Annexon's biggest risks in the FY2024 10-K
- Annexon depends heavily on financing its lead clinical programs ANX005 for GBS and ANX007 for dry AMD.
- The company faces high regulatory hurdles, international trial execution risks, and lacks internal commercial infrastructure.
The risks most specific to Annexon
- Risks Related to Our Limited Operating History, Financial Condition and Capital Requirements
We will require substantial additional financing to achieve our goals, and a failure to obtain this necessary capital when needed on acceptable terms, or at all, could force us to delay, limit, reduce or terminate our product development programs, commercialization efforts or other operations
Annexon requires substantial additional financing to fund its product development programs and commercialization efforts.
- Risks Related to Our Limited Operating History, Financial Condition and Capital Requirements
Conducting a global Phase 3 program for ANX007 in patients with dry AMD with GA will be expensive and time consuming, and we may need additional capital to complete the Phase 3 clinical program and even if favorable, the FDA and comparable foreign regulatory authorities may not accept data from our Phase 3 program
Conducting the global Phase 3 program for ANX007 in dry AMD with geographic atrophy is expensive and time-consuming, and foreign regulatory authorities may reject the data.
- Risks Related to Our Business
have the product removed from the market after obtaining marketing approval
The company is preparing for a pre-BLA meeting with the FDA in the first half of 2025 for ANX005 to treat Guillain-Barre syndrome based on trials conducted outside the U.S.
- Risks Related to Our Business
We cannot assure you that our current or future product candidates, if approved, will achieve broad market acceptance among physicians and patients. Any failure by our product candidates that obtain regulatory approval to achieve market acceptance or commercial success would adversely affect our results of operations
Annexon has received Orphan Drug designation for ANX005 for GBS and Huntington's disease in the U.S. and for GBS in Europe.
- Risks Related to Our Business
A Fast Track designation by the FDA or PRIME designation by the EMA, even if granted for any of our product candidates, may not lead to a faster development or regulatory review or approval process, and does not increase the likelihood that our product candidates will receive marketing approval
The FDA granted Fast Track designation for ANX005 in GBS and ANX007 in GA, and the EMA granted PRIME designation for ANX007 in GA.
- Risks Related to Our Business
We conduct, and in the future plan to conduct, clinical trials for product candidates outside the United States, and the FDA and comparable foreign regulatory authorities may not accept data from such trials
Clinical trials for ANX005 were conducted outside the United States, such as in Bangladesh and the Philippines, which the FDA may refuse to accept.
- Risks Related to Our Business
We currently have no sales organization. If we are unable to establish sales capabilities on our own or through third parties, we may not be able to market and sell our product candidates, if approved, effectively in the United States and foreign jurisdictions or generate product revenue
Annexon currently has no sales organization and must build marketing capabilities or rely on third parties to commercialize its product candidates.
- Risks Related to Our Business
We will need to increase the size of our organization, and we may experience difficulties in managing growth
As of December 31, 2024, Annexon had 100 full-time employees and will need to increase the size of its organization to manage operations and clinical trials.
All 77 risk factors
Headings as the filing states them, in filing order.
Risks Related to Our Limited Operating History, Financial Condition and Capital Requirements
- 01We will require substantial additional financing to achieve our goals, and a failure to obtain this necessary capital when needed on acceptable terms, or at all, could force us to delay, limit, reduce or terminate our product development programs, commercialization efforts or other operations
- 02the timing, receipt and amount of sales of any future approved products
- 03delay, limit, reduce or terminate our efforts to establish manufacturing and sales and marketing capabilities or other activities that may be necessary to commercialize our product candidates or any future product candidate or reduce our flexibility in developing or maintaining our sales and marketing strategy
- 04Conducting a global Phase 3 program for ANX007 in patients with dry AMD with GA will be expensive and time consuming, and we may need additional capital to complete the Phase 3 clinical program and even if favorable, the FDA and comparable foreign regulatory authorities may not accept data from our Phase 3 program
- 05Our results of operations may fluctuate significantly, which makes our future results of operations difficult to predict and could cause our results of operations to fall below expectations
- 06the level of demand for our product candidates, if approved, which may vary significantly over time
Risks Related to Our Business
- 07Our business is heavily dependent on the successful development, regulatory approval and commercialization of our product candidates, some of which are in early stages of clinical development
- 08our ability to avoid third-party patent interference, intellectual property challenges or intellectual property infringement claims
- 09Public health crises such as pandemics or similar outbreaks have, and could in the future, materially and adversely affect our preclinical and clinical trials, business, financial condition and results of operations
- 10refusal of the FDA to accept data from clinical trials in affected geographies outside the United States
- 11Research and development of biopharmaceutical products is inherently risky. We cannot give any assurance that any of our product candidates will receive regulatory approval, which is necessary before they can be commercialized
- 12a product candidate may not be accepted as safe and effective by patients, the medical community or third-party payors
