Asfiled with the U.S. Securities and Exchange Commission on May 5, 2023
RegistrationNo. 333-
UNITEDSTATES
SECURITIESAND EXCHANGE COMMISSION
Washington,D.C. 20549
FORMS-1
REGISTRATIONSTATEMENT
UNDER
THESECURITIES ACT OF 1933
180Life Sciences Corp.
(Exactname of registrant as specified in its charter)
Delaware | | 2834 | | 90-1890354 |
(State or other jurisdiction of | | (Primary Standard Industrial | | (I.R.S. Employer |
incorporation or organization) | | Classification Code Number) | | Identification Number) |
3000El Camino Real, Bldg. 4, Suite 200
Palo Alto, CA 94306
(650) 507-0669
(Address,including zip code, and telephone number, including area code, of registrant’s principal executive offices)
JamesN. Woody, M.D., Ph.D.
Chief Executive Officer
180 Life Sciences Corp.
3000 El Camino Real, Bldg. 4, Suite 200
Palo Alto, CA 94306
(650) 507-0669
(Name,address, including zip code, and telephone number, including area code, of agent for service)
Copiesto:
FahdM.T. Riaz, Esq.
Stephen P. Alicanti, Esq.
DLA Piper LLP (US)
One Liberty Place
1650 Market Street, Suite 5000
Philadelphia, Pennsylvania 19103
(215) 656-3316
Approximatedate of commencement of proposed sale to the public: From time to time after this registration statement becomes effective.
Ifany of the securities being registered on this Form are to be offered on a delayed or continuous basis pursuant to Rule 415 under theSecurities Act of 1933, check the following box: ☒
Ifthis Form is filed to register additional securities for an offering pursuant to Rule 462(b) under the Securities Act, please check thefollowing box and list the Securities Act registration statement number of the earlier effective registration statement for the sameoffering. ☐
Ifthis Form is a post-effective amendment filed pursuant to Rule 462(c) under the Securities Act, check the following box and list theSecurities Act registration statement number of the earlier effective registration statement for the same offering. ☐
Ifthis Form is a post-effective amendment filed pursuant to Rule 462(d) under the Securities Act, check the following box and list theSecurities Act registration statement number of the earlier effective registration statement for the same offering. ☐
Indicateby check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company,or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smallerreporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer | ☐ | | Accelerated filer | ☐ |
Non-accelerated filer | ☒ | | Smaller reporting company | ☒ |
| | | Emerging growth company | ☐ |
Ifan emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complyingwith any new or revised financial accounting standards provided pursuant to Section 7(a)(2)(B) of the Securities Act. ☐
Theregistrant hereby amends this registration statement on such date or dates as may be necessary to delay its effective date until theregistrant shall file a further amendment which specifically states that this registration statement shall thereafter become effectivein accordance with Section 8(a) of the Securities Act of 1933 or until the registration statement shall become effective on suchdate as the Securities and Exchange Commission, acting pursuant to said Section 8(a), may determine.
Theinformation contained in this prospectus is not complete and may be changed. The selling stockholder may not sell these securities untilthe registration statement filed with the Securities and Exchange Commission is effective. This prospectus is not an offer to sell thesesecurities and is not soliciting an offer to buy these securities in any state where the offer or sale is not permitted.
SUBJECTTO COMPLETION, DATED MAY 5, 2023
PRELIMINARYPROSPECTUS
4,448,713Shares of Common Stock
Thisprospectus relates solely to the offer and sale from time to time of up to an aggregate of 4,448,713 shares of our common stock, parvalue $0.0001 per share, of 180 Life Sciences Corp., a Delaware corporation (the “Company,” “we,”“our” or “us”), by the selling stockholder identified in this prospectus (the “SellingStockholder”). The shares of common stock being registered for resale hereunder consist of: (i) 306,604 shares of common stockissuable upon the exercise of the July 2022 Common Warrants (as defined herein), (ii) 2,571,429 shares of common stock issuable uponthe exercise of the December 2022 Common Warrants (as defined herein), and (iii) 1,570,680 shares of common stock issuable upon the exerciseof the April 2023 Common Warrants (as defined herein) (together with the July 2022 Common Warrants and the December 2022 Common Warrants,the “Warrants,” and all of the shares of common stock issuable upon exercise of the Warrants, the “Shares”)acquired by the Selling Stockholder, in each case, pursuant to securities purchase agreements between us and the Selling Stockholder.
Eachof the July 2022 Common Warrants, the December 2022 Common Warrants and the April 2023 Common Warrants are exercisable at an exerciseprice of $1.78. We are not selling any common stock under this prospectus and will not receive any of the proceeds from the sale of theShares by the Selling Stockholder. However, if all of the July 2022 Common Warrants, the December 2022 Common Warrants and the April2023 Common Warrants that are covered by this prospectus are exercised for cash, we may receive proceeds of up to approximately $545,755,$4.6 million and $2.8 million, respectively. We intend to use those proceeds, if any, for research and development, and general corporatepurposes, including the preparation and submission of a marketing authorization application for Dupuytren’s contracture in theUK and legal expenses. We will bear all other costs, expenses and fees in connection with the registration of the Shares. The SellingStockholder will bear all commissions and discounts, if any, attributable to the sales of Shares.
TheSelling Stockholder may offer such Shares from time to time as it may determine through public or private transactions or through othermeans described in the section entitled “Plan of Distribution” beginning on page 136 of this prospectus, at prevailingmarket prices, at prices related to prevailing market prices or at privately negotiated prices. This prospectus does not necessarilymean that the Selling Stockholder will offer or sell the Shares. We cannot predict when or in what amounts the Selling Stockholder maysell any of the Shares offered by this prospectus. Any Shares subject to resale hereunder will have been issued by us and acquired bythe Selling Stockholder prior to any resale of such Shares pursuant to this prospectus. Because all of the Shares offered under thisprospectus are being offered by the Selling Stockholder, we cannot currently determine the price or prices at which the Shares may besold under this prospectus.
Ourcommon stock is traded on the Nasdaq Capital Market (“Nasdaq”) under the symbol “ATNF”. On May4, 2023, the last reported sale price for our common stock as reported on Nasdaq was $1.06 per share.
INVESTINGIN OUR SECURITIES INVOLVES SUBSTANTIAL RISKS. SEE THE SECTION TITLED “RISK FACTORS” BEGINNING ON PAGE 5 OF THISPROSPECTUS TO READ ABOUT FACTORS YOU SHOULD CONSIDER BEFORE BUYING OUR SECURITIES.
NEITHERTHE SECURITIES AND EXCHANGE COMMISSION NOR ANY STATE SECURITIES COMMISSION HAS APPROVED OR DISAPPROVED OF THESE SECURITIES OR PASSEDUPON THE ADEQUACY OR ACCURACY OF THIS PROSPECTUS. ANY REPRESENTATION TO THE CONTRARY IS A CRIMINAL OFFENSE.
Thedate of this prospectus is , 2023.
TABLEOF CONTENTS
GLOSSARY
Theitems below are abbreviations and definitions of certain terms used in this prospectus, certain of which are commonly used in the pharmaceuticaland biotechnology industry.
Unlessthe context requires otherwise, references to the “Company,” “we,” “us,” “our,”“180 Life”, “180LS” and “180 Life Sciences Corp.” refer specifically to 180Life Sciences Corp. and its consolidated subsidiaries. References to “KBL” refer to the Company prior to the Closing(defined below).
| ● | “180” means 180 Life Corp. (f/k/a 180 Life Sciences Corp. prior to the Closing). |
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| ● | “180 LP” means 180 Therapeutics L.P. |
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| ● | “180 Parties” means 180 and the 180 Subsidiaries. |
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| ● | “180 Subsidiaries” means Katexco, CBR Pharma and 180 LP. |
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| ● | “ACA” means the Patient Protection and Affordable Care Act, often shortened to the Affordable Care Act, nicknamed Obamacare, which is a U.S. federal statute which provides numerous rights and protections that make health coverage fairer and easier to understand, along with subsidies (through “premium tax credits” and “cost-sharing reductions”) to make it more affordable. The law also expands the Medicaid program to cover more people with low incomes. |
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| ● | “Analgesics” are a class of medications designed specifically to relieve pain. |
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| ● | “ANDA” means an abbreviated new drug application which contains data which is submitted to the FDA for the review and potential approval of a generic drug product. |
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| ● | “Anti-TNF” is a pharmaceutical drug that suppresses the physiologic response to TNF. |
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| ● | “April 2023 Common Warrants” means the warrants to purchase up to 1,570,680 shares of our common stock issued pursuant to the April 2023 SPA. |
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| ● | “April 2023 SPA” means that certain securities purchase agreement dated as of April 5, 2023 between our Company and the Selling Stockholder. |
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| ● | “April Warrant Amendment” means the Amendment No. 1 to the Warrants, dated April 5, 2023 by and between our Company and the Selling Stockholder. |
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| ● | “BLA” means the FDA’s Biologics License Application, which is the vehicle in the United States through which biologic sponsors formally propose that the FDA approve a new biologic for sale and marketing. |
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| ● | “BPCIA” means the Biologics Price Competition and Innovation Act. |
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| ● | “Business Combination” means the consummation of the transactions contemplated by the business combination agreement. |
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| ● | “Business Combination Agreement” means the Business Combination Agreement, dated as of July 25, 2019 (as amended), by and among us, Merger Sub, the 180 Parties and Lawrence Pemble, as the representative of the stockholders of the 180 Parties, pursuant to which Merger Sub merged with and into 180 with 180 surviving the merger and continuing as our wholly-owned subsidiary. |
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| ● | “Cannabinoids” mean compounds found in cannabis sativa L., and when used throughout this prospectus, refer to compounds found in the hemp plant which do not contain THC. |
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| ● | “CBD” or cannabidiol is an active ingredient in cannabis derived from the hemp plant. CBD is a non-psychoactive oxidative degradation product of THC. |
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| ● | “CBG” or cannabigerol is one of the compounds found in the cannabis plant. |
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| ● | “CBR Pharma” means CannBioRex Pharmaceuticals Corp. |
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| ● | “CCMO” means De Centrale Commissie Mensgebonden Onderzoek (CCMO), or the Central Committee on Research Involving Human Subjects, the organizational responsible for reviewing and regulating medical research involving human subjects in The Netherlands. |
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| ● | “Certificate of Amendment” means the Certificate of Amendment to our Second Amended and Restated Certificate of Incorporation filed with the Secretary of State of the State of Delaware on December 15, 2022 to effect the Reverse Stock Split. |
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| ● | “Certificate of Incorporation” means our Second Amended and Restated Certificate of Incorporation, as amended by the Certificate of Amendment. |
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| ● | “CHMP” means the Committee for Medicinal Products for Human Use, formerly known as Committee for Proprietary Medicinal Products, which is the European Medicines Agency’s committee responsible for elaborating the agency’s opinions on all issues regarding medicinal products for human use. |
| ● | “Closing” means the consummation of the Business Combination, which occurred on November 6, 2020. |
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| ● | “CMS” means the Centers for Medicare & Medicaid Services, which is a federal agency within the HHS that administers the Medicare program and works in partnership with state governments to administer Medicaid. |
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| ● | “Corticosteroids” are a class of drug that lowers inflammation in the body. |
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| ● | “CRO” means a contract research organization which is a company that provides support to the pharmaceutical, biotechnology, and medical device industries in the form of research services outsourced on a contract basis. |
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| ● | “CSA” means the Controlled Substances Act, the statute establishing federal U.S. drug policy under which the manufacture, importation, possession, use, and distribution of certain substances is regulated. |
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| ● | “CTA” means a Clinical Trial Application, which is a submission to the competent National Regulatory Authority(ies) for obtaining authorization to conduct a clinical trial in a specific country. It is an application with necessary information on investigational medicinal products. The purpose of a CTA is to provide all the important details about the clinical trial to the health authorities in order to obtain the product approval. |
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| ● | “DEA” means the Drug Enforcement Administration, a United States federal law enforcement agency under the United States Department of Justice, tasked with combating drug trafficking and distribution within the United States. |
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| ● | “December 2022 Common Warrants” means the warrants to purchase up to 2,571,429 shares of our common stock issued pursuant to the December 2022 SPA, as amended by the January Warrant Amendment and the April Warrant Amendment. |
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| ● | “December 2022 SPA” means that certain securities purchase agreement dated as of December 20, 2022 between our Company and the Selling Stockholder. |
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| ● | “EMA” means the European Medicines Agency, an agency of the European Union in charge of the evaluation and supervision of medicinal products. |
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| ● | “ETASU” means elements to assure safe use, which are one of several strategies that may be required in order to mitigate risk of medication use pursuant to a REMS. |
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| ● | “EU” means the European Union. |
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| ● | “Exchange Act” means the Securities Exchange Act of 1934, as amended. |
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| ● | “Exchangeable Shares” means the exchangeable shares issued concurrently with the closing of the Reorganization (as defined in the Business Combination Agreement) by (i) Katexco Purchaseco ULC, a Canadian subsidiary of 180, to certain Canadian former shareholders of Katexco; and (ii) CannBioRex Purchaseco ULC, a Canadian subsidiary of 180, to certain Canadian former shareholders of CBR Pharma, which were exchangeable for common stock of 180 prior to the Effective Time (as defined in the Business Combination Agreement) and which became exchangeable into shares of our common stock following the Effective Time. |
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| ● | “FDA” means the U.S. Food and Drug Administration, which is a federal agency of the United States Department of Health and Human Services. The FDA is responsible for protecting the public health by ensuring the safety, efficacy, and security of human and veterinary drugs, biological products, and medical devices; and by ensuring the safety of U.S. food supply, cosmetics, and products that emit radiation. |
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| ● | “FDC Act” means the Federal Food, Drug and Cosmetic Act, which is a set of U.S. laws passed by Congress in 1938 giving authority to the FDA to oversee the safety of food, drugs, medical devices, and cosmetics. |
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| ● | “FS” means Frozen Shoulder, a condition characterized by stiffness and pain in an individual’s shoulder joint. |
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| ● | “GCP” means good clinical practice, which is an international quality standard, which governments can then transpose into regulations for clinical trials involving human subjects. GCP follows the International Council on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH), and enforces tight guidelines on ethical aspects of clinical research. |
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| ● | “GLP” means good laboratory practice, which is a quality system concerned with the organization process and the conditions under which non-clinical health and environmental safety studies are planned, performed, monitored, recorded, archived and reported. |
| ● | “GMP” means good manufacturing practice regulations promulgated by the FDA under the authority of the FDC Act. These regulations, which have the force of law, require that manufacturers, processors, and packagers of drugs, medical devices, some food, and blood take proactive steps to ensure that their products are safe, pure, and effective. |
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| ● | “HHS” means the U.S. Department of Health and Human Services also known as the Health Department, a cabinet-level department of the U.S. federal government with the goal of protecting the health of all Americans and providing essential human services. |
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| ● | “HIPAA” means the Health Insurance Portability and Accountability Act of 1996, which has the goal of making it easier for people to keep health insurance, protect the confidentiality and security of healthcare information and help the healthcare industry control administrative costs. |
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| ● | “HMGB1” means High Mobility Group Box 1, a protein that, in humans, is encoded by the HMGB1 gene. Activated macrophages and monocytes secrete HMGB1 as a cytokine mediator of inflammation. |
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| ● | “IBD” means inflammatory bowel disease, an umbrella term used to describe disorders that involve chronic inflammation of the digestive tract. |
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| ● | “IND” means investigational new drug application. Before a clinical trial can be started, the research must be approved. An investigational new drug or IND application or request must be filed with the FDA when researchers want to study a drug in humans. The IND application must contain certain information, such as: results from studies so that the FDA can decide whether the treatment is safe for testing in people; how the drug is made, who makes it, what’s in it, how stable it is, and more; detailed outlines for the planned clinical studies, called study protocols, are reviewed to see if people might be exposed to needless risks; and details about the clinical trial team to see if they have the knowledge and skill to run clinical trials. |
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| ● | “Individually identifiable health information” is defined by HIPPA to mean information that is a subset of health information, including demographic information collected from an individual, and: (1) is created or received by a health care provider, health plan, employer, or health care clearinghouse; and (2) relates to the past, present, or future physical or mental health or condition of an individual; the provision of health care to an individual; or the past, present, or future payment for the provision of health care to an individual; and (a) that identifies the individual; or (b) with respect to which there is reasonable basis to believe the information can be used to identify the individual. |
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| ● | “IPO” means the sale of the units in our initial public offering, which closed on June 7, 2017. |
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| ● | “IRB” means an Institutional Review Board, which is a group that has been formally designated to review and monitor biomedical research involving human subjects. In accordance with FDA regulations, an IRB has the authority to approve, require modifications in (to secure approval), or disapprove research. This group review serves an important role in the protection of the rights and welfare of human research subjects. |
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| ● | “January Warrant Amendment” means Amendment No. 1 to the December 2022 Common Warrants, dated January 12, 2023, by and between our Company and the Selling Stockholder. |
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| ● | “July 2022 Common Warrants” means the warrants to purchase up to 306,604 shares of our common stock issued pursuant to the July 2022 SPA, as amended by the April Warrant Amendment. |
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| ● | “July 2022 SPA” means that certain securities purchase agreement dated as of July 17, 2022 between our Company and the Selling Stockholder. |
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| ● | “June 2020 SPA” means that certain securities purchase agreement dated as of June 12, 2020 between our Company, the purchasers identified on the signature pages thereto, and Dominion Capital LLC as purchaser agent. |
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| ● | “Katexco” means Katexco Pharmaceuticals Corp. |
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| ● | “Medicaid” is a federal and state health insurance program in the United States that helps with medical costs for some people with limited income and resources. Medicaid also offers benefits not normally covered by Medicare, including nursing home care and personal care services. |
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| ● | “Medicare” is a national health insurance program in the United States It primarily provides health insurance for Americans aged 65 and older, but also for some younger people with disability status as determined by the Social Security Administration, as well as people with end stage renal disease and amyotrophic lateral sclerosis (ALS or Lou Gehrig’s disease). |
| ● | “Merger Sub” means KBL Merger Sub, Inc. |
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| ● | “MHRA” means The Medicines and Healthcare products Regulatory Agency, an executive agency of the Department of Health and Social Care in the United Kingdom which is responsible for ensuring that medicines and medical devices work and are acceptably safe. |
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| ● | “MRP” means a Mutual Recognition Procedure, a market authorization which is granted in one EU member state and is recognized in other EU member states. |
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| ● | “NCE” is a drug that does not contain any active moiety that has been approved by the FDA with any other application. |
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| ● | “NDA” or “Full NDA” means the FDA’s New Drug Application submitted under section 505(b)(1) of the FDC Act, which is a regulatory vehicle in the United States through which drug sponsors formally propose that the FDA approve a new pharmaceutical for sale and marketing, that requires the applicant to conduct all investigations necessary for approval. |
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| ● | “NIHR” means The National Institute for Health Research is a United Kingdom government agency which funds research into health and care, and is the largest national clinical research funder in Europe. |
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| ● | “Orphan Drug Designation” means a pharmaceutical agent developed to treat medical conditions which, because they are so rare, would not be profitable to produce without government assistance. |
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| ● | “Phase1” trials are typically where the drug is initially introduced into healthy human subjects and tested for safety, dosage tolerance,absorption, metabolism, distribution and elimination. In the case of some drug candidates for severe or life-threatening diseases, suchas cancer, especially when the drug candidate may be inherently too toxic to ethically administer to healthy volunteers, the initialhuman testing is often conducted in patients. |
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| ● | “Phase 2” trials are generally when clinical trials are initiated in a limited patient population intended to identify possible adverse effects and safety risks, to preliminarily evaluate the efficacy of the drug candidate for specific targeted diseases and to determine dosage tolerance and optimal dosage. Phase 2 trials are sometimes further divided into: Phase 2a and Phase 2b trials - Phase 2a is focused specifically on dosing requirements. A small number of patients are administered the drug in different quantities to evaluate whether there is a dose-response relationship, which is an increase in response that correlates with increasing increments of dose. In addition, the optimal frequency of dose is also explored; and Phase 2b trials are designed specifically to rigorously test the efficacy of the drug in terms of how successful it is in treating, preventing or diagnosing a disease. |
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| ● | “Phase 3” trials are when clinical trials are undertaken to further evaluate dosage, clinical efficacy and safety in an expanded patient population at geographically dispersed clinical trial sites. These clinical trials are intended to establish the overall risk-benefit ratio of the drug candidate and provide an adequate basis for regulatory approval and product labeling. |
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| ● | “Phase 4” trials are studies required to be conducted as a condition of approval in order to gather additional information on the drug’s effect in various populations and any side effects associated with long-term use. |
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| ● | “PHS Act” means the Public Health Service Act, a set of U.S. laws passed by Congress in 1944 which, among other things, provide statutory authority for FDA to regulate biological products. |
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| ● | “Physiotherapy” is treatment to restore, maintain, and make the most of a patient’s mobility, function, and well-being. |
| ● | “POCD” means post-operative cognitive dysfunction/delirium. |
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| ● | “Public Warrants” are the warrants to purchase shares of our common stock sold as part of the units in our IPO (whether they were purchased in such offering or thereafter in the open market). |
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| ● | “RA” means rheumatoid arthritis. |
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| ● | “REMS” means a risk evaluation and mitigation strategy which is a drug safety program that the FDA can require for certain medications with serious safety concerns to help ensure the benefits of the medication outweigh its risks. |
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| ● | “Reverse Stock Split” means the one-for-twenty reverse stock split which became effective on December 19, 2022. |
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| ● | “SCA” means Synthetic Cannabidiol Analogs, which are synthetic pharmaceutical grade molecules close or distant analogs of non-psychoactive cannabinoids such as CBD for the treatment of inflammatory diseases and pain. |
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| ● | “SEC” or the “Commission” means to the United States Securities and Exchange Commission. |
| ● | “Section 505(b)(2) NDA” or “section 505(b)(2) application” means a New Drug Application submitted under section 505(b)(2) of the FDC Act, which is a regulatory vehicle in the United States through which drug sponsors formally propose that the FDA approve a pharmaceutical for sale and marketing, that allows the applicant to rely on previous investigations conducted by others and for which the sponsor does not have a right of reference or use from the person by or for whom the investigations were conducted. |
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| ● | “Securities Act” means the Securities Act of 1933, as amended. |
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| ● | “Sponsor” means the applicant or drug sponsor, which is the person or entity who assumes responsibility for the marketing of a new drug, including responsibility for compliance with applicable provisions of the FSC Act and related regulations. Note that as used herein the term “Sponsor” may also refer to the Sponsor of our IPO, KBL IV Sponsor LLC, depending on the context in which such term is used. |
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| ● | “THC” means tetrahydrocannabinol, which is the principal psychoactive constituent of cannabis. |
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| ● | “TNF” means tumor necrosis factor, which is part of the body’s response to inflammation. |
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| ● | “U.K.” means the United Kingdom. |
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| ● | “U.S.” means the United States. |
Ourlogo and some of our trademarks and tradenames are used in this prospectus. This prospectus also includes trademarks, tradenames andservice marks that are the property of others. Solely for convenience, trademarks, tradenames and service marks referred to in this prospectusmay appear without the ®, ™ and SM symbols. References to our trademarks, tradenames and service marks are not intended toindicate in any way that we will not assert to the fullest extent under applicable law our rights or the rights of the applicable licensorsif any, nor that respective owners to other intellectual property rights will not assert, to the fullest extent under applicable law,their rights thereto. We do not intend the use or display of other companies’ trademarks and trade names to imply a relationshipwith, or endorsement or sponsorship of us by, any other companies.
Themarket data and certain other statistical information used throughout this prospectus are based on independent industry publications,reports by market research firms or other independent sources that we believe to be reliable sources; however, we have not commissionedany of the market or survey data that is presented in this prospectus. Industry publications and third-party research, surveys and studiesgenerally indicate that their information has been obtained from sources believed to be reliable, although they do not guarantee theaccuracy or completeness of such information. We are responsible for all of the disclosures contained in this prospectus, and we believethese industry publications and third-party research, surveys and studies are reliable. While we are not aware of any misstatements regardingany third-party information presented in this prospectus, their estimates, in particular, as they relate to projections, involve numerousassumptions, are subject to risks and uncertainties, and are subject to change based on various factors, including those discussed underthe section entitled “Risk Factors” of this prospectus. These and other factors could cause our future performanceto differ materially from our assumptions and estimates. Some market and other data included herein, as well as the data of competitorsas they relate to 180 Life Sciences Corp., is also based on our good faith estimates.
ABOUTTHIS PROSPECTUS
Thisprospectus is part of a registration statement on Form S-1 that we filed with the SEC using a “shelf” registration process.Under this shelf registration process, the Selling Stockholder may, from time to time, sell the shares of common stock offered by themdescribed in this prospectus. We will not receive any proceeds from the sale by such Selling Stockholder of the Shares offered by themdescribed in this prospectus. We will not receive any proceeds from the sale of Shares pursuant to this prospectus, except with respectto amounts received by us upon the exercise of the Warrants for cash.
Neitherwe nor the Selling Stockholder have authorized anyone to provide you with any information or to make any representations other than thosecontained in this prospectus or any applicable prospectus supplement or any free writing prospectus prepared by or on behalf of us orto which we have referred you. Neither we nor the Selling Stockholder take responsibility for, and can provide no assurance as to thereliability of, any other information that others may give you. Neither we nor the Selling Stockholder will make an offer to sell thesesecurities in any jurisdiction where the offer or sale is not permitted. You should not assume that the information contained in thisprospectus is accurate as of any date other than the date of this prospectus. Our business, financial condition, results of operationsand prospects may have changed since that date.
Wemay also provide a prospectus supplement or post-effective amendment to the registration statement to add information to, or update orchange information contained in, this prospectus. You should read both this prospectus and any applicable prospectus supplement or post-effectiveamendment to the registration statement together with the additional information to which we refer you in the section of this prospectusentitled “Where You Can Find More Information.”
Wewere originally formed as KBL Merger Corp. IV, a blank check company organized under the laws of the State of Delaware on September 7,2016, which consummated its initial public offering on June 7, 2017. On July 25, 2019, we entered into a business combination agreementand, on the Closing, we consummated the Business Combination and changed our name to 180 Life Sciences Corp.
CAUTIONARYNOTE REGARDING FORWARD-LOOKING STATEMENTS
Thisprospectus contains forward-looking statements under federal securities laws, including within the meaning of the Private SecuritiesLitigation Reform Act of 1995. In some cases, you can identify forward-looking statements by the following words: “anticipate,”“believe,” “continue,” “could,” “estimate,” “expect,”“intend,” “may,” “ongoing,” “plan,” “potential,”“predict,” “project,” “should,” or the negative of these terms or other comparableterminology, although not all forward-looking statements contain these words. Forward-looking statements are not a guarantee of futureperformance or results, and will not necessarily be accurate indications of the times at, or by, which such performance or results willbe achieved. Forward-looking statements are based on information available at the time the statements are made and involve known andunknown risks, uncertainties and other factors that may cause our results, levels of activity, performance or achievements to be materiallydifferent from the information expressed or implied by the forward-looking statements in this prospectus.
Inparticular, forward-looking statements include, but are not limited to, any statements that are not statements of current or historicalfacts, such as statements relating to our expectations for the clinical and preclinical development, manufacturing, regulatory approval,and commercialization of our product candidates, the accuracy of our estimates regarding expenses, future revenues and capital requirements,our ability to execute our plans to develop and market new drug products and the timing and costs of these development programs, andestimates of the sufficiency of our existing capital resources combined with future anticipated cash flows to finance our operating requirements.
Suchstatements are based on management’s current expectations, but actual results may differ materially due to various factors, including,but not limited to:
| ● | the uncertainties associated with the clinical development and regulatory approval of our drug candidates, including potential delays in the enrollment and completion of clinical trials, issues raised by the U.S. Food and Drug Administration and the U.K. Medicines and Healthcare products Regulatory Agency; |
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| ● | regulatory developments in the United States and foreign countries; |
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| ● | our success in retaining or recruiting, or changes required in, our officers, key employees or directors; |
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| ● | current negative operating cash flows and our potential ability to obtain additional financing to advance our business and the terms of any further financing, which may be highly dilutive and may include onerous terms; |
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| ● | the continued impact of the COVID-19 pandemic on our business operations and our research and development initiatives; |
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| ● | our reliance on third parties to conduct our clinical trials, enroll patients, and manufacture our preclinical and clinical drug supplies; |
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| ● | our ability to come to mutually agreeable terms with third parties and partners, and the terms of such agreements; |
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| ● | unexpected adverse side effects or inadequate therapeutic efficacy of drug candidates that could limit approval and/or commercialization, or that could result in recalls or product liability claims; |
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| ● | our ability to fully comply with numerous federal, state and local laws and regulatory requirements, as well as rules and regulations outside the United States, that apply to our product development activities; |
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| ● | challenges and uncertainties inherent in product research and development, including the uncertainty of clinical success and of obtaining regulatory approvals; |
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| ● | uncertainty of commercial success; |
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| ● | high inflation, increasing interest rates and economic downturns, including potential recessions, as well as macroeconomic, geopolitical, health and industry trends, pandemics, acts of war (including the ongoing Ukraine/Russian conflict) and other large-scale crises; |
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| ● | our ability to maintain our listing on Nasdaq; and |
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| ● | other risks and uncertainties, including those described in the section entitled “Risk Factors”. |
Anyforward-looking statements in this prospectus reflect our current views with respect to future events or to our future financial performanceand involve known and unknown risks, uncertainties and other factors that may cause our actual results, performance or achievements tobe materially different from any future results, performance or achievements expressed or implied by these forward-looking statements.Given these uncertainties, you should not place undue reliance on these forward-looking statements. All forward-looking statements includedherein speak only as of the date of this prospectus. All subsequent written and oral forward-looking statements attributable to us, orpersons acting on our behalf, are expressly qualified in their entirety by the cautionary statements above. Except as required by law,we assume no obligation to update or revise these forward-looking statements for any reason, even if new information becomes availablein the future.
PROSPECTUSSUMMARY
Thefollowing summary highlights selected information contained elsewhere in this prospectus and does not contain all of the informationthat you should consider in making your investment decision. Before investing in our securities, you should carefully read this entireprospectus, including our consolidated financial statements and the related notes included in this prospectus and the information setforth under the headings “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition andResults of Operations.”
OurCompany
Weare a clinical stage biotechnology company headquartered in Palo Alto, California, focused on the development of therapeutics for unmetmedical needs in chronic pain, inflammation and fibrosis by employing innovative research, and, where appropriate, combination therapy.We were founded by Prof. Sir Marc Feldmann, Prof. Lawrence Steinman, Prof. Raphael Mechoulam, recently deceased, Dr. Jonathan Rothbard,and Prof. Jagdeep Nanchahal, all of whom are scientists in the biotechnology and pharmaceutical sectors with significant experience,and previous success, in drug discovery. Our management team has extensive experience in financing and growing early-stage healthcarecompanies.
Wehave three different product development platforms that are focused on different diseases or medical conditions, and that target differentfactors, molecules or proteins, as follows:
| ● | Anti-TNF platform: focusing on fibrosis and anti-tumor necrosis factor (“anti-TNF”); |
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| ● | SCAs platform: focusing on drugs which are synthetic cannabidiol (“CBD”) or cannabigerol analogs (“SCAs”); and |
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| ● | α7nAChR platform: focusing on alpha 7 nicotinic acetylcholine receptor (“α7nAChR”). |
Ourlead product candidate under the anti-TNF platform recently completed Phase 2a and Phase 2b proof-of-concept clinical trials in the UnitedKingdom and the Netherlands for early-stage Dupuytren’s Contracture, a condition that affects the development of fibrous connectivetissue in the palm of the hand.
Currently,we are planning or conducting clinical trials only for certain indications under the anti-TNF platform, such as a planned Phase 2 trialfor post-operative cognitive decline as well as a planned Phase 2 trial for frozen shoulder. We were recruiting patients for a feasibilitytrial for frozen shoulder, for which we have ended such recruitment at nine patients, due to a regulatory request in the UK to end slowrecruiting trials. The result of the closure of the trial means that another trial will likely need to be undertaken in the future torecruit additional participants.
Wewere recently granted an allowance of claims for a U.S. patent with respect to the use of adalimumab for early-stage Dupuytren’sdisease which, if granted, would have a term that expires no earlier than in 2037. Of our three product development platforms, only one,the SCAs platform, involves products that are related to cannabidiol (CBD) (and not to cannabis or tetrahydrocannabinol (THC)), and noclinical trials for indications or products under the SCAs platform are currently being conducted in the United States or abroad. Weare currently undertaking preclinical research and development activities for the SCA and the α7nAChR platforms.
CorporateInformation
Wewere originally formed as KBL Merger Corp. IV, a blank check company organized under the laws of the State of Delaware on September 7,2016, which consummated its initial public offering on June 7, 2017. On November 6, 2020, we consummated the Business Combination and,in connection therewith, changed our name to 180 Life Sciences Corp.
Ourprincipal executive offices are located at 3000 El Camino Real, Bldg. 4, Suite 200, Palo Alto, California 94306, and our telephone numberis (650) 507-0669. We maintain a website at www.180lifesciences.com. We have not incorporated by reference into this prospectus the informationin, or that can be accessed through, our website, and you should not consider it to be a part of this prospectus.
THEOFFERING
Shares offered by the Selling Stockholder: | | We are registering the resale by the Selling Stockholder named in this prospectus, or their permitted transferees, of an aggregate of up to an aggregate of 4,448,713 Shares by the Selling Stockholder identified in this prospectus. The Shares being registered for resale hereunder consist of: (i) 306,604 Shares issuable upon the exercise of the July 2022 Common Warrants; (ii) 2,571,429 Shares issuable upon the exercise of the December 2022 Common Warrants; and (iii) 1,570,680 Shares issuable upon the exercise the April 2023 Common Warrants. |
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Common stock outstanding prior to this offering: | | 5,317,586 shares of common stock as of May 4, 2023. |
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Use of proceeds: | | The Selling Stockholder will receive the proceeds from the sale of the Shares offered hereby. We will not receive any proceeds from the sale of the Shares. However, if all of the July 2022 Common Warrants, the December 2022 Common Warrants and the April 2023 Common Warrants that are covered by this prospectus are exercised for cash, we may receive proceeds of up to approximately $545,755, $4.6 million, and $2.8 million, respectively. |
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Risk Factors: | | The purchase of our securities involves a high degree of risk. See “Risk Factors” beginning on page 5 and other information included in this prospectus for a discussion of factors you should carefully consider before deciding to invest in our securities. |
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Nasdaq symbol: | | Our common stock is listed on Nasdaq under the symbol “ATNF”. |
Thenumber of shares of our common stock outstanding is based on 5,317,586 shares outstanding as of May 4, 2023, and excludes, as ofsuch date:
| ● | 264 shares of common stock issuable upon the conversion of the Exchangeable Shares issued concurrently with the reorganization that occurred in connection with the Business Combination; |
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| ● | 148,321 shares of common stock issuable upon the exercise of outstanding stock options; |
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| ● | 16,747 additional shares of our common stock reserved for future issuance under our 2020 Omnibus Incentive Plan; |
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| ● | 113,526 additional shares of our common stock reserved for future issuance under our 2022 Omnibus Incentive Plan; and |
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| ● | 287,500 shares of common stock issuable upon the exercise of outstanding public warrants exercisable at an exercise price of $230.00 per share, 12,563 shares of common stock issuable upon the exercise of certain outstanding private placement warrants exercisable at an exercise price of $230.00 per share, 128,200 shares of common stock issuable upon the exercise of certain outstanding private placement warrants at an exercise price of $100.00 per share, 1,250 shares of common stock issuable upon the exercise of certain outstanding private placement warrants at an exercise price of $141.40 per share, 3,183 shares of common stock issuable upon the exercise of certain outstanding private placement warrants at an exercise price of $105.60 per share, 125,000 shares of common stock issuable upon the exercise of certain outstanding private placement warrants at an exercise price of $150.00 per share, 306,604 shares of common stock issuable upon exercise of the July 2022 Common Warrants at an exercise price of $1.78 per share, 2,571,429 shares of common stock issuable upon the exercise of the December 2022 Common Warrants at an exercise price of $1.78 per share and 1,570,680 shares of common stock issuable upon the exercise of the April 2023 Common Warrants at an exercise price of $1.78 per share. |
Unlessotherwise indicated, all share numbers in this prospectus, including shares of common stock and all securities convertible into, or exercisablefor, shares of common stock, gives effect to the Reverse Stock Split. However, documents that were filed prior to December 19, 2022,do not give effect to the Reverse Stock Split.
