UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

_______________________________________________________

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

For the quarterly period ended SeptemberJune 30, 2017

2021

or

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

For the transition period from             to             

Commission File Number:
000-50679

000-50679

CORCEPT THERAPEUTICS INCORPORATED

(Exact Name of Corporation as Specified in Its Charter)

_______________________________________________________

Delaware

77-0487658

Delaware

77-0487658
(State or other jurisdiction of


incorporation or organization)

(I.R.S. Employer


Identification No.)

149 Commonwealth Drive

Menlo Park, CA 94025

(Address of principal executive offices, including zip code)

(650) 327-3270

(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock, $0.001 par valueCORTThe Nasdaq Stock Market
Indicate by check mark whether the registrantregistrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes      No  

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

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

Large accelerated filer

Accelerated filer

Non-accelerated filer

☐  

  (Do not check if a small reporting company)

Smaller reporting company

Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes      No  

On October 30, 2017,July 22, 2021, there were 114,124,161115,926,629 shares of common stock outstanding at a par value of $0.001 per share.




CORCEPT THERAPEUTICS INCORPORATED

CONDENSED CONSOLIDATED BALANCE SHEETS

(In thousands, except per share data)

thousands)
June 30,
2021
December 31,
2020
 (Unaudited)(See Note 1)
ASSETS  
Current assets:  
Cash and cash equivalents$95,430 $76,190 
Short-term marketable securities274,552 364,506 
Trade receivables, net of allowances27,620 26,198 
Inventory4,669 4,910 
Prepaid expenses and other current assets8,999 6,697 
Total current assets411,270 478,501 
Strategic inventory14,734 16,247 
Operating lease right-of-use asset1,524 2,509 
Property and equipment, net of accumulated depreciation1,414 1,675 
Long-term marketable securities101,657 36,196 
Other assets4,140 5,000 
Deferred tax assets, net33,741 31,603 
Total assets$568,480 $571,731 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable$9,216 $10,554 
Accrued clinical expenses13,113 13,704 
Accrued and other liabilities21,514 21,186 
Short-term operating lease liability1,559 2,050 
Total current liabilities45,402 47,494 
Long-term operating lease liability501 
Long-term accrued income taxes403 398 
Total liabilities45,805 48,393 
Commitments and contingencies (Note 4)00
Stockholders’ equity:
Preferred stock
Common stock125 122 
Additional paid-in capital554,154 516,140 
Treasury stock(164,263)(75,795)
Accumulated other comprehensive income215 415 
Retained earnings132,444 82,456 
Total stockholders’ equity522,675 523,338 
Total liabilities and stockholders’ equity$568,480 $571,731 

 

 

September 30,

 

 

December 31,

 

 

 

2017

 

 

2016

 

 

 

(Unaudited)

 

 

(See Note 1)

 

ASSETS

 

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

31,060

 

 

$

51,536

 

Short-term marketable securities

 

 

44,096

 

 

 

 

Trade receivables, net of allowances

 

 

11,872

 

 

 

9,860

 

Inventory

 

 

3,828

 

 

 

2,329

 

Prepaid expenses and other current assets

 

 

3,086

 

 

 

1,964

 

Total current assets

 

 

93,942

 

 

 

65,689

 

Strategic inventory

 

 

1,680

 

 

 

2,835

 

Property and equipment, net of accumulated depreciation

 

 

553

 

 

 

205

 

Long-term marketable securities

 

 

1,508

 

 

 

 

Other assets (Note 5)

 

 

12,989

 

 

 

24

 

Total assets

 

$

110,672

 

 

$

68,753

 

LIABILITIES AND STOCKHOLDERS' EQUITY

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

Accounts payable

 

$

6,226

 

 

$

2,290

 

Accrued clinical expenses

 

 

1,892

 

 

 

1,467

 

Other accrued liabilities

 

 

16,252

 

 

 

8,953

 

Long-term obligation - current portion

 

 

 

 

 

14,664

 

Total current liabilities

 

 

24,370

 

 

 

27,374

 

Commitments and contingencies (Note 5)

 

 

 

 

 

 

 

 

Stockholders’ equity:

 

 

 

 

 

 

 

 

Preferred stock, par value $0.001 per share, 10,000 shares authorized and no shares

   outstanding at September 30, 2017 and December 31, 2016

 

 

 

 

 

 

Common stock, par value $0.001 per share, 280,000 shares authorized and 114,082 and 112,710 shares issued and outstanding at September 30, 2017 and December 31, 2016, respectively

 

 

114

 

 

 

113

 

Additional paid-in capital

 

 

377,678

 

 

 

363,534

 

Accumulated other comprehensive loss

 

 

(14

)

 

 

 

Accumulated deficit

 

 

(291,476

)

 

 

(322,268

)

Total stockholders’ equity

 

 

86,302

 

 

 

41,379

 

Total liabilities and stockholders’ equity

 

$

110,672

 

 

$

68,753

 

The accompanying notes are an integral part of these condensed consolidated financial statements.


3


CORCEPT THERAPEUTICS INCORPORATED

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(Unaudited)

(In thousands, except per share data)

Three Months Ended June 30,Six Months Ended June 30,
 2021202020212020
Product revenue, net$91,588 $88,565 $171,025 $181,812 
Operating expenses:
Cost of sales1,384 1,234 2,652 3,112 
Research and development28,232 26,497 57,254 52,620 
Selling, general and administrative30,029 25,572 59,538 53,107 
Total operating expenses59,645 53,303 119,444 108,839 
Income from operations31,943 35,262 51,581 72,973 
Interest and other income110 1,010 385 2,481 
Income before income taxes32,053 36,272 51,966 75,454 
Income tax expense(5,530)(7,945)(1,978)(17,062)
Net income26,523 28,327 49,988 58,392 
Other comprehensive income:
Net unrealized gain (loss) on available-for-sale investments, net of tax effect of $16, $(170), $77 and $(190), respectively(50)545 (242)606 
Foreign currency translation gain (loss), net of tax16 (15)42 (27)
Total comprehensive income$26,489 $28,857 $49,788 $58,971 
Basic net income per share$0.23 $0.25 $0.43 $0.51 
Diluted net income per share$0.21 $0.23 $0.39 $0.48 
Weighted-average shares outstanding used in computing net income per share
Basic116,294 115,006 116,555 114,790 
Diluted126,680 123,234 128,204 122,756 

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

 

September 30,

 

 

September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Product revenue, net

 

$

42,763

 

 

$

21,725

 

 

$

105,921

 

 

$

57,509

 

Operating expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cost of sales

 

 

976

 

 

 

668

 

 

 

2,397

 

 

 

1,497

 

Research and development

 

 

11,693

 

 

 

7,054

 

 

 

26,745

 

 

 

17,360

 

Selling, general and administrative

 

 

16,471

 

 

 

10,931

 

 

 

45,621

 

 

 

33,480

 

Total operating expenses

 

 

29,140

 

 

 

18,653

 

 

 

74,763

 

 

 

52,337

 

Income from operations

 

 

13,623

 

 

 

3,072

 

 

 

31,158

 

 

 

5,172

 

Interest and other income (expense)

 

 

86

 

 

 

(487

)

 

 

(237

)

 

 

(1,629

)

Income before income taxes

 

 

13,709

 

 

 

2,585

 

 

 

30,921

 

 

 

3,543

 

Income tax benefit (expense)

 

 

48

 

 

 

 

 

 

(129

)

 

 

 

Net income

 

$

13,757

 

 

$

2,585

 

 

$

30,792

 

 

$

3,543

 

Other comprehensive income (loss):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net unrealized gain (loss) on available-for-sale investments

 

 

3

 

 

 

 

 

 

(14

)

 

 

 

Total comprehensive income

 

$

13,760

 

 

$

2,585

 

 

$

30,778

 

 

$

3,543

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic net income per common share

 

$

0.12

 

 

$

0.02

 

 

$

0.27

 

 

$

0.03

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted net income per common share

 

$

0.11

 

 

$

0.02

 

 

$

0.25

 

 

$

0.03

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted-average shares outstanding used in computing net

   income per share

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic

 

 

113,603

 

 

 

110,652

 

 

 

113,242

 

 

 

110,118

 

Diluted

 

 

125,651

 

 

 

116,419

 

 

 

123,417

 

 

 

115,163

 

The accompanying notes are an integral part of these condensed consolidated financial statements.


4


CORCEPT THERAPEUTICS INCORPORATED

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

(In thousands)

 Six Months Ended June 30,
 20212020
Cash flows from operating activities:  
Net income$49,988 $58,392 
Adjustments to reconcile net income to net cash provided by operations:
Stock-based compensation21,169 16,407 
Deferred income taxes(2,061)10,017 
Amortization (accretion) of interest income2,471 (72)
Depreciation and amortization of property and equipment514 362 
Non-cash amortization of right-of-use asset985 749 
Others148 
Changes in operating assets and liabilities:
Trade receivables(1,422)(2,797)
Inventory1,858 1,414 
Prepaid expenses and other current assets(2,047)721 
Other assets860 (1,088)
Accounts payable(1,304)(1,251)
Accrued clinical expenses(591)4,812 
Accrued and other liabilities333 (628)
Operating lease liability(992)(731)
Net cash provided by operating activities69,761 86,455 
Cash flows from investing activities:
Purchases of property and equipment(245)(89)
Proceeds from maturities of marketable securities244,971 153,193 
Purchases of marketable securities(223,268)(219,314)
Net cash provided by (used in) investing activities21,458 (66,210)
Cash flows from financing activities:
Proceeds from exercise of stock options, net of issuance costs8,786 7,347 
Repurchase of common stock(62,711)(275)
Cash paid to satisfy statutory withholding requirement for net settlement of cashless option exercises(18,054)(63)
Net cash (used in) provided by financing activities(71,979)7,009 
Net increase in cash and cash equivalents19,240 27,254 
Cash and cash equivalents, at beginning of period76,190 31,269 
Cash and cash equivalents, at end of period$95,430 $58,523 
Supplemental disclosure:
Cost of shares repurchased for net settlement of cashless option exercises$7,704 $772 
Recognition of right-of-use asset and lease liability$$775 

 

 

Nine Months Ended

 

 

 

September 30,

 

 

 

2017

 

 

2016

 

Cash flows from operating activities:

 

 

 

 

 

 

 

 

Net income

 

$

30,792

 

 

$

3,543

 

Adjustments to reconcile net income to net cash generated from operations:

 

 

 

 

 

 

 

 

Stock-based compensation

 

 

9,529

 

 

 

5,101

 

Accretion of interest expense

 

 

456

 

 

 

1,562

 

Amortization of debt financing costs

 

 

14

 

 

 

16

 

Depreciation and amortization of property and equipment

 

 

58

 

 

 

72

 

Changes in operating assets and liabilities:

 

 

 

 

 

 

 

 

Trade receivables

 

 

(2,012

)

 

 

(2,015

)

Inventory

 

 

(344

)

 

 

(825

)

Prepaid expenses and other current assets

 

 

(1,122

)

 

 

(679

)

Other assets (Note 5)

 

 

(12,965

)

 

 

 

Accounts payable

 

 

3,922

 

 

 

2,984

 

Accrued clinical expenses

 

 

425

 

 

 

604

 

Other accrued liabilities

 

 

7,299

 

 

 

3,617

 

Deferred revenue

 

 

 

 

 

(158

)

Net cash provided by operating activities

 

 

36,052

 

 

 

13,822

 

Cash flows from investing activities:

 

 

 

 

 

 

 

 

Purchases of property and equipment

 

 

(390

)

 

 

(119

)

Purchases of marketable securities

 

 

(45,618

)

 

 

 

Cash used in investing activities

 

 

(46,008

)

 

 

(119

)

Cash flows from financing activities:

 

 

 

 

 

 

 

 

Proceeds from issuance of common stock upon exercise of options and warrants, net

   of issuance costs

 

 

4,614

 

 

 

4,073

 

Payments related to long-term obligation

 

 

(15,134

)

 

 

(10,346

)

Net cash used in financing activities

 

 

(10,520

)

 

 

(6,273

)

Net (decrease) increase in cash and cash equivalents

 

 

(20,476

)

 

 

7,430

 

Cash and cash equivalents, at beginning of period

 

 

51,536

 

 

 

40,435

 

Cash and cash equivalents, at end of period

 

$

31,060

 

 

$

47,865

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

5


CORCEPT THERAPEUTICS INCORPORATED

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY
(Unaudited)
(in thousands) 
Common StockAdditional
Paid-in
Capital
Treasury StockAccumulated
Other
Comprehensive
Income
Retained Earnings (Accumulated
Deficit)
Total
Stockholders’
Equity
SharesAmount
Balance at December 31, 2019114,549 $120 $457,060 $(62,704)$261 $(23,555)$371,182 
Issuance of common stock upon exercise of options67 — 480 — — — 480 
Purchases of treasury stock(20)— — (275)— — (275)
Stock-based compensation— — 7,988 — — — 7,988 
Other comprehensive income, net of tax— — — — 49 — 49 
Net income— — — — — 30,065 30,065 
Balance at March 31, 2020114,596 120 465,528 (62,979)310 6,510 409,489 
Issuance of common stock upon exercise of options1,011 7,638 — — — 7,639 
Shares purchased to satisfy cost and statutory withholding requirements for net settlement of cashless option exercises(54)— — (835)— — (835)
Stock-based compensation— — 8,548 — — — 8,548 
Other comprehensive income, net of tax— — — — 530 — 530 
Net income— — — — — 28,327 28,327 
Balance at June 30, 2020115,553 $121 $481,714 $(63,814)$840 $34,837 $453,698 
Balance at December 31, 2020116,735 $122 $516,140 $(75,795)$415 $82,456 $523,338 
Issuance of common stock upon exercise of options1,832 10,081 — — — 10,083 
Purchases of treasury stock(1,282)— — (33,540)— — (33,540)
Shares purchased to satisfy cost and statutory withholding requirements for net settlement of cashless option exercises(808)— — (22,520)— — (22,520)
Stock-based compensation— — 10,142 — — — 10,142 
Other comprehensive loss, net of tax— — — — (166)— (166)
Net income— — — — — 23,465 23,465 
Balance at March 31, 2021116,477 124 536,363 (131,855)249 105,921 510,802 
Issuance of common stock upon exercise of options855 6,660 — — — 6,661 
Purchases of treasury stock(1,365)— — (29,170)— — (29,170)
Shares purchased to satisfy cost and statutory withholding requirements for net settlement of cashless option exercises(146)— — (3,238)— — (3,238)
Stock-based compensation— — 11,131 — — — 11,131 
Other comprehensive loss, net of tax— — — — (34)— (34)
Net income— — — — — 26,523 26,523 
Balance at June 30, 2021115,821 $125 $554,154 $(164,263)$215 $132,444 $522,675 
The accompanying notes are an integral part of these condensed consolidated financial statements
6

CORCEPT THERAPEUTICS INCORPORATED
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

1. Basis of Presentation and Summary of Significant Accounting Policies

Description of Business and Basis of Presentation

Corcept Therapeutics Incorporated was incorporated in the State of Delaware in May 1998, and our headquarters are located in Menlo Park, California. We areis a commercial-stage pharmaceutical company engaged in the discovery development and commercializationdevelopment of medications that treat severe metabolic, oncologic and psychiatric disorders by modulating the effect of the stress hormone cortisol. In 2012, the United StatesU.S. Food and Drug Administration (“FDA”) approved Korlym® (“mifepristone”) 300 mg tablets as a once-daily oral medication for treatment of hyperglycemia secondary to hypercortisolism in adult patients with endogenous Cushing’s syndrome who have type 2 diabetes mellitus or glucose intolerance and have failed surgery or are not candidates for surgery. We have discovered and patented three structurally distinct series of selective cortisol modulators, consisting of more than 500 compounds. We are developing compounds from these series to treat a broad range of disorders.

Basis of Presentation

We have prepared the September 30, 2017 balance sheet and the statements of comprehensive income and cash flows in accordance with U.S. generally accepted accounting principles (“GAAP”) for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. They do not include all of the information and footnotes required by GAAP for complete financial statements. In the opinion of management, all adjustments (consisting only of normal recurring adjustments) considered necessary for a fair presentation have been included. Operating results for the three and nine months ended September 30, 2017 are not necessarily indicative of the results that may be expected for the year ending December 31, 2017 or any other period. These financial statements and notes should be read in conjunction with the financial statements for the year ended December 31, 2016 included in our Annual Report on Form 10-K. The December 31, 2016 balance sheet has been derived from audited financial statements at that date.

Principles of Consolidation

Our financial statements include the financial position and results of Corcept Therapeutics UK Limited, our wholly owned subsidiary. Corcept Therapeutics UK Limited was incorporated in the United Kingdom in March 2017, and to date, there have been no material financial transactions or balances related to this entity.

Use of Estimates

The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. Actual results could differ materially from those estimates.

We reevaluate our estimates and assumptions each quarter, including those related to revenue recognition, sales returns, inventory, allowances for doubtful accounts and accrued liabilities, including our bonus accrual, clinical trial accruals and stock-based compensation.

Fair Value Measurements

We value financial instruments using the assumptions we believe third-party market participants would adopt when valuing such instruments.  Our methodology uses a “fair value hierarchy” that gives the highest priority to quoted prices in active markets for identical instruments (called “Level 1 inputs”).  If no Level 1 inputs are available, we consider (i) quoted prices in non-active markets for identical instruments; (ii) active markets for similar instruments; (iii) inputs other than quoted prices for the instrument; and (iv) inputs that are not directly observable, but that are corroborated by observable data (“Level 2 inputs”).  In the absence of Level 2 inputs, we rely on unobservable inputs, such as our own data about the assumptions market participants would use in pricing the instrument (“Level 3 inputs”). Fair value is a market-based measurement and should therefore be based on the assumptions that third-party market participants would use in pricing the asset or liability.

Cash and Cash Equivalents and Marketable Securities

We consider all highly liquid investments purchased with original maturities of three months or less from the date of purchase to be cash equivalents. Cash equivalents are carried at fair value as measured using Level 1 inputs, which approximates cost. As of December 31, 2016, all of our funds were held in checking and money market fund accounts maintained at major U.S. financial institutions.

6


CORCEPT THERAPEUTICS INCORPORATED

NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, continued

Effective January 2017, we invested a portion of our funds in marketable securities, primarily U.S. Treasury securities, commercial paper and corporate notes. We classify our marketable securities as available-for-sale securities and report them at fair value as “cash equivalents” or “marketable securities” on our balance sheet, with related unrealized gains and losses included in stockholders' equity. Realized gains and losses and permanent declines in value are included in “interest and other income” in our statement of comprehensive income.

Concentration of Credit Risk

We are subject to credit risk from our portfolio of cash, cash equivalents and marketable securities.  We limit our investments to U.S. Treasury obligations and high-grade corporate debt with less than a 36-month maturity.  We are not exposed to any significant concentration of credit from these investments.

Inventory

We value inventory at the lower of cost or net realizable value. We determine the cost of inventory using the specific identification method, which approximates a first-in, first-out basis. We write down inventory that has become obsolete or has a cost basis in excess of its expected net realizable value. Any expired inventory is disposed of and the related costs are recognized as cost of sales in the statement of comprehensive income in that period.

Inventory amounts that are not expected to be consumed within 12 months following the balance sheet date are classified as strategic inventory, a noncurrent asset.

We expense the manufacturing costs for product candidates incurred prior to regulatory approval as research and development expense as we incur them. We begin capitalizing costs related to the manufacture of a product candidate when we obtain regulatory approval to begin marketing that product.

Long-term Obligation

In August 2012, we entered into a Purchase and Sale Agreement (“Financing Agreement”) with Biopharma Secured Debt Fund II Sub, S.à r.l (“Biopharma”), a private limited liability company organized under the laws of Luxembourg. Under the terms of the Financing Agreement, we received $30.0 million from Biopharma, which we recorded as a long-term obligation. In return, we were obligated to make payments to Biopharma totaling $45.0 million. These payments equaled a percentage of (i) our net product sales, including sales from any product containing mifepristone or any of our proprietary selective cortisol modulators (“Covered Products”) and (ii) cash or cash equivalents received from any licensing transaction or co-promotion arrangement involving Covered Products (together, “Korlym Receipts”). Once we had paid Biopharma a total of $45.0 million, no more payments would be due and the obligation would be extinguished.

We recognized a portion of each quarterly payment under the Financing Agreement as interest expense, which we determined by calculating the interest rate to Biopharma implied by the stream of quarterly payments we expected to make. In each period, the amount shown on our balance sheet as the current portion was our estimate of the amount we expected to pay Biopharma in the following 12 months. We recorded the rest of the outstanding portion of the obligation, if any, as a long-term liability.

We made our final payment to Biopharma, completely satisfying our obligations under the Financing Agreement, in July 2017.

See Note 4, Long-Term Obligation, for additional information regarding this agreement.

Net Product Sales

We primarily sell Korlym directly to patients through a specialty pharmacy. We recognize revenue upon the delivery of Korlym if (i) there is persuasive evidence that an arrangement exists with the customer, (ii) collectability is reasonably assured and (iii) the sales price is fixed or determinable. In order to conclude that the price is fixed or determinable, we must be able to (i) calculate gross product revenue from a sale and (ii) reasonably estimate the associated net revenue.  Confirmation of coverage by the patient’s private or government insurance plan or by a third-party charity is a prerequisite for selling Korlym to a patient. We provide Korlym at no cost to patients without insurance who do not qualify for charitable support.

Through August 9, 2017 our exclusive specialty pharmacy was Dohmen Life Science Services (“Dohmen”).  On August 10, 2017, Optime Care, Inc. (“Optime”) became our exclusive specialty pharmacy.

7


CORCEPT THERAPEUTICS INCORPORATED

NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, continued

We also sell Korlym to a specialty distributor (“SD”), which we recognize at the time the SD receives the Korlym. SD sales were less than two percent of our net revenue in the three and nine months ended September 30, 2017.

We donate cash to charities that help patients with financial need pay for the treatment of Cushing’s syndrome. We do not include payments we receive from these organizations in revenue.

We calculate gross product revenues based on the price we charge our customers. We estimate net product revenues by deducting from gross product revenues (a) estimated government rebates, (b) estimated costs of our patient co-pay assistance program, (c) discounts for prompt payment and (d) reserves for expected product returns.  We record estimates for these deductions at the time we recognize the gross revenue and update them as new information becomes available.

Rebates and Chargebacks: Korlym is eligible for purchase by or qualifies for partial or full reimbursement from Medicaid and other government programs. We estimate any government rebate amounts by applying the discount rates applicable to each government-funded program against our sales to patients covered by such programs.

Allowances for Patient Assistance Program:  It is our policy that no patient be denied Korlym due to inability to pay. We provide financial assistance to eligible patients whose insurance policies require them to pay high deductibles and co-payments. We determine the amount of such assistance by applying our program guidelines to all eligible sales in the period.

Sales Returns: We deduct from each period’s gross revenue the amount of Korlym we estimate will be returned. When estimating returns, we analyze quantitative and qualitative information including, but not limited to, historical return rates, the amount of product in the distribution channel, the expiration date of the product, current and projected product demand, the introduction of competing products that may erode demand, and broad economic and industry-wide indicators. If we cannot reasonably estimate product returns with respect to a particular sale, we defer recognition of revenue from that sale until we can make a reasonable estimate.

Research and Development

Research and development expenses consist of direct expenses, such as the cost of discovery research, pre-clinical studies, and clinical trials relating to our portfolio of proprietary, selective cortisol modulators, manufacturing development, preparations for submissions to the FDA or other regulatory agencies and related overhead expenses. We expense nonrefundable payments and the cost of technologies and materials used in research and development as they are incurred.

We base our cost accruals for research, preclinical activities, and clinical trials on estimates of work completed under service agreements, milestones achieved, patient enrollment and past experience with similar contracts. Our estimates of work completed and associated cost accruals include our assessments of information from third-party contract research organizations and the overall status of clinical trial and other development and administrative activities

Segment Reporting

We determine our operating segments based on the way we organize our business, make decisions and assess performance. We have only one operating segment, which is the discovery, development and commercialization of pharmaceutical products.