- 13The FDA or other regulatory agencies may not agree with our clinical development plan and require that we conduct additional clinical trials to support our regulatory submissions. Regulatory agencies, including the FDA may require that we conduct more than one pivotal trial in order to gain approval
- 14We may encounter substantial delays in our clinical trials or may not be able to conduct or complete our clinical trials on the timelines we expect, if at all
- 15obtaining sufficient product supply of product candidates for use in preclinical studies or clinical trials from third-party suppliers
- 16any future collaborators may conduct clinical trials in ways they view as advantageous to them but that are suboptimal for us
- 17have the product removed from the market after obtaining marketing approval
- 18customs and managing additional administrative burdens associated with foreign regulatory schemes, as well as political and economic risks
- 19If we encounter difficulties enrolling patients in our clinical trials, our clinical development activities could be delayed or otherwise adversely affected
- 20our ability to obtain and maintain patient consents
- 21Adverse events or undesirable side effects caused by, or other unexpected properties of, any of our product candidates could halt their clinical development, delay or prevent their regulatory approval, limit their commercial potential or result in significant negative consequences
- 22our reputation may suffer
- 23Interim, “top-line” and preliminary data from studies or trials that we announce or publish from time to time may change as more data become available and are subject to audit and verification procedures that could result in material changes in the final data
- 24Even if our current or future product candidates obtain regulatory approval, they may fail to achieve the broad degree of physician and patient adoption and use necessary for commercial success
- 25We cannot assure you that our current or future product candidates, if approved, will achieve broad market acceptance among physicians and patients. Any failure by our product candidates that obtain regulatory approval to achieve market acceptance or commercial success would adversely affect our results of operations
- 26A Breakthrough Therapy designation by the FDA, even if granted for any of our product candidates, may not lead to a faster development or regulatory review or approval process, and it does not increase the likelihood that our product candidates will receive marketing approval
- 27A Fast Track designation by the FDA or PRIME designation by the EMA, even if granted for any of our product candidates, may not lead to a faster development or regulatory review or approval process, and does not increase the likelihood that our product candidates will receive marketing approval
- 28We conduct, and in the future plan to conduct, clinical trials for product candidates outside the United States, and the FDA and comparable foreign regulatory authorities may not accept data from such trials
- 29If the product candidates that we develop receive regulatory approval in the United States or another jurisdiction, they may never receive approval in other jurisdictions, which would limit market opportunities for our product candidates and adversely affect our business
- 30Any product candidates for which we intend to seek approval as biologic products may face competition sooner than anticipated
- 31If we are not successful in identifying, developing and commercializing additional product candidates, our ability to expand our business and achieve our strategic objectives would be impaired
- 32a product candidate may not be accepted as safe and effective by physicians and patients
- 33acquire, develop or, if approved, commercialize additional product candidates. If we are unable to successfully identify, acquire, develop and commercialize additional product candidates, our commercial opportunities may be limited
- 34any product that we may develop, and any reimbursement that may become available may be decreased or eliminated in the future
- 35We currently have no sales organization. If we are unable to establish sales capabilities on our own or through third parties, we may not be able to market and sell our product candidates, if approved, effectively in the United States and foreign jurisdictions or generate product revenue
- 36We will need to increase the size of our organization, and we may experience difficulties in managing growth
- 37continue to improve our operational, financial and management controls, reports systems and procedures
- 38If we fail to attract and retain senior management and key scientific personnel, our business may be materially and adversely affected
- 39We cannot guarantee that we will not face turnover in the future. Our ability to execute our business strategies may be adversely affected by the uncertainty associated with any transition and the time and management attention needed to fill any vacant role could disrupt our business
- 40If product liability lawsuits are brought against us, we may incur substantial liabilities and may be required to limit commercialization of our current or future product candidates
- 41the inability to commercialize our current or any future product candidates
- 42Any collaboration arrangements that we may enter into in the future may not be successful, which could adversely affect our ability to develop and commercialize our product candidates
- 43Unfavorable global and macroeconomic or political conditions could adversely affect our business, financial condition or results of operations
- 44We or the third parties upon whom we depend on may be adversely affected by earthquakes or other natural disasters, and our business continuity and disaster recovery plans may not adequately protect us from a serious disaster
- 45Furthermore, integral parties in our supply chain are similarly vulnerable to natural disasters or other sudden, unforeseen and severe adverse events. If such an event were to affect our supply chain, it could have a material adverse effect on our business
- 46Our business involves the use of hazardous materials, and we and our third-party manufacturers and suppliers must comply with environmental laws and regulations, which can be expensive and restrict how we do business
Risks Related to Intellectual Property
