The following discussion and analysis of our financial condition and results of
operations should be read in conjunction with our unaudited financial statements
and related notes included in this Quarterly Report on Form
10-Q
and the audited financial statements and notes thereto as of and for the year
ended December 31, 2020 and the related Management's Discussion and Analysis of
Financial Condition and Results of Operations, included in our final prospectus
(the "IPO Prospectus") dated October 31, 2021 and filed with the Securities and
Exchange Commission (the "SEC") on November 2, 2021, pursuant to Rule 424(b)(4)
under the Securities Act of 1933, as amended (the "Securities Act"). This
discussion, particularly information with respect to our future results of
operations or financial condition, business strategy, and plans and objectives
of management for future operations, includes forward-looking statements that
involve risks and uncertainties as described under the heading "Cautionary Note
Regarding Forward-Looking Statements" in this Quarterly Report on Form
10-Q.
Investors should review the disclosure under the heading "Risk Factors" in this
Quarterly Report on Form
10-Q
for a discussion of important factors that could cause our actual results to
differ materially from those anticipated in these forward-looking statements.
                                    Overview
We are a global, science-driven biopharmaceutical company dedicated to
developing and commercializing innovative medicines for patients with unmet
medical needs, with an initial focus on
in-licensing
assets for Greater China and other Asian markets. We have assembled a pipeline
of nine assets across five therapeutic areas, each with its own distinct value
proposition and the potential to drive new standards of care across
cardiovascular, oncology, ophthalmology, inflammatory disease and respiratory
indications.
Recent Business Highlights and Clinical Development Updates
Initial Public Offering
In November 2021, we completed an initial public offering ("IPO") of our
ordinary shares through the sale and issuance of 20,312,500 American Depositary
Shares ("ADSs"), at a public offering price of $16.00 per ADS. Following the
close of the IPO, on December 1, 2021, the underwriters exercised their option
to purchase an additional 593,616 ADSs at the initial public offering price of
$16.00 per ADS. We received gross proceeds of $334.5 million in connection with
the IPO and subsequent exercise of the underwriters' option and aggregate net
proceeds of $311.1 million after deducting underwriting discounts and
commissions.
Mavacamten
In November 2021, we initiated and completed enrollment and dosing in a
pharmacokinetic ("PK") study of mavacamten in healthy volunteers. We expect to
begin treating patients in the Phase 3 EXPLORER-China
("EXPLORER-CN")
trial of mavacamten in obstructive hypertrophic cardiomyopathy ("oHCM") in the
first quarter of 2022.
In November 2021, our partner Bristol-Myers Squibb ("BMS") announced that the
U.S. Food and Drug Administration ("FDA") has extended the review of the U.S.
New Drug Application ("NDA") for mavacamten for the treatment of patients with
symptomatic oHCM to April 28, 2022 to allow sufficient time to review
information pertaining to updates to BMS's proposed Risk Evaluation Mitigation
Strategy ("REMS"). We do not anticipate this review extension to impact the
timing of our planned clinical development strategy to support the registration
of mavacamten in Mainland China.
In November 2021, BMS presented data at the American Heart Association
Scientific Sessions 2021 from the Phase 2 MAVERICK study demonstrating long-term
efficacy and safety of mavacamten in patients with
non-obstructive
hypertrophic cardiomyopathy.