Stock-Based Compensation

We account for stock-based compensation related to option grants under the fair value method, based on the value of the award at the grant date, using the Black-Scholes option valuation model. We recognize this expense over the requisite vesting period, net of estimated forfeitures. If actual forfeitures differ from our estimates, we adjust stock-based compensation expense accordingly.

We recognize the expense of options granted to non-employees based on the fair value based measurement of the option grants at the time of vesting.

Recently Adopted Accounting Pronouncements

In August 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2014-15 (Subtopic 205-40), “Presentation of Financial Statements—Going Concern: Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern”.  We adopted this standard on January 1, 2017. Because we generated cash in 2015 and 2016 and expect to generate cash in 2017, adoption had no impact on our financial statements.

8


CORCEPT THERAPEUTICS INCORPORATED

NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, continued

In July 2015, FASB issued ASU No. 2015-11, Simplifying the Measurement of Inventory, which requires certain inventory to be measured at the lower of cost or net realizable value. We adopted this standard on January 1, 2017 and it did not have a material impact on our financial statements.

In November 2015, FASB issued ASU No. 2015-17 "Balance Sheet Classification of Deferred Taxes," which requires that deferred tax liabilities and assets be classified as noncurrent.  We adopted this standard prospectively on January 1, 2017.  Because we have a valuation allowance equal to the full amount of our deferred tax assets, adoption did not have a material impact on our financial statements.

In March 2016, FASB issued ASU No. 2016-09, Compensation - Stock Compensation (Topic 718) “Improvements to Employee Share-Based Payment Accounting,” which simplifies accounting for transactions involving shares awarded to employees.  It requires companies to record excess tax benefits and deficiencies as income tax expenses or benefits instead of including them in additional paid-in capital.  At the start of the year in which they implement the guidance, companies must adjust retained earnings by an amount equal to any previously unrecognized excess tax expenses or benefits. We adopted this guidance on January 1, 2017, at which time we recognized a $0.7 million deferred tax asset, which was offset by a corresponding increase to our deferred tax valuation allowance, resulting in no change to our balance sheet. We elected to report on a prospective basis cash flows related to excess tax benefits as an operating activity and to continue to recognize stock compensation expense net of estimated forfeitures. Adoption of this standard did not have a material impact on our financial statements.

Recently Issued Accounting Pronouncements Not Yet Adopted

In May 2014, FASB issued ASU No. 2014-09, “Revenue from Contracts with Customers,” which changes the way companies recognize revenue. We plan to adopt this update using the modified retrospective approach, with the cumulative effect of adoption being recorded to our retained earnings on January 1, 2018.  We have completed our evaluation of the contracts governing our sales process and are reviewing our related disclosures, policies and controls, which we will change as required when we adopt the standard. Because our arrangements with customers contain variable consideration, we have focused our analysis on how the new standard will affect our estimate of transaction prices, which we believe the update will not change materially. We do not believe adoption will have a material impact on our financial statements.

In February 2016, FASB issued ASU No. 2016-02, “Leases”, which requires the recognition of lease transactions with terms longer than 12 months on the balance sheet as “lease liabilities” and “right-of-use assets.” We plan to adopt this new standard prospectively on January 1, 2019.  We expect that adoption will increase our “lease liabilities” and “right-of-use assets” equally.

In August 2016, FASB issued ASU No. 2016-15, “Statement of Cash Flows (Topic 230): Classification of Certain Cash Receipts and Cash Payments.” We plan to adopt this standard on January 1, 2018, and do not expect it to have a material impact on our financial statements.

In May 2017 FASB issued ASU No. 2017-09, Stock Compensation (Topic 718): “Scope of Modification Accounting,” which changes the accounting for modifications to the terms and conditions of share-based payment awards. We plan to adopt this standard on January 1, 2018 and do not expect it to have a material impact on our financial statements.

2. Composition of Certain Balance Sheet Items

Inventory

The composition of inventory was as follows:

 

 

September 30,

 

 

December 31,

 

 

 

2017

 

 

2016

 

 

 

(in thousands)

 

Raw materials

 

$

1,122

 

 

$

1,848

 

Work in progress

 

 

1,934

 

 

 

1,414

 

Finished goods

 

 

2,452

 

 

 

1,902

 

Total inventory

 

 

5,508

 

 

 

5,164

 

Less strategic inventory classified as non-current

 

 

(1,680

)

 

 

(2,835

)

Total inventory classified as current

 

$

3,828

 

 

$

2,329

 

9


CORCEPT THERAPEUTICS INCORPORATED

NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, continued

In order to be prepared for potential demand for Korlym and because we rely on single-source manufacturers of both the active pharmaceutical ingredient (“API”) for Korlym and Korlym tablets, we have purchased significant inventory of these materials. We classify inventory we do not expect to use within 12 months of the balance sheet date as “Strategic Inventory,” a long-term asset.

Other Accrued Liabilities

Other accrued liabilities consisted of the following:

 

 

September 30,

 

 

December 31,

 

 

 

2017

 

 

2016

 

 

 

(in thousands)

 

Government rebates

 

$

6,955

 

 

$

3,426

 

Accrued compensation

 

 

7,886

 

 

 

4,702

 

Commercialization costs

 

 

415

 

 

 

308

 

Legal fees

 

 

342

 

 

 

164

 

Professional fees

 

 

247

 

 

 

34

 

Other

 

 

407

 

 

 

319

 

Total other accrued liabilities

 

$

16,252

 

 

$

8,953

 

3. Available-for-Sale Securities and Fair Value Measurements

Our available-for-sale securities included:

 

 

Fair Value

 

Estimated Fair Value

 

 

 

Hierarchy

 

September 30,

 

 

December 31,

 

 

 

Level

 

2017

 

 

2016

 

 

 

 

 

(in thousands)

 

Corporate bonds

 

Level 2

 

$

18,394

 

 

$

 

Commercial paper

 

Level 2

 

 

23,331

 

 

 

 

U.S. treasury securities

 

Level 1

 

 

7,778

 

 

 

 

Money market funds

 

Level 1

 

 

10,330

 

 

 

31,605

 

Total Marketable securities

 

 

 

$

59,833

 

 

$

31,605

 

 

 

 

 

 

 

 

 

 

 

 

Classified as:

 

 

 

 

 

 

 

 

 

 

Cash equivalents

 

 

 

$

14,229

 

 

$

31,605

 

Short-term marketable securities

 

 

 

 

44,096

 

 

 

 

Long-term marketable securities

 

 

 

 

1,508

 

 

 

 

Total marketable securities

 

 

 

$

59,833

 

 

$

31,605

 

The estimated fair value of marketable securities is based on quoted market prices for these or similar investments obtained from a commercial pricing service. The fair value of marketable securities classified within Level 2 is based upon inputs that may include benchmark yields, reported trades, broker/dealer quotes and issuer spreads. At September 30, 2017, our accumulated other comprehensive loss on our balance sheets consisted of net unrealized losses on available-for-sale investments of $14,000 and zero at September 30, 2017 and December 31, 2016, respectively.

As of September 30, 2017, all our marketable securities had original maturities of less than two years. The weighted-average maturity of our holdings was four months. None of our marketable securities changed from one fair value hierarchy to another during the three and nine months ended September 30, 2017.

4. Long-Term Obligation

As discussed in Note 1, Basis of Presentation and Summary of Significant Accounting Policies, Long-term Obligation, under the Financing Agreement with Biopharma we made payments to Biopharma calculated as a percentage of our Korlym revenue. Biopharma’s right to receive payments expired once it received $45.0 million. To secure our obligation, we granted Biopharma a security interest in our patents, trademarks, trade names, domain names, copyrights, know-how, books, records and regulatory

10


CORCEPT THERAPEUTICS INCORPORATED

NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, continued

approvals related to the Covered Products and any proceeds from them. Through September 30, 2017, we paid Biopharma $45.0 million.  We extinguished our obligations under the Financing Agreement in July 2017 with a final payment of $4.6 million.

We recorded interest expense of $37,000 and $456,000 for the three and nine months ended September 30, 2017, respectively, and $455,000 and $1.6 million for the three and nine months ended September 30, 2016, respectively and total accreted interest of $15.0 million for the period from August 2012 through September 30, 2017.  

The following table provides a summary of the payment obligations under the Financing Agreement as of September 30, 2017 and December 31, 2016, utilizing the payment assumptions discussed above:

 

 

September 30,

 

 

December 31,

 

 

 

2017

 

 

2016

 

 

 

(in thousands)

 

Total repayment obligation

 

$

45,000

 

 

$

45,000

 

Less interest in future periods

 

 

 

 

 

(456

)

Less unamortized financing costs

 

 

 

 

 

(14

)

Less payments made

 

 

(45,000

)

 

 

(29,866

)

Less current portion

 

 

 

 

 

(14,664

)

Long-term obligation, net of current portion

 

$

 

 

$

 

We capitalized $140,000 of issuance costs related to the Financing Agreement, which we amortized over the term of the obligation, based on the assumptions discussed above. At September 30, 2017 and December 31, 2016, the unamortized issuance costs were approximately zero and $14,000, respectively, and are included in “long-term obligation,” netted against debt on our balance sheets.

5. Commitments and Contingencies

Leases

In February 2016, we extended the lease for our office space through 2019 and added more space.  Effective May 1, 2016, we terminated our lease early and replaced it with a new one effective through March 31, 2019. On June 1, 2017, we amended that lease to add more space. Rent expense for the three months ended September 30, 2017 and 2016 was $279,000 and $246,000, respectively. Rent expense for the nine months ended September 30, 2017 and 2016 was $786,000 and $639,000, respectively. 

As of September 30, 2017, future minimum lease payments under non-cancelable operating leases were as follows:

 

 

Lease

 

 

 

Payments

 

2017 (remainder)

 

$

264

 

2018

 

 

1,256

 

2019

 

 

314

 

Thereafter

 

 

 

Total

 

$

1,834

 

Contingencies

In the ordinary course of business, we may be subject to legal claims and regulatory actions that could have a material adverse effect on our business or financial position. We assess our potential liability in such situations by analyzing potential outcomes, assuming various litigation, regulatory and settlement strategies.  If we determine a loss is probable and its amount can be reasonably estimated, we accrue an amount equal to the estimated loss.

On August 4, 2017, Corcept terminated its pharmaceutical services agreement with Dohmen, dated as of May 21, 2013, as amended July 22, 2013 and again on October 6, 2014 (the “Dohmen Agreement”) for material breach, pursuant to Section 5.2.2 of the Dohmen Agreement.  On August 7, 2017, Dohmen filed a complaint in the Court of Chancery of the State of Delaware against Corcept alleging unlawful termination and breach of contract and requesting declaratory relief and damages (the “Dohmen Lawsuit”). On September 27, 2017, Dohmen amended its complaint to add a claim alleging trade secret misappropriation. In its amended complaint, Dohmen has requested specific performance and an injunction.

11


CORCEPT THERAPEUTICS INCORPORATED

NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, continued

Dohmen has refused to transfer to Corcept the cash it collects from $12.9 million in Korlym® net receivables, despite its obligation to do so. Dohmen has instead placed the funds it collects in an escrow account at U.S. Bank (“Escrow Funds”), subject to release by order of the Court or mutual agreement of Dohmen and Corcept. As of September 30, 2017, the total amount of these receivables has been included in “Other assets” on our balance sheet.  

On August 29, 2017, Corcept sued Dohmen in the Superior Court of the State of Delaware alleging fraudulent inducement, negligent misrepresentation, breach of contract, breach of the covenant of good faith and fair dealing and conversion, and seeking monetary damages and declaratory relief (the “Corcept Lawsuit”). On September 20, 2017, Dohmen removed the Corcept Lawsuit to the United States District Court for the District of Delaware. The parties have agreed to stay proceedings with respect to the Corcept Lawsuit pending the resolution of the Dohmen Lawsuit in the Court of Chancery.

We cannot reasonably estimate our possible loss or range of possible losses, if any, in this litigation. Therefore, we have made no provision for a loss contingency.

6. Stock Option Plans

We have two stock option plans – the 2004 Equity Incentive Plan (the “2004 Plan”) and the 2012 Incentive Award Plan (the “2012 Plan”).  On February 10, 2017, our Board of Directors authorized a 4.5 million share increase in the shares available for grant under the 2012 Plan.

During the nine months ended September 30, 2017, we issued 1,372,000 shares of our common stock upon the exercise of stock options.

The following table summarizes our stock-based compensation:

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

 

September 30,

 

 

September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

 

 

(in thousands)

 

 

(in thousands)

 

Research and development

 

$

1,049

 

 

$

321

 

 

$

2,552

 

 

$

879

 

Selling, general and administrative

 

 

2,574

 

 

 

1,510

 

 

 

6,977

 

 

 

4,222

 

Total stock-based compensation

 

$

3,623

 

 

$

1,831

 

 

$

9,529

 

 

$

5,101

 

7. Net Income Per Share

Basic and diluted net income per share is computed by dividing the net income by the weighted-average number of common shares outstanding during the period. We used the treasury stock method to determine the number of dilutive shares of common stock resulting from the potential exercise of stock options. The statements of comprehensive income show the computation of net income per share for each period, including the number of weighted-average shares outstanding.

12


CORCEPT THERAPEUTICS INCORPORATED

NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, continued

The following table shows the computation of net income per share for each period:

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

 

September 30,

 

 

September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

 

 

(in thousands)

 

 

(in thousands)

 

Numerator:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income

 

$

13,757

 

 

$

2,585

 

 

$

30,792

 

 

$

3,543

 

Denominator:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted-average shares used to compute basic net income per

   share

 

 

113,603

 

 

 

110,652

 

 

 

113,242

 

 

 

110,118

 

Dilutive effect of employee stock options

 

 

12,048

 

 

 

5,767

 

 

 

10,175

 

 

 

5,045

 

Weighted-average shares used to compute diluted net income

   per share

 

 

125,651

 

 

 

116,419

 

 

 

123,417

 

 

 

115,163

 

Net income per share attributable to common stockholders

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic

 

$

0.12

 

 

$

0.02

 

 

$

0.27

 

 

$

0.03

 

Diluted

 

$

0.11

 

 

$

0.02

 

 

$

0.25

 

 

$

0.03

 

On a weighted-average basis, 1.1 million and 3.3 million stock options outstanding during the three and nine months ended September 30, 2017, respectively, and 4.5 million and 4.6 million stock options outstanding during the three and nine months ended September 30, 2016, respectively, were excluded from the computation of diluted net income per share because including them would have reduced dilution.

The following table presents information on securities outstanding as of the end of each period that could potentially dilute the per share data:

 

 

September 30,

 

 

 

2017

 

 

2016

 

 

 

(in thousands)

 

Stock options outstanding

 

 

20,729

 

 

 

18,570

 

8. Income taxes

Our quarterly income taxes reflect our estimated annual effective tax rate.  We recorded an income tax benefit of $48,000 and expense of $129,000 during the three and nine months ended September 30, 2017, respectively, compared to no income tax benefit or expense for the three and nine months ended September 30, 2016.  Income tax benefit for the three months ended September 30, 2017 was primarily due to employee stock option activity. Income tax expense for nine months ended September 30, 2017 was primarily due to income tax in states where we did not have net operating loss carryforwards sufficient to offset our taxable income.  

We have recorded an allowance offsetting the entire value of our net deferred tax assets, consisting primarily of accumulated net operating losses, research and development tax credits, and capitalized research and development expenses. As a result, these assets do not appear on our balance sheet.  There is a reasonable possibility that within the next 12 months we will conclude that our future taxable income will be sufficient to allow us to utilize all or some of these assets.  In the period we reach that conclusion, we will add to that period’s net income an amount equal to the value of these assets, net of appropriate reserves, and increase our deferred tax assets by a corresponding amount.


ITEM 2.

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Forward-Looking Statements

This Management Discussion should be read in conjunction with the financial statements and accompanying notes in this report. Statements in this section are “forward-looking” within the meaning of the federal securities laws.  Forward-looking statements are subject to known and unknown risks and uncertainties that might cause actual results to differ materially from those the statements express or imply.  For a discussion of these risks and uncertainties, see “Forward-Looking Statements” included in “Risk Factors” in Part II, Item 1A of this Form 10-Q and the “Overview” and “Liquidity and Capital Resources” sections of this Management’s Discussion and Analysis of Financial Condition and Results of Operations.

Overview

We are engaged in the discovery, development and commercialization of drugs that treat severe metabolic, oncologic and psychiatric disorders by modulating the effects of the hormone cortisol. Elevated levels and abnormal release patterns of cortisol are implicated in a broad range of diseases. Since our founding in 1998, we have developed mifepristone, a compound that modulates the effects of cortisol by acting as a competitive antagonist at the glucocorticoid receptor (“GR”). We have discovered three structurally distinct series of proprietary, selective cortisol modulators, all of which share mifepristone’s affinity for GR but, unlike mifepristone, do not bind to the progesterone receptor and so do not cause effects associated with antagonism of activity at the progesterone receptor. Pre-clinical and clinical development of compounds from these series are in progress.

In 2012, the United States Food and Drug Administration (“FDA”) approved Korlym® (mifepristone) 300 mg tablets, as a once-daily oral medication for the treatment of hyperglycemia secondary to hypercortisolism in adult patients with endogenous Cushing’s syndrome who have type 2 diabetes mellitus or glucose intolerance and have failed surgery or are not candidates for surgery. We have discovered 4 structurally distinct series of selective cortisol modulators, consisting of more than 1,000 compounds. We are conducting twodeveloping compounds from these series as potential treatments for a broad range of serious disorders.

We were incorporated in the State of Delaware in May 1998. Our headquarters are located in Menlo Park, California.
Basis of Presentation
We have prepared the following in accordance with U.S. generally accepted accounting principles (“GAAP”) for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X: (i) condensed consolidated balance sheet as of June 30, 2021 and (ii) condensed consolidated statements of comprehensive income and stockholders’ equity for the three- and six-month periods ended June 30, 2021 and 2020 and (iii) condensed consolidated statements of cash flows for the six-month periods ended June 30, 2021 and 2020. These do not include all of the information and footnotes required by GAAP for complete financial statements. In the opinion of management, all adjustments considered necessary for a fair presentation (which in the applicable periods consist only of normal, recurring adjustments) have been included. Operating results for the three- and six-month periods ended June 30, 2021 are not necessarily indicative of the results for the remainder of 2021 or any other period. These financial statements and notes should be read in conjunction with the consolidated financial statements for the year ended December 31, 2020 included in our Annual Report on Form 10-K. The December 31, 2020 consolidated balance sheet was derived from audited financial statements at that date.
There have been no material changes in the significant accounting policies described in our Annual Report on Form 10-K for the year ended December 31, 2020.
Recently Adopted Accounting Pronouncement
In December 2019, the FASB issued ASU No. 2019-12 (ASC Topic 740), “Simplifying the Accounting for Income Taxes.” This standard simplifies accounting for income taxes by removing certain exceptions to the general principles and clarifying existing guidance, and is effective for fiscal years, and interim periods within those years, beginning after December 15, 2020. We adopted this standard on January 1, 2021. The adoption had no impact on our condensed consolidated financial statements.
7

2. Composition of Certain Balance Sheet Items
Inventory
June 30,
2021
December 31,
2020
 (in thousands)
Raw materials$$1,685 
Work in progress14,379 12,916 
Finished goods5,024 6,556 
Total inventory19,403 21,157 
Less strategic inventory classified as non-current(14,734)(16,247)
Total inventory classified as current$4,669 $4,910 
Because we rely on a single manufacturer for the active pharmaceutical ingredient (“API”) for Korlym, we have purchased and hold significant quantities of API, including API held in our work in progress inventory. We classify inventory we do not expect to sell within 12 months of the balance sheet date as “Strategic Inventory,” a long-term asset. 
Property and Equipment
June 30,
2021
December 31,
2020
(in thousands)
Furniture and equipment$1,034 $810 
Software1,485 1,485 
Leasehold improvements1,262 1,233 
Total property and equipment3,781 3,528 
Less accumulated depreciation(2,367)(1,853)
Property and equipment, net of accumulated depreciation$1,414 $1,675 
Accrued and other liabilities
June 30,
2021
December 31,
2020
 (in thousands)
Government rebates$10,638 $9,412 
Accrued compensation7,740 10,144 
Professional fees760 151 
Accrued selling and marketing costs729 665 
Legal fees670 612 
Income taxes payable665 
Other312 202 
Total accrued and other liabilities$21,514 $21,186 
Other assets
As of June 30, 2021 and December 31, 2020, Other assets included $3.9 million and $4.8 million of deposits for clinical trials, respectively.
8

3. Available-for-Sale Securities and Fair Value Measurements
The available-for-sale securities in our Condensed Consolidated Balance Sheets are as follows:
June 30,
2021
December 31,
2020
(in thousands)
Cash equivalents$69,303 $50,524 
Short-term marketable securities274,552 364,506 
Long-term marketable securities101,657 36,196 
Total marketable securities$445,512 $451,226 
The following table presents our available-for-sale securities grouped by asset type:
 Fair Value
Hierarchy
Level
June 30, 2021December 31, 2020
Amortized CostGross Unrealized GainsGross Unrealized LossesEstimated Fair ValueAmortized CostGross Unrealized GainsGross Unrealized LossesEstimated Fair Value
  (in thousands)
Corporate bondsLevel 2$103,226 $15 $(38)$103,203 $96,999 $74 $(9)$97,064 
Commercial paperLevel 2125,882 125,882 139,791 139,791 
Asset-backed securitiesLevel 257,007 (19)56,994 39,243 15 (1)39,257 
U.S. treasury securitiesLevel 190,127 10 (7)90,130 124,461 131 (2)124,590 
Money market fundsLevel 169,303 69,303 50,524 50,524 
Total marketable securities$445,545 $31 $(64)$445,512 $451,018 $220 $(12)$451,226 
We estimate the fair value of marketable securities classified as Level 1 using quoted market prices for these or identical investments obtained from a commercial pricing service. We estimate the fair value of marketable securities classified as Level 2 using inputs that may include benchmark yields, reported trades, broker/dealer quotes and issuer spreads.
We periodically review our debt securities to determine if any of our proprietary selective cortisol modulator, relacorilant (the recently-approved generic nameinvestments is impaired due to credit-related or other issues. If the fair value of our investment in any debt security is less than our amortized cost basis, we determine whether an allowance for credit losses is appropriate by assessing quantitative and subjective factors including, but not limited to, the nature of security, changes in credit ratings, analyst reports concerning the security’s issuer and industry, interest rate fluctuations and general market conditions.
Unrealized losses on our available-for-sale debt securities as of June 30, 2021 were insignificant. Accordingly, we have not recorded an allowance for credit losses associated with these investments.
We do not intend to sell the investments that currently have unrealized losses. It is highly unlikely that we will sell any of our investments before recovery of their amortized cost basis, which may be at maturity.
We classified accrued interest on our marketable securities of $1.4 million and $1.3 million as of June 30, 2021 and December 31, 2020, respectively, as prepaid and other current assets on our condensed consolidated balance sheets.
As of June 30, 2021, all our marketable securities had original maturities of less than two years. The weighted-average maturity of our holdings was eight months. As of June 30, 2021, our long-term marketable securities had remaining maturities ranging from 14 to 21 months. None of our marketable securities changed from one fair value hierarchy to another during the three and six months ended June 30, 2021.
4. Commitments and Contingencies
There have been no material changes in our obligations under contractual agreements described in our Annual Report on Form 10-K for the compound CORT125134)year ended December 31, 2020.
In the ordinary course of business, we may be subject to legal claims and regulatory actions that could have a material adverse effect on our business or financial position. We assess our potential liability in such situations by analyzing potential
9

outcomes under various litigation, regulatory and settlement strategies. If we determine a loss is probable and its amount can be reasonably estimated, we accrue an amount equal to the estimated loss.
NaN losses and 0 provision for a loss contingency have been recorded to date.
5. Stockholders’ Equity
Stock Option Plans
We have 2 stock option plans – the 2004 Equity Incentive Plan (the “2004 Plan”) and the 2012 Incentive Award Plan (the “2012 Plan”)In February 2021, our Board of Directors authorized a 4.7 million increase in the shares available for grant under the 2012 Plan.
During the three and six months ended June 30, 2021, we issued 0.9 million and 2.7 million shares of our common stock upon the exercise of stock options, respectively. Certain option holders exercised their options on a “net exercise” basis, pursuant to which they surrendered to us, and we purchased from them at the current market price, enough shares to cover the exercise price and tax withholding requirements arising from the exercise. During the three and six months ended June 30, 2021, we purchased 0.1 million and 1.0 million shares in connection with such option net exercises, respectively. In connection with the shares purchased, during the three and six months ended June 30, 2021, we paid $1.6 million and $18.1 million, respectively, to satisfy the tax withholding obligations associated with the net-share settlement of these cashless option exercises. We are enrolling patientsrecorded these shares as treasury stock on our condensed consolidated balance sheets, at cost.
During the three and six months ended June 30, 2020, we issued 1.0 million and 1.1 million shares of our common stock upon the exercise of stock options, respectively. During each of the three and six months ended June 30, 2020, we purchased 0.1 million shares in connection with net option exercises, at a Phase 2 trialtotal cost of relacorilant$0.1 million.
Stock Repurchase Program
In November 2020, we announced that our Board of Directors approved a program to treat Cushing’s syndrome. We are also conducting a Phase 1/2 trialrepurchase up to $200 million of relacorilant combined with nab-paclitaxel (Celgene Corporation’s drug, Abraxane®our common stock (the “Stock Repurchase Program”) as a treatment for. Unless it is terminated or suspended prior to its expiration, the Stock Repurchase Program will remain in effect until September 30, 2021. The timing and amount of any repurchases pursuant to it will be determined based on market conditions, stock price and other factors. The Stock Repurchase Program does not require us to acquire any specific number of shares and it may be modified, suspended or discontinued at any time without notice. Repurchases pursuant to the Stock Repurchase Program may be made through a variety of solid-tumor cancers.

methods, including open market purchases, privately negotiated transactions, block trades and accelerated share repurchase transactions.

