UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
WASHINGTON,
DC 20549
FORM
10-K
(Mark One)
For the fiscal year ended December 31, 2025
Or
For the transition period from _______ to _______
Commission
file number 001-15771
ABEONA
THERAPEUTICS INC.
(Exact
name of registrant as specified in its charter)
6555
Carnegie Avenue, 4th
Floor
Cleveland,
OH44103
(Address
of principal executive offices, zip code)
(646)813-4701
(Registrant’s
telephone number, including area code)
Securities
registered pursuant to Section 12(b) of the Securities Exchange Act of 1934:
Title of each class Trading Symbol(s) Name of each exchange on which registered
Common Stock, $0.01 par value ABEO Nasdaq Capital Market
Indicate
by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ☐ No ☒
Indicate
by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes ☐ No ☒
Indicate
by check mark whether the registrant (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 every Interactive Data File required to be submitted pursuant to Rule
405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant
was required to submit 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 definitions of “large accelerated filer,” “accelerated filer,” “smaller
reporting company” and “emerging growth company” in Rule 12b-2 of the Act:
Large accelerated filer ☐ Accelerated filer ☐
Non-accelerated filer ☒ 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 has filed a report on and attestation to its management’s assessment of the effectiveness
of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered
public accounting firm that prepared or issued its audit report. Yes ☐ No ☒
If
securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant
included in the filing reflect the correction of an error to previously issued financial statements. Yes ☐ No ☒
Indicate
by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation
received by any of the registrant’s executive officers during the relevant recovery period pursuant to § 240.10D-1(b). Yes
☐ No ☒
Indicate
by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒
The
aggregate market value of the voting and non-voting common equity held by non-affiliates computed by reference to the average bid and
asked price of such common equity, as of June 30, 2025, was approximately $273,252,724.
The
number of shares outstanding of the registrant’s common stock as of March 11, 2026 was 57,049,023.
ABEONA
THERAPEUTICS INC.
Annual
Report on Form 10-K
Table
of Contents
Page
Part I
Item 1. Business 3
Item 1A. Risk Factors 27
Item 1B. Unresolved Staff Comments 55
Item 1C. Cybersecurity 55
Item 2. Properties 56
Item 3. Legal Proceedings 56
Item 4. Mine Safety Disclosures 56
Part II
Item 7A. Quantitative and Qualitative Disclosures About Market Risk 66
Item 8. Financial Statements and Supplementary Data 66
Item 9A. Controls and Procedures 66
Item 9B. Other Information 67
Item 9C. Disclosure Regarding Foreign Jurisdictions that Prevent Inspections 67
Part III
Item 10. Directors, Executive Officers and Corporate Governance 68
Item 11. Executive Compensation 68
Item 14. Principal Accounting Fees and Services 68
Part IV
Item 15. Exhibits, Financial Statement Schedules 69
Signatures 72
FORWARD-LOOKING
STATEMENTS
This
Form 10-K (including information incorporated by reference) contains statements that express management’s opinions, expectations,
beliefs, plans, objectives, assumptions or projections regarding future events or future results and therefore are, or may be deemed
to be, “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section
21E of the Securities Exchange Act of 1934, as amended. Words such as “expects,” “anticipates,” “intends,”
“plans,” “believes,” “could,” “would,” “seeks,” “estimates,”
and variations of such words and similar expressions, and the negatives thereof, are intended to identify such forward-looking statements.
Such “forward-looking statements” speak only as of the date made and are not guarantees of future performance and involve
certain risks, uncertainties, estimates, and assumptions by management that are difficult to predict. Various factors, some of which
are beyond the Company’s control, could cause actual results to differ materially from those expressed in, or implied by, such
forward-looking statements. In addition, we disclaim any obligation to update any forward-looking statements to reflect events or circumstances
after the date of this report, except as may otherwise be required by the federal securities laws.
Forward-looking
statements necessarily involve risks and uncertainties, and our actual results could differ materially from those anticipated in forward-looking
statements due to a number of factors. These statements include statements about: our ability to successfully commercialize ZEVASKYN®and generate future revenue; our plans to continue development of AAV-based gene therapies designed to treat ophthalmic diseases;
our pipeline of product candidates, including the achievement of or expected timing, progress and results of clinical development, clinical
trials and potential regulatory approvals; our dependence upon our third-party customers and vendors and their compliance with applicable
regulations; our estimates regarding expenses, capital requirements, and needs for additional financing; our intellectual property position
and our ability to obtain, maintain and enforce intellectual property protection and exclusivity for our proprietary assets; our estimates
regarding the size of the potential markets for ZEVASKYN®and our product candidates, the strength of our commercialization
strategies and our ability to serve and supply those markets; and future economic conditions or performance.