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Infigratinib
In August 2021, we announced that we began treating patients in a Phase 2a
clinical trial of infigratinib in locally advanced or metastatic gastric cancer
or gastroesophageal junction adenocarcinoma with fibroblast growth factor
receptor-2
("FGFR2") gene amplification and other advanced solid tumors with FGFR genomic
alterations.
TP-03
In November 2021, our partner Tarsus Pharmaceuticals, Inc. ("Tarsus") presented
data from two studies on the prevalence and impact of Demodex blepharitis ("DB")
at the American Academy of Optometry 2021 Annual Meeting. Data from the Titan
real-world prevalence study demonstrated that DB accounts for 69% of all
blepharitis cases and that current management tools for this disease are largely
ineffective. Data from the multi-center observational Atlas impact study
demonstrated that DB is associated with a significant symptomatic and
psychosocial burden, negatively affecting daily life in 80% of patients.
NBTXR3
In October 2021, our partner Nanobiotix S.A. ("Nanobiotix") presented data at
the 2021 Annual Meeting of the American Society for Radiation Oncology. The
first analysis of overall survival ("OS") and progression-free survival ("PFS")
from the ongoing Phase 1 trial of NBTXR3 in elderly and frail locally advanced
head and neck squamous cell carcinoma patients ineligible for cisplatin and
intolerant to cetuximab (Study 102) demonstrated median OS of 18.1 months and
median PFS of 10.6 months in the evaluable population (n=41) from the dose
expansion part of the study. NBTXR3 administration was feasible and
well-tolerated overall. A total of 8 Grade
3-4
NBTXR3-related adverse events ("AEs") were observed in 8 patients. Of these AEs
related to NBTXR3, 5 serious adverse events ("SAEs") were observed including
dysphagia, sepsis, soft tissue necrosis, stomatitis, and tumor hemorrhage. Of
the SAEs, one death from sepsis assessed by the investigator as possibly related
to NBTXR3, radiotherapy, and cancer was observed.
LYR-210
In October 2021, our partner Lyra Therapeutics, Inc. ("Lyra") presented new data
from the Phase 2 LANTERN clinical trial of
LYR-210
in surgically naïve chronic rhinosinusitis patients who had failed previous
medical management at the 67th Annual Meeting of the American Rhinologic Society
("ARS"). The data presented at ARS demonstrated that 24 weeks after
LYR-210
removal, 50% of treated patients continued to experience durable symptom
improvement.
LYR-210
continued to show strong safety during the
24-week
follow up period with no increased incidence of treatment-related AEs.
Omilancor
In November 2021, our partner Landos Biopharma, Inc. ("Landos") announced that
prior to initiating a pivotal Phase 3 study, the company plans to leverage the
results of the prior Phase 2 study of omilancor in
mild-to-moderate
ulcerative colitis ("UC") patients to design and initiate a Phase 2b study in
2022. The Phase 2b study is expected to provide additional data to inform the
pivotal Phase 3 study design. Accordingly, we are evaluating our clinical
development strategy within our territories.
In October 2021, Landos presented positive translational data from the Phase 2
trial of omilancor in
mild-to-moderate
UC at United European Gastroenterology Week. Patients remaining on omilancor
after the induction phase of the trial maintained low Mayo scores, an assessment
of disease severity in UC, and nearly 90% of patients achieved remission
thresholds in stool frequency and rectal bleeding after 36 weeks of open-label
treatment.
Board of Director Appointments
In October 2021, we announced the appointments of Jesse Wu and Susan Silbermann
to our Board of Directors. Mr. Wu is the former Chairman of Johnson & Johnson
China. Ms. Silbermann is the former Global President, Emerging Markets at
Pfizer.

