Blueprint
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
Form 10-Q
(Mark One)
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☑
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QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934
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For the quarterly period ended December 31, 2017
or
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☐
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934
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For the transition period from
to
.
Commission File Number: 001-37761
VistaGen Therapeutics, Inc.
(Exact name of registrant as specified in its charter)
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Nevada
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20-5093315
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(State or other jurisdiction of
incorporation or organization)
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(I.R.S. Employer
Identification No.)
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343 Allerton Avenue
South San Francisco, CA 94080
(Address of principal executive offices including zip
code)
(650) 577-3600
(Registrant’s telephone number, including area
code)
Indicate by check mark whether the registrant (1) has filed
all reports required to be filed by Section 13 or 15(d) of the
Securities Exchange Act of 1934 during the preceding 12 months
(or for such shorter period that the registrant was required to
file such reports), and (2) has been subject to such filing
requirements for the past 90 days. Yes ☒ No ☐
Indicate by check mark whether the registrant has submitted
electronically and posted on its corporate Web site, if any, every
Interactive Data File required to be submitted and posted pursuant
to Rule 405 of Regulation S-T (§232.405 of this
chapter) during the preceding 12 months (or for such shorter
period that the registrant was required to submit and post such
files). Yes ☒
No ☐
Indicate by check mark whether the registrant is a large
accelerated filer, an accelerated filer, a non-accelerated filer,
or a smaller reporting company. See the definitions of “large
accelerated filer,” “accelerated filer” and
“smaller reporting company” in Rule 12b-2 of the
Exchange Act.
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Large accelerated filer
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[ ]
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Accelerated filer
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[ ]
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Non-Accelerated filer
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[ ]
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Smaller reporting company
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[X]
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Emerging growth company
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[ ]
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(do not check if a smaller reporting company)
If an emerging growth company, indicate by check mark if the
registrant has elected not to use the extended transition period
for complying with any new or revised financial accounting
standards provided pursuant to Section 13(a) of the Exchange Act.
[ ]
Indicate by check mark whether the registrant is a shell company
(as defined in Rule 12b-2 of the Exchange Act). Yes
☐ No ☒
As of February 9, 2018, 22,902,615 shares of the registrant’s
common stock, $0.001 par value, were issued and
outstanding.
VistaGen Therapeutics, Inc.
Quarterly Report on Form 10-Q
for the Quarter Ended December 31, 2017
TABLE OF CONTENTS
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Page
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1
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2
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3
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4
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5
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16
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31
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31
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31
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66
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66
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67
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68
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PART I. FINANCIAL INFORMATION
Item 1. Condensed Consolidated Financial Statements
(Unaudited)
VISTAGEN THERAPEUTICS,
INC.
Condensed Consolidated Balance Sheets
Amounts
in Dollars
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ASSETS
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Current
assets:
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Cash
and cash equivalents
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$13,031,800
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$2,921,300
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Prepaid
expenses and other current assets
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940,400
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456,600
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Total
current assets
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13,972,200
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3,377,900
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Property
and equipment, net
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222,800
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286,500
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Security
deposits and other assets
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47,800
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47,800
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Total
assets
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$14,242,800
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$3,712,200
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LIABILITIES AND STOCKHOLDERS’ EQUITY
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Current
liabilities:
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Accounts
payable
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$509,300
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$867,300
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Accrued
expenses
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770,900
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443,000
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Current
notes payable
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43,700
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54,800
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Capital
lease obligations
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2,600
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2,400
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Total
current liabilities
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1,326,500
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1,367,500
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Non-current
liabilities:
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Accrued
dividends on Series B Preferred Stock
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2,344,400
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1,577,800
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Deferred
rent liability
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299,100
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139,200
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Capital
lease obligations
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10,000
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11,900
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Total
non-current liabilities
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2,653,500
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1,728,900
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Total
liabilities
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3,980,000
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3,096,400
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Commitments
and contingencies
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Stockholders’
equity:
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Preferred
stock, $0.001 par value; 10,000,000 shares authorized at December
31, 2017 and March 31, 2017:
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Series
A Preferred, 500,000 shares authorized, issued and outstanding at
December 31, 2017
and
March 31, 2017
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500
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500
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Series
B Preferred; 4,000,000 shares authorized at December 31, 2017 and
March 31, 2017;
1,160,240
shares issued and outstanding at December 31, 2017 and March 31,
2017
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1,200
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1,200
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Series
C Preferred; 3,000,000 shares authorized at December 31, 2017 and
March 31, 2017;
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2,318,012
shares issued and outstanding at December 31, 2017 and March 31,
2017
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2,300
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2,300
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Common
stock, $0.001 par value; 100,000,000 and 30,000,000 shares
authorized at December 31, 2017
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and March 31, 2017, respectively; 22,723,504 and 8,974,386 shares
issued and outstanding at
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December
31, 2017 and March 31, 2017, respectively
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22,700
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9,000
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Additional
paid-in capital
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166,669,200
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146,569,600
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Treasury
stock, at cost, 135,665 shares of common stock held at December 31,
2017 and March 31, 2017
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(3,968,100)
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(3,968,100)
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Accumulated
deficit
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(152,465,000)
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(141,998,700)
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Total
stockholders’ equity
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10,262,800
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615,800
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Total
liabilities and stockholders’ equity
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$14,242,800
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$3,712,200
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See accompanying notes to Condensed Consolidated Financial
Statements.
VISTAGEN THERAPEUTICS,
INC.
STATEMENT OF OPERATIONS
Amounts
in Dollars, except share amounts
UNAUDITED
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Three Months Ended December 31,
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Nine Months Ended December 31,
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Revenues:
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Sublicense
revenue
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$-
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$1,250,000
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$-
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$1,250,000
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Total
revenues
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-
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1,250,000
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-
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1,250,000
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Operating
expenses:
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Research
and development
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1,601,800
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1,611,000
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5,124,600
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4,042,800
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General
and administrative
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1,266,000
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2,276,600
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4,997,400
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4,907,800
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Total
operating expenses
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2,867,800
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3,887,600
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10,122,000
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8,950,600
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Loss
from operations
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(2,867,800)
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(2,637,600)
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(10,122,000)
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(7,700,600)
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Other
expenses, net:
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Interest
expense, net
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(2,000)
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(900)
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(7,700)
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(3,700)
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Loss
on extinguishment of accounts payable
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(135,000)
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-
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(135,000)
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-
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Loss
before income taxes
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(3,004,800)
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(2,638,500)
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(10,264,700)
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(7,704,300)
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Income
taxes
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-
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(2,400)
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(2,400)
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Net
loss and comprehensive loss
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(3,004,800)
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(2,638,500)
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(10,267,100)
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(7,706,700)
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Accrued
dividend on Series B Preferred stock
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(263,000)
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(237,700)
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(766,600)
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(1,018,500)
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Deemed
dividend from trigger of down round
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provision
feature
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(199,200)
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-
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(199,200)
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-
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Deemed
dividend on Series B Preferred Units
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-
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-
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-
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(111,100)
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Net
loss attributable to common stockholders
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$(3,467,000)
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$(2,876,200)
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$(11,232,900)
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$(8,836,300)
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Basic
and diluted net loss attributable to common
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stockholders
per common share
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$(0.25)
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$(0.34)
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$(1.03)
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$(1.23)
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Weighted
average shares used in computing basic
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and
diluted net loss attributable to common
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stockholders
per common share
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13,895,642
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8,381,824
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10,947,556
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7,181,307
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See accompanying notes to Condensed Consolidated Financial
Statements.
VISTAGEN THERAPEUTICS INC.
STATEMENT OF CASH FLOWS
Amounts in Dollars
UNAUDITED
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Nine Months Ended December 31,
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Cash
flows from operating activities:
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Net
loss
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$(10,267,100)
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$(7,706,700)
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Adjustments
to reconcile net loss to net cash used in operating
activities:
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Depreciation
and amortization
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65,300
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37,600
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Stock-based
compensation
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1,386,900
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573,900
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Expense related to modification of warrants, including
exchange of warrants
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for
common stock
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292,700
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427,500
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Amortization
of deferred rent
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159,900
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20,400
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Fair
value of common stock granted for services
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1,554,800
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1,217,500
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Fair
value of Series B Preferred stock granted for services
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-
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375,000
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Fair
value of warrants granted for services
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-
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240,300
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Loss
on extinguishment of accounts payable
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135,000
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-
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Changes
in operating assets and liabilities:
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Sublicense
fee receivable
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-
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(1,250,000)
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Prepaid
expenses and other current assets
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259,600
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22,000
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Accounts
payable and accrued expenses, including accrued
interest
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(41,800)
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74,200
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Net
cash used in operating activities
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(6,454,700)
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(5,968,300)
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Cash
flows from property and investing activities:
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Purchases
of equipment
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(1,600)
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(9,900)
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Net
cash used in investing activities
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(1,600)
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(9,900)
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Cash
flows from financing activities:
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Net
proceeds from issuance of common stock and warrants, including
Units
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16,721,900
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9,785,000
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Net
proceeds from issuance of Series B Preferred Units
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-
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278,000
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Repayment
of capital lease obligations
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(1,700)
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(800)
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Repayment
of notes payable
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(153,400)
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(140,500)
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Net
cash provided by financing activities
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16,566,800
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9,921,700
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Net
increase in cash and cash equivalents
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10,110,500
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3,943,500
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Cash
and cash equivalents at beginning of period
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2,921,300
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428,500
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Cash
and cash equivalents at end of period
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$13,031,800
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$4,372,000
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Supplemental
disclosure of noncash activities:
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Insurance
premiums settled by issuing note payable
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$142,400
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$117,500
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Accrued
dividends on Series B Preferred
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$766,600
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$780,800
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Accrued
dividends on Series B Preferred settled upon conversion by
issuance
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of
common stock
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$-
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$1,768,800
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Deemed
dividend from trigger of down round provision feature
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$199,200
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$-
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See accompanying notes to Condensed Consolidated Financial
Statements.
VISTAGEN THERAPEUTICS, INC.
CONSOLIDATED STATEMENT OF STOCKHOLDERS EQUITY
FOR THE NINE MONTHS ENDED DECEMBER 31, 2017
AMOUNTS IN DOLLARS, except shares
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Balances at March 31, 2017
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500,000
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$500
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1,160,240
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$1,200
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2,318,012
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$2,300
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8,974,386
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$9,000
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$146,569,600
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$(3,968,100)
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$(141,998,700)
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$615,800
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Proceeds from sale of common stock and warrants for cash in
September
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2017
Public Offering, net of underwriting discount and
expenses
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-
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-
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-
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-
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-
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-
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1,371,430
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1,300
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2,023,200
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-
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-
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2,024,500
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Proceeds from sale of common stock and warrants for cash in
December
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2017
Public Offering, net of underwriting discount and
expenses
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-
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-
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-
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-
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-
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-
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10,000,000
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10,000
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13,614,000
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-
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-
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13,624,000
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Proceeds from sale of common stock and warrants for cash
in
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private
placement offerings
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-
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-
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-
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-
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-
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-
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616,323
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600
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1,072,600
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-
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-
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1,073,200
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Accrued
dividends on Series B Preferred stock
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-
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-
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-
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-
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-
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-
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-
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-
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(766,600)
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-
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-
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(766,600)
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Stock-based
compensation expense
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-
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-
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-
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-
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-
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-
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-
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-
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1,386,900
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-
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-
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1,386,900
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Fair
value of common stock granted for services
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-
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-
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-
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-
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-
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-
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1,072,500
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1,100
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1,693,100
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-
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-
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1,694,200
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Fair
value of common stock granted in settlement of accounts
payable
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-
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-
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-
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-
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-
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-
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500,000
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500
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584,500
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-
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-
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585,000
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Increase
in fair value attributable to warrant modifications
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-
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-
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-
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-
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-
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-
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-
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-
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292,700
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-
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-
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292,700
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Deemed
dividend from trigger of down round provision feature
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-
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-
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-
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-
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-
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-
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-
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-
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199,200
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-
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(199,200)
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-
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Proceeds
from exercise of warrants
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-
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-
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-
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-
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-
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-
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188,865
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200
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-
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-
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-
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200
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Net
loss for the nine months ended December 31, 2017
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-
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-
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-
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-
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-
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-
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-
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-
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-
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-
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(10,267,100)
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(10,267,100)
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Balances at December 31, 2017
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500,000
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$500
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1,160,240
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$1,200
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2,318,012
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$2,300
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22,723,504
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$22,700
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$166,669,200
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$(3,968,100)
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$(152,465,000)
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$10,262,800
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See accompanying notes to Condensed Consolidated Financial
Statements.
VISTAGEN THERAPEUTICS,
INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited)
Note 1. Description of Business
Overview
VistaGen Therapeutics, Inc. (NASDAQ: VTGN), a Nevada corporation,
is a clinical-stage biopharmaceutical company focused on developing
new generation medicines for depression and other central nervous
system (CNS) disorders.
AV-101 is our oral CNS product candidate in Phase 2 clinical
development in the United States, initially as a new generation
adjunctive treatment for Major Depressive Disorder
(MDD) in patients with an inadequate response to
standard antidepressants approved by the U.S. Food and Drug
Administration (FDA). AV-101’s mechanism of action
(MOA) involves both NMDA (N-methyl-D-aspartate) and
AMPA (alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid)
receptors in the brain responsible for fast excitatory synaptic
activity throughout the CNS. AV-101’s MOA is
fundamentally different from all standard FDA-approved
antidepressants, as well as all atypical antipsychotics, such as
aripiprazole, often used adjunctively with standard
antidepressants. We believe AV-101 also has potential to treat
several additional CNS indications where modulation of the
NMDA receptors, activation of AMPA pathways and/or key active
metabolites of AV-101 may achieve therapeutic
benefit, including, among
others, as a non-opioid alternative for neuropathic pain and for
Parkinson’s disease levodopa -induced dyskinesia
(PD
LID).
Clinical studies conducted at the U.S. National Institute of Mental
Health (NIMH), part of the U.S. National Institutes of Health
(NIH), by Dr. Carlos Zarate, Jr., Chief of the
NIMH’s Experimental Therapeutics & Pathophysiology Branch
and its Section on Neurobiology and Treatment of Mood and Anxiety
Disorders, have focused on the antidepressant effects of ketamine
hydrochloride injection (ketamine), an ion-channel blocking NMDA receptor
antagonist approved by the FDA as an anesthetic, in MDD patients
with inadequate responses to multiple standard antidepressants.
These NIMH studies, as well as clinical research at Yale University
and other academic institutions in the U.S., have demonstrated
ketamine’s robust antidepressant effects in
treatment-resistant MDD patients within twenty-four hours of a
single sub-anesthetic dose administered by intravenous
(IV) injection.
We believe orally administered AV-101 may have potential to deliver
ketamine-like antidepressant effects, without ketamine’s
psychological side effects and other safety concerns, and without
the need for IV administration. As published in the October 2015
issue of the peer-reviewed, Journal of Pharmacology and
Experimental Therapeutics, in an article titled, The prodrug 4-chlorokynurenine
causes ketamine-like antidepressant effects, but not side effects,
by NMDA/glycineB-site inhibition, using well-established preclinical models of
depression, AV-101 was shown to induce fast-acting, dose-dependent,
persistent and statistically significant antidepressant-like
responses following a single treatment. These responses were
equivalent to those seen with a single sub-anesthetic control dose
of ketamine. In addition, these studies confirmed that the
fast-acting antidepressant effects of AV-101 were mediated through
both inhibiting the glycine binding (GlyB) site of the NMDA receptor and activating the
AMPA receptor pathway in the brain.
In October 2017, we received FDA authorization to launch our
180-patient Phase 2 multi-center, multi-dose, double blind,
placebo-controlled efficacy and safety study of AV-101 as a new
generation adjunctive treatment for MDD patients with an inadequate
therapeutic response to standard, FDA-approved antidepressants
(the AV-101 MDD Phase 2 Adjunctive
Treatment Study ,
and in December 2017 the FDA granted Fast Track Designation to
AV-101 for development as a potential adjunctive treatment for
MDD. We intend to launch the AV-101 MDD Phase 2 Adjunctive
Treatment Study in the first quarter of 2018 with Dr. Maurizio
Fava, Professor of Psychiatry at Harvard Medical School and
Director, Division of Clinical Research, Massachusetts General
Hospital (MGH) Research Institute, as the Principal
Investigator. Dr. Fava was the co-Principal Investigator with
Dr. A. John Rush of the STAR*D study, the largest clinical trial
conducted in depression to date, whose findings were published in
journals such as the New England Journal of
Medicine (NEJM) and the Journal of the American
Medical Association (JAMA). We expect top line results of the AV-101 MDD
Phase 2 Adjunctive Treatment Study to be available in the first
half of 2019. In addition, pursuant to our Cooperative
Research and Development Agreement (CRADA) with the NIMH, the NIMH is currently funding,
and Dr. Zarate, as Principal Investigator, and his team are
currently conducting, a small Phase 2 clinical study of AV-101 as a
monotherapy in subjects with treatment-resistant MDD
(the NIMH AV-101 MDD Phase 2
Monotherapy Study).
VistaStem Therapeutics (VistaStem) is our wholly owned subsidiary focused on
applying human pluripotent stem cell (hPSC) technology to discover, rescue, develop and
commercialize (i) proprietary new chemical entities
(NCEs) for CNS and other diseases and (ii) regenerative
medicine (RM) involving hPSC-derived blood, cartilage, heart
and liver cells. Our internal drug rescue programs are
designed to utilize CardioSafe
3D, our customized cardiac
bioassay system, to develop small molecule NCEs for our
pipeline. To advance potential RM applications of our cardiac
stem cell technology, in December 2016, we exclusively sublicensed
to BlueRock Therapeutics LP, a next generation RM company
established by Bayer AG and Versant Ventures (BlueRock
Therapeutics), rights to
certain proprietary technologies relating to the production of
cardiac stem cells for the treatment of heart disease
(the BlueRock
Agreement). In a manner
similar to our exclusive sublicense agreement with BlueRock
Therapeutics, we may pursue additional RM collaborations or
out-licensing transactions involving blood, cartilage, and/or liver
cells derived from hPSCs for (A) cell-based therapy, (B) cell
repair therapy, and/or (C) tissue engineering.
Subsidiaries
As noted above, VistaStem is our wholly-owned subsidiary. Our
Condensed Consolidated Financial Statements in this Quarterly
Report on Form 10-Q (Report) also include the accounts of VistaStem’s
two wholly-owned inactive subsidiaries, Artemis Neuroscience, Inc.,
a Maryland corporation, and VistaStem Canada, Inc., a corporation
organized under the laws of Ontario, Canada.
Note 2. Basis of Presentation
The accompanying unaudited Condensed Consolidated Financial
Statements have been prepared in accordance with accounting
principles generally accepted in the United States
(U.S.
GAAP) for interim financial
information and with the instructions to Form 10-Q and
Rule 8-03 of Regulation S-X. Accordingly, they do not contain
all of the information and footnotes required for complete
consolidated financial statements. In the opinion of management,
the accompanying unaudited Condensed Consolidated Financial
Statements reflect all adjustments, which include only normal
recurring adjustments, necessary to present fairly our interim
financial information. The accompanying Condensed Consolidated
Balance Sheet at March 31, 2017 has been derived from our audited
consolidated financial statements at that date but does not include
all disclosures required by U.S. GAAP. The operating results
for the three and nine months ended December 31, 2017 are not
necessarily indicative of the operating results to be expected for
our fiscal year ending March 31, 2018, or for any other future
interim or other period.
The accompanying unaudited Condensed Consolidated Financial
Statements and notes to Condensed Consolidated Financial Statements
should be read in conjunction with our audited Consolidated
Financial Statements for our fiscal year ended March 31, 2017
contained in our Annual Report on Form 10-K, as filed with the
Securities and Exchange Commission (SEC) on June 29, 2017.
The accompanying unaudited Condensed Consolidated Financial
Statements have been prepared assuming we will continue as a going
concern. As a company having not yet developed commercial products
or achieved sustainable revenues, we have experienced recurring
losses and negative cash flows from operations resulting in a
deficit of $152.5 million accumulated from inception (May 1998)
through December 31, 2017. We expect losses and negative cash flows
from operations to continue for the foreseeable future as we engage
in further development of AV-101, initially as an adjunctive
treatment for MDD, and subsequently as a potential new treatment
alternative for other CNS-related conditions, as well as exploring
and potentially executing drug rescue and development opportunities
using CardioSafe 3D.
From our inception through December 31, 2017, we have financed our
operations and technology acquisitions primarily through the
issuance and sale of our equity and debt securities for cash
proceeds of approximately $61.4 million, as well as from an
aggregate of approximately $17.6 million of government research
grant awards, strategic collaboration payments, intellectual
property sublicensing and other revenues. We have also issued
equity securities with an approximate value at issuance of $33.6
million in non-cash settlements of certain liabilities, including
liabilities for professional services rendered to us or as
compensation for such services. Additionally, pursuant to our
February 2015 CRADA with the NIH, substantial ongoing Phase 2
clinical development activities relating to the NIMH AV-101
MDD Phase 2 Monotherapy Study are being sponsored in full, at no
cost to us other than supplying clinical trial material, by the
NIMH under the direction of Dr. Carlos Zarate Jr. as Principal
Investigator.
At
December 31, 2017, we had a cash and cash equivalents balance of
$13.0 million. We believe this amount is sufficient to enable us to
fund our planned operations for at least 12 months following the
issuance of the financial statements included in this
Report.
In December 2017, we completed an underwritten public offering of
shares of our common stock and warrants to purchase shares of our
common stock at a combined public offering price of $1.50 per share
and related warrant under our Registration Statement on Form S-1
(Registration No. 333-221009), resulting in gross proceeds of $15.0
million (the December 2017 Public
Offering). In September 2017,
we completed an underwritten public offering pursuant to which we
offered and sold shares of our common stock and warrants resulting
in gross proceeds of approximately $2.4 million (the
September 2017
Public Offering) under our
Registration Statement on Form S-3 (Registration No. 333-215671)
(the S-3
Registration Statement). (See
Note 7, Capital Stock,
for additional information regarding
the December 2017 Public Offering and the September 2017 Public
Offering.) Subject to certain restrictions, the S-3 Registration
Statement remains available for future sales of our equity
securities in one or more public offerings from time to time. While
we may make additional sales of our equity securities under the S-3
Registration Statement, we do not have an obligation to do so. As
we have been in the past, we expect that, if necessary, we will be
successful in raising additional capital from the sale of our
equity securities either in one or more public offerings or in one
or more private placement transactions with individual accredited
investors or institutions.
In addition to the sale of our equity securities, we may also seek
to enter additional research and development collaborations that
could generate revenue or provide substantial funding for
development of AV-101 and additional product candidates. We may
also seek additional government grant awards or agreements similar
to our current CRADA with the NIMH, which provides for the NIMH to
fully fund the NIMH AV-101 MDD Phase 2 Monotherapy Study. Such
strategic collaborations may provide non-dilutive resources to
advance our strategic initiatives while reducing a portion of our
future cash outlays and working capital requirements. In a manner
similar to the BlueRock Agreement, we may also pursue similar
arrangements with third-parties covering other of our intellectual
property. Although we may seek additional collaborations with the
U.S. government or other third-parties that could generate revenue
and/or non-dilutive funding for development of AV-101 and other
product candidates and technologies, as well as new government
grant awards and/or agreements similar to our CRADA with NIMH, no
assurance can be provided that any such collaborations, awards or
agreements will occur in the future.
Our future working capital requirements will depend on many
factors, including, without limitation, the scope and nature of
opportunities related to our success and the success of certain
other companies in clinical trials, including our development and
commercialization of AV-101, initially as an adjunctive treatment
for MDD, and as a potential treatment option for other CNS
conditions, as well as various potential applications of our stem
cell technology platform, the availability of, and our ability to
obtain, government grant awards and agreements, and our ability to
enter into collaborations on terms acceptable to us. To further
advance the clinical development of AV-101 and opportunities
related to our stem cell technology platform, as well as support
our operating activities, we plan to continue to carefully manage
our routine operating costs, including our employee headcount and
related expenses, as well as costs relating to regulatory
consulting, contract research and development, investor relations
and corporate development, legal, acquisition and protection of
intellectual property, public company compliance and other
professional services and operating costs.
Notwithstanding the foregoing, there can be no assurance that, if
needed, future financing will be available in sufficient amounts,
in a timely manner, or on terms acceptable to us, if at all. If we
are unable to obtain substantial additional financing on a timely
basis when needed, our business, financial condition, and results
of operations may be harmed, the price of our stock may decline, we
may be required to reduce, defer, or discontinue certain of our
research and development activities and we may not be able to
continue as a going concern. As noted above, these
Condensed Consolidated Financial Statements do not include any
adjustments that might result from the negative outcome of this
uncertainty.
Note 3. Summary of Significant Accounting
Policies
Use of Estimates
The preparation of financial statements in conformity with
U.S. GAAP requires management to make estimates and
assumptions that affect the reported amounts of assets and
liabilities, the disclosure of contingent assets and liabilities at
the date of the financial statements, and the reported amounts of
revenues and expenses during the reporting period. Actual results
could differ from those estimates. Significant estimates
include those relating to share-based compensation, and assumptions
that have been used historically to value warrants and warrant
modifications. With the exception of the $1.25 million of
sublicense revenue recorded in the quarter ended December 31, 2016
under the BlueRock Agreement, we do not currently have, nor have we
had during the periods covered by this report, any arrangements
requiring the recognition of revenue.
Research and Development Expenses
Research and development expenses are composed of both internal and
external costs. Internal costs include salaries and
employment-related expenses of our scientific personnel and direct
project costs. External research and development expenses consist
primarily of costs associated with nonclinical and clinical
development of AV-101, now in Phase 2 clinical development,
initially for MDD, stem cell technology-related research and
development costs, and costs related to the filing, maintenance and
prosecution of patents and patent applications, technology licenses
and protection of other intellectual property. All such costs are
charged to expense as incurred.
Stock-Based Compensation
We recognize compensation cost for all stock-based awards to
employees or consultants based on the grant date fair value of the
award. Non-cash stock-based compensation expense is recognized over
the period during which the employee or consultant is required to
perform services in exchange for the award, which generally
represents the scheduled vesting period. We have no awards with
market or performance conditions. For equity awards to
non-employees, we re-measure the fair value of the awards as they
vest and the resulting change in value is recognized as an expense
during the period over which the services are
performed.
The table below summarizes stock-based compensation expense
included in the accompanying Condensed Consolidated Statements of
Operations and Comprehensive Loss for the three and nine months
ended December 31, 2017 and 2016.
|
|
|
|
December 31,
|
December 31,
|
|
|
|
|
|
|
|
|
|
|
Research
and development expense:
|
|
|
|
|
Stock
option grants
|
$299,100
|
$113,900
|
$627,400
|
$239,900
|
|
299,100
|
113,900
|
627,400
|
239,900
|
General
and administrative expense:
|
|
|
|
|
Stock
option grants
|
390,200
|
153,300
|
759,500
|
334,000
|
|
390,200
|
153,300
|
759,500
|
334,000
|
Total
stock-based compensation expense
|
$689,300
|
$267,200
|
$1,386,900
|
$573,900
|
In April 2017, our Board approved the grant of options to purchase
an aggregate of 880,000 shares of our common stock at an exercise
price of $1.96 per share to the independent members of our Board,
our officers and our employees. In September 2017, our stockholders
approved an amendment to our 2016 Amended and Restated Stock
Incentive Plan (the 2016 Plan) to increase the number of shares issuable
thereunder from 3.0 million shares to 10.0 million shares.
Following that approval, our Board authorized the grant of options
to purchase an aggregate of 770,000 shares of our common stock at
an exercise price of $1.56 per share to the independent members of
our Board, our officers, employees and certain consultants. We
valued the options granted in April 2017 and September 2017 using
the Black-Scholes Option Pricing Model and the following weighted
average assumptions:
Assumption:
|
|
|
Market
price per share at grant date
|
$1.96
|
$1.56
|
Exercise
price per share
|
$1.96
|
$1.56
|
Risk-free
interest rate
|
2.02%
|
1.99%
|
Contractual
or estimated term in years
|
6.48
|
6.70
|
Volatility
|
83.24%
|
92.29%
|
Dividend
rate
|
0.0%
|
0.0%
|
Shares
|
880,000
|
770,000
|
|
|
|
Fair Value per share
|
$1.42
|
$1.20
|
In June 2016, our Board approved the grant of options to purchase
an aggregate of 655,000 shares of our common stock at an exercise
price of $3.49 per share to the independent members of our Board
and to our officers, including our then-newly-hired Chief Medical
Officer. In September 2016, the Board approved the grant of an
option to purchase 125,000 shares of our common stock at an
exercise price of $4.27 per share to another then-newly-hired
officer. We valued the options granted in June 2016 and September
2016 using the Black-Scholes Option Pricing Model and the following
weighted average assumptions:
Assumption:
|
|
|
Market
price per share at grant date
|
$3.49
|
$4.27
|
Exercise
price per share
|
$3.49
|
$4.27
|
Risk-free
interest rate
|
1.34%
|
1.29%
|
Contractual
or estimated term in years
|
6.68
|
6.25
|
Volatility
|
81.69%
|
83.26%
|
Dividend
rate
|
0.0%
|
0.0%
|
Shares
|
655,000
|
125,000
|
|
|
|
Fair Value per share
|
$2.50
|
$3.05
|
At December 31, 2017, there were stock options outstanding to
purchase 3,279,871 shares of our common stock at a weighted average
exercise price of $3.23 per share.
See
Note 9, Subsequent Events,
for information regarding option grants made during February
2018.
Comprehensive Loss
We have no components of other comprehensive loss other than net
loss, and accordingly our comprehensive loss is equivalent to our
net loss for the periods presented.
Income (Loss) per Common Share
Basic
net income (loss) per share of
common stock excludes the effect of dilution and is computed by
dividing net income (loss) by
the weighted-average number of shares of common stock outstanding
for the period. Diluted net income
(loss) per share of common stock reflects the potential
dilution that could occur if securities or other contracts to issue
shares of common stock were exercised or converted into shares of
common stock.
As a result of our net loss for the periods presented,
potentially dilutive securities were excluded from the computation
of net loss per share, as their effect would be antidilutive. For
the three and nine-month periods ended December 31, 2017 and 2016,
the accrual for dividends on our Series B 10% Convertible Preferred
Stock (Series B Preferred)
is treated as a deduction from our net loss to arrive at net loss
attributable to common stockholders for those periods.
Additionally, in 2017, the deemed dividend attributable to the
trigger of the down round provision feature, and, in 2016, the
deemed dividend attributable to our sale and issuance of Series B
Preferred Units, each consisting of one share of Series B Preferred
and a five-year warrant to purchase one share of our common stock
for $7.00, each represent further deductions from our net loss to
arrive at net loss attributable to common stockholders for those
periods.
