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Note 1 - Summary of Significant Accounting Policies
6 Months Ended
Jun. 30, 2019
Notes to Financial Statements  
Business Description and Accounting Policies [Text Block]
Note
1.
Summary of Significant Accounting Policies
 
Business
 
Progenics Pharmaceuticals, Inc. (and its subsidiaries collectively the “Company,” “Progenics”, “we”, or “us”) is an oncology company focused on the development and commercialization of innovative targeted medicines and artificial intelligence to find, fight and follow cancer. Highlights of our recent progress include the
first
commercial revenue for AZEDRA
®
, completion of enrollment of the PyL
TM
pivotal Phase
3
trial, and dosing of the
first
patient in the
1095
open label Phase
2
trial. Our pipeline includes therapeutic agents designed to precisely target cancer (AZEDRA,
1095
and PSMA TTC), as well as prostate-specific membrane antigen (“PSMA”) targeted imaging agents for prostate cancer (PyL and
1404
).
 
Recent
and Continued
Progress
:
 
 
AZEDRA Launch – A team of Nuclear Medicine Technologists, Sales Representatives, Medical Science Liaisons and Access Specialists are in the field assisting centers of excellence and payers with utilizing and reimbursing AZEDRA. This quarter we completed the
first
administrations of commercial AZEDRA and recorded our
first
commercial sales.
  Centers for Medicare & Medicaid Services ("CMS") approved a new technology add-on payment ("NTAP") for AZEDRA when administered in the hospital inpatient setting for Medicare beneficiaries in FY
2020.
The NTAP will cover the lesser of
65
percent of the average cost of AZEDRA, or
65
percent of the costs in excess of the Medicare Severity Diagnosis Related Groups ("MS–DRG") payment for the case. As a result, the maximum NTAP for a case involving a therapeutic dose of AZEDRA is
$98,150.
 
Patient enrollment for the Phase
3
CONDOR trial evaluating the diagnostic performance and clinical impact of PyL (
18
F-DCFPyL) was completed
five
months ahead of schedule. The Phase
3
CONDOR trial is a multi-center, open label trial that dosed
208
patients with biochemical recurrence of prostate cancer at
14
sites in the U.S. and Canada. Top-line data is expected by year end.
 
The
first
patient was dosed in the ongoing Phase
2
trial of
1095
in combination with enzalutamide in chemotherapy-naïve patients with metastatic castration-resistant prostate cancer (mCRPC).
Progenics’1095
is a small molecule radiotherapeutic designed to selectively bind to the extracellular domain of prostate specific membrane antigen (“PSMA”), a protein that is highly expressed on prostate cancer cells.
 
We reached alignment with the U.S. Food and Drug Administration (“FDA”) on a clinical development plan to support an expanded label for AZEDRA for the treatment of patients with unresectable or metastatic neuroendocrine tumors (“NETs”) who are MIBG-avid. Progenics plans to conduct a basket study that will evaluate AZEDRA in patients with NETs that are MIBG-avid, including gastroenteropancreatic neuroendocrine tumors as well as other NETs and utilize a dosing regimen that enables outpatient administration. The basket study is expected to begin by the end of the year and enroll approximately
150
patients at sites in the U.S. and Canada.
 
The U.S. District Court of New Jersey upheld the validity and determined the infringement by Actavis Laboratories FL, Inc. (“Actavis”) of a patent protecting RELISTOR Tablets, which expires in
March 2031.
Defendant, Actavis, a subsidiary of Teva Pharmaceutical Industries Ltd., had challenged the validity of and had alleged non-infringement of Claims
2
and
5
of U.S. Patent
No.
8,524,276,
which protects the formulation of RELISTOR Tablets.
 