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Leadership Team Appointments
In August 2021, we announced the appointment of Pascal Qian as China General
Manager. Mr. Qian is a member of our executive leadership team and is
responsible for building out our China operations and commercial infrastructure.
In October 2021, we announced the appointment of Michael Humphries, MBBS, as
Chief Scientific Advisor. Dr. Humphries is responsible for guiding our research
and development ("R&D") strategy, advancing our pipeline and leading the
assessment of new
in-licensing
opportunities.
Factors Affecting our Results of Operations
Impact of the
COVID-19
pandemic on our operations
Beginning in December 2019, the outbreak of the
COVID-19
pandemic created business interruptions for companies globally, including us.
For example, in the biotechnology sector, companies have experienced delays in
their ability to enroll patients at clinical trial sites because of the
pandemic, potentially leading to delays in the regulatory approval process.
Although we have not been materially impacted by the
COVID-19
pandemic to date, other outbreaks may occur, or there could be further
resurgences of the
COVID-19
pandemic, which could cause business disruptions in the future.
Efforts to contain the spread of the
COVID-19
pandemic in the United States (including in New Jersey, where our U.S.
headquarters is located) have included quarantines,
shelter-in-place
orders and various other government restrictions in order to control the spread
of this virus.
We have been carefully monitoring the
COVID-19
pandemic and its potential impact on our business. We have taken important steps
to ensure the workplace safety of our employees when working within our
administrative offices, or when traveling to our clinical trial sites. We may
take further actions as may be required by federal, state or local authorities.
To date, we have been able to continue our key business activities and advance
our clinical programs. However, in the future, it is possible that our clinical
development timelines and business plans could be adversely affected. We
maintain regular communication with our vendors and clinical sites to
appropriately plan for, and mitigate, the impact of the
COVID-19
pandemic on our operations.
See "Risk Factors" included in this Quarterly Report on Form
10-Q
for a further discussion of the potential adverse impact of
COVID-19
on our business, results of operations and financial condition.
Key Components of Results of Operations
Revenue
To date, we have not generated any material revenue from any sources, including
from product sales, and we do not expect to generate any revenue from the sale
of products in the foreseeable future.
Research and development expenses
We believe our ability to successfully develop product candidates will be a
significant factor affecting our long-term competitiveness, as well as our
future growth and development. Developing high quality product candidates
requires a significant investment of resources over a prolonged period of time,
and a core part of our strategy is to continue making sustained investment in
this area.
We expect our research and development expense to increase significantly in
connection with our ongoing activities, particularly as we advance the clinical
development of our product candidates and initiate additional clinical trials
of, and seek regulatory approval for, these and other future product candidates.
These expenses include:

• payments made under third party licensing and asset acquisition agreements;





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• employee-related expense, including salaries, related benefits,

equity-based compensation and travel expenses for employees engaged in


          research and development functions;



     •    expense incurred in connection with the clinical development of our
          product candidates, including expenses incurred under agreements with
          CROs;



  •   costs related to compliance with regulatory requirements; and



• facilities, depreciation and amortization, insurance and other direct and

allocated expense incurred as a result of research and development

activities.

The following table sets forth the components of our research and development expenses for the years indicated (in thousands):



                                   Three Months          Three Months           Nine Months           Nine Months
                                       Ended                 Ended                 Ended                 Ended
                                   September 30,         September 30,         September 30,         September 30,
                                       2021                  2020                  2021                  2020
Research and development expenses:
Licensing fees                    $            -        $       114,375       $       136,915       $       114,375
Employee related expense                    1,921                   780                 5,031                 1,632
CRO costs                                   1,952                   376                 6,521                   672
Other costs                                   782                 1,384                 2,571                 1,494

Total                             $         4,655       $       116,915       $       151,038       $       118,173

The following table sets forth a breakdown of licensing fees by program for the years indicated (in thousands):



                   Three Months        Three Months         Nine Months         Nine Months
                       Ended               Ended               Ended               Ended
                   September 30,       September 30,       September 30,       September 30,
                       2021                2020                2021                2020
Licensing fees:
Mavacamten        $            -      $       106,375     $            -      $       106,375
BBP-398                        -                8,000               8,500               8,000
Sisunatovir                    -                   -               14,000                  -
TP-03                          -                   -               64,415                  -
BT-11 and NX-13                -                   -               18,000                  -
NBTXR3                         -                   -               20,000                  -
LYR-210                        -                   -               12,000                  -

Total             $            -      $       114,375     $       136,915     $       114,375