Potentially
dilutive securities excluded in determining diluted net loss
attributable to common stockholders per common share are as
follows:
|
|
|
|
|
|
|
|
Series A Preferred stock issued and
outstanding (1)
|
750,000
|
750,000
|
Series B Preferred stock issued and
outstanding (2)
|
1,160,240
|
1,160,240
|
Series C Preferred stock issued and
outstanding (3)
|
2,318,012
|
2,318,012
|
Outstanding
options under the Amended and Restated 2016 (formerly 2008) and
1999 Stock Incentive Plans
|
3,279,871
|
1,659,324
|
Outstanding
warrants to purchase common stock
|
16,918,292
|
4,550,370
|
Total
|
24,426,415
|
10,437,946
|
____________
|
|
|
|
|
(1) Assumes exchange under the
terms of the October 11, 2012 Note Exchange and Purchase Agreement,
as amended
|
(2) Assumes exchange under the
terms of the Certificate of Designation of the Relative Rights and
Preferences of the Series B 10% Convertible Preferred Stock,
effective May 5, 2015
|
(3) Assumes exchange under the
terms of the Certificate of Designation of the Relative Rights and
Preferences of the Series C Convertible Preferred Stock, effective
January 25, 2016
|
Fair Value Measurements
We do not use derivative instruments for hedging of market risks or
for trading or speculative purposes. We carried no assets or
liabilities at fair value at December 31, 2017 or March 31,
2017.
Recent Accounting Pronouncements
Except
as described below, there have been no recent accounting
pronouncements or changes in accounting pronouncements during the
nine months ended December 31, 2017, as compared to the recent
accounting pronouncements described in our Form 10-K for the fiscal
year ended March 31, 2017, that are of significance or potential
significance to us.
In July
2017, the Financial Accounting Standards Board (FASB) issued Accounting Standards
Update (ASU) 2017-11,
“Earnings Per Share (Topic 260); Distinguishing Liabilities
from Equity (Topic 480); Derivatives and Hedging (Topic 815): Part
I: Accounting for Certain Financial Instruments with Down Round
Features; Part II: Replacement of the Indefinite Deferral for
Mandatorily Redeemable Financial Instruments of Certain Nonpublic
Entities and Certain Mandatorily Redeemable Noncontrolling
Interests with a Scope Exception” (ASU 2017-11). Part I of this ASU
provides that an entity will no longer have to consider “down
round” features (i.e., a provision in an equity-linked
financial instrument, such as a free-standing warrant, or an
embedded feature, such as a conversion option in a convertible
instrument, that reduces the exercise price of such instrument if
the entity subsequently sells stock for a lower price or issues an
equity-linked instrument with a lower exercise price) when
determining whether certain equity-linked financial instruments or
embedded features are indexed to its own stock. The definition of a
down round feature in ASU 2017-11 excludes standard anti-dilution
provisions related to changes in an entity’s capital
structure. Accounting Standards Codification Topic 815-40,
“Derivatives and Hedging–Contracts in Entity’s
Own Equity” (ASC
815-40) requires that a freestanding equity-linked financial
instrument be indexed to the issuer’s own stock to be
classified as equity. An equity-linked embedded feature that meets
the definition of a derivative may avoid bifurcation and derivative
accounting if it is indexed to the issuer’s own stock. Under
the terms of prior guidance, a freestanding financial instrument or
embedded feature was not considered indexed to the issuer’s
own stock if it had a down round provision. Consequently, the
freestanding financial instrument was classified as a liability (or
asset), and if it met the definition of a derivative, was measured
at fair value with changes in fair value recorded through earnings.
Similarly, an embedded feature was bifurcated and separately
accounted for as a derivative if it met all other criteria for
bifurcation under ASC 815-40. The bifurcated embedded feature was
also measured at fair value through earnings. Under the provisions
of ASU 2017-11, an entity that presents earnings per share
(EPS) under Accounting
Standards Codification Topic 260, “Earnings Per Share”
will recognize the effect of a down round feature in a freestanding
equity-classified financial instrument only when it is triggered.
The effect of triggering such a feature will be recognized as a
dividend and a reduction to income available to common shareholders
in basic EPS. The new guidance requires new disclosures for
financial instruments with down round features and other terms that
change conversion or exercise prices. Part I of ASU 2017-11 is
effective for fiscal years beginning after December 15, 2018, and
interim periods therein, however early adoption is permitted. We
early-adopted ASU 2017-11 effective with our quarter ended
September 30, 2017 and applied its guidance to certain of the
warrants issued in the September 2017 Public Offering, as described
more completely in Note 7, Capital
Stock. No retrospective adjustments to our financial
statements were required as a result of our adoption of ASU
2017-11.
In
February 2016, the FASB issued ASU No. 2016-2,
“Leases.” This ASU requires substantially all leases,
including operating leases, to be recognized by lessees on their
balance sheet as a right-of-use asset and corresponding lease
liability. This ASU is effective for our interim and annual
reporting periods beginning April 1, 2019 and early adoption is
permitted. We are currently evaluating the impact that the adoption
of this ASU will have on our financial statements.
In
March 2016, the FASB issued ASU No. 2016-09, “Improvements to
Employee Share-Based Payment Accounting,” which simplified
several aspects of the accounting for share-based payments,
including immediate recognition of all excess tax benefits and
deficiencies in the income statement, changing the threshold to
qualify for equity classification up to the employees’
maximum statutory tax rates, allowing an entity-wide accounting
policy election to either estimate the number of awards that are
expected to vest or account for forfeitures as they occur, and
clarifying the classification on the statement of cash flows for
the excess tax benefit and employee taxes paid when an employer
withholds shares for tax-withholding purposes. This ASU became
effective for our interim and annual reporting periods beginning
April 1, 2017, and the adoption of this standard did not have a
material impact on our financial statements. Pursuant to our
adoption of this standard, we elected to account for the impact of
option forfeitures as they occur.
Note 4. Prepaid Expenses and Other Current
Assets
Prepaid expenses and other current assets are composed of the
following at December 31, 2017 and March 31, 2017:
|
|
|
|
|
|
|
|
|
AV-101
materials and services
|
$770,500
|
$352,800
|
Insurance
|
72,300
|
85,800
|
Professional
services
|
48,000
|
-
|
Public
offering expenses
|
25,900
|
11,600
|
All
other
|
23,700
|
6,400
|
|
$940,400
|
$456,600
|
Note 5. Accrued Expenses
Accrued expenses are composed of the following at December 31, 2017
and March 31, 2017:
|
|
|
|
|
|
|
|
|
Accrued
AV-101 development and related expenses
|
$565,700
|
$402,400
|
Accrued
professional services
|
97,100
|
37,000
|
Accrued
compensation
|
105,000
|
-
|
All
other
|
3,100
|
3,600
|
|
$770,900
|
$443,000
|
Note 6. Notes Payable
The following table summarizes our unsecured promissory notes at
December 31, 2017 and March 31, 2017.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7.95%
and 8.25% Notes payable to insurance
|
|
|
|
|
|
|
premium
financing company (current)
|
$43,700
|
$-
|
$43,700
|
$54,800
|
$-
|
$54,800
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
notes payable to unrelated parties
|
$43,700
|
$-
|
$43,700
|
$54,800
|
$-
|
$54,800
|
less:
current portion
|
(43,700)
|
-
|
(43,700)
|
(54,800)
|
-
|
(54,800)
|
Net
non-current portion
|
$-
|
$-
|
$-
|
$-
|
$-
|
$-
|
In May 2017, we executed a 7.95% promissory note
in the principal amount of $142,400 in connection with insurance
policy premiums. The note is payable in monthly installments of
$14,800, including principal and interest, through March 2018, and
had a remaining outstanding balance of $43,700 at December 31,
2017. In February 2017, we executed a promissory note in the
principal amount of $60,700 in connection with other insurance
policy premiums. That note was payable in monthly installments of
$6,300, including principal and interest, and was paid in full at
December 31, 2017.
Note 7. Capital Stock
At our
Annual Meeting of Stockholders on September 15, 2017, as approved
by and recommended to our stockholders by our Board of Directors,
our stockholders approved an amendment to our Restated and Amended
Articles of Incorporation to increase the authorized number of
shares of common stock that we may issue from 30.0 million shares
to 100.0 million shares. The amendment became effective on
September 15, 2017, upon our filing of a certificate of amendment
with the Nevada Secretary of State.
Common Stock and Warrants Issued in December 2017
Underwritten Public
Offering
On December 13, 2017, we completed the December 2017 Public
Offering, resulting in gross proceeds of $15.0 million, pursuant to
which we offered and sold shares of our common stock and warrants
to purchase shares of our common stock at a combined public
offering price of $1.50 per shares and related warrant. We issued
an aggregate of 10,000,000 shares of our common stock and warrants
to purchase up to 10,000,000 shares of our common stock at an
exercise price of $1.50 per share (the December 2017 Offering
Warrants). The common stock and
the shares of common stock underlying the December 2017 Offering
Warrants issued in the December 2017 Public Offering were offered,
issued and sold pursuant to our Registration Statement on Form S-1
(Registration No. 333-221009) that was declared effective by
the Securities and Exchange Commission (the Commission) on December 11, 2017.
The December 2017 Offering Warrants
are exercisable at any time through December 13, 2022, have no
anti-dilution or other exercise price or share reset features,
except as is customary with respect to a change in our capital
structure in the event of a stock split or dividend, and do not
contain any cashless exercise features as long as our Registration
Statement on Form S-1 (Registration No. 333-221009) is effective.
Accordingly, we have accounted for the December 2017 Offering
Warrants as equity warrants. We received net proceeds of
approximately $13.6 million from the December 2017 Public Offering,
after deducting underwriter’s commission and other expenses
related to the offering.
Common Stock and Warrants Issued in September 2017
Underwritten Public
Offering
On September 6, 2017, we completed the September 2017 Public
Offering, resulting in gross proceeds of approximately $2.4
million, pursuant to which we offered and sold shares of our common
stock and warrants to two of our existing institutional investors.
We issued an aggregate of 1,371,430 shares of our common stock,
Series A1 Warrants to purchase up to 1,388,931 shares of common
stock and Series A2 Warrants to purchase up to 503,641 of common
stock (collectively, the Warrants), each exercisable for $1.82 per share in the
September 2017 Public Offering. The Series A1 Warrants will be
exercisable by the investors for a five-year period commencing on
March 7, 2018, and the Series A2 Warrants were immediately
exercisable at any time through September 6, 2022. The common stock
and the shares of common stock underlying the Warrants issued in
the September 2017 Public Offering were offered, issued and sold
pursuant to our S-3 Registration Statement (Registration No.
333-215671) that had previously been declared effective by
the Commission to cover this and potential future sales of our
equity securities in one or more public offerings from time to
time. We received net proceeds of
approximately $2.0 million from the September 2017 Public Offering,
after deducting underwriter’s commission and other expenses
related to the offering.
The Series A1 Warrants to purchase an aggregate of 1,388,931 shares
of our common stock issued in the September 2017 Public Offering
have no anti-dilution or other exercise price or share reset
features, except as is customary with respect to a change in our
capital structure in the event of a stock split or dividend, and,
accordingly, we have accounted for them as equity warrants.
The Series A2 Warrants to purchase an aggregate of 503,641
shares of our common stock contained anti-dilution protection
provisions that became effective upon the issuance of common stock
in the December 2017 Public Offering at a price below their
then-current $1.82 per share exercise price. The anti-dilution
protection provisions in the Series A2 Warrants constituted a down
round feature subject to the guidance in ASU 2017-11. Since the
Series A2 Warrants contained no other provisions which required
their treatment as liability warrants rather than equity warrants,
including exercise price or share
reset features, except as is customary with respect to a change in
our capital structure in the event of a stock split or dividend and
which are also present in the Series A1 Warrants, we also accounted
for the Series A2 Warrants as equity warrants.
Our
sale of units consisting of common stock and warrants in the
December 2017 Public Offering at an offering price of $1.50 per
unit triggered the anti-dilution provisions of the Series A2
Warrants. In accordance with the anti-dilution terms and formula
contained in the Series A2 warrants, the exercise price of the
Series A2 Warrants was reduced to $0.001 per share. In December
2017, certain holders exercised the reset Series A2 warrants to
purchase an aggregate of 188,865 shares of our common stock from
which we received nominal cash proceeds. In accordance with the
guidance in ASU 2017-11, we recognized the effect of triggering the
down round feature as a dividend in our Condensed Consolidated
Statement of Stockholders’ Equity for the nine months ended
December 31, 2017 and as an addition to net loss attributable to
common stockholders and in our calculation of basic and fully
diluted earnings per share in our Condensed Consolidated Statement
of Operations for the three and nine months ended December 31,
2017.
We
calculated the dividend from the trigger of the down round
provision feature, $199,200, using the
Black Scholes Option Pricing Model and the assumptions indicated in
the table below:
Assumption:
|
|
|
Market
price per share
|
$1.17
|
$1.17
|
Exercise
price per share
|
$1.82
|
$0.001
|
Risk-free
interest rate
|
2.09%
|
2.09%
|
Remaining
contractual term in years
|
4.73
|
4.73
|
Volatility
|
97.8%
|
97.8%
|
Dividend
rate
|
0.0%
|
0.0%
|
|
|
|
Number
of warrant shares
|
503,641
|
503,641
|
Fair value per share
|
$0.77
|
$1.17
|
Common Stock and Warrants Issued in Private Placements
During
the quarter ended June 30, 2017, in self-placed private placement
transactions, we accepted subscription agreements from individual
accredited investors, pursuant to which we sold to such investors
units, at a weighted average purchase price of $2.00 per unit,
consisting of an aggregate of 437,751 unregistered shares of our
common stock and warrants, exercisable through April 30, 2021, to
purchase an aggregate of 218,875 unregistered shares of our common
stock at a weighted average exercise price of $3.99 per share. The
purchasers of the units have no registration rights with respect to
the shares of common stock, warrants or the shares of common stock
issuable upon exercise of the warrants comprising the units sold.
The warrants are not exercisable until six months and one day
following the date of issuance. We received aggregate cash proceeds
of $873,300 in connection with these self-placed private placement
transactions, and the entire amount of the proceeds was credited to
stockholders’ equity.
During
the quarter ended September 30, 2017, in a self-placed private
placement transaction, we sold to an accredited investor units
consisting of 28,572 shares of our unregistered common stock and
warrants exercisable through April 30, 2021 to purchase 28,572
unregistered shares of our common stock at an exercise price of
$4.00 per share. The purchaser of the units has no registration
rights with respect to the shares of common stock, warrants or the
shares of common stock issuable upon exercise of the warrants
comprising the units sold. The warrants are not exercisable until
six months and one day following the date of issuance. We received
cash proceeds of $50,000 from this sale of our securities, and the
entire amount of the proceeds was credited to stockholders’
equity.
During
the quarter ended December 31, 2017, in a self-placed private
placement transaction, we sold to an accredited investor units
consisting of 150,000 shares of our unregistered common stock and
warrants exercisable through November 30, 2021 to purchase 150,000
unregistered shares of our common stock at an exercise price of
$2.00 per share. The purchaser of the units has no registration
rights with respect to the shares of common stock, warrants or the
shares of common stock issuable upon exercise of the warrants
comprising the units sold. The warrants are not exercisable until
six months and one day following the date of issuance. We received
cash proceeds of $150,000 from this sale of our securities, and the
entire amount of the proceeds was credited to stockholders’
equity.
Issuance of Common Stock to Professional Services Providers and in
Settlement of Accounts Payable
During the quarter ended June 30, 2017, we issued 25,000
shares of our unregistered common stock having a fair value on the
date of issuance of $49,800 as partial compensation to an investor
relations service provider.
During
the quarter ended September 30, 2017, we issued an aggregate of
927,500 unregistered shares of our common stock, of which 477,500
shares were issued from our 2016 Plan, for various professional
services, including contract research, legal, investor relations
and financial advisory services. The common stock issued had an
aggregate fair value of $1,503,600 on the dates issued, of which
all but $139,300 has been recognized as noncash expense through
December 31, 2017. The un-expensed portion at December 31, 2017 is
being recognized in expense ratably through July 2019 in accordance
with the terms of work orders for certain contract research
services to be provided through that period.
During
the quarter ended December 31, 2017, we issued an aggregate of
70,000 unregistered shares of our common stock, all of which were
issued from our 2016 Plan for additional investor relations and
financial advisory services. The common stock issued had an
aggregate fair value of $140,800 on the dates issued.
During
the quarter ended December 31, 2017, we also issued 500,000
unregistered shares of our common stock having a fair value at the
time of issuance of $585,000 and a cash payment of $76,500 to our
contract manufacturing organization (CMO) in exchange for and settlement of
$526,500 of open accounts payable for services provided by the CMO
relating to production of AV-101 drug substance. We recognized a
corresponding loss on settlement of accounts payable in the amount
of $135,000 for the quarter ended December 31, 2017.
Modification of Warrants Issued in Private Placements
During the quarter ended September 30, 2017, our Board of Directors
(Board) authorized the modification of outstanding
warrants issued in private placement transactions between March
2017 and June 2017 to reduce the exercise prices and increase the
number of shares issuable thereunder. We calculated the fair value
of the warrant immediately before and after the modification using
the Black Scholes Option Pricing Model and the weighted average
assumptions indicated in the table below. We recognized the
additional fair value, $279,700, as warrant modification expense,
included as a component of general and administrative expenses, in
our Condensed Consolidated Statement of Operations and
Comprehensive Loss for the quarter ended September 30,
2017.
Assumption:
|
|
|
Market
price per share
|
$1.54
|
$1.54
|
Exercise
price per share
|
$3.99
|
$2.00
|
Risk-free
interest rate
|
1.62%
|
1.62%
|
Remaining
contractual term in years
|
3.62
|
3.62
|
Volatility
|
95.5%
|
95.5%
|
Dividend
rate
|
0.0%
|
0.0%
|
|
|
|
Number
of warrant shares
|
247,500
|
495,001
|
Weighted average fair value per share
|
$0.71
|
$0.92
|
During the quarter ended December 31, 2017, the Board authorized
the modification of outstanding warrants issued in private
placement transactions between August 2017 and November 2017 to
reduce the exercise prices of the warrants. We calculated the fair
value of the warrants immediately before and after the modification
using the Black Scholes Option Pricing Model and the weighted
average assumptions indicated in the table below. We recognized the
additional fair value, $13,000, as warrant modification expense,
included as a component of general and administrative expenses, in
our Condensed Consolidated Statement of Operations and
Comprehensive Loss for the quarter ended December 31,
2017.
Assumption:
|
|
|
Market
price per share
|
$1.14
|
$1.14
|
Exercise
price per share
|
$2.32
|
$1.58
|
Risk-free
interest rate
|
2.12%
|
2.12%
|
Remaining
contractual term in years
|
3.85
|
3.85
|
Volatility
|
98.7%
|
98.7%
|
Dividend
rate
|
0.0%
|
0.0%
|
|
|
|
Number
of warrant shares
|
178,572
|
178,572
|
Weighted average fair value per share
|
$0.64
|
$0.71
|
Warrants Outstanding
Following the warrant issuances in the December 2017 Public
Offering, the September 2017 Public Offering, and in our
self-placed private placement transactions and the warrant
modifications and exercises described above, at December 31, 2017,
we had outstanding warrants to purchase shares of our common stock
at a weighted average exercise price of $2.80 per share as
follows:
|
|
Warrants Outstanding at December 31, 2017
|
|
|
|
$0.001
|
9/6/2022
|
314,776
|
$1.50
|
11/30/2021
to 12/13/2022
|
10,150,000
|
$1.82
|
9/6/2022
to 3/7/2023
|
1,388,931
|
$2.00
|
4/30/2021
|
523,573
|
$3.51
|
12/31/2021
|
50,000
|
$4.50
|
9/26/2019
|
25,000
|
$5.30
|
5/16/2021
|
2,705,883
|
$6.00
|
9/26/2019
to 11/30/2019
|
97,750
|
$7.00
|
12/11/2018
to 3/3/2023
|
1,346,931
|
$8.00
|
3/25/2021
|
185,000
|
$10.00
|
11/15/2017
to 1/11/2020
|
20,000
|
$20.00
|
9/15/2019
|
110,448
|
|
16,918,292
|
Of the warrants outstanding at December 31, 2017, 2,705,883 shares
of common stock underlying the warrants exercisable at $5.30 per
share issued in our May 2016 public offering, 1,388,931 shares of
common stock underlying the warrants exercisable at $1.82 per share
issued in our September 2017 Public Offering and 10,000,000 shares
of common stock underlying the warrants exercisable at $1.50 per
share issued in our December 2017 Public Offering are registered
for resale by the warrant holders. At December 31, 2017, warrants
to purchase an aggregate of 314,776 registered shares of our common
stock remain subject to down round anti-dilution protection
features. The common shares issuable upon exercise of our remaining
outstanding warrants are unregistered. All of the outstanding
warrants are exercisable by the holders only by payment in cash of
the stated exercise price per share.
Note 8. Related Party Transactions
Cato Holding Company (CHC), doing business as Cato BioVentures
(CBV), is the parent of Cato Research Ltd.
(CRL). CRL is a contract research, development and
regulatory services organization (CRO) recently engaged by us for a wide range of
material aspects related to the nonclinical and clinical
development and regulatory affairs associated with our efforts to
develop and commercialize AV-101 for MDD and other potential CNS
indications. CBV is among our largest institutional stockholders at
December 31, 2017, holding approximately 4.2% of our outstanding
common stock. In October 2012, we issued certain unsecured
promissory notes in the aggregate principal amount of approximately
$1.3 million to CBV and CRL (the Cato Notes) as payment in full for all contract research and
development services and regulatory advice previously rendered
to us by CRL for nonclinical and Phase 1 development of AV-101. In
June 2015, the Cato Notes and additional amounts payable to CRL for
CRO services related to AV-101 were extinguished in exchange for
our issuance of an aggregate of 328,571 shares of Series B
Preferred stock to CBV, which shares of Series B Preferred stock
were automatically converted in accordance with their terms into an
equal number of registered shares of our common stock as a result
of our May 2016 public offering.
In July
2017, we entered into a Master Services Agreement (MSA) with CRL, which replaced a
substantially similar May 2007 master services agreement, pursuant
to which CRL may assist us in the evaluation, development,
commercialization and marketing of our potential product
candidates, including AV-101, and provide regulatory and strategic
consulting services as requested from time to time. Specific
projects or services are and will be delineated in individual work
orders negotiated from time-to-time under the MSA. Under the terms of work orders issued pursuant to
the July 2017 MSA and our May 2007 master services agreement with
CRL, we incurred expenses of $292,700 and $101,900 during the
quarters ended December 31, 2017 and 2016, respectively, and
$904,900 and $180,100 in the nine-month periods ended December 31,
2017 and 2016, respectively. During the nine months ended December
31, 2017, we have issued an aggregate of 350,000 unregistered
shares of our common stock to CRL under the terms of certain work
orders for current and future CRO services relating to our
development of AV-101 for MDD, the fair value of which represented
approximately $443,000 of the reported CRO expense for the nine
months then ended. We anticipate periodic expenses for CRO services
from CRL related to nonclinical and clinical development of, and
regulatory affairs related to, AV-101 and other potential product
candidates will increase in future periods. In December 2017, we
executed a work order with CRL for CRO services to be performed in
conducting the AV-101 MDD Phase 2 Adjunctive Treatment Study and
pursuant to which we became immediately obligated for an initial
payment of $461,700, which amount is reflected in Accrued
liabilities and Prepaid expenses in our Condensed Consolidated
Balance Sheet at December 31, 2017.
Note 9. Subsequent Events
We have
evaluated subsequent events through February 9, 2018 and have
identified the following matters requiring disclosure:
Exercise of Warrants
In
January 2018, the holders of Series A2 warrants to purchase an
aggregate of 314,774 shares of our common stock exercised all of
such warrants at the reset exercise price of $0.001 per share, as
described in Note 7, Capital
Stock, from which we received nominal cash proceeds.
Following these exercises, none of our outstanding warrants have
down round anti-dilution protection features.
Grant of Options from 2016 Plan
On
February 2, 2018, the Compensation Committee of the Board approved
the grant of options to independent members of the Board, officers
and employees and certain professional service providers to
purchase an aggregate of 2,150,000 shares of our common stock at an
exercise price of $1.16 per share, the quoted closing price of our
common stock on the Nasdaq Capital Markets on the date of the
grant. The options are vested 25% upon grant with the remaining
shares vesting ratably over the next twenty-four
months.
Item 2.
|
|
MANAGEMENT’S DISCUSSION AND
ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
OPERATIONS
|
Cautionary Note Regarding Forward-Looking Statements
This Quarterly Report on Form 10-Q (Report) includes
forward-looking statements. All statements contained in this Report
other than statements of historical fact, including statements
regarding our future results of operations and financial position,
our business strategy and plans, and our objectives for future
operations, are forward-looking statements. The words
“believe,” “may,” “estimate,”
“continue,” “anticipate,”
“intend,” “expect” and similar expressions
are intended to identify forward-looking statements. We have based
these forward-looking statements largely on our current
expectations and projections about future events and trends that we
believe may affect our financial condition, results of operations,
business strategy, short-term and long-term business operations and
objectives and financial needs. These forward-looking statements
are subject to a number of risks, uncertainties and assumptions.
Our business is subject to significant risks including, but not
limited to, our ability to obtain substantial additional financing,
the results of our research and development efforts, the results of
nonclinical and clinical testing, the effect of regulation by the
U.S. Food and Drug Administration (FDA) and other agencies, the
impact of competitive products, product development,
commercialization and technological difficulties, the effect of our
accounting policies, and other risks as detailed in the section
entitled “Risk Factors” in this
Report. Further, even if our product candidates appear
promising at various stages of development, our share price may
decrease such that we are unable to raise additional capital
without significant dilution or other terms that may be
unacceptable to our management, Board and
stockholders.
Moreover, we operate in a very competitive and rapidly changing
environment. New risks emerge from time to time. It is not possible
for our management or Board to predict all risks, nor can we assess
the impact of all factors on our business or the extent to which
any factor, or combination of factors, may cause actual results to
differ materially from those contained in any forward-looking
statements we may make. In light of these risks, uncertainties and
assumptions, the future events and trends discussed in this Report
may not occur and actual results could differ materially and
adversely from those anticipated or implied in the forward-looking
statements.
You should not rely upon forward-looking statements as predictions
of future events. The events and circumstances reflected in the
forward-looking statements may not be achieved or occur. Although
we believe that the expectations reflected in the forward-looking
statements are reasonable, we cannot guarantee future results,
levels of activity, performance or achievements. We are under no
duty to update any of these forward-looking statements after the
date of this Report or to conform these statements to actual
results or revised expectations. If we do update one or more
forward-looking statements, no inference should be drawn that we
will make additional updates with respect to those or other
forward-looking statements.
Business Overview
We are a clinical-stage biopharmaceutical company focused on
developing new generation medicines for depression and other
central nervous system (CNS) disorders. Unless the context otherwise
requires, the words “VistaGen Therapeutics,
Inc.”
“VistaGen,” “we,” “the Company,” “us” and “our” refer to VistaGen Therapeutics, Inc., a
Nevada corporation. All references to future quarters and years in
this Report refer to calendar quarters and calendar years, unless
reference is made otherwise.
AV-101 is our oral CNS product candidate in Phase 2 clinical
development in the United States, initially as a new generation
adjunctive treatment for Major Depressive Disorder
(MDD) in patients with an inadequate response to
standard antidepressants approved by the U.S. Food and Drug
Administration (FDA). AV-101’s mechanism of action
(MOA) involves both NMDA (N-methyl-D-aspartate) and
AMPA (alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid)
receptors in the brain responsible for fast excitatory synaptic
activity throughout the CNS. AV-101’s MOA is
fundamentally different from all standard FDA-approved
antidepressants, as well as all atypical antipsychotics, such as
aripiprazole, often used adjunctively with standard
antidepressants. We believe AV-101 also has potential to treat
several additional CNS indications where modulation of the
NMDA receptors, activation of AMPA pathways and/or key active
metabolites of AV-101 may achieve therapeutic
benefit, including, among
others, as a non-opioid alternative for neuropathic pain and for
Parkinson’s disease levodopa -induced dyskinesia
(PD
LID).
Clinical studies conducted at the U.S. National Institute of Mental
Health (NIMH), part of the U.S. National Institutes of Health
(NIH), by Dr. Carlos Zarate, Jr., Chief of the
NIMH’s Experimental Therapeutics & Pathophysiology Branch
and its Section on Neurobiology and Treatment of Mood and Anxiety
Disorders, have focused on the antidepressant effects of ketamine
hydrochloride injection (ketamine), an ion-channel blocking NMDA receptor
antagonist approved by the FDA as an anesthetic, in MDD patients
with inadequate responses to multiple standard antidepressants.
These NIMH studies, as well as clinical research at Yale University
and other academic institutions in the U.S., have demonstrated
ketamine’s robust antidepressant effects in
treatment-resistant MDD patients within twenty-four hours of a
single sub-anesthetic dose administered by intravenous
(IV) injection.
We believe orally administered AV-101 may have potential to deliver
ketamine-like antidepressant effects, without ketamine’s
psychological side effects and other safety concerns, and without
the need for IV administration. As published in the October 2015
issue of the peer-reviewed, Journal of Pharmacology and
Experimental Therapeutics, in an article titled, The prodrug 4-chlorokynurenine
causes ketamine-like antidepressant effects, but not side effects,
by NMDA/glycineB-site inhibition, using well-established preclinical models of
depression, AV-101 was shown to induce fast-acting, dose-dependent,
persistent and statistically significant antidepressant-like
responses following a single treatment. These responses were
equivalent to those seen with a single sub-anesthetic control dose
of ketamine. In addition, these studies confirmed that the
fast-acting antidepressant effects of AV-101 were mediated through
both inhibiting the glycine binding (GlyB) site of the NMDA receptor and activating the
AMPA receptor pathway in the brain.
In October 2017, we received FDA authorization to launch our
180-patient Phase 2 multi-center, multi-dose, double blind,
placebo-controlled efficacy and safety study of AV-101 as a new
generation adjunctive treatment for MDD patients with an inadequate
therapeutic response to standard, FDA-approved antidepressants
(the AV-101 MDD Phase 2 Adjunctive
Treatment Study),
and in December 2017 the FDA granted Fast Track Designation to
AV-101 for development as a potential adjunctive treatment for
MDD. We intend to launch the AV-101 MDD Phase 2 Adjunctive
Treatment Study in the first quarter of 2018 with Dr. Maurizio
Fava, Professor of Psychiatry at Harvard Medical School and
Director, Division of Clinical Research, Massachusetts General
Hospital (MGH) Research Institute, as the Principal
Investigator. Dr. Fava was the co-Principal Investigator with
Dr. A. John Rush of the STAR*D study, the largest clinical trial
conducted in depression to date, whose findings were published in
journals such as the New England Journal of
Medicine (NEJM) and the Journal of the American
Medical Association (JAMA). We expect top line results of the AV-101 MDD
Phase 2 Adjunctive Treatment Study to be available in the first
half of 2019. In addition, pursuant to our Cooperative
Research and Development Agreement (CRADA) with the NIMH, the NIMH is currently funding,
and Dr. Zarate, as Principal Investigator, and his team are
currently conducting, a small Phase 2 clinical study of AV-101 as a
monotherapy in subjects with treatment-resistant MDD
(the NIMH AV-101 MDD Phase 2
Monotherapy Study).