During the three and six months ended June 30, 2021, we repurchased 1.4 million and 2.6 million shares of common stock under the Stock Repurchase Program in open market transactions at an average price of $21.38 and $23.69 per share, for an aggregate purchase price of $29.2 million and $62.7 million, respectively. As of June 30, 2021, $127.6 million of the current authorization remained available for the repurchase of shares of our common stock.
We recorded repurchased shares as treasury stock on our condensed consolidated balance sheets, at cost. As of June 30, 2021 and December 31, 2020 we had 9.5 million and 5.9 million treasury shares outstanding, respectively.
Stock-based compensation
The following table summarizes our stock-based compensation by account:
Three Months Ended June 30,Six Months Ended June 30,
 2021202020212020
 (in thousands)
Stock-based compensation capitalized in inventory$63 $59 $104 $129 
Cost of sales16 15 26 38 
Research and development3,825 2,794 7,330 5,399 
Selling, general and administrative7,227 5,680 13,813 10,970 
Total stock-based compensation$11,131 $8,548 $21,273 $16,536 

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6. Net Income Per Share
We compute basic and diluted net income per share by dividing our net income by the weighted-average number of common shares outstanding during the period, including potentially dilutive shares. We used the treasury stock method to determine the number of dilutive shares of common stock resulting from the potential exercise of stock options.
The following table shows the computation of net income per share for each period:
Three Months Ended June 30,Six Months Ended June 30,
 2021202020212020
 (in thousands)
Numerator:  
Net income$26,523 $28,327 $49,988 $58,392 
Denominator:
Weighted-average shares used to compute basic net income per share116,294 115,006 116,555 114,790 
Dilutive effect of employee stock options10,386 8,228 11,649 7,966 
Weighted-average shares used to compute diluted net income per share126,680 123,234 128,204 122,756 
Net income per share
Basic$0.23 $0.25 $0.43 $0.51 
Diluted$0.21 $0.23 $0.39 $0.48 
As of June 30, 2021 and 2020, we had 26.0 million and 26.4 million stock options outstanding, respectively.
Because including them would have begun clinicalreduced dilution, we excluded from the computation of diluted net income per share, on a weighted-average basis, 4.6 million and 3.5 million stock options outstanding during the three and six months ended June 30, 2021, respectively, and 13.4 million and 13.0 million stock options outstanding during the three and six months ended June 30, 2020, respectively.
7. Income Taxes
We recorded income tax expense of $5.5 million and $2.0 million for the three and six months ended June 30, 2021, respectively. In the three and six months ended June 30, 2020, respectively, our income tax expense was $7.9 million and $17.1 million. The decrease is primarily related to lower profit before tax as well as increased excess tax benefits for stock option exercises recorded in the three and six months ended June 30, 2021, as compared to the corresponding periods in 2020.
Our effective tax rate differs from the federal statutory rate due to state income taxes and the non-deductible portion of our stock-based compensation, which increased our tax expense, offset by tax benefits for research and development tax credits and the excess tax deduction arising from the exercise of employee stock options, which reduced our taxable income.
During the three and six months ended June 30, 2021, unrecognized tax benefits increased by $0.6 million and $0.8 million, respectively. As of June 30, 2021, the Company had unrecognized tax benefits of $6.7 million that, if recognized, would affect the Company’s effective tax rate and approximately $1.6 million of unrecognized tax benefits would not impact the effective tax rate as they would be offset by a corresponding change in valuation allowance.
Each quarter, we assess the likelihood that we will generate sufficient taxable income to use our federal and state deferred tax assets. If we believe that recovery of these deferred tax assets is not more likely than not, we establish a valuation allowance offsetting such assets on our balance sheet. Significant judgment is required in assessing the need for a valuation allowance. We consider all available evidence, including our recent operating results and our forecasts of future taxable income. Other than valuation allowances against our California net deferred tax assets, we have determined that it is more likely than not we will realize the benefit related to all other deferred tax assets. To the extent we increase a valuation allowance, we will include an expense in the Condensed Consolidated Statement of Comprehensive Income in the period in which such determination is made.
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ITEM 2.  MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The following Management’s Discussion and Analysis of Financial Condition and Results of Operations (“MD&A”) is intended to help the reader understand our results of operations and financial condition and is provided as a supplement to, and should be read in conjunction with our condensed consolidated financial statements and the accompanying notes to financial statements, risk factors and other disclosures included in this Form 10-Q. Our condensed consolidated financial statements have been prepared in accordance with U.S. Generally Accepted Accounting Principles (“U.S. GAAP”).
We make statements in this section that are forward-looking statements within the meaning of the federal securities laws. For a complete discussion of such forward-looking statements and the potential risks and uncertainties that may affect their accuracy, see the “Risk Factors” section of this Form 10-Q and the “Overview” and “Liquidity and Capital Resources” sections of this MD&A.
Overview
We are a commercial-stage company engaged in the discovery and development of two of our other selective cortisol modulators, CORT125281drugs that treat severe metabolic, oncologic and CORT118335.  We plan to develop CORT125281 in combination withpsychiatric disorders by modulating the androgen receptor antagonist enzalutamide (Pfizer Inc.’s drug, Xtandi®) to treat patients with castration-resistant prostate cancer and CORT118335 to treat patients with non-alcoholic fatty liver disease and antipsychotic-induced weight gain.

Cushing’s Syndrome

Background.  Cushing’s syndrome is caused by hypercortisolism – the prolonged exposureeffects of the body’s tissues to high levels of the stress hormone cortisol. Cushing’s syndrome is relatively uncommon and most often affects adults aged 20 to 50. An estimated 10 to 15 of every one million people are newly diagnosed with this syndrome each year, resulting in approximately 3,000 new patients and about 20,000 patients with Cushing’s syndrome in the United States, approximately half of whom are cured by surgery.

Since 2012, we have marketed Korlym to Treat Patients with Cushing’s Syndrome. We have received Orphan Drug designation from the FDA for Korlym(mifepristone) for the treatment of patients with endogenoussuffering from Cushing’s syndrome. Orphan Drugs receive seven yearsOur portfolio of marketing exclusivity for the approved indication from the dateproprietary selective cortisol modulators consists of drug approval, as well as tax credits for clinical trial costs, marketing application filing fee waiversfour structurally distinct series totaling more than 1,000 compounds, including relacorilant, exicorilant and assistance from the FDA in the drug development process.

We first made miricorilant.

Cushing’s Syndrome
Korlym available to patients commercially in April 2012.. We sell Korlym in the United States, using experienced sales representatives who target the endocrinologiststo call on physicians caring for patients with endogenous Cushing’s syndrome. We also reach patients directly through web-based initiatives and interactions with patient groups.syndrome (hypercortisolism). Because many people who suffer from Cushing’s syndrome can remainare undiagnosed or be inadequately treated, we have developed and continue to refine and expand programs to educate physicians and patients about diagnosis of this syndromescreening for hypercortisolism and the role cortisol modulatorsKorlym can play in treating the disease. In addition, wedisorder. We also have a field-based force of medical science liaisons.

We use aone specialty pharmacy and aone specialty distributor to distribute Korlym and provide logistical support. We donate moneysupport to independent charitable foundations. These organizations, along with our own programs, help us ensurephysicians and patients. Our policy is that no patient with Cushing’s syndrome iswill be denied access to Korlym for financial reasons.

Relacorilant (CORT125134) To help us achieve that goal, we fund our own patient support programs and donate money to Treat Patientsindependent charitable foundations that help patients pay for all aspects of their Cushing’s syndrome care, whether or not that care includes taking Korlym.

We hold patents listed in the United States Food and Drug Administration’s (“FDA’s”) Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”) covering uses of Korlym in the treatment of patients with Cushing’s Syndromesyndrome, with additional patent applications that may be suitable for listing in the Orange Book under review by the U.S. Patent and Trademark Office. Our Orange Book patents have expiration dates ranging from 2028 to 2038.
Relacorilant. We are enrolling patients in aconducting two Phase 2 trial3 trials of our proprietary, selective cortisol modulator, relacorilant, to treat patients with Cushing’s syndrome. Relacorilant shares Korlym’s affinity for GR. Data from relacorilant’s Phase 1 trial showed that it can prevent the effects of the steroid prednisone,as a commonly-used synthetic GR agonist, on serum osteocalcin, white blood cell counts, glucose metabolism and expression of the FKBP5 gene – a


marker of GR activation. Modulating the effect of prednisone is important because it is a strong surrogate for modulation of the natural hormone cortisol – the essential quality of an effective treatment for patients with Cushing’s syndrome. UnlikeRelacorilant was well-tolerated in its Phase 1 and Phase 2 trials. Patients in the Phase 2 trial exhibited meaningful improvements in glucose control, hypertension, weight loss, liver function, coagulopathy, cognition, mood, insulin resistance and quality of life measures. Relacorilant shares Korlym’s affinity for the glucocorticoid receptor (“GR”), but, unlike Korlym, relacorilant has no affinity for the progesterone receptor.

We have developedreceptor (“PR”), and so is not the “abortion pill” and does not cause the effects associated with PR affinity, including endometrial thickening and vaginal bleeding. Relacorilant also does not appear to cause hypokalemia (low potassium), a CLIA-validated assay to measure FKBP5 gene expressionpotentially serious adverse event that we believe will enable physicians to more easily identify newis a leading cause of patients stopping treatment with Korlym. Forty-four percent of patients in Korlym’s pivotal trial experienced hypokalemia.

Our Phase 3 GRACE trial has a planned enrollment of 130 patients with hypercortisolismall etiologies of Cushing’s syndrome at sites in the United States, Canada, Europe and better treatIsrael. Each patient in GRACE receives relacorilant for 22 weeks. Patients who exhibit pre-specified improvements in hypertension or glucose metabolism enter a 12-week, double-blind, “randomized withdrawal” phase, in which half of the patients alreadycontinue receiving relacorilant and the rest receive placebo. The trial’s primary endpoint is the rate and degree of relapse in patients receiving placebo measured against the rate and degree of relapse in those continuing relacorilant. If successful, we expect GRACE to provide the basis for a new drug application for relacorilant as a treatment for patients with all etiologies of Cushing’s syndrome.
We are conducting a second Phase 3 trial of relacorilant, GRADIENT, in patients whose Cushing’s syndrome is caused by a benign adrenal tumor. These patients often exhibit less severe symptoms or have a slower course of disease than patients with other etiologies of Cushing’s syndrome, although their care.

Oncology

health outcomes are ultimately poor. Half of the patients in

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GRADIENT will receive relacorilant for 26 weeks and half will receive placebo. The trial’s primary endpoints are improvement in glucose metabolism and hypertension. The planned enrollment for this study is 130 patients. Many of the clinical sites in GRACE are participating in GRADIENT.
The FDA and the European Commission (“EC”) have designated relacorilant as an orphan drug for the treatment of Cushing’s syndrome. In the United States, relacorilant’s orphan designation confers tax credits, reduced regulatory fees and, provided we obtain approval for the treatment of patients with Cushing’s syndrome, seven years of exclusive marketing rights. Benefits of orphan drug designation by the EC are similar, but also include protocol assistance from the European Medicines Agency (“EMA”), access to the centralized marketing authorization procedure in the European Union’s (“EU”) and, if we obtain approval, ten years of exclusive marketing rights in the EU for the treatment of patients with Cushing’s syndrome.
Oncology
There is substantial in vitro, in vivo and clinical evidence that cortisol’s activity allows certain types of solid tumors to resist treatment. In some cancers, cortisol activity promotes tumor growth. In other cancers, cortisol stimulates genes that retard cellular apoptosis. Cortisol also suppresses the body’s immune response; activating, not suppressing, the immune system is beneficial in fighting certain cancers. Adding a cortisol modulator to a treatment regimen may help the patient’s immune system combat the disease. Many types of solid tumors express GR and are potential targets for cortisol modulation therapy, among them triple-negative breast, ovarian, pancreatic, adrenocortical and castration-resistant prostate cervical,cancer.
Relacorilant in Patients with Solid Tumors. Our trials in ovarian and pancreatic cancers, as well as sarcoma and melanoma.

Relacorilantcancer are examining whether adding relacorilant to Treat Patients with Solid-Tumors.  We are conductingnab-paclitaxel will suppress cortisol’s anti-apoptotic effect to help nab-paclitaxel achieve its intended tumor-killing effect. In July 2020, we completed enrollment in a 178-patient, controlled Phase 1/2 trial of Abraxanerelacorilant in combination with nab-paclitaxel in patients with platinum resistant ovarian cancer at sites in the United States and Europe. Study participants were randomized to one of three treatment arms: Sixty women received 150 mg of relacorilant “intermittently,” the day before, the day of and the day after their weekly nab-paclitaxel infusion. Fifty-eight women received a daily relacorilant dose of 100 mg per day, with titration to treat solid-tumors. Once150 mg per day permitted at the investigator’s discretion in addition to nab-paclitaxel. Sixty women received nab-paclitaxel alone. The trial’s primary endpoint was progression-free survival (or “PFS”).

Patients in both of the relacorilant plus nab-paclitaxel treatment arms of our Phase 2 ovarian cancer trial experienced longer PFS compared to patients who received nab-paclitaxel alone. Patients who received a higher dose of relacorilant given intermittently exhibited a statistically significant improvement in PFS compared to those who received nab-paclitaxel alone (5.6 months versus 3.8 months, hazard ratio: 0.66; p-value: 0.038). Patients who received a lower dose of relacorilant given daily exhibited a 1.5 month longer median PFS compared to patients who received nab-paclitaxel alone (5.3 months versus 3.8 months, hazard ratio: 0.83; p-value: not significant). Safety and tolerability of relacorilant plus nab-paclitaxel was comparable to nab-paclitaxel monotherapy. Based on these positive results, we identify a recommended dose, we will open expansion cohorts to test the combination’s efficacy in a variety of tumor types. We plan to openinitiate a pivotal Phase 3 trial in the first cohort in the fourth quarter of 2017, enrolling2022.
In June 2021, we completed a planned interim analysis of data from the first 43 patients to enroll in our open-label study of relacorilant plus nab-paclitaxel in patients with metastatic pancreatic cancer.   We continue to explore opening cohortscancer (the RELIANT trial). All 43 patients in the interim analysis had already received 2-4 prior lines of therapy and 40 had experienced progressive disease while receiving prior nab-paclitaxel. Two of 31 evaluable patients with other solid-tumors, including metastatic triple-negative breast and ovarian cancer.

We may also evaluate relacorilant in combination with other cancer therapies, including immunotherapy, to treat solid tumors.

Korlym to Treat Patients with Triple-Negative Breast Cancerthe interim analysis group exhibited tumor shrinkage qualifying as a partial response by the RECIST 1.1 criteria (“TNBC”).  In December 2016, we announced the results of our Phase 1/2 trial of Korlym in combination with eribulin (Eisai Inc.’s drug, Halaven®) to treat patients with metastatic TNBC.  The trial studied 21 patients with GR-positive tumors, one with GR-negative tumors and one with tumors whose GR status was not known. As determined using the Response Evaluation Criteria in Solid Tumors (“RECIST”Tumors”), efficacy. Fifteen patients achieved stable disease for at least 12 weeks. The combination was well-tolerated. While these results were as follows: four patients exhibited a partial response, definedsuggest that the combination of relacorilant and nab-paclitaxel was active, the apparent level of benefit does not justify its further study as a 30 percent or greater reduction in tumor size; eight had stable disease; and 11 had progressive disease. Six patients achieved progression-free survival (“PFS”) longer than the upper bound of the 95% confidence intervaltreatment for PFS (15 weeks) in patients receiving Halaven® monotherapy in a comparable population (Aogi et al., Annals of Oncology 23: 1441-1448, 2012). Median PFSend-stage pancreatic cancer. Accordingly, we have stopped enrollment in the trial was 11.1 weeks – compared to 7.2 weeks in the Halaven monotherapy study reported by Aogi.

trial.

We believe the addition of Korlym to chemotherapy warrants further study. University of Chicago investigators are leading a 64-patient double-blind, placebo-controlled, multi-center,also conducting an open-label, Phase 21b trial of Korlym combined with Abraxane to treatrelacorilant plus the PD-1 checkpoint inhibitor pembrolizumab in 20 patients with TNBC. Celgene is fundingmetastatic or unresectable adrenal cancer with cortisol excess. The trial will examine whether adding relacorilant to pembrolizumab therapy reduces cortisol-activated immune suppression sufficiently to help pembrolizumab achieve its intended tumor-killing effect, while relacorilant treats the trial.  We are providing Korlym.

Cortisol Modulators to TreatCushing’s syndrome caused by excess cortisol activity.

Exicorilant and Relacorilant in Patients with Castration-Resistant Prostate Cancer (“CRPC”). Because androgens stimulate prostate tumor growth, androgen-deprivationandrogen deprivation is a commonthe standard treatment for metastatic prostate cancer. Tumors eventuallyoften escape androgen-deprivationandrogen deprivation therapy including antagonism of the androgen receptor, through the proliferation of cells for which cortisol’s stimulation of GR is the primary growth factor.GR. Combining a cortisol modulator with an androgen modulator such as Xtandi may block this escape route.

University of Chicago investigators are leading an 84-patient, controlled, multicenter Phase 2 study of Korlym combined with Xtandi to treat patients with metastatic CRPC.  The Department of Defense and the Prostate Cancer Foundation are funding the trial. Pfizer is providing Xtandi. We are providing Korlym.  

We have begun a Phase 1conducting an open label, dose-finding trial in healthy subjects of our proprietary, selective cortisol modulator CORT125281.  In the fourth quarter of this year, we will begin a dose-ranging trial of CORT125281 combinedexicorilant in combination with Xtandi to treatenzalutamide in patients with metastatic CRPC.

We have exclusively licensed patents from In addition, investigators at the University of Chicago covering the useare conducting a dose-finding trial of cortisol modulatorsrelacorilant combined with anticancer agentsenzalutamide in the same patient population. We are providing relacorilant for this trial.

Metabolic Diseases
13

Antipsychotic-Induced Weight Gain (“AIWG”). We are studying our selective cortisol modulator miricorilant as a potential treatment for AIWG. In the United States, six million people take antipsychotic medications such as olanzapine and risperidone to treat TNBCillnesses such as schizophrenia, bipolar disorder and depression. While these drugs are very effective, they exact a steep price in the form of rapid and sustained weight gain, cardiovascular disease and other metabolic disturbances. Patients can gain 4.0-4.5 kg of weight in the first 10 weeks while they take these medications. These patients have a 10- to 25-year reduction in life expectancy, due in large part to increased cardiovascular events, such as heart attacks and strokes.
In 2020, we completed a double-blind, placebo-controlled Phase 1b trial, in which 96 healthy subjects received daily doses of the antipsychotic medication olanzapine (10 mg) and miricorilant (600 mg or 900 mg) or placebo for 14 days. Study participants who received miricorilant gained less weight than subjects receiving placebo. In addition, markers of liver damage that rise temporarily at the start of olanzapine therapy increased less sharply in subjects receiving miricorilant. These results were consistent with androgen deprivation agentsthe findings of similar studies we conducted in healthy volunteers using mifepristone (published in Advances in Therapy and Obesity in 2009 and 2010).
Based on these positive results, as well as compelling pre-clinical data, we are conducting two double-blind, placebo-controlled, Phase 2 trials of miricorilant – GRATITUDE and GRATITUDE II.
GRATITUDE is evaluating the ability of a daily dose of miricorilant (600 mg) to treat CRPC.

reverse recent AIWG, with a planned enrollment of 100 patients with schizophrenia or bipolar disorder at 30 sites in the United States. Study participants receive their established antipsychotic medication plus either miricorilant or placebo for 12 weeks.

GRATITUDE II is evaluating the ability of miricorilant to reverse long-standing AIWG in 150 patients with schizophrenia at 35 centers in the United States. Study participants receive their established antipsychotic medication plus either miricorilant (600 mg or 900 mg daily) or placebo for 26 weeks. The primary endpoint in both the GRATITUDE and GRATITUDE II trials is the change in body weight from baseline, relative to placebo.
Liver Disease. We are also studying miricorilant as a potential treatment for nonalcoholic steatohepatitis (“NASH”). In April 2021, we suspended our Phase 2a trial after observing elevated liver enzymes in four of the first five patients who received miricorilant for four weeks. Our Other Selective Cortisol Modulators

Relacorilant, CORT125281investigation made two notable findings. First, the elevations in ALT and CORT118335AST resolved after miricorilant was withdrawn. Second, the patients with elevated liver enzymes exhibited large, rapid reductions in liver fat. We are initiating a dose-finding trial with the leading compoundsgoal of capturing this benefit safely.

Continued Discovery and Development
Our selective cortisol modulator CORT113176, which has shown promise in our portfolioanimal models of proprietaryamyotrophic lateral sclerosis (“ALS”) has completed its Phase 1 trial. We plan to advance it to Phase 2 as a potential treatment for that disease. In addition, we continue to identify selective cortisol modulators which consists of more than 500 compounds in three structurally distinct families.  All of these compounds potently block GR but not the progesterone, estrogen or androgen receptors. Many of these compounds have demonstrated positive results in animal or in vitro models of cortisol modulation. We are advancingand plan to advance the most promising of them towards the clinic.  

clinic.

