-approved, HYLENEX® recombinant human hyaluronidase, rHuPH20, is administered subcutaneously and temporarily and reversibly degrades HA to facilitate the absorption and dispersion of other injected drugs or fluids and for subcutaneous fluid administration. However, rHuPH20 acts only locally at the injection site, is rapidly inactivated in the body, and does not survive in the blood. PEGPH20 is an investigational PEGylated form of rHuPH20, under development by Halozyme to increase the half-life of the compound in the blood and allow for intravenous administration. Halozyme is currently evaluating PEGPH20 in a Phase 2 multicenter, randomized clinical trial evaluating PEGPH20 as a first-line therapy for patients with stage IV metastatic pancreatic cancer. On January 5, 2017 Halozyme announced positive topline results from the Phase 2 clinical trial of PEGPH20 in combination with ABRAXANE in stage IV pancreas cancer patients. Halozyme is also evaluating PEGPH20 in an on-going Phase 1b/2 multi-center, randomized clinical trial evaluating PEGPH20 as a second-line therapy for patients with locally advanced or metastatic non-small cell lung cancer. On October 2, 2014, the FDA granted Orphan Drug designation for PEGPH20 for the treatment of pancreatic cancer. On November 10, 2016 Halozyme announced an agreement with Genentech, a amember of the Roche Group, to collaborate, beginning in 2017, on clinical studies evaluating PEGPH20 in up to eight different tumor types. We are entitled to future development milestones and royalties on net sales subject to reduction in the absence of patent coverage. Our right to receive royalties in any particular country will expire upon the later of twelve years after first commercial sale of the product or expiration of patent rights in the particular country. We also manufacture and supply Halozyme with clinical and future commercial supply of our proprietary PEGylation materials used in the manufacture of PEGPH20.

SEMPRANA®, Agreement with MAP Pharmaceuticals,Bausch Health Companies Inc. (a wholly-owned subsidiary of Allergan, Inc.)

In June 2004, we entered into a license agreement with MAP Pharmaceuticals, Inc. (MAP), which includes a worldwide, exclusive license, to certain of our patents and other intellectual property rights to develop and commercialize a formulation of dihydroergotamine (DHE) for administration to patients via the pulmonary or nasal delivery route, which resulted in the development of SEMPRANA®, formerly known as LEVADEX®. Valeant Pharmaceuticals International, Inc.

In 2006, we amended and restated this agreement. Under the terms of the agreement, we have the right to receive certain milestone payments based on development criteria that are solely the responsibility of MAP and royalties based on net sales of SEMPRANA®. Our right to receive royalties for the net sales of SEMPRANA® under the license agreement in any particular country will expire upon the later of (i) 10 years after first commercial sale in that country, (ii) the date upon which the licensed know-how becomes known to the general public, and (iii) expiration of certain patent claims, each on a country-by-country basis. Either party may terminate the agreement upon a material, uncured default of the other party.

SEMPRANA® is a self-administered formulation of DHE using an inhaler device that is currently under review by the FDA.  On May 26, 2011, MAP submitted an NDA to the FDA for SEMPRANA®. In March of 2012, the FDA issued a complete response letter to MAP identifying issues relating to chemistry, manufacturing and controls deficiencies of the product at a contracted third party manufacturer. On April 17, 2013, the FDA issued a second complete response letter identifying issues related to a supplier that provided the canister filling unit for SEMPRANA®. In June 2014, Allergan announced that it had received a third complete response letter from the FDA related to specifications around content uniformity on the improved canister filling process and on standards for device actuation. Allergan has responded to the FDA’s latest complete response letter and has stated that it continues to work with the FDA to resolve outstanding Chemistry, Manufacturing and Controls (CMC) issues.

On January 28, 2011, MAP entered into a Collaboration Agreement with Allergan, Inc. pursuant to which Allergan received a co-exclusive license to market and promote SEMPRANA® to neurologists and pain specialists in the U.S. Under this arrangement, Allergan paid MAP an upfront payment of $60 million and MAP was also entitled to receive up to an additional $97 million in the form of regulatory milestones, which includes milestones for acceptance of filing of the SEMPRANA® NDA and first commercial sale associated with the initial acute migraine indication. On March 1, 2013, Allergan, Inc. completed a merger and acquisition transaction with MAP pursuant to which MAP become a wholly-owned subsidiary of Allergan.  On January 23, 2015, we filed a breach of contract action against Allergan and MAP in California Superior Court in San Mateo County seeking monetary damages related to MAP’s failure to pay us a certain specified percentage of $80 million in upfront and milestone payments received to date from Allergan under the 2011 Collaboration Agreement which we believe we were entitled to receive under the terms of our license agreement with MAP.

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Dapirolizumab Pegol

In 2010,2002, we entered into a license, manufacturing and supply agreement with UCB Pharma S.A.Eyetech, Inc. (subsequently acquired by Valeant Pharmaceuticals International, Inc. or Valeant), (UCB) underpursuant to which we granted UCB a worldwide, exclusive license to certain ofintellectual property related to our proprietary PEGylation technology for the development and commercialization of Macugen®, a PEGylated anti-vascular endothelial growth factor aptamer currently approved in the U.S. and EU for age-related macular degeneration. Under the terms of the agreement, we will receive royalties on net product sales in any particular country for the longer of ten years from the date of the first commercial sale of the product in that country or the duration of patent coverage. Our agreement with Valeant expires upon the expiration of our last relevant patent containing a valid claim. In addition, Valeant may terminate the agreement if marketing authorization is withdrawn or marketing is no longer feasible due to develop, manufacturecertain circumstances, and commercialize an anti-CD40L PEGylated Fab being developedeither party may terminate for cause if certain conditions are met.

Somavert®, Agreement with Pfizer, Inc.
In January 2000, we entered into a license, manufacturing and supply agreement (LMS Agreement) with Sensus Drug Development Corporation (subsequently acquired by UCBPharmacia Corp. in 2001 and their partner Biogen Idec,then acquired by Pfizer in 2003), for the PEGylation of Somavert® (pegvisomant), a human growth hormone receptor antagonist for the treatment of autoimmune disorders, including systemic lupus erythemastosus (SLE).acromegaly. In 2014, UCB and Biogen completedJanuary 2017, we entered into a Phase 1b randomized, double-blind, placebo-controlled clinical studymaster material supply agreement (Supply Agreement) with Pfizer, in approximately 24 patients with SLE.  Data fromwhich the studyLMS Agreement was published in September 2015 atterminated. We currently manufacture our proprietary PEGylation reagent for Pfizer on a price per gram basis

under the Annual American College of Rheumatology Meeting and showed that multiple administrations of dapirolizumab pegol given over 12 weeks were well-tolerated andSupply Agreement. Our obligation under the safety profile supported further development of the compound.  Exploratory analyses from the same study showed greater improvement in clinical measures of disease activity in the dapriolizumab pegol group versus placebo. In 2016, UCB  initiated a multi-center, randomized, double-blind, placebo-controlled, parallel-group, dose-ranging Phase 2 clinical study followed by an observational periodSupply Agreement to evaluate the efficacy and safety of patients with moderatelysupply our proprietary PEGylation reagent to severely active SLE receiving stable standard of care medications. This Phase 2 clinical trial is currently recruiting participants.

Pfizer continues until December 31, 2023.

Neulasta®, Agreement with Amgen, Inc.

In July 1995, we entered into a non-exclusive supply and license agreement (the 1995 Agreement) with Amgen, Inc., pursuant to which we licensed our proprietary PEGylation technology to be used in the development and manufacture of Neulasta®. Neulasta® selectively stimulates the production of neutrophils that are depleted by cytotoxic chemotherapy, a condition called neutropenia that makes it more difficult for the body to fight infections. On October 29, 2010, we amended and restated the 1995 Agreement by entering into a supply, dedicated suite and manufacturing guarantee agreement (the 2010 Agreement) and an amended and restated license agreement with Amgen Inc. and Amgen Manufacturing, Limited (together referred to as Amgen). Under the terms of the 2010 Agreement, we guarantee the manufacture and supply of our proprietary PEGylation materials (Polymer Materials) to Amgen in an existing manufacturing suite to be used exclusively for the manufacture of Polymer Materials for Amgen in our manufacturing facility in Huntsville, Alabama. This supply arrangement is on a non-exclusive basis (other than the use of the manufacturing suite and certain equipment) whereby we are free to manufacture and supply the Polymer Materials to any other third party and Amgen is free to procure the Polymer Materials from any other third party. Under the terms of the 2010 Agreement, we received a $50.0 million upfront payment in return for guaranteeing supply of certain quantities of Polymer Materials to Amgen and the Additional Rights described below, and Amgen will pay manufacturing fees calculated based on fixed and variable components applicable to the Polymer Materials ordered by Amgen and delivered by us. Amgen has no minimum purchase commitments. If quantities of the Polymer Materials ordered by Amgen exceed specified quantities (with each specified quantity representing a small portion of the quantity that we historically supplied to Amgen), significant additional payments become payable to us in return for guaranteeing supply of additional quantities of the Polymer Materials.

The term of the 2010 Agreement runs through October 29, 2020. In the event we become subject to a bankruptcy or insolvency proceeding, we cease to own or control the manufacturing facility in Huntsville, Alabama, we fail to manufacture and supply the Polymer Materials or certain other events occur, Amgen or its designated third party will have the right to elect, among certain other options, to take title to the dedicated equipment and access the manufacturing facility to operate the manufacturing suite solely for the purpose of manufacturing the Polymer Materials (Additional Rights). Amgen may terminate the 2010 Agreement for convenience or due to an uncured material default by us. Either party may terminate the 2010 Agreement in the event of insolvency or bankruptcy of the other party.

PEGASYS®,

Dapirolizumab Pegol, Agreement with F. Hoffmann-La Roche Ltd

UCB Pharma S.A.

In February 1997,2010, we entered into a license, manufacturing and supply agreement with F. Hoffmann-La Roche Ltd and Hoffmann-La Roche Inc. (Roche)UCB Pharma S.A., (UCB) under which we granted RocheUCB a worldwide, exclusive license to use certain intellectual property relatedof our proprietary PEGylation technology to our PEGylation materials todevelop, manufacture and commercialize a certain class of products, of which PEGASYS® is the only product currently commercialized. PEGASYS® is approved in the U.S., EUan anti-CD40L PEGylated Fab being developed by UCB and other countriestheir partner Biogen Idec, for the treatment of Hepatitis Cautoimmune disorders, including systemic lupus erythemastosus (SLE). In 2014, UCB and is designed to helpBiogen completed a Phase 1b randomized, double-blind, placebo-controlled clinical study in approximately 24 patients with SLE. Data from the patient’s immune system fightstudy was published in September 2015 at the Hepatitis C virus. As a resultAnnual American College of Roche exercising a license extension option in December 2009, beginning in 2010 Roche hasRheumatology Meeting and showed that multiple administrations of dapirolizumab pegol given over 12 weeks were well-tolerated and the right to manufacture all of its requirements for our proprietary PEGylation materials for PEGASYS® and we supply raw materials or perform additional manufacturing, if any, only on a back-up basis. In connection with Roche’s exercisesafety profile supported further development of the license extension optioncompound. Exploratory analyses from the same study showed greater improvement in December 2009, we receivedclinical measures of disease activity in the dapriolizumab pegol group versus placebo. In 2016, UCB initiated a paymentmulti-center, randomized, double-blind, placebo-controlled, parallel-group, dose-ranging Phase 2 clinical study followed by an observational period to evaluate the efficacy and safety of $31.0 million.patients with moderately to severely active SLE receiving stable standard of care medications. In 2013, we delivered additional quantitiesOctober 2018, UCB announced that the primary endpoint of PEGylation materials used by Rochethe study to produce PEGASYS® and MIRCERA® for total consideration of approximately $18.6 million. The agreement expiresdemonstrate a dose response at 24 weeks on the expirationBritish Isles Lupus Assessment Group (BILAG) based Composite Lupus Assessment (BICLA) was not met and stated that it and Biogen will continue to further evaluate these data while assessing potential next steps. In July 2019, Biogen announced a plan to initiate with UCB a Phase 3 study of our last relevant patent containing a valid claim. As of December 31, 2015, we no longer have any continuing manufacturing or supply obligations under this PEGASYS® agreement.

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Somavert®,dapriolizumab pegol in patients with active SLE despite standard-of-care treatment.

PEGPH20, Agreement with Pfizer,Halozyme Therapeutics, Inc.

In January 2000,December 2006, we entered into a license agreement with Halozyme (Halozyme License Agreement) pursuant to which we granted Halozyme a worldwide, limited exclusive license to certain of our proprietary PEGylation technology to develop, manufacture and commercialize particular products that use our proprietary PEGylation materials linked only with certain qualifying hyaluronidase protein molecules including PEGPH20. Under this license agreement, we are entitled to future development milestones and royalties on net sales subject to reduction in the absence of patent coverage. In addition, pursuant to a December 18, 2013 manufacturing and supply agreement with Sensus Drug Development Corporation (subsequently acquired by Pharmacia Corp. in 2001 and then acquired by Pfizer, Inc. in 2003), for the PEGylation of Somavert® (pegvisomant), a human growth hormone receptor antagonist for the treatment of acromegaly. We currently manufacture our proprietary PEGylation reagent for Pfizer, Inc. on a price per gram basis. In June 2016, Nektar terminated the license, manufacturing and supply agreement effective as of July 6, 2017.  It is anticipated that Nektar will continue to supply Pfizer with proprietary PEGylation reagent under a new agreement.

PEG-Intron®, Agreement with Merck (through its acquisition of Schering-Plough Corporation)

In February 2000, we entered into a manufacturingwith Halozyme (Halozyme Manufacturing


Agreement), we were to manufacture and supply agreementHalozyme with Schering-Plough Corporation (Schering) for the manufactureclinical and future commercial supply of our proprietary PEGylation materials to be used by Schering in production of a PEGylated recombinant human interferon-alpha (PEG-Intron). PEG-Intron is a treatment for patients with Hepatitis C. Schering was acquired by, and became a wholly-owned subsidiary of, Merck & Co., Inc. We currently manufacture our proprietary PEGylation materials for Schering on a price per gram basis. In December 2010, the parties amended the manufacturing and supply agreement to provide for a transition plan to an alternative manufacturer and extension of the term through the successful manufacturing transition or December 31, 2018 at the latest. The amended agreement provided for a one-time payment and milestone payments as well as increased pricing for any future manufacturing performed by us.

Macugen®, Agreement with Valeant Pharmaceuticals International, Inc.

In 2002, we entered into a license, manufacturing and supply agreement with Eyetech, Inc. (subsequently acquired by Valeant Pharmaceuticals International, Inc. or Valeant), pursuant to which we license certain intellectual property related to our proprietary PEGylation technology for the development and commercialization of Macugen®, a PEGylated anti-vascular endothelial growth factor aptamer currently approved in the U.S. and EU for age-related macular degeneration. We currently manufacture our proprietary PEGylation materials for Valeant on a price per gram basis. Under the terms of the agreement, we will receive royalties on net product sales in any particular country for the longer of ten years from the date of the first commercial sale of the product in that country or the duration of patent coverage. We share a portion of the payments received under this agreement with Enzon Pharmaceuticals, Inc.  pursuant to the terms of the Cross-License and Option Agreement we have with them.  Our Agreement expires upon the expiration of our last relevant patent containing a valid claim. In addition, Valeant may terminate the agreement if marketing authorization is withdrawn or marketing is no longer feasible due to certain circumstances, and either party may terminate for cause if certain conditions are met.

CIMZIA®, Agreement with UCB Pharma

In December 2000, we entered into a license, manufacturing and supply agreement covering our proprietary PEGylation materials for use in CIMZIA® (certolizumab pegol) with Celltech Chiroscience Ltd., which was acquired by UCB Pharma (UCB) in 2004. Under the terms of the agreement, UCB is responsible for all clinical development, regulatory, and commercialization expenses. We also manufacture and supply UCB with our proprietary PEGylation reagent used in the manufacture of CIMZIA® onPEGPH20.

On November 4, 2019, Halozyme announced that its Phase 3 clinical study evaluating PEGPH20 as a fixed price per gram. We were also entitledfirst-line therapy for treatment of patients with metastatic pancreatic cancer failed to receive royalties on net salesreach the primary endpoint of overall survival, and that Halozyme intended to halt development activities for PEGPH20. In December 2019 Halozyme and Nektar terminated the CIMZIA® product for the longer of ten years from the first commercial sale of the product anywhere in the world or the expiration of patent rights in a particular country. In February 2012, we sold our rights to receive royalties on future worldwide net sales of CIMZIA® effective as of January 1, 2012 until the agreement with UCB is terminated or expires. This sale is further discussed in Note 7 of Item 8, Financial Statements and Supplementary Data. We share a portion of the payments we receive from UCB with Enzon Pharmaceuticals, Inc. pursuant to the terms of the Cross-License and Option Agreement we have with them.  Our agreement with UCB Pharma expires upon the expiration of all of UCB’s royalty obligations, provided that the agreement can be extended for successive two year renewal periods upon mutual agreement of the parties. In addition, UCBHalozyme Manufacturing Agreement. Halozyme may terminate the agreement should it cease the developmentHalozyme License Agreement without cause upon ninety days’ prior written notice.
Government Regulation
Product Development and marketing of CIMZIA® and either party may terminate for cause under certain conditions.

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MIRCERA® (C.E.R.A.) (Continuous Erythropoietin Receptor Activator), Agreement with F. Hoffmann-La Roche Ltd and Hoffmann-La Roche Inc.

In December 2000, we entered into a license, manufacturing and supply agreement with F. Hoffmann-La Roche Ltd and Hoffmann-La Roche Inc. (Roche), which was amended and restated in its entirety in December 2005. Pursuant to the agreement, we license our intellectual property related to our proprietary PEGylation materials for the manufacture and commercialization of Roche’s MIRCERA® product. MIRCERA® is a novel continuous erythropoietin receptor activator indicated for the treatment of anemia associated with chronic kidney disease in patients on dialysis and patients not on dialysis. As of the end of 2006, we were no longer required to manufacture and supply our proprietary PEGylation materials for MIRCERA® under our original agreement. In February 2012, we entered into a toll-manufacturing agreement with Roche under which we manufactured our proprietary PEGylation material for MIRCERA®. Roche entered into the toll-manufacturing agreement with the objective of establishing us as a secondary back-up source on a non-exclusive basis through December 31, 2016. Under the terms of this agreement, Roche paid us an up-front payment of $5.0 million plus a total of $22.0 million in performance-based milestone payments upon our achievement of certain manufacturing readiness, validation and production milestones, including the delivery of specified quantities of PEGylation materials, all of which were successfully completed by the end of January 2013. In 2013, we delivered additional quantities of PEGylation materials used by Roche to produce PEGASYS® and MIRCERA® for total consideration of approximately $18.6 million. We were also entitled to receive royalties on net sales of the MIRCERA® product. In February 2012, we sold all of our future rights to receive royalties on future worldwide net sales of MIRCERA® effective as of January 1, 2012. This sale is further discussed in Note 7 of Item 8, Financial Statements and Supplementary Data. As of December 31, 2016, we no longer have any continuing manufacturing or supply obligations under this MIRCERA® agreement.

Government Regulation

Approval Process

The research and development, clinical testing, manufacture and marketing of products using our technologies are subject to regulation by the FDA and by comparable regulatory agencies in other countries. These national agencies and other federal, state and local entities regulate, among other things, research and development activities and the testing (in vitro, in animals, and in human clinical trials), manufacture, labeling, storage, recordkeeping, approval, marketing, advertising and promotion of our products.

The approval process required by the FDA before a product using any of our technologies may be marketed in the U.S. depends on whether the chemical composition of the product has previously been approved for use in other dosage forms. If the product is a new chemical entity that has not been previously approved, the process includes the following:

extensive preclinical laboratory and animal testing;

submission of an Investigational New Drug application (IND) prior to commencing clinical trials;

adequate and well-controlled human clinical trials to establish the safety and efficacy of the drug for the intended indication; 

extensive pharmaceutical development for the characterization of the chemistry, manufacturing process and controls for the active ingredient and drug product; and

submission to the FDA of a New Drug Application (NDA)an NDA for approval of a drug or a Biological License Application (BLA) for approval of a biological product or a Premarket Approval Application (PMA) or Premarket Notification 510(k) for a medical device product (a 510(k)).

product.

If the active chemical ingredient has been previously approved by the FDA, the approval process is similar, except that certain preclinical tests, including those relating to systemic toxicity normally required for the IND and NDA or BLA, and clinical trials, may not be necessary if the company has a right of reference to existing preclinical or clinical data under section 505(j) of the Federal Food, Drug, and Cosmetic Act (FDCA) or is eligible for approval under Section 505(b)(2) of the FDCA or the biosimilars provisions of the Public Health Services Act.

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Preclinical tests include laboratory evaluation of product chemistry and animal studies to assess the safety and efficacy of the product and its chosen formulation. Preclinical safety tests must be conducted by laboratories that comply with FDA good laboratory practices (GLP) regulations. The results of the preclinical tests for drugs, biological products and combination products subject to the primary jurisdiction of the FDA’s Center for Drug Evaluation and Research (CDER) or Center for Biologics Evaluation and Research (CBER) are submitted to the FDA as part of the IND and are reviewed by the FDA before clinical trials can begin. Clinical trials may begin 30 days after receipt of the IND by the FDA, unless the FDA raises objections or requires clarification within that period. Clinical trials involve the administration of the drug to healthy volunteers or patients under the supervision of a qualified, identified medical investigator according to a protocol submitted in the IND for FDA review. Drug products to be used in clinical trials must be manufactured according to current good manufacturing practices (cGMP). Clinical trials are conducted in accordance with protocols that detail the objectives of the study and the parameters to be used to monitor participant safety and product efficacy as well as other criteria to be evaluated in the study. Each protocol is submitted to the FDA in the IND.

Apart from the IND process described above, each clinical study must be reviewed by an independent Institutional Review Board (IRB) and the IRB must be kept current with respect to the status of the clinical study. The IRB considers, among other things, ethical factors, the potential risks to subjects participating in the trial and the possible liability to the institution where the trial is conducted. The IRB also reviews and approves the informed consent form to be signed by the trial participants and any significant changes in the clinical study.


Clinical trials are typically conducted in three sequential phases. Phase 1 involves the initial introduction of the drug into healthy human subjects (in most cases) and the product generally is tested for tolerability, pharmacokinetics, absorption, metabolism and excretion. Phase 2 involves studies in a limited patient population to:

determine the preliminary efficacy of the product for specific targeted indications;

determine dosage and regimen of administration; and

identify possible adverse effects and safety risks.

If Phase 2 trials demonstrate that a product appears to be effective and to have an acceptable safety profile, Phase 3 trials are typically undertaken to evaluate the further clinical efficacy and safety of the drug and formulation within an expanded patient population at geographically dispersed clinical study sites and in large enough trials to provide statistical proof of efficacy and tolerability. The FDA, the clinical trial sponsor, the investigators or the IRB may suspend clinical trials at any time if any one of them believes that study participants are being subjected to an unacceptable health risk. In some cases, the FDA and the drug sponsor may determine that Phase 2 trials are not needed prior to entering Phase 3 trials.

Following a series of formal meetings and communications between the drug sponsor and the regulatory agencies, the results of product development, preclinical studies and clinical studies are submitted to the FDA as an NDA or BLA for approval of the marketing and commercial shipment of the drug product. The FDA may deny approval if applicable regulatory criteria are not satisfied or may require additional clinical or pharmaceutical testing or requirements. Even if such data are submitted, the FDA may ultimately decide that the NDA or BLA does not satisfy all of the criteria for approval. Additionally, the approved labeling may narrowly limit the conditions of use of the product, including the intended uses, or impose warnings, precautions or contraindications which could significantly limit the potential market for the product. Further, as a condition of approval, the FDA may impose post-market surveillance, or Phase 4, studies or risk evaluation and mitigation strategies. Product approvals, once obtained, may be withdrawn if compliance with regulatory standards is not maintained or if safety concerns arise after the product reaches the market. The FDA may require additional post-marketing clinical testing and pharmacovigilance programs to monitor the effect of drug products that have been commercialized and has the power to prevent or limit future marketing of the product based on the results of such programs. After approval, there are ongoing reporting obligations concerning adverse reactions associated with the product, including expedited reports for serious and unexpected adverse events.

Each manufacturing establishment producing the active pharmaceutical ingredient and finished drug product for the U.S. market must be registered with the FDA and typically is inspected by the FDA prior to NDA or BLA approval of a drug product manufactured by such establishment. Such inspections are also held periodically after the commercialization. Establishments handling controlled substances must also be licensed by the U.S. Drug Enforcement Administration. Manufacturing establishments of U.S. marketed products are subject to inspections by the FDA for compliance with cGMP and other U.S. regulatory requirements. They are also subject to U.S. federal, state, and local regulations regarding workplace safety, environmental protection and hazardous and controlled substance controls, among others.

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For product candidates currently under development utilizing pulmonary technology, the pulmonary inhaler devices are considered to be part of a drug and device combination for deep lung delivery of each specific molecule. The FDA will make a determination as to the most appropriate center and division within the agency that will assume primary responsibility for the review of the applicable applications, which would consist of an IND and an NDA or BLA where CDER or CBER are determined to have primary jurisdiction or an investigational device exemption application and PMA or 510(k) where the Center for Devices and Radiological Health (CDRH) is determined to have primary jurisdiction. In the case of our product candidates, CDER in consultation with CDRH could be involved in the review. The assessment of jurisdiction within the FDA is based upon the primary mode of action of the drug or the location of the specific expertise in one of the centers.

Where CDRH is determined to have primary jurisdiction over a product, 510(k) clearance or PMA approval is required. Medical devices are classified into one of three classes — Class I, Class II, or Class III — depending on the degree of risk associated with each medical device and the extent of control needed to ensure safety and effectiveness. Devices deemed to pose lower risks are placed in either Class I or II, which requires the manufacturer to submit to the FDA a Premarket Notification requesting permission to commercially distribute the device. This process is known as 510(k) clearance. Some low risk devices are exempted from this requirement. Devices deemed by the FDA to pose the greatest risk, such as life-sustaining, life-supporting or implantable devices, or devices deemed not substantially equivalent to a previously cleared 510(k) device are placed in Class III, requiring PMA approval.

In situations where our partners are responsible for clinical and regulatory approval procedures, we may still participate in this process by submitting to the FDA a drug master file developed and maintained by us which contains data concerning the manufacturing processes for the inhaler device, polymer conjugation materials or drug.drug product. For our proprietary products, we prepare and submit an IND and are responsible for additional clinical and regulatory procedures for product candidates being developed under an IND. The clinical and manufacturing, development and regulatory review and approval process generally takes a number of years and requires the expenditure of substantial resources. Our ability to manufacture and market products, whether developed by us or under collaboration agreements, ultimately depends upon the completion of satisfactory clinical trials and success in obtaining marketing approvals from the FDA and equivalent foreign health authorities.

Sales of our products outside the U.S. are subject to local regulatory requirements governing clinical trials and marketing approval for drugs. Such requirements vary widely from country to country.

In the U.S., under the Orphan Drug Act, the FDA may grant orphan drug designation to drugs intended to treat a rare disease or condition, which is generally a disease or condition that affects fewer than 200,000 individuals in the U.S. The company that obtains the first FDA approval for a designated orphan drug for a rare disease receives marketing exclusivity for use of that drug for the designated condition for a period of seven years. In addition, the Orphan Drug Act provides for protocol assistance, tax credits, research grants, and exclusions from user fees for sponsors of orphan products. Once a product receives orphan drug exclusivity, a second product that is considered to be the same drug for the same indication generally may be approved during the exclusivity period only if the second product is shown to be “clinically superior” to the original orphan drug in that it is more effective, safer or otherwise makes a “major contribution to patient care” or the holder of exclusive approval cannot assure the availability of sufficient quantities of the orphan drug to meet the needs of patients with the disease or condition for which the drug was designated. Similar incentives also are available for orphan drugs in the EU.


In the U.S., the FDA may grant Fast Track or Breakthrough Therapy designation to a product candidate, which allows the FDA to expedite the review of new drugs that are intended for serious or life-threatening conditions and that demonstrate the potential to address unmet medical needs. Important features of Fast Track or Breakthrough Therapy designation include a potentially reduced clinical program and close, early communication between the FDA and the sponsor company to improve the efficiency of product development.

On August 1, 2019, we and BMS announced that the FDA granted Breakthrough Therapy Designation for bempegaldesleukin in combination with Opdivo® for the treatment of patients with previously untreated unresectable or metastatic melanoma.

Coverage, Reimbursement, and Pricing
Sales of any products for which we may obtain regulatory approval depend, in part, on the coverage and reimbursement status of those products. In the U.S., sales of any products for which we may receive regulatory approval for commercial sale will depend in part on the availability of coverage and reimbursement from third-party payers. Third-party payers include government programs such as Medicare, Medicaid, TRICARE and the Veterans Administration, as well as managed care providers, private health insurers and other organizations. Other countries and jurisdictions will also have their own unique mechanisms for approval and reimbursement.
The process for determining whether a payer will provide coverage for a product is typically separate from the process for setting the reimbursement rate that the payer will pay for the product. Third-party payers may limit coverage to specific products on an approved list or formulary which might not include all of the FDA-approved products for a particular indication. Third-party payers may also refuse to include a particular branded drug on their formularies or otherwise restrict patient access to a branded drug when a less costly generic equivalent or other alternative is available. Further, private payers often follow the coverage and payment policies established by certain government programs, such as Medicare and Medicaid, which require manufacturers to comply with certain rebate, price reporting, and other obligations. For example, the Medicaid Drug Rebate Program, which is part of the Medicaid program (a program for financially needy patients, among others), requires pharmaceutical manufacturers to enter into and have in effect a national rebate agreement with the Secretary of the Department of Health and Human Services under which the manufacturer agrees to report certain prices to the government and pay rebates to state Medicaid programs on outpatient drugs furnished to Medicaid patients, as a condition for receiving federal reimbursement for the manufacturer’s outpatient drugs furnished to Medicaid patients. Further, in order for a pharmaceutical product to receive federal reimbursement under Medicare Part B and Medicaid programs or to be sold directly to U.S. government agencies, the manufacturer must extend discounts to entities eligible to participate in the Public Health Service’s 340B drug pricing program.
Third-party payers are increasingly challenging the prices charged for medical products and services, and examining the medical necessity and cost-effectiveness of medical products and services, in addition to their safety and efficacy. Additionally, the containment of healthcare costs has become a priority of federal and state governments, and the price of therapeutics have been a focus in this effort. The U.S. government and state legislatures have shown significant interest in implementing cost-containment programs, including price controls and restrictions on reimbursement, among other controls. Adoption of price controls or other cost-containment measures could limit coverage for or the amounts that federal and state governments or private payers will pay for health care products and services, which could also result in reduced demand for our drug candidates or additional pricing pressures and affect our ultimate profitability. If third-party payers do not consider a product to be cost-effective compared to other available therapies, they may not cover an approved product or, if they do, the level of payment may not be sufficient to allow us to sell our products at a profit.
The marketability of any products for which we receive regulatory approval for commercial sale may suffer if the government and third-party payers fail to provide adequate coverage and reimbursement. 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 products for which we receive regulatory approval, less favorable coverage policies and reimbursement rates may be implemented in the future.
Other Healthcare Laws and Regulations
If we obtain regulatory approval of our products, we may be subject to various federal and state laws targeting fraud and abuse in the healthcare industry. These laws may impact, among other things, our proposed sales and marketing programs. In addition, we may be subject to patient privacy regulation by both the federal government and the states in which we conduct our business. The laws that may affect our ability to operate include:
the federal Anti-Kickback Statute, which prohibits, among other things, persons from knowingly and willfully soliciting, receiving, offering, or paying remuneration (a term interpreted broadly to include anything of value, including, for example, gifts, discounts, and credits), directly or indirectly, in cash or in kind, to induce or

reward, or in return for, either the referral of an individual for, or the purchase, order, or recommendation of, an item or service reimbursable under a federal healthcare program, such as the Medicare and Medicaid programs;
federal civil and criminal false claims laws and civil monetary penalty laws, which prohibit, among other things, individuals or entities from knowingly presenting, or causing to be presented, claims for payment to Medicare, Medicaid, or other third-party payers that are false or fraudulent, or making a false statement or record material to payment of a false claim or avoiding, decreasing, or concealing an obligation to pay money owed to the federal government;
provisions of the federal Health Insurance Portability and Accountability Act of 1996, or HIPAA, which created new federal criminal statutes, referred to as the “HIPAA All-payer Fraud Prohibition,” that prohibit knowingly and willfully executing a scheme to defraud any healthcare benefit program and making false statements relating to healthcare matters;
federal transparency laws, including the federal Physician Payment Sunshine Act, which require manufacturers of certain drugs and biologics to track and disclose payments and other transfers of value they make to U.S. physicians (currently defined to include doctors, dentists, optometrists, podiatrists and chiropractors) and teaching hospitals as well as physician ownership and investment interests in the manufacturer, and that such information is subsequently made publicly available in a searchable format on a CMS website, effective January 1, 2022, these reporting obligations will extend to include transfers of value made to certain non-physician providers such as physician assistants and nurse practitioners;
provisions of HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act and its implementing regulations, which imposes certain requirements relating to the privacy, security and transmission of individually identifiable health information; and
state law equivalents of each of the above federal laws, such as anti-kickback and false claims laws which may apply to items or services reimbursed by any third-party payer, including commercial insurers, state transparency reporting and compliance laws; and state laws governing the privacy and security of health information in certain circumstances, many of which differ from each other in significant ways and which may not have the same effect, thus complicating compliance efforts.
If our product candidates become commercialized, it is possible that governmental authorities will conclude that our business practices may 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 these laws or any other governmental regulations that may apply to us, we may be subject to significant civil, criminal, and administrative penalties, damages, fines, disgorgement, exclusion from government-funded healthcare programs, such as Medicare and Medicaid, integrity and oversight agreements to resolve allegations of non-compliance, contractual damages, reputational harm, diminished profits and future earnings, and the curtailment or restructuring of our operations, any of which could adversely affect our ability to operate our business and our results of operations. Defending against any such actions can be costly, 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.
The Patient Protection and Affordable Care Act, as amended by the Health Care Education Reconciliation Act (collectively, the Affordable Care Act), enacted in 2010, expanded the reach of the fraud and abuse laws by, among other things, amending the intent requirement of the federal Anti-Kickback Statute and the applicable criminal fraud statutes contained within 42 U.S.C. § 1320a-7b. Pursuant to the Affordable Care Act, a person or entity no longer needs to have actual knowledge of this statute or specific intent to violate it in order to have committed a violation. In addition, the Affordable Care Act provides that the government may assert that a claim including items or services resulting from a violation of the federal Anti-Kickback Statute constitutes a false or fraudulent claim for purposes of the civil False Claims Act or the civil monetary penalties statute. Many states have adopted laws similar to the federal Anti-Kickback Statute, some of which apply to the referral of patients for healthcare items or services reimbursed by any source, not only the Medicare and Medicaid programs.
The federal False Claims Act prohibits anyone from, among other things, knowingly presenting, or causing to be presented, for payment to federal programs (including Medicare and Medicaid) claims for items or services that are false or fraudulent. Although we would not submit claims directly to payers, manufacturers can be held liable under these laws if they are deemed to “cause” the submission of false or fraudulent claims by, for example, providing inaccurate billing or coding information to customers or promoting a product off-label. In addition, our future activities relating to the reporting of wholesaler or estimated retail prices for our products, the reporting of prices used to calculate Medicaid rebate information and other information affecting federal, state, and third-party reimbursement for our products, and the sale and marketing of our products, are subject to scrutiny under this law. For example, pharmaceutical companies have been prosecuted under the federal

False Claims Act in connection with their alleged off-label promotion of drugs, purportedly concealing price concessions in the pricing information submitted to the government for government price reporting purposes, and allegedly providing free product to customers with the expectation that the customers would bill federal health care programs for the product. Penalties for a False Claims Act violation include three times the actual damages sustained by the government, plus mandatory civil penalties of between $11,463 and $23,331 for each separate false claim, the potential for exclusion from participation in federal healthcare programs, and, although the federal False Claims Act is a civil statute, conduct that results in a False Claims Act violation may also implicate various federal criminal statutes. In addition, private individuals have the ability to bring actions under the federal False Claims Act and certain states have enacted laws modeled after the federal False Claims Act.
In each country or jurisdiction outside of the U.S. in which we seek and receive regulatory approval to commercialize our products, we will be subject to additional laws and regulations specific to those locations. These regulations and laws will also impact, among other things, our proposed sales and marketing programs in those jurisdictions.
Legislative and Regulatory Landscape
From time to time, legislation is drafted, introduced and passed in Congress that could significantly change the statutory provisions governing the testing, approval, manufacturing, marketing, coverage and reimbursement of products regulated by the FDA or other government agencies. In addition to new legislation, FDA and healthcare fraud and abuse and coverage and reimbursement regulations and policies are often revised or interpreted by the agency in ways that may significantly affect our business and our products. Further, the 2016 Presidential and Congressional elections and political developments have caused the future state of many core aspects of the current health care marketplace to be uncertain, as the current Presidential Administration and Congress have repeatedly expressed a desire to repeal all or portions of the Affordable Care Act. While specific changes and their timing are not yet apparent, there may be significant changes to the healthcare environment in the future that could have an adverse effect on anticipated revenues from therapeutic candidates that we may successfully develop and for which we may obtain regulatory approval. Furthermore, federal agencies, Congress, state legislatures, and the private sector have shown significant interest in implementing cost containment programs to limit the growth of health care costs, including price controls, restrictions on reimbursement and other fundamental changes to the healthcare delivery system. Any proposed or actual changes could limit coverage for or the amounts that federal and state governments will pay for health care products and services, which could also result in reduced demand for our products or additional pricing pressures and affect our ultimate profitability.
Patents and Proprietary Rights

We own more than 215290 U.S. and 7501,000 foreign patents and a number of pending patent applications that cover various aspects of our technologies. We have filed patent applications, and plan to file additional patent applications, covering various aspects of our advanced polymer conjugate technologies and our proprietary product candidates. More specifically, our patents and patent applications cover polymer architecture, drug conjugates, formulations, methods of making polymers and polymer conjugates, methods of administering polymer conjugates, and methods of manufacturing polymers and polymer conjugates. Our patent portfolio contains patents and patent applications that encompass our advanced polymer conjugate technology platforms, some of which we acquired in our acquisition of Shearwater Corporation in June 2001.platforms. Our patent strategy is to file patent applications on innovations and improvements to cover a significant majority of the major pharmaceutical markets in the world. Generally, patents have a term of twenty years from the earliest priority date (assuming all maintenance fees are paid). In some instances, patent terms can be increased or decreased, depending on the laws and regulations of the country or jurisdiction that issued the patent.

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In January 2002, we entered into a Cross-License and Option Agreement with Enzon Pharmaceuticals, Inc. (Enzon), pursuant to which we and Enzon provided certain licenses to selected portions of each party’s PEGylation patent portfolio. In certain cases, we have the option to license certain of Enzon’s PEGylation patents for use in our proprietary products or for sublicenses to third parties in each case in exchange for payments to Enzon based on manufacturing profits, revenue share or royalties on net sales if a designated product candidate is approved in one or more markets.

On December 31, 2008, we completed the sale of certain assets related to our pulmonary business, associated technology and intellectual property to Novartis Pharma AG and Novartis Pharmaceuticals Corporation (together referred to as Novartis) for a purchase price of $115.0 million in cash (Novartis Pulmonary Asset Sale). In connection with the Novartis Pulmonary Asset Sale, as of December 31, 2008, we entered into an exclusive license agreement with Novartis Pharma AG. Pursuant to the exclusive license agreement, Novartis Pharma AG grants back to us an exclusive, irrevocable, perpetual, royalty-free and worldwide license under certain specific patent rights and other related intellectual property rights acquired by Novartis from us in the Novartis Pulmonary Asset Sale, as well as certain improvements or modifications thereto that are made by Novartis. Certain of such patent rights and other related intellectual property rights relate to our development program for inhaled vancomycin or are necessary for us to satisfy certain continuing contractual obligations to third parties, including in connection with development, manufacture, sale, and commercialization activities related to BAY41-6551 partnered with Bayer Healthcare LLC.

We also rely on trade secret protection for our confidential and proprietary information. No assurance can be given that we can meaningfully protect our trade secrets. Others may independently develop substantially equivalent confidential and proprietary information or otherwise gain access to, or disclose, our trade secrets. Please refer to Item 1A,1A. Risk Factors, including but not limited to “We rely on trade secret protection and other unpatented proprietary rights for important proprietary technologies, and any loss of such rights could harm our business, results of operations and financial condition.” In certain situations in which we work with drugs covered by one or more patents, our ability to develop and commercialize our technologies may be affected by limitations in our access to these proprietary drugs. Even if we believe we are free to work with a proprietary drug, we cannot guarantee that we will not be accused of, or determined to be, infringing a third party’s rights and be prohibited from working with the drug or found liable for damages. Any such restriction on access or liability for damages would have a material adverse effect on our business, results of operations and financial condition.

The patent positions of pharmaceutical and biotechnology companies, such as ours, are uncertain and involve complex legal and factual issues. There can be no assurance that patents that have issued will be held valid and enforceable in a court of law. Even for patents that are held valid and enforceable, the legal process associated with obtaining such a judgment is time consuming and costly. Additionally, issued patents can be subject to inter partes review, opposition or other proceedings that

can result in the revocation of the patent or maintenance of the patent but in an amended form (and potentially in a form that renders the patent without commercially relevant or broad coverage). Further, our competitors may be able to circumvent and otherwise design around our patents. Even if a patent is issued and enforceable, because development and commercialization of pharmaceutical products can be subject to substantial delays, patents may expire early and provide only a short period of protection, if any, following the commercialization of products encompassed by our patent. We may have to participate in interferencepost-grant proceedings declared bybefore the U.S. Patent and Trademark Office, which could result in a loss of the patent and/or substantial cost to us. Please refer to Item 1A,1A. Risk Factors, including without limitation, “If any of our pending patent applications do not issue, or are deemed invalid following issuance, we may lose valuable intellectual property protection.”

U.S. and foreign patent rights and other proprietary rights exist that are owned by third parties and relate to pharmaceutical compositions and reagents, medical devices and equipment and methods for preparation, packaging and delivery of pharmaceutical compositions. We cannot predict with any certainty which, if any, of these rights will be considered relevant to our technology by authorities in the various jurisdictions where such rights exist, nor can we predict with certainty which, if any, of these rights will or may be asserted against us by third parties. We could incur substantial costs in defending ourselves and our partners against any such claims. Furthermore, parties making such claims may be able to obtain injunctive or other equitable relief, which could effectively block our ability to develop or commercialize some or all of our products in the U.S. and abroad and could result in the award of substantial damages. In the event of a claim of infringement, we or our partners may be required to obtain one or more licenses from third parties. There can be no assurance that we can obtain a license to any technology that we determine we need on reasonable terms, if at all, or that we could develop or otherwise obtain alternative technology. The failure to obtain licenses if needed may have a material adverse effect on our business, results of operations and financial condition. Please refer to Item 1A,1A. Risk Factors, including without limitation, “We may not be able to obtain intellectual property licenses related to the development of our drug candidates on a commercially reasonable basis, if at all.”

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It is our policy to require our employees and consultants, outside scientific collaborators, sponsored researchers and other advisors who receive confidential information from us to execute confidentiality agreements upon the commencement of employment or consulting relationships with us. These agreements provide that all confidential information developed or made known to the individual during the course of the individual’s relationship with us is to be kept confidential and not disclosed to third parties except in specific circumstances. The agreements provide that all inventions conceived by an employee shall be our property. There can be no assurance, however, that these agreements will provide meaningful protection or adequate remedies for our trade secrets in the event of unauthorized use or disclosure of such information.

Customer Concentrations

Our revenue is derived from our collaboration agreements with partners, under which we may receive contracta combination of revenue elements including up-front payments for licensing agreements, clinical research payments,reimbursement or co-funding, milestone payments based on clinical progress, regulatory progress or net sales achievements, royalties and/or product sales revenue. AstraZeneca, UCB, Ophthotech and Roche represented 29%, 21%, 19% and 11%Our revenues are concentrated among a limited number of collaboration partners under long-term arrangements. In particular, our collaboration arrangements with BMS represent 89% of our revenue, respectively,revenues for the year ended December 31, 2016. No other collaboration partner accounted for more than 10%2018, and Lilly represented 42% of our total revenue duringrevenues for the year ended December 31, 2016.

2017, and these arrangements provide for the most significant portion of our potential future development and regulatory milestone payments. The relative portion of such revenues in any particular year, however, is dependent upon the mix of any milestone payments or other license revenues recognized and volume of recurring royalty revenues and product sales. Additionally, we derive substantially all of our cash royalty revenue from our collaboration arrangements with Takeda for ADYNOVATE®/ADYNOVITM and AstraZeneca for MOVANTIK®/MOVENTIG® and we derive the significant majority of our product sales from UCB and Pfizer.

Backlog

Pursuant to our collaboration agreements, we manufacture and supply our proprietary polymer conjugation materials. Inventory is produced and sales are made pursuant to customer purchase orders for delivery. The volume of our proprietary polymer conjugation materials actually ordered by our customers, as well as shipment schedules, are subject to frequent revisions that reflect changes in both the customers’ needs and our manufacturing capacity. In our partnered programs where we provide contract research services, those services are typically provided under a work plan that is subject to frequent revisions that changedelivery generally based on the development needsrolling four to eight quarter forecasts, of which at least two quarters are generally binding. Our backlog is not significant, and, status of the program. The backlog at a particular time is affected by a number of factors, including scheduled date of manufacture and delivery and development program status. Inin light of industry practice and our own experience, we do not believe that backlog as of any particular date is indicative of future results.

Competition

Competition in the pharmaceutical and biotechnology industry is intense and characterized by aggressive research and development and rapidly-evolving science, technology, and standards of medical care throughout the world. We frequently compete with pharmaceutical companies and other institutions with greater financial, research and development, marketing and sales, manufacturing and managerial capabilities. We face competition from these companies not just in product development

but also in areas such as recruiting employees, acquiring technologies that might enhance our ability to commercialize products, establishing relationships with certain research and academic institutions, enrolling patients in clinical trials and seeking program partnerships and collaborations with larger pharmaceutical companies.

Science and Technology Competition

We believe that our proprietary and partnered products will compete with others in the market on the basis of one or more of the following parameters: efficacy, safety, ease of use and cost.

We face intense science and technology competition from a multitude of technologies seeking to enhance the efficacy, safety and ease of use of approved drugs and new drug molecule candidates. A number of the drug candidates in our pipeline have direct and indirect competition from large pharmaceutical companies and biopharmaceutical companies. With our advanced polymer conjugate technologies, we believe we have competitive advantages relating to factors such as efficacy, safety, ease of use and cost for certain applications and molecules. We constantly monitor scientific and medical developments in order to improve our current technologies, seek licensing opportunities where appropriate, and determine the best applications for our technology platforms.

In the fields of advanced polymer conjugate technologies, our competitors include Biogen Idec Inc., Savient Pharmaceuticals, Inc.,Horizon Pharma, Dr. Reddy’s Laboratories, Ltd., Mountain View Pharmaceuticals, Inc., SunBio Corporation, NOF Corporation, and Novo Nordisk A/S (assets formerly held by Neose Technologies, Inc.). Several other chemical, biotechnology and pharmaceutical companies may also be developing advanced polymer conjugate technology or technologies intended to deliver similar scientific and medical benefits. Some of these companies license intellectual property or PEGylation materials to other companies, while others apply the technology to create their own drug candidates.

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Product and Program Specific Competition

Bempegaldesleukin (NKTR-214) (CD122-preferential IL-2 pathway agonist)
There are numerous companies engaged in developing immunotherapies to be used alone, or in combination, to treat a wide range of oncology indications targeting both solid and liquid tumors. In particular, we expect to compete with therapies with tumor infiltrating lymphocytes, or TILs, chimeric antigen receptor-expressing T cells, or CAR-T, cytokine-based therapies, and checkpoint inhibitors. Potential competitors in the TIL and CAR-T space include Gilead (through its acquisition of Kite Pharma)/NCI, Apeiron Biologics, Philogen S.p.A., Brooklyn ImmunoTherapetuics LLC, Anaveon AG, and Adaptimmune LLC. In the cytokine-based therapies space, potential competitors include Novartis AG, Alkermes PLC, NantWorks LLC, Eli Lilly & Co. (through its acquisition of Armo Biosciences), Roche, and Sanofi SA (through its acquisition of Synthorx, Inc.), and in the checkpoint inhibitor space potential competitors include Tesaro, Inc., Macrogenics, Inc., Merck, Bristol-Myers Squibb, and Roche.  
NKTR-358 (IL-2 conjugate regulator T Cell stimulator)
There are a number of competitors in various stages of clinical development that are working on programs which are designed to correct the underlying immune system imbalance in the body due to autoimmune disease. In particular, we expect to compete with therapies that could be cytokine-based therapies (Symbiotix, LLC, Jassen Pharmaceuticals, AstraZeneca and Tizona Therapeutics), regulatory T cell therapies (Targazyme, Inc., Caladrius BioSciences, Inc., and Tract Therapeutics, Inc.), or IL-2 based therapies (Amgen, Inc., Celgene Corporation (through its acquisition of Delnia, Inc.), ILTOO Pharma, and Sanofi SA, through its acquisition of Synthorx, Inc.).
MOVANTIK® (previously referred to as naloxegol and NKTR-118) (orally-available peripheral opioid antagonist)

There are no other once-daily oral drugs that act specifically to block or reverse the action of opioids on receptors in the gastrointestinal tract which are approved specifically for the treatment of opioid-induced constipation (OIC) or opioid bowel dysfunction (OBD) in patients with chronic, non-cancer pain. The only approved oral treatment for opioid-induced constipation in adults with chronic, non-cancer pain is a twice daily oral therapy called AMITIZA® (lubiprostone), which acts by specifically activating CIC-2 chloride channels in the gastrointestinal tract to increase secretions. AMITIZA® is marketed by SucampoMallincrodt Pharmaceuticals and Takeda. There is also a subcutaneous treatment and an oral treatment known as RELISTOR®RELISTOR® which is marketed by Bausch Health Companies Inc. (formerly, Valeant Pharmaceuticals Ltd (formerlyInternational, Inc., which previously acquired Salix) under a license from Progenics Pharmaceuticals, Inc. In 2014, RELISTOR® Subjectaneous Injection was approved by the FDA for adult patients with chronic non-cancer pain. On July 22, 2016, Relistor (methylnaltrexone bromide) oral tablets for the treatment of OCI in adult patients with chronic non-cancer pain was approved by FDA. Other therapies used to treat OIC and OBD include over-the-counter laxatives and stool softeners, such as docusate sodium, senna, and milk of

magnesia. These therapies do not address the underlying cause of constipation as a result of opioid use and are generally viewed as ineffective or only partially effective to treat the symptoms of OIC and OBD.

There are a number of companies developing potential products which are in various stages of clinical development and are being evaluated for the treatment of OIC and OBD in different patient populations. Potential competitors include Merck, & Co., Inc., GlaxoSmithKline plc, Ironwood Pharmaceuticals, Inc. in collaboration with Actavis plc (acquired by Teva Pharmaceutical Industries Ltd.), Purdue Pharma L.P. in collaboration with Shionogi & Co., Ltd., Mundipharma Int. Limited, Theravance, Inc., Develco Pharma, SucampoMallincrodt Pharmaceuticals, Inc., and Takeda Pharmaceutical Company Limited.

Takeda.

ADYNOVATE® (previously referred to as BAX 855, PEGylated rFVIII)

On June 6, 2014, the FDA approved Biogen Idec ’s ELOCTATE™ [Antihemophilic Factor (Recombinant)Idec’s ELOCTATETM [antihemophilic factor (recombinant), Fc Fusion Protein]fusion protein] for the control and prevention of bleeding episodes, perioperative (surgical) management and routine prophylaxis in adults and children with Hemophilia A. ELOCTATE™ELOCTATETM is intended to be an extended half-life Factor VIII therapy with prolonged circulation in the body with the potential to extend the interval between prophylactic infusions. Prior to its 2014 approval, the fusion protein in ELOCTATE™ELOCTATETM was not used outside of the clinical trial setting for Hemophilia A patients. There are other long-actingOn August 31, 2018, Bayer Healthcare received FDA approval for JIVI® (antihemophilic factor (recombinant) PEGylated-aucl), an extended half-life Factor VIII programs in late-stage development for Hemophilia A patients.treatment in patients 12 and older which became commercially available in the third quarter of 2018. In addition, on February 19, 2019, Novo Nordisk received FDA approval for ESPEROCT® [antihemophilic factor (recombinant), glycoPEGylated-exei] a glycoPEGylated Factor VIII product with an extended half-life for use in adults and children with Hemophilia A.  The Biogen, Bayer, Healthcare and Novo Nordisk have ongoing Phase 3 clinical development programs for longer acting Factor VIII proteins based on pegylation technology approaches. These programs, if developed successfully and approved by health authorities, would beproducts are competitors in the longer actingextended half-life Factor VIII market.

NKTR-181 (mu-opioid analgesic molecule for chronic pain)

There are numerous companies developing pain therapies designed to have less abuse potential primarily through formulation technologies and techniques applied to existing pain therapies. Potential competitors include Acura Pharmaceuticals, Inc., Cara Therapeutics, Inc., Collegium Pharmaceutical, Inc., Egalet Ltd, Elite Pharmaceuticals, Inc., Endo Health Solutions Inc., KemPharm, Inc., Pfizer, Inc., Purdue Pharma L.P., and Teva Pharmaceutical Industries Ltd.

ONZEALDTM (next-generation, long acting topoisomerase I inhibitor)

There are a number of chemotherapies and cancer therapies approved today and in various stages of clinical development for advanced breast  cancer. These therapies are only partially effective in treating advanced or metastatic breast cancer and none have a specific indication in either the U.S. or Europe for treatment of patients with advanced breast cancer and co-existing brain metastases.  These therapies include but are not limited to: Abraxane® (paclitaxel protein-bound particles for injectable suspension (albumin bound)), Afinitor® (everolimus), Ellence® (epirubicin), Gemzar® (gemcitabine), Halaven® (eribulin), Herceptin® (trastuzumab), Ixempra® (ixabepilone), Navelbine® (vinolrebine), Xeloda® (capecitabine) and Taxotere® (docetaxel). Major pharmaceutical or biotechnology companies with approved drugs or drugs in development for these cancers include Bristol-Myers Squibb Company, Eisai, Inc., Roche Holding Group (including its Genentech subsidiary), GlaxoSmithKline plc, Pfizer, Inc., Eli Lilly & Co., Sanofi Aventis S.A., and others.

BAY41-6551 (Amikacin Inhale, formerly NKTR-061)

There are currently no approved drugs on the market for adjunctive treatment or prevention of gram-negative pneumonias in mechanically ventilated patients which are also administered via the pulmonary route. The current standard of care includes approved intravenous antibiotics which are partially effective for the treatment of either hospital-acquired pneumonia or ventilator-associated pneumonia in patients on mechanical ventilators. These drugs include drugs that fall into the categories of antipseudomonal cephalosporins, antipseudomonal carbepenems, beta-lactam/beta-lactamase inhibitors, antipseudomonal fluoroquinolones, such as ciprofloxacin or levofloxacin, and aminoglycosides, such as amikacin, gentamycin or tobramycin.

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NKTR-214 (immunostimulatory CD122-biased cytokine)

There are numerous companies engaged in developing immunotherapies to be used alone, or in combination, to treat a wide range of oncology indications targeting both solid and liquid tumors. In particular, we expect to compete with therapies with tumor infiltrating lymphocytes, or TILS, chimeric antigen receptor-expressing T cells, or CAR-T, cytokine-based therapies, and checkpoint inhibitors.  Potential competitors in the TIL and CAR-T space include Kite Pharma/NCI, Adaptimmune LLC, Celgene Corporation, Juno Therapeutics, and Novartis, Alkermes, Altor, and Armo in the cytokine-based therapies space, and Tesaro, Macrogenics, Merck, BMS, and Roche in the checkpoint inhibitor space.

NKTR-358

There are a number of competitors in various stages of clinical development that are working on programs which are designed to correct the underlying immune system imbalance in the body due to auto-immune disease. In particular, we expect to compete with therapies that could be cytokine-based therapies (Symbiotix, LLC and Tizona Therapeutics), T regulatory cell therapies (Targazyme, Inc., Juno Therapeutics and Tract Therapeutics, Inc.), or IL-2-based and toleragen-based therapies (Celgene Corporation, Amgen Inc., Tolera Therapeutics, Inc., and Caladrius BioSciences, Inc.).