We entered into an exclusive license agreement with ROTOP Pharmaka GmbH (“ROTOP”), a Germany-based developer of radiopharmaceuticals for nuclear medicine diagnostics, to develop and commercialize
1404
in Europe.
1404
is a technetium-
99m
labeled small molecule which binds to PSMA and is used as an imaging agent to diagnose and detect localized prostate cancer as well as soft tissue and bone metastases. Under the terms of the collaboration, ROTOP will be responsible for the development, regulatory approvals and commercialization of
1404
in Europe while Progenics is entitled to double-digit, tiered royalties on net sales in the territory.
  The automated Bone Scan Index (“aBSI”) automatically segments the anatomical regions of the skeleton and detects and classifies lesions in the bone scans of prostate cancer patients. The aBSI has been shown to be an objective measure of the quantitative change in disease burden and is a prognostic biomarker in patients with metastatic prostate cancer. In
August 2019,
the Company received
510
(k) clearance from the FDA to market its cloud-based version of aBSI product in the U.S. This clearance of our cloud-based software as a medical device is an essential step towards the further development of PSMA AI.
 
We entered into a transfer agreement with FUJIFILM Toyama Chemical Co, Ltd. (“FUJIFILM”) for the rights to the Company’s aBSI product in Japan for use under the name BONENAVI
®
. Under the terms of the agreement, FUJIFILM acquired, by a combination of purchase and license, the Japanese software, source code, supporting data and all Japanese patents associated with the aBSI product from Progenics for use in Japan. In exchange, Progenics received
$4.0
million in an upfront payment and will receive service fees for aBSI and other AI products over
three
years in Japan. BONENAVI has been licensed to FUJIFILM for use in Japan since
2011.
 
We initiated a collaboration that provides the VA Greater Los Angeles Healthcare System (“VAGLAHS”) with access to the Company’s AI platform for investigational use. In the project, the VAGLAHS network will gain access to Progenics’ machine learning platforms, which includes the aBSI and the PSMA AI platforms. The collaboration will explore novel predictive machine learning algorithms from the digital medical images and its associated clinical outcomes. These novel algorithms will be prospectively validated at VAGLAHS for effective healthcare management of veterans with prostate cancer. This project is the nation’s
first
collaborative effort to validate cutting-edge machine learning tools for improving treatment management of veterans with prostate cancer and provides additional validation to Progenics’ AI platform.
 
Corporate:
 
 
Progenics appointed Huw Jones to the newly created role of Vice President, Commercial. Mr. Jones joins Progenics following several years on the commercial strategy and operations team at Novartis Pharmaceuticals, as well as its subsidiaries, Advanced Accelerator Applications SA and Novartis Oncology. In his
two
decades at Novartis and its subsidiaries, Mr. Jones held various global leadership roles, including Executive Director and Global Brand Leader, Head of Global Commercial Excellence, as well as positions of increasing responsibility in general management, sales, marketing, training and commercial operations.
 
Strategic partnerships
:
 
 
RELISTOR
®
(methylnaltrexone bromide) is licensed to Salix Pharmaceuticals, Inc., a wholly-owned subsidiary of Bausch Health Companies Inc. (“Bausch”, which is the predecessor of Valeant Pharmaceuticals International, Inc.). RELISTOR subcutaneous injection and RELISTOR Tablets are approved by the FDA for the treatment of opioid-induced constipation in adults with chronic non-cancer pain.
 
Bayer AG (“Bayer”) has exclusive worldwide rights to develop and commercialize products using our PSMA antibody technology, in combination with Bayer’s alpha-emitting radionuclides. Bayer is developing PSMA TTC, a thorium-
227
labeled PSMA-targeted antibody therapeutic. Bayer initiated a Phase
1
trial of PSMA TTC in patients with metastatic castration-resistant prostate cancer. In
May 2019,
Bayer dosed the
first
patient in the Phase
1
trial which triggered a
$2.0
million milestone payment, recorded as part of the license and other revenue.
 
CytoDyn Inc. (“CytoDyn”) acquired leronlimab (PRO
140
), which acquisition included a milestone and royalty payment obligations to us. Leronlimab is a fully humanized monoclonal antibody which is a cellular targeting
CCR5
entry antagonist and is currently in development for the treatment of HIV. CytoDyn announced in
March 2019
that it filed its
first
of
three
sections of its Biologics License Application (“BLA”) to the FDA for leronlimab for the treatment of HIV under the Rolling Review process.
 
