Live Feed

Feed to the latest filings at the SEC

 

180 LIFE SCIENCES CORP.

Date Filed : Jan 31, 2024

Asfiled with the U.S. Securities and Exchange Commission on January 31, 2024

 

Registration No. 333-         

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM S-1

REGISTRATION STATEMENT

UNDER

THE SECURITIESACT OF 1933

 

180 Life Sciences Corp. 

(Exact name of registrant as specified in itscharter)

 

Delaware   2834   90-1890354
(State or other jurisdiction of   (Primary Standard Industrial   (I.R.S. Employer
incorporation or organization)   Classification Code Number)   Identification Number)

 

3000 El Camino Real, Bldg. 4, Suite 200
Palo Alto, CA 94306
(650) 507-0669

(Address, including zip code, and telephonenumber, including area code, of registrant’s principal executive offices)

 

James N. 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 telephonenumber, including area code, of agent for service)

 

Copies to:

David M. Loev, Esq.
John S. Gillies, Esq.
The Loev Law Firm, PC
6300 West Loop South, Suite 280
Bellaire, Texas 77401
Telephone: (713) 524-4110

 

Approximate date of commencementof proposed sale to the public: From time to time after this registration statement becomes effective.

 

If any of the securities beingregistered on this Form are to be offered on a delayed or continuous basis pursuant to Rule 415 under the Securities Act of 1933, checkthe following box:  

 

If this Form is filed to registeradditional securities for an offering pursuant to Rule 462(b) under the Securities Act, please check the following box and list theSecurities Act registration statement number of the earlier effective registration statement for the same offering.  

 

If this Form is a post-effectiveamendment filed pursuant to Rule 462(c) under the Securities Act, check the following box and list the Securities Act registrationstatement number of the earlier effective registration statement for the same offering.  

 

If this Form is a post-effectiveamendment filed pursuant to Rule 462(d) under the Securities Act, check the following box and list the Securities Act registrationstatement number of the earlier effective registration statement for the same offering.  

 

Indicate by check mark whetherthe registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerginggrowth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reportingcompany,” 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

 

If an emerging growth company,indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financialaccounting standards provided pursuant to Section 7(a)(2)(B) of the Securities Act.   

 

The registrant hereby amends this registration statement on suchdate or dates as may be necessary to delay its effective date until the registrant shall file a further amendment which specifically statesthat this registration statement shall thereafter become effective in accordance with Section 8(a) of the Securities Act of1933 or until the registration statement shall become effective on such date as the Securities and Exchange Commission, acting pursuantto said Section 8(a), may determine.

 

 

 

 

 

 

The information containedin this prospectus is not complete and may be changed. The selling stockholder may not sell these securities until the registration statementfiled with the Securities and Exchange Commission is effective. This prospectus is not an offer to sell these securities and is not solicitingan offer to buy these securities in any state where the offer or sale is not permitted.

 

SUBJECT TO COMPLETION,DATED JANUARY 31, 2024

 

PRELIMINARY PROSPECTUS

 

13,950,976 Shares of Common Stock 

 

 

This prospectus relates solelyto the offer and sale from time to time of up to an aggregate of 13,950,976 shares of our common stock, par value $0.0001 per share, of180 Life Sciences Corp., a Delaware corporation (the “Company,” “we,” “our” or“us”), by the selling stockholder identified in this prospectus (the “Selling Stockholder”). Theshares of common stock being registered for resale hereunder consist of: (i) 9,064,098 shares of common stock issuable upon the exerciseof the December 2023 Pre-Funded Warrants (as defined herein under “December 2023 Warrants and Related Transactions”),and (ii) 4,886,878 shares of common stock issuable upon the exercise of the December 2023 Common Warrants (as defined herein under“December 2023 Warrants and Related Transactions”)(together the December 2023 Pre-Funded Warrants and the December2023 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 betweenus and the Selling Stockholder and amendments thereto.

 

Each of the December 2023Common Warrants are exercisable at an exercise price of $0.17. The exercise price of the December 2023 Pre-Funded Warrants ($0.0001 pershare) has already been paid to us. We are not selling any common stock under this prospectus and will not receive any of the proceedsfrom the sale of the Shares by the Selling Stockholder. However, if all of the December 2023 Common Warrants that are covered by thisprospectus are exercised for cash, we may receive proceeds of up to approximately $1,540,897. We intend to use those proceeds, if any,for research and development, and general corporate purposes, including the potential expenses related to completing a reverse mergerand legal expenses. We will bear all other costs, expenses and fees in connection with the registration of the Shares. The Selling Stockholderwill bear all commissions and discounts, if any, attributable to the sales of Shares.

 

The Selling Stockholder mayoffer such Shares from time to time as it may determine through public or private transactions or through other means described in thesection entitled “Plan of Distribution” beginning on page 161 of this prospectus, at prevailing market prices, at pricesrelated to prevailing market prices or at privately negotiated prices. This prospectus does not necessarily mean that the Selling Stockholderwill offer or sell the Shares. We cannot predict when or in what amounts the Selling Stockholder may sell any of the Shares offered bythis prospectus. Any Shares subject to resale hereunder will have been issued by us and acquired by the Selling Stockholder prior to anyresale of such Shares pursuant to this prospectus. Because all of the Shares offered under this prospectus are being offered by the SellingStockholder, we cannot currently determine the price or prices at which the Shares may be sold under this prospectus.

 

Our common stock is traded on the Nasdaq Capital Market (“Nasdaq”) underthe symbol “ATNF”. On January 30, 2024, the last reported sale price for our common stock as reported on Nasdaq was $0.2046per share.

 

INVESTING IN OURSECURITIES INVOLVES SUBSTANTIAL RISKS. SEE THE SECTION TITLED “RISK FACTORS” BEGINNING ON PAGE 5 OF THIS PROSPECTUSTO READ ABOUT FACTORS YOU SHOULD CONSIDER BEFORE BUYING OUR SECURITIES.

 

NEITHER THE SECURITIESAND EXCHANGE COMMISSION NOR ANY STATE SECURITIES COMMISSION HAS APPROVED OR DISAPPROVED OF THESE SECURITIES OR PASSED UPON THE ADEQUACYOR ACCURACY OF THIS PROSPECTUS. ANY REPRESENTATION TO THE CONTRARY IS A CRIMINAL OFFENSE.

 

The date of this prospectus is          , 2024.

 

 

 

 

TABLE OF CONTENTS

 

Glossary ii
About This Prospectus ix
Cautionary Note Regarding Forward-Looking Statements x
Prospectus Summary 1
The Offering 2
Risk Factors 5
December 2023 Warrants and Related Transactions 63
Use of Proceeds 68
Market Price of Our Common Stock and Related Stockholder Matters 68
Management’s Discussion and Analysis of Financial Condition and Results of Operations 69
Business 82
Management 133
Executive and Director Compensation 139
Beneficial Ownership of Securities 149
Certain Relationships and Related Party Transactions 152
Selling Stockholder 159
Plan of Distribution 161
Description of Capital Stock 163
Legal Matters 166
Experts 166
Where You Can Find More Information 166
Index to Financial Statements F-1

 

i

 

 

Glossary

 

The items below are abbreviationsand definitions of certain terms used in this prospectus, certain of which are commonly used in the pharmaceutical and biotechnology industry.

 

Unless the context requiresotherwise, references to the “Company,” “we,” “us,” “our,”“180 Life”, “180LS” and “180 Life Sciences Corp.” refer specifically to 180 LifeSciences Corp. and its consolidated subsidiaries. References to “KBL” refer to the Company prior to the Closing (definedbelow).

 

180” means180 Life Corp. (f/k/a 180 Life Sciences Corp. prior to the Closing).

 

180 LP”means 180 Therapeutics L.P.

 

180 Parties”means 180 and the 180 Subsidiaries.

 

180 Subsidiaries”means Katexco, CBR Pharma and 180 LP.

 

ACA” meansthe Patient Protection and Affordable Care Act, often shortened to the Affordable Care Act, nicknamed Obamacare, which is a U.S. federalstatute 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.

 

Analgesics”are a class of medications designed specifically to relieve pain.

 

ANDA” meansan abbreviated new drug application which contains data which is submitted to the FDA for the review and potential approval of a genericdrug product.

 

Anti-TNF”is a pharmaceutical drug that suppresses the physiologic response to TNF.

 

April 2023 CommonWarrants” means the warrants to purchase up to 1,570,680 shares of our common stock issued pursuant to the April 2023 SPA.

 

April 2023 Offering”means the offering on April 5, 2023, pursuant to the April 2023 SPA of an aggregate of 400,000 shares of Common Stock, pre-funded warrantsto purchase up to an aggregate of 1,170,680 shares of Common Stock, and common stock warrants to purchase up to an aggregate of 1,570,680shares of Common Stock, at a combined purchase price of $1.91 per share and warrant.

 

April 2023 SPA”means that certain securities purchase agreement dated as of April 5, 2023 between our Company and the Selling Stockholder.

 

April Warrant Amendment”means the Amendment No. 1 to the Warrants, dated April 5, 2023 by and between our Company and the Selling Stockholder.

 

  August 2023 Common Warrants” means warrants to purchase up to an aggregate of 4,615,385 shares of common stock sold pursuant to the August 2023 SPA.
     
  August 2023 Pre-Funded Warrants” means pre-funded warrants to purchase up to an aggregate of 3,948,460 shares of common stock sold pursuant to the August 2023 SPA.
     
  August 2023 SPA” means that certain securities purchase agreement dated as of August 9, 2023 between our Company and the Selling Stockholder.
     
  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.

 

BPCIA” meansthe Biologics Price Competition and Innovation Act.

 

Business Combination”means the consummation of the transactions contemplated by the Business Combination Agreement.

 

ii

 

 

Business CombinationAgreement” means the Business Combination Agreement, dated as of July 25, 2019 (as amended), by and among us, Merger Sub, the180 Parties and Lawrence Pemble, as the representative of the stockholders of the 180 Parties, pursuant to which Merger Sub merged withand into 180 with 180 surviving the merger and continuing as our wholly-owned subsidiary.

 

Cannabinoids”mean compounds found in cannabis sativa L., and when used throughout this prospectus, refer to compounds found in the hempplant which do not contain THC.

 

CBD” orcannabidiol is an active ingredient in cannabis derived from the hemp plant. CBD is a non-psychoactive oxidative degradation productof THC.

 

CBG” orcannabigerol is one of the compounds found in the cannabis plant.

 

  CBR Pharma” means CannBioRex Pharmaceuticals Corp.

 

  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.

 

  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.

 

  Certificate of Incorporation” means our Second Amended and Restated Certificate of Incorporation, as amended by the Certificate of Amendment.

 

  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.

 

  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.

 

  Corticosteroids” are a class of drug that lowers inflammation in the body.

 

  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.

 

  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.

 

  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.

 

iii

 

 

  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.

 

December 2022 CommonWarrants” 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.

 

December 2022 SPA”means that certain securities purchase agreement dated as of December 20, 2022 between our Company and the Selling Stockholder.

 

December 2023 CommonWarrants” means the warrants to purchase up to 9,064,098 shares of our common stock issued pursuant to the November 2023 SPAAmendment.

 

December 2023 Pre-FundedWarrants” means the pre-funded warrants to purchase up to 4,886,878 shares of our common stock issued pursuant to the November2023 SPA Amendment.

 

EMA” meansthe European Medicines Agency, an agency of the European Union in charge of the evaluation and supervision of medicinal products.

 

ETASU” meanselements to assure safe use, which are one of several strategies that may be required in order to mitigate risk of medication use pursuantto a REMS.

 

EU” meansthe European Union.

 

Exchange Act”means the Securities Exchange Act of 1934, as amended.

 

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) CannBioRexPurchaseco ULC, a Canadian subsidiary of 180, to certain Canadian former shareholders of CBR Pharma, which were exchangeable for commonstock of 180 prior to the Effective Time (as defined in the Business Combination Agreement) and which became exchangeable into sharesof our common stock following the Effective Time.

 

FDA” meansthe U.S. Food and Drug Administration, which is a federal agency of the United States Department of Health and Human Services. The FDAis responsible for protecting the public health by ensuring the safety, efficacy, and security of human and veterinary drugs, biologicalproducts, and medical devices; and by ensuring the safety of U.S. food supply, cosmetics, and products that emit radiation.

 

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 tooversee the safety of food, drugs, medical devices, and cosmetics.

 

FS” meansFrozen Shoulder, a condition characterized by stiffness and pain in an individual’s shoulder joint.

 

GCP” meansgood clinical practice, which is an international quality standard, which governments can then transpose into regulations for clinicaltrials involving human subjects. GCP follows the International Council on Harmonisation of Technical Requirements for Registration ofPharmaceuticals for Human Use (ICH), and enforces tight guidelines on ethical aspects of clinical research.

 

iv

 

 

GLP” meansgood laboratory practice, which is a quality system concerned with the organization process and the conditions under which non-clinicalhealth and environmental safety studies are planned, performed, monitored, recorded, archived and reported.

 

GMP” meansgood manufacturing practice regulations promulgated by the FDA under the authority of the FDC Act. These regulations, which have theforce of law, require that manufacturers, processors, and packagers of drugs, medical devices, some food, and blood take proactive stepsto ensure that their products are safe, pure, and effective.

 

HHS” meansthe U.S. Department of Health and Human Services also known as the Health Department, a cabinet-level department of the U.S. federalgovernment with the goal of protecting the health of all Americans and providing essential human services.

 

HIPAA” meansthe 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.

 

HMGB1” meansHigh Mobility Group Box 1, a protein that, in humans, is encoded by the HMGB1 gene. Activated macrophages and monocytes secrete HMGB1as a cytokine mediator of inflammation.

 

“IBD” means inflammatorybowel disease, an umbrella term used to describe disorders that involve chronic inflammation of the digestive tract.

 

IND” meansinvestigational new drug application. Before a clinical trial can be started, the research must be approved. An investigational new drugor IND application or request must be filed with the FDA when researchers want to study a drug in humans. The IND application must containcertain information, such as: results from studies so that the FDA can decide whether the treatment is safe for testing in people; howthe drug is made, who makes it, what’s in it, how stable it is, and more; detailed outlines for the planned clinical studies, calledstudy protocols, are reviewed to see if people might be exposed to needless risks; and details about the clinical trial team to see ifthey have the knowledge and skill to run clinical trials.

 

Individually identifiablehealth information” is defined by HIPPA to mean information that is a subset of health information, including demographic informationcollected 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 healthcare to an individual; or the past, present, or future payment for the provision of health care to an individual; and (a) that identifiesthe individual; or (b) with respect to which there is reasonable basis to believe the information can be used to identify the individual.

 

IPO” meansthe sale of the units in our initial public offering, which closed on June 7, 2017.

 

IRB” meansan Institutional Review Board, which is a group that has been formally designated to review and monitor biomedical research involvinghuman subjects. In accordance with FDA regulations, an IRB has the authority to approve, require modifications in (to secure approval),or disapprove research. This groups review serves an important role in the protection of the rights and welfare of human research subjects.

 

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.

 

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 AprilWarrant Amendment.

 

v

 

 

July 2022 Offering”means the July 2022 offering of an aggregate of: (i) 3,500,000 shares of the Company’s Common Stock, (ii) pre-funded warrants topurchase up to 2,632,076 shares of Common Stock and (iii) warrants to purchase up to 6,132,076 shares of Common Stock.

 

July 2022 SPA”means that certain securities purchase agreement dated as of July 17, 2022 between our Company and the Selling Stockholder.

 

June 2020 SPA”means that certain securities purchase agreement dated as of June 12, 2020 between our Company, the purchasers identified on the signaturepages thereto, and Dominion Capital LLC as purchaser agent.

 

Katexco”means Katexco Pharmaceuticals Corp.

 

Medicaid”is a federal and state health insurance program in the United States that helps with medical costs for some people with limited incomeand resources. Medicaid also offers benefits not normally covered by Medicare, including nursing home care and personal care services.

 

Medicare”is a national health insurance program in the United States It primarily provides health insurance for Americans aged 65 and older, butalso for some younger people with disability status as determined by the Social Security Administration, as well as people with end stagerenal disease and amyotrophic lateral sclerosis (ALS or Lou Gehrig’s disease).

 

Merger Sub”means KBL Merger Sub, Inc.

 

MHRA” meansThe Medicines and Healthcare products Regulatory Agency, an executive agency of the Department of Health and Social Care in the UnitedKingdom which is responsible for ensuring that medicines and medical devices work and are acceptably safe.

 

MRP” meansa Mutual Recognition Procedure, a market authorization which is granted in one EU member state and is recognized in other EU member states.

 

NCE” isa drug that does not contain any active moiety that has been approved by the FDA with any other application.

 

NDA” or“Full NDA” means the FDA’s New Drug Application submitted under section 505(b)(1) of the FDC Act, whichis a regulatory vehicle in the United States through which drug sponsors formally propose that the FDA approve a new pharmaceutical forsale and marketing, that requires the applicant to conduct all investigations necessary for approval.

 

NIHR” meansThe National Institute for Health Research is a United Kingdom government agency which funds research into health and care, and is thelargest national clinical research funder in Europe.

 

November 2023 SPAAmendment” means Amendment No. 1 to the securities purchase agreement, dated as of November 28, 2023 between our Company andthe Selling Stockholder.

 

Orphan Drug Designation”means a pharmaceutical agent developed to treat medical conditions which, because they are so rare, would not be profitable to producewithout government assistance.

 

  Phase 1” 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, such as cancer, especially when the drug candidate may be inherently too toxic to ethically administer to healthy volunteers, the initial human testing is often conducted in patients.

 

vi

 

 

Phase 2”trials are generally when clinical trials are initiated in a limited patient population intended to identify possible adverse effectsand safety risks, to preliminarily evaluate the efficacy of the drug candidate for specific targeted diseases and to determine dosagetolerance and optimal dosage. Phase 2 trials are sometimes further divided into: Phase 2a and Phase 2b trials - Phase 2a is focused specificallyon dosing requirements. A small number of patients are administered the drug in different quantities to evaluate whether there is a dose-responserelationship, which is an increase in response that correlates with increasing increments of dose. In addition, the optimal frequencyof dose is also explored; and Phase 2b trials are designed specifically to rigorously test the efficacy of the drug in terms of how successfulit is in treating, preventing or diagnosing a disease.

 

Phase 3”trials are when clinical trials are undertaken to further evaluate dosage, clinical efficacy and safety in an expanded patient populationat geographically dispersed clinical trial sites. These clinical trials are intended to establish the overall risk-benefit ratio of thedrug candidate and provide an adequate basis for regulatory approval and product labeling.

 

Phase 4”trials are studies required to be conducted as a condition of approval in order to gather additional information on the drug’seffect in various populations and any side effects associated with long-term use.

 

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 authorityfor FDA to regulate biological products.

 

Physiotherapy”is treatment to restore, maintain, and make the most of a patient’s mobility, function, and well-being.

 

POCD” meanspost-operative cognitive dysfunction/delirium.

 

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 offeringor thereafter in the open market).

 

RA” meansrheumatoid arthritis.

 

REMS” meansa risk evaluation and mitigation strategy which is a drug safety program that the FDA can require for certain medications with serioussafety concerns to help ensure the benefits of the medication outweigh its risks.

 

Reverse Stock Split”means the one-for-twenty reverse stock split which became effective on December 19, 2022.

 

SCA” meansSynthetic Cannabidiol Analogs, which are synthetic pharmaceutical grade molecules close or distant analogs of non-psychoactive cannabinoidssuch as CBD for the treatment of inflammatory diseases and pain.

 

SEC” orthe “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 theFDC Act, which is a regulatory vehicle in the United States through which drug sponsors formally propose that the FDA approve a pharmaceuticalfor sale and marketing, that allows the applicant to rely on previous investigations conducted by others and for which the sponsor doesnot have a right of reference or use from the person by or for whom the investigations were conducted.

 

Securities Act”means the Securities Act of 1933, as amended.

 

Sponsor”means the applicant or drug sponsor, which is the person or entity who assumes responsibility for the marketing of a new drug, includingresponsibility for compliance with applicable provisions of the FSC Act and related regulations. Note that as used herein theterm “Sponsor” may also refer to the Sponsor of our IPO, KBL IV Sponsor LLC, depending on the context in which such termis used.

 

vii

 

 

THC” meanstetrahydrocannabinol, which is the principal psychoactive constituent of cannabis.

 

TNF” meanstumor necrosis factor, which is part of the body’s response to inflammation.

 

U.K.” meansthe United Kingdom.

 

U.S.” meansthe United States.

 

Our logo and some of our trademarksand tradenames are used in this prospectus. This prospectus also includes trademarks, tradenames and service marks that are the propertyof others. Solely for convenience, trademarks, tradenames and service marks referred to in this prospectus may appear without the ®,™ and SM symbols. References to our trademarks, tradenames and service marks are not intended to indicate in any way that we willnot assert to the fullest extent under applicable law our rights or the rights of the applicable licensors if any, nor that respectiveowners to other intellectual property rights will not assert, to the fullest extent under applicable law, their rights thereto. We donot intend the use or display of other companies’ trademarks and trade names to imply a relationship with, or endorsement or sponsorshipof us by, any other companies.

 

The market data and certainother statistical information used throughout this prospectus are based on independent industry publications, reports by market researchfirms or other independent sources that we believe to be reliable sources; however, we have not commissioned any of the market or surveydata that is presented in this prospectus. Industry publications and third-party research, surveys and studies generally indicate thattheir information has been obtained from sources believed to be reliable, although they do not guarantee the accuracy or completenessof such information. We are responsible for all of the disclosures contained in this prospectus, and we believe these industry publicationsand third-party research, surveys and studies are reliable, provided that we have not commissioned any such information. While we arenot aware of any misstatements regarding any third-party information presented in this prospectus, their estimates, in particular, asthey relate to projections, involve numerous assumptions, are subject to risks and uncertainties, and are subject to change based on variousfactors, including those discussed under the section entitled “Risk Factors” of this prospectus. These and other factorscould cause our future performance to differ materially from our assumptions and estimates. Some market and other data included herein,as well as the data of competitors as they relate to 180 Life Sciences Corp., is also based on our good faith estimates.

 

viii

 

 

ABOUT THIS PROSPECTUS

 

This prospectus is part ofa registration statement on Form S-1 that we filed with the SEC. Under this registration statement, the Selling Stockholder may, fromtime to time, sell the shares of common stock offered by them described in this prospectus. We will not receive any proceeds from thesale by such Selling Stockholder of the Shares offered by them described in this prospectus. We will not receive any proceeds from thesale of Shares pursuant to this prospectus, except with respect to amounts received by us upon the exercise of the Warrants for cash.

 

Neither we nor the SellingStockholder have authorized anyone to provide you with any information or to make any representations other than those contained in thisprospectus or any applicable prospectus supplement or any free writing prospectus prepared by or on behalf of us or to which we have referredyou. Neither we nor the Selling Stockholder take responsibility for, and can provide no assurance as to the reliability of, any otherinformation that others may give you. Neither we nor the Selling Stockholder will make an offer to sell these securities in any jurisdictionwhere the offer or sale is not permitted. You should not assume that the information contained in this prospectus is accurate as of anydate other than the date of this prospectus. Our business, financial condition, results of operations and prospects may have changed sincethat date.

 

We may also provide a prospectussupplement or post-effective amendment to the registration statement to add information to, or update or change information containedin, this prospectus. You should read both this prospectus and any applicable prospectus supplement or post-effective amendment to theregistration statement together with the additional information to which we refer you in the section of this prospectus entitled “WhereYou Can Find More Information.

 

We were originally formedas KBL Merger Corp. IV, a blank check company organized under the laws of the State of Delaware on September 7, 2016, which consummatedits initial public offering on June 7, 2017. On July 25, 2019, we entered into a business combination agreement and, on the Closing, weconsummated the Business Combination and changed our name to 180 Life Sciences Corp.

 

ix

 

 

CAUTIONARYNOTE REGARDING FORWARD-LOOKING STATEMENTS

 

This prospectus contains forward-lookingstatements under federal securities laws, including within the meaning of the Private Securities Litigation 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 comparable terminology, although notall forward-looking statements contain these words. Forward-looking statements are not a guarantee of future performance or results, andwill not necessarily be accurate indications of the times at, or by, which such performance or results will be achieved. Forward-lookingstatements are based on information available at the time the statements are made and involve known and unknown risks, uncertainties andother factors that may cause our results, levels of activity, performance or achievements to be materially different from the informationexpressed or implied by the forward-looking statements in this prospectus.

 

In particular, forward-lookingstatements include, but are not limited to, any statements that are not statements of current or historical facts, such as statementsrelating to our expectations for the clinical and preclinical development, manufacturing, regulatory approval, and commercialization ofour product candidates, the accuracy of our estimates regarding expenses, future revenues and capital requirements, our ability to executeour plans to develop and market new drug products and the timing and costs of these development programs, and estimates of the sufficiencyof our existing capital resources combined with future anticipated cash flows to finance our operating requirements.

 

Such statements are basedon management’s current expectations, but actual results may differ materially due to various factors, including, but not limitedto:

 

The need for additional funding,our ability to raise funding in the future, the terms of such funding, and dilution caused thereby;

 

expectations for the clinicaland preclinical development, manufacturing, regulatory approval, and commercialization of our product candidates;

 

the uncertainties associatedwith the clinical development and regulatory approval of the Company’s drug candidates, including potential delays in the enrollmentand completion of clinical trials, issues raised by the U.S. Food and Drug Administration (FDA), the European Medicines Agency (EMA) andthe U.K. Medicines and Healthcare products Regulatory Agency (MHRA);

 

regulatory developments in theUnited States and foreign countries;

 

our success in retaining orrecruiting, or changes required in, our officers, key employees or directors;

 

current negative operating cashflows and our potential ability to obtain additional financing to advance our business and the terms of any further financing, whichmay be highly dilutive and may include onerous terms;

 

the continued impact of theCOVID-19 pandemic on our business operations and our research and development initiatives;

 

the accuracy of our estimatesregarding expenses, future revenues and capital requirements;

 

x

 

 

 

the Company’s reliance on third partiesto conduct its clinical trials, enroll patients, and manufacture its preclinical and clinical drug supplies;

 

the ability to come to mutuallyagreeable terms with such third parties and partners, and the terms of such agreements, the terms of the Company’s current licensingagreement, and the termination rights associated therewith;

 

 

estimates of patient populations for theCompany’s planned products;

 

 

unexpected adverse side effects or inadequatetherapeutic efficacy of drug candidates that could limit approval and/or commercialization, or that could result in recalls or productliability claims; 

 

  the Company’s 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 its product development activities;

 

  challenges and uncertainties inherent in product research and development, including the uncertainty of clinical success and of obtaining regulatory approvals and uncertainty of commercial success;

 

  the ability of the Company to execute its plans to develop and market new drug products and the timing and costs of these development programs;

 

  changing rates of inflation and 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 Israel/Hamas conflict) and other large-scale crises;

 

  estimates of the sufficiency of our existing capital resources combined with future anticipated cash flows to finance our operating requirements;

 

  our ability to maintain our listing on the Nasdaq Capital Market, including our current non-compliance with Nasdaq’s continued listing rules; and

 

  other risks and uncertainties, including those described under “Risk Factors”, below.

 

Any forward-looking statementsin this prospectus reflect our current views with respect to future events or to our future financial performance and involve known andunknown risks, uncertainties and other factors that may cause our actual results, performance or achievements to be materially differentfrom 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 included herein speak only asof the date of this prospectus. All subsequent written and oral forward-looking statements attributable to us, or persons acting on ourbehalf, are expressly qualified in their entirety by the cautionary statements above. Except as required by law, we assume no obligationto update or revise these forward-looking statements for any reason, even if new information becomes available in the future.

 

xi

 

 

PROSPECTUS SUMMARY

 

The following summary highlightsselected information contained elsewhere in this prospectus and does not contain all of the information that you should consider in makingyour investment decision. Before investing in our securities, you should carefully read this entire prospectus, including our consolidatedfinancial statements and the related notes included in this prospectus and the information set forth under the headings “Risk Factors”and “Management’s Discussion and Analysis of Financial Condition and Results of Operations.”

 

Our Company

 

We are a clinical stage biotechnologycompany headquartered in Palo Alto, California, focused on the development of therapeutics for unmet medical needs in chronic pain, inflammationand fibrosis by employing innovative research, and, where appropriate, combination therapy. We were founded by Prof. Sir Marc Feldmann,Prof. Lawrence Steinman, Prof. Raphael Mechoulam, since deceased, Dr. Jonathan Rothbard, and Prof. Jagdeep Nanchahal, all of whomare scientists in the biotechnology and pharmaceutical sectors with significant experience, and previous success, in drug discovery. Ourmanagement team has extensive experience in financing and growing early-stage healthcare companies.

 

We have three different productdevelopment platforms that are focused on different diseases or medical conditions, and that target different factors, molecules or proteins,as follows:

 

Anti-TNF platform: focusingon fibrosis and anti-tumor necrosis factor (“anti-TNF”);

 

SCAs platform: focusingon drugs which are synthetic cannabidiol (“CBD”) or cannabigerol analogs (“SCAs”); and

 

α7nAChR platform:focusing on alpha 7 nicotinic acetylcholine receptor (“α7nAChR”).

 

Our lead product candidateunder the anti-TNF platform recently completed Phase 2a and Phase 2b proof-of-concept clinical trials in the United Kingdom and the Netherlandsfor early-stage Dupuytren’s Contracture, a condition that affects the development of fibrous connective tissue in the palm of thehand.

 

Currently, we are planningor conducting clinical trials only for certain indications under the anti-TNF platform, such as a planned Phase 2 trial for post-operativecognitive decline as well as a planned Phase 2 trial for frozen shoulder. We were recruiting patients for a feasibility trial for frozenshoulder, for which we have ended such recruitment at nine patients, due to a regulatory request in the UK to end slow recruiting trials.The result of the closure of the trial means that another trial will likely need to be undertaken in the future to recruit additionalparticipants.

 

We were recently granted anallowance of claims for a U.S. patent with respect to the use of adalimumab for early-stage Dupuytren’s disease 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, involvesproducts that are related to cannabidiol (CBD) (and not to cannabis or tetrahydrocannabinol (THC)), and no clinical trials for indicationsor products under the SCAs platform are currently being conducted in the United States or abroad. We are currently undertaking preclinicalresearch and development activities for the SCA platform. Due to restrictions in the Company’s resources, the Company has not madeprogress in the α7nAChR platform and has suspended further research and development activity in the meantime.

 

The Company is currently evaluatingall options to monetize its existing assets, in addition to exploring other strategic alternatives to maximize value for its stockholders.Potential strategic alternatives that may be explored or evaluated by the Company as part of this process include, but are not limitedto, an acquisition, merger, reverse merger, other business combination, sale of assets, licensing or other strategic transactions involvingthe Company.

 

Corporate Information

 

We were originally formedas KBL Merger Corp. IV, a blank check company organized under the laws of the State of Delaware on September 7, 2016, which consummatedits 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.

 

Our principal executive officesare located at 3000 El Camino Real, Bldg. 4, Suite 200, Palo Alto, California 94306, and our telephone number is (650) 507-0669.We maintain a website at www.180lifesciences.com. We have not incorporated by reference into this prospectus the information in, or thatcan be accessed through, our website, and you should not consider it to be a part of this prospectus.

 

1

 

 

THE OFFERING

 

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 13,950,976 Shares by the Selling Stockholder identified in this prospectus. The Shares being registered for resale hereunder consist of: (i) 9,064,098 shares of common stock issuable upon the exercise of the December 2023 Pre-Funded Warrants, and (ii) 4,886,878 shares of common stock issuable upon the exercise of the December 2023 Common Warrants.
     
Common stock outstanding prior to this offering:   10,158,832 shares of common stock as of January 29, 2024.
     
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. Additionally, the exercise price of the December 2023 Pre-Funded Warrants, $0.0001 per share, or $488.70 in aggregate, has already been paid to us. However, if all of the December 2023 Common Warrants that are covered by this prospectus are exercised for cash, we may receive proceeds of up to approximately $1,540,897.
     
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.
     
Nasdaq symbol:   Our common stock is listed on Nasdaq under the symbol “ATNF”.

 

The number of shares of ourcommon stock outstanding is based on 10,158,832 shares outstanding as of January 29, 2024, and excludes, as of such date:

 

264 shares of common stock issuableupon the conversion of the Exchangeable Shares issued concurrently with the reorganization that occurred in connection with the BusinessCombination;

 

338,228 shares of common stockissuable upon the exercise of outstanding stock options;

 

12,004 additional shares of our common stock reserved for future issuanceunder our 2020 Omnibus Incentive Plan;

 

52,500 additional shares of our common stock reserved for future issuanceunder our 2022 Omnibus Incentive Plan; and

 

287,500 shares of common stockissuable upon the exercise of outstanding public warrants exercisable at an exercise price of $230.00 per share, 12,563 shares of commonstock 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 $100.00per share, 1,250 shares of common stock issuable upon the exercise of certain outstanding private placement warrants at an exercise priceof $141.40 per share, 3,183 shares of common stock issuable upon the exercise of certain outstanding private placement warrants at anexercise price of $105.60 per share, 125,000 shares of common stock issuable upon the exercise of certain outstanding private placementwarrants at an exercise price of $150.00 per share, 306,604 shares of common stock issuable upon exercise of the July 2022 Common Warrantsat an exercise price of $0.17 per share, 2,571,429 shares of common stock issuable upon the exercise of the December 2022 Common Warrantsat an exercise price of $0.17 per share, 1,570,680 shares of common stock issuable upon the exercise of the April 2023 Common Warrantsat an exercise price of $0.17 per share, 4,615,385 shares of common stock issuable upon the exercise of the August 2023 Common Warrants,9,064,098 shares of common stock issuable upon the exercise of the December 2023 Common Warrants, and 4,886,878 shares of common stockissuable upon exercise of the December 2023 Pre-Funded Warrants.

 

Unless otherwise indicated,all share numbers in this prospectus, including shares of common stock and all securities convertible into, or exercisable for, sharesof common stock, gives effect to the Reverse Stock Split. However, documents that were filed prior to December 19, 2022, do not give effectto the Reverse Stock Split.

 

2

 

 

Summary Risk Factors

 

We face risks and uncertaintiesrelated to our business, many of which are beyond our control. In particular, risks associated with our business include:

 

we are a clinical stage biotechnologycompany that had no revenue for the years ended December 31, 2022 and 2021 or the nine months ended September 30, 2023, and do not anticipategenerating revenue for the near future;

 

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 connectionwith such funding;

 

our dependence on the successof our future product candidates, some of which may not receive regulatory approval or be successfully commercialized; problems in ourmanufacturing process for our new products and/or our failure to comply with manufacturing regulations, or unexpected increases in ourmanufacturing costs; problems with distribution of our products; and failure to adequately market our products;

 

risks associated with the growthof our business, our ability to maintain such growth, difficulties in managing our growth, and executing our growth strategy;

 

liability for previously restatedfinancial statements and associated with ineffective controls and procedures, as well as costs and expenses related to the indemnificationof current and former officers and directors;

 

our dependence on our key personneland our ability to attract and retain employees and consultants;

 

risks from intense competitionfrom companies with greater resources and experience than we have;

 

our ability to receive regulatoryapprovals for our product candidates, and the timeline and costs associated therewith, including the uncertainties associated with theclinical development and regulatory approval of our drug candidates, including potential delays in the enrollment and completion of clinicaltrials, issues raised by the FDA and the MHRA;

 

risks that our future productcandidates, if approved by regulatory authorities, may be unable to achieve the expected market acceptance and, consequently, limit ourability to generate revenue from new products;

 

the outcome of currently pendingand future claims and litigation, future government investigations, and other proceedings may adversely affect our business and resultsof operations;

 

the fact that the majority ofour license agreements provide the licensors and/or counter-parties the right to use, own and/or exploit such licensed intellectual property;

 

preclinical studies and earlierclinical 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;

 

third-party payors may not providecoverage and adequate reimbursement levels for any future products;

 

liability from lawsuits (includingproduct liability lawsuits, stockholder lawsuits and regulatory matters), including judgments, damages, fines and penalties and includingthe outcome of currently pending litigation, potential future government investigations, and other proceedings that may adversely affectour business and results of operations;

 

security breaches, loss of dataand other disruptions which could prevent us from accessing critical information or expose us to liabilities or damages;

 

3

 

 

risks associated with clinicaltrials that are expensive, time-consuming, uncertain and susceptible to change, delay or termination and which are open to differinginterpretations, delays in the trials, testing, application, or approval process for drug candidates and/or our ability to obtain approvalfor promising drug candidates, and the costs associated therewith;

 

our ability to comply with existingand future rules and regulations, including federal, state and foreign healthcare laws and regulations and implementation of, or changesto, such healthcare laws and regulations;

 

our ability to adequately protectour future product candidates or our proprietary technology in the marketplace, claims and liability from third parties regarding ouralleged infringement of their intellectual property;

 

differences in laws and regulationsbetween countries and other jurisdictions and changes in laws or regulations, including, but not limited to tax laws and controlled substancelaws, or a failure to comply with any laws and regulations;

 

conflicts of interest betweenour officers, directors, consultants and scientists;

 

penalties associated with ourfailure to comply with certain pre-agreed contractual obligations and restrictions;

 

dilution caused by future fundraising, the conversion/exercise of outstanding convertible securities, and downward pressure on the value of our securities caused bysuch future issuances/sales;

 

negative effects on our businessfrom the COVID-19 pandemic and other potential future pandemics;

 

the extremely volatile natureof our securities and potential lack of liquidity thereof;

 

the fact that our Certificateof Incorporation provides for indemnification of officers and directors, limits the liability of officers and directors, allows for theauthorization of preferred stock without stockholder approval, and includes certain other anti-takeover provisions and exclusive forumprovisions;

 

our ability to maintain thelisting of our common stock and warrants on Nasdaq and the costs of compliance with SEC and Nasdaq rules and requirements;

 

failure of our information technologysystems, including cybersecurity attacks or other data security incidents, that could significantly disrupt the operation of our business;

 

the fact that we may acquireother companies which could divert our management’s attention, result in additional dilution to our stockholders and otherwisedisrupt our operations and harm our operating results and if we make any acquisitions, they may disrupt or have a negative impact onour business;

 

the effect of changes in inflationand interest rates, and economic downturns, including potential recessions, as well as macroeconomic, geopolitical, health and industrytrends, pandemics, acts of war (including the ongoing Ukraine/Russian and Hamas/Israel conflict) and other large-scale crises, aswell as the potential implications of a Congressional impasse over the U.S. debt limit or possible future U.S. governmental shutdownsover budget disagreements;

 

the fact that we do not currentlyhave any independent directors or an audit committee, we do not currently have $2.5 million or more of stockholders’ equity, andour common stock trading price is below $1.00 per share, and as a result, we are not in compliance with the continued listing requirementsof the Nasdaq Capital Market and our Common Stock and Public Warrants are subject to delisting;

 

the fact that we may apply workingcapital and future funding to uses that ultimately do not improve our operating results or increase the value of our securities; and

 

our growth depends in part onthe success of our strategic relationships with third parties.

 

4

 

 

RISK FACTORS

 

You should carefully considerall of the following risk factors and all the other information contained in this prospectus, including the consolidated financial statements.If any of the following risks occur, our business, financial condition or results of operations may be materially and adversely affected.The risk factors described below are not necessarily exhaustive and you are encouraged to perform your own investigation with respectto us and our business.

 

Risks Related to Our Business Operations

 

Our business, financial conditionand results of operations are subject to various risks and uncertainties, including those described below. This section discusses factorsthat, individually or in the aggregate, could cause our actual results to differ materially from expected and historical results. Ourbusiness, financial condition or results of operations could be materially adversely affected by any of these risks. It is not possibleto predict or identify all such factors. Consequently, the following description of Risk Factors is not a complete discussion of all potentialrisks or uncertainties applicable to our business.

 

Our current cash balanceis only expected to be sufficient to fund our planned business operations through approximately May 2024. If additional capital is notavailable, we may not be able to pursue our planned business operations, may be forced to change our planned business operations, or maytake other actions that could adversely impact our stockholders, including seeking bankruptcy protection.

 

We are a clinical stage biotechnologycompany that currently has no revenue. Thus, our business does not generate the cash necessary to finance our planned business operations.We will require significant additional capital to: (i) develop FDA and/or MHRA-approved products and commercialize such products;(ii) fund research and development activities relating to, and obtain regulatory approval for, our product candidates; (iii) protectour intellectual property; (iv) attract and retain highly-qualified personnel; (v) respond effectively to competitive pressures;and (vi) acquire complementary businesses or technologies.

 

Our future capital needs dependon many factors, including: (i) the scope, duration and expenditures associated with our research, development and commercializationefforts; (ii) continued scientific progress in our programs; (iii) the outcome of potential partnering or licensing transactions,if any; (iv) competing technological developments; (v) our proprietary patent position; and (vi) the regulatory approvalprocess for our products.

 

We will need to raise substantialadditional funds through public or private equity offerings, debt financings or strategic alliances and licensing arrangements to financeour planned business operations. We may not be able to obtain additional financing on terms favorable to us, if at all. General marketconditions, rising interest rates and inflation, as well as global conflicts such as the ongoing conflict between Ukraine and Russia,and Israel and Hamas, may make it difficult for us to seek financing from the capital markets, and the terms of any financing may adverselyaffect the holdings or the rights of our stockholders. For example, if we raise additional funds by issuing equity securities, furtherdilution to our stockholders will result, which may substantially dilute the value of their investment. Any equity financing may alsohave the effect of reducing the conversion or exercise price of our outstanding convertible or exercisable securities, which could resultin the issuance (or potential issuance) of a significant number of additional shares of our common stock. In addition, as a conditionto providing additional funds to us, future investors may demand, and may be granted, rights superior to those of existing stockholders.Debt financing, if available, may involve restrictive covenants that could limit our flexibility to conduct future business activitiesand, in the event of insolvency, could be paid before holders of equity securities received any distribution of our assets. We may berequired to relinquish rights to our technologies or product candidates, or grant licenses through alliance, joint venture or agreementson terms that are not favorable to us, in order to raise additional funds. If adequate funds are not available, we may have to delay,reduce or eliminate one or more of our planned activities with respect to our business, or terminate our operations, or may be forcedto seek bankruptcy protection. These actions would likely reduce the market price of our common stock.

 

5

 

 

We will need additionalcapital which may not be available on commercially acceptable terms, if at all, which raises questions about our ability to continue asa going concern.