Important
factors that could affect performance and cause results to differ materially from management’s expectations are described in the
sections entitled “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results
of Operations” in this Form 10-K. These factors include: our ability to maintain existing and obtain additional regulatory approvals
of ZEVASKYN®and any future product candidates; our ability to successfully commercialize and market ZEVASKYN®and any future product candidates, if approved, and the timing of any commercialization and marketing efforts; our ability to manufacture
sufficient batches of ZEVASKYN® to meet demand; our ability to activate additional qualified treatment centers to administer
ZEVASKYN® on patients; our ability to access our existing at-the-market sale agreement; our ability to access additional
financial resources and/or our financial flexibility to reduce operating expenses if required; our ability to obtain additional equity
funding from current or new stockholders; the potential impact of unpredicted changes in the structure and/or administration of the United
States government or its agencies; our ability to out-license technology and/or other assets, deferring and/or eliminating planned expenditures,
restructuring operations and/or reducing headcount, and sales of assets; the dilutive effect that raising additional funds by selling
additional equity securities would have on the relative equity ownership of our existing investors, including under our existing at-the-market
sale agreement; the outcome of any interactions with the FDA or other regulatory agencies relating to any of our products or product
candidates; our ability to continue to secure and maintain regulatory designations for our product candidates; our ability to develop
manufacturing capabilities compliant with current good manufacturing practices for our product candidates; our ability to manufacture
cell and gene therapy products and produce an adequate product supply to support clinical trials and potentially future commercialization;
the rate and degree of market acceptance of our product candidates for any indication once approved; our ability to meet our obligations
contained in license agreements to which we are party; and macroeconomic uncertainty resulting from changes to U.S. trade policy, including
current or future tariffs or other trade restrictions.
This
Form 10-K includes our trademarks, trade names and service marks, such as “ZEVASKYN®” and “AIMTM,”
which are protected under applicable intellectual property laws and are the property of Abeona Therapeutics Inc. or its subsidiaries.
Solely for convenience, trademarks, trade names and service marks referred to in this report appear without the ® and TM symbols,
but such references are not intended to indicate, in any way, that we will not assert, to the fullest extent under applicable law, our
rights or the right of the applicable licensor to these trademarks, trade names and service marks. We do not intend our use or display
of other parties’ trademarks, trade names or service marks to imply, and such use or display should not be construed to imply,
a relationship with, or endorsement or sponsorship of us by, these other parties.
PART
I
ITEM
1. BUSINESS
Business
Abeona
Therapeutics Inc., a Delaware corporation (together with our subsidiaries, “we,” “our,” “Abeona”
or the “Company”), is a commercial-stage biopharmaceutical company developing cell and gene therapies for life-threatening
diseases. On April 28, 2025, the U.S. Food and Drug Administration (“FDA”) approved ZEVASKYN® (prademagene
zamikeracel) gene-modified cellular sheets, also known as ZEVASKYN®, as the first and only autologous cell-based gene
therapy for the treatment of wounds in adult and pediatric patients with recessive dystrophic epidermolysis bullosa (“RDEB”),
a serious and debilitating genetic skin disease. There is no cure for RDEB, and ZEVASKYN® is the only FDA-approved product to treat RDEB wounds with
a single surgical application. ZEVASKYN® was granted Orphan Drug and Rare Pediatric Disease designations by the FDA
ZEVASKYN® is manufactured at our current
Good Manufacturing Practices (“cGMP”) manufacturing facility in Cleveland, Ohio. Treatments are available through ZEVASKYN®
qualified treatment centers, a network of centers that are selected based on their expertise in cell and gene therapy and trained to administer
ZEVASKYN®. As of March 2026, we have activated 4 qualified treatment centers and are in discussions with additional centers
as we continue to expand the ZEVASKYN® qualified treatment network.
The Company’s development portfolio also features adeno-associated virus (“AAV”)-based
gene therapies designed to treat ophthalmic diseases with high unmet need using novel AIMTM capsids. Abeona’s novel AAV capsids are being evaluated to improve tropism profiles for a variety of devastating diseases.
We partner with leading academic researchers, patient
advocacy organizations, caregivers and other biotechnology companies to develop and deliver therapies that address the underlying cause
of a broad spectrum of rare genetic diseases for which no effective treatment options exist today.
Our
Mission and Strategy
Our
strategy consists of:
Commercializing
ZEVASKYN® and Advancing and Commercializing our Cell and Gene Therapy Programs.
Through
our cell and gene therapy expertise in research and development, we believe we are positioned to introduce efficacious and safe
therapeutics to transform the standard of care in devastating diseases and establish our leadership position in the field. We are
commercializing ZEVASKYN® by ourselves and may develop future strategic partnerships for ZEVASKYN® and
we intend to commercialize our other assets either by ourselves or through strategic partnerships, subject to FDA
approval.
Developing
Novel In-Vivo Gene Therapies Using AIMTM Capsid Technology.
We
are researching and developing AAV-based gene therapies using novel AAV capsids both derived from the licensed AIMTM Capsid Technology
Platform and invented by the Company. We plan to continue to develop chimeric AAV capsids capable of improved tissue targeting for various
indications and that can potentially evade immunity to wild-type AAV vectors.
Leveraging
our Leadership Position in Commercial-Scale Cell and Gene Therapy Manufacturing.
We
established cGMP, commercial and clinical-scale manufacturing capabilities for engineered cell and gene therapies in our state-of-the-art Cleveland, Ohio facility. We believe that our manufacturing platform provides us with
distinct advantages, including flexibility, scale, reliability, and the potential for reduced development risk, reduced cost, and
faster times to market. We have focused on establishing internal Chemistry Manufacturing and Controls (“CMC”) capabilities that drive value for our organization through
process development, assay development and manufacturing. We have also deployed robust quality systems governing all aspects of
product lifecycle from preclinical through commercial stage.
