A semi-thorough DD on $ETTX - 03-03-2021




Ticker: ETTX

Company Name: Entasis Therapeutics Holdings Inc.

Trading @ 3.11

CNN Money Analysts Link: https://money.cnn.com/quote/forecast/forecast.html?symb=ETTX

Price Target: $5 - $9


News:
Benzinga: https://www.benzinga.com/pressreleases/21/01/g19317814/entasis-therapeutics-announces-sulbactam-durlobactam-expanded-access-program-for-patients-in-the-u
From BioPharmCatalyst & Company Website:

  1. SULBACTAM-DURLOBACTAM (ETX2514SUL) - A multidrug resistant Acinetobacter infections — Phase 3
- Durlobactam (DUR; previously designated ETX2514) is our novel, broad-spectrum and potent inhibitor of Class A, C, and D β-lactamases. Sulbactam (SUL) is a β-lactam antibiotic with activity against Acinetobacter baumannii; however, β-lactamase-mediated resistance to sulbactam is now widespread rendering it generally ineffective. In preclinical studies, durlobactam inhibits the β-lactamases commonly found in A. baumannii thus restoring sulbactam’s activity. We are developing SUL-DUR (previously designated ETX2514SUL), a combination of β-lactam antibiotic and a β-lactamase inhibitor for the treatment of serious infections cuased by Acinetobacter, including multidrug-resistant (MDR) strains.
A. baumannii is a Gram-negative bacterium that causes severe infections which are associated with high mortality. A. baumannii is commonly multidrug-resistant, with rates between 50% and 60% in the United States and greater than 80% in parts of Europe and Asia. The expression of Class D β-lactamases, often in combination with Class A and/or Class C β-lactamases drives A. baumannii resistance to β-lactam antibiotics like sulbactam. Prior to β-lactamase-mediated resistance, sulbactam was one of the few antibiotics of choice for the treatment of A. baumannii infections. Currently, the very few treatment options still effective against A. baumannii infections have poor efficacy and tolerability, resulting in mortality rates approaching 50% for A. baumannii pneumonia and blood stream infections. We believe that durlobactam’s expanded coverage against Classes A, C and D β-lactamases gives it the potential to restore the efficacy of sulbactam against multidrug- and carbapenem-resistant A. baumannii, once again providing physicians with a safe and effective treatment option for their patients.
A Phase 2 trial and several Phase 1 trials of SUL-DUR have recently been completed with positive results for pharmacokinetics and drug toleration. SUL-DUR has been designated a Qualified Infectious Disease Product (QIDP) by the U.S. Food and Drug Administration and awarded Fast Track status.

  1. ZOLIFLODACIN - uncomplicated gonorrhea — Phase 3
Zoliflodacin (ETX0914) is a novel oral antibiotic for the treatment of uncomplicated gonorrhea and the first of a novel class of molecules to be developed for this indication. Uncomplicated gonorrhea infections carry high morbidity, enhance transmission of other sexually transmitted diseases and are highly stigmatized.  Gonorrhea is the second most commonly reported sexually transmitted disease and in the United States alone, an estimated 820,000 cases of the disease are contracted each year, of which 30% are resistant to existing antibiotics leaving only one injectable cephalosporin, ceftriaxone, as a recommended first-line therapy. The U.S. Centers for Disease Control and Prevention has recently designated N. gonorrhoeae as the top urgent public health threat that requires aggressive action.
A randomized, open-label Phase 2 study of oral zoliflodacin was successfully completed in December 2015 in individuals with uncomplicated gonorrhea. In July 2017, Entasis partnered with the Global Antibiotic Research and Development Partnership (GARDP) to co-develop zoliflodacin through Phase 3. In the partnership, Entasis retains all commercial rights to zoliflodacin in high-income territories while GARDP receives commercial rights in low- and some middle-income countries. Zoliflodacin has been designated a Qualified Infectious Disease Product (QIDP) by the U.S. Food and Drug Administration and awarded a Fast Track status.