Research and Development

Our total research and development expenditures can be disaggregated into the following significant types of expenses (in millions):

 

 

Year Ended December 31,

 

 

 

2016

 

 

2015

 

 

2014

 

Third party and direct materials costs

 

$

98.2

 

 

$

89.3

 

 

$

57.9

 

Personnel, overhead and other costs

 

 

84.6

 

 

 

77.8

 

 

 

75.6

 

Stock-based compensation and depreciation

 

 

21.0

 

 

 

15.7

 

 

 

14.2

 

Research and development expense

 

$

203.8

 

 

$

182.8

 

 

$

147.7

 

 Year Ended December 31,
 2019 2018 2017
Third party and direct materials costs$221.5
 $206.9
 $125.4
Personnel, overhead and other costs141.7
 130.8
 113.5
Stock-based compensation and depreciation71.4
 61.8
 29.6
Research and development expense$434.6
 $399.5
 $268.5
Manufacturing and Supply

We have a manufacturing facility located in Huntsville, Alabama that is capable of manufacturing our proprietary PEGylation materials for active pharmaceutical ingredients (APIs). The facility is also used to produce APIs and finished drug products to support the early phases of clinical development of our proprietary drug candidates. The facility and associated equipment are designed and operated to be consistent with all applicable laws and regulations.

As we do not maintain the capability to manufacture APIs (including biologics)biologics nor finished drug products for all of our development programs, we primarily utilize contract manufacturers to manufacture active pharmaceutical ingredientsbiologics and finished drug product for us. We also utilize the services of contract manufacturers to manufacture APIs and finished drug products required for later phases of clinical development and eventual commercialization under all applicable laws and regulations.

We source drug starting materials for our manufacturing activities from one or more suppliers. For the drug starting materials necessary for our proprietary drug candidate development, we have agreements for the supply of such drug components with drug manufacturers or suppliers that we believe have sufficient capacity to meet our demands. However, from time to time, we source critical raw materials and services from one or a limited number of suppliers and there is a risk that if such supply or services were interrupted, it wouldcould materially harm our business. In addition, we typically order raw materials and services on a purchase order basis for early phase clinical development products and do not enter into long-term dedicated capacity or minimum supply arrangements. We also utilize the services of contract manufacturers to manufacture APIs requiredarrangements only for later phases of clinical development and eventual commercializationlate stage products nearing regulatory approval for us under all applicable laws and regulations.

marketing authorization.

Environment

As a manufacturer of PEG reagents for the U.S. market, we are subject to inspections by the FDA and the U.S. Environmental Protection Agency for compliance with cGMP and other U.S. regulatory requirements, including U.S. federal,

state and local regulations regarding environmental protection and hazardous and controlled substance controls, among others. Environmental laws and regulations are complex, change frequently and have tended to become more stringent over time. We have incurred, and may continue to incur, significant expenditures to ensure we are in compliance with these laws and regulations. We would be subject to significant penalties for failure to comply with these laws and regulations.

Employees and Consultants

As of December 31, 20162019, we had 468723 employees, of which 358585 employees were engaged in research and development, manufacturing, commercial operations and quality activities and 110138 employees were engaged in general administration and business development.

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Of the 468723 employees, 392654 were located in the U.S. and 7669 were located in India. We have a number of employees who hold advanced degrees, such as Ph.D.s.Ph.D. None of our employees are covered by a collective bargaining agreement, and we have experienced no work stoppages. We believe that we maintain good relations with our employees.

To complement our own expert professional staff, we utilize specialists in regulatory affairs, pharmacovigilance, process engineering, manufacturing, quality assurance clinical development and businessclinical development. These individuals include scientific advisors as well as independent consultants.

Available Information

Our website address is http://www.nektar.com. The information in, or that can be accessed through, our website is not part of this annual report on Form 10-K. Our annual reports on Form 10-K, quarterly reports on Form 10-Q and current reports on Form 8-K and amendments to those reports are available, free of charge, on or through our website as soon as reasonably practicable after we electronically file such material with, or furnish it to, the Securities Exchange Commission (SEC). The public may read and copy any materials we file with the SEC at the SEC’s Public Reference Room at 100 F Street, NE, Washington, D.C. 20549. Information on the operation of the Public Reference Room can be obtained by calling 1-800-SEC-0330. The SEC maintains an Internet site that contains reports, proxy and information statements and other information regarding our filings at www.sec.gov.

EXECUTIVE OFFICERS OF THE REGISTRANT

The following table sets forth the names, ages and positions of our executive officers as of February 13, 2017:

21, 2020:

Name

Age

Position

Name
AgePosition
Howard W. Robin

67

64

Director, President and Chief Executive Officer

Gil M. Labrucherie, J.D.

48Chief Operating Officer and Chief Financial Officer
John Nicholson

Northcott

42

65

Senior Vice President and Chief OperatingCommercial Officer

Gil M. Labrucherie, J.D.

45

Senior Vice President and Chief Financial Officer

Stephen K. Doberstein, Ph.D.

58

Senior Vice President and Chief Scientific Officer

Ivan P. Gergel, M.D.

56

Senior Vice President, Drug Development and Chief Medical Officer

Maninder Hora, Ph.D.

63

Senior Vice President, Pharmaceutical Development and Manufacturing

   Operations

Jillian B. Thomsen

54

51

Senior Vice President, Finance and Chief Accounting Officer

Jonathan Zalevsky, Ph.D.45Chief Research and Development Officer

Howard W. Robinhas served as our President and Chief Executive Officer since January 2007 and has served as a member of our board of directors since February 2007. Mr. Robin served as Chief Executive Officer, President and a director of Sirna Therapeutics, Inc., a biotechnology company, from July 2001 to November 2006 and from January 2001 to June 2001, served as their Chief Operating Officer, President and as a director. From 1991 to 2001, Mr. Robin was Corporate Vice President and General Manager at Berlex Laboratories, Inc. (Berlex), a pharmaceutical products company that is a subsidiary of Schering, AG, and from 1987 to 1991 he served as Vice President of Finance and Business Development and Chief Financial Officer of Berlex. From 1984 to 1987, Mr. Robin was Directorof Business Planning and Development at Berlex. He was a Senior Associate with Arthur Andersen & Co. prior to joining Berlex. Mr. Robin serves as a director of the Biotechnology Industry Organization, the world’s largest biotechnology industry trade organization, and also serves as a director of BayBio, a non-profit trade association serving the Northern California life sciences community. He received his B.S. in Accounting and Finance from Fairleigh Dickinson University in 1974.

John Nicholson

Gil M. Labrucherie has served as our Senior Vice President, and Chief Operating Officer since June 2016. Mr. Nicholson joined the Company as Senior Vice President of Corporate Development and Business Operations in October 2007 and was appointed Senior Vice President and Chief Financial Officer in December 2007 and served as our Chief Financial Officer until June 2016 when he was promoted to Senior Vice President and Chief Operating Officer. Before joining Nektar, Mr. Nicholson spent 18 years in various executive roles at Schering Berlin, Inc., the U.S. management holding company of Bayer Schering Pharma AG, a pharmaceutical company. From 1997 to September 2007, Mr. Nicholson served as Schering Berlin Inc.’s Vice President of Corporate Development and Treasurer. From 2001 to September 2007, he concurrently served as President of Schering Berlin Insurance Co., and from February 2007 through September 2007, he also concurrently served as President of Bayer Pharma Chemicals and Schering Berlin Capital Corp. Mr. Nicholson holds a B.B.A. from the University of Toledo.

Gil M. Labrucherie has served as our Senior Vice President and Chief Financial Officer since June 2016.2016, and added the role of Chief Operating Officer in October 2019. Mr. Labrucherie served as our Vice President, Corporate Legal from October 2005 through April 2007 and served as our Senior Vice President, General Counsel and Secretary from April 2007 through June 2016 when he was promoted to Senior Vice President and Chief Financial Officer. From October 2000 to September 2005, Mr. Labrucherie was Vice President of Corporate Development at E2open. While at E2open, Mr. Labrucherie was responsible


for global corporate alliances and merger and acquisitions. Prior to E2open, he was

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the Senior Director of Corporate Development at AltaVista Company, an Internet search company, where he was responsible for strategic partnerships and mergers and acquisitions. Mr. Labrucherie began his career as an associate in the corporate practice of the law firm of Wilson Sonsini Goodrich & Rosati, P.C. Mr. Labrucherie received his J.D. from the Berkeley Law School and ahis B.A. from the University of California Davis.

Stephen K. Doberstein, Ph.D.

John Northcott has served as our Senior Vice President and Chief ScientificCommercial Officer since January 2010.December 2019. From October 2008 through December 2009, Dr. Doberstein2015 to 2019, Mr. Northcott served as Vice President, Researchthe Chief Commercial Officer of Pharmacyclics. From 2013 to 2015, Mr. Northcott was Chief Commercial Officer at Xoma (US) LLC, a publicly traded clinical stage biotechnology company. From July 2004 until August 2008, he served as Vice President, Research at privatelyLexicon Pharmaceuticals. He has held Five Prime Therapeutics, Inc., a clinical stage biotechnology company. From September 2001 until July 2004, Dr. Doberstein was Vice President, Research at privately held Xencor, Inc., a clinical stage biotechnology company. From 1997commercial roles from 2007 to 2000, he held various pharmaceutical research positions at Exelixis, Inc. (Exelixis), a publicly traded clinical stage biotechnology company.2013 in both U.S. and Global marketing with Genentech and the Roche Group, including the role of International Business Leader. Prior to workingRoche/Genentech, Mr. Northcott held management positions in sales and marketing in a variety of therapeutic areas at Exelixis, Dr. Doberstein was a Howard Hughes Postdoctoral Fellowother pharmaceutical companies including Merck and a Muscular Dystrophy Association Senior Postdoctoral Fellow at the University of California, Berkeley. Dr. Doberstein received his Ph.D. in Biochemistry, Cell and Molecular Biology from the Johns Hopkins University School of Medicine andPfizer. Mr. Northcott received a B.S.bachelor’s degree in Chemical EngineeringBusiness Administration from the University of Delaware.

Ivan P. Gergel, M.D. has served as our Senior Vice President, Drug Development and Chief Medical Officer since May 2014.  From April 2008 through March 2014, Dr. Gergel served as Executive Vice President, Research & Development and Chief Scientific Officer of Endo Pharmaceuticals, a pharmaceutical company.  Prior to joining Endo Pharmaceuticals, he was Senior Vice President of Scientific Affairs and President of the Forest Research Institute of Forest Laboratories Inc. Prior to that, Dr. Gergel served as Vice President and Chief Medical Officer at Forest and Executive Vice President of the Forest Research Institute. He joined Forest in 1998 as Executive Director of Clinical Research following nine years at SmithKline Beecham, and was named Vice President of Clinical Development and Clinical Affairs in 1999. Dr. Gergel is a member of the Board of Directors of Corium International, Inc., a commercial-stage biopharmaceutical company.  Dr. Gergel received his M.D. from the Royal Free Medical School of the University of London and an MBA from the Wharton School.

Maninder Hora, Ph.D. has served as our Senior Vice President, Pharmaceutical Development and Manufacturing Operations since August 2010. From July 2006 to July 2010, he held various executive positions most recently as Vice President, Product and Quality Operations at Facet Biotech Corporation (now Abbvie Biotherapeutics), a clinical stage biotechnology company, which was acquired in 2010 by Abbvie Biotherapeutics (formerly Abbot). From 1986 to 2006, Dr. Hora held positions of increasing responsibility with Chiron Corporation (acquired in 2005 by Novartis), a pharmaceutical company, serving most recently at Chiron as Vice President of Process and Product Development. Dr. Hora has also held positions at Wyeth Pharmaceuticals and GlaxoSmithKline plc prior to joining Chiron. Dr. Hora served as a key member of various teams that successfully registered ten drugs or vaccines in the U.S. and Europe during his professional career. Dr. Hora completed his Ph.D. in Bioengineering from the Indian Institute of Technology, Delhi, India, and was a Fulbright Scholar at the University of Washington, and received his B.S. in chemistry from the University of Jabalpur.

St. Francis Xavier University.

Jillian B. Thomsenhas served as our Senior Vice President, Finance and Chief Accounting Officer since February 2010. From March 2006 through March 2008, Ms. Thomsen served as our Vice President Finance and Corporate Controller and from April 2008 through January 2010 she served as our Vice President Finance and Chief Accounting Officer. Before joining Nektar, Ms. Thomsen was Vice President Finance and Deputy Corporate Controller of Calpine Corporation from September 2002 to February 2006. Ms. Thomsen isbegan her career as a certified public accountant and previously was a senior manager at Arthur Andersen LLP, where she worked from 1990 to 2002, and specialized in audits of multinational consumer products, life sciences, manufacturing and energy companies. Ms. Thomsen holds a Masters of Accountancy from the University of Denver and a B.A. in Business Economics from Colorado College.

Jonathan Zalevsky has served as our Chief Research & Development Officer since October 2019. Dr. Zalevsky served as our Senior Vice President, Biology and Preclinical Development from April 2017 through November 2017 and served as our Senior Vice President, Research and Chief Science Officer from November 2017 to October 2019. From July 2015 through April 2017, Dr. Zalevsky served as our Vice President, Biology and Preclinical Development. Prior to joining Nektar, Dr. Zalevsky was Global Vice President and Head of the Inflammation Drug Discovery Unit at Takeda Pharmaceuticals. Prior to working at Takeda, Dr. Zalevsky held a number of research and development positions at Xencor, Inc. Dr. Zalevsky received his Ph.D. in Biochemistry from the Tetrad Program at the University of California, San Francisco. He received dual bachelor degrees in Biochemistry and Molecular, Cellular and Developmental Biology from the University of Colorado at Boulder.

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Item 1A.

Risk Factors

Item 1A. Risk Factors
We are providing the following cautionary discussion of risk factors, uncertainties and assumptions that we believe are relevant to our business. These are factors that, individually or in the aggregate, we think could cause our actual results to differ materially from expected and historical results and our forward-looking statements. We note these factors for investors as permitted by Section 21E of the Exchange Act and Section 27A of the Securities Act. Investors in Nektar Therapeutics should carefully consider the risks described below before making an investment decision. You should understand that it is not possible to predict or identify all such factors. Consequently, you should not consider this section to be a complete discussion of all potential risks or uncertainties that may substantially impact our business. Moreover, we operate in a competitive and rapidly changing environment. New factors emerge from time to time and it is not possible to predict the impact of all of these factors on our business, financial condition or results of operations.

Risks Related to Our Business

We are highly dependent on the success of bempegaldesleukin, our lead I-O candidate. We are executing a clinical development program for bempegaldesleukin and clinical and regulatory outcomes for bempegaldesleukin, if not successful, will significantly harm our business.
Our future success is highly dependent on our ability to successfully develop, obtain regulatory approval for, and commercialize bempegaldesleukin. In general, most investigational drugs, including I-O drug candidates such as bempegaldesleukin, do not become approved drugs. Accordingly, there is a very meaningful risk that bempegaldesleukin will not succeed in one or more clinical trials sufficient to support one or more regulatory approvals. To date, reported clinical outcomes from bempegaldesleukin have had a significant impact on our market valuation, financial position, and business

prospects and we expect this to continue in future periods. If one or more clinical studies of bempegaldesleukin are delayed (as a result of, for example, our collaboration partner causing a delay of the initiation of one or more clinical trials for reasons outside of our control) or not successful, it would materially harm our market valuation, prospects, financial condition and results of operations. For example, under the BMS Collaboration Agreement, we are entitled to up to $1.455 billion in development milestone payments that are based upon clinical and regulatory successes from the bempegaldesleukin development program. One or more failures in bempegaldesleukin studies could jeopardize such milestone payments, and any product sales or royalty revenue or commercial milestone payments that we would otherwise be entitled to receive could be reduced, delayed or eliminated.
Delays in clinical studies are common and have many causes, and any significant delay in clinical studies being conducted by us or our partners could result in delay in regulatory approvals and jeopardize the ability to proceed to commercialization.
We or our partners may experience delays in clinical trials of drug candidates. We have ongoing trials evaluating bempegaldesleukin, including trials evaluating bempegaldesleukin as a potential combination treatment with BMS’s Opdivo® as well as other ongoing and planned combination trials. Our partner Lilly has initiated clinical Phase 1b studies of NKTR-358 for indications in systemic lupus erythematosus, psoriasis and atopic dermatitis. We also continue to enroll patients in a Phase 1/2 study evaluating bempegaldesleukin in combination with NKTR-262.  In addition, we have initiated a Phase 1 clinical study of NKTR-255 in adults with relapsed or refractory non-Hodgkin lymphoma or multiple myeloma. These and other clinical studies may not begin on time, enroll a sufficient number of patients or be completed on schedule, if at all. Clinical trials for any of our product candidates could be delayed for a variety of reasons, including:
delays in obtaining regulatory authorization to commence a clinical study;
delays in reaching agreement with applicable regulatory authorities on a clinical study design;
for product candidates (such as bempegaldesleukin and NKTR-358) partnered with other companies, delays caused by our partner;
imposition of a clinical hold by the FDA or other health authorities, which may occur at any time including after any inspection of clinical trial operations or trial sites;
suspension or termination of a clinical study by us, our partners, the FDA or foreign regulatory authorities due to adverse side effects of a drug on subjects in the trial;
delays in recruiting suitable patients to participate in a trial;
delays in having patients complete participation in a trial or return for post-treatment follow-up;
clinical sites dropping out of a trial to the detriment of enrollment rates;
delays in manufacturing and delivery of sufficient supply of clinical trial materials;
changes in regulatory authorities policies or guidance applicable to our drug candidates; and
delays caused by changing standards of care or new treatment options.
If the initiation or completion of any of the planned clinical studies for our drug candidates is delayed for any of the above or other reasons, the regulatory approval process would be delayed and the ability to commercialize and commence sales of these drug candidates could be materially harmed, which could have a material adverse effect on our business, financial condition and results of operations. Clinical study delays could also shorten any commercial periods during which our products have patent protection and may allow our competitors to bring products to market before we do, which could impair our ability to successfully commercialize our product candidates and may harm our business and results of operations.
The outcomes from competitive I-O and combination therapy clinical trials, and the discovery and development of new potential oncology therapies, could have a material and adverse impact on the value of our I-O research and development pipeline.
The research and development of I-O therapies is a very competitive global segment in the biopharmaceutical industry attracting billions of dollars of investment each year.  Our clinical trial plans for bempegaldesleukin, NKTR-262, and NKTR-255 face substantial competition from other I-O combination regimens already approved, and many more combination therapies that are either ahead of or in parallel development in patient populations where we are studying our drug candidates. As I-O combination therapies are relatively new approaches in cancer treatment and few have successfully completed late stage development, I-O drug development entails substantial risks and uncertainties that include rapidly changing standards of care,

patient enrollment competition, evolving regulatory frameworks to evaluate combination regimens, and varying risk-benefit profiles of competing therapies, any or all of which could have a material and adverse impact on the probability of success of I-O drug candidates. 
Drug development is a long and inherently uncertain process with a high risk of failure at every stage of development.

We have a number of proprietary drug candidates and partnered drug candidates in research and development ranging from the early discovery research phase through preclinical testing and clinical trials. Preclinical testing and clinical studies are long, expensive, difficult to design and implement and highly uncertain as to outcome. It will take us, or our collaborative partners, many years to conduct extensive preclinical tests and clinical trials to demonstrate the safety and efficacy in humans of our product candidates. The start or end of a clinical study is often delayed or halted due to changing regulatory requirements, manufacturing challenges, required clinical trial administrative actions, slower than anticipated patient enrollment, changing standards of care, availability or prevalence of use of a comparator drug or required prior therapy, clinical outcomes, or our and our partners’ financial constraints.

Drug development is a highly uncertain scientific and medical endeavor, and failure can unexpectedly occur at any stage of preclinical and clinical development. Typically, there is a high rate of attrition for drug candidates in preclinical and clinical trials due to scientific feasibility, safety, efficacy, changing standards of medical care (including commercialization of a competing therapy in the same or similar indication for which our drug candidate is being studied) and other variables.variables (such as commercial supply challenges). The risk of failure increases for our drug candidates that are based on new technologies, such as the application of our advanced polymer conjugate technology to ONZEALDTM, NKTR-181, NKTR-214bempegaldesleukin, NKTR-358, NKTR-262, NKTR-255, and other drug candidates currently in discovery research or preclinical development.  For example, while we believe our NKTR-181 Phase 3 clinical program employs the most appropriate clinical trial design, we were unable to identify a single cause for the Phase 2 study for NKTR-181 not meeting its primary efficacy endpoint, and therefore there is increased risk in effectively designing a Phase 3 clinical program for NKTR-181. The failure of one or more of our drug candidates could have a material adverse effect on our business, financial condition and results of operations.


We may not elect or be able to take advantage of any expedited development or regulatory review and approval processes available to product candidates granted breakthrough therapy by the FDA.
We intend to evaluate and continue ongoing discussions with the FDA on regulatory strategies that could enable us to take advantage of expedited development pathways for certain of our drug candidates, although we cannot be certain that our drug candidates will qualify for any expedited development pathways or that regulatory authorities will grant, or allow us to maintain, the relevant qualifying designations.
Breakthrough therapy designation is intended to expedite the development and review of drug candidates that are designed to treat serious or life-threatening diseases when “preliminary clinical evidence indicates that the drug 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 designation of a drug candidate as a breakthrough therapy provides potential benefits that include more frequent meetings with FDA to discuss the development plan for the drug candidate and ensure collection of appropriate data needed to support approval; more frequent written correspondence from FDA about such things as the design of the proposed clinical trials and use of biomarkers; intensive guidance on an efficient drug development program, beginning as early as Phase 1; organizational commitment involving senior managers; and eligibility for rolling review and priority review.
Although bempegaldesleukin in combination with Opdivo® received breakthrough therapy designation for the treatment of patients with previously untreated unresectable or metastatic melanoma, we may elect not to pursue breakthrough therapy designation for our other drug candidates, and the FDA has broad discretion whether or not to grant these designations.
Accordingly, even if we believe a particular drug candidate is eligible for breakthrough therapy, we cannot be assured that the FDA would decide to grant it. Breakthrough therapy designation does not change the standards for drug approval, and there is no assurance that such designation will result in expedited review or approval or that the approved indication will not be narrower than the indication covered by the breakthrough therapy designation. Thus, even though we have received breakthrough therapy designation, we may not experience a faster development process or review, and, upon any filing seeking regulatory approval, we may not obtain an approval from the FDA.
The risk of clinical failure for any drug candidate remains high prior to regulatory approval.

A number of companies have suffered significant unforeseen failures in clinical studies due to factors such as inconclusive efficacy or safety, even after achieving preclinical proof-of-concept or positive results from earlier clinical studies that were satisfactory both to them and to reviewing regulatory authorities. Clinical study outcomes remain very unpredictable and it is possible that one or more of our clinical studies could fail at any time due to efficacy, safety or other important clinical findings or regulatory requirements. The results from preclinical testing or early clinical trials of a product candidate may not predict the results that will be obtained in later phase clinical trials of the product candidate. We, the FDA, IRB,an independent

Institutional Review Board (IRB), an independent ethics committee (IEC), or other applicable regulatory authorities may suspend clinical trials of a product candidate at any time for various reasons, including a belief that subjectspatients participating in such trials are being exposed to unacceptable health risks or adverse side effects. Similarly, an IRB or ethics committeeIEC may suspend a clinical trial at a particular trial site. If one or more of our drug candidates fail in clinical studies, it could have a material adverse effect on our business, financial condition and results of operations.

Our

If we or our contract manufacturers are not able to manufacture drugs or drug substances in sufficient quantities that meet applicable quality standards, it could delay clinical studies, result in reduced sales or constitute a breach of our contractual obligations, any of which could significantly harm our business, financial condition and results of operations.
If we or our contract manufacturers are not able to manufacture and supply sufficient drug quantities meeting applicable quality standards required to support large clinical studies or commercial manufacturing in a timely manner, it could delay our or our collaboration partners’ clinical studies or result in a breach of our contractual obligations, which could in turn reduce the potential commercial sales of our or our collaboration partners’ products. As a result, we could incur substantial costs and damages and any product sales or royalty revenue that we would otherwise be entitled to receive could be reduced, delayed or eliminated. In most cases, we rely on contract manufacturing organizations to manufacture and supply drug product for our clinical studies and those of our collaboration partners. The manufacturing of drugs involves significant risks and uncertainties related to the demonstration of adequate stability, sufficient purification of the drug substance and drug product, the identification and elimination of impurities, optimal formulations, process and analytical methods validations, and challenges in controlling for all of these variables. We have faced and may in the future face significant difficulties, delays and unexpected expenses as we validate third party contract manufacturers required for drug supply to support our clinical studies and the clinical studies and products of our collaboration partners. Failure by us or our contract manufacturers to supply API or drug products in sufficient quantities that meet all applicable quality requirements could result in supply shortages for our clinical studies or the clinical studies and commercial activities of our collaboration partners. Such failures could significantly and materially delay clinical trials and regulatory submissions or result in reduced sales, any of which could significantly harm our business prospects, results of operations and financial condition depend significantly on the ability of our collaboration partners to successfully developcondition.
Building and market drugs and they may fail to do so.

Under our collaboration agreements with various pharmaceutical or biotechnology companies, our collaboration partner is generally solely responsible for:

designing and conductingvalidating large scale clinical studies;

preparingor commercial-scale manufacturing facilities and filing documentsprocesses, recruiting and training qualified personnel and obtaining necessary to obtain governmentregulatory approvals to sell a given drug candidate; and/or

marketingis complex, expensive and sellingtime consuming. In the drugs when and if they are approved.

30


Our reliance on collaboration partners poses a number of significant risks to our business, including risks that:

past, we have very little control overencountered challenges in scaling up manufacturing to meet the timingrequirements of large scale clinical trials without making modifications to the drug formulation, which may cause significant delays in clinical development. There continues to be substantial and level of resources that our collaboration partners dedicateunpredictable risk and uncertainty related to commercial marketing efforts such as the amount of investment in sales and marketing personnel, general marketing campaigns, direct-to-consumer advertising, product sampling, pricing agreements and rebate strategies with government and private payers, manufacturing and supply of drug product,until such time as the commercial supply chain is validated and other marketing and selling activities that need to be undertaken and well executed for a drug to have the potential to achieve commercial success;

proven.

collaboration partners with commercial rights may choose to devote fewer resources to the marketing of our partnered drugs than they devote to their own drugs or other drugs that they have in-licensed;

we have very little control over the timing and amount of resources our partners devote to development programs in one or more major markets;

disagreements with partners could lead to delays in, or terminationWe purchase some of the research, developmentstarting material for drugs and drug candidates from a single source or commercializationa limited number of product candidatessuppliers, and the partial or complete loss of one of these suppliers could cause production delays, clinical trial delays, substantial loss of revenue and contract liability to litigationthird parties.

We often face very limited supply of a critical raw material that can only be obtained from a single, or arbitration proceedings;

disputes may arisea limited number of, suppliers, which could cause production delays, clinical trial delays, substantial lost revenue opportunities or escalate in the future with respectcontract liabilities to the ownershipthird parties. For example, there are only a limited number of rights to technology or intellectual property developed with partners;

we do not have the ability to unilaterally terminate agreements (or partners may have extension or renewal rights) that we believe are not on commercially reasonable terms or consistent with our current business strategy;

partners may be unable to pay us as expected;qualified suppliers, and

partners may terminate their agreements with us unilaterally for any or no reason, in some cases withsingle source suppliers, for the paymentraw materials included in our PEGylation and advanced polymer conjugate drug formulations. Any interruption in supply, diminution in quality of a termination fee penaltyraw materials supplied to us or failure to procure such raw materials on commercially feasible terms could harm our business by delaying our clinical trials, impeding commercialization of approved drugs or increasing our costs.

Our manufacturing operations and in other cases with no termination fee penalty.

Given these risks, the successthose of our current and future collaboration partnerships is highly unpredictable and can have a substantial negative or positive impact on our business—in particular, we expect the commercial outcomes of MOVANTIK®, MOVENTIG® and ADYNOVATE® (previously referredcontract manufacturers are subject to as BAX 855) to have a particularly significant impact on our near to mid- term financial results and financial condition. Additionally, there are also several important drugs in later stage development with collaboration partners including Amikacin Inhale, Cipro DPI, and Fovista®. If the approved drugs fail to achieve commercial success or the drugs in development fail to have positive late stage clinical outcomes sufficient to support regulatory approval in major markets, it could significantly impair our access to capital necessary to fund our research and development efforts for our proprietary drug candidates. If we are unable to obtain sufficient capital resources to advance our drug candidate pipeline, it would negatively impact the value of our business, results of operations and financial condition.

We are a party to numerous collaboration agreementslaws and other significant agreementsgovernmental regulatory requirements, which, contain complex commercial terms that could result in disputes, litigation or indemnification liability that could adversely affect our business, results of operations and financial condition.

We currently derive, and expect to derive in the foreseeable future, all of our revenue from collaboration agreements with biotechnology and pharmaceutical companies. These collaboration agreements contain complex commercial terms, including:

clinical development and commercialization obligations that are based on certain commercial reasonableness performance standards that can often be difficult to enforce if disputes arise as to adequacy of our partner’s performance;

research and development performance and reimbursement obligations for our personnel and other resources allocated to partnered drug candidate development programs;

clinical and commercial manufacturing agreements, some of which are priced on an actual cost basis for products supplied by us to our partners with complicated cost allocation formulas and methodologies;

intellectual property ownership allocation between us and our partners for improvements and new inventions developed during the course of the collaboration;

royalties on drug sales based on a number of complex variables, including net sales calculations, geography, scope of patent claim coverage, patent life, generic competitors, bundled pricing and other factors; and

indemnity obligations for intellectual property infringement, product liability and certain other claims.

We are a party to numerous significant collaboration agreements and other strategic transaction agreements (e.g., financings and asset divestitures) that contain complex representations and warranties, covenants and indemnification obligations. If we are found to have materially breached such agreements, it could subject us to substantial liabilities and harm our financial condition.

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From time to time, we are involved in litigation matters involving the interpretation and application of complex terms and conditions of our agreements. For example, in February 2015 we filed a claim against Allergan and MAP seeking monetary damages related to a dispute over the economic sharing provisions of our collaboration agreement with MAP. On August 14, 2015, Enzon, Inc. filed a breach of contract claim for alleged unpaid licensing fees.  In 2013, we settled a breach of contract litigation matter with the Research Foundation of the State University of New York (SUNY) pursuant to which we paid an aggregate of $12.0 million. One or more disputes may arise or escalate in the future regarding our collaboration agreements, transaction documents, or third-party license agreements that may ultimately result in costly litigation and unfavorable interpretation of contract terms, whichnot met, would have a material adverse effect on our business, financial condition and results of operations.

operations and financial condition.

We and our contract manufacturers are required in certain cases to maintain compliance with current good manufacturing practices (cGMP), including cGMP guidelines applicable to active pharmaceutical ingredients, and drug products, and with laws and regulations governing manufacture and distribution of controlled substances, and are subject to inspections by the FDA, the Drug Enforcement Administration or comparable agencies in other jurisdictions administering such requirements. We anticipate periodic regulatory inspections of our drug manufacturing facilities and the manufacturing facilities of our contract manufacturers for compliance with applicable regulatory requirements. Any failure to follow and document our or our contract manufacturers’ adherence to such cGMP and other laws and governmental regulations or satisfy other manufacturing and product release regulatory requirements may disrupt our ability to meet our manufacturing obligations to

our customers, lead to significant delays in the availability of products for commercial use or clinical study, result in the termination or hold on a clinical study or delay or prevent filing or approval of marketing applications for our products. Failure to comply with applicable laws and regulations may also result in sanctions being imposed on us, including fines, injunctions, civil penalties, failure of regulatory authorities to grant marketing approval of our products, delays, suspension or withdrawal of approvals, license revocation, seizures, administrative detention, or recalls of products, operating restrictions and criminal prosecutions, any of which could harm our business. Regulatory inspections could result in costly manufacturing changes or facility or capital equipment upgrades to satisfy the FDA that our manufacturing and quality control procedures are in substantial compliance with cGMP. Manufacturing delays, for us or our contract manufacturers, pending resolution of regulatory deficiencies or suspensions could have a material adverse effect on our business, results of operations and financial condition.
If we or our partners do not obtain regulatory approval for our drug candidates on a timely basis, or at all, or if the terms of any approval impose significant restrictions or limitations on use, our business, results of operations and financial condition will be negatively affected.

We or our partners may not obtain regulatory approval for drug candidates on a timely basis, or at all, or the terms of any approval (which in some countries includes pricing approval) may impose significant restrictions or limitations on use. Drug candidates must undergo rigorous animal and human testing and an extensive review process for safety and efficacy by the FDA and equivalent foreign regulatory authorities. The time required for obtaining regulatory decisions is uncertain and difficult to predict. For example, although the FDA granted a Breakthrough Therapy designation to bempegaldesleukin in combination with Opdivo® for the treatment of patients with previously untreated unresectable or metastatic melanoma, there is no guarantee regulatory approval will follow, if at all, for this or any indication of bempegaldesleukin on a timely basis. The FDA and other U.S. and foreign regulatory authorities have substantial discretion, at any phase of development, to terminate clinical studies, require additional clinical development or other testing, delay or withhold registration and marketing approval and mandate product withdrawals, including recalls. For example, while data from certain pre-specified subgroups in the BEACON study was positive, the study did not achieve statistical significance for its primary endpoint and the FDA and European Medicines Agency rarely approve drugs on the basis of studies that do not achieve statistical significance on the primary endpoint. Further, regulatory authorities have the discretion to analyze data using their own methodologies that may differ from those used by us or our partners, which could lead such authorities to arrive at different conclusions regarding the safety or efficacy of a drug candidate. In addition, undesirable side effects caused by our drug candidates could cause us or regulatory authorities to interrupt, delay or halt clinical trials and could result in a more restricted label or the delay or denial of regulatory approval by regulatory authorities. For example, AstraZeneca will beis conducting a post-marketing, observational epidemiological study comparing MOVANTIK® to other treatments of OICopioid-induced constipation (OIC) in patients with chronic, non-cancer pain and the results of this study could at some point in the future negatively impact the labeling, regulatory status, and commercial potential of MOVANTIK®.

Even if we or our partners receive regulatory approval of a product, the approval may limit the indicated uses for which the drug may be marketed. Our and our partnered drugs that have obtained regulatory approval, and the manufacturing processes for these products, are subject to continued review and periodic inspections by the FDA and other regulatory authorities. Discovery from such review and inspection of previously unknown problems may result in restrictions on marketed products or on us, including withdrawal or recall of such products from the market, suspension of related manufacturing operations or a more restricted label. The failure to obtain timely regulatory approval of product candidates, any product marketing limitations or a product withdrawal would negatively impact our business, results of operations and financial condition.

Our results of operations and financial condition depend significantly on the ability of our collaboration partners to successfully develop and market drugs and they may fail to do so.
Under our collaboration agreements with various pharmaceutical or biotechnology companies (other than the BMS Collaboration Agreement), our collaboration partner is generally solely responsible for:
designing and conducting large scale clinical studies;
preparing and filing documents necessary to obtain government approvals to sell a given drug candidate; and/
or
marketing and selling the drugs when and if they are approved.
Our reliance on collaboration partners poses a number of significant risks to our business, including risks that:
we have very little control over the timing and level of resources that our collaboration partners dedicate to commercial marketing efforts such as the amount of investment in sales and marketing personnel, general marketing campaigns, direct-to-consumer advertising, product sampling, pricing agreements and rebate strategies with government and private payers, manufacturing and supply of drug product, and other marketing

and selling activities that need to be undertaken and well executed for a drug to have the potential to achieve commercial success;
collaboration partners with commercial rights may choose to devote fewer resources to the marketing of our partnered drugs than they devote to their own drugs or other drugs that they have in-licensed;
we have very little control over the timing and amount of resources our partners devote to development programs in one or more major markets;
disagreements with partners could lead to delays in, or termination of, the research, development or commercialization of product candidates or to litigation or arbitration proceedings;
disputes may arise or escalate in the future with respect to the ownership of rights to technology or intellectual property developed with partners;
we do not have the ability to unilaterally terminate agreements (or partners may have extension or renewal rights) that we believe are not on commercially reasonable terms or consistent with our current business strategy;
partners may be unable to pay us as expected; and
partners may terminate their agreements with us unilaterally for any or no reason, in some cases with the payment of a termination fee penalty and in other cases with no termination fee penalty.
Given these risks, the success of our current and future collaboration partnerships is highly unpredictable and can have a substantial negative impact on our business. If the approved drugs fail to achieve commercial success or the drugs in development fail to have positive late stage clinical outcomes sufficient to support regulatory approval in major markets, it could significantly impair our access to capital necessary to fund our research and development efforts for our proprietary drug candidates. If we are unable to obtain sufficient capital resources to advance our drug candidate pipeline, it would negatively impact the value of our business, results of operations and financial condition.
We have substantial future capital requirements and there is a risk we may not have access to sufficient capital to meet our current business plan. If we do not receive substantial milestone or royalty payments from our existing collaboration agreements, execute new high value collaborations or other arrangements, or are unable to raise additional capital in one or more financing transactions, we would be unable to continue our current level of investment in research and development.

As of December 31, 2016,2019, we had cash and investments in marketable securities valued at approximately $389.1 million.  Also, as$1.6 billion and had debt of December 31, 2016, we had $255.1 million in debt, including $250.0 million in principal of senior secured notes and $5.1 million of capital lease obligations.due in October 2020. While we believe that our cash position will be sufficient to meet our liquidity requirements through at least the next 12 months, our future capital requirements will depend upon numerous unpredictable factors, including:

the cost, timing and outcomes of clinical studies and regulatory reviews of our proprietary drug candidates that we have licensed to our collaboration partners —important examples include Amikacin Inhalebempegaldesleukin and CIPRO Inhale licensed to Bayer;

NKTR-358;

the commercial launch and sales levels of products marketed by our collaboration partners for which we are entitled to royalties and sales milestones—milestone payments—importantly, the level of success in marketing and selling MOVANTIK® by AstraZeneca in the U.S. and ADYNOVATE® by Baxalta (a wholly-owned subsidiary of Takeda) globally, as well as MOVENTIG® (the naloxegol brand name in the EU) by Kirin in the EU;

if and when we receive potential milestone payments and royalties from our existing collaborations if the drug candidates subject to those collaborations achieve clinical, regulatory or commercial success;

the progress, timing, cost and results of our clinical development programs;

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the success, progress, timing and costs of our efforts to implement new collaborations, licenses and other transactions that increase our current net cash, such as the sale of additional royalty interests held by us, term loan or other debt arrangements, and the issuance of securities;

the number of patients, enrollment criteria, primary and secondary endpoints, and the number of clinical studies required by the regulatory authorities in order to consider for approval our drug candidates and those of our collaboration partners;

our general and administrative expenses, capital expenditures and other uses of cash; and


disputes concerning patents, proprietary rights, or license and collaboration agreements that negatively impact our receipt of milestone payments or royalties or require us to make significant payments arising from licenses, settlements, adverse judgments or ongoing royalties.

A significant multi-year capital commitment is required to advance our drug candidates through the various stages of research and development in order to generate sufficient data to enable high value collaboration partnerships with significant upfront payments or to successfully achieve regulatory approval. In the event we do not enter into any new collaboration partnerships with significant upfront payments and we choose to continue our later stage research and development programs, we may need to pursue financing alternatives, including dilutive equity-based financings, such as an offering of convertible debt or common stock, which would dilute the percentage ownership of our current common stockholders and could significantly lower the market value of our common stock. If sufficient capital is not available to us or is not available on commercially reasonable terms, it could require us to delay or reduce one or more of our research and development programs. If we are unable to sufficiently advance our research and development programs, it could substantially impair the value of such programs and result in a material adverse effect on our business, financial condition and results of operations.

While we have conducted numerous experiments using laboratory and home-based chemistry techniques that have not been able to convert NKTR-181 into a rapid-acting and more abusable opioid, there is a risk that a technique could be discovered in the future to convert NKTR-181 into a rapid-acting and more abusable opioid, which would significantly diminish the value of this drug candidate.

An important objective of our NKTR-181 drug development program is to create a unique opioid molecule that does not rapidly enter a patient’s central nervous system and therefore has the potential to be less susceptible to abuse than alternative opioid therapies. To date, we have conducted numerous experiments using laboratory and home-based chemistry techniques that have been unable to convert NKTR-181 into a rapidly-acting, more abusable form of opioid. In the future, an alternative chemistry technique, process or method of administration, or combination thereof, may be discovered to enable the conversion of NKTR-181 into a more abusable opioid, which could significantly and negatively impact the commercial potential or diminish the value of NKTR-181.

The commercial potential of a drug candidate in development is difficult to predict. If the market size for a new drug is significantly smaller than we anticipate, it could significantly and negatively impact our revenue, results of operations and financial condition.

It is very difficult to estimate the commercial potential of product candidates due to important factors such as safety and efficacy compared to other available treatments, including potential generic drug alternatives with similar efficacy profiles, changing standards of care, third party payer reimbursement standards, patient and physician preferences, drug scheduling status, the availability of competitive alternatives that may emerge either during the long drug development process or after commercial introduction, and the availability of generic versions of our product candidates following approval by regulatory authorities based on the expiration of regulatory exclusivity or our inability to prevent generic versions from coming to market by asserting our patents. If due to one or more of these risks the market potential for a drug candidate is lower than we anticipated, it could significantly and negatively impact the commercial potential of the drug candidate, the commercial terms of any collaboration partnership potential for such drug candidate, or if we have already entered into a collaboration for such drug candidate, the revenue potential from royalty and milestone payments could be significantly diminished and this would negatively impact our business, financial condition and results of operations. operations. We also depend on our relationships with other companies for sales and marketing performance and the commercialization of product candidates. Poor performance by these companies, or disputes with these companies, could negatively impact our revenue and financial condition.

If government and private insurance programs do not provide payment or reimbursement for our partnered products or proprietary products, those products will not be widely accepted, which would have a negative impact on our business, results of operations and financial condition.
In both domestic and foreign markets, sales of our partnered and proprietary products that have received regulatory approval will depend in part on market acceptance among physicians and patients, pricing approvals by government authorities and the availability of coverage and payment or reimbursement from third-party payers, such as government programs, including Medicare and Medicaid, managed care providers, private health insurers and other organizations. However, eligibility for coverage does not necessarily signify that a drug candidate will be adequately reimbursed in all cases or at a rate that covers costs related to research, development, manufacture, sale, and distribution. Third-party payers are increasingly challenging the price and cost effectiveness of medical products and services. Therefore, significant uncertainty exists as to the coverage and pricing approvals for, and the payment or reimbursement status of, newly approved healthcare products.
Moreover, legislation and regulations affecting the pricing of pharmaceuticals may change before regulatory agencies approve our proposed products for marketing and could further limit coverage or pricing approvals for, and reimbursement of, our products from government authorities and third-party payers. For example, Congress passed the Affordable Care Act in 2010 which enacted a number of reforms to expand access to health insurance while also reducing or constraining the growth of healthcare spending, enhancing remedies against fraud and abuse, adding new transparency requirements for healthcare industries, and imposing new taxes on fees on healthcare industry participants, among other policy reforms. Federal agencies, Congress and state legislatures have continued to show interest in implementing cost containment programs to limit the growth of health care costs, including price controls, restrictions on reimbursement and other fundamental changes to the healthcare delivery system. In addition, in recent years, Congress has enacted various laws seeking to reduce the federal debt level and contain healthcare expenditures, and the Medicare and other healthcare programs are frequently identified as potential targets for spending cuts. New government legislation or regulations related to pricing or other fundamental changes to the healthcare delivery system as well as a government or third-party payer decision not to approve pricing for, or provide adequate coverage or reimbursement of, our products hold the potential to severely limit market opportunities of such products.

If we are unable to establish and maintain collaboration partnerships on attractive commercial terms, our business, results of operations and financial condition could suffer.

We intend to continue to seek partnerships with pharmaceutical and biotechnology partners to fund a portion of our research and development capital requirements. The timing of new collaboration partnerships is difficult to predict due to availability of clinical data, the outcomes from our clinical studies, the number of potential partners that need to complete due diligence and approval processes, the definitive agreement negotiation process and numerous other unpredictable factors that can delay, impede or prevent significant transactions. If we are unable to find suitable partners or negotiate collaboration arrangements with favorable commercial

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terms with respect to our existing and future drug candidates or the licensing of our intellectual property, or if any arrangements we negotiate, or have negotiated, are terminated, it could have a material adverse effect on our business, financial condition and results of operations.

Our revenue is exclusively derived from our collaboration agreements, which can result in significant fluctuation in our revenue from period to period, and our past revenue is therefore not necessarily indicative of our future revenue.
Our revenue is exclusively derived from our collaboration agreements, from which we receive upfront fees, contract research payments, milestone and other contingent payments based on clinical progress, regulatory progress or net sales achievements, royalties and product sales. Significant variations in the timing of receipt of cash payments and our recognition of revenue can result from payments based on the execution of new collaboration agreements, the timing of clinical outcomes, regulatory approval, commercial launch or the achievement of certain annual sales thresholds. The amount of our revenue derived from collaboration agreements in any given period will depend on a number of unpredictable factors, including our ability to find and maintain suitable collaboration partners, the timing of the negotiation and conclusion of collaboration agreements with such partners, whether and when we or our collaboration partners achieve clinical, regulatory and sales milestones, the timing of regulatory approvals in one or more major markets, reimbursement levels by private and government payers, and the market introduction of new drugs or generic versions of the approved drug, as well as other factors. Our past revenue generated from collaboration agreements is not necessarily indicative of our future revenue. If any of our existing or future collaboration partners fails to develop, obtain regulatory approval for, manufacture or ultimately commercialize any product candidate under our collaboration agreement, our business, financial condition, and results of operations could be materially and adversely affected.
We are a party to numerous collaboration agreements and other significant agreements which contain complex commercial terms that could result in disputes, litigation or indemnification liability that could adversely affect our business, results of operations and financial condition.
We currently derive, and expect to derive in the foreseeable future, substantially all of our revenue from collaboration agreements with biotechnology and pharmaceutical companies. These collaboration agreements contain complex commercial terms, including:
clinical development and commercialization obligations that are based on certain commercial reasonableness performance standards that can often be difficult to enforce if disputes arise as to adequacy of our partner’s performance;
research and development performance and reimbursement obligations for our personnel and other resources allocated to partnered drug candidate development programs;
clinical and commercial manufacturing agreements, some of which are priced on an actual cost basis for products supplied by us to our partners with complicated cost allocation formulas and methodologies;
intellectual property ownership allocation between us and our partners for improvements and new inventions developed during the course of the collaboration;
royalties on drug sales based on a number of complex variables, including net sales calculations, geography, scope of patent claim coverage, patent life, generic competitors, bundled pricing and other factors; and
indemnity obligations for intellectual property infringement, product liability and certain other claims.
We are a party to numerous significant collaboration agreements and other strategic transaction agreements (e.g., financings and asset divestitures) that contain complex representations and warranties, covenants and indemnification obligations. If we are found to have materially breached such agreements, it could subject us to substantial liabilities and harm our financial condition.

From time to time, we are involved in litigation matters involving the interpretation and application of complex terms and conditions of our agreements. One or more disputes may arise or escalate in the future regarding our collaboration agreements, transaction documents, or third-party license agreements that may ultimately result in costly litigation and unfavorable interpretation of contract terms, which would have a material adverse effect on our business, financial condition and results of operations.
If we, or our partners through our collaborations, are not successful in recruiting sales and marketing personnel or in building a sales and marketing infrastructure, we will have difficulty commercializing our products, which would adversely affect our business, results of operations and financial condition.
To the extent we rely on other pharmaceutical or biotechnology companies with established sales, marketing and distribution systems to market our products, we will need to establish and maintain partnership arrangements, and we may not be able to enter into these arrangements on acceptable terms or at all. To the extent that we enter into co-promotion or other arrangements, any revenue we receive will depend upon the efforts of third parties, which may not be successful and over which we have little or no control—important examples of this risk include MOVANTIK® partnered with AstraZeneca and ADYNOVATE® (previously referred to as BAX 855) partnered with Baxalta (a wholly-owned subsidiary of Takeda). In the event that we market our products without a partner, we would be required to build, either internally or through third-party contracts, a sales and marketing organization and infrastructure, which would require a significant investment, and we may not be successful in building this organization and infrastructure in a timely or efficient manner.
If we are unable to create robust sales, marketing and distribution capabilities or to enter into agreements with third parties to perform these functions, we will be unable to commercialize our product candidates successfully.
We currently have no sales or distribution capabilities. To commercialize any of our drugs that receive regulatory approval for commercialization, we must develop robust internal sales, marketing and distribution capabilities, and manage inventory, supply, labeling, storage, record keeping, and advertising and promotion capabilities, which would be expensive and time consuming, or enter into arrangements with third parties to perform these services. If we decide to market our products directly, we must commit significant financial and managerial resources to develop a marketing and sales force with technical expertise and with supporting distribution, administration and compliance capabilities. Factors that may inhibit our efforts to commercialize our products directly or through partnerships include:
our inability to recruit and retain adequate numbers of effective sales and marketing personnel;
the inability of sales personnel to obtain access to or successfully educate adequate numbers of physicians about the potential benefits associated with the use of, and to subsequently prescribe, our products;
the lack of complementary products or multiple product pricing arrangements may put us at a competitive disadvantage relative to companies with more extensive product lines; and
unforeseen costs and expenses associated with creating and sustaining an independent sales and marketing organization.
We depend on third parties to conduct the clinical trials for our proprietary product candidates and any failure of those parties to fulfill their obligations could harm our development and commercialization plans.
We depend on independent clinical investigators, contract research organizations and other third-party service providers to conduct clinical trials for our proprietary product candidates. We rely heavily on these parties for the successful execution of our clinical trials. Though we are ultimately responsible for the results of their activities, many aspects of their activities are beyond our control. For example, we are responsible for ensuring that each of our clinical trials is conducted in accordance with the general investigational plan and protocols for the trials, but the independent clinical investigators may prioritize other projects over ours or communicate issues regarding our products to us in an untimely manner. Third parties may not complete activities on schedule or may not conduct our clinical trials in accordance with regulatory requirements or our stated protocols. The early termination of any of our clinical trial arrangements, the failure of third parties to comply with the regulations and requirements governing clinical trials or the failure of third parties to properly conduct our clinical trials could hinder or delay the development, approval and commercialization of our product candidates and would adversely affect our business, results of operations and financial condition.
We expect to continue to incur substantial losses and negative cash flow from operations and may not achieve or sustain profitability in the future.

For the year ended December 31, 2019, we reported net loss of $440.7 million. If and when we achieve profitability depends upon a number of factors, including the timing and recognition of milestone and other contingent payments and royalties received, the timing of revenue under our collaboration agreements, the amount of investments we make in our proprietary product candidates and the regulatory approval and market success of our product candidates. We may not be able to achieve and sustain profitability.
Other factors that will affect whether we achieve and sustain profitability include our ability, alone or together with our partners, to:
develop drugs utilizing our technologies, either independently or in collaboration with other pharmaceutical or biotechnology companies;
effectively estimate and manage clinical development costs, particularly the cost of the clinical studies for bempegaldesleukin, NKTR-358, NKTR-262, and NKTR-255;
receive necessary regulatory and marketing approvals;
maintain or expand manufacturing at necessary levels;
achieve market acceptance of our partnered products;
receive royalties on products that have been approved, marketed or submitted for marketing approval with regulatory authorities; and
maintain sufficient funds to finance our activities.
Significant competition for our polymer conjugate chemistry technology platforms and our partnered and proprietary products and product candidates could make our technologies, products or product candidates obsolete or uncompetitive, which would negatively impact our business, results of operations and financial condition.
Our advanced polymer conjugate chemistry platforms and our partnered and proprietary products and product candidates compete with various pharmaceutical and biotechnology companies. Competitors of our polymer conjugate chemistry technologies include Biogen Inc., Horizon Pharma, Dr. Reddy’s Laboratories Ltd., SunBio Corporation, Mountain View Pharmaceuticals, Inc., Novo Nordisk A/S (formerly assets held by Neose Technologies, Inc.), and NOF Corporation. Several other chemical, biotechnology and pharmaceutical companies may also be developing polymer conjugation technologies or technologies that have similar impact on target drug molecules. Some of these companies license or provide the technology to other companies, while others are developing the technology for internal use.
There are many competitors for our proprietary product candidates currently in development. For bempegaldesleukin, there are numerous companies engaged in developing immunotherapies to be used alone, or in combination, to treat a wide range of oncology indications targeting both solid and liquid tumors. In particular, we expect to compete with therapies with tumor infiltrating lymphocytes, or TILS, chimeric antigen receptor-expressing T cells, or CAR-T, cytokine-based therapies, and checkpoint inhibitors. Potential competitors in the TIL and CAR-T space include Gilead Sciences, Inc. (through its acquisition of Kite Pharma, Inc.)/NCI, Apeiron Biologics, Philogen S.p.A., Brooklyn ImmunoTherapeutics LLC, Anaveon AG, Adaptimmune LLC, and Novartis AG, Alkermes plc, Altor Bioscience, Roche, Sanofi SA (through its acquisition of Synthorx, Inc.), and Eli Lilly & Co. (through its acquisition of Armo BioSciences) in the cytokine-based therapies space, and GlaxoSmithKline plc (through its acquisition of Tesaro, Inc.), Macrogenics, Inc., Merck, Bristol-Myers Squibb Company, and Roche in the checkpoint inhibitor space. For NKTR-358, there are a number of competitors in various stages of clinical development that are working on programs which are designed to correct the underlying immune system imbalance in the body due to autoimmune disease. In particular, we expect to compete with therapies that could be cytokine-based therapies (Symbiotix, LLC, Janssen, AstraZeneca, and Tizona Therapeutics), regulatory T cell therapies (Targazyme, Inc., Caladrius BioSciences, Inc., and Tract Therapeutics, Inc.), or IL-2-based-therapies (Amgen Inc., Celgene Corporation, and ILTOO Pharma). For MOVANTIK®, there are currently several alternative therapies used to address opioid-induced constipation (OIC) and opioid-induced bowel dysfunction (OBD), including RELISTOR® (methylnaltrexone bromide), oral therapy AMITIZA® (lubiprostone), and oral and rectal over-the-counter laxatives and stool softeners such as docusate sodium, senna and milk of magnesia. For ADYNOVATE®, there is substantial competition from Sanofi’s Fc fusion protein ELOCTATE for Hemophilia A treatment, JIVI® (antihemophilic factor (recombinant) PEGylated-aucl), an extended half-life Factor VIII for Hemophilia A treatment, approved in the U.S. in August 2018, and marketed by Bayer Healthcare, and, more recently, an extended half-life product from Novo Nordisk. In addition, technologies other than those based on Fc fusion and polymer conjugation approaches (such as gene therapy approaches being developed by BioMarin Pharmaceutical Inc. and others) are being pursued to treat patients with Hemophilia A. There can be no assurance that we or our partners will successfully develop, obtain regulatory approvals for and commercialize next-generation or new products that will successfully compete with those of our competitors.