SummaryRisk Factors
Weface risks and uncertainties related to our business, many of which are beyond our control. In particular, risks associated with ourbusiness include:
| ● | we are a clinical stage biotechnology company that had no revenue for the years ended December 31, 2022 and 2021, and do not anticipate generating revenue for the near future; |
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| ● | our need for additional financing, both near term and long term, to support our operations, our ability to raise such financing as needed, the terms of such financing, if available, potential significant dilution associated therewith, and covenants and restrictions we may need to comply with in connection with such funding; |
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| ● | our dependence on the success of our future product candidates, some of which may not receive regulatory approval or be successfully commercialized; problems in our manufacturing process for our new products and/or our failure to comply with manufacturing regulations, or unexpected increases in our manufacturing costs; problems with distribution of our products; and failure to adequately market our products; |
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| ● | risks associated with the growth of our business, our ability to maintain such growth, difficulties in managing our growth, and executing our growth strategy; |
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| ● | liability for previously restated financial statements and associated with ineffective controls and procedures, as well as costs and expenses related to the indemnification of current and former officers and directors; |
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| ● | our dependence on our key personnel and our ability to attract and retain employees and consultants; |
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| ● | risks from intense competition from companies with greater resources and experience than we have; |
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| ● | our ability to receive regulatory approvals for our product candidates, and the timeline and costs associated therewith, including the uncertainties associated with the clinical development and regulatory approval of our drug candidates, including potential delays in the enrollment and completion of clinical trials, issues raised by the FDA and the MHRA; |
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| ● | risks that our future product candidates, if approved by regulatory authorities, may be unable to achieve the expected market acceptance and, consequently, limit our ability to generate revenue from new products; |
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| ● | the outcome of currently pending and future claims and litigation, future government investigations, and other proceedings may adversely affect our business and results of operations; |
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| ● | the fact that the majority of our license agreements provide the licensors and/or counter-parties the right to use, own and/or exploit such licensed intellectual property; |
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| ● | preclinical studies and earlier clinical trials may not necessarily be predictive of future results and may not have favorable results; we have limited marketing experience, and our future ability to successfully commercialize any of our product candidates, even if they are approved in the future is unknown; and business interruptions could delay us in the process of developing our future product candidates and could disrupt our product sales; |
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| ● | third-party payors may not provide coverage and adequate reimbursement levels for any future products; |
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| ● | liability from lawsuits (including product liability lawsuits, stockholder lawsuits and regulatory matters), including judgments, damages, fines and penalties and including the outcome of currently pending litigation, potential future government investigations, and other proceedings that may adversely affect our business and results of operations; |
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| ● | security breaches, loss of data and other disruptions which could prevent us from accessing critical information or expose us to liabilities or damages; |
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| ● | risks associated with clinical trials that are expensive, time-consuming, uncertain and susceptible to change, delay or termination and which are open to differing interpretations, delays in the trials, testing, application, or approval process for drug candidates and/or our ability to obtain approval for promising drug candidates, and the costs associated therewith; |
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| ● | our ability to comply with existing and future rules and regulations, including federal, state and foreign healthcare laws and regulations and implementation of, or changes to, such healthcare laws and regulations; |
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| ● | our ability to adequately protect our future product candidates or our proprietary technology in the marketplace, claims and liability from third parties regarding our alleged infringement of their intellectual property; |
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| ● | differences in laws and regulations between countries and other jurisdictions and changes in laws or regulations, including, but not limited to tax laws and controlled substance laws, or a failure to comply with any laws and regulations; |
| ● | conflicts of interest between our officers, directors, consultants and scientists; |
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| ● | penalties associated with our failure to comply with certain pre-agreed contractual obligations and restrictions; |
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| ● | dilution caused by future fund raising, the conversion/exercise of outstanding convertible securities, and downward pressure on the value of our securities caused by such future issuances/sales; |
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| ● | negative effects on our business from the COVID-19 pandemic and other potential future pandemics; |
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| ● | the extremely volatile nature of our securities and potential lack of liquidity thereof; |
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| ● | the fact that our Certificate of Incorporation provides for indemnification of officers and directors, limits the liability of officers and directors, allows for the authorization of preferred stock without stockholder approval, and includes certain other anti-takeover provisions and exclusive forum provisions; |
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| ● | our ability to maintain the listing of our common stock and warrants on Nasdaq and the costs of compliance with SEC and Nasdaq rules and requirements; |
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| ● | failure of our information technology systems, including cybersecurity attacks or other data security incidents, that could significantly disrupt the operation of our business; |
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| ● | the fact that we may acquire other companies which could divert our management’s attention, result in additional dilution to our stockholders and otherwise disrupt our operations and harm our operating results and if we make any acquisitions, they may disrupt or have a negative impact on our business; |
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| ● | the effect of high inflation, increasing interest rates and economic downturns, including potential recessions, as well as macroeconomic, geopolitical, health and industry trends, pandemics, acts of war (including the ongoing Ukraine/Russian conflict) and other large-scale crises, as well as the potential implications of a Congressional impasse over the U.S. debt limit or possible future U.S. governmental shutdowns over budget disagreements; |
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| ● | the fact that we may apply working capital and future funding to uses that ultimately do not improve our operating results or increase the value of our securities; and |
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| ● | our growth depends in part on the success of our strategic relationships with third parties. |
RISKFACTORS
Youshould carefully consider all of the following risk factors and all the other information contained in this prospectus, including theconsolidated financial statements. If any of the following risks occur, our business, financial condition or results of operations maybe materially and adversely affected. The risk factors described below are not necessarily exhaustive and you are encouraged to performyour own investigation with respect to us and our business.
RisksRelated to Our Business Operations
Ourbusiness, financial condition and results of operations are subject to various risks and uncertainties, including those described below.This section discusses factors that, individually or in the aggregate, could cause our actual results to differ materially from expectedand historical results. Our business, financial condition or results of operations could be materially adversely affected by any of theserisks. It is not possible to predict or identify all such factors. Consequently, the following description of Risk Factors is not a completediscussion of all potential risks or uncertainties applicable to our business.
Ourcurrent cash balance is only sufficient to fund our planned business operations through the second quarter of 2023. If additional capitalis not available, we may not be able to pursue our planned business operations, may be forced to change our planned business operations,or may take other actions that could adversely impact our stockholders.
Weare a clinical stage biotechnology company that currently has no revenue. Thus, our business does not generate the cash necessary tofinance our planned business operations. We will require significant additional capital to: (i) develop FDA and/or MHRA-approved productsand commercialize such products; (ii) fund research and development activities relating to, and obtain regulatory approval for, our productcandidates; (iii) protect our intellectual property; (iv) attract and retain highly-qualified personnel; (v) respond effectively to competitivepressures; and (vi) acquire complementary businesses or technologies.
Ourfuture capital needs depend on many factors, including: (i) the scope, duration and expenditures associated with our research, developmentand commercialization efforts; (ii) continued scientific progress in our programs; (iii) the outcome of potential partnering or licensingtransactions, if any; (iv) competing technological developments; (v) our proprietary patent position; and (vi) the regulatory approvalprocess for our products.
Wewill need to raise substantial additional funds through public or private equity offerings, debt financings or strategic alliances andlicensing arrangements to finance our planned business operations. We may not be able to obtain additional financing on terms favorableto us, if at all. General market conditions, as well as the ongoing COVID-19 pandemic, raising interest rates and inflation, as wellas global conflicts which as the ongoing conflict between Ukraine and Russia, as well as the potential implications of a Congressionalimpasse over the U.S. debt limit or possible future U.S. governmental shutdowns over budget disagreements, may make it difficult forus to seek financing from the capital markets, and the terms of any financing may adversely affect the holdings or the rights of ourstockholders. For example, if we raise additional funds by issuing equity securities, further dilution to our stockholders will result,which may substantially dilute the value of their investment. Any equity financing may also have the effect of reducing the conversionor exercise price of our outstanding convertible or exercisable securities, which could result in the issuance (or potential issuance)of a significant number of additional shares of our common stock. In addition, as a condition to providing additional funds to us, futureinvestors may demand, and may be granted, rights superior to those of existing stockholders. Debt financing, if available, may involverestrictive covenants that could limit our flexibility to conduct future business activities and, in the event of insolvency, could bepaid before holders of equity securities received any distribution of our assets. We may be required to relinquish rights to our technologiesor product candidates, or grant licenses through alliance, joint venture or agreements on terms that are not favorable to us, in orderto raise additional funds. If adequate funds are not available, we may have to delay, reduce or eliminate one or more of our plannedactivities with respect to our business, or terminate our operations. These actions would likely reduce the market price of our commonstock.
Wewill need additional capital which may not be available on commercially acceptable terms, if at all, which raises questions about ourability to continue as a going concern.
Asof December 31, 2022, we had an accumulated deficit of $107,408,545 and working capital of $3,270,608, and for the year ended December31, 2022, a net loss of $38,726,259 and cash used in operating activities of $12,127,585. As of May 5, 2023, we had cash on hand ofapproximately $3.2 million. The accompanying consolidated financial statements have been prepared assuming we will continue as a goingconcern. As we are not generating revenues, we need to raise a significant amount of capital in order to pay our debts and cover ouroperating costs. While we recently raised funds through the sale of equity in July 2022 ($6.5 million of gross proceeds) and December2022 ($6.0 million of gross proceeds), there is no assurance that we will be able to raise additional needed capital or that such capitalwill be available under favorable terms.
Weare subject to all the substantial risks inherent in the development of a new business enterprise within an extremely competitive industry.Due to the absence of a long-standing operating history and the emerging nature of the markets in which we compete, we anticipate operatinglosses until we can successfully implement our business strategy, which includes all associated revenue streams. We may never ever achieveprofitable operations or generate significant revenues.
Wecurrently have a monthly cash requirement spend of approximately $900,000. We believe that in the aggregate, we will require significantadditional capital funding to support and expand the research and development and marketing of our products, fund future clinical trials,repay debt obligations, provide capital expenditures for additional equipment and development costs, payment obligations, office spaceand systems for managing the business, and cover other operating costs until our planned revenue streams from products are fully-implementedand begin to offset our operating costs, if ever.
Sinceour inception, we have funded our operations with the proceeds from equity and debt financings. We have experienced liquidity issuesdue to, among other reasons, our limited ability to raise adequate capital on acceptable terms. We have historically relied upon thesale of equity and debt funding that is convertible into shares of our common stock to fund our operations and have devoted significantefforts to reduce that exposure. We anticipate that we will need to issue equity to fund our operations and fund our operating expensesfor the foreseeable future. If we are unable to achieve operational profitability or we are not successful in securing other forms offinancing, we will have to evaluate alternative actions to reduce our operating expenses and conserve cash.
Theseconditions raise substantial doubt about our ability to continue as a going concern for the next twelve months from the date of issuanceof the auditor’s report set forth herein. The accompanying consolidated financial statements have been prepared in accordance withaccounting principles generally accepted in the United States on a going concern basis, which contemplates the realization of assetsand the satisfaction of liabilities in the normal course of business. Accordingly, the consolidated financial statements do not includeany adjustments relating to the recoverability of assets and classification of liabilities that might be necessary should we be unableto continue as a going concern. The consolidated financial statements included herein also include a going concern footnote.
Additionally,wherever possible, our board of directors (“Board of Directors” or “Board”))will attempt to usenon-cash consideration to satisfy obligations. In many instances, we believe that the non-cash consideration will consist of restrictedshares of our common stock, preferred stock or warrants to purchase shares of our common stock. Our Board has authority, without actionor vote of the stockholders, but subject to Nasdaq rules and regulations (which generally require stockholder approval for any transactionswhich would result in the issuance of more than 20% of our then outstanding shares of common stock or voting rights representing over20% of our then outstanding shares of stock, subject to certain exceptions), to issue all or part of the authorized but unissued sharesof common stock, preferred stock or warrants to purchase such shares of common stock. In addition, we may attempt to raise capital byselling shares of our common stock, possibly at a discount to market in the future. These actions will result in dilution of the ownershipinterests of existing stockholders, may further dilute common stock book value, and that dilution may be material. Such issuances mayalso serve to enhance existing management’s ability to maintain control of us, because the shares may be issued to parties or entitiescommitted to supporting existing management.
Wehave significant and increasing liquidity needs and require additional funding.
Researchand development, management and administrative expenses, including legal expenses, and cash used for operations will continue to be significantand may increase substantially in the future in connection with new research and development initiatives, clinical trials, continuedproduct commercialization efforts and the launch of our future product candidates. We will need to raise additional capital to fund ouroperations, continue to conduct clinical trials to support potential regulatory approval of marketing applications, and to fund commercializationof our future product candidates.
Theamount and timing of our future funding requirements will depend on many factors, including, but not limited to:
| ● | the timing of FDA and/or MHRA approval, if any, and approvals in other international markets of our future product candidates, if at all; |
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| ● | the timing and amount of revenue from sales of our products, or revenue from grants or other sources; |
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| ● | the rate of progress and cost of our clinical trials and other product development programs; |
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| ● | costs of establishing or outsourcing sales, marketing and distribution capabilities; |
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| ● | costs and timing of any outsourced growing and commercial manufacturing supply arrangements for our future product candidates; |
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| ● | costs of filing, prosecuting, defending and enforcing any patent claims and other intellectual property rights associated with our future product candidates; |
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| ● | the effect of competing technological and market developments; |
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| ● | personnel, facilities and equipment requirements; and |
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| ● | the terms and timing of any additional collaborative, licensing, co-promotion or other arrangements that we may establish. |
Whilewe expect to fund our future capital requirements from a number of sources, such as cash flow from operations and the proceeds from furtherpublic and/or private offerings, we cannot assure you that any of these funding sources will be available to us on favorable terms, orat all. Further, even if we can raise funds from all of the above sources, the amounts raised may not be sufficient to meet our futurecapital requirements.
Wemay need to raise additional capital, which may not be available on favorable terms, if at all, causing dilution to our stockholders,restricting our operations or adversely affecting our ability to operate our business.
Wemay not be able to obtain additional financing on terms favorable to us, if at all, including as a result of macroeconomic conditionssuch as a severe or prolonged economic downturn. Disruption, uncertainty or volatility in the capital markets could increase our costof capital or limit our ability to raise funds needed to operate our business. Disruptions could be caused by Federal Reserve policiesand actions, currency concerns, inflation, economic downturn or uncertainty, monetary policies, failures of financial institutions, U.S.debt management concerns, and U.S. debt limit and budget disputes, including government shutdowns, European and worldwide sovereign debtconcerns, other global or geopolitical events, or other factors. Current macroeconomic conditions have negatively impacted the U.S. bankingsector, including for example, the recent closures and FDIC receiverships of Silicon Valley Bank and Signature Bank. Although we do nothave any accounts at or business relationships with these banks, we may be negatively impacted by other disruptions to the U.S. bankingsystem caused by these or similar developments.
Ourresults of operations may be adversely affected by fluctuations in currency values.
Weexpend expenses in currencies other than the U.S. dollar. Our reporting currency is the United States dollar. The functional currencyof certain subsidiaries is the Canadian Dollar (“CAD”) or British Pound (“£” or “GBP”).The resulting translation adjustments are recognized in stockholders’ equity as a component of accumulated other comprehensiveincome. Comprehensive income is defined as the change in equity of an entity from all sources other than investments by owners or distributionsto owners and includes foreign currency translation adjustments as described above. During the years ended December 31, 2022 and 2021,we recorded other comprehensive (loss) income of ($3,702,963) and $180,554, respectively, as a result of foreign currency translationadjustments.
Foreigncurrency gains and losses resulting from transactions denominated in foreign currencies, including intercompany transactions, are includedin results of operations. We recognized ($12,777) and ($69) of foreign currency transaction (losses) for the years ended December 31,2022 and 2021, respectively. Such amounts have been classified within general and administrative expenses in the accompanying consolidatedstatements of operations and comprehensive loss.
Changesin the value of the currencies which we pay expenses (and in the future receive revenues), versus each other, and the U.S. dollar, couldresult in an adverse charge being recorded to our income statement.
Globaleconomic conditions could materially adversely affect our business, results of operations, financial condition and growth.
Adversemacroeconomic conditions, including inflation, slower growth or recession, new or increased tariffs, changes to fiscal and monetary policy,tighter credit, higher interest rates, high unemployment and currency fluctuations, as well as the potential implications of a Congressionalimpasse over the U.S. debt limit or possible future U.S. governmental shutdowns over budget disagreements, could materially adverselyaffect our operations, expenses, access to capital and the market for our planned future products. In addition, consumer confidence andspending could be adversely affected in response to financial market volatility, negative financial news, conditions in the real estateand mortgage markets, declines in income or asset values, changes to fuel and other energy costs, labor and healthcare costs and othereconomic factors.
Inaddition, uncertainty about, or a decline in, global or regional economic conditions could have a significant impact on our funding sources,suppliers and partners. Potential effects include financial instability; inability to obtain credit to finance operations and purchasesof our future planned products; and insolvency.
Adownturn in the economic environment could also lead to limitations on our ability to sell equity or issue new debt; reduce liquidity;and result in declines in the fair value of our financial instruments. These and other economic factors could materially adversely affectour business, results of operations, financial condition and growth.
Ourindustry and the broader U.S. economy have experienced higher than expected inflationary pressures during 2022, related to continuedsupply chain disruptions, labor shortages and geopolitical instability. Should these conditions persist our business, future resultsof operations and cash flows could be materially and adversely affected.
Calendar2022 has seen significant increases in the costs of certain materials, products and shipping costs, as a result of availability constraints,supply chain disruption, increased demand, labor shortages associated with a fully employed U.S. labor force, high inflation and otherfactors. Supply and demand fundamentals have been further aggravated by disruptions in global energy supply caused by multiple geopoliticalevents, including the ongoing conflict between Russia and Ukraine. Service, materials and shipping costs have also increased accordinglywith general supply chain and inflation issues seen throughout the U.S. leading to increased operating costs. Recent supply chain constraintsand inflationary pressures may adversely impact our operating costs and may negatively impact our future product costs, consulting costsand expenses which could have a material adverse effect on our business, financial condition, results of operations and cash flows.
Economicuncertainty may affect our access to capital and/or increase the costs of such capital.
Globaleconomic conditions continue to be volatile and uncertain due to, among other things, consumer confidence in future economic conditions,fears of recession and trade wars, the price of energy, fluctuating interest rates, the availability and cost of consumer credit, theavailability and timing of government stimulus programs, levels of unemployment, increased inflation, tax rates, and the war betweenUkraine and Russia which began in February 2022, and the potential implications of a Congressional impasse over the U.S. debt limit orpossible future U.S. governmental shutdowns over budget disagreements. These conditions remain unpredictable and create uncertaintiesabout our ability to raise capital in the future. In the event required capital becomes unavailable in the future, or more costly, itcould have a material adverse effect on our business, future results of operations, and financial condition.
Wemay not receive any amounts under our pre-merger directors’ and officers’ insurance policy in connection with certain litigationmatters.
OnJune 29, 2022, AmTrust International Underwriters DAC (“AmTrust”), which was the premerger directors’ and officers’insurance policy underwriter for KBL, filed a declaratory relief action against us in the U.S. District Court for the Northern Districtof California (the “Declaratory Relief Action”) seeking declaration of AmTrust’s obligations under the directors’and officers’ insurance policy. In the Declaratory Relief Action, AmTrust is claiming that as a result of the merger, we are nolonger the insured under the subject insurance policy, notwithstanding the fact that the fees which we seek to recover from AmTrust relateto matters occurring prior to the merger. On September 20, 2022, we filed our Answer and Counterclaims against AmTrust for bad faithbreach of AmTrust’s insurance coverage obligations to us under the subject directors’ and officers’ insurance policy,and seeking damages of at least $2 million in compensatory damages, together with applicable punitive damages. In addition, we broughta Third-Party Complaint against our excess insurance carrier, Freedom Specialty Insurance Company (“Freedom”) seekingdeclaratory relief that Freedom will also be required to honor its policy coverage as soon as the amount of AmTrust’s insurancecoverage obligations to us have been exhausted. On October 25, 2022, AmTrust filed its Answer to our Counterclaims and, on October 27,2022, Freedom filed its Answer to the Third-Party Complaint.
OnNovember 22, 2022, we filed a Motion for Summary Adjudication against both AmTrust and Freedom. The Motion was fully briefed, and a hearingwas held on March 9, 2023. The standard to prevail on a Motion for Summary Adjudication in the Court is high to prevail and requiresa judge to find that there are no disputed issues of fact so that they can rule on the issues as a matter of law. In this instance thejudge found three major issues could be decided as a matter of law in our favor and that one issue, the Change in Control exclusion,requires further discovery.
OnApril 21, 2023, the Court issued an Order Granting in Part and Denying in Part our Motion for Partial Summary Judgment. Specifically,the Court granted summary adjudication in our favor on the following issues: (a) that we are, in fact, an insured under both the AmTrustand Freedom insurance policies; (b) that certain SEC subpoena related expenses for defendants Dr. Marlene Krauss, the Company’sformer Chief Executive Officer and Director, and George Hornig, the former Chairman of the Board, are within the basic scope of coverageunder both the AmTrust and Freedom insurance policies; and (c) that the Insured vs. Insured exclusion relied upon by AmTrust and Freedomis not applicable to bar any such coverage.
TheCourt also found that there were issues of disputed facts as to the Change in Control exclusion contained within the policies, whichtherefore precluded the Court from granting the remainder of our requests for summary adjudication as a matter of law. Accordingly, theCourt, at this time, denied our further requests for summary adjudication and deemed that for the time being, the Change in Control issueis to be determined at the time of trial, in order to find that the policies (i) provide coverage for the fees which we had advancedand will advance to Dr. Marlene Krauss and George Hornig; (ii) that AmTrust has breached the policy; (iii) that AmTrust must pay suchexpenses of the Company; and that, once the AmTrust policy has been exhausted, (iv) Freedom will be obligated to pay such expenses ofthe Company pursuant to its policy. We intend to continue to vigorously pursue this final matter in order to establish our entitlementto full payment by both AmTrust and Freedom of the subject advancement expenses of the Company.
While we continue to believe we have a strongcase against both AmTrust and Freedom, and we believe the Court ruling in our favor in regards to the matters discussed above is a significantpositive outcome for us, there can be no assurance that we will prevail in this action.
Weare dependent on the success of our future product candidates, some of which may not receive regulatory approval or be successfully commercialized.
Oursuccess will depend on our ability to successfully develop and commercialize our future product candidates through our development programs,including our product candidate for the treatment of Dupuytren’s Contracture and any other product candidates developed throughour fibrosis & anti-TNF, CBD derivatives, and α7nAChR development platforms. We may never be able to develop products whichreceive regulatory approval in the United States or elsewhere. There can be no assurance that the FDA, MHRA, EMA or any other regulatoryauthority will approve these product candidates.
Ourability to successfully commercialize our future product candidates will depend on, among other things, our ability to successfully completepre-clinical and other non-clinical studies and clinical trials and to receive regulatory approvals from the FDA, MHRA, EMA and similarforeign regulatory authorities. Delays in the regulatory process could have a material adverse effect on our business, results of operationsand financial condition.
Ourability to generate revenue from any of our potential products is subject to our ability to obtain regulatory approval and fulfill numerousother requirements and we may never be successful in generating revenues or becoming profitable.
Ourability to become and remain profitable depends on our ability to generate revenue or execute other business development arrangements.We do not expect to generate significant revenue, if any, unless and until we are able to obtain regulatory approval for, and successfullycommercialize the product candidates we are developing or may develop. Successful commercialization, to the extent it occurs, will requireachievement of many key milestones, including demonstrating safety and efficacy in clinical trials, obtaining regulatory approval forthese product candidates, manufacturing, marketing and selling, or entering into other agreements to commercialize, those products forwhich we may obtain regulatory approval, satisfying any post-marketing requirements and obtaining reimbursement for our products fromprivate insurance or government payors. Because of the uncertainties and risks associated with these activities, we cannot accuratelyand precisely predict the timing and amount, if any, of revenues, the extent of any further losses or when we might achieve profitability.We may never succeed in these activities and, even if we do, we may never generate revenues that are sufficient enough for us to achieveprofitability. Even if we do achieve profitability, we may not be able to sustain or increase profitability on a quarterly or annualbasis.
Ourfailure to become and remain profitable may depress the market price of our common stock and could impair our ability to raise capital,expand our business, diversify our product offerings or continue our operations.
Wehave recently grown our business and will need to increase the size and complexity of our organization in the future, and we may experiencedifficulties in managing our growth and executing our growth strategy.
Ourmanagement, personnel and systems currently in place may not be adequate to support our business plan and future growth. We will needto increase our number of full-time equivalent employees in order to conduct Phase 1, 2 and 3 clinical trials of our future productsand to establish a commercial organization and commercial infrastructure. As a result of these future activities, the complexity of ourbusiness operations is expected to substantially increase. We will need to develop and expand our scientific, manufacturing, sales andmarketing, managerial, compliance, operational, financial and other resources to support our planned research, development, manufacturingand commercialization activities.
Ourneed to effectively manage our operations, growth and various projects requires that we:
| ● | continue to improve our operational, financial, management and regulatory compliance controls and reporting systems and procedures; |
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| ● | attract and retain sufficient numbers of talented employees; |
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| ● | manage our commercialization activities effectively and in a cost-effective manner (currently trial and development for our clinical trials is very cost effective); and |
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| ● | manage our development efforts effectively while carrying out our contractual obligations to contractors and other third parties. |
Wehave utilized and continue to utilize the services of part-time outside consultants and contractors to perform a number of tasks forour company, including tasks related to compliance programs, clinical trial management, regulatory affairs, formulation development andother drug development functions. Our growth strategy may entail expanding our use of consultants and contractors to implement theseand other tasks going forward. If we are not able to effectively expand our organization by hiring new employees and expanding our useof consultants and contractors, we may be unable to successfully implement the tasks necessary to effectively execute on our plannedresearch, development, manufacturing and commercialization activities and, accordingly, may not achieve our research, development andcommercialization goals.
Weface liability for previously restated financial statements and/or certain actions of our prior management which led to such restatements.
Wefiled a Current Report on Form 8-K on December 31, 2020 and another Current Report on Form 8-K on February 3, 2021, where we announcedthat due to matters we discovered which related to KBL, prior to the Business Combination, certain historical financial statements wereunreliable. As a result, we restated our financial statements for the three and six months ended June 30, 2020 and for the three andnine months ended September 30, 2020, because of errors in such financial statements which were identified after such financial statementswere filed with the SEC in our original quarterly reports for the quarters ended June 30, 2020 and September 30, 2020. While we believethese restatements are the result of the actions of, and are the responsibility of, the management of KBL (none of whom remain employedby us), we may be subject to stockholder litigation, SEC actions, fines and penalties, rating downgrades, negative publicity and difficultiesin attracting and retaining key clients, employees and management personnel as a result of such restatements. Additionally, our securitiesmay trade at prices lower than similarly situated companies which have not had to restate their financial statements.
Ourfailure to appropriately adjust processes resulting from significant one-time transactions may result in a misstatement in the financialstatements.
Inthe course of our annual audit but prior to filing, we discovered that an error occurred which caused the fair value of our public warrantsto be overstated by an immaterial amount. This error was corrected before the 2022 financial statements were filed. While we believethat the fair value of warrants in the financial statements for the year ended December 31, 2022 are correctly stated, it is possiblethat similar errors which could have a material adverse effect on our financial condition and results of operations, could require usto restate our financial statements for prior periods or in the future.
Operatingresults may vary significantly in future periods.
Ourfinancial results are unpredictable and may fluctuate, for among other reasons, due to commercial sales of our future product candidates;our achievement of product development objectives and milestones; clinical trial enrollment and expenses; research and development expenses;and the timing and nature of contract manufacturing and contract research payments. A high portion of our costs are predetermined onan annual basis, due in part to our significant research and development costs. Thus, small declines in future revenue could disproportionatelyaffect financial results in a quarter.
Wedepend on our key personnel and our ability to attract and retain employees.
Ourfuture growth and success depend on our ability to recruit, retain, manage and motivate our employees. We are highly dependent on ourcurrent management and scientific personnel, including our Chief Executive Officer, Dr. James N. Woody, our Co-Chairmen, Sir Marc Feldmann,Ph.D., and Lawrence Steinman, M.D., our Chief Scientific Officer, Jonathan Rothbard, Ph.D., and our scientist, Jagdeep Nanchahal. Theinability to hire or retain experienced management personnel could adversely affect our ability to execute our business plan and harmour operating results. Due to the specialized scientific and managerial nature of our business, we rely heavily on our ability to attractand retain qualified scientific, technical and managerial personnel. The competition for qualified personnel in the biotechnologicalfield is intense and we may be unable to continue to attract and retain qualified personnel necessary for the development of our businessor to recruit suitable replacement personnel.
Problemsin our manufacturing process for our future chemical entities, failure to comply with manufacturing regulations or unexpected increasesin our manufacturing costs could harm our business, results of operations and financial condition.
Weare responsible for the manufacture and supply of our future product candidates in the CBD derivatives and α7nAChR programs forcommercial use and for use in clinical trials. The manufacturing of our future product candidates necessitates compliance with GMPs andother regulatory requirements in international jurisdictions. Our ability to successfully manufacture our future product candidates willinvolve manufacture of finished products and labeling and packaging, which includes product information, tamper proof evidence and anti-counterfeitfeatures, under tightly controlled processes and procedures. In addition, we will have to ensure chemical consistency among our batches,including clinical trial batches and, if approved, marketing batches. Demonstrating such consistency may require typical manufacturingcontrols as well as clinical data. We will also have to ensure that our batches conform to complex release specifications. If we areunable to manufacture our future product candidates in accordance with regulatory specifications, or if there are disruptions in ourmanufacturing process due to damage, loss or otherwise, or failure to pass regulatory inspections of our manufacturing facilities, wemay not be able to meet demand or supply sufficient product for use in clinical trials, and this may also harm our ability to commercializeour future product candidates on a timely or cost-competitive basis, if at all.
Wemay not develop and expand our manufacturing capability in time to meet demand for our product candidates, and the FDA, MHRA or otherforeign regulatory authorities may not accept our facilities or those of our contract manufacturers as being suitable for the productionof our products and product candidates. Any problems in our manufacturing process could materially adversely affect our business, resultsof operations and financial condition.
Ourmemorandum of understanding with Celltrion Healthcare may not result in the parties entering into a definitive agreement.
InSeptember 2021, we entered into a non-binding memorandum of understanding with Celltrion Healthcare, a biopharmaceutical company, forthe supply of an anti-TNF biosimilar drug used in our ongoing development of anti-TNF products. The parties have not entered into a definitiveagreement regarding such relationship to date, and such definitive agreement may not ultimately be entered into on terms contemplated,if at all. In the event that we are unable to come to mutually agreeable definitive terms with Celltrion Healthcare, we will need tolocate an alternative supplier of the anti-TNF biosimilar drug, and we may be unable to find an alternative supplier or such alternativesupplier may require less favorable terms than are currently contemplated. Any of the above may materially adversely affect our business,results of operations and financial condition.
Weexpect to face intense competition from companies with greater resources and experience than we have; and may face competition from competitorsseeking to market our products under a Section 505(b)(2) application.
Thepharmaceutical industry is highly competitive and subject to rapid change. The industry continues to expand and evolve as an increasingnumber of competitors and potential competitors enter the market. Many of these competitors and potential competitors have substantiallygreater financial, technological, managerial and research and development resources and experience than our company. Some of these competitorsand potential competitors have more experience than our company in the development of pharmaceutical products, including validation proceduresand regulatory matters. In addition, our future product candidates, if successfully developed, will compete with product offerings fromlarge and well-established companies that have greater marketing and sales experience and capabilities than our company or our collaborationpartners have. In particular, Insys Therapeutics, Inc. is developing CBD in Infantile Spasms (“IS”), and potentiallyother indications. Zogenix, Inc. has reported positive data in two Phase 3 trials of low dose fenfluramine in Dravet syndrome and hascommenced a Phase 3 trial with this product in Lennox Gastaut Syndrome. Biocodex recently received regulatory approval from the FDA forthe drug Stiripentol (Diacomit) for the treatment of Dravet syndrome. Other companies with greater resources than our company may announcesimilar plans in the future. In addition, there are non-FDA approved CBD preparations being made available from companies in the medicalmarijuana industry, which might attempt to compete with our future product candidates.
Manyof our competitors have significantly greater financial and technical resources, experience and expertise in:
| ● | research and development; |
| ● | designing and implementing clinical trials; |
| ● | regulatory processes and approvals; |
| ● | production and manufacturing; and |
| ● | sales and marketing of approved products. |
Principalcompetitive factors in our industry include:
| ● | the quality and breadth of an organization’s technology; |
| ● | management of the organization and the execution of the organization’s strategy; |
| ● | the skill and experience of an organization’s employees and its ability to recruit and retain skilled and experienced employees; |
| ● | an organization’s intellectual property portfolio; |
| ● | the range of capabilities, from target identification and validation to drug discovery and development to manufacturing and marketing; and |
| ● | the availability of substantial capital resources to fund discovery, development and commercialization activities. |
Additionally,competitors may also seek to market versions of our drug products via a section 505(b)(2) application, which is a type of NDA providedin section 505(b)(2) of the FDC Act. A Section 505(b)(2) NDA is in contrast to an NDA under section 505(b)(1) of the FDA Act, which iscommonly known as a Full NDA because it requires the applicant to undertake all of the nonclinical and clinical investigations necessaryfor the approval of the application. In contrast, a Section 505(b)(2) NDA application is one for which one or more of the investigationsrelied on by the applicant for approval were not conducted by or for the applicant and for which the applicant has not obtained a rightof reference or use from the person by or for whom the investigations were conducted. Section 505(b)(2) applications may be submittedfor drug products that represent a modification, such as a new indication or new dosage form, of a previously approved drug. Section505(b)(2) applications may rely on the FDA’s previous findings for the safety and effectiveness of the previously approved drugin addition to information obtained by the 505(b)(2) applicant to support the modification of the previously approved drug. PreparingSection 505(b)(2) applications may be less costly and less time-consuming than preparing a Full NDA based entirely on new data and information.Section 505(b)(2) applications are subject to the same patent certification procedures as an ANDA.
Ifwe are unable to compete successfully, our commercial opportunities will be reduced and our business, results of operations and financialconditions may be materially harmed.
Ourfuture product candidates, if approved, may be unable to achieve the expected market acceptance and, consequently, limit our abilityto generate revenue from new products.
Evenwhen product development is successful and regulatory approval has been obtained, our ability to generate sufficient revenue dependson the acceptance of our products by physicians and patients. We cannot assure you that any of our future product candidates will achievethe expected level of market acceptance and revenue if and when they obtain the requisite regulatory approvals. The market acceptanceof any product depends on a number of factors, including the indication statement, warnings required by regulatory authorities in theproduct label and new competing products. Market acceptance can also be influenced by continued demonstration of efficacy and safetyin commercial use, physicians’ willingness to prescribe the product, reimbursement from third-party payors such as government healthcare programs and private third-party payors, the price of the product, the nature of any post-approval risk management activities mandatedby regulatory authorities, competition, and marketing and distribution support. Further, our U.S. distribution depends on the adequateperformance of a reimbursement support hub and contracted specialty pharmacies in a closed-distribution network. An ineffective or inefficientU.S. distribution model at launch may lead to inability to fulfill demand, and consequently a loss of revenue. The success and acceptanceof a product in one country may be negatively affected by its activities in another. If we fail to adapt our approach to clinical trialsin the U.S. market to meet the needs of EMA, MHRA or other European regulatory authorities, or to generate the health economics and outcomesresearch data needed to support pricing and reimbursement negotiations or decisions in Europe, we may have difficulties obtaining marketingauthorization for our products from EMA/European Commission or the MHRA and may have difficulties obtaining pricing and reimbursementapproval for our products at a national level. Any factors preventing or limiting the market acceptance of our products could have amaterial adverse effect on our business, results of operations and financial condition.
Allof our patents in the Anti-TNF and Fibrosis program are method of use patents, which may result in biosimilar drugs being used withoutour permission.
Thesuccess of our most advanced drug development platform depends on the enforceability of our method of use patents, as there are currentlymany biosimilar anti-TNF drugs in the market. If we are unable to obtain composition of matter patents, and enforce such patents, ourability to generate revenue from the anti-TNF platform may be significantly limited and competitors may be able to use our research tobring competing drugs to market which would reduce our market share.
Themajority of our license agreements provide the licensors and/or counter-parties the right to use and/or exploit such licensed intellectualproperty.
Themajority of our license agreements provide the licensors and/or counter-parties the right to use and/or exploit such licensed intellectualproperty, and in some cases provide them ownership of such intellectual property, know-how and research results. As such, we may be incompetition with parties who we have license agreements with, will likely not have the sole right to monetize, sell or distribute ourproduct candidates and may be subject to restrictions on use and territory of sales. Any or all of the above may have a material adverseeffect on our results of operations and cash flows and ultimately the value of our securities.
Interim,topline and preliminary data from our clinical trials may change as more patient data becomes available, and is subject to audit andverification procedures that could result in material changes in the final data.
Fromtime to time, we may publicly disclose preliminary, interim or topline data from our preclinical studies and clinical trials, which isbased on a preliminary analysis of then-available data, and the results and related findings and conclusions are subject to change aspatient enrollment and treatment continues and more patient data become available. For example, any positive results from our preclinicaltesting, Phase 1 and Phase 2 clinical trials of our product candidate for any product candidate may not necessarily be predictive ofthe results from planned or future clinical trials for such product candidates. Many companies in the pharmaceutical and biotechnologyindustries have suffered significant setbacks in clinical trials after achieving positive results in pre-clinical and early clinicaldevelopment, and we cannot be certain that we will not face similar setbacks. These setbacks have been caused by, among other things,pre-clinical findings while clinical trials were underway or safety or efficacy observations in clinical trials, including adverse events.Adverse differences between previous preliminary or interim data and future interim or final data could significantly harm our businessprospects. We may also announce topline data following the completion of a preclinical study or clinical trial, which may be subjectto change following a more comprehensive review of the data related to the particular study or trial. We also make assumptions, estimations,calculations and conclusions as part of our analyses of data, and we may not have received or had the opportunity to fully and carefullyevaluate all data. As a result, the interim, topline or preliminary results that we report may differ from future results of the samestudies, or different conclusions or considerations may qualify such results, once additional data has been received and fully evaluated.Preliminary, interim, or topline data also remains subject to audit and verification procedures that may result in the final data beingmaterially different from the data we previously published. As a result, preliminary, interim, and topline data should be viewed withcaution until the final data is available.