Establishing
Additional Cell and Gene Therapy Franchises and Adjacencies through In-Licensing and Strategic Partnerships.
We
seek to be the partner of choice in cell and gene therapy treatments and have closely collaborated with leading academic institutions,
key opinion leaders, patient foundations, and industry partners to accelerate research and development, understand the needs of patients
and their families, and generate novel intellectual property.
Maintaining
and Growing our IP Portfolio.
We
seek patent rights for various aspects of our programs, including vector engineering and construct design, our production process, and
all features of our clinical products, including compositions of matter and methods of manufacture, administration, and delivery. We expect
to continue to expand our intellectual property portfolio by aggressively seeking patent rights for promising aspects of our product
engine and product candidates.
ZEVASKYN®
for the Treatment of RDEB
Disease
Overview
RDEB
belongs to a broad group of genetic skin disorders known as epidermolysis bullosa. Patients with RDEB have a defect in the COL7A1 gene,
resulting in the inability to produce Type VII collagen, which plays a vital role in skin functioning by anchoring the skin’s dermal
and epidermal layers to one another.
As
a result of the genetic defect, RDEB patients have fragile skin, which can easily damage to produce open and blistering wounds,
disfiguring scars throughout the body, fused fingers and toes, limits in range of motion at joints (e.g., arms and legs), corneal
abrasions, and an abnormal narrowing of the esophagus. Long-term RDEB patients can suffer from anemia, infections and are at high
risk of developing aggressive squamous cell carcinomas, infections, and premature death. The most severe patients are approximately
20 times more likely to die by 30 years of age than the general population.
Similar
to other rare diseases, the incidence and prevalence of RDEB are not well defined. Incidence of 0.2 to 3.05 per million births and prevalence
of 0.14 to 1.35 per million people have been observed across different geographies, primarily estimated by limited population analyses
of clinical databases or registries (Eichstadt et al.; Clinical, Cosmetic and Investigational Dermatology, 2019). Using genetic modeling
of COL7A1 variants, Stanford University estimated the incidence of RDEB to be approximately 63 per million births, and prevalence could
be up to 3,850 patients in the U.S., whose wounds may benefit from COL7A1-mediated treatments such as ZEVASKYN®. Based
on claims analysis, we estimate that approximately 750 moderate to severe RDEB patients in the U.S. would be ZEVASKYN®
eligible patients (Clearview Claims Analysis, 2024).
RDEB
patients have active disease, with the majority of their wounds typically greater than 20 cm2 in size (Stanford University;
Solis, D., et al., 2017). In 2020, a survey of RDEB patients reported that approximately 60% have active wounds covering greater than
30% of their bodies (Bruckner et al.; Orphanet Journal of Rare Diseases, 2020). Wounds covering up to approximately 80% of body surface
area have been recorded in some EB patients (Hirsch et al.; Nature Research, 2017).
In
our VIITALTM phase 3 and phase 1/2a clinical trials, ZEVASKYN® was applied as a one-time surgical
procedure onto RDEB wounds and has shown up to 12 years of durable wound healing and associated pain reduction even in the
tough-to-treat large, chronic RDEB wounds. Patients evaluated in the VIITALTM phase 3 trial had some of the worst wounds.
These wounds were large (> 20cm2) and, on average, had remained open for 6.2 years, and in some
cases up to 21 years, prior to ZEVASKYN® treatment. Most RDEB patients have large and chronic wounds that carry the
highest burden, including the need for frequent lengthy dressing changes, pain, pruritus (itch), risk of infection, and developing
skin cancer.
Current
Management of RDEB
RDEB wound management currently consists of lengthy and labor-intensive supportive care to limit contamination and infection,
and reduction in mechanical forces that produce new blisters. Care usually includes treatment of new blisters by lancing and draining.
Wounds are then dressed with non-adherent material, covered with padding for stability and protection, and secured with an elastic wrap
for integrity. In a cost analysis conducted by Debra of America, based on 3,274 patient health insurance claims from private insurance,
the annual cost of care for dystrophic epidermolysis bullosa (DEB) was found to be 465% greater than the annual cost to the healthcare
system from all people and a substantial share of this burden stems from ongoing wound-care needs. For many patients, these wound-care expenses
represent a major, persistent financial strain on both families and the healthcare system, reflecting the chronic and resource-intensive
nature of RDEB management.
RDEB
patients also have periodic surgeries to relieve disease related issues such as narrowing of their esophagus, fusing of fingers, and
corneal abrasions.
In
2023, Vyjuvek® and Filsuvez® were approved by the FDA for treatment of wounds associated with DEB and wounds
associated with Junctional (JEB) and DEB, respectively.
RDEB
patients continue to seek durable treatments for addressing their wounds in the current treatment landscape.
Our
Program History
ZEVASKYN®
is a commercial product comprised of autologous epidermal gene-modified sheets in which a functioning COL7A1 gene is inserted into a
patient’s own skin cells (keratinocytes) using a retrovirus vector. The gene-modified keratinocytes are then grown into credit
card-sized sheets and surgically applied to the patient to restore Type VII collagen expression and skin function.