 

As of September 30, 2023,we had an accumulated deficit of $126,116,552 and a working capital deficit of $1,435,947, and for the three and nine months ended September30, 2023, a net loss of $10,265,760 and $18,708,007, respectively, and cash used in operating activities for the nine months ended September30, 2023, of $8,762,209. As of January 29, 2024, we had cash on hand of approximately $1.46 million. The accompanying Consolidated FinancialStatements have been prepared assuming we will continue as a going concern. As we are not generating revenues, we need to raise a significantamount of capital in order to pay our debts and cover our operating costs. While we recently raised funds through the sale of equity inJuly 2022 (approximately $6.5 million of gross proceeds), December 2022 (approximately $6.0 million of gross proceeds), April 2023 (approximately$3.0 million of gross proceeds) and August 2023 (approximately $3 million), there is no assurance that we will be able to raise additionalneeded capital or that such capital will be available under favorable terms.

 

We are subject to all thesubstantial risks inherent in the development of a new business enterprise within an extremely competitive industry. Due to the absenceof a long-standing operating history and the emerging nature of the markets in which we compete, we anticipate operating losses untilwe can successfully implement our business strategy, which includes all associated revenue streams. We may never ever achieve profitableoperations or generate significant revenues.

 

We currently have a monthlycash requirement spend of approximately $380,000. We believe that in the aggregate, we will require significant additional capital fundingto 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 space and systems for managingthe business, and cover other operating costs until our planned revenue streams from products are fully-implemented and begin to offsetour operating costs, if ever.

 

Since our inception, we havefunded our operations with the proceeds from equity and debt financings. We have experienced liquidity issues due to, among other reasons,our limited ability to raise adequate capital on acceptable terms. We have historically relied upon the sale of equity and debt fundingthat is convertible into shares of our common stock to fund our operations and have devoted significant efforts to reduce that exposure.We anticipate that we will need to issue equity to fund our operations and fund our operating expenses for the foreseeable future. Ifwe are unable to achieve operational profitability or we are not successful in securing other forms of financing, we will have to evaluatealternative actions to reduce our operating expenses and conserve cash.

 

These conditions raise substantialdoubt about our ability to continue as a going concern. The Consolidated Financial Statements included herein have been prepared in accordancewith accounting 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 included hereindo not include any adjustments relating to the recoverability of assets and classification of liabilities that might be necessary shouldwe be unable to 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 use non-cash considerationto satisfy obligations. In many instances, we believe that the non-cash consideration will consist of restricted shares of our commonstock, preferred stock or warrants to purchase shares of our common stock. Our Board 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 theissuance of more than 20% of our then outstanding shares of common stock or voting rights representing over 20% of our then outstandingshares of stock, subject to certain exceptions), to issue all or part of the authorized but unissued shares of common stock, preferredstock or warrants to purchase such shares of common stock. In addition, we may attempt to raise capital by selling shares of our commonstock, possibly at a discount to market in the future. These actions will result in dilution 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’sability to maintain control of us, because the shares may be issued to parties or entities committed to supporting existing management.

 

6

 

 

We will need to raiseadditional capital, which may not be available on favorable terms, if at all, causing dilution to our stockholders, restricting our operationsor adversely affecting our ability to operate our business.

 

We may not be able to obtainadditional financing on terms favorable to us, if at all, including as a result of macroeconomic conditions such as a severe or prolongedeconomic downturn. Disruption, uncertainty or volatility in the capital markets could increase our cost of capital or limit our abilityto raise funds needed to operate our business. Disruptions could be caused by Federal Reserve policies and actions, currency concerns,inflation, economic downturn or uncertainty, monetary policies, failures of financial institutions, U.S. debt management concerns, andU.S. debt limit and budget disputes, including government shutdowns, European and worldwide sovereign debt concerns, other global or geopoliticalevents, or other factors. Current macroeconomic conditions have negatively impacted the U.S. banking sector, including for example, therecent closures and FDIC receiverships of Silicon Valley Bank and Signature Bank. Although we do not have any accounts at or businessrelationships with these banks, we may be negatively impacted by other disruptions to the U.S. banking system caused by these or similardevelopments.

 

We face corporate governancerisks and negative perceptions of investors associated with the fact that we do not currently have any independent directors and do notcurrently have any members of our audit committee or compensation committee.

 

Currently, our only directorsare Lawrence Steinman, M.D., James N. Woody, M.D., Ph.D., and Sir Marc Feldmann, Ph.D., none of which are independent. Our prior independentdirectors, Francis Knuettel II, Pam Marrone, Teresa DeLuca, Larry Gold, Russell Ray, and Donald A. McGovern, Jr., each resigned from theCompany on December 17, 2023. As such, there are no independent members of the Board of Directors, and no members on our audit committeeor compensation committee, available to second and/or approve related party transactions involving Dr. Steinman, Dr. Woody or Dr. Feldmann.Therefore, investors may perceive that because no other directors are approving related party transactions involving Dr. Steinman, Dr.Woody or Dr. Feldmann, that such transactions are not fair to the Company. We may also face negative perceptions, corporate governancerisks, or stockholder claims, due to the fact that we do not have an audit committee or compensation committee. The price of our CommonStock may be adversely affected and/or devalued compared to similarly sized companies with multiple unrelated and independent officersand directors, and functioning audit committees and compensation committees, due to the investing public’s perception of limitationsfacing our Company due to the above. Our lack of independent directors also means that we are not in compliance with Nasdaq’s continuedlisting rules. See also “We are not in compliance with the continued listing standards of Nasdaq, may not be able to comply withNasdaq’s continued listing standards in the future, and as a result our common stock and warrants may be delisted from Nasdaq.”,below.

 

We have significantand increasing liquidity needs and require additional funding.

 

Research and development,management and administrative expenses, including legal expenses, and cash used for operations will continue to be significant and mayincrease substantially in the future in connection with new research and development initiatives, clinical trials, continued product commercializationefforts and the launch of our future product candidates. We will need to raise additional capital to fund our operations, continue toconduct clinical trials to support potential regulatory approval of marketing applications, and to fund commercialization of our futureproduct candidates.

 

The amount and timing of ourfuture funding requirements will depend on many factors, including, but not limited to:

 

the timing of FDA and/or MHRAapproval, if any, and approvals in other international markets of our future product candidates, if at all;

 

the timing and amount of revenuefrom sales of our products, or revenue from grants or other sources;

 

the rate of progress and costof our clinical trials and other product development programs;

 

costs of establishing or outsourcingsales, marketing and distribution capabilities;

 

costs and timing of any outsourcedgrowing and commercial manufacturing supply arrangements for our future product candidates;

 

costs of filing, prosecuting,defending and enforcing any patent claims and other intellectual property rights associated with our future product candidates;

 

the effect of competing technologicaland market developments;

 

personnel, facilities and equipmentrequirements; and

 

the terms and timing of anyadditional collaborative, licensing, co-promotion or other arrangements that we may establish.

 

While we expect to fund ourfuture capital requirements from a number of sources, such as cash flow from operations and the proceeds from further public and/or privateofferings, we cannot assure you that any of these funding sources will be available to us on favorable terms, or at all. Further, evenif we can raise funds from all of the above sources, the amounts raised may not be sufficient to meet our future capital requirements.

 

7

 

 

Our License Agreementswith the University of Oxford and other licensors may be terminated in certain circumstances without our consent.

 

All of our License Agreementswith the University of Oxford and other licensors remain subject to various conditions and covenants, and provide for certain terminationrights to the licensors. Those agreements typically allow termination by the licensor due to our failure to pay amounts due timely, ourfailure to cure a material breach under the terms of the applicable license agreement, and our insolvency. As a result, if we are deemedinsolvent, or in the event we seek bankruptcy protection, the licensors of our license agreements may terminate their license agreementswith us. In the event such license agreements are terminated, we could lose the right to develop all of our platforms and technologies,may lose any investments made towards developing such platforms and technologies, and may be left without any intellectual property, productpathways, or development opportunities. Such terminations may result in the value of our securities declining in value or becoming worthless,the need for us to change our business plan, and may result in the Company seeking bankruptcy protection.

 

We owe a significantamount of money to the University of Oxford, which funds we do not have. The university may take actions against us to enforce their rightsto payment in the future, which could have a material adverse effect on us and our operations.

 

Due to recent financialconstraints, the Company has been unable to timely pay amounts due to the University of Oxford (“Oxford”), the licensorof the majority of the Company’s licenses and patents and the Company’s research partner. Oxford alleges that anaggregate of approximately £929,030 is owed from the Company and one of its subsidiaries to Oxford under the terms of licensesand agreements with Oxford and related parties. The Company is currently in ongoing discussions with Oxford to reduce that amountand enter into a payment plan with regards to the amounts owed; however, no definitive terms or extensions have been agreed to date.Oxford has also notified the Company that it is not willing to discuss any new projects or arrangements until all outstandinginvoices have been paid or a payment plan has been agreed to; has engaged a law firm to seek the collection of the amounts owed, together with interest; and hasthreatened legal proceedings against us. While we are hopeful that we can come to mutually agreeable terms regarding a settlement,payment plan, and/or extension, with Oxford, we may not have sufficient funds to pay amounts due to Oxford in the near term, if atall, and Oxford may take action against us, including filing legal proceedings against us seeking amounts due and interest,attempting to terminate their relationship with us, and/or filing a wind-up petition against one of the Company’s subsidiariesin the UK. If Oxford were to take legal action against us or terminate their relationship with us, we may be forced to scale backour business plan and/or seek bankruptcy protection. We may be subject to litigation and damages for our failure to pay amounts dueto Oxford, and may be forced to pay interest and penalties, which funds we do not currently have. We plan to seek to raise fundingin the future to support our operations, and to pay amounts due to Oxford, through a combination of equity offerings, debt financingor other capital sources, including potentially collaborations, licenses and other similar arrangements, which may not be availableon favorable terms, if at all. The sale of additional equity or debt securities, if accomplished, may result in dilution to our thenstockholders. Additionally, in December 2023, we engaged A.G.P./Alliance Global Partners as financial advisor to explore andevaluate strategic alternatives to enhance shareholder value. Potential strategic alternatives that may be explored or evaluated bythe Company as part of this process include, but are not limited to, an acquisition, merger, reverse merger, other businesscombination, sale of assets, licensing or other strategic transactions involving the Company. The Company does not intend to discussor disclose further developments during this process unless and until its Board of Directors has approved a specific action orotherwise determined that further disclosure is appropriate. There is no assurance that the strategic review process will result inthe approval or completion of any specific transaction or outcome.

 

Our results of operationsmay be adversely affected by fluctuations in currency values.

 

We expend expenses in currenciesother than the U.S. dollar. Our reporting currency is the United States dollar. The functional currency of certain subsidiaries is theCanadian Dollar (“CAD”) or British Pound (“£” or “GBP”). The resultingtranslation adjustments are recognized in stockholders’ equity as a component of accumulated other comprehensive income. Comprehensiveincome is defined as the change in equity of an entity from all sources other than investments by owners or distributions to owners andincludes foreign currency translation adjustments as described above. During the years ended December 31, 2022 and 2021 and the nine monthsended September 30, 2023 and 2022, we recorded other comprehensive (loss) income of ($3,702,963) and $180,554 and $36,712 and($4,507,204), respectively, as a result of foreign currency translation adjustments.

  

Changes in the value of thecurrencies which we pay expenses (and in the future receive revenues), versus each other, and the U.S. dollar, could result in an adversecharge being recorded to our income statement.

 

Global economic conditionscould materially adversely affect our business, results of operations, financial condition and growth.

 

Adverse macroeconomic conditions,including inflation, slower growth or recession, new or increased tariffs, changes to fiscal and monetary policy, tighter credit, higherinterest rates, high unemployment and currency fluctuations, as well as the potential implications of a Congressional impasse over theU.S. debt limit or possible future U.S. governmental shutdowns over budget disagreements, could materially adversely affect our operations,expenses, access to capital and the market for our planned future products. In addition, consumer confidence and spending could be adverselyaffected in response to financial market volatility, negative financial news, conditions in the real estate and mortgage markets, declinesin income or asset values, changes to fuel and other energy costs, labor and healthcare costs and other economic factors.

 

In addition, 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 purchases of our future plannedproducts; and insolvency.

 

A downturn in the economicenvironment could also lead to limitations on our ability to sell equity or issue new debt; reduce liquidity; and result in declines inthe fair value of our financial instruments. These and other economic factors could materially adversely affect our business, resultsof operations, financial condition and growth.

 

8

 

 

Our industry and thebroader U.S. economy have experienced higher than expected inflationary pressures during 2022 and 2023, related to continued supply chaindisruptions, labor shortages and geopolitical instability. Should these conditions persist our business, future results of operationsand cash flows could be materially and adversely affected.

 

During 2022 and the earlypart of 2023, there were significant increases in the costs of certain materials, products and shipping costs, as a result of availabilityconstraints, supply chain disruption, increased demand, labor shortages associated with a fully employed U.S. labor force, high inflationand other factors. Supply and demand fundamentals have been further aggravated by disruptions in global energy supply caused by multiplegeopolitical events, including the ongoing conflict between Russia and Ukraine, and Israel and Hamas, which threatens to spread to otherMiddle Eastern countries. Service, materials and shipping costs have also increased accordingly with general supply chain and inflationissues seen throughout the U.S. leading to increased operating costs. Supply chain constraints and inflationary pressures have in thepast and may in the future, 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.

 

Economic uncertaintymay affect our access to capital and/or increase the costs of such capital.

 

Global economic conditionscontinue to be volatile and uncertain due to, among other things, consumer confidence in future economic conditions, fears of recessionand trade wars, the price of energy, fluctuating interest rates, the availability and cost of consumer credit, the availability and timingof government stimulus programs, levels of unemployment, increased inflation, tax rates, and the war between Ukraine and Russia whichbegan in February 2022, and Israel and Hamas, which began in October 2023 and which threatens to spread to other Middle Eastern countries.These conditions remain unpredictable and create uncertainties about our ability to raise capital in the future. In the event requiredcapital becomes unavailable in the future, or more costly, it could have a material adverse effect on our business, future results ofoperations, and financial condition.

 

We may not receive anyamounts under our pre-merger directors’ and officers’ insurance policy in connection with certain litigation matters.

 

On June 29, 2022, AmTrustInternational Underwriters DAC (“AmTrust”), which was the premerger directors’ and officers’ insurancepolicy underwriter for KBL, filed a declaratory relief action against us in the U.S. District Court for the Northern District of 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 April 21, 2023, the Courtissued an Order Granting in Part and Denying in Part the Company’s Motion for Partial Summary Judgment. Specifically, the Courtgranted summary adjudication in favor of the Company on the following issues: (a) that the Company is, in fact, an insured underboth the AmTrust and Freedom insurance policies; (b) that certain SEC subpoena related expenses for defendants Dr. Marlene Krauss,the Company’s former Chief Executive Officer and Director, and George Hornig, the former Chairman of the Board, are within the basicscope of coverage under both the AmTrust and Freedom insurance policies; and (c) that the Insured vs. Insured exclusion relied uponby AmTrust and Freedom is not applicable to bar any such coverage.

 

The Court also found thatthere were issues of disputed facts as to the Change in Control exclusion contained within the policies, which therefore precluded theCourt from granting the remainder of the Company’s requests for summary adjudication as a matter of law. Accordingly, the Court,at this time, denied the Company’s further requests for summary adjudication and deemed that for the time being, the Change in Controlissue is to be determined at the time of trial, in order to find that the policies (i) provide coverage for the fees which the Companyhas advanced and will advance to Dr. Marlene Krauss and George Hornig; (ii) that AmTrust has breached the policy; (iii) thatAmTrust must pay such expenses of the Company; and that, once the AmTrust policy has been exhausted, (iv) Freedom will be obligatedto pay such expenses of the Company pursuant to its policy.

 

9

 

 

On August 4, 2023, the Courtgranted the Company’s request to file a second motion for partial summary judgment in this case, this one being on the issue ofwhether AmTrust should be required to advance to the Company the defense costs being incurred by Dr. Marlene Krauss and George Hornigduring the pendency of the case. The Company filed such Motion for Partial Summary Judgment, and it has now been fully briefed by theparties. The hearing for such motion was held on January 11, 2024, however the Judge took the matter under submission and has not yetissued any decision on the Motion.  The parties have commenced written discovery proceedings against each other, and it is anticipatedthat depositions will also occur. The Company intends to continue to vigorously pursue this matter in order to establish the Company’sentitlement to full payment by both AmTrust and Freedom of the subject advancement expenses of the Company.

 

While the Company continuesto believe it has a strong case against both AmTrust and Freedom and believes the Court ruling in its favor in regards to the mattersdiscussed above is a significant positive outcome for the Company, there can be no assurance that the Company will prevail in this action.

 

Our ability to generaterevenue from any of our potential products is subject to our ability to obtain regulatory approval and fulfill numerous other requirementsand we may never be successful in generating revenues or becoming profitable.

 

Our ability to become andremain profitable depends on our ability to generate revenue or execute other business development arrangements. We do not expect to generatesignificant revenue, if any, unless and until we are able to obtain regulatory approval for, and successfully commercialize the productcandidates we are developing or may develop. Successful commercialization, to the extent it occurs, will require achievement of many keymilestones, including demonstrating safety and efficacy in clinical trials, obtaining regulatory approval for these product candidates,manufacturing, marketing and selling, or entering into other agreements to commercialize, those products for which we may obtain regulatoryapproval, satisfying any post-marketing requirements and obtaining reimbursement for our products from private insurance or governmentpayors. Because of the uncertainties and risks associated with these activities, we cannot accurately and precisely predict the timingand amount, if any, of revenues, the extent of any further losses or when we might achieve profitability. We may never succeed in theseactivities and, even if we do, we may never generate revenues that are sufficient enough for us to achieve profitability. Even if we doachieve profitability, we may not be able to sustain or increase profitability on a quarterly or annual basis.

 

Our failure to become andremain 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.

 

We have recently grownour business and will need to increase the size and complexity of our organization in the future, and we may experience difficulties inmanaging our growth and executing our growth strategy.

 

Our management, personneland systems currently in place may not be adequate to support our business plan and future growth. We will need to increase our numberof full-time equivalent employees in order to conduct Phase 1, 2 and 3 clinical trials of our future products and to establish a commercialorganization and commercial infrastructure. As a result of these future activities, the complexity of our business operations is expectedto substantially increase. We will need to develop and expand our scientific, manufacturing, sales and marketing, managerial, compliance,operational, financial and other resources to support our planned research, development, manufacturing and commercialization activities.

 

Our need to effectively manageour operations, growth and various projects requires that we:

 

continue to improve our operational,financial, management and regulatory compliance controls and reporting systems and procedures;

 

attract and retain sufficientnumbers of talented employees;

 

manage our commercializationactivities effectively and in a cost-effective manner (currently trial and development for our clinical trials is very cost effective);and

 

manage our development effortseffectively while carrying out our contractual obligations to contractors and other third parties.

 

We have utilized and continueto utilize the services of part-time outside consultants and contractors to perform a number of tasks for our company, including tasksrelated to compliance programs, clinical trial management, regulatory affairs, formulation development and other drug development functions.Our growth strategy may entail expanding our use of consultants and contractors to implement these and other tasks going forward. If weare not able to effectively expand our organization by hiring new employees and expanding our use of consultants and contractors, we maybe unable to successfully implement the tasks necessary to effectively execute on our planned research, development, manufacturing andcommercialization activities and, accordingly, may not achieve our research, development and commercialization goals.

 

10

 

 

We face liability forpreviously restated financial statements and/or certain actions of our prior management which led to such restatements.

 

We filed a Current Reporton Form 8-K on December 31, 2020 and another Current Report on Form 8-K on February 3, 2021, where we announced that due to matters wediscovered which related to KBL, prior to the Business Combination, certain historical financial statements were unreliable. As a result,we restated our financial statements for the three and six months ended June 30, 2020 and for the three and nine months ended September30, 2020, because of errors in such financial statements which were identified after such financial statements were filed with the SECin our original quarterly reports for the quarters ended June 30, 2020 and September 30, 2020. While we believe these restatements arethe result of the actions of, and are the responsibility of, the management of KBL (none of whom remain employed by us), we may be subjectto stockholder litigation, SEC actions, fines and penalties, rating downgrades, negative publicity and difficulties in attracting andretaining key clients, employees and management personnel as a result of such restatements. Additionally, our securities may trade atprices lower than similarly situated companies which have not had to restate their financial statements.

 

Our failure to appropriatelyadjust processes resulting from significant one-time transactions may result in a misstatement in the financial statements.

 

In the course of our annualaudit but prior to filing, we discovered that an error occurred which caused the fair value of our public warrants to be overstated byan immaterial amount. This error was corrected before the 2022 financial statements were filed. While we believe that the fair value ofwarrants in our financial statements for the year ended December 31, 2022 and since such date are correctly stated, it is possible thatsimilar errors which could have a material adverse effect on our financial condition and results of operations, could require us to restateour financial statements for prior periods or in the future.

 

Operating results mayvary significantly in future periods.

 

Our financial results areunpredictable and may fluctuate, for among other reasons, due to commercial sales of our future product candidates; our achievement ofproduct development objectives and milestones; clinical trial enrollment and expenses; research and development expenses; and the timingand nature of contract manufacturing and contract research payments. A high portion of our costs are predetermined on an annual basis,due in part to our significant research and development costs. Thus, small declines in future revenue could disproportionately affectfinancial results in a quarter.

 

We depend on our keypersonnel and our ability to attract and retain employees.

 

Our future growth and successdepend on our ability to recruit, retain, manage and motivate our employees. We are highly dependent on our current management and scientificpersonnel, 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. The inability to hire or retain experiencedmanagement personnel could adversely affect our ability to execute our business plan and harm our operating results. Due to the specializedscientific and managerial nature of our business, we rely heavily on our ability to attract and retain qualified scientific, technicaland managerial personnel. The competition for qualified personnel in the biotechnological field is intense and we may be unable to continueto attract and retain qualified personnel necessary for the development of our business or to recruit suitable replacement personnel.

 

11

 

 

Problems in our manufacturingprocess for our future chemical entities, failure to comply with manufacturing regulations or unexpected increases in our manufacturingcosts could harm our business, results of operations and financial condition.

 

We are responsible for themanufacture and supply of our future product candidates in the CBD derivatives and α7nAChR programs for commercial use and for usein clinical trials. The manufacturing of our future product candidates necessitates compliance with GMPs and other regulatory requirementsin international jurisdictions. Our ability to successfully manufacture our future product candidates will involve manufacture of finishedproducts and labeling and packaging, which includes product information, tamper proof evidence and anti-counterfeit features, under tightlycontrolled processes and procedures. In addition, we will have to ensure chemical consistency among our batches, including clinical trialbatches and, if approved, marketing batches. Demonstrating such consistency may require typical manufacturing controls as well as clinicaldata. We will also have to ensure that our batches conform to complex release specifications. If we are unable to manufacture our futureproduct candidates in accordance with regulatory specifications, or if there are disruptions in our manufacturing process due to damage,loss or otherwise, or failure to pass regulatory inspections of our manufacturing facilities, we may not be able to meet demand or supplysufficient product for use in clinical trials, and this may also harm our ability to commercialize our future product candidates on atimely or cost-competitive basis, if at all.

 

We may not develop and expandour manufacturing capability in time to meet demand for our product candidates, and the FDA, MHRA or other foreign regulatory authoritiesmay not accept our facilities or those of our contract manufacturers as being suitable for the production of our products and productcandidates. Any problems in our manufacturing process could materially adversely affect our business, results of operations and financialcondition.

 

Our memorandum of understandingwith Celltrion Healthcare may not result in the parties entering into a definitive agreement.

 

In September 2021, we enteredinto a non-binding memorandum of understanding with Celltrion Healthcare, a biopharmaceutical company, for the supply of an anti-TNF biosimilardrug used in our ongoing development of anti-TNF products. The parties have not entered into a definitive agreement regarding such relationshipto date, and such definitive agreement may not ultimately be entered into on terms contemplated, if at all. In the event that we are unableto come to mutually agreeable definitive terms with Celltrion Healthcare, the Company has been in discussions with an alternative supplierof the anti-TNF biosimilar drug which has expressed interest in proceeding. We may ultimately be unable to find an alternative supplieror such alternative supplier may require less favorable terms than are currently contemplated. Any of the above may materially adverselyaffect our business, results of operations and financial condition.

 

12

 

 

We expect to face intensecompetition from companies with greater resources and experience than we have; and may face competition from competitors seeking to marketour products under a Section 505(b)(2) application.

 

The pharmaceutical industryis highly competitive and subject to rapid change. The industry continues to expand and evolve as an increasing number of competitorsand potential competitors enter the market. Many of these competitors and potential competitors have substantially greater financial,technological, managerial and research and development resources and experience than our company. Some of these competitors and potentialcompetitors have more experience than our company in the development of pharmaceutical products, including validation procedures and regulatorymatters. In addition, our future product candidates, if successfully developed, will compete with product offerings from large and well-establishedcompanies that have greater marketing and sales experience and capabilities than our company or our collaboration partners have. In particular,Insys Therapeutics, Inc. is developing CBD in Infantile Spasms (“IS”), and potentially other indications. Zogenix,Inc. has reported positive data in two Phase 3 trials of low dose fenfluramine in Dravet syndrome and has commenced a Phase 3 trial withthis product in Lennox Gastaut Syndrome. Biocodex recently received regulatory approval from the FDA for the drug Stiripentol (Diacomit) forthe treatment of Dravet syndrome. Other companies with greater resources than our company may announce similar plans in the future. Inaddition, there are non-FDA approved CBD preparations being made available from companies in the medical marijuana industry, which mightattempt to compete with our future product candidates.

 

Many of our competitors havesignificantly greater financial and technical resources, experience and expertise in:

 

research and development;

 

preclinical testing;

 

designing and implementing clinicaltrials;

 

regulatory processes and approvals;

 

production and manufacturing;and

 

sales and marketing of approvedproducts.

 

Principal competitive factorsin our industry include:

 

the quality and breadth of anorganization’s technology;

 

management of the organizationand the execution of the organization’s strategy;

 

the skill and experience ofan organization’s employees and its ability to recruit and retain skilled and experienced employees;

 

an organization’s intellectualproperty portfolio;

 

the range of capabilities, fromtarget identification and validation to drug discovery and development to manufacturing and marketing; and

 

the availability of substantialcapital resources to fund discovery, development and commercialization activities.

 

13

 

 

Additionally, competitorsmay also seek to market versions of our drug products via a section 505(b)(2) application, which is a type of NDA provided in section505(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 FDC Act, whichis commonly 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. Section 505(b)(2) applicationsmay rely on the FDA’s previous findings for the safety and effectiveness of the previously approved drug in addition to informationobtained by the 505(b)(2) applicant to support the modification of the previously approved drug. Preparing Section 505(b)(2) applicationsmay be less costly and less time-consuming than preparing a Full NDA based entirely on new data and information. Section 505(b)(2) applicationsare subject to the same patent certification procedures as an ANDA.

 

If we are unable to competesuccessfully, our commercial opportunities will be reduced and our business, results of operations and financial conditions may be materiallyharmed.

 

Our future product candidates,if approved, may be unable to achieve the expected market acceptance and, consequently, limit our ability to generate revenue from newproducts.

 

Even when product developmentis successful and regulatory approval has been obtained, our ability to generate sufficient revenue depends on the acceptance of our productsby physicians and patients. We cannot assure you that any of our future product candidates will achieve the expected level of market acceptanceand revenue if and when they obtain the requisite regulatory approvals. The market acceptance of any product depends on a number of factors,including the indication statement, warnings required by regulatory authorities in the product label and new competing products. Marketacceptance can also be influenced by continued demonstration of efficacy and safety in commercial use, physicians’ willingness toprescribe the product, reimbursement from third-party payors such as government health care programs and private third-party payors, theprice of the product, the nature of any post-approval risk management activities mandated by regulatory authorities, competition, andmarketing and distribution support. Further, our U.S. distribution depends on the adequate performance of a reimbursement support huband contracted specialty pharmacies in a closed-distribution network. An ineffective or inefficient U.S. distribution model at launchmay lead to inability to fulfill demand, and consequently a loss of revenue. The success and acceptance of a product in one country maybe negatively affected by its activities in another. If we fail to adapt our approach to clinical trials in the U.S. market to meet theneeds of EMA, MHRA or other European regulatory authorities, or to generate the health economics and outcomes research data needed tosupport pricing and reimbursement negotiations or decisions in Europe, we may have difficulties obtaining marketing authorization forour products from EMA/European Commission or the MHRA and may have difficulties obtaining pricing and reimbursement approval for our productsat a national level. Any factors preventing or limiting the market acceptance of our products could have a material adverse effect onour business, results of operations and financial condition.

 

All of our patents inthe Anti-TNF and Fibrosis program are method of use patents, which may result in biosimilar drugs being used without our permission.

 

The success of our most advanceddrug development platform depends on the enforceability of our method of use patents, as there are currently many biosimilar anti-TNFdrugs in the market. If we are unable to obtain composition of matter patents, and enforce such patents, our ability to generate revenuefrom the anti-TNF platform may be significantly limited and competitors may be able to use our research to bring competing drugs to marketwhich would reduce our market share.

 

14

 

 

The majority of ourlicense agreements provide the licensors and/or counter-parties the right to use and/or exploit such licensed intellectual property.

 

The majority of our licenseagreements provide the licensors and/or counter-parties the right to use and/or exploit such licensed intellectual property, and in somecases provide them ownership of such intellectual property, know-how and research results. As such, we may be in competition with partieswho we have license agreements with, will likely not have the sole right to monetize, sell or distribute our product candidates and maybe subject to restrictions on use and territory of sales. Any or all of the above may have a material adverse effect on our results ofoperations and cash flows and ultimately the value of our securities.

 

Interim, topline andpreliminary data from our clinical trials may change as more patient data becomes available, and is subject to audit and verificationprocedures that could result in material changes in the final data.

 

From time to time, we maypublicly disclose preliminary, interim or topline data from our preclinical studies and clinical trials, which is based on a preliminaryanalysis of then-available data, and the results and related findings and conclusions are subject to change as patient enrollment andtreatment continues and more patient data become available. For example, any positive results from our preclinical testing, Phase 1 andPhase 2 clinical trials of our product candidate for any product candidate may not necessarily be predictive of the results from plannedor future clinical trials for such product candidates. Many companies in the pharmaceutical and biotechnology industries have sufferedsignificant setbacks in clinical trials after achieving positive results in pre-clinical and early clinical development, and we cannotbe certain that we will not face similar setbacks. These setbacks have been caused by, among other things, pre-clinical findings whileclinical trials were underway or safety or efficacy observations in clinical trials, including adverse events. Adverse differences betweenprevious preliminary or interim data and future interim or final data could significantly harm our business prospects. We may also announcetopline data following the completion of a preclinical study or clinical trial, which may be subject to change following a more comprehensivereview of the data related to the particular study or trial. We also make assumptions, estimations, calculations and conclusions as partof our analyses of data, and we may not have received or had the opportunity to fully and carefully evaluate all data. As a result, theinterim, topline or preliminary results that we report may differ from future results of the same studies, or different conclusions orconsiderations may qualify such results, once additional data has been received and fully evaluated. Preliminary, interim, or toplinedata also remains subject to audit and verification procedures that may result in the final data being materially different from the datawe previously published. As a result, preliminary, interim, and topline data should be viewed with caution until the final data is available.

 

Further, others, includingregulatory agencies, may not accept or agree with our assumptions, estimates, calculations, conclusions or analyses or may interpret orweigh the importance of data differently, which could impact the value of the particular program, the approvability or commercializationof the particular product candidate or product and our company in general. In addition, the information we choose to publicly discloseregarding a particular study or clinical trial is based on what is typically extensive information, and you or others may not agree withwhat we determine to be material or otherwise appropriate information to include in our disclosure. Moreover, our interpretation of clinicaldata or our conclusions based on the preclinical in vitro and in vivo models may prove inaccurate, as preclinical and clinical data canbe susceptible to varying interpretations and analyses, and many companies that believed their product candidates performed satisfactorilyin preclinical studies and clinical trials nonetheless failed to obtain FDA approval or a marketing authorization granted by the EuropeanCommission.

 

If we fail to produce positiveresults in our future clinical trials, the development timeline and regulatory approval and commercialization prospects for such productcandidates, and, correspondingly, our business and financial prospects, would be materially adversely affected.

 

We have limited marketingexperience, and we may not be able to successfully commercialize any of our future product candidates, even if they are approved in thefuture.

 

Our ability to generate revenuesultimately will depend on our ability to sell our approved products and secure adequate third-party reimbursement. We currently have noexperience in marketing and selling our products. The commercial success of our future products depends on a number of factors beyondour control, including the willingness of physicians to prescribe our future products to patients, payors’ willingness and abilityto pay for our future products, the level of pricing achieved, patients’ response to our future products, and the ability of ourfuture 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 approved by the FDA,MHRA or other regulatory authority in the future. If we fail to establish or maintain successful marketing, sales and reimbursement capabilitiesor fail to enter into successful marketing arrangements with third parties, our product revenues may suffer.

 

15

 

 

If the price for anyof our future approved products decreases or if governmental and other third-party payors do not provide coverage and adequate reimbursementlevels, our revenue and prospects for profitability will suffer.

 

Patients who are prescribedmedicine for the treatment of their conditions generally rely on third-party payors to reimburse all or part of the costs associated withtheir prescription drugs. Reimbursement systems in international markets vary significantly by country and by region, and reimbursementapprovals generally must be obtained on a country-by-country basis. Coverage and adequate reimbursement from governmental healthcare programs,such as Medicare and Medicaid, and commercial payors is critical to new product acceptance. Coverage decisions may depend upon clinicaland economic standards that disfavor new drug products when more established or lower cost therapeutic alternatives are already availableor subsequently become available. Even if we obtain coverage for our future product candidates, the resulting reimbursement payment ratesmay require co-payments that patients find unacceptably high. Patients may not use our future product candidates if coverage is not providedor reimbursement is inadequate to cover a significant portion of a patient’s cost.

 

In addition, the market forour 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 to be included in suchformularies often leads to downward pricing pressures on pharmaceutical companies. Also, third-party payors may refuse to include a particularbranded drug in their formularies or otherwise restrict patient access to a branded drug when a less costly generic equivalent or otheralternative is available.

 

Third-party payors, whetherforeign or domestic, or governmental or commercial, are developing increasingly sophisticated methods of controlling healthcare costs.The current environment is putting pressure on companies to price products below what they may feel is appropriate. Our future revenuesand overall success could be negatively impacted if we sell future product candidates at less than an optimized price. In addition, inthe United States, no uniform policy of coverage and reimbursement for drug products exists among third-party payors. Therefore, coverageand reimbursement for our future product candidates may differ significantly from payor to payor. As a result, the coverage determinationprocess is often a time-consuming and costly process that will require us to provide scientific and clinical support for the use of ourfuture product candidates to each payor separately, with no assurance that coverage will be obtained. If we are unable to obtain coverageof, and adequate payment levels for, our future product candidates, physicians may limit how much or under what circumstances they willprescribe or administer them and patients may decline to purchase them. This could affect our ability to successfully commercialize ourproduct candidates, and thereby adversely impact our profitability, results of operations, financial condition and future success.

 

In addition, where we havechosen to collaborate with a third party on product candidate development and commercialization, our partner may elect to reduce the priceof our products to increase the likelihood of obtaining reimbursement approvals. In many countries, products cannot be commercially launcheduntil reimbursement is approved and the negotiation process in some countries can exceed 12 months. In addition, pricing and reimbursementdecisions in certain countries can be affected by decisions made in other countries, which can lead to mandatory price reductions and/oradditional reimbursement restrictions across a number of other countries, which may adversely affect sales and profitability. In the eventthat countries impose prices that are not sufficient to allow us or our partners to generate a profit, our partners may refuse to launchthe product in such countries or withdraw the product from the market, which would adversely affect sales and profitability.

 

Business interruptionscould delay us in the process of developing our future product candidates and could disrupt our product sales.

 

Loss of our future manufacturingfacilities, stored inventory or laboratory facilities through fire, theft or other causes, could have an adverse effect on our abilityto meet demand for our future product candidates or to continue product development activities and to conduct our business. Failure tosupply our partners with commercial products may lead to adverse consequences, including the right of partners to assume responsibilityfor product supply. Even if we obtain insurance coverage to compensate us for such business interruptions, such coverage may prove insufficientto fully compensate us for the damage to our business resulting from any significant property or casualty loss to our inventory.

 

16

 

 

If product liabilitylawsuits are successfully brought against us, we will incur substantial liabilities and may be required to limit the commercializationof our future product candidates.

 

Although we have never hadany product liability claims or lawsuits brought against us, we face potential product liability exposure related to the testing of ourfuture product candidates in human clinical trials, and we will face exposure to claims in jurisdictions where we market and distributein the future. We may face exposure to claims by an even greater number of persons when we begin marketing and distributing our productscommercially in the United States and elsewhere. In the future, an individual may bring a liability claim against us alleging that oneof our future product candidates caused an injury. While we plan to take what we believe are appropriate precautions, we may be unableto avoid significant liability if any product liability lawsuit is brought against us. Large judgments have been awarded in class actionor individual lawsuits based on drugs that had unanticipated side effects. Although we plan to purchase insurance to cover product liabilitylawsuits, if we cannot successfully defend our company against product liability claims, or if such insurance coverage is inadequate,we will incur substantial liabilities. Regardless of merit or eventual outcome, liability claims may result in decreased demand for ourproducts, reputational damage, withdrawal of clinical trial participation participants, litigation costs, product recall costs, monetaryawards, increased costs for liability insurance, lost revenues and business interruption.

 

Our employees may havepreviously engaged, and/or may in the future engage, in misconduct or other improper activities, including noncompliance with regulatorystandards and legal requirements.

 

We are exposed to the riskof employee fraud or other misconduct. Misconduct by employees could include intentional failures to comply with FDA, SEC or Office ofInspector General regulations, or regulations of any other applicable regulatory authority, failure to provide accurate information tothe FDA or the SEC, failure to disclose accurate information in SEC filings, failure to comply with applicable manufacturing standards,other federal, state or foreign laws and regulations, report information or data accurately or disclose unauthorized activities. Employeemisconduct could also involve the improper use of information, including information obtained in the course of clinical trials, or illegalappropriation of drug product, which could result in government investigations and serious harm to our reputation. Despite our adoptionof a Code of Ethics, employee misconduct is not always possible to identify and deter. The precautions we take to detect and prevent theseprohibited activities may not be effective in controlling unknown or unmanaged risks or losses or in protecting us from governmental investigationsor other actions or lawsuits stemming from a failure to be in compliance with such laws or regulations. If any such actions are institutedagainst our company, and we are not successful in defending our company or asserting our rights, those actions could have a significantimpact on our business, including the imposition of significant fines or other sanctions.

 

We are subject to theU.S. Foreign Corrupt Practices Act and other anti-corruption laws, as well as export control laws, customs laws, sanctions laws and otherlaws governing our operations. If we fail to comply with these laws, we could be subject to civil or criminal penalties, other remedialmeasures, and legal expenses, which could adversely affect our business, results of operations and financial condition.

 

Our operations are subjectto anti-corruption laws, including the U.S. Foreign Corrupt Practices Act (“FCPA”), and other anti-corruption lawsthat apply in countries in which we do business. The FCPA and these other laws generally prohibit our company and our employees and intermediariesfrom bribing, being bribed or making other prohibited payments to government officials or other persons to obtain or retain business orgain some other business advantage. We and our commercial partners operate in a number of jurisdictions that pose a high risk of potentialFCPA violations, and we participate in collaborations and relationships with third parties whose actions could potentially subject usto liability under the FCPA or local anti-corruption laws. In addition, we cannot predict the nature, scope or effect of future regulatoryrequirements to which our international operations might be subject or the manner in which existing laws might be administered or interpreted.

 

We are also subject to otherlaws and regulations governing our international operations, including regulations administered by the governments of the United States,Canada, Israel, the United Kingdom and authorities in the European Union, including applicable export control regulations, economic sanctionson countries and persons, customs requirements and currency exchange regulations, collectively referred to as the Trade Control Laws.

 

17

 

 

However, there is no assurancethat we will be completely effective in ensuring our compliance with all applicable anti-corruption laws, including the FCPA or otherlegal requirements, including Trade Control Laws. If we are not in compliance with the FCPA and other anti-corruption laws or Trade ControlLaws, we may be subject to criminal and civil penalties, disgorgement and other sanctions and remedial measures, and legal expenses, whichcould have an adverse impact on our business, financial condition, results of operations and liquidity. Likewise, any investigation ofany potential violations of the FCPA, other anti-corruption laws by the United States or other authorities could also have an adverseimpact on our reputation, business, financial condition and results of operations.

 

Security breaches, lossof data and other disruptions could compromise sensitive information related to our business, prevent us from accessing critical informationor expose us to liability, which could adversely affect our business and our reputation.

 

In the ordinary course ofbusiness, 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 significantresources to protecting such information. Although we take measures to protect sensitive information from unauthorized access or disclosure,our information technology and infrastructure may be vulnerable to attacks by hackers, or viruses, breaches or interruptions due to employeeerror, malfeasance or other disruptions, or lapses in compliance with privacy and security mandates. Any such virus, breach or interruptioncould compromise our networks and the information stored there could be accessed by unauthorized parties, publicly disclosed, lost orstolen. We have measures in place that are designed to prevent, and if necessary, to detect and respond to such security incidents andbreaches of privacy and security mandates. However, in the future, any such access, disclosure or other loss of information could resultin legal claims or proceedings, liability under laws that protect the privacy of personal information, such as HIPAA and European UnionGeneral Data Protection Regulation (“GDPR”), government enforcement actions and regulatory penalties. Unauthorizedaccess, loss or dissemination could also disrupt our operations, including our ability to process samples, provide test results, shareand monitor safety data, bill payors or patients, provide customer support services, conduct research and development activities, processand prepare company financial information, manage various general and administrative aspects of our business and may damage our reputation,any of which could adversely affect our business, financial condition and results of operations.

 

GDPR, which applies to allEU member states includes substantial fines for breaches of the data protection rules and may require us to put in place additional mechanismsensuring compliance with the new and changing data protection rules. GDPR is a complex law and the regulatory guidance is still evolving,including with respect to how GDPR should be applied in the context of clinical trials or other transactions from which we may gain accessto personal data. GDPR increases our costs of compliance and results in greater legal risks.

 

Our research and developmentprograms and product candidates are in development. As a result, we are unable to predict if or when we will successfully develop or commercializeour product candidates.

 

Our clinical-stage productcandidates as well as our other drug pipeline candidates will require significant further investment and regulatory approvals prior tocommercialization. Each of our product candidates will require clinical trial designs that meet the standards and requirements of FDA,MHRA or other comparable foreign regulatory authorities, the selection of suitable end points and patients for our clinical trials andadditional clinical development, management of clinical, preclinical and manufacturing activities, obtaining regulatory approval, obtainingmanufacturing supply, building of a commercial organization, substantial investment and significant marketing efforts before we generateany revenues from product sales. We are not permitted to market or promote any of our product candidates before we receive regulatoryapproval from the FDA, MHRA or other comparable foreign regulatory authorities, and we may never receive such regulatory approval forany of our product candidates. By such time, if ever, as we may receive necessary regulatory approvals for our product candidates, thestandard 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.