Further,others, including regulatory agencies, may not accept or agree with our assumptions, estimates, calculations, conclusions or analysesor may interpret or weigh the importance of data differently, which could impact the value of the particular program, the approvabilityor commercialization of the particular product candidate or product and our company in general. In addition, the information we chooseto publicly disclose regarding a particular study or clinical trial is based on what is typically extensive information, and you or othersmay not agree with what we determine to be material or otherwise appropriate information to include in our disclosure. Moreover, ourinterpretation of clinical data or our conclusions based on the preclinical in vitro and in vivo models may prove inaccurate, as preclinicaland clinical data can be susceptible to varying interpretations and analyses, and many companies that believed their product candidatesperformed satisfactorily in preclinical studies and clinical trials nonetheless failed to obtain FDA approval or a marketing authorizationgranted by the European Commission.
Ifwe fail to produce positive results in our future clinical trials, the development timeline and regulatory approval and commercializationprospects for such product candidates, and, correspondingly, our business and financial prospects, would be materially adversely affected.
Wehave limited marketing experience, and we may not be able to successfully commercialize any of our future product candidates, even ifthey are approved in the future.
Ourability to generate revenues ultimately will depend on our ability to sell our approved products and secure adequate third-party reimbursement.We currently have no experience in marketing and selling our products. The commercial success of our future products depends on a numberof factors beyond our control, including the willingness of physicians to prescribe our future products to patients, payors’ willingnessand ability to pay for our future products, the level of pricing achieved, patients’ response to our future products, and the abilityof our future marketing partners to generate sales. There can be no guarantee that we will be able to establish or maintain the personnel,systems, arrangements and capabilities necessary to successfully commercialize our future products or any product candidate approvedby the FDA, MHRA or other regulatory authority in the future. If we fail to establish or maintain successful marketing, sales and reimbursementcapabilities or fail to enter into successful marketing arrangements with third parties, our product revenues may suffer.
Ifthe price for any of our future approved products decreases or if governmental and other third-party payors do not provide coverage andadequate reimbursement levels, our revenue and prospects for profitability will suffer.
Patientswho are prescribed medicine for the treatment of their conditions generally rely on third-party payors to reimburse all or part of thecosts associated with their prescription drugs. Reimbursement systems in international markets vary significantly by country and by region,and reimbursement approvals generally must be obtained on a country-by-country basis. Coverage and adequate reimbursement from governmentalhealthcare programs, such as Medicare and Medicaid, and commercial payors is critical to new product acceptance. Coverage decisions maydepend upon clinical and economic standards that disfavor new drug products when more established or lower cost therapeutic alternativesare already available or subsequently become available. Even if we obtain coverage for our future product candidates, the resulting reimbursementpayment rates may require co-payments that patients find unacceptably high. Patients may not use our future product candidates if coverageis not provided or reimbursement is inadequate to cover a significant portion of a patient’s cost.
Inaddition, the market for our future product candidates in the United States will depend significantly on access to third-party payors’drug formularies, or lists of medications for which third-party payors provide coverage and reimbursement. The industry competition tobe included in such formularies often leads to downward pricing pressures on pharmaceutical companies. Also, third-party payors may refuseto include a particular branded drug in their formularies or otherwise restrict patient access to a branded drug when a less costly genericequivalent or other alternative is available.
Third-partypayors, whether foreign or domestic, or governmental or commercial, are developing increasingly sophisticated methods of controllinghealthcare costs. The current environment is putting pressure on companies to price products below what they may feel is appropriate.Our future revenues and overall success could be negatively impacted if we sell future product candidates at less than an optimized price.In addition, in the United States, no uniform policy of coverage and reimbursement for drug products exists among third-party payors.Therefore, coverage and reimbursement for our future product candidates may differ significantly from payor to payor. As a result, thecoverage determination process is often a time-consuming and costly process that will require us to provide scientific and clinical supportfor the use of our future product candidates to each payor separately, with no assurance that coverage will be obtained. If we are unableto obtain coverage of, and adequate payment levels for, our future product candidates, physicians may limit how much or under what circumstancesthey will prescribe or administer them and patients may decline to purchase them. This could affect our ability to successfully commercializeour product candidates, and thereby adversely impact our profitability, results of operations, financial condition and future success.
Inaddition, where we have chosen to collaborate with a third party on product candidate development and commercialization, our partnermay elect to reduce the price of our products to increase the likelihood of obtaining reimbursement approvals. In many countries, productscannot be commercially launched until reimbursement is approved and the negotiation process in some countries can exceed 12 months. Inaddition, pricing and reimbursement decisions in certain countries can be affected by decisions made in other countries, which can leadto mandatory price reductions and/or additional reimbursement restrictions across a number of other countries, which may adversely affectsales and profitability. In the event that countries impose prices that are not sufficient to allow us or our partners to generate aprofit, our partners may refuse to launch the product in such countries or withdraw the product from the market, which would adverselyaffect sales and profitability.
Businessinterruptions could delay us in the process of developing our future product candidates and could disrupt our product sales.
Lossof our future manufacturing facilities, stored inventory or laboratory facilities through fire, theft or other causes, could have anadverse effect on our ability to meet demand for our future product candidates or to continue product development activities and to conductour business. Failure to supply our partners with commercial products may lead to adverse consequences, including the right of partnersto assume responsibility for product supply. Even if we obtain insurance coverage to compensate us for such business interruptions, suchcoverage may prove insufficient to fully compensate us for the damage to our business resulting from any significant property or casualtyloss to our inventory.
Ifproduct liability lawsuits are successfully brought against us, we will incur substantial liabilities and may be required to limit thecommercialization of our future product candidates.
Althoughwe have never had any product liability claims or lawsuits brought against us, we face potential product liability exposure related tothe testing of our future product candidates in human clinical trials, and we will face exposure to claims in jurisdictions where wemarket and distribute in the future. We may face exposure to claims by an even greater number of persons when we begin marketing anddistributing our products commercially in the United States and elsewhere. In the future, an individual may bring a liability claim againstus alleging that one of our future product candidates caused an injury. While we plan to take what we believe are appropriate precautions,we may be unable to avoid significant liability if any product liability lawsuit is brought against us. Large judgments have been awardedin class action or individual lawsuits based on drugs that had unanticipated side effects. Although we plan to purchase insurance tocover product liability lawsuits, if we cannot successfully defend our company against product liability claims, or if such insurancecoverage is inadequate, we will incur substantial liabilities. Regardless of merit or eventual outcome, liability claims may result indecreased demand for our products, reputational damage, withdrawal of clinical trial participation participants, litigation costs, productrecall costs, monetary awards, increased costs for liability insurance, lost revenues and business interruption.
Ouremployees may have previously engaged, and/or may in the future engage, in misconduct or other improper activities, including noncompliancewith regulatory standards and legal requirements.
Weare exposed to the risk of employee fraud or other misconduct. Misconduct by employees could include intentional failures to comply withFDA, SEC or Office of Inspector General regulations, or regulations of any other applicable regulatory authority, failure to provideaccurate information to the FDA or the SEC, failure to disclose accurate information in SEC filings, failure to comply with applicablemanufacturing standards, other federal, state or foreign laws and regulations, report information or data accurately or disclose unauthorizedactivities. Employee misconduct could also involve the improper use of information, including information obtained in the course of clinicaltrials, or illegal appropriation of drug product, which could result in government investigations and serious harm to our reputation.Despite our adoption of a Code of Ethics, employee misconduct is not always possible to identify and deter. The precautions we take todetect and prevent these prohibited activities may not be effective in controlling unknown or unmanaged risks or losses or in protectingus from governmental investigations or other actions or lawsuits stemming from a failure to be in compliance with such laws or regulations.If any such actions are instituted against our company, and we are not successful in defending our company or asserting our rights, thoseactions could have a significant impact on our business, including the imposition of significant fines or other sanctions.
Weare subject to the U.S. Foreign Corrupt Practices Act and other anti-corruption laws, as well as export control laws, customs laws, sanctionslaws and other laws governing our operations. If we fail to comply with these laws, we could be subject to civil or criminal penalties,other remedial measures, and legal expenses, which could adversely affect our business, results of operations and financial condition.
Ouroperations are subject to anti-corruption laws, including the U.S. Foreign Corrupt Practices Act (“FCPA”), and otheranti-corruption laws that apply in countries in which we do business. The FCPA and these other laws generally prohibit our company andour employees and intermediaries from bribing, being bribed or making other prohibited payments to government officials or other personsto obtain or retain business or gain some other business advantage. We and our commercial partners operate in a number of jurisdictionsthat pose a high risk of potential FCPA violations, and we participate in collaborations and relationships with third parties whose actionscould potentially subject us to liability under the FCPA or local anti-corruption laws. In addition, we cannot predict the nature, scopeor effect of future regulatory requirements to which our international operations might be subject or the manner in which existing lawsmight be administered or interpreted.
Weare also subject to other laws and regulations governing our international operations, including regulations administered by the governmentsof the United States, Canada, Israel, the United Kingdom and authorities in the European Union, including applicable export control regulations,economic sanctions on countries and persons, customs requirements and currency exchange regulations, collectively referred to as theTrade Control Laws.
However,there is no assurance that we will be completely effective in ensuring our compliance with all applicable anti-corruption laws, includingthe FCPA or other legal requirements, including Trade Control Laws. If we are not in compliance with the FCPA and other anti-corruptionlaws or Trade Control Laws, we may be subject to criminal and civil penalties, disgorgement and other sanctions and remedial measures,and legal expenses, which could have an adverse impact on our business, financial condition, results of operations and liquidity. Likewise,any investigation of any potential violations of the FCPA, other anti-corruption laws by the United States or other authorities couldalso have an adverse impact on our reputation, business, financial condition and results of operations.
Securitybreaches, loss of data and other disruptions could compromise sensitive information related to our business, prevent us from accessingcritical information or expose us to liability, which could adversely affect our business and our reputation.
Inthe ordinary course of business, we expect to collect and store sensitive data, including legally protected patient health information,credit card information, personally identifiable information about our employees, intellectual property, and proprietary business information.The secure processing, storage, maintenance and transmission of this critical information is vital to our operations and business strategy,and we devote significant resources to protecting such information. Although we take measures to protect sensitive information from unauthorizedaccess or disclosure, our information technology and infrastructure may be vulnerable to attacks by hackers, or viruses, breaches orinterruptions due to employee error, malfeasance or other disruptions, or lapses in compliance with privacy and security mandates. Anysuch virus, breach or interruption could compromise our networks and the information stored there could be accessed by unauthorized parties,publicly disclosed, lost or stolen. We have measures in place that are designed to prevent, and if necessary, to detect and respond tosuch security incidents and breaches of privacy and security mandates. However, in the future, any such access, disclosure or other lossof information could result in legal claims or proceedings, liability under laws that protect the privacy of personal information, suchas HIPAA and European Union General Data Protection Regulation (“GDPR”), government enforcement actions and regulatorypenalties. Unauthorized access, loss or dissemination could also disrupt our operations, including our ability to process samples, providetest results, share and monitor safety data, bill payors or patients, provide customer support services, conduct research and developmentactivities, process and prepare company financial information, manage various general and administrative aspects of our business andmay damage our reputation, any of which could adversely affect our business, financial condition and results of operations.
GDPR,which applies to all EU member states includes substantial fines for breaches of the data protection rules and may require us to putin place additional mechanisms ensuring compliance with the new and changing data protection rules. GDPR is a complex law and the regulatoryguidance is still evolving, including with respect to how GDPR should be applied in the context of clinical trials or other transactionsfrom which we may gain access to personal data. GDPR increases our costs of compliance and results in greater legal risks.
Ourresearch and development programs and product candidates are in development. As a result, we are unable to predict if or when we willsuccessfully develop or commercialize our product candidates.
Ourclinical-stage product candidates as well as our other drug pipeline candidates will require significant further investment and regulatoryapprovals prior to commercialization. Each of our product candidates will require clinical trial designs that meet the standards andrequirements of FDA, MHRA or other comparable foreign regulatory authorities, the selection of suitable end points and patients for ourclinical trials and additional clinical development, management of clinical, preclinical and manufacturing activities, obtaining regulatoryapproval, obtaining manufacturing supply, building of a commercial organization, substantial investment and significant marketing effortsbefore we generate any revenues from product sales. We are not permitted to market or promote any of our product candidates before wereceive regulatory approval from the FDA, MHRA or other comparable foreign regulatory authorities, and we may never receive such regulatoryapproval for any of our product candidates. By such time, if ever, as we may receive necessary regulatory approvals for our product candidates,the standard of care for the treatment of diseases associated with our product candidates may have evolved such that it would be necessaryto modify our plans for full approval and commercial acceptance of our products may be limited by a change in the standard of care.
Evenif we obtain the required financing or establish a collaboration to enable us to conduct late-stage clinical development of our productcandidates and pipeline assets, we cannot be certain that such clinical development would be successful, or that we will obtain regulatoryapproval or be able to successfully commercialize any of our product candidates and generate revenue. Success in preclinical testingand early clinical trials does not ensure that later clinical trials will be successful, and the clinical trial process may fail to demonstratethat our product candidates are safe and effective for their proposed uses. Any such failure could cause us to abandon further developmentof any one or more of our product candidates and may delay development of other product candidates. Product candidates in later stagesof clinical trials may fail to show the desired safety and efficacy traits despite having progressed through preclinical studies andinitial clinical trials. Any delay in, or termination of, our clinical trials will delay and possibly preclude the submission of anyNDAs with the FDA, Marketing Authorisation Applications (MAA) or Conditional Marketing Authorisations (CMA) with the MHRA, or similarauthorizations with other foreign regulatory agencies, and, ultimately, our ability to commercialize our product candidates and generateproduct revenue.
Wehave not previously submitted an NDA to the FDA, or MAA or CMA to the MHRA, or similar drug approval filings to comparable foreign authorities,for any product candidate, and we cannot be certain that any of our product candidates will receive regulatory approval. Further, ourproduct candidates may not receive regulatory approval even if they are successful in clinical trials. If we do not receive regulatoryapprovals for our product candidates, we may not be able to continue our operations. Even if we successfully obtain regulatory approvalsto market one or more of our product candidates, our revenues will be dependent, in part, upon our or our collaborators’ and futurecollaborators’ ability to obtain regulatory approval for the companion diagnostics to be used with our product candidates, if required,and upon the size of the markets in the territories for which we gain regulatory approval and have commercial rights. If the marketsfor patient subsets that we are targeting are not as significant as we estimate, we may not generate significant revenues from salesof such products, if approved.
Further,even if any product candidate we develop was to receive marketing approval or be commercialized for use in combination with other existingtherapies, we would continue to bear the risks that the FDA, MHRA or other similar foreign regulatory authorities could revoke approvalof the therapy used in combination with our product candidate or that safety, efficacy, manufacturing or supply issues could arise withthese existing therapies.
Thesuccessful commercialization of our product candidates, if approved, will depend on achieving market acceptance and we may not be ableto gain sufficient acceptance to generate significant revenue.
Evenif our product candidates are successfully developed and receive regulatory approval, they may not gain market acceptance among physicians,patients, healthcare payors such as private insurers or governments and other funding parties and the medical community. The degree ofmarket acceptance for any of our products will depend on a number of factors, including:
| ● | demonstration of the clinical efficacy and safety of our products; |
| ● | the prevalence and severity of any adverse side effects; |
| ● | limitations or warnings contained in the product’s approved labeling; |
| ● | cost-effectiveness and availability of acceptable pricing; |
| ● | competitive product profile versus alternative treatment methods and the superiority of alternative treatment or therapeutics; |
| ● | the effectiveness of marketing and distribution methods and support for the products; and |
| ● | the availability of coverage and adequate reimbursement from third-party payors to the extent that our products receive regulatory approval. |
Diseaseindications may be small subsets of a disease that could be parsed into smaller and smaller indications as different subsets of diseasesare defined. This increasingly fine characterization of diseases could have negative consequences; including creating an approved indicationthat is so small as not to have a viable market for us. If future technology allows characterization of a disease in a way that is differentfrom the characterization used for large pivotal studies, it may make those studies invalid or reduce their usefulness, and may requirerepeating all or a portion of the studies. Future technology may supply better prognostic ability which could reduce the portion of patientsprojected to need a new therapy. Even after being cleared by regulatory authorities, a product may later be shown to be unsafe or notto have its purported effect, thereby preventing its widespread use or requiring withdrawal from the market.
Wemay not be successful in establishing development and commercialization collaborations which could adversely affect, and potentiallyprohibit, our ability to develop our product candidates.
Developingpharmaceutical products, conducting clinical trials, obtaining regulatory approval, establishing manufacturing capabilities and marketingapproved products is expensive, and therefore we have, and may in the future, seek to enter into collaborations with companies that havemore resources and experience in order to continue to develop and commercialize our product candidates. We also may be required due tofinancial or scientific constraints to enter into additional collaboration agreements to research and/or to develop and commercializeour product candidates. The establishment and realization of such collaborations may not be possible or may be problematic. There canbe no assurance that we will be able to establish such additional collaborations on favorable terms, if at all, or that our current orfuture collaborative arrangements will be successful or maintained for any specific product candidate or indication. If we are unableto reach successful agreements with suitable collaboration partners for the ongoing development and commercialization of our productcandidates, we may face increased costs, we may be forced to limit the scope and number of our product candidates we can commerciallydevelop or the territories in which we commercialize such product candidates, and we may be unable to commercialize products or programsfor which a suitable collaboration partner cannot be found. If we fail to achieve successful collaborations, our operating results andfinancial condition will be materially and adversely affected.
Inaddition, the terms of any collaboration agreements may place restrictions on our activities with respect to other products, includingby limiting our ability to grant licenses or develop products with other third parties, or in different indications, diseases or geographicallocations, or may place additional obligations on us with respect to development or commercialization of our product candidates. If wefail to comply with or breach any provision of a collaboration agreement, a collaborator may have the right to terminate, in whole orin part, such agreement or to seek damages.
Ourcollaboration and licensing agreements are, and may in the future be, complex and involve sharing or division of ownership of certaindata, know-how and intellectual property rights among the various parties. Accordingly, our collaborators could interpret certain provisionsdifferently than we or our other collaborators which could lead to unexpected or inadvertent disputes with collaborators. In addition,these agreements might make additional collaborations, partnering or mergers and acquisitions difficult.
Thereis no assurance that a collaborator who is acquired by a third party would not attempt to change certain contract provisions that couldnegatively affect our collaboration. The acquiring company may also not accept the terms or assignment of our contracts and may seekto terminate the agreements. Any one of our collaborators could breach covenants, restrictions and/or sub-license agreement provisionsleading us into disputes and potential breaches of our agreements with other partners.
Wewill not be able to successfully commercialize our product candidates without establishing sales and marketing capabilities internallyor through collaborators.
Wemay not be able to find suitable sales and marketing staff and collaborators for all of our product candidates. The development of amarketing and sales capability will require significant expenditures, management resources and time. The cost of establishing such asales force may exceed any potential product revenue, or our marketing and sales efforts may be unsuccessful. If we are unable to developan internal marketing and sales capability in a timely fashion, or at all, or if we are unable to enter into a marketing and sales arrangementwith a third party on acceptable terms, we may be unable to effectively market and sell approved products, if any, which would preventus from being able to generate revenue and attain profitability. Further, we may not develop an internal marketing and sales capabilityif we are unable to successfully develop and seek regulatory approval for our product candidates.
Wewill rely upon third-party contractors and service providers for the execution of some aspects of our development programs. Failure ofthese collaborators to provide services of a suitable quality and within acceptable timeframes may cause the delay or failure of ourdevelopment programs.
Weoutsource certain functions, tests and services to third parties, partners, medical institutions and collaborators and plan to outsourcemanufacturing to collaborators and/or contract manufacturers, and we will rely on third parties for quality assurance, clinical monitoring,clinical data management and regulatory expertise. In particular, we rely on our partners to run our clinical trials. There is no assurancethat such individuals or organizations will be able to provide the functions, tests, drug supply or services as agreed upon or to acceptablequality standards, and we could suffer significant delays in the development of our products or processes. In particular, certain thirdparty service providers may be unable to comply with their contractual obligations to us due to disruptions caused by the COVID-19 pandemic,including reduced operations or headcount reductions, or otherwise, and in certain cases we may have limited recourse if the non-complianceis due to factors outside of the service provider’s control.
Ourbusiness is highly dependent on the success of our product candidates. If we are unable to successfully complete clinical development,obtain regulatory approval for or commercialize one or more of our product candidates, or if we experience delays in doing so, our businesswill be materially harmed.
Ourfuture success and ability to generate significant revenue from our product candidates, which we do not expect will occur for severalyears, is dependent on our ability to successfully develop, obtain regulatory approval for and commercialize one or more of our productcandidates, including our Dupuytren’s Contracture product candidate, which has recently completed a successful Phase 2b clinicaltrial in the United Kingdom, a condition that affects the development of fibrous connective tissue in the palm of the hand. All of ourother product candidates are in earlier stages of development and will require substantial additional investment for manufacturing, preclinicaltesting, clinical development, regulatory review and approval in one or more jurisdictions. If any of our product candidates encountersafety or efficacy problems, development delays or regulatory issues or other problems, our development plans and business would be materiallyharmed.
Wemay not have the financial resources to continue development of our product candidates. Even if clinical trials are completed, we mayexperience other issues that may delay or prevent regulatory approval of, or our ability to commercialize, our product candidates, including:
| ● | inability to demonstrate to the satisfaction of the FDA, MHRA or other comparable foreign regulatory authorities that our product candidates are safe and effective; |
| ● | insufficiency of our financial and other resources to complete the necessary clinical trials and preclinical studies; |
| ● | negative or inconclusive results from our clinical trials, preclinical studies or the clinical trials of others for product candidates that are similar to ours, leading to a decision or requirement to conduct additional clinical trials or preclinical studies or abandon a program; |
| ● | product-related adverse events experienced by subjects in our clinical trials, including unexpected toxicity results, or by individuals using drugs or therapeutic biologics similar to our product candidates; |
| ● | delays in submitting an Investigational New Drug application, or IND, or comparable foreign applications or delays or failure in obtaining the necessary approvals from regulators to commence a clinical trial or a suspension or termination, or hold, of a clinical trial once commenced; |
| ● | conditions imposed by the FDA, the EMA, MHRA or other comparable foreign regulatory authorities regarding the scope or design of our clinical trials; |
| ● | poor effectiveness of our product candidates during clinical trials; |
| ● | better than expected performance of control arms, such as placebo groups, which could lead to negative or inconclusive results from our clinical trials; |
| ● | delays in enrolling subjects in clinical trials; |
| ● | high drop-out rates of subjects from clinical trials; |
| ● | inadequate supply or quality of product candidates or other materials necessary for the conduct of our clinical trials; |
| ● | greater than anticipated clinical trial or manufacturing costs; |
| ● | unfavorable FDA, EMA, MHRA or other comparable regulatory authority inspection and review of a clinical trial site; |
| ● | failure of our third-party contractors or investigators to comply with regulatory requirements or the clinical trial protocol or otherwise meet their contractual obligations in a timely manner, or at all; |
| ● | unfavorable FDA, EMA, MHRA or other comparable regulatory authority inspection and review of manufacturing facilities or inability of those facilities to maintain a compliance status acceptable to the FDA, EMA or comparable regulatory authorities; |
| ● | delays and changes in regulatory requirements, policy and guidelines, including the imposition of additional regulatory oversight around clinical testing generally or with respect to our therapies in particular; or |
| ● | varying interpretations of data by the FDA, EMA, MHRA and other comparable foreign regulatory authorities. |
Ourproduct candidates will require additional, time-consuming development efforts prior to commercial sale, including preclinical studies,clinical trials and approval by the FDA, EMA, MHRA and/or other applicable foreign regulatory authorities. All product candidates areprone to the risks of failure that are inherent in pharmaceutical product development, including the possibility that such product candidatewill not be shown to be sufficiently safe and effective for approval by regulatory authorities. In addition, we cannot assure stockholdersthat any such products that are approved will be manufactured or produced economically, successfully commercialized or widely acceptedin the marketplace or be more effective than other commercially available alternatives.
Dueto the significant resources required for the development of our product pipeline, and depending on our ability to access capital, wemust prioritize the development of certain product candidates over others. Moreover, we may fail to expend our limited resources on productcandidates or indications that may have been more profitable or for which there is a greater likelihood of success.
Wehave three separate programs for producing anti-inflammatory agents: (1) investigating new clinical opportunities for anti-TNF, (2) identifyingorally available, small molecules that are agonists of α7 nicotinic acetylcholine receptor, and (3) identifying patentable analogsof CBD that initially will be used as pain medications, that are at various stages of preclinical development. Due to the significantresources required for the development of our product candidates, we must focus on specific diseases and disease pathways and decidewhich product candidates to pursue and advance and the amount of resources to allocate to each. Our decisions concerning the allocationof research, development, collaboration, management and financial resources toward particular product candidates or therapeutic areasmay not lead to the development of any viable commercial products and may divert resources away from better opportunities. If we makeincorrect determinations regarding the viability or market potential of any of our product candidates or misinterpret trends in the pharmaceuticalindustry, our business, financial condition, and results of operations could be materially adversely affected. As a result, we may (i)fail to capitalize on viable commercial products or profitable market opportunities, (ii) be required to forego or delay pursuit of opportunitieswith other product candidates or other diseases and disease pathways that may later prove to have greater commercial potential than thosewe choose to pursue, or (iii) relinquish valuable rights to such product candidates through collaboration, licensing, or other royaltyarrangements in cases in which it would have been advantageous for us to invest additional resources to retain sole development and commercializationrights.
Thetimelines of our clinical trials may be impacted by numerous factors and any delays may adversely affect our ability to execute our currentbusiness strategy.
Clinicaltesting is expensive, difficult to design and implement, can take many years to complete, and is uncertain as to outcome. We may experiencedelays in clinical trials at any stage of development and testing of our product candidates. Our planned clinical trials may not beginon time, have an effective design, enroll a sufficient number of subjects, or be completed on schedule, if at all.
Eventswhich may result in a delay or unsuccessful completion of clinical trials include:
| ● | inability to raise funding necessary to initiate or continue a trial; |
| ● | delays in obtaining regulatory approval to commence a trial; |
| ● | delays in reaching agreement with the FDA, MHRA or other foreign regulators on final trial design; |
| ● | imposition of a clinical hold following an inspection of our clinical trial operations or trial sites by the FDA, MHRA or other regulatory authorities; |
| ● | delays in reaching agreement on acceptable terms with prospective CROs and clinical trial sites; |
| ● | delays in obtaining required institutional review board approval at each site; |
| ● | delays in having subjects complete participation in a trial or return for post-treatment follow-up; |
| ● | delays caused by subjects dropping out of a trial due to side effects or otherwise; |
| ● | clinical sites dropping out of a trial to the detriment of enrollment; |
| ● | time required to add new clinical sites; and |
| ● | delays by our contract manufacturers to produce and deliver a sufficient supply of clinical trial materials. |
Ifinitiation or completion of any of our clinical trials for our product candidates are delayed for any of the above reasons or for otherreasons, our development costs may increase, our approval process could be delayed, any periods after commercial launch and before expirationof patent protection may be reduced and our competitors may have more time to bring products to market before we do. Any of these eventscould impair the commercial potential of our product candidates and could have a material adverse effect on our business.
Clinicaltrials of our product candidates may not uncover all possible adverse effects that patients may experience.
Clinicaltrials are conducted in representative samples of the potential patient population, which may have significant variability. Clinicaltrials are by design based on a limited number of subjects and of limited duration for exposure to the product used to determine whether,on a potentially statistically significant basis, the planned safety and efficacy of any product candidate can be achieved. As with theresults of any statistical sampling, we cannot be sure that all side effects of our product candidates may be uncovered, and it may bethe case that only with a significantly larger number of patients exposed to the product candidate for a longer duration, that a morecomplete safety profile is identified. Further, even larger clinical trials may not identify rare serious adverse effects or the durationof such studies may not be sufficient to identify when those events may occur. Patients treated with our products, if approved, may experienceadverse reactions and it is possible that the FDA, MHRA or other regulatory authorities may ask for additional safety data as a conditionof, or in connection with, our efforts to obtain approval of our product candidates. If safety problems occur or are identified afterour product candidates reach the market, we may, or regulatory authorities may require us to amend the labeling of our products, recallour products or even withdraw approval for our products.
Failurecan occur at any stage of our drug development efforts.
Wemay experience numerous unforeseen events during, or as a result of, testing that could delay or prevent us from obtaining regulatoryapproval for, or commercializing our drug candidates, including but not limited to:
| ● | regulators or Institutional Review Boards (IRBs) may not authorize us to commence a clinical trial or conduct a clinical trial at a prospective trial site; |
| ● | conditions may be imposed upon us by the FDA and/or MHRA regarding the scope or design of our clinical trials, or we may be required to resubmit our clinical trial protocols to IRBs for review due to changes in the regulatory environment; |
| ● | the number of subjects required for our clinical trials may be larger, patient enrollment may take longer, or patients may drop out of our clinical trials at a higher rate than we anticipate; |
| ● | we may have to suspend or terminate one or more of our clinical trials if we, regulators, or IRBs determine that the participants are being subjected to unreasonable health risks; |
| ● | our third-party contractors, clinical investigators or contractual collaborators may fail to comply with regulatory requirements or fail to meet their contractual obligations to us in a timely manner; |
| ● | the FDA may not accept clinical data from trials that are conducted at clinical sites in countries where the standard of care is potentially different from the United States; |
| ● | our tests may produce negative or inconclusive results, and we may decide, or regulators may require us, to conduct additional testing; and |
| ● | the costs of our pre-clinical and/or clinical trials may be greater than we anticipate. |
Werely on third parties to conduct our pre-clinical studies and clinical studies and trials, and if they do not perform their obligationsto us, we may not be able to obtain approval for additional indications.
Wedo not currently have the ability to independently conduct pre-clinical studies or clinical studies and trials, and we have to date reliedon third parties, such as third-party contract research and governmental organizations and medical institutions to conduct studies andtrials for us. Our reliance on third parties for development activities reduces our control over these activities. These third partiesmay not complete activities on schedule or may not conduct our pre-clinical studies and our clinical studies and trials in accordancewith regulatory requirements or our study design. If these third parties do not successfully carry out their contractual duties or meetexpected deadlines, we may be adversely affected, and our efforts to obtain regulatory approvals for and commercialize indications maybe delayed.
Ifwe conduct studies with other parties, we may not have control over all decisions associated with that trial. To the extent that we disagreewith the other party on such issues as study design, study timing and the like, it could adversely affect our drug development plans.
Althoughwe also rely on third parties to manage the data from our studies and trials, we are responsible for confirming that each of our studiesand trials is conducted in accordance with its general investigational plan and protocol. Moreover, the FDA and foreign regulatory agencieswill require us to comply with applicable regulations and standards, including Good Laboratory Practice (GLP) and Good Clinical Practice(GCP), for conducting, recording and reporting the results of such studies and trials to assure that the data and the results are credibleand accurate and that the human study and trial participants are adequately protected. Our reliance on third-parties does not relieveus of these obligations and requirements, and we may fail to obtain regulatory approval for any additional indications if these requirementsare not met.
Wewill need to continue to develop and maintain distribution and production capabilities or relationships to be successful.
Wemay not be able to successfully manufacture any product, either independently or under manufacturing arrangements, if any, with thirdparty manufacturers. Moreover, if any manufacturer should cease doing business with us or experience delays, shortages of supply or excessivedemands on their capacity, we may not be able to obtain adequate quantities of product in a timely manner, or at all. Manufacturers,and in certain situations their suppliers, are required to comply with current NDA commitments and current good manufacturing practices(cGMP) requirements enforced by the FDA, and similar requirements of other countries. The failure by a manufacturer to comply with theserequirements could affect its ability to provide us with products. Although we intend to rely on third-party contract manufacturers,we are ultimately responsible for ensuring that our products are manufactured in accordance with cGMP. In addition, if, during a preapprovalinspection or other inspection of our third-party manufacturers’ facility or facilities, the FDA determines that the facility isnot in compliance with cGMP, any of our marketing applications that lists such facility as a manufacturer may not be approved or approvalmay be delayed until the facility comes into compliance with cGMP and completes a successful re-inspection by the FDA.
Anymanufacturing problem, natural disaster, or epidemic, affecting manufacturing facilities, or the loss of a contract manufacturer couldbe disruptive to our operations and result in lost sales. Additionally, we will be reliant on third parties to supply the raw materialsneeded to manufacture our products. Any reliance on suppliers may involve several risks, including a potential inability to obtain criticalmaterials and reduced control over production costs, delivery schedules, reliability and quality. Any unanticipated disruption to futurecontract manufacture caused by problems at suppliers could delay shipment of products, increase our cost of goods sold and result inlost sales. If our suppliers were unable to supply us with adequate supply of our drugs, it could have a material adverse effect on ourability to successfully commercialize our drug candidates.
Ifwe fail to discover, develop and commercialize other product candidates, we may be unable to grow our business and our ability to achieveour strategic objectives would be impaired. In addition, we may also seek to commercialize certain treatments that may not be proprietaryto us.
Althoughthe development and commercialization of our current product candidates are our initial focus, as part of our long-term growth strategy,we plan to develop other product candidates. While we believe our planned products may have potential applicability to other uses, wehave not conducted any clinical trials on these other uses and we may not be successful in developing product candidates for other uses.In addition, we intend to devote capital and resources for basic research to discover and identify additional product candidates. Theseresearch programs require technical, financial and human resources, whether or not any product candidates are ultimately identified.Our research programs may initially show promise in identifying potential product candidates, yet fail to yield product candidates forclinical development for many reasons, including the following:
| ● | the research methodology used may not be successful in identifying potential product candidates; |
| ● | competitors may develop alternatives that render our product candidates obsolete; |
| ● | product candidates that we develop may nevertheless be covered by third parties’ patents or other exclusive rights; |
| ● | a product candidate may, on further study, be shown to have harmful side effects or other characteristics that indicate it is unlikely to be effective or otherwise does not meet applicable regulatory criteria; |
| ● | a product candidate may not be capable of being produced in commercial quantities at an acceptable cost, or at all; and |
| ● | a product candidate may not be accepted as safe and effective by patients, the medical community or third-party payors. |
Ifwe do not achieve our projected development and commercialization goals within the timeframes we expect, the development and commercializationof our product candidates may be delayed, and our business and results of operations may be harmed.
Forplanning purposes, we seek to estimate the timing of the accomplishment of various scientific, clinical, regulatory and other productdevelopment objectives. These milestones may include our expectations regarding the commencement or completion of scientific studiesand clinical trials, the submission of regulatory filings, or commercialization objectives. From time to time, we may publicly announcethe expected timing of some of these milestones, such as the completion of an ongoing clinical trial, the initiation of other clinicalprograms, receipt of marketing approval or a commercial launch of a product. The potential achievement of many of these milestones maybe outside of our control. Each of these milestones is based on a variety of assumptions which, if not realized as expected, may causethe timing of such potential achievement of the respective milestones to vary considerably from our estimates, including:
| ● | our available capital resources or capital constraints we experience; |
| ● | the rate of progress, costs and results of our clinical trials and research and development activities, including the extent of scheduling conflicts with participating clinicians and collaborators; |
| ● | our ability to identify and enroll patients who meet clinical trial eligibility criteria; |
| ● | our receipt of approvals by the FDA, MHRA and other regulatory authorities and the timing thereof; |
| ● | other actions, decisions or rules issued by regulators; |
| ● | our ability to access sufficient, reliable and affordable supplies of materials used in the manufacture of our product candidates; |
| ● | the efforts of our collaborators with respect to the commercialization of our product candidates; and |
| ● | the securing of, costs related to, and timing issues associated with, product manufacturing as well as sales and marketing activities. |
Ifwe fail to achieve any announced milestones in the timeframes we expect, the development and commercialization of our product candidatesmay be delayed, and our business and results of operations may be harmed, and it could negatively impact our share price performance.Please see the section entitled “Business” in this prospectus for more information.
Ifwe rely on a sole source of supply to manufacture our products we could be impacted by the viability of our supplier.
Weintend to attempt to source our products from more than one supplier. We also intend to enter into contracts with any supplier of ourproducts to contractually obligate them to meet our requirements. However, if we are reliant on a single supplier and that supplier cannotor will not meet our requirements (for whatever reason), our business could be adversely impacted.
Wemay not be able to sufficiently scale-up manufacturing of our drug candidates.
Wemay not be able to successfully increase in a sufficient manner the manufacturing capacity for our drug candidates, whether in collaborationwith third-party manufacturers or on our own, in a timely or cost-effective manner or at all. If a contract manufacturer makes improvementsin the manufacturing process for our drug candidates, we may not own, or may have to share, the intellectual property rights to thoseimprovements.