COVID-19 Pandemic
Much of the world is subject to varying degrees of pandemic-related public health restrictions, including California, where we are headquartered, and in the states where we sell Korlym and where we conduct clinical trials. Most of our third-party manufacturers, distributors (including the specialty pharmacy that dispenses Korlym), information technology service providers, law and accounting firms, clinical research organizations and others are also subject to pandemic-related restrictions.
These restrictions, as well as measures voluntarily undertaken by patients, physicians, hospitals and medical clinics to reduce the risk of coronavirus infection, have reduced our revenue and make it difficult to grow our Korlym business. Many physicians have sought to reduce the risk of COVID-19 infection by reducing the frequency of patient office visits and barring office visits by third parties, including our clinical specialists and medical science liaisons. In addition, many patients have been reluctant to leave the safety of their homes and have postponed visits to their physicians or the clinical laboratories or imaging centers that are essential for optimal care. These changes have made it difficult for physicians to identify patients who may benefit from Korlym, begin their treatment, titrate to an optimum dose and maintain their patients’ regimens, which has reduced our revenue.
The United States Patent & Trademark Officepandemic’s impact on the pace of our clinical development programs has issued us nine compositionbeen variable. Our trials of matter patents coveringindications not considered immediately life-threatening, such as Cushing’s syndrome, CRPC and AIWG have experienced slower enrollment. In addition, some clinical sites have stopped enrolling new patients or have reduced the frequency with which physicians see study participants. Some sites have suspended or halted the initiation of new clinical trials. Trials in patients with immediately life-threatening diseases, such as advanced pancreatic and ovarian cancer, did not encounter delays.
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We expect that pandemic-related impediments to our selective cortisol modulators and 21 method of use patents covering the use of cortisol modulators to treat a wide range of serious disorders.  We have exclusively licensed three U.S. method of use patents from Stanford University and five method of use patents from the University of Chicago. We also own an extensive portfolio of patents in countries around the world.  We have applied, andbusiness will continue so long as there are COVID-19 outbreaks and spikes in the locations in which we do business and conduct our clinical trials.
Please see the risk factor under Item 1A of this Quarterly Report, “The COVID-19 pandemic has adversely affected and is continuing to apply, for U.S.adversely affect our business. Other public health emergencies, natural disasters, terrorism or other catastrophes could disrupt our activities and foreign patents covering the compositionrender our own or our vendors’ facilities and method of use of our product candidates.   

equipment inoperable or inaccessible and require us to curtail or cease operations.”

Results of Operations

Net Product RevenueNet product revenue is gross product revenue from sales to our customers less deductions for estimated government rebates.

rebates and chargebacks.

Net product revenue was $42.8$91.6 million and $105.9$171.0 million for the three and ninesix months ended SeptemberJune 30, 2017,2021, respectively, as compared to $21.7$88.6 million and $57.5$181.8 million for the comparable periods in 2020. For the three months ended June 30, 2021, an increase in the corresponding periods in 2016. These increases were driven byaverage price of Korlym accounted for approximately all of the increase in ournet product revenue. For the six months ended June 30, 2021, the decrease in net product revenue was due to lower sales volume, as well aspartially offset by an increase in the average price of Korlym. The decrease in tablet shipments was primarily due to the effects of the COVID-19 pandemic on our business in the three months ended March 31, 2021.
We took a price increase in January 2017. This price increase represented approximately 7.2 percent and 7.7 percent of the increases in revenue for the three and nine months ended September 30, 2017, respectively.

on Korlym effective March 1, 2021.

Cost of salesCost of sales includes the cost of API, tableting, packaging, personnel, overhead, stability testing and distribution.

Cost of sales was $976,000$1.4 million and $2.4$2.7 million for the three and ninesix months ended SeptemberJune 30, 2017,2021, respectively, compared to $668,000$1.2 million and $1.5$3.1 million for the correspondingcomparable periods in 2016. For each of the three and nine months ended September 30, 2017, cost of sales was 2.3 percent of net product revenue, compared to 3.1 percent and 2.6 percent in the corresponding periods of 2016. 2020. Cost of sales as a percentage of revenue declinedwas 1.5 percent and 1.6 percent for the three and six months ended June 30, 2021, respectively, compared to 1.4 percent and 1.7 percent for the comparable periods in both periods2020. The decrease in cost of sales as a percentage of revenue for the six months ended June 30, 2021 was due to reduced manufacturing costs and increases in the price of Korlym.  The dollar value of our cost of sales increased in both periods due to greater sales volumes.

costs.

Research and development expenses – Research and development expenses include the cost of (1) retainingrecruiting and compensating development personnel, (2) clinical trials, (3) discovery research and pre-clinical studies, (4) drug product for useand preclinical studies in support of clinical trials and to support regulatory submissions, (4) discovery research and (5) the development of drug formulations and manufacturing processes and (6) regulatory activities.

processes.

Research and development expenses increased 65.8 percent to $11.7expense was $28.2 million and $57.3 million for the three and six months ended SeptemberJune 30, 20172021, respectively, compared to $7.1$26.5 million for the three months ended September 30, 2016. Research and development expenses increased 54.1 percent to $26.7 million for the nine months ended September 30, 2017 from $17.4$52.6 million for the comparable period in 2016. These2020. The increases were due primarily to increased spending on the advancement of relacorilantour Cushing’s syndrome and the hiring of additional clinical development employees.

Below is a summary of our researchpre-clinical programs and development expenses by major project:

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

 

September 30,

 

 

September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Project

 

(in thousands)

 

 

(in thousands)

 

Development programs:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Oncology

 

$

1,904

 

 

$

1,127

 

 

$

4,483

 

 

$

3,625

 

Cushing's syndrome

 

 

4,066

 

 

 

891

 

 

 

7,450

 

 

 

2,496

 

Pre-clinical selective cortisol modulators

 

 

3,278

 

 

 

3,904

 

 

 

8,678

 

 

 

7,487

 

Unallocated activities, including pre-clinical, manufacturing and

   regulatory activities

 

 

1,396

 

 

 

811

 

 

 

3,582

 

 

 

2,873

 

Stock-based compensation

 

 

1,049

 

 

 

321

 

 

 

2,552

 

 

 

879

 

Total research and development expense

 

$

11,693

 

 

$

7,054

 

 

$

26,745

 

 

$

17,360

 

Research and development expenses in 2017 and thereafter will depend on the outcomescompensation of development personnel, partially offset by decreased spending on our pre-clinical and clinical trials and our development plans. We expect research and development spending for the rest of 2017oncology program primarily due to be higher than it was in the corresponding period of 2016 as our research and development programs advance and we begin new ones.

Many factors affect the cost and timing of pre-clinicalpatient enrollments in our clinical trials.
Three Months Ended June 30,Six Months Ended June 30,
 2021
2020(1)
2021
2020(1)
(in thousands)
Development programs:  
Oncology$2,069 $9,083 $8,028 $18,337 
Cushing’s syndrome8,480 4,303 16,114 10,065 
Metabolic diseases5,169 5,298 11,120 9,695 
Pre-clinical and clinical selective cortisol modulators6,261 3,129 10,357 5,574 
Unallocated activities, including manufacturing and regulatory activities2,428 1,890 4,305 3,550 
Stock-based compensation3,825 2,794 7,330 5,399 
Total research and development expense$28,232 $26,497 $57,254 $52,620 
(1) Beginning in the first quarter of 2021, expenses for the three and six months ended June 30, 2020 previously allocated to Oncology and Endocrinology were re-allocated between their respective Cushing's syndrome, Metabolic diseases and pre-clinical development programs.

15

It is difficult to predict the timing and clinical programs,cost of development activities, which are subject to many uncertainties and risks, including inconclusive or negative results, slow patient enrollment, adverse side effects unforeseenand difficulties in the formulation or manufacture of study drugs and their real or perceived lack of efficacy or safety. Clinicaldrug-candidate efficacy. In addition, clinical development is also subject to extensive government regulation. These factors make it difficultoversight and regulations that may change without notice. We expect our research and development expense in 2021 to predictbe higher than in 2020 as our clinical programs advance. Research and development spending in future years will depend on the timingoutcome of our pre-clinical and cost ofclinical trials and our development activities.

plans.

Selling, general and administrative expenses - Selling, general and administrative expenses include (1) compensation of employees, consultants and contractors engaged in commercial and administrative activities, (2) the cost of vendors that supportsupporting commercial activities and (3) legal and accounting fees.

fees.

Selling, general and administrative expensesexpense was $30.0 million and $59.5 million for the three and six months ended SeptemberJune 30, 2017 increased 50.7 percent,2021, respectively, compared to $16.5$25.6 million from $10.9and $53.1 million for the comparable period of 2016. Selling, general and administrative expenses for the nine months ended September 30, 2017 increased 36.3 percent, to $45.6 million, from $33.5 million for the comparable periodperiods in 2016. These2020. The increases were primarily due to the growth of ourincreased employee compensation and sales organization and increased professional services fees.

marketing expenses.

We expect our selling, general and administrative expenses in 2021 to be higher in the remainder of 2017 than in the corresponding period of 20162020 due to the increased scope of our commercial activities. Selling, general and administrative activities arising from anticipated increased sales volumes, litigation and administrative support for the rest of 2017increased research and future years will depend on the cost of our commercial and clinical development efforts. 

development. 

Interest and other income (expense)- Interest and other income (expense)was $0.1 million and $0.4 million for the three and ninesix months ended SeptemberJune 30, 2017 consisted of income of $86,000 and expense of $237,000,2021, respectively, compared to $1.0 million and $2.5 million for the comparable periods in 2020. The decreases in interest and other income were due to market wide reductions in interest rates.
Income tax expense - We recorded an income tax expense of $487,000$5.5 million and $1.6$2.0 million for the three and six months ended June 30, 2021, respectively, compared to income tax expense of $7.9 million and $17.1 million for the comparable periods in 2020. The decrease is primarily related to lower profit before tax as well as increased excess tax benefits for stock option exercises recorded in the three and six months ended June 30, 2021, as compared to the corresponding periods in 2016. In the three months ended September 30, 2017, interest and other income consisted of interest income from marketable securities. In all other periods, these amounts primarily consisted of interest expense related to the Biopharma Financing Agreement. There will be no interest expense for the remainder of 2017 due to the retirement of the Financing Agreement in July 2017.

Income tax benefit (expense) Income tax benefit (expense) for the three and nine months ended September 30, 2017 was $48,000 and ($129,000), respectively.  Income tax benefit for the three months ended September 30, 2017 was primarily due to employee stock option activity.  Income tax expense for the nine months ended September 30, 2017 was for states where we did not have net operating loss carryforwards sufficient to offset our taxable income. We had no income tax benefit (expense) for the corresponding period in 2016.

Non-GAAP Financial Measures

We prepare our financial statements and footnotes in accordance with GAAP. We supplement these with non-GAAP measures of net income and net income per share that exclude non-cash expenses related to stock-based compensation expense and the accretion of interest expense under the Financing Agreement. We use these non-GAAP measures to manage our business and believe that they may help investors better evaluate our past financial performance and potential future results. Non-GAAP measures should not be considered in isolation or as a substitute for comparable GAAP accounting and investors should read them in conjunction with our financial statements and notes thereto prepared in accordance with GAAP. The non-GAAP measures of net income and net income per share we use may be different from, and not directly comparable to, similarly titled measures used by other companies.

2020.

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

 

September 30,

 

 

September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

 

 

(in thousands, except for per share data)

 

GAAP net income

 

$

13,757

 

 

$

2,585

 

 

$

30,792

 

 

$

3,543

 

Non-cash expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stock-based compensation

 

 

3,623

 

 

 

1,831

 

 

 

9,529

 

 

 

5,101

 

Accretion of interest expense related to long-term obligation

 

 

37

 

 

 

455

 

 

 

456

 

 

 

1,562

 

Non-GAAP net income, as adjusted for non-cash expenses

 

$

17,417

 

 

$

4,871

 

 

$

40,777

 

 

$

10,206

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic net income per share

 

$

0.12

 

 

$

0.02

 

 

$

0.27

 

 

$

0.03

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted net income per share

 

$

0.11

 

 

$

0.02

 

 

$

0.25

 

 

$

0.03

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Non-GAAP basic net income per share, as

   adjusted for non-cash expenses

 

$

0.15

 

 

$

0.04

 

 

$

0.36

 

 

$

0.09

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Non-GAAP diluted net income per share, as

   adjusted for non-cash expenses

 

$

0.14

 

 

$

0.04

 

 

$

0.33

 

 

$

0.09

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted-average shares outstanding shares used in computing

   net income per share

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic

 

 

113,603

 

 

 

110,652

 

 

 

113,242

 

 

 

110,118

 

Diluted

 

 

125,651

 

 

 

116,419

 

 

 

123,417

 

 

 

115,163

 

Liquidity and Capital Resources

Until 2016, we incurred net operating losses every year. At September 30, 2017, we had an accumulated deficit of $291.5 million.

Since 2012,2015, we have relied on revenues from the sale of Korlym and proceeds from the sale of common stock and from the Financing Agreement to fund our operations.


Based on our current plans which include fully funding our Cushing’s syndrome commercial operations, conducting Phase 2 and Phase 3 trials of relacorilant in both Cushing’s syndrome and solid tumors and the Phase 1 and Phase 2 trials of CORT125281 and CORT118335,expectations, we expect to fund our operations and planned research and development activities without needing to raise additional funds, although we may choose to raise additional funds to finance our strategic priorities.for other reasons. If we were to raise funds, equity financing maywould be dilutive, to stockholders. Debtdebt financing if available, maycould involve restrictive covenants.  Fundscovenants and funds raised through collaborations with other companies may require us to enter into unfavorable arrangements or may require us to relinquish certain rights toin our product candidates.

At September

As of June 30, 2017,2021, we had cash, cash equivalents and marketable securities of $76.7$471.6 million, consisting of cash and cash equivalents of $31.1$95.4 million and marketable securities of $45.6$376.2 million, compared to $51.5cash, cash equivalents and marketable securities of $476.9 million, consisting of cash and cash equivalents atof $76.2 million and marketable securities of $400.7 million as of December 31, 2016. Net cash provided by operating activities for the nine months ended September 30, 2017 increased to $36.1 million, compared to $13.8 million for the nine months ended September 30, 2016 due to higher sales volumes. Net cash used in investing activities for the nine months ended September 30, 2017 was $46.0 million, primarily due to purchases of marketable securities, while net cash used in investing activities for the nine months ended September 30, 2016 was $119,000. Net cash provided by stock option exercises was $4.6 million for the nine months ended September 30, 2017, compared to $4.1 million for the comparable period of 2016. We made payments under the Financing Agreement of $15.1 million and $10.3 million during the nine months ended September 30, 2017 and 2016, respectively.

No further payments under the Financing Agreement are due.  

2020.

The cash in our bank accounts and our marketable securities could be affected if the financial institutioninstitutions holding them were to fail or be subject toseverely adverse conditions were to arise in the financial markets.markets for public or private debt securities. We have never experienced a loss or lack of access to cash.
Net cash.

provided by operating activities was $69.8 million for the six months ended June 30, 2021, compared to $86.5 million for the comparable period in 2020. This decrease was primarily due to lower revenue as a result of a decrease in sales volume.

Net cash provided by investing activities was $21.5 million for the six months ended June 30, 2021, compared to net cash used in investing activities of $66.2 million for the comparable period in 2020. The change in net cash from investing activities was primarily due to allocation of cash generated by our operating activities towards share repurchases instead of marketable securities.
In the six months ended June 30, 2021, we spent $80.8 million acquiring shares of our common stock ($62.7 million pursuant to our Stock Repurchase Program and $18.1 million in connection with the net exercise of employee and director stock options), offset by $8.8 million received from the exercise of stock options, resulting in net cash used in financing activities of $72.0 million. In the comparable period in 2020, we spent $0.3 million to acquire from our Chief Executive Officer shares of our common stock at the then-current market price to provide him with liquidity to satisfy the tax liability arising from his net exercise in 2019 of stock options that were about to expire, offset by $7.3 million received from the exercise of stock options, resulting in net cash provided by financing activities of $7.0 million.
16

As of June 30, 2021, we had retained earnings of $132.4 million.
Contractual Obligations and Commercial Commitments

Our contractual payment obligations and purchase commitments as of December 31, 2016 are disclosed in our Annual Report on Form 10-K for the year ended December 31, 2016,2020. Our payment obligations and havepurchase commitments did not changedchange materially during the ninesix months ended SeptemberJune 30, 2017.

2021. See Note 4 to our Unaudited Condensed Consolidated Financial Statements for more information regarding our purchase commitments.

Off-Balance Sheet Arrangements

None.

Critical Accounting Policies and Estimates

We have prepared our

Our condensed consolidated financial statements have been prepared in accordance with U.S. GAAP, which requires us to make estimates regarding ourand judgments that affect the amount of assets, liabilities and expenses. expenses we report. We base our estimates on historical experience and on other assumptions we believe to be reasonable. Actual results may differ iffrom our assumptions are incorrect or the conditions in which we do business change in ways we did not anticipate.estimates. Our criticalsignificant accounting policies and estimates are discussed in our Annual Report on Form 10-K for the fiscal year ended December 31, 2016. During nine months ended September 30, 2017, we did not make any significant2020. There were no changes that occurred during the fiscal quarter covered by this report that materially affected, or are reasonably likely to materially affect, our critical accounting policies and estimates.

ITEM 3.

ITEM 3.  QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Our market risks as of SeptemberJune 30, 20172021 are disclosed in our Annual Report on Form 10-K for the year ended December 31, 2016.  They have2020. The market risks associated with our cash, cash equivalents and marketable securities, which consist entirely of debt instruments with original maturities of less than 24 months, did not changedchange materially during the ninesix months ended SeptemberJune 30, 2017.

2021.

ITEM 4.

ITEM 4.  CONTROLS AND PROCEDURES

Evaluation of disclosure controls and procedures. OurAs of June 30, 2021, our management conducted an evaluation, under the supervision and with the participation of our Chief Executive Officer and Chief Financial Officer, evaluatedof the effectiveness of the design and operation of our disclosure controls and procedures, as defined underin Rules 13a-15(e) and 15d-15(e) ofunder the Securities Exchange Act as of September 30, 2017.1934 (the “Exchange Act”). Based onupon that evaluation, our Chief Executive Officer and Chief Financial Officer have concluded that, as of June 30, 2021, our disclosure controls and procedures were effective to provide a reasonable level of assurance that the information required to be disclosed by the Company in this Quarterly Report on Form 10-Q was (i)the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’sSEC rules and (ii)forms and that such information is accumulated and communicated to the officers who certify our financial reports and to the members of the Company’s senior management including our Chief Executive Officer and Chief Financial Officer, soboard of directors as appropriate to allow timely decisions regarding required disclosure. Our disclosure controls and procedures are designed to provideat the reasonable not absolute, assurance that our disclosures are accurate and timely.

level.

Changes in internal control over financial reportingIn connection with our change in specialty pharmacy,During the quarter ended March 31, 2021, we updatedcompleted the implementation of an enterprise resource planning (“ERP”) system, which we expect will improve the efficiency of certain financial and related transactional processes. We have changed our internal controls relatedso that they continue to sales, inventory and accounts receivable. Other thanoperate effectively following the changes to our controls in connection with our specialty pharmacy transition, our management, including ourERP implementation. Our Chief Financial Officer hasand other members of management have evaluated the changes in our internal control over financial reporting during the quarter ended SeptemberJune 30, 2017,2021 and concluded that there was no change during the quarter that materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.


17


PART II. OTHER INFORMATION

ITEM 1.

ITEM 1.  LEGAL PROCEEDINGS

Information pertaining

Teva ANDA Litigation
In February 2018, we received a Paragraph IV Notice Letter advising that Teva had submitted an Abbreviated New Drug Application (“ANDA”) to legal proceedings canthe FDA seeking authorization to manufacture, use or sell a generic version of Korlym in the United States prior to the expiration of patents related to Korlym that are listed in the FDA’s Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”). Teva’s February 5, 2018 Notice Letter alleged that our patents would not be foundinfringed by Teva’s proposed product, were invalid and/or were unenforceable. On March 15, 2018, we filed a lawsuit in “Part I.the U.S. District Court for the District of New Jersey against Teva for infringement of our patents. On October 12, 2018, Teva received tentative approval from the FDA for its ANDA. In accordance with the Hatch-Waxman Act, however, as a result of filing a timely lawsuit against Teva, FDA final approval of Teva’s ANDA was stayed for 30 months, until August 1, 2020.
On July 6, 2018, we filed an amended complaint and on February 8, 2019, we filed a separate lawsuit against Teva, asserting infringement of several patents, including U.S. Patent No. 10,195,214 (the “ʼ214 patent”). On December 13, 2019, we filed a third lawsuit against Teva, asserting infringement of U.S. Patent Nos. 10,500,216 (the “ʼ216 patent”). The District Court consolidated our lawsuits against Teva into a single action and set a trial date of February 2, 2021. On September 24, 2020, the Court vacated the February 2, 2021 trial date. A new trial date has not been set.
No new 30-month stay resulted from the filing of the amended complaint or new lawsuits. Our current, consolidated, lawsuit against Teva asserts the ‘214 patent and the ‘216 patent. The parties have completed briefing cross-motions for summary judgment regarding infringement of the ’214 patent.There is no timetable as to when the Court will rule on these motions and there are currently no further calendared dates for the litigation.
On May 7, 2019, Teva submitted to the PTAB a petition for post-grant review (“PGR”) of the ’214 patent, which we opposed. On November 20, 2019, the PTAB granted Teva’s petition. On November 19, 2020, the PTAB issued a decision upholding the validity of the ’214 patent against all of Teva’s claims. On March 12, 2021, Teva appealed its loss to the Federal Circuit Court of Appeals. We expect oral argument to be held late this year or next year.
We will vigorously enforce our intellectual property rights relating to Korlym but cannot predict the outcome of these matters.
Sun ANDA Litigation
On June 10, 2019, we received a Paragraph IV Notice Letter advising that Sun had submitted an ANDA to the FDA seeking authorization to manufacture, use or sell a generic version of Korlym in the United States prior to the expiration of certain of our patents related to Korlym listed in the Orange Book (the “Korlym Patents”).
The Notice Letter alleges that the Korlym Patents will not be infringed by Sun Ltd.’s proposed product, are invalid and/or are unenforceable. On July 22, 2019, we filed a lawsuit in the U.S. District Court for the District of New Jersey against Sun Pharma Global FZE (“Sun FZE”), Sun Pharma Global Inc. (“Sun Pharma”), Sun Pharmaceutical Industries, Inc. (“Sun Inc.”), and Sun Ltd. (collectively, “Sun”) for infringement of the ’348, ’214, and ’495 patents. On January 23, 2020, we filed an amended complaint against Sun asserting infringement of the ’216 patent.
On June 9, 2021, we entered into an agreement with Sun resolving this litigation. Pursuant to the agreement, we have granted Sun the right to sell a generic version of Korlym in the United States beginning October 1, 2034 or earlier under circumstances customary for settlement agreements of this type. As required by law, we and Sun have submitted the settlement agreement to the United States Federal Trade Commission and the United States Department of Justice for review.
Hikma Paragraph IV Notice Letter
On February 1, 2021, we received a Paragraph IV Notice Letter advising that Hikma Pharmaceuticals USA Inc. (“Hikma”) had submitted an ANDA to the FDA seeking authorization to manufacture, use or sell a generic version of Korlym in the United States.
The Notice Letter contains Paragraph IV certifications against certain of our patents related to Korlym, specifically U.S. Patent Nos. ’348, ’495, 10,006,924 (the “ʼ924 patent”), ’526, 10,151,763 (the “ʼ763 patent”), ’242, ’243, ’214, 10,231,983 (the “ʼ983 patent”), 10,314,850 (the “ʼ850 patent”), 10,495,650 (the “ʼ650 patent”), ʼ216, 10,660,904 (the “ʼ904 patent”), 10,780,097 (the “ʼ097 patent”), 10,842,800 (the “ʼ800 patent”), and 10,842,801 (the “ʼ801 patent”) (collectively, the “Korlym Patents”),
18

which are listed in the Orange Book. The Notice Letter alleges that the Korlym Patents will not be infringed by Hikma’s proposed product, are invalid and/or are unenforceable.
On March 12, 2021, we filed a lawsuit in the U.S. District Court for the District of New Jersey against Hikma for infringement of the ’214, ʼ216, ʼ800 and ʼ801 patents. The 30-month stay of FDA approval of Hikma’s ANDA expires on August 1, 2023. Hikma responded to our complaint on May 17, 2021, denying our claims. On July 13, 2021, the Court entered a schedule for the case setting a fact discovery deadline of July 1, 2022.
We intend to vigorously enforce our intellectual property rights relating to Korlym but cannot predict the outcome of this matter.
Other matters
On March 14, 2019, a purported securities class action complaint was filed in the U.S. District Court for the Northern District of California by Nicholas Melucci (Melucci v. Corcept Therapeutics Incorporated, et al., Case No. 5:19-cv-01372-LHK) (the “Melucci litigation”). The complaint named us and certain of our executive officers as defendants asserting violations of Sections 10(b) and 20(a) of the Exchange Act and Rule 10b-5 promulgated thereunder and alleges that the defendants made false and materially misleading statements and failed to disclose adverse facts about our business, operations, and prospects. The complaint asserts a putative class period extending from August 2, 2017 to February 5, 2019 and seeks unspecified monetary relief, interest and attorneys’ fees. On October 7, 2019, the Court appointed a lead plaintiff and lead counsel. The lead plaintiff’s consolidated complaint was filed on December 6, 2019.
We moved to dismiss the consolidated complaint on January 27, 2020. Rather than oppose our motion to dismiss, on March 20, 2020, the lead plaintiff withdrew its consolidated complaint and filed a second amended complaint. On May 11, 2020, we moved to dismiss the second amended complaint. On November 20, 2020, the Court granted our motion to dismiss, while granting plaintiff leave to file a third amended complaint, which plaintiff did on December 21, 2020. On February 19, 2021, we moved to dismiss this third amended complaint. Plaintiff filed its opposition to our motion on April 20, 2021 and we filed our reply on June 4, 2021. There is no timetable as to when the Court will rule on these motions.
We will respond vigorously to plaintiff’s claims but cannot predict the outcome of this matter.
On September 30, 2019, a purported shareholder derivative complaint was filed in the United States District Court for the District of Delaware by Lauren Williams, captioned Lauren Williams v. G. Leonard Baker, et al., Civil Action No. 1:19-cv-01830. The complaint named our board of directors, Chief Executive Officer and Chief Financial Information—Item 1.Officer as defendants, and the Company as nominal defendant. The complaint alleges breach of fiduciary duty, violation of Section 14(a) of the Exchange Act, insider selling, misappropriation of insider information and waste of corporate assets and seeks damages in an amount to be proved at trial. On October 23, 2019, this action was stayed pending a resolution of our motions to dismiss the Melucci litigation. On December 20, 2020, the case was further stayed pending a resolution of the Company’s forthcoming motion to dismiss the third amended complaint in the Melucci litigation.
We will respond to this complaint vigorously but cannot predict the outcome of this matter.
On December 19, 2019, a second purported shareholder derivative complaint was filed in the United States District Court for the District of Delaware by Jeweltex Pension Plan, captioned Jeweltex Pension Plan v. James N. Wilson, et al., Civil Action No. 1:19-cv-02308. The complaint named our board of directors, Chief Executive Officer and Chief Financial Statements—NotesOfficer as defendants, and the Company as nominal defendant. The complaint alleges causes of action for breach of fiduciary duty, violation of section 14(a) of the Exchange Act, waste of corporate assets, contribution and indemnification, aiding and abetting, and gross mismanagement. The complaint seeks damages in an amount to Condensed Financial Statements—Note 5. Commitments and Contingencies” and is incorporated by reference herein.

be proved at trial. On April 6, 2020, this action was stayed pending a resolution of our motions to dismiss the Melucci litigation. On December 20, 2020, the case was further stayed pending a resolution of the Company’s forthcoming motion to dismiss the third amended complaint in the Melucci litigation.