Curium has exclusive rights to develop, manufacture and commercialize PyL (
18
F-DCFPyL) in Europe. Under the terms of the collaboration, Curium is responsible for the development, regulatory approvals and commercialization of PyL in Europe, and Progenics is entitled to royalties on net sales of PyL.
 
ROTOP has exclusive rights to develop, manufacture and commercialize
1404
in Europe. Under the terms of the collaboration, ROTOP is responsible for the development, regulatory approvals and commercialization of
1404
in Europe. We understand from ROTOP that it plans to hold an expert panel meeting with Key Opinion Leaders (“KOLs”) in the PSMA imaging field, as well as regulatory experts, to review existing data on
1404
and obtain guidance on the clinical development. Upon agreement on a path forward, ROTOP will request a meeting with European regulators and start a clinical trial in early
2020.
Under this agreement, Progenics is entitled to double-digit, tiered royalties on future net sales of
1404
in Europe.
 
FUJIFILM has rights to the Company’s aBSI product in Japan for use under the name BONENAVI. Under the terms of the agreement, FUJIFILM acquired, by a combination of purchase and license, the Japanese software, source code, supporting data and all Japanese patents associated with the aBSI product from us for use in Japan. In exchange, Progenics received a
$4.0
million upfront payment and is entitled to service fees for the next
three
years.
 
Our current principal sources of revenue from operations are royalty and development and commercial milestones from Bausch and Bayer. Royalty and further milestone payments from Bausch or Bayer depend on success in development and commercialization of RELISTOR and our PSMA antibody technology, respectively, which is dependent on many factors, such as Bausch or Bayer’s respective efforts, decisions by the FDA and other regulatory bodies, competition from drugs for the same or similar indications, and the outcome of clinical and other testing of the licensed products.
 
We commenced principal operations in
1988,
became publicly traded in
1997,
and throughout have been engaged primarily in research and development efforts, establishing corporate collaborations, launching AZEDRA and other related business activities. Certain of our intellectual property rights are held by wholly-owned subsidiaries. Our U.S. operations are presently conducted at our headquarters in New York and our manufacturing facility in Somerset, New Jersey. The operations of our wholly-owned foreign subsidiary, EXINI Diagnostics A.B. (“EXINI”), are conducted at our facility in Lund, Sweden. We operate under a single operating segment, which includes development, manufacturing and commercialization of pharmaceutical products and other technologies to target, diagnose and treat cancer. Our operating segment is regularly evaluated for financial performance by our chief operating decision maker, who is our Chief Executive Officer.
 
Liquidity
 
At
June 30, 2019,
we had
$84.8
million of cash and cash equivalents, a decrease of
$52.9
million from
$137.7
million at
December 31, 2018.
We expect that this amount will be sufficient to fund operations as currently anticipated beyond
one
year from the filing date of this Quarterly Report on Form
10
-Q. We have historically funded our operations to a significant extent from capital-raising and we expect to require additional funding in the future, the availability of which is never guaranteed and
may
be uncertain. We expect that we
may
continue to incur operating losses.
 
Basis of Presentation
 
Our unaudited condensed consolidated financial statements have been prepared in accordance with applicable presentation requirements, and accordingly, do
not
include all information and disclosures necessary for a presentation of our financial position, results of operations, and cash flows in conformity with accounting principles generally accepted in the U.S. (“GAAP”). In the opinion of management, these financial statements reflect all adjustments, consisting primarily of normal recurring accruals necessary for a fair statement of results for the periods presented. The results of operations for interim periods are
not
necessarily indicative of the results for the full year.
 
Our unaudited condensed consolidated financial statements should be read in conjunction with the financial statements and notes thereto contained in our Annual Report on Form
10
-K for the year ended
December 31, 2018.
The year-end consolidated balance sheet data in these financial statements were derived from audited financial statements but do
not
include all disclosures required by GAAP.
 