  1. ETX0282CPDP - Complicated UTIs (Enterobacteriaceae including ESBL-producing and CRE) — Phase 1
ETX0282 is an orally bioavailable, broad spectrum inhibitor of Class A and C beta-lactamases. Entasis is developing ETX0282 in combination with cefpodoxime, an orally available cephalosporin approved for treating a variety of bacterial infections but lacking in efficacy due to beta-lactamase mediated resistance. In preclinical studies, ETX0282 restores cefpodoxime’s antimicrobial activity against a variety of pathogens including Enterobacteriaceae resistant to fluoroquinolones, cephalosporins and carbapenems.
Urinary tract infections (UTI) are one of the most common bacterial infections in the U.S. There are no effective oral treatments available for multidrug-resistant complicated UTIs. Approximately, 85% of UTIs are caused by Enterobacteriaceae and about 75% by E. coli, many of which are resistant to fluoroquinolones, current standard of care. As a result, many patients need hospitalization for treatment with IV antibiotics.
Entasis is initially developing ETX0282CPDP, the combination of ETX0282 and cefpodoxime, for the treatment of UTI caused by drug-resistant Enterobacteriaceae. ETX0282CPDP is partly funded by CARB-X (Combating Antibiotic Resistant Bacteria Biopharmaceutical Accelerator), the world’s largest public-private partnership devoted to early stage antibacterial R&D, through a grant from this organization.

  1. ETX0462 - Gram-negative infections (Initially multidrug-resistant Pseudomonas) - Preclinical
ETX0462 and our targeted design NBP platform
Multidrug-Resistant (MDR) Gram-negative bacterial pathogens, such as Pseudomonas aeruginosa, Acinetobacter baumannii and Enterobacteriaceae are on both the CDC and WHO lists of most serious public health threats which are in dire need of new therapeutic agents. Of the different classes of antibiotics used to treat these serious infections, beta-lactams have been the agents of choice given their safety and impressive efficacy. However, bacteria have evolved to produce beta-lactamase enzymes which inactivate beta-lactams. Our novel, covalent non-beta-lactam PBP inhibitors (NBP) have activity against several MDR Gram-negative strains and are not degraded by any of the beta-lactamases we’ve tested. Lead optimization has lead to a pre-clinical candidate, ETX0462, which if successful in development, will be the first new antibiotic class approved for use against these MDR Gram-negative pathogens in over 25 years. The NBP program is partly funded by CARB-X (Combating Antibiotic Resistant Bacteria Biopharmaceutical Accelerator), the world’s largest public-private partnership devoted to early stage antibacterial R&D, through a grant from this organization.
ETX0462 is the latest program to be developed from our targeted design platform. Historically, many antibiotics have been discovered by screening high volumes of natural and synthetic compounds for activity against bacterial pathogens, and advancing these molecules toward clinical development with limited visibility into their efficacy, safety or clinical differentiation. In contrast, our platform utilizes bacterial genomics and state-of-the-art molecular and dynamic models to design active new compounds that target validated mechanisms of resistance. Throughout the design process, we aim to maximize compound penetration into target cells and incorporate predictive safety tools and pharmacodynamic modeling with the goal of optimizing efficacy and safety in the clinic. Finally, we focus our clinical development on pathogens with high unmet medical need to leverage the streamlined development and regulatory pathways available for first-in-class or best-in-class antibiotics.

CRITICAL NOTE: It must be noted that their trials were paused or hurt by the COVID-19 pandemic which resulted in otherwise slower progress towards the above mentioned drugs.
Overview: Looking through this company’s stock history, current drug pipeline, and their progress (2 of the drugs being in P3). I think reaching their PT of at least $5 is easy. I would also like to disclose that I own about 250 shares @ 3.16 and will continue to hold this over the next 3-6 months.

As a WARNING I want to inform the readers that as of this post, I do not know how to read SEC filings to filter the financial situations of the company so I am hoping that someone else can add to this DD. If this person or people do share with us the financial situation of this company, I will add it to the post. The link to their respective filing page is above. Additionally, I will update/add to this post any PR or event that comes out… It is also worth mentioning that I may not be able to update it as regularly as I have IRL situations to deal with.