We are involved from timewill respond to time in various legal proceedings arising inthis complaint vigorously but cannot predict the outcome of this matter.
In the ordinary course of business.business we are involved, from time-to-time, in legal proceedings in addition to the matters described above. Although the outcome of any pendingsuch matters and the amount, if any, of our ultimate liability and any other forms of remedies with respect to these matters,them cannot be determined or predicted with certainty, we do not believe that the ultimate outcome of these mattersthey will have a material adverse effect on our business, financial position or results of operations.

operations or financial position.

ITEM 1A.

ITEM 1A.  RISK FACTORS

19

Investing in our common stock involves significant risks. Before investing, carefully consider the risks described below and the other information in this Quarterly Report on Form 10-Q,quarterly report, including our condensed consolidated financial statements and related notes. The risks and uncertainties described below are the ones we believe may materially affect us. Many of them have been or may become exacerbated by the COVID-19 pandemic. There may be others of which we are unaware but which become important andthat could materially harm our business or financial condition and cause the price of our stock to decline, in which case you could lose partall or allpart of your investment.

Summary of Principal Risks
The following bullet points summarize the principal risks we face, each of which could adversely affect our business, operations, and financial results. For clarity of presentation, we have arranged these risks by the part of our business they most directly affect – (i) commercial operations, (ii) research and development, (iii) capital need and financial results, (iv) intellectual property and (v) our stock price. A sixth group of “general risks” lists risks that affect our business as a whole.
Risks Related to the Commercialization of Korlym®

our Commercial Activities

Failure to generate sufficient revenue from the sale of Korlym would harm our financial results and would likely cause our stock price to decline.

For the foreseeable future,

The COVID-19 pandemic has adversely affected and is continuing to adversely affect our abilitybusiness. Other public health emergencies, natural disasters, terrorism or other catastrophes could disrupt our activities and render our own or our vendors’ facilities and equipment inoperable or inaccessible and require us to generate revenuecurtail or cease operations.
If generic versions of Korlym are approved and fundsuccessfully commercialized, our commercialbusiness, results of operations and development programs willfinancial position would be solely dependent on the sale of Korlym. Physicians will prescribe Korlym only if they determine that it is preferableadversely affected.
Other companies offer or are attempting to other treatments, even if those products are not approved for Cushing’s syndrome. Because Cushing’s syndrome is rare, most physicians are inexperienced in the care of patients with the illness and it may be difficultdevelop different medications to persuade them to prescribe Korlym, even with clinical trial results that show it is a compelling treatment.

Many factors could hamper our efforts to generate Korlym revenue, including: 

the preference of some physicians for familiar, long-standing off-label treatments for Cushing’s syndrome or for Novartis’ drug, Signifor, for the treatment of Cushing’s disease, a subset oftreat patients with Cushing’s syndrome;

competition from non-medical treatment methods, such as surgery and radiation therapy;

negative publicity and political concerns about Korlym, RU-486, Mifeprex® or mifepristone;

thesyndrome. The availability of private and government insurance coverage; and

rapid technological change that makes Korlym obsolete.

Failure to generate sufficient Korlym revenue would prevent us from fully funding our planned commercial and clinical activities and would likely cause our stock price to decline.

The Orphan Drug designation for Korlym may not prevent competition from companies that develop other compounds for the treatment of Cushing’s syndrome. These companies may have significantly more resources than we do. Competition from themcompeting treatments could limit our revenue from the sale of Korlym for the treatment of Cushing’s syndrome or other indications.  

Although we have received Orphan Drug designation in the United States, the regulatory authorities may still approve other drugs for the treatment of patients with Cushing’s syndrome.  When the orphan drug exclusivity period ends, we may be subject to competition from manufacturers offering a generic form of Korlym at a lower price, in which case our business could be harmed.

In 2012, Novartis received approval in both the United States and the European Union (“EU”) to market its somatostatin analogue Signifor for adult patients with Cushing’s disease (a subset of Cushing’s syndrome that accounts for approximately 70 percent of all patients with Cushing’s syndrome) for whom pituitary surgery is not an option or has not been curative. In addition, Novartis has received Orphan Drug designation in the United States for the use of the experimental compound osilodrostat to treat Cushing’s disease and in the EU to treat Cushing’s syndrome. Novartis has begun a Phase 2 clinical trial in Japan investigating the use of this compound to treat Cushing’s syndrome due to causes other than Cushing’s disease and a Phase 3 clinical trial in the EU investigating its use to treat Cushing’s disease. Novartis has substantially more resources and experience than we do and may provide significant competition.

Korlym.

Strongbridge Biopharma plc (“Strongbridge”) has received Orphan Drug designation in the United States and the EU for the use of levoketoconazole to treat Cushing’s syndrome. Strongbridge has begun two Phase 3 clinical trials in Europe and the United States for this indication. Laboratoire HRA Pharma (“HRA”) received Orphan Drug designation in the United States and the EU for the use of mifepristone to treat patients with ectopic tumors producing ACTH, a subtype of Cushing’s syndrome representing ten percent of those diagnosed with the disease. HRA began and terminated a Phase 2 clinical trial in Europe and the United States for this indication.  Exelgyn Laboratories, which operates as a subsidiary of Medi Challenge (Pty) Ltd., received Orphan Drug designation for mifepristone to treat Cushing’s syndrome in the EU, but has stated that it has not yet conducted any clinical trials.

If we cannot continue to obtain acceptable prices or adequate insurance coverage and reimbursement for Korlym, we will be unable to generate significant revenues.

We depend on vendors to manufacture Korlym’s active ingredient, form it into tablets, package it and dispense it to patients. We also depend on vendors to manufacture the API and capsules or tablets for our product candidates. If our suppliers become unable or unwilling to perform these functions and we cannot transfer these activities to replacement vendors in a timely manner, our business will be harmed.
Risks Related to our Research and Development Activities
Our efforts to discover, develop and commercialize our product candidates may not succeed. Clinical drug development is lengthy, expensive and often unsuccessful. Results of early studies and trials are often not predictive of later trial results. Failure can occur at any time.
The COVID-19 pandemic has lengthened the time it takes to initiate and advance our clinical development programs.
Vendors perform many of the activities necessary to carry out our clinical trials, including drug product distribution, trial management and oversight and data collection and analysis. Failure of these vendors to perform their duties or meet expected timelines may prevent or delay approval of our product candidates.
Our products and product candidates may cause undesirable side effects that halt their clinical development, prevent their regulatory approval, limit their commercial potential or cause us significant liability.
Risks Related to our Capital Needs and Financial Results
We may need additional capital to fund our operations or for strategic reasons. Such capital may not be available on acceptable terms or at all.
Risks Relating to Our Intellectual Property
To succeed, we must secure, maintain and effectively assert adequate patent protection for the composition and methods of use of our proprietary, selective cortisol modulators and for the use of Korlym to treat Cushing’s syndrome and other disorders.
Third parties may allege that our patents infringe their rights. Defending against such allegations may result in costly litigation and may require us to obtain a license or bar us from commercializing our product candidates or Korlym for a new indication.
Risks Related to Our Stock
The price of our common stock fluctuates widely and is likely to continue to do so. Opportunities for the sale of shares at any particular time may be limited.
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Our stock price may decline if our financial performance does not meet the guidance we have provided to the public, estimates published by research analysts or other investor expectations.
General Risks
We are subject to government regulation and other legal obligations relating to privacy and data protection. Compliance with these requirements is complex and costly. Failure to comply could materially harm our business.
We may be unable to obtain or maintain regulatory approvals for our product or product candidates.
We rely on information technology systems to conduct our business. A breakdown or breach of these systems or our failure to protect confidential information concerning our business, patients or employees could interrupt the operation of our business and subject us to liability.
Risk Factors - Discussion
The following section discusses the principal risks listed above, as well as other risks we believe to be material.
Risks Related to our Commercial Activities
Failure to generate sufficient revenue from the sale of Korlym would harm our financial results and would likely cause our stock price to decline.
Our ability to generate revenue and to fund our commercial operations and development programs is dependent on the sale of Korlym to treat patients with Cushing’s syndrome. Physicians will prescribe Korlym only if they determine that it is preferable to other treatments, even if those treatments are not approved for Cushing’s syndrome. Because Cushing’s syndrome is rare, most physicians are inexperienced diagnosing or caring for patients with the illness and it can be hard to persuade them to identify appropriate patients and treat them with Korlym.
Many factors could limit our Korlym revenue, including:
the preference of some physicians for off-label treatments for Cushing’s syndrome;
competition from non-medical treatments, such as surgery and radiation;
natural disasters or other catastrophes, such as the COVID-19 pandemic, that reduce the ability or willingness of physicians to see patients or of patients to bear the risk of leaving their homes to seek medical care;
the introduction of competing treatments, including generic versions of Korlym; and
lack of availability of government or private insurance, which may be exacerbated if significant increases in unemployment cause patients to lose employer-provided private health insurance and either shift to Medicaid, which reimburses Korlym at a significantly lower price, or become uninsured, which would decrease our revenue and increase the burden on our financial assistance and free drug programs and on the independent charities we support.
Failure to generate sufficient Korlym revenue could prevent us from fully funding our planned commercial and clinical activities and would likely cause our stock price to decline.
The COVID-19 pandemic has adversely affected and is continuing to adversely affect our business. Other public health emergencies, natural disasters, terrorism or other catastrophes could disrupt our activities and render our own or our vendors’ facilities and equipment inoperable or inaccessible and require us to curtail or cease operations.
COVID-19, a serious and sometimes fatal illness, has spread to every country in the world and throughout the United States. Many countries, including most states of the United States, reacted by instituting quarantines, “lockdowns” and other public health restrictions on leisure activities, work and travel. In California, where our headquarters are located, and in the states where our clinical specialists and medical science liaisons live and work, residents have been subject to significant public health restrictions. Although many jurisdictions consider pharmaceutical companies as “essential businesses” with wide freedom to operate, we have been managing our business with limited in-person activities, supplemented primarily by video conference, teleconference and email. Although some pandemic-related restrictions have recently been removed in certain geographies, including California, our business remains subject to pandemic-related controls, which may become more restrictive at any time. We rely on third-party manufacturers, distributors (including the specialty pharmacy that dispenses Korlym), information technology and software service providers, law and accounting firms, clinical research organizations and consultants who are subject to, or may become subject to, pandemic-related controls. If these third parties cannot perform the services we require in a timely way and we cannot successfully implement replacements or workarounds, our business, results of operations and financial condition could be harmed.
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COVID-19 has made it difficult to grow our commercial business. Many physicians have sought to reduce the risk of COVID-19 infection by reducing the frequency of patient office visits and barring office visits by third parties, including our clinical specialists and medical science liaisons. In addition, many patients have been reluctant to leave the safety of their homes and have postponed visits to their physicians or testing at clinical laboratories or imaging centers. These changes have made it hard for many physicians to identify patients who may benefit from Korlym, begin their treatment, titrate to an optimum dose and maintain their patients’ regimens, which has reduced our revenue. Despite the increased availability of vaccines, due to the evolving nature of the COVID-19 pandemic, we are not able to accurately predict the duration or extent of these impacts on our business. If physicians do not prescribe Korlym to new patients or have difficulty increasing a patient’s Korlym dose to its optimal level, or if patients already receiving Korlym discontinue treatment, our revenue will be unlikely to grow and may decline further.
Other natural or man-made disasters could harm our business, operating results and financial condition. Our headquarters are in the San Francisco Bay Area, which experiences earthquakes. Our specialty pharmacy, tablet manufacturers and warehouses are in areas subject to hurricanes and tornadoes. Political considerations relating to mifepristone put us and our manufacturers at increased risk of protests and disruptive events. If a disaster were to occur, we might not be able to operate our business. Our insurance, if available at all, would likely be insufficient to cover losses resulting from disasters or other business interruptions.
If generic versions of Korlym are approved and successfully commercialized, our business, results of operations and financial position would be adversely affected.
The marketing exclusivity provided by Korlym’s orphan drug designation expired in February 2019, which means other companies may now seek to introduce generic equivalents of Korlym for the treatment of Cushing’s syndrome, provided they receive FDA approval and can show that they would not infringe our applicable patents or that those patents are invalid or unenforceable. If our patents are successfully challenged and a generic version of Korlym becomes available, our sales of Korlym tablets and their price could decline rapidly and significantly, which would reduce our revenue and materially harm our results of operations and financial position. Competition from a generic version of Korlym may also cause our revenue to be materially less than the public guidance we have provided, which would likely cause the price of our common stock to decline.
We have sued Teva and Hikma in Federal District Court with respect to their proposed generic versions of Korlym. In November 2020, the PTAB ruled against Teva in a challenge Teva had brought to one of our patents. Teva has appealed its loss to the Federal Circuit Court of Appeals. We had also sued Sun with respect to its proposed generic version of Korlym, although we settled that lawsuit in June 2021. The terms of the settlement are subject to customary review by the Federal Trade Commission and Department of Justice. Legal action to enforce or defend intellectual property rights is complex, costly and involves significant commitments of management time. There can be no assurance of a successful outcome. Please see “Part I, Item 3, Legal Proceedings.” Because Teva has received FDA approval, Teva may choose to begin marketing its generic product at any time, notwithstanding our ongoing litigation. We would seek a court order stopping such a course of action, but even if we were to prevail (Teva were to withdraw its product and pays us damages), the temporary availability of a generic version of Korlym might materially harm our results of operations and financial condition.
It is likely that other companies will seek FDA approval to market a generic version of Korlym. While we will vigorously protect our intellectual property, there can be no assurance our efforts will be successful.
Other companies offer or are attempting to develop different medications to treat patients with Cushing’s syndrome. The availability of competing treatments could limit our revenue from Korlym.
Since 2012, a medication owned by the Italian pharmaceutical company Recordati-S.p.A., the somatostatin analogue Signifor® (pasireotide) Injection, has been marketed in both the United States and the EU for adult patients with Cushing’s disease (a subset of Cushing’s syndrome). On March 6, 2020, the FDA granted Recordati approval to market another cortisol synthesis inhibitor, Isturisa® (osilodrostat) tablets, to treat patients with Cushing’s disease. Osilodrostat is approved in the EU for the treatment of patients with Cushing’s syndrome. Osilodrostat has been designated an orphan drug in both the EU and the United States.
Strongbridge Biopharma plc (“Strongbridge”) has received orphan drug designation in the United States and the EU for the use of the cortisol synthesis inhibitor levoketoconazole to treat patients with Cushing’s syndrome. Levoketoconazole is an enantiomer of the generic anti-fungal medication, ketoconazole, that is prescribed off-label to treat patients with Cushing’s syndrome. Strongbridge completed two Phase 3 trials, which met their primary endpoints of reducing cortisol synthesis, and submitted a new drug application (“NDA”) to the FDA on March 2, 2021.
Crinetics Pharmaceuticals, Inc, is conducting a Phase 1 trial of CRN04894, an oral adrenocorticotrophic hormone antagonist, for the treatment of Cushing’s disease.
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If we cannot continue to obtain acceptable prices or adequate insurance coverage and reimbursement for Korlym, we will be unable to generate significant revenues.
The commercial success of Korlym depends on the availability of adequate insurance coverage and reimbursement. Government payors,payers, including Medicare, Medicaid and the Veterans Administration, as well as private insurers and health maintenance organizations, are increasingly attempting to contain healthcare costs by limiting reimbursement for medicines. If government or private payorspayers cease to provide adequate and timely coverage and reimbursement for Korlym, physicians may not prescribe the medication orand patients may not purchase it, even if it is prescribed. In addition, delays in coverage for individual patients may reduce our revenues.

Significant increases in unemployment stemming from the COVID-19 pandemic may cause some patients to lose their employer-sponsored insurance and increase their reliance on Medicaid (which pays significantly less for Korlym) and on our financial assistance and free drug programs and the independent charities we support. There may also be delays in coverage as patients secure authorization for Korlym treatment from new insurers. If the pandemic causes any of these effects, our revenue would decline and our charitable donation expense would increase.
In somemany foreign markets, drug prices and the profitability of prescription medications are subject to government control. In the United States, we expect that there will continue to be federal and state proposals for similar controls. Also, the trends toward managed health care in the United States and recent laws and legislation intended to increase the public visibility of drug prices and reduce the cost of government and private insurance programs could significantly influence the purchase of health care services and products and may result in lower prices for Korlym.

In the United States, there have been and continue to be a number of legislative initiatives to contain healthcare costs. The Patient Protection and Affordable Care Act, (“PPACA”),or ACA, which was passed in 2010, substantially changed the way health care is financed by both governmental and private insurers and significantly impacts the U.S. pharmaceutical industry.insurers. The PPACA,ACA, among other things, expanded Medicaid program eligibility and access to commercial health insurance coverage, increased the minimum Medicaid rebates owed by manufacturers under the Medicaid Drug Rebate Program and extended the rebate program to individuals enrolled in Medicaid managed care organizations, established annual fees and taxes on manufacturers of certain branded prescription drugs, and promoted a new Medicare Part D coverage gap discount program. The PPACAACA also appropriated additional funding to comparative clinical effectiveness research, although it remains unclear how the research will impact currentaffect Medicare coverage and reimbursement or how new information will influence other third-party payorpayer policies.

Since its enactment, there have been judicial, executive and Congressional challenges to certain aspects of the PPACA, and we expect there will be additional challenges and amendmentsACA. On June 17, 2021, the U.S. Supreme Court dismissed the most recent judicial challenge to the PPACA inACA brought by several states without specifically ruling on the future, particularly in lightconstitutionality of the new presidential administration and U.S. Congress. For example, on January 20, 2017,ACA. Prior to the Supreme Court’s decision, President Trump signedBiden issued an Executive Order directing federal agencies with authorities and responsibilities underexecutive order initiating a special enrollment period from February 15, 2021 through August 15, 2021 for purposes of obtaining health insurance coverage through the PPACA to waive, defer, grant exemptions from, or delay the implementation of any provision of the PPACA that would impose a fiscal or regulatory burden on states, individuals, healthcare providers, health insurers, or manufacturers of pharmaceuticals or medical devices. On October 12, 2017, President Trump signed another Executive Order directing federalACA marketplace.The executive order also instructed certain governmental agencies to expandreview and reconsider their existing policies and rules that limit access to alternative health plans and health reimbursement arrangements, andhealthcare. It is unclear how healthcare reform measures enacted by Congress or implemented by the U.S. Department of Health and Human Services announced that it would immediately cease making Cost-Sharing Reduction (“CSR”) paymentsBiden administration or other efforts, if any, to issuers of qualified health plans. At this time,challenge, replace or repeal the full effect thatACA may affect the PPACA, the Executive Orders, the halting of CSR payments and any subsequent legislation would have onlaw or our business remains unclear.business. Any new limitations on, changes to, or uncertainty with respect to the ability of individuals to enroll in governmental reimbursement programs or other third-party payorpayer insurance plans could impact demand forreduce Korlym sales, which in turn could affect our ability to successfully develop and commercialize ournew products.

Other legislative and regulatory changes have been proposed and adopted in the United States since the PPACAACA was enacted. These changes included an aggregate reduction in Medicare payments to providers of up to 2 percent per fiscal year, which went into effect on April 1, 2013 and will remain in effect through 20252030, with the exception of a temporary suspension from May 1, 2020 through December 31, 2021, unless additional Congressional action is taken. On January 2, 2013, President Obama signed into lawIn addition, the American Taxpayer Relief Act of 2012, which further reduced Medicare payments to several providers, including hospitals, imaging centers and cancer treatment centers, and increased the statute of limitations period for the government to recover overpayments to providers from three to five years. On FebruaryIn March 2021, the American Rescue Plan Act of 2021 was also signed into law, which, among other things, eliminated the statutory cap on drug manufacturers’ Medicaid Drug Rebate Program rebate liability, effective January 1, 2016,2024. Under current law enacted as part of the CentersACA, drug manufacturers’ Medicaid Drug Rebate Program rebate liability is capped at 100% of the average manufacturer price for Medicare & Medicaid Services,a covered outpatient drug. Moreover, the federal government and the individual states in the United States have become increasingly active in developing proposals, passing legislation and implementing regulations designed to control drug pricing, including price or CMS, published a final rule that revised certain requirements involved in our calculation of prices we report in connection with our participation in governmentpatient reimbursement programs so that Korlym will be eligible for purchase by, or qualify for partial or full reimbursement from, Medicaidconstraints, discounts, formulary flexibility, marketing cost disclosure and other government programs. The extent to which this rule may alter our reported prices and estimated rebates and chargebacks under government programs remains unclear.

transparency measures.