Principles of Consolidation
 
The condensed consolidated financial statements include the accounts of Progenics as well as its wholly-owned subsidiaries. All material intercompany transactions and balances have been eliminated in consolidation.
 
Use of Estimates
 
The preparation of consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Actual results
may
differ from those estimates.
 
Revenue Recognition
 
We recognize revenue when our customers obtain control of the promised goods or services, in an amount that reflects the consideration which we expect to receive in exchange for those goods or services. To account for our revenue arrangements, we perform the following
five
steps: (i) identify the contract(s) with a customer; (ii) identify the performance obligations in the contract; (iii) determine the transaction price, including variable consideration, if any; (iv) allocate the transaction price to the performance obligations in the contract; and (v) recognize revenue when (or as) we satisfy our performance obligations.
 
For contracts determined to be within the scope of ASU
2014
-
09,
Revenue from Contracts with Customers (Topic
606
)
(“ASU
2014
-
09”
or the “Topic
606”
), we assess the goods or services promised within each contract for the purpose of identifying them as performance obligations. We must apply judgement in assessing whether each promised good or service is distinct. If a promised good or service is
not
distinct, we will combine that good or service with other promised goods or services until it identifies a bundle of goods or services that is distinct.
 
The transaction price is then determined and allocated to the identified performance obligations in proportion to their estimated fair value, which requires significant judgment. Variable consideration, which is estimated using the expected value method or the most likely amount method, is included in the transaction price only if, in our judgment, it is probable that a significant future reversal of cumulative revenue under the contract will
not
occur.
 
For arrangements that include development, regulatory or sales milestone payments, we evaluate whether the milestones are probable of being reached and estimate the amount to be included in the transaction price using the most likely amount method. If it is probable that a significant revenue reversal would
not
occur, the associated milestone value is included in the transaction price. Milestone payments that are
not
within our control or the licensee’s control, such as regulatory approvals, are generally
not
considered probable of being achieved until those approvals are received.
 
We then recognize as revenue the amount of the transaction price that is allocated to the respective performance obligation when (or as) the performance obligation is satisfied.
 
The following table summarizes our revenue streams from contracts with customers for the
three
and
six
months ended
June 30, 2019
and
2018
(in thousands):
 
 
 
Three months ended June 30,
 
 
Six months ended June 30,
 
 
 
2019
 
 
2018
 
 
2019
 
 
2018
 
Product sales
 
$
270
 
 
$
-
 
 
$
270
 
 
$
-
 
Royalty income
 
 
3,593
 
 
 
3,530
 
 
 
7,754
 
 
 
6,588
 
License and other revenue
 
 
6,103
 
 
 
348
 
 
 
6,223
 
 
 
479
 
Total revenue
 
$
9,966
 
 
$
3,878
 
 
$
14,247
 
 
$
7,067
 
 
Product sales
– represent revenue from sales of AZEDRA directly to hospitals. Our performance obligations are to provide AZEDRA based on sales orders from hospitals, which have been verified by our commercial team as properly credentialed to receive, handle, administer and dispose of radioactive materials. We recognize revenue after the customer takes title and has obtained control of the product. Our contracts with hospitals stipulate that product is shipped free on board destination. We invoice hospitals after the products have been delivered and invoice payments are generally due within
60
days of invoice date. We record sales to hospitals based on AZEDRA’s list price per mCi and the amount prescribed based upon a dosimetric assessment of each patient. We record product sales net of any variable consideration due to rebates and discounts provided under governmental and other programs, and other sales-related deductions, such as product returns and copay assistance programs. Shipping and handling costs associated with finished goods delivered to customers are recorded as a selling expense.
 
Royalty income
– represents revenue from the sales-based royalties under our intellectual property licensing arrangements and is recognized upon net sales of the licensed products.
 