VistaStem Therapeutics (VistaStem) is our wholly owned subsidiary focused on
applying human pluripotent stem cell (hPSC) technology to discover, rescue, develop and
commercialize (i) proprietary new chemical entities
(NCEs) for CNS and other diseases and (ii) regenerative
medicine (RM) involving hPSC-derived blood, cartilage, heart
and liver cells. Our internal drug rescue programs are
designed to utilize CardioSafe
3D, our customized cardiac
bioassay system, to develop small molecule NCEs for our
pipeline. To advance potential RM applications of our cardiac
stem cell technology, in December 2016, we exclusively sublicensed
to BlueRock Therapeutics LP, a next generation RM company
established by Bayer AG and Versant Ventures (BlueRock
Therapeutics), rights to
certain proprietary technologies relating to the production of
cardiac stem cells for the treatment of heart disease
(the BlueRock
Agreement). In a manner
similar to our exclusive sublicense agreement with BlueRock
Therapeutics, we may pursue additional RM collaborations or
out-licensing transactions involving blood, cartilage, and/or liver
cells derived from hPSCs for (A) cell-based therapy, (B) cell
repair therapy, and/or (C) tissue
engineering.
AV-101 and Major Depressive Disorder
Background
The World Health Organization (WHO) estimates that 300 million people worldwide are
affected by depression. According to the NIH, major depression is
one of the most common mental disorders in the U.S. The NIMH
reports that, in 2016, approximately 16 million adults in the U.S.
had at least one major depressive episode in the past year.
According to the U.S. Centers for Disease Control and Prevention
(CDC) in an August 2017 report, one in eight Americans
over the age of 12 reported taking a standard, FDA-approved
antidepressant in the previous month.
Most standard antidepressants target chemical imbalances in the
brain related to neurotransmitter reuptake inhibition –
either serotonin (antidepressants known as SSRIs) or serotonin/norepinephrine (antidepressants
known as SNRIs). Nearly two out of every three drug-treated
depression patients do not obtain adequate therapeutic benefit from
their initial treatment with a standard antidepressant. Even when
effective, these standard antidepressants take many weeks to
achieve adequate therapeutic effects. After multiple treatment
attempts involving many different standard antidepressants, nearly
one out of every three drug-treated depression patients still do
not achieve adequate therapeutic benefits from their antidepressant
medication. Such patients with an inadequate response to
standard antidepressants often seek to augment their treatment
regimen by adding an atypical antipsychotic drug (a drug such as
aripiprazole), despite only modest potential therapeutic benefit
and the significant risk of additional side effects from such
adjunctive drugs.
All standard antidepressants have risks of side effects, including,
among others, anxiety, metabolic syndrome, sleep disturbance and
sexual dysfunction. Adjunctive use of atypical antipsychotics to
augment inadequately performing standard antidepressants may
increase the risk of significant side effects, including, tardive
dyskinesia, substantial weight gain, diabetes and heart disease,
while offering only a modest potential increase in therapeutic
benefit.
AV-101
AV-101 is our oral CNS product candidate in Phase 2 development in
the United States, initially focused as a new generation
antidepressant for the adjunctive treatment of MDD patients with an
inadequate therapeutic response to standard, FDA-approved
antidepressants. As published in the October 2015 issue of the
peer-reviewed, Journal of Pharmacology and
Experimental Therapeutics, in an article titled, “The prodrug
4-chlorokynurenine causes ketamine-like antidepressant effects, but
not side effects, by NMDA/glycineB-site
inhibition,” using well-established preclinical models
of depression, AV-101 was shown to induce fast-acting,
dose-dependent, persistent and statistically significant
ketamine-like antidepressant effects following a single treatment,
responses equivalent to those seen with a single sub-anesthetic
control dose of ketamine, but without the negative side effects
seen with ketamine. In addition, these studies confirmed that the
antidepressant effects of AV-101 were mediated through both
inhibition of the GlyB site of NMDA receptors and activation of the
AMPA receptor pathway in the brain, a key final common pathway
feature of certain new generation antidepressants such as ketamine
and AV-101, each with a MOA that is fundamentally different from
all standard antidepressants and atypical antipsychotics used
adjunctively to augment them.
We have completed two NIH-funded, randomized, double blind,
placebo-controlled AV-101 Phase 1 safety studies. Currently,
pursuant to our CRADA with the NIMH and Dr. Carlos Zarate, Jr., the
NIMH is currently funding, and Dr. Zarate, as Principal
Investigator, and his team are currently conducting, the NIMH
AV-101 MDD Phase 2 Monotherapy Study.
In October 2017, we received
authorization from the FDA to proceed, under our Investigational
New Drug (IND) application, with the AV-101 MDD Phase 2
Adjunctive Treatment Study, which will test the safety, efficacy
and tolerability of AV-101 as an adjunctive treatment of MDD in
adult patients with an inadequate therapeutic response to standard,
FDA-approved antidepressants. We intend to launch the AV-101 MDD
Phase 2 Adjunctive Treatment Study in the first quarter of 2018,
and expect top line results to be available in the first half of
2019. In connection with our preparation for this study, as well as
potential Phase 3 development and commercialization of AV-101, we,
together with our CMO, developed a novel process for the production
of AV-101 drug substance. We believe our new proprietary production
process will significantly improve AV-101 manufacturing efficiency,
thereby reducing the current and future cost of manufacturing
AV-101 drug substance and improving the yield of AV-101 drug
substance manufactured. Additionally, in December 2017 the FDA
granted Fast Track Designation to AV-101 for development as a
potential adjunctive treatment for MDD. The FDA’s Fast
Track Designation is a process designed to facilitate the
development and expedite the review of drugs to treat serious
conditions and unmet medical needs. With Fast Track Designation,
there is an increased possibility for a priority review of AV-101
by the FDA.
We believe preclinical studies and Phase 1 safety studies support
our hypothesis that AV-101 also has potential as a non-opioid
treatment alternative for neuropathic pain, as well as several
additional CNS indications where modulation of the
NMDA receptors, activation of AMPA pathways and/or key active
metabolites of AV-101 may achieve therapeutic
benefit, including PD LID,
epilepsy, and Huntington’s disease. We are beginning to plan
additional Phase 2 clinical studies to further evaluate the
therapeutic potential of AV-101 beyond MDD, however we do not
intend to initiate such studies in 2018.
CardioSafe 3D™; NCE Drug Rescue and Regenerative
Medicine
VistaStem Therapeutics is our wholly owned subsidiary focused on
applying hPSC technology to discover, rescue, develop and
commercialize proprietary small molecule NCEs for CNS and other
diseases, as well as potential cellular therapies involving stem
cell-derived blood, cartilage, heart and liver cells.
CardioSafe 3D™ is our
customized in vitro cardiac bioassay system capable of
predicting potential human heart toxicity of small molecule
NCEs in vitro, long before they are ever tested in animal and
human studies. Potential commercial applications of our stem cell
technology platform involve using CardioSafe 3D internally for NCE drug discovery and
drug rescue to expand our proprietary drug candidate pipeline. Drug
rescue involves leveraging substantial prior research and
development investments by pharmaceutical companies and others
related to public domain NCE programs terminated before FDA
approval due to heart toxicity risks and RM and cellular therapies.
To advance potential RM applications of our cardiac stem cell
technology, in December 2016, we exclusively sublicensed to
BlueRock Therapeutics LP, a next generation regenerative medicine
company established by Bayer AG and Versant Ventures, rights to
certain proprietary technologies relating to the production of
cardiac stem cells for the treatment of heart disease. In a manner
similar to the BlueRock Agreement, we may also pursue additional
potential RM applications using blood, cartilage, and/or liver
cells derived from hPSCs for (A) cell-based therapy (injection of
stem cell-derived mature organ-specific cells obtained through
directed differentiation), (B) cell repair therapy (induction of
regeneration by biologically active molecules administered alone or
produced by infused genetically engineered cells), or (C) tissue
engineering (transplantation of in vitro grown complex tissues) using hPSC-derived
blood, bone, cartilage, and/or liver cells.
Financial Operations Overview and Results of
Operations
Our critical accounting policies and estimates and recent
accounting pronouncements are disclosed in our Annual Report on
Form 10-K for the fiscal year ended March 31, 2017, as filed with
the SEC on June 29, 2017, and in Note 3 to the accompanying
unaudited Condensed Consolidated Financial Statements included in
Part 1, Item 1 of this Report.
Summary
Net Loss
We
generated $1.25 million of sublicense revenue from the BlueRock
Agreement in December 2016. However, we have not yet achieved
recurring revenue-generating status from any of our product
candidates or technologies. Since our
inception in May 1998, we have devoted substantially all of our
time and efforts to developing our lead CNS product candidate,
AV-101, from early nonclinical studies to our ongoing Phase 2
clinical development program in MDD, as well as stem cell
technology research and development, bioassay development, small
molecule drug development, and creating, protecting and patenting
intellectual property related to our product candidates and
technologies, with the corollary initiatives of recruiting and
retaining personnel and raising working capital. As of
December 31, 2017, we had an accumulated deficit of approximately
$152.5 million. Our net loss for the nine months ended December 31,
2017 and 2016 was approximately $10.3 million and $7.7 million,
respectively. We expect losses to continue for the foreseeable
future, primarily related to our further development of AV-101 for
the adjunctive treatment of MDD and other CNS
indications.
Summary of the Nine Months Ended December 31, 2017
During the nine months ended December 31, 2017, we have continued
to (i) advance nonclinical, including manufacturing, and clinical
development of AV-101 as a potential new generation antidepressant
and as a potential new therapeutic alternative for several other
CNS indications with significant unmet medical need, (ii) expand
the regulatory and intellectual property foundation to support
broad clinical development and, ultimately, commercialization of
AV-101 in the U.S. and foreign markets, and (iii) on a limited
basis, advance the predictive toxicology capabilities of
CardioSafe
3D for small molecule new chemical
entity drug rescue and development applications and collaborative
regenerative medicine opportunities related to our cardiac stem
cell technology platform.
Pursuant to our CRADA with the NIH, the NIH continues to fund, and
Dr. Carlos Zarate Jr. of the NIMH continues to conduct, the NIMH
AV-101 MDD Phase 2 Monotherapy Study at no cost to us other than
supplying clinical trial material.
We continue to prepare for the launch of our AV-101 MDD Phase 2
Adjunctive Treatment Study with initiatives that have significantly
improved the efficiency of our AV-101 manufacturing processes and
are making available sufficient quantities of AV-101 to enable a
comprehensive initiation of the study. We currently anticipate the
launch of the AV-101 MDD Phase 2 Adjunctive Treatment Study, with
Dr. Maurizio Fava of Harvard Medical School serving as Principal
Investigator, in the first quarter of 2018.
Additionally, we are pursuing initiatives to secure a broad
spectrum of intellectual property protection for AV-101 covering
multiple CNS indications. We have filed and are pursuing
several patent applications in Europe, the U.S. and other selected
regions. Several of these patent applications have already been
granted or allowed, on both (i) certain novel therapeutic methods
of use of AV-101, including depression, and (ii) certain novel
methods of producing AV-101. In Europe, the European Patent Office
(EPO) recently granted our
patent related to methods of treating depression with AV-101 and
certain other neurological indications. In the U.S. and other
selected regional markets, we are currently pursuing a counterpart
AV-101 patent application similar to the patent granted by the EPO.
Although the U.S. Patent and Trademark Office (USPTO) has not yet allowed the
counterpart application filed in the U.S., we believe that our
counterpart patent applications under review by the USPTO and other
countries ultimately will be granted.
In the
U.S., Europe and other selected regional markets, we are also
prosecuting patent applications related to novel methods of
producing AV-101. The USPTO recently granted a patent covering our
manufacturing process and the Chinese counterpart has also been
granted. We have submitted a counterpart application to the EPO,
which has not yet been approved. However, given that the USPTO has
granted a patent in the U.S., we believe our counterpart patent
application at the EPO ultimately will be granted.
The USPTO has also recently issued a patent related to
methods for producing, from human pluripotent stem cells (hPSCs),
hematopoietic precursor stem cells, which are stem cells that give
rise to all of the blood cells and most of the bone marrow cells in
the body. VistaGen holds an exclusive license to this patent from
the University Health Network (UHN). The technology covered by the
patent has the potential to impact both direct and supportive
therapy for autoimmune disorders and cancer, with CAR-T cell
applications, and foundational technology which may provide
approaches for producing bone marrow stem cells for bone marrow
transfusions.
In December 2017, we completed an underwritten public offering,
resulting in gross proceeds of $15.0 million, during which we
offered and sold shares of our common stock and warrants to
purchase shares of our common stock at a combined public offering
price of $1.50 per share and related warrant (the
December 2017
Public Offering). We issued an
aggregate of 10,000,000 shares of our common stock and warrants to
purchase up to 10,000,000 shares of our common stock at an exercise
price of $1.50 per share (the December 2017 Offering
Warrants). The December 2017 Offering Warrants are
exercisable at any time through December 13, 2022, and do not
contain any cashless exercise features as long as our Registration
Statement on Form S-1 (Registration No. 333-221009) (the
S-1) is effective. We received net proceeds of
approximately $13.6 million from the December 2017 Public Offering,
after deducting underwriter’s commission and other expenses
related to the offering. The common stock and the shares of common
stock underlying the December 2017 Offering Warrants issued in the
December 2017 Public Offering were offered, issued and sold
pursuant to the S-1.
In September 2017, we completed an underwritten public offering,
pursuant to which we sold 1,371,430 shares of our common stock and
Series A1 Warrants to purchase up to 1,388,931 shares of common
stock and Series A2 Warrants to purchase up to 503,641 shares of
common stock (collectively, the Warrants), each initially exercisable for $1.82 per share
to two of our existing institutional investors, resulting in net
proceeds of approximately $2.0 million (the September 2017 Public
Offering). The Series A1
Warrants will be exercisable for a five-year period commencing on
March 7, 2018, and the Series A2 Warrants are exercisable at any
time and expire on September 6, 2022. The common stock and the
shares of common stock underlying the Warrants issued in the
September 2017 Public Offering were sold pursuant to our
effective Registration Statement on Form S-3 (Registration
No. 333-215671) to cover this and potential future sales of our
equity securities in one or more public offerings from time to
time. Consistent with the
anti-dilution protection provisions of the Series A2 Warrants, the
exercise price of such warrants was reduced upon the closing of the
December 2017 Public Offering. At the date of this Report, all of
the Series A2 Warrants have been exercised at the reset exercise
price as a result of the December 2017 Public Offering.
Following these exercises, none of our outstanding warrants have
down round anti-dilution protection features.
During the nine months ended December 31, 2017, we entered into
self-placed private placement transactions with individual
accredited investors, pursuant to which we sold units consisting of
an aggregate of 616,323 shares of our unregistered common stock
and, after adjustments, warrants which are not exercisable until
six months and one day following issuance and expire between April
30, 2021 and November 30, 2022, to purchase an aggregate of 616,323
unregistered shares of our common stock at a weighted average fixed
exercise price of approximately $2.00 per share. We received
aggregate cash proceeds of approximately $1.1 million in these
self-placed private placement transactions.
In July 2017, we appointed Mark Wallace, M.D.,
Distinguished Professor of Clinical Anesthesiology at the
University of California, San Diego, to our Clinical and Regulatory
Advisory Board to assist us in advancing development of AV-101 as a
potential non-opioid treatment alternative for neuropathic pain.
Dr. Wallace is an internationally recognized leader in the field of
multi-modal pain management, with over 30 years of professional
experience, board certifications, licensures, honors/awards,
grants, articles and abstracts.
As a
matter of course, we continue to minimize, to the greatest extent
possible, cash commitments and expenditures for both internal and
external research and development and general and administrative
services. To further advance the
nonclinical and clinical development of AV-101 and our stem cell
technology platform, as well as support our operating activities,
we continue to carefully manage our routine operating costs,
including our internal employee related expenses, as well as
external costs relating to regulatory consulting, contract research
and development, investor relations and corporate development,
legal, acquisition and protection of intellectual property, public
company compliance and other professional services and internal
costs.
Results of Operations
Comparison of Three Months Ended December 31, 2017 and
2016
The following table summarizes the results of our operations,
including both cash and noncash components, for the three months
ended December 31, 2017 and 2016 (amounts in
thousands).
|
Three Months Ended December 31,
|
|
|
|
|
|
|
Sublicense
revenue
|
$-
|
$1,250
|
Operating
expenses:
|
|
|
Research
and development
|
1,602
|
1,611
|
General
and administrative
|
1,266
|
2,276
|
Total
operating expenses
|
2,868
|
3,887
|
|
|
|
Loss
from operations
|
(2,868)
|
(2,637)
|
|
|
|
Interest
expense, net
|
(2)
|
(1)
|
Loss
on extinguishment of accounts payable
|
(135)
|
-
|
|
|
|
Loss
before income taxes
|
(3,005)
|
(2,638)
|
Income
taxes
|
-
|
-
|
|
|
|
Net
loss
|
(3,005)
|
(2,638)
|
Accrued
dividend on Series B Preferred Stock
|
(263)
|
(238)
|
Deemed
dividend from trigger of down round
|
|
|
provision
feature
|
(199)
|
-
|
Net
loss attributable to common stockholders
|
$(3,467)
|
$(2,876)
|
Revenue
We recognized $1.25 million in sublicense revenue pursuant to the
BlueRock Therapeutics Agreement in the quarter ended December 31,
2016. While we may potentially receive additional payments and
royalties under the BlueRock Therapeutics Agreement in the future,
in the event certain performance-based milestones and commercial
sales are achieved, we reported no revenue for the quarter ended
December 31, 2017 and we presently have no recurring revenue
generating arrangements with respect to AV-101 or other potential
product candidates. There can be no assurance that the BlueRock
Agreement will provide additional revenue to us in the near term or
at all.
Research and Development Expense
Research and development expense, including both cash and noncash
components, totaled $1.6 million for each of the quarters ended
December 31, 2017 and 2016. Noncash expenses, including stock
compensation, depreciation and a portion of rent expense in both
periods and a portion of AV-101 project expenses in the quarter
ended December 31, 2017, totaled approximately $385,000 and
$215,000 for the quarters ended December 31, 2017 and 2016,
respectively. While total research and development expense remains
essentially unchanged, we have continued our focus on nonclinical
and clinical development of AV-101, particularly our preparations
for the launch of the AV-101 MDD Phase 2 Adjunctive Treatment
Study, which is currently anticipated in the first quarter of 2018.
The following table indicates the primary components of research
and development expense for each of the periods (amounts in
thousands):
|
Three Months Ended December 31,
|
|
|
|
|
|
|
Salaries
and benefits
|
$347
|
$302
|
Stock-based
compensation
|
299
|
114
|
Consulting
and other professional services
|
7
|
(139)
|
Technology
licenses and royalties, including UHN
|
149
|
293
|
Project-related
research and supplies:
|
|
|
AV-101
|
665
|
894
|
Stem
cell and all other
|
15
|
50
|
|
680
|
944
|
Rent
|
104
|
88
|
Depreciation
|
16
|
8
|
All
other
|
-
|
1
|
|
|
|
Total
Research and Development Expense
|
$1,602
|
$1,611
|
The increase in salaries and benefits expense reflects the impact
of modest salary increases granted to our Chief Medical Officer
(CMO) and Chief Scientific Officer
(CSO)
in July 2017 and to the non-officer members of our scientific staff
in June 2017 and to bonus payments made to scientific staff members
in December 2017, offset by the impact of a staff position
terminated in April 2017.
Noncash stock-based compensation expense increased in the current
period primarily from the routine amortization of option grants
made to our CSO, CMO and scientific staff in September 2017, April
2017 and November 2016. Grants awarded after December 2016 account
for approximately $199,000 of 2017 expense. Expense attributable to
these grants is generally being amortized over two-year to
four-year vesting periods, based on the terms of the respective
grants. Additionally, substantially all option grants made prior to
September 2015 were fully-vested and fully-expensed prior to June
30, 2017.
Consulting services reflects fees paid or accrued for scientific,
nonclinical and clinical development and regulatory advisory
services rendered to us by third-parties, primarily by members of
our scientific and CNS clinical and regulatory advisory boards. The
reduction in expense in the current period primarily reflects the
change in terms of consulting agreements with our stem cell-related
scientific advisory board members. Consulting expense in 2016
reflected the impact of the rationalization of the agreements and
accruals related to such advisory board members.
Technology license expense reflects both recurring annual license
fees as well as legal counsel and other costs related to patent
prosecution and protection pursuant to our stem cell technology
license agreements or that we have elected to pursue for commercial
purposes. We recognize these costs as they are invoiced to us by
the licensors or counsel and they do not occur ratably throughout
the year or between years. In both periods, this expense includes
legal counsel and other costs we have incurred to advance pending
patent applications in the U.S. and numerous foreign countries with
respect to AV-101 and our stem cell technology platform. Technology
license-related expense for 2016 also includes net expense of
$158,000 related to the sublicense consideration paid to UHN
pursuant to the BlueRock Therapeutics Agreement plus additional
fees and expenses related to two new stem cell technology related
licenses acquired from UHN, net of amounts previously accrued in
connection with our prior Sponsored Research Collaboration
Agreement (SRCA) with UHN, and $55,000 representing the fair
value of a warrant granted to intellectual property counsel as
partial compensation for services.
AV-101 project expenses for the quarters ended December 31, 2017
and 2016 include continuing costs incurred to develop more
efficient and cost-effective proprietary manufacturing methods for
AV-101, and to produce clinical trial material for the AV-101 MDD
Phase 2 Adjunctive Treatment Study, as well as costs incurred for
certain other nonclinical studies to facilitate further clinical
development of AV-101 in MDD and potentially for other indications,
and to comply with applicable FDA regulations. We expect these
expenses to increase materially over the next several quarters as
we initiate and conduct the AV-101 MDD Phase 2 Adjunctive Treatment
Study. AV-101 expenses in 2016 also included initial costs for
preparation of the IND and trial protocol submission to the FDA to
obtain approval for the AV-101 MDD Phase 2 Adjunctive Treatment
Study. Stem cell and other project related expenses reflects costs
associated with our in-house stem cell technology-related
initiatives in both years, and, in 2016, our participation in the
FDA’s Comprehensive In Vitro Proarrhythmia Assay
(CiPA) project.
The increase in rent expense for the quarter ended December 31,
2017 reflects higher commercial property rents prevalent in the
South San Francisco real estate market and recognized in our
November 2016 lease amendment extending the lease of our
headquarters facilities in South San Francisco by five years from
July 31, 2017 to July 31, 2022 and the related accounting for the
extension amendment.
General and Administrative Expense
General and administrative expense, including both cash and noncash
components, decreased by 44% to approximately $1.3 million from
$2.3 million for the quarters ended December 31, 2017 and 2016,
respectively. Noncash expense accounted for approximately $485,000
and $1,486,000 for the quarters ended December 31, 2017 and 2016,
respectively, including, in both periods, stock compensation
expense, a portion of investor relations and investment banking
expenses, warrant modification expense, and a portion of rent
expense. The overall decrease in general and administrative
expenses resulted primarily from decreased professional services
expenses, notably attributable to a decrease in noncash expense
attributable to grants of common stock for services, a decrease in
noncash warrant modification expense, partially offset by increased
salary and benefits and noncash stock compensation expenses. The
following table indicates the primary components of general and
administrative expenses, including the cash and noncash components,
for each of the periods (amounts in thousands):
|
Three Months Ended December 31,
|
|
|
|
|
|
|
Salaries
and benefits
|
$339
|
$257
|
Stock-based
compensation
|
390
|
153
|
Board
fees
|
39
|
36
|
Legal,
accounting and other professional fees
|
44
|
1,017
|
Investor
relations
|
232
|
241
|
Insurance
|
60
|
38
|
Travel
expenses
|
33
|
54
|
Rent
and utilities
|
69
|
63
|
Warrant
modification expense
|
13
|
370
|
All
other expenses
|
47
|
47
|
|
$1,266
|
$2,276
|
The increase in salaries and benefits primarily reflects the impact
of modest salary increases granted in July 2017 to our Chief
Executive Officer (CEO) and Chief Financial Officer (CFO), and in January 2017 and July 2017 to our Vice
President-Corporate Development (VP-Corporate
Development) and, in June 2017,
to a non-officer member of our administrative staff as well as
bonus payments in December 2017 to our VP-Corporate Development and
an administrative staff member.
Stock based compensation expense increased in the current period
primarily as a result of the routine amortization of option grants
to independent members of our Board and our CEO, CFO, VP Corporate
Development and administrative staff in September 2017, April 2017
and November 2016, plus the new-hire grant made to our VP-Corporate
Development in September 2016. Grants awarded after December 2016
account for approximately $274,000 of 2017 expense. Expense
attributable to these grants is generally being amortized over a
two-year to four-year vesting period, based on the terms of the
respective grants. Additionally, substantially all option grants
made prior to September 2015 were fully-vested and fully-expensed
prior to June 30, 2017.
Board fees includes fees recognized for the services of independent
members of our Board. The Board modified committee assignments
effective in April 2017, resulting in the slight increase in
current year expense.
Legal, accounting and other professional fees for the quarters
ended December 31, 2017 and 2016 includes cash expense related to
routine legal services as well as accounting expense related to the
review of the financial statements for the third quarter of each
fiscal year. Other professional fees for the quarter ended December
31, 2016 additionally included noncash expense related to grants of
an aggregate of 220,000 unregistered shares of our common stock
valued on the respective grant dates at an aggregate of $862,800
plus aggregate cash payments of $80,000 to investment professionals
for financial advisory and corporate development
services.
Investor relations expense includes the fees of our various
external service providers for a broad spectrum of investor
relations, market awareness and strategic advisory and support
functions, as well as initiatives that included numerous meetings
in multiple U.S. markets and other communication activities focused
on expanding market awareness of the Company, including among
registered investment professionals and investment advisors, and
individual and institutional investors. In the quarters ended
December 31, 2017 and 2016, in addition to cash fees and expenses
we incurred, we granted an aggregate of 70,000 and 35,000
unregistered shares of our common stock, respectively, to certain
investor relations, market awareness and strategic business
advisory service providers for their services and recognized
noncash expense of $84,000 and $137,800, respectively, representing
the fair value of the stock at the time of
issuance.
In both periods, travel expense reflects costs associated with
management presentations to and meetings in multiple U.S. markets
with existing and potential individual and institutional investors,
investment professionals and advisors, media, and securities
analysts, as well as various investor relations, market awareness
and corporate development and partnering initiatives. Travel
expenses for the quarter ended December 31, 2017 were primarily
related to advancing the consummation of the December 2017 Public
Offering.
The increase in rent expense for the quarter ended December 31,
2017 reflects higher commercial property rents prevalent in the
South San Francisco real estate market and recognized in our
November 2016 lease amendment extending the lease of our
headquarters facilities by five years from July 31, 2017 to July
31, 2022 and the related accounting for the extension
amendment.
During the quarter ended December 31, 2017, we modified outstanding
warrants issued in private placement transactions between August
2017 and November 2017 to purchase an aggregate of 178,572 shares
of our common stock to reduce the exercise prices from a weighted
average of $2.32 per share to a weighted average of $1.58 per
share. We recognized the calculated increase in the fair value of
the warrants, $13,000, as noncash warrant modification expense.
During the quarter ended December 31, 2016, we entered into warrant
exchange agreements with certain warrant holders pursuant to which
the warrant holders exchanged outstanding warrants to purchase an
aggregate of 163,044 shares of our common stock for an aggregate of
110,008 shares of our unregistered common stock. We
accounted for these transactions as warrant modifications,
resulting in our recognition of $293,300 in noncash expense in the
quarter ended December 31, 2016. During that quarter we also
modified an outstanding warrant to reduce the exercise price from
$8.00 per share to $3.51 per share and increase the number of
shares exercisable under the warrant from 25,000 shares to 50,000
shares, recognizing $76,900 in noncash expense as the incremental
fair value attributable to the modification.
Interest and Other Expenses
Interest expense totaled $2,000 for the quarter ended December 31,
2017 compared to $900 reported for the quarter ended December 31,
2016. Interest expense in both periods relates to interest paid on
insurance premium financing and on a capital lease of office
equipment.
During
the quarter ended December 31, 2017, we issued 500,000 unregistered
shares of our common stock having a fair value at the time of
issuance of $585,000 and a cash payment of $76,500 to a contract
manufacturing organization in settlement of $526,500 of open
accounts payable. We recognized a corresponding loss on settlement
of accounts payable in the amount of $135,000 for the
quarter.
We
recognized $263,000 and $237,700 for
the quarters ended December 31, 2017 and 2016, respectively,
representing the 10% cumulative dividend payable on our Series B
Preferred as an additional deduction in arriving at net loss
attributable to common stockholders in the accompanying
Condensed Consolidated Statement of Operations and Comprehensive
Loss included in Part I of this Report. There have been no
conversions of outstanding shares of our Series B Preferred stock
into shares of our common stock since August 2016.
Our
sale of units consisting of common stock and warrants in the
December 2017 Public Offering at an offering price of $1.50 per
unit triggered the anti-dilution provisions of the Series A2
Warrants to purchase an aggregate of 503,641 shares of our common
stock issued in the September 2017 Public Offering. In accordance
with the anti-dilution terms and formula contained in the Series A2
warrants, the exercise price of the Series A2 Warrants was reduced
from the initial exercise price of $1.82 per share to $0.001 per
share. We recognized the effect of triggering the down round
feature, $199,200, as a further addition to net loss attributable
to common stockholders and in our calculation of basic and fully
diluted earnings per share in our accompanying Condensed
Consolidated Statement of Operations and Comprehensive Loss and as
a dividend in our Condensed Consolidated Statement of
Stockholders’ Equity included in Part I of this
Report.
Comparison of Nine Months Ended December 31, 2017 and
2016
The following table summarizes the results of our operations,
including both cash and noncash components, for the nine months
ended December 31, 2017 and 2016 (amounts in
thousands).
|
Nine Months Ended December 31,
|
|
|
|
|
|
|
Sublicense
revenue
|
$-
|
$1,250
|
Operating
expenses:
|
|
|
Research
and development
|
5,125
|
4,043
|
General
and administrative
|
4,997
|
4,908
|
Total
operating expenses
|
10,122
|
8,951
|
|
|
|
Loss
from operations
|
(10,122)
|
(7,701)
|
|
|
|
Interest
expense (net)
|
(8)
|
(4)
|
Loss
on extinguishment of accounts payable
|
(135)
|
-
|
|
|
|
Loss
before income taxes
|
(10,265)
|
(7,705)
|
Income
taxes
|
(2)
|
(2)
|
|
|
|
Net
loss
|
(10,267)
|
(7,707)
|
Accrued
dividend on Series B Preferred Stock
|
(767)
|
(1,018)
|
Deemed
dividend from trigger of down round
|
|
provision
feature
|
(199)
|
-
|
Deemed dividend on Series B Preferred Stock
|
-
|
(111)
|
Net
loss attributable to common stockholders
|
$(11,233)
|
$(8,836)
|
Revenue
We recognized $1.25 million in sublicense revenue pursuant to the
BlueRock Therapeutics Agreement in the nine months ended December
31, 2016. While we may potentially receive additional payments and
royalties under the BlueRock Therapeutics Agreement in the future,
in the event certain performance-based milestones and commercial
sales are achieved, we reported no revenue for the nine months
ended December 31, 2017 and we presently have no recurring revenue
generating arrangements with respect to AV-101 or other potential
product candidates. There can be no assurance that the BlueRock
Agreement will provide additional revenue to us in the near term or
at all.