Significantscale-up of manufacturing may require additional validation studies, which are costly and which the FDA must review and approve. In addition,quality issues may arise during those scale-up activities because of the inherent properties of a drug candidate itself or of a drugcandidate in combination with other components added during the manufacturing and packaging process, or during shipping and storage ofthe finished product or active pharmaceutical ingredients. If we are unable to successfully scale-up manufacture of any of our drug candidatesin sufficient quality and quantity, the development of that drug candidate and regulatory approval or commercial launch for any resultingdrug products may be delayed or there may be a shortage in supply, which could significantly harm our business.
Ouroperations are subject to risks associated with ongoing and potential future global conflicts.
Currently,there is an ongoing conflict involving Russia and Ukraine and the war between the two countries continues to evolve as military activityproceeds and additional sanctions are imposed. The war is increasingly affecting economic and global financial markets and exacerbatingongoing economic challenges, including issues such as rising inflation and global supply-chain disruption. While we do not believe thisconflict currently has a material impact on our financial accounting and reporting, the degree to which we will be affected in the futurelargely depends on the nature and duration of uncertain and unpredictable events, and our business could be impacted. Furthermore, futureglobal conflicts or wars could create further economic challenges, including, but not limited to, increases in inflation and furtherglobal supply-chain disruption. Consequently, the ongoing Russia/Ukraine conflict and/or other future global conflicts could result inan increase in operating expenses and/or a decrease in any future revenue and could further have a material adverse effect on our resultsof operations and cash flow.
Risks Relatedto Development and Regulatory Approval of our Future Product Candidates
Clinicaltrials are expensive, time-consuming, uncertain and susceptible to change, delay or termination. The results of clinical trials are opento differing interpretations.
Wehave three separate programs for producing anti-inflammatory agents: (1) investigating new clinical opportunities for anti-TNF, (2) identifyingorally available, small molecules that are agonists of α7 nicotinic acetylcholine receptor, and (3) identifying patentable analogsof CBD that initially will be used as pain medications. However, these programs, including the related clinical trials, are expensive,time consuming and difficult to design and implement.
Regulatoryagencies may not accept clinical trial designs submitted by us, and may analyze or interpret the results of clinical trials differentlythan us. Even if the results of our clinical trials are favorable, the clinical trials for a number of our future product candidatesare expected to continue for several years and may take significantly longer to complete. In addition, the FDA, MHRA or other regulatoryauthorities, including state, local and foreign authorities, or an IRB, with respect to a trial at our institution, may suspend, delayor terminate our clinical trials at any time, require us to conduct additional clinical trials, require a particular clinical trial tocontinue for a longer duration than originally planned, require a change to our development plans such that we conduct clinical trialsfor a product candidate in a different order, e.g., in a step-wise fashion rather than running two trials of the same product candidatein parallel, or could suspend or terminate the registrations and quota allotments we require in order to procure and handle controlledsubstances, for various reasons, including the following, any of which could have a material adverse effect on our business, financialcondition and results of operations:
| ● | lack of effectiveness of any product candidate during clinical trials; |
| ● | discovery of serious or unexpected toxicities or side effects experienced by trial participants or other safety issues, such as drug interactions, including those which cause confounding changes to the levels of other concomitant medications; |
| ● | slower than expected rates of subject recruitment and enrollment rates in clinical trials; |
| ● | difficulty in retaining subjects who have initiated a clinical trial but may withdraw at any time due to adverse side effects from the therapy, insufficient efficacy, fatigue with the clinical trial process or for any other reason; |
| ● | delays or inability in manufacturing or obtaining sufficient quantities of materials for use in clinical trials due to regulatory and manufacturing constraints; |
| ● | inadequacy of or changes in our manufacturing process or product formulation; |
| ● | delays in obtaining regulatory authorization to commence a trial, including “clinical holds” or delays requiring suspension or termination of a trial by a regulatory agency, such as the FDA, before or after a trial is commenced; |
| ● | DEA related recordkeeping, reporting security or other violations at a clinical site, leading the DEA or state authorities to suspend or revoke the site’s-controlled substance license and causing a delay or termination of planned or ongoing trials; |
| ● | changes in applicable regulatory policies and regulation, including changes to requirements imposed on the extent, nature or timing of studies; |
| ● | delays or failure in reaching agreement on acceptable terms in clinical trial contracts or protocols with prospective clinical trial sites; |
| ● | uncertainty regarding proper dosing; |
| ● | delay or failure to supply product for use in clinical trials which conforms to regulatory specification; |
| ● | unfavorable results from ongoing pre-clinical studies and clinical trials; |
| ● | failure of our CROs, or other third-party contractors to comply with all contractual requirements or to perform their services in a timely or acceptable manner; |
| ● | failure by our company, our employees, our CROs or their employees to comply with all applicable FDA or other regulatory requirements relating to the conduct of clinical trials; |
| ● | scheduling conflicts with participating clinicians and clinical institutions; |
| ● | failure to design appropriate clinical trial protocols; |
| ● | regulatory concerns with CBD derivative products generally and the potential for abuse, despite only working with non-plant based non-psychoactive products; |
| ● | insufficient data to support regulatory approval; |
| ● | inability or unwillingness of medical investigators to follow our clinical protocols; or |
| ● | difficulty in maintaining contact with patients during or after treatment, which may result in incomplete data. |
Wemay find it difficult to enroll patients in our clinical trials, which could delay or prevent clinical trials of our product candidates.
Identifyingand qualifying patients to participate in clinical trials of our product candidates is critical to our success. The timing of our clinicaltrials depends on the speed at which we can recruit eligible patients to participate in testing our product candidates. We have experienceddelays in some of our clinical trials, and we may experience similar delays in the future. These delays could result in increased costs,delays in advancing our product development, or termination of the clinical trials altogether.
Wemay not be able to identify, recruit and enroll a sufficient number of patients, or those with required or desired characteristics toachieve diversity in a study, to complete our clinical trials within the expected timeframe. Patient enrollment can be impacted by factorsincluding, but not limited to:
| ● | design and complexity and/or commitment of participation required in the study protocol; |
| ● | size of the patient population; |
| ● | eligibility criteria for the study in question; |
| ● | clinical supply availability; |
| ● | delays in participating site identification, qualification and subsequent activation to enroll; |
| ● | perceived risks and benefits of the product candidate under study, including as a result of adverse effects observed in similar or competing therapies; |
| ● | proximity and availability of clinical trial sites for prospective patients; |
| ● | availability of competing therapies and clinical trials; |
| ● | competition of site efforts to facilitate timely enrollment in clinical trials; |
| ● | participating site motivation; |
| ● | patient referral practices of physicians; |
| ● | activities of patient advocacy groups; |
| ● | ability to monitor patients adequately during and after treatment; and |
| ● | severity of the disease under investigation. |
Inparticular, each of the conditions for which we plan to evaluate our product candidates are diseases with limited patient pools fromwhich to draw for clinical trials. The eligibility criteria of our clinical trials will further limit the pool of available study participants.Additionally, the process of finding and diagnosing patients may prove costly. The treating physicians in our clinical trials may alsouse their medical discretion in advising patients enrolled in our clinical trials to withdraw from our studies to try alternative therapies.In addition, the ongoing COVID-19 pandemic may impact patient ability and willingness to travel to clinical trial sites as a result ofquarantines and other restrictions, which may negatively impact enrollment in our clinical trials.
Wemay not be able to initiate or continue clinical trials if we cannot enroll the required eligible patients per protocol to participatein the clinical trials required by the FDA or the EMA, MHRA or other regulatory agencies. Our ability to successfully initiate, enrolland complete a clinical trial in any foreign country is subject to numerous risks unique to conducting business in foreign countries,including:
| ● | difficulty in establishing or managing relationships with CROs and physicians; |
| ● | different standards for the conduct of clinical trials; |
| ● | our inability to locate qualified local consultants, physicians and partners; |
| ● | the potential burden of complying with a variety of foreign laws, medical standards and regulatory requirements, including the regulation of pharmaceutical and biotechnology products and treatment; |
| ● | ability to procure and deliver necessary clinical trial materials needed to perform the study; and |
| ● | inability to implement adequate training at participating sites remotely when in person training cannot be completed. |
Ifwe have difficulty enrolling a sufficient number of patients to conduct our clinical trials as planned, we may need to delay, limit orterminate ongoing or planned clinical trials, any of which would have an adverse effect on our ability to complete clinical trials andultimately our results of operations.
Anyfailure by our company to comply with existing regulations could harm our reputation and operating results.
Weare subject to extensive regulation by U.S. federal and state and foreign governments in each of the U.S., European and Canadian markets,in which we plan to sell our products, or in markets where we have product candidates progressing through the approval process.
Wemust adhere to all regulatory requirements including FDA’s GLP, GCP and GMP requirements, pharmacovigilance requirements, advertisingand promotion restrictions, reporting and recordkeeping requirements, and their European equivalents. If we or our suppliers fail tocomply with applicable regulations, including FDA pre-or post-approval requirements, then the FDA or other foreign regulatory authoritiescould sanction our company. Even if a drug is approved by the FDA or other competent authorities, regulatory authorities may impose significantrestrictions on a product’s indicated uses or marketing or impose ongoing requirements for potentially costly post-marketing trials.Any of our product candidates which may be approved in the United States will be subject to ongoing regulatory requirements for manufacturing,labeling, packaging, storage, distribution, import, export, advertising, promotion, sampling, recordkeeping and submission of safetyand other post-market information, including both federal and state requirements. In addition, manufacturers and manufacturers’facilities are required to comply with extensive FDA requirements, including ensuring that quality control and manufacturing proceduresconform to GMP. As such, we and our contract manufacturers (in the event contract manufacturers are appointed in the future) are subjectto continual review and periodic inspections to assess compliance with GMP. Accordingly, we and others with whom we work will have tospend time, money and effort in all areas of regulatory compliance, including manufacturing, production, quality control and qualityassurance. We will also be required to report certain adverse reactions and production problems, if any, to the FDA, and to comply withrequirements concerning advertising and promotion for our products. Promotional communications with respect to prescription drugs aresubject to a variety of legal and regulatory restrictions and must be consistent with the information in the product’s approvedlabel. Similar restrictions and requirements exist in the European Union and other markets where we operate.
Ifa regulatory agency discovers previously unknown problems with a product, such as adverse events of unanticipated severity or frequency,or problems with the facility where the product is manufactured, or disagrees with the promotion, marketing or labeling of the product,it may impose restrictions on that product or on our company, including requiring withdrawal of the product from the market. If we failto comply with applicable regulatory requirements, a regulatory agency or enforcement authority may issue warning letters, impose civilor criminal penalties, suspend regulatory approval, suspend any of our ongoing clinical trials, refuse to approve pending applicationsor supplements to approved applications submitted by us, impose restrictions on our operations, or seize or detain products or requirea product recall.
Inaddition, it is possible that our future products will be regulated by the DEA, under the Controlled Substances Act or under similarlaws elsewhere. DEA scheduling is a separate process that can delay when a drug may become available to patients beyond an NDA approvaldate, and the timing and outcome of such DEA process is uncertain. See also “Risks Related to Controlled Substances”,below.
Inaddition, any government investigation of alleged violations of law could require us to spend significant time and resources in responseand could generate negative publicity. Any failure to comply with ongoing regulatory requirements may significantly and adversely affectour ability to commercialize and generate revenue from our future product candidates. If regulatory sanctions are applied or if regulatoryapproval is withdrawn, the value of our business and our operating results may be adversely affected.
Anyaction against us for violation of these laws, even if we successfully defend against it, could cause us to incur significant legal expenses,divert our management’s attention from the operation of our business and damage our reputation. We expect to spend significantresources on compliance efforts and such expenses are unpredictable. Changing laws, regulations and standards might also create uncertainty,higher expenses and increase insurance costs. As a result, we intend to invest all reasonably necessary resources to comply with evolvingstandards, and this investment might result in increased management and administrative expenses and a diversion of management time andattention from revenue-generating activities to compliance activities.
Weare subject to federal, state and foreign healthcare laws and regulations and implementation of or changes to such healthcare laws andregulations could adversely affect our business and results of operations.
Inboth the United States and certain foreign jurisdictions, there have been a number of legislative and regulatory proposals to changethe healthcare system in ways that could impact our ability to sell our future product candidates. If we are found to be in violationof any of these laws or any other federal, state or foreign regulations, we may be subject to administrative, civil and/or criminal penalties,damages, fines, individual imprisonment, we from federal health care programs and the restructuring of our operations. Any of these couldhave a material adverse effect on our business and financial results. Since many of these laws have not been fully interpreted by thecourts, there is an increased risk that we may be found in violation of one or more of their provisions. Any action against us for violationof these laws, even if we ultimately are successful in our defense, will cause us to incur significant legal expenses and divert ourmanagement’s attention away from the operation of our business. In addition, in many foreign countries, particularly the countriesof the European Union the pricing of prescription drugs is subject to government control.
Insome foreign countries, the proposed pricing for a drug must be approved before it may be lawfully marketed. The requirements governingdrug pricing vary widely from country to country.
Forexample, some EU jurisdictions operate positive and negative list systems under which products may only be marketed once a reimbursementprice has been agreed. To obtain reimbursement or pricing approval, some of these countries may require the completion of clinical trialsthat compare the cost-effectiveness of a particular product candidate to currently available therapies. Other member states allow companiesto fix their own prices for medicines but monitor and control company profits. Such differences in national pricing regimes may createprice differentials between EU member states. There can be no assurance that any country that has price controls or reimbursement limitationsfor pharmaceutical products will allow favorable reimbursement and pricing arrangements for any of our products. Historically, productslaunched in the United Kingdom and European Union do not follow price structures of the United States In the United Kingdom and EuropeanUnion, the downward pressure on healthcare costs in general, particularly prescription medicines, has become intense. As a result, barriersto entry of new products are becoming increasingly high and patients are unlikely to use a drug product that is not reimbursed by theirgovernment. We may face competition from lower-priced products in foreign countries that have placed price controls on pharmaceuticalproducts. In addition, the importation of foreign products may compete with any future product that we may market, which could negativelyimpact our profitability.
Specifically,in the United States, we expect that the ACA, as well as other healthcare reform measures that may be adopted in the future, may resultin more rigorous coverage criteria and in additional downward pressure on the price that we may receive for any approved product. Therehave been judicial challenges to certain aspects of the ACA and numerous legislative attempts to repeal and/or replace the ACA in wholeor in part, and we expect there will be additional challenges and amendments to the ACA in the future. At this time, the full effectthat the ACA will have on our business in the future remains unclear. An expansion in the government’s role in the U.S. healthcareindustry may cause general downward pressure on the prices of prescription drug products, lower reimbursements or any other product forwhich we obtain regulatory approval, reduce product utilization and adversely affect our business and results of operations. Any reductionin reimbursement from Medicare or other government programs may result in a similar reduction in payments from private payors. The implementationof cost containment measures or other healthcare reforms may prevent us from being able to generate revenue, attain profitability, orcommercialize any of our future product candidates for which we may receive regulatory approval.
Informationobtained from expanded access studies may not reliably predict the efficacy of our future product candidates in company-sponsored clinicaltrials and may lead to adverse events that could limit approval.
Theexpanded access studies we are currently supporting are uncontrolled, carried out by individual investigators and not typically conductedin strict compliance with GCPs, all of which can lead to a treatment effect which may differ from that in placebo-controlled trials.These studies provide only anecdotal evidence of efficacy for regulatory review. These studies contain no control or comparator groupfor reference and this patient data is not designed to be aggregated or reported as study results. Moreover, data from such small numbersof patients may be highly variable. Information obtained from these studies, including the statistical principles that we and the independentinvestigators have chosen to apply to the data, may not reliably predict data collected via systematic evaluation of the efficacy incompany-sponsored clinical trials or evaluated via other statistical principles that may be applied in those trials. Reliance on suchinformation to design our clinical trials may lead to trials that are not adequately designed to demonstrate efficacy and could delayor prevent our ability to seek approval of our future product candidates.
Expandedaccess programs provide supportive safety information for regulatory review. Physicians conducting these studies may use our future productcandidates in a manner inconsistent with the protocol, including in children with conditions beyond those being studied in trials whichwe sponsor. Any adverse events or reactions experienced by subjects in the expanded access program may be attributed to our future productcandidates and may limit our ability to obtain regulatory approval with labeling that we consider desirable, or at all.
Thereis a high rate of failure for drug candidates proceeding through clinical trials.
Generally,there is a high rate of failure for drug candidates proceeding through clinical trials. We may suffer significant setbacks in our clinicaltrials similar to the experience of a number of other companies in the pharmaceutical and biotechnology industries, even after receivingpromising results in earlier trials. Further, even if we view the results of a clinical trial to be positive, the FDA, MHRA or otherregulatory authorities may disagree with our interpretation of the data. In the event that we obtain negative results from clinical trialsfor product candidates or other problems related to potential chemistry, manufacturing and control issues or other hurdles occur andour future product candidates are not approved, we may not be able to generate sufficient revenue or obtain financing to continue ouroperations, our ability to execute on our current business plan may be materially impaired, and our reputation in the industry and inthe investment community might be significantly damaged. In addition, our inability to properly design, commence and complete clinicaltrials may negatively impact the timing and results of our clinical trials and ability to seek approvals for our drug candidates.
Ifwe are found in violation of federal or state “fraud and abuse” laws or similar laws in other jurisdictions, we may be requiredto pay a penalty and/or be suspended from participation in federal or state health care programs, which may adversely affect our business,financial condition and results of operations.
Inthe United States, we are subject to various federal and state health care “fraud and abuse” laws, including anti-kickbacklaws, false claims laws and other laws intended to reduce fraud and abuse in federal and state health care programs, which could affectour company particularly upon successful commercialization of our products in the United States The Medicare and Medicaid Patient ProtectionAct of 1987, or federal Anti-Kickback Statute, makes it illegal for any person, including a prescription drug manufacturer (or a partyacting on its behalf), to knowingly and willfully solicit, receive, offer or pay any remuneration that is intended to induce the referralof business, including the purchase, order or prescription of a particular drug for which payment may be made under a federal healthcare program, such as Medicare or Medicaid. Under federal law, some arrangements, known as safe harbors, are deemed not to violate thefederal Anti-Kickback Statute. Although we seek to structure our business arrangements in compliance with all applicable requirements,it is often difficult to determine precisely how the law will be applied in specific circumstances. Accordingly, it is possible thatour practices may be challenged under the federal Anti-Kickback Statute and Federal False Claims Act. Violations of fraud and abuse lawsmay be punishable by criminal and/or civil sanctions, including fines and/or exclusion or suspension from federal and state health careprograms such as Medicare and Medicaid and debarment from contracting with the U.S. government. In addition, private individuals havethe ability to bring actions on behalf of the government under the federal False Claims Act as well as under the false claims laws ofseveral states.
Whilewe believe that we have structured our business arrangements to comply with these laws, the government could allege violations of, orconvict us of violating, these laws. If we are found in violation of one of these laws, we could be required to pay a penalty and couldbe suspended or excluded from participation in federal or state health care programs, and our business, results of operations and financialcondition may be adversely affected.
TheMember States of the European Union and other countries also have anti-kickback laws and can impose penalties in case of infringement,which, in some jurisdictions, can also be enforced by competitors.
Seriousadverse events or other safety risks could require us to abandon development and preclude, delay or limit approval of our future productcandidates, limit the scope of any approved label or market acceptance, or cause the recall or loss of marketing approval of productsthat are already marketed.
Ifany of our future product candidates prior to or after any approval for commercial sale, cause serious or unexpected side effects, orare associated with other safety risks such as misuse, abuse or diversion, a number of potentially significant negative consequencescould result, including:
| ● | regulatory authorities may interrupt, delay or halt clinical trials; |
| ● | regulatory authorities may deny regulatory approval of our future product candidates; |
| ● | regulatory authorities may require certain labeling statements, such as warnings or contraindications or limitations on the indications for use, and/or impose restrictions on distribution in the form of a REMS in connection with approval or post-approval; |
| ● | regulatory authorities may withdraw their approval, require more onerous labeling statements, impose more restrictive REMS, or require us to recall any product that is approved; |
| ● | we may be required to change the way the product is administered or conduct additional clinical trials; |
| ● | our relationships with our collaboration partners may suffer; |
| ● | we could be sued and held liable for harm caused to patients; or |
| ● | our reputation may suffer. The reputational risk is heightened with respect to those of our future product candidates that are being developed for pediatric indications. |
Wemay voluntarily suspend or terminate our clinical trials if at any time we believe that the products present an unacceptable risk toparticipants, or if preliminary data demonstrates that our future product candidates are unlikely to receive regulatory approval or unlikelyto be successfully commercialized. Following receipt of approval for commercial sale of a product, we may voluntarily withdraw or recallthat product from the market if at any time we believe that its use, or a person’s exposure to it, may cause adverse health consequencesor death. To date, we have not withdrawn, recalled or taken any other action, voluntary or mandatory, to remove an approved product fromthe market. In addition, regulatory agencies, IRBs or data safety monitoring boards may at any time recommend the temporary or permanentdiscontinuation of our clinical trials or request that we cease using investigators in the clinical trials if they believe that the clinicaltrials are not being conducted in accordance with applicable regulatory requirements, or that they present an unacceptable safety riskto participants. Although we have never been asked by a regulatory agency, IRB or data safety monitoring board to temporarily or permanentlydiscontinue a clinical trial, if we elect or are forced to suspend or terminate a clinical trial of any of our future product candidates,the commercial prospects for that product will be harmed and our ability to generate product revenue from that product may be delayedor eliminated. Furthermore, any of these events may result in labeling statements such as warnings or contraindications. In addition,such events or labeling could prevent us or our partners from achieving or maintaining market acceptance of the affected product andcould substantially increase the costs of commercializing our future product candidates and impair our ability to generate revenue fromthe commercialization of these products either by our company or by our collaboration partners.
Thedevelopment of REMS for our future product candidates could cause delays in the approval process and would add additional layers of regulatoryrequirements that could impact our ability to commercialize our future product candidates in the United States and reduce their marketpotential.
Evenif the FDA approves our NDA for any of our future product candidates without requiring a REMS as a condition of approval of the NDA,the FDA may, post-approval, require a REMS for any of our future product candidates if it becomes aware of new safety information thatmakes a REMS necessary to ensure that the benefits of the drug outweigh the potential risks. REMS elements can include medication guides,communication plans for health care professionals, and elements to assure safe use (“ETASU”). ETASU can include, butare not limited to, special training or certification for prescribing or dispensing, dispensing only under certain circumstances, specialmonitoring and the use of patient registries. Moreover, product approval may require substantial post-approval testing and surveillanceto monitor the drug’s safety or efficacy. We may be required to adopt a REMS for our future product candidates to ensure that thebenefits outweigh the risks of abuse, misuse, diversion and other potential safety concerns. There can be no assurance that the FDA willapprove a manageable REMS for our future product candidates, which could create material and significant limits on our ability to successfullycommercialize our future product candidates in the United States Delays in the REMS approval process could result in delays in the NDAapproval process. In addition, as part of the REMS, the FDA could require significant restrictions, such as restrictions on the prescription,distribution and patient use of the product, which could significantly impact our ability to effectively commercialize our future productcandidates, and dramatically reduce their market potential, thereby adversely impacting our business, financial condition and resultsof operations. Even if initial REMS are not highly restrictive, if, after launch, our future product candidates were to be subject tosignificant abuse/non-medical use or diversion from illicit channels, this could lead to negative regulatory consequences, includinga more restrictive REMS.
Theregulatory approval processes of the FDA and comparable foreign authorities are lengthy, time-consuming and inherently unpredictable,and if we are ultimately unable to obtain regulatory approval for our product candidates, our business will be substantially harmed.
Weare not permitted to commercialize, market, promote or sell any product candidate in the United States without obtaining regulatory approvalfrom the FDA. Foreign regulatory authorities, such as the EMA and MHRA, impose similar requirements. The time required to obtain approvalby the FDA and comparable foreign authorities is inherently unpredictable, but typically takes many years following the commencementof clinical trials and depends upon numerous factors, including substantial discretion of the regulatory authorities. In addition, approvalpolicies, regulations, or the type and amount of clinical data necessary to gain approval may change during the course of a product candidate’sclinical development and may vary among jurisdictions. To date, we have not submitted an NDA to the FDA or similar drug approval submissionsto comparable foreign regulatory authorities for our most advanced product candidate for the early stage treatment of Dupuytren’sContracture, or any other product candidate. We must complete additional preclinical studies and clinical trials to demonstrate the safetyand efficacy of our product candidates in humans before we will be able to obtain these approvals.
Clinicaltesting is expensive, difficult to design and implement, can take many years to complete and is inherently uncertain as to outcome. Wecannot guarantee that any clinical trial design that we submit will be accepted by FDA, MHRA or other comparable foreign regulatory authorities,or that clinical trials will be conducted as planned or completed on schedule, if at all. The clinical development of our initial andpotential additional product candidates is susceptible to the risk of failure inherent at any stage of development, including failureto demonstrate efficacy in a clinical trial or across a broad population of patients, the occurrence of adverse events that are severeor medically or commercially unacceptable, failure to comply with protocols or applicable regulatory requirements, and determinationby the FDA, MHRA or any other comparable foreign regulatory authority that a product candidate may not continue development or is notapprovable. It is possible that even if any of our product candidates has a beneficial effect, that effect will not be detected duringclinical evaluation as a result of one or more of a variety of factors, including the size, duration, design, measurements, conduct oranalysis of our clinical trials. Conversely, as a result of the same factors, our clinical trials may indicate an apparent positive effectof such product candidate that is greater than the actual positive effect, if any. Similarly, in our clinical trials, we may fail todetect toxicity of, or intolerability caused by, such product candidate, or mistakenly believe that our product candidates are toxicor not well tolerated when that is not in fact the case. Serious adverse events, or SAEs, or other adverse effects, as well as tolerabilityissues, could hinder or prevent market acceptance of the product candidate at issue.
Ourcurrent and future product candidates could fail to receive regulatory approval for many reasons, including the following:
| ● | the FDA, MHRA or other comparable foreign regulatory authorities may disagree as to the design or implementation of our clinical trials; |
| ● | we may be unable to demonstrate to the satisfaction of the FDA, MHRA or other comparable foreign regulatory authorities that a product candidate is safe and effective for our proposed indication; |
| ● | the results of clinical trials may not meet the level of statistical significance required by the FDA, MHRA or other comparable foreign regulatory authorities for approval; |
| ● | we may be unable to demonstrate that a product candidate’s clinical and other benefits outweigh its safety risks; |
| ● | the FDA, MHRA or other comparable foreign regulatory authorities may disagree with our interpretation of data from clinical trials or preclinical studies; |
| ● | the data collected from clinical trials of our product candidates may not be sufficient to support the submission of an NDA to the FDA or other submission or to obtain regulatory approval in the United States, the European Union or elsewhere; |
| ● | the FDA, MHRA or other comparable foreign regulatory authorities may find deficiencies with the manufacturing processes of third-party manufacturers with which we contract for clinical and commercial supplies; and |
| ● | the approval policies or regulations of the FDA, MHRA or other comparable foreign regulatory authorities may significantly change in a manner rendering our clinical data insufficient for approval. |
Thislengthy approval process as well as the unpredictability of clinical trial results may result in us failing to obtain regulatory approvalto market any product candidate we develop, which would substantially harm our business, results of operations and prospects. The FDA,MHRA or other comparable foreign authorities have substantial discretion in the approval process and determining when or whether regulatoryapproval will be granted for any product candidate that we develop. Even if we believe the data collected from future clinical trialsof our product candidates are promising, such data may not be sufficient to support approval by the FDA or any other regulatory authority.
Inaddition, even if we were to obtain approval, regulatory authorities may approve any of our product candidates for fewer or more limitedindications than we request, may not approve the price we intend to charge for our products, may grant approval contingent on the performanceof costly post-marketing clinical trials, or may approve a product candidate with labeling that does not include the claims necessaryor desirable for the successful commercialization of that product candidate. Any of the foregoing scenarios could materially harm thecommercial prospects for our product candidates.
Risks Relatedto our Reliance Upon Third Parties
Ourexisting collaboration arrangements and any that we may enter into in the future may not be successful, which could adversely affectour ability to develop and commercialize our future product candidates.
Weare a party to, and may seek additional, collaboration arrangements with pharmaceutical or biotechnology companies for the developmentor commercialization of our future product candidates. We may, with respect to our future product candidates, enter into new arrangementson a selective basis depending on the merits of retaining commercialization rights for ourselves as compared to entering into selectivecollaboration arrangements with leading pharmaceutical or biotechnology companies for each product candidate, both in the United Statesand internationally. To the extent that we decide to enter into collaboration agreements, we will face significant competition in seekingappropriate collaborators and the terms of any collaboration or other arrangements that we may establish may not be favorable to us.
Anyexisting or future collaboration that we enter into may not be successful. The success of our collaboration arrangements will dependheavily on the efforts and activities of our collaborators. Collaborators generally have significant discretion in determining the effortsand resources that they will apply to these collaborations. Disagreements between parties to a collaboration arrangement regarding development,intellectual property, regulatory or commercialization matters, can lead to delays in the development process or commercialization ofthe applicable product candidate and, in some cases, termination of the collaboration arrangement. These disagreements can be difficultto resolve if neither of the parties has final decision-making authority. Any such termination or expiration could harm our businessreputation and may adversely affect it financially.
Weexpect to depend on a limited number of suppliers for materials and components in order to manufacture our future product candidates.The loss of these suppliers, or their failure to supply us on a timely basis, could cause delays in our current and future capacity andadversely affect our business.
Weexpect to depend on a limited number of suppliers for the materials and components required to manufacture our future product candidates.As a result, we may not be able to obtain sufficient quantities of critical materials and components in the future. A delay or interruptionby our suppliers may also harm our business, results of operations and financial condition. In addition, the lead time needed to establisha relationship with a new supplier can be lengthy, and we may experience delays in meeting demand in the event we must switch to a newsupplier. The time and effort to qualify for and, in some cases, obtain regulatory approval for a new supplier could result in additionalcosts, diversion of resources or reduced manufacturing yields, any of which would negatively impact our operating results. Our dependenceon single-source suppliers exposes us to numerous risks, including the following: our suppliers may cease or reduce production or deliveries,they may be subject to government investigations and regulatory actions that limit or prevent production capabilities for an extendedperiod of time, raise prices or renegotiate terms; our suppliers may become insolvent; we may be unable to locate a suitable replacementsupplier on acceptable terms or on a timely basis, or at all; and delays caused by supply issues may harm our reputation, frustrate ourcustomers and cause them to turn to our competitors for future needs.
Risks Relatedto our Intellectual Property
Wemay not be able to adequately protect our future product candidates or our proprietary technology in the marketplace.
Oursuccess will depend, in part, on our ability to obtain patents, protect our trade secrets and operate without infringing on the proprietaryrights of others. We rely upon a combination of patents, trade secret protection (i.e., know-how), and confidentiality agreements toprotect the intellectual property of our future product candidates. The strengths of patents in the pharmaceutical field involve complexlegal and scientific questions and can be uncertain. Where appropriate, we seek patent protection for certain aspects of our productsand technology. Filing, prosecuting and defending patents globally can be prohibitively expensive.
Ourpolicy is to look to patent technologies with commercial potential in jurisdictions with significant commercial opportunities. However,patent protection may not be available for some of the products or technology we are developing. If we must spend significant time andmoney protecting, defending or enforcing our patents, designing around patents held by others or licensing, potentially for large fees,patents or other proprietary rights held by others, our business, results of operations and financial condition may be harmed. We maynot develop additional proprietary products that are patentable. As of the date hereof, we have an extensive portfolio of patents, includingmany granted patents and patents pending approval.
Thepatent positions of pharmaceutical products are complex and uncertain. The scope and extent of patent protection for our future productcandidates are particularly uncertain. Our future product candidates will be based on medicinal chemistry instead of cannabis plants.While we have sought patent protection, where appropriate, directed to, among other things, composition-of-matter for its specific formulations,their methods of use, and methods of manufacture, we do not have and will not be able to obtain composition of matter protection on thesepreviously known CBD derivatives per se. We anticipate that the products we develop in the future will be based upon synthetic compoundswe may discover. Although we have sought, and will continue to seek, patent protection in the United States, Europe and other countriesfor our proprietary technologies, future product candidates, their methods of use, and methods of manufacture, any or all of them maynot be subject to effective patent protection. If any of our products are approved and marketed for an indication for which we do nothave an issued patent, our ability to use our patents to prevent a competitor from commercializing a non-branded version of our commercialproducts for that non-patented indication could be significantly impaired or even eliminated.
Publicationof information related to our future product candidates by our company or others may prevent us from obtaining or enforcing patents relatingto these products and product candidates. Furthermore, others may independently develop similar products, may duplicate our products,or may design around our patent rights. In addition, any of our issued patents may be opposed and/or declared invalid or unenforceable.If we fail to adequately protect our intellectual property, we may face competition from companies who attempt to create a generic productto compete with our future product candidates. We may also face competition from companies who develop a substantially similar productto our future product candidates that is not covered by any of our patents.
Manycompanies have encountered significant problems in protecting, defending and enforcing intellectual property rights in foreign jurisdictions.The legal systems of certain countries, particularly certain developing countries, do not favor the enforcement of patents and otherintellectual property rights, particularly those relating to pharmaceuticals, which could make it difficult for us to stop the infringementof our patents or marketing of competing products in violation of our proprietary rights generally. Proceedings to enforce our patentrights in foreign jurisdictions could result in substantial costs and divert our efforts and attention from other aspects of our business.
Ifthird parties claim that intellectual property used by our company infringes upon their intellectual property, our operating profitscould be adversely affected.
Thereis a substantial amount of litigation, both within and outside the United States, involving patent and other intellectual property rightsin the pharmaceutical industry. We may, from time to time, be notified of claims that we are infringing upon patents, trademarks, copyrightsor other intellectual property rights owned by third parties, and we cannot provide assurances that other companies will not, in thefuture, pursue such infringement claims against us, our commercial partners or any third-party proprietary technologies we have licensed.If we were found to infringe upon a patent or other intellectual property right, or if we failed to obtain or renew a license under apatent or other intellectual property right from a third party, or if a third party from whom we were licensing technologies was foundto infringe upon a patent or other intellectual property rights of another third party, we may be required to pay damages, includingdamages of up to three times the damages found or assessed, if the infringement is found to be willful, suspend the manufacture of certainproducts or reengineer or rebrand our products, if feasible, or we may be unable to enter certain new product markets. Any such claimscould also be expensive and time consuming to defend and divert management’s attention and resources. Our competitive positioncould suffer as a result. In addition, if we have declined or failed to enter into a valid non-disclosure or assignment agreement forany reason, we may not own the invention or our intellectual property, and our products may not be adequately protected. Thus, we cannotguarantee that any of our future product candidates, or our commercialization thereof, does not and will not infringe any third party’sintellectual property.
Ifwe are not able to adequately prevent disclosure of trade secrets and other proprietary information, the value of our technology andproducts could be significantly diminished.
Werely on trade secrets to protect our proprietary technologies, especially where we do not believe patent protection is appropriate orobtainable. However, trade secrets are difficult to protect. We rely in part on confidentiality agreements with current and former employees,consultants, outside scientific collaborators, sponsored researchers, contract manufacturers, vendors and other advisors to protect ourtrade secrets and other proprietary information. These agreements may not effectively prevent disclosure of confidential informationand may not provide an adequate remedy in the event of unauthorized disclosure of confidential information. In addition, we cannot guaranteethat we have executed these agreements with each party that may have or have had access to our trade secrets. Any party with whom weor they have executed such an agreement may breach that agreement and disclose our proprietary information, including our trade secrets,and we may not be able to obtain adequate remedies for such breaches.
Enforcinga claim that a party illegally disclosed or misappropriated a trade secret is difficult, expensive and time-consuming, and the outcomeis unpredictable. Also, some courts inside and outside the United States are less willing or unwilling to protect trade secrets. If anyof our trade secrets were to be lawfully obtained or independently developed by a competitor, we would have no right to prevent them,or those to whom they disclose such trade secrets, from using that technology or information to compete with us. If any of our tradesecrets were to be disclosed to or independently developed by a competitor or other third-party, our competitive position would be harmed.
Theexpiration or loss of patent protection may adversely affect our future revenues and operating earnings.
Werely on patent, trademark, trade secret and other intellectual property protection in the discovery, development, manufacturing and saleof our product candidates. In particular, patent protection is important in the development and eventual commercialization of our productcandidates. Patents covering our product candidates normally provide market exclusivity, which is important in order to improve the probabilitythat our product candidates are able to become profitable.
Oneof our patents relating to our Fibrosis and anti-TNF program will expire in 2033; however, the majority of the patent portfolio has alonger lifespan. While we are seeking additional patent coverage which may protect the technology underlying these patents, there canbe no assurances that such additional patent protection will be granted, or if granted, that these patents will not be infringed uponor otherwise held enforceable. Even if we are successful in obtaining a patent, patents have a limited lifespan. In the United States,the natural expiration of a utility patent is generally 20 years after it is filed. Various extensions may be available; however, thelife of a patent, and the protection it affords, is limited. Without patent protection of our product candidates, we may be open to competitionfrom generic versions of such methods and compositions.
Ifwe do not obtain protection under the Hatch-Waxman Amendments by extending the patent term, our business may be harmed.
Ourcommercial success will largely depend on our ability to obtain and maintain patent and other intellectual property in the United Statesand other countries with respect to our product candidates. Given the amount of time required for the development, testing and regulatoryreview of new product candidates, patents protecting our product candidates might expire before or shortly after such candidates beginto be commercialized. We expect to seek extensions of patent terms in the United States and, if available, in other countries where weare prosecuting patents.
