−Removed: operate in a dynamic and rapidly changing business environment that involves multiple risks and substantial uncertainty.
−Removed: The following
−Removed: discussion addresses risks and uncertainties that could cause, or contribute to causing, actual results to differ from expectations
−Removed: in material ways.
−Removed: In evaluating our business, investors should pay particular attention to the risks and uncertainties described
−Removed: below and in other sections of this Annual Report and in our subsequent filings with the SEC.
−Removed: These risks and uncertainties, or
−Removed: other events that we do not currently anticipate or that we currently deem immaterial also may affect our results of operations,
−Removed: cash flows and financial condition.
−Removed: The trading price of our common stock could also decline due to any of these risks, and you
−Removed: could lose all or part of your investment.
−Removed: The following information should be read in conjunction with Part II, Item 7, “Management’s
−Removed: Discussion and Analysis of Financial Condition and Results of Operations”
−Removed: and the financial statements and related notes
−Removed: included in Part II, Item 8, “Financial Statements and Supplementary Data”
−Removed: of this Annual Report.
−Removed: Related to the Merger
−Removed: to complete the merger may result in our having to paying a termination fee to Qualigen and could significantly harm the market
−Removed: price of our common stock and negatively affect our future business and operations of each company.
−Removed: the merger is not completed and the Merger Agreement is terminated under certain circumstances, we may be required to pay Qualigen
−Removed: a termination fee of $100,000.
−Removed: Even if a termination fee is not payable in connection with a termination of the Merger Agreement,
−Removed: we will have incurred significant fees and expenses, most of which must be paid whether or not the merger is completed.
−Removed: if the merger is not completed, it could significantly harm the market price of our common stock and will likely result our being
−Removed: involuntarily delisted from Nasdaq.
−Removed: See section entitled “
−Removed: Risk Factors–Our failure to meet the continued listing
−Removed: requirements of Nasdaq could result in a delisting of our common stock and the termination of the Merger Agreement by Qualigen .”
−Removed: addition, if the Merger Agreement is terminated and our board of directors determines to seek another business combination,
−Removed: there can be no assurance that we will be able to find a partner and close an alternative transaction on terms that are as favorable
−Removed: or more favorable than the terms set forth in the Merger Agreement.
−Removed: See the section entitled “
−Removed: Risk Factors—If the
−Removed: merger is not completed, we may be unsuccessful in completing an alternative transaction on terms that are as favorable as the
−Removed: terms of the merger with Qualigen, or at all, and we may otherwise be unable to continue to operate our business.
−Removed: directors may decide to pursue a dissolution and liquidation.
−Removed: In such an event, the amount of cash available for distribution
−Removed: to our stockholders will depend heavily on the timing of such liquidation as well as the amount of cash that will need to be reserved
−Removed: for commitments and contingent liabilities.
−Removed: issuance of our common stock to Qualigen stockholders pursuant to the Merger Agreement and the resulting change in control resulting
−Removed: from the merger must be approved by our stockholders (pursuant to Nasdaq rules) along with certain other matters, and the Merger
−Removed: Agreement and transactions contemplated thereby must be approved by the Qualigen’s stockholders.
−Removed: Failure to obtain these
−Removed: approvals would prevent the closing of the merger.
−Removed: the merger can be completed, the stockholders of each of Ritter and Qualigen must approve the merger.
−Removed: Failure to obtain the required
−Removed: stockholder approvals may result in a material delay in, or the abandonment of, the merger.
−Removed: Any delay in completing the merger
−Removed: may materially adversely affect the timing and benefits that are expected to be achieved from the merger and could result in our
−Removed: being involuntarily delisted from Nasdaq.
−Removed: Risk Factors–Our failure to meet the continued listing requirements
−Removed: of Nasdaq could result in a delisting of our common stock and the termination of the Merger Agreement by Qualigen .”
−Removed: merger may be completed even though certain events occur prior to the closing that materially and adversely affect Ritter
−Removed: Merger Agreement provides that either Ritter or Qualigen can refuse to complete the merger if there is a material adverse change
−Removed: affecting the other party between January 15, 2020, the date of the Merger Agreement, and the closing.