Research and Development Expense
Research and development expense, including both cash and noncash
components, totaled $5.1 million for the nine months ended December
31, 2017, an increase of approximately 27% compared to the $4.0
million reported for the nine months ended December 31, 2016.
Noncash expenses totaled approximately $1,228,000 and $346,000 in
the nine months ended December 31, 2017 and 2016, respectively,
including stock compensation, depreciation and a portion of rent
expense in both periods, and a portion of AV-101 project expenses
in the nine months ended December 31, 2017. The increase in
research and development expense in 2017 reflects our continued
focus on nonclinical and clinical development of AV-101,
particularly our preparations for the launch of the AV-101 MDD
Phase 2 Adjunctive Treatment Study, which is currently anticipated
in the first quarter of 2018. The following table indicates the
primary cash and noncash components of research and development
expense for each of the periods (amounts in
thousands):
|
Nine Months Ended December 31,
|
|
|
|
|
|
|
Salaries
and benefits
|
$1,231
|
$1,013
|
Stock-based
compensation
|
627
|
240
|
Consulting
and other professional services
|
23
|
(81)
|
Technology
licenses and royalties
|
309
|
547
|
Project-related
research and supplies:
|
|
|
AV-101
|
2,465
|
1,963
|
Stem
cell and all other
|
105
|
129
|
|
2,570
|
2,092
|
Rent
|
308
|
206
|
Depreciation
|
54
|
25
|
All
other
|
3
|
1
|
|
|
|
Total
Research and Development Expense
|
$5,125
|
$4,043
|
The increase in salaries and benefits reflects the hiring of our
Chief Medical Officer (CMO) in June 2016, and a salary increase granted to
our CMO in July 2017, as well as salary increases granted to our
Chief Scientific Officer (CSO) and to the non-officer members of our scientific
staff in June 2016 and June 2017, offset by the impact of a staff
position terminated in April 2017. Additionally, our
then-newly-hired CMO did not receive a bonus in July 2016; however,
both our CMO and CSO were granted a bonus in September
2017.
Stock based compensation expense increased in the current period
primarily as a result of the routine amortization of option grants
made to our CSO, CMO and scientific staff in September 2017, April
2017 and November 2016, plus the new-hire grant made to our CMO in
June 2016. Grants awarded after December 2016 account for
approximately $279,000 of 2017 expense. The expense attributable to
these grants is generally being amortized over a two-year to
four-year vesting period, based on the terms of the respective
grants. Substantially all option grants made prior to September
2015 were fully-vested and fully-expensed prior to June 30,
2017.
Consulting services reflects fees paid or accrued for scientific,
nonclinical and clinical development and regulatory advisory
services rendered to us by third-parties, primarily by members of
our scientific and CNS clinical and regulatory advisory boards. The
reduction in expense in 2017 primarily reflects the change in terms
of consulting agreements with our stem cell-related scientific
advisory board members. Consulting expense in 2016 reflected the
impact of the rationalization of the agreements and accruals
related to such advisory board members.
Technology license expense in both periods reflects both recurring
annual license fees as well as legal counsel and other costs
related to patent prosecution and protection pursuant to our stem
cell technology license agreements or that we have elected to
pursue for commercial purposes. We recognize these costs as they
are invoiced to us by the licensors or counsel and they do not
occur ratably throughout the year or between years. In both
periods, this expense also includes legal counsel and other costs
we have incurred to advance numerous pending or now-granted patent
applications in the U.S. and various foreign countries with respect
to AV-101 and our stem cell technology platform. Technology
license-related expense for 2016 also includes net expense of
$158,000 related to the sublicense consideration paid to UHN
pursuant to the BlueRock Therapeutics Agreement plus additional
fees and expenses related to two new stem cell technology related
licenses acquired from UHN, net of amounts previously accrued in
connection with our prior SRCA with UHN, and $55,000 representing
the fair value of a warrant granted to intellectual property
counsel as partial compensation for services.
AV-101 project expense for both periods includes costs incurred to
develop more efficient and cost-effective proprietary manufacturing
methods for AV-101, and to produce clinical trial material enabling
the AV-101 MDD Phase 2 Adjunctive Treatment Study, and, primarily
in 2017, costs incurred for certain other nonclinical studies to
facilitate further clinical development of AV-101 in MDD and
potentially for other indications and to comply with applicable FDA
regulations. We expect these expenses to increase materially over
the next several quarters as we initiate and conduct the AV-101 MDD
Phase 2 Adjunctive Treatment Study. Stem cell and other project
related expenses reflects costs associated with our in-house stem
cell technology-related initiatives, and, to a greater extent in
2016, our participation in the FDA’s CiPA
project.
The increase in rent expense for 2017 reflects higher commercial
property rents prevalent in the South San Francisco real estate
market and recognized in our November 2016 lease amendment
extending the lease of our headquarters facilities in South San
Francisco by five years, from July 31, 2017 to July 31, 2022, and
the related accounting for the extension amendment.
General and Administrative Expense
General and administrative expense, including both cash and noncash
components, increased approximately 2% to $5.0 million for the nine
months ended December 31, 2017 from $4.9 million for the nine
months ended December 31, 2016. Noncash expense accounted for
approximately $2.2 million and $2.5 million for the nine months
ended December 31, 2017 and 2016, respectively, including, in both
periods, stock compensation expense, a portion of investor
relations and professional services expenses, warrant modification
expense, and a portion of rent expense. The overall increase in
general and administrative expenses was primarily attributable to
increased salary and benefits expense and noncash stock
compensation and investor relations expenses, offset by reductions
in professional services and noncash warrant modification expenses.
The following table indicates the primary components of general and
administrative expenses, including noncash components, for each of
the periods (amounts in thousands):
|
Nine Months Ended December 31,
|
|
|
|
|
|
|
Salaries
and benefits
|
$1,260
|
$932
|
Stock-based
compensation
|
760
|
334
|
Board
fees
|
117
|
105
|
Legal,
accounting and other professional fees
|
739
|
1,766
|
Investor
relations
|
1,229
|
820
|
Insurance
|
181
|
116
|
Travel
expenses
|
95
|
126
|
Rent
and utilities
|
209
|
148
|
Warrant
modification expense
|
293
|
427
|
All
other expenses
|
114
|
134
|
|
$4,997
|
$4,908
|
The increase in salaries and benefits reflects the impact of the
hiring of our VP-Corporate Development in September 2016 and salary
increases granted in June 2016 and July 2017 to our CEO and CFO,
and in June 2016 and June 2017 to a non-officer member of our
administrative staff. Additionally, each of our officers was
granted a bonus in September 2017, but our VP-Corporate Development
had not yet joined the Company in July 2016, when our CEO and CFO
received a bonus payment.
Stock based compensation expense increased in 2017 primarily as a
result of the routine amortization of option grants to independent
members of our Board of Directors and our CEO, CFO, VP-Corporate
Development and administrative staff in September 2017, April 2017
and November 2016, plus the new-hire grant made to our VP-Corporate
Development in September 2016. Grants awarded after December 2016
account for approximately $383,000 of 2017 expense. The expense
attributable to these grants is generally being amortized over a
two-year to four-year vesting period based on the terms of the
respective grants. Substantially all option grants made prior to
September 2015 were fully-vested and fully-expensed prior to June
30, 2017.
Board fees includes fees recognized for the services of independent
members of our Board. The Board modified committee assignments
effective in April 2017, resulting in the modest increase in
expense.
Legal, accounting and other professional fees for the nine months
ended December 31, 2017 and 2016 includes expense related to
routine legal services as well as the accounting expense related to
the annual audit of the prior year’s financial statements,
tax return preparation and the review of the financial statements
for the first three quarters of the current fiscal year. In
addition to cash fees incurred, during the nine months ended
December 31, 2017, we granted an aggregate of 20,000 unregistered
shares of our common stock having an aggregate fair value of
$30,800 to legal services providers as partial compensation for
services and an aggregate of 150,000 unregistered shares of our
common stock having an aggregate fair value of $234,000 to two
investment banking firms pursuant to financial advisory agreements.
Noncash expense for the nine months ended December 31, 2016
included (i) $337,500 recognized in the quarter ended June 30, 2016
pursuant to the June 30, 2015 grant of an aggregate of
90,000 shares of our Series B 10% convertible preferred stock
having an aggregate fair value of $1,350,000 as compensation for
financial advisory and corporate development service contracts with
two independent providers for services to be performed through June
30, 2016; (ii) $108,500 recognized in the quarter ended September
30, 2016 representing the fair value of 25,000 unregistered shares of our common stock
granted to a legal services provider as compensation for services;
and (iii) $862,800 recognized in the quarter ended December 31,
2016 representing the fair value of 220,000 unregistered shares of
our common stock granted as compensation for financial advisory,
investment banking and business development
services.
Investor relations expense includes the fees of our various
external service providers for a broad spectrum of investor
relations, market awareness and strategic advisory and support
functions, as well as initiatives that included numerous meetings
in multiple U.S. markets and other communication activities focused
on expanding market awareness of the Company, including among
registered investment professionals and investment advisors, and
individual and institutional investors. In the nine months ended
December 31, 2017, in addition to cash fees and expenses we
incurred, we granted an aggregate of 552,000 shares of our
unregistered common stock to various corporate development,
investor relations, market awareness and business advisory service
providers as full or partial compensation for their services and
recognized noncash expense totaling $847,300, representing the fair
value of the stock at the time of issuance. In the nine months ended December 31, 2016, in
addition to cash fees and expenses we incurred, we granted an
aggregate of 60,000 unregistered shares of our common stock to
three investor relations and investor awareness service providers
as partial compensation for their services and recognized noncash
expense of $246,300, representing the fair value of the stock at
the time of issuance. During the same period in 2016, we
also granted three-year, immediately exercisable warrants to
purchase an aggregate of 75,000 shares of our unregistered common
stock at exercise prices ranging from $4.50 per share to $6.00 per
share to three investor relations service providers and recognized
non-cash expense of $172,300 representing the fair value of the
warrants at the time of issuance.
In both periods, travel expense reflects costs associated with
management presentations to and meetings in multiple U.S. markets
with existing and potential individual and institutional investors,
investment professionals and advisors, media, and securities
analysts, as well as various investor relations, market awareness
and corporate development initiatives.
The increase in rent expense for 2017 reflects higher commercial
property rents prevalent in the South San Francisco real estate
market and recognized in our November 2016 lease amendment
extending the lease of our headquarters facilities in South San
Francisco by five years, from July 31, 2017 to July 31, 2022, and
the related accounting for the extension amendment.
In September 2017, we reduced the exercise price of 247,500
warrants issued in the Spring 2017 Private Placement from a
weighted average exercise price of $3.99 per share to $2.00 per
share. We also issued to each of the Spring 2017 Private Placement
investors additional warrants to purchase an aggregate total of
247,501 shares of common stock, with an exercise price of $2.00 per
share. We recognized noncash expense of $279,700 in the quarter
ended September 30, 2017, representing the increase in fair value
of the warrants granted initially before and after the modification
and the fair value of the additional warrants granted. In December
2017, we modified outstanding warrants issued in private placement
transactions between August 2017 and November 2017 to purchase an
aggregate of 178,572 shares of our common stock to reduce the
exercise prices from a weighted average of $2.32 per share to a
weighted average of $1.58 per share. We recognized the increase in
the fair value of the warrants, $13,000, as noncash warrant
modification expense in the quarter ended December 31, 2017.
Between April 2016 and December 2016, we entered into warrant
exchange agreements with certain warrant holders pursuant to which
the warrant holders exchanged outstanding warrants to purchase an
aggregate of 224,513 shares of our common stock for an aggregate of
156,246 shares of our unregistered common stock. We accounted for
these transactions as warrant modifications, resulting in our
recognition of an aggregate of $350,700 in noncash expense
attributable to the increase in fair value related to the warrant
exchanges during the nine-month period ended December 31, 2016.
Further, in December 2016, we modified an outstanding warrant to
reduce the exercise price from $8.00 per share to $3.51 per share
and increase the number of shares exercisable under the warrant
from 25,000 shares to 50,000 shares, recognizing $76,900 in expense
in the quarter then ended as the incremental fair value
attributable to the modification.
Interest and Other Expenses
Interest expense totaled $7,700 for the nine months ended December
31, 2017 compared to $3,700 for the nine months ended December 31,
2017. Interest expense in both periods relates to interest paid on
insurance premium financing and on a capital lease of office
equipment.
During
the quarter ended December 31, 2017, we issued 500,000 unregistered
shares of our common stock having a fair value at the time of
issuance of $585,000 and a cash payment of $76,500 to a contract
manufacturing organization in settlement of $526,500 of open
accounts payable. We recognized a corresponding loss on settlement
of accounts payable in the amount of $135,000 for the
quarter.
We
recognized $766,600 and $1,018,500 for
the nine months ended December 31, 2017 and 2016, respectively,
representing the 10% cumulative noncash dividend payable on our
Series B Preferred as an additional deduction in arriving at net
loss attributable to common stockholders in the accompanying
Condensed Consolidated Statement of Operations and Comprehensive
Loss included in Part I of this Report. The reduction in the
dividend accrual results from the automatic conversion of
an aggregate of 2,403,051 shares of
Series B Preferred into an equal number of shares of our common
stock upon our completion of our May 2016 public offering of shares
of our common stock and warrants, and a subsequent voluntary
conversion of 87,500 shares of our Series B Preferred in August
2016. There have been no conversions of outstanding shares of
Series B Preferred into common shares since August
2016.
Our
sale of units consisting of common stock and warrants in the
December 2017 Public Offering at an offering price of $1.50 per
unit triggered the anti-dilution provisions of the Series A2
Warrants to purchase an aggregate of 503,641 shares of our common
stock issued in the September 2017 Public Offering. In accordance
with the anti-dilution terms and formula contained in the Series A2
warrants, the exercise price of the Series A2 Warrants was reduced
from the initial exercise price of $1.82 per share to $0.001 per
share. We recognized the effect of triggering the down round
feature, $199,200, as a further addition to net loss attributable
to common stockholders and in our calculation of basic and fully
diluted earnings per share in our accompanying Condensed
Consolidated Statement of Operations and Comprehensive Loss and as
a dividend in our Condensed Consolidated Statement of
Stockholders’ Equity included in Part I of this
Report.
During the quarter ended June 30, 2016, we allocated the proceeds
from our self-placed private placement sales of Series B Preferred
Units to the Series B Preferred stock and the Series B Warrants
based on their relative fair values on the dates of the sales. The
difference between the relative fair value per share of the Series
B Preferred, approximately $4.20 per share, and its Conversion
Price (or stated value) of $7.00 per share represented a deemed
dividend to the purchasers of the Series B Preferred Units.
Accordingly, we recognized a deemed dividend in the aggregate
amount of $111,100 in arriving at net loss attributable to common
stockholders for the nine
months ended December 31, 2016 in the accompanying Condensed
Consolidated Statement of Operations and Comprehensive Loss
included in Part I of this Report.
Liquidity and Capital Resources
From our inception in May 1998 through December 31, 2017, we have
financed our operations and technology acquisitions primarily
through the issuance and sale of our equity and debt securities,
including convertible promissory notes and short-term promissory
notes, for cash proceeds of approximately $61.4 million, as well as
from an aggregate of approximately $17.6 million of government
research grant awards, strategic collaboration payments,
intellectual property sublicensing and other revenues. We have also
issued equity securities with an approximate aggregate value at
issuance of $35.6 million in non-cash settlements of certain
liabilities, including liabilities for professional services
rendered to us or as compensation for such services. Additionally,
pursuant to our CRADA with the NIH, the NIMH continues to conduct
Phase 2 clinical development activities relating to AV-101 as a
potential new generation antidepressant. The NIMH AV-101 MDD Phase
2 Monotherapy Study is being sponsored in full, at no cost to us
other than supplying clinical trial material, by the NIMH under the
direction of Dr. Carlos Zarate Jr. as Principal
Investigator.
In December 2017, we completed the December 2017 Public Offering,
resulting in gross proceeds of $15.0 million, during which we
offered and sold shares of our common stock and warrants to
purchase shares of our common stock at a combined public offering
price of $1.50 per share and related warrant. We issued an
aggregate of 10,000,000 shares of our common stock and December
2017 Offering Warrants to purchase up to 10,000,000 shares of our
common stock at an exercise price of $1.50 per share.
The December 2017 Offering Warrants
are exercisable at any time through December 13, 2022, and do not
contain any cashless exercise features as long as our Registration
Statement on Form S-1 (Registration No. 333-221009) is effective.
We received net proceeds of approximately $13.6 million from the
December 2017 Public Offering, after deducting underwriter’s
commission and other expenses related to the offering. The common
stock and the shares of common stock underlying the December 2017
Offering Warrants issued in the December 2017 Public Offering were
offered, issued and sold pursuant to the S-1.
In September 2017, we completed the September 2017 Public Offering,
pursuant to which we sold 1,371,430 shares of our common stock and
Series A1 Warrants to purchase up to 1,388,931 shares of common
stock and Series A2 Warrants to purchase up to 503,641 shares of
common stock, each initially exercisable for $1.82 per share to two
of our existing institutional investors, resulting in net proceeds
of approximately $2.0 million. The Series A1 Warrants will be
exercisable for a five-year period commencing on March 7, 2018, and
the Series A2 Warrants are exercisable at any time and expire on
September 6, 2022. The common stock and the shares of common stock
underlying the Warrants issued in the September 2017 Public
Offering were sold pursuant to our effective Registration
Statement on Form S-3 (Registration No. 333-215671) to cover this
and potential future sales of our equity securities in one or more
public offerings from time to time. Consistent with the anti-dilution protection
provisions of the Series A2 Warrants, the exercise price of such
warrants was reduced upon the closing of the December 2017 Public
Offering. At the date of this Report, all of the Series A2 Warrants
have been exercised at the reset exercise price as a result of the
December 2017 Public Offering. Following these exercises,
none of our outstanding warrants have down round anti-dilution
protection features.
During the nine months ended December 31, 2017, we entered into
self-placed private placement transactions with individual
accredited investors, pursuant to which we sold units consisting of
an aggregate of 616,323 shares of our unregistered common stock
and, after adjustments, warrants which are not exercisable until
six months and one day following issuance and expire between April
30, 2021 and November 30, 2022, to purchase an aggregate of 616,323
unregistered shares of our common stock at a weighted average fixed
exercise price of approximately $2.00 per share. We received
aggregate cash proceeds of approximately $1.1 million in these
self-placed private placement transactions.
At December 31, 2017, we had a cash and cash equivalents balance of
$13.0 million. We believe this amount is sufficient to enable us to
fund our planned operations for the next 12 months. We expect to
seek additional capital to finalize and release the results of the
AV-101 MDD Phase 2 Adjunctive Treatment Study, produce additional
AV-101 study material, conduct Phase 3-enabling studies, conduct
Phase 3 studies in MDD, conduct AV-101 Phase 2 studies in CNS
indications other than MDD and to fund our internal operations in
2019 and beyond.
We expect, as we have numerous times in the past, to raise
additional capital as and when necessary and advisable, potentially
including through an offering under a Registration Statement on
Form S-1, through one or more offerings under our effective S-3
Registration Statement or through other capital raising activity,
to sustain our operations and achieve our key corporate objectives
beyond the next twelve months, including finalizing and releasing
the results of the AV-101 MDD Phase 2 Adjunctive Treatment Study.
There can, however, be no assurance that future financing will be
available in sufficient amounts, in a timely manner, or on terms
acceptable to us, if at all.
We may also seek additional research and development collaborations
that could generate revenue, funding for development of AV-101 and
additional product candidates, and/or additional government grant
awards and agreements similar to our current CRADA with the NIMH,
under which the NIMH is fully funding and conducting the NIMH
AV-101 MDD Phase 2 Monotherapy Study. Such strategic collaborations
may provide non-dilutive resources to advance our strategic
initiatives while reducing a portion of our future cash outlays and
working capital requirements. In a manner similar to the BlueRock
Agreement, we may also pursue similar arrangements with
third-parties covering other of our intellectual property. Although
we may seek additional collaborations that could generate revenue
and/or non-dilutive funding for development of AV-101 and other
product candidates, as well as new government grant awards and/or
agreements similar to our CRADA with NIMH, no assurance can be
provided that any such collaborations, awards or agreements will
occur in the future.
Our future working capital requirements will depend on many
factors, including, without limitation, the scope and nature of
opportunities related to our success and the success of certain
other companies in clinical trials, including our development and
commercialization of AV-101 as an adjunctive treatment for MDD and
other potential CNS conditions, and various applications of our
stem cell technology platform, the availability of, and our ability
to obtain, government grant awards and agreements, and our ability
to enter into collaborations on terms acceptable to us. To further
advance the clinical development of AV-101 and our stem cell
technology platform, as well as support our operating activities,
we plan to continue to carefully manage our routine operating
costs, including our employee headcount and related expenses, as
well as the timing of and projected costs relating to key research
and development projects, including our expenses associated with
the AV-101 MDD Phase 2 Adjunctive Treatment Study, regulatory
consulting, CRO and CMO services, investor relations and corporate
development, legal, acquisition and protection of intellectual
property, public company compliance and other professional services
and working capital costs.
Notwithstanding the foregoing, substantial additional financing may
not be available to us on a timely basis, on acceptable terms, or
at all. If we are unable to obtain substantial additional financing
on a timely basis as and when needed in 2018 or 2019 and beyond,
our business, financial condition, and results of operations may be
harmed, the price of our stock may decline, we may be required to
reduce, defer, or discontinue certain of our research and
development activities and we may not be able to continue as a
going concern.
Cash and Cash Equivalents
The following table summarizes changes in cash and cash equivalents
for the periods stated (in thousands):
|
Nine Months Ended December 31,
|
|
|
|
|
|
|
Net
cash used in operating activities
|
$(6,454)
|
$(5,968)
|
Net
cash used in investing activities
|
(2)
|
(10)
|
Net
cash provided by financing activities
|
16,567
|
9,921
|
|
|
|
Net
increase in cash and cash equivalents
|
10,111
|
3,943
|
Cash
and cash equivalents at beginning of period
|
2,921
|
429
|
Cash
and cash equivalents at end of period
|
$13,032
|
$4,372
|
Off-Balance Sheet Arrangements
We have no off-balance sheet arrangements.
Disclosure Controls and Procedures
Our management, with the participation of our Chief Executive
Officer and Chief Financial Officer, evaluated the effectiveness of
our disclosure controls and procedures (as defined in Rule
13a-15(e) of the Exchange Act) as of the end of the period covered
by this Report. Based on that evaluation, our Chief Executive
Officer and our Chief Financial Officer concluded that our
disclosure controls and procedures as of the end of the period
covered by this Report were effective.
Internal Control over Financial Reporting
In our Annual Report on Form 10-K for our fiscal year ended March
31, 2017 filed with the Securities and Exchange Commission on June
29, 2017, we identified two material weaknesses in our internal
control over financial reporting relating to (i) segregation of
duties and (ii) the functionality of our accounting
software. Management has determined that current resources
would be more appropriately applied elsewhere and when resources
permit, they will alleviate such material weaknesses through
various steps, which may include the addition of qualified
financial personnel and/or the acquisition and implementation of
alternative accounting software. Accordingly, there was no change in our internal control over
financial reporting (as defined in Rule 13a-15(f) of the Exchange
Act) that occurred during the fiscal quarter to which this Report
relates that has materially affected, or is reasonably likely to
materially affect, our internal control over financial
reporting.
PART II: OTHER
INFORMATION
Item 1. Legal
Proceedings
None.
Investing in our securities involves a high degree of risk. You
should consider carefully the risks and uncertainties described
below, together with all of the other information in this Quarterly
Report on Form 10-Q (Report) and in our Annual Report on Form 10-K
filed with the Securities and Exchange Commission for the fiscal
year ended March 31, 2017 before investing in our securities. The
risks described below are not the only risks facing our
Company. Additional risks and uncertainties not
currently known to us or that we currently deem to be immaterial
may also materially adversely affect our business, financial
condition and/or operating results. If any of the following
risks are realized, our business, financial condition and
results of operations could be materially and adversely
affected.
Risks Related to Product Development, Regulatory Approval and
Commercialization
We depend heavily on the success of AV-101. We cannot be certain
that we will be able to obtain regulatory approval for, or
successfully commercialize AV-101, or any product
candidate.
We currently have no drug products for sale and may never be able
to develop and commercialize marketable drug products. Our business
depends heavily on the successful development, regulatory approval
and commercialization of AV-101 for depression, including for MDD,
and, potentially, various other diseases and disorders involving
the CNS, as well as, but to a more limited extent, our ability to
produce, develop and commercialize NCEs from our drug rescue
programs. AV-101 will require substantial additional nonclinical
and clinical testing and regulatory approval before it may be
commercialized. It is unlikely to achieve regulatory approval, if
at all, until at least 2021. Each drug rescue NCE will require
substantial nonclinical development, all phases of clinical
development, and regulatory approval before it may be
commercialized. The nonclinical and clinical development of our
product candidates are, and the manufacturing and marketing of our
product candidates will be, subject to extensive and rigorous
review and regulation by numerous government authorities in the
United States and in other countries where we intend to test and,
if approved, market any product candidate. Before obtaining
regulatory approvals for the commercial sale of any product
candidate, we must demonstrate through numerous nonclinical and
clinical studies that the product candidate is safe and effective
for use in each target indication. Drug development is a long,
expensive and uncertain process, and delay or failure can occur at
any stage of any of our nonclinical or clinical studies. This
process takes many years and may also include post-marketing
studies and surveillance obligations, which would require the
expenditure of substantial resources beyond the proceeds we have
raised to date. Of the large number of drugs in development in the
United States, only a small percentage will successfully complete
the FDA regulatory approval process and will be commercialized.
Accordingly, we cannot assure you that AV-101, any drug rescue NCE,
or any other future product candidate will be successfully
developed or commercialized.
We are not permitted to market our product candidates in the United
States until we receive approval of a New Drug Application
(NDA) from the FDA, or in any foreign countries until
we receive the requisite approval from such countries. We expect
the FDA to require us to complete the planned AV-101 MDD Phase 2
Adjunctive Treatment Study and at least two pivotal Phase 3
clinical trials in order to submit an NDA for AV-101 as an
adjunctive treatment for MDD patients with an inadequate response
to standard, FDA-approved antidepressants. Also, we anticipate that
the FDA will require that we conduct additional toxicology
studies, additional nonclinical and certain small clinical studies
before submitting an NDA for AV-101. The results of all of these
studies are not known until after the studies are
concluded.
Obtaining FDA approval of an NDA is a complex, lengthy, expensive
and uncertain process, and the FDA may delay, limit or deny
approval of AV-101 or any other product candidate we may seek to
develop for many reasons, including, among others:
●
if we submit an NDA and it is reviewed by an advisory committee,
the FDA may have difficulties scheduling an advisory committee
meeting in a timely manner or the advisory committee may recommend
against approval of our application or may recommend that the FDA
require, as a condition of approval, additional non-clinical or
clinical studies, limitations on approved labeling or distribution
and use restrictions;
●
the FDA may require development of a Risk
Evaluation and Mitigation Strategy ( REMS) as a condition of approval or
post-approval;
●
the FDA or the applicable foreign regulatory
agency may determine that the manufacturing processes or facilities
of third-party contract manufacturers with which we contract do not
conform to applicable requirements, including current Good
Manufacturing Practices ( cGMPs); or
●
the FDA or applicable foreign regulatory agency may change its
approval policies or adopt new regulations.
Any of these factors, many of which are beyond our control, could
jeopardize our ability to obtain regulatory approval for and
successfully commercialize AV-101 or any other product candidate we
may develop, including drug rescue NCEs. Any such setback in our
pursuit of regulatory approval for any product candidate would have
a material adverse effect on our business and
prospects.
We have applied for, and have been granted Fast Track designation
from the FDA for AV-101 for the treatment of MDD. However, this
designation may not actually lead to a faster development or
regulatory review or approval process for AV-101. Further, there is
no guarantee the FDA will grant Fast Track designation for AV-101
as a treatment option for other CNS indications or for other
product candidates in the future.
The Fast Track designation is a program offered by the FDA pursuant
to certain mandates under the FDA Modernization Act of 1997,
designed to facilitate drug development and to expedite the review
of new drugs that are intended to treat serious or life threatening
conditions. Compounds selected must demonstrate the potential to
address unmet medical needs. The Fast Track designation allows for
close and frequent interaction with the FDA. A designated Fast
Track drug may also be considered for priority review with a
shortened review time, rolling submission, and accelerated approval
if applicable. The designation does not, however, guarantee
approval or expedited approval of any application for the
product.
In October 2017 we applied for FDA Fast Track designation for
AV-101, and in December 2017 the FDA granted Fast Track designation
for AV-101 for the treatment of MDD. However, this designation may
not lead to a faster development or regulatory review or approval
process for AV-101 and the FDA may withdraw Fast Track designation
of AV-101 if it believes that the designation is no longer
supported by data from our clinical development
programs.
In addition, we may apply for Fast Track designation for AV-101 as
a treatment option for other CNS indications, as well as for other
product candidates. The FDA has broad discretion whether or not to
grant a Fast Track designation, and even if we believe AV-101 and
other product candidates are eligible for this designation, we
cannot be sure that the review or approval will compare to
conventional FDA procedures.
Results of earlier clinical trials may not be predictive of the
results of later-stage clinical trials.
The results of preclinical studies and early clinical trials of
AV-101 and/or other product candidates, including positive results,
may not be predictive of the results of later-stage clinical
trials. AV-101 or other product candidates in later stages of
clinical trials may fail to show the desired safety and efficacy
results despite having progressed through preclinical studies and
initial clinical trials. Many companies in the biopharmaceutical
industry have suffered significant setbacks in advanced clinical
trials due to adverse safety profiles or lack of efficacy,
notwithstanding promising results in earlier studies. Similarly,
our future clinical trial results may not be successful for these
or other reasons.
Moreover, preclinical and clinical data are often susceptible to
varying interpretations and analyses, and many companies that
believed their product candidates performed satisfactorily in
preclinical studies and clinical trials nonetheless failed to
obtain FDA approval. We have not yet completed a Phase 2 clinical
trial for AV-101, and if the NIMH AV-101 MDD Phase 2 Monotherapy
Study and/or our AV-101 MDD Phase 2 Adjunctive Treatment Study
fail(s) to produce positive results, the development timeline and
regulatory approval and commercialization prospects for AV-101 and,
correspondingly, our business and financial prospects, could be
materially adversely affected.