Dependingupon the timing, duration and specifics of FDA marketing approval of our product candidates, one or more of our U.S. patents may be eligiblefor limited patent term extension, or PTE, under the Drug Price Competition and Patent Term Restoration Act of 1984, referred to as theHatch-Waxman Amendments. The Hatch-Waxman Amendments permit a patent restoration term of up to five years beyond the normal expirationof the patent as compensation for patent term lost during development and the FDA regulatory review process, which is limited to theapproved indication (and potentially additional indications approved during the period of extension) covered by the patent. This extensionis limited to only one patent that covers the approved product, the approved use of the product, or a method of manufacturing the product.However, the applicable authorities, including the FDA and the U.S. Patent and Trademark Office (“USPTO”) in the UnitedStates, and any equivalent regulatory authority in other countries, may not agree with our assessment of whether such extensions areavailable, and may refuse to grant extensions to our patents, or may grant more limited extensions than we request. We may not be grantedan extension because of, for example, failing to apply within applicable deadlines, failing to apply prior to expiration of relevantpatents or otherwise failing to satisfy applicable requirements. Moreover, the applicable time-period or the scope of patent protectionafforded could be less than we request. Even if we are able to obtain an extension, the patent term may still expire before or shortlyafter we receive FDA marketing approval. If we are unable to extend the expiration date of our existing patents or obtain new patentswith longer expiry dates, our competitors may be able to take advantage of our investment in development and clinical trials by referencingour clinical and preclinical data to obtain approval of competing products following our patent expiration and launch their product earlierthan might otherwise be the case.
Risks Relatedto Controlled Substances
Controlledsubstance legislation differs between countries, and legislation in certain countries may restrict or limit our ability to sell our futureproduct candidates.
Mostcountries are parties to the Single Convention on Narcotic Drugs 1961 and the Convention on Psychotropic Substances 1971, which governsinternational trade and domestic control of narcotic substances, including cannabis extracts. Countries may interpret and implement theirtreaty obligations in a way that creates a legal obstacle to us obtaining marketing approval for our future products in those countries.These countries may not be willing or able to amend or otherwise modify their laws and regulations to permit our future products to bemarketed, or achieving such amendments to the laws and regulations may take a prolonged period of time. In that case, we would be unableto market our future product candidates in those countries in the near future or perhaps at all.
Theproduct candidates that we are developing may be subject to U.S. controlled substance laws and regulations and failure to comply withthese laws and regulations, or the cost of compliance with these laws and regulations, may adversely affect the results of our businessoperations, both during clinical development and post approval, and our financial condition.
Theproduct candidates that we are developing may contain controlled substances as defined in The United States Federal Controlled SubstancesAct of 1970 and the CSA. Controlled substances that are pharmaceutical products are subject to a high degree of regulation under theCSA, which establishes, among other things, certain registration, manufacturing quotas, security, recordkeeping, reporting, import, exportand other requirements administered by the DEA. The DEA classifies controlled substances into five schedules: Schedule I, II, III, IVor V substances. Schedule I substances by definition have a high potential for abuse, no currently “accepted medical use”in the United States, lack accepted safety for use under medical supervision, and may not be prescribed, marketed or sold in the UnitedStates Pharmaceutical products approved for use in the United States which contain a controlled substance are listed as Schedule II,III, IV or V, with Schedule II substances considered to present the highest potential for abuse or dependence and Schedule V substancesthe lowest relative risk of abuse among such substances.
Whilecannabis is a Schedule I controlled substance, products approved for medical use in the United States that contain cannabis or cannabisextracts should be placed in Schedules II-V, since approval by the FDA satisfies the “accepted medical use” requirement.If and when any of our future product candidates receive FDA approval, the DEA will make a scheduling determination. If the FDA, theDEA or any foreign regulatory authority determines that our future product candidates may have potential for abuse, it may require usto generate more clinical or other data than we currently anticipate to establish whether or to what extent the substance has an abusepotential, which could increase the cost and/or delay the launch of that product.
Facilitiesconducting research, manufacturing, distributing, importing or exporting, or dispensing controlled substances must be registered (licensed)to perform these activities and have the security, control, recordkeeping, reporting and inventory mechanisms required by the DEA toprevent drug loss and diversion. All these facilities must renew their registrations annually, except dispensing facilities, which mustrenew every three years. The DEA conducts periodic inspections of certain registered establishments that handle controlled substances.Obtaining the necessary registrations may result in delay of the importation, manufacturing or distribution of our future products. Furthermore,failure to maintain compliance with the CSA, particularly non-compliance resulting in loss or diversion, can result in regulatory actionthat could have a material adverse effect on our business, financial condition and results of operations. The DEA may seek civil penalties,refuse to renew necessary registrations, or initiate proceedings to restrict, suspend or revoke those registrations. In certain circumstances,violations could lead to criminal proceedings.
Individualstates have also established controlled substance laws and regulations. Although state-controlled substances laws often mirror federallaw, because the states are separate jurisdictions, they may separately schedule our future product candidates as well. State schedulingmay delay commercial sale of any product for which we obtain federal regulatory approval and adverse scheduling could have a materialadverse effect on the commercial attractiveness of such product. We or our partners must also obtain separate state registrations, permitsor licenses in order to be able to obtain, handle, and distribute controlled substances for clinical trials or commercial sale, and failureto meet applicable regulatory requirements could lead to enforcement and sanctions by the states in addition to those from the DEA orotherwise arising under federal law.
Becauseour products may be controlled substances in the United States, to conduct clinical trials in the United States, each of our researchsites must submit a research protocol to the DEA and obtain and maintain a DEA researcher registration that will allow those sites tohandle and dispense our products and to obtain product from our importer. If the DEA delays or denies the grant of a research registrationto one or more research sites, the clinical trial could be significantly delayed, and we could lose clinical trial sites. The importerfor the clinical trials must also obtain an importer registration and an import permit for each import.
Thelegislation on cannabis in the European Union differs among the member states, as this area is not yet fully harmonized. In Germany,for example, cannabis is regulated as a controlled substance (Betäubungsmittel) and its handling requires specific authorization.
Thelegalization and use of medical and recreational cannabis in the United States and abroad may impact our business.
Thereis a substantial amount of change occurring in the United States regarding the use of medical and recreational cannabis products. Whilecannabis products not approved by the FDA are Schedule I substances as defined under federal law, and their possession and use is notpermitted according to federal law (except for research purposes, under DEA registration), according to worldpoplulationreview.com, atleast 39 states and the District of Columbia have enacted state laws to enable possession and use of cannabis for medical purposes, andat least 19 states and the District of Columbia for recreational purposes. The U.S. Farm Bill, which was passed in 2018, descheduledcertain material derived from hemp plants with extremely low THC content. Although our business is quite distinct from that of onlineand dispensary cannabis companies, future legislation authorizing the sale, distribution, use, and insurance reimbursement of non-FDAapproved cannabis products could affect our business.
AccountingRisks
Ourgoodwill and intangible assets have been impaired in the past and are subject to future impairment risks.
Asdiscussed in the following risk factor, we had material impairment charges to our goodwill and in process R&D during the year endedDecember 31, 2022.
Ourintangible assets were approximately $10.7 million as of December 31, 2022, representing 55% of our total assets. We assess the potentialimpairment of indefinite-lived intangible assets and goodwill at least annually and otherwise when there is evidence that events or changesin circumstances indicate that an impairment condition may exist. Many of the factors used in assessing fair value are outside the controlof management, and it is reasonably likely that assumptions and estimates will change in future periods. These changes could result infuture impairments. Events and circumstances that we consider important which could trigger impairment include the following:
| ● | Significant underperformance relative to historical or projected future operating results; |
| ● | Significant changes in our strategy for its overall business or use of acquired assets; |
| ● | Significant negative industry or economic trends; |
| ● | Significant decline in our stock price for a sustained period; |
| ● | Decreased market capitalization relative to net book value; |
| ● | Unanticipated technological change or competitive activities; |
| ● | Change in consumer demand; |
| ● | Loss of key personnel; and |
| ● | Acts by governments and courts. |
Whenthere is indication that the carrying value of intangible assets may not be recoverable based upon the existence of one or more of theabove indicators, an impairment loss is recognized if the carrying amount of the asset exceeds its fair value. When there is an indicationof impairment of goodwill, an impairment loss is recognized to the extent that the carrying amount of the goodwill exceeds its impliedfair value.
Itis possible that changes in circumstances, existing at that time or at other times in the future, or in the numerous variables associatedwith the assumptions and estimates made by us in assessing the appropriate valuation of its indefinite-lived intangible assets or goodwill,could in the future require us to record impairment charges, which would adversely affect future reported results of operations and stockholders’equity, although such charges would not affect our cash flow.
Wehave in the past, and may in the future, impair long-lived assets and intangible assets, including goodwill and acquired in-process researchand development.
Wereview long-lived assets and certain identifiable assets (including intangible assets) for impairment whenever circumstances and situationschange such that there is an indication that the carrying amounts may not be recovered. An impairment exists when the carrying valueof the long-lived or intangible asset (including goodwill and acquired in-process research and development) is not recoverable and exceedsits estimated fair value. Goodwill represents the difference between the purchase price and the fair value of assets and liabilitiesacquired in a business combination. We review goodwill yearly, or more frequently whenever circumstances and situations change such thatthere is an indication that the carrying amounts may not be recovered, for impairment by initially considering qualitative factors todetermine whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount, including goodwill,as a basis for determining whether it is necessary to perform a quantitative analysis. If it is determined that it is more likely thannot that the fair value of reporting unit is less than its carrying amount, a quantitative analysis is performed to identify goodwillimpairment.
Ourpublicly traded stock closed at $78.00 per share as of December 31, 2021; during 2022, the market value of our single reporting unitsignificantly declined. As of March 31, 2022, June 30, 2022, September 30, 2022 and December 31, 2022, the market value of our publiclytraded stock fell to $51.80, $16.96, $13.30 and $3.39, per share, respectively, and as such, we elected to conduct a quantitative analysisof goodwill to assess for impairment as of September 30, 2022 and December 31, 2022. We determined the fair market value of its singlereporting unit and compared that value with the carrying amount of the reporting unit and determined that goodwill was impaired as ofboth measurement dates. As of September 30, 2022 and December 31, 2022, the carrying value exceeded the fair market value by $18,872,850and $14,674,428, respectively. To recognize the impairment of goodwill, we recorded losses for these amounts at the end of the thirdand fourth quarters, which appear as a loss on goodwill impairment of $33,547,278 on the income statement for the year ended December31, 2022. See “Note 5 - Intangible Assets and Impairment of Long-lived Assets” in the consolidated financial statementsincluded herein beginning on page F-1, for further information.
Intangibleassets and in-process research and development (“IP R&D”) assets represent the fair value assigned to technologiesthat were acquired on July 16, 2019 in connection with the Reorganization, which have not reached technological feasibility and haveno alternative future use. IP R&D assets are considered to be indefinite-lived until the completion or abandonment of the associatedresearch and development projects. During the period that the IP R&D assets are considered indefinite-lived, they are tested forimpairment on an annual basis, or more frequently if we become aware of any events occurring or changes in circumstances that indicatethat the fair value of the IP R&D assets are less than their carrying amounts. If and when development is complete, which generallyoccurs upon regulatory approval, and we are able to commercialize products associated with the IP R&D assets, these assets are thendeemed definite-lived and are amortized based on their estimated useful lives at that point in time. If development is terminated orabandoned, we may record a full or partial impairment charge related to the IP R&D assets, calculated as the excess of the carryingvalue of the IP R&D assets over their estimated fair value.
Asof December 31, 2022, the carrying amount of the IP R&D assets on the balance sheet was $12,405,084 (which consists of carrying amountsof $1,462,084 and $10,943,000 related to our CBR Pharma subsidiary and its 180 LP subsidiary, respectively). Per the valuation obtainedfrom a third party as of year-end, the fair market value of our IP R&D assets was determined to be $9,063,000 (which consists offair values of $0 and $9,063,000 related to our CBR Pharma subsidiary and 180 LP subsidiary, respectively). As of this measurement date,the carrying values of the CBR Pharma and 180 LP subsidiaries’ assets exceeded their fair market values by $1,462,084 and $1,880,000,respectively. As such, management determined that the consolidated IP R&D assets were impaired by $3,342,084 and, in order to recognizethe impairment, we recorded a loss for this amount during the fourth quarter of 2022, which appears as a loss on impairment to IP R&Dassets on the income statement. This reduced the IP R&D asset balances of its CBR Pharma subsidiary and its 180 LP subsidiary tozero and $9,063,000, respectively, as of December 31, 2022; the total consolidated IP R&D asset balance is $9,063,000 after impairment.See “Note 5 - Intangible Assets and Impairment of Long-lived Assets” in the consolidated financial statements includedherein beginning on page F-1, for further information.
Acontinued period of low trading prices of our common stock may force us to incur further material impairments of our reporting units,which could have a material effect on the value of our assets and cause the value of our securities to decline in value. Additionally,we have in the past, and may in the future, determine that impairments in our intangible assets, including acquired in-process researchand development, are necessary and may be material. An impairment recognized in one period may not be reversed in a subsequent period,even if the value of our common stock increases in the future. We have in the past and could in the future incur additional impairmentsof long-lived assets and/or intangible assets, including acquired in-process research and development and goodwill, which may be material.
Wehave identified material weaknesses in our disclosure controls and procedures and internal control over financial reporting. If not remediated,our failure to establish and maintain effective disclosure controls and procedures and internal control over financial reporting couldresult in material misstatements in our financial statements and a failure to meet our reporting and financial obligations, each of whichcould have a material adverse effect on our financial condition and the trading price of our securities.
Ourmanagement, including our principal financial officer, conducted an evaluation of the effectiveness of our internal control over financialreporting as of December 31, 2022 using the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission(“COSO”) in “Internal Control - Integrated Framework” (2013).
Managementconcluded that certain aspects of our internal control over financial reporting was not effective as of December 31, 2022, based on thosecriteria. Specifically, management’s conclusion was based on the following material weakness:
| ● | Our review and control procedures did not operate at the appropriate level of precision to detect an error in fair-value of warrants related to a one-time reverse stock split and the fair value of IP R&D assets. |
Amaterial weakness is a deficiency, or a combination of deficiencies, in internal control over financial reporting, such that there isa reasonable possibility that a material misstatement of our annual or interim financial statements will not be prevented or detectedon a timely basis. Accordingly, a material weakness increases the risk that the financial information we report contains material errors.A control deficiency exists when the design or operation of a control does not allow management or employees, in the normal course ofperforming their assigned functions, to prevent or detect misstatements on a timely basis.
Maintainingeffective disclosure controls and procedures and effective internal control over financial reporting are necessary for us to producereliable financial statements and we are committed to remediating its material weaknesses in such controls as promptly as possible. However,there can be no assurance as to when these material weaknesses will be remediated or that additional material weaknesses will not arisein the future. Any failure to remediate the material weaknesses, or the development of new material weaknesses in our internal controlover financial reporting, could result in material misstatements in our financial statements and cause us to fail to meet our reportingand financial obligations on a timely and accurate basis. If our financial statements are not accurate, investors may not have a completeunderstanding of our operations or may lose confidence in our reported financial information. Likewise, if our financial statements arenot filed on a timely basis as required by the SEC and Nasdaq, we could face severe consequences from those authorities. In any of thesecases, it could result in a material adverse effect on our business, on our financial condition or have a negative effect on the tradingprice of our common stock and warrants. Further, if we fail to remedy this deficiency (or any other future deficiencies) or maintainthe adequacy of our disclosure controls and procedures and our internal controls, we could be subject to regulatory scrutiny, civil orcriminal penalties or stockholder litigation against us or our management.
Wecan give no assurance that the measures we have taken and plan to take in the future will remediate the material weakness identifiedor that any additional material weaknesses or restatements of our financial statements will not arise in the future due to a failureto implement and maintain adequate internal control over financial reporting or circumvention of those controls.
Further,in the future, if we cannot conclude that we have effective internal control over our financial reporting, or if our independent registeredpublic accounting firm is unable to provide an unqualified opinion regarding the effectiveness of our internal control over financialreporting (to the extent we may be required in the future), investors could lose confidence in the reliability of our financial statements,which could lead to a decline in our stock price. Failure to comply with reporting requirements could also subject us to sanctions and/orinvestigations by the SEC or Nasdaq, as applicable, or other regulatory authorities.
Inaddition, even if we are successful in strengthening our controls and procedures, those controls and procedures may not be adequate toprevent or identify irregularities or facilitate the fair presentation of our financial statements or our periodic reports filed withthe SEC. This may require us to restate prior financial statements.
Wemay experience adverse impacts on our reported results of operations as a result of adopting new accounting standards or interpretations.
Ourimplementation of and compliance with changes in accounting rules, including new accounting rules and interpretations, could adverselyaffect our reported financial position or operating results or cause unanticipated fluctuations in our reported operating results infuture periods.
RisksRelated to our Common Stock and Warrants
Themarket price of our common stock has been extremely volatile and may continue to be volatile due to numerous circumstances beyond ourcontrol.
Themarket price of our common stock has fluctuated, and may continue to fluctuate, widely, due to many factors, some of which may be beyondour control. These factors include, without limitation:
| ● | comments by securities analysts or other third parties, including blogs, articles, message boards and social and other media; |
| ● | large stockholders exiting their position in our securities or an increase or decrease in the short interest in our securities; |
| ● | actual or anticipated fluctuations in our financial and operating results; |
| ● | risks and uncertainties associated with the ongoing COVID-19 pandemic; |
| ● | changes in foreign currency exchange rates; |
| ● | the commencement, enrollment or results of our planned or future clinical trials of our product candidates or those of our competitors; |
| ● | the success of competitive drugs or therapies; |
| ● | regulatory or legal developments in the United States and other countries; |
| ● | the success of competitive products or technologies; |
| ● | developments or disputes concerning patent applications, issued patents or other proprietary rights; |
| ● | the recruitment or departure of key personnel; |
| ● | the level of expenses related to our product candidates or clinical development programs; |
| ● | litigation matters, including amounts which may or may not be recoverable pursuant to our officer and director insurance policies, regulatory actions affecting the Company and the outcome thereof; |
| ● | the results of our efforts to discover, develop, acquire or in-license additional product candidates; |
| ● | actual or anticipated changes in estimates as to financial results, development timelines or recommendations by securities analysts; |
| ● | our inability to obtain or delays in obtaining adequate drug supply for any approved drug or inability to do so at acceptable prices; |
| ● | disputes or other developments relating to proprietary rights, including patents, litigation matters and our ability to obtain patent protection for our technologies; |
| ● | significant lawsuits, including patent or stockholder litigation; |
| ● | variations in our financial results or those of companies that are perceived to be similar to us; |
| ● | changes in the structure of healthcare payment systems, including coverage and adequate reimbursement for any approved drug; |
| ● | market conditions in the pharmaceutical and biotechnology sectors; |
| ● | general economic, political, and market conditions and overall fluctuations in the financial markets in the United States and abroad; and |
| ● | investors’ general perception of us and our business. |
Stockmarkets in general and our stock price in particular have recently experienced extreme price and volume fluctuations that have oftenbeen unrelated or disproportionate to the operating performance of those companies and our company. For example, during 2022, the saleprices of our common stock ranged from a post-split adjusted high of $80.70 per share (on January 5, 2022) to a low of $1.18 per share(on December 23, 2022). During this time, we have not experienced any material changes in our financial condition or results of operationsthat would explain such price volatility or trading volume; however, we have sold equity which was dilutive to existing stockholders.These broad market fluctuations may adversely affect the trading price of our securities. Additionally, these and other external factorshave caused and may continue to cause the market price and demand for our common stock to fluctuate substantially, which may limit orprevent our stockholders from readily selling their shares of our common stock and may otherwise negatively affect the liquidity of ourcommon stock.
Informationavailable in public media that is published by third parties, including blogs, articles, message boards and social and other media mayinclude statements not attributable to us and may not be reliable or accurate.
Weare aware of a large volume of information being disseminated by third parties relating to our operations, including in blogs, messageboards and social and other media. Such information as reported by third parties may not be accurate, may lead to significant volatilityin our securities and may ultimately result in our common stock or other securities declining in value.
Ouroutstanding options and warrants may adversely affect the trading price of our securities.
As of May 3, 2023, we had (i) outstanding stockoptions to purchase an aggregate of 148,321 shares of common stock at a weighted average exercise price of $85.19 per share; (ii) outstandingwarrants to purchase 5,006,409 shares of common stock at a weighted average exercise price of $21.78 per share. For the life of the optionsand warrants, the holders have the opportunity to profit from a rise in the market price of our common stock without assuming the riskof ownership. The issuance of shares upon the exercise of outstanding securities will also dilute the ownership interests of our existingstockholders.
Theavailability of these shares for public resale, as well as any actual resales of these shares, could adversely affect the trading priceof our common stock. We cannot predict the size of future issuances of our common stock pursuant to the exercise of outstanding optionsor warrants or conversion of other securities, or the effect, if any, that future issuances and sales of shares of our common stock mayhave on the market price of our common stock. Sales or distributions of substantial amounts of our common stock (including shares issuedin connection with an acquisition), or the perception that such sales could occur, may cause the market price of our common stock todecline.
Inaddition, the common stock issuable upon exercise/conversion of outstanding convertible securities may represent overhang that may alsoadversely affect the market price of our common stock. Overhang occurs when there is a greater supply of a company’s stock in themarket than there is demand for that stock. When this happens the price of our stock will decrease, and any additional shares which stockholdersattempt to sell in the market will only further decrease the share price. If the share volume of our common stock cannot absorb sharessold by holders of our outstanding convertible securities, then the value of our common stock will likely decrease.
Ouroutstanding public warrants are significantly out of the money.
EachPublic Warrant entitles the holder to purchase one-fortieth of one share of common stock at an exercise price of $5.75 per 1/40thof one share ($230.00 per whole share), subject to adjustment. No fractional shares will be issued upon exercise of thePublic Warrants. The Public Warrants became exercisable 12 months from the closing of the IPO and expire five years after the completionof the Business Combination (November 6, 2025). The Public Warrants are significantly out of the money and because no fractional shareswill be issued upon exercise of the Public Warrants, the Public Warrants are only exercisable in multiples of 40. As a result, the PublicWarrants may not have any significant value. Additionally, warrant holders not holding at least 40 Public Warrants or who hold PublicWarrants which would be exercisable for a fractional share of common stock, must sell any warrants to obtain value from the fractionalinterest. As a result, the trading of the Public Warrants may be limited or sporadic, and such Public Warrants may not have any significantvalue. Any holder of Public Warrants holding less than 40 Public Warrants or a number of Public Warrants not evenly divisible by 40 willnot receive any common stock upon the exercise of Public Warrant, as no fractional shares of common stock are issuable upon exercisethereof.
Asignificant number of our shares are eligible for sale and their sale or potential sale may depress the market price of our common stock.
Sales of a significant number of shares of ourcommon stock in the public market could harm the market price of our common stock. Most of our common stock is available for resale inthe public market, including (a) options to purchase 148,321 shares of common stock with a weighted average exercise price of $85.19 pershare; and (b) warrants to purchase 5,006,409 shares of common stock with a weighted average exercise price of $21.78 per share. If asignificant number of shares were sold, such sales would increase the supply of our common stock, thereby potentially causing a decreasein its price. Some or all of our shares of common stock may be offered from time to time in the open market pursuant to effective registrationstatements and/or compliance with Rule 144, which sales could have a depressive effect on the market for our shares of common stock. Subjectto certain restrictions, a person who has held restricted shares for a period of six months may generally sell common stock into the market.The sale of a significant portion of such shares when such shares are eligible for public sale may cause the value of our common stockto decline in value.
Theremay not be sufficient liquidity in the market for our securities in order for investors to sell their shares. The market price of ourcommon stock may continue to be volatile.
Themarket price of our common stock will likely continue to be highly volatile. Some of the factors that may materially affect the marketprice of our common stock are beyond our control, such as conditions or trends in the industry in which we operate or sales of our commonstock. This situation is attributable to a number of factors, including the fact that we are a small company which is relatively unknownto stock analysts, stock brokers, institutional investors and others in the investment community that generate or influence sales volume,and that even if we came to the attention of such persons, they tend to be risk-averse and would be reluctant to follow an unproven companysuch as ours or purchase or recommend the purchase of our shares until such time as we became more seasoned and viable.
Asa consequence, there may be periods of several days or more when trading activity in our shares is minimal or non-existent, as comparedto a mature issuer which has a large and steady volume of trading activity that will generally support continuous sales without an adverseeffect on share price. It is possible that a broader or more active public trading market for our common stock will not develop or besustained, or that trading levels will not continue. These factors may materially adversely affect the market price of our common stock,regardless of our performance. In addition, the public stock markets have experienced extreme price and trading volume volatility. Thisvolatility has significantly affected the market prices of securities of many companies for reasons frequently unrelated to the operatingperformance of the specific companies. These broad market fluctuations may adversely affect the market price of our common stock.
Weface significant penalties and damages in the event registration statements we have previously filed to register certain securities soldin our prior offerings are subsequently suspended or terminated.
Pursuantto certain prior private offerings of securities, we entered into registration rights agreements which required us to file certain registrationstatements to register the resale of the privately sold shares and certain securities issuable upon exercise/conversion thereof, andto maintain the effectiveness of such registration statements for certain periods of time. To date, all such required registration statementshave been declared effective by the SEC. However, in the event the registration statements are subsequently suspended or terminated,or we otherwise fail to meet certain requirements set forth in the registration rights agreements, we could be required to pay significantpenalties which could adversely affect our cash flow and cause the value of our securities to decline in value.
Provisionsof the Warrants could discourage an acquisition of us by a third party.
Certainprovisions of the Warrants could make it more difficult or expensive for a third party to acquire us. The Warrants prohibit us from engagingin certain transactions constituting “fundamental transactions” unless, among other things, the surviving entity assumesour obligations under each of the July 2022 Common Warrants, the December 2022 Common Warrants and the April 2023 Common Warrants, asapplicable. Further, each of July 2022 Common Warrants, the December 2022 Common Warrants and the April 2023 Common Warrants providethat, in the event of certain transactions constituting “fundamental transactions,” with some exception, holders of suchwarrants will have the right, at their option, to require us to repurchase such warrants at a price described in the applicable warrants(based on the Black Scholes Value of such warrants). These and other provisions of the Warrants could prevent or deter a third partyfrom acquiring us even where the acquisition could be beneficial to stockholders.
Futuresales and issuances of our common stock or rights to purchase common stock, could result in additional dilution to our stockholders andcould cause the price of our common stock to decline.
Wemay issue additional common stock, convertible securities, or other equity in the future. We also issue common stock to our employees,directors, and other service providers pursuant to our equity incentive plans. Such issuances could be dilutive to investors and couldcause the price of our common stock to decline. New investors in such issuances could also receive rights senior to those of currentstockholders.
Resalesof our common stock in the public market may cause the market price of our common stock to fall.
Salesof a substantial number of shares of our common stock could occur at any time. The issuance of new shares of our common stock could resultin resales of our common stock by our current stockholders concerned about the potential ownership dilution of their holdings. In turn,these resales could have the effect of depressing the market price for our common stock.
Futuresales of our common stock could cause our stock price to decline.
Ifour stockholders sell substantial amounts of our common stock in the public market, the market price of our common stock could decreasesignificantly. The perception in the public market that our stockholders might sell shares of our common stock could also depress themarket price of our common stock. Up to $125,000,000 in total aggregate value of securities have been registered by us on a “shelf”registration statement on Form S-3 that we filed with the Securities and Exchange Commission on June 3, 2022, and which was declaredeffective on June 24, 2022. As of March 28, 2023, there is an aggregate of over $6.0 million in securities which are eligible for salein the public markets from time to time. Additionally, if our existing stockholders sell, or indicate an intention to sell, substantialamounts of our common stock in the public market, the trading price of our common stock could decline significantly. The market pricefor shares of our common stock may drop significantly when such securities are sold in the public markets. A decline in the price ofshares of our common stock might impede our ability to raise capital through the issuance of additional shares of our common stock orother equity securities.
Risks Associatedwith Our Governing Documents and Delaware Law
OurCertificate of Incorporation provides for indemnification of officers and directors at our expense and limits their liability, whichmay result in a major cost to us and hurt the interests of our stockholders because corporate resources may be expended for the benefitof officers or directors.
OurCertificate of Incorporation provides for indemnification as follows: “To the fullest extent permitted by applicable law, the Corporationis authorized to provide indemnification of, and advancement of expenses to, such agents of the Corporation (and any other persons towhich Delaware law permits the Corporation to provide indemnification) through Bylaw provisions, agreements with such agents or otherpersons, vote of stockholders or disinterested directors or otherwise, in excess of the indemnification and advancement otherwise permittedby Section 145 of the Delaware General Corporation Law, subject only to limits created by applicable Delaware law (statutory or non-statutory),with respect to actions for breach of duty to the Corporation, its stockholders and others.”
Wehave been advised that, in the opinion of the SEC, indemnification for liabilities arising under federal securities laws is against publicpolicy as expressed in the Securities Act and is, therefore, unenforceable. In the event that a claim for indemnification for liabilitiesarising under federal securities laws, other than the payment by us of expenses incurred or paid by a director, officer or controllingperson in the successful defense of any action, suit or proceeding, is asserted by a director, officer or controlling person in connectionwith our activities, we will (unless in the opinion of our counsel, the matter has been settled by controlling precedent) submit to acourt of appropriate jurisdiction, the question whether indemnification by us is against public policy as expressed in the SecuritiesAct and will be governed by the final adjudication of such issue. The legal process relating to this matter if it were to occur is likelyto be very costly and may result in us receiving negative publicity, either of which factors is likely to materially reduce the marketand price for our shares.
OurCertificate of Incorporation contains a specific provision that limits the liability of our directors for monetary damages to us andour stockholders and requires us, under certain circumstances, to indemnify officers, directors and employees.
Thelimitation of monetary liability against our directors, officers and employees under Delaware law and the existence of indemnificationrights to them may result in substantial expenditures by us and may discourage lawsuits against our directors, officers and employees.
OurCertificate of Incorporation contains a specific provision that limits the liability of our directors for monetary damages to us andour stockholders. We also have contractual indemnification obligations under our employment and engagement agreements with our executiveofficers and directors. The foregoing indemnification obligations could result in us incurring substantial expenditures to cover thecost of settlement or damage awards against our directors and officers, which we may be unable to recoup. These provisions and resultantcosts may also discourage us from bringing a lawsuit against our directors and officers for breaches of their fiduciary duties and maysimilarly discourage the filing of derivative litigation by our stockholders against our directors and officers, even though such actions,if successful, might otherwise benefit us and our stockholders.
Ourdirectors have the right to authorize the issuance of shares of preferred stock and additional shares of our common stock.
Ourdirectors, within the limitations and restrictions contained in our Certificate of Incorporation and without further action by our stockholders,have the authority to issue shares of preferred stock from time to time in one or more series and to fix the number of shares and therelative rights, conversion rights, voting rights, and terms of redemption, liquidation preferences and any other preferences, specialrights and qualifications of any such series. Any issuance of shares of preferred stock could adversely affect the rights of holdersof our common stock. Should we issue additional shares of our common stock at a later time, each investor’s ownership interestin our stock would be proportionally reduced.
Anti-takeoverprovisions in our Certificate of Incorporation and our Amended and Restated Bylaws, as well as provisions of Delaware law, might discourage,delay or prevent a change in control of our company or changes in our management and, therefore, depress the trading price of our commonstock.
OurCertificate of Incorporation and our Amended and Restated Bylaws and Delaware law contain provisions that may discourage, delay or preventa merger, acquisition or other change in control that stockholders may consider favorable, including transactions in which you mightotherwise receive a premium for your shares of our common stock or warrants. These provisions may also prevent or delay attempts by ourstockholders to replace or remove our management. Our corporate governance documents include the following provisions:
| ● | a classified board of directors, as a result of which our Board is divided into two classes, with each class serving for staggered two-year terms; |
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| ● | the removal of directors only for cause; |
| ● | requiring advance notice of stockholder proposals for business to be conducted at meetings of our stockholders and for nominations of candidates for election to our Board; |
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| ● | prohibiting stockholders’ ability to take action via written consents to action; |
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| ● | providing that special meeting of stockholders may be called only by the Chairman of the Board, Chief Executive Officer, or the Board pursuant to a resolution adopted by a majority of the Board; |
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| ● | authorizing blank check preferred stock, which could be issued with voting, liquidation, dividend and other rights superior to our common stock; and |
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| ● | limiting the liability of, and providing indemnification to, our directors and officers. |
Asa Delaware corporation, we are also subject to provisions of Delaware law, including Section 203 of the Delaware General CorporationLaw, which limits the ability of stockholders holding shares representing more than 15% of the voting power of our outstanding votingstock from engaging in certain business combinations with us. Any provision of our Certificate of Incorporation or our Amended and RestatedBylaws or Delaware law that has the effect of delaying or deterring a change in control could limit the opportunity for our stockholdersto receive a premium for their shares of our common stock and could also affect the price that some investors are willing to pay forour common stock.
Theexistence of the foregoing provisions and anti-takeover measures could limit the price that investors might be willing to pay in thefuture for shares of our common stock or warrants. They could also deter potential acquirers of our company, thereby reducing the likelihoodthat you could receive a premium for your common stock or warrants in an acquisition.
OurCertificate of Incorporation contains exclusive forum provisions that may discourage lawsuits against us and our directors and officers.
OurCertificate of Incorporation provides that unless the corporation consents in writing to the selection of an alternative forum, the Courtof Chancery of the State of Delaware, will be the sole and exclusive forum for (i) any derivative action or proceeding brought on behalfof us, (ii) any action asserting a claim for breach of a fiduciary duty owed by any current or former director, officer, employee orstockholder of the Company to us or our stockholders, (iii) any action asserting a claim arising pursuant to any provision of the DelawareGeneral Corporation Law, our Certificate of Incorporation or Bylaws, or (iv) any action asserting a claim governed by the internal affairsdoctrine.
Thechoice of forum provision in our Certificate of Incorporation does not waive our compliance with our obligations under the federal securitieslaws and the rules and regulations thereunder. Moreover, the provision does not apply to suits brought to enforce a duty or liabilitycreated by the Exchange Act or by the Securities Act. Section 27 of the Exchange Act creates exclusive federal jurisdiction over allsuits brought to enforce any duty or liability created by the Exchange Act or the rules and regulations thereunder, and Section 22 ofthe Securities Act creates concurrent jurisdiction for federal and state courts with respect to suits brought to enforce a duty or liabilitycreated by the Securities Act or the rules and regulations thereunder. Accordingly, both state and federal courts have jurisdiction toentertain claims under the Securities Act.
Theseexclusive forum provisions may limit the ability of our stockholders to bring a claim in a judicial forum that such stockholders findfavorable for disputes with us or our directors or officers, which may discourage such lawsuits against us and our directors and officers.Alternatively, if a court were to find one or more of these exclusive forum provisions inapplicable to, or unenforceable in respect of,one or more of the specified types of actions or proceedings described above, we may incur additional costs associated with resolvingsuch matters in other jurisdictions or forums, which could materially and adversely affect our business, financial condition or resultsof operations.
OurCertificate of Incorporation contains provisions whereby we renounced any interest in any corporate opportunity offered to any directoror officer, subject to certain exceptions.
OurSection Amended and Restated Certificate of Incorporation, as amended, provides that to the extent allowed by law, the doctrine of corporateopportunity, or any other analogous doctrine, does not apply with respect to us or any of our officers or directors, or any of theirrespective affiliates, and that we renounce any expectancy that any of our directors or officers will offer any such corporate opportunityof which he or she may become aware to us, except that the doctrine of corporate opportunity shall apply with respect to any of our directorsor officers only with respect to a corporate opportunity (i) that was offered to such person solely in his or her capacity as a our directoror officer, (ii) that is one we are legally and contractually permitted to undertake and would otherwise be reasonable for us to pursue,and (iii) to the extent the director or officer is permitted to refer such opportunity to us without violating any legal obligation.
Additionally,each of our officers and directors presently has, and any of them in the future may have, additional fiduciary or contractual obligationsto other entities pursuant to which such officer or director may be required to present a business opportunity to such entity, subjectto his or her fiduciary duties under applicable law. Accordingly, there may arise conflicts of interest in whether to present a potentialbusiness combination opportunity to our company. These conflicts may not be resolved in our favor. Our renouncement of corporate opportunitiesmay have a material adverse effect on our results of operations moving forward and/or create conflicts of interest or perceived conflictsof interest which may have a material adverse effect on the value of our securities.
Ourdirectors allocate their time to other businesses thereby causing conflicts of interest in their determination as to how much time todevote to our affairs.
Ourdirectors are not required to, and do not, commit their full time to our affairs, and certain of our directors hold positions, includingother directorships, with other companies in the life sciences industry, which may result in a conflict of interest in allocating theirtime between our operations and others which they provide services to. If our directors’ other business affairs require them todevote substantial amounts of time to such affairs in excess of their current commitment levels, it could limit their ability to devotetime to our affairs which may have a negative impact on our operations. Additionally, such persons may have conflicts of interest inallocating their time among various business activities. These conflicts may not be resolved in our favor. Additionally, our directorsmay, because of our corporate opportunity waiver, discussed above, may choose to, or be required to, provide corporate opportunitiesto the other companies which they are affiliated with. Actual or perceived conflicts of interest may have a material adverse effect onour results of operations which may have a material adverse effect on the value of our securities.