 

18

 

 

Even if we obtain the requiredfinancing or establish a collaboration to enable us to conduct late-stage clinical development of our product candidates and pipelineassets, we cannot be certain that such clinical development would be successful, or that we will obtain regulatory approval or be ableto successfully commercialize any of our product candidates and generate revenue. Success in preclinical testing and early clinical trialsdoes not ensure that later clinical trials will be successful, and the clinical trial process may fail to demonstrate that our productcandidates are safe and effective for their proposed uses. Any such failure could cause us to abandon further development of any one ormore of our product candidates and may delay development of other product candidates. Product candidates in later stages of clinical trialsmay fail to show the desired safety and efficacy traits despite having progressed through preclinical studies and initial clinical trials.Any delay in, or termination of, our clinical trials will delay and possibly preclude the submission of any NDAs with the FDA, MarketingAuthorisation Applications (MAA) or Conditional Marketing Authorisations (CMA) with the MHRA, or similar authorizations withother foreign regulatory agencies, and, ultimately, our ability to commercialize our product candidates and generate product revenue.

 

We have not previously submittedan 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, our product candidates may notreceive regulatory approval even if they are successful in clinical trials. If we do not receive regulatory approvals for our productcandidates, we may not be able to continue our operations. Even if we successfully obtain regulatory approvals to market one or more ofour product candidates, our revenues will be dependent, in part, upon our or our collaborators’ and future collaborators’ability to obtain regulatory approval for the companion diagnostics to be used with our product candidates, if required, and upon thesize of the markets in the territories for which we gain regulatory approval and have commercial rights. If the markets for patient subsetsthat we are targeting are not as significant as we estimate, we may not generate significant revenues from sales of such products, ifapproved.

 

Further, even if any productcandidate we develop was to receive marketing approval or be commercialized for use in combination with other existing therapies, we wouldcontinue to bear the risks that the FDA, MHRA or other similar foreign regulatory authorities could revoke approval of the therapy usedin combination with our product candidate or that safety, efficacy, manufacturing or supply issues could arise with these existing therapies.

 

The successful commercializationof our product candidates, if approved, will depend on achieving market acceptance and we may not be able to gain sufficient acceptanceto generate significant revenue.

 

Even if our product candidatesare successfully developed and receive regulatory approval, they may not gain market acceptance among physicians, patients, healthcarepayors such as private insurers or governments and other funding parties and the medical community. The degree of market acceptance forany of our products will depend on a number of factors, including:

 

demonstration of the clinicalefficacy and safety of our products;

 

the prevalence and severityof any adverse side effects;

 

limitations or warnings containedin the product’s approved labeling;

 

cost-effectiveness and availabilityof acceptable pricing;

 

competitive product profileversus alternative treatment methods and the superiority of alternative treatment or therapeutics;

 

the effectiveness of marketingand distribution methods and support for the products; and

 

the availability of coverageand adequate reimbursement from third-party payors to the extent that our products receive regulatory approval.

 

19

 

 

Disease indications may besmall subsets of a disease that could be parsed into smaller and smaller indications as different subsets of diseases are defined. Thisincreasingly fine characterization of diseases could have negative consequences; including creating an approved indication that is sosmall as not to have a viable market for us. If future technology allows characterization of a disease in a way that is different fromthe characterization used for large pivotal studies, it may make those studies invalid or reduce their usefulness, and may require repeatingall or a portion of the studies. Future technology may supply better prognostic ability which could reduce the portion of patients projectedto need a new therapy. Even after being cleared by regulatory authorities, a product may later be shown to be unsafe or not to have itspurported effect, thereby preventing its widespread use or requiring withdrawal from the market.

 

We may not be successfulin establishing development and commercialization collaborations which could adversely affect, and potentially prohibit, our ability todevelop our product candidates.

 

Developing pharmaceuticalproducts, conducting clinical trials, obtaining regulatory approval, establishing manufacturing capabilities and marketing approved productsis expensive, and therefore we have, and may in the future, seek to enter into collaborations with companies that have more resourcesand experience in order to continue to develop and commercialize our product candidates. We also may be required due to financial or scientificconstraints to enter into additional collaboration agreements to research and/or to develop and commercialize our product candidates.The establishment and realization of such collaborations may not be possible or may be problematic. There can be no assurance that wewill be able to establish such additional collaborations on favorable terms, if at all, or that our current or future collaborative arrangementswill be successful or maintained for any specific product candidate or indication. If we are unable to reach successful agreements withsuitable collaboration partners for the ongoing development and commercialization of our product candidates, we may face increased costs,we may be forced to limit the scope and number of our product candidates we can commercially develop or the territories in which we commercializesuch product candidates, and we may be unable to commercialize products or programs for which a suitable collaboration partner cannotbe found. If we fail to achieve successful collaborations, our operating results and financial condition will be materially and adverselyaffected.

 

In addition, the terms ofany collaboration agreements may place restrictions on our activities with respect to other products, including by limiting our abilityto grant licenses or develop products with other third parties, or in different indications, diseases or geographical locations, or mayplace additional obligations on us with respect to development or commercialization of our product candidates. If we fail to comply withor breach any provision of a collaboration agreement, a collaborator may have the right to terminate, in whole or in part, such agreementor to seek damages.

 

Our collaboration and licensingagreements are, and may in the future be, complex and involve sharing or division of ownership of certain data, know-how and intellectualproperty rights among the various parties. Accordingly, our collaborators could interpret certain provisions differently than we or ourother collaborators which could lead to unexpected or inadvertent disputes with collaborators. In addition, these agreements might makeadditional collaborations, partnering or mergers and acquisitions difficult.

 

There is no assurance thata collaborator who is acquired by a third party would not attempt to change certain contract provisions that could negatively affect ourcollaboration. The acquiring company may also not accept the terms or assignment of our contracts and may seek to terminate the agreements.Any one of our collaborators could breach covenants, restrictions and/or sub-license agreement provisions leading us into disputes andpotential breaches of our agreements with other partners.

 

20

 

 

We will not be ableto successfully commercialize our product candidates without establishing sales and marketing capabilities internally or through collaborators.

 

We may not be able to findsuitable sales and marketing staff and collaborators for all of our product candidates. The development of a marketing and sales capabilitywill require significant expenditures, management resources and time. The cost of establishing such a sales force may exceed any potentialproduct revenue, or our marketing and sales efforts may be unsuccessful. If we are unable to develop an internal marketing and sales capabilityin a timely fashion, or at all, or if we are unable to enter into a marketing and sales arrangement with a third party on acceptable terms,we may be unable to effectively market and sell approved products, if any, which would prevent us from being able to generate revenueand attain profitability. Further, we may not develop an internal marketing and sales capability if we are unable to successfully developand seek regulatory approval for our product candidates.

 

We will rely upon third-partycontractors and service providers for the execution of some aspects of our development programs. Failure of these collaborators to provideservices of a suitable quality and within acceptable timeframes may cause the delay or failure of our development programs.

 

We outsource certain functions,tests and services to third parties, partners, medical institutions and collaborators and plan to outsource manufacturing to collaboratorsand/or contract manufacturers, and we will rely on third parties for quality assurance, clinical monitoring, clinical data managementand regulatory expertise. In particular, we rely on our partners to run our clinical trials. There is no assurance that such individualsor organizations will be able to provide the functions, tests, drug supply or services as agreed upon or to acceptable quality standards,and we could suffer significant delays in the development of our products or processes. In particular, certain third party service providersmay be unable to comply with their contractual obligations to us due to disruptions caused by lack of qualified employees and consultants,reduced operations or headcount reductions, or otherwise, and in certain cases we may have limited recourse if the non-compliance is dueto factors outside of the service provider’s control.

 

Our business is highlydependent on the success of our product candidates. If we are unable to successfully complete clinical development, obtain regulatoryapproval for or commercialize one or more of our product candidates, or if we experience delays in doing so, our business will be materiallyharmed.

 

Our future success and abilityto generate significant revenue from our product candidates, which we do not expect will occur for several years, is dependent on ourability to successfully develop, obtain regulatory approval for and commercialize one or more of our product candidates, including ourDupuytren’s Contracture product candidate, which has previously completed a successful Phase 2b clinical trial in the United Kingdom,a condition that affects the development of fibrous connective tissue in the palm of the hand. All of our other product candidates arein earlier stages of development and will require substantial additional investment for manufacturing, preclinical testing, clinical development,regulatory review and approval in one or more jurisdictions. If any of our product candidates encounter safety or efficacy problems, developmentdelays or regulatory issues or other problems, our development plans and business would be materially harmed.

 

We may not have the financialresources to continue development of our product candidates. Even if clinical trials are completed, we may experience other issues thatmay delay or prevent regulatory approval of, or our ability to commercialize, our product candidates, including:

 

inability to demonstrate tothe satisfaction of the FDA, MHRA or other comparable foreign regulatory authorities that our product candidates are safe and effective;

 

insufficiency of our financialand other resources to complete the necessary clinical trials and preclinical studies;

 

negative or inconclusive resultsfrom our clinical trials, preclinical studies or the clinical trials of others for product candidates that are similar to ours, leadingto a decision or requirement to conduct additional clinical trials or preclinical studies or abandon a program;

 

product-related adverse eventsexperienced by subjects in our clinical trials, including unexpected toxicity results, or by individuals using drugs or therapeutic biologicssimilar to our product candidates;

 

21

 

 

delays in submitting an InvestigationalNew Drug application, or IND, or comparable foreign applications or delays or failure in obtaining the necessary approvals from regulatorsto 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 productcandidates during clinical trials;

 

better than expected performanceof control arms, such as placebo groups, which could lead to negative or inconclusive results from our clinical trials;

 

delays in enrolling subjectsin clinical trials;

 

high drop-out rates of subjectsfrom clinical trials;

 

inadequate supply or qualityof product candidates or other materials necessary for the conduct of our clinical trials;

 

greater than anticipated clinicaltrial or manufacturing costs;

 

unfavorable FDA, EMA, MHRA orother comparable regulatory authority inspection and review of a clinical trial site;

 

failure of our third-party contractorsor investigators to comply with regulatory requirements or the clinical trial protocol or otherwise meet their contractual obligationsin a timely manner, or at all;

 

unfavorable FDA, EMA, MHRA orother comparable regulatory authority inspection and review of manufacturing facilities or inability of those facilities to maintaina compliance status acceptable to the FDA, EMA or comparable regulatory authorities;

 

delays and changes in regulatoryrequirements, policy and guidelines, including the imposition of additional regulatory oversight around clinical testing generally orwith respect to our therapies in particular; or

 

varying interpretations of databy the FDA, EMA, MHRA and other comparable foreign regulatory authorities.

 

Our product candidates willrequire additional, time-consuming development efforts prior to commercial sale, including preclinical studies, clinical trials and approvalby the FDA, EMA, MHRA and/or other applicable foreign regulatory authorities. All product candidates are prone to the risks of failurethat are inherent in pharmaceutical product development, including the possibility that such product candidate will not be shown to besufficiently safe and effective for approval by regulatory authorities. In addition, we cannot assure stockholders that any such productsthat are approved will be manufactured or produced economically, successfully commercialized or widely accepted in the marketplace orbe more effective than other commercially available alternatives.

 

22

 

 

Due to the significantresources required for the development of our product pipeline, and depending on our ability to access capital, we must prioritize thedevelopment of certain product candidates over others. Moreover, we may fail to expend our limited resources on product candidates orindications that may have been more profitable or for which there is a greater likelihood of success.

 

We have three separate programsfor producing anti-inflammatory agents: (1) investigating new clinical opportunities for anti-TNF, (2) identifying orally available,small molecules that are agonists of α7 nicotinic acetylcholine receptor, and (3) identifying patentable analogs of CBD thatinitially will be used as pain medications, that are at various stages of preclinical development. Due to the significant resources requiredfor the development of our product candidates, we must focus on specific diseases and disease pathways and decide which product candidatesto pursue and advance and the amount of resources to allocate to each. Our decisions concerning the allocation of research, development,collaboration, management and financial resources toward particular product candidates or therapeutic areas may not lead to the developmentof any viable commercial products and may divert resources away from better opportunities. If we make incorrect determinations regardingthe viability or market potential of any of our product candidates or misinterpret trends in the pharmaceutical industry, our business,financial condition, and results of operations could be materially adversely affected. As a result, we may (i) fail to capitalizeon viable commercial products or profitable market opportunities, (ii) be required to forego or delay pursuit of opportunities withother product candidates or other diseases and disease pathways that may later prove to have greater commercial potential than those wechoose 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.

 

The timelines of ourclinical trials may be impacted by numerous factors and any delays may adversely affect our ability to execute our current business strategy.

 

Clinical testing is expensive,difficult to design and implement, can take many years to complete, and is uncertain as to outcome. We may experience delays in clinicaltrials at any stage of development and testing of our product candidates. Our planned clinical trials may not begin on time, have an effectivedesign, enroll a sufficient number of subjects, or be completed on schedule, if at all.

 

Events which may result ina delay or unsuccessful completion of clinical trials include:

 

inability to raise funding necessaryto initiate or continue a trial;

 

delays in obtaining regulatoryapproval to commence a trial;

 

delays in reaching agreementwith the FDA, MHRA or other foreign regulators on final trial design;

 

imposition of a clinical holdfollowing an inspection of our clinical trial operations or trial sites by the FDA, MHRA or other regulatory authorities;

 

delays in reaching agreementon acceptable terms with prospective CROs and clinical trial sites;

 

delays in obtaining requiredinstitutional review board approval at each site;

 

delays in having subjects completeparticipation in a trial or return for post-treatment follow-up;

 

delays caused by subjects droppingout of a trial due to side effects or otherwise;

 

clinical sites dropping outof a trial to the detriment of enrollment;

 

time required to add new clinicalsites; and

 

delays by our contract manufacturersto produce and deliver a sufficient supply of clinical trial materials.

 

If initiation or completionof any of our clinical trials for our product candidates are delayed for any of the above reasons or for other reasons, our developmentcosts may increase, our approval process could be delayed, any periods after commercial launch and before expiration of patent protectionmay be reduced and our competitors may have more time to bring products to market before we do. Any of these events could impair the commercialpotential of our product candidates and could have a material adverse effect on our business.

 

23

 

 

Clinical trials of ourproduct candidates may not uncover all possible adverse effects that patients may experience.

 

Clinical trials are conductedin representative samples of the potential patient population, which may have significant variability. Clinical trials are by design basedon a limited number of subjects and of limited duration for exposure to the product used to determine whether, on a potentially statisticallysignificant basis, the planned safety and efficacy of any product candidate can be achieved. As with the results of any statistical sampling,we cannot be sure that all side effects of our product candidates may be uncovered, and it may be the case that only with a significantlylarger number of patients exposed to the product candidate for a longer duration, that a more complete safety profile is identified. Further,even larger clinical trials may not identify rare serious adverse effects or the duration of such studies may not be sufficient to identifywhen those events may occur. Patients treated with our products, if approved, may experience adverse reactions and it is possible thatthe FDA, MHRA or other regulatory authorities may ask for additional safety data as a condition of, or in connection with, our effortsto obtain approval of our product candidates. If safety problems occur or are identified after our product candidates reach the market,we may, or regulatory authorities may require us to amend the labeling of our products, recall our products or even withdraw approvalfor our products.

 

Failure can occur atany stage of our drug development efforts.

 

We may experience numerousunforeseen events during, or as a result of, testing that could delay or prevent us from obtaining regulatory approval for, or commercializingour drug candidates, including but not limited to:

 

regulators or InstitutionalReview 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 uponus by the FDA and/or MHRA regarding the scope or design of our clinical trials, or we may be required to resubmit our clinical trialprotocols to IRBs for review due to changes in the regulatory environment;

 

the number of subjects requiredfor our clinical trials may be larger, patient enrollment may take longer, or patients may drop out of our clinical trials at a higherrate than we anticipate;

 

we may have to suspend or terminateone or more of our clinical trials if we, regulators, or IRBs determine that the participants are being subjected to unreasonable healthrisks;

 

our third-party contractors,clinical investigators or contractual collaborators may fail to comply with regulatory requirements or fail to meet their contractualobligations to us in a timely manner;

 

the FDA may not accept clinicaldata from trials that are conducted at clinical sites in countries where the standard of care is potentially different from the UnitedStates;

 

our tests may produce negativeor inconclusive results, and we may decide, or regulators may require us, to conduct additional testing; and

 

the costs of our pre-clinicaland/or clinical trials may be greater than we anticipate.

 

24

 

 

We rely on third partiesto conduct our pre-clinical studies and clinical studies and trials, and if they do not perform their obligations to us, we may not beable to obtain approval for additional indications.

 

We do not currently have theability to independently conduct pre-clinical studies or clinical studies and trials, and we have to date relied on third parties, suchas third-party contract research and governmental organizations and medical institutions to conduct studies and trials for us. Our relianceon third parties for development activities reduces our control over these activities. These third parties may not complete activitieson schedule or may not conduct our pre-clinical studies and our clinical studies and trials in accordance with regulatory requirementsor our study design. If these third parties do not successfully carry out their contractual duties or meet expected deadlines, we maybe adversely affected, and our efforts to obtain regulatory approvals for and commercialize indications may be delayed.

 

If we conduct studies withother parties, we may not have control over all decisions associated with that trial. To the extent that we disagree with the other partyon such issues as study design, study timing and the like, it could adversely affect our drug development plans.

 

Although we also rely on thirdparties to manage the data from our studies and trials, we are responsible for confirming that each of our studies and trials is conductedin accordance with its general investigational plan and protocol. Moreover, the FDA and foreign regulatory agencies will require us tocomply with applicable regulations and standards, including Good Laboratory Practice (GLP) and Good Clinical Practice (GCP), forconducting, recording and reporting the results of such studies and trials to assure that the data and the results are credible and accurateand that the human study and trial participants are adequately protected. Our reliance on third-parties does not relieve us of these obligationsand requirements, and we may fail to obtain regulatory approval for any additional indications if these requirements are not met.

 

We will need to continueto develop and maintain distribution and production capabilities or relationships to be successful.

 

We may not be able to successfullymanufacture any product, either independently or under manufacturing arrangements, if any, with third party manufacturers. Moreover, ifany manufacturer should cease doing business with us or experience delays, shortages of supply or excessive demands 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 theirsuppliers, are required to comply with current NDA commitments and current good manufacturing practices (cGMP) requirements enforcedby the FDA, and similar requirements of other countries. The failure by a manufacturer to comply with these requirements could affectits ability to provide us with products. Although we intend to rely on third-party contract manufacturers, we are ultimately responsiblefor ensuring that our products are manufactured in accordance with cGMP. In addition, if, during a preapproval inspection or other inspectionof our third-party manufacturers’ facility or facilities, the FDA determines that the facility is not in compliance with cGMP, anyof our marketing applications that lists such facility as a manufacturer may not be approved or approval may be delayed until the facilitycomes into compliance with cGMP and completes a successful re-inspection by the FDA.

 

Any manufacturing problem,natural disaster, or epidemic, affecting manufacturing facilities, or the loss of a contract manufacturer could be disruptive to our operationsand result in lost sales. Additionally, we will be reliant on third parties to supply the raw materials needed to manufacture our products.Any reliance on suppliers may involve several risks, including a potential inability to obtain critical materials and reduced controlover production costs, delivery schedules, reliability and quality. Any unanticipated disruption to future contract manufacture causedby problems at suppliers could delay shipment of products, increase our cost of goods sold and result in lost sales. If our supplierswere unable to supply us with adequate supply of our drugs, it could have a material adverse effect on our ability to successfully commercializeour drug candidates.

 

25

 

 

If we fail to discover,develop and commercialize other product candidates, we may be unable to grow our business and our ability to achieve our strategic objectiveswould be impaired. In addition, we may also seek to commercialize certain treatments that may not be proprietary to us.

 

Although the development andcommercialization of our current product candidates are our initial focus, as part of our long-term growth strategy, we plan to developother product candidates. While we believe our planned products may have potential applicability to other uses, we have not conductedany clinical trials on these other uses and we may not be successful in developing product candidates for other uses. In addition, weintend to devote capital and resources for basic research to discover and identify additional product candidates. These research programsrequire technical, financial and human resources, whether or not any product candidates are ultimately identified. Our research programsmay initially show promise in identifying potential product candidates, yet fail to yield product candidates for clinical developmentfor many reasons, including the following:

 

the research methodology usedmay not be successful in identifying potential product candidates;

 

competitors may develop alternativesthat render our product candidates obsolete;

 

product candidates that we developmay nevertheless be covered by third parties’ patents or other exclusive rights;

 

a product candidate may, onfurther study, be shown to have harmful side effects or other characteristics that indicate it is unlikely to be effective or otherwisedoes not meet applicable regulatory criteria;

 

a product candidate may notbe capable of being produced in commercial quantities at an acceptable cost, or at all; and

 

a product candidate may notbe accepted as safe and effective by patients, the medical community or third-party payors.

 

If we do not achieveour projected development and commercialization goals within the timeframes we expect, the development and commercialization of our productcandidates may be delayed, and our business and results of operations may be harmed.

 

For planning purposes, weseek to estimate the timing of the accomplishment of various scientific, clinical, regulatory and other product development objectives.These milestones may include our expectations regarding the commencement or completion of scientific studies and clinical trials, thesubmission of regulatory filings, or commercialization objectives. From time to time, we may publicly announce the expected timing ofsome of these milestones, such as the completion of an ongoing clinical trial, the initiation of other clinical programs, receipt of marketingapproval or a commercial launch of a product. The potential achievement of many of these milestones may be outside of our control. Eachof these milestones is based on a variety of assumptions which, if not realized as expected, may cause the timing of such potential achievementof the respective milestones to vary considerably from our estimates, including:

 

our available capital resourcesor capital constraints we experience;

 

the rate of progress, costsand results of our clinical trials and research and development activities, including the extent of scheduling conflicts with participatingclinicians and collaborators;

 

our ability to identify andenroll patients who meet clinical trial eligibility criteria;

 

our receipt of approvals bythe FDA, MHRA and other regulatory authorities and the timing thereof;

 

26

 

 

clinical outcomes;

 

other actions, decisions orrules 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 collaboratorswith respect to the commercialization of our product candidates; and

 

the securing of, costs relatedto, and timing issues associated with, product manufacturing as well as sales and marketing activities.

 

If we fail to achieve anyannounced milestones in the timeframes we expect, the development and commercialization of our product candidates may be delayed, andour business and results of operations may be harmed, and it could negatively impact our share price performance. Please see the sectionentitled “Business” in this prospectus for more information.

 

If we rely on a solesource of supply to manufacture our products we could be impacted by the viability of our supplier.

 

We intend to attempt to sourceour products from more than one supplier. We also intend to enter into contracts with any supplier of our products to contractually obligatethem to meet our requirements. However, if we are reliant on a single supplier and that supplier cannot or will not meet our requirements(for whatever reason), our business could be adversely impacted.

 

We may not be able tosufficiently scale-up manufacturing of our drug candidates.

 

We may not be able to successfullyincrease in a sufficient manner the manufacturing capacity for our drug candidates, whether in collaboration with third-party manufacturersor on our own, in a timely or cost-effective manner or at all. If a contract manufacturer makes improvements in the manufacturing processfor our drug candidates, we may not own, or may have to share, the intellectual property rights to those improvements.

 

Significant scale-up of manufacturingmay require additional validation studies, which are costly and which the FDA must review and approve. In addition, quality issues mayarise during those scale-up activities because of the inherent properties of a drug candidate itself or of a drug candidate in combinationwith other components added during the manufacturing and packaging process, or during shipping and storage of the finished product oractive pharmaceutical ingredients. If we are unable to successfully scale-up manufacture of any of our drug candidates in sufficient qualityand quantity, the development of that drug candidate and regulatory approval or commercial launch for any resulting drug products maybe delayed or there may be a shortage in supply, which could significantly harm our business.

 

Our operations are subjectto risks associated with ongoing and potential future global conflicts.

 

In February 2022, an armedconflict escalated between Russia and Ukraine. The sanctions announced by the United States and other countries against Russia and Belarusfollowing Russia’s invasion of Ukraine to date include restrictions on selling or importing goods, services, or technology in orfrom affected regions and travel bans and asset freezes impacting connected individuals and political, military, business, and financialorganizations in Russia and Belarus. The United States and other countries could impose wider sanctions and take other actions shouldthe conflict further escalate. Separately, in October 2023, Israel and certain Iranian-backed Palestinian forces began an armed conflictin Israel, the Gaza Strip, and surrounding areas, which threatens to spread to other Middle Eastern countries including Lebanon and Iran.

 

27

 

 

These wars are increasinglyaffecting economic and global financial markets and exacerbating ongoing economic challenges, including issues such as rising inflationand global supply-chain disruption. While we do not believe these conflicts currently have a material impact on our financial accountingand reporting, the degree to which we will be affected in the future largely depends on the nature and duration of uncertain and unpredictableevents, and our business could be impacted. Additionally, we currently have agreements and relationships in place with Yissum ResearchDevelopment Company of the Hebrew University of Jerusalem, Ltd. (“Yissum”), located in Israel, and Yissum’s operationsmay be materially affected by the ongoing war in Israel, which may delay, prevent, or materially increase the cost of, the ongoing servicesYissum is required to provide to the Company. Furthermore, future global conflicts or wars could create further economic challenges, including,but not limited to, increases in inflation and further global supply-chain disruption. Consequently, the ongoing Russia/Ukraine Hamas/Israelconflicts and/or other future global conflicts, could result in an increase in operating expenses and/or a decrease in any future revenueand could further have a material adverse effect on our results of operations and cash flow.

 

We may enter intostrategic transactions in the future which may result in a material change in our operations and/or a change of control.

 

In December 2023 we engagedA.G.P./Alliance Global Partners as financial advisor to explore and evaluate strategic alternatives to enhance shareholder value. Potentialstrategic alternatives that may be explored or evaluated by the Company as part of this process include, but are not limited to, an acquisition,merger, reverse merger, other business combination, sale of assets, licensing or other strategic transactions involving the Company. TheCompany does not intend to discuss or disclose further developments during this process unless and until its Board of Directors has approveda specific action or otherwise determined that further disclosure is appropriate. There is no assurance that the strategic review processwill result in the approval or completion of any specific transaction or outcome.

 

The Board of Directors andmanagement team are committed to acting in the best interests of the Company, its stockholders and its stakeholders. There is no deadlineor definitive timetable set for completion of the strategic alternatives review process and there can be no assurance that this processwill result in the Company pursuing a transaction or any other strategic outcome.

 

As a result of the above,in the future, we may enter into transactions with parties seeking to merge and/or acquire us and/or our operations. While we have notentered into any agreements or understandings with any such parties to date, in the event that we do enter into such a transaction ortransactions in the future, new shares of common stock or preferred stock could be issued resulting in substantial dilution to our thencurrent stockholders and/or a change of control. As a result, our new majority stockholders may change the composition of our Board ofDirectors and may replace our current management. Any future transaction may also result in a change in our business focus. We have notentered into any agreements relating to any strategic transaction involving the Company as of the date of this prospectus and may notenter into such agreements in the future. Any future strategic transaction involving the Company or its operations may have a materialeffect on our operations, cash flows, results of operations, prospects, plan of operations, the listing of our common stock on Nasdaq,our officers, directors and majority stockholder(s), and the value of our securities.

 

Risks Related to a Potential Future Reverse Stock Split of Our CommonStock

 

A reverse stock splitmay not increase our stock price and have the desired effect of maintaining compliance with the rules of the Nasdaq.

 

TheCompany is seeking stockholder approval of an amendment to our Second Amended and Restated Certificate of Incorporation, as amended, ata special meeting of stockholders planned to be held on February 16, 2024, to effect a reverse stock split of our issued and outstandingshares of our Common Stock, by a ratio of between one-for-four to one-for-forty, inclusive, with the exact ratio to be set at a wholenumber to be determined by our Board of Directors or a duly authorized committee thereof in its discretion, at any time after approvalof the amendment and prior to February 16, 2025.

 

28

 

 

The Board is seeking approvalfor a reverse stock split, and expects that a reverse stock split of our common stock will increase the market price of our common stock,so that we are able to regain and maintain compliance with the Nasdaq minimum bid price listing standard. However, the effect of the reversestock split upon the market price of our common stock cannot be predicted with any certainty, and the history of similar reverse stocksplits for companies in like circumstances is varied. The price per share of our common stock after the reverse stock split may not reflectthe exchange ratio implemented by the Board of Directors and the price per share following the effective time of the reverse stock splitmay not be maintained for any period of time following the reverse stock split. Accordingly, the total market capitalization of our commonstock following a reverse stock split may be lower than before the reverse stock split.

 

Under applicable Nasdaq rules,to regain compliance with the $1.00 minimum closing bid price requirement and maintain our listing on the Nasdaq Capital Market, the $1.00closing bid price must be maintained for a minimum of ten (10) consecutive business days. Accordingly, we cannot assure you that we willbe able to maintain our Nasdaq listing after a reverse stock split is effected (assuming approved by stockholders) or that the marketprice per share after a reverse stock split will exceed or remain in excess of the $1.00 minimum bid price for a sustained period of time.

 

It is possible that the pershare price of our common stock after a reverse stock split will not rise in proportion to the reduction in the number of shares of ourcommon stock outstanding resulting from the reverse stock split, and the market price per post-reverse stock split share may not exceedor remain in excess of the $1.00 minimum bid price for a sustained period of time, and the reverse stock split may not result in a pershare price that would attract brokers and investors who do not trade in lower priced stocks. Even if we effect the reverse stock split,the market price of our common stock may decrease due to factors unrelated to the stock split. In any case, the market price of our commonstock may also be based on other factors which may be unrelated to the number of shares outstanding, including our future performance.If the reverse stock split is consummated and the trading price of the common stock declines, the percentage decline as an absolute numberand as a percentage of our overall market capitalization may be greater than would occur in the absence of the reverse stock split. Evenif the market price per post-reverse stock split share of our common stock remains in excess of $1.00 per share, we may be delisted dueto a failure to meet other continued listing requirements, including Nasdaq requirements related to the minimum stockholders’ equity,the minimum number of shares that must be in the public float, the minimum market value of the public float and the minimum number ofround lot holders.

 

A reverse stock splitmay decrease the liquidity of our common stock.

 

The liquidity of our commonstock may be harmed by a reverse stock split given the reduced number of shares of common stock that would be outstanding after a reversestock split, particularly if the stock price does not increase as a result of the reverse stock split. In addition, investors might considerthe increased proportion of unissued authorized shares of common stock to issued shares to have an anti-takeover effect under certaincircumstances, because the proportion allows for dilutive issuances which could prevent certain stockholders from changing the compositionof the Board of Directors or render tender offers for a combination with another entity more difficult to successfully complete. The Boardof Directors does not intend for a reverse stock split to have any anti-takeover effects.

 

Risks Related to Development and Regulatory Approval of our FutureProduct Candidates

 

Clinical trials areexpensive, time-consuming, uncertain and susceptible to change, delay or termination. The results of clinical trials are open to differinginterpretations.

 

We have three separate programsfor producing anti-inflammatory agents: (1) investigating new clinical opportunities for anti-TNF, (2) identifying orally available,small molecules that are agonists of α7 nicotinic acetylcholine receptor, and (3) identifying patentable analogs of CBD thatinitially will be used as pain medications. However, these programs, including the related clinical trials, are expensive, time consumingand difficult to design and implement.

 

29

 

 

Regulatory agencies may notaccept clinical trial designs submitted by us, and may analyze or interpret the results of clinical trials differently than us. Even ifthe results of our clinical trials are favorable, the clinical trials for a number of our future product candidates are expected to continuefor several years and may take significantly longer to complete. In addition, the FDA, MHRA or other regulatory authorities, includingstate, local and foreign authorities, or an IRB, with respect to a trial at our institution, may suspend, delay or terminate our clinicaltrials at any time, require us to conduct additional clinical trials, require a particular clinical trial to continue for a longer durationthan originally planned, require a change to our development plans such that we conduct clinical trials for a product candidate in a differentorder, e.g., in a step-wise fashion rather than running two trials of the same product candidate in parallel, or could suspend or terminatethe registrations and quota allotments we require in order to procure and handle controlled substances, for various reasons, includingthe following, any of which could have a material adverse effect on our business, financial condition and results of operations:

 

lack of effectiveness of anyproduct candidate during clinical trials;

 

discovery of serious or unexpectedtoxicities or side effects experienced by trial participants or other safety issues, such as drug interactions, including those whichcause confounding changes to the levels of other concomitant medications;

 

slower than expected rates ofsubject recruitment and enrollment rates in clinical trials;

 

difficulty in retaining subjectswho 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 manufacturingor obtaining sufficient quantities of materials for use in clinical trials due to regulatory and manufacturing constraints;

 

inadequacy of or changes inour manufacturing process or product formulation;

 

delays in obtaining regulatoryauthorization to commence a trial, including “clinical holds” or delays requiring suspension or termination of a trial bya regulatory agency, such as the FDA, before or after a trial is commenced;

 

DEA related recordkeeping, reportingsecurity or other violations at a clinical site, leading the DEA or state authorities to suspend or revoke the site’s-controlledsubstance license and causing a delay or termination of planned or ongoing trials;

 

changes in applicable regulatorypolicies and regulation, including changes to requirements imposed on the extent, nature or timing of studies;

 

delays or failure in reachingagreement on acceptable terms in clinical trial contracts or protocols with prospective clinical trial sites;

 

uncertainty regarding properdosing;

 

delay or failure to supply productfor use in clinical trials which conforms to regulatory specification;

 

unfavorable results from ongoingpre-clinical studies and clinical trials;

 

failure of our CROs, or otherthird-party contractors to comply with all contractual requirements or to perform their services in a timely or acceptable manner;

 

failure by our company, ouremployees, our CROs or their employees to comply with all applicable FDA or other regulatory requirements relating to the conduct ofclinical trials;

 

30

 

 

scheduling conflicts with participatingclinicians and clinical institutions;

 

failure to design appropriateclinical trial protocols;

 

regulatory concerns with CBDderivative products generally and the potential for abuse, despite only working with non-plant based non-psychoactive products;

 

insufficient data to supportregulatory approval;

 

inability or unwillingness ofmedical investigators to follow our clinical protocols; or

 

difficulty in maintaining contactwith patients during or after treatment, which may result in incomplete data.

 

We may find it difficultto enroll patients in our clinical trials, which could delay or prevent clinical trials of our product candidates.

 

Identifying and qualifyingpatients to participate in clinical trials of our product candidates is critical to our success. The timing of our clinical trials dependson the speed at which we can recruit eligible patients to participate in testing our product candidates. We have experienced delays insome of our clinical trials, and we may experience similar delays in the future. These delays could result in increased costs, delaysin advancing our product development, or termination of the clinical trials altogether.

 

We may not be able to identify,recruit and enroll a sufficient number of patients, or those with required or desired characteristics to achieve diversity in a study,to complete our clinical trials within the expected timeframe. Patient enrollment can be impacted by factors including, but not limitedto:

 

design and complexity and/orcommitment of participation required in the study protocol;

 

size of the patient population;

 

eligibility criteria for thestudy in question;

 

clinical supply availability;

 

delays in participating siteidentification, qualification and subsequent activation to enroll;

 

perceived risks and benefitsof the product candidate under study, including as a result of adverse effects observed in similar or competing therapies;

 

proximity and availability ofclinical trial sites for prospective patients;

 

availability of competing therapiesand clinical trials;

 

competition of site effortsto facilitate timely enrollment in clinical trials;

 

participating site motivation;

 

patient referral practices ofphysicians;

 

activities of patient advocacygroups;

 

ability to monitor patientsadequately during and after treatment; and

 

severity of the disease underinvestigation.

 

31

 

 

In particular, each of theconditions for which we plan to evaluate our product candidates are diseases with limited patient pools from which to draw for clinicaltrials. The eligibility criteria of our clinical trials will further limit the pool of available study participants. Additionally, theprocess of finding and diagnosing patients may prove costly. The treating physicians in our clinical trials may also use their medicaldiscretion in advising patients enrolled in our clinical trials to withdraw from our studies to try alternative therapies. In addition,pandemics or epidemics may impact patient ability and willingness to travel to clinical trial sites as a result of quarantines and otherrestrictions, which may negatively impact enrollment in our clinical trials, for example, our trials have in the past had difficulty recruitinga sufficient number of patients due to the COVID-19 pandemic.

 

We may not be able to initiateor continue clinical trials if we cannot enroll the required eligible patients per protocol to participate in the clinical trials requiredby the FDA or the EMA, MHRA or other regulatory agencies. Our ability to successfully initiate, enroll and complete a clinical trial inany foreign country is subject to numerous risks unique to conducting business in foreign countries, including:

 

difficulty in establishing ormanaging relationships with CROs and physicians;

 

different standards for theconduct of clinical trials;

 

our inability to locate qualifiedlocal consultants, physicians and partners;

 

the potential burden of complyingwith a variety of foreign laws, medical standards and regulatory requirements, including the regulation of pharmaceutical and biotechnologyproducts and treatment;

 

ability to procure and delivernecessary clinical trial materials needed to perform the study; and

 

inability to implement adequatetraining at participating sites remotely when in person training cannot be completed.

 

If we have difficulty enrollinga sufficient number of patients to conduct our clinical trials as planned, we may need to delay, limit or terminate ongoing or plannedclinical trials, any of which would have an adverse effect on our ability to complete clinical trials and ultimately our results of operations.

 

Any failure by our companyto comply with existing regulations could harm our reputation and operating results.

 

We are subject to extensiveregulation by U.S. federal and state and foreign governments in each of the U.S., European and Canadian markets, in which we plan to sellour products, or in markets where we have product candidates progressing through the approval process.

 

We must adhere to all regulatoryrequirements including FDA’s GLP, GCP and GMP requirements, pharmacovigilance requirements, advertising and promotion restrictions,reporting and recordkeeping requirements, and their European equivalents. If we or our suppliers fail to comply with applicable regulations,including FDA pre-or post-approval requirements, then the FDA or other foreign regulatory authorities could sanction our company. Evenif a drug is approved by the FDA or other competent authorities, regulatory authorities may impose significant restrictions on a product’sindicated uses or marketing or impose ongoing requirements for potentially costly post-marketing trials. Any of our product candidateswhich 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 safety and other post-marketinformation, including both federal and state requirements. In addition, manufacturers and manufacturers’ facilities are requiredto comply with extensive FDA requirements, including ensuring that quality control and manufacturing procedures conform to GMP. As such,we and our contract manufacturers (in the event contract manufacturers are appointed in the future) are subject to continual reviewand periodic inspections to assess compliance with GMP. Accordingly, we and others with whom we work will have to spend time, money andeffort in all areas of regulatory compliance, including manufacturing, production, quality control and quality assurance. We will alsobe required to report certain adverse reactions and production problems, if any, to the FDA, and to comply with requirements concerningadvertising and promotion for our products. Promotional communications with respect to prescription drugs are subject to a variety oflegal and regulatory restrictions and must be consistent with the information in the product’s approved label. Similar restrictionsand requirements exist in the European Union and other markets where we operate.

 

32

 

 

If a regulatory agency discoverspreviously unknown problems with a product, such as adverse events of unanticipated severity or frequency, or problems with the facilitywhere the product is manufactured, or disagrees with the promotion, marketing or labeling of the product, it may impose restrictions onthat product or on our company, including requiring withdrawal of the product from the market. If we fail to comply with applicable regulatoryrequirements, a regulatory agency or enforcement authority may issue warning letters, impose civil or criminal penalties, suspend regulatoryapproval, suspend any of our ongoing clinical trials, refuse to approve pending applications or supplements to approved applications submittedby us, impose restrictions on our operations, or seize or detain products or require a product recall.

 

In addition, it is possiblethat our future products will be regulated by the DEA, under the Controlled Substances Act or under similar laws elsewhere. DEA schedulingis a separate process that can delay when a drug may become available to patients beyond an NDA approval date, and the timing and outcomeof such DEA process is uncertain. See also “Risks Related to Controlled Substances”, below.

 

In addition, any governmentinvestigation of alleged violations of law could require us to spend significant time and resources in response and could generate negativepublicity. Any failure to comply with ongoing regulatory requirements may significantly and adversely affect our ability to commercializeand generate revenue from our future product candidates. If regulatory sanctions are applied or if regulatory approval is withdrawn, thevalue of our business and our operating results may be adversely affected.

 

Any action against us forviolation of these laws, even if we successfully defend against it, could cause us to incur significant legal expenses, divert our management’sattention from the operation of our business and damage our reputation. We expect to spend significant resources on compliance effortsand such expenses are unpredictable. Changing laws, regulations and standards might also create uncertainty, higher expenses and increaseinsurance costs. As a result, we intend to invest all reasonably necessary resources to comply with evolving standards, and this investmentmight result in increased management and administrative expenses and a diversion of management time and attention from revenue-generatingactivities to compliance activities.

 

We are subject to federal,state and foreign healthcare laws and regulations and implementation of or changes to such healthcare laws and regulations could adverselyaffect our business and results of operations.

 

In both the United Statesand certain foreign jurisdictions, there have been a number of legislative and regulatory proposals to change the healthcare system inways that could impact our ability to sell our future product candidates. If we are found to be in violation of any of these laws or anyother federal, state or foreign regulations, we may be subject to administrative, civil and/or criminal penalties, damages, fines, individualimprisonment, we from federal health care programs and the restructuring of our operations. Any of these could have a material adverseeffect on our business and financial results. Since many of these laws have not been fully interpreted by the courts, there is an increasedrisk that we may be found in violation of one or more of their provisions. Any action against us for violation of these laws, even ifwe ultimately are successful in our defense, will cause us to incur significant legal expenses and divert our management’s attentionaway from the operation of our business. In addition, in many foreign countries, particularly the countries of the European Union thepricing of prescription drugs is subject to government control.

 

In some foreign countries,the proposed pricing for a drug must be approved before it may be lawfully marketed. The requirements governing drug pricing vary widelyfrom country to country.

 

33

 

 

For example, some EU jurisdictionsoperate positive and negative list systems under which products may only be marketed once a reimbursement price has been agreed. To obtainreimbursement or pricing approval, some of these countries may require the completion of clinical trials that compare the cost-effectivenessof a particular product candidate to currently available therapies. Other member states allow companies to fix their own prices for medicinesbut monitor and control company profits. Such differences in national pricing regimes may create price differentials between EU memberstates. There can be no assurance that any country that has price controls or reimbursement limitations for pharmaceutical products willallow favorable reimbursement and pricing arrangements for any of our products. Historically, products launched in the United Kingdomand European Union do not follow price structures of the United States In the United Kingdom and European Union, the downward pressureon healthcare costs in general, particularly prescription medicines, has become intense. As a result, barriers to entry of new productsare becoming increasingly high and patients are unlikely to use a drug product that is not reimbursed by their government. We may facecompetition from lower-priced products in foreign countries that have placed price controls on pharmaceutical products. In addition, theimportation of foreign products may compete with any future product that we may market, which could negatively impact our profitability.