This drug candidate development risk is heightened by any changes
in planned timing or nature of clinical trials compared to
completed clinical trials. As product candidates are developed
through preclinical to early and late stage clinical trials towards
approval and commercialization, it is customary that various
aspects of the development program, such as manufacturing and
methods of administration, are altered along the way in an effort
to optimize processes and results. While these types of changes are
common and are intended to optimize the product candidates for
later stage clinical trials, approval and commercialization, such
changes do carry the risk that they will not achieve these intended
objectives.
For example, the results of planned clinical trials may be
adversely affected if we or our collaborator seek to optimize and
scale-up production of a product candidate. In such case, we will
need to demonstrate comparability between the newly manufactured
drug substance and/or drug product relative to the previously
manufactured drug substance and/or drug product. Demonstrating
comparability may cause us to incur additional costs or delay
initiation or completion of our clinical trials, including the need
to initiate a dose escalation study and, if unsuccessful, could
require us to complete additional nonclinical or clinical studies
of our product candidates.
If serious adverse events or other undesirable side effects or
safety concerns are identified during the use of AV-101 in
investigator-sponsored clinical trials or in our clinical trials of
AV-101, it may adversely affect or delay our clinical development
of AV-101 for MDD and other CNS indications.
AV-101 as a monotherapy is currently being tested by the NIMH in
the NIMH AV-101 MDD Phase 2 Monotherapy Study and may be subjected
to testing in the future for other CNS indications in additional
investigator sponsored clinical trials. If serious adverse events
or other undesirable side effects or safety concerns, or unexpected
characteristics of AV-101 are observed in investigator-sponsored
clinical trials of AV-101 or in our clinical trials of AV-101, it
may adversely affect or delay our clinical development of AV-101,
and the occurrence of these events would have a material adverse
effect on our business and financial prospects.
Failures or delays in the commencement or completion of our planned
clinical trials and nonclinical studies of AV-101 or other our
product candidates could result in increased costs to us and could
delay, prevent or limit our ability to generate revenue and
continue our business.
Under our CRADA with the NIMH, the NIMH is conducting and funding
the NIMH AV-101 MDD Phase 2 Monotherapy Study. We will need to
complete the planned AV-101 MDD Phase 2 Adjunctive Treatment Study,
at least two additional large Phase 3 pivotal clinical trials,
additional toxicology and other nonclinical studies and certain
smaller clinical studies prior to the submission of an NDA for
AV-101 as a new generation adjunctive treatment for MDD. Successful
completion of our nonclinical and clinical trials is a prerequisite
to submitting an NDA to the FDA and, consequently, the ultimate
approval required before commercial marketing of AV-101 for MDD and
any other product candidates we may develop. Except as disclosed
herein, we do not know whether the NIMH AV-101 MDD Phase 2
Monotherapy Study, our AV-101 MDD Phase 2 Adjunctive Treatment
Study or any of our future-planned nonclinical and clinical trials
will be completed on schedule, if at all, as the commencement and
completion of nonclinical and clinical trials can be delayed or
prevented for a number of reasons, including, among
others:
●
the FDA may deny permission to proceed with our planned clinical
trials or any other clinical trials we may initiate, or may place a
planned or ongoing clinical trial on hold;
●
delays in filing or receiving approvals of additional INDs that may
be required;
●
negative results from our ongoing nonclinical studies;
●
delays in reaching or failing to reach agreement on acceptable
terms with prospective CROs, investigators and clinical trial
sites, the terms of which can be subject to extensive negotiation
and may vary significantly among different CROs, investigators and
clinical trial sites;
●
delays in the manufacturing of, or insufficient supply of, AV-101
or other product candidates necessary to conduct nonclinical or
clinical trials, including delays in the manufacturing of
sufficient supply or finished drug product resulting from our new
manufacturing process for AV-101;
●
inability to manufacture or obtain clinical supplies of a product
candidate meeting required quality standards;
●
difficulties obtaining Institutional Review
Board (IRB) approval to conduct a clinical trial at a
prospective clinical site or sites;
●
challenges in recruiting and enrolling patients to participate in
clinical trials, including the proximity of patients to clinical
trial sites;
●
eligibility criteria for a clinical trial, the nature of a clinical
trial protocol, the availability of approved effective treatments
for the relevant disease and competition from other clinical trial
programs for similar indications;
●
severe or unexpected drug-related side effects experienced by
patients in a clinical trial;
●
delays in validating any endpoints utilized in a clinical
trial;
●
the FDA may disagree with our clinical trial design and our
interpretation of data from prior nonclinical studies or clinical
trials, or may change the requirements for approval even after it
has reviewed and commented on the design for our clinical
trials;
●
reports from nonclinical or clinical testing of other CNS
indications or therapies that raise safety or efficacy concerns;
and
●
difficulties retaining patients who have enrolled in a clinical
trial but may be prone to withdraw due to rigors of the clinical
trial, lack of efficacy, side effects, personal issues or loss of
interest.
Clinical trials may also be delayed or terminated prior to
completion as a result of ambiguous or negative interim results. In
addition, a clinical trial may be suspended or terminated by us,
the FDA, the IRBs at the sites where the IRBs are overseeing a
clinical trial, a data and safety monitoring board
(DSMB), overseeing the clinical trial at issue or other
regulatory authorities due to a number of factors, including, among
others:
●
failure to conduct the clinical trial in accordance with regulatory
requirements or approved clinical protocols;
●
inspection of the clinical trial operations or trial sites by the
FDA or other regulatory authorities that reveals deficiencies or
violations that require us to undertake corrective action,
including the imposition of a clinical hold;
●
unforeseen safety issues, including any that could be identified in
our ongoing nonclinical carcinogenicity studies, adverse side
effects or lack of effectiveness;
●
changes in government regulations or administrative
actions;
●
problems with clinical supply materials that may lead to regulatory
actions; and
●
lack of adequate funding to continue nonclinical or clinical
studies.
Changes in regulatory requirements, FDA guidance or unanticipated
events during our nonclinical studies and clinical trials of AV-101
or other product candidates may occur, which may result in changes
to nonclinical studies and clinical trial protocols or additional
nonclinical studies and clinical trial requirements, which could
result in increased costs to us and could delay our development
timeline.
Changes in regulatory requirements, FDA guidance or unanticipated
events during our nonclinical studies and clinical trials of AV-101
or other product candidates may force us to amend nonclinical
studies and clinical trial protocols or the FDA may impose
additional nonclinical studies and clinical trial requirements.
Amendments or changes to our clinical trial protocols would require
resubmission to the FDA and IRBs for review and approval, which may
adversely impact the cost, timing or successful completion of
clinical trials. Similarly, amendments to our nonclinical studies
may adversely impact the cost, timing, or successful completion of
those non-clinical studies. If we experience delays completing, or
if we terminate, any of our nonclinical studies or clinical trials,
or if we are required to conduct additional nonclinical studies or
clinical trials, the commercial prospects for AV-101 or other
product candidates may be harmed and our ability to generate
product revenue will be delayed.
We rely, and expect that we will continue to rely, on third parties
to conduct nonclinical and clinical trials of AV-101 and any other
product candidates. If these third parties do not successfully
carry out their contractual duties or meet expected deadlines,
completion of nonclinical and clinical trials and development of
AV-101 and other product candidates may be delayed and we may not
be able to obtain regulatory approval for or commercialize AV-101
or other product candidates and our business could be substantially
harmed.
We do not have the internal staff resources to independently
conduct nonclinical and clinical trials completely on our own. We
rely on our network of strategic relationships with various medical
institutions, nonclinical and clinical investigators, contract
laboratories and other third parties, such as contract research and
development organizations (CROs), to conduct nonclinical and clinical trials of
our product candidates. We enter into agreements with third-party
CROs to provide monitors for and to manage data for our clinical
trials, as well as provide other services necessary to prepare for,
conduct and complete clinical trials. We rely heavily on these and
other third-parties for execution of nonclinical and clinical
trials for our product candidates and control only certain aspects
of their activities. As a result, we have less direct control over
the conduct, timing and completion of these nonclinical and
clinical trials and the management of data developed through
nonclinical and clinical trials than would be the case if we were
relying entirely upon our own staff. Communicating with outside
parties can also be challenging, potentially leading to mistakes as
well as difficulties in coordinating activities. Outside parties
may:
●
have staffing difficulties and/or undertake obligations beyond
their anticipated capabilities and resources;
●
fail to comply with contractual obligations;
●
experience regulatory compliance issues;
●
undergo changes in priorities or become financially distressed;
or
●
form relationships with other entities, some of which may be our
competitors.
These factors may materially adversely affect the willingness or
ability of third parties to conduct our nonclinical and clinical
trials and may subject us to unexpected cost increases that are
beyond our control. Nevertheless, we are responsible for ensuring
that each of our nonclinical studies and clinical trials is
conducted in accordance with the applicable protocol, legal,
regulatory and scientific requirements and standards, and our
reliance on CROs or the NIH does not relieve us of our regulatory
responsibilities. We and our CROs, the NIMH and any investigator in
an investigator-sponsored study are required to comply with
regulations and guidelines, including current cGCPs for conducting,
monitoring, recording and reporting the results of clinical trials
to ensure that the data and results are scientifically credible and
accurate, and that the trial patients are adequately informed of
the potential risks of participating in clinical trials. These
regulations are enforced by the FDA, the Competent Authorities of
the Member States of the European Economic Area and comparable
foreign regulatory authorities for any products in clinical
development. The FDA enforces cGCP regulations through periodic
inspections of clinical trial sponsors, principal investigators and
trial sites. If we or any of our CROs fail to comply with
applicable cGCPs, the clinical data generated in our clinical
trials may be deemed unreliable and the FDA or comparable foreign
regulatory authorities may require us to perform additional
clinical trials before approving our marketing applications. We
cannot assure you that, upon inspection, the FDA will determine
that any of our clinical trials comply with cGCPs. In addition, our
clinical trials must be conducted with product candidates produced
under cGMPs regulations and will require a large number of test
patients. Our failure or the failure of our CROs to comply with
these regulations may require us to repeat clinical trials, which
would delay the regulatory approval process and could also subject
us to enforcement action up to and including civil and criminal
penalties.
Although we design our clinical trials for our product candidates,
we plan to have CROs, and in the case of the NIMH AV-101 MDD Phase
2 Monotherapy Study, the NIMH, conduct the AV-101 Phase 2 and Phase
3 clinical trials. As a result, many important aspects of our drug
development programs are outside of our direct control. In
addition, the CROs or the NIMH, as the case may be, may not perform
all of their obligations under arrangements with us or in
compliance with regulatory requirements, but we remain responsible
and are subject to enforcement action that may include civil
penalties up to and including criminal prosecution for any
violations of FDA laws and regulations during the conduct of our
clinical trials. If the NIMH or CROs do not perform clinical trials
in a satisfactory manner, breach their obligations to us or fail to
comply with regulatory requirements, the development and
commercialization of AV-101 and other product candidates may be
delayed or our development program materially and irreversibly
harmed. We cannot control the amount and timing of resources these
CROs or the NIMH devote to our program or our clinical products. If
we are unable to rely on nonclinical and clinical data collected by
our CROs or the NIMH, we could be required to repeat, extend the
duration of, or increase the size of our clinical trials and this
could significantly delay commercialization and require
significantly greater expenditures.
If any of our relationships with these third-party CROs or the NIMH
terminate, we may not be able to enter into arrangements with
alternative CROs or collaborators. If CROs or the NIMH
do not successfully carry out their contractual duties or
obligations or meet expected deadlines, if they need to be replaced
or if the quality or accuracy of the clinical data they obtain is
compromised due to the failure to adhere to our clinical protocols,
regulatory requirements or for other reasons, any clinical trials
that such CROs or the NIMH are associated with may be extended,
delayed or terminated, and we may not be able to obtain regulatory
approval for or successfully develop and commercialize our product
candidates. As a result, we believe that our financial results and
the commercial prospects for our product candidates in the subject
indication would be harmed, our costs would increase and our
ability to generate revenue would be delayed.
We rely completely on third-parties to manufacture and prepare
supplies of AV-101 for all nonclinical and clinical studies of
AV-101, and we intend to continue to rely on third parties to
produce all nonclinical, clinical and commercial supplies of AV-101
in the future.
We do not currently have, nor do we
plan to acquire or develop, the necessary infrastructure internal
resources or technical capabilities to manufacture and prepare
supplies of AV-101, or any future product candidates, for use in
nonclinical and clinical studies, and we lack the internal
resources and the capability to manufacture any product candidate
on a clinical or commercial scale. As a result, we rely
completely on third party contract manufacturing organizations
(CMOs) to manufacture AV-101 active pharmaceutical
ingredient (API) and prepare AV-101 final drug product. The
facilities used by our CMOs to manufacture AV-101 API and final
drug product are subject to a pre-approval inspection by the FDA to
assess compliance with applicable requirements, including cGMPs,
and may be required to undergo similar inspections by the FDA or
other comparable foreign regulatory agencies after we submit INDs,
NDAs or relevant foreign regulatory submission equivalent to the
applicable regulatory agency.
We do not directly control either the supply or quality of
materials used in the manufacturing and preparation of AV-101 or
the AV-101 manufacturing process, and we are completely dependent
on our CMOs to comply with all cGMPs for manufacture of both AV-101
API and AV-101 finished drug product. If our CMOs cannot secure
adequate supplies of suitable raw materials or successfully
manufacture AV-101 API that conforms to our specifications and the
strict regulatory requirements of the FDA or applicable foreign
regulatory agencies, production of sufficient supplies of AV-101
API and finished drug product may be delayed and our CMOs may not
be able to secure and/or maintain regulatory approval for their
manufacturing facilities, or the FDA may take other actions,
including the imposition of a clinical hold. In addition, we have
no direct control over our CMOs’ ability to maintain adequate
quality control, quality assurance and qualified personnel. All of
our CMOs are engaged with other companies to supply and/or
manufacture materials or products for such other companies, which
exposes our CMOs to regulatory risks for the production of such
materials and products. As a result, failure to satisfy the
regulatory requirements for the production of those materials and
products may affect the regulatory clearance of our CMO’s
facilities generally or affect the timing of manufacture of AV-101
for required or planned nonclinical and/or clinical studies of
AV-101. If the FDA or an applicable foreign regulatory agency
determines now or in the future that our CMOs’ facilities are
noncompliant, we may need to find alternative manufacturing
facilities, which would adversely impact our ability to develop,
obtain regulatory approval for or market AV-101. Our reliance on
CMOs also exposes us to the possibility that they, or third parties
with access to their facilities, will have access to and may
appropriate our trade secrets or other proprietary
information.
We do not yet have long-term AV-101 supply agreements in place with
our CMOs and each batch of AV-101 is individually contracted under
a separate supply agreement. If we engage new CMOs, such
contractors must complete an inspection by the FDA and other
applicable foreign regulatory agencies. We plan to continue to rely
upon CMOs and, potentially, collaboration partners, to manufacture
research, development and, if approved, commercial quantities of
AV-101 and any other product candidates we may seek to develop in
the future. Although we believe our current scale of manufacturing
for AV-101 and current and projected supply of AV-101 API and
finished drug product will be adequate to support our planned
nonclinical and clinical studies of AV-101, no assurance can be
given that unanticipated AV-101 supply shortages, CMO-related
delays in manufacture and production of AV-101 API and finished
drug product will not occur in the future.
Even if we receive marketing approval for AV-101 or any other
product candidate in the United States, we may never receive
regulatory approval to market AV-101 or any other product candidate
outside of the United States.
We have not yet selected any markets outside of the United States
where we intend to seek regulatory approval to market our product
candidates. In order to market any product outside of the United
States, however, we must establish and comply with the numerous and
varying safety, efficacy and other regulatory requirements of other
countries. Approval procedures vary among countries and can involve
additional product candidate testing and additional administrative
review periods. The time required to obtain approvals in other
countries might differ from that required to obtain FDA approval.
The marketing approval processes in other countries may implicate
all of the risks detailed above regarding FDA approval in the
United States as well as other risks. In particular, in many
countries outside of the United States, products must receive
pricing and reimbursement approval before the product can be
commercialized. Obtaining this approval can result in substantial
delays in bringing products to market in such countries. Marketing
approval in one country does not ensure marketing approval in
another, but a failure or delay in obtaining marketing approval in
one country may have a negative effect on the regulatory process in
others. Failure to obtain marketing approval in other countries or
any delay or other setback in obtaining such approval would impair
our ability to market our product candidates in such foreign
markets. Any such impairment would reduce the size of our potential
market, which could have a material adverse impact on our business,
results of operations and prospects.
If any of our product candidates are ultimately regulated as
controlled substances, we, our CMOs, as well as future
distributors, prescribers, and dispensers will be required to
comply with additional regulatory requirements which could delay
the marketing of our product candidates, and increase the cost and
burden of manufacturing, distributing, dispensing, and prescribing
our product candidates.
Before we can commercialize our product candidates, the United
States Drug Enforcement Administration (DEA) may need to determine the controlled substance
schedule, taking into account the recommendation of the FDA. This
may be a lengthy process that could delay our marketing of a
product candidate and could potentially diminish any regulatory
exclusivity periods for which we may be eligible, which would
increase the cost associated with commercializing such products
and, in turn, may have an adverse impact on our results of
operations. While we currently do not know whether any of our
product candidates will be considered to be controlled substances,
certain of our product candidates, including AV-101, may be
regulated as controlled substances.
If any of our product candidates are regulated as controlled
substances, depending on the controlled substance schedule in which
the product candidates are placed, we, our contract manufacturers,
and any future distributers, prescribers, and dispensers of the
scheduled product candidates may be subject to significant
regulatory requirements, such as registration, security,
recordkeeping, reporting, storage, distribution, importation,
exportation, inventory, quota and other requirements administered
by the DEA. Moreover, if any of our product candidates are
regulated as controlled substances, we and our CMOs would be
subject to initial and periodic DEA inspection.If we or our
contract manufacturers are not able to obtain or maintain any
necessary DEA registrations, we may not be able to commercialize
any product candidates that are deemed to be controlled substances
or we may need to find alternative CMOs, which would take time and
cause us to incur additional costs, delaying or limit our
commercialization efforts.
Because of their restrictive nature, these laws and regulations
could limit commercialization of our product candidates, should
they be deemed to contain controlled substances. Failure to comply
with the applicable controlled substance laws and regulations can
also result in administrative, civil or criminal enforcement. The
DEA may seek civil penalties, refuse to renew necessary
registrations, or initiate administrative proceedings to revoke
those registrations. In some circumstances, violations could result
in criminal proceedings or consent decrees. Individual states also
independently regulate controlled substances.
If we are unable to establish sales and marketing capabilities or
enter into agreements with third parties to market and sell our
product candidates, we may not be able to generate any
revenue.
We do not currently have an infrastructure for the sale, marketing
and distribution of pharmaceutical products, nor do we intend to
create such capabilities in the foreseeable future. Therefore, in
order to market our product candidates, if approved by the FDA or
any other regulatory body, we must make contractual arrangements
with third parties to perform services related to sales, marketing,
managerial and other non-technical capabilities relating to the
commercialization of our product candidates. If we are unable to
establish adequate contractual arrangements for such sales,
marketing and distribution capabilities, or if we are unable to do
so on commercially reasonable terms, our business, results of
operations, financial condition and prospects will be materially
adversely affected.
Even if we receive marketing approval for our product candidates,
our product candidates may not achieve broad market acceptance,
which would limit the revenue that we generate from their
sales.
The commercial success of our product candidates, if approved by
the FDA or other applicable regulatory authorities, will depend
upon the awareness and acceptance of our product candidates among
the medical community, including physicians, patients and
healthcare payors. Market acceptance of our product candidates, if
approved, will depend on a number of factors, including, among
others:
●
the efficacy and safety of our product candidates as demonstrated
in clinical trials, and, if required by any applicable regulatory
authority in connection with the approval for the applicable
indications, to provide patients with incremental health benefits,
as compared with other available therapies;
●
limitations or warnings contained in the labeling approved for our
product candidates by the FDA or other applicable regulatory
authorities;
●
the clinical indications for which our product candidates are
approved;
●
availability of alternative treatments already approved or expected
to be commercially launched in the near future;
●
the potential and perceived advantages of our product candidates
over current treatment options or alternative treatments, including
future alternative treatments;
●
the willingness of the target patient population to try new
therapies and of physicians to prescribe these
therapies;
●
the strength of marketing and distribution support and timing of
market introduction of competitive products;
●
publicity concerning our products or competing products and
treatments;
●
pricing and cost effectiveness;
●
the effectiveness of our sales and marketing
strategies;
●
our ability to increase awareness of our product candidates through
marketing efforts;
●
our ability to obtain sufficient third-party coverage or
reimbursement; or
●
the willingness of patients to pay out-of-pocket in the absence of
third-party coverage.
If our product candidates are approved but do not achieve an
adequate level of acceptance by patients, physicians and payors, we
may not generate sufficient revenue from our product candidates to
become or remain profitable. Before granting reimbursement
approval, healthcare payors may require us to demonstrate that our
product candidates, in addition to treating these target
indications, also provide incremental health benefits to patients.
Our efforts to educate the medical community and third-party payors
about the benefits of our product candidates may require
significant resources and may never be successful.
Our product candidates may cause undesirable safety concerns and
side effects that could delay or prevent their regulatory approval,
limit the commercial profile of an approved label, or result in
significant negative consequences following marketing approval, if
any.
Undesirable safety concerns and side effects caused by our product
candidates could cause us or regulatory authorities to interrupt,
delay or halt nonclinical studies and clinical trials and could
result in a more restrictive label or the delay or denial of
regulatory approval by the FDA or other regulatory
authorities.
Further, clinical trials by their nature utilize a sample of
potential patient populations. With a limited number of patients
and limited duration of exposure, rare and severe side effects of
our product candidates may only be uncovered with a significantly
larger number of patients exposed to the product candidate. If our
product candidates receive marketing approval and we or others
identify undesirable safety concerns or side effects caused by such
product candidates (or any other similar products) after such
approval, a number of potentially significant negative consequences
could result, including:
●
regulatory authorities may withdraw or limit their approval of such
product candidates;
●
regulatory authorities may require the addition of labeling
statements, such as a “black box” warning or a
contraindication;
●
we may be required to change the way such product candidates are
distributed or administered, conduct additional clinical trials or
change the labeling of the product candidates;
●
we may be subject to regulatory investigations and government
enforcement actions;
●
we may decide to remove such product candidates from the
marketplace;
●
we could be sued and held liable for injury caused to individuals
exposed to or taking our product candidates; and
●
our reputation may suffer.
We believe that any of these events could prevent us from achieving
or maintaining market acceptance of the affected product candidates
and would substantially increase the costs of commercializing our
product candidates and significantly impact our ability to
successfully commercialize our product candidates and generate
revenues.
Even if we receive marketing approval for our product candidates,
we may still face future development and regulatory
difficulties.
Even if we receive marketing approval for our product candidates,
regulatory authorities may still impose significant restrictions on
our product candidates, indicated uses or marketing or impose
ongoing requirements for potentially costly post-approval studies.
Our product candidates will also be subject to ongoing regulatory
requirements governing the labeling, packaging, storage and
promotion of the product and record keeping and submission of
safety and other post-market information. The FDA has significant
post-marketing authority, including, for example, the authority to
require labeling changes based on new safety information and to
require post-marketing studies or clinical trials to evaluate
serious safety risks related to the use of a drug. The FDA also has
the authority to require, as part of an NDA or post-approval, the
submission of a REMS. Any REMS required by the FDA may lead to
increased costs to assure compliance with new post-approval
regulatory requirements and potential requirements or restrictions
on the sale of approved products, all of which could lead to lower
sales volume and revenue.
Manufacturers of drug products and their facilities are subject to
continual review and periodic inspections by the FDA and other
regulatory authorities for compliance with cGMPs and other
regulations. If we or a regulatory agency discover problems with
our product candidates, such as adverse events of unanticipated
severity or frequency, or problems with the facility where our
product candidates are manufactured, a regulatory agency may impose
restrictions on our product candidates, the manufacturer or us,
including requiring withdrawal of our product candidates from the
market or suspension of manufacturing. If we, our product
candidates or the manufacturing facilities for our product
candidates fail to comply with applicable regulatory requirements,
a regulatory agency may, among other things:
●
issue warning letters or untitled letters;
●
seek an injunction or impose civil or criminal penalties or
monetary fines;
●
suspend or withdraw marketing approval;
●
suspend any ongoing clinical trials;
●
refuse to approve pending applications or supplements to
applications submitted by us;
●
suspend or impose restrictions on operations, including costly new
manufacturing requirements; or
●
seize or detain products, refuse to permit the import or export of
products, or require that we initiate a product
recall.
Competing therapies could emerge adversely affecting our
opportunity to generate revenue from the sale of our product
candidates.
The pharmaceuticals industry is highly competitive. There are many
public and private pharmaceutical companies, universities,
governmental agencies and other research organizations actively
engaged in the research and development of product candidates that
may be similar to our product candidates or address similar
markets. It is probable that the number of companies seeking to
develop product candidates similar to our product candidates will
increase.
Currently, management is unaware of any FDA-approved oral
adjunctive therapy for MDD patients with an inadequate response to
standard antidepressants having the same mechanism of action and
safety profile as our oral AV-101. However, new antidepressant
products with other mechanisms of action or products approved for
other indications, including the FDA-approved anesthetic ketamine
hydrochloride, are being or may be used off-label for treatment of
MDD, as well as other CNS indications for which AV-101 may have
therapeutic potential. Additionally, other non-pharmaceutical
treatment options, such psychotherapy and electroconvulsive therapy
(ECT) are sometimes used before or instead of standard
antidepressant medications to treat patients with
MDD.
In the field of new generation, orally available, adjunctive
treatments of adult MDD patients with an inadequate response to
standard FDA-approved antidepressants, we believe our principal
competitor is Alkermes’ oral opiate modulator drug candidate,
ALKS-5461, which adjunctive treatment product candidate is the
subject of a New Drug Application recently submitted to the FDA by
Alkermes.
Many of our potential competitors, alone or with their strategic
partners, have substantially greater financial, technical and human
resources than we do and significantly greater experience in the
discovery and development of product candidates, obtaining FDA and
other regulatory approvals of treatments and the commercialization
of those treatments. We believe that a range of
pharmaceutical and biotechnology companies have programs to develop
small molecule drug candidates for the treatment of depression,
including MDD, Parkinson’s disease levodopa induced
dyskinesia, neuropathic pain, epilepsy, and other neurological
conditions and diseases, including, but not limited to, Abbott
Laboratories, Acadia, Allergan, Alkermes, AstraZeneca, Eli Lilly,
GlaxoSmithKline, IntraCellular, Johnson & Johnson/Janssen,
Lundbeck, Merck, Novartis, Ono, Otsuka, Pfizer, Roche, Sage,
Sumitomo Dainippon, and Takeda, as well as any affiliates of the
foregoing companies. Mergers and acquisitions in the
biotechnology and pharmaceutical industries may result in even more
resources being concentrated among a smaller number of our
competitors. Our commercial opportunity could be reduced or
eliminated if our competitors develop and commercialize products
that are safer, more effective, have fewer or less severe side
effects, are more convenient or are less expensive than any
products that we may develop. Our competitors also may obtain FDA
or other regulatory approval for their products more rapidly than
we may obtain approval for ours, which could result in our
competitors establishing a strong market position before we are
able to enter the market.
We may seek to establish collaborations, and, if we are not able to
establish them on commercially reasonable terms, we may have to
alter our development and commercialization plans.
Our drug development programs and the potential commercialization
of our product candidates will require substantial additional cash
to fund expenses. For some of our product candidates, we may decide
to collaborate with pharmaceutical and biotechnology companies for
the development and potential commercialization of those product
candidates.
We face significant competition in seeking appropriate
collaborators. Whether we reach a definitive agreement for
collaboration will depend, among other things, upon our assessment
of the collaborator’s resources and expertise, the terms and
conditions of the proposed collaboration and the proposed
collaborator’s evaluation of a number of factors. Those
factors may include the design or results of clinical trials, the
likelihood of approval by the FDA or similar regulatory authorities
outside the United States, the potential markets for the subject
product candidate, the costs and complexities of manufacturing and
delivering such product candidate to patients, the potential of
competing products, the existence of uncertainty with respect to
our ownership of technology, which can exist if there is a
challenge to such ownership without regard to the merits of the
challenge and industry and market conditions generally. The
collaborator may also consider alternative product candidates or
technologies for similar indications that may be available to
collaborate on and whether such collaboration could be more
attractive than the one with us for our product candidate. The
terms of any collaboration or other arrangements that we may
establish may not be favorable to us.
We may also be restricted under existing collaboration agreements
from entering into future agreements on certain terms with
potential collaborators. Collaborations are complex and
time-consuming to negotiate and document. In addition, there have
been a significant number of recent business combinations among
large pharmaceutical companies that have resulted in a reduced
number of potential future collaborators.
We may not be able to negotiate collaborations on a timely basis,
on acceptable terms, or at all. If we are unable to do so, we may
have to curtail the development of the product candidate for which
we are seeking to collaborate, reduce or delay its development
program or one or more of our other development programs, delay its
potential commercialization or reduce the scope of any sales or
marketing activities, or increase our expenditures and undertake
development or commercialization activities at our own expense. If
we elect to increase our expenditures to fund development or
commercialization activities on our own, we may need to obtain
additional capital, which may not be available to us on acceptable
terms or at all. If we do not have sufficient funds, we may not be
able to further develop our product candidates or bring them to
market and generate product revenue.
In addition, any future collaboration that we enter into may not be
successful. The success of our collaboration arrangements will
depend heavily on the efforts and activities of our collaborators.
Collaborators generally have significant discretion in determining
the efforts and resources that they will apply to these
collaborations. Disagreements between parties to a collaboration
arrangement regarding clinical development and commercialization
matters can lead to delays in the development process or
commercializing the applicable product candidate and, in some
cases, termination of the collaboration arrangement. These
disagreements can be difficult to resolve if neither of the parties
has final decision-making authority. Collaborations with
pharmaceutical or biotechnology companies and other third parties
often are terminated or allowed to expire by the other party. Any
such termination or expiration would adversely affect us
financially and could harm our business reputation.
We may not be successful in our efforts to identify or discover
additional product candidates, or we may expend our limited
resources to pursue a particular product candidate or indication
and fail to capitalize on product candidates or indications that
may be more profitable or for which there is a greater likelihood
of success.
The success of our business depends primarily upon our ability to
identify, develop and commercialize product candidates with
commercial and therapeutic potential. Although AV-101 is in Phase 2
clinical development for treatment of MDD, we may fail to pursue
additional CNS-related Phase 2 development opportunities for
AV-101, or identify additional product candidates for clinical
development for a number of reasons. Our research methodology may
be unsuccessful in identifying new product candidates or our
product candidates may be shown to have harmful side effects or may
have other characteristics that may make the products unmarketable
or unlikely to receive marketing approval.