−Removed: However, certain
−Removed: types of changes do not permit either party to refuse to complete the merger, even if such change could be said to have a material
−Removed: adverse effect on Ritter or Qualigen, including:
−Removed: business or economic conditions affecting the industries in which Qualigen or Ritter, as applicable, operates, except to the
−Removed: extent they disproportionately affect Ritter or Qualigen, taken as a whole, relative to other similarly situated companies
−Removed: in the industries in which Ritter and Qualigen operate;
−Removed: acts of war, armed hostilities or terrorism, except to the extent they disproportionately affect Ritter or Qualigen, taken
−Removed: as a whole, relative to other similarly situated companies in the industries in which Ritter and Qualigen operate;
−Removed: changes in financial, banking or securities markets, except to the extent they disproportionately affect Ritter or Qualigen,
−Removed: taken as a whole, relative to other similarly situated companies in the industries in which Ritter and Qualigen operate;
−Removed: respect to Ritter, any change in the stock price or trading volume of Ritter common stock (it being understood, however, that
−Removed: any underlying effect that may have caused or contributed to such change may be taken into account in determining whether
−Removed: a material adverse effect has occurred, unless such effects are otherwise excepted from causing a material adverse effect
−Removed: under the Merger Agreement);
−Removed: to meet internal or analysts’
−Removed: expectations or projections or the results of operations;
−Removed: respect to Ritter, any clinical trial programs or studies, including any adverse data, event or outcome arising out of or
−Removed: related to any such programs or studies;
−Removed: change in, or any compliance with or action taken for the purpose of complying with, any applicable laws or generally accepted
−Removed: accounting principles in the United States (“GAAP”, or interpretations thereof;
−Removed: effect resulting from the announcement or pendency of the Merger Agreement, merger or any related transactions;
−Removed: respect to Ritter, continued losses from operations or decreases in its cash balances;
−Removed: effect resulting from the taking of any action by Ritter or Qualigen specifically required to be taken by the Merger Agreement;
−Removed: adverse changes occur and we still complete the merger, the market price of the combined company’s common stock may suffer.
−Removed: This in turn may reduce the value of the merger to the stockholders of Ritter, Qualigen or both.
−Removed: Some of our officers and directors
−Removed: have interests in the merger that are different from those of our stockholders and that may influence them to support or approve
−Removed: the merger without regard to the interests of our stockholders.
−Removed: of our officers and directors participate in arrangements that provide them with interests in the merger that are different from
−Removed: the interests of our stockholders.
−Removed: example, we have entered into executive severance and change of control agreements with our executive officers that will result
−Removed: in the receipt by such executive officers of cash severance payments, vesting of equity awards and other benefits in the event
−Removed: of a covered termination of employment of each executive officer’s employment in connection with a change of control of
−Removed: The CVR Agreement provides
−Removed: that our legacy executives, if any, who assisted a particular Legacy Monetization on behalf of Parent, will be entitled to
−Removed: receive a cash bonus, in an amount equal in the aggregate to 30% of the net proceeds of such Legacy Monetization (a “Success
−Removed: Bonus”) which shall be allocated among the Legacy Executives in accordance with, during the Consultant Term, the sole, good-faith
−Removed: discretion of the Consultant or, after expiration or termination of the Consultant Term, the sole, good-faith discretion of the
−Removed: CVR Holders’
−Removed: Representative.
−Removed: interests, among others, may influence our officers and directors to support or approve the merger.
−Removed: market price of our common stock following the merger may decline as a result of the merger.
−Removed: market price of our common stock may decline as a result of the merger for a number of reasons, including if:
−Removed: react negatively to the prospects of the combined company’s product candidates, business and financial condition following
−Removed: effect of the merger on the combined company’s business and prospects is not consistent with the expectations of financial
−Removed: or industry analysts;
−Removed: combined company does not achieve the perceived benefits of the merger as rapidly or to the extent anticipated by financial
−Removed: or industry analysts.
−Removed: Capital Anstalt will own a large percentage of
−Removed: the combined company, which may dissuade others from investing in Ritter.
−Removed: The Investor may also have different interests than
−Removed: other stockholders of the combined company following the merger.