 

Specifically, in the UnitedStates, we expect that the ACA, as well as other healthcare reform measures that may be adopted in the future, may result in more rigorouscoverage criteria and in additional downward pressure on the price that we may receive for any approved product. There have been judicialchallenges to certain aspects of the ACA and numerous legislative attempts to repeal and/or replace the ACA in whole or in part, and weexpect there will be additional challenges and amendments to the ACA in the future. At this time, the full effect that the ACA will haveon our business in the future remains unclear. An expansion in the government’s role in the U.S. healthcare industry may cause generaldownward pressure on the prices of prescription drug products, lower reimbursements or any other product for which we obtain regulatoryapproval, reduce product utilization and adversely affect our business and results of operations. Any reduction in reimbursement fromMedicare or other government programs may result in a similar reduction in payments from private payors. The implementation of cost containmentmeasures or other healthcare reforms may prevent us from being able to generate revenue, attain profitability, or commercialize any ofour future product candidates for which we may receive regulatory approval.

 

Information obtainedfrom expanded access studies may not reliably predict the efficacy of our future product candidates in company-sponsored clinical trialsand may lead to adverse events that could limit approval.

 

The expanded access studieswe are currently supporting are uncontrolled, carried out by individual investigators and not typically conducted in strict compliancewith GCPs, all of which can lead to a treatment effect which may differ from that in placebo-controlled trials. These studies provideonly anecdotal evidence of efficacy for regulatory review. These studies contain no control or comparator group for reference and thispatient data is not designed to be aggregated or reported as study results. Moreover, data from such small numbers of patients may behighly variable. Information obtained from these studies, including the statistical principles that we and the independent investigatorshave chosen to apply to the data, may not reliably predict data collected via systematic evaluation of the efficacy in company-sponsoredclinical trials or evaluated via other statistical principles that may be applied in those trials. Reliance on such information to designour clinical trials may lead to trials that are not adequately designed to demonstrate efficacy and could delay or prevent our abilityto seek approval of our future product candidates.

 

Expanded access programs providesupportive safety information for regulatory review. Physicians conducting these studies may use our future product candidates in a mannerinconsistent with the protocol, including in children with conditions beyond those being studied in trials which we sponsor. Any adverseevents or reactions experienced by subjects in the expanded access program may be attributed to our future product candidates and maylimit our ability to obtain regulatory approval with labeling that we consider desirable, or at all.

 

There is a high rateof failure for drug candidates proceeding through clinical trials.

 

Generally, there is a highrate of failure for drug candidates proceeding through clinical trials. We may suffer significant setbacks in our clinical trials similarto the experience of a number of other companies in the pharmaceutical and biotechnology industries, even after receiving promising resultsin earlier trials. Further, even if we view the results of a clinical trial to be positive, the FDA, MHRA or other regulatory authoritiesmay disagree with our interpretation of the data. In the event that we obtain negative results from clinical trials for product candidatesor other problems related to potential chemistry, manufacturing and control issues or other hurdles occur and our future product candidatesare not approved, we may not be able to generate sufficient revenue or obtain financing to continue our operations, our ability to executeon our current business plan may be materially impaired, and our reputation in the industry and in the investment community might be significantlydamaged. In addition, our inability to properly design, commence and complete clinical trials may negatively impact the timing and resultsof our clinical trials and ability to seek approvals for our drug candidates.

 

34

 

 

If we are found in violationof federal or state “fraud and abuse” laws or similar laws in other jurisdictions, we may be required to pay a penalty and/orbe suspended from participation in federal or state health care programs, which may adversely affect our business, financial conditionand results of operations.

 

In the United States, we aresubject to various federal and state health care “fraud and abuse” laws, including anti-kickback laws, false claims laws andother laws intended to reduce fraud and abuse in federal and state health care programs, which could affect our company particularly uponsuccessful commercialization of our products in the United States The Medicare and Medicaid Patient Protection Act of 1987, or federalAnti-Kickback Statute, makes it illegal for any person, including a prescription drug manufacturer (or a party acting on its behalf),to knowingly and willfully solicit, receive, offer or pay any remuneration that is intended to induce the referral of business, includingthe purchase, order or prescription of a particular drug for which payment may be made under a federal health care program, such as Medicareor Medicaid. Under federal law, some arrangements, known as safe harbors, are deemed not to violate the federal Anti-Kickback Statute.Although we seek to structure our business arrangements in compliance with all applicable requirements, it is often difficult to determineprecisely how the law will be applied in specific circumstances. Accordingly, it is possible that our practices may be challenged underthe federal Anti-Kickback Statute and Federal False Claims Act. Violations of fraud and abuse laws may be punishable by criminal and/orcivil sanctions, including fines and/or exclusion or suspension from federal and state health care programs such as Medicare and Medicaidand debarment from contracting with the U.S. government. In addition, private individuals have the ability to bring actions on behalfof the government under the federal False Claims Act as well as under the false claims laws of several states.

 

While we believe that we havestructured our business arrangements to comply with these laws, the government could allege violations of, or convict 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 could be suspended or excludedfrom participation in federal or state health care programs, and our business, results of operations and financial condition may be adverselyaffected.

 

The Member States of the EuropeanUnion 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.

 

Serious adverse eventsor other safety risks could require us to abandon development and preclude, delay or limit approval of our future product candidates,limit the scope of any approved label or market acceptance, or cause the recall or loss of marketing approval of products that are alreadymarketed.

 

If any of our future productcandidates prior to or after any approval for commercial sale, cause serious or unexpected side effects, or are associated with othersafety risks such as misuse, abuse or diversion, a number of potentially significant negative consequences could result, including:

 

regulatory authorities may interrupt,delay or halt clinical trials;

 

regulatory authorities may denyregulatory approval of our future product candidates;

 

regulatory authorities may requirecertain labeling statements, such as warnings or contraindications or limitations on the indications for use, and/or impose restrictionson distribution in the form of a REMS in connection with approval or post-approval;

 

regulatory authorities may withdrawtheir approval, require more onerous labeling statements, impose more restrictive REMS, or require us to recall any product that is approved;

 

35

 

 

we may be required to changethe way the product is administered or conduct additional clinical trials;

 

our relationships with our collaborationpartners may suffer;

 

we could be sued and held liablefor harm caused to patients; or

 

our reputation may suffer. Thereputational risk is heightened with respect to those of our future product candidates that are being developed for pediatric indications.

 

We may voluntarily suspendor terminate our clinical trials if at any time we believe that the products present an unacceptable risk to participants, or if preliminarydata demonstrates that our future product candidates are unlikely to receive regulatory approval or unlikely to be successfully commercialized.Following receipt of approval for commercial sale of a product, we may voluntarily withdraw or recall that product from the market ifat any time we believe that its use, or a person’s exposure to it, may cause adverse health consequences or death. To date, we havenot withdrawn, recalled or taken any other action, voluntary or mandatory, to remove an approved product from the market, have not receivedapproval for any products, and have not marketed any approved product. In addition, regulatory agencies, IRBs or data safety monitoringboards may at any time recommend the temporary or permanent discontinuation of our clinical trials or request that we cease using investigatorsin the clinical trials if they believe that the clinical trials are not being conducted in accordance with applicable regulatory requirements,or that they present an unacceptable safety risk to participants. Although we have never been asked by a regulatory agency, IRB or datasafety monitoring board to temporarily or permanently discontinue a clinical trial, if we elect or are forced to suspend or terminatea clinical trial of any of our future product candidates, the commercial prospects for that product will be harmed and our ability togenerate product revenue from that product may be delayed or eliminated. Furthermore, any of these events may result in labeling statementssuch as warnings or contraindications. In addition, such events or labeling could prevent us or our partners from achieving or maintainingmarket acceptance of the affected product and could substantially increase the costs of commercializing our future product candidatesand impair our ability to generate revenue from the commercialization of these products either by our company or by our collaborationpartners.

 

The development of REMSfor our future product candidates could cause delays in the approval process and would add additional layers of regulatory requirementsthat could impact our ability to commercialize our future product candidates in the United States and reduce their market potential.

 

Even if the FDA approves ourNDA 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 that makes a REMS necessary to ensurethat the benefits of the drug outweigh the potential risks. REMS elements can include medication guides, communication plans for healthcare professionals, and elements to assure safe use (“ETASU”). ETASU can include, but are not limited to, special trainingor certification for prescribing or dispensing, dispensing only under certain circumstances, special monitoring and the use of patientregistries. Moreover, product approval may require substantial post-approval testing and surveillance to monitor the drug’s safetyor efficacy. We may be required to adopt a REMS for our future product candidates to ensure that the benefits outweigh the risks of abuse,misuse, diversion and other potential safety concerns. There can be no assurance that the FDA will approve a manageable REMS for our futureproduct candidates, which could create material and significant limits on our ability to successfully commercialize our future productcandidates in the United States Delays in the REMS approval process could result in delays in the NDA approval process. In addition, aspart of the REMS, the FDA could require significant restrictions, such as restrictions on the prescription, distribution and patient useof the product, which could significantly impact our ability to effectively commercialize our future product candidates, and dramaticallyreduce their market potential, thereby adversely impacting our business, financial condition and results of operations. Even if initialREMS are not highly restrictive, if, after launch, our future product candidates were to be subject to significant abuse/non-medical useor diversion from illicit channels, this could lead to negative regulatory consequences, including a more restrictive REMS.

 

36

 

 

The regulatory approvalprocesses of the FDA and comparable foreign authorities are lengthy, time-consuming and inherently unpredictable, and if we are ultimatelyunable to obtain regulatory approval for our product candidates, our business will be substantially harmed.

 

We are not permitted to commercialize,market, promote or sell any product candidate in the United States without obtaining regulatory approval from the FDA. Foreign regulatoryauthorities, such as the EMA and MHRA, impose similar requirements. The time required to obtain approval by the FDA and comparable foreignauthorities is inherently unpredictable, but typically takes many years following the commencement of clinical trials and depends uponnumerous factors, including substantial discretion of the regulatory authorities. In addition, approval policies, regulations, or thetype and amount of clinical data necessary to gain approval may change during the course of a product candidate’s clinical developmentand may vary among jurisdictions. To date, we have not submitted an NDA to the FDA or similar drug approval submissions to comparableforeign regulatory authorities for our most advanced product candidate for the early stage treatment of Dupuytren’s Contracture,or any other product candidate. We must complete additional preclinical studies and clinical trials to demonstrate the safety and efficacyof our product candidates in humans before we will be able to obtain these approvals.

 

Clinical testing is expensive,difficult to design and implement, can take many years to complete and is inherently uncertain as to outcome. We cannot guarantee thatany clinical trial design that we submit will be accepted by FDA, MHRA or other comparable foreign regulatory authorities, or that clinicaltrials will be conducted as planned or completed on schedule, if at all. The clinical development of our initial and potential additionalproduct candidates is susceptible to the risk of failure inherent at any stage of development, including failure to demonstrate efficacyin a clinical trial or across a broad population of patients, the occurrence of adverse events that are severe or medically or commerciallyunacceptable, failure to comply with protocols or applicable regulatory requirements, and determination by the FDA, MHRA or any othercomparable foreign regulatory authority that a product candidate may not continue development or is not approvable. It is possible thateven if any of our product candidates has a beneficial effect, that effect will not be detected during clinical evaluation as a resultof one or more of a variety of factors, including the size, duration, design, measurements, conduct or analysis of our clinical trials.Conversely, as a result of the same factors, our clinical trials may indicate an apparent positive effect of such product candidate thatis greater than the actual positive effect, if any. Similarly, in our clinical trials, we may fail to detect toxicity of, or intolerabilitycaused by, such product candidate, or mistakenly believe that our product candidates are toxic or not well tolerated when that is notin fact the case. Serious adverse events, or SAEs, or other adverse effects, as well as tolerability issues, could hinder or prevent marketacceptance of the product candidate at issue.

 

Our current and future productcandidates could fail to receive regulatory approval for many reasons, including the following:

 

the FDA, MHRA or other comparableforeign regulatory authorities may disagree as to the design or implementation of our clinical trials;

 

we may be unable to demonstrateto the satisfaction of the FDA, MHRA or other comparable foreign regulatory authorities that a product candidate is safe and effectivefor our proposed indication;

 

the results of clinical trialsmay 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 demonstratethat a product candidate’s clinical and other benefits outweigh its safety risks;

 

the FDA, MHRA or other comparableforeign regulatory authorities may disagree with our interpretation of data from clinical trials or preclinical studies;

 

37

 

 

the data collected from clinicaltrials of our product candidates may not be sufficient to support the submission of an NDA to the FDA or other submission or to obtainregulatory approval in the United States, the European Union or elsewhere;

 

the FDA, MHRA or other comparableforeign regulatory authorities may find deficiencies with the manufacturing processes of third-party manufacturers with which we contractfor clinical and commercial supplies; and

 

the approval policies or regulationsof the FDA, MHRA or other comparable foreign regulatory authorities may significantly change in a manner rendering our clinical datainsufficient for approval.

 

This lengthy approval processas well as the unpredictability of clinical trial results may result in us failing to obtain regulatory approval to market any productcandidate we develop, which would substantially harm our business, results of operations and prospects. The FDA, MHRA or other comparableforeign authorities have substantial discretion in the approval process and determining when or whether regulatory approval will be grantedfor any product candidate that we develop. Even if we believe the data collected from future clinical trials of our product candidatesare promising, such data may not be sufficient to support approval by the FDA or any other regulatory authority.

 

In addition, even if we wereto obtain approval, regulatory authorities may approve any of our product candidates for fewer or more limited indications than we request,may not approve the price we intend to charge for our products, may grant approval contingent on the performance of costly post-marketingclinical trials, or may approve a product candidate with labeling that does not include the claims necessary or desirable for the successfulcommercialization of that product candidate. Any of the foregoing scenarios could materially harm the commercial prospects for our productcandidates.

 

Risks Related to our Reliance Upon Third Parties

 

Our existing collaborationarrangements with certain universities and any that we may enter into in the future with other partners may not be successful, which couldadversely affect our ability to develop and commercialize our future product candidates.

 

We are seeking collaborationarrangements with pharmaceutical or biotechnology companies for the development or commercialization of our future product candidates.We may, with respect to our future product candidates, enter into new arrangements on a selective basis depending on the merits of retainingcommercialization rights for ourselves as compared to entering into selective collaboration arrangements with leading pharmaceutical orbiotechnology companies for each product candidate, both in the United States and internationally. To the extent that we decide to enterinto collaboration agreements, we will face significant competition in seeking appropriate collaborators and the terms of any collaborationor other arrangements that we may establish may not be favorable to us.

 

Any existing or future collaborationthat we enter into may not be successful. The success of our collaboration arrangements will depend heavily on the efforts and activitiesof our collaborators. Collaborators generally have significant discretion in determining the efforts and resources that they will applyto these collaborations. Disagreements between parties to a collaboration arrangement regarding development, intellectual property, regulatoryor commercialization matters, can lead to delays in the development process or commercialization of the applicable product candidate and,in some cases, termination of the collaboration arrangement. These disagreements can be difficult to resolve if neither of the partieshas final decision-making authority. Any such termination or expiration could harm our business reputation and may adversely affect itfinancially.

 

38

 

 

We expect to dependon a limited number of suppliers for materials and components in order to manufacture our future product candidates. The loss of thesesuppliers, or their failure to supply us on a timely basis, could cause delays in our current and future capacity and adversely affectour business.

 

We expect to depend on a limitednumber of suppliers for the materials and components required to manufacture our future product candidates. As a result, we may not beable to obtain sufficient quantities of critical materials and components in the future. A delay or interruption by our suppliers mayalso harm our business, results of operations and financial condition. In addition, the lead time needed to establish a relationship witha new supplier can be lengthy, and we may experience delays in meeting demand in the event we must switch to a new supplier. The timeand effort to qualify for and, in some cases, obtain regulatory approval for a new supplier could result in additional costs, diversionof resources or reduced manufacturing yields, any of which would negatively impact our operating results. Our dependence on single-sourcesuppliers exposes us to numerous risks, including the following: our suppliers may cease or reduce production or deliveries, they maybe subject to government investigations and regulatory actions that limit or prevent production capabilities for an extended period oftime, raise prices or renegotiate terms; our suppliers may become insolvent; we may be unable to locate a suitable replacement supplieron acceptable terms or on a timely basis, or at all; and delays caused by supply issues may harm our reputation, frustrate our customersand cause them to turn to our competitors for future needs.

 

Risks Related to our Intellectual Property

 

We may not be able toadequately protect our future product candidates or our proprietary technology in the marketplace.

 

Our success will depend, inpart, on our ability to obtain patents, protect our trade secrets and operate without infringing on the proprietary rights of others.We rely upon a combination of patents, trade secret protection (i.e., know-how), and confidentiality agreements to protect the intellectualproperty of our future product candidates. The strengths of patents in the pharmaceutical field involve complex legal and scientific questionsand can be uncertain. Where appropriate, we seek patent protection for certain aspects of our products and technology. Filing, prosecutingand defending patents globally can be prohibitively expensive.

 

Our policy is to look to patenttechnologies with commercial potential in jurisdictions with significant commercial opportunities. However, patent protection may notbe available for some of the products or technology we are developing. If we must spend significant time and money protecting, defendingor enforcing our patents, designing around patents held by others or licensing, potentially for large fees, patents or other proprietaryrights held by others, our business, results of operations and financial condition may be harmed. We may not develop additional proprietaryproducts that are patentable. As of the date hereof, we have an extensive portfolio of patents, including many granted patents and patentspending approval.

 

The patent positions of pharmaceuticalproducts are complex and uncertain. The scope and extent of patent protection for our future product candidates 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 methodsof manufacture, we do not have and will not be able to obtain composition of matter protection on these previously known CBD derivativesper se. We anticipate that the products we develop in the future will be based upon synthetic compounds we may discover. Although we havesought, and will continue to seek, patent protection in the United States, Europe and other countries for our proprietary technologies,future product candidates, their methods of use, and methods of manufacture, any or all of them may not be subject to effective patentprotection. If any of our products are approved and marketed for an indication for which we do not have an issued patent, our abilityto use our patents to prevent a competitor from commercializing a non-branded version of our commercial products for that non-patentedindication could be significantly impaired or even eliminated.

 

Publication of informationrelated to our future product candidates by our company or others may prevent us from obtaining or enforcing patents relating to theseproducts and product candidates. Furthermore, others may independently develop similar products, may duplicate our products, or may designaround our patent rights. In addition, any of our issued patents may be opposed and/or declared invalid or unenforceable. If we fail toadequately protect our intellectual property, we may face competition from companies who attempt to create a generic product to competewith our future product candidates. We may also face competition from companies who develop a substantially similar product to our futureproduct candidates that is not covered by any of our patents.

 

39

 

 

Many companies have encounteredsignificant problems in protecting, defending and enforcing intellectual property rights in foreign jurisdictions. The legal systems ofcertain countries, particularly certain developing countries, do not favor the enforcement of patents and other intellectual propertyrights, particularly those relating to pharmaceuticals, which could make it difficult for us to stop the infringement of our patents ormarketing of competing products in violation of our proprietary rights generally. Proceedings to enforce our patent rights in foreignjurisdictions could result in substantial costs and divert our efforts and attention from other aspects of our business.

 

If third parties claimthat intellectual property used by our company infringes upon their intellectual property, our operating profits could be adversely affected.

 

There is a substantial amountof litigation, both within and outside the United States, involving patent and other intellectual property rights in the pharmaceuticalindustry. We may, from time to time, be notified of claims that we are infringing upon patents, trademarks, copyrights or other intellectualproperty rights owned by third parties, and we cannot provide assurances that other companies will not, in the future, pursue such infringementclaims against us, our commercial partners or any third-party proprietary technologies we have licensed. If we were found to infringeupon a patent or other intellectual property right, or if we failed to obtain or renew a license under a patent or other intellectualproperty right from a third party, or if a third party from whom we were licensing technologies was found to infringe upon a patent orother intellectual property rights of another third party, we may be required to pay damages, including damages of up to three times thedamages found or assessed, if the infringement is found to be willful, suspend the manufacture of certain products or reengineer or rebrandour products, if feasible, or we may be unable to enter certain new product markets. Any such claims could also be expensive and timeconsuming to defend and divert management’s attention and resources. Our competitive position could suffer as a result. In addition,if we have declined or failed to enter into a valid non-disclosure or assignment agreement for any reason, we may not own the inventionor our intellectual property, and our products may not be adequately protected. Thus, we cannot guarantee that any of our future productcandidates, or our commercialization thereof, does not and will not infringe any third party’s intellectual property.

 

If we are not able toadequately prevent disclosure of trade secrets and other proprietary information, the value of our technology and products could be significantlydiminished.

 

We rely on trade secrets toprotect our proprietary technologies, especially where we do not believe patent protection is appropriate or obtainable. However, tradesecrets are difficult to protect. We rely in part on confidentiality agreements with current and former employees, consultants, outsidescientific collaborators, sponsored researchers, contract manufacturers, vendors and other advisors to protect our trade secrets and otherproprietary information. These agreements may not effectively prevent disclosure of confidential information and may not provide an adequateremedy in the event of unauthorized disclosure of confidential information. In addition, we cannot guarantee that we have executed theseagreements with each party that may have or have had access to our trade secrets. Any party with whom we or they have executed such anagreement may breach that agreement and disclose our proprietary information, including our trade secrets, and we may not be able to obtainadequate remedies for such breaches.

 

Enforcing a claim that a partyillegally disclosed or misappropriated a trade secret is difficult, expensive and time-consuming, and the outcome is unpredictable. Also,some courts inside and outside the United States are less willing or unwilling to protect trade secrets. If any of our trade secrets wereto be lawfully obtained or independently developed by a competitor, we would have no right to prevent them, or those to whom they disclosesuch trade secrets, from using that technology or information to compete with us. If any of our trade secrets were to be disclosed toor independently developed by a competitor or other third-party, our competitive position would be harmed.

 

40

 

 

The expiration or lossof patent protection may adversely affect our future revenues and operating earnings.

 

We rely on patent, trademark,trade secret and other intellectual property protection in the discovery, development, manufacturing and sale of our product candidates.In particular, patent protection is important in the development and eventual commercialization of our product candidates. Patents coveringour product candidates normally provide market exclusivity, which is important in order to improve the probability that our product candidatesare able to become profitable.

 

One of our patents relatingto our Fibrosis and anti-TNF program will expire in 2033; however, the majority of the patent portfolio has a longer lifespan. While weare seeking additional patent coverage which may protect the technology underlying these patents, there can be no assurances that suchadditional patent protection will be granted, or if granted, that these patents will not be infringed upon or 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 utilitypatent is generally 20 years after it is filed. Various extensions may be available; however, the life of a patent, and the protectionit affords, is limited. Without patent protection of our product candidates, we may be open to competition from generic versions of suchmethods and compositions.

 

If we do not obtainprotection under the Hatch-Waxman Amendments by extending the patent term, our business may be harmed.

 

Our commercial success willlargely depend on our ability to obtain and maintain patent and other intellectual property in the United States and other countries withrespect to our product candidates. Given the amount of time required for the development, testing and regulatory review of new productcandidates, patents protecting our product candidates might expire before or shortly after such candidates begin to be commercialized.We expect to seek extensions of patent terms in the United States and, if available, in other countries where we are prosecuting patents.

 

Depending upon the timing,duration and specifics of FDA marketing approval of our product candidates, one or more of our U.S. patents may be eligible for limitedpatent term extension, or PTE, under the Drug Price Competition and Patent Term Restoration Act of 1984, referred to as the Hatch-WaxmanAmendments. The Hatch-Waxman Amendments permit a patent restoration term of up to five years beyond the normal expiration of the patentas compensation for patent term lost during development and the FDA regulatory review process, which is limited to the approved indication(and potentially additional indications approved during the period of extension) covered by the patent. This extension is limitedto 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 are available,and may refuse to grant extensions to our patents, or may grant more limited extensions than we request. We may not be granted an extensionbecause of, for example, failing to apply within applicable deadlines, failing to apply prior to expiration of relevant patents or otherwisefailing to satisfy applicable requirements. Moreover, the applicable time-period or the scope of patent protection afforded could be lessthan we request. Even if we are able to obtain an extension, the patent term may still expire before or shortly after we receive FDA marketingapproval. If we are unable to extend the expiration date of our existing patents or obtain new patents with longer expiry dates, our competitorsmay be able to take advantage of our investment in development and clinical trials by referencing our clinical and preclinical data toobtain approval of competing products following our patent expiration and launch their product earlier than might otherwise be the case.

 

41

 

 

Risks Related to Controlled Substances

 

Controlled substancelegislation differs between countries, and legislation in certain countries may restrict or limit our ability to sell our future productcandidates.

 

Most countries are partiesto the Single Convention on Narcotic Drugs 1961 and the Convention on Psychotropic Substances 1971, which governs international tradeand domestic control of narcotic substances, including cannabis extracts. Countries may interpret and implement their treaty obligationsin a way that creates a legal obstacle to us obtaining marketing approval for our future products in those countries. These countriesmay not be willing or able to amend or otherwise modify their laws and regulations to permit our future products to be marketed, or achievingsuch amendments to the laws and regulations may take a prolonged period of time. In that case, we would be unable to market our futureproduct candidates in those countries in the near future or perhaps at all.

 

The product candidatesthat we are developing may be subject to U.S. controlled substance laws and regulations and failure to comply with these laws and regulations,or the cost of compliance with these laws and regulations, may adversely affect the results of our business operations, both during clinicaldevelopment and post approval, and our financial condition.

 

The product candidates thatwe are developing may contain controlled substances as defined in The United States Federal Controlled Substances Act of 1970 and theCSA. Controlled substances that are pharmaceutical products are subject to a high degree of regulation under the CSA, which establishes,among other things, certain registration, manufacturing quotas, security, recordkeeping, reporting, import, export and other requirementsadministered by the DEA. The DEA classifies controlled substances into five schedules: Schedule I, II, III, IV or V substances. ScheduleI 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 United States Pharmaceuticalproducts approved for use in the United States which contain a controlled substance are listed as Schedule II, III, IV or V, with ScheduleII substances considered to present the highest potential for abuse or dependence and Schedule V substances the lowest relative risk ofabuse among such substances.

 

While cannabis is a ScheduleI controlled substance, products approved for medical use in the United States that contain cannabis or cannabis extracts should be placedin Schedules II-V, since approval by the FDA satisfies the “accepted medical use” requirement. If and when any of ourfuture product candidates receive FDA approval, the DEA will make a scheduling determination. If the FDA, the DEA or any foreign regulatoryauthority determines that our future product candidates may have potential for abuse, it may require us to generate more clinical or otherdata than we currently anticipate to establish whether or to what extent the substance has an abuse potential, which could increase thecost and/or delay the launch of that product.

 

Facilities conducting research,manufacturing, distributing, importing or exporting, or dispensing controlled substances must be registered (licensed) to performthese activities and have the security, control, recordkeeping, reporting and inventory mechanisms required by the DEA to prevent drugloss and diversion. All these facilities must renew their registrations annually, except dispensing facilities, which must renew everythree years. The DEA conducts periodic inspections of certain registered establishments that handle controlled substances. Obtaining thenecessary registrations may result in delay of the importation, manufacturing or distribution of our future products. Furthermore, failureto maintain compliance with the CSA, particularly non-compliance resulting in loss or diversion, can result in regulatory action thatcould 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.

 

Individual states have alsoestablished controlled substance laws and regulations. Although state-controlled substances laws often mirror federal law, because thestates are separate jurisdictions, they may separately schedule our future product candidates as well. State scheduling may delay commercialsale of any product for which we obtain federal regulatory approval and adverse scheduling could have a material adverse effect on thecommercial attractiveness of such product. We or our partners must also obtain separate state registrations, permits or licenses in orderto be able to obtain, handle, and distribute controlled substances for clinical trials or commercial sale, and failure to meet applicableregulatory requirements could lead to enforcement and sanctions by the states in addition to those from the DEA or otherwise arising underfederal law.

 

42

 

 

Because our products may becontrolled substances in the United States, to conduct clinical trials in the United States, each of our research sites must submit aresearch protocol to the DEA and obtain and maintain a DEA researcher registration that will allow those sites to handle and dispenseour products and to obtain product from our importer. If the DEA delays or denies the grant of a research registration to one or moreresearch sites, the clinical trial could be significantly delayed, and we could lose clinical trial sites. The importer for the clinicaltrials must also obtain an importer registration and an import permit for each import.

 

The legislation on cannabisin the European Union differs among the member states, as this area is not yet fully harmonized. In Germany, for example, cannabis isregulated as a controlled substance (Betäubungsmittel) and its handling requires specific authorization.

 

The legalization anduse of medical and recreational cannabis in the United States and abroad may impact our business.

 

There is a substantial amountof change occurring in the United States regarding the use of medical and recreational cannabis products. While cannabis products notapproved by the FDA are Schedule I substances as defined under federal law, and their possession and use is not permitted according tofederal law (except for research purposes, under DEA registration), according to the website worldpoplulationreview.com, at least 38 statesand the District of Columbia have enacted state laws to enable possession and use of cannabis for medical purposes, and at least 19 statesand the District of Columbia for recreational purposes. The U.S. Farm Bill, which was passed in 2018, descheduled certain material derivedfrom hemp plants with extremely low THC content. Although our business is quite distinct from that of online and dispensary cannabis companies,future legislation authorizing the sale, distribution, use, and insurance reimbursement of non-FDA approved cannabis products could affectour business.

 

Accounting Risks

 

We have in the past,and may in the future, impair long-lived assets and intangible assets, including goodwill and acquired in-process research and development.

 

We review long-lived assetsand certain identifiable assets (including intangible assets) for impairment whenever circumstances and situations change such thatthere is an indication that the carrying amounts may not be recovered. An impairment exists when the carrying value of the long-livedor intangible asset (including goodwill and acquired in-process research and development) is not recoverable and exceeds its estimatedfair value. Goodwill represents the difference between the purchase price and the fair value of assets and liabilities acquired in a businesscombination. We review goodwill yearly, or more frequently whenever circumstances and situations change such that there is an indicationthat the carrying amounts may not be recovered, for impairment by initially considering qualitative factors to determine whether it ismore likely than not that the fair value of a reporting unit is less than its carrying amount, including goodwill, as a basis for determiningwhether it is necessary to perform a quantitative analysis. If it is determined that it is more likely than not that the fair value ofreporting unit is less than its carrying amount, a quantitative analysis is performed to identify goodwill impairment.

 

Our publicly-traded stockclosed at $78.00 per share as of December 31, 2021; during 2022, the market value of our single reporting unit significantly declined.As of March 31, 2022, June 30, 2022, September 30, 2022 and December 31, 2022, the market value of our publicly traded stock fell to $51.80,$16.96, $13.30 and $3.39, per share, respectively, and as such, we elected to conduct a quantitative analysis of goodwill to assess forimpairment as of September 30, 2022 and December 31, 2022. We determined the fair market value of its single reporting unit and comparedthat value with the carrying amount of the reporting unit and determined that goodwill was impaired as of both measurement dates. As ofSeptember 30, 2022 and December 31, 2022, the carrying value exceeded the fair market value by $18,872,850 and $14,674,428, respectively.To recognize the impairment of goodwill, we recorded losses for these amounts at the end of the third and fourth quarters, which appearas a loss on goodwill impairment of $33,547,278 on the income statement for the year ended December 31, 2022.

 

43

 

 

Intangible assets and in-processresearch and development (“IP R&D”) assets represent the fair value assigned to technologies that were acquiredon July 16, 2019 in connection with the Reorganization, which have not reached technological feasibility and have no alternative futureuse. IP R&D assets are considered to be indefinite-lived until the completion or abandonment of the associated research and developmentprojects. During the period that the IP R&D assets are considered indefinite-lived, they are tested for impairment on an annual basis,or more frequently if we become aware of any events occurring or changes in circumstances that indicate that the fair value of the IPR&D assets are less than their carrying amounts. If and when development is complete, which generally occurs upon regulatory approval,and we are able to commercialize products associated with the IP R&D assets, these assets are then deemed definite-lived and are amortizedbased on their estimated useful lives at that point in time. If development is terminated or abandoned, we may record a full or partialimpairment charge related to the IP R&D assets, calculated as the excess of the carrying value of the IP R&D assets over theirestimated fair value.

 

As of December 31, 2022, thecarrying amount of the IP R&D assets on the balance sheet was $12,405,084 (which consists of carrying value of $1,462,084 and $10,943,000related to the Company’s CBR Pharma subsidiary and its 180 LP subsidiary, respectively). Per the valuation obtained from a thirdparty as of year-end, the fair market value of the Company’s IP R&D assets was determined to be $9,063,000 (which consists offair market values of $0 and $9,063,000 related to the Company’s CBR Pharma subsidiary and 180 LP subsidiary, respectively). Asof this measurement date, the carrying value of the CBR Pharma and 180 LP subsidiaries’ assets exceeded their fair market valuesby $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 recognize the impairment, the Company recorded a loss for this amount during the fourth quarter of 2022, which appearsas a loss on impairment of IP R&D assets on the income statement. This reduced the IP R&D asset balances of its CBR Pharma subsidiaryand its 180 LP subsidiary to zero and $9,063,000, respectively, as of December 31, 2022; the total consolidated IP R&D asset balanceis $9,063,000 after impairment.

 

As of September 30, 2023,the carrying amount of the IP R&D assets on the balance sheet was $9,063,000 (which consists of a balance related to the Company’s180 LP subsidiary); the Company typically assesses asset impairment on an annual basis unless a triggering event or other facts or circumstancesindicate that an evaluation should be performed at an earlier date. At the end of the current period, the Company assessed general economicconditions, industry and market considerations, the Company’s financial performance and all relevant legal, regulatory, and politicalfactors that might indicate the possibility of impairment and concluded that, when these factors were collectively evaluated, it is likelythat the asset is impaired. The Company recorded a loss in the amount of $9,063,000, which appears as a loss on impairment to IP R&Dassets on the income statement for the three and nine months ended September 30, 2023.

 

An impairment recognized inone 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 pastand could in the future incur additional impairments of long-lived assets and/or intangible assets, including acquired in-process researchand development and goodwill, which may be material.

 

We have identified materialweaknesses in our disclosure controls and procedures and internal control over financial reporting. If not remediated, our failure toestablish and maintain effective disclosure controls and procedures and internal control over financial reporting could result in materialmisstatements in our financial statements and a failure to meet our reporting and financial obligations, each of which could have a materialadverse effect on our financial condition and the trading price of our securities.

 

Our management, includingour principal financial officer, conducted an evaluation of the effectiveness of our internal control over financial reporting as of December31, 2022 using the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission (“COSO”) in“Internal Control - Integrated Framework” (2013).

 

44

 

 

Management also concludedthat certain aspects of our internal control over financial reporting was not effective as of September 30, 2023, based on those criteria.Specifically, management’s conclusion was based on the following material weakness:

 

Our review and control proceduresdid not operate at the appropriate level of precision to detect an error in fair-value of warrants related to a one-time reverse stocksplit and the fair value of IP R&D assets.

 

A material weakness is a deficiency,or a combination of deficiencies, in internal control over financial reporting, such that there is a reasonable possibility that a materialmisstatement of our annual or interim financial statements will not be prevented or detected on a timely basis. Accordingly, a materialweakness increases the risk that the financial information we report contains material errors. A control deficiency exists when the designor operation of a control does not allow management or employees, in the normal course of performing their assigned functions, to preventor detect misstatements on a timely basis.

 

Maintaining effective disclosurecontrols and procedures and effective internal control over financial reporting are necessary for us to produce reliable financial statementsand we are committed to remediating its material weaknesses in such controls as promptly as possible. However, there can be no assuranceas to when these material weaknesses will be remediated or that additional material weaknesses will not arise in the future. Any failureto remediate the material weaknesses, or the development of new material weaknesses in our internal control over financial reporting,could result in material misstatements in our financial statements and cause us to fail to meet our reporting and financial obligationson a timely and accurate basis. If our financial statements are not accurate, investors may not have a complete understanding of our operationsor may lose confidence in our reported financial information. Likewise, if our financial statements are not filed on a timely basis asrequired by the SEC and Nasdaq, we could face severe consequences from those authorities. In any of these cases, it could result in amaterial adverse effect on our business, on our financial condition or have a negative effect on the trading price of our common stockand warrants. Further, if we fail to remedy this deficiency (or any other future deficiencies) or maintain the adequacy of our disclosurecontrols and procedures and our internal controls, we could be subject to regulatory scrutiny, civil or criminal penalties or stockholderlitigation against us or our management.

 

We can give no assurance thatthe measures we have taken and plan to take in the future will remediate the material weakness identified or that any additional materialweaknesses or restatements of our financial statements will not arise in the future due to a failure to implement and maintain adequateinternal control over financial reporting or circumvention of those controls.

 

Further, in the future, ifwe cannot conclude that we have effective internal control over our financial reporting, or if our independent registered public accountingfirm is unable to provide an unqualified opinion regarding the effectiveness of our internal control over financial reporting (to theextent we may be required in the future), investors could lose confidence in the reliability of our financial statements, which couldlead to a decline in our stock price. Failure to comply with reporting requirements could also subject us to sanctions and/or investigationsby the SEC or Nasdaq, as applicable, or other regulatory authorities.

 

In addition, even if we aresuccessful in strengthening our controls and procedures, those controls and procedures may not be adequate to prevent or identify irregularitiesor facilitate the fair presentation of our financial statements or our periodic reports filed with the SEC. This may require us to restateprior financial statements.

 

We may experience adverseimpacts on our reported results of operations as a result of adopting new accounting standards or interpretations.

 

Our implementation of andcompliance with changes in accounting rules, including new accounting rules and interpretations, could adversely affect our reported financialposition or operating results or cause unanticipated fluctuations in our reported operating results in future periods.

 

45

 

 

Risks Related to our Common Stock and Warrants

 

The market price ofour common stock has been extremely volatile and may continue to be volatile due to numerous circumstances beyond our control.

 

The market price of our commonstock has fluctuated, and may continue to fluctuate, widely, due to many factors, some of which may be beyond our control. These factorsinclude, without limitation:

 

“short squeezes”;

 

comments by securities analystsor other third parties, including blogs, articles, message boards and social and other media;

 

large stockholders exiting theirposition in our securities or an increase or decrease in the short interest in our securities;

 

actual or anticipated fluctuationsin our financial and operating results;

 

changes in foreign currencyexchange rates;

 

the commencement, enrollmentor results of our planned or future clinical trials of our product candidates or those of our competitors;

 

the success of competitive drugsor therapies;

 

regulatory or legal developmentsin the United States and other countries;

 

the success of competitive productsor technologies;

 

developments or disputes concerningpatent applications, issued patents or other proprietary rights;

 

the recruitment or departureof key personnel;

 

the level of expenses relatedto our product candidates or clinical development programs;

 

litigation matters, includingamounts which may or may not be recoverable pursuant to our officer and director insurance policies, regulatory actions affecting theCompany and the outcome thereof;

 

the results of our efforts todiscover, develop, acquire or in-license additional product candidates;

 

actual or anticipated changesin estimates as to financial results, development timelines or recommendations by securities analysts;

 

our inability to obtain or delaysin obtaining adequate drug supply for any approved drug or inability to do so at acceptable prices;

 

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

 

significant lawsuits, includingpatent or stockholder litigation;

 

variations in our financialresults or those of companies that are perceived to be similar to us;

 

46

 

 

changes in the structure ofhealthcare payment systems, including coverage and adequate reimbursement for any approved drug;

 

market conditions in the pharmaceuticaland biotechnology sectors;

 

general economic, political,and market conditions and overall fluctuations in the financial markets in the United States and abroad; and

 

investors’ general perceptionof us and our business.

 

Stock markets in general andour stock price in particular have recently experienced extreme price and volume fluctuations that have often been unrelated or disproportionateto the operating performance of those companies and our company. For example, during 2022, the sale prices of our common stock rangedfrom a post-split adjusted high of $80.70 per share to a low of $1.18 per share and during 2023, the sale prices of our commons tock rangedfrom a high of $7.15 per share to a low of $0.15 per share. During this time, we do not believe that we have experienced any materialchanges in our financial condition or results of operations that would explain such price volatility or trading volume; however, we havesold equity which was dilutive to existing stockholders. These broad market fluctuations may adversely affect the trading price of oursecurities. Additionally, these and other external factors have caused and may continue to cause the market price and demand for our commonstock to fluctuate substantially, which may limit or prevent our stockholders from readily selling their shares of our common stock andmay otherwise negatively affect the liquidity of our common stock.

 

Information availablein public media that is published by third parties, including blogs, articles, message boards and social and other media may include statementsnot attributable to us and may not be reliable or accurate.

 

We are aware of a large volumeof information being disseminated by third parties relating to our operations, including in blogs, message boards and social and othermedia. Such information as reported by third parties may not be accurate, may lead to significant volatility in our securities and mayultimately result in our common stock or other securities declining in value.

 

The exercise of ouroutstanding options and warrants, and the sale of common stock upon exercise thereof, may adversely affect the trading price of our securities.

 

As of January 29, 2024, we had (i) outstanding stock options topurchase an aggregate of 338,228 shares of common stock at a weighted average exercise price of $33.38 per share; (ii) outstandingpre-funded warrants to purchase 4,886,878 shares of common stock (the resale of the shares of common stock issuable upon exercise thereofare being registered pursuant to the registration statement of which this prospectus forms a part); and (iii) outstanding warrantsto purchase 18,685,892 shares of common stock at a weighted average exercise price of $5.58 per share (when not including the pre-fundedwarrants)(the resale of 9,064,098 shares of common stock issuable upon exercise thereof are being registered pursuant to the registrationstatement of which this prospectus forms a part). For the life of the options and warrants, the holders have the opportunity to profitfrom a rise in the market price of our common stock without assuming the risk of ownership. The issuance of shares upon the exercise ofoutstanding securities will also dilute the ownership interests of our existing stockholders.

 

The availability of theseshares for public resale, as well as any actual resales of these shares, could adversely affect the trading price of our common stock.We cannot predict the size of future issuances of our common stock pursuant to the exercise of outstanding options or warrants or conversionof other securities, or the effect, if any, that future issuances and sales of shares of our common stock may have on the market priceof our common stock. Sales or distributions of substantial amounts of our common stock (including shares issued in connection with anacquisition), or the perception that such sales could occur, may cause the market price of our common stock to decline.