- 47Our current and any future product candidates or products could be alleged to infringe patent rights and other proprietary rights of third parties, which may require costly litigation and, if we are not successful, could cause us to pay substantial damages and/or limit our ability to commercialize our products
- 48If we are unable to obtain, maintain and enforce intellectual property protection directed to our current and any future technologies that we develop, others may be able to make, use or sell products substantially the same as ours, which could adversely affect our ability to compete in the market
- 49If we are unable to prevent disclosure of our trade secrets or other confidential information to third parties, our competitive position may be impaired
- 50We license patent rights from third-party owners. Such licenses may be subject to early termination if we fail to comply with our obligations in our licenses with third parties, which could result in the loss of rights or technology that are material to our business
- 51Our intellectual property agreements with third parties may be subject to disagreements over contract interpretation, which could narrow the scope of our rights to the relevant intellectual property or technology or increase our financial or other obligations to our licensors
- 52We may wish to form collaborations in the future with respect to our product candidates, but may not be able to do so or to realize the potential benefits of such transactions, which may cause us to alter or delay our development and commercialization plans
- 53We jointly own certain patent rights with third parties. Our ability to out-license these patent rights, or to prevent the third party from out-licensing these patent rights, may be limited in certain countries
- 54We may be subject to claims challenging the inventorship or ownership of our patents and other intellectual property
- 55If our trademarks and trade names are not adequately protected, then we may not be able to build name recognition in our markets of interest and our business may be adversely affected
- 56We may not be able to protect our intellectual property rights throughout the world
Risks Related to Government Regulation
- 57Even if we obtain regulatory approval for a product candidate, our products will remain subject to regulatory scrutiny
- 58seize or detain products, or require a product recall
- 59Enacted and future healthcare legislation may increase the difficulty and cost for us to obtain marketing approval of and commercialize our product candidates and may affect the prices we may set
- 60If we develop a small molecule product candidate that obtains regulatory approval, additional competitors could enter the market with generic versions of such drugs, which may result in a material decline in sales of affected products
- 61Our business operations and current and future relationships with investigators, healthcare professionals, consultants, third-party payors, patient organizations and customers will be subject to applicable healthcare regulatory laws, which could expose us to penalties
Risks Related to Our Common Stock
- 62Our stock price has been volatile, and could in the future be volatile, and you may not be able to resell shares of our common stock at or above the price you paid
- 63the issuance of shares of our common stock pursuant to the exercise of outstanding warrants
- 64We are a “smaller reporting company,” and as a result of the reduced disclosure and governance requirements applicable to smaller reporting companies, our common stock may be less attractive to investors
- 65the possibility that any enhancements to controls and procedures may still not be adequate to assure timely and accurate financial control
- 66Our principal stockholders and management own a significant percentage of our stock and will be able to exert significant control over matters subject to stockholder approval
- 67Sales of a substantial number of shares of our common stock in the public market could cause our stock price to fall
- 68Our ability to use our net operating loss carryforwards and certain other tax attributes may be limited
- 69Provisions in our charter documents and under Delaware law could discourage a takeover that stockholders may consider favorable and may lead to entrenchment of management
- 70Our amended and restated certificate of incorporation and amended and restated bylaws provide that we will indemnify our directors and officers, in each case to the fullest extent permitted by Delaware law
- 71While we maintain a directors’ and officers’ insurance policy, such insurance may not be adequate to cover all liabilities that we may incur, which may reduce our available funds to satisfy third-party claims and may adversely impact our cash position
- 72We do not currently intend to pay dividends on our common stock, and, consequently, your ability to achieve a return on your investment will depend on appreciation in the price of our common stock
- 73Changes in tax laws and regulations may have a material adverse effect on our business, financial condition and results of operations
- 74import privileges, debarment, tax reassessments, breach of contract and fraud litigation, reputational harm and other consequences
- 75In addition to experiencing a security incident, third parties may gather, collect, or infer sensitive information about us from public sources, data brokers, or other means that reveals competitively sensitive details about our organization and could be used to undermine our competitive advantage or market position
- 76If securities or industry analysts do not publish research or reports about our business, or if they issue an adverse or misleading opinion regarding our stock, our stock price and trading volume could decline
- 77We may be subject to securities litigation, which is expensive and could divert our management’s attention
Other Annexon 10-Ks
- FY2025 10-K risk factors81 risks7 new3 dropped15 reworded
Annexon expanded its risk disclosures around international supply chain exposure, European pricing pressures, and foreign clinical trial data acceptance by the FDA. The company renamed ANX005 to tanruprubart and updated its NOL carryforward figures to $556.1 million in federal losses.
Filed Mar 30, 2026
About this page
The headings are the filing's own. The one-line readings and the overview are automated and can be wrong: read Item 1A of the 10-K for the exact wording.