Many of our competitors have greater financial, research and development, marketing and sales, manufacturing and managerial capabilities. We face competition from these companies not just in product development but also in areas such as recruiting employees, acquiring technologies that might enhance our ability to commercialize products, establishing relationships with certain research and academic institutions, enrolling patients in clinical trials and seeking program partnerships and collaborations with larger pharmaceutical companies. As a result, our competitors may succeed in developing competing technologies, obtaining regulatory approval or gaining market acceptance for products before we do. These developments could make our products or technologies uncompetitive or obsolete.
We may not be able to manage our growth effectively, which could adversely affect our operations and financial performance.
The ability to manage and operate our business as we execute our development and growth strategy will require effective planning. Significant rapid growth could strain our management and internal resources, and other problems may arise that could adversely affect our financial performance. We expect that our efforts to grow will place a significant strain on personnel, management systems, infrastructure and other resources. Our ability to effectively manage future growth will also require us to successfully attract, train, motivate, retain and manage new employees and continue to update and improve our operational, financial and management controls and procedures. If we do not manage our growth effectively, our operations and financial performance could be adversely affected.
Our future depends on the proper management of our current and future business operations and their associated expenses.
Our business strategy requires us to manage our business to provide for the continued development and potential commercialization of our proprietary and partnered drug candidates. Our strategy also calls for us to undertake increased research and development activities and to manage an increasing number of relationships with partners and other third parties, while simultaneously managing the capital necessary to support this strategy. If we are unable to manage effectively our current operations and any growth we may experience, our business, financial condition and results of operations may be adversely affected. If we are unable to effectively manage our expenses, we may find it necessary to reduce our personnel-related costs through reductions in our workforce, which could harm our operations, employee morale and impair our ability to retain and recruit talent. Furthermore, if adequate funds are not available, we may be required to obtain funds through arrangements with partners or other sources that may require us to relinquish rights to certain of our technologies, products or future economic rights that we would not otherwise relinquish or require us to enter into other financing arrangements on unfavorable terms.
Because competition for highly qualified technical personnel is intense, we may not be able to attract and retain the personnel we need to support our operations and growth.
We must attract and retain experts in the areas of clinical testing, manufacturing, research, regulatory and finance, and may need to attract and retain commercial, marketing and distribution experts and develop additional expertise in our existing personnel. We face intense competition from other biopharmaceutical companies, research and academic institutions and other organizations for qualified personnel. Many of the organizations with which we compete for qualified personnel have greater resources than we have. Because competition for skilled personnel in our industry is intense, companies such as ours sometimes experience high attrition rates with regard to their skilled employees. Further, in making employment decisions, job candidates often consider the value of the stock awards they are to receive in connection with their employment. Our equity incentive plan and employee benefit plans may not be effective in motivating or retaining our employees or attracting new employees, and significant volatility in the price of our stock may adversely affect our ability to attract or retain qualified personnel. If we fail to attract new personnel or to retain and motivate our current personnel, our business and future growth prospects could be severely harmed.
We are dependent on our management team and key technical personnel, and the loss of any key manager or employee may impair our ability to develop our products effectively and may harm our business, operating results and financial condition.
Our success largely depends on the continued services of our executive officers and other key personnel. The loss of one or more members of our management team or other key employees could seriously harm our business, operating results and financial condition. The relationships that our key managers have cultivated within our industry make us particularly dependent upon their continued employment with us. We are also dependent on the continued services of our technical personnel because of the highly technical nature of our products and the regulatory approval process. Because our executive officers and key employees are not obligated to provide us with continued services, they could terminate their employment with

us at any time without penalty. We do not have any post-employment noncompetition agreements with any of our employees and do not maintain key person life insurance policies on any of our executive officers or key employees.
The price of our common stock has, and may continue to fluctuate significantly, which could result in substantial losses for investors and securities class action and shareholder derivative litigation.
Our stock price is volatile. During the year ended December 31, 2019, based on closing prices on the NASDAQ Global Select Market, the closing price of our common stock ranged from $15.87 to $46.35 per share. In response to volatility in the price of our common stock in the past, Plaintiffs’ securities litigation firms have sought information from us and/or shareholders as part of their investigation into potential securities violations and breaches of duties (among other corporate misconduct allegations). Following their investigations, Plaintiffs’ securities litigation firms have often initiated legal action, including the filing of class action lawsuits, derivative lawsuits, and other forms of redress. We expect our stock price to remain volatile and we continue to expect the initiation of legal actions by Plaintiffs’ securities litigation firms following share price fluctuations.
A variety of factors may have a significant effect on the market price of our common stock, including the risks described in this section titled “Risk Factors” and the following:
announcements of data from, or material developments in, our clinical studies and those of our collaboration partners, including data regarding efficacy and safety, delays in clinical development, regulatory approval or commercial launch – in particular, data from clinical studies of bempegaldesleukin has had a significant impact on our stock price;
announcements by collaboration partners as to their plans or expectations related to drug candidates and approved drugs in which we have a substantial economic interest;
announcements regarding terminations or disputes under our collaboration agreements;
fluctuations in our results of operations;
developments in patent or other proprietary rights, including intellectual property litigation or entering into intellectual property license agreements and the costs associated with those arrangements;
announcements of technological innovations or new therapeutic products that may compete with our approved products or products under development;
announcements of changes in governmental regulation affecting us or our competitors;
litigation brought against us or third parties to whom we have indemnification obligations;
public concern as to the safety of drug formulations developed by us or others;
our financing needs and activities; and
general market conditions.
At times, our stock price has been volatile even in the absence of significant news or developments. The stock prices of biotechnology companies and securities markets generally have been subject to dramatic price swings in recent years.
We have implemented certain anti-takeover measures, which make it more difficult to acquire us, even though such acquisitions may be beneficial to our stockholders.
Provisions of our certificate of incorporation and bylaws, as well as provisions of Delaware law, could make it more difficult for a third party to acquire us, even though such acquisitions may be beneficial to our stockholders. These anti-takeover provisions include:
establishment of a classified board of directors such that not all members of the board may be elected at one time;
lack of a provision for cumulative voting in the election of directors, which would otherwise allow less than a majority of stockholders to elect director candidates;
the ability of our board to authorize the issuance of “blank check” preferred stock to increase the number of outstanding shares and thwart a takeover attempt;
prohibition on stockholder action by written consent, thereby requiring all stockholder actions to be taken at a meeting of stockholders;

establishment of advance notice requirements for nominations for election to the board of directors or for proposing matters that can be acted upon by stockholders at stockholder meetings; and
limitations on who may call a special meeting of stockholders.
Further, provisions of Delaware law relating to business combinations with interested stockholders may discourage, delay or prevent a third party from acquiring us. These provisions may also discourage, delay or prevent a third party from acquiring a large portion of our securities or initiating a tender offer or proxy contest, even if our stockholders might receive a premium for their shares in the acquisition over the then-current market prices. We also have a change of control severance benefit plan, which provides for certain cash severance, stock award acceleration and other benefits in the event our employees are terminated (or, in some cases, resign for specified reasons) following an acquisition. This severance plan could discourage a third party from acquiring us.
The indenture governing our 7.75% senior secured notes imposes significant operating and financial restrictions on us and our subsidiaries that may prevent us from pursuing certain business opportunities and restrict our ability to operate our business.
On October 5, 2015, we issued $250.0 million in aggregate principal amount of 7.75% senior secured notes due October 2020. The indenture governing the senior secured notes contains covenants that restrict our and our subsidiaries’ ability to take various actions, including, among other things:
incur or guarantee additional indebtedness or issue disqualified capital stock or cause certain of our subsidiaries to issue preferred stock;
pay dividends or distributions, redeem equity interests or subordinated indebtedness or make certain types of investments;
create or incur liens;
transfer, sell, lease or otherwise dispose of assets and issue or sell equity interests in certain of our subsidiaries;
incur restrictions on certain of our subsidiaries’ ability to pay dividends or other distributions to the Company or to make intercompany loans, advances or asset transfers;
enter into transactions with affiliates;
engage in any business other than businesses which are the same, similar, ancillary or reasonably related to our business as of the date of the indenture; and
consummate a merger, consolidation, reorganization or business combination, sell, lease, convey or otherwise dispose of all or substantially all of our assets or other change of control transaction.
This indenture also requires us to maintain a minimum cash and investments in marketable securities balance of $60.0 million. We have certain reporting obligations under the indenture regarding cash position and royalty revenue. The indenture specifies a number of events of default, some of which are subject to applicable grace or cure periods, including, among other things, non-payment defaults, covenant defaults, cross-defaults to other material indebtedness, bankruptcy and insolvency defaults, non-payment of material judgments, loss of any material business license, criminal indictment of the Company, and certain civil forfeiture proceedings involving material assets of the Company. Our ability to comply with these covenants will likely be affected by many factors, including events beyond our control, and we may not satisfy those requirements. Our failure to comply with our obligations could result in an event of default under our other indebtedness and the acceleration of our other indebtedness, in whole or in part, could result in an event of default under the indenture governing the senior secured notes.
The restrictions contained in the indenture governing the senior secured notes could also limit our ability to plan for or react to market conditions, meet capital needs or otherwise restrict our activities or business plans and adversely affect our ability to finance our operations, enter into acquisitions or to engage in other business activities that would be in our interest.
Preliminary and interim data from our clinical studies that we announce or publish from time to time are subject to audit and verification procedures that could result in material changes in the final data and may change as more patient data become available.

From time to time, we publish preliminary or interim data from our clinical studies. Preliminary data remain subject to audit confirmation and verification procedures that may result in the final data being materially different from the preliminary data we previously published. Interim data are also subject to the risk that one or more of the clinical outcomes may materially change as patient enrollment continues and more patient data become available. As a result, preliminary and interim data should

be viewed with caution until the final data are available. Material adverse changes in the final data could significantly harm our business prospects.

Delays in clinical studies are common and have many causes, and any significant delay in clinical studies being conducted by us or our partners could result in delay in regulatory approvals and jeopardize the ability to proceed to commercialization.

We or our partners may experience delays in clinical trials of drug candidates. We currently have several ongoing clinical studies for NKTR-181 in patients with chronic lower back pain and initiated a Phase 1/2 clinical study for NKTR-214 in December 2015.  In addition, our collaboration partners have several ongoing Phase 3 clinical programs including Baxalta for ADYNOVATE® (previously referred to as BAX 855) in the EU, Bayer for Amikacin Inhale and CIPRO Inhale, and Ophthotech for Fovista®.  We also have ongoing trials with our partners for the following: Halozyme has trials in Pancreatic, Non-Small Cell Lung Cancer and other multiple tumor types in Phase 1, 2, and 3 development. These and other clinical studies may not begin on time, enroll a sufficient number of patients or be completed on schedule, if at all. Clinical trials for any of our product candidates could be delayed for a variety of reasons, including:

delays in obtaining regulatory authorization  to commence a clinical study;

delays in reaching agreement with applicable regulatory authorities on a clinical study design;

imposition of a clinical hold by the FDA or other health authorities, which may occur at any time including after any  inspection of clinical trial operations or trial sites;

suspension or termination of a clinical study by us, our partners, the FDA or foreign regulatory authorities due to adverse side effects of a drug on subjects in the trial;

delays in recruiting suitable patients to participate in a trial;

delays in having patients complete participation in a trial or return for post-treatment follow-up;

clinical sites dropping out of a trial to the detriment of enrollment rates;

delays in manufacturing and delivery of sufficient supply of clinical trial materials; and

changes in regulatory authorities policies or guidance applicable to our drug candidates.

If the initiation or completion of any of the planned clinical studies for our drug candidates is delayed for any of the above or other reasons, the regulatory approval process would be delayed and the ability to commercialize and commence sales of these drug candidates could be materially harmed, which could have a material adverse effect on our business, financial condition and results of operations. Clinical study delays could also shorten any periods during which our products have patent protection and may allow our competitors to bring products to market before we do, which could impair our ability to successfully commercialize our product candidates and may harm our business and results of operations.

We may not be able to obtain intellectual property licenses related to the development of our drug candidates on a commercially reasonable basis, if at all.

Numerous pending and issued U.S. and foreign patent rights and other proprietary rights owned by third parties relate to pharmaceutical compositions, methods of preparation and manufacturing, and methods of use and administration. We cannot predict with any certainty which, if any, patent referencesrights will be considered relevant to our or our collaboration partners’ technology or drug candidates by authorities in the various jurisdictions where such rights exist, nor can we predict with certainty which, if any, of these rights will or may be asserted against us by third parties. In certain cases, we have existing licenses or cross-licenses with third parties; however, the sufficiency of the scope and adequacy of these licenses is very uncertain and can change substantially duringin view of the long development and commercialization cycles for biotechnology and pharmaceutical products. There can be no assurance that we can obtain a license to any technology that we determine we need on reasonable terms, if at all, or that we could develop or otherwise obtain alternate

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technology. technology to avoid a need to secure a license. If we are required to enter into a license with a third party, our potential economic benefit for the products subject to the license will be diminished. If a license is not available on commercially reasonable terms or at all, we may be prevented from developing and commercializing the drug, which could significantly harm our business, results of operations, and financial condition.

If any of our pending patent applications do not issue, or are deemed invalid following issuance, we may lose valuable intellectual property protection.

The patent positions of pharmaceutical and biotechnology companies, such as ours, are uncertain and involve complex legal and factual issues. We own more than 215290 U.S. and 7501000 foreign patents and have a number of pending patent applications that cover various aspects of our technologies. There can be no assurance that patents that have issued will be held valid and enforceable in a court of law. Even for patents that are held valid and enforceable, the legal process associated with obtaining such a judgment is time consuming and costly. Additionally, issued patents can be subject to opposition,inter partes review or other proceedings that can result in the revocation of the patent or maintenance of the patent in amended form (and potentially in a form that renders the patent without commercially relevant and/or broad coverage). Further, our competitors may be able to circumvent and otherwise design around our patents. Even if a patent is issued and enforceable, because development and commercialization of pharmaceutical products can be subject to substantial delays, patents may expire early andprior to the commercialization of the drug. Moreover, even if a patent encompassing a drug has not expired prior to the drugs commercialization, the patent may only provide only a short period of protection if any, following the commercialization of products encompassed byproducts.  In addition, our patents. Wepatents may havebe subject to participate in interference proceedings declared bypost grant or inter partes review before the U.S. Patent and Trademark Office (or equivalent proceedings in other jurisdictions), which could result in a loss of the patent and/or substantial cost to us.

We have filed patent applications, and plan to file additional patent applications, covering various aspects of our PEGylation and advanced polymer conjugate technologies and our proprietary product candidates. There can be no assurance that the patent applications for which we apply wouldwill actually issue as patents, or do so with commercially relevant and/or broad coverage. The coverage claimed in a patent application can be significantly reduced before the patent is issued. The scope of our claim coverage can be critical to our ability to enter into licensing transactions with third parties and our right to receive royalties from our collaboration partnerships. Since publication of discoveries in scientific or patent literature often lags behind the date of such discoveries, we cannot be certain that we were the first inventor of inventions covered by our patents or patent applications. In addition, there is no guarantee that we will be the first to file a patent application directed to an invention.

An adverse outcome in any judicial proceeding involving intellectual property, including patents, could subject us to significant liabilities to third parties, require disputed rights to be licensed from or to third parties or require us to cease using the technology in dispute. In those instances where we seek an intellectual property license from another, we may not be able to obtain the license on a commercially reasonable basis, if at all, thereby raising concerns on our ability to freely commercialize our technologies or products.

We rely on trade secret protection and other unpatented proprietary rights for important proprietary technologies, and any loss of such rights could harm our business, results of operations and financial condition.
We rely on trade secret protection for our confidential and proprietary information. No assurance can be given that others will not independently develop substantially equivalent confidential and proprietary information or otherwise gain access to our trade secrets or disclose such technology, or that we can meaningfully protect our trade secrets. In addition, unpatented proprietary rights, including trade secrets and know-how, can be difficult to protect and may lose their value if they are

independently developed by a third party or if their secrecy is lost. Any loss of trade secret protection or other unpatented proprietary rights could harm our business, results of operations and financial condition.
If product liability lawsuits are brought against us, we may incur substantial liabilities.
The manufacture, clinical testing, marketing and sale of medical products involve inherent product liability risks. If product liability costs exceed our product liability insurance coverage (or if we cannot secure product liability insurance), we may incur substantial liabilities that could have a severe negative impact on our financial position. Whether or not we are ultimately successful in any product liability litigation, such litigation would consume substantial amounts of our financial and managerial resources and might result in adverse publicity, all of which would impair our business. Additionally, we may not be able to maintain our clinical trial insurance or product liability insurance at an acceptable cost, if at all, and this insurance may not provide adequate coverage against potential claims or losses.
If we or current or future collaborators or service providers fail to comply with healthcare laws and regulations, we or they could be subject to enforcement actions and civil or criminal penalties.
Although we do not currently have any products on the market, once we begin commercializing our drug candidates, we will be subject to additional healthcare statutory and regulatory requirements and enforcement by the federal and state governments of the jurisdictions in which we conduct our business. Healthcare providers, physicians and third-party payers play a primary role in the recommendation and prescription of any drug candidates for which we obtain marketing approval. Our future arrangements with third-party payers and customers may expose us to broadly applicable fraud and abuse and other healthcare laws and regulations that may constrain the business or financial arrangements and relationships through which we market, sell and distribute our therapeutic candidates for which we obtain marketing approval. Restrictions under applicable federal and state healthcare laws and regulations, include the following:
the federal Anti-Kickback Statute, which prohibits, among other things, persons from knowingly and willfully soliciting, receiving, offering, or paying remuneration (a term interpreted broadly to include anything of value, including, for example, gifts, discounts, and credits), directly or indirectly, in cash or in kind, to induce or reward, or in return for, either the referral of an individual for, or the purchase, order, or recommendation of, an item or service reimbursable under a federal healthcare program, such as the Medicare and Medicaid programs;
federal civil and criminal false claims laws and civil monetary penalty laws, which prohibit, among other things, individuals or entities from knowingly presenting, or causing to be presented, claims for payment to Medicare, Medicaid, or other third-party payers that are false or fraudulent, or making a false statement or record material to payment of a false claim or avoiding, decreasing, or concealing an obligation to pay money owed to the federal government;
provisions of the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), which created new federal criminal statutes, referred to as the “HIPAA All-Payer Fraud Prohibition,” that prohibit knowingly and willfully executing a scheme to defraud any healthcare benefit program and making false statements relating to healthcare matters;
federal transparency laws, including the federal Physician Payment Sunshine Act, which require manufacturers of certain drugs and biologics to track and disclose payments and other transfers of value they make to U.S. physicians (currently defined to include doctors, dentists, optometrists, podiatrists and chiropractors) and teaching hospitals as well as physician ownership and investment interests in the manufacturer, and that such information is subsequently made publicly available in a searchable format on a CMS website, effective January 1, 2022, these reporting obligations will extend to include transfers of value made to certain non-physician assistants and nurse practioners;
provisions of HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act and its implementing regulations, which imposes certain requirements relating to the privacy, security and transmission of individually identifiable health information; and
state law equivalents of each of the above federal laws, such as anti-kickback and false claims laws which may apply to items or services reimbursed by any third-party payer, including commercial insurers, state transparency reporting and compliance laws; and state laws governing the privacy and security of health information in certain circumstances, many of which differ from each other in significant ways and which may not have the same effect, thus complicating compliance efforts.
Ensuring that our future business arrangements with third-parties comply with applicable healthcare laws and regulations could involve substantial costs. If our operations are found to be in violation of any such requirements, we may be

subject to penalties, including administrative, civil or criminal penalties, monetary damages, the curtailment or restructuring of our operations, or exclusion from participation in government contracting, healthcare reimbursement or other government programs, including Medicare and Medicaid, any of which could adversely affect financial results. Although effective compliance programs can mitigate the risk of investigation and prosecution for violations of these laws, these risks cannot be entirely eliminated. Any action against us for an alleged or suspected violation could cause us to incur significant legal expenses and could divert our management’s attention from the operation of our business, even if our defense is successful. In addition, achieving and sustaining compliance with applicable laws and regulations may be costly to us in terms of money, time and resources.
We are involved in legal proceedings and may incur substantial litigation costs and liabilities that will adversely affect our business, financial condition and results of operations.

From time to time, third parties have asserted, and may in the future assert, that we or our partners infringe their proprietary rights, such as patents and trade secrets, or have otherwise breached our obligations to them. A third party often bases its assertions on a claim that its patents cover our technology platform or drug candidates or that we have misappropriated its confidential or proprietary information. Similar assertions of infringement could be based on future patents that may issue to third parties. In certain of our agreements with our partners, we are obligated to indemnify and hold harmless our collaboration partners from intellectual property infringement, product liability and certain other claims, which could cause us to incur substantial costs and liability if we are called upon to defend ourselves and our partners against any claims. If a third party obtains injunctive or other equitable relief against us or our partners, they could effectively prevent us, or our partners, from developing or commercializing, or deriving revenue from, certain drugs or drug candidates in the U.S. and abroad. Costs associated with litigation, substantial damage claims, indemnification claims or royalties paid for licenses from third parties could have a material adverse effect on our business, financial condition and results of operations.

We are involved in legal proceedings where we or other third parties are enforcing or seeking intellectual property rights, invalidating or limiting patent rights that have already been allowed or issued, or otherwise asserting proprietary rights through one or more potential legal remedies. For example, we are currently involved in a German litigation proceedingproceedings whereby we and Bayer isHealthcare LLC are seeking at least co-ownership rights in certain of oureach other’s patent filings pending at the European Patent Office covering (among other things)related to PEGylated Factor VIII which we have exclusively licensed to Baxalta. The subject matter of our patent filings in this proceeding relates to Bayer’s investigational PEGylated recombinant Factor VIII compound.products. We believe that Bayer’s claimclaims to an ownership interest in these patent filings is without merit and we are vigorously defending sole andour exclusive ownership rights to this intellectual property. These German litigation proceedings are currently stayed pending the outcome of ongoing mediation efforts. In addition,the U.S., Bayer has filed a claim in the U.S.complaint against Baxalta and Nektar in which Bayer allegesalleging the ADYNOVATE® product infringes a Bayer patent. Although the U.S. court dismissed all of Bayer’s claims against Nektar and Nektar was removed as a defendant, a jury found the Bayer patent was valid and infringed, and awarded Bayer damages, the responsibility of which are borne fully by Baxalta. This damages award does not impact our royalties from sales of ADYNOVATE® under our collaboration with Baxalta and Baxalta is currently appealing the decision. In other U.S. proceedings, Nektar and Baxalta filed complaints against Bayer Healthcare alleging Bayer’s JIVI® product infringes several Nektar patents. A jury trial in this proceeding is scheduled to being in the summer of 2020. In addition, in response to notices AstraZeneca and we received from the generic companies, Apotex (Apotex Inc. and Apotex Corp.), MSN Laboratories Pvt. Ltd., and Aurobindo Pharma USA INC. alerting us that they had filed abbreviated new drug applications (ANDAs) with the FDA to market a generic version of MOVANTIK® (Paragraph IV Certifications), AstraZeneca and we together filed patent infringement suits against each of these generic companies. In these Paragraph IV Certifications, all three generic companies only alleged one patent, U.S. Patent No. 9,012,469, is invalid, unenforceable and/or not infringed by the manufacture, use or sale of their respective generic products. At this time, none of the other five Orange Book listed patents associated with MOVANTIK® are being challenged by these generics companies. We are also regularly involved in opposition proceedings at the European Patent Office and in inter partes review proceedings at the U.S. Patent and Trademark Office where third parties seek to invalidate or limit the scope of our allowed European patent applications or issued patents covering (among other things) our drugs and platform technologies.
We are involved in legal proceedings other than those related to intellectual property. For example, on October 30, 2018, we and certain of our executives were named in a putative securities class action complaint filed in the U.S. District Court for the Northern District of California, which complaint was subsequently amended on May 15, 2019.  Also, on February 13, 2019, and February 18, 2019, shareholder derivative complaints were filed in the U.S. District Court for the District of Delaware naming the CEO, CFO and certain members of Nektar’s board. These class action and shareholder derivative actions assert, among other things, that for a period beginning at least from November 11, 2017 through October 2, 2018, our stock was inflated due to alleged misrepresentations about the efficacy and safety of bempegaldesleukin. In addition, on August 19, 2019, we and certain of our executives were named in a putative securities class action complaint filed in the U.S. District Court for the Northern District of California, which complaint was subsequently amended on January 24, 2020. Also, on February 11, 2020, and on February 20, 2020, shareholder derivative complaints were filed in the U.S. District Court for the Northern District of California naming the CEO, CFO and certain members of Nektar's board. These class action and shareholder

derivative actions assert, among other things, that for a period between February 15, 2019 and August 8, 2019, inclusive, our stock was inflated due to an alleged failure to disclose a reduction in the planned number of bempegaldesleukin clinical trials and a bempegaldesleukin manufacturing issue. related to intellectual property, we are involved intellectual propertyOn October 30, 2018, we and certain of our executives were named in a putative securities class action complaint filed in the U.S. District Court for the Northern District of California, which complaint was subsequently amended on May 15, 2019.  Also, on February 13, 2019, and February 18, 2019, shareholder derivative complaints were filed in the U.S. District Court for the District of Delaware naming the CEO, CFO and certain members of Nektar’s board. These class action and shareholder derivative actions assert, among other things, that for a period beginning at least from November 11, 2017 through October 2, 2018, our stock was inflated due to alleged misrepresentations about the efficacy and safety of bempegaldesleukin. In addition, on August 19, 2019, we and certain of our executives were named in a putative securities class action complaint filed in the U.S. District Court for the Northern District of California, which complaint was subsequently amended on January 24, 2020. Also, on February 11, 2020, and on February 20, 2020, shareholder derivative complaints were filed in the U.S. District Court for the Northern District of California naming the CEO, CFO and certain members of Nektar's board. These class action and shareholder derivative actions assert, among other things, that for a period between February 15, 2019 and August 8, 2019, inclusive, our stock was inflated due to an alleged failure to disclose a reduction in the planned number of bempegaldesleukin clinical trials and a bempegaldesleukin manufacturing issue.
The cost to us in initiating or defending any litigation or other proceeding, even if resolved in our favor, could be substantial, and litigation would divert our management’s attention. Uncertainties resulting from the initiation and continuation of

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patent litigation or other proceedings could delay our research and development efforts or result in financial implications either in terms of seeking license arrangements or payment of damages or royalties.

Our manufacturing operations and those of our contract manufacturers are subject to laws and other governmental regulatory requirements, which, if not met, would have a material adverse effect on our business, results of operations and financial condition.

We and our contract manufacturers are required in certain cases to maintain compliance with current good manufacturing practices (cGMP), including cGMP guidelines applicable to active pharmaceutical ingredients, and with laws and regulations governing manufacture and distribution of controlled substances, and are subject to inspections by the FDA, the Drug Enforcement Administration or comparable agencies in other jurisdictions administering such requirements. We anticipate periodic regulatory inspections of our drug manufacturing facilities and the manufacturing facilities of our contract manufacturers for compliance with applicable regulatory requirements. Any failure to follow and document our or our contract manufacturers’ adherence to such cGMP and other laws and governmental regulations or satisfy other manufacturing and product release regulatory requirements may disrupt our ability to meet our manufacturing obligations to our customers, lead to significant delays in the availability of products for commercial use or clinical study, result in the termination or hold on a clinical study or delay or prevent filing or approval of marketing applications for our products. Failure to comply with applicable laws and regulations may also result in sanctions being imposed on us, including fines, injunctions, civil penalties, failure of regulatory authorities to grant marketing approval of our products, delays, suspension or withdrawal of approvals, license revocation, seizures, administrative detention, or recalls of products, operating restrictions and criminal prosecutions, any of which could harm our business. Regulatory inspections could result in costly manufacturing changes or facility or capital equipment upgrades to satisfy the FDA There is no guarantee that our manufacturinginsurance coverage for damages resulting from a litigation or the settlement thereof (including the putative securities class action lawsuits and quality control procedures areshareholder derivative lawsuits) is sufficient, thereby resulting in substantial compliance with cGMP. Manufacturing delays, for us or our contract manufacturers, pending resolution of regulatory deficiencies or suspensions could have a material adverse effect on our business, results of operations and financial condition.

If we or our contract manufacturers are not able to manufacture drugs or drug substances in sufficient quantities that meet applicable quality standards, it could delay clinical studies, result in reduced sales or constitute a breach of our contractual obligations, any of which could significantly harm our business, financial condition and results of operations.

If we or our contract manufacturers are not able to manufacture and supply sufficient drug quantities meeting applicable quality standards required to support large clinical studies or commercial manufacturing in a timely manner, it could delay our or our collaboration partners’ clinical studies or result in a breach of our contractual obligations, which could in turn reduce the potential commercial sales of our or our collaboration partners’ products. As a result, we could incur substantial costs and damages and any product sales or royalty revenue that we would otherwise be entitled to receive could be reduced, delayed or eliminated. In some cases, we rely on contract manufacturing organizations to manufacture and supply drug product for our clinical studies and those of our collaboration partners. Pharmaceutical manufacturing of drugs and devices involves significant risks and uncertainties relatedrisk to the demonstration of adequate stability, sufficient purification of the drug substance and drug product, the identification and elimination of impurities, optimal formulations, process and analytical methods validations, device performance and challenges in controlling for all of these variables. We have faced and may in the future face significant difficulties, delays and unexpected expenses as we validate third party contract manufacturers required for drug and device supply to support our clinical studies and the clinical studies and products of our collaboration partners. Failure by us or our contract manufacturers to supply drug product or devices in sufficient quantities that meet all applicable quality requirements could result in supply shortages for our clinical studies or the clinical studies and commercial activities of our collaboration partners. Such failures could significantly and materially delay clinical trials and regulatory submissions or result in reduced sales, any of which could significantly harm our business prospects, results of operations and financial condition.

Building and validating large scale clinical or commercial-scale manufacturing facilities and processes, recruiting and training qualified personnel and obtaining necessary regulatory approvals is complex, expensive and time consuming. In the past we have encountered challenges in scaling up manufacturing to meet the requirements of large scale clinical trials without making modifications to the drug formulation, which may cause significant delays in clinical development. We experienced repeated significant delays in starting the Phase 3 clinical development program for Amikacin Inhale as we sought to finalize and validate the device design with a demonstrated capability to be manufactured at commercial scale. Drug/device combination products are particularly complex, expensive and time-consuming to develop due to the number of variables involved in the final product design, including ease of patient and doctor use, maintenance of clinical efficacy, reliability and cost of manufacturing, regulatory approval requirements and standards and other important factors. There continues to be substantial and unpredictable risk and uncertainty related to manufacturing and supply until such time as the commercial supply chain is validated and proven.

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Our revenue is exclusively derived from our collaboration agreements, which can result in significant fluctuation in our revenue from period to period, and our past revenue is therefore not necessarily indicative of our future revenue.

Our revenue is exclusively derived from our collaboration agreements, from which we receive upfront fees, contract research payments, milestone and other contingent payments based on clinical progress, regulatory progress or net sales achievements, royalties and manufacturing revenue. Significant variations in the timing of receipt of cash payments and our recognition of revenue can result from significant payments based on the execution of new collaboration agreements, the timing of clinical outcomes, regulatory approval, commercial launch or the achievement of certain annual sales thresholds. The amount of our revenue derived from collaboration agreements in any given period will depend on a number of unpredictable factors, including our ability to find and maintain suitable collaboration partners, the timing of the negotiation and conclusion of collaboration agreements with such partners, whether and when we or our collaboration partners achieve clinical, regulatory and sales milestones, the timing of regulatory approvals in one or more major markets, reimbursement levels by private and government payers, and the market introduction of new drugs or generic versions of the approved drug, as well as other factors. Our past revenue generated from collaboration agreements is not necessarily indicative of our future revenue. If any of our existing or future collaboration partners fails to develop, obtain regulatory approval for, manufacture or ultimately commercialize any product candidate under our collaboration agreement, our business, financial condition, and results of operations could be materially and adversely affected.

If we are unable either to create sales, marketing and distribution capabilities or to enter into agreements with third parties to perform these functions, we will be unable to commercialize our product candidates successfully.

We currently have no sales, marketing or distribution capabilities. To commercialize any of our drugs that receive regulatory approval for commercialization, we must either develop internal sales, marketing and distribution capabilities, which would be expensive and time consuming, or enter into collaboration arrangements with third parties to perform these services. If we decide to market our products directly, we must commit significant financial and managerial resources to develop a marketing and sales force with technical expertise and with supporting distribution, administration and compliance capabilities. Factors that may inhibit our efforts to commercialize our products directly or indirectly with our partners include:

our inability to recruit and retain adequate numbers of effective sales and marketing personnel;

Company.

the inability of sales personnel to obtain access to or persuade adequate numbers of physicians to use or prescribe our products;

the lack of complementary products or multiple product pricing arrangements may put us at a competitive disadvantage relative to companies with more extensive product lines; and

unforeseen costs and expenses associated with creating and sustaining an independent sales and marketing organization.

If we, or our partners through our collaborations, are not successful in recruiting sales and marketing personnel or in building a sales and marketing infrastructure, we will have difficulty commercializing our products, which would adversely affect our business, results of operations and financial condition.

To the extent we rely on other pharmaceutical or biotechnology companies with established sales, marketing and distribution systems to market our products, we will need to establish and maintain partnership arrangements, and we may not be able to enter into these arrangements on acceptable terms or at all. To the extent that we enter into co-promotion or other arrangements, any revenue we receive will depend upon the efforts of third parties, which may not be successful and over which we have little or no control—important examples of this risk include MOVANTIK® partnered with AstraZeneca and ADYNOVATE® (previously referred to as BAX 855) partnered with Baxalta. In the event that we market our products without a partner, we would be required to build a sales and marketing organization and infrastructure, which would require a significant investment, and we may not be successful in building this organization and infrastructure in a timely or efficient manner.

We purchase some of the starting material for drugs and drug candidates from a single source or a limited number of suppliers, and the partial or complete loss of one of these suppliers could cause production delays, clinical trial delays, substantial loss of revenue and contract liability to third parties.

We often face very limited supply of a critical raw material that can only be obtained from a single, or a limited number of, suppliers, which could cause production delays, clinical trial delays, substantial lost revenue opportunities or contract liabilities to third parties. For example, there are only a limited number of qualified suppliers, and in some cases single source suppliers, for the raw materials included in our advanced polymer conjugate drug formulations. Any interruption in supply or failure to procure such raw materials on commercially feasible terms could harm our business by delaying our clinical trials, impeding commercialization of approved drugs or increasing our costs.

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We rely on trade secret protection and other unpatented proprietary rights for important proprietary technologies, and any loss of such rights could harm our business, results of operations and financial condition.

We rely on trade secret protection for our confidential and proprietary information. No assurance can be given that others will not independently develop substantially equivalent confidential and proprietary information or otherwise gain access to our trade secrets or disclose such technology, or that we can meaningfully protect our trade secrets. In addition, unpatented proprietary rights, including trade secrets and know-how, can be difficult to protect and may lose their value if they are independently developed by a third party or if their secrecy is lost. Any loss of trade secret protection or other unpatented proprietary rights could harm our business, results of operations and financial condition.

We expect to continue to incur substantial losses and negative cash flow from operations and may not achieve or sustain profitability in the future.

For the year ended December 31, 2016, we reported a net loss of $153.5 million.  If and when we achieve profitability depends upon a number of factors, including the timing and recognition of milestone and other contingent payments and royalties received, the timing of revenue under our collaboration agreements, the amount of investments we make in our proprietary product candidates and the regulatory approval and market success of our product candidates. We may not be able to achieve and sustain profitability.

Other factors that will affect whether we achieve and sustain profitability include our ability, alone or together with our partners, to:

develop drugs utilizing our technologies, either independently or in collaboration with other pharmaceutical or biotech companies;

effectively estimate and manage clinical development costs, particularly the cost of the clinical studies for NKTR-181 and NKTR-214;

receive necessary regulatory and marketing approvals;

maintain or expand manufacturing at necessary levels;

achieve market acceptance of our partnered products;

receive royalties on products that have been approved, marketed or submitted for marketing approval with regulatory authorities; and

maintain sufficient funds to finance our activities.

If government and private insurance programs do not provide payment or reimbursement for our partnered products or proprietary products, those products will not be widely accepted, which would have a negative impact on our business, results of operations and financial condition.

In both domestic and foreign markets, sales of our partnered and proprietary products that have received regulatory approval will depend in part on market acceptance among physicians and patients, pricing approvals by government authorities and the availability of payment or reimbursement from third-party payers, such as government health administration authorities, managed care providers, private health insurers and other organizations. Such third-party payers are increasingly challenging the price and cost effectiveness of medical products and services. Therefore, significant uncertainty exists as to the pricing approvals for, and the payment or reimbursement status of, newly approved healthcare products. Moreover, legislation and regulations affecting the pricing of pharmaceuticals may change before regulatory agencies approve our proposed products for marketing and could further limit pricing approvals for, and reimbursement of, our products from government authorities and third-party payers. For example, President Trump has indicated support for possible new measures related to drug pricing. New government legislation or regulations related to pricing or a government or third-party payer decision not to approve pricing for, or provide adequate coverage and reimbursements of, our products hold the potential to severely limit market opportunities of such products.

38


We depend on third parties to conduct the clinical trials for our proprietary product candidates and any failure of those parties to fulfill their obligations could harm our development and commercialization plans.

We depend on independent clinical investigators, contract research organizations and other third-party service providers to conduct clinical trials for our proprietary product candidates. We rely heavily on these parties for successful execution of our clinical trials. Though we are ultimately responsible for the results of their activities, many aspects of their activities are beyond our control. For example, we are responsible for ensuring that each of our clinical trials is conducted in accordance with the general investigational plan and protocols for the trials, but the independent clinical investigators may prioritize other projects over ours or communicate issues regarding our products to us in an untimely manner. Third parties may not complete activities on schedule or may not conduct our clinical trials in accordance with regulatory requirements or our stated protocols. The early termination of any of our clinical trial arrangements, the failure of third parties to comply with the regulations and requirements governing clinical trials or the failure of third parties to properly conduct our clinical trials could hinder or delay the development, approval and commercialization of our product candidates and would adversely affect our business, results of operations and financial condition.

Significant competition for our polymer conjugate chemistry technology platforms and our partnered and proprietary products and product candidates could make our technologies, products or product candidates obsolete or uncompetitive, which would negatively impact our business, results of operations and financial condition.

Our advanced polymer conjugate chemistry platforms and our partnered and proprietary products and product candidates compete with various pharmaceutical and biotechnology companies. Competitors of our polymer conjugate chemistry technologies include Biogen Inc., Savient Pharmaceuticals, Inc., Dr. Reddy’s Laboratories Ltd., SunBio Corporation, Mountain View Pharmaceuticals, Inc., Novo Nordisk A/S (formerly assets held by Neose Technologies, Inc.), and NOF Corporation. Several other chemical, biotechnology and pharmaceutical companies may also be developing polymer conjugation technologies or technologies that have similar impact on target drug molecules. Some of these companies license or provide the technology to other companies, while others are developing the technology for internal use.

There are many competitors for our proprietary product candidates currently in development. For Amikacin Inhale, the current standard of care includes several approved intravenous antibiotics for the treatment of either hospital-acquired pneumonia or ventilator-associated pneumonia in patients on mechanical ventilators. For MOVANTIK®, there are currently several alternative therapies used to address opioid-induced constipation (OIC) and opioid-induced bowel dysfunction (OBD), including RELISTOR® Subcutaneous Injection (methylnaltrexone bromide), oral therapy Amitizia (lubiprostone), and oral and rectal over-the-counter laxatives and stool softeners such as docusate sodium, senna and milk of magnesia. In addition, there are a number of companies developing potential products which are in various stages of clinical development and are being evaluated for the treatment of OIC and OBD in different patient populations, including Merck & Co., Inc., Progenics Pharmaceuticals, Inc. in collaboration with Salix Pharmaceuticals, Ltd., Purdue Pharma L.P. in collaboration with Shionogi & Co., Ltd., Mundipharma Int. Limited, Sucampo Pharmaceuticals, Inc., Develco Pharma GmbH, Alkermes plc, GlaxoSmithKline plc, Theravance, Inc., and Takeda Pharmaceutical Company Limited. For ADYNOVATE®, on June 6, 2014, the FDA approved Biogen Idec’s ELOCTATE™ for the control and prevention of bleeding episodes, perioperative (surgical) management and routine prophylaxis in adults and children with Hemophilia A, and Bayer Healthcare and Novo Nordisk have ongoing Phase 3 clinical development programs for longer acting Factor VIII proteins based on polymer conjugation technology approaches. For NKTR-181, there are numerous companies developing pain therapies designed to have less abuse potential primarily through formulation technologies and techniques applied to existing pain therapies. Potential competitors include Acura Pharmaceuticals, Inc., Cara Therapeutics, Inc., Collegium Pharmaceutical, Inc., Egalet Ltd, Elite Pharmaceuticals, Inc., Endo Health Solutions Inc., KemPharm, Inc., Pfizer, Inc., Purdue Pharma L.P., and Teva Pharmaceutical Industries Ltd.  For ONZEALDTM there are a number of chemotherapies and cancer therapies approved today and in various stages of clinical development for breast cancer, including, but not limited to: Abraxane® (paclitaxel protein-bound particles for injectable suspension (albumin bound)), Xeloda® (capecitabine), Afinitor® (everolimus), Doxil® (doxorubicin HCl), Ellence® (epirubicin), Gemzar® (gemcitabine), Halaven® (eribulin), Herceptin® (trastuzumab), Hycamtin® (topotecan), Ibrance® (palbociclib), Ixempra® (ixabepilone), Navelbine® (vinolrebine), Iniparib, Paraplatin® (carboplatin), Taxol® (paclitaxel) and Taxotere® (docetaxel). Major pharmaceutical or biotechnology companies with approved drugs or drugs in development for breast cancers include, but are not limited to, Bristol-Myers Squibb Company, Eli Lilly & Co., Roche, GlaxoSmithKline plc, Johnson and Johnson, Pfizer Inc., Eisai Inc., and Sanofi Aventis S.A. There are numerous companies engaged in developing immunotherapies to be used alone, or in combination, to treat a wide range of oncology indications targeting both solid and liquid tumors.  In particular, we expect to compete with therapies with tumor infiltrating lymphocytes, or TILS, chimeric antigen receptor-expressing T cells, or CAR-T, cytokine-based therapies, and checkpoint inhibitors.  Potential competitors in the TIL and CAR-T space include Kite Pharma/NCI, Adaptimmune LLC, Celgene Corporation, Juno Therapeutics, and Novartis, Alkermes, Altor, and Armo in the cytokine-based therapies space, and Tesaro, Macrogenics, Merck, BMS, and Roche in the checkpoint inhibitor space.  

There can be no assurance that we or our partners will successfully develop, obtain regulatory approvals for and commercialize next-generation or new products that will successfully compete with those of our competitors. Many of our competitors have greater financial, research and development, marketing and sales, manufacturing and managerial capabilities. We face competition from these

39


companies not just in product development but also in areas such as recruiting employees, acquiring technologies that might enhance our ability to commercialize products, establishing relationships with certain research and academic institutions, enrolling patients in clinical trials and seeking program partnerships and collaborations with larger pharmaceutical companies. As a result, our competitors may succeed in developing competing technologies, obtaining regulatory approval or gaining market acceptance for products before we do. These developments could make our products or technologies uncompetitive or obsolete.

If product liability lawsuits are brought against us, we may incur substantial liabilities.

The manufacture, clinical testing, marketing and sale of medical products involve inherent product liability risks. If product liability costs exceed our product liability insurance coverage, we may incur substantial liabilities that could have a severe negative impact on our financial position. Whether or not we are ultimately successful in any product liability litigation, such litigation would consume substantial amounts of our financial and managerial resources and might result in adverse publicity, all of which would impair our business. Additionally, we may not be able to maintain our clinical trial insurance or product liability insurance at an acceptable cost, if at all, and this insurance may not provide adequate coverage against potential claims or losses.

Our internal computer systems, or those of our partners, vendors, CROs, CMOs or other contractors or consultants, may fail or suffer security breaches, which could result in a material disruption of our product development programs or the theft of our confidential information or patient confidential information.

Despite the implementation of security measures, our internal computer systems and those of our CROspartners, vendors, contract research organizations (CROs), contract manufacturing organizations (CMOs) and other contractors and consultants are vulnerable to damage from computer viruses, unauthorized access, business email compromise, natural disasters, terrorism, war and telecommunication and electrical failures. Such events could cause interruptions of our operations. For instance, the loss of preclinical data or data from any future clinical trial involving our product candidates could result in delays in our development and regulatory filing efforts and significantly increase our costs. To the extent that any disruption or security breach were to result in a loss of, or damage to, our data, or inappropriate disclosure of confidential or proprietary information of our company or clinical patients, we could incursuffer or be subject to reputational harm, monetary fines (such as those imposed by European Regulation 2016/679, known as the General Data Protection Regulation, or “GDPR” and, the California Consumer Privacy Act, or “CCPA”), civil suits, civil penalties or criminal sanctions and requirements to disclose the breach, and other forms of liability, and the development of our product candidates could be delayed.

In addition, we continue to be subject to new and evolving data protection laws and regulations from a variety of jurisdictions, and there is a risk that our systems and processes for managing and protecting data may be found to be inadequate, which could expose us to fines and litigation.

The United Kingdom’s withdrawal from the European Union (EU) may have a negative effect on global economic conditions, access to patient markets, and regulatory certainty, which could adversely affect our operations.
On January 31, 2020, the United Kingdom withdrew from the EU (Brexit), thereby triggering a transition period that is set to end on December 31, 2020, during which the United Kingdom and the EU will negotiate their future relationship. Many effects of Brexit depend on how closely the UK will be tied to the EU, and whether the transition period ends without terms being agreed.
There is currently considerable uncertainty on regulatory processes in Europe and the European Economic Area. The lack of clarity about which EU rules and regulations the United Kingdom would replace or replicate, such as rules and regulations relating to trade (including the importation and exportation of pharmaceuticals), clinical research, and intellectual property, increases the risk that our clinical trials being carried out in United Kingdom are delayed or disrupted.  Further, depending on which rules and regulations the United Kingdom ultimately adopts, our business could be negatively affected.
Global economic conditions may negatively affect us and may magnify certain risks that affect our business.

Our future dependsoperations and performance have been, and may continue to be, affected by global economic conditions. As a result of global economic conditions, some third-party payers may delay or be unable to satisfy their reimbursement obligations. Job losses or other economic hardships may also affect patients’ ability to afford healthcare as a result of increased co-pay or deductible obligations, greater cost sensitivity to existing co-pay or deductible obligations, lost healthcare insurance coverage or for other reasons. We believe such conditions have led and could continue to lead to reduced demand for our and our collaboration partners’ drug products, which could have a material adverse effect on our product sales, business and results of operations.
Further, with rising international trade tensions, our business may be adversely affected following new or increased tariffs that result in the proper managementincreased global clinical trial costs as a result of international transportation of clinical drug supplies, as well as the costs of materials and products imported into the U.S. Tariffs, trade restrictions or sanctions imposed by the U.S. or other countries could increase the prices of our current and future businessour collaboration partners’ drug products, affect our and our collaboration partners’ ability to commercialize such drug products, or create adverse tax consequences in the U.S. or other countries. As a result, changes in international trade policy, changes in trade agreements and the imposition of tariffs or sanctions by the U.S. or other countries could materially adversely affect our results of operations and their associated expenses.

financial condition.


Our business strategy requires uscould be negatively impacted by corporate citizenship and sustainability matters.

There is an increased focus from certain investors, employees, and other stakeholders concerning corporate citizenship and sustainability matters, which include environmental concerns and social investments. We could fail to managemeet, or be perceived to fail to meet, the expectations of these certain investors, employees and other stakeholders concerning corporate citizenship and sustainability matters, thereby resulting in a negative impact to our businessbusiness.

Our operations may involve hazardous materials and are subject to provide forenvironmental, health, and safety laws and regulations. Compliance with these laws and regulations is costly, and we may incur substantial liability arising from our activities involving the continued development and potential commercializationuse of our proprietary and partnered drug candidates. Our strategy also calls for us to undertake increasedhazardous materials.

As a research-based biopharmaceutical company with significant research and development and manufacturing operations, we are subject to extensive environmental, health, and safety laws and regulations, including those governing the use of hazardous materials. Our research and development and manufacturing activities and to manage an increasing numberinvolve the controlled use of relationships with partnerschemicals, radioactive compounds, and other third parties, while simultaneously managing the capital necessaryhazardous materials. The cost of compliance with environmental, health, and safety regulations is substantial. If an accident involving these materials or an environmental discharge were to support this strategy. Ifoccur, we make a decision to bear a majoritycould be held liable for any resulting damages, or all of the clinical development costs of NKTR-102 this will substantially increase our future capital requirements. If we are unable to manage effectively our current operations and any growth we may experience, our business, financial condition and results of operations may be adversely affected. If we are unable to effectively manage our expenses, we may find it necessary to reduce our personnel-related costs through reductions in our workforce,face regulatory actions, which could harmexceed our operations, employee morale and impair our ability to retain and recruit talent. Furthermore, if adequate funds are not available, we may be required to obtain funds through arrangements with partnersresources or other sources that may require us to relinquish rights to certain of our technologies, products or future economic rights that we would not otherwise relinquish or require us to enter into other financing arrangements on unfavorable terms.

We are dependent on our management team and key technical personnel, and the loss of any key manager or employee may impair our ability to develop our products effectively and may harm our business, operating results and financial condition.

Our success largely depends on the continued services of our executive officers and other key personnel. The loss of one or more members of our management team or other key employees could seriously harm our business, operating results and financial condition. The relationships that our key managers have cultivated within our industry make us particularly dependent upon their continued employment with us. We are also dependent on the continued services of our technical personnel because of the highly technical nature of our products and the regulatory approval process. Because our executive officers and key employees are not obligated to provide us with continued services, they could terminate their employment with us at any time without penalty. We do not have any post-employment noncompetition agreements with any of our employees and do not maintain key person life insurance policies on any of our executive officers or key employees.

Because competition for highly qualified technical personnel is intense, we may not be able to attract and retain the personnel we need to support our operations and growth.

We must attract and retain experts in the areas of clinical testing, manufacturing, research, regulatory and finance, and may need to attract and retain marketing and distribution experts and develop additional expertise in our existing personnel. We face intense competition from other biopharmaceutical companies, research and academic institutions and other organizations for qualified personnel. Many of the organizations with which we compete for qualified personnel have greater resources than we have. Because

40


competition for skilled personnel in our industry is intense, companies such as ours sometimes experience high attrition rates with regard to their skilled employees. Further, in making employment decisions, job candidates often consider the value of the stock options they are to receive in connection with their employment. Our equity incentive plan and employee benefit plans may not be effective in motivating or retaining our employees or attracting new employees, and significant volatility in the price of our stock may adversely affect our ability to attract or retain qualified personnel. If we fail to attract new personnel or to retain and motivate our current personnel, our business and future growth prospects could be severely harmed.

coverage.

If earthquakes or other catastrophic events strike, our business may be harmed.

Our corporate headquarters, including a substantial portion of our research and development operations, are located in the San Francisco Bay Area, a region known for seismic activity and a potential terrorist target. In addition, we own facilities for the manufacture of products using our advanced polymer conjugate technologies in Huntsville, Alabama and own and lease offices in Hyderabad, India. There are no backup facilities for our manufacturing operations located in Huntsville, Alabama. In the event of an earthquake or other natural disaster, political instability, or terrorist event in any of these locations, our ability to manufacture and supply materials for drug candidates in development and our ability to meet our manufacturing obligations to our customers would be significantly disrupted and our business, results of operations and financial condition would be harmed. Our collaborativecollaboration partners and important vendors and suppliers to us or our collaboration partners may also be subject to catastrophic events, such as earthquakes, floods, hurricanes, tornadoes and tornadoes,pandemics any of which could harm our business (including, for example, by disrupting supply chains important to the success of our business), results of operations and financial condition. We have not undertaken a systematic analysis of the potential consequences to our business, results of operations and financial condition from a major earthquake or other catastrophic event, such as a fire, sustained loss of power, terrorist activity or other disaster, and do not have a recovery plan for such disasters. In addition, our insurance coverage may not be sufficient to compensate us for actual losses from any interruption of our business that may occur.

We have implemented certain anti-takeover measures, which make it more difficult to acquire us, even though such acquisitions may be beneficial to our stockholders.

Provisions of our certificate of incorporation and bylaws, as well as provisions of Delaware law, could make it more difficult for a third party to acquire us, even though such acquisitions may be beneficial to our stockholders. These anti-takeover provisions include:

establishment of a classified board of directors such that not all members of the board may be elected at one time;

lack of a provision for cumulative voting in the election of directors, which would otherwise allow less than a majority of stockholders to elect director candidates;


the ability of our board to authorize the issuance of “blank check” preferred stock to increase the number of outstanding shares and thwart a takeover attempt;

prohibition on stockholder action by written consent, thereby requiring all stockholder actions to be taken at a meeting of stockholders;

establishment of advance notice requirements for nominations for election to the board of directors or for proposing matters that can be acted upon by stockholders at stockholder meetings; and

limitations on who may call a special meeting of stockholders.

Further, provisions of Delaware law relating to business combinations with interested stockholders may discourage, delay or prevent a third party from acquiring us. These provisions may also discourage, delay or prevent a third party from acquiring a large portion of our securities or initiating a tender offer or proxy contest, even if our stockholders might receive a premium for their shares in the acquisition over the then-current market prices. We also have a change of control severance benefit plan, which provides for certain cash severance, stock award acceleration and other benefits in the event our employees are terminated (or, in some cases, resign for specified reasons) following an acquisition. This severance plan could discourage a third party from acquiring us.

41


The price of our common stock is expected to remain volatile.

Our stock price is volatile. During the year ended December 31, 2016, based on closing prices on The NASDAQ Global Select Market, the closing price of our common stock ranged from $11.00 to $19.68 per share. We expect our stock price to remain volatile. A variety of factors may have a significant effect on the market price of our common stock, including the risks described in this section titled “Risk Factors” and the following:

announcements of data from, or material developments in, our clinical studies and those of our collaboration partners, including data regarding efficacy and safety, delays in clinical development, regulatory approval or commercial launch;

announcements by collaboration partners as to their plans or expectations related to drug candidates and approved drugs in which we have a substantial economic interest;

announcements regarding terminations or disputes under our collaboration agreements;

fluctuations in our results of operations;

developments in patent or other proprietary rights, including intellectual property litigation or entering into intellectual property license agreements and the costs associated with those arrangements;

announcements of technological innovations or new therapeutic products that may compete with our approved products or products under development;

announcements of changes in governmental regulation affecting us or our competitors;

litigation brought against us or third parties to whom we have indemnification obligations;

public concern as to the safety of drug formulations developed by us or others;

our financing needs and activities; and

general market conditions.

At times, our stock price has been volatile even in the absence of significant news or developments. The stock prices of biotechnology companies and securities markets generally have been subject to dramatic price swings in recent years.

The indenture governing our 7.75% senior secured notes imposes significant operating and financial restrictions on us and our subsidiaries that may prevent us from pursuing certain business opportunities and restrict our ability to operate our business.

On October 5, 2015, we issued $250.0 million in aggregate principal amount of 7.75% senior secured notes due October 2020. The indenture governing the senior secured notes contains covenants that restrict our and our subsidiaries’ ability to take various actions, including, among other things:

incur or guarantee additional indebtedness or issue disqualified capital stock or cause certain of our subsidiaries to issue preferred stock;

pay dividends or distributions, redeem equity interests or subordinated indebtedness or make certain types of investments;

create or incur liens;

transfer, sell, lease or otherwise dispose of assets and issue or sell equity interests in certain of our subsidiaries;

incur restrictions on certain of our subsidiaries’ ability to pay dividends or other distributions to the Company or to make intercompany loans, advances or asset transfers;

enter into transactions with affiliates;

engage in any business other than businesses which are the same, similar, ancillary or reasonably related to our business as of the date of the indenture; and

consummate a merger, consolidation, reorganization or business combination, sell, lease, convey or otherwise dispose of all or substantially all of our assets or other change of control transaction.

This indenture also requires us to maintain a minimum cash balance of $60.0 million. We have certain reporting obligations under the indenture regarding cash position and royalty revenue. The indenture specifies a number of events of default, some of which are subject to applicable grace or cure periods, including, among other things, non-payment defaults, covenant defaults, cross-defaults to other material indebtedness, bankruptcy and insolvency defaults, non-payment of material judgments, loss of any material business license, criminal indictment of the Company, and certain civil forfeiture proceedings involving material assets of the Company. Our

42


ability to comply with these covenants will likely be affected by many factors, including events beyond our control, and we may not satisfy those requirements. Our failure to comply with our obligations could result in an event of default under our other indebtedness and the acceleration of our other indebtedness, in whole or in part, could result in an event of default under the indenture governing the senior secured notes.

The restrictions contained in the indenture governing the senior secured notes could also limit our ability to plan for or react to market conditions, meet capital needs or otherwise restrict our activities or business plans and adversely affect our ability to finance our operations, enter into acquisitions or to engage in other business activities that would be in our interest.

Item 1B.

Item 1B. Unresolved Staff Comments

None.


Item 2.

Item 2. Properties

California

We lease a 126,285148,263 square foot facility in the Mission Bay Area of San Francisco, California (Mission Bay Facility), under an operating lease which expires in 2020.2030. The Mission Bay Facility is our corporate headquarters and also includes our research and development operations. Effective January 1, 2017, we entered into a
We also lease amendment for an additional 2,508135,936 square feet within the Mission Bay Facility,of office space in San Francisco (the Third Street Facility), under an operating lease which also expires in 2020.

2030. The Third Street Facility provides additional space to support our research and development activities.

Alabama

We currently own four facilitiesa facility consisting of approximately 165,000124,000 square feet in Huntsville, Alabama, which house laboratories as well as administrative, clinical and commercial manufacturing facilities for our PEGylation and advanced polymer conjugate technology operations as well as manufacturing of APIs for early clinical studies.

In July 2012, we consolidated our U.S.-based research activities into our Mission Bay Facility and ceased use of one of our buildings located in Huntsville that was dedicated to research activities. We are currently seeking a buyer for the land and building.

India

We own a research and development facility consisting of approximately 88,000 square feet, near Hyderabad, India. In addition, we lease approximately 1,600 square feet of office space in Hyderabad, India, under a three-year operating lease that will expire in 2018.

2021.

Item 3.

Item 3. Legal Proceedings

From time to time, we are subject to legal proceedings. We are not currently a party to or aware of any proceedings that we believe will have, individually or in the aggregate, a material adverse effect on our business, financial condition or results of operations.

With respect to ongoing securities class action and shareholder derivative litigation, please refer to Item 1A. Risk Factors, including without limitation, “We are involved in legal proceedings and may incur substantial litigation costs and liabilities that will adversely affect our business, financial condition and results of operations.”

Item 4.

Item 4. Mine Safety Disclosures

Not applicable.

43



PART II
PART II

Item 5.

Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

Our common stock trades on The NASDAQ Global Select Market under the symbol “NKTR.” The table below sets forth the high and low closing sales prices for our common stock as reported on The NASDAQ Global Select Market during the periods indicated.

 

 

High

 

 

Low

 

Year Ended December 31, 2015:

 

 

 

 

 

 

 

 

1st Quarter

 

$

15.70

 

 

$

10.91

 

2nd Quarter

 

 

13.84

 

 

 

9.52

 

3rd Quarter

 

 

13.92

 

 

 

9.50

 

4th Quarter

 

 

17.41

 

 

 

9.98

 

Year Ended December 31, 2016:

 

 

 

 

 

 

 

 

1st Quarter

 

$

16.20

 

 

$

11.00

 

2nd Quarter

 

 

16.28

 

 

 

13.09

 

3rd Quarter

 

 

19.68

 

 

 

14.09

 

4th Quarter

 

 

17.48

 

 

 

11.85

 


High Low
Year Ended December 31, 2018

 

1st Quarter$108.44
 $57.40
2nd Quarter104.45
 46.25
3rd Quarter68.49
 46.46
4th Quarter56.65
 30.43
Year Ended December 31, 2019

 

1st Quarter$46.35
 $31.58
2nd Quarter36.30
 31.00
3rd Quarter36.27
 16.91
4th Quarter23.12
 15.87
Holders of Record

As of February 24, 2017,19, 2020, there were approximately 189162 holders of record of our common stock.