 

In addition, the common stockissuable upon exercise/conversion of outstanding convertible securities may represent overhang that may also adversely affect the marketprice of our common stock. Overhang occurs when there is a greater supply of a company’s stock in the market than there is demandfor that stock. When this happens the price of our stock will decrease, and any additional shares which stockholders attempt to sell inthe market will only further decrease the share price. If the share volume of our common stock cannot absorb shares sold by holders ofour outstanding convertible securities, then the value of our common stock will likely decrease.

 

Finally, the shares issuable upon exercise of outstanding options andwarrants, and more specifically the December 2023 Pre-Funded Warrants and December 2023 Common Warrants, the shares of common stock issuableupon exercise of which are being registered in the registration statement of which this prospectus forms a part, will cause significantdilution to existing stockholders, as such aggregate shares of common stock issuable upon exercise thereof (13,950,976 shares), totalsmore than 137% of our currently outstanding shares of common stock (10,158,832 shares) and will likely cause the per-share value of ourcommon stock to decline, possibly significantly.

 

47

 

 

Our outstanding publicwarrants are significantly out of the money.

 

Each Public Warrant entitlesthe holder to purchase one-fortieth of one share of common stock at an exercise price of $5.75 per 1/40th of one share($230.00 per whole share), subject to adjustment. No fractional shares will be issued upon exercise of the Public Warrants. The PublicWarrants became exercisable 12 months from the closing of the IPO and expire five years after the completion of the Business Combination(November 6, 2025). The Public Warrants are significantly out of the money and because no fractional shares will be issued upon exerciseof the Public Warrants, the Public Warrants are only exercisable in multiples of 40. As a result, the Public Warrants may not have anysignificant value. Additionally, warrant holders not holding at least 40 Public Warrants or who hold Public Warrants which would be exercisablefor a fractional share of common stock, must sell any warrants to obtain value from the fractional interest. As a result, the tradingof the Public Warrants may be limited or sporadic, and such Public Warrants may not have any significant value. Any holder of Public Warrantsholding less than 40 Public Warrants or a number of Public Warrants not evenly divisible by 40 will not receive any common stock uponthe exercise of Public Warrant, as no fractional shares of common stock are issuable upon exercise thereof.

 

A significant numberof our shares are eligible for sale and their sale or potential sale may depress the market price of our common stock and cause significantdilution to existing stockholders.

 

Sales of a significant number of shares of our common stock in thepublic market could harm the market price of our common stock. Most of our common stock is available for immediate resale in the publicmarket, including (a) options to purchase 338,228 shares of common stock with a weighted average exercise price of $33.38 per share;(b) pre-funded warrants to purchase 4,886,878 shares of common stock (the resale of the shares of common stock issuable upon exercisethereof are being registered pursuant to the registration statement of which this prospectus forms a part); and (c) warrants to purchase18,685,892 shares of common stock with a weighted average exercise price of $5.58 per share (the resale of 9,064,098 shares of commonstock issuable upon exercise thereof is being registered pursuant to the registration statement of which this prospectus forms a part).If a significant number of shares were sold, such sales would increase the supply of our common stock, thereby potentially causing a decreasein its price. For example, the shares issuable upon exercise of the December 2023 Pre-Funded Warrants and December 2023 Common Warrants,which shares of common stock are being registered in the registration statement of which this prospectus forms a part, will cause significantdilution to existing stockholders, as such aggregate shares of common stock issuable upon exercise thereof (13,950,976 shares), totalsmore than 137% of our currently outstanding shares of common stock (10,158,832) and will likely cause the per-share value of our commonstock to decline, possibly significantly. Some or all of our shares of common stock may be offered from time to time in the open marketpursuant to effective registration statements and/or compliance with Rule 144, which sales could have a depressive effect on themarket for our shares of common stock. Subject to certain restrictions, a person who has held restricted shares for a period of six monthsmay generally sell common stock into the market. The sale of a significant portion of such shares when such shares are eligible for publicsale may cause the value of our common stock to decline in value.

 

There may not be sufficientliquidity in the market for our securities in order for investors to sell their shares. The market price of our common stock may continueto be volatile.

 

The market price of our commonstock will likely continue to be highly volatile. Some of the factors that may materially affect the market price of our common stockare beyond our control, such as conditions or trends in the industry in which we operate or sales of our common stock. This situationis attributable to a number of factors, including the fact that we are a small company which is relatively unknown to stock analysts,stock brokers, institutional investors and others in the investment community that generate or influence sales volume, and that even ifwe came to the attention of such persons, they tend to be risk-averse and would be reluctant to follow an unproven company such as oursor purchase or recommend the purchase of our shares until such time as we became more seasoned and viable.

 

As a consequence, there maybe periods of several days or more when trading activity in our shares is minimal or non-existent, as compared to a mature issuer whichhas a large and steady volume of trading activity that will generally support continuous sales without an adverse effect on share price.It is possible that a broader or more active public trading market for our common stock will not develop or be sustained, or that tradinglevels 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. This volatility has significantlyaffected the market prices of securities of many companies for reasons frequently unrelated to the operating performance of the specificcompanies. These broad market fluctuations may adversely affect the market price of our common stock.

 

48

 

 

We face significantpenalties and damages in the event registration statements we have previously filed to register certain securities sold in our prior offeringsare subsequently suspended or terminated.

 

Pursuant to certain priorprivate offerings of securities, we entered into registration rights agreements which required us to file certain registration statementsto register the resale of the privately sold shares and certain securities issuable upon exercise/conversion thereof, and to maintainthe effectiveness of such registration statements for certain periods of time. To date, all such required registration statements havebeen declared effective by the SEC. However, in the event the registration statements are subsequently suspended or terminated, or weotherwise fail to meet certain requirements set forth in the registration rights agreements, we could be required to pay significant penaltieswhich could adversely affect our cash flow and cause the value of our securities to decline in value.

 

Provisions of certainoutstanding warrants could discourage an acquisition of us by a third party.

 

Provisions of certain outstandingwarrants could make it more difficult or expensive for a third party to acquire us. Certain outstanding warrants prohibit us from engagingin certain transactions constituting “fundamental transactions” unless, among other things, the surviving entity assumes ourobligations under each of the outstanding warrants issued in connection with the July 2022 Offering, the December 2022 Offering, the April2023 Offering and August 2023 Offering (each as defined and/or discussed herein), and the outstanding December 2023 Pre-Funded Warrantsand December 2023 Common Warrants, respectively. Further, such outstanding warrants provide that, in the event of certain transactionsconstituting “fundamental transactions,” with some exception, holders of such warrants 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 party from acquiring us even where the acquisition could bebeneficial to stockholders.

 

Future sales and issuancesof our common stock or rights to purchase common stock, could result in additional dilution to our stockholders and could cause the priceof our common stock to decline.

 

We may issue additional commonstock, convertible securities, or other equity in the future. We also issue common stock to our employees, directors, and other serviceproviders pursuant to our equity incentive plans. Such issuances could be dilutive to investors and could cause the price of our commonstock to decline. New investors in such issuances could also receive rights senior to those of current stockholders.

 

Resales of our commonstock in the public market may cause the market price of our common stock to fall.

 

Sales of a substantial numberof shares of our common stock could occur at any time. The issuance of new shares of our common stock could result in resales of our commonstock by our current stockholders concerned about the potential ownership dilution of their holdings. In turn, these resales could havethe effect of depressing the market price for our common stock.

 

Future sales of ourcommon stock could cause our stock price to decline.

 

If our stockholders sell substantialamounts of our common stock in the public market, the market price of our common stock could decrease significantly. The perception inthe public market that our stockholders might sell shares of our common stock could also depress the market 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 statementon Form S-3 that we filed with the Commission on June 3, 2022, and which was declared effective on June 24, 2022. However, as of January29, 2024, our public float was less than $75 million, and under SEC regulations for so long as our public float remains less than $75million, the amount we can raise through primary public offerings of securities in any twelve-month period using our shelf registrationstatement on Form S-3 is limited to an aggregate of one-third of our public float. At such time as our public float again exceeds $75million, the number of securities we may sell under a Form S-3 registration statement will no longer be limited by such rules. Additionally,if our existing stockholders sell, or indicate an intention to sell, substantial amounts of our common stock in the public market, thetrading price of our common stock could decline significantly. The market price for shares of our common stock may drop significantlywhen such securities are sold in the public markets. A decline in the price of shares of our common stock might impede our ability toraise capital through the issuance of additional shares of our common stock or other equity securities.

 

49

 

 

Risks Associated with Our Governing Documents and Delaware Law

 

Our Certificate of Incorporationprovides for indemnification of officers and directors at our expense and limits their liability, which may result in a major cost tous and hurt the interests of our stockholders because corporate resources may be expended for the benefit of officers or directors.

 

Our Certificate of Incorporationprovides for indemnification as follows: “To the fullest extent permitted by applicable law, the Corporation is authorized to provideindemnification of, and advancement of expenses to, such agents of the Corporation (and any other persons to which Delaware law permitsthe Corporation to provide indemnification) through Bylaw provisions, agreements with such agents or other persons, vote of stockholdersor disinterested directors or otherwise, in excess of the indemnification and advancement otherwise permitted by Section 145 of the DelawareGeneral Corporation Law, subject only to limits created by applicable Delaware law (statutory or non-statutory), with respect to actionsfor breach of duty to the Corporation, its stockholders and others.”

 

We have been advised that,in the opinion of the SEC, indemnification for liabilities arising under federal securities laws is against public policy as expressedin the Securities Act and is, therefore, unenforceable. In the event that a claim for indemnification for liabilities arising under federalsecurities laws, other than the payment by us of expenses incurred or paid by a director, officer or controlling person in the successfuldefense of any action, suit or proceeding, is asserted by a director, officer or controlling person in connection with our activities,we will (unless in the opinion of our counsel, the matter has been settled by controlling precedent) submit to a court of appropriatejurisdiction, the question whether indemnification by us is against public policy as expressed in the Securities Act and will be governedby the final adjudication of such issue. The legal process relating to this matter if it were to occur is likely to be very costly andmay result in us receiving negative publicity, either of which factors is likely to materially reduce the market and price for our shares.

 

Our Certificate of Incorporationcontains a specific provision that limits the liability of our directors for monetary damages to us and our stockholders and requiresus, under certain circumstances, to indemnify officers, directors and employees.

 

The limitation of monetaryliability against our directors, officers and employees under Delaware law and the existence of indemnification rights to them may resultin substantial expenditures by us and may discourage lawsuits against our directors, officers and employees.

 

Our Certificate of Incorporationcontains a specific provision that limits the liability of our directors for monetary damages to us and our stockholders. We also havecontractual indemnification obligations under our employment and engagement agreements with our executive officers and directors. Theforegoing indemnification obligations could result in us incurring substantial expenditures to cover the cost of settlement or damageawards against our directors and officers, which we may be unable to recoup. These provisions and resultant costs may also discourageus from bringing a lawsuit against our directors and officers for breaches of their fiduciary duties and may similarly discourage thefiling of derivative litigation by our stockholders against our directors and officers, even though such actions, if successful, mightotherwise benefit us and our stockholders.

 

Our directors have theright to authorize the issuance of shares of preferred stock and additional shares of our common stock.

 

Our directors, within thelimitations and restrictions contained in our Certificate of Incorporation and without further action by our stockholders, have the authorityto issue shares of preferred stock from time to time in one or more series and to fix the number of shares and the relative rights, conversionrights, voting rights, and terms of redemption, liquidation preferences and any other preferences, special rights and qualifications ofany such series. Any issuance of shares of preferred stock could adversely affect the rights of holders of our common stock. Should weissue additional shares of our common stock at a later time, each investor’s ownership interest in our stock would be proportionallyreduced.

 

50

 

 

Anti-takeover provisionsin our Certificate of Incorporation and our Second 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.

 

Our Certificate of Incorporationand our Second Amended and Restated Bylaws and Delaware law contain provisions that may discourage, delay or prevent a merger, acquisitionor other change in control that stockholders may consider favorable, including transactions in which you might otherwise receive a premiumfor your shares of our common stock or warrants. These provisions may also prevent or delay attempts by our stockholders to replace orremove 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;

 

the removal of directors onlyfor cause;

 

requiring advance notice ofstockholder proposals for business to be conducted at meetings of our stockholders and for nominations of candidates for election toour Board;

 

prohibiting stockholders’ability to take action via written consents to action;

 

providing that special meetingof stockholders may be called only by the Chairman of the Board, Chief Executive Officer, or the Board pursuant to a resolution adoptedby a majority of the Board;

 

authorizing blank check preferredstock, which could be issued with voting, liquidation, dividend and other rights superior to our common stock; and

 

limiting the liability of, andproviding indemnification to, our directors and officers.

 

As a Delaware corporation,we are also subject to provisions of Delaware law, including Section 203 of the Delaware General Corporation Law, which limits the abilityof stockholders holding shares representing more than 15% of the voting power of our outstanding voting stock from engaging in certainbusiness combinations with us. Any provision of our Certificate of Incorporation or our Second Amended and Restated Bylaws or Delawarelaw that has the effect of delaying or deterring a change in control could limit the opportunity for our stockholders to receive a premiumfor their shares of our common stock and could also affect the price that some investors are willing to pay for our common stock.

 

The existence of the foregoingprovisions and anti-takeover measures could limit the price that investors might be willing to pay in the future for shares of our commonstock or warrants. They could also deter potential acquirers of our company, thereby reducing the likelihood that you could receive apremium for your common stock or warrants in an acquisition.

 

Our Certificate of Incorporationcontains exclusive forum provisions that may discourage lawsuits against us and our directors and officers.

 

Our Certificate of Incorporationprovides that unless the corporation consents in writing to the selection of an alternative forum, the Court of Chancery of the Stateof Delaware, will be the sole and exclusive forum for (i) any derivative action or proceeding brought on behalf of us, (ii) anyaction asserting a claim for breach of a fiduciary duty owed by any current or former director, officer, employee or stockholder of theCompany to us or our stockholders, (iii) any action asserting a claim arising pursuant to any provision of the Delaware General CorporationLaw, our Certificate of Incorporation or Bylaws, or (iv) any action asserting a claim governed by the internal affairs doctrine.

 

51

 

 

The choice of forum provisionin our Certificate of Incorporation does not waive our compliance with our obligations under the federal securities laws and the rulesand regulations thereunder. Moreover, the provision does not apply to suits brought to enforce a duty or liability created by the ExchangeAct or by the Securities Act. Section 27 of the Exchange Act creates exclusive federal jurisdiction over all suits brought to enforceany duty or liability created by the Exchange Act or the rules and regulations thereunder, and Section 22 of the Securities Act createsconcurrent jurisdiction for federal and state courts with respect to suits brought to enforce a duty or liability created by the SecuritiesAct or the rules and regulations thereunder. Accordingly, both state and federal courts have jurisdiction to entertain claims under theSecurities Act.

 

These exclusive forum provisionsmay limit the ability of our stockholders to bring a claim in a judicial forum that such stockholders find favorable for disputes withus or our directors or officers, which may discourage such lawsuits against us and our directors and officers. Alternatively, if a courtwere to find one or more of these exclusive forum provisions inapplicable to, or unenforceable in respect of, one or more of the specifiedtypes of actions or proceedings described above, we may incur additional costs associated with resolving such matters in other jurisdictionsor forums, which could materially and adversely affect our business, financial condition or results of operations.

 

Our Certificate of Incorporationcontains provisions whereby we renounced any interest in any corporate opportunity offered to any director or officer, subject to certainexceptions.

 

Our Section Amended and RestatedCertificate of Incorporation, as amended, provides that to the extent allowed by law, the doctrine of corporate opportunity, or any otheranalogous doctrine, does not apply with respect to us or any of our officers or directors, or any of their respective affiliates, andthat we renounce any expectancy that any of our directors or officers will offer any such corporate opportunity of which he or she maybecome aware to us, except that the doctrine of corporate opportunity shall apply with respect to any of our directors or officers onlywith respect to a corporate opportunity (i) that was offered to such person solely in his or her capacity as a our director or 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 ourofficers and directors presently has, and any of them in the future may have, additional fiduciary or contractual obligations to otherentities pursuant to which such officer or director may be required to present a business opportunity to such entity, subject to his orher fiduciary duties under applicable law. Accordingly, there may arise conflicts of interest in whether to present a potential businesscombination 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.

 

Our directors allocatetheir time to other businesses thereby causing conflicts of interest in their determination as to how much time to devote to our affairs.

 

Our directors are not requiredto, and do not, commit their full time to our affairs, and certain of our directors hold positions, including other directorships, withother companies in the life sciences industry, which may result in a conflict of interest in allocating their time between our operationsand others which they provide services to. If our directors’ other business affairs require them to devote substantial amounts oftime to such affairs in excess of their current commitment levels, it could limit their ability to devote time to our affairs which mayhave a negative impact on our operations. Additionally, such persons may have conflicts of interest in allocating their time among variousbusiness activities. These conflicts may not be resolved in our favor. Additionally, our directors may, because of our corporate opportunitywaiver, discussed above, may choose to, or be required to, provide corporate opportunities to the other companies which they are affiliatedwith. Actual or perceived conflicts of interest may have a material adverse effect on our results of operations which may have a materialadverse effect on the value of our securities.

 

52

 

 

Compliance, Reporting and Listing Risks

 

We incur significantcosts to ensure compliance with U.S. and Nasdaq reporting and corporate governance requirements.

 

We incur significant costsassociated with our public company reporting requirements and with applicable U.S. and Nasdaq corporate governance requirements, includingrequirements under the Sarbanes-Oxley Act of 2002 and other rules implemented by the SEC and Nasdaq. The rules of Nasdaq include requiringus to maintain independent directors, comply with other corporate governance requirements and pay annual listing and stock issuance fees.All of such SEC and Nasdaq obligations require a commitment of additional resources including, but not limited, to additional expenses,and may result in the diversion of our senior management’s time and attention from our day-to-day operations. We expect all of theseapplicable rules and regulations to significantly increase our legal and financial compliance costs and to make some activities more timeconsuming and costly. We also expect that these applicable rules and regulations may make it more difficult and more expensive for usto obtain director and officer liability insurance and we may be required to accept reduced policy limits and coverage or incur substantiallyhigher costs to obtain the same or similar coverage. As a result, it may be more difficult for us to attract and retain qualified individualsto serve on our Board or as executive officers.

 

We incur increased costsas a result of being a reporting company, and given our limited capital resources, such additional costs may have an adverse impact onour profitability.

 

We are an SEC-reporting company.The rules and regulations under the Exchange Act require reporting companies to provide periodic reports with interactive data files,which require that we engage legal, accounting and auditing professionals, and eXtensible Business Reporting Language (XBRL) andEDGAR (Electronic Data Gathering, Analysis, and Retrieval) service providers. The engagement of such services can be costly, andwe may continue to incur additional losses, which may adversely affect our ability to continue as a going concern. In addition, the Sarbanes-OxleyAct of 2002, as well as a variety of related rules implemented by the SEC, have required changes in corporate governance practices andgenerally increased the disclosure requirements of public companies. For example, as a result of being a reporting company, we are requiredto file periodic and current reports and other information with the SEC and we have adopted policies regarding disclosure controls andprocedures and regularly evaluate those controls and procedures.

 

The additional costs we continueto incur in connection with being a reporting company (expected to be several hundred thousand dollars per year) will continue tofurther stretch our limited capital resources. Due to our limited resources, we have to allocate resources away from other productiveuses in order to continue to comply with our obligations as an SEC reporting company. Further, there is no guarantee that we will havesufficient resources to continue to meet our reporting and filing obligations with the SEC as they come due.

 

We are not in compliancewith the continued listing standards of Nasdaq, may not be able to comply with Nasdaq’s continued listing standards in the future,and as a result our common stock and warrants may be delisted from Nasdaq.

 

Our common stock and PublicWarrants trade on Nasdaq under the symbols “ATNF” and “ATNFW,” respectively. Notwithstanding such listing,there can be no assurance any broker will be interested in trading our securities. Therefore, it may be difficult to sell our securitiespublicly. There is also no guarantee that we will be able to maintain our listings on Nasdaq for any period of time by perpetually satisfyingNasdaq’s continued listing requirements.

 

On September 7, 2023, theCompany received written notice from the Listing Qualifications Department of The Nasdaq Stock Market LLC (“Nasdaq”) notifyingthe Company that it is not in compliance with the minimum bid price requirements set forth in Nasdaq Listing Rule 5550(a)(2) forcontinued listing on The Nasdaq Capital Market. Nasdaq Listing Rule 5550(a)(2) requires listed securities to maintain a minimum bidprice of $1.00 per share, and Listing Rule 5810(c)(3)(A) provides that a failure to meet the minimum bid price requirement existsif the deficiency continues for a period of thirty (30) consecutive business days. Based on the closing bid price of the Company’scommon stock for the thirty (30) consecutive business days from July 26, 2023 to September 6, 2023, the Company no longer meets theminimum bid price requirement.

 

53

 

 

The notification letter statedthat the Company has 180 calendar days or until March 5, 2024, to regain compliance with Nasdaq Listing Rule 5550(a)(2). To regain compliance,the bid price of the Company’s common stock must have a closing bid price of at least $1.00 per share for a minimum of 10 consecutivebusiness days. If the Company does not regain compliance by March 5, 2024, an additional 180 days may be granted to regain compliance,so long as the Company meets The Nasdaq Capital Market initial listing criteria (except for the bid price requirement) and notifiesNasdaq in writing of its intention to cure the deficiency during the second compliance period by effecting a reverse stock split, if necessary.If the Company does not qualify for the second compliance period or fails to regain compliance during the second 180-day period, the Company’scommon stock will be subject to delisting, at which point the Company would have an opportunity to appeal the delisting determinationto a Hearings Panel.

 

The Company intends to monitorthe closing bid price of its common stock and may, if appropriate, consider implementing available options to regain compliance with theminimum bid price requirement under the Nasdaq Listing Rules, including affecting a reverse stock split. The Company plans to hold a specialstockholders’ meeting on February 16, 2024, to seek approval, for among other things, an amendment to our Second Amended and RestatedCertificate of Incorporation, as amended, to effect a reverse stock split of our issued and outstanding shares of our Common Stock, bya ratio of between one-for-four to one-for-forty, inclusive, with the exact ratio to be set at a whole number to be determined by ourBoard of Directors or a duly authorized committee thereof in its discretion, at any time after approval of the amendment and prior toFebruary 16, 2025.

 

On October 11, 2023, the Companyreceived written notice from Nasdaq notifying the Company that it was not in compliance with the shareholder approval requirements setforth in Nasdaq Listing Rule 5635(d), which require prior shareholder approval for transactions, other than public offerings, involvingthe issuance of 20% or more of the pre-transaction shares outstanding at less than the applicable Minimum Price (as defined in ListingRule 5635(d)(1)(A)).

 

The Staff’s determinationunder Listing Rule 5635(d) relates to the offering and issuance by the Company of an aggregate of: (i) 666,925 shares of theCompany’s Common Stock, at a price of $0.65 per share, (ii) pre-funded warrants to purchase up to 3,948,460 shares of CommonStock, at a price of $0.6499 per pre-funded warrant and (iii) warrants to purchase up to 4,615,385 shares of common stock. The offeringprice per share and associated common warrant was $0.65 and the offering price per pre-funded warrant and associated common warrant was$0.6499.

 

The Staff determined thatthe offering was not a “public offering” for the purposes of Nasdaq’s shareholder approval rules due to the type ofoffering, a best efforts offering pursuant to a placement agency agreement, and the fact that one investor purchased 98% of the offering.As a result, because the offering represented greater than 20% of the Common Stock outstanding and was priced below the Minimum Price,the Staff determined that the Company was required to obtain prior shareholder approval under Listing Rule 5635(d).

 

The October 11, 2023 letterprovided the Company 45 days to submit a plan to regain compliance. The plan of compliance was subsequently submitted by the Company toNasdaq on November 9, 2023, and on November 14, 2023, Nasdaq granted the Company an extension, until December 15, 2023, to complete certaintransactions set forth in the plan of compliance, in order to remedy its prior violation of Nasdaq rules as described in the October 11,2023 letter from Nasdaq.

 

The Company undertook severaltransactions in November and December 2023, including amending the terms of the warrants discussed above, to not be exercisable untilthe Company’s stockholders approve such issuance in accordance with the Nasdaq Listing Rules, in order to regain compliance withListing Rule 5635(d)(1)(A)).

 

54

 

 

As a result of those transactions,on December 14, 2023, Nasdaq provided the Company written notice that the Company has complied with the terms of the prior extension;that the Company complies with Listing Rule 5635(d)(1)(A)); and that the matter is now closed.

 

On November 15, 2023, theCompany received a letter from Nasdaq notifying the Company that it was not in compliance with the minimum stockholders’ equityrequirement for continued listing on the Nasdaq Capital Market. Nasdaq Listing Rule 5550(b)(1) (the “Rule”) requirescompanies listed on the Nasdaq Capital Market to maintain stockholders’ equity of at least $2,500,000. In the Company’s QuarterlyReport on Form 10-Q for the quarter ended September 30, 2023, the Company reported a stockholders’ deficit of ($149,327), whichis below the minimum stockholders’ equity required for continued listing pursuant to the Rule. Additionally, the Company does notmeet the alternative Nasdaq continued listing standards under Nasdaq Listing Rules.

 

Nasdaq provided the Companyuntil January 2, 2024 to submit to Nasdaq a plan to regain compliance. We submitted the plan to regain compliance in a timely manner,and on January 11, 2023, Nasdaq advised the Company that it has determined to grant the Company an extension to regain compliance withthe Rule.

 

The terms of the extensionare as follows: on or before May 13, 2024, the Company must complete certain transactions described in greater detail in the complianceplan, contemplated to result in the Company increasing its stockholders’ equity to more than $2.5 million, and opt for one of thetwo following alternatives to evidence compliance with the Rule: Alternative 1: The Company must furnish to the SEC and Nasdaq a publiclyavailable report (e.g., a Form 8-K) including: 1. A disclosure of Staff’s deficiency letter and the specific deficiency(ies) cited;2. A description of the completed transaction or event that enabled the Company to satisfy the stockholders’ equity requirementfor continued listing; and 3. An affirmative statement that, as of the date of the report, the Company believes it has regained compliancewith the stockholders’ equity requirement based upon the specific transaction or event referenced in Step 2; or Alternative 2: TheCompany must furnish to the SEC and Nasdaq a publicly available report including: 1. Steps 1 & 2 set forth above; 2. A balance sheetno older than 60 days with pro forma adjustments for any significant transactions or event occurring on or before the report date; and3. that the Company believes it satisfies the stockholders’ equity requirement as of the report date. The pro forma balance sheetmust evidence compliance with the stockholders’ equity requirement.

 

Additionally, in either casethe Company is required to disclose that Nasdaq will continue to monitor the Company’s ongoing compliance with the stockholders’equity requirement and, if at the time of its next periodic report the Company does not evidence compliance, that it may be subject todelisting.

 

Regardless of which alternativethe Company chooses, if the Company fails to evidence compliance upon filing its next periodic report with the SEC following the end ofsuch compliance period (i.e., its Quarterly Report for the Quarter ended June 30, 2024), the Company may be subject to delisting. In theevent the Company does not satisfy these terms, Nasdaq will provide written notification that its securities will be delisted. At thattime, the Company may appeal Nasdaq’s determination to a Hearings Panel.

 

The Company is currently evaluatingvarious courses of action to regain compliance and is hopeful that it can regain compliance with Nasdaq’s minimum stockholders’equity standard within the compliance period. However, there can be no assurance that the Company will be able to complete the transactionscontemplated in the compliance plan, which the Company expects will allow it to regain compliance with the Rule, or that such transactionswill result in the Company regaining compliance with the Rule, within the compliance period granted by Nasdaq, if at all.

 

Among the conditions requiredfor continued listing on The Nasdaq Capital Market, Nasdaq requires us to maintain at least $2.5 million in stockholders’ equityor $500,000 in net income over the prior two years or two of the prior three years. As discussed above, as of September 30, 2023, ourstockholders’ equity was below $2.5 million and we did not otherwise meet the net income requirements described above, and as such,we are not currently in compliance with Nasdaq’s continue listing standards relating to minimum stockholders’ equity. If wefail to timely remedy our compliance with such applicable requirement, our common stock and Public Warrants may be delisted.

 

55

 

 

Our failure to meet Nasdaq’scontinued listing requirements for the reasons above, or any other reason, may result in our securities being delisted from Nasdaq.

 

Additional conditions requiredfor continued listing on Nasdaq include requiring that we have a majority of independent directors, a two person compensation committeeand a three-member audit committee (each consisting of all independent directors). Our prior independent directors, Francis Knuettel II,Pam Marrone, Teresa DeLuca, Larry Gold, Russell Ray, and Donald A. McGovern, Jr., each resigned from the Company on December 17, 2023.As such, we do not currently have any independent directors and do not currently have any audit committee or compensation committee members.As such, we are also not in compliance with the independent director/audit committee/compensation committee rules of Nasdaq. In the eventthat Nasdaq does not provide us sufficient time to cure such deficiency, our Common Stock and Public Warrants may be subject to delistingfrom Nasdaq. Additionally, we may be unable to find independent directors who are willing to serve as members of our Board of Directorsand/or members of our audit committee or compensation committee, and even assuming we are provided a cure period by Nasdaq, may be unableto cure such deficiency in any such cure period. As a result, our Common Stock and Public Warrants may be delisted from Nasdaq.

 

Even if we demonstrate compliancewith the requirements of Nasdaq, we will have to continue to meet other objective and subjective listing requirements to continue to belisted on The Nasdaq Capital Market. Delisting from The Nasdaq Capital Market could make trading our common stock and Public Warrantsmore difficult for investors, potentially leading to declines in our share price and liquidity. Without a Nasdaq Capital Market listing,stockholders may have a difficult time getting a quote for the sale or purchase of our common stock and Public Warrants, the sale or purchaseof our common stock and Public Warrants would likely be made more difficult, and the trading volume and liquidity of our common stockand Public Warrants could decline. Delisting from The Nasdaq Capital Market could also result in negative publicity and could also makeit more difficult for us to raise additional capital. The absence of such a listing may adversely affect the acceptance of our commonstock as currency or the value accorded by other parties. Further, if we are delisted, we would also incur additional costs under stateblue sky laws in connection with any sales of our securities. These requirements could severely limit the market liquidity of our commonstock and Public Warrants and the ability of our stockholders and warrant holders to sell our common stock and Public Warrants in thesecondary market. If our common stock and Public Warrants are delisted by Nasdaq, our common stock and Public Warrants may be eligibleto trade on an over-the-counter quotation system, such as the OTCQB Market or the OTC Pink market, where an investor may find it moredifficult to sell our common stock and Public Warrants or obtain accurate quotations as to the market value of our common stock and PublicWarrants. In the event our common stock and Public Warrants is delisted from The Nasdaq Capital Market, we may not be able to list ourcommon stock on another national securities exchange or obtain quotation on an over-the counter quotation system.

 

General Risk Factors

 

Provisions in our Certificateof Incorporation and Delaware law may inhibit a takeover of us, which could limit the price investors might be willing to pay in the futurefor our common stock and could entrench management.

 

Our Certificate of Incorporationcontains provisions that may discourage unsolicited takeover proposals that stockholders may consider to be in their best interests. Theseprovisions include a staggered board of directors and the ability of our Board to designate the terms of and issue new series of preferredshares, which may make it more difficult for the removal of management and may discourage transactions that otherwise could involve paymentof a premium over prevailing market prices for our securities. We are also subject to anti-takeover provisions under Delaware law, whichcould delay or prevent a change of control of the Company. Together, these provisions may make it more difficult for the removal of managementand may discourage transactions that otherwise could involve payment of a premium over prevailing market prices for our securities.

 

56

 

 

Our proprietary information,or that of our customers, suppliers and business partners, may be lost or we may suffer security breaches.

 

In the ordinary course ofour business, we expect to collect and store sensitive data, including valuable and commercially sensitive intellectual property, clinicaltrial data, our proprietary business information and that of our future customers, suppliers and business partners, and personally identifiableinformation of our customers, clinical trial subjects and employees, patients, in our data centers and on our networks. The secure processing,maintenance and transmission of this information is critical to our operations. Despite our security measures, our information technologyand infrastructure may be vulnerable to attacks by hackers or breached due to employee error, malfeasance or other disruptions. Any suchbreach could compromise our networks and the information stored there could be accessed, publicly disclosed, lost or stolen. Any suchaccess, disclosure or other loss of information could result in legal claims or proceedings, liability under laws that protect the privacyof personal information, regulatory penalties, disrupt our operations, damage our reputation, and cause a loss of confidence in our productsand our ability to conduct clinical trials, which could adversely affect our business and reputation and lead to delays in gaining regulatoryapprovals for our future product candidates. Although we maintain business interruption insurance coverage, our insurance might not coverall losses from any future breaches of our systems.

 

Failure of our informationtechnology systems, including cybersecurity attacks or other data security incidents, could significantly disrupt the operation of ourbusiness.

 

Our business increasinglydepends on the use of information technologies, which means that certain key areas such as research and development, production and salesare to a large extent dependent on our information systems or those of third-party providers. Our ability to execute our business planand to comply with regulators’ requirements with respect to data control and data integrity, depends, in part, on the continuedand uninterrupted performance of our information technology systems, or IT systems and the IT systems supplied by third-party serviceproviders. As information systems and the use of software and related applications by our company, our business partners, suppliers, andcustomers become more cloud-based, there has been an increase in global cybersecurity vulnerabilities and threats, including more sophisticatedand targeted cyber-related attacks that pose a risk to the security of our information systems and networks and the confidentiality, availabilityand integrity of data and information. In addition, our IT systems are vulnerable to damage from a variety of sources, including telecommunicationsor network failures, malicious human acts and natural disasters. Moreover, despite network security and backup measures, some of our serversare potentially vulnerable to physical or electronic break-ins, computer viruses and similar disruptive problems. Despite the precautionarymeasures we and our third-party service providers have taken to prevent unanticipated problems that could affect our IT systems, a successfulcybersecurity attack or other data security incident could result in the misappropriation and/or loss of confidential or personal information,create system interruptions, or deploy malicious software that attacks our systems. It is also possible that a cybersecurity attack mightnot be noticed for some period of time. In addition, sustained or repeated system failures or problems arising during the upgrade of anyof our IT systems that interrupt our ability to generate and maintain data, and in particular to operate our proprietary technology platform,could adversely affect our ability to operate our business. The occurrence of a cybersecurity attack or incident could result in businessinterruptions from the disruption of our IT systems, or negative publicity resulting in reputational damage with our stockholders andother stakeholders and/or increased costs to prevent, respond to or mitigate cybersecurity events. In addition, the unauthorized disseminationof sensitive personal information or proprietary or confidential information could expose us or other third–parties to regulatoryfines or penalties, litigation and potential liability, or otherwise harm our business.

 

57

 

 

We may acquire othercompanies which could divert our management’s attention, result in additional dilution to our stockholders and otherwise disruptour operations and harm our operating results.

 

We may in the future seekto acquire businesses, products or technologies that we believe could complement or expand our product offerings, enhance our technicalcapabilities or otherwise offer growth opportunities. The pursuit of potential acquisitions may divert the attention of management andcause us to incur various expenses in identifying, investigating and pursuing suitable acquisitions, whether or not they are consummated.If we acquire additional businesses, we may not be able to integrate the acquired personnel, operations and technologies successfully,effectively manage the combined business following the acquisition or realize anticipated cost savings or synergies. We also may not achievethe anticipated benefits from the acquired business due to a number of factors, including:

 

incurrence of acquisition-relatedcosts;

 

diversion of management’sattention from other business concerns;

 

unanticipated costs or liabilitiesassociated with the acquisition;

 

harm to our existing businessrelationships 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 neededin other parts of our business; and

 

use of substantial portionsof our available cash to consummate the acquisition.

 

In the future, if our acquisitionsdo not yield expected returns, we may be required to take charges to our operating results arising from the impairment assessment process.Acquisitions may also result in dilutive issuances of equity securities or the incurrence of debt, which could adversely affect our operatingresults. In addition, if an acquired business fails to meet our expectations, our business, results of operations and financial conditionmay be adversely affected.

 

If we make any acquisitions,they may disrupt or have a negative impact on our business.

 

If we make acquisitions inthe future, funding permitting, which may not be available on favorable terms, if at all, we could have difficulty integrating the acquiredcompany’s assets, personnel and operations with our own. We do not anticipate that any acquisitions or mergers we may enter intoin the future would result in a change of control of the Company. In addition, the key personnel of the acquired business may not be willingto work for us. We cannot predict the effect expansion may have on our core business. Regardless of whether we are successful in makingan acquisition, the negotiations could disrupt our ongoing business, distract our management and employees and increase our expenses.In addition to the risks described above, acquisitions are accompanied by a number of inherent risks, including, without limitation, thefollowing:

 

the difficulty of integratingacquired products, services or operations;

 

the potential disruption ofthe ongoing businesses and distraction of our management and the management of acquired companies;

 

difficulties in maintaininguniform standards, controls, procedures and policies;

 

the potential impairment ofrelationships with employees and customers as a result of any integration of new management personnel;

 

the potential inability or failureto achieve additional sales and enhance our customer base through cross-marketing of the products to new and existing customers;

 

58

 

 

the effect of any governmentregulations which relate to the business acquired;

 

potential unknown liabilitiesassociated with acquired businesses or product lines, or the need to spend significant amounts to retool, reposition or modify the marketingand sales of acquired products or operations, or the defense of any litigation, whether or not successful, resulting from actions ofthe acquired company prior to our acquisition; and

 

potential expenses under thelabor, environmental and other laws of various jurisdictions.

 

Our business could be severelyimpaired if and to the extent that we are unable to succeed in addressing any of these risks or other problems encountered in connectionwith an acquisition, many of which cannot be presently identified. These risks and problems could disrupt our ongoing business, distractour management and employees, increase our expenses and adversely affect our results of operations.

 

We may apply workingcapital and future funding to uses that ultimately do not improve our operating results or increase the value of our securities.

 

In general, we have completediscretion over the use of our working capital and any new investment capital we may obtain in the future. Because of the number and varietyof factors that could determine our use of funds, our ultimate expenditure of funds (and their uses) may vary substantially fromour current intended operating plan for such funds.

 

We intend to use existingworking capital and future funding for research and development, and general corporate purposes, including the potential expenses relatedto completing a reverse merger and legal expenses. We will also use capital for general working capital purposes. However, we do not havemore specific plans for the use and expenditure of our capital. Our management has broad discretion to use any or all of our availablecapital reserves. Our capital could be applied in ways that do not improve our operating results or otherwise increase the value of astockholder’s investment.

 

We have never paid ordeclared any dividends on our common stock.

 

We have never paid or declaredany dividends on our common stock or preferred stock. Likewise, we do not anticipate paying, in the near future, dividends or distributionson our common stock. Any future dividends on common stock will be declared at the discretion of our Board and will depend, among otherthings, on our earnings, our financial requirements for future operations and growth, and other facts as we may then deem appropriate.Since we do not anticipate paying cash dividends on our common stock, return on your investment, if any, will depend solely on an increase,if any, in the market value of our common stock.

 

Stockholders may bediluted significantly through our efforts to obtain financing and satisfy obligations through the issuance of additional shares of ourcommon stock.

 

Wherever possible, our Boardwill attempt to use non-cash consideration to satisfy obligations. In many instances, we believe that the non-cash consideration willconsist of restricted shares of our common stock or where shares are to be issued to our officers, directors and applicable consultants.Our Board of Directors 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 shares ofcommon stock or voting rights representing over 20% of our then outstanding shares of stock, subject to certain exceptions), to issueall or part of the authorized but unissued shares of common stock. In addition, we may attempt to raise capital by selling shares of ourcommon 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.

 

59

 

 

Our growth depends inpart on the success of our strategic relationships with third parties.

 

In order to grow our business,we anticipate that we will need to continue to depend on our relationships with third parties, including our technology providers. Identifyingpartners, and negotiating and documenting relationships with them, requires significant time and resources. Our competitors may be effectivein providing incentives to third parties to favor their products or services, or utilization of, our products and services. In addition,acquisitions of our partners by our competitors could result in a decrease in the number of our current and potential customers. If weare unsuccessful in establishing or maintaining our relationships with third parties, our ability to compete in the marketplace or togrow our revenue could be impaired and our results of operations may suffer. Even if we are successful, we cannot assure you that theserelationships 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.

 

We are 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, prior to the Business Combination.Any of these types of proceedings may have an adverse effect on us because of legal costs, disruption of our operations, diversion ofmanagement resources, negative publicity, and other factors. Our current legal proceedings are described under, and incorporated by referencein, “Business-Legal Proceedings”. The outcomes of these matters are inherently unpredictable and subject tosignificant uncertainties. Determining legal reserves and possible losses from such matters involves judgment and may not reflect thefull range of uncertainties and unpredictable outcomes. Until the final resolution of such matters, we may be exposed to losses in excessof 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 have a material effect on our business, consolidated financial position, results of operations, or cash flows. In addition, itis possible that a resolution of one or more such proceedings, including as a result of a settlement, could require us to make substantialfuture payments, prevent us from offering certain products or services, require us to change our business practices in a manner materiallyadverse to our business, requiring development of non-infringing or otherwise altered products or technologies, damaging our reputation,or otherwise having a material effect on our operations.

 

Changes in laws or regulations,or a failure to comply with any laws and regulations, may adversely affect our business, investments and results of operations.

 

We are subject to laws, regulationsand rules enacted by national, regional and local governments. In particular, we are required to comply with certain SEC, Nasdaq and otherlegal or regulatory requirements. Compliance with, and monitoring of, applicable laws, regulations and rules may be difficult, time consumingand costly. Those laws, regulations and rules and their interpretation and application may also change from time to time and those changescould have a material adverse effect on our business, investments and results of operations. In addition, a failure to comply with applicablelaws, regulations and rules, as interpreted and applied, could have a material adverse effect on our business and results of operations.

 

Certain of our executiveofficers and directors are now, and all of them may in the future become, affiliated with entities engaged in business activities similarto those conducted by us and, accordingly, may have conflicts of interest in determining to which entity a particular business opportunityshould be presented.

 

Our executive officers anddirectors are, or may in the future become, affiliated with entities that are engaged in business activities similar to those that areconducted by us. Our officers and directors also may become aware of business opportunities which may be appropriate for presentationto us and the other entities to which they owe certain fiduciary or contractual duties. Accordingly, they may have conflicts of interestin determining whether a particular business opportunity should be presented to our company or to another entity. These conflicts maynot be resolved in our favor and a potential opportunity may be presented to another entity prior to its presentation to us. Our Certificateof Incorporation provides that we renounce our interest in any corporate opportunity offered to any director or officer unless such opportunityis expressly offered to such person solely in his or her capacity as a director or officer of our company and such opportunity is onewe are legally and contractually permitted to undertake and would otherwise be reasonable for us to pursue.