Because we currently have limited financial and management
resources, we necessarily focus on a limited number of research and
development programs and product candidates and are currently
focused primarily on development of AV-101, with additional limited
focus on NCE drug rescue and RM. As a result, we may forego or
delay pursuit of opportunities with other product candidates or for
other potential CNS-related indications for AV-101 that later prove
to have greater commercial potential. Our resource allocation
decisions may cause us to fail to capitalize on viable commercial
drugs or profitable market opportunities. Our spending on current
and future research and development programs and product candidates
for specific indications may not yield any commercially viable
drugs. If we do not accurately evaluate the commercial potential or
target market for a particular product candidate, we may relinquish
valuable rights to that product candidate through future
collaboration, licensing or other royalty arrangements in cases in
which it would have been more advantageous for us to retain sole
development and commercialization rights to such product
candidate.
If any of these events occur, we may be forced to abandon our
development efforts for a program or programs, which would have a
material adverse effect on our business and could potentially cause
us to cease operations. Research and development programs to
identify and advance new product candidates require substantial
technical, financial and human resources. We may focus our efforts
and resources on potential programs or product candidates that
ultimately prove to be unsuccessful.
We are subject to healthcare laws and regulations, which could
expose us to criminal sanctions, civil penalties, contractual
damages, reputational harm and diminished profits and future
earnings.
Although we do not currently have any products on the market, once
we begin commercializing our products, we may be subject to
additional healthcare statutory and regulatory requirements and
enforcement by the federal government and the states and foreign
governments in which we conduct our business. Healthcare providers,
physicians and others will play a primary role in the
recommendation and prescription of our product candidates, if
approved. Our future arrangements with third-party payors will
expose us to broadly applicable fraud and abuse and other
healthcare laws and regulations that may constrain the business or
financial arrangements and relationships through which we market,
sell and distribute our product candidates, if we obtain marketing
approval. Restrictions under applicable federal and state
healthcare laws and regulations include the following:
●
The federal anti-kickback statute prohibits, among other things,
persons from knowingly and willfully soliciting, offering,
receiving or providing remuneration, directly or indirectly, in
cash or in kind, to induce or reward either the referral of an
individual for, or the purchase, order or recommendation of, any
good or service, for which payment may be made under federal
healthcare programs such as Medicare and Medicaid.
●
The federal False Claims Act imposes criminal and civil penalties,
including those from civil whistleblower or qui tam actions,
against individuals or entities for knowingly presenting, or
causing to be presented, to the federal government, claims for
payment that are false or fraudulent or making a false statement to
avoid, decrease, or conceal an obligation to pay money to the
federal government.
●
The federal Health Insurance Portability and Accountability Act of
1996, as amended by the Health Information Technology for Economic
and Clinical Health Act, imposes criminal and civil liability for
executing a scheme to defraud any healthcare benefit program and
also imposes obligations, including mandatory contractual terms,
with respect to safeguarding the privacy, security and transmission
of individually identifiable health information.
●
The federal false statements statute prohibits knowingly and
willfully falsifying, concealing or covering up a material fact or
making any materially false statement in connection with the
delivery of or payment for healthcare benefits, items or
services.
●
The federal transparency requirements, sometimes referred to as the
“Sunshine Act,” under the Patient Protection and
Affordable Care Act, require manufacturers of drugs, devices,
biologics and medical supplies that are reimbursable under
Medicare, Medicaid, or the Children’s Health Insurance
Program to report to the Department of Health and Human Services
information related to physician payments and other transfers of
value and physician ownership and investment
interests.
●
Analogous state laws and regulations, such as state anti-kickback
and false claims laws and transparency laws, may apply to sales or
marketing arrangements and claims involving healthcare items or
services reimbursed by non-governmental third-party payors,
including private insurers, and some state laws require
pharmaceutical companies to comply with the pharmaceutical
industry’s voluntary compliance guidelines and the relevant
compliance.
●
Guidance promulgated by the federal government in addition to
requiring drug manufacturers to report information related to
payments to physicians and other healthcare providers or marketing
expenditures and drug pricing.
Ensuring that our future business arrangements with third parties
comply with applicable healthcare laws and regulations could be
costly. It is possible that governmental authorities will conclude
that our business practices do not comply with current or future
statutes, regulations or case law involving applicable fraud and
abuse or other healthcare laws and regulations. If our operations,
including anticipated activities to be conducted by our sales team,
were found to be in violation of any of these laws or any other
governmental regulations that may apply to us, we may be subject to
significant civil, criminal and administrative penalties, damages,
fines and exclusion from government funded healthcare programs,
such as Medicare and Medicaid, any of which could substantially
disrupt our operations. If any of the physicians or other providers
or entities with whom we expect to do business is found not to be
in compliance with applicable laws, they may be subject to
criminal, civil or administrative sanctions, including exclusions
from government funded healthcare programs.
The FDA and other regulatory agencies actively enforce the laws and
regulations prohibiting the promotion of off-label uses. If we are
found to have improperly promoted off-label uses, we may become
subject to significant liability.
The FDA and other regulatory agencies strictly regulate the
promotional claims that may be made about prescription products,
such as AV-101, if approved. In particular, a product may not be
promoted for uses that are not approved by the FDA or such other
regulatory agencies as reflected in the product’s approved
labeling. For example, if we receive FDA marketing approval for
AV-101 as an adjunctive treatment of MDD, physicians may
nevertheless prescribe AV-101 to their patients in a manner that is
inconsistent with the FDA-approved label. If we are found to have
promoted such off-label uses, we may become subject to significant
liability. The federal government has levied large civil and
criminal fines against companies for alleged improper promotion and
has enjoined several companies from engaging in off-label
promotion. The FDA has also requested that companies enter into
consent decrees or permanent injunctions under which specified
promotional conduct is changed or curtailed. If we cannot
successfully manage the promotion of our product candidates, if
approved, we could become subject to significant liability, which
would materially adversely affect our business and financial
condition.
Even if approved, reimbursement policies could limit our ability to
sell our product candidates.
Market acceptance and sales of our product candidates will depend
heavily on reimbursement policies and may be affected by healthcare
reform measures. Government authorities and third-party payors,
such as private health insurers and health maintenance
organizations, decide which medications they will pay for and
establish reimbursement levels for those medications. Cost
containment is a primary concern in the U.S. healthcare industry
and elsewhere. Government authorities and these third-party payors
have attempted to control costs by limiting coverage and the amount
of reimbursement for particular medications. We cannot be sure that
reimbursement will be available for our product candidates and, if
reimbursement is available, the level of such reimbursement.
Reimbursement may impact the demand for, or the price of, our
product candidates. If reimbursement is not available or is
available only at limited levels, we may not be able to
successfully commercialize our product candidates.
In some foreign countries, particularly in Canada and European
countries, the pricing of prescription pharmaceuticals is subject
to strict governmental control. In these countries, pricing
negotiations with governmental authorities can take six months or
longer after the receipt of regulatory approval and product launch.
To obtain favorable reimbursement for the indications sought or
pricing approval in some countries, we may be required to conduct a
clinical trial that compares the cost-effectiveness of our product
candidates with other available therapies. If reimbursement for our
product candidates is unavailable in any country in which we seek
reimbursement, if it is limited in scope or amount, if it is
conditioned upon our completion of additional clinical trials, or
if pricing is set at unsatisfactory levels, our operating results
could be materially adversely affected.
We may seek FDA Orphan Drug designation for one or more of our
product candidates, including AV-101. Even if we have obtained FDA
Orphan Drug designation for AV-101 of other product candidates,
there may be limits to the regulatory exclusivity afforded by such
designation.
We may, in the future, choose to seek FDA Orphan Drug designation
for one or more of our product candidates, including AV-101. Even
if we obtain Orphan Drug designation from the FDA for AV-101 or any
other product candidates, there are limitations to the exclusivity
afforded by such designation. In the United States, the company
that first obtains FDA approval for a designated orphan drug for
the specified rare disease or condition receives orphan drug
marketing exclusivity for that drug for a period of seven years.
This orphan drug exclusivity prevents the FDA from approving
another application, including a full NDA to market the same drug
for the same orphan indication, except in very limited
circumstances, including when the FDA concludes that the later drug
is safer, more effective or makes a major contribution to patient
care. For purposes of small molecule drugs, the FDA defines
“same drug” as a drug that contains the same active
moiety and is intended for the same use as the drug in question. To
obtain Orphan Drug status for a drug that shares the same active
moiety as an already approved drug, it must be demonstrated to the
FDA that the drug is safer or more effective than the approved
orphan designated drug, or that it makes a major contribution to
patient care. In addition, a designated orphan drug may not receive
orphan drug exclusivity if it is approved for a use that is broader
than the indication for which it received orphan designation. In
addition, orphan drug exclusive marketing rights in the United
States may be lost if the FDA later determines that the request for
designation was materially defective or if the manufacturer is
unable to assure sufficient quantity of the drug to meet the needs
of patients with the rare disease or condition or if another drug
with the same active moiety is determined to be safer, more
effective, or represents a major contribution to patient
care.
Our future growth may depend, in part, on our ability to penetrate
foreign markets, where we would be subject to additional regulatory
burdens and other risks and uncertainties.
Our future profitability may depend, in part, on our ability to
commercialize our product candidates in foreign markets for which
we may rely on collaboration with third parties. If we
commercialize our product candidates in foreign markets, we would
be subject to additional risks and uncertainties,
including:
●
our customers’ ability to obtain reimbursement for our
product candidates in foreign markets;
●
our inability to directly control commercial activities because we
are relying on third parties;
●
the burden of complying with complex and changing foreign
regulatory, tax, accounting and legal requirements;
●
different medical practices and customs in foreign countries
affecting acceptance in the marketplace;
●
import or export licensing requirements;
●
longer accounts receivable collection times;
●
longer lead times for shipping;
●
language barriers for technical training;
●
reduced protection of intellectual property rights in some foreign
countries;
●
the existence of additional potentially relevant third party
intellectual property rights;
●
foreign currency exchange rate fluctuations; and
●
the interpretation of contractual provisions governed by foreign
laws in the event of a contract dispute.
Foreign sales of our product candidates could also be adversely
affected by the imposition of governmental controls, political and
economic instability, trade restrictions and changes in
tariffs.
We are a development stage biopharmaceutical company with no
current revenues or approved products, and limited experience
developing new drug, biological and/or regenerative medicine
candidates, including conducting clinical trials and other areas
required for the successful development and commercialization of
therapeutic products, which makes it difficult to assess our future
viability.
We are a development stage biopharmaceutical company. Although our
lead drug candidate is in Phase 2 development, we currently have no
approved products and currently generate no revenues, and we have
not yet fully demonstrated an ability to overcome many of the
fundamental risks and uncertainties frequently encountered by
development stage companies in new and rapidly evolving fields of
technology, particularly biotechnology. To execute our business
plan successfully, we will need to accomplish the following
fundamental objectives, either on our own or with strategic
collaborators:
●
produce product candidates;
●
develop and obtain required regulatory approvals for
commercialization of product candidates we produce;
●
maintain, leverage and expand our intellectual property
portfolio;
●
establish and maintain sales, distribution and marketing
capabilities, and/or enter into strategic partnering arrangements
to access such capabilities;
●
gain market acceptance for our products; and
●
obtain adequate capital resources and manage our spending as costs
and expenses increase due to research, production, development,
regulatory approval and commercialization of product
candidates.
Our future success is highly dependent upon our ability to
successfully develop and commercialize AV-101, acquire or license
additional product candidates, or discover, as well as produce,
develop and commercialize proprietary drug rescue NCEs using our
stem cell technology, and we cannot provide any assurance that we
will successfully develop and commercialize AV-101, acquire or
license additional product candidates or discover and develop drug
rescue NCEs, or that, if produced, AV-101 or any other product
candidate will be successfully commercialized.
Business development and research and development programs designed
to identify, acquire or license additional product candidates, or,
as the case may be, produce drug rescue NCEs require substantial
technical, financial and human resources, whether or not any
additional product candidate is acquired or licensed or NCEs are
ultimately identified and produced. In particular, our drug rescue
programs may initially show promise in identifying potential NCEs,
yet fail to yield a lead NCE suitable for preclinical, clinical
development or commercialization for many reasons, including the
following:
●
our drug rescue research and development methodology may not be
successful in identifying and developing potential drug rescue
NCEs;
●
competitors may develop alternatives that render our drug rescue
NCEs obsolete;
●
a drug rescue NCE may, on further study, be shown to have harmful
side effects or other characteristics that indicate it is unlikely
to be effective or otherwise does not meet applicable regulatory
criteria;
●
a drug rescue NCE may not be capable of being produced in
commercial quantities at an acceptable cost, or at all;
or
●
a drug rescue NCE may not be accepted as safe and effective by
regulatory authorities, patients, the medical community or
third-party payors.
In addition, we do not have a sales or marketing infrastructure,
and we, including our executive officers, do not have any
significant pharmaceutical sales, marketing or distribution
experience. We may seek to collaborate with others to develop and
commercialize AV-101, drug rescue NCEs and/or other product
candidates if and when they are acquired and
developed. If we enter into arrangements with third
parties to perform sales, marketing and distribution services for
our products, the resulting revenues or the profitability from
these revenues to us are likely to be lower than if we had sold,
marketed and distributed our products ourselves. In addition, we
may not be successful in entering into arrangements with third
parties to sell, market and distribute AV-101, any drug rescue NCEs
or other product candidates or may be unable to do so on terms that
are favorable to us. We likely will have little control
over such third parties, and any of these third parties may fail to
devote the necessary resources and attention to sell, market and
distribute our products effectively. If we do not
establish sales, marketing and distribution capabilities
successfully, in collaboration with third parties, we will not be
successful in commercializing our product candidates.
We have limited operating history with respect to drug development,
including our anticipated focus on the identification and
acquisition of additional product candidates or the assessment of
potential drug rescue NCEs and no operating history with respect to
the production of drug rescue NCEs, and we may never be able to
produce a drug rescue NCE.
If we are unable to develop and commercialize AV-101, acquire
or license additional product candidates, or produce suitable drug
rescue NCEs, we may not be able to generate sufficient revenues to
execute our business plan, which likely would result in significant
harm to our financial position and results of operations, which
could adversely impact our stock price.
With respect to drug rescure,there are a number of factors, in
addition to the utility of CardioSafe 3D, that may impact our ability to identify
and produce, develop or out-license and commercialize drug rescue
NCEs, independently or with strategic partners,
including:
●
our ability to identify potential drug rescue candidates in the
public domain, obtain sufficient quantities of them, and assess
them using our bioassay systems;
●
if we seek to rescue drug rescue candidates that are not available
to us in the public domain, the extent to which third parties may
be willing to out-license or sell certain drug rescue candidates to
us on commercially reasonable terms;
●
our medicinal chemistry collaborator’s
ability to design and produce proprietary drug rescue NCEs based on
the novel biology and structure-function insight we provide
using CardioSafe
3D; and
●
financial resources available to us to develop and commercialize
lead drug rescue NCEs internally, or, if we out-license them to
strategic partners, the resources such partners choose to dedicate
to development and commercialization of any drug rescue NCEs they
license from us.
Even if we do acquire additional product candidates or produce
proprietary drug rescue NCEs, we can give no assurance that we will
be able to develop and commercialize them as marketable drugs, on
our own or in collaboration with others. Before we generate any
revenues from AV-101, additional acquired or licensed products
candidates or any drug rescue NCEs we or our potential
collaborators must complete preclinical and clinical developments,
submit clinical and manufacturing data to the FDA, qualify a third
party CMO, receive regulatory approval in one or more
jurisdictions, satisfy the FDA that our contract manufacturer is
capable of manufacturing the product in compliance with cGMP, build
a commercial organization, make substantial investments and
undertake significant marketing efforts ourselves or in partnership
with others. We are not permitted to market or promote any of our
product candidates before we receive regulatory approval from the
FDA or comparable foreign regulatory authorities, and we may never
receive such regulatory approval for any of our product
candidates.
If
CardioSafe 3D fails to predict accurately
and efficiently the cardiac effects, both toxic and nontoxic, of
drug rescue candidates and drug rescue NCEs, then our drug rescue
programs will be adversely affected.
Our success is partly dependent on our ability to
use CardioSafe 3D to identify and predict, accurately and
efficiently, the potential toxic and nontoxic cardiac effects of
drug rescue candidates and drug rescue NCEs. If CardioSafe 3D is not capable of providing
physiologically relevant and clinically predictive information
regarding human cardiac biology, our drug rescue business will be
adversely affected.
CardioSafe 3D may not be meaningfully more
predictive of the behavior of human cells than existing
methods.
The success of our drug rescue programs is highly dependent
upon CardioSafe 3D being more accurate, efficient and
clinically predictive than long-established surrogate safety
models, including animal cells and live animals, and immortalized,
primary and transformed cells, currently used by pharmaceutical
companies and others. We cannot give assurance
that CardioSafe 3D will be more efficient or accurate at
predicting the heart safety of new drug candidates than the testing
models currently used. If CardioSafe 3D fails to provide a meaningful difference
compared to existing or new models in predicting the behavior of
human heart, respectively, their utility for drug rescue will be
limited and our drug rescue business will be adversely
affected.
We may invest in producing drug rescue NCEs for which there proves
to be no demand.
To generate revenue from our drug rescue activities, we must
produce proprietary drug rescue NCEs for which there proves to be
demand within the healthcare marketplace, and, if we intend to
out-license a particular drug rescue NCE for development and
commercialization prior to market approval, then also among
pharmaceutical companies and other potential collaborators.
However, we may produce drug rescue NCEs for which there proves to
be no or limited demand in the healthcare market and/or among
pharmaceutical companies and others. If we misinterpret market
conditions, underestimate development costs and/or seek to rescue
the wrong drug rescue candidates, we may fail to generate
sufficient revenue or other value, on our own or in collaboration
with others, to justify our investments, and our drug rescue
business may be adversely affected.
We may experience difficulty in producing human cells and our
future stem cell technology research and development efforts may
not be successful within the timeline anticipated, if at
all.
Our human pluripotent stem cell technology is technically complex,
and the time and resources necessary to develop various human cell
types and customized bioassay systems are difficult to predict in
advance. We might decide to devote significant personnel and
financial resources to research and development activities designed
to expand, in the case of drug rescue, and explore, in the case of
drug discovery and regenerative medicine, potential applications of
our stem cell technology platform. In particular, we may conduct
exploratory nonclinical RM programs involving blood, bone,
cartilage, and/or liver cells. Although we and our collaborators
have developed proprietary protocols for the production of multiple
differentiated cell types, we could encounter difficulties in
differentiating and producing sufficient quantities of particular
cell types, even when following these proprietary protocols. These
difficulties could result in delays in production of certain cells,
assessment of certain drug rescue candidates and drug rescue NCEs,
design and development of certain human cellular assays and
performance of certain exploratory non-clinical regenerative
medicine studies. In the past, our stem cell research and
development projects have been significantly delayed when we
encountered unanticipated difficulties in differentiating human
pluripotent stem cells into heart and liver cells. Although we have
overcome such difficulties in the past, we may have similar delays
in the future, and we may not be able to overcome them or obtain
any benefits from our future stem cell technology research and
development activities. Any delay or failure by us, for example, to
produce functional, mature blood, bone, cartilage, and liver cells
could have a substantial and material adverse effect on our
potential drug discovery, drug rescue and regenerative medicine
business opportunities and results of operations.
Restrictions on research and development involving human embryonic
stem cells and religious and political pressure regarding such stem
cell research and development could impair our ability to conduct
or sponsor certain potential collaborative research and development
programs and adversely affect our prospects, the market price of
our common stock and our business model.
Some of our research and development programs may involve the use
of human cells derived from our controlled differentiation of human
embryonic stem cells (hESCs). Some believe the use of hESCs gives rise to
ethical and social issues regarding the appropriate use of these
cells. Our research related to differentiation of hESCs may become
the subject of adverse commentary or publicity, which could
significantly harm the market price of our common stock. Although
now substantially less than in years past, certain political and
religious groups in the United States and elsewhere voice
opposition to hESC technology and practices. We may use hESCs
derived from excess fertilized eggs that have been created for
clinical use in in vitro fertilization (IVF) procedures and have been donated for research
purposes with the informed consent of the donors after a successful
IVF procedure because they are no longer desired or suitable for
IVF. Certain academic research institutions have adopted policies
regarding the ethical use of human embryonic tissue. These policies
may have the effect of limiting the scope of future collaborative
research opportunities with such institutions, thereby potentially
impairing our ability to conduct certain research and development
in this field that we believe is necessary to expand the drug
rescue capabilities of our technology, which would have a material
adverse effect on our business.
The use of embryonic or fetal tissue in research (including the
derivation of hESCs) in other countries is regulated by the
government, and varies widely from country to country.
Government-imposed restrictions with respect to use of hESCs in
research and development could have a material adverse effect on us
by harming our ability to establish critical collaborations,
delaying or preventing progress in our research and development,
and causing a decrease in the market interest in our
stock.
The foregoing potential ethical concerns do not apply to our use of
induced pluripotent stem cells (iPSCs) because their derivation does not involve the
use of embryonic tissues.
We have assumed that the biological capabilities of iPSCs and hESCs
are likely to be comparable. If it is discovered that this
assumption is incorrect, our exploratory research and development
activities focused on potential regenerative medicine applications
of our stem cell technology platform could be harmed.
We may use both hESCs and iPSCs to produce human cells for our
customized in vitro assays for drug discovery and drug rescue
purposes. However, we anticipate that our future exploratory
research and development, if any, focused on potential regenerative
medicine applications of our stem cell technology platform
primarily will involve iPSCs. With respect to iPSCs, we believe
scientists are still somewhat uncertain about the clinical utility,
life span, and safety of such cells, and whether such cells differ
in any clinically significant ways from hESCs. If we discover that
iPSCs will not be useful for whatever reason for potential
regenerative medicine programs, this would negatively affect our
ability to explore expansion of our platform in that manner,
including, in particular, where it would be preferable to use iPSCs
to reproduce rather than approximate the effects of certain
specific genetic variations.
If we fail to comply with environmental, health and safety laws and
regulations, we could become subject to fines or penalties or incur
costs that could have a material adverse effect on the success of
our business.
We are subject to numerous environmental, health and safety laws
and regulations, including those governing laboratory procedures
and the handling, use, storage, treatment and disposal of hazardous
materials and wastes. Our operations involve the use of hazardous
and flammable materials, including chemicals and biological
materials. Our operations also produce hazardous waste products. We
generally contract with third parties for the disposal of these
materials and wastes. We cannot eliminate the risk of contamination
or injury from these materials. In the event of contamination or
injury resulting from our use of hazardous materials, we could be
held liable for any resulting damages, and any liability could
exceed our resources. We also could incur significant costs
associated with civil or criminal fines and penalties.
Although we maintain workers' compensation insurance to cover us
for costs and expenses we may incur due to injuries to our
employees resulting from the use of hazardous materials, this
insurance may not provide adequate coverage against potential
liabilities. We do not maintain insurance for environmental
liability or toxic tort claims that may be asserted against us in
connection with our storage or disposal of biological, hazardous or
radioactive materials.
In addition, we may incur substantial costs in order to comply with
current or future environmental, health and safety laws and
regulations. These current or future laws and regulations may
impair our research, development or production efforts. Failure to
comply with these laws and regulations also may result in
substantial fines, penalties or other sanctions, which could have a
material adverse effect on our operations.
To the extent our research and development activities involve using
iPSCs, we will be subject to complex and evolving laws and
regulations regarding privacy and informed consent. Many of these
laws and regulations are subject to change and uncertain
interpretation, and could result in claims, changes to our research
and development programs and objectives, increased cost of
operations or otherwise harm the Company.
To the extent that we pursue research and development activities
involving iPSCs, we will be subject to a variety of laws and
regulations in the United States and abroad that involve matters
central to such research and development activities, including
obligations to seek informed consent from donors for the use of
their blood and other tissue to produce, or have produced for us,
iPSCs, as well as state and federal laws that protect the privacy
of such donors. United States federal and state and foreign laws
and regulations are constantly evolving and can be subject to
significant change. If we engage in iPSC-related research and
development activities in countries other than the United States,
we may become subject to foreign laws and regulations relating to
human subjects research and other laws and regulations that are
often more restrictive than those in the United States. In
addition, both the application and interpretation of these laws and
regulations are often uncertain, particularly in the rapidly
evolving stem cell technology sector in which we operate. These
laws and regulations can be costly to comply with and can delay or
impede our research and development activities, result in negative
publicity, increase our operating costs, require significant
management time and attention and subject us to claims or other
remedies, including fines or demands that we modify or cease
existing business practices.
Legal, social and ethical concerns surrounding the use of iPSCs,
biological materials and genetic information could impair our
operations.
To the extent that our future stem cell research and development
activities involve the use of iPSCs and the manipulation of human
tissue and genetic information, the information we derive from such
iPSC-related research and development activities could be used in a
variety of applications, which may have underlying legal, social
and ethical concerns, including the genetic engineering or
modification of human cells, testing for genetic predisposition for
certain medical conditions and stem cell banking. Governmental
authorities could, for safety, social or other purposes, call for
limits on or impose regulations on the use of iPSCs and genetic
testing or the manufacture or use of certain biological materials
involved in our iPSC-related research and development programs.
Such concerns or governmental restrictions could limit our future
research and development activities, which could have a material
adverse effect on our business, financial condition and results of
operations.
Our human cellular bioassay systems and human cells we derive from
human pluripotent stem cells, although not currently subject to
regulation by the FDA or other regulatory agencies as biological
products or drugs, could become subject to regulation in the
future.
The human cells we produce from hPSCs and our customized bioassay
systems using such cells, including CardioSafe 3D, are not currently sold, for research
purposes or any other purpose, to biotechnology or pharmaceutical
companies, government research institutions, academic and nonprofit
research institutions, medical research organizations or stem cell
banks, and they are not therapeutic procedures. As a result, they
are not subject to regulation as biological products or drugs by
the FDA or comparable agencies in other countries. However, if, in
the future, we seek to include human cells we derive from hPSCs in
therapeutic applications or product candidates, such applications
and/or product candidates would be subject to the FDA’s pre-
and post-market regulations. For example, if we seek to develop and
market human cells we produce for use in performing regenerative
medicine applications, such as tissue engineering or organ
replacement, we would first need to obtain FDA pre-market clearance
or approval. Obtaining such clearance or approval from the FDA is
expensive, time-consuming and uncertain, generally requiring many
years to obtain, and requiring detailed and comprehensive
scientific and clinical data. Notwithstanding the time and expense,
these efforts may not result in FDA approval or clearance. Even if
we were to obtain regulatory approval or clearance, it may not be
for the uses that we believe are important or commercially
attractive.
Risks Related to Our Financial Position
We have incurred significant net losses since inception and we will
continue to incur substantial operating losses for the foreseeable
future. We may never achieve or sustain profitability, which would
depress the market price of our common stock and could cause you to
lose all or a part of your investment.
We have incurred significant net losses in each fiscal year since
our inception in 1998, including net losses of $10.3 million and
$47.2 million, which includes $26.7 million of non-cash expense
related to the extinguishment of essentially all of our outstanding
promissory notes and certain other indebtedness, during the fiscal
years ended March 31, 2017 and 2016, respectively. We incurred a
net loss of approximately $10.3 million in the nine months ended
December 31, 2017 and, as of that date, we had an accumulated
deficit of approximately $152.5 million. We do not know whether or
when we will become profitable. Substantially all of our operating
losses have resulted from costs incurred in connection with our
research and development programs and from general and
administrative costs associated with our operations. We expect to
incur increasing levels of operating losses over the next several
years and for the foreseeable future. Our prior losses, combined
with expected future losses, have had and will continue to have an
adverse effect on our stockholders’ equity (deficit) and
working capital. We expect our research and development expenses to
significantly increase in connection with non-clinical studies and
clinical trials of our product candidates. In addition, if we
obtain marketing approval for our product candidates, we may incur
significant sales, marketing and outsourced-manufacturing expenses
should we elect not to collaborate with one or more third parties
for such services and capabilities. As a public company, we incur
additional costs associated with operating as a public company. As
a result, we expect to continue to incur significant and increasing
operating losses for the foreseeable future. Because of the
numerous risks and uncertainties associated with developing
pharmaceutical products, we are unable to predict the extent of any
future losses or when we will become profitable, if at all. Even if
we do become profitable, we may not be able to sustain or increase
our profitability on a quarterly or annual basis.
Our ability to become profitable depends upon our ability to
generate revenues. To date, we have generated approximately $17.7
million in revenues, including receipt of non-dilutive cash
payments from collaborators, sublicense revenue, and research and
development grant awards from the NIH, not including the fair
market value of the ongoing NIMH AV-101 MDD Phase 2 Monotherapy
Study fully-sponsored by the NIMH under our NIMH CRADA. We have not
yet commercialized any product or generated any revenues from
product sales, and we do not know when, or if, we will generate any
revenue from product sales. We do not expect to generate
significant revenue unless and until we obtain marketing approval
of, and begin to experience sales of, AV-101, or we enter into one
or more development and commercialization agreements with respect
to AV-101 or one or more other product candidates. Our ability to
generate revenue depends on a number of factors, including, but not
limited to, our ability to:
●
initiate and successfully complete non-clinical and clinical trials
that meet their prescribed endpoints;
●
initiate and successfully complete all safety studies required to
obtain U.S. and foreign marketing approval for our product
candidates;
●
commercialize our product candidates, if approved, by developing a
sales force or entering into collaborations with third parties;
and
●
achieve market acceptance of our product candidates in the medical
community and with third-party payors.
Unless we enter into a development and commercialization
collaboration or partnership agreement, we expect to incur
significant sales and marketing costs as we prepare to
commercialize AV-101 or other product candidates. Even if we
initiate and successfully complete pivotal clinical trials of
AV-101 or other product candidates, and AV-101 or other product
candidates are approved for commercial sale, and despite expending
these costs, AV-101 or other product candidates may not be
commercially successful. We may not achieve profitability soon
after generating product sales, if ever. If we are unable to
generate product revenue, we will not become profitable and may be
unable to continue operations without continued
funding.
We require additional financing to execute our business plan and
continue to operate as a going concern.
Our audited consolidated financial statements for the year ended
March 31, 2017 as well as the unaudited condensed consolidated
financial statements for the period ended December 31, 2017
included elsewhere in this Report have been prepared assuming we
will continue to operate as a going concern, although we and our
auditors have indicated that our continuing losses and negative
cash flows from operations raise substantial doubt about our
ability to continue as such. Because we continue to experience net
operating losses, our ability to continue as a going concern is
subject to our ability to obtain necessary funding from outside
sources, including obtaining additional funding from the sale of
our securities or obtaining loans and grant awards from financial
institutions and/or government agencies where possible. Our
continued net operating losses increase the difficulty in
completing such sales or securing alternative sources of funding,
and there can be no assurances that we will be able to obtain such
funding on favorable terms or at all. If we are unable to obtain
sufficient financing from the sale of our securities or from
alternative sources, we may be required to reduce, defer, or
discontinue certain or all of our research and development
activities or we may not be able to continue as a going
concern.