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General and administrative expenses
Our general and administrative expense consists primarily of salaries and other
related costs for personnel in executive, finance and administrative functions.
General and administrative expense also includes professional fees for legal,
consulting, auditing, tax services and insurance costs.
We expect that our general and administrative expense will increase in the
future to support continued development and commercialization of our product
candidates. These increases will likely include increased costs related to
hiring additional personnel and fees to outside consultants, attorneys and
accountants, among other expenses. Additionally, we have incurred and will
continue to incur increased expenses associated with being a public company,
including costs of additional personnel, accounting, audit, legal, regulatory
and
tax-related
services associated with maintaining compliance with exchange listing and SEC
requirements, director and office insurance costs, and investor and public
relations costs.
Licensing arrangements
Our results of operations have been, and we expect them to continue to be,
affected by our licensing, collaboration and development agreements. We are
generally required to make upfront payments upon entry into such agreements and
milestone payments upon the achievement of certain development, regulatory and
commercial milestones for the relevant product candidate under these agreements,
as well as tiered royalties based on net sales of the license products. These
upfront payments and milestone payments upon the achievement of certain
development and regulatory milestones are recorded in research and development
expense in our consolidated financial statements and totaled $0.0 million,
$136.9 million, $114.4 million, and $114.4 million for the three and nine months
ended September 31, 2021 and 2020, respectively.
Interest (expense) income, net
Interest (expense) income, net consists of interest expense from the payment
made upon reaching the financing milestone under the exclusive license agreement
with MyoKardia ("the MyoKardia Agreement"), offset by interest income received
on our cash balances.
Other income (expense), net
Other income (expense), net consists of unrealized gains on foreign currencies
held in our China subsidiary, Shanghai LianBio Development Co., Ltd., offset by
bank fees incurred on our cash balances.
Income taxes
Provision for income taxes consists of U.S. federal and state income taxes and
income taxes in certain foreign jurisdictions in which we conduct business.
We recorded income tax (benefit) expense of ($0.4) million and $1.6 million for
the three and nine months ended September 30, 2021 and income tax expense of
$0.0 million and $0.0 million for the three and nine months ended September 30,
2020.
At December 31, 2020, we had net operating loss ("NOL") carryforwards for
federal income tax purposes of approximately $22.7 million, which do not expire.
We had foreign NOL carryforwards of $1.4 million, which will expire if unused in
2025.
As required by Accounting Standards Codification ("ASC") Topic 740, Income
Taxes, our management has evaluated the positive and negative evidence bearing
upon the realizability of our deferred tax assets, which are composed
principally of NOL carryforwards, intangible assets, share compensation, and
accrued expenses. Management has determined that it is more likely than not that
we will not realize the benefits of the deferred tax assets. As a result, a
valuation allowance of $43.1 million was recorded as of December 31, 2020. As of
September 30, 2021, the valuation allowance decreased by approximately
$1.2 million from December 31, 2020.

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Cayman Islands
We are incorporated in the Cayman Islands. The Cayman Islands currently levies
no taxes on profits, income, gains or appreciation earned by individuals or
corporations. In addition, our payment of dividends, if any, is not subject to
withholding tax in the Cayman Islands.
People's Republic of China
Our subsidiaries incorporated in China are governed by the PRC Enterprise Income
Tax Law ("EIT Law"), and regulations. Under EIT Law, the standard Enterprise
Income Tax ("EIT") rate is 25.0% on taxable profits as reduced by available tax
losses. Tax losses may be carried forward to offset any taxable profits for up
to following five years.
Hong Kong
Our subsidiaries incorporated and carrying on a trade or business in Hong Kong
are generally subject to profits tax at a rate of 16.5%. Tax losses incurred may
be carried forward indefinitely to offset any taxable profits in subsequent
years. Hong Kong does not levy tax on capital gains or
non-Hong
Kong sourced income. Payments of dividend and interest are not subject to
withholding tax in Hong Kong, however, certain payments (such as payment for
right to use intellectual properties) made to
non-resident
persons may be subject to withholding tax.
Results of operations
Comparison of the three months ended September 30, 2021 and 2020
The following table sets forth a summary of our consolidated results of
operations for the periods indicated.

                                                               Three Months Ended
                                      Three Months Ended
                                      September 30, 2021       September 30, 2020
Operating expenses (in thousands):
Research and development             $              4,655      $           116,915
General and administrative                          8,889                    2,129

Total operating expenses                           13,544                  119,044

Operating loss                                    (13,544 )               (119,044 )

Other income (expense):
Interest income (expense), net                         32                   (1,293 )
Other income, net                                       3                       99

Net loss before income taxes                      (13,509 )               (120,238 )
Income tax (benefit)                                 (397 )                     -

Net loss                             $            (13,112 )    $          (120,238 )



Research and development expenses
Research and development expenses decreased by $112.3 million from
$116.9 million for the three months ended September 30, 2020 to $4.6 million for
the three months ended September 30, 2021. For the three months ended
September 30, 2021, research and development cost was primarily attributable to
$1.9 million in personnel-related expenses and $2.1 million in development
activities to support our clinical trials and professional fees.