Results
from a completed Phase 1/2a study that enrolled seven patients and treated 38 large and chronic RDEB wounds at Stanford University
showed that ZEVASKYN® was well-tolerated and resulted in significant and durable wound healing (Siprashvili, Z., et
al., 2016), with up to eight years of follow-up after a single surgical application (So. Y, Nazaraoff, et al., Orphanet Journal Rare
Disease 2022). To date, there have been no reported serious adverse events.
In
November 2022, we announced positive topline data from our VIITALTM study. The pivotal phase 3 VIITALTM study evaluated
the efficacy, safety, and tolerability of ZEVASKYN® in 43 large chronic wound pairs in 11 subjects with RDEB. The
large chronic wounds randomized and treated in VIITALTM measured greater than 20 cm2 of surface area and had
remained open for a minimum of six months and a maximum of 21 years (mean 6.2 years). The co-primary endpoints of the study were
assessed at the six-month timepoint for: (1) the proportion of RDEB wound sites with greater than or equal to 50% healing from
baseline, comparing randomized treated with matched untreated (control) wound sites, as determined by direct investigator
assessment; and (2) patient-reported pain reduction associated with wound dressing change assessed by the mean differences in scores
of the Wong-Baker FACES® Pain Rating Scale between randomized treated and matched untreated (control)
wounds.
The
VIITALTM study met both co-primary efficacy endpoints demonstrating statistically significant, clinically meaningful
improvements in wound healing and pain reduction in large chronic RDEB wounds. ZEVASKYN® was shown to be
well-tolerated with no serious treatment-related adverse events observed, consistent with past clinical experience. There were no
deaths or no instances of positive replication-competent retrovirus, no systemic immunologic responses were reported
during the study, as well as no squamous cell carcinoma at treatment sites after application of ZEVASKYN®. Two
subjects reported at least one serious adverse event unrelated to ZEVASKYN®. Four subjects reported related treatment
emergent adverse events, including procedural pain, muscle spasms and pruritis. Infections unrelated to ZEVASKYN®
were observed in eight patients.
On
April 28, 2025, the FDA approved ZEVASKYN® as the first and only autologous cell-based gene therapy for the treatment
of wounds in adult and pediatric patients with RDEB. ZEVASKYN® has been granted Regenerative Medicine Advanced Therapy
(“RMAT”), Breakthrough Therapy, Orphan Drug and RPD designations by the FDA as well as Orphan Drug designation by the EMA.
Among
the potential benefits of Orphan Drug designation are a potential seven years of market exclusivity following FDA approval, potentially
preventing FDA approval of another product deemed to be the same as the approved product for the same indication, waiver of application
fees, and tax credits for qualified clinical testing expenses conducted after orphan designation is received. A sponsor who receives
an approval for a BLA with RPD designation may qualify for a Priority Review Voucher (“PRV”), subject to final determination
by the FDA. A PRV may be used to receive an expedited review of a subsequent marketing application for a different product or sold to
another company. We received a PRV upon ZEVASKYN®’s approval, and on May 9, 2025, we entered into a definitive asset
purchase agreement that transferred the PRV to a third party. The PRV sale was completed in June 2025 following early termination of
the applicable waiting period for U.S. antitrust review of the transaction. We received gross proceeds of $155.0 million from the sale
of the PRV.
We
have prepared our current cGMP facility in Cleveland, Ohio for manufacturing commercial
grade ZEVASKYN® drug product to support our commercial launch of ZEVASKYN®. ZEVASKYN® study
drug product for all our VIITALTM study participants was manufactured at our Cleveland facility.
Commercial
Operations
Our
commercialization strategy centers on establishing and expanding a network of qualified treatment centers with the clinical expertise
and infrastructure required to administer our therapy. As of March 2026, we had activated four qualified treatment centers. These centers
were selected based on their expertise in areas such as cell and gene therapy and have undergone specialized training to administer ZEVASKYN®.
Treatment
involves obtaining a biopsy from the patient and shipping the biopsied cells to our manufacturing facility, where the patient specific
product is manufactured as multilayer cellular sheets containing gene-corrected keratinocytes. Following testing, the product is then
shipped back to the qualified treatment center where the patient receives treatment.
We
treated our first ZEVASKYN® patient in the fourth quarter of 2025.
As part of commercial launch efforts, we continue
to engage with multiple stakeholders across the healthcare system, including leading EB hospital institutions, private and public health
insurers, as well as the patient and physician community. To date, we have activated four qualified treatment centers that now can identify and treat patients with ZEVASKYN®. These qualified treatment centers are geographically dispersed across
the U.S. and include Ann & Robert H. Lurie Children’s Hospital of Chicago, Lucile Packard Children’s Hospital Stanford,
Children’s Hospital Colorado, and The University of Texas Medical Branch (UTMB) in Galveston, Texas. We have secured broad insurance coverage
for ZEVASKYN® from multiple national and regional commercial insurers as well as from the CMS (Centers for Medicare and
Medicaid Services). ZEVASKYN® has coverage from all Medicaid programs across 50 US states and Puerto Rico. Effective January
1, 2026, CMS also has issued a permanent J-code for ZEVASKYN® that we expect will simplify claims and reimbursement processing
between qualified treatment centers and all payer types.