 

60

 

 

Our executive officers,directors, security holders and their respective affiliates may have competitive pecuniary interests that conflict with our interests.

 

We have not adopted a policythat expressly prohibits our directors, executive officers, security holders or affiliates from having a direct or indirect pecuniaryor financial interest in any investment to be acquired or disposed of by us or in any transaction to which we are a party or have an interest.In fact, we may enter into a strategic transaction with a target business that is affiliated with our directors or executive officers.Nor do we have a policy that expressly prohibits any such persons from engaging for their own account in business activities of the typesconducted by us. Accordingly, such persons or entities may have a conflict between their interests and ours. Certain of our officers anddirectors hold positions with companies which may be competitors of us. See also the biographies of our officers and directors below under“Management”.

 

We may be adverselyaffected by climate change or by legal, regulatory or market responses to such change.

 

The long-term effects of climatechange are difficult to predict; however, such effects may be widespread. Impacts from climate change may include physical risks (suchas rising sea levels or frequency and severity of extreme weather conditions-which may affect our current operations due to among otherthings, the fact that a majority of our operations we are based in California, which is prone to inclement weather), social and humaneffects (such as population dislocations or harm to health and well-being), compliance costs and transition risks (such as regulatoryor technology changes) and other adverse effects. The effects of climate change could increase the cost of certain products, commoditiesand energy (including utilities), which in turn may impact our ability to procure goods or services required for the operation of ourbusiness. Climate change could also lead to increased costs as a result of physical damage to or destruction of our facilities, loss ofinventory, and business interruption due to weather events that may be attributable to climate change. These events and impacts couldmaterially adversely affect our business operations, financial position or results of operation.

 

Environmental, socialand governance matters may impact our business and reputation.

 

Governmental authorities,non-governmental organizations, customers, investors, external stakeholders and employees are increasingly sensitive to environmental,social and governance, or ESG, concerns, such as diversity and inclusion, climate change, water use, recyclability or recoverability ofpackaging, and plastic waste. This focus on ESG concerns may lead to new requirements that could result in increased costs associatedwith developing, manufacturing and distributing our products. Our ability to compete could also be affected by changing customer preferencesand requirements, such as growing demand for more environmentally friendly products, packaging or supplier practices, or by failure tomeet such customer expectations or demand. We risk negative stockholder reaction, including from proxy advisory services, as well as damageto our brand and reputation, if we do not act responsibly, or if we are perceived to not be acting responsibly in key ESG areas, includingequitable access to medicines, product quality and safety, diversity and inclusion, environmental stewardship, support for local communities,corporate governance and transparency, and addressing human capital factors in our operations. If we do not meet the ESG expectationsof our investors, customers and other stakeholders, we could experience reduced demand for our products, loss of customers, and othernegative impacts on our business and results of operations.

 

61

 

 

The United Kingdom’swithdrawal from the European Union could result in increased regulatory and legal complexity, which may make it more difficult for usto do business in the United Kingdom and/or Europe and impose additional challenges in securing regulatory approval of our product candidatesin the United Kingdom and/or Europe.

 

The United Kingdom’sexit from the European Union as of January 31, 2020, with a transitional period up to December 31, 2020, commonly referred to as “Brexit”,has caused political and economic uncertainty, including in the regulatory framework applicable to our operations and product candidatesin the United Kingdom and the European Union, and this uncertainty may persist for years. Brexit could, among other outcomes, disruptthe free movement of goods, services and people between the United Kingdom and the European Union, and result in increased legal and regulatorycomplexities, as well as potential higher costs of conducting business in Europe. As one of the Brexit consequences, the EMA has relocatedfrom the United Kingdom to the Netherlands. This has led to a significant reduction of the EMA workforce, which has resulted and couldfurther result in significant disruption and delays in its administrative procedures, such as granting clinical trial authorization oropinions for marketing authorization, disruption of importation and export of active substance and other components of new drug formulations,and disruption of the supply chain for clinical trial product and final authorized formulations.

 

The cumulative effects ofthe disruption to the regulatory framework may add considerably to the development lead time to marketing authorization and commercializationof products in the European Union and/or the United Kingdom It is possible that there will be increased regulatory complexities, whichcan disrupt the timing of our clinical trials and regulatory approvals. In addition, changes in, and legal uncertainty with regard to,national and international laws and regulations may present difficulties for our clinical and regulatory strategy. Any delay in obtaining,or an inability to obtain, any marketing approvals, as a result of Brexit or otherwise, would prevent us from commercializing our productcandidates in the United Kingdom and/or the European Union and restrict our ability to generate revenues and achieve and sustain profitability.

 

In addition, as a result ofBrexit, other European countries may seek to conduct referenda with respect to their continuing membership with the European Union. Giventhese possibilities and others we may not anticipate, as well as the absence of comparable precedent, it is unclear what financial, regulatoryand legal implications the withdrawal of the United Kingdom from the European Union will have, how such withdrawal will affect us, andthe full extent to which our business could be adversely affected.

 

The increasing use ofsocial media platforms presents new risks and challenges to our business.

 

Social media is increasinglybeing used to communicate about pharmaceutical companies’ research, product candidates, and the diseases such product candidatesare being developed to prevent. Social media practices in the pharmaceutical industry continue to evolve and regulations relating to suchuse are not always clear. This evolution creates uncertainty and risk of noncompliance with regulations applicable to our business, resultingin potential regulatory actions against us. For example, subjects may use social media channels to comment on their experience in an ongoingblinded clinical trial or to report an alleged adverse event. When such events occur, there is a risk that we fail to monitor and complywith applicable adverse event reporting obligations, or we may not be able to defend our business or the public’s legitimate interestsin the face of the political and market pressures generated by social media due to restrictions on what we may say about our investigationalproduct candidates. There is also a risk of inappropriate disclosure of sensitive information or negative or inaccurate posts or commentsabout us on any social media or networking website. Certain data protection regulations, such as the GDPR, apply to personal data containedon social media. If any of these events were to occur or we otherwise fail to comply with applicable regulations, we could incur liability,face regulatory actions or incur harm to our business, including damage to our reputation.

 

We may incur indebtednessin the future which could reduce our financial flexibility, increase interest expense and adversely impact our operations and our costs.

 

We may incur significant amountsof indebtedness in the future. Our level of indebtedness could affect our operations in several ways, including the following:

 

a significant portion of ourcash flows is required to be used to service our indebtedness;

 

a high level of debt increasesour vulnerability to general adverse economic and industry conditions;

 

covenants contained in the agreementsgoverning our outstanding indebtedness limit our ability to borrow additional funds and provide additional security interests, disposeof assets, pay dividends and make certain investments;

 

62

 

 

a high level of debt may placeus at a competitive disadvantage compared to our competitors that are less leveraged and, therefore, may be able to take advantage ofopportunities that our indebtedness may prevent us from pursuing; and

 

debt covenants may affect ourflexibility in planning for, and reacting to, changes in the economy and in our industry.

 

A high level of indebtednessincreases the risk that we may default on our debt obligations. We may not be able to generate sufficient cash flows to pay the principalor interest on our debt, and future working capital, borrowings or equity financing may not be available to pay or refinance such debt.If we do not have sufficient funds and are otherwise unable to arrange financing, we may have to sell significant assets or have a portionof our assets foreclosed upon which could have a material adverse effect on our business, financial condition and results of operations.

 

We may be adverselyimpacted by changes in accounting standards.

 

Our consolidated financialstatements are subject to the application of the accounting principles generally accepted in the United States of America (“U.S.GAAP”), which periodically is revised or reinterpreted. From time to time, we are required to adopt new or revised accountingstandards issued by recognized authoritative bodies, including the Financial Accounting Standards Board (“FASB”) andthe 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.

 

For all of the foregoingreasons and others set forth herein, an investment in our securities involves a high degree of risk.

 

December 2023 Warrantsand Related Transactions

 

On August 14, 2023, we issuedand sold to certain investors, including a certain institutional investor (the “Purchaser”), who is the Selling Stockholdernamed in this prospectus, an aggregate of: (i) 666,925 shares (the “August 2023 Shares”) of the Company’s CommonStock, (ii) pre-funded warrants (the “August 2023 Pre-Funded Warrants”) to purchase up to 3,948,460 shares of CommonStock, and (iii) warrants (the “August 2023 Common Warrants”) to purchase up to 4,615,385 shares of Common Stock, inthe case of the Purchaser, pursuant to a securities purchase agreement, dated as of August 9, 2023, between the Company and the Purchaser(the “August 2023 SPA”).

 

On October 11, 2023, the Companyreceived written notice from the Listing Qualifications Department of The Nasdaq Stock Market LLC (“Nasdaq”) notifyingthe Company that it was not in compliance with the shareholder approval requirements set forth in Nasdaq Listing Rule 5635(d), which requiresprior shareholder approval for transactions, other than public offerings, involving the issuance of 20% or more of the pre-transactionshares outstanding at less than the applicable Minimum Price (as defined in Listing Rule 5635(d)(1)(A)).

 

Nasdaq’s determinationunder Listing Rule 5635(d) related to the August 2023 offering (the “August 2023 Offering”). The offering price pershare of Common Stock and associated August 2023 Common Warrant was $0.65 and the offering price per August 2023 Pre-Funded Warrant andassociated August 2023 Common Warrant was $0.6499.

 

63

 

 

Nasdaq determined that theAugust 2023 Offering was not a “public offering” for the purposes of Nasdaq’s shareholder approval rules due to thetype of offering, a best efforts offering pursuant to a placement agency agreement, and the fact that one investor purchased 98% of theAugust 2023 Offering. As a result, because the August 2023 Offering represented greater than 20% of the Common Stock outstanding and waspriced below the Minimum Price, Nasdaq determined that the Company was required to obtain prior shareholder approval under Listing Rule5635(d). In November and December 2023, the Company took various actions to amend the terms of the August 2023 Offering to comply withListing Rule 5635(d), as discussed below.

 

On November 28, 2023, theCompany entered into Amendment No. 1 to the August 2023 SPA with the Purchaser (the “November 2023 SPA Amendment”),pursuant to which (i) the Purchaser agreed to pay an additional $830,769.30 in connection with the repricing of the August 2023 Sharesand August 2023 Pre-Funded Warrants (the “Repricing Amount”), (ii) the Company agreed to issue to the Purchaser (x)pre-funded warrants to purchase up to 4,886,878 shares of Common Stock, with an exercise price of $0.0001 per share (the “December2023 Pre-Funded Warrants”), and (y) warrants to purchase up to 9,064,098 shares of Common Stock, with an exercise price of $0.17per share (the “December 2023 Common Warrants” and, together with the December 2023 Pre-Funded Warrants, the “Warrants”),and (iii) the Company and the Purchaser agreed to enter into the Warrant Amendment Agreement (as defined and described below).

 

The Warrants will not be exercisableuntil the Company obtains stockholder approval for the issuance of the 13,950,976 shares of Common Stock upon exercise of the Warrants(the “Warrant Shares”)(“Stockholder Approval”, and the date of such Stockholder Approval, the “StockholderApproval Date”), at which point the December 2023 Pre-Funded Warrants will remain exercisable until all of the December 2023Pre-Funded Warrants are exercised in full, and the December 2023 Common Warrants will remain exercisable until the fifth anniversary ofthe Stockholder Approval Date (as defined below).

 

The November 2023 SPA Amendmentcontains certain customary representations, warranties and agreements by the Company, customary conditions to closing, indemnificationobligations of the Company, other obligations of the parties, and termination provisions. Pursuant to the November 2023 SPA Amendment,the Company has agreed that, subject to certain exceptions, it will not conduct any issuances of Common Stock (or equivalents thereof)from the Closing Date until 15 days after the Stockholder Approval Date. The November 2023 SPA Amendment also requires the Company tofile a registration statement with the SEC to register the resale by the Purchaser of the Warrant Shares within sixty (60) days of theStockholder Approval Date.

 

In accordance with the November2023 SPA Amendment, the Company entered into a warrant amendment agreement with the Purchaser, dated November 28, 2023 (the “WarrantAmendment Agreement”), whereby the Company agreed to amend the following outstanding warrants held by the Purchaser: (i) warrantsto purchase up to 2,571,429 shares of Common Stock, issued on December 22, 2022, and amended in January 2023, April 2023 and August 2023(the “December 2022 Warrants”); (ii) warrants to purchase up to 306,604 shares of Common Stock, issued on July 20,2022 and amended in April 2023 and August 2023 (the “July 2022 Warrants”); (iii) warrants to purchase up to 1,570,680shares of Common Stock, issued on April 10, 2023 and August 2023 (the “April and August 2023 Warrants”, and collectivelywith the December 2022 Warrants and July 2022 Warrants, the “December 2022 Through August 2023 Warrants”); and (iv)warrants to purchase up to 4,615,385 shares of Common Stock underlying the August 2023 Common Warrants (collectively, the “ExistingCommon Warrants”). Pursuant to the Warrant Amendment Agreement, the Existing Common Warrants will be amended (the “WarrantAmendment”) such that they will not be exercisable until the company obtains stockholder approval for the issuance of up to9,064,098 shares of Common Stock upon exercise of the Existing Common Warrants (the “Existing Common Warrant Shares”).The Existing Common Warrants will have an exercise price equal to $0.17 per share, and the Existing Common Warrants will expire on thefifth anniversary of the Stockholder Approval Date (the “Repricing and Extension”). The other terms of the ExistingCommon Warrants remain unchanged.

 

The closing of the transactionsdiscussed above occurred on December 1, 2023 (the “Closing Date”). Upon the closing of the transactions, the Companyregained compliance with Nasdaq Listing Rule 5635(d).

 

64

 

 

For purposes of obtainingStockholder Approval of the issuance of the Warrant Shares and the Existing Common Warrant Shares, the Company has agreed to hold a StockholderMeeting (as defined in the November 2023 SPA Amendment) on or prior to the date that is ninety (90) days following the Closing Date (andhas scheduled such meeting for February 16, 2024). If the Company does not obtain Stockholder Approval at the first Stockholder Meeting,the Company will call a Stockholder Meeting every ninety (90) days thereafter until the earlier of: (i) the date on which StockholderApproval is obtained or (ii) the Warrants and the Existing Common Warrants are no longer outstanding.

 

Simultaneously with the closingof the transactions, the Company entered into a warrant agent agreement (the “Warrant Agent Agreement”) with ContinentalStock Transfer & Trust Company (“Continental”), pursuant to which Continental will act as warrant agent with respectto the Warrants.

 

Theform of Warrant Agent Agreement, the form of Pre-Funded Warrant, the form of Common Warrant, the Warrant Amendment Agreement and the November2023 SPA Amendment were filed as Exhibits 4.1, 4.2, 4.3, 4.4 and 10.1 respectively, to the Company’s Current Report on Form 8-Kfiled with the SEC on November 30, 2023. 

 

The registration statement,of which the Prospectus forms a part, registers the resale of the shares of Common Stock issuable upon exercise of the December 2023 CommonWarrants and December 2023 Pre-Funded Warrants. We have not registered, and are not registering, the December 2023 Common Warrants orDecember 2023 Pre-Funded Warrants, themselves.

 

December 2023 Pre-Funded Warrants

 

The following summary ofthe material terms of the December 2023 Pre-Funded Warrants is not intended to be a complete summary of the rights and preferences ofsuch warrants. We urge you to read each of the warrants in their entirety for a complete description of the rights and preferences ofthe warrants.

 

The following summary ofthe material terms of the December 2023 Pre-Funded Warrants is not intended to be a complete summary of the rights and preferences ofsuch warrants. We urge you to read each of the warrants in their entirety for a complete description of the rights and preferences ofthe warrants.

 

Duration and ExercisePrice

 

Each December 2023 Pre-FundedWarrant has an exercise price of $0.0001 per share. The December 2023 Pre-Funded Warrants will be immediately exercisable following theStockholder Approval Date and may be exercised at any time until the December 2023 Pre-Funded Warrants are exercised in full. The exerciseprice and number of shares of Common Stock issuable upon exercise is subject to appropriate adjustment in the event of stock dividends,stock splits, reorganizations or similar events affecting our Common Stock and the exercise price, as described in the December 2023 Pre-FundedWarrant.

 

Exercisability

 

The December 2023 Pre-FundedWarrants will be exercisable, at the option of the holder thereof, in whole or in part, by delivering a duly executed exercise notice.A holder (together with its affiliates) may not exercise any portion of the December 2023 Pre-Funded Warrant to the extent that the holderwould own more than 4.99% of the outstanding Common Stock immediately after exercise, except that upon at least 61 days’ prior noticefrom the holder to us, the holder may increase the amount of ownership of outstanding stock after exercising the holder’s December2023 Pre-Funded Warrants up to 9.99% of the number of shares of Common Stock outstanding immediately after giving effect to the exercise,as such percentage ownership is determined in accordance with the terms of the December 2023 Pre-Funded Warrants. No fractional sharesof Common Stock will be issued in connection with the exercise of a December 2023 Pre-Funded Warrant. In lieu of fractional shares, wewill pay the holder an amount in cash equal to the fractional amount multiplied by the exercise price.

 

65

 

 

Cashless Exercise

 

In lieu of making the cashpayment otherwise contemplated to be made to us upon such exercise in payment of the aggregate exercise price, the holder may elect insteadto receive upon such exercise (either in whole or in part) the net number of shares of Common Stock determined according to a formulaset forth in the December 2023 Pre-Funded Warrants.

 

Fundamental Transactions

 

In the event of a fundamentaltransaction, as described in the December 2023 Pre-Funded Warrants and generally including any reorganization, recapitalization or reclassificationof our Common Stock pursuant to which the shares of Common Stock are converted or exchanged for other securities, cash, or property, thesale, transfer or other disposition of all or substantially all of our properties or assets, our consolidation or merger with or intoanother person pursuant to which we are not the surviving entity, the acquisition of more than 50% of our outstanding voting securities,the holders of the December 2023 Pre-Funded Warrants will be entitled to receive upon exercise of the December 2023 Pre-Funded Warrantsthe kind and amount of securities, cash or other property that the holders would have received had they exercised the December 2023 Pre-FundedWarrants immediately prior to such fundamental transaction. In addition, the holders of the December 2023 Pre-Funded Warrants have theright to require us or a successor entity to redeem the December 2023 Pre-Funded Warrant for the cash paid in the fundamental transactionin the amount of the Black Scholes value of the unexercised portion of the December 2023 Pre-Funded Warrant on the date of the consummationof the fundamental transaction.

 

Transferability

 

Subject to applicable laws,a December 2023 Pre-Funded Warrant may be transferred at the option of the holder upon surrender of the December 2023 Pre-Funded Warranttogether with the appropriate instruments of transfer.

 

Exchange Listing

 

We do not intend to list theDecember 2023 Pre-Funded Warrants on any securities exchange or nationally recognized trading system.

 

Rights as a Stockholder

 

Except as otherwise providedin the December 2023 Pre-Funded Warrants or by virtue of such holder’s ownership of, the holders of the December 2023 Pre-FundedWarrants do not have the rights or privileges of holders of our Common Stock, including any voting rights, until they exercise their December2023 Pre-Funded Warrants.

 

Warrant Agent

 

The December 2023 Pre-FundedWarrants are issued in registered form under a warrant agent agreement between Continental Stock Transfer & Trust Company, as warrantagent, and us. The December 2023 Pre-Funded Warrants are initially represented only by one or more global warrants deposited with thewarrant agent, as custodian on behalf of The Depository Trust Company, or DTC, and registered in the name of Cede & Co., a nomineeof DTC, or as otherwise directed by DTC.

 

December 2023 Common Warrants

 

The following summary ofthe material terms of the December 2023 Common Warrants is not intended to be a complete summary of the rights and preferences of suchwarrants. We urge you to read each of the warrants in their entirety for a complete description of the rights and preferences of the warrants.

 

Duration and ExercisePrice

 

Each December 2023 CommonWarrant has an exercise price of $0.17 per share. The December 2023 Common Warrants will be exercisable on the Stockholder ApprovalDate and will expire on the fifth anniversary of the Stockholder Approval Date. The exercise price and number of shares of Common Stockissuable upon exercise is subject to appropriate adjustment in the event of stock dividends, stock splits, reorganizations or similarevents affecting our Common Stock and the exercise price, as described in the December 2023 Common Warrant. December 2023 Common Warrantswere issued separately from the December 2023 Pre-Funded Warrants and may be transferred separately.

 

66

 

 

Exercisability

 

The December 2023 Common Warrantswill be exercisable, at the option of each holder, in whole or in part, by delivering a duly executed exercise notice accompanied by paymentin full for the number of shares of Common Stock purchased upon such exercise (except in the case of a cashless exercise as discussedbelow). A holder (together with its affiliates) may not exercise any portion of the December 2023 Common Warrant to the extent that theholder would own more than 4.99% of the outstanding Common Stock immediately after exercise, except that upon at least 61 days’prior notice from the holder to us, the holder may increase the amount of ownership of outstanding stock after exercising the holder’sDecember 2023 Common Warrants up to 9.99% of the number of shares of Common Stock outstanding immediately after giving effect to the exercise,as such percentage ownership is determined in accordance with the terms of the December 2023 Common Warrants. No fractional shares ofCommon Stock will be issued in connection with the exercise of a December 2023 Common Warrant. In lieu of fractional shares, we will paythe holder an amount in cash equal to the fractional amount multiplied by the exercise price.

 

Cashless Exercise

 

If, at the time a holder exercisesits December 2023 Common Warrants, a registration statement registering the issuance of the shares of Common Stock underlying the December2023 Common Warrants under the Securities Act is not then effective or available, then in lieu of making the cash payment otherwise contemplatedto be made to us upon such exercise in payment of the aggregate exercise price, the holder may elect instead to receive upon such exercise(either in whole or in part) the net number of shares of Common Stock determined according to a formula set forth in the December 2023Common Warrants.

 

Fundamental Transaction

 

In the event of a fundamentaltransaction, as described in the December 2023 Common Warrants and generally including any reorganization, recapitalization or reclassificationof our Common Stock pursuant to which the shares of Common Stock are converted or exchanged for other securities, cash, or property, thesale, transfer or other disposition of all or substantially all of our properties or assets, our consolidation or merger with or intoanother person pursuant to which we are not the surviving entity, the acquisition of more than 50% of our outstanding voting securities,the holders of the December 2023 Common Warrants will be entitled to receive upon exercise of the December 2023 Common Warrants the kindand amount of securities, cash or other property that the holders would have received had they exercised the December 2023 Common Warrantsimmediately prior to such fundamental transaction. In addition, the holders of the December 2023 Common Warrants have the right to requireus or a successor entity to redeem the December 2023 Common Warrant for the cash paid in the fundamental transaction in the amount ofthe Black Scholes value of the unexercised portion of the December 2023 Common Warrant on the date of the consummation of the fundamentaltransaction.

 

Transferability

 

Subject to applicable laws,a December 2023 Common Warrant may be transferred at the option of the holder upon surrender of the December 2023 Common Warrant togetherwith the appropriate instruments of transfer.

 

Exchange Listing

 

We do not intend to list theDecember 2023 Common Warrants on any securities exchange or nationally recognized trading system.

 

Right as a Stockholder

 

Except as otherwise providedin the December 2023 Common Warrants or by virtue of such holder’s ownership of, the holders of the December 2023 Common Warrantsdo not have the rights or privileges of holders of our Common Stock, including any voting rights, until they exercise their December 2023Common Warrants.

 

Warrant Agent

 

The December 2023 Common Warrantswere issued in registered form under a warrant agent agreement between Continental Stock Transfer & Trust Company, as warrant agent,and us. The December 2023 Common Warrants are initially represented only by one or more global warrants deposited with the warrant agent,as custodian on behalf of The Depository Trust Company, or DTC, and registered in the name of Cede & Co., a nominee of DTC, or asotherwise directed by DTC.

 

67

 

 

Use of Proceeds

 

We will not receive any ofthe proceeds from the sale by the Selling Stockholder of the Shares in this offering. Additionally, the exercise price of the December2023 Pre-Funded Warrants, $0.0001 per share, or $488.70 in aggregate, has already been paid to us. However, if all of the December 2023Common Warrants that are covered by this prospectus are exercised for cash, we may receive proceeds of up to approximately $1,540,897.We cannot predict when, or if, the Warrants will be exercised. It is possible that the December 2023 Common Warrants may expire and maynever be exercised for cash. We intend to use any proceeds from the exercise of the December 2023 Common Warrants for research and development,and general corporate purposes, including the potential expenses related to completing a reverse merger and legal expenses. Our managementwill have broad discretion over the use of proceeds from the exercise of the December 2023 Common Warrants.

 

The Selling Stockholder willpay any underwriting discounts and commissions and expenses incurred by the Selling Stockholder for brokerage, accounting, tax or legalservices or any other expenses incurred by the Selling Stockholder in disposing of the Shares. We will bear all other costs, fees andexpenses incurred in effecting the registration of the Shares covered by this prospectus, including all registration and filing fees,and fees and expenses of our counsel and our independent registered public accountants.

 

Market Price ofOur Common Stock and Related Stockholder Matters

 

Market Information

 

Our common 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 separatepublic trading on May 2, 2017. Our units automatically separated into the component securities upon consummation of the Business Combinationand, as a result, no longer trade as a separate security, and our common stock and Public Warrants began trading on Nasdaq under the symbols“ATNF” and “ATNFW,” respectively. Prior to the Closing, each unit consisted of one share of our common stock,one right convertible into 1/10th of one share of our common stock, and one warrant to purchase one half of one share of our common stockat an exercise price of $11.50 per whole share.

 

Holders

 

As of January 29, 2024, 10,158,832shares of our common stock were outstanding. As of January 29, 2024, there were 138 holders of record of our common stock.

 

Dividend Policy

 

We have never paid or declaredany cash dividends on our common stock and do not anticipate paying cash dividends in the foreseeable future. We anticipate that we willretain all of our future earnings for use in the operation of our business and for general corporate purposes. Any determination to paydividends in the future will be at the discretion of our Board. Accordingly, investors must rely on sales of their common stock afterprice appreciation, which may never occur, as the only way to realize any future gains on their investments.

 

68

 

  

Management’sDiscussion and Analysis of Financial Condition and Results of Operations

 

The following discussionand analysis of the results of operations and financial condition of 180 Life Sciences Corp. as of and for the years ended December 31,2022 and 2021 and as of September 30, 2023, and for the three and nine months ended September 30, 2024 and 2023, should be read in conjunctionwith our consolidated financial statements and the notes to those consolidated financial statements that are included elsewhere in thisprospectus. This Management’s Discussion and Analysis of Financial Condition and Results of Operations contains statements thatare forward-looking. See “Cautionary Statement Regarding Forward-Looking Statements” above. Actual results could differ materiallybecause of the factors discussed in “Risk Factors” elsewhere in this prospectus, and other factors that we may not know.

 

Going Concern and Management Liquidity Plans

 

As of September 30, 2023,we had an accumulated deficit of $126,116,552 and a working capital deficit of $1,435,947, and for the three and nine months ended September30, 2023, net losses of $10,265,760 and $18,708,007, respectively, and for the nine months ended September 30, 2023, cash used in operatingactivities of $8,762,209. The accompanying condensed consolidated financial statements have been prepared assuming the Company will continueas a going concern. As we are not generating revenues, we need to raise a significant amount of capital in order to pay our debts andcover our operating costs. While the Company raised money in August 2021, July 2022, December 2022, April 2023 and August 2023, we expectto require additional funding in the future and there is no assurance that we will be able to raise additional needed capital or thatsuch capital will be available under favorable terms. In the event that we do raise capital in the future, we anticipate it being fromthe sale of equity which may cause dilution to existing stockholders.

 

We are subject to all thesubstantial risks inherent in the development of a new business enterprise within an extremely competitive industry. Due to the absenceof a long-standing operating history and the emerging nature of the markets in which we compete, we anticipate operating losses untilwe can successfully implement our business strategy, which includes all associated revenue streams. We may never achieve profitable operationsor generate significant revenues.

 

We currently have a minimummonthly cash requirement of approximately $380,000, which is required to support the Company’s operations. We believe that in theaggregate, we will require significant additional capital funding to support and expand the research and development and marketing ofour products, fund future clinical trials, repay debt obligations, provide capital expenditures for additional equipment and developmentcosts, payment obligations, office space and systems for managing the business, and cover other operating costs until our planned revenuestreams from products are fully-implemented and begin to offset our operating costs, if ever.

 

Since our inception, we havefunded our operations with the proceeds from equity and debt financing. We have experienced liquidity issues due to, among other reasons,our limited ability to raise adequate capital on acceptable terms. We have historically relied upon the issuance of equity and promissorynotes that are convertible into shares of our common stock to fund our operations and have devoted significant efforts to reduce thatexposure. We anticipate that we will need to issue equity to fund our operations and repay our outstanding debt for the foreseeable future.If we are unable to achieve operational profitability or we are not successful in securing other forms of financing, we will have to evaluatealternative actions to reduce our operating expenses and conserve cash.

 

69

 

 

The accompanying condensedconsolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United Statesof America on a going concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal courseof business. Accordingly, the condensed consolidated financial statements do not include any adjustments relating to the recoverabilityof assets and classification of liabilities that might be necessary should the Company be unable to continue as a going concern. The condensedconsolidated financial statements included in this report also include a going concern footnote.

 

Additionally, wherever possible,our Board of Directors 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, preferred stock or warrants to purchase shares of our common stock.Our Board of Directors has authority, without action or vote of the shareholders, but subject to Nasdaq rules and regulations (which generallyrequire shareholder approval for any transactions which would result in the issuance of more than 20% of our then outstanding shares ofcommon stock or voting rights representing over 20% of our then outstanding shares of stock, subject to certain exceptions), to issueall or part of the authorized but unissued shares of common stock, preferred stock or warrants to purchase such shares of common stock.In addition, we may attempt to raise capital by selling shares of our common stock, possibly at a discount to market in the future. Theseactions will result in dilution of the ownership interests of existing shareholders, may further dilute common stock book value, and thatdilution may be material. Such issuances may also serve to enhance existing management’s ability to maintain control of us, becausethe shares may be issued to parties or entities committed to supporting existing management.

 

Organization of MD&A

 

Our Management’s Discussionand Analysis of Financial Condition and Results of Operations (the “MD&A”) is provided in addition to theaccompanying 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 RecentEvents. A summary of our business and certain material recent events.

 

Significant Financial StatementComponents. A summary of our significant financial statement components.

 

Results of Operations.An analysis of our financial results comparing the twelve months ended December 31, 2022 and 2021 and three and nine months ended September30, 2023 and 2022.

 

Liquidity and Capital Resources.An analysis of changes in our balance sheets and cash flows and discussion of our financial condition.

 

Critical Accounting Policiesand Estimates. Accounting estimates that we believe are important to understanding the assumptions and judgments incorporated inour reported financial results and forecasts.

 

70

 

 

Business Overview and Recent Events

 

This MD&A and the relatedfinancial statements for the years ended December 31, 2022 and 2021, and the three and nine months ended September 30, 2023, primarilycovers the operations of 180, which is a clinical stage biotechnology company headquartered in Palo Alto, California, focused on the developmentof therapeutics for unmet medical needs in chronic pain, inflammation, fibrosis and other inflammatory diseases, where anti-TNF therapywill provide a clear benefit to patients, by employing innovative research, and, where appropriate, combination therapy. We have threeproduct development platforms:

 

fibrosis and anti-tumor necrosisfactor (“TNF”);

 

drugs which are derivativesof cannabidiol (“CBD”); and

 

alpha 7 nicotinic acetylcholinereceptor (“α7nAChR”).

 

We have several future productcandidates in development, including one product candidate which previously completed a successful Phase 2b clinical trial in the UnitedKingdom for the early treatment of Dupuytren’s Contracture, a condition that affects the development of fibrous connective tissuein the palm of the hand. 180 was founded by several world-leading scientists in the biotechnology and pharmaceutical sectors.

 

On August 17, 2023, the Companymet with the UK Medicines and Healthcare products Regulatory Agency (“MHRA”) regarding a proposed marketing authorizationapplication to be submitted by the Company. Prior to the MHRA meeting, the Company’s strategy was to pursue a Conditional MarketingAuthorization Application in the UK while the Company was conducting a Phase 3 trial for Dupuytren’s disease, which was expectedto allow the Company to commercialize its therapy. Following the August 2023 meeting, the Company received correspondence from the MHRAthat a substantially completed Phase 3 trial would be required before a marketing authorization is potentially granted, adding significanttime to the approval and commercialization process.

 

We intend to invest resourcesto successfully complete the clinical programs that are underway, discover new drug candidates, and develop new molecules to build upon our existing pipeline to address unmet clinical needs. The product candidates are designed via a platform comprised of defined unitoperations and technologies. This work is performed in a research and development environment that evaluates and assesses variabilityin each step of the process in order to define the most reliable production conditions.

 

We may rely on third-partycontract manufacturing organizations (“CMOs”) and other third parties for the manufacturing and processing ofthe product candidates in the future. We believe the use of contract manufacturing and testing for the first clinical product candidatesis cost-effective and has allowed us to rapidly prepare for clinical trials in accordance with our development plans. We expect that third-partymanufacturers will be capable of providing and processing sufficient quantities of these product candidates to meet anticipated clinicaltrial demands.

 

Significant Financial Statement Components

 

Research and Development

 

To date, 180’s researchand development expenses have related primarily to discovery efforts and preclinical and clinical development of its three product platforms:fibrosis and anti-TNF; drugs which are derivatives of CBD, and α7nAChR. Research and development expenses consist primarily of costsassociated with those three product platforms, which include:

 

expenses incurred under agreementswith 180’s collaboration partners and third-party contract organizations, investigative clinical trial sites that conduct researchand development activities on its behalf, and consultants;

 

costs related to productionof clinical materials, including fees paid to contract manufacturers;

 

laboratory and vendor expensesrelated to the execution of preclinical and clinical trials;

 

employee-related expenses, whichinclude 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.

 

71

 

 

We expense all research anddevelopment costs in the periods in which they are incurred. We accrue for costs incurred as services are provided by monitoring the statusof each project and the invoices received from our external service providers. We adjust our accrual as actual costs become known. Whencontingent milestone payments are owed to third parties under research and development arrangements or license agreements, the milestonepayment obligations are expensed when the milestone results are achieved.

 

Research and development activitiesare central to our business model. Product candidates in later stages of clinical development generally have higher development coststhan those in earlier stages of clinical development, primarily due to the increased size and duration of later-stage clinical trials.We expect that research and development expenses will increase over the next several years as clinical programs progress and as we seekto initiate clinical trials of additional product candidates. It is also expected that increased research and development expenses willbe incurred as additional product candidates are selectively identified and developed. However, it is difficult to determine with certaintythe duration and completion costs of current or future preclinical programs and clinical trials of product candidates.

 

The duration, costs and timingof clinical trials and development of product candidates will depend on a variety of factors that include, but are not limited to, thefollowing:

 

per patient trial costs;

 

the number of patients thatparticipate in the trials;

 

the number of sites includedin the trials;

 

the countries in which the trialsare conducted;

 

  the terms of our license agreements, including the rights of the licensors to terminate such license agreements in certain cases;
     
  the length of time required to enroll eligible patients;

 

the number of doses that patientsreceive;

 

the drop-out or discontinuationrates of patients;

 

potential additional safetymonitoring or other studies requested by regulatory agencies;

 

the impact of COVID-19 on ourtrials;

 

the duration of patient follow-up;and

 

the efficacy and safety profileof the product candidates.

 

In addition, the probabilityof success for each product candidate will depend on numerous factors, including competition, manufacturing capability and commercialviability. We will determine which programs to pursue and fund in response to the scientific and clinical success of each product candidate,as well as an assessment of each product candidate’s commercial potential.

 

Because the product candidatesare still in clinical and preclinical development and the outcome of these efforts is uncertain, we cannot estimate the actual amountsnecessary 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. As these programs become more advanced,we intend to track the external and internal cost of each program.

 

72

 

 

General and Administrative

 

General and administrativeexpenses consist primarily of salaries and other staff-related costs, including stock-based compensation for shares of common stock issuedand 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.

 

Other significant generaland administrative costs include costs relating to facilities and overhead costs, legal fees relating to corporate and patent matters,litigation, SEC filings, insurance, investor relations costs, fees for accounting and consulting services, indemnification expenses andother general and administrative costs. General and administrative costs are expensed as incurred, and we accrue amounts for servicesprovided by third parties related to the above expenses by monitoring the status of services provided and receiving estimates from ourservice providers and adjusting our accruals as actual costs become known.

 

Due to our lack of financialresources, we have recently implemented certain cost cutting initiatives, including accruing the salary of our officers, and working toreduce and/or accrue the compensation payable to certain of our consultants.

 

Interest Expense

 

Interest expense consistsprimarily of interest expense related to debt instruments.

 

Change in Fair Value of Derivative Liabilities

 

Change in fair value of derivativeliabilities represents the non-cash change in fair value of derivative liabilities during the reporting period. Gains resulting from changein fair value of derivative liabilities during the three and nine months ended September 30, 2023, were driven by decreases in stock priceduring the periods, resulting in a lower fair value of the underlying liability.

 

CONSOLIDATED RESULTS OF OPERATIONS

 

For the Three MonthsEnded September 30, 2023 Compared to the Three Months Ended September 30, 2022

 

   For the Three Months Ended 
   September 30, 
   2023   2022 
Operating Expenses:        
Research and development  $972,113   $583,177 
Research and development - related parties   132,881    53,347 
General and administrative   2,433,193    3,418,628 
Total Operating Expenses   3,538,187    4,055,152 
Loss From Operations   (3,538,187)   (4,055,152)
           
Other (Expense) Income:          
Interest expense   (11,634)   (7,348)
Interest expense - related parties   -    (1,536)
Loss on goodwill impairment   -    (18,872,850)
Loss on IP R&D asset Impairment   (9,063,000)   - 
Change in fair value of derivative liabilities   2,036    1,449,908 
Total Other Expense, Net   (9,072,598)   (17,431,826)
Loss Before Income Taxes   (12,610,785)   (21,486,978)
Income tax benefit   2,345,025    - 
Net Loss  $(10,265,760)  $(21,486,978)

 

73

 

 

Research and Development

 

We incurred research and developmentexpenses of $972,113 for the three months ended September 30, 2023, compared to $583,177 for the three months ended September 30, 2022,representing an increase of $388,936 or 67%. The change is attributable to a decrease to the R&D Tax credit, which increased expensesin the current period by approximately $120,000 as compared to the prior period, as well as an increase of approximately $310,000 in expensesincurred by Oxford University for the HMGB1 program (now suspended) and approximately $80,000 in expenses incurred by the Oxford UniversityStudentship Program; which expenses were offset by decreases in (i) expenses incurred by Oxford University for the CBRX program of$70,000 and (ii) expenses related to the Stanford License Agreement of $50,000.

 

Research and Development – Related Parties

 

We incurred research and developmentexpenses – related parties of $132,881 for the three months ended September 30, 2023, compared to $53,347 for the three months endedSeptember 30, 2022, representing an increase of $79,534, or 149%. The change is attributable to a decrease in the R&D Tax credit,which increased expenses in the current period by approximately $40,000 as compared to the prior period, as well as an increase in consultingexpenses of approximately $40,000 for the period.

 

General and Administrative

 

We incurred general and administrativeexpenses of $2,433,193 and $3,418,628 for the three months ended September 30, 2023 and 2022, respectively, representing a decrease of$985,435 or 29%. The change resulted from decreases in legal expenses, insurance expense, stock-based compensation expense and salariesexpense of approximately $430,000, $240,000, $170,000 and $170,000, respectively.

 

Other Expenses, Net

 

We incurred other expenses,net of $9,072,598 and $17,431,826 during the three months ended September 30, 2023 and 2022, respectively, representing a decrease of$8,359,228 or 48%. The change is primarily attributable to the following: i) an impairment to IP R&D assets in the current yearof approximately $9.1 million, ii) an impairment to goodwill of approximately $18.9 million in the third quarter of the prior yearthat was absent from the same period in the current year, offset by iii) a decrease in the change in the fair value of derivativeliabilities from the prior year of approximately $1.4 million.

 

For the Nine MonthsEnded September 30, 2023 Compared to the Nine Months Ended September 30, 2022

 

   For the Nine Months Ended 
   September 30, 
   2023   2022 
Operating Expenses:        
Research and development  $2,339,863   $1,688,474 
Research and development - related parties   481,027    158,401 
General and administrative   9,204,122    10,405,933 
General and administrative - related parties   -    5,261 
Total Operating Expenses   12,025,012    12,258,069 
Loss From Operations   (12,025,012)   (12,258,069)
           
Other (Expense) Income:          
Interest expense   (34,796)   (22,117)
Interest income - related parties   -    1,495 
Loss on goodwill impairment   -    (18,872,850)
Loss on IP R&D asset impairment   (9,063,000)   - 
Change in fair value of derivative liabilities   69,776    14,167,560 
Total Other Expense, Net   (9,028,020)   (4,275,912)
Loss Before Income Taxes   (21,053,032)   (16,983,981)
Income tax benefit   2,345,025    - 
Net Loss  $(18,708,007)  $(16,983,981)

 

74

 

 

Research and Development

 

We incurred research and developmentexpenses of $2,339,863 for the nine months ended September 30, 2023, compared to $1,688,474 for the nine months ended September 30, 2022,representing an increase of $651,389 or 39%. The change is attributable to a decrease to the R&D Tax credit, which increased researchand development expenses in the current period by approximately $410,000, as well as expense in the current fiscal year instead of a creditof approximately $170,000; additionally, there were also increases of approximately $680,000 in expenses incurred by Oxford University.These increases were offset by i) reductions in salaries and bonuses of approximately $300,000 due to reductions/terminations, ii) decreasesin expenses incurred by Oxford University for the CBRX program of approximately $220,000 and iii) decreases in fees paid tothe Scientific Advisory Board of approximately $100,000.

 

Research and Development – Related Parties

 

We incurred research and developmentexpenses – related parties of $481,027 for the nine months ended September 30, 2023, compared to $158,401 for the nine months endedSeptember 30, 2022, representing an increase of $322,626, or 204%. The change is attributable to an increase to the R&D Tax creditof approximately $240,000, as well as an increase of approximately $130,000 in consulting fees. These increases were offset by a reductionin stock-based compensation of approximately $60,000.

 

General and Administrative

 

We incurred general and administrativeexpenses of $9,204,122 and $10,405,933 for the nine months ended September 30, 2023 and 2022, respectively, representing a decrease of$1,201,811 or 12%. The change resulted from reductions in legal expenses, insurance expense and stock-based compensation expense of approximately$700,000, $400,000 and $400,000, respectively, offset by an increase in executive management compensation of approximately $160,000.