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For the three months ended September 30, 2020, research and development cost was
primarily attributable to (i) $72.7 million in upfront and milestone payments
and $33.8 million of expenses related to the warrant issued in connection with
our exclusive license agreement with MyoKardia (the "MyoKardia Agreement") and
(ii) the $8.0 million upfront payment for our exclusive license agreement with
Navire (the "Navire Agreement").
General and administrative expenses
General and administrative expenses increased by $6.8 million from $2.1 million
for the three months ended September 30, 2020 to $8.9 million for the three
months ended September 30, 2021. The increase was primarily attributable to a
$3.5 million increase in payroll and personnel-related expenses (including
share-based compensation expense) for increased employee headcount and a
$2.9 million increase, primarily attributable to legal service costs, consulting
costs and accounting services.
Interest income (expense)
Interest income (expense) decreased by $1.3 million from ($1.3) million for the
three months ended September 30, 2020 to $0.0 million for the three months ended
September 30, 2021. The decrease was primarily attributable to interest expense
in 2020 related to imputed interest related to the achievement of the financing
milestone under the MyoKardia Agreement that did not exist in 2021 and
$0.6 million interest expense for the three months ended September 30, 2020
related to the conversion in June 2020 of the $15.0 million convertible
promissory notes due June 29, 2021 issued to Perceptive (the "2020 Convertible
Notes").
Other income, net
Other income (expense), net decreased by $0.1 million from $0.1 million for the
three months ended September 30, 2020 to $0.0 million for the three months ended
September 30, 2021. The decrease was primarily attributable to unrealized loss
on foreign currencies held in our China subsidiary and by bank fees incurred on
our cash balances.
Income taxes
Our income benefit was $0.4 million, resulting in an effective income tax rate
of 1.0% for the three months ended September 30, 2021 as compared to
$0.0 million, or an effective income tax rate of 0.0%, for the same period in
2020. Our income tax benefit for the three months ended September 30, 2021 was
primarily due to an increase in pretax losses.
Comparison of the Nine Months Ended September 30, 2021 and 2020
The following table sets forth a summary of our consolidated results of
operations for the periods indicated.

                                      Nine Months Ended        Nine Months 

Ended

September 30, 2021       September 30, 

2020


Operating expenses (in thousands):
Research and development             $           151,038      $           118,173
General and administrative                        22,496                    7,492

Total operating expenses                         173,534                  125,665

Operating loss                                  (173,534 )               (125,665 )

Other income (expense):
Interest income (expense), net                       171                   (1,280 )
Other (expense) income, net                         (189 )                     81

Net loss before income taxes                    (173,552 )               (126,864 )
Income taxes                                       1,553                        2

Net loss                             $          (175,105 )    $          (126,866 )