These new laws and the regulations and policies implementing them, as well as other healthcare reformhealthcare-related measures that may be adopted in the future, could materially reduce our Korlym revenues and our ability to successfully develop and commercialize our product candidates.
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We depend on vendors to manufacture Korlym’s active ingredient, form it into tablets, package it and dispense it to patients. We also depend on vendors to manufacture the API and capsules or tablets for our product candidates. If our suppliers become unable or unwilling to perform these functions and we cannot transfer these activities to replacement vendors in a timely manner, our business will be harmed.
A single third-party manufacturer, PCAS, supplies the API in Korlym. Two other third-party manufacturers produce and bottle Korlym tablets. Our agreement with PCAS automatically renews for two one-year terms, unless either party provides 12-months’ written notice of its intent not to renew. A single specialty pharmacy, Optime Care, Inc. (“Optime”) dispenses Korlym directly to patients and collects payments from insurers representing approximately 99 percent of our revenue. If Optime does not adhere to its agreements with payers, it may not be able to collect some or all of the payments due to us. Our agreement with Optime has a five-year term and renews upon the written consent of both parties, subject to customary termination provisions, including the right of Optime to terminate in the event of a material breach by us that we do not cure in a reasonable period of time after receiving written notice. In addition, we may terminate the agreement for convenience. In the event any of these vendors fails to perform its contractual obligations to us or is materially impaired in its performance by the COVID-19 pandemic or for any other reason, we may experience disruptions and delays in our supply chain and our ability to deliver Korlym to patients, which would adversely affect our business, results of operations and financial position.
The facilities used by our vendors to manufacture and package the API and drug product for Korlym and our product candidates.

candidates must be approved by the FDA and, in some cases, the EMA or the Medicines and Healthcare products Regulatory Agency (“MHRA”). We do not control the activities of these vendors, including whether they maintain adequate quality control and hire qualified personnel. We are dependent on them for compliance with the regulatory requirements known as current good manufacturing practices (“cGMPs”). If our vendors cannot manufacture material that conforms to our specifications and the strict requirements of the FDA or others, they will not be able to maintain regulatory authorizations for their facilities and we could be prohibited from using the API or drug product they have provided. If the FDA, EMA, MHRA or other regulatory authorities withdraw regulatory authorizations of these facilities, we may need to find alternative vendors or facilities, which would be time-consuming, complex and expensive and could significantly hamper our ability to develop, obtain regulatory approval for and market our products. Sanctions could be imposed on us, including fines, injunctions, civil penalties, refusal of regulators to approve our product candidates, delays, suspensions or withdrawals of approvals, seizures or recalls of products, operating restrictions and criminal prosecutions, any of which could harm our business.

PublicThe unfavorable public perception of mifepristone may limit our ability to sell Korlym.

The active ingredient in Korlym, mifepristone, is approved by the FDA in another drug for the termination of early pregnancy. As a result, mifepristone has been and continues to beis the subject of considerable ethical and political debate in the United States and elsewhere. Public perception of mifepristone may limit our ability to engage alternative manufacturers and may limit the commercial acceptance of Korlym by patients and physicians. Even though we have taken measures to minimize the likelihood of the prescribing ofchance that Korlym will accidentally be prescribed to a pregnant woman, physicians may choose not to prescribe Korlym to a woman simply to avoid the risk of unintentionally terminating a pregnancy.

We have no manufacturing or pharmacy capabilities and depend on third-party vendors to manufacture Korlym and dispense it to patients. We also depend on third-party suppliers to manufacture the API and capsules for relacorilant, CORT118335, CORT125281 and our other product candidates. If these suppliers are unable or unwilling to continue to manufacture our drug products or dispense Korlym for us and we cannot transfer our business to qualified replacement vendors in a timely manner or if our vendors fail to comply with FDA or other applicable regulations or their agreements with us or otherwise fail to meet our requirements, our business will be harmed.

PCAS, a third-party manufacturer, supplies all of the API in Korlym. Another third-party manufacturer, Alcami, produces and bottles all of our Korlym tablets. We have entered into agreements with these vendors that automatically renew. Optime Care, Inc., a specialty pharmacy, dispenses all of the Korlym we sell directly to patients. Our agreement with this vendor has a five-year term and renews upon the written consent of both parties. We rely on other third-parties to manufacture the API and capsules of our selective cortisol modulators, including relacorilant, CORT118335 and CORT125281. If any of these vendors is unable or unwilling to meet our requirements, we may not be able to manufacture or dispense our product in a timely manner. Our arrangements with these manufacturers are terminable by them, subject to notice provisions.  Any third-party manufacturer or specialty pharmacy we engage will be subject to regulation by the FDA and other governmental authorities. We do not control these vendors’ processes or operations and cannot assure that they will meet applicable regulatory requirements or their contractual obligations to us.  Identifying replacements for these vendors and transitioning our business to them would be complex and expensive.  Failure to do so in a timely manner would harm our business.

The facilities used by our vendors to manufacture and package our product and product candidates must be approved by the FDA. We do not control the manufacturing activities of, and are completely dependent on, our contract manufacturing partners for compliance with the regulatory requirements known as current good manufacturing practices (“cGMPs”). If our contract manufacturers cannot successfully manufacture material that conforms to our specifications and the strict requirements of the FDA or others, they will not be able to maintain regulatory approval for their manufacturing facilities. In addition, we have no control over the ability of our contract manufacturers to maintain adequate quality control, quality assurance and qualified personnel. If the FDA or a comparable foreign regulatory authority does not approve these facilities for the manufacture of our products or if it withdraws its approval, we may need to find alternative manufacturing facilities, which would significantly hamper our ability to develop, obtain regulatory approval for or market our products. In addition, sanctions could be imposed on us, including fines, injunctions, civil penalties, failure of regulators to approve our product candidates, delays, suspension or withdrawal of approvals, seizures or recalls of products, operating restrictions and criminal prosecutions, any of which could harm our business. If our suppliers fail to manufacture Korlym or our product candidates on a timely basis in the quantities that we require or fail to maintain manufacturing capabilities that meet regulatory standards, we may exhaust our Korlym inventory and not be able to generate revenue or our clinical development programs may be delayed.

We may not have adequate insurance to cover our exposure to product liability claims.

We may be subject to product liability or other claims based on allegations that Korlym or one of our product candidates has caused adverse effects.harmed a patient. Such a claim may damage our reputation by raising questions about Korlym or any of our product candidates’ safety and could prevent or interfere with product development or commercialization. In some cases, lessLess common adverse effects of a pharmaceutical product are sometimes not known until long after the FDA approves the product is approved for marketing. Because the active ingredient in Korlym is used to terminate pregnancy, clinicians using the medicineKorlym in our clinical trials and physicians prescribing the medicine to women must take strict precautions to ensure that the medicineit is not administered to pregnant women. Failure to observe these precautions could result in significant product liability claims.

We have product liability

Our insurance with coverage limits we believe to be appropriate for a company marketing a single pharmaceutical product and developing others. However, this insurance may become prohibitively expensive or may not fully cover our potential product liabilities. Our inabilityInability to obtain adequate insurance coverage at an acceptable cost could prevent or inhibit the commercializationdevelopment of Korlym or our product candidates or result in meaningful underinsured orsignificant uninsured liability. Defending a lawsuit could be costly and significantly divert management’s attentionmanagement from conducting our business.

productive activities.

We are subject to ongoing and continued regulatory review. If we are unable to maintain regulatory approval of Korlym for the treatment of patients with Cushing’s syndrome or if we fail to comply with regulatoryother requirements, we will be unable to generate revenue orand may be subject to penalties and our business would be harmed.

The FDA’s approval of Korlym was subject to limitations on the uses for which the product may be marketed. If we violate any of the FDA’s restrictions, the FDA could withdraw its approval. 

penalties.

We are subject to ongoing obligations and continued regulatory reviewoversight by the FDA and other regulatory authorities in the United States and other countrieselsewhere with respect to theour research, testing, manufacturing, labeling, distribution, adverse event reporting, storage, selling, advertising, promotion, recordkeeping and sales and marketing of products.activities. These requirements include submissions of safety information, annual updates on manufacturing activities and continued compliance with FDA regulations, including cGMPs, as well as current good laboratory practices (“cGLPs”) and current good clinical practices (“cGCPs”GCP”) for any clinical trials that we conduct post-approval. cGLPs, cGCPs and cGMPs are. The FDA enforces these regulations promulgated by the FDA and enforced through periodic inspections of us and the laboratories, manufactures,manufacturers and clinical sites we use. (ForeignForeign regulatory authorities have comparable requirements and enforcement
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mechanisms.) Discovery of previously unknown problems with a product includingor product candidate, such as adverse events of unanticipated severity or frequency or with our third-party manufacturers ordeficiencies in manufacturing processes or management, as well as failure to comply with FDA andor other applicableU.S. or foreign and U.S. regulatory requirements, may result insubject us to substantial civil and criminal penalties, injunctions, holds on clinical trials, product seizure, or detention, refusal to permit the import or export of products, restrictions on product marketing, withdrawal of the product from the market, voluntary or mandatory product recalls, total or partial suspension of production, refusal to approve pending NDAs or supplemental NDAs, and suspension or revocation of product approvals.

The FDA’s policies may change or additional governmental regulations may be enacted that prevent, limit or delay regulatory approval of our product candidates. We cannot predict the likelihood, nature or extent of future government regulations.

For example, on January 30, 2017, President Trump issued an Executive Order directing all executive agencies, including the FDA, that, for each notice of proposed rulemaking or final regulation to be issued in fiscal year 2017, the agency shall identify at least two existing regulations to be repealed, unless prohibited by law. These requirements are referred to as the “two-for-one” provisions. This Executive Order includes a budget neutrality provision that requires the total incremental cost of all new regulations in the 2017 fiscal year, including repealed regulations, to be no greater than zero, except in limited circumstances. For fiscal years 2018 and beyond, the Executive Order requires agencies to identify regulations to offset any incremental cost of a new regulation. In interim guidance issued by the Office of Information and Regulatory Affairs within OMB on February 2, 2017, the administration indicates that the “two-for-one” provisions may apply not only to agency regulations, but also to significant agency guidance documents. In addition, on February 24, 2017, President Trump issued an executive order directing each affected agency to designate an agency official as a “Regulatory Reform Officer” and establish a “Regulatory Reform Task Force” to implement the two-for-one provisions and other previously issued executive orders relating to the review of federal regulations; however, it is difficult to predict how these requirements will be implemented, and the extent to which they will impact the FDA’s ability to exercise its regulatory authority. On September 8, 2017, the FDA published notices in the Federal Register soliciting broad public comment to identify regulations that could be modified in compliance with these Executive Orders. If these executive actions impose restrictions on FDA’s ability to engage in oversight and implementation activities in the normal course, our business may be negatively impacted. Similarly, if we are slow or unable to adapt to changes in existing requirements or the adoption of new requirements or policies, or if we are not able to maintain regulatory compliance, we may place at risk the FDA marketing approval for Korlym and any other marketing approval that we may obtain, which would adversely affect our business, prospects and ability to sustain profitability.

We may be subject to civil or criminal penalties if we marketour marketing of Korlym in a manner that violates FDA regulations or health care fraud and abuse laws.

In the United States, we

We are subject to FDA regulations governing the promotion and sale of medications. Although physicians are permitted to prescribe drugs for indications other than those approved by the FDA,any indication they choose, manufacturers are prohibited from promotingmay only promote products for such “off-label” uses.their FDA-approved use. All other uses are referred to as “off-label.” In the United States, we market Korlym for treatment ofto treat hyperglycemia secondary to hypercortisolism in adult patients with endogenous Cushing’s syndrome who have type 2 diabetes mellitus or glucose intolerance and havefor whom surgery has failed surgery or areis not candidates for surgery andan option. We provide promotional materials and training programs to physicians regardingcovering the use of Korlym for this indication. Although we believe our marketing materials and training programs for physicians do not constitute “off-label” promotion of Korlym, theThe FDA may disagree. change its policies or enact new regulations at any time that restrict our ability to promote our products.
If the FDA determineswere to determine that our promotional materials, training or other activities by our employees or agents constitute “off-label”we engaged in off-label promotion, of Korlym, itthe FDA could askrequire us to change our training or promotional materials or other activities.  The FDA could alsopractices and subject us to regulatory enforcement actions, including issuance of a public “warning letter,” injunction, seizure, civil fine or criminal penalties. Other federal or state enforcement authorities might act if they believe that the alleged improper promotion led to the submission and payment of claims for an unapproved use, which could result in significant fines or penalties under other statutory authorities, such as laws prohibiting false claims for reimbursement. Even if it is determined that we are not in violation of these laws, we may be faced withreceive negative publicity, incur significant expenses and be forced to devote management time to defending our position.


WeIn addition to laws restricting off-label promotion, we are also subject to federal and state healthcare fraud and abuse laws and regulations including:

designed to prevent fraud, kickbacks, self-dealing, and other abusive practices. The U.S. healthcare laws and regulations that may affect our ability to operate include, but are not limited to:

the federal Anti-Kickback Statute, which prohibits, among other things, persons from knowingly and willfully soliciting, receiving, offering or paying remuneration, directly or indirectly, in exchange for or to induce either the referral of an individual for, or the purchase, order or recommendation of, any good or service for which payment may be made under federal health care programs such as the Medicare and Medicaid programs;

Medicaid. A person or entity does not need to have actual knowledge of the statute or specific intent to violate it in order to have committed a violation;

federal false claims laws, including, without limitation, the False Claims Act, which prohibit any person from knowingly presenting, or causing to be presented, a false claim for payment to the federal government, or knowingly making, or causing to be made, a false statement to get a false claim paid. In addition, the government may assert that a claim including items or services resulting from a violation of the federal Anti-Kickback Statute constitutes a false or fraudulent claim for purposes of the False Claims Act. Pharmaceutical companies have been prosecuted under these laws for a variety of promotional and marketing activities, such as allegedly providing free product to or entering into “sham” consulting arrangements with customers to induce such customers to purchase, order or recommend the company’s products in violation of the Anti-Kickback Statute and federal false claims laws and regulations; reporting to pricing services inflated average wholesale prices that were then used by certain governmental programs to set reimbursement rates; engaging in the promotion of “off-label” uses that caused customers to submit claims to and obtain reimbursement from governmental payorspayers for non-covered “off-label” uses; and submitting inflated best price information to the Medicaid Drug Rebate Program;

the government may assert that a claim including items and services resulting from a violation of the federal Anti-Kickback Statute constitutes a false or fraudulent claim for purposes of the False Claims Act;

the federal Civil Monetary Penalties law, which prohibits, among other things, offering or transferring remuneration to a federal healthcare beneficiary that a person knows or should know is likely to influence the beneficiary’s decision to order or receive items or services reimbursable by the government from a particular provider or supplier;

the federal Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), which created federal criminal laws that prohibit executing a scheme to defraud any health care benefit program or making false statements relating to health care matters;

similar to the federal Anti-Kickback Statute, a person or entity does not need to have actual knowledge of the statute or specific intent to violate it in order to have committed a violation;
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federal “sunshine” laws, including the federal Physician Payment Sunshine Act, that require transparency regarding financial arrangements with health care providers, such as the reporting and disclosure requirements imposed by the PPACA on drug manufacturers regarding any “transfer of value” made or distributed to prescribers and other health care providers, and ownership or investment interests held by physicians and their immediate family members. Manufacturers are required to submit reports detailing these financial arrangements by the 90th day of each calendar year;

HIPAA, as amended by the Health Information Technology for EconomicACA on drug manufacturers regarding any “transfer of value” made or distributed to physicians (defined to include doctors, dentists, optometrists, podiatrists and Clinical Health Act of 2009chiropractors), certain health care professionals beginning in 2022, teaching hospitals, and ownership or investment interests held by physicians and their respective implementing regulations,immediate family members. Manufacturers are required to submit reports detailing these financial arrangements by the 90th day of each calendar year;

federal consumer protection and unfair competition laws, which impose obligations on covered healthcare providers, health plans,broadly regulate marketplace activities and healthcare clearinghouses, as well as their business associatesactivities that create, receive, maintain or transmit individually identifiable health information for or on behalf of a covered entity, with respect to safeguarding the privacy, securitypotentially harm consumers; and transmission of individually identifiable health information; and

state law equivalents of each of the above federal laws, such as anti-kickback and false claims laws which may apply to items or services reimbursed by any third-party payor,payer, including commercial insurers; state laws that require pharmaceutical companies to comply with the pharmaceutical industry’s voluntary compliance guidelines and the relevant compliance guidance promulgated by the federal government or otherwise restrict payments that may be made to healthcare providers; and state laws that require drug manufacturers to report information related to payments and other transfers of value to physicians and other healthcare providers or marketing expenditures;expenditures and state laws governing the privacy and security of health information in certain circumstances, many of which differ from each other in significant ways and often are not preempted by HIPAA, thus complicating compliance efforts.

pricing information.

The risk of our being found in violation of these laws and regulations is increased by the fact that many of them have not been fullydefinitively interpreted by the regulatory authorities or the courts and their provisions are open to a variety of interpretations. Because of the breadth of these laws and the narrowness of the statutory exceptions and safe harbors available under them, it is possible that some of our business activities, including our relationships with physicians and other healthcare providers some(some of whom recommend, purchase and/or prescribe our products,products) and the manner in which we promote our products, could be subject to challenge. We are also exposed to the risk that our employees, independent contractors, principal investigators, consultants, vendors, distributors, and CROscontract research organizations (“CROs”) may engage in fraudulent or other illegal activity. Although we have policies and procedures prohibiting such activity, it is not always possible to identify and deter misconduct and the precautions we take may not be effective in controlling unknown risks or in protecting us from governmental investigations or other actions or lawsuits stemming from a failure to comply with applicable laws and regulations.

If our operations are found to be in violation ofwe violate any of the laws described above or any other government regulations, we may be subject to civil and criminal penalties, damages, fines, exclusion from governmental health care programs, a corporate integrity agreement or other agreement to resolve allegations of non-compliance, individual imprisonment, and the curtailment or restructuring of our operations, any of which could adversely affect our financial results and ability to operate.


A break-down or breach of our information technology systems could subject us to liability or interrupt the operation of our business. 

We store sensitive data on our computer networks and on the networks of third-party vendors, including intellectual property and confidential information relating to our business, patients and employees.  Despite the implementation of security measures, our internal computer systems and those of our vendors are subject to the risk of cyber-attacks, computer viruses, unauthorized access, natural disasters, terrorism, war and telecommunication and electrical failures.  In addition, system failures could cause the loss of valuable clinical trial data or otherwise disrupt our clinical and commercial activities and be expensive and time-consuming to remedy. If a disruption or security breach resulted in the disclosure of confidential or proprietary information, we could incur liability and our research, development and commercialization efforts could be delayed or otherwise harmed.

A catastrophic disaster could damage our own or our manufacturers’ facilities and equipment, which could require us to cease or curtail operations.

Our business is vulnerable to damage from various types of natural disasters or other disruptive events, including earthquakes, fires, floods, power losses and communications failures. For example, our headquarters are located in the San Francisco Bay Area, which is earthquake-prone, and our specialty pharmacy is located in an area that is subject to severe weather conditions. In addition, political considerations relating to mifepristone put us and our manufacturers at increased risk for terrorist attacks, protests or other disruptive events. If a disaster or similar event were to occur, we might not be able to operate our business or our manufacturers might not be able to produce or dispense Korlym or our product candidates. Our insurance may not cover or be adequate to cover losses resulting from disasters or other business interruptions.

Risks Related to theour Research and Development ofActivities

Our efforts to discover, develop and commercialize our Product Candidates

product candidates may not succeed. Clinical drug development is lengthy, expensive and is often not successful.unsuccessful. Results of earlierearly studies and trials mayare often not be predictive of futurelater trial results.

Failure can occur at any time.

Clinical development is expensivecostly, time-consuming and takes a long time. Data obtainedunpredictable. Positive data from clinical trials are susceptible to varying interpretations, which could delay, limit or prevent regulatory approval. The results from early clinical trials mayare often not be predictive of results in later clinical trials. Product candidates may ultimately fail to show the desired safety and efficacy traits despite having produced positive results in preclinical studies and initial clinical trials. Many companies have suffered significant setbacks in advancedlate-stage clinical trials due to lack of efficacy or theunanticipated or unexpectedly severe adverse safety profile of their product candidate. 

events.

Our current clinical trials are too smallmay prove inadequate to support marketing approvals for the compounds being studied.approvals. Even if these trials that generate positive results those results wouldmay have to be confirmed in one or more substantiallymuch larger, more expensive and lengthier trials before we could seek regulatory approvals.

The commencementapproval.

Clinical trials may take longer to complete, cost more than expected and completionfail for many reasons, including:
slow patient enrollment or delayed activation of clinical trials may be delayed by factors beyond our control, including:

trial sites due to the COVID-19 pandemic or other factors;

delays obtaining regulatory permission to start a trial;

trial, changes to the size or design of a trial or changes in regulatory requirements for a trial already underway;

inability to secure acceptable terms with Clinical Research Organizations (“CROs”)vendors and an appropriate number of clinical trial sites;

delays or inability to obtain institutional review board (“IRB”) approval at prospective trial sites;

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slow patient enrollment;

negative or inconclusive trial results;

failure of patients or investigators to comply with the clinical trial protocol;

lack of effectiveness orunforeseen safety of the product candidate;issues; and

negative findings of inspections of clinical sites or manufacturing operations by us, the FDA or other authorities of our clinical or manufacturing operations.

authorities.

We could encounter delays if a clinical

A trial ismay also be suspended or terminated by us, the trial’s data safety monitoring board, or the IRBs atgoverning the sites where the trial is being conducted. Theconducted or the FDA or other regulatory authorities may suspend or terminate a trial for many reasons, including failure to conduct the trial in accordancecomply with regulatory requirements or our clinical protocols, negative findings in an inspection by the FDA or other authorities of our clinical trial operations or clinical trial sites by the FDA or other authorities, unforeseen safety issues, failure to demonstrate a benefit from using a product candidate or changes in government regulations.

Disruptions caused by the COVID-19 pandemic increase the likelihood of delays in initiating or completing our planned and ongoing clinical trials, thereby increasing their costs. Please see the risk factor, “The COVID-19 pandemic has made initiating and advancing our clinical development programs more difficult.”

During the clinical development of a product candidate, we may decide, or the FDA or other regulatory authorities may require us, to conduct more pre-clinical or clinical studies or pre-clinical studies in addition to those we had planned, which could delaychange the size or preventdesign of a trial already underway, thereby delaying or preventing the completion of its development program orand increase its cost. Even if we conduct all of the clinical trials and supportive studies that we consider appropriate and the results are positive, we may not receive regulatory approval. Following regulatory approval, there are significant risks to its commercial success, such as development of a product candidate.

competing products by other companies or the reluctance of physicians to prescribe it.

The COVID-19 pandemic has lengthened the time it takes to initiate and advance our clinical development programs.

We depend on third-partiesconduct clinical trials at sites in the United States, Canada, Europe and Israel. In the United States, Canada and Europe, authorities have imposed significant public health restrictions of varying degrees of severity which are likely to conductpersist until COVID-19 vaccines have been widely administered. In addition, physicians, patients and manage manymedical institutions have changed their behavior in an attempt to reduce the risk of infection, which makes clinical trials more expensive, time-consuming and risky to initiate and conduct.
Some of the sites where we are conducting clinical trials have stopped enrolling new patients or reduced the frequency with which enrolled patients see their physicians. Some clinical sites have temporarily stopped initiating new trials. Many patients are reluctant to participate in procedures required by our clinical trial protocols because they fear infection. In general, COVID-19 has slowed the pace of our clinical trials, including our studies in Cushing’s syndrome and AIWG. Studies of diseases perceived to be acutely life-threatening, such as advanced solid tumors, have not experienced delay or disruption.
We may continue to experience disruptions from the COVID-19 pandemic, which could have a material adverse impact on our clinical trial plans and timelines, including:
delays in enrolling patients in our clinical trials;
delays in clinical site initiation, including difficulties in recruiting clinical investigators and staff;
delays in receiving authorizations from local regulatory authorities and internal review boards to initiate clinical trials or amend existing protocols;
delays in clinical sites receiving necessary supplies and materials due to interruptions in local and global shipping;
changes in local regulations that require us to change the ways in which our clinical trials are conducted, which may result in unexpected costs or cause us to suspend or discontinue a trial in the affected jurisdiction;
diversion of healthcare resources, including facilities, supplies and staff, away from the conduct of clinical trials;
interruption of key clinical trial activities, such as clinical trial site monitoring, patient visits and follow-up, study procedures and data collection, that could affect the integrity of clinical trial data, due to limitations on travel;
the infection of patients enrolled in our clinical trials with COVID-19, which could affect the results of the clinical trial, including by increasing the number of observed adverse events or by causing patients to drop out of the study;
patient discontinuations due to fear of infection with COVID-19;
interruptions or delays in preclinical studies due to restricted or limited operations at laboratory facilities;
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delays in necessary interactions with local regulators, ethics committees and other third parties and contractors due to limitations in employee resources or the furlough of government employees;
limitations caused by the sickness of our employees or their families or the desire of employees to avoid contact with large groups of people; and
the possible refusal of the FDA or other regulatory authorities to accept data from clinical trials in affected geographies.
The extent to which the COVID-19 pandemic affects our business, preclinical studies and clinical trials will depend on future developments, which are highly uncertain and cannot be predicted with confidence.
Vendors perform many of the activities necessary to carry out our clinical trials, including drug product distribution, trial management and oversight and data collection and analysis. Failure of these third-partiesvendors to carry outperform their contractual duties or meet expected timelines may prevent or delay regulatory approval of our product candidates, which could substantially harm our business.