Dividend Policy

We have never declared or paid any cash dividends on our common stock. We currently expect to retain any future earnings for use in the operation and expansion of our business and do not anticipate paying any cash dividends on our common stock in the foreseeable future.

There were no sales of unregistered securities and there were no common stock repurchases made during the year ended December 31, 2016.

2019.

Securities Authorized for Issuance Under Equity Compensation Plans

Information regarding our equity compensation plans as of December 31, 20162019 is disclosed in Item 12 “Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters” of this Annual Report on Form 10-K and is incorporated herein by reference from our proxy statement for our 20172020 annual meeting of stockholders to be filed with the SEC pursuant to Regulation 14A not later than 120 days after the end of the fiscal year covered by this Annual Report on Form 10-K.

Performance Measurement Comparison

The material in this section is being furnished and shall not be deemed “filed” with the SEC for purposes of Section 18 of the Exchange Act or otherwise subject to the liability of that section, nor shall the material in this section be deemed to be incorporated by reference in any registration statement or other document filed with the SEC under the Securities Act or the Exchange Act, except as otherwise expressly stated in such filing.

44


The following graph compares, for the five year period ended December 31, 2016,2019, the cumulative total stockholder return (change in stock price plus reinvested dividends) of our common stock with (i) the NASDAQ Composite Index, (ii) the NASDAQ Pharmaceutical Index, (iii) the RDG SmallCap Pharmaceutical Index, (iv) the NASDAQ Biotechnology Index and (v) the RDG SmallCap Biotechnology Index. Measurement points are the last trading day of each of our fiscal years ended December 31, 2012,2015, December 31, 2013,2016, December 31, 2014,2017, December 31, 20152018 and December 31, 2016.2019. The graph assumes that $100 was invested on December 31, 20112014 in the common stock of the Company, the NASDAQ Composite Index, the Nasdaq Pharmaceutical Index, the RDG SmallCap Pharmaceutical Index, the NASDAQ Biotechnology Index and the RDG

SmallCap Biotechnology Index and assumes reinvestment of any dividends. The stock price performance in the graph is not intended to forecast or indicate future stock price performance.

45


Item 6.

Selected Financial Data

a5yearcumulativetotalreturn.jpg



Item 6. Selected Financial Data
SELECTED CONSOLIDATED FINANCIAL INFORMATION

(In thousands, except per share information)

The selected consolidated financial data set forth below should be read together with the consolidated financial statements and related notes, “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” and the other information contained herein.

 

 

Year Ended December 31,

 

 

 

2016

 

 

2015

 

 

2014

 

 

2013

 

 

2012

 

Statements of Operations Data:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Product sales

 

$

55,354

 

 

$

40,155

 

 

$

25,152

 

 

$

44,846

 

 

$

35,399

 

Royalty revenue

 

 

19,542

 

 

 

2,967

 

 

 

329

 

 

 

1,148

 

 

 

4,874

 

Non cash royalty revenue related to sale of future

   royalties(1)

 

 

30,158

 

 

 

22,058

 

 

 

21,937

 

 

 

22,055

 

 

 

10,791

 

License, collaboration and other revenue

 

 

60,382

 

 

 

165,604

 

 

 

153,289

 

 

 

80,872

 

 

 

30,127

 

Total revenue

 

 

165,436

 

 

 

230,784

 

 

 

200,707

 

 

 

148,921

 

 

 

81,191

 

Total operating costs and expenses

 

 

278,291

 

 

 

260,155

 

 

 

217,192

 

 

 

269,051

 

 

 

222,392

 

Loss from operations

 

 

(112,855

)

 

 

(29,371

)

 

 

(16,485

)

 

 

(120,130

)

 

 

(141,201

)

Non-cash interest expense on liability related to sale of

   future royalties(1)

 

 

(19,712

)

 

 

(20,619

)

 

 

(20,888

)

 

 

(22,309

)

 

 

(18,057

)

Interest income (expense) and other income (expense), net

 

 

(20,081

)

 

 

(16,602

)

 

 

(17,055

)

 

 

(17,329

)

 

 

(12,191

)

Loss on extinguishment of debt

 

 

 

 

 

(14,079

)

 

 

 

 

 

 

 

 

 

Provision (benefit) for income taxes

 

 

876

 

 

 

506

 

 

 

(512

)

 

 

2,245

 

 

 

406

 

Net loss

 

$

(153,524

)

 

$

(81,177

)

 

$

(53,916

)

 

$

(162,013

)

 

$

(171,855

)

Basic and diluted net loss per share(2)

 

$

(1.10

)

 

$

(0.61

)

 

$

(0.42

)

 

$

(1.40

)

 

$

(1.50

)

Weighted average shares outstanding used in computing

   basic and diluted net loss per share(2)

 

 

139,596

 

 

 

132,458

 

 

 

126,783

 

 

 

115,732

 

 

 

114,820

 

 Year Ended December 31,
 2019 2018 2017 2016 2015
Statements of Operations Data:         
Revenue:         
Product sales$20,117
 $20,774
 $32,688
 $55,354
 $40,155
Royalty revenue41,222
 41,976
 33,527
 19,542
 2,967
Non-cash royalty revenue related to sale of future royalties(1)
36,303
 33,308
 30,531
 30,158
 22,058
License, collaboration and other revenue16,975
 1,097,265
 210,965
 60,382
 165,604
Total revenue114,617
 1,193,323
 307,711
 165,436
 230,784
Operating costs and expenses:

 

 

 

 
Research and development434,566
 399,536
 268,461
 203,801
 182,787
Other operating expenses(2)
120,086
 105,855
 98,892
 74,490
 77,368
Total operating costs and expenses(2)
554,652
 505,391
 367,353
 278,291
 260,155
Income (loss) from operations(440,035) 687,932
 (59,642) (112,855) (29,371)
Non-cash interest expense on liability related to sale of future royalties(1)
(25,044) (21,196) (18,869) (19,712) (20,619)
Interest income (expense) and other income (expense), net25,025
 15,989
 (17,565) (20,081) (16,602)
Loss on extinguishment of debt
 
 
 
 (14,079)
Provision (benefit) for income taxes613
 1,412
 616
 876
 506
Net income (loss)$(440,667) $681,313
 $(96,692) $(153,524) $(81,177)
 
 
 
 
 
Net income (loss) per share(3)

 
 
 
 
Basic$(2.52) $4.02
 $(0.62) $(1.10) $(0.61)
Diluted$(2.52) $3.78
 $(0.62) $(1.10) $(0.61)
Weighted average shares outstanding used in computing net income (loss) per share(3)


 

 

 

 

Basic174,993
 169,600
 155,953
 139,596
 132,458
Diluted174,993
 180,119
 155,953
 139,596
 132,458

 As of December 31,
 2019 2018 2017 2016 2015
Balance Sheet Data:         
Cash, cash equivalents and investments in
marketable securities
$1,603,981
 $1,918,239
 $353,220
 $389,102
 $308,944
Working capital$1,067,657
 $1,355,685
 $270,657
 $353,730
 $288,805
Operating lease right-of-use assets(4)
$134,177
 $
 $
 $
 $
Total assets$1,977,356
 $2,150,172
 $508,866
 $568,871
 $498,642
Deferred revenue$8,071
 $24,636
 $37,970
 $66,239
 $83,854
Senior secured notes, net$248,693
 $246,950
 $245,207
 $243,464
 $241,699
Lease liabilities(4)
$155,246
 $
 $
 $
 $
Liability related to the sale of future royalties(1)
$72,020
 $82,911
 $94,655
 $105,950
 $116,029
Accumulated deficit$(1,864,718) $(1,424,051) $(2,117,941) $(2,021,010) $(1,867,486)
Total stockholders’ equity$1,405,391
 $1,717,575
 $87,828
 $88,125
 $6,429

 

 

As of December 31,

 

 

 

2016

 

 

2015

 

 

2014

 

 

2013

 

 

2012

 

Balance Sheet Data:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash, cash equivalents and investments in

   marketable securities

 

$

389,102

 

 

$

308,944

 

 

$

262,824

 

 

$

262,026

 

 

$

302,194

 

Working capital

 

$

354,030

 

 

$

288,805

 

 

$

224,153

 

 

$

159,661

 

 

$

236,094

 

Total assets

 

$

568,871

 

 

$

498,642

 

 

$

441,621

 

 

$

434,527

 

 

$

497,790

 

Deferred revenue

 

$

66,239

 

 

$

83,854

 

 

$

101,384

 

 

$

106,048

 

 

$

118,447

 

Senior secured notes, net

 

$

243,464

 

 

$

241,699

 

 

$

125,000

 

 

$

125,000

 

 

$

125,000

 

Liability related to the sale of future royalties(1)

 

$

105,950

 

 

$

116,029

 

 

$

120,471

 

 

$

128,520

 

 

$

131,266

 

Other long-term liabilities(3)

 

$

7,223

 

 

$

10,813

 

 

$

18,204

 

 

$

25,775

 

 

$

20,014

 

Accumulated deficit

 

$

(2,021,010

)

 

$

(1,867,486

)

 

$

(1,786,309

)

 

$

(1,732,393

)

 

$

(1,570,380

)

Total stockholders’ equity (deficit)

 

$

88,125

 

 

$

6,429

 

 

$

36,332

 

 

$

(89,903

)

 

$

47,018

 

(1)

(1)
In February 2012, we sold all of our rights to receive future royalty payments on net sales of UCB’s CIMZIA® and Roche’s MIRCERA®. As described in Note 7 to our Consolidated Financial Statements, this royalty sale transaction has been recorded as a liability that amortizes over the estimated royalty payment period. As a result of this liability accounting, even though the royalties from UCB and Roche are remitted directly to the purchaser of these royalty interests starting in the second quarter of 2012, we will continue to record non-cash revenue for these royalties.

royalties and related non-cash interest expense.

(2)

(2)Operating costs and expenses in 2017 includes $16.0 million for the impairment of equipment and related costs resulting from the termination of the Amikacin Inhale development program.
(3)Basic and diluted net lossincome (loss) per share is based upon the weighted average number of common shares outstanding.

Diluted net income (loss) per share is based on the weighted-average number of shares of common stock outstanding, including potentially dilutive securities.

(3)

Includes capital

(4)
On January 1, 2019, we adopted Accounting Standards Codification 842, Leases (ASC 842). As described in Note 1 to our Consolidated Financial Statements, ASC 842 generally requires an entity to recognize a lease obligations less current portion

liability for leases with a term greater than one year, measured as the present value of the lease payments, with an offset to a right-of-use asset. See Note 6 to our Consolidated Financial Statements for additional information on our leases.

The following discussion contains forward-looking statements that involve risks and uncertainties. Our actual results could differ materially from those discussed here. Factors that could cause or contribute to such differences include, but are not limited to, those discussed in this section as well as factors described in “Part I, Item 1A — Risk Factors.”

46


Item 7.

Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Overview

Strategic Direction of Our Business

Nektar Therapeutics is a research-based biopharmaceutical company that discovers and develops innovative new medicines in areas of high unmet medical need. Our research and development pipeline of new investigational drugs includes treatments for cancer auto-immune disease and chronic pain.autoimmune disease. We leverage our proprietary and proven chemistry platform to discover and design new drug candidates. These drug candidates utilize our advanced polymer conjugate technology platforms, which are designed to enable the development of new molecular entities that target known mechanisms of action.

We continue to make significant investments in building and advancing our pipeline of proprietary drug candidates as we believe that this is the best strategy to build shareholderlong-term stockholder value.

In 2017,immuno-oncology (I-O), we are executing a clinical development program for bempegaldesleukin (previously referred to as NKTR-214), in collaboration with Bristol-Myers Squibb Company (BMS) as well as other independent development work evaluating bempegaldesleukin in combination with other agents with potential complementary mechanisms of action. We announced in August that the FDA granted a Breakthrough Therapy designation for bempegaldesleukin in combination with Opdivo® for the treatment of patients with untreated unresectable or metastatic melanoma. We expect our plan isresearch and development expense to continue to grow over the next few years as we expand and execute aour broad clinical development program for NKTR-214bempegaldesleukin.
On January 9, 2020, we and BMS entered into an Amendment No. 1 (the Amendment) to the February 13, 2018 BMS Collaboration Agreement. Pursuant to the Amendment, we and BMS agreed to update the Collaboration Development Plan under which we are collaborating and developing bempegaldesleukin. Specifically, pursuant to the updated Collaboration Development Plan, bempegaldesleukin in combination with Opdivo® is currently being evaluated in ongoing registrational trials in first-line metastatic melanoma, first-line cisplatin ineligible, PD-L1 low, locally advanced or metastatic urothelial cancer, first-line metastatic renal cell carcinoma (RCC), and muscle-invasive bladder cancer, and also includes an additional registrational trial in adjuvant melanoma, as well as a Phase 1/2 dose escalation and expansion study to evaluate bempegaldesleukin plus Opdivo® in combination with axitinib in first line RCC in order to support a future Phase 3 registrational trial. Several other registrational-supporting pediatric and safety studies for the combination of bempegaldesleukin and Opdivo® are either currently underway or planned to begin in 2020. Also, as specifically allowed under the BMS Collaboration Agreement, Nektar is independently studying bempegaldesleukin and pembrolizumab in a non-small cell lung cancer (NSCLC) Phase 1/2 trial, and BMS plans to independently study bempegaldesleukin and Opdivo® in a NSCLC dose-optimization Phase 1/2 trial scheduled to begin in 2020.
The Amendment did not alter the cost-sharing methodology the parties agreed to under the February 13, 2018 BMS Collaboration Agreement, wherein we share development costs based on each party’s relative ownership interest in the compounds included in the regimen. For example, we share clinical development costs for bempegaldesleukin in combination with Opdivo®, BMS 67.5% and Nektar 32.5%. For costs of manufacturing bempegaldesleukin, however, BMS is responsible for 35% and Nektar is responsible for 65% of costs. We also share commercialization related costs, 35% BMS and 65% Nektar, which we present in general and administrative expense. Our share of development costs is limited to an annual cap of $125.0 million. To the extent this annual cap is exceeded, we will recognize our full share of the research and development expense and BMS will reimburse us for the amount over the annual cap which will be recorded as a contingent liability. This contingent liability will be paid to BMS only if bempegaldesleukin is approved and solely by reducing a portion of our share of net profits following the first commercial sale of bempegaldesleukin. The BMS Collaboration Agreement entitles Nektar to receive up to $1.455 billion of clinical, regulatory and commercial launch milestones, $650.0 million of which are associated with approval and launch of bempegaldesleukin in its first indication in the U.S., EU and Japan (subject to $100.0 million in creditable milestone payments). As a result, whether and when bempegaldesleukin is approved in any indication will have a significant impact on our future results of operations and financial condition.
In addition, under the Amendment, we are entitled to an additional $25.0 million non-refundable, non-creditable milestone payment following the achievement of the first-patient, first-visit milestone in the registrational adjuvant melanoma trial studying bempegaldesleukin and Opdivo®. We are also eligible to receive non-refundable, creditable milestone payments of $25.0 million and $75.0 million following the achievement of the first-patient, first-visit milestone in the registrational

muscle-invasive bladder cancer trial and the first-patient, first-visit milestone in a registrational first-line non-small-cell lung cancer trial, respectively, in each case studying the combination of bempegaldesleukin and Opdivo®.
In January 2020, the milestone for the first-patient, first-visit for the registrational muscle-invasive bladder cancer trial was achieved.
Under the Amendment, BMS has the right, at its sole discretion, to terminate co-funding its share of the development costs for the adjuvant melanoma collaboration study if the metastatic melanoma collaboration study fails to meet the primary endpoint of progression free survival. If BMS exercises such right, Nektar has the right, in its sole discretion, to continue the adjuvant melanoma study as a combined therapy independent study pursuant to the Collaboration Agreement. 
Outside of the collaboration development plan with BMS, we are conducting additional research and development activities evaluating bempegaldesleukin in combination with other immuno-oncology agents including Opdivo® (nivolumab)that have potential complementary mechanisms of action. Our strategic objective is to establish bempegaldesleukin as parta key component of our broad Phase 1/2many I-O combination regimens with the potential to enhance the standard of care in multiple oncology settings. On November 6, 2018, we entered into a clinical collaboration with BMSPfizer Inc. (Pfizer) to evaluate several combination regimens in five tumor typesmultiple cancer settings, including metastatic castration-resistant prostate cancer and eight potential indications,squamous cell carcinoma of the head and neck.  The combination regimens in this collaboration will evaluate bempegaldesleukin with avelumab, a dose-escalation study with atezolizumab,human anti-PD-L1 antibody in development by Merck KGaA (Merck), and numerous preclinical collaboration programs. In February 2017, we filedPfizer; talazoparib, a poly (ADP-ribose) polymerase (PARP) inhibitor developed by Pfizer; or enzalutamide, an IND for NKTR-358, our auto-immune disease drug candidate,androgen receptor inhibitor in development by Pfizer and plan to start theAstellas Pharma Inc. We are planning a Phase 1 study this year in pancreatic cancer patients in collaboration with BioXcel Therapeutics Inc. (BioXcel) to evaluate a triplet combination of bempegaldesleukin, BXCL-701 (a small molecule immune-modulator, DPP 8/9), and avelumab being supplied to BioXcel by Pfizer and Merck. We are also working in collaboration with Vaccibody AS (Vaccibody) to evaluate in a Phase 1 proof-of-concept study combining bempegaldesleukin with Vaccibody’s personalized cancer neoantigen vaccine. With our non-BMS clinical collaborations for bempegaldesleukin, we generally share clinical development costs on a substantially pro-rata basis commensurate with our ownership interest in the underlying compounds. We expect to continue to make significant and increasing investments exploring the potential of bempegaldesleukin with mechanisms of action that we believe are synergistic with bempegaldesleukin based on emerging scientific findings in cancer biology and preclinical development work.
We are also advancing other molecules, including NKTR-262 and NKTR-255, in our I-O portfolio. NKTR-262 is a small molecule agonist that targets toll-like receptors (TLRs) found on innate immune cells in the body. NKTR-262 is designed to stimulate the innate immune system and promote maturation and activation of antigen-presenting cells (APCs), such as dendritic cells, which are critical to induce the body’s adaptive immunity and create antigen-specific cytotoxic T cells. NKTR-262 is being developed as an intra-tumoral injection in combination with systemic bempegaldesleukin in order to induce an abscopal response and achieve the goal of tumor regression in cancer patients treated with both therapies. The Phase 1 dose-escalation trial is currently ongoing. NKTR-255 is a biologic that targets the interleukin-15 (IL-15) pathway in order to activate the body’s innate and adaptive immunity. Activation of the IL-15 pathway enhances the survival and function of natural killer (NK) cells and induces survival of both effector and CD8 memory T cells. Preclinical findings suggest NKTR-255 has the potential to synergistically combine with antibody dependent cellular toxicity molecules as well as enhance CAR-T therapies. We have initiated a Phase 1 clinical study of NKTR-255 in adults with relapsed or refractory non-Hodgkin lymphoma or multiple myeloma. We are also designing other clinical trials in both liquid and solid tumor settings.
In immunology, we are developing NKTR-358, which is designed to correct the underlying immune system imbalance in the body that occurs in patients with autoimmune disease. NKTR-358 is designed to optimally target the IL-2 receptor complex in order to stimulate proliferation and growth of regulatory T cells. NKTR-358 is being developed as a once or twice monthly self-administered injection for a number of autoimmune diseases. In 2017, we entered into a worldwide license agreement with Eli Lilly and Company (Lilly) to co-develop NKTR-358. We received an initial payment of $150.0 million in September 2017 and are eligible for up to an additional $250.0 million for development and regulatory milestones. We are responsible for completing Phase 1 clinical development and certain drug product development and supply activities. We also share Phase 2 development costs with Lilly, with Lilly responsible for 75% and Nektar responsible for 25% of these costs. We will have the option to contribute funding to Phase 3 development on an indication-by-indication basis, ranging from zero to 25% of the Phase 3 development costs. Lilly will be responsible for all costs of global commercialization and we will have an option to co-promote in the U.S. under certain conditions.
We have completed a Phase 1 dose-finding trial of NKTR-358 to evaluate single-ascending doses of NKTR-358 in approximately 100 healthy patients. Results from this programstudy demonstrated a multiple-fold increase in healthy volunteersregulatory T cells with no change in CD8 positive or natural killer cell levels and then advance the program intono dose-limiting toxicities were observed. We also completed treatment of a Phase 1b1 multiple-ascending dose trial to evaluate NKTR-358 in patients with systemic lupus erythematouserythematosus (SLE). Lilly is

expected to initiate a Phase 2 study in SLE in mid-2020 and to start an additional Phase 2 study in another auto-immune disease in 2020. These clinical studies are in addition to the two Phase 1b studies in patients with psoriasis and atopic dermatitis being run by Lilly.
ONZEALD® (also known as NKTR-102, etirinotecan pegol) is a topoisomerase I inhibitor proprietary drug candidate. A Phase 3 clinical study, which we called the BEACON study, evaluated ONZEALD® as a single-agent therapy for women with advanced metastatic breast cancer. In a top-line analysis of 852 patients from the trial, ONZEALD® provided a 2.1 month improvement in median overall survival over treatment of physician’s choice (TPC), which did not achieve statistical significance. A significant overall survival benefit was observed in two pre-specified subgroup populations—patients with a history of brain metastases and patients with baseline liver metastases at study entry. We thereafter initiated the ATTAIN study, a Phase 3 study comparing overall survival in patients with advanced breast cancer and brain metastases who have been previously treated with an anthracycline, a taxane and capecitabine. On February 27, 2020, we announced that there was no improvement in overall survival between patients receiving ONZEALD® and patients receiving TPC, and, as a result, we will wind down all development activities for ONZEALD®.
We were developing NKTR-181 for the treatment of chronic low back pain in adult patients and had submitted an NDA for NKTR-181. Following our submission, the FDA missed the target action date of August 29, 2019 that it had assigned to our NDA under the Prescription Drug User Fee Act (PDUFA), and other potential immune disease indications. We completed enrollment in the SUMMIT-07 Phase 3 efficacy studypostponed product-specific advisory committee meetings for opioid analgesics, including one that was scheduled for NKTR-181 in late 2016on August 21, 2019. At the rescheduled advisory committee meeting held on January 14, 2020, the joint FDA Anesthetic Drug Products Advisory Committee and expect to announceDrug Safety and Risk Management Committee did not recommend approval of NKTR-181, and, as a result, we withdrew the top-line data in March 2017. We also have an ongoing pivotal human abuse liability study (HAL) for NKTR-181 that is expected to complete enrollment in the first half of 2017. If the NKTR-181 Phase 3 program is successful, we plan to seek a collaboration partner to support future development and commercialization activities. We are also completing preclinical research and IND-enabling work for NKTR-262 and NKTR-255 with the goal of advancing those programs into the clinic later this year or in the early part of next year. NDA.
The level of our future research and development investment will depend on a number of trends and uncertainties including clinical outcomes, future studies required to advance programs to regulatory approval, and the economics related to potential future collaborations that may include up-front payments, development funding, milestones, and royalties.

Over the next several years, we plan to continue to make significant investments to advance our early drug candidate pipeline.

We have significant milestonehistorically derived all of our revenue and royalty economic interests in approved drugs and drug candidates in late stage development withsubstantial amounts of operating capital from our collaboration partners. With AstraZeneca,agreements including the BMS collaboration for bempegaldesleukin that was effective on April 3, 2018, pursuant to which we recognized $1.06 billion in revenue and recorded $790.2 million in additional paid in capital for shares of our common stock issued in the transaction. While in the near-term we continue to expect to generate substantially all of our revenue from collaboration arrangements, including the potential $1.455 billion in development and regulatory milestones under the BMS collaboration, in the medium- to long-term, our plan is to generate significant commercial revenue from proprietary products including bempegaldesleukin. Since we do not have experience commercializing products or an established commercialization organization, there will be substantial risks and uncertainties in future years as we build commercial, organizational, and operational capabilities.
We also receive royalties and milestones from two approved drugs. We have a collaboration with AstraZeneca for MOVANTIK®, an oral peripherally-acting mu-opioid antagonist for the treatment of opioid-induced constipation in adult patients with non-cancer pain.pain which was approved by the FDA and subsequently launched in March 2015 and MOVENTIG ®, for the treatment of opioid-induced constipation in adult patients who have an inadequate response to laxatives, which was approved by health authorities in the European Union and many other countries beginning in 2014. We also have a collaboration with Baxalta Inc. (a wholly-owned subsidiary of Shire plc)Takeda Pharmaceutical Company Ltd.) for ADYNOVATE®, that was approved by the FDA in late 2015 for use in adults and adolescents, aged 12 years and older, who have Hemophilia A. The FDAADYNOVI™ was approved recently expanded the approval of ADYNOVATE® for the treatment of Hemophilia Aby health authorities in patients under 12 years of age,Europe in January 2018, and for the usehas also been approved in surgical settings for both adult and pediatric patients.  ADYNOVATE® is also under regulatory review in the European Union, Switzerland and Canada.  We also have significant milestone and royalty interests in two drug development programs with Bayer.  BAY41-6551 (Amikacin Inhale), which is an inhaled solution of amikacin, an aminoglycoside antibiotic in Phase 3 clinical development to treat ventilated associated pneumonia and we expect topline results from this program in the first half of 2017. The second program with Bayer Schering is the Cipro DPI (Cipro Dry Powder Inhaler, previously called Cipro Inhale) which is an inhaled dry powder ciprofloxacin in Phase 3 development to treat non-cystic fibrosis bronchiectasis. The first Phase 3 clinical study for CIPRO DPI met its co-primary endpoints for the every 14-day dosing arm of Cipro DPI and we expect top-line results from the second Phase 3 clinical study in 2017.  We also have milestone and royalty interests inmany other collaboration partner programs including PEGPH20 with Halozyme that is in Phase 3 development and dapirolizumab pegol with UCB Pharma that is in Phase 2 development for systemic lupus erythematosus (SLE). The level of sales growth of MOVANTIK® and ADYNOVATE®, together with the future clinical trial results and potential subsequent approvals of these collaboration partner drug candidates, will have a material impact on our future financial results and financial position.  

countries.

Our business is subject to significant risks, including the risks inherent in our development efforts, the results of our clinical trials, the marketing of our dependence on collaborative parties,the marketing efforts by our collaboration partners, uncertainties associated with obtaining and enforcing patents, the lengthy and expensive regulatory approval process and competition from other products. For a discussion of these and some of the other key risks and uncertainties affecting our business, see Item 1A "Risk Factors" of this Annual Report on Form 10-K.  

1A. Risk Factors.

While the approved drugs and clinical development programs described above are key elements of our future success, we believe it is critically important that we continue to make substantial investments in our earlier-stage drug candidate pipeline. We have several drug candidates in earlier stage clinical development or being explored in research that we are preparing to advance into the clinic in future years. We are also advancing several other drug candidates in preclinical development in the areas of cancer immunotherapy,I-O, immunology, and other therapeutic indications. While weWe believe that our substantial investment in

research and development has the potential to create significant value if one or more of our drug candidates demonstrates positive clinical results, receives regulatory approval in one or more major markets and achieves commercial success, drugsuccess. Drug research and development is an inherently uncertain process and there iswith a high risk of failure at every stage prior to approval and theapproval. The timing and outcome of clinical

47


trial results are extremely difficult to predict. Clinical development successes and failures can have a disproportionately positive or negative impact on our scientific and medical prospects, financial condition and prospects, results of operations and market value.

Historically, we have entered into a number of license and supply contracts under which we manufactured and supplied our proprietary polymer reagents on a fixed price or cost-plus basis. Our current strategy is to manufacture and supply polymer reagents to support our proprietary drug candidates or our third-party collaborators where we have a strategic development and commercialization relationship or where we derive substantial economic benefit.

Key Developments and Trends in Liquidity and Capital Resources

We estimate that we have working capital to fund our current business plans through at least March 1, 2018.2021. At December 31, 2016,2019, we had approximately $389.1 million$1.6 billion in cash and investments in marketable securities. Also, assecurities and had debt of December 31, 2016, we had $255.1 million in debt, including $250.0 million in principal of senior secured notes and $5.1 million of capital lease obligations. As is further describeddue in Note 9 to our Consolidated Financial Statements, on October 24, 2016, we completed a public offering of common stock with net proceeds of approximately $189.3 million.

2020.

Results of Operations

Years Ended December 31, 2016, 2015,2019 and 2014

2018

Additional information required by Item 7 for the year ended December 31, 2017 can be found in Item 7 in our Annual Report on Form 10-K for the year December 31, 2018, filed with the SEC on March 1, 2019 and is incorporated herein by reference.
Revenue (in thousands, except percentages)

 

 

Year Ended December 31,

 

 

Increase/

(Decrease)

 

 

Increase/

(Decrease)

 

 

Percentage

Increase/

(Decrease)

 

 

Percentage

Increase/

(Decrease)

 

 

 

2016

 

 

2015

 

 

2014

 

 

2016 vs.

2015

 

 

2015 vs.

2014

 

 

2016 vs.

2015

 

 

2015 vs.

2014

 

Product sales

 

$

55,354

 

 

$

40,155

 

 

$

25,152

 

 

$

15,199

 

 

$

15,003

 

 

 

38

%

 

 

60

%

Royalty revenue

 

 

19,542

 

 

 

2,967

 

 

 

329

 

 

 

16,575

 

 

 

2,638

 

 

> 100

%

 

> 100

%

Non cash royalty revenue related to sale

   of future royalties

 

 

30,158

 

 

 

22,058

 

 

 

21,937

 

 

 

8,100

 

 

 

121

 

 

 

37

%

 

1

%

License, collaboration and

   other revenue

 

 

60,382

 

 

 

165,604

 

 

 

153,289

 

 

 

(105,222

)

 

 

12,315

 

 

 

(64

)%

 

 

8

%

Total revenue

 

$

165,436

 

 

$

230,784

 

 

$

200,707

 

 

$

(65,348

)

 

$

30,077

 

 

 

(28

)%

 

 

15

%

 Year Ended December 31, 
Increase/
(Decrease)
 
Percentage
Increase/
(Decrease)
 2019 2018 2019 vs. 2018 2019 vs. 2018
Product sales$20,117
 $20,774
 $(657) (3)%
Royalty revenue41,222
 41,976
 (754) (2)%
Non cash royalty revenue related to sale of future royalties36,303
 33,308
 2,995
 9 %
License, collaboration and other revenue16,975
 1,097,265
 (1,080,290) (98)%
Total revenue$114,617
 $1,193,323
 $(1,078,706) (90)%
Our revenue is derived from our collaboration agreements, under which we may receive product sales revenue, royalties, and license fees, milestoneas well as development and sales milestones and other contingent payments and/payments. We recognize revenue when we transfer promised goods or contract research payments. Revenue is recognized when there is persuasive evidence that an arrangement exists, delivery has occurred, the price is fixed or determinable, and collection is reasonably assured.services to our collaboration partners. The amount of upfront fees received under our license and collaboration agreements allocated to continuing obligations, such as development or manufacturing and supply commitments, is generally recognized ratably over our expected performance period under the arrangement.as we deliver products or provide development services. As a result, there may be significant variations in the timing of receipt of cash payments and our recognition of revenue. We make our best estimate of the period over which we expecttiming and amount of products and services expected to be required to fulfill our performance obligations. Given the uncertainties in research and development collaborations, significant judgment is required by us to determine the performance periods.

make these estimates.

Product sales

Product sales include predominantly fixed price manufacturing and supply agreements with our collaboration partners and are the result of firm purchase orders from those partners. The timing of shipments is based solely on the demand and requirements of our collaboration partners and is not ratable throughout the year.

Product sales increasedwas consistent for the years ended December 31, 20162019 and 2015 compared to the years ended December 31, 2015 and 2014 primarily as a result of increased2018.
We expect product sales in 2020 to be lower than 2019 due to decreased demand from our collaboration partner Ophthotech related to its drug candidate Fovista®. In the year ended December 31, 2016, product sales to Ophthotech totaled $30.1 million. In December 2016, Ophthotech announced that two pivotal Phase 3 clinical trials for Fovista® failed to meet their primary endpoints although a separate Phase 3 trial for Fovista® remains ongoing. As a result, other than approximately $10.4 million of product sales to Ophthotech related to their binding purchase commitments, we currently do not expect any further sales to Ophthotech in 2017.

48


partners.

Royalty revenue

We receive royalty revenue from certain of our collaboration partners based on their net sales of commercial products. Royalty revenue received in cash increasedwas consistent for the years ended December 31, 2016 and 20152019 compared to the yearsyear ended December 31, 2015 and 2014 due primarily to the commercial launch by AstraZeneca of MOVANTIK® in the U.S. in March 2015 and MOVENTIG® in the EU in August 2015 and the launch of ADYNOVATE® by Baxalta in the U.S. in November 2015.2018. We expect royalty revenue in 2017 will increase as compared2020 to 2016 duebe consistent with 2019.

As part of its approval of MOVANTIK®, the FDA required AstraZeneca to royalties we expectperform a post-marketing, observational epidemiological study comparing MOVANTIK® to receiveother treatments of OIC in patients with chronic, non-cancer pain. As a result, the royalty rate payable to us from net sales of MOVANTIK®, MOVENTIG® and ADYNOVATE® as in the U.S. by AstraZeneca can be reduced by up to two percentage points to fund 33% of the external costs incurred by AstraZeneca to fund such post approval study, subject to a result$35.0 million aggregate cap. As of sales growthDecember 31, 2019, our cumulative share of these partnered products.

the post-approval study expenses since 2015 has been $1.8 million. Any costs incurred by AstraZeneca can only be recovered by the reduction of the royalty paid to us. In no case can amounts be recovered by the reduction of a contingent payment due from AstraZeneca to us or through a payment from us to AstraZeneca.

Non-cash royalty revenue related to sale of future royalties

In February 2012, we sold all

For a discussion of our rights to receive futureNon-cash royalty payments on CIMZIA®revenue, please see our discussion below “Non-Cash Royalty Revenue and MIRCERA®. As described in Note 7 to our Consolidated Financial Statements, this royalty sale transaction has been recorded as a liability that amortizes over the estimated royalty payment period. As a result of this liability accounting, even though the royalties from UCB and Roche are remitted directly to the purchaser of these royalty interests, we will continue to record revenue for these royalties. We expect non-cash royalties from net sales of CIMZIA® and MIRCERA® in 2017 to increase marginally compared to 2016.

Non-Cash Interest Expense.”

License, collaboration and other revenue

License, collaboration and other revenue includes the recognition of upfront payments, milestone and other contingent payments received in connection with our license and collaboration agreements and reimbursedcertain research and development expenses.activities. The level of license, collaboration and other revenue depends in part upon the estimated amortizationrecognition period of the upfront payments allocated to continuing performance obligations, the achievement of milestones and other contingent events, the continuation of existing collaborations, the amount of reimbursed research and development work, and entering into new collaboration agreements, if any.

License, collaboration and other revenue decreased for the year ended December 31, 20162019 compared to the year ended December 31, 20152018 primarily due to the recognition of $1,059.8 million from the BMS Collaboration Agreement as described in Note 10 to our Consolidated Financial Statements. In addition, we recognized a $10.0 million milestone payment received in March 2018 as a result of the marketing authorization of ADYNOVITM in the EU in January 2018, and we recognized an additional $10.0 million milestone in the fourth quarter of 2018 for annual sales of ADYNOVATE® reaching a certain specified amount.
We expect that our license, collaboration and other revenue will increase in 2020 compared to 2019 as a result of the recognition in March 2015 of the $100.0 million milestone payment received from AstraZeneca as a result of the U.S. commercial launch of MOVANTIK® and the $40.0 million milestone payment received from AstraZeneca in August 2015 as a result of the EU commercial launch of MOVENTIG® partially offset by the recognition of $28.0 million in March 2016 for our 40% share of the $70.0 million sublicense payment received by AstraZeneca from Kirin.

License, collaboration and other revenue increased for the year ended December 31, 2015 compared to the year ended December 31, 2014 primarily as a result of increased revenue from payments received from AstraZeneca in 2015 as compared to 2014. During the year-ended December 31, 2014, we recognized $105.0 million of payments from AstraZeneca as a result of the FDA’s approval of MOVANTIK® in September 2014 and recognized $9.0 million of milestone payments resulting from the transfer of our manufacturing technology to two of our collaboration partners. In addition, in 2014, we recognized $8.0 million of milestones received in December 2014 relatedexpected to positive results from Baxalta’s ADYNOVATE® Phase 3 study.  

We expect license, collaboration and other revenue in 2017 to decrease compared to 2016.

be achieved under our BMS Collaboration Agreement.

The timing and future success of our drug development programs and those of our collaboration partners are subject to a number of risks and uncertainties. See “Part I, Item 1A —1A. Risk Factors”Factors for discussion of the risks associated with the complex nature of our collaboration agreements.

Revenue by geography (in thousands)

Revenue by geographic area is based on the headquarters or shipping locations of our partners. The following table sets forth revenue by geographic area:

 

 

Year Ended December 31,

 

 

 

2016

 

 

2015

 

 

2014

 

United States

 

$

39,147

 

 

$

40,400

 

 

$

32,514

 

Europe

 

 

126,289

 

 

 

190,384

 

 

 

168,193

 

Total revenue

 

$

165,436

 

 

$

230,784

 

 

$

200,707

 

The decrease in revenue

 Year Ended December 31,
 2019 2018
United States$27,093
 $1,090,794
Rest of World87,524
 102,529
Total revenue$114,617
 $1,193,323
Revenue attributable to European countriesthe U.S. for the year ended December 31, 20162018 was higher than for the years ended December 31, 2019 primarily due to the recognition of $1,059.8 million from the BMS Collaboration Agreement as described above.

Cost of goods sold (in thousands, except percentages)
 Year Ended December 31, 
Increase/
(Decrease)
2019 vs.
2018
 
Percentage
Increase/
(Decrease)
2019 vs.
2018
 2019 2018  
Cost of goods sold$21,374
 $24,412
 $(3,038) (12)%
Product gross profit(1,257) (3,638) 2,381
 (65)%
Product gross margin(6)% (18)%    
Our strategy is to manufacture and supply polymer reagents to support our proprietary drug candidates or our third-party collaborators where we have a strategic development and commercialization relationship or where we derive substantial economic benefit. We have elected to only enter into and maintain those manufacturing relationships associated with long-term collaboration agreements which include multiple sources of revenue, which we view holistically and in aggregate. We have a predominantly fixed cost base associated with our manufacturing activities. As a result, our product gross profit and margin are significantly impacted by the mix and volume of products sold in each period.
Product gross margin improved for the year ended December 31, 2019 compared to the year ended December 31, 2015 is primarily attributable to decreased milestone and other contingent payments from our existing European based collaboration partners, including the recognition in 2015 of a total of $140.0 million payments from AstraZeneca in connection with its commercial launches of MOVANTIK® described above. The increase in revenue attributable to European countries for the year ended December 31, 2015 compared to the year ended December 31, 2014 is primarily attributable to increased milestone and other

49


contingent payments from our existing European based collaboration partners, including the recognition of the payments from AstraZeneca in connection with its commercial launches of MOVANTIK® described above.  

Cost of goods sold (in thousands, except percentages)

 

 

Year Ended December 31,

 

 

Increase/

(Decrease)

2016 vs.

 

 

Increase/

(Decrease)

2015 vs.

 

 

Percentage

Increase/

(Decrease)

2016 vs.

 

Percentage

Increase/

(Decrease)

2015 vs.

 

 

 

2016

 

 

2015

 

 

2014

 

 

2015

 

 

2014

 

 

2015

 

2014

 

Cost of goods sold

 

$

30,215

 

 

$

34,102

 

 

$

28,533

 

 

$

(3,887

)

 

$

5,569

 

 

 

(11

)%

 

20

%

Product gross profit (loss)

 

 

25,139

 

 

 

6,053

 

 

 

(3,381

)

 

 

19,086

 

 

 

9,434

 

 

> 100

%

> 100

%

Product gross margin

 

 

45

%

 

 

15

%

 

 

(13

)%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cost of goods sold decreased during the year ended December 31, 2016 compared to the year ended December 31, 2015 primarily due to the mix of product sales, which resulted in decreases to cost of goods sold even though product sales increased during the same period. Cost of goods sold during the year ended December 31, 2015 increased compared to the year ended December 31, 2014 primarily due to the increase in product sales of $15.0 million in the year ended December 31, 2015 compared to the year ended December 31, 2014.  

The improvement in product gross profit and product gross margin during the years ended December 31, 2016 and 2015 compared to the years ended December 31, 2015 and 2014, respectively, is2018 primarily due to a more favorable product mix.mix in 2019 compared to 2018. In particular, the increased demand from our collaboration partners in 2016 and 2015 results in product sales where we have a relatively higher gross margin. This increased margin is partially offset by a manufacturing arrangement with anothera partner that includes a fixed price which is less than the fully burdened manufacturing cost for the reagent, and we expect this situation to continue with this partner in future years. There were fewer shipments to this partner relative to shipments to other customers during the years ended December 31, 2016 and 20152019 compared to the years ended December 31, 2015 and 2014, respectively.2018. In addition to product sales from reagent materials supplied to the partner where our sales are less than our fully burdened manufacturing cost, we also receive royalty revenue from this collaboration. In the years ended December 31, 2016, 20152019 and 2014,2018, the royalty revenue from this collaboration exceeded the related negative gross profit.

We expect product gross margin to continue to fluctuate in future periods depending on the level and mix of manufacturing orders from our customers due to the predominantly fixed cost base associated with our manufacturing activities.customers. We currently expect product gross margin to decrease significantlybe negative in 2017 as compared to 2016 and gross margin may approximate breakeven in 20172020 as a result of the anticipated decrease inunfavorable product sales from our collaboration partner Ophthotech asmix described above.

Research and development expense (in thousands, except percentages)

 

 

Year Ended December 31,

 

 

Increase/

(Decrease)

2016 vs.

 

 

Increase/

(Decrease)

2015 vs.

 

 

Percentage

Increase/

(Decrease)

2016 vs.

 

 

Percentage

Increase/

(Decrease)

2015 vs.

 

 

 

2016

 

 

2015

 

 

2014

 

 

2015

 

 

2014

 

 

2015

 

 

2014

 

Research and development expense

 

$

203,801

 

 

$

182,787

 

 

$

147,734

 

 

$

21,014

 

 

$

35,053

 

 

 

11

%

 

 

24

%

 Year Ended December 31,
Increase/
(Decrease)
2019 vs.
2018
 
Percentage
Increase/
(Decrease)
2019 vs.
2018
 2019 2018  
Research and development expense$434,566
 $399,536
 $35,030
 9%
Research and development expense consists primarily of clinical study costs, contract manufacturing costs, direct costs of outside research, materials, supplies, licenses and fees as well as personnel costs (including salaries, benefits, and stock-based compensation). Research and development expense also includes certain overhead allocations consisting of support and facilities-related costs.

Where we perform research and development activities under a clinical joint development collaboration, such as our collaboration with BMS, we record the expense reimbursement from our partners as a reduction to research and development expense, and we record our share of our partners’ expenses as an increase to research and development expense.

Research and development expense increased duringfor the year ended December 31, 20162019 compared to the year ended December 31, 20152018 primarily due to costs incurred in our NKTR-214 clinical development program, including bempegaldesleukin, NKTR-358, NKTR-262 and NKTR-358 pre-clinical programs as well as increased headcount costs,NKTR-255. These increases were partially offset by a decrease in pre-commercial manufacturing and costs related to our ONZEALDTM program costs. ResearchNKTR-181 program. In addition, the increase in research and development expense increased duringfor the year ended December 31, 20152019 compared towith the year ended December 31, 2014 primarily due2018 includes increases in non-cash stock-based compensation and other personnel costs. During the years ended December 31, 2019 and 2018, we recorded net reductions to research and development expense for BMS’ reimbursements of our costs of $105.4 million and $62.5 million, respectively. Under the initiationBMS Collaboration Agreement, BMS generally bears 67.5% of Phase 3 clinical studiesdevelopment costs for NKTR-181bempegaldesleukin in the first quartercombination with Opdivo® and 35% of 2015.

50


costs for manufacturing bempegaldesleukin. Please see Note 10 to our Consolidated Financial Statements for additional information regarding our BMS Collaboration Agreement.


We utilize our employee and infrastructure resources across multiple development and research programs. The following table shows expenses incurred for clinical and regulatory services, clinical supplies, and preclinical study support provided by third parties as well as direct materialscontract manufacturing costs for each of our drug candidates. The table also presents other costs and overhead consisting of personnel, facilities and other indirect costs (in thousands):

 

 

Clinical

 

Year Ended December 31,

 

 

 

Study

Status(1)

 

2016

 

 

2015

 

 

2014

 

NKTR-181 (mu-opioid analgesic molecule for chronic pain)

 

Phase 3

 

$

46,783

 

 

$

45,307

 

 

$

10,558

 

NKTR-214 (cytokine immunostimulatory therapy)

 

Phase 1/2

 

 

16,118

 

 

 

8,637

 

 

 

2,427

 

ONZEALDTM (topoisomerase I inhibitor-polymer conjugate)

 

Phase 3

 

 

14,940

 

 

 

19,295

 

 

 

21,660

 

BAY41-6551 (Amikacin Inhale)(2)

 

Phase 3

 

 

10,995

 

 

 

9,947

 

 

 

14,412

 

NKTR-358

 

Pre-clinical

 

 

5,695

 

 

 

132

 

 

 

155

 

Other product candidates

 

Various

 

 

3,666

 

 

 

5,993

 

 

 

8,664

 

Total third party and direct materials costs

 

 

 

 

98,197

 

 

 

89,311

 

 

 

57,876

 

Personnel, overhead and other costs

 

 

 

 

84,563

 

 

 

77,752

 

 

 

75,693

 

Stock-based compensation and depreciation

 

 

 

 

21,041

 

 

 

15,724

 

 

 

14,165

 

Research and development expense

 

 

 

$

203,801

 

 

$

182,787

 

 

$

147,734

 

 
Clinical
Study
Status(1)
 Year Ended December 31,
  2019 2018
Bempegaldesleukin (CD122-preferential IL-2 pathway agonist)(2)
Phase 1/2/3 $109,355
 $98,024
NKTR-181 (orally-available mu-opioid analgesic molecule)(3)
Terminated 29,830
 56,272
NKTR-358 (cytokine Treg stimulant)Phase 1 27,319
 17,002
ONZEALDTM (next-generation topoisomerase I inhibitor)
Terminated 12,733
 9,205
NKTR-255 (IL-15 receptor agonist)Phase 1 12,278
 12,981
NKTR-262 (toll-like receptor agonist)Phase 1 11,379
 9,847
Other product candidatesVarious 18,585
 3,608
Total clinical development, contract manufacturing and other third party costs  221,479
 206,939
Personnel, overhead and other costs(4)
  141,719
 130,837
Stock-based compensation and depreciation  71,368
 61,760
Research and development expense  $434,566
 $399,536

(1)

(1)Clinical Study Status definitions are provided in the chart found in Part I, Item 1. Business.

(2)

We partnered this program with Bayer Healthcare LLC in August 2007. As part of

(2)Development expenses for bempegaldesleukin include expenses under the Novartis Pulmonary Asset Sale in 2008, we retained an exclusive license to this technologyBMS Collaboration Agreement, other collaboration agreements and our own independent studies. The amounts for the years ended December 31, 2019 and 2018 include $70.5 million and $47.1 million, respectively, of development and commercializationcost reimbursements from BMS under our collaboration, net of this drug candidate.

our share of BMS’ costs.

(3)As described in Note 14 to our Consolidated Financial Statements, we withdrew our NDA for NKTR-181 and will make no further investment in the program. As a result, in the first quarter of 2020, we expect to incur charges of $45.0 million to $45.0 million, including noncash charges of $19.7 million for the impairment of advance payments to contract manufacturers for commercial batches of NKTR-181, as well as other charges, primarily for non-cancellable commitments to our contract manufacturers and certain severance costs.
(4)The amounts for the year ended December 31, 2019 and 2018 include $34.9 million and $15.6 million of employee cost reimbursements from BMS under our collaboration.

We expect research and development expense to continue to increase in 2017for 2020 compared to 2016.2019 primarily as a result of the development of bempegaldesleukin under the BMS Collaboration Agreement. In 2017,addition, we planare collaborating with Lilly to continuedevelop NKTR-358, and expandLilly will begin additional studies in 2020, for which we are responsible for 25% of costs. We are continuing to enroll patients in a broaddose-escalation Phase 1/2 clinical development programstudy for NKTR-214NKTR-262 in combination with other immune-oncology therapies including but not limited to Opdivo®bempegaldesleukin. We will continue our Phase 1 dose-escalation studies for NKTR-255 in collaboration with BMS. For NKTR-358, we have filed an IND with the FDAmultiple myeloma and plan to begin clinical studies in the near-term.non-Hodgkin lymphoma. The timing and amount of our future clinical investments in NKTR-214 and NKTR-358 will vary significantly based upon our evaluation of ongoing clinical results and the structure, timing, and scope of potential collaboration partnerships (if any) for these programs. If our NKTR-181 Phase 3 efficacy study results are positive, we plan to pursue a collaboration to secure a development and commercialization partner to fund further development for NKTR-181 through direct program funding, up-front payments, milestones, or a combination thereof. In connection with our European Union collaboration partnership with Daiichi-Sankyo and our filing of a conditional approval application for ONZEALDTM with the European Medicines Agency in June 2016, we have initiated a Phase 3 confirmatory study of ONZEALDTM to support our conditional approval application.  In addition, we planexpect non-cash stock-based compensation expense to continue to make substantial investments to support the clinical and commercial manufacturing preparation and scale-up for the nebulizer devices to supply Bayer for the Amikacin Inhale program. Under our collaboration agreement with Bayer for Amikacin, we are responsible for all clinical and commercial supply of the nebulizer devices for this drug candidate and we will continue to fund our contractual obligation to support manufacturing activities for the Amikacin Inhale program.

increase in 2020.

In addition to our drug candidates that we plan to haveevaluate in clinical development during 20172020 and beyond, we believe it is vitally important to continue our substantial investment in a diverse pipeline of new drug candidates to continue to build the value of our drug candidate pipeline and our business. Our discovery research organization is identifying new drug candidates by applying our polymer conjugationconjugate technology platform to a wide range of molecule classes, including small molecules and large proteins, peptides and antibodies, across multiple therapeutic areas. We plan to continue to advance our most promising early research drug candidates into preclinical development with the objective to advance these early stage research programs to human clinical studies over the next several years.

Our expenditures on current and future preclinical and clinical development programs are subject to numerous uncertainties in timing and cost to completion. In order to advance our drug candidates through clinical development, each drug candidate must be tested in numerous preclinical safety, toxicology and efficacy studies. We then conduct clinical studies for our drug candidates that take several years to complete. The cost and time required to complete clinical trials may vary significantly over the life of a clinical development program as a result of a variety of factors, including but not limited to:

the number of patients required for a given clinical study design;


the length of time required to enroll clinical study participants;

the number and location of sites included in the clinical studies;

51


the clinical study designs required by the health authorities (i.e. primary and secondary endpoints as well as the size of the study population needed to demonstrate efficacy and safety outcomes);

the potential for changing standards of care for the target patient population;

the competition for patient recruitment from competitive drug candidates being studied in the same clinical setting;

the costs of producing supplies of the productdrug candidates needed for clinical trials and regulatory submissions;

the safety and efficacy profile of the drug candidate;

the use of clinical research organizations to assist with the management of the trials; and

the costs and timing of, and the ability to secure, approvals from government health authorities.

Furthermore, our strategy includes the potential of entering into collaborations with third parties to participate in the development and commercialization of some of our drug candidates such as those collaborations that we have already completed for bempegaldesleukin, NKTR-358 and MOVANTIK® and Amikacin Inhale.. In thesecertain situations, the clinical development program and process for a drug candidate and the estimated completion date will largely be under the control of that third party and not under our control. We cannot forecast with any degree of certainty which of our drug candidates will be subject to future collaborations or how such arrangements would affect our development plans or capital requirements.

The risks and uncertainties associated with our research and development projects are discussed more fully in Item 1A . Risk Factors. As a result of the uncertainties discussed above, we are unable to determine with any degree of certainty the duration and completion costs of our research and development projects, anticipated completion dates or when and to what extent we will receive cash inflows from a collaboration arrangement or the commercialization of a drug candidate.

General and administrative expense (in thousands, except percentages)

 

 

Year Ended December 31,

 

 

Increase/

(Decrease)

2016 vs.

 

 

Increase/

(Decrease)

2015 vs.

 

 

Percentage

Increase/

(Decrease)

2016 vs.

 

 

Percentage

Increase/

(Decrease)

2015 vs.

 

 

 

2016

 

 

2015

 

 

2014

 

 

2015

 

 

2014

 

 

2015

 

 

2014

 

General and administrative expense

 

$

44,275

 

 

$

43,266

 

 

$

40,925

 

 

$

1,009

 

 

$

2,341

 

 

 

2

%

 

 

6

%

 Year Ended December 31,
Increase/
(Decrease)
2019 vs. 2018
 
Percentage
Increase/
(Decrease)
2019 vs.
2018
 2019 2018  
General and administrative expense$98,712
 $81,443
 $17,269
 21%
General and administrative expense includes the cost of administrative staffing, business development, marketing, finance, and legal activities. General and administrative expense increased marginally during the year ended December 31, 2016 compared to the year ended December 31, 2015. General and administrative expense increased during the year ended December 31, 2015 compared to the year ended December 31, 2014 primarily due to a $3.0 million payment obligation related to the settlement of a commercial litigation matter. In 2017, we expect general and administrative expenses to increase compared to 2016.  

Interest expense (in thousands except percentages)

 

 

Year Ended December 31,

 

 

Increase/

(Decrease)

2016 vs.

 

 

Increase/

(Decrease)

2015 vs.

 

 

Percentage

Increase/

(Decrease)

2016 vs.

 

 

Percentage

Increase/

(Decrease)

2015 vs.

 

 

 

2016

 

 

2015

 

 

2014

 

 

2015

 

 

2014

 

 

2015

 

 

2014

 

Interest expense

 

$

22,468

 

 

$

18,282

 

 

$

17,869

 

 

$

4,186

 

 

$

413

 

 

 

23

%

 

 

2

%

Non-cash interest expense on

   liability related to sale of future royalties

 

$

19,712

 

 

$

20,619

 

 

$

20,888

 

 

$

(907

)

 

$

(269

)

 

 

(4

)%

 

 

(1

)%

Interest expense for the year ended December 31, 2016 increased2019 compared towith the year ended December 31, 20152018 primarily due to increased commercialization readiness activities for NKTR-181 and non-cash stock based compensation expense, as well as other costs related to personnel, facilities and outside services. We expect general and administrative expense in 2020 to increase compared to 2019 primarily due to increased personnel costs as we begin a stage appropriate build of our secured notes transaction completed in October 2015. commercial capability to launch and co-commercialize bempegaldesleukin with BMS as early as 2021.

Interest expense (in thousands, except percentages)
 Year Ended December 31,Increase/
(Decrease)
2019 vs.
2018
 Percentage Increase/
(Decrease)
2019 vs.
2018
 2019 2018  
Interest expense$21,310
 $21,582
 $(272) (1)%
Interest expense for the yearyears ended December 31, 2015 increased marginally compared to the year ended December 31, 2014. As is2019 and 2018 primarily consists of interest from our senior secured notes which, as further described in Note 5 to our Consolidated Financial Statements, onwere issued in October 5, 2015 we issuedfor $250.0 million in aggregate principal amount at a rate of 7.75% senior secured notesand which are due in October 2020 and used a portion of the proceeds from these notes to redeem the $125.0 million in aggregate principal amount of 12.0% senior secured notes due July 2017.2020. Interest on the 7.75% senior secured notes is calculated based on actual days outstanding over a 360 day year. We expect interestInterest expense in 2017 to beis consistent with 2016.

52


Non-cash interest expense on the liability related to sale of future royalties for the years ended December 31, 20162019 and 2015 decreased marginally as2018.