−Removed: Alpha Capital Anstalt (the “Investor’) is expected to
−Removed: own securities representing in excess of 25% of the fully-diluted outstanding securities of Ritter as of immediately after the
−Removed: Although the derivative securities of Ritter owned after the merger by the Investor will be subject to a 9.9% “blocker”
−Removed: provision (meaning that they will not be convertible or exercisable to the extent that conversion or exercise results in the Investor
−Removed: owning, following the conversion or exercise, more than 9.9% of Ritter common stock), the Investor’s ownership may have an
−Removed: impact on the future willingness of other persons to invest in Ritter.
−Removed: The Investor may have different interests and goals than
−Removed: other stockholders, and its sales of our common stock could depress our stock market price.
−Removed: securityholders will have a reduced ownership and voting interest in, and will exercise less influence over the management of,
−Removed: the combined company following the Closing as compared to their current ownership and voting interest in our company.
−Removed: the proposed merger is completed, our current securityholders will own a smaller percentage of the combined company than their
−Removed: current ownership in Ritter prior to the merger.
−Removed: Applying the current estimate of the exchange ratio, the pre-merger Ritter securityholders
−Removed: are expected to own approximately 7.5% of the combined company, on a fully diluted basis, Accordingly, the issuance of shares
−Removed: of our common stock to Qualigen stockholders in the merger will reduce significantly the relative voting power of each share of
−Removed: common stock held by our current stockholders.
−Removed: Consequently, our stockholders as a group will have less influence over the management
−Removed: and policies of the combined company after the merger than prior to the merger.
−Removed: stockholders may not realize a benefit from the merger commensurate with the ownership dilution they will experience in connection
−Removed: with the merger.
−Removed: the combined company is unable to realize the strategic and financial benefits currently anticipated from the merger, our stockholders
−Removed: will have experienced substantial dilution of their ownership interests without receiving the expected commensurate benefit, or
−Removed: only receiving part of the commensurate benefit to the extent the combined company is able to realize only part of the expected
−Removed: strategic and financial benefits currently anticipated from the merger.
−Removed: combined company will need to raise additional capital by issuing securities or debt or through licensing or other strategic arrangements,
−Removed: which may cause dilution to the combined company’s stockholders or restrict the combined company’s operations or impact
−Removed: its proprietary rights.
−Removed: combined company may be required to raise additional funds sooner than currently planned.
−Removed: If either or both of Ritter or Qualigen
−Removed: hold less cash at the time of the Closing than the parties currently expect, the combined company will need to raise additional
−Removed: capital sooner than expected.
−Removed: Additional financing may not be available to the combined company when it needs it or may not be
−Removed: available on favorable terms.
−Removed: To the extent that the combined company raises additional capital by issuing equity securities,
−Removed: such an issuance may cause significant dilution to the combined company’s stockholders’
−Removed: ownership and the terms of
−Removed: any new equity securities may have preferences over the combined company’s common stock.
−Removed: Any debt financing the combined
−Removed: company enters into may involve covenants that restrict its operations.
−Removed: These restrictive covenants may include limitations on
−Removed: additional borrowing and specific restrictions on the use of the combined company’s assets, as well as prohibitions on its
−Removed: ability to create liens, pay dividends, redeem its stock or make investments.
−Removed: In addition, if the combined company raises additional
−Removed: funds through licensing, partnering or other strategic arrangements, it may be necessary to relinquish rights to some of the combined
−Removed: company’s technologies or product candidates and proprietary rights, or grant licenses on terms that are not favorable to
−Removed: the combined company.
−Removed: the pendency of the merger, we may not be able to enter into a business combination with another party at a favorable price
−Removed: because of restrictions in the Merger Agreement, which could adversely affect their respective businesses.
−Removed: in the Merger Agreement impede our ability to make acquisitions, subject to certain exceptions relating to fiduciary duties, or
−Removed: to complete other transactions that would endanger the listing of our common stock on Nasdaq.
−Removed: As a result, if the merger is not
−Removed: completed, we may be at a disadvantage to our competitors during such period.
−Removed: In addition, while the Merger Agreement is in effect,
−Removed: we are generally prohibited from soliciting, initiating, encouraging or entering into certain extraordinary transactions, such
−Removed: as a merger, sale of assets, or other business combination with any third-party that would endanger the listing of our common
−Removed: stock on Nasdaq, subject to certain exceptions relating to fiduciary duties.