Since our inception, most of our resources have been dedicated to
research and development of AV-101 and the drug rescue capabilities
of our stem cell technology platform. In particular, we have
expended substantial resources advancing AV-101 through preclinical
development and Phase 1 clinical safety studies, and
developing CardioSafe 3D and our cardiac stem cell technology for
drug rescue and potential regenerative medicine applications, and
we will continue to expend substantial resources for the
foreseeable future developing and commercializing AV-101 for
multiple CNS indications, and, potentially, developing drug rescue
NCEs and RM therapies, on our own or in collaborations similar to
the BlueRock Agreement. These expenditures will include costs
associated with general and administrative costs, facilities costs,
research and development, acquiring new technologies, manufacturing
product candidates, conducting nonclinical experiments and clinical
trials and obtaining regulatory approvals, as well as
commercializing any products approved for sale.
At
December 31, 2017, we had a cash and cash equivalents balance of
$13.0 million. We believe this amount is sufficient to enable us to
fund our planned operations for at least the twelve months
following the issuance of the financial statements included in this
Report. We expect to seek additional capital to finalize the
results from the AV-101 MDD Phase 2 Adjunctive Treatment Study,
produce additional AV-101 study
material, conduct Phase 3-enabling studies, conduct Phase 3 studies
in MDD, conduct AV-101 Phase 2 studies in CNS indications other
than MDD and to fund our internal operations in 2019 and
beyond.
Further, we have no current source of revenue to sustain our
present activities, and we do not expect to generate revenue until,
and unless, we (i) out-license or sell AV-101, a drug rescue NCE,
and/or another drug candidate unrelated to AV-101 to third-parties,
(ii) enter into license arrangements involving our stem cell
technology, or (iii) obtain approval from the FDA or other
regulatory authorities and successfully commercialize, on our own
or through a future collaboration, one or more of our
compounds.
As the outcome of our AV-101 and NCE drug rescue activities and
future anticipated clinical trials is highly uncertain, we cannot
reasonably estimate the actual amounts necessary to successfully
complete the development and commercialization of our product
candidates, on our own or in collaboration with others. In
addition, other unanticipated costs may arise. As a result of these
and other factors, we will need to seek additional capital in the
near term to meet our future operating requirements, including
capital necessary to develop, obtain regulatory approval for, and
to commercialize our product candidates, and may seek additional
capital in the event there exists favorable market conditions or
strategic considerations even if we believe we have sufficient
funds for our current or future operating plans. We are considering
a range of potential sources of funding, including public or
private equity or debt financings, government or other third-party
funding, marketing and distribution arrangements and other
collaborations, strategic alliances and licensing arrangements or a
combination of these approaches, and we may complete additional
financing arrangements in 2017 and beyond. Raising funds in the
current economic environment may present additional challenges.
Even if we believe we have sufficient funds for our current or
future operating plans, we may seek additional capital if market
conditions are favorable or if we have specific strategic
considerations.
Our future capital requirements depend on many factors,
including:
●
the number and characteristics of the product candidates we pursue,
including AV-101 and drug rescue NCEs;
●
the scope, progress, results and costs of researching and
developing our product candidates, and conducting preclinical and
clinical studies;
●
the timing of, and the costs involved in, obtaining regulatory
approvals for our product candidates;
●
the cost of commercialization activities if any of our product
candidates are approved for sale, including marketing, sales and
distribution costs;
●
the cost of manufacturing our product candidates and any products
we successfully commercialize;
●
our ability to establish and maintain strategic partnerships,
licensing or other arrangements and the financial terms of such
agreements;
●
market acceptance of our products;
●
the effect of competing technological and market
developments;
●
our ability to obtain government funding for our
programs;
●
the costs involved in obtaining and enforcing patents to preserve
our intellectual property;
●
the costs involved in defending against such claims that we
infringe third-party patents or violate other intellectual property
rights and the outcome of such litigation;
●
the timing, receipt and amount of potential future licensee fees,
milestone payments, and sales of, or royalties on, our future
products, if any; and
●
the extent to which we acquire or invest in businesses, products
and technologies, although we currently have no commitments or
agreements relating to any of these types of
transactions.
Any additional fundraising efforts will divert certain members of
our management team from their day-to-day activities, which may
adversely affect our ability to develop and commercialize our
product candidates. In addition, we cannot guarantee that future
financing will be available in sufficient amounts, in a timely
manner, or on terms acceptable to us, if at all, and the terms of
any financing may adversely affect the holdings or the rights of
our stockholders and the issuance of additional securities, whether
equity or debt, by us, or the possibility of such issuance, may
cause the market price of our shares to decline. The sale of
additional equity securities and the conversion or exchange of
certain of our outstanding securities will dilute all of our
stockholders. The incurrence of debt could result in increased
fixed payment obligations and we could be required to agree to
certain restrictive covenants, such as limitations on our ability
to incur additional debt, limitations on our ability to acquire,
sell or license intellectual property rights and other operating
restrictions that could adversely impact our ability to conduct our
business. We could also be required to seek funds through
arrangements with collaborative partners or otherwise at an earlier
stage than otherwise would be desirable and we may be required to
relinquish rights to some of our technologies or product candidate
or otherwise agree to terms unfavorable to us, any of which may
have a material adverse effect on our business, operating results
and prospects.
If we are unable to obtain additional funding on a timely basis and
on acceptable terms, we may be required to significantly curtail,
delay or discontinue one or more of our research or product
development programs or the commercialization of any product
candidate or be unable to continue or expand our operations or
otherwise capitalize on our business opportunities, as desired,
which could materially affect our business, financial condition and
results of operations.
We have identified
material weaknesses in our internal control over financial
reporting, and our business and stock price may be adversely
affected if we do not adequately address those weaknesses or if we
have other material weaknesses or significant deficiencies in our
internal control over financial reporting.
We have identified material weaknesses in our internal control over
financial reporting. In particular, we concluded that (i) the size
and capabilities of the Company’s staff does not permit
appropriate segregation of duties to prevent one individual from
overriding the internal control system by initiating, authorizing
and completing all transactions, and (ii) the Company utilizes
accounting software that does not prevent erroneous or unauthorized
changes to previous reporting periods and/or can be adjusted so as
to not provide an adequate auditing trail of entries made in the
accounting software.
The existence of one or more
material weaknesses or significant deficiencies could result in
errors in our financial statements, and substantial costs and
resources may be required to rectify any internal control
deficiencies. If we cannot produce reliable financial reports,
investors could lose confidence in our reported financial
information, we may be unable to obtain additional financing to
operate and expand our business and our business and financial
condition could be harmed.
Raising additional capital will cause substantial dilution to our
existing stockholders, may restrict our operations or require us to
relinquish rights, and may require us to seek stockholder approval
to authorize additional shares of our common stock.
We intend to pursue private and public equity offerings, debt
financings, strategic collaborations and licensing arrangements
during 2017 and beyond. To the extent that we raise additional
capital through the sale of common stock or securities convertible
or exchangeable into common stock, or to the extent, for strategic
purposes, we convert or exchange certain of our outstanding
securities into common stock, our current stockholders’
ownership interest in our company will be substantially diluted. In
addition, the terms of any such securities may include liquidation
or other preferences that materially adversely affect rights of our
stockholders. Debt financing, if available, would increase our
fixed payment obligations and may involve agreements that include
covenants limiting or restricting our ability to take specific
actions, such as incurring additional debt, making capital
expenditures or declaring dividends. If we raise additional funds
through collaboration, strategic partnerships and licensing
arrangements with third parties, we may have to relinquish valuable
rights to our product candidates, our intellectual property, future
revenue streams or grant licenses on terms that are not favorable
to us.
Some of our programs have been partially supported by government
grant awards, which may not be available to us in the
future.
Since inception, we have received substantial funds under grant
award programs funded by state and federal governmental agencies,
such as the NIH, the NIH’s National Institute of Neurological
Disease and Stroke (NINDS) and the NIMH, and the California Institute for
Regenerative Medicine (CIRM). To fund a portion of our future research and
development programs, we may apply for additional grant funding
from such or similar governmental
organizations. However, funding by these governmental
organizations may be significantly reduced or eliminated in the
future for a number of reasons. For example, some programs are
subject to a yearly appropriations process in Congress. In
addition, we may not receive funds under future grants because of
budgeting constraints of the agency administering the program.
Therefore, we cannot assure you that we will receive any future
grant funding from any government organization or
otherwise. A restriction on the government funding
available to us could reduce the resources that we would be able to
devote to future research and development efforts. Such a reduction
could delay the introduction of new products and hurt our
competitive position.
Our ability to use net operating losses to offset future taxable
income is subject to certain limitations.
As of March 31, 2017, we had federal and state net operating
loss carryforwards of $77.1 million and $67.6 million,
respectively, which begin to expire in fiscal
2018. Under Section 382 of the Internal Revenue
Code of 1986, as amended (the Code) changes in our ownership may limit the amount of
our net operating loss carryforwards that could be utilized
annually to offset our future taxable income, if any. This
limitation would generally apply in the event of a cumulative
change in ownership of our company of more than 50% within a
three-year period. Any such limitation may significantly reduce our
ability to utilize our net operating loss carryforwards and tax
credit carryforwards before they expire. Any such limitation,
whether as the result of future offerings, prior private
placements, sales of our common stock by our existing stockholders
or additional sales of our common stock by us in the future, could
have a material adverse effect on our results of operations in
future years. We have not completed a study to assess whether an
ownership change for purposes of Section 382 has occurred, or
whether there have been multiple ownership changes since our
inception, due to the significant costs and complexities associated
with such study.
General Company-Related Risks
If we fail to attract and retain senior management and key
scientific personnel, we may be unable to successfully produce,
develop and commercialize AV-101, drug rescue NCEs, other potential
product candidates and other commercial applications of our stem
cell technology.
Our success depends in part on our continued ability to attract,
retain and motivate highly qualified management and scientific and
technical personnel. We are highly dependent upon our Chief
Executive Officer, President and Chief Scientific Officer, Chief
Medical Officer and Chief Financial Officer, as well as other
employees, consultants and scientific collaborators. As of the date
of this Report, we have nine full-time employees, which may make us
more reliant on our individual employees than companies with a
greater number of employees. The loss of services of any of these
individuals could delay or prevent the successful development of
AV-101, drug rescue NCEs, other product candidates, and other
applications of our stem cell technology, including our production
and assessment of potential drug recuse NCEs or disrupt our
administrative functions.
Although we have not historically experienced unique difficulties
attracting and retaining qualified employees, we could experience
such problems in the future. For example, competition for qualified
personnel in the biotechnology and pharmaceuticals field is
intense. We will need to hire additional personnel as we expand our
research and development and administrative activities. We may not
be able to attract and retain quality personnel on acceptable
terms.
In addition, we rely on a diverse range of strategic consultants
and advisors, including manufacturing, scientific and clinical
development, and regulatory advisors, to assist us in designing and
implementing our research and development and regulatory strategies
and plans, including our AV-101 development and drug rescue
strategies and plans. Our consultants and advisors may be employed
by employers other than us and may have commitments under
consulting or advisory contracts with other entities that may limit
their availability to us.
As we seek to advance development of AV-101 for MDD and other
CNS-related conditions, as well as stem cell technology-related
drug rescue and RM programs, we will need to expand our research
and development capabilities and/or contract with third parties to
provide these capabilities for us. As our operations expand, we
expect that we will need to manage additional relationships with
various strategic partners and other third parties. Future growth
will impose significant added responsibilities on members of
management. Our future financial performance and our ability to
develop and commercialize our product candidates and to compete
effectively will depend, in part, on our ability to manage any
future growth effectively. To that end, we must be able to manage
our research and development efforts effectively and hire, train
and integrate additional management, administrative and technical
personnel. The hiring, training and integration of new employees
may be more difficult, costly and/or time-consuming for us because
we have fewer resources than a larger organization. We may not be
able to accomplish these tasks, and our failure to accomplish any
of them could prevent us from successfully growing the
company.
If product liability lawsuits are brought against us, we may incur
substantial liabilities and may be required to limit
commercialization of our product candidates.
If we develop AV-101, drug rescue NCEs, other product candidates,
or regenerative medicine product candidates, either on our own
or in collaboration with others, we will face inherent risks of
product liability as a result of the required clinical testing of
such product candidates, and will face an even greater risk if we
or our collaborators commercialize any such product candidates. For
example, we may be sued if AV-101, any drug rescue NCE, other
product candidate, or regenerative medicine product candidate we
develop allegedly causes injury or is found to be otherwise
unsuitable during product testing, manufacturing, marketing or
sale. Any such product liability claims may include allegations of
defects in manufacturing, defects in design, a failure to warn of
dangers inherent in the product, negligence, strict liability, and
a breach of warranties. Claims could also be asserted under state
consumer protection acts. If we cannot successfully defend
ourselves against product liability claims, we may incur
substantial liabilities or be required to limit commercialization
of our product candidates. Even successful defense would require
significant financial and management resources. Regardless of the
merits or eventual outcome, liability claims may result
in:
●
decreased demand for products that we may develop;
●
injury to our reputation;
●
withdrawal of clinical trial participants;
●
costs to defend the related litigation;
●
a diversion of management's time and our resources;
●
substantial monetary awards to trial participants or patients;
or
●
product recalls, withdrawals or labeling, marketing or promotional
restrictions.
Our inability to obtain and retain sufficient product liability
insurance at an acceptable cost to protect against potential
product liability claims could prevent or inhibit the
commercialization of products we develop. Although we maintain
liability insurance, any claim that may be brought against us could
result in a court judgment or settlement in an amount that is not
covered, in whole or in part, by our insurance or that is in excess
of the limits of our insurance coverage. Our insurance policies
also have various exclusions, and we may be subject to a product
liability claim for which we have no coverage. We will have to pay
any amounts awarded by a court or negotiated in a settlement that
exceed our coverage limitations or that are not covered by our
insurance, and we may not have, or be able to obtain, sufficient
capital to pay such amounts.
As a public company, we incur significant administrative workload
and expenses to comply with U.S. regulations and requirements
imposed by the NASDAQ Stock Market concerning corporate governance
and public disclosure.
As a public company with common stock listed on the NASDAQ Capital
Market, we must comply with various laws, regulations and
requirements, including certain provisions of the Sarbanes-Oxley
Act of 2002, as well as rules implemented by the SEC and the NASDAQ
Stock Market. Complying with these statutes, regulations and
requirements, including our public company reporting requirements,
continues to occupy a significant amount of the time of management
and involves significant accounting, legal and other expenses.
Furthermore, these laws, regulations and requirements require us to
observe greater corporate governance practices than we have
employed in the past, including, but not limited to maintaining a
sufficient number of independent directors, increased frequency of
board meetings, and holding annual stockholder meetings. Our
efforts to comply with these regulations are likely to result in
increased general and administrative expenses and management time
and attention directed to compliance activities.
Unfavorable global economic or political conditions could adversely
affect our business, financial condition or results of
operations.
Our results of operations could be adversely affected by global
political conditions, as well as general conditions in the global
economy and in the global financial and stock markets. Global
financial and political crises cause extreme volatility and
disruptions in the capital and credit markets. A severe or
prolonged economic downturn, such as the recent global financial
crisis, could result in a variety of risks to our business,
including, weakened demand for our product candidates and our
ability to raise additional capital when needed on acceptable
terms, if at all. A weak or declining economy could also strain our
suppliers, possibly resulting in supply disruption, or cause our
customers to delay making payments for our services. Any of the
foregoing could harm our business and we cannot anticipate all of
the ways in which the current economic climate and financial market
conditions could adversely impact our business.
We or the third parties upon whom we depend may be adversely
affected by natural disasters and our business continuity and
disaster recovery plans may not adequately protect us from a
serious disaster.
Natural disasters could severely disrupt our operations, and have a
material adverse effect on our business, results of operations,
financial condition and prospects. If a natural disaster, power
outage or other event occurred that prevented us from using all or
a significant portion of our headquarters, that damaged critical
infrastructure, such as the manufacturing facilities of our
third-party CMOs, or that otherwise disrupted operations, it may be
difficult or, in certain cases, impossible for us to continue our
business for a substantial period of time. The disaster recovery
and business continuity plans we have in place may prove inadequate
in the event of a serious disaster or similar event. We may incur
substantial expenses as a result of the limited nature of our
disaster recovery and business continuity plans, which could have a
material adverse effect on our business.
Our internal computer systems, or those of our third-party CROs or
other contractors or consultants, may fail or suffer security
breaches, which could result in a material disruption of our
product candidates’ development programs.
Despite the implementation of security measures, our internal
computer systems and those of our third-party CROs and other
contractors and consultants are vulnerable to damage from computer
viruses, unauthorized access, natural disasters, terrorism, war and
telecommunication and electrical failures. While we have not
experienced any such system failure, accident, or security breach
to date, if such an event were to occur and cause interruptions in
our operations, it could result in a material disruption of our
programs. For example, the loss of clinical trial data for AV-101
or other product candidates could result in delays in our
regulatory approval efforts and significantly increase our costs to
recover or reproduce the data. To the extent that any disruption or
security breach results in a loss of or damage to our data or
applications or other data or applications relating to our
technology or product candidates, or inappropriate disclosure of
confidential or proprietary information, we could incur liabilities
and the further development of our product candidates could be
delayed.
We may acquire businesses or products, or form strategic alliances,
in the future, and we may not realize the benefits of such
acquisitions.
We may acquire additional businesses or products, form strategic
alliances or create joint ventures with third parties that we
believe will complement or augment our existing business. If we
acquire businesses with promising markets or technologies, we may
not be able to realize the benefit of acquiring such businesses if
we are unable to successfully integrate them with our existing
operations and company culture. We may encounter numerous
difficulties in developing, manufacturing and marketing any new
products resulting from a strategic alliance or acquisition that
delay or prevent us from realizing their expected benefits or
enhancing our business. We cannot assure you that, following any
such acquisition, we will achieve the expected synergies to justify
the transaction.
Risks Related to Our Intellectual Property Rights
If we are unable to adequately protect our proprietary technology,
or obtain and maintain issued patents that are sufficient to
protect our product candidates, others could compete against us
more directly, which would have a material adverse impact on our
business, results of operations, financial condition and
prospects.
We strive to protect and enhance the proprietary technologies that
we believe are important to our business, including seeking patents
intended to cover our products and compositions, their methods of
use and any other inventions we consider important to the
development of our business. We also rely on trade secrets to
protect aspects of our business that are not amenable to, or that
we do not consider appropriate for, patent protection.
Our success will depend significantly on our ability to obtain and
maintain patent and other proprietary protection for commercially
important technology, inventions and know-how related to our
business, to defend and enforce our patents, should they issue, to
preserve the confidentiality of our trade secrets and to operate
without infringing the valid and enforceable patents and
proprietary rights of third parties. We also rely on know-how,
continuing technological innovation and in-licensing opportunities
to develop, strengthen and maintain the proprietary position of our
product candidates. We own patent applications related to AV-101
and we own and have licensed patents and patent applications
related to human pluripotent stem cell technology.
Although we have an issued patent relating to AV-101 in the U.S.
and the European Union, we cannot yet provide any assurances that
any of our other numerous pending U.S. and additional foreign
patent applications relating to AV-101 will mature into issued
patents and, if they do, that such patents will include claims with
a scope sufficient to protect AV-101 or otherwise provide any
competitive advantage. Moreover, other parties may have developed
technologies that may be related or competitive to our approach,
and may have filed or may file patent applications and may have
received or may receive patents that may overlap or conflict with
our patent applications, either by claiming the same methods or
formulations or by claiming subject matter that could dominate our
patent position. Such third-party patent positions may limit or
even eliminate our ability to obtain patent
protection.
The patent positions of biotechnology and pharmaceutical companies,
including our patent position, involve complex legal and factual
questions, and, therefore, the issuance, scope, validity and
enforceability of any additional patent claims that we may obtain
cannot be predicted with certainty. Patents, if issued, may be
challenged, deemed unenforceable, invalidated, or circumvented.
U.S. patents and patent applications may also be subject to
interference proceedings, ex parte reexamination, or inter
partes review proceedings,
supplemental examination and challenges in district court. Patents
may be subjected to opposition, post-grant review, or comparable
proceedings lodged in various foreign, both national and regional,
patent offices. These proceedings could result in either loss of
the patent or denial of the patent application or loss or reduction
in the scope of one or more of the claims of the patent or patent
application. In addition, such proceedings may be costly. Thus, any
patents that we may own or exclusively license may not provide any
protection against competitors. Furthermore, an adverse decision in
an interference proceeding can result in a third party receiving
the patent right sought by us, which in turn could affect our
ability to develop, market or otherwise commercialize our product
candidates.
Furthermore, though a patent is presumed valid and enforceable, its
issuance is not conclusive as to its validity or its enforceability
and it may not provide us with adequate proprietary protection or
competitive advantages against competitors with similar products.
Even if a patent issues and is held to be valid and enforceable,
competitors may be able to design around our patents, such as using
pre-existing or newly developed technology. Other parties may
develop and obtain patent protection for more effective
technologies, designs or methods. We may not be able to prevent the
unauthorized disclosure or use of our technical knowledge or trade
secrets by consultants, vendors, former employees and current
employees. The laws of some foreign countries do not protect our
proprietary rights to the same extent as the laws of the United
States, and we may encounter significant problems in protecting our
proprietary rights in these countries. If these developments were
to occur, they could have a material adverse effect on our
sales.
Our ability to enforce our patent rights depends on our ability to
detect infringement. It is difficult to detect infringers who do
not advertise the components that are used in their products.
Moreover, it may be difficult or impossible to obtain evidence of
infringement in a competitor’s or potential
competitor’s product. Any litigation to enforce or defend our
patent rights, even if we were to prevail, could be costly and
time-consuming and would divert the attention of our management and
key personnel from our business operations. We may not prevail in
any lawsuits that we initiate and the damages or other remedies
awarded if we were to prevail may not be commercially
meaningful.
In addition, proceedings to enforce or defend our patents could put
our patents at risk of being invalidated, held unenforceable, or
interpreted narrowly. Such proceedings could also provoke third
parties to assert claims against us, including that some or all of
the claims in one or more of our patents are invalid or otherwise
unenforceable. If any patents covering our product candidates are
invalidated or found unenforceable, our financial position and
results of operations would be materially and adversely impacted.
In addition, if a court found that valid, enforceable patents held
by third parties covered our product candidates, our financial
position and results of operations would also be materially and
adversely impacted.
The degree of future protection for our proprietary rights is
uncertain, and we cannot ensure that:
●
any of our AV-101 or other pending patent applications, if issued,
will include claims having a scope sufficient to protect AV-101 or
any other products or product candidates, particularly considering
that the compound patent to AV-101 has expired;
●
any of our pending patent applications will issue as patents at
all;
●
we will be able to successfully commercialize our product
candidates, if approved, before our relevant patents
expire;
●
we were the first to make the inventions covered by each of our
patents and pending patent applications;
●
we were the first to file patent applications for these
inventions;
●
others will not develop similar or alternative technologies that do
not infringe our patents;
●
others will not use pre-existing technology to effectively compete
against us;
●
any of our patents, if issued, will be found to ultimately be valid
and enforceable;
●
any patents issued to us will provide a basis for an exclusive
market for our commercially viable products, will provide us with
any competitive advantages or will not be challenged by third
parties;
●
we will develop additional proprietary technologies or product
candidates that are separately patentable; or
●
that our commercial activities or products will not infringe upon
the patents or proprietary rights of others.
We also rely upon unpatented trade secrets, unpatented know-how and
continuing technological innovation to develop and maintain our
competitive position, which we seek to protect, in part, by
confidentiality agreements with our employees and our collaborators
and consultants. It is possible that technology relevant to our
business will be independently developed by a person that is not a
party to such an agreement. Furthermore, if the
employees and consultants who are parties to these agreements
breach or violate the terms of these agreements, we may not have
adequate remedies for any such breach or violation, and we could
lose our trade secrets through such breaches or violations.
Further, our trade secrets could otherwise become known or be
independently discovered by our competitors.
We may infringe the intellectual property rights of others, which
may prevent or delay our product development efforts and stop us
from commercializing or increase the costs of commercializing our
product candidates, if approved.
Our success will depend in part on our ability to operate without
infringing the intellectual property and proprietary rights of
third parties. We cannot assure you that our business, products and
methods do not or will not infringe the patents or other
intellectual property rights of third parties.
The pharmaceutical industry is characterized by extensive
litigation regarding patents and other intellectual property
rights. Other parties may allege that our product candidates or the
use of our technologies infringes patent claims or other
intellectual property rights held by them or that we are employing
their proprietary technology without authorization. As we continue
to develop and, if approved, commercialize our current product
candidates and future product candidates, competitors may claim
that our technology infringes their intellectual property rights as
part of business strategies designed to impede our successful
commercialization. There may be third-party patents or patent
applications with claims to materials, formulations, methods of
manufacture or methods for treatment related to the use or
manufacture of our product candidates. Because patent applications
can take many years to issue, third parties may have currently
pending patent applications that may later result in issued patents
that our product candidates may infringe, or which such third
parties claim are infringed by our technologies. The outcome of
intellectual property litigation is subject to uncertainties that
cannot be adequately quantified in advance. The coverage of patents
is subject to interpretation by the courts, and the interpretation
is not always uniform. If we are sued for patent infringement, we
would need to demonstrate that our product candidates, products or
methods either do not infringe the patent claims of the relevant
patent or that the patent claims are invalid, and we may not be
able to do this. Even if we are successful in these proceedings, we
may incur substantial costs and the time and attention of our
management and scientific personnel could be diverted in pursuing
these proceedings, which could have a material adverse effect on
us. In addition, we may not have sufficient resources to bring
these actions to a successful conclusion.
Patent and other types of intellectual property litigation can
involve complex factual and legal questions, and their outcome is
uncertain. Any claim relating to intellectual property infringement
that is successfully asserted against us may require us to pay
substantial damages, including treble damages and attorney’s
fees if we are found to be willfully infringing another
party’s patents, for past use of the asserted intellectual
property and royalties and other consideration going forward if we
are forced to take a license. In addition, if any such claim was
successfully asserted against us and we could not obtain such a
license, we may be forced to stop or delay developing,
manufacturing, selling or otherwise commercializing our product
candidates.
Even if we are successful in these proceedings, we may incur
substantial costs and divert management time and attention in
pursuing these proceedings, which could have a material adverse
effect on us. If we are unable to avoid infringing the patent
rights of others, we may be required to seek a license, defend an
infringement action or challenge the validity of the patents in
court, or redesign our products. Patent litigation is costly and
time-consuming. We may not have sufficient resources to bring these
actions to a successful conclusion. In addition, intellectual
property litigation or claims could force us to do one or more of
the following:
●
cease developing, selling or otherwise commercializing our product
candidates;
●
pay substantial damages for past use of the asserted intellectual
property;
●
obtain a license from the holder of the asserted intellectual
property, which license may not be available on reasonable terms,
if at all; and
●
in the case of trademark claims, redesign, or rename, some or all
of our product candidates to avoid infringing the intellectual
property rights of third parties, which may not be possible and,
even if possible, could be costly and time-consuming.
Any of these risks coming to fruition could have a material adverse
effect on our business, results of operations, financial condition
and prospects.
We may be subject to claims challenging the inventorship or
ownership of our patents and other intellectual
property.
We enter into confidentiality and intellectual property assignment
agreements with our employees, consultants, outside scientific
collaborators, sponsored researchers and other advisors. These
agreements generally provide that inventions conceived by the party
in the course of rendering services to us will be our exclusive
property. However, these agreements may not be honored and may not
effectively assign intellectual property rights to us. For example,
even if we have a consulting agreement in place with an academic
advisor pursuant to which such academic advisor is required to
assign any inventions developed in connection with providing
services to us, such academic advisor may not have the right to
assign such inventions to us, as it may conflict with his or her
obligations to assign all such intellectual property to his or her
employing institution.
Litigation may be necessary to defend against these and other
claims challenging inventorship or ownership. If we fail in
defending any such claims, in addition to paying monetary damages,
we may lose valuable intellectual property rights, such as
exclusive ownership of, or right to use, valuable intellectual
property. Such an outcome could have a material adverse effect on
our business. Even if we are successful in defending against such
claims, litigation could result in substantial costs and be a
distraction to management and other employees.
Obtaining and maintaining our patent protection depends on
compliance with various procedural, document submission, fee
payment and other requirements imposed by governmental patent
agencies, and our patent protection could be reduced or eliminated
for non-compliance with these requirements.
The U.S. Patent and Trademark Office (USPTO), European Patent Office (EPO) and various other foreign governmental patent
agencies require compliance with a number of procedural,
documentary, fee payment and other provisions during the patent
process. There are situations in which noncompliance can result in
abandonment or lapse of a patent or patent application, resulting
in partial or complete loss of patent rights in the relevant
jurisdiction. In such an event, competitors might be able to enter
the market earlier than would otherwise have been the
case.
Third parties may initiate legal
proceedings against us alleging that we infringe their intellectual
property rights or we may initiate legal proceedings against third
parties to challenge the validity or scope of intellectual property
rights controlled by third parties, the outcome of which would be
uncertain and could have a material adverse effect on the success
of our business. Any lawsuit we
are engaged in to protect or enforce our patents or the patents of
our licensors could be expensive, time-consuming and
unsuccessful.
Even if the patent applications we own or license are issued,
competitors may infringe these patents. To counter infringement or
unauthorized use, we may be required to file infringement claims,
which can be expensive and time-consuming. In addition, in an
infringement proceeding, a court may decide that a patent of ours
or our licensors is not valid, is unenforceable and/or is not
infringed, or may refuse to stop the other party from using the
technology at issue on the grounds that our patents do not cover
the technology in question. An adverse result in any litigation or
defense proceedings could put one or more of our patents at risk of
being invalidated or interpreted narrowly and could put our patent
applications at risk of not issuing.
Further, third parties may initiate legal proceedings against us or
our licensors or collaborators alleging that we or our licensors or
collaborators infringe their intellectual property rights or we or
our licensors or collaborators may initiate legal proceedings
against third parties to challenge the validity or scope of
intellectual property rights controlled by third parties, including
in oppositions, interferences, reexaminations, inter partes reviews
or derivation proceedings before the United States or other
jurisdictions. These proceedings can be expensive and
time-consuming and many of our or our licensors’ or
collaborators’ adversaries in these proceedings may have the
ability to dedicate substantially greater resources to prosecuting
these legal actions than we or our licensors or collaborators
can. Our defense of litigation
or interference proceedings may fail and, even if successful, may
result in substantial costs and distract our management and other
employees. We may not be able to prevent, alone or with our
licensors, misappropriation of our intellectual property rights,
particularly in countries where the laws may not protect those
rights as fully as in the United States or European
Union.
An unfavorable outcome could require us or our licensors or
collaborators to cease using the related technology or developing
or commercializing our product candidates, or to attempt to license
rights to it from the prevailing party. Our business could be
harmed if the prevailing party does not offer us or our licensors
or collaborators a license on commercially reasonable terms or at
all. Even if we or our licensors or collaborators obtain a license,
it may be non-exclusive, thereby giving our competitors access to
the same technologies licensed to us or our licensors or
collaborators. In addition, we could be found liable for monetary
damages, including treble damages and attorneys’ fees, if we
are found to have willfully infringed a patent. A finding of
infringement could prevent us from commercializing our product
candidates or force us to cease some of our business operations,
which could materially harm our business.