We expect interest expense to decrease in 2020 compared to the years ended December 31, 2015 and 2014, respectively,2019 due to the decreaserepayment of our senior notes, which we expect to redeem in 2016the second quarter of 2020.
Non-Cash Royalty Revenue and 2015, respectively,Non-Cash Interest Expense
 Year Ended December 31, Increase/
(Decrease)
2019 vs. 2018
 Percentage
Increase/
(Decrease)
2019 vs. 2018
 2019 2018    
Non-cash royalty revenue related to sale of future royalties$36,303
 $33,308
 $2,995
 9%
Non-cash interest expense on liability related to sale of future royalties25,044
 21,196
 3,848
 18%
For a discussion of the average balancesale of the related liability as that liability balance amortizes. On February 24, 2012, we sold all of our rights to receive future royalty payments onroyalties for CIMZIA® and MIRCERA® in exchange for $124.0 million. As described in, see Note 7 to our Consolidated Financial Statements, thisStatements.
As discussed in Note 7, we continue to recognize non-cash royalty sale transaction has been recorded as a liability that amortizesrevenue, which increased for the year ended December 31, 2019 compared to the year ended December 31, 2018 due to increases in sales of CIMZIA® and MIRCERA®. Non-cash interest expense increased for the year ended December 31, 2019 compared the year ended December 31, 2018 due to an increase in the estimated implicit interest rate over the estimated royalty payment period as CIMZIA® and MIRCERA® royalties are remitted directlylife of the transaction. When forecasted future revenues rise, this results in an increase to the purchaser. We imputeestimated implicit interest onrate over the life of the transaction, which, in turn, increases the prospective effective interest rate in the current and recordfuture periods.
We recognized non-cash interest expense at an effective rate of 21% for the first three quarters of 2018. We recognized non-cash interest expense at an effective rate to 29% from the fourth quarter of 2018 through the first three quarters of 2019, reflecting an increase in the estimated implicit interest rate over the life of the agreement from 17.6% to approximately 18.7% due to increases in the forecasted sales of MIRCERA®. During the fourth quarter of 2019, we recognized non-cash interest expense an effective rate to 38%, which we also expect to use during 2020, reflecting an increase in the estimated implicit interest rate over the life of the agreement from 18.7% to approximately 19.5% due to increases in the forecasted sales of CIMZIA® and MIRCERA®.
Over the term of this arrangement, the net proceeds of the transaction of $114.0 million, consisting of the original proceeds of $124.0 million, net of $10.0 million in payments from us to RPI, is amortized as the difference between the non-cash royalty revenue and the non-cash interest expense. To date, we have amortized $40.4 million of the net proceeds. We periodically assess future non-cash royalty revenues, and we may adjust the prospective effective interest rate which we currently estimate to be approximately 17%.based on our best estimates of future non-cash royalty revenue such that future non-cash interest expense will amortize the remaining $73.6 million of the net proceeds. There are a number of factors that could materially affect theour estimated interest rate, in particular, the amount and timing of royalty payments from future net sales of CIMZIA® and MIRCERA®, and we will assess this estimate on a periodic basis.. As a result, future interest rates could differ significantly, and we will adjust any such change in interest rate will be adjusted prospectively. Unless we adjust our estimated interest rate prospectively.
We expect non-cash royalty revenues for 2020 to be consistent with 2019 , and we also expect non-cash interest expense on the liability relatedfor 2020 to sale of future royalties for 2017increase compared to decrease marginally compared with 20162019 as a result of the decreasing royalty liability balance.

Loss on Extinguishmentincrease in the effective interest rate during the fourth quarter of Debt

As a result of the secured note financing transaction in October 2015 discussed above, in2019 as noted above.

Interest Income and Other Income (Expense), net (in thousands, except percentages)
 Year Ended December 31, 
Increase/
(Decrease)
2019 vs. 2018
 
Percentage
Increase/
(Decrease)
2019 vs. 2018
 2019 2018    
Interest income and other income (expense), net$46,335
 $37,571
 $8,764
 23%
Interest income and other income (expense), net increased for the year ended December 31, 2015, we recognized a $14.1 million loss on extinguishment of our 12% notes, which consists of a $11.3 million redemption premium payment, $1.2 million of incremental interest paid at redemption2019 compared to the 12% note holdersyear ended December 31, 2018, primarily due to increased interest income resulting from a higher interest rate on our investment balances and higher average investments balances due to the $1.85 billion received in April 2018 from BMS under the BMS

Collaboration Agreement and the write-offShare Purchase Agreement. We expect that our interest income and other income (expense), net will decrease for 2020 compared to 2019 due to lower investments balances which have been utilized to fund our operations.
Income Tax Expense
 Year Ended December 31, Increase/
(Decrease)
2019 vs. 2018
 Percentage
Increase/
(Decrease)
2019 vs. 2018
 2019 2018    
Provision for income taxes$613
 $1,412
 $(799) (57)%
For the year ended December 31, 2019, our income tax expense primarily results from taxable income in our Nektar India subsidiary. For the year ended December 31, 2018, as a result of $1.6 milliontaxable income in the U.S. and India resulting primarily from income recognized from the upfront payment from BMS, we recorded a global income tax provision, resulting in an effective tax rate of unamortized issuance costsapproximately 0.2%. Our tax provision resulted from estimated tax liabilities in certain states where we do not have sufficient net operating losses to offset our estimated apportioned taxable income, as well taxable income from our Nektar India operations.
Our income tax expense in the U.S. for the year ended December 31, 2018 was based on certain assumptions and other estimates regarding the 12% notes.

apportionment of taxable income and the states in which we have nexus in 2018. Our apportionment of taxable income includes estimates of the apportionment of the BMS upfront payment based on estimates of activities to be carried out under the collaboration agreement with BMS, as well as the apportionment of other sources of income. Our income tax expense reflects the release of the valuation allowance of net operating loss carryforwards and other tax credits to offset U.S. federal and state taxable income. Our remaining deferred tax assets continue to be fully reserved, as we believe it is not more likely than not that the benefit of such assets will be realized in the future.

Due to our expected net loss in 2020, we expect income tax expense to be consistent with 2019 and reflect taxable income for our Nektar India operations.
Liquidity and Capital Resources

We have financed our operations primarily through revenue from product sales,upfront and milestone payments under our strategic collaboration agreements, royalties and strategic collaboration agreements,product sales, as well as public offering and private placements of debt and equity securities. At December 31, 2016,2019, we had approximately $389.1 million$1.6 billion in cash and investments in marketable securities. Also, assecurities and had debt of December 31, 2016, we had $255.1 million in debt, including $250.0 million in principal of senior secured notes and $5.1 million of capital lease obligations. As describeddue in Note 9 to our Consolidated Financial Statements, on October 24, 2016, we completed a public offering of common stock with net proceeds of approximately $189.3 million.  

2020.

We estimate that we have working capital to fund our current business plans through at least through March 1, 2018.2021. We expect the clinical development of our proprietary drug candidates including NKTR-181, Amikacin Inhale, ONZEALDTM, NKTR-214,bempegaldesleukin, NKTR-358, NKTR-262 and NKTR-358,NKTR-255 will continue to require significant investment in order to continue to advance in clinical development with the objective of entering into a collaboration partnership or obtaining regulatory approval. However, we have no credit facility or any other sources of committed capital. In the past, we have received a number of significant payments from collaboration agreements and other significant transactions. In April 2018, we received a total of $1.85 billion from BMS including a $1.0 billion upfront payment and an $850.0 million premium investment in our common stock. In July 2017, we entered into a collaboration agreement for NKTR-358 with Lilly, under which we received a $150.0 million upfront payment. In the future, we expect to continue to receive increasing royalties from commercial sales of products such as MOVANTIK®, MOVENTIG® and ADYNOVATE® as they continue to increase sales after their recent product launches and potential substantial payments from our collaboration agreements with BMS and Lilly and other existing and future collaboration transactions if drug candidates in our pipeline achieve positive clinical or regulatory outcomes. In particular, under the BMS Collaboration Agreement, we are entitled to $1.455 billion of clinical, regulatory and commercial launch milestones, $650.0 million of which are associated with approval and launch of bempegaldesleukin in its first indication in the U.S., EU and Japan (subject to $100.0 million in creditable payments based on clinical milestones that could occur prior to the approval and launch of bempegaldesleukin). As a result, whether and when bempegaldesleukin is approved in any indication will have a significant impact on our future liquidity and capital resources. We have no credit facility or any other sources of committed capital.
Due to the potential for adverse developments in the credit markets, we may experience reduced liquidity with respect to some of our investments in marketable securities. These investments are generally held to maturity, which, in accordance with our investment policy, is less than two years. However, if the need arises to liquidate such securities before maturity, we may experience losses on liquidation. At December 31, 2019, the average time to maturity of the investments held in our portfolio was approximately [eight months]. To date we have not experienced any liquidity issues with respect to these

securities. We believe that, even allowing for potential liquidity issues with respect to these securities, our remaining cash and investments in marketable securities will be sufficient to meet our anticipated cash needs for at least the next twelve months.
Our current business plan is also subject to significant uncertainties and risks as a result of, among other factors, clinical and regulatory outcomes for bempegaldesleukin, the sales levels of our products, if and when they are approved, the sales levels for those products for which we are entitled to royalties, such as MOVANTIK®, MOVENTIG® and ADYNOVATE®, clinical program outcomes, whether, when and on what terms we are able to enter into new collaboration transactions, expenses being higher than anticipated, unplanned expenses, cash receipts being lower than anticipated, and the need to satisfy contingent liabilities, including litigation matters and indemnification obligations.

The availability and terms of various financing alternatives, if required in the future, substantially depend on many factors including the success or failure of drug development programs in our pipeline, including NKTR-181, Amikacin Inhale, CIPRO DPI, Fovista®, ONZEALDTM, NKTR-214 and NKTR-358, as well as other early stage development programs.pipeline. The availability and terms of financing alternatives and any future significant payments from existing or new collaborations depend on the positive outcome of ongoing or planned clinical studies, whether we or our partners are successful in obtaining regulatory authority approvals in major markets, and if approved, the commercial success of these drugs, as well as general capital market conditions. We willmay pursue various financing alternatives as needed to continue to fund our research and development activities and to fund the expansion of our business as appropriate.

Due to the potential for adverse developments in the credit markets in 2017 and thereafter, we may experience reduced liquidity with respect to some of our investments in marketable securities. These investments are generally held to maturity, which, in accordance with our investment policy, is less than two years. However, if the need arises to liquidate such securities before maturity, we may experience losses on liquidation. At December 31, 2016, the average time to maturity of the investments held in our portfolio was approximately five months and the maturity of any single investment did not exceed one year. To date we have not experienced any liquidity issues with respect to these securities. We believe that, even allowing for potential liquidity issues with respect to these securities, our remaining cash and investments in marketable securities will be sufficient to meet our anticipated cash needs for at least the next twelve months.

53


Cash flows from operating activities

Cash flows used in operating activities for the year ended December 31, 20162019 totaled $117.0$328.7 million, which includes $158.3$319.5 million of net operating cash uses as well as $19.7and $19.2 million for interest payments on our senior secured notes, partially offset by a $10.0 milestone from our collaboration agreement with Baxalta.
Cash flows provided by operating activities for the receipt of $31.0year ended December 31, 2018 totaled $718.2 million, which includes $1,059.8 million of the payments from AstraZeneca related to its sub-license to Kirin,received under the receipt of a $20.0 million upfront paymentBMS Collaboration Agreement in August 2016 from Daiichi Sankyo related to our ONZEALDTM collaboration arrangement in Europe, as well as the receipt ofApril 2018 and a $10.0 million milestone in January 2016payment from our Baxalta collaboration agreement which was recorded in accounts receivable inwith Baxalta, partially offset by $332.1 million of net operating cash uses as well as $19.5 million for interest payments on our Consolidated Balance Sheet at December 31, 2015. senior secured notes.
We expect that cash flows used in operating activities, excluding upfront, milestone and other contingent payments received, if any, will increase in the full year of 20172020 compared to 20162019 primarily as a result of increased research and development expenses.

Cash flows used in operating activities for the year ended December 31, 2015 totaled $73.1 million, which includes $196.3 million of net operating cash uses as well as $18.8 million for interest payments on our senior secured notes, partially offset by the receipt of $142.0 million of milestones and other contingent payments from collaboration agreements.  

Cash flows used in operating activities for the year ended December 31, 2014 totaled $142.0 million, which includes $199.0 million of net operating cash uses as well as $15.0 million for interest payments on our senior secured notes, partially offset by the receipt of $72.0 million of milestones and other contingent payments from collaboration agreements. During the year ended December 31, 2014, we recognized as revenue a $70.0 million payment made to us from AstraZeneca in November 2013.

Cash flows from investing activities

We paid $6.4 million, $11.2$26.3 million and $10.0$14.2 million to purchase or construct property, plant and equipment in the years ended December 31, 2016, 2015,2019 and 2014,2018, respectively. We expect ourThe significant increase in capital expenditures for 2019 is primarily due to the construction of leasehold improvements at our new facility on Third Street as more fully described in 2017 to increase compared to 2016.

Restricted cash of $25.0 million was required to be maintained in a separate account until July 1, 2015 under the termsNote 6 of our 12% senior secured notes due July 2017. This restriction expired on July 1, 2015 andConsolidated Financial Statements. For 2018, we also received $2.6 million from the restricted funds were returned to us.

Cash flows from financing activities

On October 24, 2016, we completed the issuance and sale of 14,950,000 shares of our common stock in an underwritten public offering with total proceeds of approximately $189.7 million after deductingproperty, plant and equipment, primarily from the underwriting commissions and discounts of approximately $12.1 million. In addition, we incurred approximately $0.4 million in legal and accounting fees, filing fees, and other costs in connection with this offering.

On October 5, 2015, we issued $250.0 million in aggregate principal amount of 7.75% senior secured notes due 2020. The notes bear interest at a rate of 7.75% per annum payable in cash quarterly in arrears on January 15, April 15, July 15, and October 15 of each year. In connection with the issuance of the notes, we paid $8.7 million of transaction and facility fees paid to the purchasers of the notes and other direct costs, which were capitalized as a debt discount and issuance costs and are recorded as a reduction to the note payable liability. On October 5, 2015, we used a portion of the proceeds from these notes to redeem the $125.0 million in aggregate principal amount of 12.0% senior secured notes due in 2017. In addition, on October 5, 2015, we paid accrued interest of $3.3 million and made a $12.5 million redemption payment, which includes $1.2 million additional interest paid to the 12% note holders at redemption.  

On January 28, 2014, we completed the issuance and sale of 9,775,000 shares of our common stocka former research facility in a public offering with total proceeds of approximately $117.2 million after deducting the underwriting commissions and discounts of approximately $7.5 million. In addition, we incurred approximately $0.6 million in legal and accounting fees, filing fees, and other costs in connection with this offering.

On February 24, 2012, we sold all of our rights to receive future royalty payments on CIMZIA® and MIRCERA® in exchange for $124.0 million. DuringHuntsville, Alabama.

For the year ended December 31, 2014,2018, we madepurchased $1.4 billion of investments in debt securities, net of maturities of investments, primarily as a paymentresult of $7.0the $1.85 billion received in April 2018 from BMS under the BMS Collaboration Agreement and the Share Purchase Agreement.
Cash flows from financing activities
As described in Note 10 to our Consolidated Financial Statements, we received $850.0 million for the issuance of our common stock to the purchaserBMS under our Share Purchase Agreement in April 2018, of these royalties becausewhich we recorded $790.2 million in equity as a certain minimum MIRCERA® net sales threshold was not met. The remaining $108.6 million royalty obligation liability at December 31, 2016 will not be settled in cash.

financing activity.

We received proceeds from issuance of common stock related to our employee option and stock purchase plans of $20.3 million, $32.2$23.4 million and $47.0$61.7 million in the years ended December 31, 2016, 2015,2019 and 2014,2018, respectively.

54


During 2020, we expect to repay the $250.0 million in principal of our senior notes.

Contractual Obligations (in thousands)

 

 

Payments Due by Period

 

 

 

Total

 

 

<=1 Yr

2017

 

 

2-3 Yrs

2018-2019

 

 

4-5 Yrs

2020-2021

 

 

2022+

 

Obligations(1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.75% senior secured notes due October 2020, including

   interest

 

$

328,576

 

 

$

19,644

 

 

$

39,288

 

 

$

269,644

 

 

$

 

Operating leases(2)

 

 

16,020

 

 

 

5,037

 

 

 

10,531

 

 

 

452

 

 

 

 

Capital leases, including interest(3)

 

 

5,610

 

 

 

3,271

 

 

 

2,339

 

 

 

 

 

 

 

Purchase commitments(4)

 

 

5,772

 

 

 

5,772

 

 

 

 

 

 

 

 

 

 

 

 

$

355,978

 

 

$

33,724

 

 

$

52,158

 

 

$

270,096

 

 

$

 

 Payments Due by Period
 Total 
<=1 Yr
2020
 
2-3 Yrs
2021-2022
 
4-5 Yrs
2023-2024
 2025+
Obligations(1)
         
7.75% senior secured notes due October 2020, including interest (2)
$269,106
 $269,106
 $
 $
 $
Operating leases(3)
237,072
 16,832
 43,738
 46,498
 130,004
Purchase commitments(4)
25,819
 25,819
 
 
 
 $531,997
 $311,757
 $43,738
 $46,498
 $130,004

(1)

(1)The above table does not include certain commitments and contingencies which are discussed in Note 8 of Item 8.to our Consolidated Financial Statements and Supplementary Data.

Statements.

(2)

In November 2010, we moved into our Mission Bay Facility, which includes our corporate headquarters and a research and development center. Under

(2)The amount reflects the termsrepayment of the subleaseprincipal and interest payments through the maturity of the Notes in October 2020. However, we entered into with Pfizer Inc. on September 30, 2009 forexpect to redeem the Mission Bay Facility, we began making non-cancelable lease paymentsNotes in 2014. The sublease is discussed in Note 6the second quarter of Item 8. Financial Statements2020 and Supplementary Data.

therefore expect to pay interest only through the redemption date.

(3)

(3)These amounts primarily result from our purchase of manufacturing equipment supportingMission Bay Facility and Third Street Facility leases, which both expire in 2030. The leases are discussed in Note 6 to our Amikacin Inhale program.

Consolidated Financial Statements. Our commitment for the Third Street Facility lease includes certain fixed amounts payable that we have excluded from our lease commitment disclosed in Note 6 to our Consolidated Financial Statements.

(4)

(4)Substantially all of this amount was subject to open purchase orders as of December 31, 20162019 that were issued under existing contracts. This amount does not represent any minimum contract termination liabilities for our existing contracts.

Off Balance Sheet Arrangements

We do not utilize off-balance sheet financing arrangements as a source of liquidity or financing.

Critical Accounting Policies

The preparation and presentation of financial statements in conformity with U.S. generally accepted accounting principles (GAAP) requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period.

We base our estimates on historical experience and on various other assumptions that we believe to be reasonable under the circumstances, the results of which form our basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources, and evaluate our estimates on an ongoing basis. Actual results may differ materially from those estimates under different assumptions or conditions. We have determined that for the periods in this report, the following accounting policies and estimates are critical in understanding our financial condition and the results of our operations.

Collaborative Arrangements
When we enter into collaboration agreements with pharmaceutical and biotechnology partners, we assess whether the arrangements fall within the scope of Accounting Standards Codification (ASC) 808, Collaborative Arrangements (ASC 808) based on whether the arrangements involve joint operating activities and whether both parties have active participation in the arrangement and are exposed to significant risks and rewards. To the extent that the arrangement falls within the scope of ASC 808, we assess whether the payments between us and our collaboration partner fall within the scope of other accounting literature. If we conclude that payments from the collaboration partner to us represent consideration from a customer, such as license fees and contract research and development activities, we account for those payments within the scope of ASC 606, Revenue from Contracts with Customers. However, if we conclude that our collaboration partner is not a customer for certain activities and associated payments, such as for certain collaborative research, development, manufacturing and commercial activities, we record such payments as a reduction of research and development expense or general and administrative expense, based on where we record the underlying expense.

Revenue Recognition

License,

We recognize license, collaboration and other research revenue is recognized based on the facts and circumstances of each contractual agreement and includes amortization of upfront fees. We defer income under contractual agreements when we have further obligations that indicate that a separate earnings process has not been completed. The amountrecognition of upfront fees and other payments received under our license and collaboration agreements that are allocated to our continuing obligations are recognized ratably over our expected performance period under each arrangement. Management makes its best estimate of the period over which we expect to fulfill our performance obligations, which may include technology transfer assistance, research and development activities, or manufacturing activities through the completion of clinical development or the termination or expiration of the collaboration agreement. Given the complexities and uncertainties of collaboration arrangements, significant judgment is required by management to determine the duration of the performance period.

As of December 31, 2016, we had $21.7 million of deferred upfront fees related to two collaboration agreements that include research and development obligations that are being amortized over 5 to 22 years, or an average of approximately 13 years. For our collaboration agreements, our performance obligations may span the life of the agreement. For these, the shortest reasonable period is the end of the development period (estimated to be 4 to 8 years) and the longest period is the contractual life of the agreement, which is generally 10-12 years from the first commercial sale. Given the statistical probability of drug development success in the bio-pharmaceutical industry, drug development programs have only a 5% to 10% probability of reaching commercial success. If we had determined a longer or shorter amortization period was appropriate, our annual upfront fee amortization for these agreements could

55


have been as low as $2 million or as high as $11 million as compared to the approximately $2.0 million recognized in the year ended December 31, 2016.

As of December 31, 2016, we also had $41.3 million of deferred upfront fees related to six license, manufacturing and supply agreements that are being amortized over periods from 3 to 15 years. Our performance obligations for these agreements may include technology transfer assistance and/or back-up manufacturing and supply services for a specified period of time; therefore, the time estimated to complete the performance obligations related to licenses is either specified or is much shorter than the collaboration agreements. We may experience delays in the execution of technology transfer plans, which may result in a longer amortization period for applicable agreements.

Our original estimates are periodically evaluated to determine if circumstances have caused the estimates to change and if so, amortization of revenue is adjusted prospectively.

In addition, atmilestone payments. At the inception of each new multiple-element arrangement oragreement, we determine which promises represent distinct performance obligations, for which management must use significant judgment. Additionally, at inception and at each reporting date thereafter, we must determine and update, as appropriate, the material modificationtransaction price, which includes variable consideration such as development milestones. We must use judgment to determine when to include variable consideration in the transaction price such that inclusion of an existing multiple-element arrangement, wesuch variable consideration will not result in a significant reversal of revenue recognized when the contingency surrounding the variable consideration is resolved. We must also allocate the arrangement consideration to all units of accountingperformance obligations based on their relative standalone selling prices, which we generally base on our best estimates and which require significant judgment. For example, in estimating the relativestandalone selling price method, generallyprices for granting licenses for our drug candidate, our estimates may include revenue forecasts, clinical development timelines and costs, discount rates and probabilities of clinical and regulatory success. For performance obligations satisfied over time, we recognize revenue based on our best estimateestimates of selling price (ESP). The objectiveexpected future costs or other measures of ESP is to determine the price at which we would transact a sale if the product or service was sold on a stand-alone basis. progress.

Accrued Clinical Trial Expenses
We determine ESPrecord an accrued expense for the elements in our collaboration arrangements by considering multiple factors including, but not limited to, technical complexity of the performance obligation and similarity of elements to those performed under previous arrangements. Since we apply significant judgment in arriving at the ESPs, any material changes would significantly affect the allocation of the total consideration to the different elements of a multiple element arrangement.

Clinical Trial Accruals

We record accruals for the estimated unbilled costs of our clinical study activities performed by third parties. The financial terms of these agreements are subject to negotiation, vary from contract to contract and may result in uneven payment flows to our vendors. Payments under the contracts depend on factors such as the achievement of certain events, successful enrollment of patients and completion of portions of thecertain clinical trial or similar conditions.activities. We generally accrue costs associated with the start-up and reporting phases of the clinical studiestrials ratably over the estimated duration of the start-up and reporting phases. We generally accrue costs associated with the treatment phase of clinical studiestrials based on the estimated activities performed by our third parties. We may also accrue expenses based on the total estimated cost of the treatment phase on a per patient basis and we expense the per patient cost ratably over the estimated patient treatment period based on patient enrollment in the studies.trials. In specific circumstances, such as for certain time-based costs, we recognize clinical trial expenses using a methodology that we consider to be more reflective of the timing of costs incurred.

Advance payments for goods or services that will be used or rendered for future research and development activities are capitalized as prepaid expenses and recognized as expense as the related goods are delivered or the related services are performed. We base our estimates on the best information available at the time. However, additional information may become available to us which may allow us to make a more accurate estimate in future periods. In this event, we may be required to record adjustments to research and development expenses in future periods when the actual level of activity becomes more certain. Such increases or decreases in cost are generally considered to be changes in estimates and will be reflected in research and development expenses in the period first identified.

Stock-Based Compensation

Accrued Contract Manufacturing Expenses
We use the Black-Scholes option pricing modelrecord accruals for each respective grant to determine the estimated fair valueunbilled costs of stock options on the dateour contract manufacturing activities performed by third parties. The financial terms of grant (grant date fair value).  We expense the estimated fair value of each award, as adjusted by the estimated historical forfeiture rate, ratably over the expected service period of the award. The Black-Scholes option pricing model requires the input of highly subjective assumptions. These variables include, butthese agreements are not limitedsubject to negotiation, vary from contract to contract and may result in uneven payment flows to our stock price volatility overvendors. Payments under the term of the awards,contracts include upfront payments and actual and projected employee stock option exercise behaviors. Because our employee stock options have characteristics significantly different from those of traded options, and because changes in the subjective input assumptions can materially affect fair value estimates, in management’s opinion, the existing models may not provide a reliable single measure of the fair value of our employee stock options. Management continually assesses the assumptions and methodologies used to calculate the estimated fair value of stock-based compensation. In addition, for awards that vest uponmilestone payments, which depend on factors such as the achievement of performance milestones,the completion of certain stages of the manufacturing process. For purposes of recognizing expense, we estimateassess whether we consider the awards will vestproduction process sufficiently defined to be considered the delivery of a good, as evidenced by predictive or contractually required yields, or the delivery of a service, where processes and yields are developing and less certain. If we consider the vesting periodprocess to be the delivery of a good, we recognize expense when the drug product is delivered, or we otherwise bear risk of loss. If we consider the process to be the delivery of a service, we recognize expense based on our evaluationbest estimates of the probabilitycontract manufacturer’s progress towards completion of achievement of each respective milestone and the related estimated date of achievement. Circumstances may change andstages in the contract. We base our estimates on the best information available at the time. However, additional datainformation may become available over time,to us which could resultmay allow us to make a more accurate estimate in changes to the assumptions and methodologies, and which could materially impact our fair value determination, as well as our stock-based compensation expense.

Non-cash Interest Expense on Liability Related to Sale of Future Royalties

future periods. In February 2012,this event, we sold all of our rights to receive future royalty payments from sales of the CIMZIA® and MIRCERA® drug products marketed by UCB and Roche, respectively. Although we aremay be required to make paymentsrecord adjustments to research and development expenses in future periods when the purchaser (RPI)actual level of activity becomes more certain. In certain circumstances, we may be entitled to reductions of amounts due under these arrangements if delivery is delayed or the yield from the production process is lower than expected. Given the uncertainties with such reductions, we may only recognize such decrease when the contract manufacturer agrees with such reduction. Such increases or decreases in certain situations, including the event of our breach of a representation, warranty or covenantcost are generally considered to be changes in estimates and will be reflected in research and development expenses in the Purchase and Sale Agreement that gives rise to a liability in accordance with the terms and conditions of such agreement, this royalty sale transaction was recorded as a

56


liability (Royalty Obligation) that we will amortize using the interest method over the estimated life of the Purchase and Sale Agreement. As a result, we impute interest on the transaction and record interest expense at the estimated interest rate. Our estimate of the interest rate under the agreement is based on the amount of royalty payments to be received by RPI over the life of the arrangement and payments we are required to make to RPI under the agreement. We will periodically assess the expected royalty payments to RPI from UCB and Roche using a combination of historical results and forecasts from market data sources. To the extent such payments are greater or less than our initial estimates or the timing of such payments is materially different than our original estimates, we will prospectively adjust the amortization of the Royalty Obligation. There are a number of factors that could materially affect the amount and timing of royalty payments from CIMZIA® and MIRCERA®, most of which are not within our control. Such factors include, but are not limited to, changing standards of care, the introduction of competing products, manufacturing or other delays, biosimilar competition, intellectual property matters, adverse events that result in health authority imposed restrictions on the use of the drug products, significant changes in foreign exchange rates as the royalties remitted to RPI are made in U.S. dollars (USD) while significant portions of the underlying sales of CIMZIA® and MIRCERA® are made in currencies other than USD, and other events or circumstances that result in reduced royalty payments from CIMZIA® and MIRCERA®, all of which would result in a reduction of non-cash royalty revenue and non-cash interest expense over the life of the Royalty Obligation. Conversely, if sales of CIMZIA® and MIRCERA® are higher than expected, non-cash royalty revenue and non-cash interest expense would be greater over the term of the Royalty Obligation. If we had determined that the interest rate used in 2016 should have been one percentage point higher than our current estimate of 17%, the non-cash interest expense recognized in the year ended December 31, 2016 would have increased by $1.2 million.

period identified.

Recent Accounting Pronouncements

In May 2014,November 2018, the FASB issued guidance codified inFinancial Accounting Standards Codification (ASC)Board (FASB) issued Accounting Standards Update 2018-18: Clarifying the Interaction between Topic 808 and Topic 606 Revenue Recognition — Revenue(ASU 2018-18). The guidance clarifies that certain transactions between collaborative arrangement participants should be accounted for as revenue under ASC 606 when the collaborative

arrangement participant is a customer for a promised good or service that is distinct within the collaborative arrangement. The guidance also precludes entities from Contractspresenting amounts related to transactions with Customers, which amends the guidance in former ASC 605, Revenue Recognition, anda collaborative arrangement participant that is effective for public companies for annual and interim periods beginning after December 15, 2017. Numerous updates have been issued subsequentnot a customer as revenue, unless those transactions are directly related to the initial FASB guidance that provide clarification on a number of specific issues as well as requiring additional disclosures. We plan to adopt the standardthird-party sales. ASU 2018-18 is effective in the first quarter of 2020 and should be applied retrospectively to January 1, 2018, using the modified retrospective method. Althoughwhen we are still evaluating our contracts and assessing all the potential impacts of the standard on existing arrangements we anticipate the adoption may have a material impact on our consolidated financial statements. Specifically, the new standard differs from the current accounting standard in many respects, such as in the accounting for variable consideration, including milestone payments or contingent payments from our collaboration partners.  Under our current accounting policy, we recognize contingent or milestone payments as revenue in the period that the payment-triggering event occurred or is achieved. The new revenue standard, however, may require us to recognize these payments before the payment-triggering event is completely achieved, subject to management’s assessment of whether it is probable that the triggering event will be achieved and that a significant reversal in the amount of cumulative revenue recognized will not occur when the uncertainty associated with the variable consideration is subsequently resolved.

In March 2016, the FASB issued guidance to simplify several aspects of employee share-based payment accounting, including income tax consequences, classification of awards as either equity or liabilities, and classification on the statement of cash flows.  This guidance will become effective for us beginning in the first quarter of 2017. We do not believe the adoption of this guidance will have a material impact on our consolidated financial statements.

In February 2016, the FASB issued guidance to amend a number of aspects of lease accounting, including requiring lessees to recognize almost all leases with a term greater than one year as a right-of-use asset and corresponding liability, measured at the present value of the lease payments. The guidance will become effective for us beginning in the first quarter of 2019 and is required to be adopted using a modified retrospective approach.ASC 606. Early adoption is permitted. We are currently evaluating the impacteffect of adoption, but we do not expect a material effect on our revenue.

In June 2016, the FASB issued ASU 2016-13: Financial Instruments - Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments. The guidance modifies the measurement and recognition of credit losses for most financial assets and certain other instruments. The amendment updates the guidance for measuring and recording credit losses on financial assets measured at amortized cost by replacing the “incurred loss” model with an “expected loss” model. Accordingly, we will present these financial assets at the net amount we expect to collect. The amendment also requires that we record credit losses related to available-for-sale debt securities as an allowance through net income rather than reducing the carrying amount under the current, other-than-temporary-impairment model. ASU 2016-13 is effective in the first quarter of 2020. Early adoption of this standard.

57


is permitted. We do not expect that adoption will have a material effect on our Consolidated Financial Statements.

Item 7A.

Quantitative and Qualitative Disclosures About Market Risk

Item 7A. Quantitative and Qualitative Disclosures About Market Risk
Interest Rate and Market Risk

The primary objective of our investment activities is to preserve principal while at the same time maximizing yields without significantly increasing risk. To achieve this objective, we invest in liquid, high quality debt securities. Our investments in debt securities are subject to interest rate risk. To minimize the exposure due to an adverse shift in interest rates, we invest in short-term securities with maturities of two years or less and maintain a weighted average maturity of one year or less.

A hypothetical 50 basis point increase in interest rates would result in an approximate $0.8$4.3 million decrease, less than 1%, in the fair value of our available-for-sale securities at December 31, 2016.2019. This potential change is based on sensitivity analyses performed on our investment securities at December 31, 2016.2019. Actual results may differ materially. The same hypothetical 50 basis point increase in interest rates would have resulted in an approximate $0.6$6.7 million decrease, less than 1%, in the fair value of our available-for-sale securities at December 31, 2015.

2018.

As of December 31, 2016,2019, we held $329.5 million$1.5 billion of available-for-sale investments, excluding money market funds, with an average time to maturity of sixseven months. To date we have not experienced any liquidity issues with respect to these securities, but should such issues arise, we may be required to hold some, or all, of these securities until maturity. We believe that, even allowing for potential liquidity issues with respect to these securities, our remaining cash, cash equivalents, and investments in marketable securities will be sufficient to meet our anticipated cash needs for at least the next twelve months. Based on our available cash and our expected operating cash requirements, we currently do not intend to sell these securities prior to maturity and it is more likely than not that we will not be required to sell these securities before we recover the amortized cost basis. Accordingly, we believe there are no other-than-temporary impairments on these securities and have not recorded any provisions for impairment.

Foreign Currency Risk

The majority of our revenue, expense, and capital purchasing activities are transacted in U.S. dollars. However, sincewe have contracts with contract manufacturing organizations in Europe, transacted in the British pound sterling or Euros. Additionally, a portion of our operations consists of research and development activities outside the United States, we have entered intowith transactions in other currencies, primarily the Indian Rupee, andRupee. Finally, although our payments from our collaboration partners for our royalty revenues are in U.S. dollars, a portion of the payment is based on net sales in foreign currency translated into U.S. dollars for such period. Accordingly, we therefore are subject to foreign currency exchange risk.

risk for these transactions.

Our international operations are subject to risks typical of international operations, including, but not limited to, differing economic conditions, changes in political climate, differing tax structures, other regulations and restrictions, and foreign exchange rate volatility. We do not utilize derivative financial instruments to manage our exchange rate risks.

58


We do not believe that inflation has had a material adverse impact on our revenues or operations in any of the past three years.

Item 8.

Financial Statements and Supplementary Data


Item 8. Financial Statements and Supplementary Data
NEKTAR THERAPEUTICS

INDEX TO CONSOLIDATED FINANCIAL STATEMENTS

Page

Page

60

62

63

64

65

66

67

59




Report of Independent RegisteredRegistered Public Accounting Firm

The



To the Stockholders and the Board of Directors and Shareholders of Nektar Therapeutics

Opinion on the Financial Statements
We have audited the accompanying consolidated balance sheets of Nektar Therapeutics (the “Company”) as of December 31, 20162019 and 2015, and2018, the related consolidated statements of operations, comprehensive loss,income (loss), stockholders’ equity (deficit), and cash flows for each of the three years in the period ended December 31, 2016. These2019, and the related notes (collectively referred to as the “consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial statements based on our audits.

We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States)statements”). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.

In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the consolidated financial position of Nektar Therapeuticsthe Company at December 31, 20162019 and 2015,2018, and the consolidated results of its operations and its cash flows for each of the three years in the period ended December 31, 2016,2019, in conformity with U.S. generally accepted accounting principles.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), Nektar Therapeutics’the Company’s internal control over financial reporting as of December 31, 2016,2019, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework) and our report dated March 1, 2017February 27, 2020 expressed an unqualified opinion thereon.

Adoption of ASU No. 2014-09
As discussed in Note 1 to the consolidated financial statements, the Company changed its method for recognizing revenue as a result of the adoption of Accounting Standards Updated (ASU) No. 2014-09, Revenue from Contracts with Customers (Topic 606), using the modified retrospective method effective January 1, 2018.
Basis for Opinion
These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on the Company’s financial statements based on our audits. We are a public accounting firm registered with the PCAOB and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether due to error or fraud. Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that our audits provide a reasonable basis for our opinion.
Critical Audit Matters
The critical audit matters communicated below are matters arising from the current period audit of the financial statements that were communicated or required to be communicated to the audit committee and that: (1) relate to accounts or disclosures that are material to the financial statements and (2) involved our especially challenging, subjective or complex judgments. The communication of critical audit matters does not alter in any way our opinion on the consolidated financial statements, taken as a whole, and we are not, by communicating the critical audit matters below, providing separate opinions on the critical audit matters or on the accounts or disclosures to which they relate.





Accounting for accrued research and development expenses
Description of the Matter
As more fully described in Note 1 to the consolidated financial statements, the Company records expenses and accruals for estimated costs of research and development activities, including third party contract services costs for clinical research and contract manufacturing. Clinical trial and contract manufacturing activities performed by third parties are expensed based upon estimates of work completed in accordance with agreements with the respective Clinical Research Organization (“CRO”) or Contract Manufacturing Organization (“CMO”). Billing terms and payments are reviewed by management to ensure estimates of outstanding obligations are appropriate as of period end. Tracking the progress of completion for clinical trial and contract manufacturing activities performed by third parties allows the Company to record the appropriate expense and accruals under the terms of the agreements. During 2019, the Company incurred $434.6 million of research and development expenses. The Company recorded an accrued liability of $32.6 million and $7.3 million for clinical trial and contract manufacturing expenses, respectively, as of December 31, 2019.

Auditing the accounting for accrued clinical trial and contract manufacturing expenses is complex because of the high volume of data used in management’s estimates, the assumptions used by management to develop their estimates and verifying the cost and extent of unbilled work performed during the reporting period.
How We Addressed the Matter in Our Audit
We obtained an understanding, evaluated the design and tested the operating effectiveness of controls over the accounting for accrued research and development expenses, including the Company’s assessment and estimation of accrued costs for clinical trial and contract manufacturing activities performed by third parties. This assessment was done with the Company’s financial and operational personnel to determine the appropriate project status and estimated accrual of costs.

To test the Company’s accounting for accrued clinical trial and contract manufacturing expenses, our audit procedures included, among others, obtaining supporting evidence from third parties of the research and development activities performed for significant clinical trials and contract manufacturing services. We agreed, on a sample basis, the Company schedules to key milestones and completion terms, activities, timing, and costs to signed CMO and CRO contracts in order to evaluate the status of completion and accuracy of invoices received from the vendors. We met with clinical and manufacturing personnel to understand the status of significant research and development activities. We also tested a sample of subsequent payments by agreeing the invoice to the original accrual and the invoice payments to bank statements.

Accounting for cost-sharing under the Bristol-Myers Squibb (BMS) Collaboration Agreement
Description of the Matter
The Company and Bristol-Myers Squibb Company (BMS) both conduct research and development activities under a Strategic Collaboration Agreement for bempegaldesleukin (NKTR-214). As more fully explained in note 10 to the consolidated financial statements, the Company and BMS share certain internal and external development costs under the collaboration agreement. The Company’s research and development costs include external actual and estimated Clinical Research Organizations (“CRO”) and Contract Manufacturing Organization (“CMO”) costs in addition to internal employee costs. BMS provides reports to support their research and development activities performed and costs incurred in the relevant period under the terms of the agreement. Estimates included in each party’s research and development costs are trued up to actuals by each party when known. Eligible costs incurred by each party during the reporting period are offset and the net amount is owed to the party with the excess costs. The Company has a net receivable of $24.0 million from BMS under the collaboration as of December 31, 2019. During a reporting period in which there is a net receivable to the Company, the net amount of BMS’ reimbursement of collaboration expense is recorded as a reduction of research and development expense.

Auditing the cost-sharing under the collaboration agreement was especially challenging because of the complexity of the data used by the Company for determining the actual and estimated research and development activities that are eligible for reimbursement under the collaboration agreement. The research and development expenses include management’s judgment regarding the estimated third party contract service costs for clinical research and contract manufacturing incurred during the reporting period. Additionally, the Company evaluates the costs incurred and activities performed by BMS to assess their eligibility for reimbursement under the agreement.
How We Addressed the Matter in Our Audit
We evaluated the design and tested the operating effectiveness of controls over the accounting for the cost-sharing conducted under the collaboration agreement, including the Company’s assessment and measurement of its and BMS’s activities performed and costs incurred that are eligible for reimbursement. This includes conducting meetings with program management, clinical operations and manufacturing personnel to determine the progress to date under the collaboration and substantiating the calculation of eligible costs and activities.

Our audit procedures included, among others, testing the eligibility of the Company’s research and development costs against the terms of the agreement. We met with Company personnel and reviewed meeting minutes to understand discussions held with BMS during various committee meetings to corroborate our knowledge of the collaboration activities that have occurred to date. We tested the activities reported by the Company and BMS for appropriate classification and disclosure under the collaboration agreement. We obtained an external confirmation from BMS for the net amount owed to the Company.


/s/ ErnstErnst & YoungYoung LLP


We have served as the Company’s auditor since 1993.

Redwood City, California

March 1, 2017

60


February 27, 2020




Report of Independent Registered Public Accounting Firm

The


To the Stockholders and the Board of Directors and Shareholders of Nektar Therapeutics

Opinion on Internal Control over Financial Reporting
We have audited Nektar Therapeutics’ internal control over financial reporting as of December 31, 2016,2019, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework) (the COSO criteria). In our opinion, Nektar Therapeutics’Therapeutics (the Company) maintained, in all material respects, effective internal control over financial reporting as of December 31, 2019, based on the COSO criteria.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the consolidated balance sheets of the Company as of December 31, 2019 and 2018, the related consolidated statements of operations, comprehensive income (loss), stockholders’ equity and cash flows for each of the three years in the period ended December 31, 2019, and the related notes and our report dated February 27, 2020 expressed an unqualified opinion thereon.

Basis for Opinion

The Company’s management is responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting included in the accompanying Management’s Annual Report on Internal Control over Financial Reporting. Our responsibility is to express an opinion on the company’sCompany’s internal control over financial reporting based on our audit.

We are a public accounting firm registered with the PCAOB and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.


We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States).PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects.

Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.


Definition and Limitations of Internal Control Over Financial Reporting

A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

In our opinion, Nektar Therapeutics maintained, in all material respects, effective internal control over financial reporting as of December 31, 2016, based on the COSO criteria.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the consolidated balance sheets of Nektar Therapeutics as of December 31, 2016 and 2015, and the related consolidated statements of operations, comprehensive loss, stockholders’ equity (deficit), and cash flows for each of the three years in the period ended December 31, 2016 of Nektar Therapeutics and our report dated March 1, 2017 expressed an unqualified opinion thereon.


/s/ ErnstErnst & YoungYoung LLP


Redwood City, California

March 1, 2017

61


February 27, 2020


NEKTAR THERAPEUTICS

CONSOLIDATED BALANCE SHEETS

(In thousands, except par value information)

 

 

December 31,

 

 

 

2016

 

 

2015

 

ASSETS

 

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

59,640

 

 

$

55,570

 

Short-term investments

 

 

329,462

 

 

 

253,374

 

Accounts receivable, net of allowance of nil at December 31, 2016 and 2015

 

 

15,678

 

 

 

19,947

 

Inventory

 

 

11,109

 

 

 

11,346

 

Other current assets

 

 

10,363

 

 

 

9,814

 

Total current assets

 

 

426,252

 

 

 

350,051

 

Property, plant and equipment, net

 

 

65,601

 

 

 

71,336

 

Goodwill

 

 

76,501

 

 

 

76,501

 

Other assets

 

 

517

 

 

 

754

 

Total assets

 

$

568,871

 

 

$

498,642

 

LIABILITIES AND STOCKHOLDERS’ EQUITY

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

Accounts payable

 

$

2,816

 

 

$

2,363

 

Accrued compensation

 

 

18,280

 

 

 

5,998

 

Accrued clinical trial expenses

 

 

7,958

 

 

 

8,220

 

Other accrued expenses

 

 

4,711

 

 

 

4,156

 

Interest payable

 

 

4,198

 

 

 

4,198

 

Capital lease obligations, current portion

 

 

2,908

 

 

 

4,756

 

Liability related to refundable upfront payment

 

 

12,500

 

 

 

 

Deferred revenue, current portion

 

 

14,352

 

 

 

21,428

 

Other current liabilities

 

 

4,499

 

 

 

10,127

 

Total current liabilities

 

 

72,222

 

 

 

61,246

 

Senior secured notes, net

 

 

243,464

 

 

 

241,699

 

Capital lease obligations, less current portion

 

 

2,223

 

 

 

1,073

 

Liability related to the sale of future royalties, net

 

 

105,950

 

 

 

116,029

 

Deferred revenue, less current portion

 

 

51,887

 

 

 

62,426

 

Other long-term liabilities

 

 

5,000

 

 

 

9,740

 

Total liabilities

 

 

480,746

 

 

 

492,213

 

Commitments and contingencies

 

 

 

 

 

 

 

 

Stockholders’ equity:

 

 

 

 

 

 

 

 

Preferred stock, $0.0001 par value; 10,000 shares authorized; no shares

   designated, issued or outstanding at December 31, 2016 or 2015

 

 

 

 

 

 

Common stock, $0.0001 par value; 300,000 shares authorized; 153,212

   shares and 135,289 shares issued and outstanding at December 31,

   2016 and 2015, respectively

 

 

15

 

 

 

13

 

Capital in excess of par value

 

 

2,111,483

 

 

 

1,876,072

 

Accumulated other comprehensive loss

 

 

(2,363

)

 

 

(2,170

)

Accumulated deficit

 

 

(2,021,010

)

 

 

(1,867,486

)

Total stockholders’ equity

 

 

88,125

 

 

 

6,429

 

Total liabilities and stockholders’ equity

 

$

568,871

 

 

$

498,642

 


December 31,

2019 2018
ASSETS

 

Current assets:

 

Cash and cash equivalents$96,363
 $194,905
Short-term investments1,228,499
 1,140,445
Accounts receivable36,802
 43,213
Inventory12,665
 11,381
Advance payments to contract manufacturers31,834
 26,450
Other current assets15,387
 21,293
Total current assets1,421,550
 1,437,687
Long-term investments279,119
 582,889
Property, plant and equipment, net64,999
 48,851
Operating lease right-of-use assets134,177
 
Goodwill76,501
 76,501
Other assets1,010
 4,244
Total assets$1,977,356
 $2,150,172
LIABILITIES AND STOCKHOLDERS’ EQUITY

 

Current liabilities:

 

Accounts payable$19,234
 $5,854
Accrued compensation11,467
 9,937
Accrued clinical trial expenses32,626
 14,700
Accrued contract manufacturing expenses7,304
 23,841
Other accrued expenses11,414
 9,087
Senior secured notes, net248,693
 
Interest payable4,198
 4,198
Lease liability, current portion12,516
 
Deferred revenue, current portion5,517
 13,892
Other current liabilities924
 493
Total current liabilities353,893
 82,002
Senior secured notes, net
 246,950
Lease liability, less current portion142,730
 
Liability related to the sale of future royalties, net72,020
 82,911
Deferred revenue, less current portion2,554
 10,744
Other long-term liabilities768
 9,990
Total liabilities571,965
 432,597
Commitments and contingencies


 


Stockholders’ equity:

 

Preferred stock, $0.0001 par value; 10,000 shares authorized; no shares designated, issued or outstanding at December 31, 2019 or 2018
 
Common stock, $0.0001 par value; 300,000 shares authorized; 176,505 shares and 173,530 shares issued and outstanding at December 31, 2019 and 2018, respectively17
 17
Capital in excess of par value3,271,097
 3,147,925
Accumulated other comprehensive loss(1,005) (6,316)
Accumulated deficit(1,864,718) (1,424,051)
Total stockholders’ equity1,405,391
 1,717,575
Total liabilities and stockholders’ equity$1,977,356
 $2,150,172
The accompanying notes are an integral part of these consolidated financial statements.

62



NEKTAR THERAPEUTICS

CONSOLIDATED STATEMENTS OF OPERATIONS

(In thousands, except per share information)

 

 

Year Ended December 31,

 

 

 

2016

 

 

2015

 

 

2014

 

Revenue:

 

 

 

 

 

 

 

 

 

 

 

 

Product sales

 

$

55,354

 

 

$

40,155

 

 

$

25,152

 

Royalty revenue

 

 

19,542

 

 

 

2,967

 

 

 

329

 

Non-cash royalty revenue related to sale of future royalties

 

 

30,158

 

 

 

22,058

 

 

 

21,937

 

License, collaboration and other revenue

 

 

60,382

 

 

 

165,604

 

 

 

153,289

 

Total revenue

 

 

165,436

 

 

 

230,784

 

 

 

200,707

 

Operating costs and expenses:

 

 

 

 

 

 

 

 

 

 

 

 

Cost of goods sold

 

 

30,215

 

 

 

34,102

 

 

 

28,533

 

Research and development

 

 

203,801

 

 

 

182,787

 

 

 

147,734

 

General and administrative

 

 

44,275

 

 

 

43,266

 

 

 

40,925

 

Total operating costs and expenses

 

 

278,291

 

 

 

260,155

 

 

 

217,192

 

Loss from operations

 

 

(112,855

)

 

 

(29,371

)

 

 

(16,485

)

Non-operating income (expense):

 

 

 

 

 

 

 

 

 

 

 

 

Interest expense

 

 

(22,468

)

 

 

(18,282

)

 

 

(17,869

)

Non-cash interest expense on liability related to sale of future royalties

 

 

(19,712

)

 

 

(20,619

)

 

 

(20,888

)

Loss on extinguishment of debt

 

 

 

 

 

(14,079

)

 

 

 

Interest income and other income (expense), net

 

 

2,387

 

 

 

1,680

 

 

 

814

 

Total non-operating expense, net

 

 

(39,793

)

 

 

(51,300

)

 

 

(37,943

)

Loss before provision (benefit) for income taxes

 

 

(152,648

)

 

 

(80,671

)

 

 

(54,428

)

Provision (benefit) for income taxes

 

 

876

 

 

 

506

 

 

 

(512

)

Net loss

 

$

(153,524

)

 

$

(81,177

)

 

$

(53,916

)

Basic and diluted net loss per share

 

$

(1.10

)

 

$

(0.61

)

 

$

(0.42

)

Weighted average shares outstanding used in computing basic and diluted

   net loss per share

 

 

139,596

 

 

 

132,458

 

 

 

126,873

 

 Year Ended December 31,
 2019 2018 2017
Revenue:     
Product sales$20,117
 $20,774
 $32,688
Royalty revenue41,222
 41,976
 33,527
Non-cash royalty revenue related to sale of future royalties36,303
 33,308
 30,531
License, collaboration and other revenue16,975
 1,097,265
 210,965
Total revenue114,617
 1,193,323
 307,711
Operating costs and expenses:     
Cost of goods sold21,374
 24,412
 30,547
Research and development434,566
 399,536
 268,461
General and administrative98,712
 81,443
 52,364
Impairment of equipment and other costs for terminated program
 
 15,981
Total operating costs and expenses554,652
 505,391
 367,353
Income (loss) from operations(440,035) 687,932
 (59,642)
Non-operating income (expense):     
Interest expense(21,310) (21,582) (22,085)
Non-cash interest expense on liability related to sale of future royalties(25,044) (21,196) (18,869)
Interest income and other income (expense), net46,335
 37,571
 4,520
Total non-operating expense, net(19) (5,207) (36,434)
Income (loss) before provision for income taxes(440,054) 682,725
 (96,076)
Provision for income taxes613
 1,412
 616
Net income (loss)$(440,667) $681,313
 $(96,692)
      
Net income (loss) per share     
Basic$(2.52) $4.02
 $(0.62)
Diluted$(2.52) $3.78
 $(0.62)
Weighted average shares outstanding used in computing net income (loss) per share     
Basic174,993
 169,600
 155,953
Diluted174,993
 180,119
 155,953
The accompanying notes are an integral part of these consolidated financial statements.

63



NEKTAR THERAPEUTICS

CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS

INCOME (LOSS)

(In thousands)

 

 

Year Ended December 31,

 

 

 

2016

 

 

2015

 

 

2014

 

Net loss

 

$

(153,524

)

 

$

(81,177

)

 

$

(53,916

)

Other comprehensive income (loss):

 

 

 

 

 

 

 

 

 

 

 

 

Net unrealized gain (loss) on available-for-sale investments, net of tax

 

 

79

 

 

 

(226

)

 

 

(95

)

Net foreign currency translation loss

 

 

(272

)

 

 

(377

)

 

 

(291

)

Other comprehensive loss, net of tax

 

 

(193

)

 

 

(603

)

 

 

(386

)

Comprehensive loss

 

$

(153,717

)

 

$

(81,780

)

 

$

(54,302

)


Year Ended December 31,

2019 2018 2017
Net income (loss)$(440,667) $681,313
 $(96,692)
Other comprehensive income (loss):

 

 

Net unrealized gain (loss) on available-for-sale investments5,693
 (2,975) (533)
Net foreign currency translation gain (loss)(382) (1,230) 785
Other comprehensive income (loss)5,311
 (4,205) 252
Comprehensive income (loss)$(435,356) $677,108
 $(96,440)
The accompanying notes are an integral part of these consolidated financial statements.

64



NEKTAR THERAPEUTICS

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY (DEFICIT)

(In thousands)

 

 

Common

Shares

 

 

Par

Value

 

 

Capital in

Excess of

Par Value

 

 

Accumulated

Other

Comprehensive

Income/(Loss)

 

 

Accumulated

Deficit

 

 

Total

Stockholders’

Equity (Deficit)

 

Balance at December 31, 2013

 

 

116,494

 

 

$

11

 

 

$

1,643,660

 

 

$

(1,181

)

 

$

(1,732,393

)

 

$

(89,903

)

Sale of common stock, net of issuance costs of $617

 

 

9,775

 

 

 

1

 

 

 

116,535

 

 

 

 

 

 

 

 

 

116,536

 

Shares issued under equity compensation plans

 

 

4,947

 

 

 

1

 

 

 

46,983

 

 

 

 

 

 

 

 

 

46,984

 

Stock-based compensation

 

 

 

 

 

 

 

 

17,017

 

 

 

 

 

 

 

 

 

17,017

 

Other comprehensive loss

 

 

 

 

 

 

 

 

 

 

 

(386

)

 

 

 

 

 

(386

)

Net loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(53,916

)

 

 

(53,916

)

Balance at December 31, 2014

 

 

131,216

 

 

 

13

 

 

 

1,824,195

 

 

 

(1,567

)

 

 

(1,786,309

)

 

 

36,332

 

Shares issued under equity compensation plans

 

 

4,073

 

 

 

 

 

 

32,208

 

 

 

 

 

 

 

 

 

32,208

 

Stock-based compensation

 

 

 

 

 

 

 

 

19,669

 

 

 

 

 

 

 

 

 

19,669

 

Other comprehensive loss

 

 

 

 

 

 

 

 

 

 

 

(603

)

 

 

 

 

 

(603

)

Net loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(81,177

)

 

 

(81,177

)

Balance at December 31, 2015

 

 

135,289

 

 

 

13

 

 

 

1,876,072

 

 

 

(2,170

)

 

 

(1,867,486

)

 

 

6,429

 

Sale of common stock, net of issuance costs of $439

 

 

14,950

 

 

 

2

 

 

 

189,274

 

 

 

 

 

 

 

 

 

189,276

 

Shares issued under equity compensation plans

 

 

2,973

 

 

 

 

 

 

20,287

 

 

 

 

 

 

 

 

 

20,287

 

Stock-based compensation

 

 

 

 

 

 

 

 

25,850

 

 

 

 

 

 

 

 

 

25,850

 

Other comprehensive loss

 

 

 

 

 

 

 

 

 

 

 

(193

)

 

 

 

 

 

(193

)

Net loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(153,524

)

 

 

(153,524

)

Balance at December 31, 2016

 

 

153,212

 

 

$

15

 

 

$

2,111,483

 

 

$

(2,363

)

 

$

(2,021,010

)

 

$

88,125

 

 
Common
Shares
 
Par
Value
 
Capital in
Excess of
Par Value
 
Accumulated
Other
Comprehensive
Loss
 
Accumulated
Deficit
 
Total
Stockholders’
Equity
Balance at December 31, 2016153,212
 $15
 $2,111,483
 $(2,363) $(2,021,010) $88,125
Shares issued under equity compensation plans6,312
 
 59,528
 
 
 59,528
Stock-based compensation
 
 36,615
 
 
 36,615
Other comprehensive income
 
 239
 252
 (239) 252
Net loss
 
 
 
 (96,692) (96,692)
Balance at December 31, 2017159,524
 15
 2,207,865
 (2,111) (2,117,941) 87,828
Shares issued under equity compensation plans5,721
 1
 61,728
 
 
 61,729
Stock-based compensation
 
 88,101
 
 
 88,101
Sale of stock to Bristol-Myers Squibb (Note 10)8,285
 1
 790,231
 
 
 790,232
Adoption of new accounting standards
 
 
 
 12,577
 12,577
Other comprehensive loss
 
 
 (4,205) 
 (4,205)
Net income
 
 
 
 681,313
 681,313
Balance at December 31, 2018173,530
 17
 3,147,925
 (6,316) (1,424,051) 1,717,575
Shares issued under equity compensation plans2,975
 
 23,377
 
 
 23,377
Stock-based compensation
 
 99,795
 
 
 99,795
Other comprehensive income
 
 
 5,311
 
 5,311
Net loss
 
 
 
 (440,667) (440,667)
Balance at December 31, 2019176,505
 $17
 $3,271,097
 $(1,005) $(1,864,718) $1,405,391
The accompanying notes are an integral part of these consolidated financial statements.