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Research and development expenses
Research and development expenses increased by $32.9 million from $118.2 million
for the nine months ended September 30, 2020 to $151.0 million for the nine
months ended September 30, 2021. For the nine months ended September 30, 2021,
research and development cost was primarily attributable to (i) $55.0 million
upfront and development milestone payments and $9.4 million of expenses related
to warrants issued in connection with our development and license agreement with
Tarsus, (ii) a $20.0 million upfront payment pursuant to our license,
development and commercialization agreement with Nanobiotix, (iii) a
$18.0 million upfront payment pursuant to our license and collaboration
agreement with Landos, (iv) a $14.0 million upfront payment pursuant to our
co-development
and license agreement with ReViral, (v) a $12.0 million upfront payment pursuant
to our license and collaboration agreement with Lyra, and (vi) a $8.5 million
development milestone payment pursuant to the Navire Agreement. The remaining
increase was attributable to higher personnel-related expenses, including
share-based compensation expense, as a result of increased employee headcount,
and development activities to support our clinical trials and professional fees.
For the nine months ended September 30, 2020, research and development cost was
primarily attributable to (i) $72.7 million in upfront and milestone payments
and $33.8 million of expenses related to the warrant issued in connection with
the MyoKardia Agreement and (ii) the $8.0 million upfront payment for the Navire
Agreement.
General and administrative expenses
General and administrative expenses increased by $15.0 million from $7.5 million
for the nine months ended September 30, 2020 to $22.5 million for the nine
months ended September 30, 2021. The increase was primarily attributable to (i)
$7.7 million increase in payroll and personnel-related expenses, including
share-based compensation expense, and employee severance, as a result of changes
to employee headcount, (ii) $2.9 million increase in consulting costs, and (iii)
$2.3 million increase in legal service costs.
Interest income (expense, net)
Interest income (expense), net decreased by $1.4 million from ($1.3) million for
the nine months ended September 30, 2020 to $0.1 million for the nine months
ended September 30, 2021. The decrease was primarily attributable to interest
expense in 2020 related to the imputed interest related to the achievement of
the financing milestone under the MyoKardia Agreement that did not exist in 2021
as well as interest on the 2020 Convertible Note.
Other income (expense), net
Other income (expense), net decreased by ($0.3) million from $0.1 million for
the nine months ended September 30, 2020 to ($0.2) million for the nine months
ended September 30, 2021. The decrease was primarily attributable to unrealized
loss on foreign currencies held in our China subsidiary and by bank fees
incurred on our cash balances.
Income taxes
Our income tax expense was $1.6 million, resulting in an effective income tax
rate of 0.9% for the nine months ended September 30, 2021 as compared to income
tax expense of $0.0 million, or an effective income tax rate of 0.0%, for the
same period in 2020. Our income tax expense for the nine months ended
September 30, 2021 was primarily due to the effect of cash taxes associated with
certain income that cannot be deferred for U.S. income tax purposes.

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Liquidity and capital resources
Sources of liquidity
Since our incorporation, our operations have been substantially financed with
proceeds from sales of preferred shares as part of the Series Seed financing and
the Series A financing, as well as the issuance of the 2020 Convertible Notes.
As of September 30, 2021, we had cash and cash equivalents of $109.0 million.
On November 3, 2021, the Company completed its initial public offering ("IPO")
through an underwritten sale of 20,312,500 ADSs representing 20,312,500 ordinary
shares at a price of $16.00 per share. Following the close of the IPO, on
December 1, 2021, the underwriters exercised their option to purchase an
additional 593,616 ADSs at the initial public offering price of $16.00 per ADS.
We received gross proceeds of $334.5 million in connection with the IPO and
subsequent exercise of the underwriters' options and aggregate net proceeds of
$311.1 million after deducting underwriting discounts and commissions.
We are a holding company with no operations of our own and, as such, we may rely
on dividends and other distributions on equity paid by our Chinese subsidiaries
to fund any cash and financing requirements we may have, including the funds
necessary to pay dividends and other cash distributions to our shareholders or
holders of our ADSs or to service any debt we may incur. Deterioration in the
financial condition, earnings or cash flow of our subsidiaries for any reason,
as well as any changes in Chinese laws or regulations, could limit or impair
their ability to pay such distributions. See "Risk Factors-We may rely on
dividends and other distributions on equity paid by our Chinese subsidiaries to
fund any cash and financing requirements we may have, and any limitation on the
ability of our Chinese subsidiaries to make payments to us could have a material
and adverse effect on our ability to conduct our business."
Funding requirements
Our primary use of cash is to fund our operating expenditures, consisting of
research and development expense (including activities within our clinical and
regulatory initiatives and upfront and milestone payments) and general and
administrative expense. Our use of cash is impacted by the timing and extent of
the required payments for each of these activities.
To date, we have not generated any revenue. We do not expect to generate
material product revenue unless and until we (i) complete development of any of
our product candidates; (ii) obtain applicable regulatory approvals; and
(iii) successfully commercialize or enter into collaborative agreements for our
product candidates. We do not know with certainty when, or if, any of these
items will ultimately occur. We expect to incur continuing significant losses
for the foreseeable future and for our losses to increase as we ramp up our
clinical development programs and begin activities related to commercial launch
readiness. We may encounter unforeseen expenses, difficulties, complications,
delays and other currently unknown factors that could adversely affect our
business. Moreover, since the completion of our IPO, we have incurred and will
continue to incur additional costs associated with operating as a publicly
traded company.
We will require additional capital to develop our product candidates and fund
our operations into the foreseeable future. We anticipate that we will
eventually need to raise substantial additional capital, the requirements for
which will depend on many factors, including:

  •   the number and scope of clinical programs we decide to pursue;


• the cost, timing and outcome of preparing for and undergoing regulatory


          review of our product candidates;



     •    the cost and timing associated with commercializing our product
          candidates, if they receive regulatory approval;



     •    the amount of revenue, if any, received from commercial sales of our
          product candidates, should any of our product candidates receive
          regulatory approval;


• the achievement of milestones or occurrence of other developments that


          trigger payments under any collaboration agreements we might have at such
          time;



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  •   the extent to which we acquire or
      in-license
      other product candidates and technologies;


• the costs of preparing, filing and prosecuting patent applications,

maintaining and enforcing our intellectual property rights and defending


          intellectual property-related claims;


• our ability to establish and maintain collaborations on favorable terms,


          if at all;


• our efforts to enhance operational systems and our ability to attract,

hire and retain qualified personnel, including personnel to support the


          development of our product candidates and, ultimately, the sale of our
          products, following regulatory approval;


• impact of the


      COVID-19
      pandemic on our clinical development or operations; and



  •   the costs associated with being a public company.


A change in the outcome of any of these or other variables with respect to the
development and regulatory approval of any of our product candidates could
significantly change the costs and timing associated with the development of
that product candidate. Furthermore, our operating plans may change in the
future, and we will continue to require additional capital to meet operational
needs and capital requirements associated with such operating plans. If we raise
additional funds by issuing equity securities, our shareholders may experience
dilution. Any future debt financing into which we enter may impose upon us
additional covenants that restrict our operations, including limitations on our
ability to incur liens or additional debt, pay dividends, repurchase our
ordinary shares, make certain investments or engage in certain merger,
consolidation or asset sale transactions. Any debt financing or additional
equity that we raise may contain terms that are not favorable to us or our
shareholders.
Adequate funding may not be available to us on acceptable terms or at all. Our
potential inability to raise capital when needed could have a negative impact on
our financial condition and our ability to pursue our additional licensing
opportunities.
Cash flows
The following table sets forth the primary sources and uses of cash and cash
equivalents for each of the periods presented (in thousands):

                                   Nine Months Ended        Nine Months Ended

                                  September 30, 2021        September 30, 2020
Net cash (used in) provided by:
Operating activities              $          (133,573 )    $            (49,273 )
Investing activities                             (159 )                    (335 )
Financing activities                            8,249                    14,964


Net cash used in operating activities
During the nine months ended September 30, 2021, operating activities used
approximately $133.6 million of cash, primarily due to our net loss of
$175.1 million, partially offset by
non-cash
consideration of $9.4 million related to the warrants granted to Tarsus,
$20.0 million of other receivables related to Pfizer
in-licensing
and
co-development
activities, $5.3 million related to share-based compensation expense, and other
changes related to operating assets and liabilities.
During the nine months ended September 30, 2020, operating activities used
approximately $49.3 million of cash, primarily due to our net loss of
$126.9 million, partially offset by
non-cash
items of $33.8 million related to the warrant granted to MyoKardia,
$33.2 million related to the MyoKardia sellers' financing and $2.3 million
related to share-based compensation expense, as well as other changes related to
operating assets and liabilities.