Compliance,Reporting and Listing Risks
Weincur significant costs to ensure compliance with U.S. and Nasdaq reporting and corporate governance requirements.
Weincur significant costs associated with our public company reporting requirements and with applicable U.S. and Nasdaq corporate governancerequirements, including requirements under the Sarbanes-Oxley Act of 2002 and other rules implemented by the SEC and Nasdaq. The rulesof Nasdaq include requiring us to maintain independent directors, comply with other corporate governance requirements and pay annuallisting and stock issuance fees. All of such SEC and Nasdaq obligations require a commitment of additional resources including, but notlimited, to additional expenses, and may result in the diversion of our senior management’s time and attention from our day-to-dayoperations. We expect all of these applicable rules and regulations to significantly increase our legal and financial compliance costsand to make some activities more time consuming and costly. We also expect that these applicable rules and regulations may make it moredifficult and more expensive for us to obtain director and officer liability insurance and we may be required to accept reduced policylimits and coverage or incur substantially higher costs to obtain the same or similar coverage. As a result, it may be more difficultfor us to attract and retain qualified individuals to serve on our Board or as executive officers.
Weincur increased costs as a result of being a reporting company, and given our limited capital resources, such additional costs may havean adverse impact on our profitability.
Weare an SEC-reporting company. The rules and regulations under the Exchange Act require reporting companies to provide periodic reportswith interactive data files, which require that we engage legal, accounting and auditing professionals, and eXtensible Business ReportingLanguage (XBRL) and EDGAR (Electronic Data Gathering, Analysis, and Retrieval) service providers. The engagement of such services canbe costly, and we may continue to incur additional losses, which may adversely affect our ability to continue as a going concern. Inaddition, the Sarbanes-Oxley Act of 2002, as well as a variety of related rules implemented by the SEC, have required changes in corporategovernance practices and generally increased the disclosure requirements of public companies. For example, as a result of being a reportingcompany, we are required to file periodic and current reports and other information with the SEC and we have adopted policies regardingdisclosure controls and procedures and regularly evaluate those controls and procedures.
Theadditional costs we continue to incur in connection with being a reporting company (expected to be several hundred thousand dollars peryear) will continue to further stretch our limited capital resources. Due to our limited resources, we have to allocate resources awayfrom other productive uses in order to continue to comply with our obligations as an SEC reporting company. Further, there is no guaranteethat we will have sufficient resources to continue to meet our reporting and filing obligations with the SEC as they come due.
Wehave not been in compliance in the past with the continued listing standards of Nasdaq and may not be able to comply with Nasdaq’scontinued listing standards in the future.
Ourcommon stock and Public Warrants trade on Nasdaq under the symbols “ATNF” and “ATNFW,” respectively. Notwithstandingsuch listing, there can be no assurance any broker will be interested in trading our securities. Therefore, it may be difficult to sellour securities publicly. There is also no guarantee that we will be able to maintain our listings on Nasdaq for any period of time byperpetually satisfying Nasdaq’s continued listing requirements. While we are currently in compliance with Nasdaq’s continuedlisting standards, we have in the past been out of compliance with such continued listing standards and our failure to continue to meetthese requirements may result in our securities being delisted from Nasdaq.
Conditionsrequired for continued listing on Nasdaq include requiring that we maintain at least $2.5 million in stockholders’ equity, $35million of market value of listed securities, or $500,000 in net income over the prior two years or two of the prior three years, havinga majority of independent directors, a three member audit committee (consisting of all independent directors), and maintaining a bidprice above $1.00 per share. Our stockholders’ equity may not remain above Nasdaq’s $2.5 million minimum, our market valueof listed securities may not remain above $35 million, we may not generate over $500,000 of yearly net income, and we may not be ableto maintain independent directors or maintain a stock price above $1.00.
Ifwe fail to comply with Nasdaq rules and requirements, our stock may be delisted. In addition, even if we demonstrate compliance withthe requirements above, we will have to continue to meet other objective and subjective listing requirements to continue to be listedon Nasdaq. Delisting from Nasdaq could make trading our common stock and/or Public Warrants more difficult for investors, potentiallyleading to declines in our share price and liquidity. Without a Nasdaq listing, stockholders may have a difficult time getting a quotefor the sale or purchase of our stock, the sale or purchase of our stock would likely be made more difficult and the trading volume andliquidity of our stock could decline. Delisting from Nasdaq could also result in negative publicity and could also make it more difficultfor us to raise additional capital. The absence of such a listing may adversely affect the acceptance of our common stock and/or PublicWarrants as currency or the value accorded by other parties. Further, if we are delisted, we would also incur additional costs understate blue sky laws in connection with any sales of our securities. These requirements could severely limit the market liquidity of ourcommon stock and/or Public Warrants and the ability of our stockholders to sell our common stock and/or Public Warrants in the secondarymarket. If our common stock and/or Public Warrants are delisted by Nasdaq, our common stock and/or Public Warrants may be eligible totrade on an over-the-counter quotation system, such as the OTCQB Market, where an investor may find it more difficult to sell our stockor obtain accurate quotations as to the market value of our common stock and/or Public Warrants. In the event our common stock and/orPublic Warrants are delisted from Nasdaq, we may not be able to list our common stock and/or Public Warrants on another national securitiesexchange or obtain quotation on an over-the counter quotation system.
GeneralRisk Factors
Provisionsin our Certificate of Incorporation and Delaware law may inhibit a takeover of us, which could limit the price investors might be willingto pay in the future for our common stock and could entrench management.
OurCertificate of Incorporation contains provisions that may discourage unsolicited takeover proposals that stockholders may consider tobe in their best interests. These provisions include a staggered board of directors and the ability of our Board to designate the termsof and issue new series of preferred shares, which may make it more difficult for the removal of management and may discourage transactionsthat otherwise could involve payment of a premium over prevailing market prices for our securities. We are also subject to anti-takeoverprovisions under Delaware law, which could delay or prevent a change of control of the Company. Together, these provisions may make itmore difficult for the removal of management and may discourage transactions that otherwise could involve payment of a premium over prevailingmarket prices for our securities.
Failureto adequately manage our planned aggressive growth strategy may harm our business or increase our risk of failure.
Forthe foreseeable future, we intend to pursue an aggressive growth strategy for the expansion of our operations through increased productdevelopment and marketing. Our ability to rapidly expand our operations will depend upon many factors, including our ability to workin a regulated environment, market value-added products effectively to independent pharmacies, establish and maintain strategic relationshipswith suppliers, and obtain adequate capital resources on acceptable terms. Any restrictions on our ability to expand may have a materiallyadverse effect on our business, results of operations, and financial condition. Accordingly, we may be unable to achieve our targetsfor sales growth, and our operations may not be successful or achieve anticipated operating results.
Additionally,our growth may place a significant strain on our managerial, administrative, operational, and financial resources and our infrastructure.Our future success will depend, in part, upon the ability of our senior management to manage growth effectively. This will require usto, among other things:
| ● | implement additional management information systems; |
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| ● | further develop our operating, administrative, legal, financial, and accounting systems and controls; |
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| ● | hire additional personnel; |
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| ● | develop additional levels of management within our company; |
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| ● | locate additional office space; |
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| ● | maintain close coordination among our engineering, operations, legal, finance, sales and marketing, and client service and support organizations; and |
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| ● | manage our expanding international operations. |
Asa result, we may lack the resources to deploy our services on a timely and cost-effective basis. Failure to accomplish any of these requirementscould impair our ability to deliver services in a timely fashion or attract and retain new customers.
Ourproprietary information, or that of our customers, suppliers and business partners, may be lost or we may suffer security breaches.
Inthe ordinary course of our business, we expect to collect and store sensitive data, including valuable and commercially sensitive intellectualproperty, clinical trial data, our proprietary business information and that of our future customers, suppliers and business partners,and personally identifiable information of our customers, clinical trial subjects and employees, patients, in our data centers and onour networks. The secure processing, maintenance and transmission of this information is critical to our operations. Despite our securitymeasures, our information technology and infrastructure may be vulnerable to attacks by hackers or breached due to employee error, malfeasanceor other disruptions. Any such breach could compromise our networks and the information stored there could be accessed, publicly disclosed,lost or stolen. Any such access, disclosure or other loss of information could result in legal claims or proceedings, liability underlaws that protect the privacy of personal information, regulatory penalties, disrupt our operations, damage our reputation, and causea loss of confidence in our products and our ability to conduct clinical trials, which could adversely affect our business and reputationand lead to delays in gaining regulatory approvals for our future product candidates. Although we maintain business interruption insurancecoverage, our insurance might not cover all losses from any future breaches of our systems.
Failureof our information technology systems, including cybersecurity attacks or other data security incidents, could significantly disruptthe operation of our business.
Ourbusiness increasingly depends on the use of information technologies, which means that certain key areas such as research and development,production and sales are to a large extent dependent on our information systems or those of third-party providers. Our ability to executeour business plan and to comply with regulators’ requirements with respect to data control and data integrity, depends, in part,on the continued and uninterrupted performance of our information technology systems, or IT systems and the IT systems supplied by third-partyservice providers. As information systems and the use of software and related applications by our company, our business partners, suppliers,and customers become more cloud-based, there has been an increase in global cybersecurity vulnerabilities and threats, including moresophisticated and targeted cyber-related attacks that pose a risk to the security of our information systems and networks and the confidentiality,availability and integrity of data and information. In addition, our IT systems are vulnerable to damage from a variety of sources, includingtelecommunications or network failures, malicious human acts and natural disasters. Moreover, despite network security and backup measures,some of our servers are potentially vulnerable to physical or electronic break-ins, computer viruses and similar disruptive problems.Despite the precautionary measures we and our third-party service providers have taken to prevent unanticipated problems that could affectour IT systems, a successful cybersecurity attack or other data security incident could result in the misappropriation and/or loss ofconfidential or personal information, create system interruptions, or deploy malicious software that attacks our systems. It is alsopossible that a cybersecurity attack might not be noticed for some period of time. In addition, sustained or repeated system failuresor problems arising during the upgrade of any of our IT systems that interrupt our ability to generate and maintain data, and in particularto operate our proprietary technology platform, could adversely affect our ability to operate our business. The occurrence of a cybersecurityattack or incident could result in business interruptions from the disruption of our IT systems, or negative publicity resulting in reputationaldamage with our stockholders and other stakeholders and/or increased costs to prevent, respond to or mitigate cybersecurity events. Inaddition, the unauthorized dissemination of sensitive personal information or proprietary or confidential information could expose usor other third–parties to regulatory fines or penalties, litigation and potential liability, or otherwise harm our business.
Wemay acquire other companies which could divert our management’s attention, result in additional dilution to our stockholders andotherwise disrupt our operations and harm our operating results.
Wemay in the future seek to acquire businesses, products or technologies that we believe could complement or expand our product offerings,enhance our technical capabilities or otherwise offer growth opportunities. The pursuit of potential acquisitions may divert the attentionof management and cause us to incur various expenses in identifying, investigating and pursuing suitable acquisitions, whether or notthey are consummated. If we acquire additional businesses, we may not be able to integrate the acquired personnel, operations and technologiessuccessfully, effectively manage the combined business following the acquisition or realize anticipated cost savings or synergies. Wealso may not achieve the anticipated benefits from the acquired business due to a number of factors, including:
| ● | incurrence of acquisition-related costs; |
| ● | diversion of management’s attention from other business concerns; |
| ● | unanticipated costs or liabilities associated with the acquisition; |
| ● | harm to our existing business relationships with collaboration partners as a result of the acquisition; |
| ● | harm to our brand and reputation; |
| ● | the potential loss of key employees; |
| ● | use of resources that are needed in other parts of our business; and |
| ● | use of substantial portions of our available cash to consummate the acquisition. |
Inthe future, if our acquisitions do not yield expected returns, we may be required to take charges to our operating results arising fromthe impairment assessment process. Acquisitions may also result in dilutive issuances of equity securities or the incurrence of debt,which could adversely affect our operating results. In addition, if an acquired business fails to meet our expectations, our business,results of operations and financial condition may be adversely affected.
Ifwe make any acquisitions, they may disrupt or have a negative impact on our business.
Ifwe make acquisitions in the future, funding permitting, which may not be available on favorable terms, if at all, we could have difficultyintegrating the acquired company’s assets, personnel and operations with our own. We do not anticipate that any acquisitions ormergers we may enter into in the future would result in a change of control of the Company. In addition, the key personnel of the acquiredbusiness may not be willing to work for us. We cannot predict the effect expansion may have on our core business. Regardless of whetherwe are successful in making an acquisition, the negotiations could disrupt our ongoing business, distract our management and employeesand increase our expenses. In addition to the risks described above, acquisitions are accompanied by a number of inherent risks, including,without limitation, the following:
| ● | the difficulty of integrating acquired products, services or operations; |
| ● | the potential disruption of the ongoing businesses and distraction of our management and the management of acquired companies; |
| ● | difficulties in maintaining uniform standards, controls, procedures and policies; |
| ● | the potential impairment of relationships with employees and customers as a result of any integration of new management personnel; |
| ● | the potential inability or failure to achieve additional sales and enhance our customer base through cross-marketing of the products to new and existing customers; |
| ● | the effect of any government regulations which relate to the business acquired; |
| ● | potential unknown liabilities associated with acquired businesses or product lines, or the need to spend significant amounts to retool, reposition or modify the marketing and sales of acquired products or operations, or the defense of any litigation, whether or not successful, resulting from actions of the acquired company prior to our acquisition; and |
| ● | potential expenses under the labor, environmental and other laws of various jurisdictions. |
Ourbusiness could be severely impaired if and to the extent that we are unable to succeed in addressing any of these risks or other problemsencountered in connection with an acquisition, many of which cannot be presently identified. These risks and problems could disrupt ourongoing business, distract our management and employees, increase our expenses and adversely affect our results of operations.
Wemay apply working capital and future funding to uses that ultimately do not improve our operating results or increase the value of oursecurities.
Ingeneral, we have complete discretion over the use of our working capital and any new investment capital we may obtain in the future.Because of the number and variety of factors that could determine our use of funds, our ultimate expenditure of funds (and their uses)may vary substantially from our current intended operating plan for such funds.
Weintend to use existing working capital and future funding to support the development of our products and services, product purchasesin our wholesale distribution division, the expansion of our marketing, or the support of operations to educate our customers. We willalso use capital for market and network expansion, acquisitions, and general working capital purposes. However, we do not have more specificplans for the use and expenditure of our capital. Our management has broad discretion to use any or all of our available capital reserves.Our capital could be applied in ways that do not improve our operating results or otherwise increase the value of a stockholder’sinvestment.
Wehave never paid or declared any dividends on our common stock.
Wehave never paid or declared any dividends on our common stock or preferred stock. Likewise, we do not anticipate paying, in the nearfuture, dividends or distributions on our common stock. Any future dividends on common stock will be declared at the discretion of ourBoard and will depend, among other things, on our earnings, our financial requirements for future operations and growth, and other factsas we may then deem appropriate. Since we do not anticipate paying cash dividends on our common stock, return on your investment, ifany, will depend solely on an increase, if any, in the market value of our common stock.
Stockholdersmay be diluted significantly through our efforts to obtain financing and satisfy obligations through the issuance of additional sharesof our common stock.
Whereverpossible, our Board will attempt to use non-cash consideration to satisfy obligations. In many instances, we believe that the non-cashconsideration will consist of restricted shares of our common stock or where shares are to be issued to our officers, directors and applicableconsultants. Our Board of Directors has authority, without action or vote of the stockholders, but subject to Nasdaq rules and regulations(which generally require stockholder approval for any transactions which would result in the issuance of more than 20% of our then outstandingshares of common stock or voting rights representing over 20% of our then outstanding shares of stock, subject to certain exceptions),to issue all or part of the authorized but unissued shares of common stock. In addition, we may attempt to raise capital by selling sharesof our common stock, possibly at a discount to market. These actions will result in dilution of the ownership interests of existing stockholders,which may further dilute common stock book value, and that dilution may be material. Such issuances may also serve to enhance existingmanagement’s ability to maintain control of the Company because the shares may be issued to parties or entities committed to supportingexisting management.
Ourgrowth depends in part on the success of our strategic relationships with third parties.
Inorder to grow our business, we anticipate that we will need to continue to depend on our relationships with third parties, includingour technology providers. Identifying partners, and negotiating and documenting relationships with them, requires significant time andresources. Our competitors may be effective in providing incentives to third parties to favor their products or services, or utilizationof, our products and services. In addition, acquisitions of our partners by our competitors could result in a decrease in the numberof our current and potential customers. If we are unsuccessful in establishing or maintaining our relationships with third parties, ourability to compete in the marketplace or to grow our revenue could be impaired and our results of operations may suffer. Even if we aresuccessful, we cannot assure you that these relationships will result in increased customer use of our products or increased revenue.
Claims,litigation, government investigations, and other proceedings may adversely affect our business and results of operations.
Weare currently subject to, and expect to continue to be regularly subject to, actual and threatened claims, litigation, reviews, investigations,and other proceedings. In addition, we have filed lawsuits against certain parties for matters we discovered which related to KBL, priorto the Business Combination. Any of these types of proceedings may have an adverse effect on us because of legal costs, disruption ofour operations, diversion of management resources, negative publicity, and other factors. Our current legal proceedings are describedin “Certain Relationships and Related Party Transactions – Related Party Litigation” and “Note 11 - Commitmentsand Contingencies”, under the heading “Litigation and Other Loss Contingencies”, in the consolidated financial statementsincluded herein beginning on page F-1. The outcomes of these matters are inherently unpredictable and subject to significant uncertainties.Determining legal reserves and possible losses from such matters involves judgment and may not reflect the full range of uncertaintiesand unpredictable outcomes. Until the final resolution of such matters, we may be exposed to losses in excess of the amount recorded,and such amounts could be material. Should any of our estimates and assumptions change or prove to have been incorrect, it could havea material effect on our business, consolidated financial position, results of operations, or cash flows. In addition, it is possiblethat a resolution of one or more such proceedings, including as a result of a settlement, could require us to make substantial futurepayments, prevent us from offering certain products or services, require us to change our business practices in a manner materially adverseto our business, requiring development of non-infringing or otherwise altered products or technologies, damaging our reputation, or otherwisehaving a material effect on our operations.
Changesin laws or regulations, or a failure to comply with any laws and regulations, may adversely affect our business, investments and resultsof operations.
Weare subject to laws, regulations and rules enacted by national, regional and local governments. In particular, we are required to complywith certain SEC, Nasdaq and other legal or regulatory requirements. Compliance with, and monitoring of, applicable laws, regulationsand rules may be difficult, time consuming and costly. Those laws, regulations and rules and their interpretation and application mayalso change from time to time and those changes could have a material adverse effect on our business, investments and results of operations.In addition, a failure to comply with applicable laws, regulations and rules, as interpreted and applied, could have a material adverseeffect on our business and results of operations.
Certainof our executive officers and directors are now, and all of them may in the future become, affiliated with entities engaged in businessactivities similar to those conducted by us and, accordingly, may have conflicts of interest in determining to which entity a particularbusiness opportunity should be presented.
Ourexecutive officers and directors are, or may in the future become, affiliated with entities that are engaged in business activities similarto those that are conducted by us. Our officers and directors also may become aware of business opportunities which may be appropriatefor presentation to us and the other entities to which they owe certain fiduciary or contractual duties. Accordingly, they may have conflictsof interest in determining whether a particular business opportunity should be presented to our company or to another entity. These conflictsmay not be resolved in our favor and a potential opportunity may be presented to another entity prior to its presentation to us. OurCertificate of Incorporation provides that we renounce our interest in any corporate opportunity offered to any director or officer unlesssuch opportunity is expressly offered to such person solely in his or her capacity as a director or officer of our company and such opportunityis one we are legally and contractually permitted to undertake and would otherwise be reasonable for us to pursue.
Ourexecutive officers, directors, security holders and their respective affiliates may have competitive pecuniary interests that conflictwith our interests.
Wehave not adopted a policy that expressly prohibits our directors, executive officers, security holders or affiliates from having a director indirect pecuniary or financial interest in any investment to be acquired or disposed of by us or in any transaction to which we area party or have an interest. In fact, we may enter into a strategic transaction with a target business that is affiliated with our directorsor executive officers. Nor do we have a policy that expressly prohibits any such persons from engaging for their own account in businessactivities of the types conducted by us. Accordingly, such persons or entities may have a conflict between their interests and ours.Certain of our officers and directors hold positions with companies which may be competitors of us. See also the biographies of our officersand directors below under “Management”.
Ourbusiness has been, and may continue to be, adversely affected by the COVID-19 pandemic.
InDecember 2019, a novel strain of coronavirus (COVID-19) was reported to have surfaced in Wuhan, China. In January 2020, COVID-19 spreadto other parts of the word, including the United States and Europe, and efforts to contain its spread have intensified, with varyingdegrees of success. As a result, businesses have closed and limits have been placed on travel and everyday activities. The extent towhich COVID-19 may impact our business will depend on future developments, which are highly uncertain and cannot be predicted with confidence,such as the duration of the outbreak, travel restrictions and social distancing in the United States and other countries, business closuresor business disruptions, and the effectiveness of actions taken in the United States and other countries to contain and treat the disease.Should the COVID-19 pandemic continue, our plans could be delayed or interrupted. The spread of COVID-19 has also created global economicuncertainty, which may cause partners, suppliers and potential customers to closely monitor their costs and reduce their spending budget.The foregoing could materially adversely affect the clinical trials, supply chain, financial condition and financial performance of ourcompany.
Enrollmentof patients in our clinical trials, maintaining patients in our ongoing clinical trials, doing follow up visits with recruited patientsand collecting data have been, and may continue to be, delayed or limited as certain of our clinical trial sites limit their onsite staffor temporarily close as a result of the COVID-19 pandemic and ongoing government restrictions. In addition, patients may not be ableor willing to visit clinical trial sites for dosing or data collection purposes due to limitations on travel and physical distancingimposed or recommended by federal or state governments or patients’ reluctance to visit the clinical trial sites during the pandemic.These factors resulting from the COVID-19 pandemic could delay or prevent the anticipated readouts from our clinical trials, which couldultimately delay or prevent our ability to generate revenues and could have a material adverse effect on our results of operations. Theforegoing could materially adversely affect the clinical trials, supply chain, financial condition and financial performance of our company.
Additionally,our Frozen Shoulder trial has been adversely affected. The trial was opened to recruitment at the end of May 2022 following delays ingaining approvals due to backlogs in the National Institute of Health Research (NIHR) system due to COVID-19 and consequential staffvacancies. Nine participants were recruited for participation in the trial through mid-February 2023. The U.K. research system has facedunprecedented challenges following the COVID-19 pandemic both in terms of support services and at the point of delivery of clinical care.This has resulted in the NIHR instituting their Recovery and Reset program to identify and close trials that are facing challenges. OurFrozen Shoulder trial was considered to be one of such trials, due to the considerable challenges we faced to open recruitment sitesand enroll sufficient participants. Therefore, the NIHR has asked the chief investigators to close the trial for further recruitment.This closure or future closures or difficulties relating to the recruitment of participants in future studies could have a material adverseeffect on our ability to complete studies, the timeline for future drugs and our ability to generate revenues and support our operations.
Wemay be adversely affected by climate change or by legal, regulatory or market responses to such change.
Thelong-term effects of climate change are difficult to predict; however, such effects may be widespread. Impacts from climate change mayinclude physical risks (such as rising sea levels or frequency and severity of extreme weather conditions-which may affect our currentoperations due to among other things, the fact that a majority of our operations we are based in California, which is prone to inclementweather), social and human effects (such as population dislocations or harm to health and well-being), compliance costs and transitionrisks (such as regulatory or technology changes) and other adverse effects. The effects of climate change could increase the cost ofcertain products, commodities and energy (including utilities), which in turn may impact our ability to procure goods or services requiredfor the operation of our business. Climate change could also lead to increased costs as a result of physical damage to or destructionof our facilities, loss of inventory, and business interruption due to weather events that may be attributable to climate change. Theseevents and impacts could materially adversely affect our business operations, financial position or results of operation.
Environmental,social and governance matters may impact our business and reputation.
Governmentalauthorities, non-governmental organizations, customers, investors, external stakeholders and employees are increasingly sensitive toenvironmental, social and governance, or ESG, concerns, such as diversity and inclusion, climate change, water use, recyclability orrecoverability of packaging, and plastic waste. This focus on ESG concerns may lead to new requirements that could result in increasedcosts associated with developing, manufacturing and distributing our products. Our ability to compete could also be affected by changingcustomer preferences and requirements, such as growing demand for more environmentally friendly products, packaging or supplier practices,or by failure to meet such customer expectations or demand. We risk negative stockholder reaction, including from proxy advisory services,as well as damage to our brand and reputation, if we do not act responsibly, or if we are perceived to not be acting responsibly in keyESG areas, including equitable access to medicines, product quality and safety, diversity and inclusion, environmental stewardship, supportfor local communities, corporate governance and transparency, and addressing human capital factors in our operations. If we do not meetthe ESG expectations of our investors, customers and other stakeholders, we could experience reduced demand for our products, loss ofcustomers, and other negative impacts on our business and results of operations.
TheUnited Kingdom’s withdrawal from the European Union could result in increased regulatory and legal complexity, which may make itmore difficult for us to do business in the United Kingdom and/or Europe and impose additional challenges in securing regulatory approvalof our product candidates in the United Kingdom and/or Europe.
TheUnited Kingdom’s exit from the European Union as of January 31, 2020, with a transitional period up to December 31, 2020, commonlyreferred to as “Brexit”, has caused political and economic uncertainty, including in the regulatory framework applicableto our operations and product candidates in the United Kingdom and the European Union, and this uncertainty may persist for years. Brexitcould, among other outcomes, disrupt the free movement of goods, services and people between the United Kingdom and the European Union,and result in increased legal and regulatory complexities, as well as potential higher costs of conducting business in Europe. As oneof the Brexit consequences, the EMA has relocated from the United Kingdom to the Netherlands. This has led to a significant reductionof the EMA workforce, which has resulted and could further result in significant disruption and delays in its administrative procedures,such as granting clinical trial authorization or opinions for marketing authorization, disruption of importation and export of activesubstance and other components of new drug formulations, and disruption of the supply chain for clinical trial product and final authorizedformulations.
Thecumulative effects of the disruption to the regulatory framework may add considerably to the development lead time to marketing authorizationand commercialization of products in the European Union and/or the United Kingdom It is possible that there will be increased regulatorycomplexities, which can disrupt the timing of our clinical trials and regulatory approvals. In addition, changes in, and legal uncertaintywith regard to, national and international laws and regulations may present difficulties for our clinical and regulatory strategy. Anydelay in obtaining, or an inability to obtain, any marketing approvals, as a result of Brexit or otherwise, would prevent us from commercializingour product candidates in the United Kingdom and/or the European Union and restrict our ability to generate revenues and achieve andsustain profitability.
Inaddition, as a result of Brexit, other European countries may seek to conduct referenda with respect to their continuing membership withthe European Union. Given these possibilities and others we may not anticipate, as well as the absence of comparable precedent, it isunclear what financial, regulatory and legal implications the withdrawal of the United Kingdom from the European Union will have, howsuch withdrawal will affect us, and the full extent to which our business could be adversely affected.
Theincreasing use of social media platforms presents new risks and challenges to our business.
Socialmedia is increasingly being used to communicate about pharmaceutical companies’ research, product candidates, and the diseasessuch product candidates are being developed to prevent. Social media practices in the pharmaceutical industry continue to evolve andregulations relating to such use are not always clear. This evolution creates uncertainty and risk of noncompliance with regulationsapplicable to our business, resulting in potential regulatory actions against us. For example, subjects may use social media channelsto comment on their experience in an ongoing blinded clinical trial or to report an alleged adverse event. When such events occur, thereis a risk that we fail to monitor and comply with applicable adverse event reporting obligations, or we may not be able to defend ourbusiness or the public’s legitimate interests in the face of the political and market pressures generated by social media due torestrictions on what we may say about our investigational product candidates. There is also a risk of inappropriate disclosure of sensitiveinformation or negative or inaccurate posts or comments about us on any social media or networking website. Certain data protection regulations,such as the GDPR, apply to personal data contained on social media. If any of these events were to occur or we otherwise fail to complywith applicable regulations, we could incur liability, face regulatory actions or incur harm to our business, including damage to ourreputation.
Wemay incur indebtedness in the future which could reduce our financial flexibility, increase interest expense and adversely impact ouroperations and our costs.
Wemay incur significant amounts of indebtedness in the future. Our level of indebtedness could affect our operations in several ways, includingthe following:
| ● | a significant portion of our cash flows is required to be used to service our indebtedness; |
| ● | a high level of debt increases our vulnerability to general adverse economic and industry conditions; |
| ● | covenants contained in the agreements governing our outstanding indebtedness limit our ability to borrow additional funds and provide additional security interests, dispose of assets, pay dividends and make certain investments; |
| ● | a high level of debt may place us at a competitive disadvantage compared to our competitors that are less leveraged and, therefore, may be able to take advantage of opportunities that our indebtedness may prevent us from pursuing; and |
| ● | debt covenants may affect our flexibility in planning for, and reacting to, changes in the economy and in our industry. |
Ahigh level of indebtedness increases the risk that we may default on our debt obligations. We may not be able to generate sufficientcash flows to pay the principal or interest on our debt, and future working capital, borrowings or equity financing may not be availableto pay or refinance such debt. If we do not have sufficient funds and are otherwise unable to arrange financing, we may have to sellsignificant assets or have a portion of our assets foreclosed upon which could have a material adverse effect on our business, financialcondition and results of operations.
Wemay be adversely impacted by changes in accounting standards.
Ourconsolidated financial statements are subject to the application of the accounting principles generally accepted in the United Statesof America (“U.S. GAAP”), which periodically is revised or reinterpreted. From time to time, we are required to adoptnew or revised accounting standards issued by recognized authoritative bodies, including the Financial Accounting Standards Board (“FASB”)and the SEC. It is possible that future accounting standards may require changes to the accounting treatment in our consolidated financialstatements and may require us to make significant changes to our financial systems. Such changes might have a materially adverse impacton our financial position or results of operations.
Forall of the foregoing reasons and others set forth herein, an investment in our securities involves a high degree of risk.
USEOF PROCEEDS
Wewill not receive any of the proceeds from the sale by the Selling Stockholder of the Shares in this offering. The Selling Stockholderwill receive all of the proceeds from this offering. However, if all of the July 2022 Common Warrants, the December 2022 Common Warrantsand the April 2023 Common Warrants that are covered by this prospectus are exercised for cash, we may receive proceeds of up to approximately$545,755, $4.6 million, and $2.8 million, respectively. We cannot predict when, or if, the Warrants will be exercised. It is possiblethat the Warrants may expire and may never be exercised for cash. We intend to use any proceeds from the exercise of the Warrants forresearch and development, general corporate and working capital purposes, including the preparation and submission of a marketing authorizationapplication for Dupuytren’s contracture in the UK and legal expenses. Our management will have broad discretion over the use ofproceeds from the exercise of the July 2022 Common Warrants, the December 2022 Common Warrants and the April 2023 Common Warrants.
TheSelling Stockholder will pay any underwriting discounts and commissions and expenses incurred by the Selling Stockholder for brokerage,accounting, tax or legal services or any other expenses incurred by the Selling Stockholder in disposing of the Shares. We will bearall other costs, fees and expenses incurred in effecting the registration of the Shares covered by this prospectus, including all registrationand filing fees, and fees and expenses of our counsel and our independent registered public accountants.
MARKETPRICE OF OUR COMMON STOCK AND RELATED STOCKHOLDER MATTERS
MarketInformation
Ourcommon stock, Public Warrants, rights and units were previously listed on Nasdaq under the symbols “KBLM”, “KBLMW”,“KBLMR” and “KBLMU”, respectively. Our units commenced public trading on April 7, 2017 and our common stock,Public Warrants and rights each commenced separate public trading on May 2, 2017. Our units automatically separated into the componentsecurities upon consummation of the Business Combination and, as a result, no longer trade as a separate security, and our common stockand Public Warrants began trading on Nasdaq under the symbols “ATNF” and “ATNFW,” respectively. Prior to theClosing, each unit consisted of one share of our common stock, one right convertible into 1/10th of one share of our common stock, andone warrant to purchase one half of one share of our common stock at an exercise price of $11.50 per whole share.
Holders
As of May 4, 2023, 5,317,586 shares of our commonstock were outstanding. As of May 4, 2023, there were 138 holders of record of our common stock.
DividendPolicy
Wehave never paid or declared any cash dividends on our common stock and do not anticipate paying cash dividends in the foreseeable future.We anticipate that we will retain all of our future earnings for use in the operation of our business and for general corporate purposes.Any determination to pay dividends in the future will be at the discretion of our Board. Accordingly, investors must rely on sales oftheir common stock after price appreciation, which may never occur, as the only way to realize any future gains on their investments.
MANAGEMENT’SDISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS
Thefollowing discussion and analysis of the results of operations and financial condition of 180 Life Sciences Corp. as of and for the yearsended December 31, 2022 and 2021 should be read in conjunction with our consolidated financial statements and the notes to those consolidatedfinancial statements that are included elsewhere in this prospectus. This Management’s Discussion and Analysis of Financial Conditionand Results of Operations contains statements that are forward-looking. See “Cautionary Statement Regarding Forward-Looking Statements”above. Actual results could differ materially because of the factors discussed in “Risk Factors” elsewhere in this prospectus,and other factors that we may not know.
Asof December 31, 2022, we had an accumulated deficit of $107,408,545 and working capital of $3,270,608, and for the year ended December31, 2022, a net loss of $38,726,259 and cash used in operating activities of $12,127,585. The accompanying consolidated financial statementshave been prepared assuming we will continue as a going concern. As we are not generating revenues, we need to raise a significant amountof capital in order to pay our debts and cover our operating costs. While we raised capital in August 2021, July 2022 and December 2022,there is no assurance that we will be able to raise additional needed capital or that such capital will be available under favorableterms.
Weare subject to all the substantial risks inherent in the development of a new business enterprise within an extremely competitive industry.Due to the absence of a long-standing operating history and the emerging nature of the markets in which we compete, we anticipate operatinglosses until we can successfully implement our business strategy, which includes all associated revenue streams. We may never ever achieveprofitable operations or generate significant revenues.
Wecurrently have a minimum monthly cash requirement spend of approximately $900,000. We believe that in the aggregate, we will requiresignificant additional capital funding to support and expand the research and development and marketing of our products, fund futureclinical trials, repay debt obligations, provide capital expenditures for additional equipment and development costs, payment obligations,office space and systems for managing the business, and cover other operating costs until our planned revenue streams from products arefully-implemented and begin to offset our operating costs, if ever.
Sinceour inception, we have funded our operations with the proceeds from equity and debt financings. We have experienced liquidity issuesdue to, among other reasons, our limited ability to raise adequate capital on acceptable terms. We have historically relied upon theissuance equity and promissory notes that are convertible into shares of our common stock to fund our operations and have devoted significantefforts to reduce that exposure. We anticipate that we will need to issue equity to fund our operations and repay our outstanding debtfor the foreseeable future. If we are unable to achieve operational profitability or we are not successful in securing other forms offinancing, we will have to evaluate alternative actions to reduce our operating expenses and conserve cash.
Theaccompanying consolidated financial statements have been prepared in accordance with accounting principles generally accepted in theUnited States of America on a going concern basis, which contemplates the realization of assets and the satisfaction of liabilities inthe normal course of business. Accordingly, the consolidated financial statements do not include any adjustments relating to the recoverabilityof assets and classification of liabilities that might be necessary should we be unable to continue as a going concern. The consolidatedfinancial statements included in this prospectus also include a going concern footnote.
Additionally,wherever possible, our Board will attempt to use non-cash consideration to satisfy obligations. In many instances, we believe that thenon-cash consideration will consist of restricted shares of our common stock, preferred stock or warrants to purchase shares of our commonstock. Our Board has authority, without action or vote of the stockholders, but subject to Nasdaq rules and regulations (which generallyrequire stockholder approval for any transactions which would result in the issuance of more than 20% of our then outstanding sharesof common stock or voting rights representing over 20% of our then outstanding shares of stock), to issue all or part of the authorizedbut unissued shares of common stock, preferred stock or warrants to purchase such shares of common stock. In addition, we may attemptto raise capital by selling shares of our common stock, possibly at a discount to market in the future. These actions will result indilution of the ownership interests of existing stockholders, may further dilute common stock book value, and that dilution may be material.Such issuances may also serve to enhance existing management’s ability to maintain control of us, because the shares may be issuedto parties or entities committed to supporting existing management.