Furthermore, because of the substantial amount of discovery
required in connection with intellectual property litigation, there
is a risk that some of our confidential information could be
compromised by disclosure during this type of litigation. There
could also be public announcements of the results of hearings,
motions or other interim proceedings or developments. If securities
analysts or investors perceive these results to be negative, it
could have a material adverse effect on the price of our common
stock.
Issued patents covering our product candidates could be found
invalid or unenforceable if challenged in court.
If we or one of our licensing partners initiated legal proceedings
against a third party to enforce a patent, if and when issued,
covering one of our product candidates, the defendant could
counterclaim that the patent covering our product candidate is
invalid and/or unenforceable. In patent litigation in the United
States, defendant counterclaims alleging invalidity and/or
unenforceability are commonplace. Grounds for a validity challenge
include alleged failures to meet any of several statutory
requirements, including lack of novelty, obviousness or
non-enablement. Grounds for unenforceability assertions include
allegations that someone connected with prosecution of the patent
withheld relevant information from the USPTO or EPO, or made a
misleading statement, during prosecution. Third parties may also
raise similar claims before administrative bodies in the United
States or abroad, even outside the context of litigation. Such
mechanisms include re-examination, post grant review and equivalent
proceedings in foreign jurisdictions, e.g., opposition proceedings.
Such proceedings could result in revocation or amendment of our
patents in such a way that they no longer cover our product
candidates or competitive products. The outcome following legal
assertions of invalidity and unenforceability is unpredictable.
With respect to validity, for example, we cannot be certain that
there is no invalidating prior art, of which we and the patent
examiner were unaware during prosecution. If a defendant were to
prevail on a legal assertion of invalidity and/or unenforceability,
we would lose at least part, and perhaps all, of the patent
protection on our product candidates. Such a loss of patent
protection would have a material adverse impact on our
business.
We will not seek to protect our intellectual property rights in all
jurisdictions throughout the world and we may not be able to
adequately enforce our intellectual property rights even in the
jurisdictions where we seek protection.
Filing, prosecuting and defending patents on product candidates in
all countries and jurisdictions throughout the world is
prohibitively expensive, and our intellectual property rights in
some countries outside the United States could be less extensive
than those in the United States, assuming that rights are obtained
in the United States. In addition, the laws of some foreign
countries do not protect intellectual property rights to the same
extent as federal and state laws in the United States.
Consequently, we may not be able to prevent third parties from
practicing our inventions in all countries outside the United
States, or from selling or importing products made using our
inventions in and into the United States or other jurisdictions.
The statutory deadlines for pursuing patent protection in
individual foreign jurisdictions are based on the priority date of
each of our patent applications. For the patent applications
relating to AV-101, as well as for many of the patent families that
we own or license, the relevant statutory deadlines have not yet
expired. Thus, for each of the patent families that we believe
provide coverage for our lead product candidates or technologies,
we will need to decide whether and where to pursue protection
outside the United States.
Competitors may use our technologies in jurisdictions where we do
not pursue and obtain patent protection to develop their own
products and further, may export otherwise infringing products to
territories where we have patent protection, but enforcement is not
as strong as that in the United States. These products may compete
with our products and our patents or other intellectual property
rights may not be effective or sufficient to prevent them from
competing. Even if we pursue and obtain issued patents in
particular jurisdictions, our patent claims or other intellectual
property rights may not be effective or sufficient to prevent third
parties from so competing.
The laws of some foreign countries do not protect intellectual
property rights to the same extent as the laws of the United
States. Many companies have encountered significant problems in
protecting and defending intellectual property rights in certain
foreign jurisdictions. The legal systems of some countries,
particularly developing countries, do not favor the enforcement of
patents and other intellectual property protection, especially
those relating to biotechnology. This could make it difficult for
us to stop the infringement of our patents,if obtained, or the
misappropriation of our other intellectual property rights. For
example, many foreign countries have compulsory licensing laws
under which a patent owner must grant licenses to third parties. In
addition, many countries limit the enforceability of patents
against third parties, including government agencies or government
contractors. In these countries, patents may provide limited or no
benefit. Patent protection must ultimately be sought on a
country-by-country basis, which is an expensive and time-consuming
process with uncertain outcomes. Accordingly, we may choose not to
seek patent protection in certain countries, and we will not have
the benefit of patent protection in such countries.
An unfavorable outcome could require us or our licensors or
collaborators to cease using the related technology or developing
or commercializing our product candidates, or to attempt to license
rights to it from the prevailing party. Our business could be
harmed if the prevailing party does not offer us or our licensors
or collaborators a license on commercially reasonable terms or at
all. Even if we or our licensors or collaborators obtain a license,
it may be non-exclusive, thereby giving our competitors access to
the same technologies licensed to us or our licensors or
collaborators. In addition, we could be found liable for monetary
damages, including treble damages and attorneys’ fees, if we
are found to have willfully infringed a patent. A finding of
infringement could prevent us from commercializing our product
candidates or force us to cease some of our business operations,
which could materially harm our business.
Furthermore, because of the substantial amount of discovery
required in connection with intellectual property litigation, there
is a risk that some of our confidential information could be
compromised by disclosure during this type of litigation. There
could also be public announcements of the results of hearings,
motions or other interim proceedings or developments. If securities
analysts or investors perceive these results to be negative, it
could have a material adverse effect on the price of our common
stock.
Furthermore, proceedings to enforce our patent rights in foreign
jurisdictions could result in substantial costs and divert our
efforts and attention from other aspects of our business, could put
our patents at risk of being invalidated or interpreted narrowly,
could put our patent applications at risk of not issuing and could
provoke third parties to assert claims against us. We may not
prevail in any lawsuits that we initiate and the damages or other
remedies awarded, if any, may not be commercially meaningful.
Accordingly, our efforts to enforce our intellectual property
rights around the world may be inadequate to obtain a significant
commercial advantage from the intellectual property that we develop
or license.
We are dependent, in part, on licensed intellectual property. If we
were to lose our rights to licensed intellectual property, we may
not be able to continue developing or commercializing our product
candidates, if approved. If we breach any of the agreements under
which we license the use, development and commercialization rights
to our product candidates or technology from third parties or, in
certain cases, we fail to meet certain development or payment
deadlines, we could lose license rights that are important to our
business.
We are a party to a number of license agreements under which we are
granted rights to intellectual property that are or could become
important to our business, and we expect that we may need to enter
into additional license agreements in the future. Our existing
license agreements impose, and we expect that future license
agreements will impose on us, various development, regulatory
and/or commercial diligence obligations, payment of fees,
milestones and/or royalties and other obligations. If we fail to
comply with our obligations under these agreements, or we are
subject to a bankruptcy, the licensor may have the right to
terminate the license, in which event we would not be able to
develop or market products, which could be covered by the license.
Our business could suffer, for example, if any current or future
licenses terminate, if the licensors fail to abide by the terms of
the license, if the licensed patents or other rights are found to
be invalid or unenforceable, or if we are unable to enter into
necessary licenses on acceptable terms.
As we have done previously, we may need to obtain licenses from
third parties to advance our research or allow commercialization of
our product candidates, and we cannot provide any assurances that
third-party patents do not exist that might be enforced against our
current product candidates or future products in the absence of
such a license. We may fail to obtain any of these licenses on
commercially reasonable terms, if at all. Even if we are able to
obtain a license, it may be non-exclusive, thereby giving our
competitors access to the same technologies licensed to us. In that
event, we may be required to expend significant time and resources
to develop or license replacement technology. If we are unable to
do so, we may be unable to develop or commercialize the affected
product candidates, which could materially harm our business and
the third parties owning such intellectual property rights could
seek either an injunction prohibiting our sales, or, with respect
to our sales, an obligation on our part to pay royalties and/or
other forms of compensation.
Licensing of intellectual property is of critical importance to our
business and involves complex legal, business and scientific
issues. Disputes may arise between us and our licensors regarding
intellectual property subject to a license agreement,
including:
●
the scope of rights granted under the license agreement and other
interpretation-related issues;
●
whether and the extent to which our technology and processes
infringe on intellectual property of the licensor that is not
subject to the licensing agreement;
●
our right to sublicense patent and other rights to third parties
under collaborative development relationships;
●
our diligence obligations with respect to the use of the licensed
technology in relation to our development and commercialization of
our product candidates, and what activities satisfy those diligence
obligations; and
●
the ownership of inventions and know-how resulting from the joint
creation or use of intellectual property by our licensors and us
and our partners.
If disputes over intellectual property that we have licensed
prevent or impair our ability to maintain our current licensing
arrangements on acceptable terms, we may be unable to successfully
develop and commercialize the affected product
candidates.
We have entered into several licenses to support our various stem
cell technology-related programs. We may enter into additional
license(s) to third-party intellectual property that are necessary
or useful to our business. Our current licenses and any future
licenses that we may enter into impose various royalty payments,
milestone, and other obligations on us. For example, the licensor
may retain control over patent prosecution and maintenance under a
license agreement, in which case, we may not be able to adequately
influence patent prosecution or prevent inadvertent lapses of
coverage due to failure to pay maintenance fees. If we fail to
comply with any of our obligations under a current or future
license agreement, our licensor(s) may allege that we have breached
our license agreement and may accordingly seek to terminate our
license with them. In addition, future licensor(s) may decide to
terminate our license at will. Termination of any of our current or
future licenses could result in our loss of the right to use the
licensed intellectual property, which could materially adversely
affect our ability to develop and commercialize a product candidate
or product, if approved, as well as harm our competitive business
position and our business prospects.
In addition, if our licensors fail to abide by the terms of the
license, if the licensors fail to prevent infringement by third
parties, if the licensed patents or other rights are found to be
invalid or unenforceable, or if we are unable to enter into
necessary licenses on acceptable terms our business could
suffer.
Some intellectual property which we have licensed may have been
discovered through government funded programs and thus may be
subject to federal regulations such as “march-in”
rights, certain reporting requirements, and a preference for U.S.
industry. Compliance with such regulations may limit our exclusive
rights, subject us to expenditure of resources with respect to
reporting requirements, and limit our ability to contract with
non-U.S. manufacturers.
Some of the intellectual property rights we have licensed or
license in the future may have been generated through the use of
U.S. government funding and may therefore be subject to certain
federal regulations. As a result, the U.S. government may have
certain rights to intellectual property embodied in our current or
future product candidates pursuant to the Bayh-Dole Act of 1980
(Bayh-Dole
Act). These U.S. government
rights in certain inventions developed under a government-funded
program include a non-exclusive, non-transferable, irrevocable
worldwide license to use inventions for any governmental purpose.
In addition, the U.S. government has the right to require us to
grant exclusive, partially exclusive, or non-exclusive licenses to
any of these inventions to a third party if it determines that:
(i) adequate steps have not been taken to commercialize the
invention; (ii) government action is necessary to meet public
health or safety needs; or (iii) government action is
necessary to meet requirements for public use under federal
regulations (also referred to as “march-in rights”).
The U.S. government also has the right to take title to these
inventions if we fail, or the applicable licensor fails, to
disclose the invention to the government and fail to file an
application to register the intellectual property within specified
time limits. In addition, the U.S. government may acquire title to
these inventions in any country in which a patent application is
not filed within specified time limits. Intellectual property
generated under a government funded program is also subject to
certain reporting requirements, compliance with which may require
us, or the applicable licensor, to expend substantial resources. In
addition, the U.S. government requires that any products embodying
the subject invention or produced through the use of the subject
invention be manufactured substantially in the U.S. The
manufacturing preference requirement can be waived if the owner of
the intellectual property can show that reasonable but unsuccessful
efforts have been made to grant licenses on similar terms to
potential licensees that would be likely to manufacture
substantially in the U.S. or that under the circumstances domestic
manufacture is not commercially feasible. This preference for U.S.
manufacturers may limit our ability to contract with non-U.S.
product manufacturers for products covered by such intellectual
property.
In the event we apply for additional U.S. government funding, and
we discover compounds or drug candidates as a result of such
funding, intellectual property rights to such discoveries may be
subject to the applicable provisions of the Bayh-Dole
Act.
If we do not obtain additional protection under the Hatch-Waxman
Amendments and similar foreign legislation by extending the patent
terms and obtaining data exclusivity for our product candidates,
our business may be materially harmed.
Depending upon the timing, duration and specifics of FDA marketing
approval of our product candidates, one or more of the U.S. patents
we own or license may be eligible for limited patent term
restoration under the Drug Price Competition and Patent Term
Restoration Act of 1984, referred to as the Hatch-Waxman
Amendments. The Hatch-Waxman Amendments permit a patent restoration
term of up to five years as compensation for patent term lost
during product development and the FDA regulatory review process.
However, we may not be granted an extension because of, for
example, failing to apply within applicable deadlines, failing to
apply prior to expiration of relevant patents or otherwise failing
to satisfy applicable requirements. For example, we may not be
granted an extension if the active ingredient of AV-101 is used in
another drug company’s product candidate and that product
candidate is the first to obtain FDA approval. Moreover, the
applicable time period or the scope of patent protection afforded
could be less than we request. If we are unable to obtain patent
term extension or restoration or the term of any such extension is
less than we request, our competitors may obtain approval of
competing products following our patent expiration, and our ability
to generate revenues could be materially adversely
affected.
Changes in U.S. patent law could diminish the value of patents in
general, thereby impairing our ability to protect our
products.
As is the case with other biotechnology companies, our success is
heavily dependent on intellectual property, particularly patents.
Obtaining and enforcing patents in the biotechnology industry
involve both technological and legal complexity, and is therefore
costly, time-consuming and inherently uncertain. In addition, the
United States has recently enacted and is currently implementing
wide-ranging patent reform legislation: the Leahy-Smith America
Invents Act, referred to as the America Invents Act. The America
Invents Act includes a number of significant changes to U.S. patent
law. These include provisions that affect the way patent
applications will be prosecuted and may also affect patent
litigation. It is not yet clear what, if any, impact the America
Invents Act will have on the operation of our business. However,
the America Invents Act and its implementation could increase the
uncertainties and costs surrounding the prosecution of our patent
applications and the enforcement or defense of any patents that may
issue from our patent applications, all of which could have a
material adverse effect on our business and financial
condition.
In addition, recent U.S. Supreme Court rulings have narrowed the
scope of patent protection available in certain circumstances and
weakened the rights of patent owners in certain situations. The
full impact of these decisions is not yet known. For example, on
March 20, 2012 in Mayo Collaborative Services,
DBA Mayo Medical Laboratories, et al. v. Prometheus Laboratories,
Inc., the Court held that
several claims drawn to measuring drug metabolite levels from
patient samples and correlating them to drug doses were not
patentable subject matter. The decision appears to impact
diagnostics patents that merely apply a law of nature via a series
of routine steps and it has created uncertainty around the ability
to obtain patent protection for certain inventions. Additionally,
on June 13, 2013 in Association for Molecular
Pathology v. Myriad Genetics, Inc., the Court held that claims to isolated genomic
DNA are not patentable, but claims to complementary DNA molecules
are patent eligible because they are not a natural product. The
effect of the decision on patents for other isolated natural
products is uncertain. Additionally, on March 4, 2014, the
USPTO issued a memorandum to patent examiners providing guidance
for examining claims that recite laws of nature, natural phenomena
or natural products under the Myriad and Prometheus decisions. This
guidance did not limit the application of Myriad to DNA but,
rather, applied the decision to other natural products. Further, in
2015, in Ariosa Diagnostics, Inc. v.
Sequenom, Inc., the Court of
Appeals for the Federal Circuit held that methods for detecting
fetal genetic defects were not patent eligible subject
matter.
In addition to increasing uncertainty with regard to our ability to
obtain future patents, this combination of events has created
uncertainty with respect to the value of patents, once obtained.
Depending on these and other decisions by the U.S. Congress, the
federal courts and the USPTO, the laws and regulations governing
patents could change in unpredictable ways that would weaken our
ability to obtain new patents or to enforce any patents that may
issue in the future.
We may be subject to damages resulting from claims that we or our
employees have wrongfully used or disclosed alleged trade secrets
of their former employers.
Certain of our current employees have been, and certain of our
future employees may have been, previously employed at other
biotechnology or pharmaceutical companies, including our
competitors or potential competitors. We also engage advisors and
consultants who are concurrently employed at universities or who
perform services for other entities.
Although we are not aware of any claims currently pending or
threatened against us, we may be subject to claims that we or our
employees, advisors or consultants have inadvertently or otherwise
used or disclosed intellectual property, including trade secrets or
other proprietary information, of a former employer or other third
party. We have and may in the future also be subject to claims that
an employee, advisor or consultant performed work for us that
conflicts with that person’s obligations to a third party,
such as an employer, and thus, that the third party has an
ownership interest in the intellectual property arising out of work
performed for us. Litigation may be necessary to defend against
these claims. Even if we are successful in defending against these
claims, litigation could result in substantial costs and be a
distraction to management. If we fail in defending such claims, in
addition to paying monetary claims, we may lose valuable
intellectual property rights or personnel. A loss of key personnel
or their work product could hamper or prevent our ability to
commercialize our product candidates, which would materially
adversely affect our commercial development efforts.
Numerous factors may limit any potential competitive advantage
provided by our intellectual property rights.
The degree of future protection afforded by our intellectual
property rights is uncertain because intellectual property rights
have limitations, and may not adequately protect our business,
provide a barrier to entry against our competitors or potential
competitors, or permit us to maintain our competitive advantage.
Moreover, if a third party has intellectual property rights that
cover the practice of our technology, we may not be able to fully
exercise or extract value from our intellectual property rights.
The following examples are illustrative:
●
others may be able to develop and/or practice technology that is
similar to our technology or aspects of our technology but that is
not covered by the claims of patents, should such patents issue
from our patent applications;
●
we might not have been the first to make the inventions covered by
a pending patent application that we own;
●
we might not have been the first to file patent applications
covering an invention;
●
others may independently develop similar or alternative
technologies without infringing our intellectual property
rights;
●
pending patent applications that we own or license may not lead to
issued patents;
●
patents, if issued, that we own or license may not provide us with
any competitive advantages, or may be held invalid or
unenforceable, as a result of legal challenges by our
competitors;
●
third parties may compete with us in jurisdictions where we do not
pursue and obtain patent protection;
●
we may not be able to obtain and/or maintain necessary or useful
licenses on reasonable terms or at all; and
●
the patents of others may have an adverse effect on our
business.
Should any of these events occur, they could significantly harm our
business and results of operations.
If, instead of identifying drug rescue candidates based on
information available to us in the public domain, we seek to
in-license drug rescue candidates from biotechnology, medicinal
chemistry and pharmaceutical companies, academic, governmental and
nonprofit research institutions, including the NIH, or other third
parties, there can be no assurances that we will obtain material
ownership or economic participation rights over intellectual
property we may derive from such licenses or similar rights to the
drug rescue NCEs we may produce and develop. If we are unable to
obtain ownership or substantial economic participation rights over
intellectual property related to drug rescue NCEs we produce and
develop, our business may be adversely affected.
Risks Related to our Securities
The limited public market for our securities may adversely affect
an investor’s ability to liquidate an investment in the
Company.
Our common stock is currently quoted on the NASDAQ Capital Market,
however, there is presently limited trading activity. We
can give no assurance that an active market will develop, or if
developed, that it will be sustained. If an investor
acquires shares of our common stock, the investor may not be able
to liquidate the shares should there be a need or desire to do
so.
Market volatility may affect our stock price and the value of your
investment.
The market price for our common stock, similar to other
biopharmaceutical companies, is likely to be highly volatile. The
market price of our common stock may fluctuate significantly in
response to a number of factors, most of which we cannot control,
including, among others:
●
plans for, progress of or results from nonclinical and clinical
development activities related to our product
candidates;
●
the failure of the FDA to approve our product
candidates;
●
announcements of new products, technologies, commercial
relationships, acquisitions or other events by us or our
competitors;
●
the success or failure of other CNS therapies;
●
regulatory or legal developments in the United States and other
countries;
●
failure of our product candidates, if approved, to achieve
commercial success;
●
fluctuations in stock market prices and trading volumes of similar
companies;
●
general market conditions and overall fluctuations in U.S. equity
markets;
●
variations in our quarterly operating results;
●
changes in our financial guidance or securities analysts’
estimates of our financial performance;
●
changes in accounting principles;
●
our ability to raise additional capital and the terms on which we
can raise it;
●
sales of large blocks of our common stock, including sales by our
executive officers, directors and significant
stockholders;
●
additions or departures of key personnel;
●
discussion of us or our stock price by the press and by online
investor communities; and
●
other risks and uncertainties described in these risk
factors.
Future sales and issuances of our common stock may cause our stock
price to decline.
Sales or issuances of a substantial number of shares of our common
stock in the public market, or the perception that such sales or
issuances are occurring or might occur, could significantly reduce
the market price of our common stock and impair our ability to
raise adequate capital through the sale of additional equity
securities.
The stock market in general, and small biopharmaceutical companies
like ours in particular, have frequently experienced significant
volatility in the market prices for securities that often has been
unrelated to the operating performance of the underlying companies.
These broad market and industry fluctuations may adversely affect
the market price of our common stock, regardless of our actual
operating performance. In certain recent situations in which the
market price of a stock has been volatile, holders of that stock
have instituted securities class action litigation against such
company that issued the stock. If any of our stockholders were to
bring a lawsuit against us, the defense and disposition of the
lawsuit could be costly and divert the time and attention of our
management and harm our operating results. Additionally, if the
trading volume of our common stock remains low and limited there
will be an increased level of volatility and you may not be able to
generate a return on your investment.
A significant portion of our total outstanding shares are
restricted from immediate resale but may be sold into the market in
the near future. Future sales of shares by existing stockholders
could cause our stock price to decline, even if our business is
doing well.
Sales of a substantial number of shares of our common stock in the
public market could occur at any time. These sales, or the
perception in the market that the holders of a large number of
shares intend to sell shares, could reduce the market price of our
common stock. Historically, there has been a limited public market
for shares of our common stock. Future sales and issuances of a
substantial number of shares of our common stock in the public
market, including shares issued upon the conversion of our Series A
Preferred, Series B Preferred or Series C Preferred, and the
exercise of outstanding options and warrants for common stock which
are issuable upon exercise, in the public market, or the perception
that these sales and issuances are occurring or might occur, could
significantly reduce the market price for our common stock and
impair our ability to raise adequate capital through the sale of
equity securities.
Our principal institutional stockholders may continue to have
substantial control over us and could limit your ability to
influence the outcome of key transactions, including changes in
control.
Certain of our current institutional stockholders own a substantial
portion of our outstanding capital stock, including our common
stock, Series A Preferred, Series B Preferred, and Series C
Preferred, all of which preferred stock is convertible into a
substantial number of shares of common
stock. Accordingly, institutional stockholders may exert
significant influence over us and over the outcome of any corporate
actions requiring approval of holders of our common stock,
including the election of directors and amendments to our
organizational documents, such as increases in our authorized
shares of common stock, any merger, consolidation or sale of all or
substantially all of our assets or any other significant corporate
transactions. These stockholders may also delay or prevent a change
of control of us, even if such a change of control would benefit
our other stockholders. The significant concentration of stock
ownership may adversely affect the trading price of our common
stock due to investors’ perception that conflicts of interest
may exist or arise. Furthermore, the interests of our principal
institutional stockholders may not always coincide with your
interests or the interests of other stockholders may act in a
manner that advances its best interests and not necessarily those
of other stockholders, including seeking a premium value for its
common stock, which might affect the prevailing market price for
our common stock.
If equity research analysts do not publish research or reports
about our business or if they issue unfavorable commentary or
downgrade our common stock, the price of our common stock could
decline.
The trading market for our common stock relies in part on the
research and reports that equity research analysts publish about us
and our business. We do not control these analysts. The price of
our common stock could decline if one or more equity research
analysts downgrade our common stock or if such analysts issue other
unfavorable commentary or cease publishing reports about us or our
business.
There may be additional issuances of shares of preferred stock in
the future.
Our Restated Articles of Incorporation
(the Articles)
permit us to issue up to 10.0 million shares of preferred
stock. Our Board has authorized the issuance of (i) 500,000
shares of Series A Preferred, all of which shares are issued and
outstanding at December 31, 2017; (ii) 4.0 million shares of Series
B 10% Convertible Preferred stock, of which approximately 1.2
million shares remain issued and outstanding at December 31, 2017;
and (iii) 3.0 million shares of Series C Convertible Preferred
Stock, of which approximately 2.3 million shares are issued and
outstanding at December 31, 2017. Our Board could authorize the
issuance of additional series of preferred stock in the future and
such preferred stock could grant holders preferred rights to our
assets upon liquidation, the right to receive dividends before
dividends would be declared to holders of our common stock, and the
right to the redemption of such shares, possibly together with a
premium, prior to the redemption of the common stock. In the event
and to the extent that we do issue additional preferred stock in
the future, the rights of holders of our common stock could be
impaired thereby, including without limitation, with respect to
liquidation.
We do not intend to pay dividends on our common stock and,
consequently, our stockholders’ ability to achieve a return
on their investment will depend on appreciation in the price of our
common stock.
We have never declared or paid any cash dividend on our common
stock and do not currently intend to do so in the foreseeable
future. We currently anticipate that we will retain future earnings
for the development, operation and expansion of our business and do
not anticipate declaring or paying any cash dividends in the
foreseeable future. Therefore, the success of an investment in
shares of our common stock will depend upon any future appreciation
in their value. There is no guarantee that shares of our common
stock will appreciate in value or even maintain the price at which
our stockholders purchased them.
We incur significant costs to ensure compliance with corporate
governance, federal securities law and accounting
requirements.
Since becoming a public company by means of a reverse merger in
2011, we have been subject to the reporting requirements of the
Securities Exchange Act of 1934, as amended (Exchange
Act), which requires that we
file annual, quarterly and current reports with respect to our
business and financial condition, and the rules and regulations
implemented by the SEC, the Sarbanes-Oxley Act of 2002, the
Dodd-Frank Act, and the Public Company Accounting Oversight Board,
each of which imposes additional reporting and other obligations on
public companies. We have incurred and will continue to
incur significant costs to comply with these public company
reporting requirements, including accounting and related audit
costs, legal costs to comply with corporate governance requirements
and other costs of operating as a public company. These legal and
financial compliance costs will continue to require us to divert a
significant amount of money that we could otherwise use to achieve
our research and development and other strategic
objectives.
The filing and internal control reporting requirements imposed by
federal securities laws, rules and regulations on companies that
are not “smaller reporting companies” under federal
securities laws are rigorous and, once we are no longer a smaller
reporting company, we may not be able to meet them, resulting in a
possible decline in the price of our common stock and our inability
to obtain future financing. Certain of these requirements may
require us to carry out activities we have not done previously and
complying with such requirements may divert management’s
attention from other business concerns, which could have a material
adverse effect on our business, results of operations, financial
condition and cash flows. Any failure to adequately comply with
applicable federal securities laws, rules or regulations could
subject us to fines or regulatory actions, which may materially
adversely affect our business, results of operations and financial
condition.
In addition, changing laws, regulations and standards relating to
corporate governance and public disclosure are creating uncertainty
for public companies, increasing legal and financial compliance
costs and making some activities more time consuming. These laws,
regulations and standards are subject to varying interpretations,
in many cases due to their lack of specificity, and, as a result,
their application in practice may evolve over time as new guidance
is provided by regulatory and governing bodies. This could result
in continuing uncertainty regarding compliance matters and higher
costs necessitated by ongoing revisions to disclosure and
governance practices. We will continue to invest resources to
comply with evolving laws, regulations and standards, however this
investment may result in increased general and administrative
expenses and a diversion of management’s time and attention
from revenue-generating activities to compliance activities. If our
efforts to comply with new laws, regulations and standards differ
from the activities intended by regulatory or governing bodies due
to ambiguities related to their application and practice,
regulatory authorities may initiate legal proceedings against us
and our business may be adversely affected.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
In
November 2017, in a self-placed private placement transaction, we
sold to an accredited investor units consisting of (i) 150,000
shares of our unregistered common stock and (ii) warrants
exercisable through November 30, 2021 to purchase 150,000
unregistered shares of our common stock at an exercise price of
$1.50 per share. The warrants are not exercisable until six months
and one day following the date of issuance. We received cash
proceeds of $150,000 from this sale of our securities.
In December 2017, we issued 50,000 shares of our
unregistered common stock for services provided by our contract
research organization under the terms of a negotiated work
order.
In December 2017, we issued 500,000 shares of our unregistered
common stock having a fair value at the time of issuance of
$585,000 and a cash payment of $76,500 to a contract manufacturing
organization in settlement of $526,500 of open accounts
payable.
Proceeds from each of the offerings were used for general corporate
purposes. All of the above sales were made in reliance
on Section 4(a)(2) of the Securities Act as transactions by
and issuer not involving any public offering, Regulation D of the
Securities Act, and/or Section 3(a)(9) under the Securities Act. In
all such transactions, certain inquiries were made by the Company
to establish that such sales qualified for such exemption from the
registration requirements. In particular, the Company confirmed
that, with respect to the exemption claimed under Section 4(a)(2)
of the Securities Act, that (i) all offers of sales and sales were
made by personal contact from officers and directors of the Company
or other persons closely associated with the Company, (ii) each
investor made representations that he, she or it was an accredited
investor as defined in Rule 501 of Regulation D under the
Securities Act (and the Company had no reason to believe that such
representations were incorrect), (iii) each purchaser gave
assurance of investment intent, and (iv) offers and sales within
any offering were made only to a limited number of
persons.
Item 3. Defaults Upon Senior
Securities
None.
Exhibit
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Number
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Description
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Certification of the Principal Executive Officer required by
Rule 13a-14(a) under the Securities Exchange Act of 1934, as
amended, as adopted pursuant to Section 302 of the
Sarbanes-Oxley Act of 2002
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Certification of the Principal Financial Officer required by
Rule 13a-14(a) under the Securities Exchange Act of 1934, as
amended, as adopted pursuant to Section 302 of the
Sarbanes-Oxley Act of 2002
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Certification of the Principal Executive and Financial Officers
required by Rule 13a-14(b) and Section 1350 of
Chapter 63 of Title 18 of the United States Code, as adopted
pursuant to Section 906 of the Sarbanes-Oxley Act of
2002
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101.INS
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XBRL Instance Document
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101.SCH
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XBRL Taxonomy Extension Schema
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101.CAL
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XBRL Taxonomy Extension Calculation Linkbase
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101.DEF
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XBRL Taxonomy Extension Definition Linkbase
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101.LAB
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XBRL Taxonomy Extension Label Linkbase
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101.PRE
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XBRL Taxonomy Extension Presentation Linkbase
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Pursuant to the requirements of the
Securities Exchange Act of 1934, the registrant has duly caused
this Report to be signed on its behalf by the undersigned thereunto
duly authorized.
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VISTAGEN THERAPEUTICS, INC.
/s/ Shawn K. Singh
Shawn K. Singh
Chief Executive Officer (Principal Executive Officer)
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/s/ Jerrold D. Dotson
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Jerrold D. Dotson
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Chief Financial Officer (Principal Financial and Accounting
Officer
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Dated: February 12, 2018