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Net cash used in investing activities
During the nine months ended September 30, 2021, investing activities used
approximately $0.2 million, primarily resulting from the purchases of property
and equipment.
During the nine months ended September 30, 2020, investing activities used
approximately $0.3 million, primarily resulting from the purchases of property
and equipment.
Net cash provided by financing activities
During the nine months ended September 30, 2021, financing activities provided
approximately $8.2 million in net proceeds due to our issuance of Series A
Preferred shares of $2.9 million and the exercise of share options of
$5.3 million.
During the nine months ended September 30, 2020, financing activities provided
approximately $15.0 million in net proceeds, primarily resulting from the net
proceeds from the 2020 Convertible Notes.
Contractual obligations
The following table presents our contractual obligations at September 30, 2021
(in thousands):

                                                    Payments Due by Period
                                  Less than      1 to 3      3 to 5      More than
                                   1 year         years       years       5 years       Total

                                                        (in thousands)

Operating lease obligations(1) $ 331 $ - $ - $

- $ 331

(1) The operating lease obligations are related to the facility lease for our

China headquarters in Shanghai expiring in March 2022 and our Princeton, New

Jersey lease expiring in October 2021. During the three months ended

September 30, 2021, we reduced the term in our Shanghai lease, thus resulting

in a remeasurement of the previous right of use asset and liability.




We also have obligations to fund clinical trial commitments under the QED
License over the remaining term of the QED License.
Off-balance
sheet arrangements
In the ordinary course of our business, we do not enter into transactions
involving, or otherwise form relationships with, unconsolidated entities or
financial partnerships that are established for the purpose of facilitating
off-balance
sheet arrangements or other contractually narrow or limited purposes.
Critical accounting policies and significant judgments and estimates
The preparation of our financial statements in conformity with accounting
principles generally accepted in the United States ("U.S. GAAP") requires
management to make estimates and assumptions that affect the amounts reported in
the financial statements and notes to the financial statements. Some of those
judgments can be subjective and complex, and therefore, actual results could
differ materially from those estimates are different assumptions and conditions.
For a discussion of our critical accounting estimates, see "Management's
Discussion and Analysis of Financial Condition and Results of Operations" in the
IPO Prospectus, the notes to our audited financial statements appearing in the
IPO Prospectus and the notes to the condensed consolidated financial statements
appearing elsewhere in this Quarterly Report on Form
10-Q.
There have been no material changes to the Company's critical accounting
policies and estimates through September 30, 2021 from those discussed in the
IPO Prospectus.

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Recently issued accounting standards
A description of recent accounting pronouncements that may potentially impact
our financial position, results of operations or cash flows are disclosed in the
footnote to which each relates within the financial statements included in this
Quarterly Report on Form
10-Q.
Qualitative & quantitative disclosures about market risk
We are exposed to market risk including foreign exchange risk, credit risk and
cash flow interest rate risk.

Foreign currency exchange rate risk
Our business mainly operates in China with transactions in renminbi, and our
financial statements are presented in U.S. dollars. We do not believe that we
currently have any significant direct foreign exchange risk and have not used
any derivative financial instruments to hedge our exposure to such risk.
Although, in general, our exposure to foreign exchange risk should be limited,
the value of any investment in our ADSs will be affected by the exchange rate
between the U.S. dollar and the renminbi because
a portion of
the value of our business is effectively denominated in renminbi, while the ADSs
will be traded in U.S. dollars.
Renminbi is not a freely convertible currency. The State Administration of
Foreign Exchange, under the authority of the People's Bank of China ("PBOC"),
controls the conversion of renminbi into foreign currencies. The value of
renminbi is subject to changes in the central government policies and to
international economic and political developments affect supply and demand in
the China Foreign Exchange Trading System market.
Translation of the net proceeds that we received from our initial public
offering into renminbi will also expose us to currency risk. The value of the
renminbi against the U.S. dollar and other currencies may fluctuate and is
affect by, among other things, changes in China's political and economic
conditions. To the extent that we need to convert U.S. dollars into renminbi for
our operations or if any of our arrangements with other parties are denominated
in U.S. dollars and need to be converted into renminbi, appreciation of the
renminbi against the U.S. dollar would have an adverse effect on the renminbi
amount we receive from the conversion. Conversely, if we decide to convert
renminbi to U.S. dollars for the purpose of making payments for dividends on our
ordinary shares or ADSs or for other business purposes, appreciation of the U.S.
dollar against the renminbi would have a negative effect on the U.S. dollar
amounts available to us.

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