65



NEKTAR THERAPEUTICS

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

 

 

Year Ended December 31,

 

 

 

2016

 

 

2015

 

 

2014

 

Cash flows from operating activities:

 

 

 

 

 

 

 

 

 

 

 

 

Net loss

 

$

(153,524

)

 

$

(81,177

)

 

$

(53,916

)

Adjustments to reconcile net loss to net cash used in operating activities:

 

 

 

 

 

 

 

 

 

 

 

 

Non-cash royalty revenue related to sale of future royalties

 

 

(30,158

)

 

 

(22,058

)

 

 

(21,937

)

Non-cash interest expense on liability related to sale of future royalties

 

 

19,712

 

 

 

20,619

 

 

 

20,888

 

Stock-based compensation

 

 

25,850

 

 

 

19,669

 

 

 

17,017

 

Depreciation and amortization

 

 

15,351

 

 

 

12,855

 

 

 

12,927

 

Loss from redemption premium and incremental interest on 12% senior secured notes

 

 

 

 

 

12,500

 

 

 

 

Write-off of deferred financing costs on 12% senior secured notes

 

 

 

 

 

1,579

 

 

 

 

Other non-cash transactions

 

 

(2,185

)

 

 

(2,365

)

 

 

(560

)

Changes in assets and liabilities:

 

 

 

 

 

 

 

 

 

 

 

 

Accounts receivable, net

 

 

4,269

 

 

 

(16,340

)

 

 

(1,378

)

Inventory

 

 

237

 

 

 

1,606

 

 

 

500

 

Other assets

 

 

(312

)

 

 

(825

)

 

 

(3,294

)

Accounts payable

 

 

518

 

 

 

(412

)

 

 

(6,359

)

Accrued compensation

 

 

12,282

 

 

 

249

 

 

 

(8,505

)

Accrued clinical trial expenses

 

 

(262

)

 

 

512

 

 

 

(9,197

)

Other accrued expenses

 

 

191

 

 

 

(2,278

)

 

 

273

 

Interest payable

 

 

 

 

 

(2,719

)

 

 

 

Liability related to refundable upfront payment

 

 

12,500

 

 

 

 

 

 

 

Deferred revenue

 

 

(17,615

)

 

 

(17,530

)

 

 

(4,664

)

Liability related to receipt of refundable milestone payment

 

 

 

 

 

 

 

 

(70,000

)

Other liabilities

 

 

(3,878

)

 

 

3,032

 

 

 

(13,801

)

Net cash used in operating activities

 

 

(117,024

)

 

 

(73,083

)

 

 

(142,006

)

Cash flows from investing activities:

 

 

 

 

 

 

 

 

 

 

 

 

Purchases of investments

 

 

(334,659

)

 

 

(297,608

)

 

 

(297,251

)

Maturities of investments

 

 

253,682

 

 

 

226,923

 

 

 

247,995

 

Sales of investments

 

 

4,969

 

 

 

42,544

 

 

 

21,661

 

Release of restricted cash

 

 

 

 

 

25,000

 

 

 

 

Purchases of property, plant and equipment

 

 

(6,392

)

 

 

(11,195

)

 

 

(9,976

)

Net cash used in investing activities

 

 

(82,400

)

 

 

(14,336

)

 

 

(37,571

)

Cash flows from financing activities:

 

 

 

 

 

 

 

 

 

 

 

 

Payment of capital lease obligations

 

 

(5,945

)

 

 

(5,187

)

 

 

(3,536

)

Issuance of common stock, net of issuance costs

 

 

189,276

 

 

 

 

 

 

116,536

 

Proceeds from shares issued under equity compensation plans

 

 

20,287

 

 

 

32,208

 

 

 

46,984

 

Proceeds from issuance of 7.75% senior secured notes, net of issuance costs

 

 

 

 

 

241,262

 

 

 

 

Repayment of 12% senior secured notes

 

 

 

 

 

(125,000

)

 

 

 

Payment of redemption premium and incremental interest on 12% senior secured notes

 

 

 

 

 

(12,500

)

 

 

 

Repayment of proceeds from sale of future royalties

 

 

 

 

 

 

 

 

(7,000

)

Net cash provided by financing activities

 

 

203,618

 

 

 

130,783

 

 

 

152,984

 

Effect of exchange rates on cash and cash equivalents

 

 

(124

)

 

 

(159

)

 

 

(109

)

Net increase (decrease) in cash and cash equivalents

 

 

4,070

 

 

 

43,205

 

 

 

(26,702

)

Cash and cash equivalents at beginning of year

 

 

55,570

 

 

 

12,365

 

 

 

39,067

 

Cash and cash equivalents at end of year

 

$

59,640

 

 

$

55,570

 

 

$

12,365

 

Supplemental disclosure of cash flow information:

 

 

 

 

 

 

 

 

 

 

 

 

Cash paid for interest

 

$

20,589

 

 

$

20,225

 

 

$

17,445

 

Cash paid for income taxes

 

$

757

 

 

$

860

 

 

$

964

 

Supplemental schedule of non-cash investing and financing activities:

 

 

 

 

 

 

 

 

 

 

 

 

Property and equipment acquired through capital leases and other financing

 

$

1,568

 

 

$

93

 

 

$

5,231

 

 Year Ended December 31,
 2019 2018 2017
Cash flows from operating activities:     
Net income (loss)$(440,667) $681,313
 $(96,692)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:     
Non-cash royalty revenue related to sale of future royalties(36,303) (33,308) (30,531)
Non-cash interest expense on liability related to sale of future royalties25,044
 21,196
 18,869
Stock-based compensation99,795
 88,101
 36,615
Depreciation and amortization13,156
 10,870
 14,741
Impairment of equipment from terminated program
 
 15,081
Accretion of discounts, net, and other non-cash transactions(11,394) (10,952) (881)
Changes in operating assets and liabilities:     
Accounts receivable6,411
 (25,505) 10,664
Inventory(1,284) (655) 383
Operating lease right-of-use assets, net of operating lease liabilities13,090
 
 
Other assets1,190
 (31,652) (4,800)
Accounts payable12,967
 971
 2,074
Accrued compensation1,530
 1,674
 (10,017)
Other accrued expenses3,816
 27,947
 7,277
Deferred revenue(16,565) (15,331) (28,269)
Other liabilities533
 3,545
 (14,928)
Net cash provided by (used in) operating activities(328,681) 718,214
 (80,414)
Cash flows from investing activities:     
Purchases of investments(1,380,865) (2,271,250) (404,425)
Maturities of investments1,614,036
 890,957
 347,743
Sales of investments
 11,963
 37,549
Purchases of property, plant and equipment(26,285) (14,239) (9,676)
Sales of property and plant
 2,633
 
Net cash provided by (used in) investing activities206,886
 (1,379,936) (28,809)
Cash flows from financing activities:     
Issuance of common stock to Bristol-Myers Squibb (Note 10)
 790,231
 
Proceeds from shares issued under equity compensation plans23,355
 61,735
 59,522
Payment of capital lease obligations
 
 (5,131)
Net cash provided by financing activities23,355
 851,966
 54,391
Effect of exchange rates on cash and cash equivalents(102) (101) (46)
Net increase (decrease) in cash and cash equivalents(98,542) 190,143
 (54,878)
Cash and cash equivalents at beginning of year$194,905
 $4,762
 $59,640
Cash and cash equivalents at end of year$96,363
 $194,905
 $4,762
Supplemental disclosure of cash flow information:     
Cash paid for interest$19,199
 $19,471
 $20,116
Cash paid for income taxes$555
 $618
 $556
Right-of-use assets recognized in exchange for operating lease liabilities$57,691
 $
 $
The accompanying notes are an integral part of these consolidated financial statements.

66



NEKTAR THERAPEUTICS

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

December 31, 2016

Note2019

Note 1 — Organization and Summary of Significant Accounting Policies

Organization

We are a research-based biopharmaceutical company headquartered in San Francisco, California and incorporated in Delaware. We are developing a pipeline of drug candidates that utilize our advanced polymer conjugate technology platforms, which are designed to enable the development of new molecular entities that target known mechanisms of action. Our research and development pipeline of new investigational drugs includes treatments for cancer auto-immune disease and chronic pain.

autoimmune disease.

Our research and development activities have required significant ongoing investment to date and are expected to continue to require significant investment. As a result, with the exception of the income resulting from the upfront payment in April 2018 from our collaboration agreement with Bristol-Myers Squibb Company (BMS), we expect to continue to incur substantial losses and negative cash flows from operations in the future. We have financed our operations primarily through cash generated from licensing, collaboration and manufacturing agreements and financing transactions. At December 31, 2016,2019, we had approximately $389.1 million$1.6 billion in cash and investments in marketable securities. Also, assecurities and had debt of December 31, 2016, we had $255.1 million in debt, including $250.0 million in principal of senior secured notes and $5.1 million of capital lease obligations, of which $2.9 million is current.

due in October 2020.

Basis of Presentation, Principles of Consolidation and Use of Estimates

Our consolidated financial statementsConsolidated Financial Statements include the financial position, results of operations and cash flows of our wholly-owned subsidiaries: Inheris Biopharma, Inc. (Inheris), Nektar Therapeutics (India) Private Limited (Nektar India) and Nektar Therapeutics UK Limited. AllWe have eliminated all intercompany accounts and transactions have been eliminated in consolidation.

Our Consolidated Financial Statements are denominated in U.S. dollars. Accordingly, changes in exchange rates between the applicable foreign currency and the U.S. dollar will affect the translation of each foreign subsidiary’s financial results into U.S. dollars for purposes of reporting our consolidated financial results. TranslationWe include translation gains and losses are included in accumulated other comprehensive income (loss)loss in the stockholders’ equity section of theour Consolidated Balance Sheets. To date, such cumulative currency translation adjustments have not been significant to our consolidated financial position. Aggregate gross
Our comprehensive income (loss) consists of our net income (loss) plus our foreign currency transactiontranslation gains (losses) recorded in operations forand losses and unrealized holding gains and losses on available-for-sale securities, neither of which were significant during the years ended December 31, 2016, 2015,2019, 2018, and 20142017. In addition, there were not significant.

no significant reclassifications out of accumulated other comprehensive loss to the statements of operations during the years ended December 31, 2019, 2018 and 2017.

The preparation of consolidated financial statements in conformity with U.S. generally accepted accounting principles (GAAP) requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenue and expenses during the reporting period. Accounting estimates and assumptions are inherently uncertain. Actual results could differ materially from those estimates and assumptions. Our estimates include those related to estimatedthe selling prices of deliverablesperformance obligations and amounts of variable consideration in collaboration agreements, estimated periods of performance,royalty revenue, and other assumptions required for revenue recognition as described further below; the net realizable value of inventory,inventory; the impairment of investments, the impairment of goodwill and long-lived assets,assets; contingencies, accrued clinical trial, expenses, estimatedcontract manufacturing and other expenses; non-cash royalty revenue and non-cash interest expense from our liability related to our sale of future royalties,royalties; assumptions used in stock-based compensation,compensation; and ongoing litigation, among other estimates. We base our estimates on historical experience and on other assumptions that management believes are reasonable under the circumstances. These estimates form the basis for making judgments about the carrying values of assets and liabilities when these values are not readily apparent from other sources. As appropriate, we assess estimates are assessed each period, and updatedupdate them to reflect current information, and will generally reflect any changes in estimates will generally be reflected in the period first identified.

Reclassifications

Certain items previously reported in specific financial statement captions have been reclassified to conform to the current period presentation, including as a result of the adoption of new accounting guidance related to the classification of debt issuance costs described below. Such reclassifications do not materially impact previously reported revenue, operating loss, net loss, total assets, liabilities or stockholders’ equity.

Cash, Cash Equivalents, and Investments, and Fair Value of Financial Instruments

We consider all investments in marketable securities with an original maturity of three months or less when purchased to be cash equivalents. InvestmentsWe classify investments in securities with remaining maturities of less than one year, or where our intent is to use the investments to fund current operations or to make them available for current operations, are classified as short-term investments.

67


We classify investments in securities with remaining maturities of over one year as long-term investments.


Investments are designated as available-for-sale and are carried at fair value, with unrealized gains and losses reported in stockholders’ equity as accumulated other comprehensive income (loss). The disclosed fair value related to our cash equivalents and investments is based primarily on the reported fair values in our period-end brokerage statements, which are based on market prices from a variety of industry standard data providers and generally represent quoted prices for similar assets in active markets or have been derived from observable market data.
We independently validate these fair values using available market quotes and other information.

Interest and dividendsinclude coupon interest on securities classified as available-for-sale, as well as amortization of premiums and accretion of discounts to maturity, are included in interest income. RealizedWe include realized gains and losses and declines in value of available-for-sale securities judged to be other-than-temporary, if any, are included in other income (expense). The cost of securities sold is based on the specific identification method.

Our cash, cash equivalents, short-term investments and short-termlong-term investments are exposed to credit risk in the event of default by the third parties that hold or issue such assets. Our cash, cash equivalents, short-term investments and short-termlong-term investments are held by financial institutions that management believes are of high credit quality. Our investment policy limits investments to fixed income securities denominated and payable in U.S. dollars such as corporate bonds, corporate commercial paper, U.S. government obligations, and money market instruments and funds and corporate bonds and places restrictions on maturities and concentrations by type and issuer.

Accounts Receivable and Significant Customer Concentrations

Our customers are primarily pharmaceutical and biotechnology companies that are primarily located in the U.S. and Europe.Europe and with whom we have multi-year arrangements. Our accounts receivable balance contains billed and unbilled trade receivables from product sales, milestones, other contingent payments and royalties, as well as time and materials basedcost-sharing billings from collaborative research and development agreements. For the year ended December 31, 2019, our accounts receivable included $12.8 million under customer contracts from our collaboration partners and $24.0 million for unbilled net expense reimbursements from our collaboration partner Bristol-Myers Squibb Company (BMS). For the year ended December 31, 2018, our accounts receivable included $24.2 million from customer contracts and $19.0 million for unbilled net expense reimbursements from BMS. We generally do not require collateral from our partners. We perform a regular review of our partners’ credit risk and payment histories, including payments made subsequent to year-end. When appropriate, we provide for an allowance for doubtful accounts by reserving for specifically identified doubtful accounts. We generally do not require collateral from our customers. We perform a regular review of our customers’ credit risk and payment histories, including payments made subsequent to year-end. Weaccounts, although historically we have not experienced significant credit losses from our accounts receivable. At December 31, 2016, three different customers2019, 3 partners represented 39%65%, 32%,17% and 13%14%, respectively, of our accounts receivable. At December 31, 2015, three2018, 3 different customerspartners represented 50%44%, 35%,36% and 10%12%, respectively, of our accounts receivable.

Inventory and Significant Supplier Concentrations

Inventory is

We generally manufacturedmanufacture inventory upon receipt of firm purchase orders from our collaboration partners, and we may manufacture certain intermediate work-in-process materials and purchase raw materials based on purchase forecasts from our collaboration partners. Inventory includes direct materials, direct labor, and manufacturing overhead, and we determine cost is determined on a first-in, first-out basis. Inventory is valuedbasis for raw materials and on a specific identification basis for work-in-process and finished goods. We value inventory at the lower of cost or marketnet realizable value, and we write down defective or excess inventory is written down to net realizable value based on historical experience or projected usage. InventoryWe expense inventory related to our research and development activities is expensed when purchased.

we purchase or manufacture it. Before the regulatory approval of our drug candidates, we recognize research and development expense for the manufacture of drug products that could potentially be available to support the commercial launch of our drug candidates, if approved.

We are dependent on our suppliers and contract manufacturers to provide raw materials drugs and devicesdrug candidates of appropriate quality and reliability and to meet applicable contract and regulatory requirements. In certain cases, we rely on single sources of supply of one or more critical materials. Consequently, in the event thatif supplies are delayed or interrupted for any reason, our ability to develop and produce our drug candidates or our ability to meet our supply obligations could be significantly impaired, which could have a material adverse effect on our business, financial condition and results of operations.

Leases
On January 1, 2019, we adopted Accounting Standards Codification (ASC) 842, Leases (ASC 842). ASC 842 supersedes the guidance in ASC 840, Leases (ASC 840). Under ASC 842, an entity recognizes a right-of-use asset and a corresponding lease liability, measured as the present value of the lease payments. In our adoption, we used the package of practical expedients, which, among other things, allowed us to carry forward our historical lease classification of those leases in effect as of January 1, 2019. We present results for the year ended December 31, 2019 under ASC 842. We have not restated the

results for the years ended December 31, 2018 and 2017 and our financial position as of December 31, 2018, and continue to report them under ASC 840.
We determine if an arrangement contains a lease at the inception of the arrangement. Right-of-use assets represent our right to use an underlying asset for the lease term, and lease liabilities represent our obligation to make lease payments arising from the lease. We recognize operating lease right-of-use assets and liabilities at the lease commencement date based on the present value of lease payments over the expected lease term. In determining the present value of lease payments, we use our incremental borrowing rate based on the information available at the lease commencement date. However, in determining the present value of our lease payments for leases in effect when we adopted ASC 842, we used our incremental borrowing rate as of January 1, 2019.
We elected the practical expedient to account for the lease and non-lease components, such as common area maintenance charges, as a single lease component for our facilities leases, and elected the short-term lease recognition exemption for our short-term leases, which allows us not to recognize lease liabilities and right-of-use assets for leases with an original term of twelve months or less.
Our expected lease terms may include options to extend or terminate the lease when it is reasonably certain that we will exercise any such options. We recognize lease expense for our operating leases on a straight-line basis over the expected lease term.
We have elected to recognize lease incentives, such as tenant improvement allowances, at the lease commencement date as a reduction of the right-of-use asset and lease liability until paid to us by the lessor to the extent that the lease provides a specified fixed or maximum level of reimbursement and we are reasonably certain to incur reimbursable costs at least equaling such amounts. For leases in effect as of January 1, 2019, we recognized our lease incentives as part of our transition adjustment.
As a result of our adoption of ASC 842, we recorded right-of-use assets of $83.5 million and lease liabilities of $96.2 million for our facilities operating leases, with 0 effect on our opening balance of accumulated deficit. Please see Note 6 for additional information regarding our leases.
Long-Lived Assets

Property,

We state property, plant and equipment are stated at cost. Majorcost, net of accumulated depreciation. We capitalize major improvements are capitalized, whileand expense maintenance and repairs are expensed whenas incurred. Manufacturing,We generally recognize depreciation on a straight-line basis. We depreciate manufacturing, laboratory and other equipment are depreciated using the straight-line method generally over their estimated useful lives of generally three to ten years. Buildings are depreciated using the straight-line method generallyyears, depreciate buildings over the estimated useful life of generally twenty years. Leaseholdyears and amortize leasehold improvements and buildings recorded under capital leases are depreciated using the straight-line method over the shorter of the estimated useful lifelives or the remaining term of the related lease.

Goodwill represents the excess of the price paid for another entity over the fair value of the assets acquired and liabilities assumed in a business combination. We are organized in one1 reporting unit and evaluate the goodwill for the Company as a whole. Goodwill has an indefinite useful life and is not amortized, but instead tested for impairment at least annually in the fourth quarter of each year using an October 1 measurement date.

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We assess the impairment of long-lived assets primarily property, plant and equipment and goodwill, whenever events or changes in business circumstances indicate that the carrying amounts of the assets may not be fully recoverable. When such events occur,In the case of property, plant and equipment and right-of-use assets for our leases, we determine whether there has been an impairment in value by comparing the carrying value of the asset to the anticipated undiscounted net cash flows associated with the asset. If such cash flows are less than the carrying value, we write down the asset to its fair value, which may be measured as measured by the anticipated undiscounteddiscounted net cash flows associated with the asset. In the case of goodwill impairment, we compare the carrying value of the reporting unit to its fair value, which we generally measure using market capitalization is generally used as the measure of fair value.for our single reporting unit. If an impairment inexists, we write down goodwill such that the carrying value exists,of the asset is written down toreporting units equals its estimated fair value.

Revenue Recognition

Our revenue is derived from our

Collaborative Arrangements
We enter into collaboration arrangements with pharmaceutical and biotechnology collaboration partners, under which we may grant licenses to our collaboration partners to further develop and commercialize one of our proprietary drug candidates, either alone or in combination with the collaboration partners’ compounds, or grant licenses to partners to use our technology to research and develop their own proprietary drug candidates. We may result from onealso perform research, development, manufacturing and supply activities under our collaboration agreements. Consideration under these contracts may include an upfront payment, development and regulatory milestones and other contingent payments, expense reimbursements, royalties

based on net sales of approved drugs, and commercial sales milestone payments. Additionally, these contracts may provide options for the customer to purchase our proprietary PEGylation materials, drug candidates or more of the following: upfront and license fees, payments foradditional contract research and development milestoneservices under separate contracts.
When we enter into collaboration agreements, we assess whether the arrangements fall within the scope of ASC 808, Collaborative Arrangements (ASC 808) based on whether the arrangements involve joint operating activities and whether both parties have active participation in the arrangement and are exposed to significant risks and rewards. To the extent that the arrangement falls within the scope of ASC 808, we assess whether the payments between us and our collaboration partner fall within the scope of other contingentaccounting literature. If we conclude that payments manufacturingfrom the collaboration partner to us represent consideration from a customer, such as license fees and supply payments, and royalties. Our performance obligations under our collaborations may include licensing our intellectual property, manufacturing and supply obligations, andcontract research and development obligations.  In order toactivities, we account for the multiple-element arrangements, we identify the deliverables includedthose payments within the arrangementscope of ASC 606, Revenue from Contracts with Customers (ASC 606). However, if we conclude that our collaboration partner is not a customer for certain activities and evaluateassociated payments, such as for certain collaborative research, development, manufacturing and commercial activities, we present such payments as a reduction of research and development expense or general and administrative expense, based on where we present the underlying expense. Additionally, if we reimburse our collaboration partners for these activities, we present such reimbursements as research and development expense or general and administrative expense, depending upon the nature of the underlying expense.
Revenue Recognition
For elements of those arrangements that we determine should be accounted for under ASC 606, we assess which deliverables represent separate unitsactivities in our collaboration agreements are performance obligations that should be accounted for separately and determine the transaction price of accounting. Analyzing the arrangement, to identify deliverables requireswhich includes the useassessment of judgment,the probability of achievement of future milestones and each deliverable may be an obligation to deliver goodsother potential consideration. For arrangements that include multiple performance obligations, such as granting a license or services, a rightperforming contract research and development activities or license to use an asset,participation on joint steering or another performance obligation. Revenue is recognized separately for each identified unit of accounting when the basic revenue recognition criteria are met: there is persuasive evidence that an arrangement exists, delivery has occurred, the price is fixed or determinable, and collection is reasonably assured.

At the inception of each new multiple-element arrangement or the material modification of an existing multiple-element arrangement,other committees, we allocate all consideration receivedupfront and milestone payments under multiple-element arrangements to all units of accounting based on thea relative standalone selling price method, generally based on our best estimate of selling price (ESP). The objective of ESP ismethod. Accordingly, we develop assumptions that require judgment to determine the standalone selling price at which we would transact a sale if the product or service was sold on a stand-alone basis. We determine ESP for the elements in our collaboration arrangements by considering multiple factors including, but not limited to, technical complexity of theeach performance obligation identified in the contract. These key assumptions may include revenue forecasts, clinical development timelines and similaritycosts, discount rates and probabilities of elements to those performed under previous arrangements. Since we apply significant judgment in arriving at the ESPs, any material change in our estimates would significantly affect the allocation of the total consideration to the different elements of a multiple element arrangement.

clinical and regulatory success.

Product sales

Product sales are primarily derived from fixed price manufacturing and supply agreements with our collaboration partners.customers. We have assessed our current manufacturing and supply arrangements and have generally determined that they provide the customer an option to purchase our proprietary PEGylation materials. Accordingly, we treat each purchase order as a discrete exercise of the customer’s option (i.e. a separate contract) rather than as a component of the overall arrangement. The pricing for the manufacturing and supply is generally at a fixed price and may be subject to annual producer price index (PPI) adjustments. We invoice and recognize product sales when title and risk of loss pass to the customer, which generally occurs upon shipment. Customer payments are generally due 30 days from receipt of invoice. We test our products for adherence to technical specifications prior to shipment; accordingly, we have not experienced any significant returns from our customers.

Royalty revenue

Generally, we are entitled to royalties from our collaboration partners based on the net sales of their approved drugs that are marketed and sold in one or more countries where we hold royalty rights. WeFor arrangements that include sales-based royalties, including commercial milestone payments based on the level of sales, we have concluded that the license is the predominant item to which the royalties relate. Accordingly, we recognize royalty revenue, including for our non-cash royalties, when the cash is receivedunderlying sales occur based on our best estimates of sales of the drugs. Our partners generally pay royalties or when the royalty amount to be received is estimable and collection is reasonably assured. With respect to the non-cash royalties related to sale of future royalties described in Note 7, revenue is recognized when estimable, otherwise, revenue is recognized during the period in which the related royalty report is received, which generally occurs in the quartercommercial milestones after the applicable product sales are made.

end of the calendar quarter in accordance with contractual terms. We present commercial milestone payments within license, collaboration and other revenue.

License, collaboration and other revenue

The amount of upfront fees and other payments received by us in license and

License Grants: For collaboration arrangements that include a grant of a license to our intellectual property, we consider whether the license grant is distinct from the other performance obligations included in the arrangement. Generally, we would conclude that the license is distinct if the customer is able to benefit from the license with the resources available to it. For licenses that are distinct, we recognize revenues from nonrefundable, upfront payments and other consideration allocated to continuing performance obligations, such as manufacturingthe license when the license term has begun and supply obligations, is deferred andwe have provided all necessary information regarding the underlying intellectual property to the customer, which generally recognized ratably over our expected performance period under each respective arrangement. We make our best estimateoccurs at or near the inception of the period over which we expect to fulfill our performance obligations, which may include technology transfer assistance, research activities, clinical development activities, and manufacturing activities from research and development througharrangement.

Milestone Payments: At the commercializationinception of the product. Givenarrangement and at each reporting date thereafter, we assess whether we should include any milestone payments or other forms of variable consideration in the uncertaintiestransaction price, based on whether a significant reversal of these collaboration arrangements, significant judgmentrevenue previously recognized is required to determine the durationnot probable upon resolution of the performance period and this estimate is periodically re-evaluated.

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Contingent consideration received from the achievement of a substantiveuncertainty. Since milestone is recognized in its entirety in the period in which the milestone is achieved, which we believe is consistent with the substance of our performance under our various license and collaboration agreements. A milestone is defined as an event (i) that can only be achieved based in whole or in part either on the entity’s performance or on the occurrence of a specific outcome resulting from the entity’s performance, (ii) for which there is substantive uncertainty at the date the arrangement is entered into that the event will be achieved, and (iii) that would result in additional payments being due to the entity. A milestone is substantive if the consideration earned from the achievement of the milestone is consistent with our performance required to achieve the milestone or the increase in value to the collaboration resulting from our performance, relates solely to our past performance, and is reasonable relative to all of the other deliverables and payments within the arrangement.

Our license and collaboration agreements with our partners provide for paymentsmay become payable to us upon the initiation of a clinical study or filing for or receipt of regulatory approval, we review the relevant facts and circumstances to determine when we should update the transaction price, which may occur before the triggering event. When we do update the transaction price for milestone payments, we allocate it on a relative standalone selling price basis and record revenue on a cumulative catch-up basis, which results in recognizing revenue for previously satisfied performance obligations in such period. Our partners generally pay development milestones after achievement of the triggering event.

Research and Development Services: For amounts allocated to our research and development milestones, suchobligations in a collaboration arrangement, we recognize revenue over time using a proportional performance model, representing the transfer of goods or services as we perform activities over the completion of clinical trials or regulatory submissions, approvals by regulatory authorities, and commercial launches of drugs. Given the challenges inherent in developing and obtaining regulatory approval for drug products and in achieving commercial launches, there was substantial uncertainty whether any such milestones would be achieved at the time of execution of these licensing and collaboration agreements. In addition, we evaluated whether the development milestones met the remaining criteria to be considered substantive. As a result of our analysis, we consider our remaining development milestones under all of our license and collaboration agreements to be substantive and, accordingly, we expect to recognize as revenue future payments received from each milestone only if and as such milestone is achieved.

Our license and collaboration agreements with certain partners also provide for contingent payments to us based solely upon the performanceterm of the respective partner. For such contingent amounts, we expect to recognize the payments as revenue when earned under the applicable contract, which is generally upon completion of performance by the respective partner, provided that collection is reasonably assured.

Our license and collaboration agreements with our partners also provide for payments to us upon the achievement of specified sales volumes of approved drugs. We consider these payments to be similar to royalty payments and we will recognize such sales-based payments upon achievement of such sales volumes, provided that collection is reasonably assured.

agreement.

Shipping and Handling Costs

We recognize costs related to shipping and handling of product to customers in cost of goods sold.

Research and Development Expense

Research and development costs are expensed as incurred and include salaries, benefits and other operating costs such as outside services, supplies and allocated overhead costs. We perform research and development for our proprietary drug candidates and technology development and for certain third parties under collaboration agreements. For our proprietary drug candidates and our internal technology development programs, we invest our own funds without reimbursement from a third party.

Where we perform research and development activities under a clinical joint development collaboration, such as our collaboration with BMS, we record the cost reimbursement from our partner as a reduction to research and development expense when reimbursement amounts are due to us under the agreement.

We record accrualsan accrued expense for the estimated costs of our clinical trial activities performed by third parties. The financial terms of these agreements are subject to negotiation, vary from contract to contract and may result in uneven payment flows to our vendors. Payments under the contracts depend on factors such as the achievement of certain events, successful enrollment of patients, and completion of certain clinical trial activities. We generally accrue costs associated with the start-up and reporting phases of the clinical trials ratably over the estimated duration of the start-up and reporting phases. We generally accrue costs associated with the treatment phase of clinical trials based on the estimated activities performed by our third parties. We may also accrue expenses based on the total estimated cost of the treatment phase on a per patient basis and we expense the per patient cost ratably over the estimated patient treatment period based on patient enrollment in the trials. In specific circumstances, such as for certain time-based costs, we recognize clinical trial expenses using a methodology that we consider to be more reflective of the timing of costs incurred. Advance
We record an accrued expense for the estimated unbilled costs of our contract manufacturing activities performed by third parties. The financial terms of these agreements are subject to negotiation, vary from contract to contract and may result in uneven payment flows to our vendors. Payments under the contracts include upfront payments and milestone payments, which depend on factors such as the achievement of the completion of certain stages of the manufacturing process. For purposes of recognizing expense, we assess whether we consider the production process is sufficiently defined to be considered the delivery of a good, as evidenced by predictive or contractually required yields in the production process, or the delivery of a service, where processes and yields are developing and less certain. If we consider the process to be the delivery of a good, we recognize expense when the drug product is delivered, or we otherwise bear risk of loss. If we consider the process to be the delivery of a service, we recognize expense based on our best estimates of the contract manufacturer’s progress towards completion of the stages in the contracts. We recognize and amortize upfront payments and accrue liabilities based on the specific terms of each arrangement. Certain arrangements may provide upfront payments for certain stages of the arrangement and milestone payments for the completion of certain stages, and, accordingly, we may record advance payments for services that have not been completed or goods not delivered and liabilities for stages where the contract manufacturer is entitled to a milestone payment.
We capitalize advance payments for goods or services that will be used or rendered for future research and development activities are capitalized as prepaid expenses and recognized asrecognize expense as the related goods are delivered or the related services are performed. We base our estimates on the best information available at the time. However, additional information may become available to us which may allow us to make a more accurate estimate in future periods. In this event, we may be required to record adjustments to research and development expenses in future periods when the actual level of activity becomes more certain. Such We consider such

increases or decreases in cost are generally considered to beas changes in estimates and will be reflectedreflect them in research and development expenses in the period identified.

Stock-Based Compensation

Stock-based compensation arrangements include stock option grants and restricted stock unit (RSU) awards under our equity incentive plans, as well as shares issued under our Employee Stock Purchase Plan (ESPP), through which employees may purchase our common stock at a discount to the market price.

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We use the Black-Scholes option pricing model for the respective grant to determine the estimated fair value of the option on the date of grant (grant date fair value) and the estimated fair value of common stock purchased under the ESPP. The Black-Scholes option pricing model requires the input of highly subjective assumptions. These variables include,assumptions, including but are not limited to, our stock price volatility over the term of the awards, and actual and projected employee stock option exercise behaviors. Because our employee stock options have characteristics significantly different from those of traded options, and because changes in the subjective input assumptions can materially affect the fair value estimate, in management’s opinion, the existing models may not provide a reliable single measure of the fair value of our employee stock options or common stock purchased under the ESPP. The fair value of an RSU is equal to the closing price of our common stock on the grant date. Management will continue to assess the assumptions and methodologies used to calculate the estimated fair value of stock-based compensation. Circumstances may change and additional data may become available over time, which could result in changes to these assumptions and methodologies, and which could materially impact our fair value determination.

We expense the grant date fair value of the portion of the option or award that is ultimately expected to vest based on the historical forfeiture rate on a straight line basis over the requisite service periods in our Consolidated Statements of Operations.Operations and recognize forfeitures of options and awards as they occur. For options and awards that vest upon the achievement of performance milestones, we estimate the vesting period based on our evaluation of the probability of achievement of each respective milestone and the related estimated date of achievement. Stock-basedWe recognize stock-based compensation expense for purchases under the ESPP is recognized over the respective six-month purchase period. ExpenseWe report expense amounts are recorded in cost of goods sold, research and development expense, and general and administrative expense based on the function of the applicable employee. Stock-based compensation charges are non-cash charges and as such have no impacteffect on our reported cash flows.

Net LossIncome (Loss) Per Share

Basic

For all periods presented in the Consolidated Statements of Operations, the net lossincome (loss) available to common stockholders is equal to the reported net income (loss). We calculate basic net income (loss) per share is calculated based on the weighted-average number of common shares outstanding during the periods presented.presented and calculate diluted net income (loss) per share based on the weighted-average number of shares of common stock outstanding, including potentially dilutive securities, which consist of common shares underlying stock options and restricted stock units (RSUs). For all periods presented in the Consolidated Statements of Operations, the net loss available to common stockholders is equal to the reported net loss. Basic2019 and 2017, basic and diluted net loss per share are the same due to our historical net losses and the requirement to exclude potentially dilutive securities which would have an anti-dilutiveantidilutive effect on net loss per share. During 2016, 2015 and 2014, potentially dilutive securities consisted of common shares underlying outstanding stock options and RSUs. There wereWe excluded weighted average outstanding stock options and RSUs of 19.9 million, 21.1totaling 17.9 million and 21.920.6 million duringfor 2019 and 2017, respectively. For 2018, the years ended December 31, 2016, 2015effect of these dilutive securities under the treasury stock method was approximately 10.5 million, and 2014, respectively. 

we excluded approximately 3.3 million of weighted-average shares of common stock underlying outstanding stock options from the computation of diluted net income per share because their effect was antidilutive.

Income Taxes

We account for income taxes under the liability method. Under this method, we determine deferred tax assets and liabilities are determined based on differences between the financial reporting and tax reporting bases of assets and liabilities, and are measured using enacted tax rates and laws that are expectedwe expect to be in effect when we expect the differences are expected to reverse. Realization of deferred tax assets is dependent upon future earnings, the timing and amount of which are uncertain. We record a valuation allowance against deferred tax assets to reduce their carrying value to an amount that is more likely than not to be realized. When we establish or reduce the valuation allowance related to the deferred tax assets, our provision for income taxes will increase or decrease, respectively, in the period we make such determination is made.

determination.

We utilize a two-step approach to recognize and measure uncertain tax positions. The first step is to evaluate the tax position for recognition by determining if the weight of available evidence indicates that it is more likely than not that the position will be sustained upon tax authority examination, including resolution of related appeals or litigation processes, if any. The second step is to measure the tax benefit as the largest amount of benefit, determined on a cumulative probability basis, that is more than 50% likely of being realized upon ultimate settlement.


Comprehensive loss

income (loss)

Comprehensive lossincome (loss) is the change in stockholders’ equity from transactions and other events and circumstances other than those resulting from investments by stockholders and distributions to stockholders. Our other comprehensive income (loss) is comprised ofincludes net loss,income (loss), gains and losses from the foreign currency translation of the assets and liabilities of our India and UK subsidiaries, and unrealized gains and losses on investments in available-for-sale securities.

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Adoption

Recently Adopted Accounting Pronouncements
In December 2019, the FASB issued ASU 2019-12 - Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes (ASU 2019-12). ASU 2019-12 created an exception to the incremental approach for intraperiod tax allocation when there is a loss from continuing operations and income or a gain from other items (for example, discontinued operations or other comprehensive income). Under the historical guidance, in this situation, an entity would record an income tax provision from other items, such as unrealized gains on available-for-sale reported in other comprehensive income, with an offsetting income tax benefit in continuing operations. Under ASU 2019-12, an entity would record no income tax provision. We elected to adopt ASU 2019-12 effective January 1, 2019 on a prospective basis in accordance with the guidance. Because we reported a net loss and unrealized gains on available-for-sale securities for our quarterly reporting periods during 2019 and accordingly recorded a tax provision pursuant to the legacy guidance, we have recast such results for our Selected Quarterly Financial Data in Note 15 under ASU 2019-12. As a result, we eliminated the tax benefit in continuing operations and tax provision in other comprehensive income, which totaled $1.3 million for the nine months ended September 30, 2019.
On January 1, 2018, we adopted ASC 606, Revenue Recognition - Revenue from Contracts with Customers. ASC 606 supersedes the guidance in ASC 605, Revenue Recognition. We adopted ASC 606 on a modified retrospective basis under which we recognized the cumulative effect of Newadoption as a transition adjustment to opening accumulated deficit. Accordingly, we continue to report our results for the year ended December 31, 2017 under the historical revenue guidance ASC 605. Our transition adjustment totaled $12.7 million, and included $10.7 million related to the recognition of royalty revenue and $2.0 million for the reduction of deferred revenue related to one of our collaboration arrangements.
Recent Accounting Principle

Pronouncements

In April 2015,June 2016, the FASB issued ASU 2016-13: Financial Instruments - Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments. The guidance modifies the measurement and recognition of credit losses for most financial assets and certain other instruments. The amendment updates the guidance for measuring and recording credit losses on financial assets measured at amortized cost by replacing the “incurred loss” model with an “expected loss” model. Accordingly, we will present these financial assets at the net amount we expect to collect. The amendment also requires that we record credit losses related to available-for-sale debt securities as an allowance through net income rather than reducing the carrying amount under the current, other-than-temporary-impairment model. ASU 2016-13 is effective in the first quarter of 2020. Early adoption is permitted. We do not expect that adoption will have a material effect on our Consolidated Financial Statements.
In November 2018, the Financial Accounting Standards Board (FASB) issued Accounting Standards Update 2018-18: Clarifying the Interaction between Topic 808 and Topic 606 (ASU 2018-18). The guidance clarifies that certain transactions between collaborative arrangement participants should be accounted for as revenue under ASC 606 when the collaborative arrangement participant is a customer for a promised good or service that is distinct within the collaborative arrangement. The guidance also precludes entities from presenting amounts related to simplify the presentation of debt issuance costs by requiring debt issuance coststransactions with a collaborative arrangement participant that is not a customer as revenue, unless those transactions are directly related to be presented as a deduction from the corresponding debt liability. This guidancethird-party sales. ASU 2018-18 is effective for our interim and annual periods beginning January 1, 2016. Upon adoption, the new guidance must be applied retrospectively to all periods presented. Accordingly, as of January 1, 2016, we reclassified $0.4 million and $3.0 million of capitalized debt issuance costs to senior secured notes, net, and liability related to the sale of future royalties, net, respectively, from our other assets balance. This reclassification has also been applied retrospectively to these balances in our Consolidated Balance Sheet as of December 31, 2015.

Recent Accounting Pronouncements

In May 2014, the FASB issued guidance codified in Accounting Standards Codification (ASC) 606, Revenue Recognition — Revenue from Contracts with Customers, which amends the guidance in former ASC 605, Revenue Recognition, and is effective for public companies for annual and interim periods beginning after December 15, 2017. Numerous updates have been issued subsequent to the initial FASB guidance that provide clarification on a number of specific issues as well as requiring additional disclosures. We plan to adopt the standard in the first quarter of 2020 and should be applied retrospectively to January 1, 2018, using the modified retrospective method. Althoughwhen we are still evaluating our contracts and assessing all the potential impacts of the standard on existing arrangements we anticipate the adoption may have a material impact on our consolidated financial statements. Specifically, the new standard differs from the current accounting standard in many respects, such as in the accounting for variable consideration, including milestone payments or contingent payments from our collaboration partners.  Under our current accounting policy, we recognize contingent or milestone payments as revenue in the period that the payment-triggering event occurred or is achieved. The new revenue standard, however, may require us to recognize these payments before the payment-triggering event is completely achieved, subject to management’s assessment of whether it is probable that the triggering event will be achieved and that a significant reversal in the amount of cumulative revenue recognized will not occur when the uncertainty associated with the variable consideration is subsequently resolved.

In March 2016, the FASB issued guidance to simplify several aspects of employee share-based payment accounting, including income tax consequences, classification of awards as either equity or liabilities, and classification on the statement of cash flows. This guidance will become effective for us beginning in the first quarter of 2017. We do not believe the adoption of this guidance will have a material impact on our consolidated financial statements.

In February 2016, the FASB issued guidance to amend a number of aspects of lease accounting, including requiring lessees to recognize almost all leases with a term greater than one year as a right-of-use asset and corresponding liability, measured at the present value of the lease payments. The guidance will become effective for us beginning in the first quarter of 2019 and is required to be adopted using a modified retrospective approach.ASC 606. Early adoption is permitted. We are currently evaluating the impacteffect of the adoption, of this standard.

but we do not expect a material effect on our revenue.

Note 2 — Cash and Investments in Marketable Securities

Cash and investments in marketable securities, including cash equivalents, and restricted cash, are as follows (in thousands).

:

 

 

Estimated Fair Value at

 

 

 

December 31,

2016

 

 

December 31,

2015

 

Cash and cash equivalents

 

$

59,640

 

 

$

55,570

 

Short-term investments

 

 

329,462

 

 

 

253,374

 

Total cash and investments in marketable securities

 

$

389,102

 

 

$

308,944

 

 

 

 

 

 

 

 

 

 


 Estimated Fair Value at
 December 31,
2019
 December 31,
2018
Cash and cash equivalents$96,363
 $194,905
Short-term investments1,228,499
 1,140,445
Long-term investments279,119
 582,889
Total cash and investments in marketable securities$1,603,981
 $1,918,239

We invest in liquid, high quality debt securities. Our investments in debt securities are subject to interest rate risk. To minimize the exposure due to an adverse shift in interest rates, we invest in securities with maturities of two years or less and maintain a weighted average maturity of one year or less. AsAll of our long-term investments as of December 31, 20162019 and 2015, all of our investments2018 had maturities ofbetween one year or less.

and two years.

Gross unrealized gains and losses were not significant at either December 31, 20162019 or 2015.2018. During the year ended December 31, 2019, we sold 0 available-for-sale securities and during the years ended December 31, 2016, 20152018 and 2014,2017, we sold available-for-sale securities totaling $5.0 million, $42.5$12.0 million and $21.7$37.5 million, respectively, and realized gains and losses were not significant in any of those periods.

Under the terms of our 7.75% senior secured notes due October 2020, we are required to maintain a minimum cash and investments in marketable securities balance of $60.0 million.  

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Our portfolio of cash and investments in marketable securities includes (in thousands):

 
Fair Value
Hierarchy
Level
 Estimated Fair Value at
  December 31,
2019
 December 31,
2018
Corporate notes and bonds2 $1,132,182
 $1,288,986
Corporate commercial paper2 375,473
 498,048
Obligations of U.S. government agencies2 
 12,977
Available-for-sale investments  1,507,655
 1,800,011
Money market funds1 83,546
 105,656
Certificate of depositN/A 6,951
 6,760
CashN/A 5,829
 5,812
Total cash and investments in marketable securities  $1,603,981
 $1,918,239

 

 

 

 

 

 

Estimated Fair Value at

 

 

 

Fair Value

Hierarchy

Level

 

 

December 31,

2016

 

 

December 31,

2015

 

Corporate commercial paper

 

 

2

 

 

$

160,920

 

 

$

61,150

 

Corporate notes and bonds

 

 

2

 

 

 

156,044

 

 

 

181,969

 

Obligations of U.S. government agencies

 

 

2

 

 

 

13,749

 

 

 

7,325

 

Available-for-sale investments

 

 

 

 

 

 

330,713

 

 

 

250,444

 

Money market funds

 

 

1

 

 

 

51,104

 

 

 

53,728

 

Certificate of deposit

 

N/A

 

 

 

2,930

 

 

 

2,930

 

Cash

 

N/A

 

 

 

4,355

 

 

 

1,842

 

Total cash and investments in marketable securities

 

 

 

 

 

$

389,102

 

 

$

308,944

 

Level 1 —

Quoted prices in active markets for identical assets or liabilities.

Level 1 — Quoted prices in active markets for identical assets or liabilities.

Level 2 —

Inputs other than Level 1 that are observable, either directly or indirectly, such as quoted prices for similar assets or liabilities; quoted prices in markets that are not active; or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.


Level 3 —

Unobservable inputs that are supported by little or no market activity and that are significantLevel 2 — Inputs other than Level 1 that are observable, either directly or indirectly, such as quoted prices for similar assets or liabilities; quoted prices for identical or similar assets or liabilities in markets that are not active; or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.


We use a market approach to value our Level 2 investments. The disclosed fair value related to the fair value of the assets or liabilities.

All of our investments are categorized as Level 1is based on market prices from a variety of industry standard data providers and generally represents quoted prices for similar assets in active markets or Level 2, as explained in the table above. Duringhas been derived from observable market data.


For the years ended December 31, 2016, 20152019 and 20142018, there were no transfers between Level 1 and Level 2 of the fair value hierarchy.


Level 3 — Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities.
At December 31, 20162019 and 2015,2018, we had letter of credit arrangements in favor of a landlordour landlords and certain vendors totaling $2.4 million.$6.8 million and $6.6 million, respectively. These letters of credit are secured by investments of similar amounts.

Note 3 — Inventory

Inventory consists of the following (in thousands):

 

 

December 31,

 

 

 

2016

 

 

2015

 

Raw materials

 

$

2,055

 

 

$

3,236

 

Work-in-process

 

 

7,311

 

 

 

6,087

 

Finished goods

 

 

1,743

 

 

 

2,023

 

Total inventory

 

$

11,109

 

 

$

11,346

 


 December 31,
 2019 2018
Raw materials$1,673
 $1,846
Work-in-process8,267
 6,403
Finished goods2,725
 3,132
Total inventory$12,665
 $11,381

Note 4 — Property, Plant and Equipment

Property, plant and equipment consists of the following (in thousands):

 

December 31,

 

December 31,

 

2016

 

 

2015

 

2019 2018

Building and leasehold improvements

 

$

75,137

 

 

$

77,665

 

$93,097
 $77,771
Laboratory equipment36,623
 33,806
Computer equipment and software26,910
 23,395

Manufacturing equipment

 

 

44,237

 

 

 

35,631

 

22,030
 21,339

Laboratory equipment

 

 

27,424

 

 

 

27,309

 

Furniture, fixtures and other equipment

 

 

26,590

 

 

 

24,987

 

Furniture, fixtures, and other9,662
 7,959

Depreciable property, plant and equipment at cost

 

 

173,388

 

 

 

165,592

 

188,322
 164,270

Less: accumulated depreciation

 

 

(111,243

)

 

 

(102,712

)

(127,875) (120,507)

Depreciable property, plant and equipment, net

 

 

62,145

 

 

 

62,880

 

60,447
 43,763

Construction-in-progress

 

 

3,456

 

 

 

8,456

 

4,552
 5,088

Property, plant and equipment, net

 

$

65,601

 

 

$

71,336

 

$64,999
 $48,851


Building and leasehold improvements include our manufacturing, research and development and administrative facilities and the related improvements to these facilities. Our leasehold improvements increased significantly during the year ended December 31, 2019 due to the construction of leasehold improvements for our new facilities on Third Street as further described in Note 6. Laboratory and manufacturing equipment include assets that support both our manufacturing

73


and research and development efforts. Construction-in-progress includes assets being built to enhance our manufacturing and research and development efforts.

Depreciation expense, including depreciation of assets acquired through capital leases,and amortization expenses on property, plant and equipment for the years ended December 31, 2016, 2015,2019, 2018, and 20142017 was $13.2$11.0 million, $11.4$8.8 million, and $11.7$12.6 million, respectively.

In November 2017, Bayer announced that the Phase 3 Amikacin Inhale clinical program did not meet its primary endpoint or key secondary endpoints and, in December 2017, Bayer terminated our related collaboration agreement. Under this collaboration, we were responsible for the development, manufacturing and supply of our proprietary nebulizer device included in the Amikacin product and had acquired specific manufacturing equipment for this purpose. As a result of the termination of the program, in the three months ended December 2017, we expensed program specific manufacturing equipment with an original cost of $23.4 million and a net book value of $15.1 million. We completed the disposal of this equipment in the first quarter of 2018. In addition, in the three months ended December 31, 2017, we incurred approximately $0.9 million of other program termination costs related to our manufacturing obligations.
Note 5 — Senior Secured Notes

On September 30,October 5, 2015, we entered into a purchase agreement with TC Lending, LLCcompleted the sale and TAO Fund, LLC for the saleissuance of $250.0 million in aggregate principal amount of 7.75% senior secured notes due 2020 (the “Notes”)Notes). On October 5, 2015, we completed the sale and issuance of the Notes. The Notes are secured by a first-priority lien on substantially all of our assets. The Notesassets (except our right-of-use assets) and bear interest at a rate of 7.75% per annum payable in cash quarterly in arrears on January 15, April 15, July 15, and October 15 of each year. Interest is calculated based on actual days outstanding over a 360 daydays year. The Notes will mature on October 5, 2020, at which time the outstanding principal will be due and payable.

In connection with the issuance of the Notes, we paid fees and expenses of $8.9 million, of which $8.7 million of transaction and facility fees paid directly to the purchasers of the Notes and other direct issuance costs were capitalized as a debt discount and issuance costs and are recorded as a reductiondiscount to the senior secured notes, net liability balance in our Consolidated Balance Sheet. The unamortized balance of these costs is $6.5totals $1.3 million at December 31, 2016 and2019, which we will be amortizedamortize to interest expense over the remainder of the five yearremaining term of the Notes.

On October 5, 2015, we used a portion of the proceeds from the Notes to redeem the $125.0 million in aggregate principal amount of 12.0% senior secured notes due in 2017 (12% Notes).  In addition, on October 5, 2015, we paid $3.3 million of accrued interest on the 12% Notes and made a $12.5 million redemption payment, which includes $1.2 million of additional interest paid to the note holders at redemption. As a result, we received $100.3 million in net proceeds in connection with these transactions.  In addition, as a result of these transactions, in the year ended December 31, 2015, we recognized a $14.1 million loss on extinguishment of our 12% Notes, which consists of the $11.3 million redemption premium and $1.2 million of incremental interest paid to the note holders and the write-off of $1.6 million of unamortized issuance costs.


The agreement, pursuant to which the Notes were issued, contains customary covenants, including covenants that limit or restrict our ability to incur liens, incur indebtedness, declare or pay dividends, redeem stock, issue preferred stock, make certain investments, merge or consolidate, make dispositions of assets, or enter into certain new businesses or transactions with affiliates, but do not contain covenants related to future financial performance. In particular, the Notes agreement requires us to maintain a minimum cash and investments in marketable securities balance of $60.0 million during the term of the Notes. The Notes agreement provides that, beginning on October 5, 2017, weWe may currently redeem some or all of these notes at a redemption price equal 100% of the principal amount of the Notes subjectplus accrued and unpaid interest to certain prepayment premiums and conditions.the applicable redemption date. If we experience certain change of control events, the holders of the Notes will have the right to require us to purchase all or a portion of the Notes at a purchase price in cash equal to 101% of the principal amount thereof, plus accrued and unpaid interest to the date of purchase. In addition, upon certain asset sales, we may be required to offer to use the net proceeds thereof to purchase some of the Notes at 100% of the principal amount thereof, plus accrued and unpaid interest to the date of purchase.

As of December 31, 2016,2019, based on a discounted cash flow analysis using Level 3 inputs including financial discount rates, we believeestimate that the $250.0 million in principal amountfair value of the Notes is consistent with its fair value.

approximately $252.6 million.

Note 6 — Leases

Capital Leases

We have purchased certain manufacturing and office equipment under capital leases. As of December 31, 2016 and 2015, the gross amount of assets recorded under capital leases was $8.2 million and $5.1 million, respectively, and the recorded value of these assets, net of depreciation, was $7.4 million and $3.2 million, respectively.

We previously leased office space at 201 Industrial Road in San Carlos, California under a capital lease arrangement. This lease and related subleases ended on October 5, 2016.  

74


Future minimum payments for our capital leases at December 31, 2016 are as follows (in thousands):

Year ending December 31,

 

 

 

 

2017

 

$

3,270

 

2018

 

 

2,339

 

Total minimum payments required

 

 

5,609

 

Less: amount representing interest

 

 

(478

)

Present value of future minimum lease payments

 

 

5,131

 

Less: current portion

 

 

(2,908

)

Capital lease obligation, less current portion

 

$

2,223

 

Operating Leases

On September 30, 2009,

In August 2017, we entered into an operatinga Lease Agreement (the Mission Bay Lease) with ARE-San Francisco No. 19, LLC (ARE) and terminated our sublease (Sublease) with Pfizer, Inc.effectively extending our lease term from 2020 to 2030 for a 126,285our 148,263 square foot corporate office and R&D facility located inat 455 Mission Bay Boulevard, San Francisco, California (Mission(the Mission Bay Facility). The Sublease term is 114 months, commencing in August 2010of the Mission Bay Lease commenced on September 1, 2017, and terminating onwill expire January 31, 2020 and2030, subject to our right to extend the term of the lease for 2 consecutive five-year periods, which we began making non-cancelablehave excluded from our determination of the lease payments in 2014, afterterm. The monthly base rent for the expiration of our free rent period on August 1, 2014. Monthly base rentMission Bay Facility will escalate over the term of the subleaselease at various intervals. In addition, throughoutDuring the term of the Sublease,Mission Bay Lease, we are responsible for paying certain costs andour share of operating expenses specified in the Sublease,lease, including utilities, common area maintenance, insurance costs and taxes. During the year ended December 31, 2019, ARE delivered 13,907 square feet of space, and therefore we recognized right-of-use assets and lease liabilities of $6.7 million for the space. The Mission Bay Lease also obligates us to rent from ARE a pro rata sharetotal of operating expenses and applicable taxes foran additional approximately 4,940 square feet of space at the Mission Bay Facility at specified delivery dates. The Mission Bay Lease includes various covenants, indemnities, defaults, termination rights, security deposits and other provisions customary for lease transactions of this nature.
In May 2018, we entered into a Lease Agreement (the Third Street Lease) with Kilroy Realty Finance Partnership, L.P. (Kilroy) to lease 135,936 square feet of space located at 360 Third Street, San Francisco, California (the Third Street Facility) from June 2018 to January 31, 2030, subject to our right to extend the term for a consecutive five-year period, which we have excluded from our determination of the lease term. Kilroy delivered an initial 1,726 square feet in June 2018, a total of 67,105 square feet in December 2018, and the final 67,105 square feet in August 2019. As a result of the delivery of the final spaces during the year ended December 31, 2019, we recognized an additional right-of-use asset and lease liability of $51.0 million. The Third Street Lease provides us additional facilities to support our San Francisco-based R&D activities. Our fixed annual base rent on an industrial gross lease basis includes certain expenses and property taxes paid directly by the landlord and will escalate each year over the term at specified intervals. We have a one-time right of first offer with respect to certain additional rental space at the Third Street Facility.

The Third Street Lease includes various covenants, indemnities, defaults, termination rights, security deposits and other provisions customary for lease transactions of this nature.

We recognize rent expense for these operating leases on a straight-line basis over the lease period. ForThe components of lease costs, which we include in operating expenses in our Condensed Consolidated Statements of Operations, were as follows (in thousands):
 Year Ended December 31,
 2019 2018 2017
Operating lease cost$14,697
 $7,972
 $4,515
Variable lease cost6,408
 4,497
 3,077
Total lease costs$21,105
 $12,469
 $7,592

During the yearsyear ended December 31, 2016, 2015,2019, we recorded operating lease expense of $14.7 million and 2014, rent expense was approximately $3.2paid $8.4 million of operating lease payments related to our lease liabilities, which we include in each year. net cash provided by (used in) operating activities in our Consolidated Statement of Cash Flows.

As of December 31, 20162019, the maturities of our operating lease liabilities were as follows (in thousands):
Year ending December 31, 
2020$14,571
202119,219
202219,832
202320,461
202421,110
2025 and thereafter118,058
Total lease payments213,251
Less: portion representing interest(54,741)
Less: lease incentives(3,264)
Operating lease liabilities155,246
Less: current portion(12,516)
Operating lease liabilities, less current portion$142,730

As of December 31, 2019, the weighted-average remaining lease term is 10.1 years and 2015, we had totalthe weighted-average discount rate used to determine the operating lease liability was 5.9%.
Under the historical guidance of ASC 840, our deferred rent balances of $6.6balance at December 31, 2018 totaled $9.3 million and $8.5 million, respectively, which are recorded in other current and other long-term liabilities in our Consolidated Balance Sheets.