Developing
Next-Generation Cell and Gene Therapy
ABO-503
for the treatment of X-linked Retinoschisis (“XLRS”)
Disease
Overview and Program Overview
XLRS
is a rare, monogenic retinal disease that results in the irreversible loss of photoreceptor cells and severe visual impairment. XLRS
is caused by mutations in the RS1 protein, which is normally secreted by retinal photoreceptors and bipolar neurons and functions to
mediate cell-cell adhesion. XLRS is characterized by abnormal splitting of the layers of the retina, resulting in poor visual acuity,
which can progress to legal blindness. The incidence of XLRS is estimated to be between 1 in 5,000 and 1 in 20,000 in males, with an
estimated prevalence of 35,000 in the United States and Europe combined. There are currently no disease modifying therapies approved
for XLRS, but because the genetics of the disease are well understood, early intervention via gene therapy has significant potential
to reverse or stabilize disease progression at early stages and prevent vision loss.
ABO-503,
composed of a functional human RS1 packaged in the novel AIMTM capsid AAV204, has shown preclinical efficacy following delivery
to the retina in a mouse model of XLRS. Preclinical studies have demonstrated robust RS1 expression in the retina, improved cone
photoreceptor density and overall photoreceptor cell survival, as well as a restoration of outer retina architecture. Results of
these studies were presented at the American Society of Gene and Cell Therapy (“ASGCT”) Annual Meeting in May 2023. A
pre-IND meeting for ABO-503 was conducted with the FDA in April 2023 and provided Abeona with comprehensive feedback to support a
future IND submission. Due to focus on ZEVASKYN® commercialization efforts, animal
efficacy and toxicology studies and cGMP manufacturing of clinical grade material has been postponed to 2026.
ABO-504
for the Treatment of Stargardt Disease
Disease
Overview and Program Overview
Autosomal
recessive Stargardt disease, the most common form of juvenile macular degeneration with estimated incidence of 1 in 8,000 to 10,000 people,
causes vision loss in children and young adults. The most common form of Stargardt disease is caused by mutations in the ABCA4 gene,
which prevent removal of toxic compounds from photoreceptor cells that results in photoreceptor cell death and progressive vision loss.
There are currently no FDA approved treatments available, and to date, development of investigational gene modifying therapies has remained
challenging in part due to the large size of the ABCA4 gene, which exceeds the encapsidation capacity of a single AAV capsid.
Abeona’s
internal research and development team developed ABO-504, which is designed to efficiently reconstitute the full-length ABCA4 gene by
implementing a dual AAV vector strategy using the Cre-LoxP recombinase system. Abeona previously reported preclinical data demonstrating
the ability of the dual AAV vector system to produce full length ABCA4 protein in cell culture. Recent proof-of-concept studies, presented
at the 2023 ASGCT Annual Meeting, have extended these findings by showing expression of ABCA4 mRNA and full-length ABCA4 protein in the
retina of subretinally dosed abca4-/- knockout mice, at levels similar to endogenous ABCA4 in wild-type animals. A pre-IND meeting for
ABO-504 was conducted with the FDA in June 2023 and provided Abeona with comprehensive feedback to support a future IND submission.
ABO-505
for the Treatment of Autosomal Dominant Optic Atrophy (“ADOA”)
Disease
Overview and Program Overview
ADOA,
a form of hereditary vision loss associated with retinal ganglion cell (“RGC”) death, is predominantly caused by mutations
in the Opa1 gene. Opa1, a dynamin-related GTPase, acts to stabilize the inner mitochondrial membrane and acts in mitochondrial fusion
and inner membrane remodeling. Mutant phenotypes present with a progressive loss of RGCs that result in optic nerve degeneration and
legal blindness with a loss of visual acuity, optic disc pallor, and color vision deficits. ADOA affects approximately 1 in 30,000 people
worldwide. Currently, there is no approved treatment for people living with ADOA.
ABO-505
is designed to express a functional copy of human Opa1 in the retina following para-retinal injection. ABO-505 aims to take advantage
of the robust optic nerve and RGC transduction ability of AAV204 to deliver its genetic payload to the cells most affected by ADOA. Preclinical
studies have confirmed expression of Opa1 in both cell culture and the retinas of dosed wild-type and disease model animals. Initial
efficacy results suggest an improvement in retinal signaling to the brain and improved visual acuity in treated mutant mice. These studies
were presented at the ASGCT Annual Meeting in May 2023.
Gene
Therapy Treatments anchored in AIMTM Vector Platform
In
2016, we licensed a library of novel AAV capsids from UNC. The AIMTM vector system is a platform of AAV capsids capable of widespread
central nervous system gene transfer and can be used to confer high transduction efficiency for various therapeutic indications. In partnership
with academic institutions, our own scientific research teams have identified capsids within the AIMTM capsid library showing strong
potential to successfully target and reach the central nervous system (including the retina) as well, lung, muscle, liver, and other
tissues. Based on continuing research by Abeona and our research partners, we have observed improvements in gene delivery to specific
tissues compared to currently available AAV technology. We believe AIMTM vectors also have the potential for redosing subjects who
previously received certain AAV gene therapy or subjects who have pre-existing antibodies to naturally occurring AAV serotypes.