 

Other Expenses, Net

 

We incurred other expenses,net of $9,028,020 and $4,725,912 during the nine months ended September 30, 2023 and 2022, respectively, representing an increase in otherexpenses of approximately $4,302,108 or 91%. The change is primarily attributable to the following: i) an impairment to IP R&Dassets in the current year of approximately $9.1 million, and ii) an impairment to goodwill of approximately $18.9 million in thethird quarter of the prior year that was absent from the same period in the current year, offset by iii) a decrease in the changein the fair value of derivative liabilities from the prior year of approximately $14.1 million.

 

75

 

 

For the Year EndedDecember 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 )

 

Research and Development

 

During the year ended December31, 2022, we incurred research and development expenses of $2,191,834 compared to $1,000,769 incurred for the year ended December 30,2021, representing an increase of $1,191,065 or 119%. The increase includes a $1,000,000 increase in stock-based compensation expense,a $430,000 increase in expenses related to Oxford University agreements, a $290,000 increase in salaries expense, a $270,000 increasein expenses related to the Scientific Advisory Board, an increase in consulting expenses of $120,000, as well as increases of $100,000related to patents and licenses. This activity was offset by decreases in expenses related to contracts with Yissum Research DevelopmentCompany 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.

 

Research and Development- Related Parties 

 

During the year ended December31, 2022, we incurred research and development expenses - related parties of $240,731 compared to $2,947,536 incurred for the year endedDecember 31, 2021, representing a decrease of $2,706,805 or 92%. The decrease includes a decrease in stock-based compensation expenseof $2,300,000; this decrease is comprised of approximately $800,000 paid to Jagdeep Nanchahal in the prior year for his research in thePhase 2b clinical trial for Dupuytren’s Contracture (RIDD), as well as stock-based compensation expense of approximately $1,400,000paid to Mr. Nanchahal in the prior year as well. There was also a decrease in consulting expenses of $460,000.

 

76

 

 

General and Administrative

 

During the year ended December31, 2022, we incurred general and administrative expenses of $15,459,788 compared to $11,230,118 incurred for the year ended December31, 2021, representing an increase of $4,229,670 or 38%. The increase is attributable to an increase in legal fees of $3,700,000, anincrease of $880,000 in directors’ and officers’ insurance expenses as well as an increase in salaries expense of $550,000,offset by decreases in exchange-related penalties of $530,000, a decrease in settlement expenses of $360,000, a decrease in stock-basedcompensation expense of $180,000 and a decrease in consulting expenses of $40,000.

 

General and Administrative- Related Parties

 

During the year ended December31, 2022, we incurred general and administrative expenses - related parties of $5,612 compared to $462,580 incurred for the year endedDecember 31, 2021, representing a decrease of $456,968, or 99%. The decrease is primarily related to a decrease in related party consultingexpenses of $125,000, as well as a decrease in bad debt expense of $300,000 incurred in connection with a receivable from related parties. 

 

Other Expense, Net

 

During the year ended December31, 2022, we incurred other expenses, net of $21,771,043 compared to $4,706,849 for the year ended December 31, 2021, representing anincrease in other expenses of $17,064,194 or 363%. The increase in expenses was primarily due to the following: i) an impairmentto goodwill in the current year of $33,547,278, ii) an impairment to IP R&D assets in the current year of $3,342,084 and iii) again on the settlement of liabilities of $926,829 in the prior year that was absent from the current year, offset by iv) a changein 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.

 

Liquidity and Capital Resources

 

As of September 30, 2023and December 31, 2022, we had cash balances of $2,662,520 and $6,970,110, respectively, and working capital (deficit) of ($1,435,947) and$3,270,608, respectively, largely due to a decrease in cash.

 

For the nine months endedSeptember 30, 2023 and 2022, cash used in operating activities was $8,762,209 and $9,200,830, respectively. Our cash used in operationsfor the nine months ended September 30, 2023 was primarily attributable to our net loss of $18,708,007, adjusted for non-cash expensesin the aggregate amount of $8,484,563 as well as $1,461,235 of net cash provided by changes in the levels of operating assets and liabilities.A significant portion of the non-cash expenses during the period relates to approximately $9.1 million of non-recurring expenses associatedwith the impairment of IP R&D assets, as well as a decrease in the deferred tax benefit in the amount of $2.3 million. Our cash usedin operations for the nine months ended September 30, 2022 was primarily attributable to our net loss of $16,983,981, adjusted for non-cashexpenses in the aggregate amount of $7,050,633, as well as $732,518 of net cash provided by changes in the levels of operating assetsand liabilities.

 

For the nine months endedSeptember 30, 2023 and 2022, cash provided by financing activities was $4,439,526 and $4,477,924, respectively. Cash provided by financingactivities during the nine months ended September 30, 2023 was due to net proceeds of $5,424,701 from the April 2023 Offering and August2023 Offering, partially offset by the repayment of loans in the amount of $985,175. Cash used in financing activities during the ninemonths ended September 30, 2022, was due to net proceeds of $5,969,910 from the July 2022 Offering, partially offset by the repaymentof loans in the amount of $1,491,986. 

 

For the years ended December31, 2022 and 2021, cash used in operating activities was $12,127,585 and $19,371,428, respectively. Our cash used in operations for theyear ended December 31, 2022 was primarily attributable to our net loss of $38,726,259, adjusted for non-cash expenses in the aggregateamount of $23,876,048, as well as $2,722,626 of net cash used in changes in the levels of operating assets and liabilities. A significantportion of the non-cash expenses during the year relates to $36.9 million of non-recurring expenses associated with the impairment ofgoodwill and IP R&D assets, offset by changes in fair value of derivative liabilities of $15,144,986 for the year. Our cash usedin operations for the year ended December 31, 2021 was primarily attributable to our net loss of $20,324,648, adjusted for non-cash expensesin 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 portion of cash used in operations during the year relates to $4.8 million of non-recurring expenses associated with thebusiness combination.

 

77

 

 

For the years ended December31, 2022 and 2021, there was no cash provided by investing activities.

 

For the years ended December31, 2022 and 2021, cash provided by financing activities was $10,873,606 and $25,411,919, respectively. Cash provided by financing activitiesduring 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 loans payable of $1,060,890, partiallyoffset by offering costs paid in connection with our July 2022 and December 2022 Offerings of $529,982 and $484,991, respectively, andrepayments of loans payable and loans payable - related parties of $1,591,035 and $81,277, respectively. Cash provided by financing activitiesduring the year ended December 31, 2021 was comprised of proceeds from the sale of common stock and warrants of $26,666,200 and proceedsfrom loans payable in the amount of $1,618,443, partially offset by repayments of convertible debt and loans payable of ($10,000) and($807,594), respectively, and offering costs paid of ($2,055,130).

 

Our product candidates maynever achieve commercialization and we anticipate that we will continue to incur losses for the foreseeable future. We expect that ourresearch and development expenses, general and administrative expenses, and capital expenditures will continue to increase. As a result,until such time, if ever, as we are able to generate substantial product revenue, we expect to finance our cash needs through a combinationof equity offerings, debt financing or other capital sources, including potentially collaborations, licenses and 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 resultin 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 obligations that may arise, laboratory and relatedsupplies, clinical costs, potential manufacturing costs, legal and other regulatory expenses and general overhead costs.

 

Our material cash requirementsand time periods of such requirements from known contractual and other obligations include milestone and royalty payments related to licenseand research agreements with Oxford University and Yissum, payments related to D&O insurance, payments related to indemnificationobligations of officers and directors and former officers and directors under our governing documents, payments to consultants and paymentsrelated to outside consulting firms, such as legal counsel, auditors, accountants, etc. These cash requirements, in the aggregate, areexpected to amount to approximately $5,000,000 for the remainder of 2024 and $27,000,000 for years 2025 through 2028.

 

Further, our operating plansmay change, and we may need additional funds to meet operational needs and capital requirements for clinical trials and other researchand development activities. We currently have no credit facility or committed sources of capital. Because of the numerous risks and uncertaintiesassociated with the development and commercialization of our product candidates, we are unable to estimate the amounts of increased capitaloutlays and operating expenditures associated with our current and anticipated product development programs.

 

We have not yet achievedprofitability and expect to continue to incur cash outflows from operations. It is expected that our research and development and generaland administrative expenses will increase in the future, provided that we are currently taking steps to reduce general and administrativeexpenses in an effort to conserve cash. Regardless, we will need to raise additional capital to fund our operations. If we are unableto obtain adequate funds on reasonable terms, we may be required to significantly curtail or discontinue operations or obtain funds byentering into financing agreements on unattractive terms. Our operating needs include the planned costs to operate our business, includingamounts required to fund working capital and capital expenditures. As of September 30, 2023, the conditions outlined above indicatedthat there was a substantial doubt about our ability to continue as a going concern within one year after the financial statement issuancedate. However, in August 2021, July 2022, December 2022, April 2023 and August 2023, the Company raised additional capital of approximately$13.9 million, $6.0 million, $5.5 million, $3.0 million and $3.0 million, respectively. The Company’s current financial resourcesare only expected to last through approximately May 2024.

 

Additionally, due torecent financial constraints, the Company has been unable to timely pay amounts due to the University of Oxford, the licensor of themajority of the Company’s licenses and patents and the Company’s research partner. Oxford alleges that an aggregate ofapproximately £929,030 is owed from the Company and one of its subsidiaries to Oxford under the terms of licenses andagreements with Oxford and related parties. The Company is currently in ongoing discussions with Oxford to reduce that amount andenter into a payment plan with regards to the amounts owed, and has received preliminary acceptance of a payment plan; however, nodefinitive terms or extensions have been agreed to date. Oxford has also notified the Company that it is not willing to discuss anynew projects or arrangements until all outstanding invoices have been paid or a payment plan has been agreed to; has engaged a lawfirm to seek the collection of the amounts owed, together with interest; and has threatened legal proceedings against us. While weare hopeful that we can come to mutually agreeable terms regarding a settlement, payment plan, and/or extension, with Oxford, we maynot have sufficient funds to pay amounts due to Oxford in the near term, if at all, and Oxford may take action against us, includingfiling legal proceedings against us seeking amounts due and interest, attempting to terminate their relationship with us, and/orfiling a wind-up petition against one of the Company’s subsidiaries in the UK. If Oxford were to take legal action against usor terminate their relationship with us, we may be forced to scale back our business plan and/or seek bankruptcy protection. We maybe subject to litigation and damages for our failure to pay amounts due to Oxford, and may be forced to pay interest and penalties,which funds we do not currently have. We plan to seek to raise funding in the future to support our operations, and to pay amountsdue to Oxford, through a combination of equity offerings, debt financing or other capital sources, including potentiallycollaborations, licenses and other similar arrangements, which may not be available on favorable terms, if at all. The sale ofadditional equity or debt securities, if accomplished, may result in dilution to our then stockholders. As discussed above, inDecember 2023, we engaged A.G.P./Alliance Global Partners as financial advisor to explore and evaluate strategic alternatives toenhance shareholder value. There is no assurance that the strategic review process will result in the approval or completion of anyspecific transaction or outcome.

 

78

 

 

Our condensed consolidatedfinancial statements have been prepared in conformity with accounting principles generally accepted in the United States of America (“U.S.GAAP”), which contemplate continuation of the Company as a going concern and the realization of assets and satisfaction of liabilitiesin the normal course of business. The carrying amounts of assets and liabilities presented in the condensed consolidated financial statementsdo not necessarily purport to represent realizable or settlement values. The condensed consolidated financial statements do not includeany adjustment that might result from the outcome of this uncertainty.

 

Recent Financing Transactions

 

April 2023 Offering

 

On April 5, 2023, the Companyentered into a Securities Purchase Agreement with certain purchasers, pursuant to which the Company agreed to sell an aggregate of 400,000shares of common stock, pre-funded warrants to purchase up to an aggregate of 1,170,860 shares of common stock (the “April 2023Pre-Funded Warrants”), and common stock warrants to purchase up to an aggregate of 1,570,680 shares of common stock, at a combinedpurchase price of $1.91 per share and warrant. Aggregate gross proceeds from the April 2023 Offering were approximately $3,000,000, andthe April 2023 Offering closed on April 10, 2023.

 

The April 2023 Pre-FundedWarrants have an exercise price equal to $0.0001, are immediately exercisable and are subject to customary anti-dilution adjustmentsfor stock splits or dividends or other similar transactions. The exercise price of the April 2023 Pre-Funded Warrants will not be subjectto adjustment as a result of subsequent equity issuances at effective prices lower than the then-current exercise price. The April 2023Pre-Funded Warrants are exercisable until they are exercised in full. The April 2023 Pre-Funded Warrants are subject to a provision prohibitingthe exercise of such April 2023 Pre-Funded Warrants to the extent that, after giving effect to such exercise, the holder of such April2023 Pre-Funded Warrants (together with the holder’s affiliates, and any other persons acting as a group together with the holderor any of the holder’s affiliates), would beneficially own in excess of 9.99% of the Company’s outstanding common stock (whichmay be increased or decreased, with 61 days prior written notice by the holder). Although the April 2023 Pre-Funded Warrants have a tenderoffer provision, the April 2023 Pre-Funded Warrants were determined to be equity-classified because they met the limited exception inthe case of a change-in-control. Because the April 2023 Pre-Funded Warrants are equity-classified, the placement agent fees and offeringexpenses will be accounted for as a reduction of additional paid in capital.

 

The April 2023 Common Warrantshad an exercise price equal to $1.78 per share, and have since been repriced to $0.17 per share, as discussed below under “December2023 Warrants and Related Transactions”, were immediately exercisable upon the closing of the April 2023 Offering (“theInitial Exercise Date”) and are subject to customary anti-dilution adjustments for stock splits or dividends or othersimilar transactions. The exercise price of the April 2023 Common Warrants will not be subject to adjustment as a result of subsequentequity issuances at effective prices lower than the then-current exercise price. The April 2023 Common Warrants were exercisable for5.5 years following the Initial Exercise Date, and have since been extended as discussed under “December 2023 Warrants and RelatedTransactions”. The April 2023 Common Warrants are subject to a provision prohibiting the exercise of such April 2023 Common Warrantsto the extent that, after giving effect to such exercise, the holder of such April 2023 Common Warrants (together with the holder’saffiliates, and any other persons acting as a group together with the holder or any of the holder’s affiliates), would beneficiallyown in excess of 4.99% of the Company’s outstanding common stock (which may be increased or decreased, with 61 days prior writtennotice by the holder). Although the April 2023 Common Warrants have a tender offer provision, the April 2023 Common Warrants were determinedto be equity-classified because they met the limited exception in the case of a change-in-control. Because the April 2023 Common Warrantsare equity-classified, the placement agent fees and offering expenses will be accounted for as a reduction of additional paid in capital.

 

79

 

 

To date, all of the 1,170,860April 2023 Pre-Funded Warrants have been exercised and none of the 1,570,680 April 2023 Common Warrants have been exercised.

 

August 2023 Offering

 

On August 9, 2023, the Companyentered into a Securities Purchase Agreement with an accredited investor, in addition to certain purchasers who relied on the Company’sregistration statement filed with the SEC on July 25, 2023, which went effective on August 9, 2023, pursuant to which the Company agreedto sell an aggregate of 666,925 shares of common stock, pre-funded warrants to purchase up to an aggregate of 3,948,460 shares of commonstock, and common stock warrants to purchase up to an aggregate of 4,615,385 shares of common stock at a combined purchase price of $0.65per share and warrant (the “August 2023 Offering”). Aggregate gross proceeds from the August 2023 Offering were approximately$3.0 million, and the August 2023 Offering closed on August 14, 2023.

 

The August 2023 Pre-FundedWarrants have an exercise price equal to $0.0001, are immediately exercisable and are subject to customary anti-dilution adjustmentsfor stock splits or dividends or other similar transactions. The exercise price of the August 2023 Pre-Funded Warrants will not be subjectto adjustment as a result of subsequent equity issuances at effective prices lower than the then-current exercise price. The August 2023Pre-Funded Warrants are exercisable until they are exercised in full. The August 2023 Pre-Funded Warrants are subject to a provisionprohibiting the exercise of such August 2023 Pre-Funded Warrants to the extent that, after giving effect to such exercise, the holderof such August 2023 Pre-Funded Warrants (together with the holder’s affiliates, and any other persons acting as a group togetherwith the holder or any of the holder’s affiliates), would beneficially own in excess of 9.99% of the Company’s outstandingcommon stock (which may be increased or decreased, with 61 days prior written notice by the holder). Although the August 2023 Pre-FundedWarrants have a tender offer provision, the August 2023 Pre-Funded Warrants were determined to be equity-classified because they metthe limited exception in the case of a change-in-control. Because the August 2023 Pre-Funded Warrants are equity-classified, the placementagent fees and offering expenses were accounted for as a reduction of additional paid in capital.

 

The August 2023 Common Warrantshad an exercise price equal to $0.65 per share and have since been repriced as discussed above under “December 2023 Warrants andRelated Transactions”, are immediately exercisable upon the closing of the August 2023 Offering and are subject to customary anti-dilutionadjustments for stock splits or dividends or other similar transactions. The exercise price of the August 2023 Common Warrants will notbe subject to adjustment as a result of subsequent equity issuances at effective prices lower than the then-current exercise price. TheAugust 2023 Common Warrants were exercisable for 5 years following the initial exercise date of August 14, 2023, and have since beenextended as discussed above under “December 2023 Warrants and Related Transactions”. The August 2023 Common Warrants aresubject to a provision prohibiting the exercise of such August 2023 Common Warrants to the extent that, after giving effect to such exercise,the holder of such August 2023 Common Warrants (together with the holder’s affiliates, and any other persons acting as a grouptogether with the holder or any of the holder’s affiliates), would beneficially own in excess of 4.99% of the Company’s outstandingcommon stock (which may be increased or decreased, with 61 days prior written notice by the holder). Although the August 2023 CommonWarrants have a tender offer provision, the August 2023 Common Warrants were determined to be equity-classified because they met thelimited exception in the case of a change-in-control. Because the August 2023 Common Warrants are equity-classified, the placement agentfees and offering expenses were accounted for as a reduction of additional paid in capital.

 

As of January 29, 2024,all of the August 2023 Pre-Funded Warrants have been exercised and none of the August 2023 Common Warrants have been exercised. As aresult, 4,615,385 of the August 2023 Common Warrants are outstanding.

 

The April 2023 Common Warrantsand August 2023 Common Warrants were extended and repriced to have an exercise price of $0.17 per share, as described in greater detailabove under “December 2023 Warrants and Related Transactions”.

 

80

 

 

Critical Accounting Policies and Estimates

 

The Company’s condensedconsolidated financial statements are prepared in accordance with accounting principles that are generally accepted in the United States.The preparation of these condensed consolidated financial statements requires management to make estimates and assumptions that affectthe reported amounts of its assets, liabilities, revenue and expenses. The Company has identified certain policies and estimates as criticalto its business operations and the understanding of its past or present results of operations related to intangible assets and in-processresearch and development. These policies and estimates are considered critical because they had a material impact, or they have the potentialto have a material impact, on the Company’s condensed consolidated financial statements and because they require management tomake significant judgments, assumptions or estimates. The Company believes that the estimates, judgments and assumptions made when accountingfor the items described below were reasonable, based on information available at the time they were made. However, actual results maydiffer from those estimates, and these differences may be material.

 

In-Process Research and Development (“IPR&D”)

 

As of December 31, 2022,the carrying amount of the IP R&D assets on the balance sheet was $12,405,084 (which consists of carrying value of $1,462,084 and$10,943,000 related to the Company’s 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 the Company’s IP R&D assets was determined to be $9,063,000 (whichconsists of fair market values of $0 and $9,063,000 related to the Company’s CBR Pharma subsidiary and 180 LP subsidiary, respectively).As of this measurement date, the carrying value of the CBR Pharma and 180 LP subsidiaries’ assets exceeded their fair market valuesby $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 recognize the impairment, the Company recorded a loss for this amount during the fourth quarter of 2022, which appearsas a loss on impairment of IP R&D assets on the income statement. This reduced the IP R&D asset balances of its CBR Pharma subsidiaryand its 180 LP subsidiary to zero and $9,063,000, respectively, as of December 31, 2022; the total consolidated IP R&D asset balanceis $9,063,000 after impairment.

 

As of September 30, 2023,the carrying amount of the IP R&D assets on the balance sheet was $9,063,000 (which consists of a balance related to the Company’s180 LP subsidiary); the Company typically assesses asset impairment on an annual basis unless a triggering event or other facts or circumstancesindicate that an evaluation should be performed at an earlier date. At the end of the current period, the Company assessed general economicconditions, industry and market considerations, the Company’s financial performance and all relevant legal, regulatory, and politicalfactors that might indicate the possibility of impairment and concluded that, when these factors were collectively evaluated, it is likelythat the asset is impaired. The Company recorded a loss in the amount of $9,063,000, which appears as a loss on impairment to IP R&Dassets on the income statement for the three and nine months ended September 30, 2023.

 

Recently Issued Accounting Pronouncements

 

See Note 3 - Summary of SignificantAccounting Policies of our audited and unaudited consolidated financial statements included within this prospectus for a summary of recentlyissued and adopted accounting pronouncements.

 

Quantitative and Qualitative Disclosure About Market Risk

 

As a smaller reporting company,we are not required to provide disclosure regarding quantitative and qualitative market risk, however, we have provided the followinginformation below relating to interest rate risk.

 

Interest Rate Risk

 

We are exposed to market risksin the ordinary course of its business. These risks primarily include interest rate sensitivities. As of September 30, 2023, we had $2,662,520in cash. We intend 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.

 

81

 

 

Business

 

Company Overview

 

We are a clinical stage biotechnologycompany headquartered in Palo Alto, California, focused on the development of therapeutics for unmet medical needs in chronic pain, inflammationand fibrosis by employing innovative research, and, where appropriate, combination therapy. We were founded by several world-leadingscientists in the biotechnology and pharmaceutical sectors. Our world-renowned scientists Prof. Sir Marc Feldmann, Prof. Lawrence Steinman,Prof. Raphael Mechoulam, since deceased, Dr. Jonathan Rothbard, and Prof. Jagdeep Nanchahal have significant experience and significantprevious success in drug discovery. The scientists are from the University of Oxford (“Oxford”), Stanford Universityand Hebrew University of Jerusalem (the “Hebrew University”), and our management team has extensive experience infinancing and growing early-stage healthcare companies. Prof. Raphael Mechoulam passed away in March 2023, but his research at HebrewUniversity is being carried on by other scientists as noted later in this document under the “SCAs Platform” section.

 

We have three different productdevelopment platforms that are focused on different diseases or medical conditions, and that target different factors, molecules or proteins,as follows:

 

  Anti-TNF platform: focusing on fibrosis and anti-tumor necrosis factor (“anti-TNF”);

 

  SCAs platform: focusing on drugs which are synthetic cannabidiol (“CBD”) or cannabigerol (“CBG”) analogues (“SCAs”); and

 

  α7nAChR platform: focusing on alpha 7 nicotinic acetylcholine receptor (“α7nAChR”).

 

Our lead product candidateunder the anti-TNF platform recently completed Phase 2a and Phase 2b proof-of-concept clinical trials in the United Kingdom and the Netherlandsfor early-stage Dupuytren’s Contracture, a condition that affects the development of fibrous connective tissue in the palm of thehand.

 

Currently, we are planningor conducting clinical trials only for certain indications under the anti-TNF platform, such as a planned Phase 2 trial for post-operativecognitive decline as well as a planned Phase 2 trial for frozen shoulder. We were recruiting patients for a feasibility trial for frozenshoulder, for which we have ended such recruitment at nine patients, due to a regulatory request in the U.K. to end slow recruiting trials.The result of the closure of the trial means that another trial will likely need to be undertaken in the future to recruit additionalparticipants.

 

We were recently grantedan allowance of claims for a U.S. patent with respect to the use of adalimumab for early-stage Dupuytren’s disease 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, involvesproducts that are related to cannabidiol (CBD) (and not to cannabis or tetrahydrocannabinol (THC)), and no clinical trials for indicationsor products under the SCAs platform are currently being conducted in the United States or abroad. We are currently undertaking preclinicalresearch and development activities for the SCA platform. Due to restrictions in the Company’s resources, the Company has not madeprogress in the α7nAChR platform and has suspended further research and development activity in the meantime.

 

82

 

 

The Company is currently evaluating alloptions to monetize its existing assets, in addition to exploring other strategic alternatives to maximize value for itsshareholders. Potential strategic alternatives that may be explored or evaluated by the Company as part of this process include, butare not limited to, an acquisition, merger, reverse merger, other business combination, sale of assets, licensing or other strategictransactions involving the Company.

 

Business Strategy

 

Our goal is to capitalizeon 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;

 

  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;

 

  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

 

  strengthen our position in research in chronic pain, inflammation and fibrosis.

 

Overview of Product Development Platforms

 

The following chart summarizesthe products and indications, including those currently in clinical trial, for our three product development platforms.

 

 

 

“*Regulatory approvalsobtained from the MHRA and CCMO and the relevant accredited ethics committees to perform clinical trials in the United Kingdom and TheNetherlands. No marketing applications or requests for marketing approval have been submitted to the FDA for any products at this time.”

 

83

 

 

On December 1, 2021, we announcedpositive top line data for the Phase 2b clinical trial of Dupuytren’s Contracture.

 

On February 22, 2023, weannounced the closure of recruitment of patients for the feasibility trial for frozen shoulder, for which we have ended such recruitmentat nine patients, due to a regulatory request in the U.K. to end slow recruiting trials. The result of the closure of the trial meansthat another trial will likely need to be undertaken in the future to recruit additional participants.

 

The product development platformsare each described in more detail below.

 

Fibrosis & Anti-TNFPlatform

 

Our anti-tumor necrosis factor(TNF) platform began at our wholly-owned subsidiary, 180 Therapeutics L.P. (“180 LP”). This platform is focusedon studying the molecular mechanism of inflammatory diseases and fibrosis and on the discovery of TNF as a mediator of fibrosis, as wellas other immune-driven diseases. This research was first undertaken in the 1980s by our Executive Co-Chairman, Prof. Sir Marc Feldmann,based on analysis of tissue from patients with rheumatoid arthritis (“RA”). We are applying this same approach tothe analysis of human disease tissue from patients with active fibrosis, research led by Prof. Jagdeep Nanchahal in Oxford (who is alsothe Chairman of our Clinical Advisory Board), which has led to the identification of new therapeutic targets and approaches that we aredeveloping. Profs. Nanchahal and Feldmann, in collaboration with other scientists, are leveraging their experience and expertise in developinganti-inflammatories to search for new applications for anti-TNF therapeutics. We are seeking to demonstrate that anti-TNF drugs, suchas adalimumab, have a positive effect on new indications such as Dupuytren’s Contracture, frozen shoulder and post-operative cognitivedysfunction/delirium (“POCD”).

 

Our first product candidatein clinical development is for the potential treatment of early-stage fibrosis of the hand, Dupuytren’s Contracture, for whichthere is currently no approved treatment in the United Kingdom or European Union. Collagenase from Clostridium histolyticum has beenapproved in the United States for late-stage Dupuytren’s Contracture. The proposed treatment will be administered by a local injectionof adalimumab, an anti-TNF antibody, into early-stage disease tissue. The results for the Phase 2a clinical trial for Dupuytren’sContracture, supported by the Wellcome Trust, U.K. Department of Health and us, were published in July 2018. The study demonstrated positivetissue response indicative of anti-fibrotic mechanisms, as well as guiding dosing for follow up trials. Having defined the most efficaciousdose and preparation and based on these positive proof of concept data, we, together with the Wellcome Trust and the U.K. Departmentof Health, initiated a Phase 2b trial in patients with early-stage Dupuytren’s Contracture. The initial plan was to randomize 138patients in a ratio of 1:1 to receive four injections of adalimumab or placebo at three-month intervals and followed for a total of 18months from baseline. With additional funding from the Wellcome Trust, the Phase 2b trial completed recruitment of 174 patients in April2019, having commenced dosing in February 2017. The final patient was enrolled in April 2019. The Phase 2b clinical trial for early-stageDupuytren’s Contracture has been completed. On December 1, 2021, we announced top line data from the trial, which indicates thatthe primary end point of nodule hardness and the secondary end point of nodule size on ultrasound scan were met with statistically significantdifferences. There were no related severe adverse events. As previously reported, the full results of the trial have been published ina peer-reviewed journal. Through this fibrosis and anti-TNF product development platform, we are also performing research for the developmentof potential treatments of frozen shoulder, liver and lung fibrosis and POCD.

 

We have obtained regulatoryapprovals from the U.K. Medicines and Healthcare Products Regulatory Agency (MHRA) and the Dutch Centrale Commissie MensgebondenOnderzoek (CCMO), as well as from the relevant accredited ethics committees, in order to perform clinical trials in the United Kingdomand The Netherlands solely for indications under the anti-TNF platform. No marketing applications or requests for marketing approvalhave been submitted to, the U.S. Food and Drug Administration (“FDA”) for any indications or products under theanti-TNF platform at this time. On March 29, 2022 we submitted a request to FDA for a Type C Meeting to discuss clinical outcome assessmentin clinical trials of the anti-TNF platform for early stage Dupuytren’s disease. On April 26, 2022, FDA granted the meeting requestand agreed to provide written responses in lieu of a meeting. On June 9, 2022, FDA provided the aforementioned written responses in whichthe 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 outcome measures that measure howa patient feel, functions, or survives, which would be needed to support a demonstration of efficacy in your future registrational studies.”

 

84

 

 

Following the Phase 2b trial,discussed previously, which demonstrated the efficacy of anti-TNF injections in reducing or eliminating the size and hardness of thepalmar nodules, which we believe may help in the prevention of the finger disability and the eventual need for surgery, our intentionremains to seek Conditional Marketing Authorization (“CMA”) for the therapy in the UK. This authorization requires approvalfrom the UK MHRA. Subsequently, we plan to begin the necessary procedures to seek approval in the U.S., EU, and other potential countries.

 

To support our CMA application,we have had two scientific advice meetings with the MHRA. During these meetings, the MHRA requested additional information regardingthe reduction in nodule size and hardness and its impact on the eventual need for surgery of the deformed fingers. While we presenteddata on a limited number of patients, demonstrating that those treated with anti-TNF injections did not require early surgery comparedto the placebo group, the sample size was too small to draw definitive conclusions. Nonetheless, based on the strength of the availabledata, we believe, and our regulatory consultants in the U.K. and U.S. believe, it is appropriate to pursue a CMA for the UK market inconjunction with the initiation of a limited size Phase 3 outcomes trial. This trial has to be initiated prior to the submission of theCMA approval request documents. Our clinical consultants have designed a trial that we believe can be completed within three years, thatis expected to meet the requirements set forth by the regulatory authorities and allow for consideration of CMA. We have submitted arequest for a follow-up scientific advice meeting with the MHRA to discuss this trial strategy. Due to the agency’s high workloadand limited staff, we have not yet received a confirmed date for this meeting.

 

Considering our plans forseeking marketing approval in the United States and other countries, we are also seeking a meeting with the U.S. FDA (Food and Drug Administration).This meeting, known as a Type C meeting, aims to explore the potential for a pathway towards a pre-IND (Investigational New Drug) applicationand an International IND application meeting. We believe that conducting the follow-on Phase 3 trial, discussed above, will likewisebe necessary for FDA acceptance. We have submitted a request to the FDA for this meeting but have not yet received a confirmed date.

 

As we pursue this regulatorystrategy, we will need to raise additional financing.

 

On February 22, 2023, weannounced the closure of recruitment of patients for the feasibility trial for frozen shoulder, for which we have ended such recruitmentat nine patients, due to a regulatory request in the U.K. to end slow recruiting trials. The result of the closure of the trial meansthat another trial will likely need to be undertaken in the future to recruit additional participants.

 

HMGB1 Program

 

Our HMGB1 programwas formed with the in-licensing of the technology from the University of Oxford on November 2, 2021. Our HMGB1 program fell under theFibrosis and Anti-TNF Platform. We identified HMGB1 as a therapeutic target that acts on multiple endogenous adult stem cells to acceleratethe physiological regenerative response to current or future injuries. These findings have broad relevance to the fields of stem cellbiology and regenerative medicine and suggest a therapeutic approach to promote tissue repair such as in NASH liver regeneration.

 

Due to the ongoing costsof this research program and the need for the Company to focus its resources on the Company’s primary platform to treat fibrosisusing anti-TNF (tumor necrosis factor), the Board of Directors of the Company elected to terminate the Company’s HMGB1 licenseagreement with Oxford on September 22, 2023, and on September 22, 2023, the Company and Oxford entered into a termination letter, formallyterminating the License effective September 22, 2023. The termination letter also clarified amounts that we owed after termination ofthe License, including approximately $20,000 in unbilled fees. No material early termination penalties were incurred by the Company inconnection with the termination of the license.

 

85

 

 

SCAs Platform

 

Our SCAs platform began atour wholly-owned subsidiary, CannBioRex Pharmaceuticals Corp. (“CBR Pharma”) with the collaborative work of itsfounders Prof. Mechoulam, deceased, and Prof. Feldmann. This platform focuses on the development of synthetic pharmaceutical grade moleculesclose or distant analogs of non-psychoactive cannabinoids such as CBD for the treatment of inflammatory diseases and pain. These developmentefforts are a result of a 20-year collaboration between Prof. Feldmann, who discovered and commercialized anti-TNF therapy for treatmentof RA and subsequently a number of inflammatory diseases, which is currently the best-selling drug class in the world, and Prof. Mechoulam,who was a world leading expert in cannabis chemistry who successfully identified THC, CBD and, subsequently, the endocannabinoids. Weare 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 active analgesic and anti-inflammatorymedications based on synthetic compounds to target chronic diseases. We term these synthetic compounds generically as “syntheticCBD analogs” (“SCAs”). Our primary development targets are arthritis and chronic and recurrent pain, whileour secondary development targets are diabetes/diabetic neuropathy, fibromyalgia, multiple sclerosis, obesity and fatty liver disease.Unfortunately, Dr. Mechoulam passed away in March 2023 and, while he will be sorely missed, work with his colleagues will continue asnecessary.

 

No regulatory approvals havebeen sought or obtained from appropriate authorities at this time for any products or indications under the SCAs platform.

 

α7nAChR Platform

 

Our α7nAChR platformbegan at our wholly-owned subsidiary, Katexco, where its founders identified α7nAChR as a key receptor for theamyloid proteins associated with diseases like Alzheimer’s and Parkinson’s Disease. α7nAChR is expressedon the surface of both neuronal cells in the brain and on important cells of the immune system. The research conducted by Dr. JonathanRothbard and Prof. Steinman has shown that small molecules available as drugs taken by mouth can engage this receptor and potentiallyreduce inflammatory diseases. Dr. Rothbard and Prof. Steinman have also shown that α7nAChR is critical in reducingdisease 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, initiallyulcerative colitis induced after cessation of smoking.

 

No regulatory approvals havebeen sought or obtained from appropriate authorities at this time for any products or indications under the α7nAChRplatform. Until we are able to obtain sufficient capital to pursue this program, we do not expect to make significant progress with our α7nAChR platform.

 

Product Candidates

 

We are attempting to builda broad and diverse pipeline of product candidates in chronic pain, inflammation and fibrosis. Our product candidates are and will beselected for development based on: potential to address unmet medical needs; development feasibility as determined by our preclinicalresearch and development efforts; potential to rapidly achieve proof-of-concept based on easy-to-measure validated regulatory endpoints;and significant commercial potential.

 

Anti-TNF Platform Dupuytren’sContracture

 

Overview

 

Dupuytren’s Contracture,also referred to as hand fibrosis, is a progressive, incurable disease characterized by the development of fibrous cords in the palmof the hand, commonly affecting the ring and/or small finger and often multiple joints, leading to contracture and the inability to straightenthe affected fingers. Symptoms, when presented to a physician, range from the appearance of nodules in the palm, which can be painlessor painful and often disconcerting to the patient, to the loss of the use of the contracted finger. There are currently no approved treatmentoptions for those patients who present with symptomatic, early-stage disease.

 

86

 

 

Surgery remains the standardtreatment for patients with Dupuytren’s Contractures but is associated with extended recovery periods and risks of recurrence.

 

We are developing therapiesby repurposing of the anti-TNF therapeutic adalimumab, previously approved and used under the brand name Humira for several autoimmuneconditions, for the treatment of early-stage Dupuytren’s Contracture. Research at Oxford University has indicated an anti-TNF mechanismcan slow or prevent the proliferation of myoblast cells that lead to the formation and growth of the fibrous nodules/cords in the palmand possible finger contracture. We have advanced the development program through Phase 2b clinical trials to evaluate the impact ofmultiple, intralesional injections on disease progression and functional improvement.

 

Dupuytren’s patientswho have advanced disease are primarily treated by orthopedic or plastic surgeons, who rely on invasive interventions when the contractureimpacts hand function. Current treatment options include open surgeries (fasciotomies or fasciectomies) and the less invasive proceduresof needle aponeurotomy (NA) or collagenase injections. The less invasive procedures are designed to disrupt the integrity of a contractedcord so the fingers can be straightened. Unfortunately, these options are associated with a high rate of recurrence. Dissatisfactionwithin the medical and Dupuytren patient community with outcomes for later-stage disease and the lack of options to intervene at an early/pre-contracturestage indicate there is an unmet medical need for early-stage intervention.

 

According to the Dupuytren’sFoundation, Dupuytren’s Contracture prevalence is estimated to be up to 7% of the U.S. population. Based on the Foundation’sestimates, 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.

 

In primary interviews inlate 2021 with 8 orthopedic/plastic surgeons, conducted by Red Sky Partners (an independent third-party consulting firm) on ourbehalf and designed to better understand the unmet need for patients with Dupuytren’s Contracture, revealed a strong desire amonghand surgeons and patients to treat this condition early, before the development of late stage contractures, in a non-invasive mannerthat will limit further progression, preserve function and prevent or delay invasive surgery. Surgeons’ reactions to the rationalefor the use of adalimumab to address this unmet need were overall positive and the mechanistic concept of an anti-TNF compound was consideredcompelling. In the view of the majority of surveyed hand surgeons, the non-invasive, safe product profile would potentially positionadalimumab as an important therapeutic option for a much wider range of patients than are typically treated today. Assuming clinicalefficacy and safety are supported with published data, we believe that adalimumab would become an attractive alternative to surgery,needle aponeurotomy or collagenase. Further, we believe it has potential use in many early-stage patients who are not treated today.

 

Based on both primary (feedbackfrom these physician interviews) and secondary research, Red Sky Partners concluded that an initial label focused on patients witha clear contracture where adalimumab would soften nodules and limit progression would be highly differentiated from current therapiesand could generate revenues in the range of $300 million to $350 million annually in the United States. More significantly, the opportunityto offer a safe, non-invasive therapeutic leading to improved function could dramatically expand the treatable population as more patientsseek treatment and more physicians are motivated to offer their patients an alternative to waiting to see if their disease progresses,which they cannot do today.

 

87

 

 

Phase 2 Clinical Trials

 

Our wholly-owned subsidiary,180 LP, contributed to the funding of a Phase 2a clinical trial for Dupuytren’s Contracture along with the Wellcome Trust and theU.K. Department of Health, which using an experimental medicine clinical trial design demonstrated positive tissue response, as wellas guiding dosing and tolerability for follow-up trials. The data was published in June 2018.

 

For the Phase 2a trial, werecruited 28 patients, eight assigned to the 15 milligrams (mg), 12 to the 35 mg and eight to the 40 mg adalimumab cohorts.There was no change in mRNA levels for ACTA2, COL1A1, COL3A1 and CDH11. Levels of α-SMA protein expressionin patients treated with 40 mg adalimumab (1.09 ± 0.09 ng per μg of total protein) were significantlylower (p = 0.006) compared to placebo treated patients (1.51 ± 0.09 ng/μg). The levelsof 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.

 

Having defined the most efficaciousdose and preparation and based on these positive proof-of-concept data, we, together with the Wellcome Trust and the U.K. Departmentof Health, initiated a Phase 2b trial in patients with early-stage Dupuytren’s Contracture. The initial plan was to randomize 138patients in a ratio of 1:1 to receive four injections of adalimumab or placebo at three-month intervals and followed for a total of 18months from baseline. The Phase 2b trial, which was funded by grants from the Wellcome Trust and the U.K. Department of Health, witha contribution from 180 LP to purchase the drug, completed recruitment of 174 patients in April 2019 and commenced dosing in February2017 in the United Kingdom and Groningen, The Netherlands.

 

The Phase 2b clinical trialfor early-stage Dupuytren’s Contracture has been completed. On December 1, 2021, we announced top line data from the trial, whichindicates that the primary end point of nodule hardness and the secondary end point of nodule size on ultrasound scan were met with statisticallysignificant differences. There were no related severe adverse events. The full results have been published in the Lancet Rheumatologypublication on April 29, 2022. Based on the results of the Phase 2b clinical trial, the study’s researchers analyzed data on costsand quality of life, which is required for U.K. NICE marketing approval. They extrapolated the trial results using a patient-level simulationmodel, which estimated the lifetime cost-effectiveness of adalimumab for treatment of Dupuytren’s Disease. The simulated modelalso evaluated whether hypothetical repeated courses of adalimumab each time the nodule reactivated (every three years) in patientsare likely to be cost-effective for treating progressive early-stage Dupuytren’s Disease. The model-based extrapolation showedthat, over a lifetime, repeated courses of adalimumab are likely to cost £14,593 per quality-adjusted life year gained, which wouldbe considered highly cost-effective compared with the current standard NHS practice. 

 

Other Product Candidatesor Indications

 

In addition to the potentialtreatment, we are developing for Dupuytren’s Contracture described above, we are seeking to repurpose anti-TNF for use as a treatmentfor other fibrotic conditions such as frozen shoulder. Prof. Feldmann’s previous work in the 1980’s demonstrated that anti-TNFis an effective anti-inflammatory with many possible uses, and it was subsequently approved for various forms of inflammatory arthritisand inflammatory bowel disease (IBD), as well as other indications. This has since created what is currently the best-selling drug classin the world, anti-TNF therapeutics, which, according to a Research Reports World report published on November 3, 2022, was valued at$42.7 billion in 2022. By using a well-known and extensively used therapeutic, adalimumab, the research and development process may betruncated because of existing product information relating to safety, as the drug has been widely used over the past 20 years in millionsof patients.