Our future minimum lease payments for our operating leases at December 31, 2016 are2018 were as follows (in thousands):

Year ending December 31,

 

 

 

 

 

2017

 

$

5,037

 

2018

 

 

5,187

 

2019

 

 

5,344

 

$7,914

2020

 

 

452

 

10,617
202113,649
202214,117
202314,599
2024 and thereafter98,315

Total future minimum lease payments

 

$

16,020

 

$159,211


Note 7 — Liability Related to the Sale of Future Royalties

On February 24, 2012, we entered into a Purchase and Sale Agreement (the Purchase and Sale Agreement) with RPI Finance Trust (RPI), an affiliate of Royalty Pharma, pursuant to which we sold, and RPI purchased, our right to receive royalty payments (the Royalty Entitlement) arising from the worldwide net sales, from and after January 1, 2012, of (a) CIMZIA®, under our license, manufacturing and supply agreement with UCB Pharma (UCB), and (b) MIRCERA®, under our license, manufacturing and supply agreement with F. Hoffmann-La Roche Ltd and Hoffmann-La Roche Inc. (together referred to as Roche). We received aggregate cash proceeds of $124.0 million for the Royalty Entitlement. As part of this sale, we incurred approximately $4.4 million in transaction costs, which we will be amortizedamortize to interest expense over the estimated life of the Purchase and Sale Agreement. Although we sold all of our rights to receive royalties from the CIMZIA® and MIRCERA® products, as a result of our ongoing manufacturing and supply obligations related to the generation of these royalties, we will continue to account for these royalties as revenue, and we recorded the $124.0 million in proceeds from this transaction as a liability (Royalty Obligation) that will be amortized using the interest method over the estimated life of the Purchase and Sale Agreement.

75


Agreement as royalties from the CIMZIA ® and MIRCERA ® products are remitted directly to RPI.

The following table shows the activity within the liability account during the year ended December 31, 20162019 and for the period from the inception of the royalty transaction on February 24, 2012 (inception) to December 31, 20162019 (in thousands):

 

 

Year ended

December 31,

2016

 

 

Period from

inception to

December 31,

2016

 

Liability related to the sale of future royalties—beginning balance

 

$

119,032

 

 

$

 

Proceeds from sale of future royalties

 

 

 

 

 

124,000

 

Payments from Nektar to RPI

 

 

 

 

 

(10,000

)

Non-cash CIMZIA® and MIRCERA® royalty revenue

 

 

(30,158

)

 

 

(106,999

)

Non-cash interest expense recognized

 

 

19,712

 

 

 

101,585

 

Liability related to the sale of future royalties – ending balance

 

 

108,586

 

 

 

108,586

 

Less: unamortized transaction costs

 

 

(2,636

)

 

 

(2,636

)

Liability related to the sale of future royalties, net

 

$

105,950

 

 

$

105,950

 


 Year ended
December 31,
2019
 Period from
inception to
December 31,
2019
Liability related to the sale of future royalties—beginning balance$84,810
 $
Proceeds from sale of future royalties
 124,000
Payments from Nektar to RPI
 (10,000)
Non-cash CIMZIA® and MIRCERA® royalty revenue
(36,303) (207,142)
Non-cash interest expense recognized25,044
 166,693
Liability related to the sale of future royalties – ending balance73,551
 73,551
Less: unamortized transaction costs(1,531) (1,531)
Liability related to the sale of future royalties, net$72,020
 $72,020

Pursuant to the Purchase and Sale Agreement, in March 2014 and March 2013, we were required to pay RPI $7.0 million and $3.0 million, respectively, as a result of worldwide net sales of MIRCERA® for the 12 month periods ended December 31, 2013 and 2012 not reaching certain minimum thresholds. The Purchase and Sale Agreement does not include any other potential payments related to minimum net sales thresholds and, therefore, we do not expect to make any further payments to RPI related to this agreement.

During the years ended December 31, 2016, 20152019, 2018 and 2014,2017, we recognized $30.2$36.3 million, $22.1$33.3 million, and $21.9$30.5 million, respectively, in non-cash royalties from net sales of CIMZIA® and MIRCERA®, and we recorded $19.7$25.0 million, $20.6$21.2 million and $20.9$18.9 million, respectively, of related non-cash interest expense.

As royalties are remitted to RPI from Roche and UCB, the balance of the Royalty Obligation will be effectively repaid over the life of the agreement. In order toTo determine the amortization of the Royalty Obligation, we are required to estimate the total amount of future royalty payments to be received by RPI. The sum of these amounts less the $124.0 million proceeds we received, net of our payments to RPI, will be recorded as interest expense over the life of the Royalty Obligation. Since inception, our estimate of this total interest expense resulted in an effective annual interest rate of approximately 17%. We periodically assess the estimated royalty payments to RPI from UCB and Roche and to the extent the amount or timing of such payments is materially different than our original estimates, we will prospectively adjust the amortization of the Royalty Obligation. From inception through 2017, our estimate of the total interest expense on the Royalty Obligation resulted in an effective annual interest rate of approximately 17%. During the three months ended December 31, 2017, our estimate of the effective annual interest rate over the life of the agreement increased to 17.6%, which resulted in a prospective interest rate of 21%. During the three month period ended December 31, 2018, primarily as a result of increases in the forecasted sales of MIRCERA®, our estimate of the effective annual interest rate over the life of the agreement increased to 18.7%, which resulted in a prospective interest rate of 29%. During the three month period ended December 31, 2019, primarily as a result of increases in the forecasted sales of CIMZIA® and MIRCERA®, our estimate of the effective annual interest rate over the life of the agreement increased to 19.5%, which results in a prospective interest rate of 38%.
There are a number of factors that could materially affect the amount and timing of royalty payments from CIMZIA® and MIRCERA®, most of which are not within our control. Such factors include, but are not limited to, changing standards of care, the introduction of competing products, manufacturing or other delays, biosimilar competition, intellectual property matters, adverse events that result in governmental health authority imposed restrictions on the use of the drug products, significant changes in foreign exchange rates as the royalties remitted to RPI are made in U.S. dollars (USD) while significant portions of the underlying sales of CIMZIA® and MIRCERA® are made in currencies other than USD, and other events or circumstances that could result in reduced royalty payments from CIMZIA® and MIRCERA®, all of which would result in a reduction of non-cash royalty revenues and the non-cash interest expense over the life of the Royalty Obligation. Conversely, if sales of CIMZIA® and MIRCERA® are more than expected, the non-cash royalty revenues and the non-cash interest expense recorded by us would be greater over the term of the Royalty Obligation.

In addition, the Purchase and Sale Agreement grants RPI the right to receive certain reports and other information relating to the Royalty Entitlement and contains other representations and warranties, covenants and indemnification obligations that are customary for a transaction of this nature. To our knowledge, we are currently in compliance with these provisions of the Purchase and Sale Agreement; however, if we were to breach our obligations, we could be required to pay damages to RPI that are not limited to the purchase price we received in the sale transaction.


Note 8 — Commitments and Contingencies

Royalty Expense

We have third party licenses that require us to pay royalties based on our sales of certain products and/or on our recognition of royalty revenue under certain of our collaboration agreements. Royalty expense, which is reflected in cost of goods sold in our Consolidated Statements of Operations, was approximately $3.7 million, $2.8 million, and $3.4 million for the years ended December 31, 2016, 2015, and 2014, respectively. The overall maximum amount of these obligations is based upon sales of the applicable products by our collaboration partners and cannot be reasonably estimated.

76


Purchase Commitments

In the normal course of business, we enter into various firm purchase commitments related to contract manufacturing, clinical development and certain other items. As of December 31, 2016,2019, these commitments were approximately $5.8$25.8 million, all of which are expectedwe expect to be paidpay in 2017.

2020.

Legal Matters

From time to time, we are involved in lawsuits, audits, arbitrations, claims, investigations and proceedings, consisting of intellectual property, commercial, employment, regulatory, and other matters, which arise in the ordinary course of business. We make provisions for liabilities when it is both probable that a liability has been incurred and the amount of the loss can be reasonably estimated. Such provisions are reviewed at least quarterly and adjusted to reflect the impact of settlement negotiations, judicial and administrative rulings, advice of legal counsel, and other information and events pertaining to a particular case. Litigation is inherently unpredictable. If any unfavorable ruling were to occur in any specific period, there exists the possibility of a material adverse impact on the results of our operations of that period and on our cash flows and liquidity.

On August 14, 2015, Enzon, Inc.October 30, 2018, we and certain of our executives were named in a putative securities class action complaint filed a breach of contract complaint in the Supreme Court of the State of New York (Court) claiming damages of $1.5 million (plus interest) for unpaid licensing fees through the date of the complaint. Enzon alleged that we failed to pay a post-patent expiration immunity fee related to one of the licenses. Following a hearing held on December 21, 2015, the Court granted Nektar’s motion to dismiss the Enzon complaint. Enzon filed an appeal to the Court’s dismissal decision. On October 25, 2016 the Supreme Court of the State of New York, Appellate Division, reversed the earlier decision by the Court granting Nektar’s motion to dismiss the Enzon complaint. As a result, the case has been remanded to theU.S. District Court for furtherthe Northern District of California, which complaint was subsequently amended on May 15, 2019.  Also, on February 13, 2019, and February 18, 2019, shareholder derivative complaints were filed in the U.S. District Court for the District of Delaware naming the CEO, CFO and certain members of Nektar’s board. These class action and shareholder derivative actions assert, among other things, that for a period beginning at least from November 11, 2017 through October 2, 2018, our stock was inflated due to alleged misrepresentations about the efficacy and safety of bempegaldesleukin. In addition, on August 19, 2019, we and certain of our executives were named in a putative securities class action complaint filed in the U.S. District Court for the Northern District of California, which complaint was subsequently amended on January 24, 2020. Also, on February 11, 2020, and on February 20, 2020, shareholder derivative complaints were filed in the U.S. District Court for the Northern District of California naming the CEO, CFO and certain members of Nektar's board. These class action and shareholder derivative actions assert, among other things, that for a period between February 15, 2019 and August 8, 2019, inclusive, our stock was inflated due to an alleged failure to disclose a reduction in the planned number of bempegaldesleukin clinical trials and a bempegaldesleukin manufacturing issue. All of these cases are in the early stages. Accordingly, we cannot reasonably estimate a potential future loss or a range of potential future losses, and we have not recorded any accrual for a contingent liability associated with these legal proceedings. NoHowever, an unfavorable resolution could potentially have a material adverse effect on our business, financial condition, and results of operations or prospects, and potentially result in paying monetary damages. We have recorded 0 liability has been recorded for this matterthese matters on our Consolidated Balance Sheets as of December 31, 20162019 or 2015.

2018.

Foreign Operations

We operate in a number of foreign countries. As a result, we are subject to numerous local laws and regulations that can result in claims made by foreign government agencies or other third parties that are often difficult to predict even after the application of good faith compliance efforts.

Indemnification Obligations

During the course of our normal operating activities, we have agreed to certain contingent indemnification obligations as further described below. The term of our indemnification obligations is generally perpetual. There is generally no limitation on the potential amount of future payments we could be required to make under these indemnification obligations. To date, we have not incurred significant costs to defend lawsuits or settle claims based on our indemnification obligations. If any of our indemnification obligations is triggered, we may incur substantial liabilities. Because the aggregate amount of any potential indemnification obligation is not a stated amount, we cannot reasonably estimate the overall maximum amount of any such obligations cannot be reasonably estimated. Noobligations. We have recorded 0 liabilities have been recorded for these obligations on our Consolidated Balance Sheets as of December 31, 20162019 or 2015.

2018.

Indemnifications in Connection with Commercial Agreements

As part of our collaboration agreements with our partners related to the license, development, manufacture and supply of drugs and PEGylation materials based on our proprietary technologies and drug candidates, we generally agree to defend, indemnify and hold harmless our partners from and against third party liabilities arising out of the agreement, including product

liability (with respect to our activities) and infringement of intellectual property to the extent the intellectual property is developed by us and licensed to our partners.

As part The term of these indemnification obligations is generally perpetual any time after execution of the saleagreement. There is generally no limitation on potential amount of our royalty interest in the CIMZIA®future payments we could be required to make under these indemnification obligations.

From time to time, we enter into other strategic agreements such as divestitures and MIRCERA® products,financing transactions pursuant to which we and RPI madeare required to make representations and warranties and entered intoundertake to perform or comply with certain covenants, and ancillary agreements which are supported by indemnity obligations. Additionally, as part ofincluding our pulmonary asset saleobligation to NovartisRPI described in 2008, we and Novartis made representations and warranties and entered into certain covenants and ancillary agreements which are supported by an indemnity obligation.Note 7. In the event it is determined that we breached certain of the representations and warranties or covenants and agreements made by us in any such agreements, we could incur substantial indemnification liabilities depending on the timing, nature, and amount of any such claims.

Indemnification of Underwriters and Initial Purchasers of our Securities

In connection with our sale of equity and senior secured debt securities, we have agreed to defend, indemnify and hold harmless our underwriters or initial purchasers, as applicable, as well as certain related parties from and against certain liabilities, including liabilities under the Securities Act of 1933, as amended.

77


Director and Officer Indemnifications

As permitted under Delaware law, and as set forth in our Certificate of Incorporation and our Bylaws, we indemnify our directors, executive officers, other officers, employees, and other agents for certain events or occurrences that may arise while in such capacity. The maximum potential amount of future payments we could be required to make under this indemnification is unlimited; however, we have insurance policies that may limit our exposure and may enable us to recover a portion of any future amounts paid. Assuming the applicability of coverage, the willingness of the insurer to assume coverage, and subject to certain retention, loss limits and other policy provisions, we believe any obligations under this indemnification would not be material, other than an initial $1.5up to $5.0 million per incident for merger and acquisition related claims, $1.3$5.0 million per incident for securities related claims and $0.5$1.5 million per incident for non-securities related claims retention deductible per our insurance policy. However, no assurances can be given that the covering insurers will not attempt to dispute the validity, applicability, or amount of coverage without expensive litigation against these insurers, in which case we may incur substantial liabilities as a result of these indemnification obligations.

Note 9 — Stockholders’ Equity

Preferred Stock

We have authorized 10,000,000 shares of Preferred Stock with each share having a par value of $0.0001. As of December 31, 2016 and 2015, no preferred shares are designated, issued or outstanding.

Common Stock

On October 24, 2016,

As discussed in Note 10, on April 3, 2018, we completed the issuance and sale of 14,950,0008,284,600 shares of our common stock in an underwritten public offeringunder a Share Purchase Agreement with total proceeds of approximately $189.7 million after deducting the underwriting commissionsBMS. These shares are unregistered and discounts of approximately $12.1 million. In addition, we incurred approximately $0.4 million in legalsubject to certain lock-up and accounting fees, filing fees, and other costs in connection with this offering.

On January 28, 2014, we completed the issuance and sale of 9,775,000 shares of our common stock instand-still provisions for a public offering with total proceeds of approximately $117.2 million after deducting the underwriting commissions and discounts of approximately $7.5 million. In addition, we incurred approximately $0.6 million in legal and accounting fees, filing fees, and other costs in connection with this offering.

five-year period.

Equity Compensation Plans

At December 31, 2016,2019, we had 24,772,83728,962,018 reserved shares of common stock, all of which are reserved for issuance under our equity compensation plans, as summarized inof which approximately 19,817,000 shares may be issued upon the following table (share numbers in thousands):

exercise of outstanding options or the vesting of restricted stock units (RSUs) and 9,145,000 shares are available for issuance under equity compensation plans.

Plan Category

 

Number of

Securities to

be Issued

Upon Exercise

of Outstanding

Options & Vesting of RSUs

(a)

 

 

Weighted-

Average

Exercise Price

of Outstanding

Options

(b)

 

 

Number of

Securities

Remaining

Available for

Issuance Under

Equity

Compensation

Plans

(Excluding

Securities

Reflected

in Column(a)

(c)

 

Equity compensation plans approved by security holders(1)

 

 

20,218

 

 

$

12.08

 

 

 

3,113

 

Equity compensation plans not approved by security holders

 

 

1,442

 

 

$

11.18

 

 

 

 

Total

 

 

21,660

 

 

$

12.01

 

 

 

3,113

 

(1)

Includes shares of common stock available for future issuance under our ESPP as of December 31, 2016.

20122017 Performance Incentive Plan

Our 20122017 Performance Incentive Plan (2012(2017 Plan) was adopted by the Boardour board of Directorsdirectors (Board of Directors) on April 4, 2012March 28, 2017 and was approved by our stockholders on June 28, 2012.14, 2017. On the date of approval, any shares of our common stock that were available for issuance under all other previously existing stock plans (the 2008 Equityour 2012 Performance Incentive Plan the 2000 Equity Incentive Plan, and the 2000 Non-Officer Equity Incentive(2012 Plan) becameceased to be available for issuance underfuture grants.
Subject to the 2012 Plan. In addition, 5,300,000 new shares were made available for award grants under the 2012 Plan. No new awards were granted under anyterms of the previous2017 Plan, 8,300,000 shares of our common stock, plans after June 28, 2012. Anyreduced by the number of shares

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of common stock subject to outstandingawards granted under the 2012 Plan on or after March 31, 2017 and prior to the adoption of the 2017 Plan, were initially available for awards under the previous stock plans that expire, are cancelled, or otherwise terminate at any time after December 31, 2011 are also available for award grant purposes under the 20122017 Plan. On June 16, 2015,26, 2018, our stockholders approved an amendment to the 20122017 Plan whereby 7,000,00010,900,000 additional shares were made available for award grants under the 20122017 Plan.

Shares issued in respect of any “full-value award” granted under the 2017 Plan will be counted against the share limit described in the preceding sentences as 1.5 shares for every one share actually issued in connection with the award. Shares that are subject to or underlie awards which expire or for any reason are cancelled or terminated, are forfeited, fail to vest, or for any other reason are


not paid or delivered under the 2017 Plan or any Prior Plan (as defined below) will again be available for subsequent awards under the 2017 Plan (with any such shares subject to full-value awards increasing the 2017 Plan’s share limit based on the full-value award ratio described above or, in the case of an award granted under a Prior Plan, the full-value award ratio set forth in such Prior Plan). Notwithstanding the foregoing, shares that are exchanged by a participant or withheld by us to pay the exercise price of an option granted under the 2017 Plan, as well as any shares exchanged or withheld to satisfy the tax withholding obligations related to any award, will not be available for subsequent awards under the 2017 Plan.
The purpose of the 20122017 Plan and our other incentive plans is to promote our success by providing an additional means for us to attract, motivate, retain and reward directors, officers, employees, and other eligible persons through the grant of awards. Equity-based awards and incentives for high levels of individual performance and increasing the value of our business, as well asare also intended to further align the interests of award recipients and our stockholders. The 20122017 Plan authorizes stock options, stock appreciation rights, stock bonuses, restricted stock, performance stock, stock units, phantom stock bonuses, dividend equivalents, otheror similar rights to purchase or acquire shares, and other forms of awards granted or denominated in our common stock or units of the Company’sour common stock, as well as cash bonus awards. Members of the Board of Directors, officers or employees, and certain consultants and advisors mayand our subsidiaries are eligible to receive awards under the 20122017 Plan. Pursuant to the 20122017 Plan, we granted or issued incentive stock options to officers and non-qualified stock options and RSUs to employees, officers, and non-employee directors.directors during 2018 and 2019. The requisite service period for stock options granted to our employees under the 20122017 Plan as well as all other previously existing stock plansour Prior Plans is generally four years; the requisite service period for stock options granted to our directors is generally one year. The requisite service period for RSUs granted under the 20122017 Plan and our Prior Plans is generally three years for employees and one year for directors.

The maximum number of shares of our common stock that may be issued or transferred pursuant to awards under the 2012 Plan is 19,936,433 shares, plus any shares subject to outstanding awards under the previous stock plans that expire, are cancelled, or otherwise terminate for any reason. Generally, shares that are subject to or underlie awards which expire or for any reason are cancelled or terminated, are forfeited, fail to vest, or for any other reason (except for shares exchanged by a participant or withheld to pay the exercise price of an award granted and related tax withholding obligations) are not paid or delivered under the 2012 Plan will again be available for subsequent awards under the 2012 Plan. Shares issued in respect of any award, other than a stock option or stock appreciation right, granted under the 2012 Plan will be counted against the plan’s share limit as 1.5 shares for every one share actually issued in connection with the award.

The 20122017 Plan will terminate on April 3, 2022,March 27, 2027, unless earlier terminated by the Board of Directors. The maximum term of a stock option or stock appreciation right under the 20122017 Plan and our Prior Plans is eight years from the date of grant. The per share exercise price of an option generally may not be less than the fair market value of a share of the Company’sour common stock on the NASDAQ Global SelectStock Market on the date of grant.

Other Equity Incentive Plans

In addition to the 20122017 Plan, we have other equity incentive plans under which options and restricted stock units granted remain outstanding but no new options or restricted stock units may be granted either as a result of the approvaleffectiveness of the 2017 Plan or the expiration of such other plan. These other equity incentive plans include: (i) the 2012 Plan or plan expiration. These plans include: (i)which was adopted by the Board of Directors on April 4, 2012 and approved by our stockholders on June 28, 2012, amended on June 16, 2015 by approval of our stockholders to make available for award grants 7,000,000 additional shares, and replaced by the 2017 Plan; (ii) the 2008 Equity Incentive Plan (2008 Plan) which was adopted by the Board of Directors on March 20, 2008 and approved by our stockholders on June 6, 2008; (ii)(iii) the 2000 Equity Incentive Plan (2000 Plan) which was adopted by the Board of Directors on April 19, 2000 by amending and restating our 1994 Equity Incentive Plan, and which expired on February 9, 2010; and (iii)(iv) the 1998 Non-Officer Equity Incentive Plan which was adopted by our Board of Directors on August 18, 1998, and which was amended and restated in its entirety and renamed the 2000 Non-Officer Equity Incentive Plan on June 6, 2000 (2000 Non-Officer Plan).

Pursuant toPlan and collectively with the 2012 Plan, the 2008 Plan and the 2000 Plan, the Prior Plans).

Pursuant to the Prior Plans, we previously granted or issued incentive stock options to employees and officers and non-qualified stock options, rights to acquire restricted stock, restricted stock units, and stock bonuses to employees, officers, non-employee directors, and consultants. Pursuant to the 2000 Non-Officer Plan, we previously granted or issued non-qualified stock options, rights to acquire restricted stock and stock bonuses to employees and consultants who are neither officers nor directors of Nektar. The maximum term of a stock option under all of these plans is eight years.

Employee Stock Purchase Plan

In February 1994, our Board of Directors adopted the Employee Stock Purchase Plan (ESPP) pursuant to section 423(b) of the Internal Revenue Code of 1986. Under the ESPP, 2,500,000 shares of our common stock have been authorized for issuance. The terms of the ESPP provide eligible employees with the opportunity to acquire an ownership interest in Nektar through participation in a program of periodic payroll deductions for the purchase of our common stock. Employees may elect to enroll or re-enroll in the ESPP on a semi-annual basis. Stock is purchased at 85% of the lower of the closing price on the first day of the enrollment period or the last day of the enrollment period.

401(k) Retirement Plan

We sponsor a 401(k) retirement plan whereby eligible employees may elect to contribute up to the lesser of 60% of their annual compensation or the statutorily prescribed annual limit allowable under Internal Revenue Service regulations. The 401(k) plan permits

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us to make matching contributions on behalf of all participants, up to a maximum of $3,000$6,000 per participant.


For the years ended December 31, 2016, 2015,2019, 2018, and 2014,2017, we recognized $1.1$3.5 million, $0.9$2.8 million, and $0.9$1.6 million, respectively, of compensation expense in connection with our 401(k) retirement plan.

Change in Control Severance Plan

On December 6, 2006, our Board of Directors approved a Change of Control Severance Benefit Plan (CIC Plan). This CIC Plan has subsequently been amended a number of times by our Board of Directors with the most recent amendment occurring on April 5, 2011. The CIC Plan is designed to make certain benefits available to our eligible employees in the event of a change of control of Nektar and, following such change of control, an employee’s employment with us or a successor company is terminated in certain specified circumstances. We adopted the CIC Plan to support the continuity of the business in the context of a change of control transaction. The CIC Plan was not adopted in contemplation of any specific change of control transaction.

Under the CIC Plan, in the event of a change of control of Nektar and a subsequent termination of employment initiated by us or a successor company other than for Cause (as defined in the CIC Plan) or initiated by the employee for a Good Reason Resignation (as defined in the CIC Plan) in each case within twelve months following a change of control transaction, (i) the Chief Executive Officer would be entitled to receive cash severance pay equal to 24 months base salary plus annual target incentive pay, the extension of employee benefits over this severance period and the full acceleration of unvested outstanding equity awards, and (ii) our Senior Vice Presidents and Vice Presidents (including Principal Fellows) would each be entitled to receive cash severance pay equal to twelve months base salary plus annual target incentive pay, the extension of employee benefits over this severance period and the full acceleration of unvested outstanding equity awards. In the event of a change of control of Nektar and a subsequent termination of employment initiated by the Company or a successor company other than for Cause within twelve months following a change of control transaction, all other employees would each be entitled to receive cash severance pay equal to 6 months base salary plus a pro-rata portion of annual target incentive pay, the extension of employee benefits over this severance period and the full acceleration of each such employee’s unvested outstanding equity awards. Under the CIC Plan, as amended, non-employee directors would also be entitled to full acceleration of vesting of all outstanding stock awards in the event of a change of control transaction.

Note 10 — License and Collaboration Agreements

We have entered into various collaboration agreements including license agreements and collaborative research, development and commercialization agreements with various pharmaceutical and biotechnology companies. Under these collaboration arrangements, we are entitled to receive license fees, upfront payments, milestone and other contingent payments, royalties, sales milestones,milestone payments, and payments for the manufacture and supply of our proprietary PEGylation materials and/or reimbursement for research and development activities. All ofOur partners may generally cancel our collaboration agreements are generally cancelable by our partners without significant financial penalty. OurWe generally include our costs of performing these services are generally included in research and development expense, except thatfor costs for product sales to our collaboration partners are includedwhich we include in cost of goods sold.

We analyze our agreements to determine whether we should account for the agreements within the scope of ASC 808, Collaborative Arrangements, and, if so, we analyze whether we should account for any elements under the relevant revenue recognition guidance or whether we should record the reimbursements from our partner as contra research and development expense.


In accordance with our collaboration agreements, we recognized license, collaboration and other revenue as follows (in thousands):

 

 

 

 

Year Ended December 31,

 

Partner

 

Agreement

 

2016

 

 

2015

 

 

2014

 

AstraZeneca AB

 

MOVANTIK® and MOVANTIK® fixed-dose

combination program

 

$

33,000

 

 

$

130,000

 

 

$

105,001

 

Roche

 

PEGASYS® and MIRCERA®

 

 

7,685

 

 

 

12,816

 

 

 

12,845

 

Amgen, Inc.

 

Neulasta®

 

 

5,000

 

 

 

5,000

 

 

 

5,000

 

Daiichi Sankyo Europe GmbH

 

ONZEALDTM (NKTR-102)

 

 

3,690

 

 

 

 

 

 

 

Bayer Healthcare LLC

 

BAY41-6551 (Amikacin Inhale)

 

 

1,429

 

 

 

1,919

 

 

 

4,717

 

Baxalta Incorporated

 

ADYNOVATE®

 

 

650

 

 

 

10,694

 

 

 

10,258

 

Other

 

 

 

 

8,928

 

 

 

5,175

 

 

 

15,468

 

License, collaboration and other revenue

 

 

 

$

60,382

 

 

$

165,604

 

 

$

153,289

 

    Year Ended December 31,
Partner Agreement 2019 2018 2017
Bristol-Myers Squibb NKTR-214 $
 $1,059,768
 $
Eli Lilly and Company NKTR-358 7,019
 11,634
 130,087
Amgen, Inc. 
Neulasta®
 5,000
 5,000
 5,000
Baxalta Incorporated / Takeda 
Hemophilia, including ADYNOVATE® and ADYNOVI™
 378
 20,328
 11,443
Ophthotech Corporation(1) 
Fovista®
 
 
 19,123
Bayer Healthcare LLC(1) BAY41-6551 (Amikacin Inhale) 
 
 17,931
AstraZeneca AB 
MOVANTIK® and MOVENTIG®
 
 
 4,600
Other   4,578
 535
 22,781
License, collaboration and other revenue   $16,975
 $1,097,265
 $210,965

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(1)These collaboration agreements were completed as of December 31, 2017.    

For the years ended December 31, 2019 and 2018, we recognized $77.5 million and $95.3 million of revenue for performance obligations that we had satisfied in prior periods, respectively. For both years, this amount includes all of our royalty revenue and non-cash royalty revenue because these royalties substantially relate to the licenses that we had previously granted. For the year ended December 31, 2018, this amount also included the $10.0 million ADYNOVATE® sales milestone and the $10.0 million development milestone from Baxalta described below.
The following table presents the changes in our deferred revenue balance from our collaboration agreements during the year ended December 31, 2019 (in thousands):
 For the year ended
December 31, 2019
Deferred revenue—December 31, 2018$24,636
Recognition of previously unearned revenue(16,565)
Deferred revenue—December 31, 2019$8,071

Our balance of deferred revenue contains the transaction price from our collaboration agreements allocated to performance obligations which are partially unsatisfied. We expect to recognize $5.5 million of our deferred revenue over the next twelve months.
As of December 31, 2016,2019, our collaboration agreements with partners included potential future payments for development milestones totaling approximately $147.0 million,$1.7 billion, including amounts from our agreements with Daiichi, Bayer, BaxaltaBMS and OphthotechLilly described below. In addition, under our collaboration agreements we are entitled to receive other contingent development payments, andincluding contingent sales milestones and royalty payments, including those related to MOVANTIK® and the MOVANTIK® fixed-dose combination drug development programs, as described below.

AstraZeneca AB: MOVANTIK® (naloxegol oxalate), previously referred

There have been no material changes to as naloxegol and NKTR-118, and MOVANTIK® fixed-dose combination program, previously referred to as NKTR-119

We are a party to an agreement with AstraZeneca AB (AstraZeneca) under which we granted AstraZeneca a worldwide, exclusive license under our patents and other intellectual property to develop, market, and sell MOVANTIK® and MOVANTIK® fixed-dose combination program. AstraZeneca is responsiblecollaboration agreements for all research, development and commercialization and is responsible for all drug development and commercialization decisions for MOVANTIK® and the MOVANTIK® fixed-dose combination program. AstraZeneca paid us an upfront payment of $125.0 million, which we received in the fourth quarter of 2009 and which was fully recognized as of December 31, 2010. In addition, we have received the payments described further below based on development events related to MOVANTIK® completed solely by AstraZeneca. We are entitled to receive up to $75.0 million of commercial launch contingent payments related to the MOVANTIK® fixed-dose combination program, based on development events to be pursued and completed solely by AstraZeneca. In addition, we are entitled to significant and escalating double-digit royalty payments and sales milestone payments based on annual worldwide net sales of MOVANTIK® and MOVANTIK® fixed-dose combination products.

On September 16, 2014, the United States Food and Drug Administration (FDA) approved MOVANTIK® for the treatment of opioid-induced constipation (OIC) in adult patients with chronic, non-cancer pain. As a result of the FDA’s approval, in 2014 we recognized a total of $105.0 million of payments received from AstraZeneca. On December 9, 2014, AstraZeneca announced that MOVENTIG® (the naloxegol brand name in the European Union or EU) had been granted Marketing Authorisation by the European Commission (EC) for the treatment of opioid-induced constipation (OIC) in adult patients who have had an inadequate response to laxative(s). In March 2015, AstraZeneca announced that MOVANTIK® launched in the United States which resulted in our receipt and recognition of a $100.0 million non-refundable commercial launch payment in March 2015.  In March 2015, we agreed to pay AstraZeneca a total of $10.0 million to fund U.S. television advertising in consideration for certain additional commercial information rights. We recorded this $10.0 million obligation as a liability and made the initial $5.0 million payment to AstraZeneca in July 2015 and the remaining $5.0 million payment in July 2016. We determined that this $10.0 million obligation should be recorded as a reduction of revenue, which we recorded in 2015. In August 2015, we received and recognized as revenue an additional $40.0 million non-refundable payment triggered by the first commercial sale of MOVENTIG® in Germany.

On March 1, 2016, AstraZeneca announced that it had entered into an agreement with ProStrakan Group plc, a subsidiary of Kyowa Hakko Kirin Co. Ltd. (Kirin), granting Kirin exclusive marketing rights to MOVENTIG® in the EU, Iceland, Liechtenstein, Norway and Switzerland. Under the terms of AstraZeneca’s agreement with Kirin, Kirin made a $70.0 million upfront payment to AstraZeneca and will make additional payments based on achieving market access milestones, tiered net sales royalties, as well as sales milestones. Under our license agreement with AstraZeneca, AstraZeneca and we will share the upfront payment, market access milestones, royalties and sales milestones from Kirin with AstraZeneca receiving 60% and Nektar receiving 40%. This payment sharing arrangement is in lieu of other royalties payable by AstraZeneca to us and a portion of the sales milestones as described below. Our 40% share of royalty payments made by Kirin to AstraZeneca will be financially equivalent to us receiving high single-digit to low double-digit royalties dependent on the level of Kirin’s net sales. Kirin’s MOVENTIG® net sales will be included for purposes of achieving the annual global sales milestones payable to us by AstraZeneca and will also be included for purposes of determining the applicable ex-U.S. royalty rate, from the tier schedule in our AstraZeneca license agreement, that will be applied to ex-U.S. sales outside of the Kirin territory. The global sales milestones under our license agreement with AstraZeneca will be reduced in relation to the amount of Kirin MOVENTIG® net sales that contribute to any given annual sales milestone target. As a result, in April 2016, we received 40% (or $28.0 million) of the $70.0 million payment received by AstraZeneca from Kirin. In addition, in the year ended December 31, 2016, we recognized another $5.0 million related to our share of similar payments made to AstraZeneca in 2016.  As of December 31, 2016, we do not have deferred revenue related to our agreement with AstraZeneca.

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In general, other than2019, except as described above and in this paragraph, AstraZeneca has full responsibility for all research, development and commercialization costs under our license agreement. As part of its approval of MOVANTIK®, the FDA required AstraZeneca to perform a post-marketing, observational epidemiological study comparing MOVANTIK® to other treatments of OIC in patients with chronic, non-cancer pain. As a result, the royalty rate payable to us from net sales of MOVANTIK® in the U.S. by AstraZeneca will be reduced by up to two percentage points to fund 33% of the external costs incurred by AstraZeneca to fund such post approval study, subject to a $35.0 million aggregate cap. Any costs incurred by AstraZeneca can only be recovered by the reduction of the royalty paid to us. In no case can amounts be recovered by the reduction of a contingent payment due from AstraZeneca to us or through a payment from us to AstraZeneca.

Daiichi Sankyo Europe GmbHbelow.

Bristol-Myers Squibb (BMS): ONZEALDTM (etirinotecan pegol), alsoBempegaldesleukin (previously referred to as NKTR-102

Effective May 30, 2016,NKTR-214)

On February 13, 2018, we entered into a collaborationStrategic Collaboration Agreement (BMS Collaboration Agreement) and licensea Share Purchase Agreement with BMS, both of which became effective on April 3, 2018. Pursuant to these agreements, we and BMS are jointly developing bempegaldesleukin, including, without limitation, in combination with BMS’s Opdivo® and Opdivo® plus Yervoy® (ipilimumab), and other compounds of BMS, us or any third party. The parties have agreed to jointly commercialize bempegaldesleukin on a worldwide basis. We retained the right to record all worldwide sales for bempegaldesleukin. We will share global commercialization profits and losses with BMS for bempegaldesleukin, with Nektar sharing 65% and BMS sharing 35% of the net profits and losses. The parties will share the internal and external development costs for bempegaldesleukin in combination regimens based on each party’s relative ownership interest in the compounds

included in the regimens. In accordance with the agreement, the parties will share development costs for bempegaldesleukin in combination with Daiichi Sankyo Europe GmbH,Opdivo®, 67.5% of costs to BMS and 32.5% to Nektar, and for bempegaldesleukin in a German limited liability company (Daiichi)triplet combination with Opdivo® and Yervoy®, 78% of costs to BMS and 22% to Nektar. The parties will share costs for the manufacturing of bempegaldesleukin, 35% of costs to BMS and 65% to Nektar.
The BMS Collaboration Agreement superseded and replaced the Clinical Trial Agreement we entered into with BMS in September 2016 to develop bempegaldesleukin in combination with Opdivo®. Under the Clinical Trial Agreement, we acted as the sponsor of each Combination Therapy Trial and BMS was responsible for 50% of all out-of-pocket costs reasonably incurred in connection with third party contract research organizations, laboratories, clinical sites and institutional review boards. We recorded cost reimbursement payments to us from BMS as a reduction to research and development expense. Each party was otherwise responsible for its own internal costs, including internal personnel costs, incurred in connection with each Combination Therapy Trial.
Upon the effective date of the BMS Collaboration Agreement in April 2018, BMS paid us a non-refundable upfront cash payment of $1.0 billion. We are eligible to receive additional cash payments up to a total of approximately $1.4 billion upon the achievement of certain development and regulatory milestones and up to a total of $350.0 million upon the achievement of certain sales milestones. In April 2018, BMS also purchased 8,284,600 shares of our common stock pursuant to the Share Purchase Agreement for total additional cash consideration of $850.0 million.
On January 9, 2020, we and BMS entered into Amendment No. 1 (the Amendment) to the BMS Collaboration Agreement. Pursuant to the Amendment, we and BMS agreed to update the Collaboration Development Plan under which we granted Daiichi exclusive commercialization rights inare collaborating and developing bempegaldesleukin. The cost sharing under the European Economic Area, Switzerland, and Turkey (collectively, the European Territory) to our proprietary product candidate ONZEALDTM (etirinotecan pegol), which is also known as NKTR-102, a long-acting topoisomerase I inhibitor in clinical development for the treatment of adult patients with advanced breast cancer who have brain metastases (BCBM). Nektar retains all rights to ONZEALDTM in all countries outside the European Territory including the United States.

Under the terms of the agreement and in consideration for the exclusive commercialization rights in the European Territory, Daiichi paid us a $20.0 million up-front payment in August 2016 andAmendment remains unchanged. Additionally, we will beare eligible to receive up to an aggregateadditional non-refundable, non-creditable milestone payment of $60.0$25.0 million in regulatory and commercial milestones, including a $10.0 million payment uponfollowing the achievement of the first commercial salepatient, first visit in the registrational adjuvant melanoma trial, studying the combination of ONZEALDTM following conditional marketing approval by the European Commission (EC), a $25.0 million payment upon the first commercial sale following final marketing authorization approval of ONZEALDTM by the EC,bempegaldesleukin and a $25.0 million sales milestone upon Daiichi’s first achievement of a certain specified annual net sales target.Opdivo®. We are also eligible to receive non-refundable, creditable milestone payments of $25.0 million and $75.0 million following the achievement of the first patient, first visit in a 20% royalty on net salesregistrational muscle-invasive bladder cancer trial and a registrational first-line non-small-cell lung cancer trial, respectively, in each case studying the combination of ONZEALDbempegaldesleukin and OpdivoTM® by Daiichi. For the two creditable milestones, BMS is entitled to deduct the amounts paid pursuant to these milestones from future development milestones due to us under the original agreement. In January 2020, the milestone for the first patient, first visit milestone for the registrational muscle-invasive bladder cancer trial was achieved.

BMS has the right, at its sole discretion, to terminate co-funding its share of the development costs for the adjuvant melanoma collaboration study if the metastatic melanoma collaboration study fails to meet the primary endpoint of progression free survival. If BMS exercises such right, we have the right, in all countries inour sole discretion, to continue the European Territory except for net sales in Turkey where Nektar is eligible to receive a 15% royalty. The parties will enter into a supply agreement whereby we will be responsible for supplying Daiichi with its requirements for ONZEALDTM on a fully burdened reimbursed cost basis. Daiichi will be responsible for all commercialization activities for ONZEALDTM in the European Territory and will bear all associated costs. In addition, we are responsible for funding and conducting a Phase 3 confirmatory trial in patients with BCBM which we call the ATTAIN study, which was initiated in the fourth quarter of 2016.

Daiichi may terminate the agreement in the eventadjuvant melanoma study.

We determined that the EC does not grant conditional marketing approval for ONZEALDTM based on existing clinical data for ONZEALDTM orBMS Collaboration Agreement falls within the conditional marketing approval for ONZEALDTM is not granted priorscope of ASC 808. As mentioned above, BMS shares certain percentages of development costs incurred by us and we share certain percentages of development costs incurred by BMS. We consider these activities to a pre-specified future date (Daiichi Pre-Conditional Approval Termination). We may terminaterepresent collaborative activities under ASC 808 and we recognize such cost sharing proportionately with the Agreement in the event that the EC requires changes in the ATTAIN study that materially increase the costs of such trial and Daiichi elects not to reimburse us for such incremental costs (Nektar Pre-Conditional Approval Termination). In the event of a Daiichi Pre-Conditional Approval Termination or a Nektar Pre-Conditional Approval Termination, we would be obligated to pay Daiichi a $12.5 million termination payment. Following conditional marketing approval of ONZEALDTM by the EC, we would no longer have such termination payment obligation. Each party has certain other termination rights based on the safety or efficacy findings including the outcomeperformance of the ATTAIN studyunderlying services. We recognize BMS’ reimbursement of our expenses as a reduction of research and any material uncured breachesdevelopment expense and our reimbursement of BMS’ expenses as research and development expense. For the Agreement. The $12.5years ended December 31, 2019, 2018 and 2017, we recorded $105.4 million contingent termination paymentand $62.5 million and $7.8 million, respectively, as a reduction of research and development expenses for BMS’ share of our expenses, net of our share of BMS’ expenses. As of December 31, 2019 and 2018, we have recorded an unbilled receivable of $24.0 million and $19.0 million, respectively, from us to Daiichi is recordedBMS in our liability related to refundable upfront payment balanceaccounts receivable in our Consolidated Balance Sheet at December 31, 2016.

Sheet.

We identified our grant of the exclusive licenseanalogized to Daiichi on May 30, 2016 and our ongoing clinical and regulatory development service obligations as the significant, non-contingent deliverables under the agreement and determined that each represents a separate unit of accounting. We made our best estimate of the selling priceASC 606 for the license grant based on a discounted cash flow analysisaccounting for our two performance obligations, consisting of projected ONZEALDTM sales and estimated the selling price for the development services based on our experience with the costs of similar clinical studies and regulatory activities. Based on these estimates, we allocated the $7.5 million non-refundable portion of the $20.0 million upfront payment from Daiichi to these items based on their relative selling prices. As a result, we recognized $3.7 million of revenue in 2016 from this arrangement, primarily related to the delivery of the license. Aslicenses to develop and commercialize bempegaldesleukin and our participation on joint steering and other collaboration committees. We determined that our committee participation is not material.
We aggregated the total consideration of $1.85 billion received under the agreements and allocated it between the stock purchase and the revenue generating elements, because we and BMS negotiated the agreements together and the effective date of the BMS Collaboration Agreement was dependent upon the effective date of the Share Purchase Agreement. We recorded the estimated fair value of the shares of $790.2 million in stockholders’ equity based on the closing date price of our common stock of $99.36 per share, adjusted for a discount for lack of marketability reflecting the unregistered nature of the shares. We allocated the remaining $1,059.8 million to the transaction price of the collaboration agreement. We consider the future potential development, regulatory and sales milestones of up to approximately $1.8 billion to be variable consideration. We excluded these milestones from the transaction price as of December 31, 2016,2018 and December 31, 2019 because we have deferred revenuedetermined such payments to be fully constrained under ASC 606 as the achievement of approximately $3.8 million relatedsuch milestone payments are uncertain

and highly susceptible to our development service obligations under this agreement, which we expect to recognize through May 2021, the estimated endfactors outside of our development obligations. Ifcontrol. We will re-evaluate the transaction price at each reporting period and whenas uncertain events are resolved or other changes in circumstances occur.
Accordingly, we allocated the remaining $12.5entire transaction price of $1,059.8 million portionto the granting of the upfront payment becomes non-refundable, we expect to allocate this amount betweenlicenses and therefore recognized $1,059.8 million for the year ended December 31, 2018 as license, collaboration and development service obligation consistent with the estimated selling prices of these deliverables. The license related amount will be recognized immediately and the development service related amount will be recorded as deferred revenue and recognized ratably over the remaining obligation period.  

We determined that the milestones noted above payable to us by Daiichi upon the first commercial sale of ONZEALDTM following conditional marketing approval and following final marketing authorization approval of ONZEALDTM by the EC are substantive milestones that will be recognized if and when achieved. In addition, we determined that the sales milestone due to us

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upon Daiichi’s first achievement of a certain specified annual net sales target should be considered a contingent payment and will be recognized if and when achieved.

other revenue.

Baxalta Incorporated:Incorporated/Takeda: Hemophilia

We are a party to an exclusive research, development, license and manufacturing and supply agreement with Baxalta Incorporated (Baxalta), a subsidiary of Shire Plc,Takeda Pharmaceutical Company Ltd. (Takeda), entered into in September 2005 to develop products designed to improve therapies for Hemophilia A patients using our PEGylation technology. Under the terms of the agreement, we are entitled to research and development funding for our active programs, which are now complete for Factor VIII, and are responsible for supplying BaxaltaTakeda with its requirements forof our proprietary materials. BaxaltaTakeda is responsible for all clinical development, regulatory, and commercialization expenses. The agreement is terminable by the parties under customary conditions.

This Hemophilia A program includes ADYNOVATE®, which was approved by the FDAFood and Drug Administration (FDA) in November 2015 for use in adults and adolescents, aged 12 years and older, who have Hemophilia A, and is now marketed in the U.S., the European Union, and many other countries. As a result of the FDA’s approval,marketing authorization in the EU in January 2018, we earned a $10.0 million development milestone, in November 2015, which was received in January 2016. In September 2014, as a result of Baxalta’s Phase 3 clinical trial results,March 2018. We updated the arrangement transaction price for this milestone upon achievement since we earned development milestones totaling $8.0 million. In addition, underhad previously excluded it due to the significant uncertainty from regulatory approval. Based on the terms of this agreement,milestone, we allocated the entire milestone to the license grant and research and development services, and therefore recognized the entire $10.0 million in year ended December 31, 2018 as we had previously satisfied those performance obligations. In the three months ended December 31, 2018, we recognized an additional $10.0 million milestone for annual sales of ADYNOVATE®/ADYNOVITM reaching a certain specified amount, which we report in license, collaboration and other revenue . We are entitled to a $10.0 million developmentan additional sales milestone due upon marketing authorization in the EU, as well as sales milestones upon achievement of an annual sales targetstarget and royalties based on annual worldwide net sales of products resulting from this agreement.
In October 2017, we entered into a right to sublicense agreement with Baxalta, under which we granted to Baxalta the right to grant a nonexclusive sublicense to certain patents that were previously exclusively licensed to Baxalta under our 2005 agreement. Under the right to sublicense agreement, Baxalta paid us $12.0 million in November 2017 and agreed to pay us single digit royalty payments based upon net sales of the products covered under the sublicense throughout the term of the agreement.
We have an unsatisfied performance obligation related to our ongoing supply of PEGylation materials at a price less than their standalone selling prices. As of December 31, 2016, we do not have2019, our deferred revenue related to this agreement.  

Roche: PEGASYS®agreement is not significant.

Eli Lilly and MIRCERA®

In February 2012,Company (Lilly): NKTR-358

On July 23, 2017, we entered into a toll-manufacturingworldwide license agreement with Roche underEli Lilly and Company (Lilly), which became effective on August 23, 2017, to co-develop NKTR-358, a novel immunological drug candidate that we agreed to manufacture the proprietary PEGylation material used by Roche to produce MIRCERA®. Roche entered into the toll-manufacturing agreement with the objective of establishing us as a secondary back-up supply source on a non-exclusive basis.invented. Under the terms of the agreement, we (i) received an initial payment of $150.0 million in September 2017 and are eligible for up to $250.0 million in additional development milestones, (ii) will co-develop NKTR-358 with Lilly for which we are responsible for completing Phase 1 clinical development and certain drug product development and supply activities, (iii) will share with Lilly Phase 2 development costs with 75% of those costs borne by Lilly and 25% of the costs borne by Nektar, (iv) will have the option to contribute funding to Phase 3 development on an indication-by-indication basis ranging from 0 to 25% of development costs, and (v) will have the opportunity to receive up to double-digit sales royalty rates that escalate based upon our toll-manufacturingPhase 3 development cost contribution and the level of annual global product sales. Lilly will be responsible for all costs of global commercialization, and we will have an option to co-promote in the U.S. under certain conditions. A portion of the development milestones may be reduced by 50% under certain conditions, related to the final formulation of the approved product and the timing of prior approval (if any) of competitive products with a similar mechanism of action, which could reduce these milestone payments by 75% if both conditions occur.
The agreement Roche paidwill continue until Lilly no longer has any royalty payment obligations to us anor, if earlier, the termination of the agreement in accordance with its terms. The agreement may be terminated by Lilly for convenience, and may also be terminated under certain other circumstances, including material breach.
We identified our license grant to Lilly, our ongoing Phase 1 clinical development obligation, our drug product development obligation and our obligation to supply clinical trial materials as the significant performance obligations under the

agreement and concluded that each of these deliverables represents a separate unit of accounting. The valuation of each performance obligation involves significant estimates and assumptions, including but not limited to, expected market opportunity and pricing, assumed royalty rates, clinical trial costs, timelines and likelihood of success; in each case these estimates and assumptions covering long time periods. We determined the selling price for the license based on a discounted cash flow analysis of projected revenues from NKTR-358 and development and commercial costs using a discount rate based on a market participant’s weighted average cost of capital adjusted for forecasting risk. We determined the selling prices for Phase 1 clinical development, and drug product development deliverables based on the nature of the services to be performed and estimates of the associated efforts and third-party rates for similar services.
Although we are entitled to significant development milestones under this arrangement, we did not include any of such milestones in the transaction price and have not updated the transaction prices for any milestones as of December 31, 2019 due to the significant uncertainties involved with clinical development. We have therefore determined the transaction price to consist of the upfront payment of $5.0 million and an additional $22.0$150.0 million in performance-based milestone payments uponSeptember 2017. Based on our achievementestimates of certain manufacturing readiness, validationthe standalone selling prices of the performance obligations, we allocated the $150.0 million upfront payment as $125.9 million to the license, $17.6 million to the Phase 1 clinical development and production milestones, including$6.5 million to the deliverydrug product development.
Under our adoption of specified quantities of PEGylation materials, all of which were completedASC 606 as of January 2013. In addition, in 2013,1, 2018, we delivered additional quantitiesmade no changes to our deferred revenue balance as our conclusions remain unchanged. We recognize revenue for the Phase 1 clinical development and drug product development using an input method, using costs incurred, as this method depicts our progress towards providing Lilly with the results of PEGylation materials used by Roche to produce PEGASYS®clinical trials and MIRCERA® for total consideration of $18.6 million.drug production processes. As of December 31, 2016,2019, we no longer have any continuing manufacturing or supply obligations under this MIRCERA® agreement and, therefore, have no deferred revenue of approximately $1.3 million related to this agreement.

In February 1997, we entered into a license, manufacturing and supply agreement, with Roche, under which we granted Roche a worldwide, exclusive licenseexpect to certain intellectual property related to our proprietary PEGylation materials used in the manufacture and commercialization of PEGASYS®. Our performance obligations under this PEGASYSrecognize through early 2020.

Amgen, Inc.: Neulasta® agreement ended on December 31, 2015.

Amgen, Inc.: Neulasta®

In October 2010, we amended and restated an existing supply and license agreement by entering into a supply, dedicated suite and manufacturing guarantee agreement (the amended and restated agreement) and a license agreement with Amgen Inc. and Amgen Manufacturing, Limited (together referred to as Amgen). Under the terms of the amended and restated agreement, we guarantee the manufacture and supply of our proprietary PEGylation materials (Polymer Materials) to Amgen in an existing manufacturing suite to be used exclusively for the manufacture of Polymer Materials for Amgen (the Manufacturing Suite) in our manufacturing facility in Huntsville, Alabama (the Facility). This supply arrangement is on a non-exclusive basis (other than the use of the Manufacturing Suite and certain equipment) whereby we are free to manufacture and supply the Polymer Materials to any other third party and Amgen is free to procure the Polymer Materials from any other third party. Under the terms of the amended and restated agreement, we received a $50.0 million payment in the fourth quarter of 2010 in return for our guaranteeing the supply of certain quantities of Polymer Materials to Amgen including without limitation the Additional Rights described below and manufacturing fees that are calculated based on fixed and variable components applicable to the Polymer Materials ordered by Amgen and delivered by us. Amgen has no minimum purchase commitments. If quantities of the Polymer Materials ordered by Amgen exceed specified quantities, significant additional payments become payable to us in return for our guaranteeing the supply of additional quantities of the Polymer Materials.

The term of the amended and restated agreement ends on October 29, 2020. In the event we become subject to a bankruptcy or insolvency proceeding, we cease to own or control the Facility, we fail to manufacture and supply or certain other events, Amgen or its designated third party will have the right to elect, among certain other options, to take title to the dedicated equipment and access the Facility to operate the Manufacturing Suite solely for the purpose of manufacturing the Polymer Materials. Amgen may terminate the amended and restated agreement for convenience or due to an uncured material default by us.

Under our adoption ASC 606, we determined that our obligation to manufacture and supply of our PEGylation materials and to maintain the dedicated manufacturing suite solely for the production of such materials for Amgen represented an obligation to stand ready to manufacture such materials. We concluded that we should recognize revenue based on the passage of time as this method depicts the satisfaction of Amgen’s right to require production of PEGylation materials at any time. As of December 31, 2016,2019, we have deferred revenue of approximately $19.2$4.2 million related to this agreement, which we expect to recognize through October 2020, the estimated end of our obligations under this agreement.

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Ophthotech Corporation: Fovista®
On October 27, 2017, we terminated our license and supply agreement with Ophthotech Corporation (Ophthotech) dated September 2006, pursuant to which Ophthotech received a worldwide, exclusive license to certain of our proprietary PEGylation technology to develop, manufacture and sell Fovista®. Under the terms of our agreement, we were the exclusive supplier of all of Ophthotech’s clinical and commercial requirements for our proprietary PEGylation reagent used in Fovista®.

The termination of our agreement with Ophthotech followed Opthotech’s previous announcements, in December 2016 and August 2017, that their three pivotal Phase 3 studies investigating the Fovista® in certain combination therapies did not achieve the pre-specified primary endpoints.
Under our agreement with Ophthotech, in June 2014, we received a $19.8 million payment from Ophthotech in connection with its licensing agreement with Novartis. In addition, in January 2017, we received a $12.7 million advance payment from Ophthotech, which included $10.4 million for reagent shipments recognized in the second quarter of 2017 as well as approximately $2.3 million for 2017 minimum purchase requirements.  As a result of the termination of this agreement, we recognized the remaining $18.0 million of deferred revenue from this arrangement in the three months ended December 31, 2017.
Bayer Healthcare LLC: BAY41-6551 (Amikacin Inhale)

In August 2007, we entered into aDecember 2017, Bayer Healthcare LLC (Bayer) terminated our co-development, license and co-promotion agreement with Bayer Healthcare LLC (Bayer)entered into in August 2007 to develop a specially-formulated inhaled Amikacin. We are responsible for development and manufacturing and supply ofAmikacin using our proprietary nebulizer device includeddevices. The termination of this agreement followed Bayer’s announcement in November 2017 that the Amikacin product. Bayer is responsible for most future clinical development and commercialization costs, all activities to support worldwide regulatory filings, approvals and related activities, further development ofPhase 3 Amikacin Inhale and final product packaging and distribution. In April 2013, Bayer initiated a Phase 3 clinical trial inprogram for the treatment of intubated and mechanically ventilated patients with Gram-negative pneumonia. As of December 31, 2016,pneumonia did not meet its primary endpoint or key secondary endpoints.
Under this collaboration, we have received an upfront payment of $40.0 million (which was paid to us in 2007) and milestone payments totaling $30.0 million (the last of which was paid to us in 2013). In addition, in June 2013, we madeAs a $10.0 million payment to Bayer for the reimbursement of some of its costsresult of the Phase 3 clinical trial.

termination of the agreement, we recognized the remaining $16.8 million of deferred revenue related to this arrangement in the three months ended December 31, 2017.