We rely oncandidates.

Third-party clinical investigators and clinical sites to enroll patients and third-parties such as CROs to manage many of our trials and to perform required data collection and analysis. Although we control only certain aspects of these third-parties’third parties’ activities, our reliance on them does not relieve us of our regulatory responsibilities. Wewe are responsible for ensuring that each of our studies is conducted in accordance with the prescribedevery study adheres to its protocol and in accordance with all applicable legal,meets regulatory and scientific standards. If we or any of the third-parties working with us fail to comply with applicable cGCPs, the clinical data generated in our trials may be deemed unreliable and the FDA or comparable foreign regulatory authorities may require us to perform additional clinical trials before approval of our marketing applications. We cannot be certain that regulatory authorities will determine that our clinical trials comply with cGCP requirements. In addition, our clinical trials must use only drug product produced in accordance with cGMP regulations. Failure to comply with these regulations may require us to repeat clinical trials, which would delay regulatory approval. We may not be able to select and qualify appropriate sites for our trials. If our clinical sites fail to enroll a sufficient number of patients or fail to enroll them on schedule, we may be unable to complete our trials as planned, which could delay or prevent the clinical development of our product candidates.

Although we have agreements with the CROs and consultants helping to conduct our clinical trials, we may not be able to maintain relationships with them or with our clinical investigators or clinical sites.  If any of our agreements with these third-parties terminates, we mayvendors does not be able to enter into alternative arrangements on commercially reasonable terms, or at all. If the third-parties on which we rely do not carry out their contractualperform its duties or fail to meet expected deadlines or fails to adhere to applicable GCP, or if the quality or accuracy of the data they obtainit produces is compromised, ouraffected clinical trials may be extended, delayed or terminated and we may be unable to obtain regulatory approval for our product candidates.

We Failure of our manufacturing vendors to perform their duties or comply with cGMPs may be unablerequire us to obtain and maintainrecall drug product or repeat clinical trials, which would delay regulatory approvals forapproval. If our product candidates.

We are not permitted to market or promoteagreements with any products before we receive regulatory approval from the FDA or comparable foreign regulatory authorities. Although we have received FDA approval to market Korlym to treat patients with Cushing’s syndrome,of these vendors terminate, we may not be unableable to maintain such approval. We may not receive regulatory approval for any ofenter into alternative arrangements in a timely manner or on reasonable terms.

Our ability to physically inspect our product candidates. vendors and clinical sites has been limited by the COVID-19 pandemic and associated public health restrictions, which increases the risk that failures to meet applicable requirements will go undetected.
Obtaining regulatory approval of a new drug is uncertain, lengthy and expensive. Failure can occur at any stage. In order to receive approval from the FDA for a product candidate, we must demonstrate that the new drug product is safe and effective for its intended use and that our manufacturing processes for the product candidate comply with cGMPs, which govern production processes, quality control and recordkeeping. Our inability or the inability of our suppliers to comply with applicable FDA and other regulatory requirements can result in, among other things, delays in or denials of new product approvals, warning letters, fines, consent decrees restricting or suspending manufacturing operations, injunctions, civil penalties, recall or seizure of products, total or partial suspension of product sales and criminal prosecution. Any of these or other regulatory actions could materially harm our business and our financial condition.

Future governmental action or changes in FDA policy or personnel may also result in delays or rejection of an NDA in the United States. In addition, because the only other currently FDA-approved use of mifepristone is the termination of pregnancy, we expect that the label for mifepristone for any indication will include, as Korlym’s does, some limitations, including a so-called “black-box” warning that it should not be used by pregnant women or women seeking to become pregnant.

If we receive regulatory approval for our future product candidates we willin foreign jurisdictions would be subject to ongoing FDA obligationscostly and continued regulatory oversight and review, such as continued safety reporting requirements; and we may also be subject to additional FDA post-marketing restrictions and obligations. If we are not able to maintain regulatory compliance, we may not be permitted to market our product candidates and may be subject to product recalls or seizures. Any regulatory approvals that we receive for our future product candidates may limit the indicated uses for which the medicine may be marketed or require costly post-marketing studies. 


difficult. Failure to obtain regulatory approval in foreign jurisdictionssuch approvals would prevent us from commercializing our product candidates abroad.

outside the United States.

We may seek to commercialize our products in international markets, on our own or with the help of partners. Outside the United States, we may commercialize a product only if wewhich would require us to receive a marketing authorization and, in many cases, pricing approval, from the appropriate regulatory authorities, whoseauthorities. These approval processes include all of the risks associated with the FDA’s approval process and, in some cases, additional risks. The approval procedure varies amongApproval procedures vary between countries and can involverequire additional testing.  The time required to obtainpre-clinical or clinical studies. Obtaining approval may differ from that required to obtain FDA approval.take longer than it does in the United States. Although approval by the FDA does not ensure approval by regulatory authorities in other countries, and approval by one foreign regulatory authority does not ensure approval by regulatory authorities in other foreign countries or by the FDA,others, failure or delay in obtaining regulatory approval in one country may have a negative effect on the regulatory process in others. We
Our products and product candidates may cause undesirable side effects that halt their clinical development, prevent their regulatory approval, limit their commercial potential or cause us significant liability.
Patients in clinical trials report changes in their health, including new illnesses, injuries, and discomforts, to their study doctor. Often, it is not be ablepossible to file for regulatory approvals and maydetermine whether or not receive necessary approvals to commercializethese conditions were caused by the drug candidate being studied or something else. As we test our product candidates in any foreign market. Although we have received Orphan Drug designation in the EU of Korlym to treat patients with Cushing’s syndrome, we are not currently seeking any foreign approvals.  

We face competition from companies with financial, technicallarger, longer and marketing resources substantially greater than our own.

The biotechnology and pharmaceutical industries are intensely competitive and subject to rapid and significant technological change. Our present and potential competitors include major pharmaceutical companies, specialized pharmaceutical firms, universities and public and private research institutions.  These competitors may develop and commercialize medications that are superior to and less expensive than ours. We expect competition to intensifymore extensive clinical trials, or as technical advances are made. 

Many of our competitors and potential competitors have greater experience, more financial and marketing resources and larger research and development staffs than we do. In addition, manyuse of them either alonebecomes more widespread if we receive regulatory approval, patients may report serious adverse events that did not occur or together with their collaborative partners, have significantly greater experience thanwent undetected in previous trials. Many times, serious side effects are only detected in large-scale, Phase 3 clinical trials or following commercial approval.

Adverse events reported in clinical trials can slow or stop patient recruitment, prevent enrolled patients from completing a trial and could give rise to liability claims. Regulatory authorities could respond to reported adverse events by interrupting or halting our clinical trials or limiting the scope of, delaying or denying marketing approval. If we do in drug development, obtaining regulatory approvals, manufacturingelect, or are required by authorities, to delay, suspend or terminate any clinical trial or commercialization efforts, the commercial prospects of such product candidates or products may be harmed, and commercializing products. Theyour ability to generate product revenues from them may develop drugs that are superior tobe delayed or eliminated.
If one of our product candidates which could render our product candidates obsolete or non-competitive.

Our efforts to discover, develop and commercialize product candidates beyond Korlym for the treatment of patients with Cushing’s syndrome are at an early stagereceives marketing approval, and we may fail to successfully commercialize any of them.  

To develop additional sources of revenue, we must develop new product candidates or new therapeutic uses for Korlym. Cortisol modulators may not be effective to treat any other disorders. We could discover that cortisol modulators have unacceptableothers later identify undesirable side effects or are otherwiseadverse events, potentially significant negative consequences could result, including but not safe. Due to the potential for lack of efficacy and side effects inherent in novel compounds and in new uses for existing medications, we are developing multiple compounds, which will increase our rate of spending, with no assurance that we will be successful in developing drugs that are safe and effective.

We only have significant clinical and commercial experience with mifepristone, the active ingredient in Korlym, and we may determine that mifepristone is not desirable for uses other than for the treatment of patients with Cushing’s syndrome. The compounds developed pursuant to our early discovery, preclinical and clinical research programs may fail to become approved medications, no matter how much management time and money we spend on their development. After a product candidate is identified, we may abandon further development efforts after expending significant expense and time due to financial constraints, concerns over safety or efficacy, marketing considerations, manufacturing difficulties or other reasons. Moreover, governmentallimited to:

regulatory authorities may enact new legislation or regulations thatsuspend, limit or restrict our development efforts. If we are unable to successfully discoverwithdraw approvals of such product;
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regulatory authorities may require additional warnings on the label, including “boxed” warnings, or issue safety alerts and commercialize new uses for cortisol modulators, other safety information about the product;
we may be unablerequired to generate sufficient revenuechange the way the product is administered or conduct additional studies or clinical trials;
we may be required to supportcreate a Risk Evaluation and Mitigation Strategy (REMS), which could include a medication guide outlining the risks of such side effects for distribution to patients, a communication plan for healthcare providers and/or other elements to assure safe use;
the product may become less competitive;
we may be subject to fines, injunctions or the imposition of criminal penalties; and
we could be sued and held liable for harm caused to patients;
Any of these events could seriously harm our operations.

business.

We will need to increase the size of our organization and we may experience difficulties in managing growth.

The development of our

Our commercial and research and development efforts will beare constrained by our limited administrative, operational and management resources. To date, we have relied on a small management team. Growth will impose significant added responsibilities on members of management, including the need to recruit and retain additional employees. To date, we have relied on a small management team. Our future financial performance and our ability to compete effectively will depend on our ability to manage growth effectively. To that end, we must:

manage our sales and marketing efforts, clinical trials, research and developmentmanufacturing activities and supply chain effectively;

hire additionalmore management, clinical development, administrative and sales and marketing personnel; and

continue to develop our administrative accounting and management information systems and controls.

Our failure

Failure to accomplish any of these tasks, which will be more difficult during the COVID-19 pandemic, could harm our business.


If we lose our key personnel or are unable to attract and retain additionalmore skilled personnel, we may be unable to pursue our product development and commercialization efforts.

goals.

Our ability to operate successfully and manage our potential future growth depends significantly upon hiring and retaining keyskilled managerial, scientific, sales, marketing, and financial personnel, and attracting and retaining additional highlypersonnel. The job market for qualified personnel in these areas.is intensely competitive. We face intense competition for qualified personnel.  We depend substantially on the principal members of our management and scientific staff. We do not have agreements with any of our executive officers that provide for their continued employment with us or employment insurance covering any of our key personnel. Any officer or employee canmay terminate his or her relationship with us at any time and work for onea competitor. We do not have employment insurance covering any of our competitors.personnel. The loss of key individuals could delay our research, development and commercialization efforts.

Risks Related to Ourour Capital Needs and Financial Results

We may need additional capital to develop and commercialize Korlymfund our operations or for additional indications or our selective cortisol modulators for any indication. Additionalstrategic reasons. Such capital may not be available on favorableacceptable terms or at all.

Our

We are dependent on revenue from the sale of Korlym revenues may be insufficientand our cash reserves to fully fund our commercial operations and development of our proprietary selective cortisol modulators for any indication or for additional indications for Korlym. Weprograms. If Korlym revenue declines significantly, we may need to curtail our operations or raise funds to support our research and development activities, for working capital or for other general corporate purposes, or to acquire or invest in businesses, products and technologies.

Factors affecting our ability to generate funds from the sale of Korlym include:

the pace at which physicians adopt Korlym as a treatment;

the willingness of insurance companies and government payors to provide prompt, complete reimbursement of Korlym; and

disputes concerning patents or proprietary rights, including announcements of claims of infringement, interference or litigation against us or our licensors.

plans. We may also choose to raise additional capitalfunds for strategic reasons, even if we believe our revenue can fully fund our current and future operating plans.reasons. We cannot be certain that additional funding will be available on acceptable terms or at all. Our sales of common stock and warrants and the exercises of warrants have been dilutive to stockholders and any additional equityEquity financing couldwould cause further dilution. Debtdilution, debt financing if available, may involve restrictive covenants. Neither type of financing may be available to us on attractive terms or at all. If we obtain funds through collaborations with other companies, those arrangementswe may be on unfavorable terms or may require ushave to relinquish certain rights to Korlymone or more of our product candidates. If our revenue declines and our cash reserves are depleted, and if adequate funds are not available from other sources, we may be requiredhave to delay, reduce the scope of, or eliminate one or more of our research or development programs or we may be required to discontinue operations.

We have incurred substantial losses and may incur more.

We finance our operations through revenue from the sale of Korlym.  Before 2016, we incurred substantial losses every year. We may incur additional losses.

Economic conditions could adversely affect our liquidity and financial condition.

Turbulence in the financial markets may cause lenders and institutional investors to stop providing credit to businesses such as ours or to greatly increase its cost, which could adversely affect our liquidity and financial condition.  If our commercial activities do not generate enough cash to fully fund the operation of our business and we are unable to borrow funds or raise capital, we may need to find alternative ways to increase our liquidity. Such alternatives may include, without limitation, curtailing clinical or drug development activity or limiting our commercial efforts, which would have an adverse effect on our business, results of operations, cash flows and financial condition.

If we acquire other selective cortisol modulators or other technologies or potential products, we will incur a variety of costs and may never realize the anticipated benefits of the acquisition.

If appropriate opportunities arise, we may attempt to acquire products or product candidates that are complementary to our operating plan. We currently have no commitments, agreements or plans for any acquisitions. Acquiring rights to another potential product or technology may result in unforeseen difficulties and expenditures and may absorb significant management attention that would otherwise be available for development of our existing business. We may fail to realize the anticipated benefits of any acquired potential product or technology. Acquisitions could dilute our stockholders’ ownership interest and could cause us to incur debt, expose us to future liabilities and result in amortization or other expenses related to goodwill and other intangible assets.

programs.

Risks Relating to Our Intellectual Property

To succeed, we must secure, maintain and effectively assert adequate patent protection for the composition and methods of use of our proprietary, selective cortisol modulators and for the use of Korlym to treat Cushing’s syndrome and other disorders.
Patents are uncertain, involve complex legal and factual questions and are frequently the subject of litigation. The patents issued or licensed to us may be challenged at any time. Competitors may take actions we believe infringe our intellectual
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property, causing us to take legal action to defend our rights. Intellectual property litigation is lengthy, expensive and requires significant management attention. Outcomes are uncertain. If Korlymwe do not protect our intellectual property, competitors may erode our competitive advantage. Please see “Part I, Item 3, Legal Proceedings.”
Our patent applications may not result in issued patents and patents issued to us may be challenged, invalidated, held unenforceable or circumvented. Our patents may not prevent third parties from producing competing products. The foreign countries where we may someday operate may not protect our other product candidates conflict withintellectual property to the patentsextent the laws of others or ifthe United States do. If we become involvedfail to obtain adequate patent protection in other intellectual property disputes, wecountries, others may have to engageproduce products in those countries based on our technology.
Third parties may allege that our patents infringe their rights. Defending against such allegations may result in costly litigation or be forcedand may require us to obtain a license or may be unable to commercializebar us from commercializing our product candidates or Korlym for a new indication.

Patents in the pharmaceutical industry are highly uncertain, involve complex legal

Our development and factual questions and are the subjectcommercialization of very costly litigation. Our product candidatesKorlym or our selective cortisol modulators may give rise to claims that our patents or the patents we have licensed are invalid or that we infringe on the rights of others, which may causerequire us to engage in costly, time-consuming and possibly unsuccessful litigation. If it is determined that one of our products or product candidates infringe others’ patent rights, we may be requiredhave to obtain licenses to those rights. If we fail to obtain licenses when necessary, we may have torights or delay commercializing our product candidatesor suspend commercial activity while we attempt to design around the infringed patent. We couldIf our efforts fail, andwe may be unable to commercialize ourthe infringing product candidates. If we become involved in intellectual property litigation, we are likely to incur considerable costs. or product candidate. We do not have liability insurance for patent infringement.
We do not believe that we infringe any patents or other proprietary rights. We are not obligated to pay royalties relating to the use of intellectual property except to Stanford University and the University of Chicago. To maintain our licenses from the exclusive license to these patents,University of Chicago, we must make milestone and royalty payments to both universities.payments. If we do not comply with our obligations under ourthese licenses, we may lose the right to commercialize cortisol modulators, including mifepristone, for the treatment of psychotic depression, cocaine-induced psychosis, early dementia, TNBCTriple-Negative Breast Cancer (“TNBC”) and CRPC.

Our success depends on our ability to obtain and maintain adequate patent protection for the composition of our proprietary, selective cortisol modulators and their methods ofpatents concerning mifepristone cover its use, and the use of Korlym to treat Cushing’s syndrome, TNBC and CRPC. If we do not adequately protect our intellectual property, competitors may erode our competitive advantage.

Our patent applications and patents licensed or issued to us may be challenged by third-parties and our patent applications may not result in issued patents. Our presently pending and future patent applications may not issue as patents, and any patent issued to us may be challenged, invalidated, held unenforceable or circumvented. Our patent claims may not prevent third-parties from producing competing products. The foreign countries in which we may someday operate may not protect our intellectual property to the extent of the laws of the United States. If we fail to obtain adequate patent protection in other countries, our competitors may produce in those countries competing products based on our technology, which would impair our ability to succeed.

If a third-party successfully asserted an infringement claim against us, we could be forced to obtain an expensive license or pay damages and be prevented from developing, manufacturing or marketing our potential products. We do not have liability insurance for patent infringement.  Patent litigation could consume a substantial portion of our resources and management time. Regardless of a claim’s merit, defending a lawsuit is expensive and diverts management’s attention from productive business.

Our ability to compete could be diminished if we are unable to protect our trade secrets and proprietary information.

In addition to patents, we rely on a combination of confidentiality, nondisclosure and other contractual provisions, laws protecting trade secrets and security measures to protect our proprietary information. These measures may not provide adequate protection, in which case third-parties could use our proprietary information to diminish our ability to compete. In addition, employees, consultants and others may breach their agreements with us regarding our proprietary information and we may not have adequate remedies for the breach.

The mifepristone patents that we own or license cover the use of mifepristone, not its composition, which may make it more difficultharder to prevent patent infringement if physicians prescribe another manufacturer’s mifepristone or if patients acquire mifepristone from other sources, such as the internet or underground market.  

infringement.

We own or have exclusively licensed issued U.S. patents covering the use of cortisol modulators, including mifepristone, to treat a variety of disorders, including TNBC and CRPC.disorders. A method of use patent covers only a particular use of a compound, not its composition. Because our patents do not cover the composition of mifepristone, we cannot prevent others from commercializing mifepristone to treat disorders not covered by our method of use patents. The availability of mifepristone for these disorders may enable patients to obtain mifepristone from other companies for indications covered by our patents. Although any such “off-label” use would violate our patents, effectively monitoring compliance and enforcing our rights may be difficult and costly. Patients may be able to purchase mifepristone through the internet or underground market. Mifepristone is sold in the United States by Danco Laboratories for the termination of pregnancy. Although distribution is limited to a single dose provided in the physician’s office and covered by other restrictions, we cannot be certain that patients with Cushing’s syndrome will not be able to obtain mifepristone from this or other sources, should another company receive approval to market mifepristone for another indication.


Risks Related to Our Stock

The market price of our common stock has beenfluctuates widely and is likely to continue to be subject to wide fluctuations in price in response to various factors, many of which are beyond our control.do so. Opportunities for the sale of shares at any givenparticular time may be limited.

We cannot assure investors that an activea liquid trading market for our common stock will exist at any particular time. HoldersAs a result, holders of our common stock may not be able to sell shares quickly or at the current market price if trading in our common stock is not active.price. During the 52-week period ended October 30, 2017,July 22, 2021, our average daily trading volume was approximately 1,047,7411,238,944 shares and the intra-day sales prices per share of our common stock on The NASDAQ CapitalNasdaq Stock Market ranged from $6.70$12.20 to $20.77.$31.18. As of October 30, 2017,July 22, 2021, our officers, directors and principal stockholders controlled 14beneficially owned approximately 17 percent of our common stock.

Stock markets, and the market for biotechnology and life sciences companies in particular, have experienced

Our stock price can experience extreme price and volume fluctuations that have often beenare unrelated or disproportionate to theour operating performance of these companies. This volatility may significantly reduce the market price of our common stock, regardless of our operating performance.or prospects. Securities class-action litigation isclass action lawsuits are often instituted against companies following periods of stock market volatility. If instituted against us, suchSuch litigation could result in substantial costsis costly and diversion ofdiverts management’s attention.

Theattention from productive efforts.

Factors that may cause the price of our common stock is volatileto fluctuate rapidly and could fluctuate widely in response to a range of factors, many of which are beyond our control.  Such factors include:

actual or anticipated variations in our quarterly operating results;

results or changes in estimates or recommendations by securities analysts or failure of our financial performance to meet theany public guidance we have provided to the public;

provided;

actual or anticipated timing and results of our clinical trials;

purchases or sales of our common stock by us, our officers, directors or our stockholders;

actual or anticipated regulatory approvals of our product candidates or of competing products;

trading volume of our common stock;

our cash and short-term investment position;

changes in the expected or actual timing of our competitors’ potential development programs;

programs, including developments in ANDA litigation and proceedings before the PTAB and the announcement of ANDA filings seeking approval for generic versions of Korlym;
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changes in laws or regulations applicable to our product candidates or our competitors’ products;

announcements of technological innovations by us, our collaborators or our competitors;

conditions or trends in the biotechnology and pharmaceutical industries;

changes in the market valuations of similar companies;

general market and economic conditions;

conditions, including the effects of the COVID-19 pandemic;

additions or departures of key personnel;

disputes or other developments relating to proprietary rights, including patents, litigation matters and our ability to obtain patent protection for our technologies;

inventions;
short selling of our common stock, the publication of speculative opinions about our business or other market manipulation activities by third parties that are intended to lower our stock price or increase its volatility;

changes in estimates or recommendations by securities analysts or the failure of our performance to meet the published expectations of those analysts or any public guidance we have provided;

actual or anticipated regulatory approvals of our product candidates or of competing products;
purchases or sales of our common stock by our officers, directors or stockholders;
changes in laws or regulations applicable to our product candidates or our competitors’ products;
technological innovations by us, our collaborators or our competitors;
changes in the trading volume of our common stock;
conditions in the pharmaceutical industry, including the market valuations of companies similar to ours;
additions or departures of key personnel;
announcements by us or our competitors of significant acquisitions, strategic partnerships, joint ventures, collaboratorscollaborations or capital commitments; and

additional financing activities.

activities; and
our cash and short-term investment position.

Our stock price may decline if our financial performance does not meet the guidance that we have provided to the public, estimates published by research analysts or other investor expectations.