Financials UPDATE:
After seeing this video, I have a good grasp of what to skim to get an understanding of financial conditions of a specific ticker (https://www.youtube.com/watch?v=d55SAYjBHd0&feature=youtu.be) I actually encourage everyone to watch this video if you do not know how to read the financial data off the filings.

Here is my take out of it:

Revenue 2020 = $0

Total operating expense 2020 = $41,484

Cash equivalents = $61,190

Shares outstanding: 27,615,381


From 10-Q 

Funding Requirements

Our primary uses of capital are, and we expect will continue to be, compensation and related expenses, third-party clinical research and development services, laboratory and related supplies, manufacturing development costs, legal and other regulatory expenses and general administrative costs.

The successful development of our product candidates is highly uncertain. At this time, we cannot reasonably estimate or know the nature, timing and estimated costs of the efforts that will be necessary to complete the clinical development of our product candidates and obtain regulatory approvals. We are also unable to predict when, if ever, net cash inflows will commence from product sales. This is due to the numerous risks and uncertainties associated with developing drugs, including, among others, the uncertainty of:


the unpredictable duration and economic impact of the COVID-19 pandemic;


successful enrollment in, and completion of clinical trials;


performing preclinical studies and clinical trials in compliance with the FDA, the European Medicines Agency, or EMA, or any comparable regulatory authority requirements;


the ability of collaborators to manufacture sufficient quantity of product for development, clinical trials or potential commercialization;


obtaining marketing approvals with labeling for sufficiently broad patient populations and indications, without unduly restrictive distribution limitations or safety warnings, such as black box warnings or a risk evaluation and mitigation strategies program;


obtaining and maintaining patent, trademark and trade secret protection and regulatory exclusivity for our product candidates;


making arrangements with third parties for manufacturing capabilities;


launching commercial sales of products, if and when approved, whether alone or in collaboration with others;


acceptance of the therapies, if and when approved, by physicians, patients and third-party payors;


competing effectively with other therapies;


obtaining and maintaining healthcare coverage and adequate reimbursement;


protecting our rights in our intellectual property portfolio; and


maintaining a continued acceptable safety profile of our drugs following approval.


A change in the outcome of any of these variables with respect to the development of any of our product candidates would significantly change the costs and timing associated with the development of that product candidate.

We will not generate revenue from product sales unless and until we or a collaborator successfully complete clinical development and obtain regulatory approval for our current and future product candidates. If we obtain regulatory approval for any of our product candidates that we intend to commercialize on our own, we will incur significant expenses related to commercialization, including developing our internal commercialization capability to support product sales, marketing and distribution.

As a result, we will need substantial additional funding to support our continuing operations and to pursue our growth strategy. Until such time, if ever, when we can generate substantial product revenue, we expect to finance our cash needs through a combination of equity offerings, debt financings and potential collaboration, license and development agreements. Debt financing and preferred equity financing, if available, may involve agreements that include covenants limiting or restricting our ability to take specific actions, such as incurring additional debt, making capital expenditures or declaring dividends.

If we raise additional funds through collaborations, strategic alliances or marketing, distribution or licensing arrangements with third parties, we may be required to relinquish valuable rights to our technologies, future revenue streams, research programs or product candidates or to grant licenses on terms that may not be favorable to us. If we are unable to raise additional funds through equity or debt financings when needed, we may be required to delay, limit, reduce or terminate our drug development or future commercialization efforts or grant rights to a third party to develop and market product candidates that we would otherwise prefer to develop and market ourselves. Our failure to raise capital as and when needed would compromise our ability to pursue our business strategy.

Because of the numerous risks and uncertainties associated with product development, we are unable to predict the timing or amount of increased expenses or when or if we will be able to achieve or maintain profitability. Even if we are able to generate product sales, we may not become profitable. If we fail to become profitable or are unable to sustain profitability on a continuing basis, we may be unable to continue our operations at planned levels and be forced to reduce or terminate our operations.



OBLIGATORY, THIS IS NOT A FINANCIAL ADVISE, ADVISE, PUMP, PAID FOR, OR ANY OF THAT NON-SENSE, GOOD LUCK OUT THERE.

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