AstraZeneca AB: MOVANTIK® (naloxegol oxalate), previously referred to as naloxegol and NKTR-118,
In September 2009, we entered into an agreement with AstraZeneca AB (AstraZeneca) under which we granted AstraZeneca a worldwide, exclusive license under our patents and other intellectual property to develop, market, and sell MOVANTIK®. AstraZeneca is responsible for all research, development and commercialization and is responsible for all drug development and commercialization decisions for MOVANTIK®. In September 2014 and December 2014, MOVANTIK® /MOVENTIG® was approved in the US and EU, respectively. As of December 31, 2019, we have received a total of $385.0 million of upfront and contingent milestone payments from this agreement, all of which was received in or before 2015. We are entitled to receive a total of up to an additional $50.0 million of development milestones upon achievement of certain development objectives, including $25.0 million related to a successful regulatory approval filing, as well assignificant and escalating double-digit royalty payments and sales milestones upon achievement of annual sales targets and royaltiesmilestone payments based on annual worldwide net sales of Amikacin Inhale. MOVANTIK® / MOVENTIG ®.
In March 2016, AstraZeneca announced that it had entered into an agreement with ProStrakan Group plc, a subsidiary of Kyowa Hakko Kirin Co. Ltd. (Kirin), granting Kirin exclusive marketing rights to MOVENTIG® in the EU, Iceland, Liechtenstein, Norway and Switzerland. Under our license agreement with AstraZeneca, we and AstraZeneca will share the upfront payment, market access milestone payments, royalties and sales milestone payments made by Kirin to AstraZeneca with AstraZeneca receiving 60% and Nektar receiving 40%. In the year ended December 31, 2017, we recognized a total of $4.6 million related to our share of license-related payments made from Kirin to AstraZeneca.
As of December 31, 2016,2019, we do not have deferred revenue of approximately $17.9 million related to this agreement, which we expect to recognize through June 2029, the estimated end of our obligations under this agreement.

Ophthotech Corporation: Fovista®

We are a party to an agreement with Ophthotech Corporation (Ophthotech), dated September 30, 2006, under which Ophthotech received a worldwide, exclusive license to certain of our proprietary PEGylation technology to develop, manufacture and sell Fovista®. Under the terms of our agreement, we are the exclusive supplier of all of Ophthotech’s clinical and commercial requirements for our proprietary PEGylation reagent used in Fovista®. On May 19, 2014, Ophthotech entered into a Licensing and Commercialization Agreement with Novartis Pharma AG for Fovista®. Under our agreement with Ophthotech, in June 2014, we received a $19.8 million payment in connection with this licensing agreement.  

On December 12, 2016, Ophthotech announced that its two pivotal Phase 3 clinical trials investigating the superiority of Fovista® therapy in combination with Lucentis® therapy compared to Lucentis® monotherapy for the treatment of wet AMD had failed to meet their pre-specified primary endpoints. A separate Phase 3 clinical trial evaluating Fovista® in combination with Eylea® or Avastin® compared to Eylea® or Avastin® monotherapy for the treatment of wet AMD is fully enrolled and remains ongoing.  As of December 31, 2016, our obligations under the Ophthotech agreement are ongoing. As of December 31, 2016, we have accounts receivable of $6.1 million, which was subsequently collected in January 2017, and deferred revenue of approximately $16.8 million related to this agreement, which we expect to recognize through March 2029, the estimated end of our obligations under our agreement with Ophthotech. Our estimated performance obligation period is subject to reassessment each quarter and could change significantly based on Ophthotech’s pending Phase 3 study results.

Based on successful clinical study outcomes, we are entitled to additional payments based upon Ophthotech’s potential achievement of certain regulatory milestones. If commercialized, we are also entitled to royalties on net sales of Fovista® that vary based on sales levels as well as a sales milestone.

Bristol-Myers Squibb:  NKTR-214

On September 21, 2016, we entered into a Clinical Trial Collaboration Agreement (BMS Agreement) with Bristol-Myers Squibb Company, a Delaware corporation (BMS), pursuant to which we and BMS will collaborate to conduct Phase 1/2 clinical trials evaluating our IL-2-based CD122-biased agonist, known as NKTR-214, and BMS’ human monoclonal antibody that binds PD-1, known as Opdivo® (nivolumab), as a potential combination treatment regimen in five tumor types and eight potential indications, and such other clinical trials evaluating the combined therapy as may be mutually agreed upon by the parties (each, a “Combination Therapy Trial”).

We will act as the sponsor of each Combination Therapy Trial. Under the BMS Agreement, BMS will be responsible for 50% of all out-of-pocket costs reasonably incurred in connection with third party contract research organizations, laboratories, clinical sites and institutional review boards and we record cost reimbursement payments to us from BMS as a reduction to research and development expense. Each party will otherwise be responsible for its own internal costs, including internal personnel costs, incurred in connection with each Combination Therapy Trial. Nektar and BMS will use commercially reasonable efforts to manufacture and supply NKTR-214 and Opdivo® (nivolumab), respectively, for each Combination Therapy Trial with each party bearing its own costs related thereto. The parties formed a joint development committee to oversee clinical trial design, regulatory strategy, and other activities necessary to conduct and support the Combination Therapy Trials.

84


Ownership of, and global commercial rights to, NKTR-214 remain solely with us under the BMS Agreement. If we wish to license the right to commercialize NKTR-214 in one of certain major market territories prior to September 30, 2018 (Exclusivity Expiration Date), we must first negotiate with BMS, for a period of three months (Negotiation Period), to grant an exclusive license to develop and commercialize NKTR-214 in any of these major market territories. If we do not reach an agreement with BMS for an exclusive license within the Negotiation Period, we will be free to license any right to NKTR-214 to other parties in any territory worldwide except that in the event that we receive a license offer from a third party during a period of 90 calendar days after the end of the Negotiation Period, we will provide BMS ten business days to match the terms of such third-party offer. After the Exclusivity Expiration Date, we are free to license NKTR-214 without any further obligation to BMS. Each party grants to the other party a non-exclusive, worldwide (subject to certain exceptions in the case of the license granted by BMS), non-transferable and royalty-free research and development license to such licensing party’s patent rights, technology and regulatory documentation to use its compound solely to the extent necessary to discharge its obligations under the BMS Agreement with respect to the conduct of the Combination Therapy Trials.  

AstraZeneca.

Other

In addition, as of December 31, 2016,2019, we have a number of other collaboration agreements, including with our collaboration partner UCB Pharma, under which we are entitled to up to a total of $45.5$40.0 million of development milestonesmilestone payments upon achievement of certain development objectives, as well as sales milestones upon achievement of annual sales targets and royalties based on net sales of commercialized products, if any. However, given the current phase of development of the potential products under these collaboration agreements, we cannot estimate the probability or timing of achieving these milestones.milestones and, therefore, have excluded all development milestones from the respective transaction prices for these agreements. In the three months ended December 31, 2019, one of our collaboration partners terminated the collaboration agreement with us, and we recognized $4.0 million of deferred revenue resulting from this arrangement. As of December 31, 2016,2019, we have deferred revenue of approximately $8.6$2.0 million related to these other collaboration agreements, which we expect to recognize through 2020, the estimated end of our obligations under those agreements.


Note 11 — Stock-Based Compensation

We issuerecognize total stock-based awards from our equity incentive plans, which are more fully described in Note 9. Stock-based compensation expense was recognizedin our Condensed Consolidated Statements of Operations as follows (in thousands):

 

Year Ended December 31,

 

Year Ended December 31,

 

2016

 

 

2015

 

 

2014

 

2019 2018 2017

Cost of goods sold

 

$

1,620

 

 

$

1,142

 

 

$

1,161

 

$4,294
 $4,629
 $2,333

Research and development

 

 

13,093

 

 

 

9,207

 

 

 

7,528

 

63,224
 56,193
 21,252

General and administrative

 

 

11,137

 

 

 

9,320

 

 

 

8,328

 

32,277
 27,279
 13,030

Total stock-based compensation

 

$

25,850

 

 

$

19,669

 

 

$

17,017

 

$99,795
 $88,101
 $36,615


As of December 31, 2016,2019, total unrecognized compensation costs of $71.2$213.7 million related to unvested stock-based compensation arrangements are expected to be recognized as expense over a weighted-average period of 1.81.75 years.

Stock-based compensation expense resulting from our ESPP was not significant in the years ended December 31, 2019, 2018, and 2017.
Black-Scholes Assumptions

The following table lists the Black-Scholes option-pricing model assumptions used to calculate the fair value of employee and director stock options.

options, as well as the resulting grant-date fair value:

 

Year Ended December 31,

 

Year Ended December 31,

 

2016

 

 

2015

 

 

2014

 

2019 2018 2017

Average risk-free interest rate

 

 

1.4

%

 

 

1.6

%

 

��

1.6

%

1.8% 2.8% 2.0%

Dividend yield

 

 

0.0

%

 

 

0.0

%

 

 

0.0

%

0.0% 0.0% 0.0%

Average volatility factor

 

 

51.7

%

 

 

50.8

%

 

 

51.6

%

62.2% 61.0% 54.2%

Average weighted average expected life

 

5.3 years

 

 

5.3 years

 

 

5.2 years

 

Weighted-average expected life5.6 years
 5.1 years
 5.3 years
Weighted-average grant-date fair value of options granted$12.25
 $29.86
 $20.08


The average risk-free interest rate is based on the U.S. treasury yield curve in effect at the time of grant for periods commensurate with the expected life of the stock-based award. We have never paid dividends, nor do we expect to pay dividends in the foreseeable future; therefore, we used a dividend yield of 0.0%.0. Our estimate of expected volatility is based on the daily historical trading data of our common stock at the time of grant over a historical period commensurate with the expected life of the stock-based award. We estimated the weighted-average expected life based on the contractual and vesting terms of the stock options, as well as historical cancellation and exercise data.

Stock-based compensation expense resulting from our ESPP was not material in the years ended December 31, 2016, 2015, and 2014.

85


Summary of Stock Option Activity

The table below presents a summary of stock option activity under our equity incentive plans (in thousands, except for price per share and contractual life information):

 
Number
of
Shares
 
Weighted-
Average
Exercise
Price
per Share
 
Weighted-
Average
Remaining
Contractual
Life
(in Years)
 
Aggregate
Intrinsic
Value(1)
Outstanding at December 31, 201815,930
 $26.18
    
Options granted1,842
 21.86
    
Options exercised(1,629) 11.68
    
Options forfeited & canceled(1,258) 49.91
    
Outstanding at December 31, 201914,885
 $25.23
 4.31 $73,134
        
Exercisable at December 31, 20199,938
 20.79
 3.14 $66,707

 

 

Number

of

Shares

 

 

Weighted-

Average

Exercise

Price

per Share

 

 

Weighted-

Average

Remaining

Contractual

Life

(in Years)

 

 

Aggregate

Intrinsic

Value(1)

 

Outstanding at December 31, 2015

 

 

18,782

 

 

$

11.22

 

 

 

 

 

 

 

 

 

Options granted

 

 

3,368

 

 

 

13.92

 

 

 

 

 

 

 

 

 

Options exercised

 

 

(2,337

)

 

 

8.03

 

 

 

 

 

 

 

 

 

Options forfeited & canceled

 

 

(400

)

 

 

13.97

 

 

 

 

 

 

 

 

 

Outstanding at December 31, 2016

 

 

19,413

 

 

$

12.01

 

 

 

4.61

 

 

$

26,513

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vested and expected to vest at December 31, 2016

 

 

18,970

 

 

$

11.97

 

 

 

4.55

 

 

$

26,485

 

Exercisable at December 31, 2016

 

 

12,783

 

 

$

10.94

 

 

 

3.49

 

 

$

25,684

 


(1)

(1)Aggregate intrinsic value represents the difference between the exercise price of the option and the closing market price of our common stock on December 31, 2016.

2019.

The weighted-average grant-date fair value per share of options granted during the years ended December 31, 2016, 2015, and 2014 was $6.54, $6.55, and $6.50, respectively. The total intrinsic value of options exercised during the years ended December 31, 2016, 2015,2019, 2018 and 2014 was $17.92017 totaled $30.6 million, $20.5$303.4 million and $25.9$84.0 million, respectively. The estimated fair value of options vested during the years ended December 31, 2016, 2015, and 2014 was $16.7 million, $16.8 million, and $15.2 million, respectively.

Summary of RSU Activity

During the years ended December 31, 2016 and 2015, we granted RSUs to officers, employees and non-employee directors.  No RSUs vested during 2015 and no RSUs were granted during 2014. Most of our RSU awards have a strictly time-based vesting schedule while some RSU awards vest upon achievement of pre-determined performance milestones along with a time-based vesting schedule. We expense the grant date fair value of the RSUs expected to vest ratably over the expected service or performance period.  The fair value of an RSU is equal to the closing price of our common stock on the grant date. 

A summary of RSU award activity is as follows (in thousands except for per share amounts):

 

 

Units Issued

 

 

Weighted-

Average

Grant

Date Fair

Value

 

 

Aggregate

Intrinsic

Value(1)

 

Balance at December 31, 2015

 

 

1,306

 

 

$

         15.30

 

 

 

 

 

Granted

 

 

1,493

 

 

 

12.50

 

 

 

 

 

Vested and released

 

 

(491

)

 

 

14.96

 

 

 

 

 

Forfeited and canceled

 

 

(60

)

 

 

14.87

 

 

 

 

 

Balance at December 31, 2016

 

 

2,248

 

 

$

         13.53

 

 

$

27,593

 

(1)

Aggregate intrinsic value represents the difference between the grant price of the award, which is zero, and the closing market price of our common stock on December 31, 2016.

 Units Issued 
Weighted-
Average
Grant
Date Fair
Value
 
Aggregate
Intrinsic
Value(1)
Balance at December 31, 20183,320
 $41.57
  
Granted3,189
 23.32
  
Vested and released(1,159) 36.33
  
Forfeited and canceled(415) 43.19
  
Balance at December 31, 20194,935
 $30.85
 $106,506


The fair value of restricted stock that vested in the years ended December 31, 2019, 2018 and 2017 totaled $32.4 million, $80.4 million and $22.3 million, respectively.
Note 12 — Income Taxes

Loss

Income (loss) before provision (benefit) for income taxes includes the following components (in thousands):

 

 

Year Ended December 31,

 

 

 

2016

 

 

2015

 

 

2014

 

Domestic

 

$

(155,375

)

 

$

(81,931

)

 

$

(56,414

)

Foreign

 

 

2,727

 

 

 

1,260

 

 

 

1,986

 

Loss before provision (benefit) for income taxes

 

$

(152,648

)

 

$

(80,671

)

 

$

(54,428

)


 Year Ended December 31,
 2019 2018 2017
Domestic$(441,494) $680,423
 $(97,938)
Foreign1,440
 2,302
 1,862
Income (loss) before provision for income taxes$(440,054) $682,725
 $(96,076)


Provision for Income Taxes

The provision (benefit) for income taxes consists of the following (in thousands):

 

Year Ended December 31,

 

Year Ended December 31,

 

2016

 

 

2015

 

 

2014

 

2019 2018 2017

Current:

 

 

 

 

 

 

 

 

 

 

 

 

     

Federal

 

$

 

 

$

 

 

$

 

$
 $
 $

State

 

 

(1

)

 

 

(1

)

 

 

1

 

139
 699
 1

Foreign

 

 

992

 

 

 

529

 

 

 

(482

)

495
 620
 580

Total Current

 

 

991

 

 

 

528

 

 

 

(481

)

634
 1,319
 581

Deferred:

 

 

 

 

 

 

 

 

 

 

 

 

     

Federal

 

 

 

 

 

 

 

 

 


 
 

State

 

 

 

 

 

 

 

 

 


 
 

Foreign

 

 

(115

)

 

 

(22

)

 

 

(31

)

(21) 93
 35

Total Deferred

 

 

(115

)

 

 

(22

)

 

 

(31

)

(21) 93
 35

Provision (benefit) for income taxes

 

$

876

 

 

$

506

 

 

$

(512

)

Provision for income taxes$613
 $1,412
 $616

The foreign benefit provision in the year ended December 31, 2014 is due to the reduction in taxes related to a favorable determination received from India proceedings.



Income tax provision related to continuing operations differs from the amount computed by applying the statutory income tax rate of 21% for the years ended December 31, 2019 and 2018 and 35% for the year ended December 31, 2017 to pretax lossincome (loss) as follows (in thousands):

 

 

Year Ended December 31,

 

 

 

2016

 

 

2015

 

 

2014

 

U.S. federal provision (benefit)

 

 

 

 

 

 

 

 

 

 

 

 

At statutory rate

 

$

(53,427

)

 

$

(28,235

)

 

$

(19,050

)

Change in valuation allowance

 

 

51,981

 

 

 

22,210

 

 

 

11,831

 

Non-cash interest expense on liability related to sale of

   future royalties

 

 

6,899

 

 

 

7,217

 

 

 

7,311

 

Stock-based compensation

 

 

528

 

 

 

674

 

 

 

2,832

 

Foreign tax deduction

 

 

 

 

 

1,773

 

 

 

 

Research credits

 

 

(4,543

)

 

 

(4,529

)

 

 

(2,933

)

Other

 

 

(562

)

 

 

1,396

 

 

 

(503

)

Provision (benefit) for income taxes

 

$

876

 

 

$

506

 

 

$

(512

)

 Year Ended December 31,
 2019 2018 2017
Income tax expense (benefit) at federal statutory rate$(92,411) $143,372
 $(33,627)
Research credits(10,511) (17,295) (8,038)
Sale of future royalties(7,624) (6,995) (8,236)
Stock-based compensation(672) (66,716) (20,665)
Premium on equity issuance
 (12,551) 
Change in valuation allowance104,440
 (46,885) (186,124)
Non-cash interest expense on liability related to sale of future royalties5,259
 4,451
 6,604
Non-deductible officers’ compensation737
 3,182
 2,547
Tax law changes23
 45
 248,155
Other1,372
 804
 
Provision for income taxes$613
 $1,412
 $616

87



Tax Law Changes
The U.S. Tax Cuts and Jobs Act (the TCJA) was enacted on December 22, 2017. The TCJA reduced the U.S. federal corporate tax rate from 35% in 2017 to 21% in 2018, required companies to pay a one-time transition tax on earnings of certain foreign subsidiaries that were previously tax deferred and created new taxes on certain foreign sourced earnings. At December 31, 2018, we completed our accounting for the tax effects of the TCJA, which, other than the decrease in the valuation of our federal deferred tax assets discussed below, did not have a material effect on our Consolidated Financial Statements.
Deferred Tax Assets and Liabilities

Deferred income taxes reflect the net tax effects of loss and credit carryforwards and temporary differences between the carrying amount of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. We remeasured certain deferred tax assets and liabilities based on the rates at which they are expected to reverse in the future. Significant components of our deferred tax assets for federal and state income taxes are as follows (in thousands):

 

December 31,

 

December 31,

 

2016

 

 

2015

 

2019 2018

Deferred tax assets:

 

 

 

 

 

 

 

 

   

Net operating loss carryforwards

 

$

508,406

 

 

$

447,761

 

$399,361
 $300,693

Research and other credits

 

 

74,917

 

 

 

70,258

 

128,015
 116,955
Operating lease liabilities36,907
 

Stock-based compensation

 

 

26,357

 

 

 

22,832

 

30,875
 21,518
Property, plant and equipment5,021
 2,124
Capitalized research expenses3,705
 8,072
Reserves and accruals2,934
 8,066

Deferred revenue

 

 

23,035

 

 

 

29,658

 

1,908
 4,467

Reserves and accruals

 

 

12,269

 

 

 

8,309

 

Capitalized research expenses

 

 

11,587

 

 

 

12,440

 

Property, plant and equipment

 

 

6,882

 

 

 

6,451

 

Sale of future royalties

 

 

1,611

 

 

 

12,319

 

Other

 

 

750

 

 

 

3,158

 

Deferred tax assets before valuation allowance

 

 

665,814

 

 

 

613,186

 

608,726
 461,895

Valuation allowance for deferred tax assets

 

 

(665,514

)

 

 

(612,996

)

(575,087) (460,455)

Total deferred tax assets

 

 

300

 

 

 

190

 

33,639
 1,440
Operating lease right-of-use assets(31,718) 
Other(1,725) (1,270)

Total deferred tax liabilities

 

 

 

 

 

 

(33,443) (1,270)

Net deferred tax assets

 

$

300

 

 

$

190

 

$196
 $170



Realization of our deferred tax assets is dependent upon future earnings, if any, the timing and amount of which are uncertain. Because of our lack of U.S. earnings history, other than income resulting from revenue recognized from the BMS Collaboration Agreement, and projected future losses, we have fully reserved our net U.S. deferred tax assets have been fully offset bywith a valuation allowance. The valuation allowance increased by $52.5$114.6 million during the year ended December 31, 2019 due to our net loss and decreased by $35.7 million and $17.3$169.3 million during the years ended December 31, 20162018 and 2015,2017, respectively. The decrease in the valuation allowance for the year ended December 31, 2018 reflects the utilization of net operating loss carryforwards to offset federal and state taxable income, and the decrease in the valuation allowance for the year ended December 31, 2017 primarily reflects the change in the federal rate. The valuation allowance includes approximately $35.6 million of income tax benefit at both December 31, 20162019 and December 31, 20152018 related to stock-based compensation and exercises prior to the implementation of the accounting guidance for stock-based compensation that will be credited to additional paidincluded in capitalincome tax expense in our Consolidated Statement of Operations when realized.

Undistributed

For 2017, the one-time transition tax under the TCJA was based on our total post-1986 earnings of our foreign subsidiary in India are considered to be permanently reinvested and accordingly, noprofits (E&P) that we previously deferred from U.S. income taxes. We concluded that there was negative E&P on an aggregate basis and we did not record any amount for any one-time transition tax triggered by the Tax Act. NaN additional income taxes have been provided thereon. Upon distribution of thosefor any remaining undistributed foreign earnings in the form of dividends or otherwise, we would benot subject to U.S. income tax. As of December 31, 2016, U.S. income taxes have not been provided on a cumulative total of $3.4 million of such earnings. Any incrementalthe transition tax, liability wouldor any additional outside basis difference inherent in these entities, as these amounts continue to be insignificant due toindefinitely reinvested in foreign tax credits that would be realized upon distribution.

operations.

Net Operating Loss and Tax Credit Carryforwards

As of December 31, 2016,2019, we had a net operating loss carryforward for federal income tax purposes of approximately $1,413.3$1,721.7 million, portions of which will begin to expire in 2018.2022. As of December 31, 2016,2019, we had a total state net operating loss carryforward of approximately $473.6$1,221.3 million, portions of which will begin to expire in 2017.2026. Utilization of some of the federal and state net operating loss and credit carryforwards are subject to annual limitations due to the “change in ownership” provisions of the Internal Revenue Code of 1986 and similar state provisions.

We have federal research credits of approximately $50.1$94.8 million, which will begin to expire in 20192020 and state research credits of approximately $25.2$49.4 million which have no expiration date. We have federal orphan drug credits of $17.7 million which will begin to expire in 2026. These tax credits are subject to the same limitations discussed above.

Unrecognized tax benefits

We

With the exception of net income recognized in 2018, we have incurred net operating losses since inception. Our policy is to include interest and penalties related to unrecognized tax benefits, if any, within the provision for income taxes in the consolidated statements of operations. If we are eventually able to recognize our uncertain positions, our effective tax rate may be reduced. We currently have a full valuation allowance against our U.S. net deferred tax asset which would impact the timing of the effective tax rate benefit should any of these uncertain tax positions be favorably settled in the future. Any adjustmentsAdjustments to the substantial majority of our uncertain tax positions would result in an adjustment of our net operating loss or tax credit carry forwards rather than resulting in a cash outlay. The decrease in the unrecognized tax benefits in 2015 primarily relates to a California Supreme Court decision relating to the calculation of apportionment of income.

88


We file income tax returns in the U.S., California, Alabama, certain other states and India. Because of net operating losses and research credit carryovers, substantially all of our domestic tax years remain open and subject to examination. We are currently under examination in India for the fiscal years ending 2009, 20132016, 2017 and 2014.

2018.


We have the following activity relating to unrecognized tax benefits (in thousands):

 

December 31,

 

December 31,

 

2016

 

 

2015

 

 

2014

 

2019 2018 2017

Beginning balance

 

$

17,384

 

 

$

27,522

 

 

$

16,363

 

$27,419
 $20,483
 $18,413

Tax positions related to current year

 

 

 

 

 

 

 

 

 

 

 

 

     

Additions:

 

 

 

 

 

 

 

 

 

 

 

 

     

Federal

 

 

530

 

 

 

529

 

 

 

502

 

1,365
 2,019
 1,206

State

 

 

499

 

 

 

443

 

 

 

6,141

 

48,493
 3,645
 1,666

Reductions

 

 

 

 

 

 

 

 

 


 
 

Tax positions related to prior year

 

 

 

 

 

 

 

 

 

 

 

 

     

Additions:

 

 

 

 

 

 

 

 

 

 

 

 

     

Federal

 

 

 

 

 

 

 

 

 


 669
 

State

 

 

 

 

 

 

 

 

5,258

 

277
 603
 

Foreign

 

 

 

 

 

 

 

 

 


 
 

Reductions

 

 

 

 

 

(11,110

)

 

 

(742

)

(144) 
 (802)

Settlements

 

 

 

 

 

 

 

 

 


 
 

Lapses in statute of limitations

 

 

 

 

 

 

 

 

 


 
 

Ending balance

 

$

18,413

 

 

$

17,384

 

 

$

27,522

 

$77,410
 $27,419
 $20,483


Although it is reasonably possible that certain unrecognized tax benefits may increase or decrease within the next twelve months, we do not anticipate any significant changes to unrecognized tax benefits over the next twelve months. During the years ended December 31, 2016, 20152019, 2018 and 2014, no2017, 0 significant interest or penalties were recognized relating to unrecognized tax benefits.

Note 13 — Segment Reporting

We operate in one1 business segment which focuses on applying our technology platforms to improve the performance of established anddevelop novel medicines. We operate in one segment because ourdrug candidates. Our business offerings have similar economics and other characteristics, including the nature of products and manufacturing processes, types of customers, distribution methods and regulatory environment. We are comprehensively managed as one business segment by our Chief Executive Officer.

Our revenue is derived primarily from clientscustomers in the pharmaceutical and biotechnology industries. Revenue from UCB Pharma, Takeda, and AstraZeneca UCB, Ophthotech and Roche represented 29%, 21%28%, 19% and 11%17% of our revenue, respectively, for the year ended December 31, 2016.2019. Revenue from AstraZenecaBMS represented 89% of our revenue, for the year ended December 31, 2018. Revenue from Lilly and UCB Pharma represented 57%42% and 13%12% of our revenue, respectively, for the year ended December 31, 2015.  Revenue from AstraZeneca, UCB and Roche represented 52%, 16% and 11%  of our revenue, respectively, for the year ended December 31, 2014.

2017.

Revenue by geographic area is based on the headquarters or shipping locations of our partners. The following table sets forth revenue by geographic area (in thousands):

 

Year Ended December 31,

 

Year Ended December 31,

 

2016

 

 

2015

 

 

2014

 

2019 2018 2017

United States

 

$

39,147

 

 

$

40,400

 

 

$

32,514

 

$27,093
 $1,090,794
 $190,810

Europe

 

 

126,289

 

 

 

190,384

 

 

 

168,193

 

Rest of World87,524
 102,529
 116,901

Total revenue

 

$

165,436

 

 

$

230,784

 

 

$

200,707

 

$114,617
 $1,193,323
 $307,711


At December 31, 2016, $48.82019, $59.7 million, or approximately 74%92%, of the net book value of our property, plant and equipment was located in the United States $10.4and $5.3 million, or approximately 16% was located at contract manufacturers in Germany and the Netherlands, $5.6 million, or approximately 9%8%, was located in India, and $0.8India. At December 31, 2018, $42.9 million, or approximately 1%, was located in other countries. At December 31, 2015, $54.2 million, or approximately 76%88%, of the net book value of our property, plant and equipment was located in the United States $11.1and $5.9 million, or approximately 16% was located at contract manufacturers in Germany and the Netherlands, and $6.0 million, or approximately 8%12%, was located in India.

89


Note 14 — Subsequent Event
On January 14, 2020, the FDA held an Advisory Committee meeting regarding our NDA for NKTR-181. The Advisory Committee voted against approval. We subsequently decided to withdraw our NDA and to make no further

investments in this program. On February 26, 2020, the Audit Committee of our Board of Directors approved management’s plan for the wind-down of Inheris and the NKTR-181 program.
As a result, in the first quarter of 2020, we expect to incur charges of $45.0 million to $50.0 million, including non-cash charges of $19.7 million for the impairment of advance payments to contract manufacturers for commercial batches of NKTR-181, as well as other charges, primarily for non-cancellable commitments to our contract manufacturers and certain severance costs.
Note 15 — Selected Quarterly Financial Data (Unaudited)

The following table sets forth certain unaudited quarterly financial data. In our opinion, the unaudited information set forth below has been prepared on the same basis as our audited information and includes all adjustments necessary to present fairly the information set forth herein. We have experienced fluctuations in our quarterly results and expect these fluctuations to continue in the future. Due to these and other factors, we believe that quarter-to-quarter comparisons of our operating results will not be meaningful, and you should not rely on ourthe results for any one quarter as an indicationmay not be indicative of our future performance. CertainWe have reclassified certain items previously reported in specific financial statement captions have been reclassified to conform to the current period presentation. Such reclassifications have not materially impacted previously reported total revenues, operating lossincome (loss) or net loss.income (loss). All data is in thousands except per share information.

 

 

Year Ended December 31, 2016

 

 

Year Ended December 31, 2015

 

 

 

Q1

 

 

Q2

 

 

Q3

 

 

Q4

 

 

Q1

 

 

Q2

 

 

Q3

 

 

Q4

 

Product sales

 

$

14,099

 

 

$

12,867

 

 

$

14,698

 

 

$

13,690

 

 

$

7,974

 

 

$

10,968

 

 

$

7,240

 

 

$

13,973

 

Total revenue

 

$

58,882

 

 

$

32,768

 

 

$

36,336

 

 

$

37,450

 

 

$

108,801

 

 

$

22,661

 

 

$

59,952

 

 

$

39,370

 

Cost of goods sold

 

$

8,870

 

 

$

7,708

 

 

$

7,033

 

 

$

6,604

 

 

$

8,444

 

 

$

10,534

 

 

$

6,760

 

 

$

8,364

 

Research and development expenses

 

$

49,268

 

 

$

52,350

 

 

$

51,951

 

 

$

50,232

 

 

$

47,011

 

 

$

45,412

 

 

$

43,229

 

 

$

47,135

 

Operating income (loss)

 

$

(9,484

)

 

$

(38,325

)

 

$

(32,901

)

 

$

(32,145

)

 

$

43,043

 

 

$

(43,469

)

 

$

419

 

 

$

(29,364

)

Net income (loss)

 

$

(19,498

)

 

$

(48,603

)

 

$

(43,224

)

 

$

(42,199

)

 

$

33,820

 

 

$

(52,657

)

 

$

(8,203

)

 

$

(54,137

)

Net income (loss) per share(1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic

 

$

(0.14

)

 

$

(0.36

)

 

$

(0.32

)

 

$

(0.28

)

 

$

0.26

 

 

$

(0.40

)

 

$

(0.06

)

 

$

(0.40

)

Diluted

 

$

(0.14

)

 

$

(0.36

)

 

$

(0.32

)

 

$

(0.28

)

 

$

0.25

 

 

$

(0.40

)

 

$

(0.06

)

 

$

(0.40

)

 Year Ended December 31, 2019 Year Ended December 31, 2018
 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
Product sales$4,398
 $4,346
 $5,558
 $5,815
 $6,295
 $5,863
 $4,256
 $4,360
Total revenue$28,222
 $23,315
 $29,218
 $33,862
 $38,018
 $1,087,717
 $27,762
 $39,826
Cost of goods sold$5,440
 $5,018
 $4,927
 $5,989
 $6,646
 $5,522
 $4,783
 $7,461
Research and development expenses$118,463
 $106,686
 $99,048
 $110,369
 $99,424
 $88,334
 $102,895
 $108,883
Operating income (loss)$(120,687) $(110,970) $(98,740) $(109,638) $(86,739) $973,600
 $(98,634) $(100,295)
Net income (loss) (1)$(119,632) $(110,286) $(98,585) $(112,164) $(95,792) $971,460
 $(96,143) $(98,212)
Net income (loss) per share(1) (2)               
Basic$(0.69) $(0.63) $(0.56) $(0.64) $(0.60) $5.67
 $(0.56) $(0.57)
Diluted$(0.69) $(0.63) $(0.56) $(0.64) $(0.60) $5.33
 $(0.56) $(0.57)

(1)

(1)As discussed in Note 1, in the fourth quarter of 2019, we adopted ASU 2019-12, effective January 1, 2019, which affected previously reported amounts of net loss and net loss per share for the first three quarters of 2019. We have recast such amounts for the effects of adoption.
(2)Quarterly lossincome (loss) per share amounts may not total to the year-to-date lossincome (loss) per share due to rounding.

90


Item 9.

Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

None.

Item 9A.

Controls and Procedures

Item 9A. Controls and Procedures

Disclosure Controls and Procedures

We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in our Securities Exchange Act of 1934 (Exchange Act) reports is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms, and that such information is accumulated and communicated to management, including our Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions regarding required financial disclosure.

As of the end of the period covered by this report, we carried out an evaluation, under the supervision and with the participation of our management, including the Chief Executive Officer and the Chief Financial Officer, of the effectiveness of the design and operation of our disclosure controls and procedures pursuant to Exchange Act Rule 13a-15. Based upon, and as

of the date of, this evaluation, the Chief Executive Officer and the Chief Financial Officer concluded that our disclosure controls and procedures were effective. Accordingly, management believes that the financial statements included in this report fairly present in all material respects our financial condition, results of operations and cash flows for the periods presented.

Management’s Annual Report on Internal Control over Financial Reporting

Our management is responsible for establishing and maintaining adequate internal control over financial reporting, as such term is defined in Exchange Act Rule 13a-15(f). Our internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with GAAP.

Our management has assessed the effectiveness of our internal control over financial reporting as of December 31, 2016.2019. In making its assessment of internal control over financial reporting, management used the criteria described in Internal Control — Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 Framework).

Based on our evaluation under the framework described in Internal Control — Integrated Framework, our management concluded that our internal control over financial reporting was effective as of December 31, 2016.

2019.

The effectiveness of our internal control over financial reporting as of December 31, 20162019 has been audited by Ernst & Young LLP, an independent registered public accounting firm, as stated in their report, which is included herein.

Changes in Internal Control Over Financial Reporting

We continuously seek to improve the efficiency and effectiveness of our internal controls. This results in refinements to processes throughout the Company. There was no change in our internal control over financial reporting during the quarter ended December 31, 2016,2019, which was identified in connection with our management’s evaluation required by Exchange Act Rules 13a-15(f) and 15d-15(f) that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

91


Inherent Limitations on the Effectiveness of Controls

Our management, including the Chief Executive Officer and Chief Financial Officer, does not expect that our disclosure controls and procedures or our internal control over financial reporting will prevent all error and all fraud. A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, within the company have been detected. These inherent limitations include the realities that judgments in decision making can be faulty and that breakdowns can occur because of simple error or mistake. Additionally, controls can be circumvented by the individual acts of some persons, by collusion of two or more people or by management override of the control. The design of any system of controls also is based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions. Over time, controls may become inadequate because of changes in conditions, or the degree of compliance with the policies or procedures may deteriorate. Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud may occur and not be detected.

Item 9B.

Other Information

Item 9B. Other Information

None.

92



PART III
PART III

Item 10.

Directors, Executive Officers and Corporate Governance

Item 10. Directors, Executive Officers and Corporate Governance

Information relating to our executive officers required by this item is set forth in Part I — Item 1 of this report under the caption “Executive Officers of the Registrant” and is incorporated herein by reference. The other information required by this Item is incorporated by reference from the definitive proxy statement for our 20172019 Annual Meeting of Stockholders to be filed with the SEC pursuant to Regulation 14A (Proxy Statement) not later than 120 days after the end of the fiscal year covered by this Form 10-K under the captions “Corporate Governance and Board of Directors,” “Proposal 1 — Election of Directors” and “Section 16(a) Beneficial Ownership Reporting Compliance.”

Information regarding our audit committee financial expert will be set forth in the Proxy Statement under the caption “Audit Committee,” which information is incorporated herein by reference.

We have a Code of Business Conduct and Ethics applicable to all employees, including the principal executive officer, principal financial officer and principal accounting officer or controller, or persons performing similar functions. The Code of Business Conduct and Ethics is posted on our website at www.nektar.com. Amendments to, and waivers from, the Code of Business Conduct and Ethics that apply to any of these officers, or persons performing similar functions, and that relate to any element of the code of ethics definition enumerated in Item 406(b) of Regulation S-K will be disclosed at the website address provided above and, to the extent required by applicable regulations, on a current report on Form 8-K.

As permitted by SEC Rule 10b5-1, certain of our executive officers, directors and other employees have or may set up a predefined, structured stock trading program with their broker to sell our stock. The stock trading program allows a broker acting on behalf of the executive officer, director or other employee to trade our stock during blackout periods or while such executive officer, director or other employee may be aware of material, nonpublic information, if the trade is performed according to a pre-existing contract, instruction or plan that was established with the broker when such executive officer, director or employee was not aware of any material, nonpublic information. OurExecutive officers and directors can only sell our stock in accordance with our securities trading policy and pursuant to a stock trading program set up under Rule 10b5-1 (wherein “exercise and hold” and stock purchases are exempted, and sales outside such a program can proceed upon approval of the Nominating and Corporate Governance Committee of our Board of Directors. Employees who are not executive officers directors and other employees may also trade our stock outside of the stock trading programs set up under Rule 10b5-1 subject to our securities trading policy.

Item 11.

Executive Compensation

Item 11. Executive Compensation

The information required by this Item is included in the Proxy Statement and incorporated herein by reference.

Item 12.

Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

The information required by this Item is included in the Proxy Statement and incorporated herein by reference.

Item 13.

Certain Relationships and Related Transactions and Director Independence

Item 13. Certain Relationships and Related Transactions and Director Independence

The information required by this Item is included in the Proxy Statement and incorporated herein by reference.

Item 14.

Principal Accountant Fees and Services

Item 14. Principal Accountant Fees and Services

The information required by this Item is included in the Proxy Statement and incorporated herein by reference.

93



PART IV
PART IV

Item 15. Exhibits and Financial Statement Schedules

Item 15.

Exhibits and Financial Statement Schedules

(a)

(a)

The following documents are filed as part of this report:

(1)

Consolidated Financial Statements:

The following financial statements are filed as part of this Annual Report on Form 10-K under Item 8 “Financial Statements and Supplementary Data.”

Page

Page
Reports of Independent Registered Public Accounting Firm

66

60


Consolidated Balance Sheets at December 31, 20162019, and 2015

2018

68

62


Consolidated Statements of Operations for each of the three years in the period ended December 31, 2016

2019

69

63


Consolidated Statements of Comprehensive LossIncome (Loss) for each of the three years in the period ended December 31, 2016

2019

70

64


Consolidated Statements of Stockholders’ Equity (Deficit) for each of the three years in the period ended December 31, 2016

2019

71

65


Consolidated Statements of Cash Flows for each of the three years in the period ended December 31, 2016

2019

72

66


Notes to Consolidated Financial Statements

73

67


(2)

Financial Statement Schedules:

All financial statement schedules have been omitted because they are not applicable, or the information required is presented in our consolidated financial statements and notes thereto under Item 8 of this Annual Report on Form 10-K.

(3)

Exhibits.

Except as so indicated in Exhibit 32.1, the following exhibits are filed as part of, or incorporated by reference into, this Annual Report on Form 10-K.

Exhibit

Number

Exhibit
Number
Description of Documents

2.1(1)

3.1(2)

3.2(3)

3.3(4)

3.4(5)

3.5(6)

4.1

Reference is made to Exhibits 3.1, 3.2, 3.3, 3.4, and 3.5.

3.5.

4.2(4)

4.3(7)

10.1(9)

4.4(28)

Employee Stock Purchase


Exhibit
Number
Description of Documents
10.1(8)

10.2(10)

10.2(8)

10.3(10)

10.3(8)

2000 Equity Incentive Plan, as amended and restated.++

10.4(10)

10.5(11)

10.4(8)

10.5(8)
10.6(9)

94


Exhibit

Number

Description of Documents

10.6(8)

10.7(10)

10.7(22)

10.8(11)

10.9(12)
10.10(13)
10.11(14)

10.8(12)

10.12(15)

10.9(10)

10.13(16)

Discretionary Incentive Compensation Policy.++

10.10(10)

Amended and Restated Change of Control Severance Benefit Plan.++

10.11(13)

10.12(1)

10.14(1)

10.13(1)

10.15(1)

10.14(14)

10.16(17)

10.15(21)

10.17(28)

Letter

10.18(19)

10.16(13)

10.19(28)

10.20(16)


10.17(16)

Sublease,

Exhibit
Number
Description of Documents
10.21(18)

10.18(15)

10.22(20)

10.19(14)

10.23(1)

Co-Development, License and Co-Promotion Agreement, dated August 1, 2007, between Nektar Therapeutics (and its subsidiaries) and Bayer Healthcare LLC, as amended.+

10.20(1)

10.21(1)

10.24(1)

10.22(14)

10.25(17)

10.23(16)

10.26(21)

10.24 (17)

10.27(22)

10.25 (18)

10.28(18)

Clinical Trial Collaboration

10.26(7)

10.29(7)

10.27(7)

10.30(7)

10.28(19)

10.31(23)

10.29(20)

10.32(24)

10.30(21)

10.33(25)

Term Loan and Security

21.1(24)

10.34(25)

10.35(28)
10.36(26)
10.37(27)

Exhibit
Number
Description of Documents
21.1(28)

23.1(24)

23.1(28)

24

95


Exhibit

Number

Description of Documents

31.1(24)

31.1(28)

31.2(24)

31.2(28)

32.1*

101*101.SCH**

The following materials from Nektar Therapeutics’ Annual Report on Form 10-K for the year ended December 31, 2016, formattedInline XBRL Taxonomy Extension Schema Document.

101.CAL**Inline XBRL Taxonomy Extension Calculation Linkbase Document.
101.LAB**Inline XBRL Taxonomy Extension Label Linkbase Document.
101.PRE**Inline XBRL Taxonomy Extension Presentation Label Linkbase Document.
101.DEF**
Inline XBRL Taxonomy Extension Definition Linkbase Document.

104**Cover Page Interactive Data File (formatted as inline XBRL with applicable taxonomy extension information contained in XBRL (Extensible Business Reporting Language): (i) Consolidated Balance Sheets, (ii) Consolidated Statements of Operations, (iii) Consolidated Statements of Comprehensive Loss, (iv) Consolidated Statements of Stockholders’ Equity (Deficit), (v) Consolidated Statements of Cash Flows, and (vi) Notes to Consolidated Financial Statements.

Exhibits 101).

+

Confidential treatment with respect to specific

+Certain confidential portions of this Exhibit has been requested,(indicated by brackets and such portions are omitted andasterisks) have been filed separatelyomitted from this exhibit in accordance with the SEC.

rules of the Securities and Exchange Commission.

++

Management contract or compensatory plan or arrangement.

*

*Exhibit 32.1 is being furnished and shall not be deemed to be “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liability of that section, nor shall such exhibit be deemed to be incorporated by reference in any registration statement or other document filed under the Securities Act of 1933, as amended, or the Securities Exchange Act, except as otherwise stated in such filing.

**

Inline XBRL information is filed herewith.

(1)

(1)Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Annual Report on Form 10-K for the year ended December 31, 2008.

(2)

(2)Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended June 30, 1998.

(3)

(3)Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended June 30, 2000.

(4)

(4)Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Current Report on Form 8-K, filed on January 23, 2003.

(5)

(5)Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Annual Report on Form 10-K for the year ended December 31, 2009.

(6)

(6)Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Current Report on Form 8-K, filed on April 15, 2014.

December 12, 2019.

(7)

(7)Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Current Report on Form 8-K, filed on October 6, 2015.

(8)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Current Report on Form 8-K, filed on December 17, 2015.

(9)

(8)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Current Report on Form 8-K, filed on June 27, 2014.

(10)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Annual Report on Form 10-K for the year ended December 31, 2011.

(11)

(9)Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Current Report on Form 8-K, filed on June 17, 2015.

(12)

(10)Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Current Report on Form 8-K filed on December 17, 2015.
(11)Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Current Report on Form 8-K, filed on June 27, 2018.

(12)Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Annual Report on Form 10-K for the year ended December 31, 2018.
(13)Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Current Report on Form 8-K, filed on June 27, 2014.
(14)Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Annual Report on Form 10-K for the year ended December 31, 2012.
(15)Incorporated by reference to the indicated exhibit in Nektar Therapeutics Quarterly Report on Form 10-Q for the quarter ended June 30, 2004.

(13)

(16)Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended September 30, 2007.

(14)

(17)Incorporated by reference to the indicated exhibit in Nektar TherapeuticsTherapeutics’ Annual Report on Form 10-K for the year ended December 31, 2010.

(15)

(18)Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended September 30, 2017.
(19)Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended September 30, 2019.
(20)Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended June 30, 2006.

(16)

(21)Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended September 30, 2009.

(17)

(22)Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended June 30, 2016.

(18)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended September 30, 2016.

(19)

(23)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended March 31, 2012.

(20)

(24)Incorporated by reference to the indicated exhibit in Nektar Therapeutics'Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended September 30, 2013.

(21)

(25)Incorporated by reference to the indicated exhibit in Nektar Therapeutics AnnualTherapeutics’ Quarterly Report on Form 10-K10-Q for the yearquarter ended DecemberMarch 31, 2012.

2018.

96


(22)

(26)Incorporated by reference to the indicated exhibit in Nektar Therapeutics AnnualTherapeutics’ Current Report on Form 10-K for the year ended December 31, 2013.

8-K filed on February 14, 2018.  

(23)

(27)Incorporated by reference to the indicated exhibit in Nektar Therapeutics AnnualTherapeutics’ Quarterly Report on Form 10-K10-Q for the yearquarter ended December 31, 2014.

June 30, 2018.

(24)

(28)Filed herewith.

97


Item 16.

Form 10-K Summary

None.

None.


98


SIGNATURES


SIGNATURES
Pursuant to the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized, in the City and County of San Francisco, State of California on March 1, 2017.

February 27, 2020.

By:

By:
/s/ GIL M. LABRUCHERIE
Gil M. Labrucherie

Gil M. Labrucherie

Senior Vice President, Chief Operating Officer, and Chief Financial Officer

By:

By:
/s/ JILLIAN B. THOMSEN

Jillian B. Thomsen

Senior Vice President, Finance and Chief Accounting Officer

99



POWER OF ATTORNEY

KNOW ALL PERSON BY THESE PRESENTS, that each person whose signature appears below constitutes and appoints Gil M. Labrucherie and Jillian B. Thomsen and each of them, as his or her true and lawful attorneys-in-fact and agents, with full power of substitution and resubstitution, for him or her and in his or her name, place and stead, in any and all capacities, to sign any and all amendments to this Annual Report on Form 10-K and to file the same, with all exhibits thereto and other documents in connection therewith, with the Securities and Exchange Commission, granting unto said attorneys-in-fact and agents and each of them, full power and authority to do and perform each and every act and thing requisite and necessary to be done in connection therewith, as fully to all intents and purposes as he or she might or could do in person, hereby ratify and confirming all that said attorneys-in-fact and agents, or any of them, or their or his or her substitute or substitutes, may lawfully do or cause to be done by virtue hereof.

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, this report has been signed by the following persons in the capacities and on the dates indicated:

Signature

Title

Date

Signature

TitleDate
/s/ HowardOWARD W. Robin

OBIN

Chief Executive Officer, President and Director

March 1, 2017

February 27, 2020

Howard W. Robin

(Principal Executive Officer)

/s/ GilGIL M. Labrucherie

LABRUCHERIE

Senior Vice President, Chief Operating Officer, and Chief Financial Officer

March 1, 2017

February 27, 2020

Gil M. Labrucherie

(Principal Financial Officer)

/s/ Jillian ILLIANB. Thomsen

HOMSEN

Senior Vice President, Finance and Chief Accounting Officer

March 1, 2017

February 27, 2020

Jillian B. Thomsen

(Principal Accounting Officer)

/s/ Robert OBERTB. Chess

HESS

Director, Chairman of the Board of Directors

March 1, 2017

February 27, 2020

Robert B. Chess

/s/ JEFFREY R. AJER
DirectorFebruary 27, 2020
Jeffrey R. Ajer
/s/ MYRIAM J. CURET
DirectorFebruary 27, 2020
Myriam J. Curet
/s/ KARIN EASTHAM
DirectorFebruary 27, 2020
Karin Eastham
/s/ R. Scott COTTGreer

REER

Director

March 1, 2017

February 27, 2020

R. Scott Greer

/s/ Joseph J. Krivulka

L
UTZ LINGNAU

Director

March 1, 2017

February 27, 2020

Joseph J. Krivulka

Lutz Lingnau

/s/ Christopher ROYA. Kuebler

W
HITFIELD

Director

March 1, 2017

February 27, 2020

Christopher A. Kuebler

/s/    Lutz Lingnau

Director

March 1, 2017

Lutz Lingnau

/s/    Roy A. Whitfield

Director

March 1, 2017

Roy A. Whitfield

/s/    Dennis L. Winger

Director

March 1, 2017

Dennis L. Winger

100


Except as so indicated in Exhibit 32.1, the following exhibits are filed as part of, or incorporated by reference into, this Annual Report on Form 10-K.

Exhibit

Number

Description of Documents

  2.1(1)

Asset Purchase Agreement, dated October 20, 2008, by and between Nektar Therapeutics, a Delaware corporation, AeroGen, Inc., a Delaware corporation and wholly-owned subsidiary of Nektar Therapeutics, Novartis Pharmaceuticals Corporation, a Delaware corporation, and Novartis Pharma AG, a Swiss corporation.+

  3.1(2)

Certificate of Incorporation of Inhale Therapeutic Systems (Delaware), Inc.

  3.2(3)

Certificate of Amendment of the Amended Certificate of Incorporation of Inhale Therapeutic Systems, Inc.

  3.3(4)

Certificate of Ownership and Merger of Nektar Therapeutics.

  3.4(5)

Certificate of Ownership and Merger of Nektar Therapeutics AL, Corporation with and into Nektar Therapeutics.

  3.5(6)

Amended and Restated Bylaws of Nektar Therapeutics.

  4.1

Reference is made to Exhibits 3.1, 3.2, 3.3, 3.4, and 3.5.

  4.2(4)

Specimen Common Stock certificate.

  4.3(7)

Indenture dated October 5, 2015 by and between Nektar Therapeutics and Wilmington Trust, National Association, and TC Lending, LLC including the form of 7.75% Senior Secured Note due 2020.

10.1(9)

Employee Stock Purchase Plan, as amended and restated.++

10.2(10)

2000 Non-Officer Equity Incentive Plan, as amended and restated.++

10.3(10)

2000 Equity Incentive Plan, as amended and restated.++

10.4(10)

2008 Equity Incentive Plan, as amended and restated.++

10.5(11)

2012 Performance Incentive Plan.++

10.6(8)

Forms of Stock Option Agreement, Performance Stock Option Agreement, Restricted Stock Unit Agreement and Performance Restricted Stock Unit Agreement under the 2012 Performance Incentive Plan.++

10.7(22)

Amended and Restated Compensation Plan for Non-Employee Directors.++

10.8(12)

401(k) Retirement Plan.++

10.9(10)

Discretionary Incentive Compensation Policy.++

10.10(10)

Amended and Restated Change of Control Severance Benefit Plan.++

10.11(13)

Form of Severance Letter for executive officers of the company.++

10.12(1)

Amended and Restated Letter Agreement, executed effective on December 1, 2008, with Howard W. Robin.++

10.13(1)

Amended and Restated Letter Agreement, executed effective on December 1, 2008, with John Nicholson.++

10.14(14)

Letter Agreement, executed effective on December 10, 2009, with Stephen K. Doberstein, Ph.D.++

10.15(21)

Letter Agreement dated as of May 14, 2014, by and between Nektar Therapeutics and Ivan Gergel, M.D.++

10.16(13)

Amended and Restated Built-to-Suit Lease between Nektar Therapeutics and BMR-201 Industrial Road LLC, dated August 17, 2004, as amended on January 11, 2005 and July 19, 2007.

10.17(16)

Sublease, dated as of September 30, 2009, by and between Pfizer Inc. and Nektar Therapeutics.+

10.18(15)

Settlement Agreement and General Release, dated June 30, 2006, by and between The Board of Trustees of the University of Alabama, The University of Alabama in Huntsville, Nektar Therapeutics AL, Corporation (a wholly-owned subsidiary of Nektar Therapeutics), Nektar Therapeutics and J. Milton Harris.

10.19(14)

Co-Development, License and Co-Promotion Agreement, dated August 1, 2007, between Nektar Therapeutics (and its subsidiaries) and Bayer Healthcare LLC, as amended.+

10.20(1)

Exclusive Research, Development, License and Manufacturing and Supply Agreement, by and among Nektar AL Corporation, Baxter Healthcare SA, and Baxter Healthcare Corporation, dated September 26, 2005, as amended.+

101


Exhibit

Number

Description of Documents

10.21(1)

Exclusive License Agreement, dated December 31, 2008, between Nektar Therapeutics, a Delaware corporation, and Novartis Pharma AG, a Swiss corporation.+

10.22(14)

Supply, Dedicated Suite and Manufacturing Guarantee Agreement, dated October 29, 2010, by and among Nektar Therapeutics, Amgen Inc. and Amgen Manufacturing, Limited.+

10.23(16)

License Agreement by and between AstraZeneca AB and Nektar Therapeutics, dated September 20, 2009.+

10.24 (17)

Collaboration and License Agreement dated as of May 30, 2016, by and between Daiichi Sankyo Europe GmbH and Nektar Therapeutics.  

10.25 (18)

Clinical Trial Collaboration Agreement dated as of September 21, 2016, by and between Bristol-Myers Squibb Company and Nektar Therapeutics

10.26(7)

Purchase Agreement dated September 30, 2015 by and among Nektar Therapeutics and TC Lending, LLC and TAO Fund, LLC.

10.27(7)

Pledge and Security Agreement dated October 5, 2015 by and among Nektar Therapeutics and TC Lending, LLC.

10.28(19)

Purchase and Sale Agreement, dated as of February 24, 2012, between Nektar Therapeutics and RPI Finance Trust.+

10.29(20)

Amendment No. 1 to License Agreement dated as of August 8, 2013, by and between Nektar Therapeutics and AstraZeneca AB.+

10.30(22)

Term Loan and Security Agreement dated as of October 7, 2013, by and between Nektar Therapeutics, as borrower, and AstraZeneca AB, as lender and as agent.

21.1(24)

Subsidiaries of Nektar Therapeutics.

23.1(24)

Consent of Independent Registered Public Accounting Firm.

24

Power of Attorney (reference is made to the signature page).

31.1(24)

Certification of Nektar Therapeutics’ principal executive officer required by Rule 13a-14(a) or Rule 15d-14(a).

31.2(24)

Certification of Nektar Therapeutics’ principal financial officer required by Rule 13a-14(a) or Rule 15d-14(a).

32.1*

Section 1350 Certifications.

101**

The following materials from Nektar Therapeutics’ Annual Report on Form 10-K for the year ended December 31, 2016, formatted in XBRL (Extensible Business Reporting Language): (i) Consolidated Balance Sheets, (ii) Consolidated Statements of Operations, (iii) Consolidated Statements of Comprehensive Loss, (iv) Consolidated Statements of Stockholders’ Equity (Deficit), (v) Consolidated Statements of Cash Flows, and (vi) Notes to Consolidated Financial Statements.

+

Confidential treatment with respect to specific portions of this Exhibit has been requested, and such portions are omitted and have been filed separately with the SEC.

++

Management contract or compensatory plan or arrangement.


*

Exhibit 32.1 is being furnished and shall not be deemed to be “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liability of that section, nor shall such exhibit be deemed to be incorporated by reference in any registration statement or other document filed under the Securities Act of 1933, as amended, or the Securities Exchange Act, except as otherwise stated in such filing.

110

**

XBRL information is filed herewith.

(1)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Annual Report on Form 10-K for the year ended December 31, 2008.

(2)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended June 30, 1998.

(3)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended June 30, 2000.

(4)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Current Report on Form 8-K, filed on January 23, 2003.

(5)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Annual Report on Form 10-K for the year ended December 31, 2009.

(6)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Current Report on Form 8-K, filed on April 15, 2014.

102


(7)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Current Report on Form 8-K, filed on October 6, 2015.

(8)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Current Report on Form 8-K, filed on December 17, 2015.

(9)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Current Report on Form 8-K, filed on June 27, 2014.

(10)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Annual Report on Form 10-K for the year ended December 31, 2011.

(11)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Current Report on Form 8-K, filed on June 17, 2015.

(12)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended June 30, 2004.

(13)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended September 30, 2007.

(14)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics Annual Report on Form 10-K for the year ended December 31, 2010.

(15)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended June 30, 2006.

(16)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended September 30, 2009.

(17)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended June 30, 2016.

(18)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended September 30, 2016.

(19)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics’ Quarterly Report on Form 10-Q for the quarter ended March 31, 2012.

(20)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics' Quarterly Report on Form 10-Q for the quarter ended September 30, 2013.

(21)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics Annual Report on Form 10-K for the year ended December 31, 2012.

(22)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics Annual Report on Form 10-K for the year ended December 31, 2013.

(23)

Incorporated by reference to the indicated exhibit in Nektar Therapeutics Annual Report on Form 10-K for the year ended December 31, 2014.

(24)

Filed herewith.

103