The guidance we provide as to our expected 20172021 revenue is only an estimate of what we believe is realizable at the time we give such guidance. OurIt is difficult to predict our revenue and our actual results may vary materially.  There are inherent difficulties in predictingmaterially from our guidance. The effect on our business of the amount of Korlym that will be sold. For example,COVID-19 pandemic is difficult to forecast. In addition, the rate of physician adoption of Korlym and the actions of government and private payers is uncertain. We may experience competition from generic versions of Korlym, which our public revenue guidance does not anticipate. We may not meet our financial guidance or other investor expectations for other reasons, including those arising from the risks and uncertainties described in this report and in our other public filings and public statements. Research analysts have publishedpublish estimates of our future revenue estimatesand earnings based on their own analyses.analysis. The revenue guidance we provide may be one factor they consider when determining their estimates. Readers
General Risk Factors
We are subject to government regulation and other legal obligations relating to privacy and data protection. Compliance with these requirements is complex and costly. Failure to comply could materially harm our business.
We and our partners are subject to federal, state and foreign laws and regulations concerning data privacy and security, including HIPAA and the EU General Data Protection Regulation, or the GDPR. These and other regulatory frameworks are evolving rapidly as new rules are enacted and existing ones updated and made more stringent.
In the United States, numerous federal and state laws and regulations, including state data breach notification laws, state health information privacy, laws, and federal and state consumer protection laws and regulations (e.g., Section 5 of the FTC Act), that govern the collection, use, disclosure, and protection of health-related and other personal information could apply to our operations or the operations of our partners. In addition, we may obtain health information from third parties (including research institutions from which we obtain clinical trial data) that are subject to privacy and security requirements under HIPAA. Depending on the facts and circumstances, we could be subject to criminal penalties if we knowingly obtain, use, or disclose individually identifiable health information maintained by a HIPAA-covered entity in a manner that is not authorized or permitted by HIPAA.
Even when HIPAA does not apply, according to the Federal Trade Commission or the FTC, violating consumers’ privacy or failing to take appropriate steps to keep consumers’ personal information secure may constitute unfair acts or
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practices in or affecting commerce in violation of Section 5(a) of the Federal Trade Commission Act. The FTC expects a company’s data security measures to be reasonable and appropriate in light of the sensitivity and volume of consumer information it holds, the size and complexity of its business, and the cost of available tools to improve security and reduce vulnerabilities. Individually identifiable health information is considered sensitive data that merits stronger safeguards.
In addition, certain state laws govern the privacy and security of health information in certain circumstances, some of which are more stringent than HIPAA and many of which differ from each other in significant ways and may not have the same effect, thus complicating compliance efforts. Failure to comply with these laws, where applicable, can result in the imposition of significant civil and/or criminal penalties and private litigation. For example, the California Confidentiality of Medical Information Act imposes restrictive requirements regulating the use and disclosure of health information and other personally identifiable information. Further, on June 28, 2018, California enacted the California Consumer Privacy Act, or the CCPA, which took effect on January 1, 2020. The CCPA creates individual privacy rights for California consumers and increases the privacy and security obligations of entities handling certain personal information. The CCPA provides for civil penalties for violations, as well as a private right of action for data breaches that is expected to increase data breach litigation. The CCPA may increase our compliance costs and potential liability. Further, the California Privacy Rights Act, or CPRA, recently passed in California. The CPRA will impose additional data protection obligations on covered businesses, including additional consumer rights processes, limitations on data uses, new audit requirements for higher risk data, and opt outs for certain uses of sensitive data. It will also create a new California data protection agency authorized to issue substantive regulations and could result in increased privacy and information security enforcement. The majority of the provisions will go into effect on January 1, 2023, and additional compliance investment and potential business process changes may be required. In the event that we are subject to or affected by HIPAA, the CCPA, the CPRA or other domestic privacy and data protection laws, any liability from failure to comply with the requirements of these laws could adversely affect our financial condition. Similar laws have also been proposed at the federal level and in other states.
The GDPR went into effect in 2018 and imposes stringent requirements for controllers and processors of personal data of individuals within the EEA, particularly with respect to clinical trials. The GDPR provides that EEA member states may make their own further laws and regulations limiting the processing of health data, which could limit our ability to use and share personal data or could cause our costs to increase and harm our business and financial condition. In addition, the GDPR increases the scrutiny that clinical trial sites located in the EEA should apply to transfers of personal data from such sites to countries that are considered to lack an adequate level of data protection, such as the United States. Recent legal developments have also created complexity and compliance uncertainty regarding certain transfers of information from the EEA to the United States. For example, on June 16, 2020, the Court of Justice of the European Union, or the CJEU, limited how organizations could lawfully transfer personal data from the EEA to the United States by invalidating the EU-US Privacy Shield Framework for purposes of international transfers and imposing further restrictions on use of the standard contractual clauses, or SCCs. These restrictions include a requirement for companies to carry out a transfer impact assessment which, among other things, assesses the laws governing access to personal data in the recipient country and considers whether supplementary measures that provide privacy protections additional to those provided under SCCs will need to be implemented to ensure an essentially equivalent level of data protection to that afforded in the EEA. The European Commission issued revised SCCs on June 4, 2021 to account for the decision of the CJEU and recommendations made by the European Data Protection Board. The revised SCCs must be used for relevant new data transfers from September 27, 2021; existing standard contractual clauses arrangements must be migrated to the revised clauses by December 27, 2022. There is some uncertainty around whether the revised clauses can be used for all types of data transfers, particularly whether they can be relied on for data transfers to non-EEA entities subject to the GDPR. As supervisory authorities issue further guidance on personal data export mechanisms, including circumstances where the SCCs cannot be used, and/or start taking enforcement action, we could suffer additional costs, complaints and/or regulatory investigations or fines, and/or if we are otherwise unable to transfer personal data between and among countries and regions in which we operate, it could affect the manner in which we provide our services, the geographical location or segregation of our relevant systems and operations, and could adversely affect our financial results. The GDPR imposes substantial fines for breaches of data protection requirements, which can be up to four percent of global revenue for the preceding financial year or €20 million, whichever is greater, and it also confers a private right of action on data subjects for breaches of data protection requirements. Compliance with European data protection laws is a rigorous and time intensive process that may increase our cost of doing business, and despite those efforts, there is a risk that we may be subject to fines and penalties, litigation and reputational harm in connection with our European activities. From January 1, 2021, we have to comply with the GDPR and separately United Kingdom GDPR, which, together with the amended United Kingdom Data Protection Act 2018, retains the GDPR in United Kingdom national law, each regime having the ability to fine up to the greater of €20 million/ £17.5 million or 4% of global turnover. The relationship between the United Kingdom and the EU in relation to certain aspects of data protection law remains unclear, and it is unclear how United Kingdom data protection laws and regulations will develop in the medium to longer term. On June 28, 2021, the European Commission adopted an adequacy decision in favor of the United Kingdom, enabling data transfers from EU member states to the United Kingdom without
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additional safeguards. However, the United Kingdom adequacy decision will automatically expire in June 2025 unless the European Commission renews or extends that decision and remains under review by the Commission during this period.
Complying with U.S. and foreign privacy and security laws and regulations is complex and costly. Failure to comply by us or our vendors could subject us to litigation, government enforcement actions and substantial penalties and fines, which could harm our business.
We rely on information technology systems to conduct our business. A breakdown or breach of these systems or our failure to protect confidential information concerning our business, patients or employees could interrupt the operation of our business and subject us to liability.
We store valuable confidential information relating to our business, patients and employees on our computer networks and on the networks of our vendors. In addition, we rely heavily on internet technology, including video conference, teleconference and file-sharing services, to conduct business during the COVID-19 pandemic. Despite the implementation of security measures, our networks and the networks of our vendors are subject to the risk of cyberattacks, “phishing” attacks, computer hackers, service provider or vendor error, or malfeasance or other intentional or unintentional acts by third parties and bad actors, including vendors, computer viruses, unauthorized access, natural disasters, terrorism, war and internet and electrical failures. They may also be manipulated by criminals seeking to commit fraud or theft.
COVID-19 may increase our cybersecurity risks, due to our reliance on internet technology and the number of our employees that are working remotely, which may create additional opportunities for cybercriminals to exploit vulnerabilities. In addition, system failures could cause the loss, theft, exposure, or unauthorized access or use of valuable clinical trial data as a result of accidents, errors or malfeasance by our employees, independent contractors or others working with us or on our behalf or otherwise disrupt our clinical and commercial activities and be expensive and time-consuming to remedy. Our servers and systems, and those of our vendors, may be vulnerable to computer malware, break-ins, denial-of-service attacks, and similar disruptions from unauthorized tampering with our computer systems, which could result in someone obtaining unauthorized access to our confidential information, including our clinical data, or the confidential information of our patients or employees.
The computer systems of the CRO that managed one of our early-stage clinical trials was breached and confidential information, including information about some of the patients who participated in our trial, was exposed. Under applicable law, this breach is the responsibility of the CRO, which has notified the affected patients and is cooperating closely with regulatory and law enforcement authorities. We do not expect this breach to have any impact on our development programs or financial performance.
We have experienced “phishing” attacks and other unauthorized access to certain data and information. There is no assurance that our cybersecurity systems and processes will be effective in preventing unauthorized access in the future. Furthermore, because the techniques used to obtain unauthorized access to, or to sabotage, systems change frequently and often are not recognized until launched against a target, we may be unable to anticipate these techniques or implement adequate preventative measures. We may also experience security breaches that remain undetected for an extended period.
Disruptions or security breaches that result in the disclosure of confidential or proprietary information could cause us to incur liability and delay or otherwise harm our research, development and commercialization efforts. We may be liable for losses suffered by patients or employees or other individuals whose confidential information is stolen as a result of a breach of the security of the systems that we or third parties and our vendors store this information on, and any such liability could be material. Even if we are not liable for such losses, any breach of these systems could expose us to material costs in notifying affected individuals, as well as regulatory fines or penalties. In addition, any breach of these systems could disrupt our normal business operations and expose us to reputational damage and harm our business, operating results and financial condition. Any insurance we maintain against the risk of this report shouldtype of loss may not be sufficient to cover actual losses, or may not apply to the circumstances relating to any particular loss.
We are dependent on the continued functioning of the FDA and other federal instrumentalities. Their partial or complete closure, whether due to public health concerns or a budgetary dispute, or their diversion of significant resources to advance pandemic-related issues could materially harm our business.
The government’s ability to carry out its mandated functions is affected by a variety of factors, including adequate government funding, the ability to hire and retain key personnel, statutory, regulatory and policy changes, possible diversion of resources and limited operating capacity and diversion of resources caused by the COVID-19 pandemic or other events that may reduce the government’s ability to perform routine functions. Disruptions at the FDA and other agencies may slow the time to review new drug applications and respond to other inquiries. Disruptions at the Securities and Exchange Commission (“SEC”) may temporarily stop its ability to review and approve proposed financing transactions. Several times in the last few years, including for 35 days beginning on December 22, 2018, the U.S. government has shut down and many regulatory
33

agencies, including the FDA and SEC, have had to furlough employees and stop critical activities. If a prolonged government shutdown occurs, it could significantly impair the FDA, SEC and other authorities’ ability to process our submissions, which could materially harm our business.
Separately, in response to the COVID-19 pandemic, on March 10, 2020 the FDA announced its intention to postpone most inspections of foreign manufacturing facilities, and on March 18, 2020, the FDA temporarily postponed routine surveillance inspections of domestic manufacturing facilities. Subsequently, on July 10, 2020 the FDA announced its intention to resume certain on-site inspections of domestic manufacturing facilities subject to a risk-based prioritization system. The FDA intends to use this risk-based assessment system to identify the categories of regulatory activity that can occur within a given geographic area, ranging from mission critical inspections to resumption of all regulatory activities. Additionally, on April 15, 2021, the FDA issued a guidance document in which the FDA described its plans to conduct voluntary remote interactive evaluations of certain drug manufacturing facilities and clinical research sites. According to the guidance, the FDA intends to request such remote interactive evaluations in situations where an in-person inspection would not be prioritized, deemed mission-critical, or where direct inspection is otherwise limited by travel restrictions, but where the FDA determines that remote evaluation would be appropriate. Regulatory authorities outside the United States may adopt similar restrictions or other policy measures in response to the COVID-19 pandemic. If a prolonged government shutdown occurs, or if global health concerns continue to prevent the FDA or other regulatory authorities from conducting their regular inspections, reviews, or other regulatory activities, it could significantly impact the ability of the FDA or other regulatory authorities to timely review and process our regulatory submissions, which could have a material adverse effect on our business.
Changes in federal, state and local tax laws may reduce our net earnings.
Our earnings are subject to federal, state and local taxes. We offset a portion of our earnings using net operating losses and our taxes using research and development tax credits, which reduces the amount of tax we pay. Some jurisdictions require that we pay taxes or fees calculated as a percentage of sales, payroll expense, or other indicia of our activities. Please see “Part I, Item I, Notes to Unaudited Condensed Consolidated Financial Statements - Income Taxes.” Changes to existing tax laws could materially increase the amounts we must pay, which would reduce our net income.
We may be unable to obtain or maintain regulatory approvals for our product or product candidates.
We cannot promote a product candidate unless the FDA or comparable foreign regulatory authorities approves it, which may not happen. Obtaining regulatory approval of a drug is difficult, uncertain, lengthy and expensive. Failure can occur at any stage. In order to receive FDA approval, we must demonstrate to the FDA’s satisfaction that the new drug is safe and effective for its intended use and that our manufacturing processes comply with cGMPs. Our inability or the inability of our vendors to comply with applicable FDA and other regulatory requirements can result in delays in or denials of new product approvals, warning letters, fines, consent decrees restricting or suspending manufacturing operations, injunctions, civil penalties, recall or seizure of products, total or partial suspension of product sales and criminal prosecution. Any of these or other regulatory actions could materially harm our business and financial condition.
If we receive regulatory approval for a product candidate, we will be subject to ongoing FDA requirements and oversight, such as continued safety and other reporting requirements and post-marketing restrictions. If we are not able to maintain regulatory compliance, we may not be permitted to develop our product candidates or market our products and may be subject to product recalls or seizures. Any regulatory approvals for our product candidates may require costly post-marketing studies. Future governmental action or changes in FDA policy or personnel may also result in delays or rejection of an NDA or supplemental NDA.
We may face competition from companies with greater financial, technical and marketing resources than our own.
The pharmaceutical industry is competitive and subject to rapid technological change. Our potential competitors include large pharmaceutical companies and innovative biotechnology companies, many of which have greater clinical, marketing and sales resources than our own and may develop and commercialize medications that are superior to and less expensive than ours, which could negatively affect our financial results and the prospects of our product candidates.
If we acquire products or product candidates, we will incur significant costs and may not realize the benefits we anticipate.
We may acquire a product or product candidate that complements our strategic plan. Such an acquisition may give rise to unforeseen difficulties and costs and may absorb significant management attention. We may not realize the anticipated benefits of any acquisition, which could dilute our stockholders’ ownership interest or cause us to incur significant expenses and debt.
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Our ability to compete could be diminished if we are unable to protect our trade secrets and proprietary information.
In addition to patents, we rely on a combination of confidentiality, nondisclosure and other contractual provisions, laws protecting trade secrets and security measures to protect our guidance andproprietary information. These measures may not be adequate, in which case competitors could exploit our proprietary information to our disadvantage. If employees, consultants or anyone else breaches their agreements with us regarding our proprietary information, we may not have adequate remedies for the estimates of research analysts at their own discretion. 

breach.

Research analysts may not continue to provide or initiate coverage of our common stock or may issue negative reports.

The market for our common stock may be affected by the reports financial analysts publish about us. If oneany of the analysts covering us downgrades or discontinues coverage of our stock, itsthe price of our common stock could decline rapidly and significantly. Securities analysts covering our common stock may discontinue coverage.  A lackPaucity of research coverage may also adversely affect our stock’s marketstock price.

Sale of a substantial number of shares of our common stock may cause theits price of our common stock to decline.

Sales of a substantial number of shares of our stock in the public market could reduce its price. As additional shares of our stock become available for resale in the public market,resale, whether by the exercise of stock options by employees or directors or because of an equity financing by us, the supply of our stock will increase, which could cause its price to fall. Substantially all of the shares of our stock are eligible for sale, subject to applicable volume and other resale restrictions.

Our officers, directors and principal stockholders, acting as a group, could significantly influence corporate actions.

As of October 30, 2017, our officers and directors controlled 14 percent of our common stock. Acting together, these stockholders, could significantly influence any matter requiring approval by our stockholders, including the election of directors and the approval of mergers or other business combinations. The interests of this group may not always coincide with our interests or the interests of other stockholders and may prevent or delay a change in control. This significant concentration of share ownership may adversely affect the trading price of our common stock because many investors perceive disadvantages to owning stock in companies with controlling stockholders.

Changes in laws and regulations may significantly increase our costs, which could harm our financial results.

New laws and regulations, as well as changes to existing laws and regulations, including statutes and regulations concerning taxes and the development, approval, and marketing of medications, the provisions of the PPACAACA requiring the reporting of aggregate spending related to health care professionals, the provisions of the Sarbanes-Oxley Act of 2002 and rules adopted by the SEC and by The NASDAQ CapitalNasdaq Stock Market have and will likely continue to increase our cost of doing business. Complying with these regulations may increase our selling, general and administrative expensesbusiness and divert management’s time and attention from revenue-generating activities.

We may fail to comply with our public company obligations, including securities laws and regulations. Such compliance is costly and requires significant management attention.

We are a small company with limited resources.

The federal securities laws and regulations, including the corporate governance and other requirements of the Sarbanes-Oxley Act of 2002, impose complex and continually changing regulatory requirements on our operations and reporting. These developing requirements have increased and will continue to increase our legal compliance costs.

Section 404 of the Sarbanes-Oxley Act of 2002 requires that we evaluate the effectiveness of, and provide a management report with respect to, our internal controls over financial reporting. It also requires that the independent registered public accounting firm auditing our consolidated financial statements must attest to and report on the effectiveness of our internal controls over financial reporting. If we are unable to complete the required assessment and report as to the adequacy of our internal control over financial reporting in or if our independent registered public accounting firm is unable to provide us withissue an unqualified reportopinion as to the effectiveness of our internal control over financial reporting, investors could lose confidence in our financial reporting.

Changes in or interpretations of accounting rulesreporting and regulations could result in unfavorable accounting charges or require us to change our accounting policies or operating practices.

Accounting methods and policies for business and marketing practices of pharmaceutical companies are subject to continual review, interpretation and guidance from accounting authorities, including the SEC. Although we believe that our accounting practices are consistent with current requirements, changes to accounting methods or policies may require us to reclassify, restate or otherwise change or revise our financial statements. Such changes could result in changes to the amounts or characterization of our assets, liabilities, revenues, expenses and income, which could harm our financial position and results of operations and could cause thestock price of our common stock to decline.

would likely decline.

Anti-takeover provisions in our charter and bylaws and under Delaware law may make an acquisition of us or a change in our management more expensive or difficult, even if an acquisition or a management change would be beneficial to our stockholders.

Provisions in our charter and bylaws may delay or prevent an acquisition of us or a change in our management. Some of these provisions allow us to issue preferred stock without any vote or further action by the stockholders, require advance notification of stockholder proposals and nominations of candidates for election as directors and prohibit stockholders from acting by written consent. In addition, a supermajority vote of stockholders is required to amend our bylaws. Our bylaws provide that special meetings of the stockholders may be called only by our Chairman, President or the Board of Directors and that the authorized number of directors may be


changed only by resolution of the Board of Directors. These provisions may prevent or delay a change in our Board of Directors or our management, which our Board of Directors appoints. In addition, because we are incorporated in Delaware, we are governed by the provisions of Section 203 of the Delaware General Corporation Law. Section 203 may prohibit large stockholders, in particular those owning 15 percent or more of our outstanding voting stock, from merging or combining with us. These provisions in our charter and bylaws and under Delaware law could reduce the price that investors would be willing to pay for shares of our common stock.

Our officers, directors and principal stockholders, acting as a group, could significantly influence corporate actions.
As of July 22, 2021, our officers and directors beneficially owned approximately 17 percent of our common stock. Acting together, these stockholders could significantly influence any matter requiring approval by our stockholders, including the election of directors and the approval of mergers or other business combinations. The interests of this group may not always
35

coincide with our interests or the interests of other stockholders and may prevent or delay a change in control. This significant concentration of share ownership may adversely affect the trading price of our common stock and resultbecause many investors perceive disadvantages to owning stock in the market price being lower than it would otherwise be.

companies with controlling stockholders.

ITEM 2.

ITEM 2.  UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

None.

There were no unregistered sales of equity securities during the period covered by this report.
Issuer Purchases of Equity Securities
The following table contains information relating to the repurchases of our common stock as part our publicly announced Stock Repurchase Program in the three months ended June 30, 2021 (in thousands, except per share data):
Fiscal PeriodTotal Number of Shares RepurchasedAverage Price Paid Per Share
Dollar Amount of Shares That May Yet be Purchased Under the Program(1)
April 1, 2021 to April 30, 2021— $— $156,790 
May 1, 2021 to May 31, 2021650 21.27 142,965 
June 1, 2021 to June 30, 2021715 21.48 127,620 
Total1,365 $21.38 $127,620 
(1) On November 3, 2020, our Board of Directors authorized the repurchase of up to $200 million of our common stock pursuant to our Stock Repurchase Program. Unless terminated or suspended prior, the Stock Repurchase Program will remain in effect until September 30, 2021.
The following table contains information relating to the purchase of shares of our common stock as part of the cashless net exercises of stock options in the three months ended June 30, 2021 (in thousands, except per share data):
Fiscal Period
Total Number of Shares Purchased(2)
Average Price Per Share
Dollar Amount of Shares(3)
April 1, 2021 to April 30, 202191 $22.95 $2,077 
May 1, 2021 to May 31, 202134 20.70 703 
June 1, 2021 to June 30, 202121 21.70 458 
Total146 $22.24 $3,238 
(2) In April 2021, we issued 156,516 shares of common stock as part of a net-share settlement of a cashless option exercise, of which 90,517 shares were surrendered to us in satisfaction of related exercise cost and tax obligations. In May 2021, we issued 70,641 shares of common stock as part of a net-share settlement of a cashless option exercise, of which 33,946 shares were surrendered to us. In June 2021, we issued 27,361 shares of common stock as part of a net-share settlement of a cashless option exercise, of which 21,127 shares were surrendered to us.
(3) We paid $1.6 million to satisfy the tax withholding obligations associated with the net-share settlement of these cashless option exercises.

ITEM 3.

ITEM 3.  DEFAULTS UPON SENIOR SECURITIES

Not applicable.

ITEM 4.

ITEM 4.  MINE SAFETY DISCLOSURES

Not applicable.

ITEM 5.  OTHER INFORMATION
None.
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ITEM 6.  EXHIBITS

ITEM 5.

OTHER INFORMATION

None.


ITEM 6.

EXHIBITS

Exhibit

Exhibit
Number

Description of Document

3.1

3.1

3.2

3.2

31.1

10.1†

Distribution Services Agreement, dated August 4, 2017, between Corcept Therapeutics Incorporated and Optime Care, Inc.

10.2†

Task Order Number One to Distribution Services Agreement, dated August 4, 2017, between Corcept Therapeutics Incorporated and Optime Care, Inc.

31.1

31.2

31.2

32.1

32.1

32.2

32.2

101

101

The following materials from the registrant’s Quarterly Report on Form 10-Q for the quarter ended SeptemberJune 30, 2017,2021, formatted in Extensible Business Reporting Language (XBRL): (i) Unaudited Condensed Consolidated Balance Sheets at SeptemberJune 30, 20172021 and December 31, 2016,2020, (ii) Unaudited Condensed Consolidated Statements of Comprehensive Income for the three and ninesix month periods ended SeptemberJune 30, 20172021 and 2016,2020, (iii) Unaudited Condensed Consolidated Statements of Cash Flows for the ninesix month periods ended SeptemberJune 30, 20172021 and 2016,2020, (iv) Unaudited Condensed Consolidated Statement of Stockholders’ Equity and (iv)(v) Notes to Unaudited Condensed Consolidated Financial Statements.

104Cover Page Interactive Data File - the cover page XBRL tags are embedded within the Inline XBRL document.

†  Confidential treatment has been requested with respect to certain portions of the Distribution Services Agreement and related Task Order Number One.



SIGNATURES

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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

CORCEPT THERAPEUTICS INCORPORATED

Date: November 2, 2017

July 29, 2021

/s/ Joseph K. Belanoff

Joseph K. Belanoff, M.D.

Chief Executive Officer

Date: November 2, 2017


July 29, 2021

/s/ G. Charles Robb

Atabak Mokari

G. Charles Robb

Atabak Mokari

Chief Financial Officer

Date:July 29, 2021/s/Joseph D. Lyon
Joseph D. Lyon
Chief Accounting Officer

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