Organizationof MD&A
OurManagement’s Discussion and Analysis of Financial Condition and Results of Operations (the “MD&A”) is providedin addition to the accompanying consolidated financial statements and notes to assist readers in understanding our results of operations,financial condition, and cash flows. The MD&A is organized as follows:
| ● | Business Overview and Recent Events. A summary of our business and certain material recent events. |
| | |
| ● | Significant Financial Statement Components. A summary of our significant financial statement components. |
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| ● | Results of Operations. An analysis of our financial results comparing the twelve months ended December 31, 2022 and 2021. |
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| ● | Liquidity and Capital Resources. An analysis of changes in our balance sheets and cash flows and discussion of our financial condition. |
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| ● | Critical Accounting Policies and Estimates. Accounting estimates that we believe are important to understanding the assumptions and judgments incorporated in our reported financial results and forecasts. |
BusinessOverview and Recent Events
TheMD&A and the related financial statements for the year ended December 31, 2022 primarily covers the operations of 180, which is aclinical stage biotechnology company headquartered in Palo Alto, California, focused on the development of therapeutics for unmet medicalneeds in chronic pain, inflammation, fibrosis and other inflammatory diseases, where anti-TNF therapy will provide a clear benefit topatients, by employing innovative research, and, where appropriate, combination therapy. We have three product development platforms:
| ● | fibrosis and anti-tumor necrosis factor (“TNF”); |
| | |
| ● | drugs which are derivatives of cannabidiol (“CBD”); and |
| | |
| ● | alpha 7 nicotinic acetylcholine receptor (“α7nAChR”). |
Wehave several future product candidates in development, including one product candidate which has recently completed a successful Phase2b clinical trial in the United Kingdom for Dupuytren’s Contracture, a condition that affects the development of fibrous connectivetissue in the palm of the hand. 180 was founded by several world-leading scientists in the biotechnology and pharmaceutical sectors.
Weintend to invest resources to successfully complete the clinical programs that are underway, discover new drug candidates, and developnew molecules to build up on our existing pipeline to address unmet clinical needs. The product candidates are designed via a platformcomprised of defined unit operations and technologies. This work is performed in a research and development environment that evaluatesand assesses variability in each step of the process in order to define the most reliable production conditions.
Wemay rely on third-party contract manufacturing organizations (“CMOs”) and other third parties for the manufacturingand processing of the product candidates in the future. We believe the use of contract manufacturing and testing for the first clinicalproduct candidates is cost-effective and has allowed us to rapidly prepare for clinical trials in accordance with our development plans.We expect that third-party manufacturers will be capable of providing and processing sufficient quantities of these product candidatesto meet anticipated clinical trial demands.
SignificantFinancial Statement Components
Researchand Development
Todate, 180’s research and development expenses have related primarily to discovery efforts and preclinical and clinical developmentof its three product platforms: (1) fibrosis and anti-TNF; (2) drugs which are derivatives of CBD, and (3) α7nAChR. Research anddevelopment expenses consist primarily of costs associated with those three product platforms, which include:
| ● | expenses incurred under agreements with 180’s collaboration partners and third-party contract organizations, investigative clinical trial sites that conduct research and development activities on its behalf, and consultants; |
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| ● | costs related to production of clinical materials, including fees paid to contract manufacturers; |
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| ● | laboratory and vendor expenses related to the execution of preclinical and clinical trials; |
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| ● | employee-related expenses, which include salaries, benefits and stock-based compensation; and |
| | |
| ● | facilities and other expenses, which include expenses for rent and maintenance of facilities, depreciation and amortization expense and other supplies. |
Weexpense all research and development costs in the periods in which they are incurred. We accrue for costs incurred as services are providedby monitoring the status of each project and the invoices received from our external service providers. We adjust our accrual as actualcosts become known. When contingent milestone payments are owed to third parties under research and development arrangements or licenseagreements, the milestone payment obligations are expensed when the milestone results are achieved.
Researchand development activities are central to our business model. Product candidates in later stages of clinical development generally havehigher development costs than those in earlier stages of clinical development, primarily due to the increased size and duration of later-stageclinical trials. We expect that research and development expenses will increase over the next several years as clinical programs progressand as we seek to initiate clinical trials of additional product candidates. It is also expected that increased research and developmentexpenses will be incurred as additional product candidates are selectively identified and developed. However, it is difficult to determinewith certainty the duration and completion costs of current or future preclinical programs and clinical trials of product candidates.
Theduration, costs and timing of clinical trials and development of product candidates will depend on a variety of factors that include,but are not limited to, the following:
| ● | per patient trial costs; |
| | |
| ● | the number of patients that participate in the trials; |
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| ● | the number of sites included in the trials; |
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| ● | the countries in which the trials are conducted; |
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| ● | the length of time required to enroll eligible patients; |
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| ● | the number of doses that patients receive; |
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| ● | the drop-out or discontinuation rates of patients; |
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| ● | potential additional safety monitoring or other studies requested by regulatory agencies; |
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| ● | the impact of COVID-19 on the length of our trials; |
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| ● | the duration of patient follow-up; and |
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| ● | the efficacy and safety profile of the product candidates. |
Inaddition, the probability of success for each product candidate will depend on numerous factors, including competition, manufacturingcapability and commercial viability. We will determine which programs to pursue and fund in response to the scientific and clinical successof each product candidate, as well as an assessment of each product candidate’s commercial potential.
Becausethe product candidates are still in clinical and preclinical development and the outcome of these efforts is uncertain, we cannot estimatethe actual amounts necessary to successfully complete the development and commercialization of product candidates or whether, or when,we may achieve profitability. Due to the early-stage nature of these programs, we do not track costs on a project-by-project basis. Asthese programs become more advanced, we intend to track the external and internal cost of each program.
Generaland Administrative
Generaland administrative expenses consist primarily of salaries and other staff-related costs, including stock-based compensation for sharesof common stock issued and options granted to founders, directors and personnel in executive, commercial, finance, accounting, legal,investor relations, facilities, business development and human resources functions and include vesting conditions.
Othersignificant general and administrative costs include costs relating to facilities and overhead costs, legal fees relating to corporateand patent matters, litigation, SEC filings, insurance, investor relations costs, fees for accounting and consulting services, and othergeneral and administrative costs. General and administrative costs are expensed as incurred, and we accrue amounts for services providedby third parties related to the above expenses by monitoring the status of services provided and receiving estimates from our serviceproviders and adjusting our accruals as actual costs become known.
Itis expected that the general and administrative expenses will increase over the next several years to support our continued researchand development activities, manufacturing activities, potential commercialization of our product candidates and the increased costs ofoperating as a public company. These increases are anticipated to include increased costs related to the hiring of additional personnel,developing commercial infrastructure, fees to outside consultants, lawyers and accountants, and increased costs associated with beinga public company, as well as expenses related to services associated with maintaining compliance with Nasdaq listing rules and SEC requirements,insurance and investor relations costs.
OtherIncome
Otherincome primarily represents fees earned for research and development work performed for other companies, some of which are related parties.
InterestExpense
Interestexpense consists primarily of interest expense related to debt instruments.
Gain(Loss) on Extinguishment of Convertible Notes
Gain(loss) on extinguishment of convertible notes represents the shortfall (excess) of the reacquisition cost of convertible notes as comparedto their carrying value.
Losson Goodwill Impairment
Losson goodwill impairment represents the excess of the carrying value of the asset over its estimated fair market value during the reportingperiod which is not recoverable.
Losson IP R&D assets impairment
Losson IP R&D assets impairment represents the excess of the carrying value of the assets over its estimated fair market value duringthe reporting period which is not recoverable.
Changein Fair Value of IR R&D assets
Changein fair value of IP R&D assets represents the non-cash change in fair value of the assets during the reporting period.
Changein Fair Value of Derivative Liabilities
Changein fair value of derivative liabilities represents the non-cash change in fair value of derivative liabilities during the reporting period.Gains/losses resulting from change in fair value of derivative liabilities during the years ended December 31, 2022 and 2021, were drivenby decreases/increases in stock price during the period, resulting in a lower/higher fair value of the underlying liability.
OfferingCosts Allocated to Warrant Liabilities
Changein offering costs allocated to warrant liabilities represents placement agent fees and offering expenses which were allocated to thePrivate Investment in Public Equity (“PIPE”) Warrants and expensed immediately as they are liability classified.
Changein Fair Value of Accrued Issuable Equity
Changein fair value of accrued issuable equity represents the non-cash change in fair value of accrued equity prior to its formal issuance.
CONSOLIDATEDRESULTS OF OPERATIONS
ConsolidatedResults of Operations
Forthe Year Ended December 31, 2022 Compared to the Year Ended December 31, 2021
| | For the Years Ended December 31, | |
| | 2022 | | | 2021 | |
Operating Expenses: | | | | | | |
Research and development | | $ | 2,191,834 | | | $ | 1,000,769 | |
Research and development - related parties | | | 240,731 | | | | 2,947,536 | |
General and administrative | | | 15,459,788 | | | | 11,230,118 | |
General and administrative - related parties | | | 5,612 | | | | 462,580 | |
Total Operating Expenses | | | 17,897,965 | | | | 15,641,003 | |
Loss From Operations | | | (17,897,965 | ) | | | (15,641,003 | ) |
| | | | | | | | |
Other (Expense) Income: | | | | | | | | |
Gain on settlement of liabilities | | | - | | | | 926,829 | |
Other expense | | | - | | | | (146,822 | ) |
Interest expense | | | (28,175 | ) | | | (135,953 | ) |
Interest expense - related parties | | | 1,508 | | | | (50,255 | ) |
Loss on extinguishment of convertible notes payable, net | | | - | | | | (9,737 | ) |
Loss on goodwill impairment | | | (33,547,278 | ) | | | - | |
Loss on IP R&D assets impairment | | | (3,342,084 | ) | | | - | |
Change in fair value of derivative liabilities | | | 15,144,986 | | | | (4,677,388 | ) |
Change in fair value of accrued issuable equity | | | - | | | | (9,405 | ) |
Offering costs allocated to warrant liabilities | | | - | | | | (604,118 | ) |
Total Other Expense, Net | | | (21,771,043 | ) | | | (4,706,849 | ) |
Loss Before Income Taxes | | | (39,669,008 | ) | | | (20,347,852 | ) |
Income tax benefit | | | 942,749 | | | | 23,204 | |
Net Loss | | $ | (38,726,259 | ) | | $ | (20,324,648 | ) |
Researchand Development
Duringthe year ended December 31, 2022, we incurred research and development expenses of $2,191,834 compared to $1,000,769 incurred for theyear ended December 30, 2021, representing an increase of $1,191,065 or 119%. The increase includes a $1,000,000 increase in stock-basedcompensation expense, a $430,000 increase in expenses related to Oxford University agreements, a $290,000 increase in salaries expense,a $270,000 increase in expenses related to the Scientific Advisory Board, an increase in consulting expenses of $120,000, as well asincreases of $100,000 related to patents and licenses. This activity was offset by decreases in expenses related to contracts with YissumResearch Development Company of the Hebrew University of Jerusalem, Ltd. (“Yissum”) and Gallily Ruth of $460,000 and$250,000, respectively, a decrease related to a tax credit of $210,000 and a decrease in related-party consulting expenses of $110,000.
Researchand Development - Related Parties
Duringthe year ended December 31, 2022, we incurred research and development expenses - related parties of $240,731 compared to $2,947,536incurred for the year ended December 31, 2021, representing a decrease of $2,706,805 or 92%. The decrease includes a decrease in stock-basedcompensation expense of $2,300,000; this decrease is comprised of approximately $800,000 paid to Jagdeep Nanchahal in the prior yearfor his research in the Phase 2b clinical trial for Dupuytren’s Contracture (RIDD), as well as stock-based compensation expenseof approximately $1,400,000 paid to Mr. Nanchahal in the prior year as well. There was also a decrease in consulting expenses of $460,000.
Generaland Administrative
Duringthe year ended December 31, 2022, we incurred general and administrative expenses of $15,459,788 compared to $11,230,118 incurred forthe year ended December 31, 2021, representing an increase of $4,229,670 or 38%. The increase is attributable to an increase in legalfees of $3,700,000, an increase of $880,000 in directors’ and officers’ insurance expenses as well as an increase in salariesexpense of $550,000, offset by decreases in exchange-related penalties of $530,000, a decrease in settlement expenses of $360,000, adecrease in stock-based compensation expense of $180,000 and a decrease in consulting expenses of $40,000.
Generaland Administrative - Related Parties
Duringthe year ended December 31, 2022, we incurred general and administrative expenses - related parties of $5,612 compared to $462,580 incurredfor the year ended December 31, 2021, representing a decrease of $456,968, or 99%. The decrease is primarily related to a decrease inrelated party consulting expenses of $125,000, as well as a decrease in bad debt expense of $300,000 incurred in connection with a receivablefrom related parties.
OtherExpense, Net
Duringthe year ended December 31, 2022, we incurred other expenses, net of $21,771,043 compared to $4,706,849 for the year ended December 31,2021, representing an increase in other expenses of $17,064,194 or 363%. The increase in expenses was primarily due to the following:i) an impairment to goodwill in the current year of $33,547,278, ii) an impairment to IP R&D assets in the current year of $3,342,084and iii) a gain on the settlement of liabilities of $926,829 in the prior year that was absent from the current year, offset by iv) achange in the current year in the fair value of derivative liabilities of $19,822,374 and v) $604,118 of warrant costs due to an offeringin the prior year.
Liquidityand Capital Resources
Asof December 31, 2022 and 2021, we had cash balances of $6,970,110 and $8,224,508, respectively, and working capital of $3,270,608 anda working capital deficit of $8,498,193, respectively.
Forthe years ended December 31, 2022 and 2021, cash used in operating activities was $12,127,585 and $19,371,428, respectively. Our cashused in operations for the year ended December 31, 2022 was primarily attributable to our net loss of $38,726,259, adjusted for non-cashexpenses in the aggregate amount of $23,876,048, as well as $2,722,626 of net cash used in changes in the levels of operating assetsand liabilities. A significant portion of the non-cash expenses during the year relates to $36.9 million of non-recurring expenses associatedwith the impairment of goodwill and IP R&D assets (see “Note 5 - Intangible Assets and Impairment of Long-lived Assets”),offset by changes in fair value of derivative liabilities of $15,144,986 for the year. Our cash used in operations for the year endedDecember 31, 2021 was primarily attributable to our net loss of $20,324,648, adjusted for non-cash expenses in the aggregate amount of$9,760,161, as well as $8,806,941 of net cash used in changes in the levels of operating assets and liabilities. A significant portionof cash used in operations during the year relates to $4.8 million of non-recurring expenses associated with the business combination.
Forthe years ended December 31, 2022 and 2021, there was no cash provided by investing activities.
Forthe years ended December 31, 2022 and 2021, cash provided by financing activities was $10,873,606 and $25,411,919, respectively. Cashprovided by financing activities during the year ended December 31, 2022 was primarily comprised of proceeds from the July 2022 Offering(as defined herein) of $6,499,737, proceeds from the December 2022 Offering (as defined herein) of $5,999,851 and proceeds from loanspayable of $1,060,890, partially offset by offering costs paid in connection with our July 2022 and December 2022 Offerings of $529,982and $484,991, respectively, and repayments of loans payable and loans payable - related parties of $1,591,035 and $81,277, respectively.Cash provided by financing activities during the year ended December 31, 2021 was comprised of proceeds from the sale of common stockand warrants of $26,666,200 and proceeds from loans payable in the amount of $1,618,443, partially offset by repayments of convertibledebt and loans payable of ($10,000) and ($807,594), respectively, and offering costs paid of ($2,055,130).
Ourproduct candidates may never achieve commercialization and we anticipate that we will continue to incur losses for the foreseeable future.We expect that our research and development expenses, general and administrative expenses, and capital expenditures will continue toincrease. As a result, until such time, if ever, as we are able to generate substantial product revenue, we expect to finance our cashneeds through a combination of equity offerings, debt financings or other capital sources, including potentially collaborations, licensesand other similar arrangements, which may not be available on favorable terms, if at all. The sale of additional equity or debt securities,if accomplished, may result in dilution to our then stockholders. Our primary uses of capital are, and we expect will continue to be,compensation and related expenses, third-party clinical research and development services, license payments or milestone obligationsthat may arise, laboratory and related supplies, clinical costs, potential manufacturing costs, legal and other regulatory expenses andgeneral overhead costs.
Ourmaterial cash requirements and time periods of such requirements from known contractual and other obligations include milestone and royaltypayments related to license agreements with Oxford University and Yissum, payments related to the D&O insurance, payments to consultantsand payments related to outside consulting firms, such as legal counsel, auditors, accountants, etc. These cash requirements, in theaggregate, amount to approximately $10,000,000 for 2023 and $27,000,000 for the years 2024 through 2027.
Further,our operating plans may change, and we may need additional funds to meet operational needs and capital requirements for clinical trialsand other research and development activities. We currently have no credit facility or committed sources of capital. Because of the numerousrisks and uncertainties associated with the development and commercialization of our product candidates, we are unable to estimate theamounts of increased capital outlays and operating expenditures associated with our current and anticipated product development programs.
Wehave not yet achieved profitability and expect to continue to incur cash outflows from operations. It is expected that our research anddevelopment and general and administrative expenses will continue to increase and, as a result, we will eventually need to raise additionalcapital to fund our operations. If we are unable to obtain adequate funds on reasonable terms, we may be required to significantly curtailor discontinue operations or obtain funds by entering into financing agreements on unattractive terms. Our operating needs include theplanned costs to operate our business, including amounts required to fund working capital and capital expenditures. As of December 31,2022, the conditions outlined above indicated that there was a substantial doubt about our ability to continue as a going concern withinone year after the financial statement issuance date. However, in August 2021, July 2022 and December 2022, we raised additional capitalof approximately $13.9 million, $6.0 million and $5.5 million, respectively, and with current cash on hand of approximately $2.7 millionas of March 29, 2023, we expect to be able to continue as a going concern through the third quarter of 2023.
Ourconsolidated financial statements have been prepared in conformity with U.S. GAAP, which contemplate continuation of the Company as agoing concern and the realization of assets and satisfaction of liabilities in the normal course of business. The carrying amounts ofassets and liabilities presented in the consolidated financial statements do not necessarily purport to represent realizable or settlementvalues. The consolidated financial statements do not include any adjustment that might result from the outcome of this uncertainty.
RecentFinancing and Settlement Transactions
July2022 Offering
On July 17, 2022, we entered into a securities purchase agreement withthe Selling Stockholder (the “July 2022 SPA”), pursuant to we agreed to sell an aggregate of 175,000 shares of commonstock, pre-funded warrants to purchase up to an aggregate of 131,604 shares of common stock, and common stock warrants to purchase upto an aggregate of 306,604 shares of common stock (the “July 2022 Common Warrants”), at a combined purchase price of$21.20 per share and warrant (the “July 2022 Offering”). Aggregate gross proceeds from the July 2022 Offering were$6,499,737. Net proceeds to us from the offering, after deducting the placement agent fees and other estimated offering expenses payableby us, were approximately $6.0 million. The placement agent fees and offering expenses of approximately $530,000 were accounted for asa reduction of additional paid in capital. The July 2022 Offering closed on July 20, 2022.
December2022 Offering
On December 20, 2022, we entered into a securities purchase agreementwith the Selling Stockholder (the “December 2022 SPA”), pursuant to we agreed to sell an aggregate of 215,000 sharesof common stock, pre-funded warrants to purchase up to an aggregate of 1,499,286 shares of common stock, and common stock warrants topurchase up to an aggregate of 2,571,429 shares of common stock (the “December 2022 Common Warrants”), at a combinedpurchase price of $3.50 per share and warrant (the “December 2022 Offering”). Aggregate gross proceeds from the December2022 Offering were $5,999,851. Net proceeds to us from the offering, after deducting the placement agent fees and other estimated offeringexpenses payable by us, were approximately $5.5 million. The placement agent fees and offering expenses of approximately $500,000 wereaccounted for as a reduction of additional paid in capital. The December 2022 Offering closed on December 22, 2022.
April2023 Offering
On April 5, 2023, we entered into a securitiespurchase agreement with the Selling Stockholder (the “April 2023 SPA”), pursuant to which we agreed to issue and sell,in a registered direct offering, an aggregate of: (i) 400,000 shares of common stock, at a price of $1.91 per share, and (ii) pre-fundedwarrants to purchase up to 1,170,680 shares of common stock, at a price of $1.9099 per Pre-Funded Warrant. In a concurrent private placement,pursuant to the April 2023 SPA, we agreed to issue and sell warrants to purchase up to 1,570,680 shares of common stock (the “April2023 Common Warrants”) to the Selling Stockholder. Aggregate gross proceeds from the registered direct offering and the concurrentprivate placement (collectively, the “April 2023 Offering”) were $2,999,881. Net proceeds to us from the offering,after deducting the placement agent fees and other estimated offering expenses payable by us, were approximately $2.7 million. The placementagent fees and offering expenses of approximately $280,000 were accounted for as a reduction of additional paid in capital. The April2023 Offering closed on April 10, 2023.
CriticalAccounting Policies and Estimates
Ourconsolidated financial statements are prepared in accordance with accounting principles that are generally accepted in the United States.The preparation of these consolidated financial statements requires management to make estimates and assumptions that affect the reportedamounts of our assets, liabilities, revenue and expenses. We have identified certain policies and estimates as critical to our businessoperations and the understanding of our past or present results of operations related to (i) goodwill and (ii) intangible assets andin-process research and development (“IP R&D”). These policies and estimates are considered critical because theyhad a material impact, or they have the potential to have a material impact, on our consolidated financial statements and because theyrequire management to make significant judgments, assumptions or estimates. We believe that the estimates, judgments and assumptionsmade when accounting for the items described below were reasonable, based on information available at the time they were made. However,actual results may differ from those estimates, and these differences may be material.
Goodwill/IntangibleAssets and In-Process Research and Development
Wehave a significant amount of goodwill, intangible assets and IP R&D assets that are assessed at least annually for impairment. Theimpairment analyses of these assets are considered critical because of their significance to us. Intangible assets arising from businesscombinations or acquisitions, such as goodwill, patents and IP R&D assets are initially recorded at estimated fair value. Licensedpatents are amortized over the remaining life of the patent. IP R&D assets are considered to be indefinite-lived until the completionor abandonment of the associated research and development projects. Our goodwill was derived from acquisitions where the purchase priceexceeded the fair value of the net assets acquired We are required to reassign goodwill to reporting units whenever reorganizations ofthe internal reporting structure change the composition of our reporting units. We identified one reporting unit which represents oursole operating segment.
Weare required to assess goodwill/intangible assets and IP R&D assets at least annually, or more frequently, if an event occurs orcircumstances change that indicates it is more likely than not the fair value of our reporting unit was less than our carrying value.In assessing goodwill/intangible assets and IP R&D assets for impairment, we may first assess qualitative factors to determine whetherit is more likely than not that the fair value of our reporting unit is less than our carrying value.
Goodwill Impairment
Thefirst step of the goodwill asset impairment test used to identify potential impairment compares the fair value of the reporting unitwith our carrying amount, including goodwill assets. We determined the fair market value of our single reporting unit as of December31, 2021 to be our market capitalization of $132,760,914, which represents $78.00 per share (the market close price) multiplied by 1,702,063shares (consisting of 1,701,799 shares of common stock plus 264 special voting shares which are exchangeable into common stock for noadditional consideration) on December 31, 2021. The carrying amount of the reporting unit as of December 31, 2021 was $39,322,695 (totalassets of $62.7 million less total liabilities of $23.4 million).
Sincethe fair value of the Company ($132,760,914) exceeded the carrying value of the Company ($39,322,695) as of December 31, 2021, and thecarrying value of the Company is greater than zero, management concluded the goodwill assets of the reporting unit was not impaired.
Ourpublicly traded stock closed at $78.00 per share as of December 31, 2021; during 2022, the market value of our single reporting unitsignificantly declined. As of March 31, 2022, June 30, 2022, September 30, 2022 and December 31, 2022, the market value of our publiclytraded stock fell to $51.80, $16.96, $13.30 and $3.39, per share, respectively, and as such, we elected to conduct a quantitative analysisof goodwill to assess for impairment as of September 30, 2022 and December 31, 2022. We determined the fair market value of our singlereporting unit and compared that value with the carrying amount of the reporting unit and determined that goodwill was impaired as ofboth measurement dates. As of September 30, 2022 and December 31, 2022, the carrying value exceeded the fair market value by $18,872,850and $14,674,428, respectively. To recognize the impairment of goodwill, we recorded losses for these amounts at the end of the thirdand fourth quarters, which appear as a loss on goodwill impairment of $33,547,278 on the income statement for the year ended December31, 2022. See “Note 5 - Intangible Assets and Impairment of Long-lived Assets” for further information.
IP R&D Assets Impairment
Asof December 31, 2022, the carrying amount of the IP R&D assets on the balance sheet was $12,405,084 (which consists of carrying valueof $1,462,084 and $10,943,000 related to our CBR Pharma subsidiary and our 180 LP subsidiary, respectively). Per the valuation obtainedfrom a third party as of year-end, the fair market value of our IP R&D assets was determined to be $9,063,000 (which consists offair market values of $0 and $9,063,000 related to our CBR Pharma subsidiary and 180 LP subsidiary, respectively). As of this measurementdate, the carrying value of the CBR Pharma and 180 LP subsidiaries’ assets exceeded their fair market values by $1,462,084 and$1,880,000, respectively. As such, management determined that the consolidated IP R&D assets were impaired by $3,342,084 and, inorder to recognize the impairment, we recorded a loss for this amount during the fourth quarter of 2022, which appears as a loss on impairmentof IP R&D assets on the income statement. This reduced the IP R&D asset balances of our CBR Pharma subsidiary and our 180 LPsubsidiary to zero and $9,063,000, respectively, as of December 31, 2022; the total consolidated IP R&D asset balance is $9,063,000after impairment. See “Note 5 - Intangible Assets and Impairment of Long-lived Assets” for further information.
Wewill continue to perform goodwill/intangible assets and IP R&D assets Impairment testing on an annual basis, or as needed if thereare changes to the composition of our reporting unit.
RecentlyIssued Accounting Pronouncements
SeeNote 3 - Summary of Significant Accounting Policies of our consolidated financial statements included within this prospectus for a summaryof recently issued and adopted accounting pronouncements.
Quantitative and Qualitative Disclosure About Market Risk
As a smaller reporting company, we are not requiredto provide disclosure regarding quantitative and qualitative market risk, however, we have provided the following information below relatingto interest rate risk.
Interest Rate Risk
We are exposed to market risks in the ordinary course of its business.These risks primarily include interest rate sensitivities. As of December 31, 2022, we had $6,970,110 in cash and cash equivalents. Weintend to hold our cash in interest-bearing money market accounts. Our primary exposure to market risk is interest rate sensitivity,which is affected by changes in the general level of U.S. interest rates. Due to the short-term maturities of our cash equivalents andthe low risk profile of its investments, an immediate 100 basis point change in interest rates would not have a material effect on thefair market value of our cash equivalents.
BUSINESS
CompanyOverview
Weare a clinical stage biotechnology company headquartered in Palo Alto, California, focused on the development of therapeutics for unmetmedical needs in chronic pain, inflammation and fibrosis by employing innovative research, and, where appropriate, combination therapy.We were founded by several world-leading scientists in the biotechnology and pharmaceutical sectors. Our world-renowned scientists Prof.Sir Marc Feldmann, Prof. Lawrence Steinman, Prof. Raphael Mechoulam, recently deceased, Dr. Jonathan Rothbard, and Prof. Jagdeep Nanchahalhave significant experience and significant previous success in drug discovery. The scientists are from the University of Oxford (“Oxford”),Stanford University and Hebrew University of Jerusalem (the “Hebrew University”), and our management team has extensiveexperience in financing and growing early-stage healthcare companies. Prof. Raphael Mechoulam passed away in March 2023, but his researchat Hebrew University is being carried on by other scientists as noted later in this document under the “SCAs Platform” section.
Wehave three different product development platforms that are focused on different diseases or medical conditions, and that target differentfactors, molecules or proteins, as follows:
| ● | Anti-TNF platform: focusing on fibrosis and anti-tumor necrosis factor (“anti-TNF”); |
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| ● | SCAs platform: focusing on drugs which are synthetic cannabidiol (“CBD”) or cannabigerol (“CBG”) analogues (“SCAs”); and |
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| ● | α7nAChR platform: focusing on alpha 7 nicotinic acetylcholine receptor (“α7nAChR”). |
Our lead product candidate under the anti-TNFplatform recently completed Phase 2a and Phase 2b proof-of-concept clinical trials in the United Kingdom and the Netherlands for early-stageDupuytren’s Contracture, a condition that affects the development of fibrous connective tissue in the palm of the hand.
Currently, we are planning or conducting clinicaltrials only for certain indications under the anti-TNF platform, such as a planned Phase 2 trial for post-operative cognitive declineas well as a planned Phase 2 trial for frozen shoulder. We were recruiting patients for a feasibility trial for frozen shoulder, for whichwe have ended such recruitment at nine patients, due to a regulatory request in the UK to end slow recruiting trials. The result of theclosure of the trial means that another trial will likely need to be undertaken in the future to recruit additional participants.
We were recently granted an allowance of claimsfor a U.S. patent with respect to the use of adalimumab for early-stage Dupuytren’s disease which, if granted, would have a termthat expires no earlier than in 2037. Of our three product development platforms, only one, the SCAs platform, involves products thatare related to cannabidiol (CBD) (and not to cannabis or tetrahydrocannabinol (THC)), and no clinical trials for indications or productsunder the SCAs platform are currently being conducted in the United States or abroad. We are currently undertaking preclinical researchand development activities for the SCA and the α7nAChR platforms.
BusinessStrategy
Ourgoal is to capitalize on our research in chronic pain, inflammation and fibrosis by pursuing the following strategies:
| ● | advance our clinical-stage product candidate for early-stage Dupuytren’s Contracture from its current late-stage development to seek and obtain approval in the United Kingdom, European Union and the United States for such product candidate, potentially commercialize the product candidate in the United Kingdom, European Union and United States and identify the optimal commercial pathway in other markets around the world; |
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| ● | move our pre-clinical product candidates into clinical trials, seek and obtain approval in the United Kingdom, European Union and United States for such future product candidates, and potentially commercialize such future product candidates in the United States, United Kingdom and European Union; |
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| ● | leverage our proprietary product development platforms to discover, develop and commercialize novel first-in-class products for the treatment of chronic pain, inflammation and fibrosis; and |
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| ● | strengthen our position in research in chronic pain, inflammation and fibrosis. |
Overviewof Product Development Platforms
Thefollowing chart summarizes the products and indications, including those currently in clinical trial, for our three product developmentplatforms.
“*Regulatoryapprovals obtained from the MHRA and CCMO and the relevant accredited ethics committees to perform clinical trials in the United Kingdomand The Netherlands. No marketing applications or requests for marketing approval have been submitted to the FDA for any products atthis time.”
OnDecember 1, 2021, we announced positive top line data for the Phase 2b clinical trial of Dupuytren’s Contracture.
OnFebruary 22, 2023, we announced the closure of recruitment of patients for the feasibility trial for frozen shoulder, for which we haveended such recruitment at nine patients, due to a regulatory request in the UK to end slow recruiting trials. The result of the closureof the trial means that another trial will likely need to be undertaken in the future to recruit additional participants.
Theproduct development platforms are each described in more detail below.
Fibrosis& Anti-TNF Platform
Ouranti-tumor necrosis factor (TNF) platform began at our wholly-owned subsidiary, 180 Therapeutics L.P. (“180 LP”).This platform is focused on studying the molecular mechanism of inflammatory diseases and fibrosis and on the discovery of TNF as a mediatorof fibrosis, as well as other immune-driven diseases. This research was first undertaken in the 1980s by our Co-Chairman, Prof. Sir MarcFeldmann, based on analysis of tissue from patients with rheumatoid arthritis (“RA”). We are applying this same approachto the analysis of human disease tissue from patients with active fibrosis, research led by Prof. Jagdeep Nanchahal in Oxford (who isalso the Chairman of our Clinical Advisory Board), which has led to the identification of new therapeutic targets and approaches thatwe are developing. Profs. Nanchahal and Feldmann, in collaboration with other scientists, are leveraging their experience and expertisein developing anti-inflammatories to search for new applications for anti-TNF therapeutics. We are seeking to demonstrate that anti-TNFdrugs, such as adalimumab, have a positive effect on new indications such as Dupuytren’s Contracture, frozen shoulder and post-operativecognitive dysfunction/delirium (“POCD”).
Ourfirst product candidate in clinical development is for the potential treatment of early-stage fibrosis of the hand, Dupuytren’sContracture, for which there is currently no approved treatment in the United Kingdom or European Union. Collagenase from Clostridiumhistolyticum has been approved in the United States for late-stage Dupuytren’s Contracture. The proposed treatment will be administeredby a local injection of adalimumab, an anti-TNF antibody, into early-stage disease tissue. The results for the Phase 2a clinical trialfor Dupuytren’s Contracture, supported by the Wellcome Trust, U.K. Department of Health and us, were published in July 2018. Thestudy demonstrated positive tissue response indicative of anti-fibrotic mechanisms, as well as guiding dosing for follow up trials. Havingdefined the most efficacious dose and preparation and based on these positive proof of concept data, we, together with the Wellcome Trustand the U.K. Department of Health, initiated a Phase 2b trial in patients with early-stage Dupuytren’s Contracture. The initialplan was to randomize 138 patients in a ratio of 1:1 to receive four injections of adalimumab or placebo at three-month intervals andfollowed for a total of 18 months from baseline. With additional funding from the Wellcome Trust, the Phase 2b trial completed recruitmentof 174 patients in April 2019, having commenced dosing in February 2017. The final patient was enrolled in April 2019. The Phase 2b clinicaltrial for early-stage Dupuytren’s Contracture has been completed. On December 1, 2021, we announced top line data from the trial,which indicates that the primary end point of nodule hardness and the secondary end point of nodule size on ultrasound scan were metwith statistically significant differences. There were no related severe adverse events. The full results have been submitted for publicationin a peer-reviewed journal and will be disclosed upon publication. Through this fibrosis and anti-TNF product development platform, weare also performing research for the development of potential treatments of frozen shoulder, liver and lung fibrosis and POCD.
Thefollowing chart summarizes the timing of current and future clinical trials, based on current proposals, under the anti-TNF platform.
Wehave obtained regulatory approvals from the U.K. Medicines and Healthcare Products Regulatory Agency (MHRA) and the Dutch Centrale CommissieMensgebonden Onderzoek (CCMO), as well as from the relevant accredited ethics committees, in order to perform clinical trials in theUnited Kingdom and The Netherlands solely for indications under the anti-TNF platform. No marketing applications or requests for marketingapproval have been submitted to, the U.S. Food and Drug Administration (“FDA”) for any indications or products underthe anti-TNF platform at this time. On March 29, 2022 we submitted a request to FDA for a Type C Meeting to discuss clinical outcomeassessment in clinical trials of the anti-TNF platform for early stage Dupuytren’s disease. On April 26, 2022, FDA granted themeeting request and agreed to provide written responses in lieu of a meeting. On June 9, 2022, FDA provided the aforementioned writtenresponses in which the agency questioned whether nodule hardness and size would constitute an appropriate end point in such studies.Specifically, FDA stated, “The proposed outcome measures of nodule hardness and nodule size do not appear to be clinical outcomemeasures that measure how a patient feel, functions, or survives, which would be needed to support a demonstration of efficacy in yourfuture registrational studies.”
OnFebruary 22, 2023, we announced the closure of recruitment of patients for the feasibility trial for frozen shoulder, for which we haveended such recruitment at nine patients, due to a regulatory request in the UK to end slow recruiting trials. The result of the closureof the trial means that another trial will likely need to be undertaken in the future to recruit additional participants.
HMGB1Program
OurHMGB1 program was formed with the in-licensing of the technology from the University of Oxford on November 2, 2021. Our HMGB1program falls under the Fibrosis and Anti-TNF Platform. We have identified HMGB1 as a therapeutic target that acts on multiple endogenousadult stem cells to accelerate the physiological regenerative response to current or future injuries. These findings have broad relevanceto the fields of stem cell biology and regenerative medicine and suggest a therapeutic approach to promote tissue repair such as in NASHliver regeneration.
Thetechnology was developed by Prof. Jagdeep Nanchahal’s laboratory at the University Oxford prior to licensing. Due to the earlystage of development of HMGB1, we are still in the process of assessing milestones and development timelines. The licensing of HMGB1included the lead development candidate for liver fibrosis. Our HMGB1 program continues to advance slowly. The molecular dynamics forthe binding of this molecule are extremely complex and potentially need more extensive research in order to identify a lead candidate.
Noregulatory approvals have been sought or obtained from appropriate authorities at this time for any products or indications under theHMGB1 platform.
SCAsPlatform
OurSCAs platform began at our wholly-owned subsidiary, CannBioRex Pharmaceuticals Corp. (“CBR Pharma”) with the collaborativework of its founders Prof. Mechoulam, deceased, and Prof. Feldmann. This platform focuses on the development of synthetic pharmaceuticalgrade molecules close or distant analogs of non-psychoactive cannabinoids such as CBD for the treatment of inflammatory diseases andpain. These development efforts are a result of a 20-year collaboration between Prof. Feldmann, who discovered and commercialized anti-TNFtherapy for treatment of RA and subsequently a number of inflammatory diseases, which is currently the best-selling drug class in theworld, and Prof. Mechoulam, who was a world leading expert in cannabis chemistry who successfully identified THC, CBD and, subsequently,the endocannabinoids. We are working with a research team based at the Kennedy Institute at Oxford, consisting of Prof. Feldmann, Prof.Richard Williams and others, and a research team based at Hebrew University, consisting of Prof. Avi Domb, Prof. Amnon Hoffman and others,to generate new drugs, test them, and optimize their uptake and delivery to disease targets. The aim is to develop novel, orally activeanalgesic and anti-inflammatory medications based on synthetic compounds to target chronic diseases. We term these synthetic compoundsgenerically as “synthetic CBD analogs” (“SCAs”). Our primary development targets are arthritisand chronic and recurrent pain, while our secondary development targets are diabetes/diabetic neuropathy, fibromyalgia, multiple sclerosis,obesity and fatty liver disease.