In
July 2024, we entered into a non-exclusive agreement with Beacon Therapeutics (“Beacon”) under which Beacon will evaluate
Abeona’s patented AAV204 capsid for the development and commercialization of potential gene therapies for select ophthalmology
indications. Following a 12-month evaluation period, Beacon exercised its option to take a worldwide, non-exclusive license to use AAV204
in connection with up to five gene or disease targets. Beacon will also have the right to use AAV204 for up to four additional nominated
gene or disease targets subject to certain conditions. We received an upfront payment upon Beacon’s exercise of its option to license
AAV204, with additional payments upon the achievement of certain development, regulatory, and sales milestones, along with tiered royalties
on worldwide net sales for licensed products incorporating AAV204.
Strategic
Licensing Agreements
We
have out-licensed certain clinical and research programs, including for the treatment of Sanfilippo syndrome type A (MPS IIIA) to
Ultragenyx Pharmaceutical Inc. (“Ultragenyx”)) and Rett syndrome to Taysha Gene Therapies, Inc. (“Taysha”).
Under the terms of our agreement with Ultragenyx, we are eligible to receive payments based on the achievement of certain sales
milestones and royalties on net sales. Under our agreements with Taysha, we are eligible to receive payments based on certain
clinical, regulatory, and sales milestones and royalties on net sales. On February 25, 2026, the Company, UNC and Taysha jointly
terminated both the license agreement between Abeona and UNC and the corresponding sublicense agreement between
Abeona and Taysha relating to Taysha’s development program for TSHA-118 for CLN1 disease.
Leveraging
Leadership Position in Commercial-Scale Cell and Gene-Therapy Manufacturing
We
have established a cGMP manufacturing facility, the Elisa Linton Center located in Cleveland, Ohio at 6555 Carnegie Avenue, which enables
us to enhance supply chain control, establish tighter quality control testing, increase supply capacity, reduce production costs and
gain manufacturing for ZEVASKYN®. Our facility is led by a team of highly skilled production, process/assay development,
and quality control scientists with expertise in cell and gene therapy, particularly in cell culture, upstream manufacturing, downstream
purification, assay development and wet lab techniques.
We
have advanced our in-house manufacturing capabilities for ZEVASKYN®. The product is manufactured as multilayer cellular
sheets containing gene-corrected keratinocytes that is fastened to a petrolatum gauze backing with surgical titanium ligating clips.
Engineered keratinocyte sheets expressing functional Type VII collagen are applied over wound areas, providing immediate wound coverage
and allowing wound healing. A key component to the ZEVASKYN® drug product manufacturing process is the retroviral
vector, which delivers the functional copy of the Collagen VII Alpha 1 cDNA to the patient’s own cells. We manufacture the LZRSE-Col7A1
gamma retroviral vector at our Cleveland facility.
Our
AAV vector manufacturing process uses the triple plasmid transient transfection method. We insert (“transfect”) many copies
of three DNA plasmids encoding the specific therapeutic gene sequence, or transgene, the capsid coding sequence, and helper sequences
into AAV-293 cells using a serum-free, suspension-based bioreactor vector production technology. During an incubation period following
transfection, each cell produces AAV vectors through biosynthesis using the cells’ natural machinery. At the end of the incubation
period, the newly generated AAV vectors are harvested, filtered, and purified in a multi-step process.
We
have established and maintained strong and collaborative relationships with third-party companies specializing in the testing of cell
and gene therapy material to complement our process and assay development needs.
We
have made significant investments in developing optimized manufacturing processes and believe that our processes and methods developed
to date provide a comprehensive manufacturing process for ZEVASKYN® and AAV-based vector therapies, including:
● processes related to product release testing for ZEVASKYN®;
● processes related to the manufacture and release testing of retroviral vector;
● AAV serum-free suspension technology that is readily scalable;
We
believe that these investments will enable us to develop best-in-class, next-generation cell and gene therapy products.
Maintain
Strong Intellectual Property Protection
We
strive to protect our commercially important proprietary technology, inventions, and know-how, including by seeking, maintaining, and
defending patent rights, both for inventions developed internally and for inventions licensed from third parties. We also rely on trade
secrets and know-how relating to our proprietary technology platforms, continuing technological innovation, and in-licensing opportunities
to develop, strengthen and maintain our position in the field of cell and gene therapy. We may also rely on the additional protections
afforded by data exclusivity (currently 12 years for biologics), other market exclusivities such as orphan drug exclusivity, and patent
term extensions, where applicable.
Our
success may depend in part on our ability to obtain and maintain patents and other protections for commercially important technology,
inventions, and know-how related to our business; defend and enforce our patents; preserve the confidentiality of our trade secrets;
and operate without infringing the valid enforceable patents and other intellectual property rights of third parties. Our ability to
stop third parties from making, having made, using, selling, offering to sell, or importing our products may depend on the extent to
which we have rights under valid and enforceable licenses, patents, or trade secrets that cover these activities. In some cases, these
rights may need to be enforced by third-party licensors. With respect to both licensed and company-owned intellectual property, we may
not be granted patents with respect to any of our pending patent applications or with respect to any patent applications filed by us
in the future, nor can we be sure that any of our existing patents or any patents that may be granted to us in the future will be commercially
useful in protecting our commercial products and methods of manufacturing the same.