License and o
ther revenue
– represents revenue from upfront payments (fixed consideration) and development and sales milestones, sublicense payments, support and service payments and sales-based bonus payments (variable consideration) under our licensing or software arrangements. The fixed consideration will be recognized as revenue at the time when the transfer of know-how is completed. The variable consideration will be estimated using the most likely amount method and recognized only when we have “a high degree of confidence” that revenue will
not
be reversed in a subsequent reporting period. The other revenue also includes revenue from product sales of research reagents, that is recognized upon shipment to the end customer (i.e. control of the product is deemed to be transferred).
 
We had receivable contract balances of
$10.6
million and
$3.8
million as of
June 30, 2019
and
December 31, 2018,
respectively, primarily related to the royalty revenue and upfront and milestone payments under our partnerships, which are included in license and other revenue (see
Note
5
.
Accounts Receivable
).
 
Restricted Cash
 
Restricted cash included in long-term assets of
$3.3
million and
$1.5
million at
June 30, 2019
and
December 31, 2018,
respectively, represents collateral for a letter of credit securing a lease obligation (for both periods), collateral for a letter of credit related to equipment purchases and a security deposit with the German District Court related to the PSMA-
617
litigation (for the
2019
period). We believe the carrying value of this asset approximates fair value.
 
Foreign Currency Translation
 
Our international subsidiaries generally consider their respective local currency to be their functional currency. Assets and liabilities of these international subsidiaries are translated into U.S. dollars at quarter-end exchange rates and revenues and expenses are translated at average exchange rates during the quarter and year-to-date period. Foreign currency translation adjustments for the reported periods are included in accumulated other comprehensive loss in our condensed consolidated statements of comprehensive loss, and the cumulative effect is included in the stockholders’ equity section of our condensed consolidated balance sheets. Realized gains and losses denominated in foreign currencies are recorded in operating expenses in our condensed consolidated statements of operations and were
not
material to our consolidated results of operations for the
three
and
six
months ended
June 30, 2019
or
2018.
 
Leases
 
We determine whether an arrangement is or contains a lease at its inception. We recognize lease liabilities based on the present value of the minimum lease payments
not
yet paid by using the lease term and discount rate determined at lease commencement. As most of our leases do
not
provide an implicit rate, we use our incremental borrowing rate to determine the present value of our lease payments. Our leases
may
include options to extend or terminate a lease when it is reasonably certain that we will exercise that option. We recognize the operating right-of-use (“ROU”) lease assets at amounts equal to the lease liability adjusted for prepaid or accrued rent, remaining balance of any lease incentives and unamortized initial direct costs.
 
The operating lease liabilities are reported in other current liabilities and other noncurrent liabilities and the related ROU lease assets are reported in other noncurrent assets on our condensed consolidated balance sheets. Lease expense for our operating leases is calculated on a straight-line basis over the lease term and is reported in research and development and selling, general and administrative expenses on our condensed consolidated statements of operations. We do
not
recognize a lease liability or ROU lease assets for leases whose lease terms, at commencement, are
twelve
months or less, or for leases which are below the established capitalization threshold.
 
Property and Equipment
 
Property and equipment is recorded at historical cost, net of accumulated depreciation and amortization of
$3.1
million and
$2.7
million as of
June 30, 2019
and
December 31, 2018,
respectively. The following table summarizes our property and equipment (in thousands):
 
 
 
June 30,
 
 
December 31,
 
 
 
2019
 
 
2018
 
Machinery and equipment
 
$
3,949
 
 
$
2,992
 
Leasehold improvements
 
 
3,052
 
 
 
1,734
 
Computer equipment
 
 
632
 
 
 
721
 
Furniture and fixtures
 
 
909
 
 
 
878
 
Construction in progress
 
 
1,612
 
 
 
317
 
Property and equipment, gross
 
 
10,154
 
 
 
6,642
 
Less - accumulated depreciation
 
 
(3,146
)
 
 
(2,698
)
Property and equipment, net
 
$
7,008
 
 
$
3,944