 

88

 

 

Frozen Shoulder

 

Frozen shoulder, also referredto as adhesive capsulitis, is an extremely painful and debilitating condition that affects an individual’s everyday activities,including sleep. According to the National Institute of Health, frozen shoulder is most common in people between the 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 somewhat more common in womenthan in men. People with diabetes are particularly likely to develop a frozen shoulder: About 10 to 20% of them get it, but it is notyet known why this happens. In addition, approximately 20% of people suffering from a frozen shoulder will develop the same problem intheir other shoulder. According to an article published in Shoulder & Elbow in 2010, it is estimated that up to 30% of patients withdiabetes develop frozen shoulder, and the symptoms tend to be more persistent and recalcitrant in this group. A large percentage of frozenshoulder patients also have Dupuytren’s. Our working hypothesis is that frozen shoulder involves a similar TNF-driven fibroticprocess as Dupuytren’s and, as a result, might benefit from anti-TNF injections, as seen in our Phase 2b trial in patients withearly-stage Dupuytren’s Contracture.

 

During the pain predominantinflammatory phase, patients are typically treated with analgesics, physiotherapy and corticosteroid injections. Patients with persistentstiffness may be referred to secondary care for capsular release by manipulation under anesthesia, hydrodilatation or surgical arthroscopy.To our knowledge, there is currently no approved targeted therapy, and in conjunction with the National Institute for Health Research(U.K.), we are investigating the feasibility of recruiting patients during the early pain-predominant inflammatory phase of the diseaseand delivery of a local injection of anti-TNF. The set-up stage for this Phase 2 clinical trial for the local injection of anti-TNF forfrozen shoulder started in June 2021. A £250,000 grant has been awarded from NIHR to the University of Oxford to support executionand clinical trial sites are being identified. We are providing additional funding to support this trial. The recruitment of men andwomen across England with early-stage Frozen shoulder for a trial to determine the feasibility of conducting a large randomized controlledtrial to assess whether an intra-articular injection of anti-TNF (Adalimumab) can reduce pain and improve function in people withpain predominant early-stage frozen shoulder, which was called the Anti-Freaze-F trial, began in May 2022. The Anti-Freaze-F trial wasbeing run by the University of Oxford and originally sought to recruit 84 participants. Following delays in gaining approvals due tobacklogs in the NIHR system due to COVID-19 and consequential staff vacancies, nine participants were recruited for participation inthe 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. Our request for a no cost trial extension was denied.The participants enrolled to date have received their injections and follow up according to the established protocol. The result of theclosure of the trial means that another trial will likely need to be undertaken at a future time to recruit additional participants.

 

Human Liver Fibrosis

 

Fibrosis of the liver ischaracterized by long-term damage to the organ caused by the replacement of normal liver tissue with scar tissue. The condition is mostcommonly caused by non-alcoholic fatty liver disease (“NAFLD”), which encompasses non-alcoholic fatty liver (“NFL”) andnon-alcoholic steatohepatitis (“NASH”). NAFLD affects approximately 30% of the U.S. population, according to an articlepublished in Nature Reviews Gastroenterology & Hepatology in 2016. Approximately 2% of patients with NFL and approximately 15% to20% of patients with NASH progress to cirrhosis, fibrosis of the liver with major health issues.

 

To our knowledge, there isno current approved treatment for individuals with NASH. We therefore believe that there is a large potential market for the creationof an effective preventative treatment. According to Allied Market Research, the market for treating liver fibrosis was approximately$13 billion in 2018 and is projected to rise to approximately $20 billion in 2022, rising at a compounded annual growth rate (CAGR) ofover 11% per year. We initiated preclinical studies for NASH based on human liver samples during the second quarter of 2020. The Companyhas performed preclinical work and is not moving forward in a significant manner without raising additional capital.

 

Post-operative CognitiveDecline (POCD)

 

POCD is a common neuropsychiatricsyndrome, defined as disturbance of attention, awareness and cognition, which develops over a short period of time and tends to fluctuateduring the course of the day. Patients with hip fracture are at particularly high risk of developing POCD. The United Kingdom’snational audit data for 2018 showed that 25% of all patients with hip fracture suffered from delirium. POCD is associated with poor functionaloutcomes, reduced quality of life and longer hospital stays. People with hip fracture who developed delirium are twice as likely to dieas inpatients, and nearly four times more likely to need placement in a nursing home. POCD has also been closely associated with long-termcognitive impairment.

 

89

 

 

Hip fractures are one ofthe main challenges facing elderly patients and healthcare systems. According to an article published in The Lancet Public Health in2017, hip fractures are associated with an average loss of 2.7% of the healthy life expectancy in the middle-aged and older populationin the United States and Europe. People suffering hip fracture have a mean age of 83 years, are frail, and two-thirds are women. Theysuffer a 30-day mortality of 7% and experience a persistent reduction in their health-related quality-of-life similar to that of a diagnosisof Parkinson’s disease or multiple sclerosis. According to various studies, POCD is developed in 13-40% of patients following cardiacsurgery. With 500,000 open heart surgeries and 450,000 hip surgeries in the United States each year, in advanced age patients, a beneficialtherapy to treat POCD would be a significant benefit to these patients. We plan to initiate a Phase 2 study using anti-TNF for POCD andstart patient recruitment during 2024. An issued patent to protect this potential use has been licensed from The Kennedy Trust for RheumatologyResearch. Our researchers discovered that tissue damaging surgery releases TNF into the circulation which, in turn, opens the brain cognitiveareas for an influx of inflammatory mediators, resulting in delirium, which might be prevented by administering anti-TNF at the timeof surgery. Experiments in animal models have supported this hypothesis.

 

SCAs Platform

 

Overview

 

Cannabinoids are a classof compounds derived from cannabis plants. The two major cannabinoids contained in cannabis are CBD and THC. Although one cannabinoid,THC, is known to cause psychoactive effects associated with the use of herbal cannabis, no other cannabinoid is known to share theseproperties. In recent decades, there have been major scientific advances that have led to the discovery of new plant-derived cannabinoidsand the endocannabinoid system. There are at least two types of cannabinoid receptors in the human endocannabinoid system, cannabinoidreceptor 1 (“CB1”) and cannabinoid receptor 2 (“CB2”). CB1 receptors are considered to beamong 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.

 

For the SCA program, we haveagreements in place with Hebrew University and Oxford, pursuant to which we intend to conduct research to develop and characterize novelSCAs for the treatment of certain target indications, and to perform early-phase clinical trials. Through the Research Agreements withHebrew University and Oxford, we established research facilities at the Hebrew University and Oxford, in which the development and testingof new cannabinoids designed and synthesized at the Hebrew University will be facilitated. The labs at the Hebrew University will synthesizethe chemical compounds and perform preliminary efficacy and safety studies.

 

Once these initial studiesare completed at the Hebrew University, the chemical compounds are sent to Prof. Richard Williams at Oxford, where further evaluationis carried out to identify candidates which have the best potential for clinical efficacy and commercial development. Subsequently, wewill support the clinical development of the lead compound(s), culminating in Phase 2 clinical trials to establish clinical utility inchronic pain and inflammatory indications.

 

The focus of the researchis the development of safe and well-tolerated compounds with analgesic and immunomodulatory activity and with the capacity to synergizewith current therapies, which target downstream inflammatory processes. After conducting initial research and development, we selectedthe 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 to facilitate pharmacokineticanalysis in healthy human volunteers.

 

90

 

 

Product Candidates orIndications

 

We believe that there areunmet needs for orally available, relatively safe anti-inflammatory drugs, especially those with analgesic properties. We believe thatSCAs have the potential to fulfill these needs and we have started to develop novel, orally available and patentable drug candidatesto treat certain diseases or conditions such as arthritis, multiple sclerosis, diabetes, psoriasis, obesity and fatty liver, and variouspainful conditions. Our work on SCAs is currently in the preclinical development stage.

 

Because medical cannabisis a complex mixture of over 200 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.

 

We believe that the developmentand 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;

 

  ability to test and control dosing, which in turn controls efficacy and side effect levels;

 

  creation of a reproducible product; and

 

  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.

 

In addition to the aboveadvantages, testing SCAs in scientific, double-blind clinical trials would help to allay physicians’ concerns regarding the therapeuticuse of marijuana-based compounds. This change could increase the number of patients that have access to these drug therapies. If clinicaltrials are successful, there are a number of potential markets and indications for SCAs which we could target, which include individualssuffering from chronic and recurrent pain, diabetes, osteoarthritis, obesity and fatty liver disease.

 

α7nAChR Platform

 

Overview

 

Two of our lead scientists,Prof. Steinman and Dr. Rothbard, previously identified a key receptor for the amyloid proteins associated with diseases like Alzheimer’sand Parkinson’s disease, called α7nAChR. The α7nAChR is expressed on the surface of both neuronal cells in the brainand on cells of the immune system. The research conducted by Dr. Rothbard and Prof. Steinman has shown that small molecules availableas drugs taken by mouth can engage this receptor and potently reduce inflammatory diseases. Dr. Rothbard and Prof. Steinman have shownthat this receptor is critical in reducing disease in animal models of multiple sclerosis and RA, as well as heart attack and stroke.

 

Our efforts to understandthe role of the high concentration of small heat shock proteins (“sHsp”) found in the lesions in the brains ofpatients with multiple sclerosis led us to realize that the protein was (i) immune suppressive and (ii) therapeutic in animal2 models of multiple sclerosis, cardiac and retinal ischemia, and stroke. A significant realization was that amyloid fibrils composedof proteins or small peptides exhibited biological responses equivalent to the sHsps. The fibrils and the sHsps specifically bound andactivated macrophages (“”) 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 efficacythat is 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.

 

91

 

 

The α7 subunit of α7nAChRis an integral part of an endogenous immune suppressive pathway, in which activation of the vagus nerve stimulates acetylcholine secretion,which in turn binds α7nAChR on MΦs and regulatory B lymphocytes. Activation of the MΦs initiates an immunosuppressivecascade of events that lead to reduction of pro-inflammatory cytokines, suppression of B and T cell activation and control of inflammation.

 

In autoimmune diseases likeRA, where there is intense inflammation destroying joints, and in multiple sclerosis, where the brain is under attack with damage tovital neurologic circuits, the body’s immune system turns against its own tissues. Other diseases ranging from atherosclerosisto gout, also reveal manifestations of an unwanted autoimmune attack.

 

Activation of the α7nAChRresults in a signaling cascade involving Jak2 and Stat3 leading to the conversion of the macrophages to an immune suppressive phenotypeand the production of IL-10. IL-10 is known to reduce inflammatory cytokines, most prominently TNF, IL-1, and IL-6. Consequently, α7nAChRagonists should complement anti-TNF therapy, which opens up the possibility of developing a new class of orally available medicines whichare 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 than blocking important pathways neededfor diverse processes. The market opportunity arises from the complex and expensive effort by several large and small biotechnology companiesin the development of a spectrum of orally available partial agonists specific for α7nAChR. The compounds underwent extensive preclinicalassessment and were used in 18 studies comprising 2,670 subjects.

 

The drugs universally wereshown to be safe, but ineffective in trials for neurologic and psychiatric diseases, namely Alzheimer’s disease and schizophrenia.In randomized, placebo-controlled clinical trials for cognitive impairment in Alzheimer’s disease and schizophrenia, the compoundsfailed to meet their primary endpoint.

 

We plan to use these previousstudies as a foundation to potentially develop a patentable α7nAChR analog within this family to use as an immune suppressive totreat a range of inflammatory and autoimmune indications including RA, inflammatory bowel disease (IBD), relapsing and progressive formsof multiple sclerosis, atherosclerosis, gout and osteoarthritis. Our scientists have found that the α7 receptor on macrophages andregulatory B lymphocytes are different from the target of the drugs developed so far.

 

Product Candidates orIndications

 

We intend to identify, characterize,synthesize, and patent an orally available small molecular weight agonist of α7nAChR by screening non-patented analogs of largenumbers of known agonists defined by pharmaceutical companies. We intend to outsource this work to Evotec GMBH, an integrated early discoveryorganization, and one which we have worked with in the past, specializing in ion channels and transporters, offering clients specializedtechnologies and scientific expertise to move from target to lead compounds.

 

Following a safety and efficacyassessment program, we intend to select candidates for pre-clinical development as a prelude to the potential initiation of clinicalstudies, which could potentially be followed by an Investigational New Drug Application (“IND”) to the FDA. Ourfirst intended target indication for its α7nAChR development platform is smoking cessation induced ulcerative colitis.

 

Until we are able obtainsufficient capital to pursue this program, we do not expect to make significant progress with our α7nAChR platform.

 

92

 

 

Outsourcing and Manufacturing

 

We are currently outsourcingour clinical trials, which are conducted at Oxford University, Edinburgh, United Kingdom and Groningen, The Netherlands, and only involvecertain indications under the anti-TNF platform. We expect to continue to outsource our clinical trials and conduct them at (1) inthe case of the anti-TNF platform, Oxford University and Groningen, The Netherlands, (2) in the case of the SCAs platform, HebrewUniversity and Oxford University, and (3) in the case of the α7nAChR platform, to be determined.

 

We also expect to outsourceall of our manufacturing activities, including those activities at the research or clinical stage, with SCAs to be produced at HebrewUniversity and α7nAChR to be produced by Evotec GMBH and the anti-TNF platform utilizing off-the-shelf adalimumab.In addition, we expect our products to be good manufacturing practice (GMP) grade and produced by accredited contract research organizations(CROs).

 

Material Agreements

 

We have entered into materialresearch and licensing agreements (the “Research Agreements”) with various universities and parties in orderto conduct research to develop potential product candidates. We have also entered into other material consulting and advisory servicesagreements with various scientists (the “Consulting Agreements”) to assist with such research.

 

Overview of ResearchAgreements

 

The Research Agreements includeagreements with the Hebrew University and Oxford. For the anti-TNF platform, the Research Agreements with Oxford allow us to contributefinancially to sponsor the research being conducted for the anti-TNF platform. In return, we will receive an exclusive option to licenseany intellectual property arising from the Research Agreements. There are also license agreements in place whereby we have exclusivelylicensed certain intellectual property from Oxford.

 

For the SCA program, we haveagreements in place with Hebrew University and Oxford, pursuant to which we intend to conduct research to develop and characterize novelSCAs for the treatment of certain target indications, and to perform early-phase clinical trials. Through the Research Agreements withHebrew University and Oxford, we established research facilities at the Hebrew University and Oxford, in which the development and testingof new cannabinoids designed and synthesized at the Hebrew University will be facilitated.

 

The Research Agreements areeach described below.

 

Research Agreements withthe Hebrew University

 

On May 13, 2018, our wholly-ownedsubsidiary 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 developand 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”).

 

Pursuant to the 2018 HebrewAgreement, notwithstanding the grant of the 2018 Hebrew License, Yissum, on behalf of Hebrew University, will retain the right to (i) make,use and practice the 2018 Hebrew Licensed Technology for Hebrew University’s own research and educational purposes; (ii) licenseor otherwise convey to other academic and not-for-profit research organizations the 2018 Hebrew Licensed Technology for use in non-commercialresearch; and (iii) license or otherwise convey the 2018 Hebrew Licensed Technology to any third party for research or commercialapplications outside the 2018 Field.

 

The 2018 Hebrew Agreementfurther provides that CBR Pharma is entitled to grant one or more sublicenses to the 2018 Hebrew Licensed Technology for exploitationin the 2018 Field.

 

93

 

 

All right, title and interestin and to the 2018 Hebrew Licensed Technology vest solely in Yissum, and CBR Pharma will hold and make use of the rights granted pursuantto the 2018 Hebrew License solely in accordance with the terms of the 2018 Hebrew Agreement.

 

As consideration for the2018 Hebrew License, CBR Pharma paid Yissum a license fee of $75,000 and agreed to continue to pay an annual license maintenance fee(the “License Maintenance Fee”) of $50,000, beginning on May 1, 2019 and thereafter on the first day of May eachyear. The License Maintenance Fee is non-refundable but may be credited each year against royalties on account of net sales of productsmade from May 1 to April 30 of each year.

 

Yissum has also agreed toundertake research and to synthesize chemical compounds that will be used by CBR Pharma, through additional research at both Oxford andHebrew University, to develop orally active analgesic and anti-inflammatory medications. Compounds will be shipped from Hebrew Universityto Oxford for use in pre-clinical studies to establish efficacy in pain and inflammation.

 

Upon the achievement of certainmilestones in respect of the chemical compounds derived from the 2018 Hebrew Licensed Technology, CBR Pharma is obligated to make certainpayments 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 

 

CBR Pharma will pay Yissumroyalties equal to (i) 3% of the net sales for the first annual $500 million of net sales, and (ii) 5% of the net sales afterthe net sales are at or in excess of $500 million.

 

In the event of a sale byCBR Pharma stockholders of their common shares or the transfer or assignment of the 2018 Hebrew Agreement, CBR Pharma is obligated topay Yissum a fee of 5% of the consideration received by CBR Pharma pursuant to such corporate transaction. In the event of an initialpublic offering, or a go-public event, CBR Pharma was obligated to issue registered common shares to Yissum equal to 5% of the issuedand outstanding common shares, on a fully-diluted basis, concurrently with the closing of such transaction. The Business Combinationthat was consummated on November 6, 2020, was considered a go-public event, pursuant to which we issued 12,028 of our common shares toYissum prior to the closing of the Business Combination.

 

CBR Pharma has also agreedto reimburse Yissum (to a maximum of $30,000) for costs incurred for patent expenses.

 

Yissum and CBR Pharma alsoagreed to establish a research program for which CBR Pharma funded a $400,000 budget for the 12-month period ended May 2019. The Companyplans to move forward with the research using a different third party, of which no agreement has been finalized.

 

The 2018 Hebrew Agreementwill terminate upon the occurrence of the later of the following: (i) the expiration of the last of the 2018 Hebrew Licensed Patents;(ii) the expiration of the last exclusivity on any product granted by any regulatory or government body; (iii) the expirationof a continuous period of twenty years during which there was no commercial sale of any product in any country; or (iv) if we electto obtain an exclusive license to the know-how under the terms of the 2018 Hebrew Agreement, the expiration of such exclusive license.

 

94

 

 

On November 11, 2019, CBRPharma entered into an additional research and license agreement (the “2019 Hebrew Agreement”) with Yissum, pursuantto which Yissum granted CBR Pharma a worldwide sole and exclusive license (the “2019 Hebrew License”) to developand 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 metalssuch as Li, Na, K, Ca, Mg, Zn, Fe and Al and their mixtures with native or synthetic cannabinoids, their pharmaceutical formulations,including for oral and topical administration; and (ii) pharmaceutical formulations, for the administration of cannabinoid chemicalderivatives, including any and all veterinary and human medical conditions, including obesity, pain, inflammation and arthritis (the“2019 Field”).

 

Pursuant to the 2019 HebrewAgreement, notwithstanding the grant of the 2019 Hebrew License, Yissum, on behalf of Hebrew University, will retain the right to (i) make,use and practice the 2019 Hebrew Licensed Technology for Hebrew University’s own research and educational purposes, but not forcommercial purposes, and subject to the maintenance of confidentiality for any know-how or unpublished patent information contained inthe 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 2019Hebrew Licensed Technology to any third party for research or commercial applications outside the 2019 Field, subject to the maintenanceof confidentiality for any know-how or unpublished patent information contained in the 2019 Hebrew Licensed Technology.

 

The 2019 Hebrew Agreementfurther provides that CBR Pharma is entitled to grant one or more sublicenses to the 2019 Hebrew Licensed Technology for exploitationin the 2019 Field.

 

All right, title and interestin and to the 2019 Hebrew Licensed Technology vests solely in Yissum, and CBR Pharma will hold and make use of the rights granted pursuantto the 2019 Hebrew License solely in accordance with the terms of the 2019 Hebrew Agreement.

 

The 2019 Hebrew LicensedTechnology will terminate upon the occurrence of the later of the following: (i) the expiration of the last of the 2019 Hebrew LicensedPatents; (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 plus any applicable patent extension period, during which there was no commercial saleof 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.

 

On January 1, 2020, CBR Pharmaand Yissum entered into the first amendment to the 2018 Hebrew Agreement (the “First Hebrew Amendment”), which providedfor additional research to be done at Yissum on new derivatives of certain molecules. Pursuant to the terms of the First Hebrew AgreementAmendment, we will pay Yissum $200,000 per year plus 35% additional for University overhead for the additional research performed byeach professor over an 18-month period, starting May 1, 2019. The additional research ended in April 2021 and further preclinical workis expected to be undertaken following research and development of a potentially successful drug delivery method, which is in its latestage development.

 

Research Agreements withthe University of Oxford

 

On November 1, 2013, ourwholly-owned subsidiary 180 LP entered into an agreement (the “First Oxford Agreement”) with Oxford, pursuantto which 180 LP will sponsor Oxford’s research and development of repurposing anti-TNF for Dupuytren’s Contracture.

 

95

 

 

Pursuant to the First OxfordAgreement, each payment is to be made to ISIS Innovation (now Oxford University Innovation) at different milestones of 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 

 

ISIS Innovation is also eligiblefor royalty payments equal to 0.5% of net sales in any country where there is a valid claim, 0.25% of net sales in other countries anda fee income royalty rate of 7.5% on all up-front, milestone and other one-off payments under or in connection with all sub-licensesand other contracts granted by 180 LP with respect to the licensed technology. The First Oxford Agreement is effective, unless earlierterminated, for so long as the specified patent application remains in effect as an issued patent, pending patent application or supplementaryprotection certificate or for a term of 20 years, whichever is longer.

 

On August 15, 2018, CannBioRexPharma Limited, a company incorporated under the laws of England and Wales (“CannU.K.”) and a wholly-owned subsidiaryof our wholly-owned subsidiary CBR Pharma, entered into the Research Agreement (the “Second Oxford Agreement”) withOxford, pursuant to which CBR Pharma (through CannU.K.) has sponsored Oxford’s research and development of SCAs developedfrom the Hebrew Licensed Technology. At Oxford, the SCAs generated in the Hebrew University are being tested for analgesic and anti-inflammatoryeffects in established pre-clinical models.

 

Pursuant to the Second OxfordAgreement, Oxford undertook a research project (the “Research Project”) based around the clinical developmentof SCAs that are known to exhibit both anti-inflammatory and immunomodulatory properties. The aim of the Research Project was to developand characterize chemical compounds that are synthesized at Hebrew University to create treatments for chronic pain, RA and other chronicinflammatory conditions, and to eventually obtain regulatory approval to initiate early-phase clinical trials by mid to late 2022 oras soon as possible thereafter. The Second Oxford Agreement had an initial term of one year beginning on March 22, 2019, but was extendedby amendment to March 31, 2020, or any later date agreed to by the parties, unless terminated earlier. The Second Oxford Agreement wasnot extended any further after March 31, 2020, and CannU.K.’s relationship with Oxford continued with additional agreements withOxford, as described below.

 

CannU.K., as the sponsorof 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 

 

On September 18, 2020, CannU.K.entered into another research agreement with Oxford (the “Third Oxford Agreement”), pursuant to which CannU.K. sponsorswork 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 salary of Dr. Lynn Williams and consumables.

 

96

 

 

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 
12 months post signing of the Third Oxford Agreement  £178,867 
24 months post signing of the Third Oxford Agreement  £178,867 
36 months post signing of the Third Oxford Agreement  £178,867 

 

On September 21, 2020, CannU.K.entered into another research agreement with Oxford (the “Fourth Oxford Agreement”), pursuant to which CannU.K. agreedto sponsor work at the University of Oxford to develop and characterize novel cannabinoid derived new chemical entities (NCEs) forthe treatment of inflammatory diseases towards initiation of early phase clinical trials in patients within a period of 3 years.

 

CannU.K., as the sponsor,agreed to make the following payments to Oxford pursuant to the Fourth Oxford Agreement:

 

Milestone  Amount
Due
(excluding
VAT)
 
30 days post signing of the Fourth Oxford Agreement  £101,778 
6 months post signing of the Fourth Oxford Agreement  £101,778 
12 months post signing of the Fourth Oxford Agreement  £101,778 
18 months post signing of the Fourth Oxford Agreement  £101,778 
24 months post signing of the Fourth Oxford Agreement  £101,778 

 

On March 22, 2022, CannU.K.entered into an amendment to the Fourth Oxford Agreement, to extend the research period to December 31, 2023, at no additional cost toCannU.K.

 

On May 24, 2021, CannU.K.entered into another research agreement with Oxford (the “Fifth Oxford Agreement”), pursuant to which CannU.K. willsponsor work at the University of Oxford to conduct a multi-center, randomized, double blind, parallel group, feasibility study of anti-TNFinjection for the treatment of adults with frozen shoulder during the pain-predominant phase.

 

CannU.K., as the sponsor,agreed to make the following payments to Oxford pursuant to the Fifth Oxford Agreement:

 

Milestone  Amount
Due
(excluding
VAT)
 
Upon signing of the Fifth Oxford Agreement  £70,546 
6 months post signing of the Fifth Oxford Agreement  £70,546 
12 months post signing of the Fifth Oxford Agreement  £70,546 
24 months post signing of the Fifth Oxford Agreement  £70,546 

 

Oxford License Agreement

 

On November 3, 2021, we enteredinto an exclusive license agreement with Oxford University Innovation Limited (“Oxford License Agreement”), pursuantto which we were granted the rights to certain patents related to the HMGB1 molecule for liver regeneration.

 

97

 

 

Pursuant to the Oxford LicenseAgreement, we agreed to the following payment terms:

 

Payment  Amount
Due
 
Past patent costs  £49,207 
License fee  £10,000 
Annual maintenance fee  £3,000 

 

Milestone  Amount
Due
 
Submission of IND  £25,000 
1st Subject dosed in Phase I studies for each product, each indication  £25,000 
1st Subject dosed in Phase II studies for each product, each indication  £100,000 
1st Subject dosed in Phase III studies for each product, each indication  £50,000 
Submission of New Drug Application for each product for each indication  £50,000 
Issued US patent, per patent  £5,000 
Receipt of Regulatory Approval in the United States for each product for each indication  £1,250,000 
Receipt of Regulatory Approval in the European Union or United Kingdom for each product for each indication  £550,000 
Receipt of Regulatory Approval in the Japan for each product for each indication  £150,000 
Aggregate Net Sales Exceed $5Bn  £10,000,000 
Aggregate Net Sales Exceed $10Bn  £50,000,000 

 

Net Sales (US$)  Royalty
Rate
 
< $250M   1.00%
$250M - $1B   2.00%
$1B - $10B   3.00%
> $10B   3.50%

 

Due to the ongoing costsof this research program and the need for the Company to focus its resources on the Company’s primary platform to treat fibrosisusing anti-TNF (tumor necrosis factor), the Board of Directors of the Company elected to terminate the Company’s HMGB1 licenseagreement with Oxford on September 22, 2023, and on September 22, 2023, the Company and Oxford entered into a termination letter, formallyterminating the License effective September 22, 2023. The termination letter also clarified amounts that we owed after termination ofthe License, including approximately $20,000 in unbilled fees. No material early termination penalties were incurred by the Company inconnection with the termination of the license.

 

Stanford License Agreement

 

On May 8, 2018, Katexco PharmaceuticalsCorp, a wholly-owned subsidiary of our wholly-owned subsidiary Katexco, entered into an option agreement (the “Stanford Option”) withthe Board of Trustees of the Leland Stanford Junior University (“Stanford”), pursuant to which Stanford granted Katexcoan option to acquire an exclusive license for the development and commercialization of certain inventions. In consideration for the StanfordOption, Katexco paid Stanford $10,000 (the “Option Payment”), creditable against the license issue fee agreement.

 

On July 25, 2018 (the “StanfordEffective Date”), Katexco exercised the Stanford Option, and entered into an exclusive license agreement (the “StanfordLicense Agreement”) with Stanford, pursuant to which Katexco was granted the rights to certain U.S. patents related to(i) alpha B-crystallin as a therapy for autoimmune demyelination and (ii) peptides as short as six amino acids that form amyloidfibrils that activate B-1 cells and macrophages and are anti-inflammatory and therapeutic in autoimmune and neurodegenerative diseases(the “Stanford Licensed Patents”). Through the Stanford License Agreement, Katexco established research facilitiesat Stanford. We will support the clinical development of the lead compound(s), culminating in Phase 1 and Phase 2 clinical trials toestablish potential clinical utility in ulcerative colitis indications.

 

98

 

 

Under the Stanford LicenseAgreement, no rights of Stanford, including intellectual property rights, are granted to Katexco other than those rights granted underthe Stanford Licensed Patents.

 

As consideration for thegrant of the Stanford Licensed Patents, Katexco paid Stanford an initial fee of $50,000, inclusive of the Option Payment. We also issued5,574 common shares to Stanford and provided a letter stating the value of such shares. A portion of the shares issued to Stanford werelater distributed to five individuals, including our Chief Scientific Officer and co-chairman.

 

Beginning upon the firstanniversary of the Stanford Effective Date and each anniversary thereafter, Katexco will pay Stanford an annual license maintenance feeof $20,000 on the first and second anniversaries and $40,000 on each subsequent anniversary. Furthermore, Katexco is obligated to makethe following payments, including (i) $100,000 upon initiation of Phase 2 trial, (ii) $500,000 upon the first FDA approvalof a product (the “Licensed Product”) resulting from the Stanford Licensed Patents, and (iii) $250,000 uponeach new Licensed Product thereafter. Royalties, calculated at 2.5% of net sales (calculated as gross revenue received by Katexco orits sublicensees, their distributors or designees, from the sale, transfer or other disposition of products based on the Stanford LicensedPatents minus 5%), will be payable to Stanford. In addition, Katexco has reimbursed Stanford $51,385 to offset the Stanford LicensedPatent’s patenting expenses and will reimburse Stanford for all Stanford Licensed Patent’s patenting expenses, includingany interference and or re-examination matters, incurred by Stanford after March 3, 2018.

 

We can terminate the StanfordLicense Agreement without cause by providing a 30-day notice. In the case of a change of control, upon the assignment of the StanfordLicense Agreement, Katexco is obligated to pay Stanford a $200,000 change of control fee. The Stanford License Agreement also providesStanford with the right to purchase for cash up to either (i) 10% or (ii) the percentage necessary for Stanford to maintainits pro rata ownership interest in Katexco, of Katexco’s equity securities issued in a private offering. The shares issued to Stanfordin connection with the Stanford License Agreement, gave Stanford and the five individuals who received a portion of the shares a totalownership of 2.11% in Katexco’s stock, prior to the July 2019, corporate restructuring completed between 180 and each of 180 LP,Katexco and CBR Pharma, pursuant to which 180 LP, Katexco and CBR Pharma became wholly-owned subsidiaries of 180LS (the “Reorganization”) underthe Business Corporations Act (British Columbia).

 

The Evotec Agreement

 

On June 7, 2018, our wholly-ownedsubsidiary Katexco entered into the Evotec Agreement with Evotec, a leading CRO, pursuant to which Evotec was retained to perform certainresearch services. Pursuant to the Evotec Agreement, the goal of the joint project (the “Evotec Project”) isto identify small molecules that pharmacologically stimulate the human ChrFam7a receptor and function. The Evotec Project is being conductedin two phases over a 24-month period where resources are allocated by the steering committee, which is controlled equally by the partiesto the Evotec Agreement, on a quarterly basis.

 

Subject to certain exemptionsdescribed in the Evotec Agreement, Katexco owns all intellectual property rights, conceived, invented, discovered or made by Evotec duringthe performance of its services, other than intellectual property rights owned or controlled by Evotec relating to its already existingtechnology and components to be used in the services to be provided under the Evotec Agreement.

 

The Evotec Agreement is subjectto a minimum payment of $4,937,500 and a maximum payment of $5,350,250 to Evotec. This program was paused in mid-2019 and the Companyis currently evaluating its options with regards to this program. As of December 31, 2022, we have made payments to Evotec in the amountof approximately $1.1 million.

 

The Petcanna Agreement

 

On August 20, 2018, we enteredinto a sublicense agreement with Petcanna Pharma Corp. (“Petcanna”), a private company which was founded by Prof.Sir Marc Feldmann (our Executive Co-Chairman), and Yissum (the “Petcanna Agreement”).

 

99

 

 

Under the Petcanna Agreement,we granted Petcanna an exclusive, worldwide, non-transferable, non-sublicensable sublicense to make commercial use of certain patentsrelated to cyclohexenyl compounds and listed in the Petcanna Agreement (the “Petcanna IP”) in order to develop,manufacture, market, distribute or sell products that incorporate the Petcanna IP in products that are intended for the treatment ofveterinary medical conditions, initially osteoarthritis.

 

As consideration for thesublicense, Petcanna agreed to issue to us approximately 9,000,000 of Petcanna’s common shares in the fourth quarter of 2018. Asof the date of this prospectus, Petcanna has not issued shares to any stockholder and has not commenced operations. We intend to retain85% of such shares and transfer 15% of such shares to Yissum. In the event that Yissum does not accept such shares, we will have an obligationto pay Yissum 15% of the-then current fair market value of such shares. Petcanna will also pay a 1% royalty to us on Petcanna’snet sales of products that incorporate the Petcanna IP.

 

All right, title and interestin and to the Petcanna IP, including any improvements to the Petcanna IP, will vest solely in our company.

 

Unless the parties to thePetcanna Agreement agree otherwise in writing, the Petcanna Agreement will terminate on the occurrence of the later of: (i) thedate of expiration of the last of the Petcanna IP, (ii) the date of the final expiration of exclusivity on any Product granted byany regulatory or government body, and (iii) the expiration of a continuous period of twenty (20) years during which therewas no First Commercial Sale of any product. The terms “Product” and “First Commercial Sale” apply as they aredefined in the Petcanna Agreement. Our ability to grant this sublicense to Petcanna is contingent upon (i) Yissum having the necessaryrights to the Hebrew Patent Applications assigned to it from all applicable parties, (ii) Yissum being able to grant a license tous per the terms of the Hebrew Agreement, and (iii) the Hebrew Patent Applications and any related resulting patents being validand maintained in good standing for the respective terms of the Hebrew Licensing Agreement and the Petcanna Agreement.

 

Kennedy License Agreement

 

On September 27, 2019, ourwholly-owned subsidiary 180 LP entered into an exclusive license agreement (the “Kennedy License Agreement”) withthe Kennedy Trust For Rheumatology Research (“Kennedy”), pursuant to which Kennedy granted to 180 LP an exclusivelicense in the United States, Japan and member countries of the European Union (including the United Kingdom), to certain licensed patents(the “Kennedy Licensed Patents”), including the right to grant sublicenses, and the right to research, develop, sellor manufacture any pharmaceutical product (i) whose research, development, manufacture, use, importation or sale would infringeon the Kennedy Licensed Patents absent the license granted under the Kennedy License Agreement or (ii) containing an antibody thatis a fragment of or derived from an antibody whose research, development, manufacture, use, importation or sale would infringe on theKennedy Licensed Patents absent the license granted under the Kennedy License Agreement, for all human uses, including the diagnosis,prophylaxis and treatment of diseases and conditions.

 

Under the Kennedy LicenseAgreement, Kennedy reserves the perpetual, irrevocable, non-exclusive, royalty-free, sublicensable, worldwide right for the Kennedy LicensedPatents and its affiliates, employees, students and other researchers to carry out any acts which would otherwise infringe on the KennedyLicensed Patents for the purposes of teaching and carrying out research and development, including the right to accept external sponsorshipfor such research and development and the right to grant sub-licenses for the same purposes.

 

As consideration for thegrant of the Kennedy Licensed Patents, 180 LP paid Kennedy an upfront fee of £60,000, and will also pay Kennedy royalties equalto (i) 1% of the net sales for the first annual $1 billion of net sales, and (ii) 2% of the net sales after the net sales areat or in excess of $1 billion, as well as 25% of all sublicense revenue, provided that the amount of such percentage of sublicense revenuebased on amounts which constitute royalties shall not be less than 1% on the first cumulative $1 billion of net sales of the productssold by such sublicenses or their affiliates, and 2% on that portion of the cumulative net sales of the products sold by such sublicensesor their affiliates in excess of $1 billion.

 

100

 

 

The term of the royaltiespaid to Kennedy will expire on the later of (i) the last valid claim of a patent included in the Kennedy Licensed Patents whichcovers or claims the exploitation of a product in the applicable country; (ii) the expiration of regulatory exclusivity for theproduct in the country; or (iii) 10 years from first commercial sale of the product in the country.

 

We may terminate the KennedyLicense Agreement without cause by providing 90-days’ notice.

 

Kinexum Agreement

 

On January 13, 2023, we enteredinto a contract with Kinexum in the ordinary course of business (the “MSA”). Pursuant to the MSA, Kinexum will provideassistance to us in connection with the Conditional Marketing Authorisation (CMA) and Marketing Approval Application (MAA) whichwe expect to submit to the MHRA in connection with our planned use of adalimumab to treat progressive early-stage Dupuytren’s disease.We do not anticipate significant costs related to the Kinexum agreement in 2024, as the Company is now required to complete a Phase 3trial in Dupuytren’s disease prior to submission of an MAA.

 

Consulting Agreements

 

The Consulting Agreementsare each described below.

 

Prof. Jagdeep NanchahalConsulting Agreement

 

On February 25, 2021, we(and CannBioRex Pharma Limited, which was added as a party to the agreement later), entered into a Consultancy Agreement dated February22, 2021, and effective December 1, 2020, with Prof. Jagdeep Nanchahal (as amended, the “Consulting Agreement”). Prof.Nanchahal has been providing services to us and/or our subsidiaries since 2014 and is currently a greater than 5% stockholder of theCompany and the Chairman of our Clinical Advisory Board.

 

On March 31, 2021, we enteredinto a first amendment to Consultancy Agreement with Prof. Jagdeep Nanchahal (the “First Nanchahal Amendment”), whichamended the Consultancy Agreement entered into with Prof. Nanchahal on February 25, 2021, to include CannBioRex Pharma Limited, a corporationincorporated and registered in England and Wales (“CannBioRex”), and an indirect wholly-owned subsidiary of the Company,as a party thereto, and to update the prior Consultancy Agreement to provide for cash payments due to Prof. Nanchahal to be paid by CannBioRex,for tax purposes, provide for CannBioRex to be party to certain other provisions of the agreement and to provide for the timing of certaincash bonuses due under the terms of the agreement.

 

Prof. Nanchahal is a surgeonscientist focusing on defining the molecular mechanisms of common diseases and translating his findings through to early phase clinicaltrials. He undertook his Ph.D., funded by the U.K. Medical Research Council, whilst a medical student in London and led a lab group fundedby external grants throughout his surgical training. After completing fellowships in microsurgery and hand surgery in the United Statesand Australia, he was appointed as a senior lecturer at Imperial College. His research is focused on promoting tissue regeneration bytargeting endogenous stem cells and reducing fibrosis. In 2013 his group identified anti-tumor necrosis factor (TNF) as therapeutictarget for Dupuytren’s Contracture, a common fibrotic condition of the hand. He is currently leading a Phase 2b clinical trialfunded by the Wellcome Trust and Department of Health to assess the efficacy of local administration of anti-TNF in patients with early-stageDupuytren’s Contracture and a clinical trial for patients with early-stage frozen shoulder. He is a proponent of evidence-basedmedicine and was the only plastic surgery member of the NICE Guidance Development Groups on complex and non-complex fractures. He wasa member of the group that wrote the Standards for the Management of Open Fractures published in 2020. This is an open-source publicationto facilitate the care of patients with these severe injuries.

 

101

 

 

Pursuant to the ConsultingAgreement, Prof. Nanchahal agreed, during the term of the agreement, to serve as a consultant to us and provide such services as theChief Executive Officer and/or our Board shall request from time to time, including but not be limited to: (1) conducting clinicaltrials in the fields of Dupuytren’s Contracture, frozen shoulder and post-operative delirium/cognitive decline; and (2) conductinglaboratory research in other fibrotic disorders, including fibrosis of the liver and lung (collectively, the “Services”).

 

In consideration for providingthe Services, we (through CannBioRex Pharma Limited) agreed to pay Prof. Nanchahal 15,000 British Pounds (GBP) per month (approximately$20,800) during the term of the agreement, increasing to GBP 23,000 (approximately $32,000) on the date (a) of publicationof the data from the phase 2b clinical trial for Dupuytren’s Contracture (RIDD) and (b) the date that we have successfullyraised over $15 million in capital. The fee will increase annually thereafter to reflect progression in other clinical trials and laboratoryresearch as approved by our Board. We also agreed to pay Prof. Nanchahal a bonus (“Bonus 1”) in the sum of GBP100,000 upon submission of the Dupuytren’s Contracture clinical trial data for publication in a peer-reviewed journal, which submissionoccurred in December 2021, and which bonus was paid in December 2021. In addition, for prior work performed, including completion ofthe recruitment to the RIDD (Dupuytren’s) trial, we agreed to pay Prof. Nanchahal GBP 434,673 (approximately $605,000) (“Bonus2”). At the election of Prof. Nanchahal, Bonus 2 shall be paid at least 50% (fifty percent) or more, as Prof. Nanchahalelects, in shares of our Common Stock, at a share price of $60.00 per share, or the share price on the date of the grant, whichever islower, with the remainder paid in GBP. Bonus 2 shall be deemed earned and payable upon us raising a minimum of $15 million in additionalfunding, through the sale of debt or equity, after December 1, 2020 (the “Vesting Date”) and shall not be accrued,due or payable prior to such Vesting Date. Bonus 2 shall be payable by us within 30 calendar days of the Vesting Date. Finally, Prof.Nanchahal shall receive another one-time bonus (“Bonus 3”) of GBP 5,000 (approximately $7,000) on enrollmentof the first patient to the phase 2 frozen shoulder trial, and another one-time bonus (“Bonus 4”) of GBP 5,000(approximately $7,000) for enrollment of the first patient to the phase 2 delirium/POCD trial. On March 30, 2021, we issued Prof.Nanchahal 5,035 shares of our Common Stock in lieu of GBP 217,337 and on April 15, 2021, we issued Prof. Nanchahal 1,886 shares of ourCommon Stock in lieu of GBP 82,588. We also waived the requirement for the Company having to raise $15 million in order for Prof. Nanchahalto agree to receive an aggregate of GBP 300,000 via the issuance of shares. Prof. Nanchahal agreed that the remaining GBP 134,673 thatis due pursuant to Bonus 2 shall be paid after we have raised a minimum of $15 million in additional funding. On August 23, 2021, atthe request of Prof. Nanchahal, we agreed to issue Prof. Nanchahal 3,077 shares of Common Stock in consideration for the remaining 31%(or 134,749 GBP, or $184,606) of Bonus 2, based on a $60.00 per share price. The shares were issued under our 2020 Omnibus IncentivePlan, which has been approved by stockholders.

 

Effective on April 27, 2022,we and CannBioRex entered into a Second Amendment to Consulting Agreement with Prof. Jagdeep Nanchahal (the “Second NanchahalAmendment”). Pursuant to the Second Nanchahal Amendment, Prof. Nanchahal agreed that upon acceptance of the data for the phase2b clinical trial for Dupuytren’s disease for publication (which occurred March 1, 2022, subject to editing and final approvals),his monthly fee was increased to