We
are actively seeking U.S. and international patent protection, together with our licensors, for a variety of technologies, including
AAV capsids, AAV-based biological products, methods of designing novel AAV constructs, compositions and methods for treating diseases
of interest, including RDEB, and methods for manufacturing, packaging, and transporting our product candidates. We also intend to seek
patent protection or rely upon trade secret rights to protect other technologies that may be used to discover and validate targets and
that may be used to identify and develop novel biological products. We seek protection, in part, through confidentiality and proprietary
information agreements. We are a party to various license agreements that give us rights to use specific technologies in our research
and development, and future commercialization.
Licensed
Technologies and Intellectual Property
1. Recessive Dystrophic Epidermolysis Bullosa
To
support our EB franchise, we licensed a patent family from Stanford University covering ZEVASKYN® and its use in the
treatment of RDEB. Patents covering our investigational ZEVASKYN® product have been granted in the United States
(U.S. Patent Nos. 12,110,504; 12,173,314; and 12,385,010), by the European Patent Office (EP3400287B1), by the Japan Patent Office
(JP7159048, JP7555380), and in other geographical regions, and are expected to expire in early 2037. Patent applications remain
pending in the United States which, if granted, would be expected to expire in 2037. A patent covering the packaging and transport
system for ZEVASKYN® has been granted in the United States (U.S. Patent No. 12,144,340) and is expected to expire in
mid-2040.
We
may also rely on the additional protection afforded by data exclusivity (currently 12 years for biologics like ZEVASKYN®),
other market exclusivity such as orphan drug exclusivity (currently seven years), and patent term extensions, where applicable.
2. AIMTM Capsids
We
have an exclusive license to an international patent family from The University of North Carolina at Chapel Hill (“UNC”)
covering novel AAV capsids (“AIMTM capsids”) that may potentially be used to deliver a wide variety of therapeutic transgenes
to human cells to treat genetic diseases. National stage applications directed to the AIMTM capsids have been filed in the United
States, Europe, and other geographical regions. The first U.S. patent in this patent family, U.S. Patent No. 10,532,110 (the “‘110
Patent”), was issued to UNC on January 14, 2020. The ‘110 Patent is entitled to 352 days of patent term adjustment and will
not expire before November 6, 2036. The second U.S. patent in this patent family, U.S. Patent No. 10,561,743 (the “‘743 Patent”),
was issued to UNC on February 18, 2020. The ‘743 Patent will not expire before November 20, 2035. A third U.S. patent in this patent
family, U.S. Patent No. 11,491,242 (the “‘242 Patent”) issued on November 8, 2022. The ‘242 Patent is entitled
to 429 days of patent term adjustment and will not expire before January 22, 2037. Patents have also been granted in Australia (AU2015349759
and AU2022201540), Israel (IL252072), New Zealand (NZ731673), and Russia (RU2727015). We have exclusive rights to these patents under
our license with UNC.
We
also own a second patent family directed to certain AAV capsids and have filed national stage applications in the United States, Europe
and other geographical regions. U.S. Patent No. 12,454,701 (the “‘701 Patent”), was issued on October 28, 2025. The ‘701
patent is entitled to 1179 days of patent term adjustment and will not expire before February 25, 2043. A patent has also been granted
in Japan (JP7590968).
3. Rett Syndrome
We
have licensed rights to one patent family from UNC and two patent families from The University Court of the University of Edinburgh (“U.
Edinburgh”) and The University Court of the University of Glasgow (“U. Glasgow”) relating to gene therapy for the treatment
of Rett Syndrome. The patent family licensed from UNC at Chapel Hill is directed to viral genomes designed to regulate expression of
the MeCP2 gene, which is mutated in patients with Rett Syndrome. This patent family has pending applications in the United States, Europe
and other geographical regions. Patents issuing from these applications would have a 20-year expiration date of no earlier than 2039.
U.S. Patent No. 12,311,034 was issued to UNC on May 27, 2025 in this family. The patent families licensed from U. Edinburgh and U. Glasgow
are directed to expression cassettes for MeCP2 polypeptides and to synthetic MeCP2 polypeptides. The patent family directed to MeCP2
expression cassettes has pending applications in the United States, Europe and other geographical regions. The patent family directed
to synthetic MeCP2 polypeptides has pending applications in the United States and other geographical regions. Patents issuing from applications
in the Edinburgh patent families would have a 20-year expiration date of no earlier than 2038. U.S. Patent No. 11,969,479 was issued
to U. Edinburgh and U. Glasgow in in this patent family on April 20, 2024. In October 2020, we entered into an agreement exclusively
sublicensing these UNC and University of Edinburgh patent rights to Taysha Gene Therapies, Inc.
4. Multipartite AAV Delivery of Large Transgenes
We
own three patent families directed to multipartite delivery of large transgenes using AAV vectors. For two of these patent families we
have filed national stage applications in the United States, Europe and other geographical regions. Patents issuing from these applications
are not expected to expire before 2041 for the first patent family, or before 2044 for the second patent family. A European patent application
in the first patent family (EP4182467) is allowed and will be validated in European states in 2026. We have also filed a U.S. provisional
application in the third patent family. Patents issuing from the provisional application are not expected to expire before 2046.