Noregulatory approvals have been sought or obtained from appropriate authorities at this time for any products or indications under theSCAs platform.
α7nAChRPlatform
Ourα7nAChR platform began at our wholly-owned subsidiary, Katexco, where its founders identified α7nAChR as akey receptor for the amyloid proteins associated with diseases like Alzheimer’s and Parkinson’s Disease. α7nAChRis expressed on the surface of both neuronal cells in the brain and on important cells of the immune system. The research conductedby Dr. Jonathan Rothbard and Prof. Steinman has shown that small molecules available as drugs taken by mouth can engage this receptorand potentially reduce inflammatory diseases. Dr. Rothbard and Prof. Steinman have also shown that α7nAChR is critical inreducing disease animal models of multiple sclerosis and RA, as well as heart attack and stroke. Our α7nAChR product developmentplatform is currently focused on developing α7nAChR agonists for the treatment of inflammatory diseases, initially ulcerativecolitis induced after cessation of smoking.
Noregulatory approvals have been sought or obtained from appropriate authorities at this time for any products or indications under theα7nAChR platform.
ProductCandidates
Weare attempting to build a broad and diverse pipeline of product candidates in chronic pain, inflammation and fibrosis. Our product candidatesare and will be selected for development based on: potential to address unmet medical needs; development feasibility as determined byour preclinical research and development efforts; potential to rapidly achieve proof-of-concept based on easy-to-measure validated regulatoryendpoints; and significant commercial potential.
Anti-TNFPlatform Dupuytren’s Contracture
Overview
Dupuytren’sContracture, also referred to as hand fibrosis, is a progressive, incurable disease characterized by the development of fibrous cordsin the palm of the hand, commonly affecting the ring and/or small finger and often multiple joints, leading to contracture and the inabilityto straighten the affected fingers. Symptoms, when presented to a physician, range from the appearance of nodules in the palm, whichcan be painless or painful and often disconcerting to the patient, to the loss of the use of the contracted finger. There are currentlyno approved treatment options for those patients who present with symptomatic, early-stage disease.
Surgeryremains the standard treatment for patients with Dupuytren’s Contractures but is associated with extended recovery periods andrisks of recurrence.
Weare developing therapies by repurposing of the anti-TNF therapeutic adalimumab, previously approved and used under the brand name Humirafor several autoimmune conditions, for the treatment of early-stage Dupuytren’s Contracture. Research at Oxford University hasindicated an anti-TNF mechanism can slow or prevent the proliferation of myoblast cells that lead to the formation and growth of thefibrous nodules/cords in the palm and possible finger contracture. We have advanced the development program through Phase 2b clinicaltrials to evaluate the impact of multiple, intralesional injections on disease progression and functional improvement.
Dupuytren’spatients who have advanced disease are primarily treated by orthopedic or plastic surgeons, who rely on invasive interventions when thecontracture impacts hand function. Current treatment options include open surgeries (fasciotomies or fasciectomies) and the less invasiveprocedures of needle aponeurotomy (NA) or collagenase injections. The less invasive procedures are designed to disrupt the integrityof a contracted cord so the fingers can be straightened. Unfortunately, these options are associated with a high rate of recurrence.Dissatisfaction within the medical and Dupuytren patient community with outcomes for later-stage disease and the lack of options to interveneat an early/pre-contracture stage indicate there is an unmet medical need for early-stage intervention.
Accordingto the Dupuytren’s Foundation, Dupuytren’s Contracture prevalence is estimated to be up to 7% of the U.S. population. Basedon the Foundation’s estimates, approximately three million patients have contractures that should be treated but only 10% to 20%of those patients are treated. Reasons for the lack of treatment may include the type of available interventions, poor long-term outcomes,and reimbursement hurdles.
Inprimary interviews in late 2021 with 8 orthopedic/plastic surgeons, conducted by Red Sky Partners (an independent third-party consultingfirm) on our behalf and designed to better understand the unmet need for patients with Dupuytren’s Contracture, revealed a strongdesire among hand surgeons and patients to treat this condition early, before the development of late stage contractures, in a non-invasivemanner that will limit further progression, preserve function and prevent or delay invasive surgery. Surgeons’ reactions to therationale for the use of adalimumab to address this unmet need were overall positive and the mechanistic concept of an anti-TNF compoundwas considered compelling. In the view of the majority of surveyed hand surgeons, the non-invasive, safe product profile would potentiallyposition adalimumab as an important therapeutic option for a much wider range of patients than are typically treated today. Assumingclinical efficacy and safety are supported with published data, we believe that adalimumab would become an attractive alternative tosurgery, needle aponeurotomy or collagenase. Further, we believe it has potential use in many early-stage patients who are not treatedtoday.
Basedon both primary (feedback from these physician interviews) and secondary research, Red Sky Partners concluded that an initial label focusedon patients with a clear contracture where adalimumab would soften nodules and limit progression would be highly differentiated fromcurrent therapies and could generate revenues in the range of $300 million to $350 million annually in the United States More significantly,the opportunity to offer a safe, non-invasive therapeutic leading to improved function could dramatically expand the treatable populationas more patients seek treatment and more physicians are motivated to offer their patients an alternative to waiting to see if their diseaseprogresses, which they cannot do today. This product positioning could generate a revenue opportunity two to three times the initialmarket opportunity.
Phase2 Clinical Trials
Ourwholly-owned subsidiary, 180 LP, contributed to the funding of a Phase 2a clinical trial for Dupuytren’s Contracture along withthe Wellcome Trust and the U.K. Department of Health, which using an experimental medicine clinical trial design demonstrated positivetissue response, as well as guiding dosing and tolerability for follow-up trials. The data was published in June 2018.
Forthe Phase 2a trial, we recruited 28 patients, eight assigned to the 15 milligrams (mg), 12 to the 35 mg and eight to the 40 mgadalimumab cohorts. There was no change in mRNA levels for ACTA2, COL1A1, COL3A1 and CDH11. Levels of α-SMA proteinexpression in patients treated with 40 mg adalimumab (1.09 ± 0.09 ng per μg of total protein) weresignificantly lower (p = 0.006) compared to placebo treated patients (1.51 ± 0.09 ng/μg). Thelevels of procollagen type I protein expression were also significantly lower (p = 0.019) in the subgroup treated with 40 mgadalimumab (474 ± 84 pg/μg total protein) compared with placebo (817 ± 78 pg/μg).There were two serious adverse events, both considered unrelated to the study drug. In this dose-ranging study, injection of 40 mgof adalimumab in 0.4 ml resulted in down regulation of the myofibroblast phenotype as evidenced by reduction in expression of α-SMAand type I procollagen proteins at 2 weeks.
Havingdefined the most efficacious dose and preparation and based on these positive proof-of-concept data, we, together with the Wellcome Trustand the U.K. Department of Health, initiated a Phase 2b trial in patients with early-stage Dupuytren’s Contracture. The initialplan was to randomize 138 patients in a ratio of 1:1 to receive four injections of adalimumab or placebo at three-month intervals andfollowed for a total of 18 months from baseline. The Phase 2b trial, which was funded by grants from the Wellcome Trust and the U.K.Department of Health, with a contribution from 180 LP to purchase the drug, completed recruitment of 174 patients in April 2019 and commenceddosing in February 2017 in the United Kingdom and Groningen, The Netherlands.
ThePhase 2b clinical trial for early-stage Dupuytren’s Contracture has been completed. On December 1, 2021, we announced top linedata from the trial, which indicates that the primary end point of nodule hardness and the secondary end point of nodule size on ultrasoundscan were met with statistically significant differences. There were no related severe adverse events. The full results have been publishedin the Lancet Rheumatology publication on April 29, 2022.
OtherProduct Candidates or Indications
Inaddition to the potential treatment, we are developing for Dupuytren’s Contracture described above, we are seeking to repurposeanti-TNF for use as a treatment for other fibrotic conditions such as frozen shoulder. Prof. Feldmann’s previous work in the 1980’sdemonstrated that anti-TNF is an effective anti-inflammatory with many possible uses, and it was subsequently approved for various formsof inflammatory arthritis and inflammatory bowel disease (IBD), as well as other indications. This has since created what is currentlythe best-selling drug class in the world, anti-TNF therapeutics, which, according to a Research Reports World report published on November3, 2022, was valued at $42.7 billion in 2022. By using a well-known and extensively used therapeutic, adalimumab, the research and developmentprocess may be truncated because of existing product information relating to safety, as the drug has been widely used over the past 20years in millions of patients.
FrozenShoulder
Frozenshoulder, also referred to as adhesive capsulitis, is an extremely painful and debilitating condition that affects an individual’severyday activities, including sleep. According to the National Institute of Health, frozen shoulder is most common in people betweenthe ages of 40 and 60. It is estimated that 2 to 5% of the population are affected by frozen shoulder at some point, and it is somewhatmore common in women than in men. People with diabetes are particularly likely to develop a frozen shoulder: About 10 to 20% of themget it, but it is not yet known why this happens. In addition, approximately 20% of people suffering from a frozen shoulder will developthe same problem in their other shoulder. According to an article published in Shoulder & Elbow in 2010, it is estimated that upto 30% of patients with diabetes develop frozen shoulder, and the symptoms tend to be more persistent and recalcitrant in this group.
Duringthe pain predominant inflammatory phase, patients are typically treated with analgesics, physiotherapy and corticosteroid injections.Patients with persistent stiffness may be referred to secondary care for capsular release by manipulation under anesthesia, hydrodilatationor surgical arthroscopy. To our knowledge, there is currently no approved targeted therapy, and in conjunction with the National Institutefor Health Research (U.K.), we are investigating the feasibility of recruiting patients during the early pain-predominant inflammatoryphase of the disease and delivery of a local injection of anti-TNF. The set-up stage for this Phase 2 clinical trial for the local injectionof anti-TNF for frozen shoulder started in June 2021. A £250,000 grant has been awarded from NIHR to the University of Oxford tosupport execution and clinical trial sites are being identified. We are providing additional funding to support this trial. The recruitmentof men and women across England with early-stage Frozen shoulder for a trial to determine the feasibility of conducting a large randomizedcontrolled trial to assess whether an intra-articular injection of anti-TNF (Adalimumab) can reduce pain and improve function in peoplewith pain predominant early-stage frozen shoulder, which was called the Anti-Freaze-F trial, began in May 2022. The Anti-Freaze-F trialwas being run by the University of Oxford and originally sought to recruit 84 participants. Following delays in gaining approvals dueto backlogs in the NIHR system due to COVID-19 and consequential staff vacancies, nine participants were recruited for participationin the trial through mid-February 2023. Subsequently, the NIHR’s Research Recovery and Reset program identified the trial as slowmoving, due to the considerable challenges we faced to open recruitment sites and enroll sufficient participants during COVID-19. Therefore,the NIHR asked the chief investigators to close the trial for further recruitment. The participants enrolled to date will receive theirinjections and follow up according to the established protocol. We have previously requested a no-cost extension, which was denied. Theresult of the closure of the trial means that another trial will likely need to be undertaken at a future time to recruit additionalparticipants.
HumanLiver Fibrosis
Fibrosisof the liver is characterized by long-term damage to the organ caused by the replacement of normal liver tissue with scar tissue. Thecondition is most commonly caused by non-alcoholic fatty liver disease (“NAFLD”), which encompasses non-alcoholicfatty liver (“NFL”) and non-alcoholic steatohepatitis (“NASH”). NAFLD affects approximately 30%of the U.S. population, according to an article published in Nature Reviews Gastroenterology & Hepatology in 2016. Approximately2% of patients with NFL and approximately 15% to 20% of patients with NASH progress to cirrhosis, fibrosis of the liver with major healthissues.
Toour knowledge, there is no current approved treatment for individuals with NASH. We therefore believe that there is a large potentialmarket for the creation of an effective preventative treatment. According to Allied Market Research, the market for treating liver fibrosiswas approximately $13 billion in 2018 and is projected to rise to approximately $20 billion in 2022, rising at a compounded annual growthrate (CAGR) of over 11% per year. We initiated preclinical studies for NASH based on human liver samples during the second quarter of2020.
Post-operativeCognitive Decline (POCD)
POCDis a common neuropsychiatric syndrome, defined as disturbance of attention, awareness and cognition, which develops over a short periodof time and tends to fluctuate during the course of the day. Patients with hip fracture are at particularly high risk of developing POCD.The United Kingdom’s national audit data for 2018 showed that 25% of all patients with hip fracture suffered from delirium. POCDis associated with poor functional outcomes, reduced quality of life and longer hospital stays. People with hip fracture who developeddelirium are twice as likely to die as inpatients, and nearly four times more likely to need placement in a nursing home. POCD has alsobeen closely associated with long-term cognitive impairment.
Hipfractures are one of the main challenges facing elderly patients and healthcare systems. According to an article published in The LancetPublic Health in 2017, hip fractures are associated with an average loss of 2.7% of the healthy life expectancy in the middle-aged andolder population in the United States and Europe. People suffering hip fracture have a mean age of 83 years, are frail, and two-thirdsare women. They suffer a 30-day mortality of 7% and experience a persistent reduction in their health-related quality-of-life similarto that of a diagnosis of Parkinson’s disease or multiple sclerosis. According to various studies, POCD is developed in 13-40%of patients following cardiac surgery. With 500,000 open heart surgeries and 450,000 hip surgeries in the United States each year, inadvanced age patients, a beneficial therapy to treat POCD would be a significant benefit to these patients. We plan to initiate a Phase2 study using anti-TNF for POCD and start patient recruitment during the second or third quarter of 2023. An issued patent to protectthis potential use has been licensed from The Kennedy Trust for Rheumatology Research.
SCAsPlatform
Overview
Cannabinoidsare a class of compounds derived from cannabis plants. The two major cannabinoids contained in cannabis are CBD and THC. Although onecannabinoid, THC, is known to cause psychoactive effects associated with the use of herbal cannabis, no other cannabinoid is known toshare these properties. In recent decades, there have been major scientific advances that have led to the discovery of new plant-derivedcannabinoids and the endocannabinoid system. There are at least two types of cannabinoid receptors in the human endocannabinoid system,cannabinoid receptor 1 (“CB1”) and cannabinoid receptor 2 (“CB2”). CB1 receptors are consideredto be among the most widely expressed G protein-coupled receptors in the brain and are particularly abundant in areas of the brain concernedwith movement and postural control, pain and sensory perception, memory, cognition, emotion, and autonomic and endocrine function. CB1receptors are also found in peripheral tissues including peripheral nerves and non-neuronal tissues such as muscle, liver tissues andfat. CB2 receptors are expressed primarily in tissues in the immune system and are believed to mediate the immunological effects of cannabinoids.CBD does not interact with CB1 receptors and is only a weak agonist of CB2 receptors. CBD interacts with other important neurotransmitterand neuromodulatory systems in the human body, including transient receptor potential channels, adenosine uptake and serotonin receptors.The far-reaching and diverse pharmacology of the numerous cannabinoids provides significant potential for development of cannabinoidtherapeutics across many indications and disease areas, but also adds to the complexity of the research.
Forthe SCA program, we have agreements in place with Hebrew University and Oxford, pursuant to which we intend to conduct research to developand characterize novel SCAs for the treatment of certain target indications, and to perform early-phase clinical trials. Through theResearch Agreements with Hebrew University and Oxford, we established research facilities at the Hebrew University and Oxford, in whichthe development and testing of new cannabinoids designed and synthesized at the Hebrew University will be facilitated. The labs at theHebrew University will synthesize the chemical compounds and perform preliminary efficacy and safety studies.
Oncethese initial studies are completed at the Hebrew University, the chemical compounds are sent to Prof. Richard Williams at Oxford, wherefurther evaluation is carried out to identify candidates which have the best potential for clinical efficacy and commercial development.Subsequently, we will support the clinical development of the lead compound(s), culminating in Phase 2 clinical trials to establish clinicalutility in chronic pain and inflammatory indications.
Thefocus of the research is the development of safe and well-tolerated compounds with analgesic and immunomodulatory activity and with thecapacity to synergize with current therapies, which target downstream inflammatory processes. After conducting initial research and development,we selected the most promising of the chemical derivatives to move into Phase 1/2 clinical trials, pending successful toxicity studies.In addition, we have identified two lead solid dosage oral formulations of CBD from animal studies, and preparations are underway tofacilitate pharmacokinetic analysis in healthy human volunteers.
ProductCandidates or Indications
Webelieve that there are unmet needs for orally available, relatively safe anti-inflammatory drugs, especially those with analgesic properties.We believe that SCAs have the potential to fulfill these needs and we have started to develop novel, orally available and patentabledrug candidates to treat certain diseases or conditions such as arthritis, multiple sclerosis, diabetes, psoriasis, obesity and fattyliver, and various painful conditions. Our work on SCAs is currently in the preclinical development stage.
Becausemedical cannabis is a complex mixture of compounds from plants, providing a consistent level of the active compound of interest or controllingthe level of the other natural compounds is difficult. Accordingly, we are working on orally available SCAs, not derived from plants,to address the deleterious issues of medical cannabis described above. If successful, these SCAs could become approved drug productsthat offer a robustly consistent and safe dosage that allows patient intake to be carefully controlled.
Webelieve that the development and clinical study of SCAs will reveal that SCAs have several key advantages over medical cannabis, including:
| ● | use of a pure compound (>99.5%) rather than a mixture of compounds; |
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| ● | ability to test and control dosing, which in turn controls efficacy and side effect levels; |
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| ● | creation of a reproducible product; and |
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| ● | ability to engineer novel synthetic analogs to control binding preferences to select receptors, control agonist or antagonist effects of receptor binding (pharmacokinetics and dynamics), modify half-life of the drug in the body, and create pro-drug forms that are only activated in specified tissues, thereby potentially reducing off target side effects. |
Inaddition to the above advantages, testing SCAs in scientific, double-blind clinical trials would help to allay physicians’ concernsregarding the therapeutic use of marijuana-based compounds. This change could increase the number of patients that have access to thesedrug therapies. If clinical trials are successful, there are a number of potential markets and indications for SCAs which we could target,which include individuals suffering from chronic and recurrent pain, diabetes, osteoarthritis, obesity and fatty liver disease.
α7nAChRPlatform
Overview
Twoof our lead scientists, Prof. Steinman and Dr. Rothbard, previously identified a key receptor for the amyloid proteins associated withdiseases like Alzheimer’s and Parkinson’s disease, called α7nAChR. The α7nAChR is expressed on the surface ofboth neuronal cells in the brain and on cells of the immune system. The research conducted by Dr. Rothbard and Prof. Steinman has shownthat small molecules available as drugs taken by mouth can engage this receptor and potently reduce inflammatory diseases. Dr. Rothbardand Prof. Steinman have shown that this receptor is critical in reducing disease in animal models of multiple sclerosis and RA, as wellas heart attack and stroke.
Ourefforts to understand the role of the high concentration of small heat shock proteins (“sHsp”) found in the lesionsin the brains of patients with multiple sclerosis led us to realize that the protein was (i) immune suppressive and (ii) therapeuticin animal 2 models of multiple sclerosis, cardiac and retinal ischemia, and stroke. A significant realization was that amyloid fibrilscomposed of proteins or small peptides exhibited biological responses equivalent to the sHsps. The fibrils and the sHsps specificallybound and activated macrophages (“MΦ”) and regulatory B cells. Crosslinking and precipitation experiments demonstratedthat both species bound nAChR and signaled through Jak2/Stat3. We realized that nicotine treatment of experimental autoimmune encephalomyelitis(“EAE”) induces an identical pattern of immune suppression as our treatments and exhibits pre-clinical efficacy thatis comparable with many of the drugs that are approved for multiple sclerosis (MS) when they were tested in EAE models. Collectively,these observations have informed our strategy to develop an orally available, small molecule agonist of α7nAChR for inflammationand autoimmune diseases.
Theα7 subunit of α7nAChR is an integral part of an endogenous immune suppressive pathway, in which activation of the vagus nervestimulates acetylcholine secretion, which in turn binds α7nAChR on MΦs and regulatory B lymphocytes. Activation of the MΦsinitiates an immunosuppressive cascade of events that lead to reduction of pro-inflammatory cytokines, suppression of B and T cell activationand control of inflammation.
Inautoimmune diseases like RA, where there is intense inflammation destroying joints, and in multiple sclerosis, where the brain is underattack with damage to vital neurologic circuits, the body’s immune system turns against its own tissues. Other diseases rangingfrom atherosclerosis to gout, also reveal manifestations of an unwanted autoimmune attack.
Activationof the α7nAChR results in a signaling cascade involving Jak2 and Stat3 leading to the conversion of the macrophages to an immunesuppressive phenotype and the production of IL-10. IL-10 is known to reduce inflammatory cytokines, most prominently TNF, IL-1, and IL-6.Consequently, α7nAChR agonists should complement anti-TNF therapy, which opens up the possibility of developing a new class oforally available medicines which are anti-inflammatory but much safer than existing medications such as NSAIDS, Cox2 inhibitors, methotrexate,and Janus kinase (JAK) inhibitors. This is because α7nAChR agonists are activating an endogenous regulatory pathway, rather thanblocking important pathways needed for diverse processes. The market opportunity arises from the complex and expensive effort by severallarge and small biotechnology companies in the development of a spectrum of orally available partial agonists specific for α7nAChR.The compounds underwent extensive preclinical assessment and were used in 18 studies comprising 2,670 subjects.
Thedrugs universally were shown to be safe, but ineffective in trials for neurologic and psychiatric diseases, namely Alzheimer’sdisease and schizophrenia. In randomized, placebo-controlled clinical trials for cognitive impairment in Alzheimer’s disease andschizophrenia, the compounds failed to meet their primary endpoint.
Weplan to use these previous studies as a foundation to potentially develop a patentable α7nAChR analog within this family to useas an immune suppressive to treat a range of inflammatory and autoimmune indications including RA, inflammatory bowel disease (IBD),relapsing and progressive forms of multiple sclerosis, atherosclerosis, gout and osteoarthritis. Our scientists have found that the α7receptor on macrophages and regulatory B lymphocytes are different from the target of the drugs developed so far.
ProductCandidates or Indications
Weintend to identify, characterize, synthesize, and patent an orally available small molecular weight agonist of α7nAChR by screeningnon-patented analogs of large numbers of known agonists defined by pharmaceutical companies. We intend to outsource this work to EvotecGMBH, an integrated early discovery organization, and one which we have worked with in the past, specializing in ion channels and transporters,offering clients specialized technologies and scientific expertise to move from target to lead compounds.
Followinga safety and efficacy assessment program, we intend to select candidates for pre-clinical development as a prelude to the potential initiationof clinical studies, which could potentially be followed by an Investigational New Drug Application (“IND”) to theFDA. Our first intended target indication for its α7nAChR development platform is smoking cessation induced ulcerative colitis.
Outsourcingand Manufacturing
Weare currently outsourcing our clinical trials, which are conducted at Oxford University, Edinburgh, United Kingdom and Groningen, TheNetherlands and only involve certain indications under the anti-TNF platform. We expect to continue to outsource our clinical trialsand conduct them at (1) in the case of the anti-TNF platform, Oxford University and Groningen, The Netherlands, (2) in the case of theSCAs platform, Hebrew University and Oxford University, and (3) in the case of the α7nAChR platform, to be determined.
Wealso expect to outsource all of our manufacturing activities, including those activities at the research or clinical stage, with SCAsto be produced at Hebrew University and α7nAChR to be produced by Evotec GMBH and the anti-TNF platform utilizingoff-the-shelf adalimumab. In addition, we expect our products to be good manufacturing practice (GMP) grade and produced by accreditedcontract research organizations (CROs).
MaterialAgreements
Wehave entered into material research and licensing agreements (the “Research Agreements”) with various universitiesand parties in order to conduct research to develop potential product candidates. We have also entered into other material consultingand advisory services agreements with various scientists (the “Consulting Agreements”) to assist with such research.
Overviewof Research Agreements
TheResearch Agreements include agreements with the Hebrew University and Oxford. For the anti-TNF platform, the Research Agreements withOxford allow us to contribute financially to sponsor the research being conducted for the anti-TNF platform. In return, we will receivean exclusive option to license any intellectual property arising from the Research Agreements. There are also license agreements in placewhereby we have exclusively licensed certain intellectual property from Oxford.
Forthe SCA program, we have agreements in place with Hebrew University and Oxford, pursuant to which we intend to conduct research to developand characterize novel SCAs for the treatment of certain target indications, and to perform early-phase clinical trials. Through theResearch Agreements with Hebrew University and Oxford, we established research facilities at the Hebrew University and Oxford, in whichthe development and testing of new cannabinoids designed and synthesized at the Hebrew University will be facilitated.
TheResearch Agreements are each described below.
ResearchAgreements with the Hebrew University
OnMay 13, 2018, our wholly-owned subsidiary CBR Pharma entered into a research and license agreement (the “2018 Hebrew Agreement”)with Yissum, pursuant to which Yissum granted CBR Pharma a worldwide exclusive license (the “2018 Hebrew License”)to develop and commercialize certain patents (the “2018 Hebrew Licensed Patents”), know-how and research results (collectively,the “2018 Hebrew Licensed Technology”), in order to develop, manufacture, market, distribute or sell products, allwithin the use of the 2018 Hebrew Licensed Technology for the treatment of any and all veterinary and human medical conditions, includingobesity, pain, inflammation and arthritis (the “2018 Field”).
Pursuantto the 2018 Hebrew Agreement, notwithstanding the grant of the 2018 Hebrew License, Yissum, on behalf of Hebrew University, will retainthe right to (i) make, use and practice the 2018 Hebrew Licensed Technology for Hebrew University’s own research and educationalpurposes; (ii) license or otherwise convey to other academic and not-for-profit research organizations the 2018 Hebrew Licensed Technologyfor use in non-commercial research; and (iii) license or otherwise convey the 2018 Hebrew Licensed Technology to any third party forresearch or commercial applications outside the 2018 Field.
The2018 Hebrew Agreement further provides that CBR Pharma is entitled to grant one or more sublicenses to the 2018 Hebrew Licensed Technologyfor exploitation in the 2018 Field.
Allright, title and interest in and to the 2018 Hebrew Licensed Technology vest solely in Yissum, and CBR Pharma will hold and make useof the rights granted pursuant to the 2018 Hebrew License solely in accordance with the terms of the 2018 Hebrew Agreement.
Asconsideration for the 2018 Hebrew License, CBR Pharma paid Yissum a license fee of $75,000 and agreed to continue to pay an annual licensemaintenance fee (the “License Maintenance Fee”) of $50,000, beginning on May 1, 2019 and thereafter on the first dayof May each year. The License Maintenance Fee is non-refundable but may be credited each year against royalties on account of net salesof products made from May 1 to April 30 of each year.
Yissumhas also agreed to undertake research and to synthesize chemical compounds that will be used by CBR Pharma, through additional researchat both Oxford and Hebrew University, to develop orally active analgesic and anti-inflammatory medications. Compounds will be shippedfrom Hebrew University to Oxford for use in pre-clinical studies to establish efficacy in pain and inflammation.
Uponthe achievement of certain milestones in respect of the chemical compounds derived from the 2018 Hebrew Licensed Technology, CBR Pharmais obligated to make certain payments to Yissum, including but not limited to the following:
Milestone | | Milestone Fee | |
Submission of the first IND testing for the FDA | | $ | 75,000 | |
Commencement of one Phase 1/2 trial with the FDA | | $ | 100,000 | |
Commencement of one Phase 3 trial with the FDA | | $ | 150,000 | |
For each product market authorization/clearance (maximum of $500,000) | | $ | 100,000 | |
| | | (maximum of $500,000 | ) |
For every $250 million in accumulated sales of the product until $1 billion in sales is achieved | | $ | 250,000 | |
CBRPharma will pay Yissum royalties equal to (i) 3% of the net sales for the first annual $500 million of net sales, and (ii) 5% of thenet sales after the net sales are at or in excess of $500 million.
Inthe event of a sale by CBR Pharma stockholders of their common shares or the transfer or assignment of the 2018 Hebrew Agreement, CBRPharma is obligated to pay Yissum a fee of 5% of the consideration received by CBR Pharma pursuant to such corporate transaction. Inthe event of an initial public offering, or a go-public event, CBR Pharma was obligated to issue registered common shares to Yissum equalto 5% of the issued and outstanding common shares, on a fully-diluted basis, concurrently with the closing of such transaction. The BusinessCombination that was consummated on November 6, 2020, was considered a go-public event, pursuant to which we issued 12,028 of our commonshares to Yissum prior to the closing of the Business Combination. See Note 11 - Commitments and Contingencies and Note 12 - Stockholders’Equity of the financial statements for the fiscal period ended December 31, 2022 included in this prospectus for more information onthe shares issued to Yissum as per the research and license agreement.
CBRPharma has also agreed to reimburse Yissum (to a maximum of $30,000) for costs incurred for patent expenses.
Yissumand CBR Pharma also agreed to establish a research program for which CBR Pharma funded a $400,000 budget for the 12-month period endedMay 2019, which is in the process of being extended by an amendment.
The2018 Hebrew Agreement will terminate upon the occurrence of the later of the following: (i) the expiration of the last of the 2018 HebrewLicensed Patents; (ii) the expiration of the last exclusivity on any product granted by any regulatory or government body; (iii) theexpiration of a continuous period of twenty years during which there was no commercial sale of any product in any country; or (iv) ifwe elect to obtain an exclusive license to the know-how under the terms of the 2018 Hebrew Agreement, the expiration of such exclusivelicense.
OnNovember 11, 2019, CBR Pharma entered into an additional research and license agreement (the “2019 Hebrew Agreement”)with Yissum, pursuant to which Yissum granted CBR Pharma a worldwide sole and exclusive license (the “2019 Hebrew License”)to develop and commercialize certain patents (the “2019 Hebrew Licensed Patents”), know-how and research results (collectively,the “2019 Hebrew Licensed Technology,” and together with the 2018 Hebrew Licensed Technology, the “HebrewLicensed Technology”), in order to develop, manufacture, market, distribute, sell, repair and refurbish products, all withinthe use of the 2019 Hebrew Licensed Technology for (i) Cannabinoid phenolate metal salts, including mono, di and trivalent metals suchas Li, Na, K, Ca, Mg, Zn, Fe and Al and their mixtures with native or synthetic cannabinoids, their pharmaceutical formulations, includingfor oral and topical administration; and (ii) pharmaceutical formulations, for the administration of cannabinoid chemical derivatives,including any and all veterinary and human medical conditions, including obesity, pain, inflammation and arthritis (the “2019Field”).
Pursuantto the 2019 Hebrew Agreement, notwithstanding the grant of the 2019 Hebrew License, Yissum, on behalf of Hebrew University, will retainthe right to (i) make, use and practice the 2019 Hebrew Licensed Technology for Hebrew University’s own research and educationalpurposes, but not for commercial purposes, and subject to the maintenance of confidentiality for any know-how or unpublished patent informationcontained in the 2019 Hebrew Licensed Technology; (ii) license or otherwise convey to other academic and not-for-profit research organizationsthe 2019 Hebrew Licensed Technology for use in non-commercial research and subject to the maintenance of confidentiality for any know-howor unpublished patent information contained in the 2019 Hebrew Licensed Technology; and (iii) license or otherwise convey the 2019 HebrewLicensed Technology to any third party for research or commercial applications outside the 2019 Field, subject to the maintenance ofconfidentiality for any know-how or unpublished patent information contained in the 2019 Hebrew Licensed Technology.
The2019 Hebrew Agreement further provides that CBR Pharma is entitled to grant one or more sublicenses to the 2019 Hebrew Licensed Technologyfor exploitation in the 2019 Field.
Allright, title and interest in and to the 2019 Hebrew Licensed Technology vests solely in Yissum, and CBR Pharma will hold and make useof the rights granted pursuant to the 2019 Hebrew License solely in accordance with the terms of the 2019 Hebrew Agreement.
The2019 Hebrew Licensed Technology will terminate upon the occurrence of the later of the following: (i) the expiration of the last of the2019 Hebrew Licensed Patents; (ii) the expiration of the last exclusivity on any product granted by any regulatory or government body;(iii) the expiration of a continuous period of twenty years plus any applicable patent extension period, during which there was no commercialsale of any product in any country; or (iv) if we elect to obtain an exclusive license to the know-how under the terms of the 2019 HebrewAgreement, the expiration of such exclusive license.
OnJanuary 1, 2020, CBR Pharma and Yissum entered into the first amendment to the 2018 Hebrew Agreement (the “First Hebrew Amendment”),which provided for additional research to be done at Yissum on new derivatives of certain molecules. Pursuant to the terms of the FirstHebrew Agreement Amendment, we will pay Yissum $200,000 per year plus 35% additional for University overhead for the additional researchperformed by each professor over an 18-month period, starting May 1, 2019. The additional research ended in April 2021 and further preclinicalwork is expected to be undertaken following research and development of a potentially successful drug delivery method, which is in itslate stage development.
ResearchAgreements with the University of Oxford
OnNovember 1, 2013, our wholly-owned subsidiary 180 LP entered into an agreement (the “First Oxford Agreement”) withOxford, pursuant to which 180 LP will sponsor Oxford’s research and development of repurposing anti-TNF for Dupuytren’s Contracture.
Pursuantto the First Oxford Agreement, each payment is to be made to ISIS Innovation (now Oxford University Innovation) at different milestonesof the project, outlined below:
Milestone | | Milestone Fee | |
Minimum investment completed | | £ | 10,000 | |
Initiation of Phase 2 trial for a licensed product | | £ | 10,000 | |
Initiation of Phase 3 trial for a licensed product | | £ | 10,000 | |
Registerable Phase 3 trial primary endpoint achieved for a licensed product | | £ | 20,000 | |
Any issued U.S. patent of the licensed intellectual property rights | | £ | 5,000 | |
Approval by FDA of a New Drug Application (“NDA”) filed by 180 LP or one of its sub-licensees for a licensed product | | £ | 30,000 | |
Approval by EMA of an MAA filed by 180 LP or one of its sub-licensees for a licensed product | | £ | 30,000 | |
First commercial sale of a licensed product by 180 LP or any sub-licensee in the United States | | £ | 50,000 | |
First commercial sale of a licensed product by 180 LP or any sub-licensee in the European Union | | £ | 50,000 | |
ISISInnovation is also eligible for royalty payments equal to 0.5% of net sales in any country where there is a valid claim, 0.25% of netsales in other countries and a fee income royalty rate of 7.5% on all up-front, milestone and other one-off payments under or in connectionwith all sub-licenses and other contracts granted by 180 LP with respect to the licensed technology. The First Oxford Agreement is effective,unless earlier terminated, for so long as the specified patent application remains in effect as an issued patent, pending patent applicationor supplementary protection certificate or for a term of 20 years, whichever is longer.
OnAugust 15, 2018, CannBioRex Pharma Limited, a company incorporated under the laws of England and Wales (“CannU.K.”)and a wholly-owned subsidiary of our wholly-owned subsidiary CBR Pharma, entered into the Research Agreement (the “Second OxfordAgreement”) with Oxford, pursuant to which CBR Pharma (through CannU.K.) has sponsored Oxford’s research and developmentof SCAs developed from the Hebrew Licensed Technology. At Oxford, the SCAs generated in the Hebrew University are being tested for analgesicand anti-inflammatory effects in established pre-clinical models.
Pursuantto the Second Oxford Agreement, Oxford undertook a research project (the “Research Project”) based around the clinicaldevelopment of SCAs that are known to exhibit both anti-inflammatory and immunomodulatory properties. The aim of the Research Projectwas to develop and characterize chemical compounds that are synthesized at Hebrew University to create treatments for chronic pain, RAand other chronic inflammatory conditions, and to eventually obtain regulatory approval to initiate early-phase clinical trials by midto late 2022 or as soon as possible thereafter. The Second Oxford Agreement had an initial term of one year beginning on March 22, 2019,but was extended by amendment to March 31, 2020, or any later date agreed to by the parties, unless terminated earlier. The Second OxfordAgreement was not extended any further after March 31, 2020, and CannU.K.’s relationship with Oxford continued with additionalagreements with Oxford, as described below.
CannU.K.,as the sponsor of the Research Project, made the following payments to Oxford pursuant to the Second Oxford Agreement:
Milestone | | Milestone Fee | |
Signature of the Oxford Agreement | | £ | 166,800 | |
6 months post start of the Research Project | | £ | 166,800 | |
9 months post start of the Research Project | | £ | 166,800 | |
12 months post start of the Research Project, after report | | £ | 55,600 | |
OnSeptember 18, 2020, CannU.K. entered into another research agreement with Oxford (the “Third Oxford Agreement”), pursuantto which CannU.K. sponsors work led by Prof. Nanchahal at the University of Oxford to investigate the mechanisms underlying fibrosis.In connection with the agreement, CannU.K. initially provided $100,000 and then at 6-month intervals further funding to support the salaryof Dr. Lynn Williams and consumables.
CannU.K.,as the sponsor, agreed to make the following payments to Oxford pursuant to the Third Oxford Agreement:
Milestone | | Amount Due (excluding VAT) | |
30 days post signing of the Third Oxford Agreement | | £ | 80,000 | |
6 months post signing of the Third Oxford Agreement | | £ | 178,867 | |