We
own a patent family directed to (i) novel AAV capsid proteins and (ii) treating ophthalmic diseases via para-retinal administration of
AAV vectors and have filed national stage applications in the United States, Europe, and other geographical regions. Patents issuing
from these applications are not expected to expire before 2042.
6. Treatment of Dominant Optic Atrophy and X-linked Retinoschisis
We
own a patent family directed to compositions and methods for treating dominant optic atrophy and X-linked retinoschisis and have filed
national stage applications in the United States, Europe, and other geographical regions. Patents issuing from these applications are
not expected to expire before 2043.
We
expect to explore in due course strategies to support patent term extensions for all of our patent portfolios.
U.S.
Biologic Products Development Process
In
the United States, the FDA regulates biologic products including gene therapy products under the Federal Food, Drug, and Cosmetic Act
(“FDCA”), the Public Health Service Act (“PHSA”), and regulations implementing these laws. The FDCA, PHSA and
their corresponding regulations govern, among other things, the testing, manufacturing, safety, efficacy, labeling, packaging, storage,
record keeping, distribution, advertising, and promotion of biologic products. Applications to the FDA are required before conducting
human clinical testing of biologic products. FDA approval also must be obtained before marketing of biologic products. Gene therapy studies
may also need to comply with the National Institutes of Health (“NIH”) Guidelines for Research Involving Recombinant or Synthetic
Nucleic Acid Molecules (“NIH Guidelines”), which includes additional requirements, such as the review and approval of the
study by an Institutional Biosafety Committee.
Within
the FDA, the Center for Biologics Evaluation and Research (“CBER”) regulates gene therapy products. Within CBER, the review
of gene therapy and related products is consolidated in the Office of Tissues and Advanced Therapies (“OTAT”) and the FDA
has established the Cellular, Tissue and Gene Therapies Advisory Committee (“CTGTAC”), a panel of medical and scientific
experts and consumer representatives, to advise CBER on its reviews. The FDA has issued a growing body of guidance documents on CMC,
clinical investigations and other areas of gene therapy development, all of which are intended to facilitate the industry’s development
of gene therapy products.
The
process required by the FDA before a biologic product candidate may be marketed in the United States generally involves the following:
Before
testing any biologic product candidate on humans, including a gene therapy product candidate, the product candidate must undergo preclinical
testing. Preclinical tests, also referred to as nonclinical studies, include laboratory evaluations of product chemistry, toxicity, and
formulation, as well as in vivo studies to assess the potential safety and activity of the product candidate. The conduct of the preclinical
tests must comply with federal regulations and requirements including GLPs.
If
a gene therapy trial is conducted at, or sponsored by, institutions receiving NIH funding for recombinant DNA research, the study must
also comply with the NIH Guidelines. Compliance with the NIH Guidelines is mandatory for investigators at institutions receiving NIH
funds for research involving recombinant DNA. However, many companies and other institutions, not otherwise subject to the NIH Guidelines,
voluntarily follow them.
The
clinical trial sponsor must submit the results of the preclinical tests, together with manufacturing information, analytical data, any
available clinical data or literature and a proposed clinical protocol, to the FDA as part of the IND. Some preclinical testing may continue
even after the IND is submitted. The IND automatically becomes effective 30 days after receipt by the FDA, unless the FDA places the
clinical trial on a clinical hold. In such a case, the IND sponsor and the FDA must resolve any outstanding concerns before the clinical
trial can begin. The FDA also may impose clinical holds on a biologic product candidate at any time before or during clinical trials
due to safety concerns or non-compliance. If the FDA imposes a clinical hold, trials may not commence or recommence without FDA authorization
and then only under terms authorized by the FDA.
Human
clinical trials under an IND
Clinical
trials involve the administration of the biologic product candidate to healthy volunteers or patients under the supervision of qualified
investigators, which generally are physicians not employed by, or under the control of, the trial sponsor. Investigators must also provide
certain information to the clinical trial sponsors to allow the sponsors to make certain financial disclosures to the FDA. Clinical trials
are conducted under protocols detailing, among other things, the objectives of the clinical trial, dosing procedures, subject selection
and exclusion criteria and the parameters to be used to monitor subject safety, including stopping rules that assure a clinical trial
will be stopped if certain adverse events should occur. Each protocol and any amendments to the protocol must be submitted to the FDA
as part of the IND. Clinical trials must be conducted and monitored in accordance with the FDA’s regulations comprising the GCP
requirements, including the requirement that all research subjects provide informed consent.
Further,
each clinical trial must be reviewed and approved by an IRB at or servicing each institution at which the clinical trial will be conducted.
An IRB is charged with protecting the welfare and rights of trial participants and considers items such as whether the risks to individuals
participating in the clinical trials are minimized and are reasonable in relation to anticipated benefits. The IRB also approves communications
to study subjects before a study commences at that site and the form and content of the informed consent that must be signed by each
clinical trial subject, or his or her legal representative, and must monitor the clinical trial until completed. Clinical trials involving
recombinant DNA also must be reviewed by an institutional biosafety committee (“IBC”), a local institutional committee that
reviews and oversees basic and clinical research that utilizes recombinant DNA at that institution. The IBC assesses the safety of the
research and identifies any potential risk to public health or the environment.
Information
about certain clinical trials, including a description of the study and study results, must be submitted within specific timeframes to