−Removed: Any such transactions could be favorable to our stockholders.
−Removed: provisions of the Merger Agreement may discourage third parties from submitting alternative takeover proposals to us, including
−Removed: proposals that may be superior to the arrangements contemplated by the Merger Agreement.
−Removed: terms of the Merger Agreement prohibit us from soliciting alternative takeover proposals or cooperating with persons making unsolicited
−Removed: takeover proposals, except in limited circumstances when our board of directors determines in good faith that an unsolicited alternative
−Removed: takeover proposal is or is reasonably likely to lead to a superior takeover proposal and that failure to cooperate with the proponent
−Removed: of the proposal would be reasonably likely to be inconsistent with our board of director’s fiduciary duties.
−Removed: Any such transactions
−Removed: could be favorable to our stockholders.
−Removed: the conditions to the merger are not met, or the Merger Agreement is terminated pursuant to the conditions set forth in the Merger
−Removed: Agreement, the merger will not occur and it is likely that we will be involuntarily delisted from Nasdaq.
−Removed: can be no assurances that the necessary stockholder approvals will be obtained to complete the merger.
−Removed: Failure to obtain stockholder
−Removed: approval may result in a material delay in, or the abandonment of, the merger.
−Removed: Even if the merger is approved by Ritter stockholders
−Removed: and Qualigen stockholders, certain other specified conditions set forth in the Merger Agreement must be satisfied or waived to
−Removed: complete the merger.
−Removed: The Merger Agreement may also be terminated by the parties in certain circumstances, including, without limitation,
−Removed: by Qualigen if we fail to maintain our listing on Nasdaq.
−Removed: We cannot assure you that all of the conditions will be satisfied or
−Removed: waived, or that the Merger Agreement will not be terminated prior to the closing.
−Removed: If the conditions are not satisfied or waived,
−Removed: or the Merger Agreement is terminated, the merger will not occur or will be delayed, and we may lose some or all of the intended
−Removed: benefits of the merger.
−Removed: If the merger is not consummated, it is also likely that we will be involuntarily delisted from Nasdaq.
−Removed: Risk Factors–Our failure to meet the continued listing requirements of Nasdaq could result in a delisting
−Removed: of our common stock and the termination of the Merger Agreement by Qualigen .”
−Removed: relating to the merger could require us to incur significant costs and suffer management distraction, and could delay or
−Removed: enjoin the merger.
−Removed: could be subject to demands or litigation related to the merger,
−Removed: whether or not the merger is consummated.
−Removed: Such actions may create uncertainty relating to the merger, or delay or enjoin the merger,
−Removed: result in substantial costs to us and divert management time and resources.
−Removed: Related to the Proposed Reverse Stock Split
−Removed: proposed reverse stock split may not increase the combined company’s stock price over the long-term.
−Removed: of the proposals to be voted on at the special meeting to vote on the merger, is a proposal to approve a reverse stock split of
−Removed: our outstanding common stock immediately prior to the merger.
−Removed: One of the purposes of the proposed reverse stock split is to increase
−Removed: the per-share market price of our common stock in order to comply with the continued listing requirements of Nasdaq.
−Removed: be assured, however, that the proposed reverse stock split will accomplish this objective for any meaningful period of time.
−Removed: it is expected that the reduction in the number of our outstanding shares will proportionally increase the market price of our
−Removed: common stock, it cannot be assured that the proposed reverse stock split will increase the market price of our common stock by
−Removed: a multiple of the proposed reverse stock split ratio, or result in any permanent or sustained increase in the market price of
−Removed: our common stock, which is dependent upon many factors, including the combined company’s business and financial performance,
−Removed: general market conditions and prospects for future success.
−Removed: Thus, while the stock price of the combined company might meet the
−Removed: continued listing requirements of Nasdaq, it cannot be assured that it will continue to do so.
−Removed: proposed reverse stock split may decrease the liquidity of the combined company’s common stock.
−Removed: our board of directors believes that the anticipated increase in the market price of the combined company’s common stock
−Removed: could encourage interest in its common stock and possibly promote greater liquidity for its stockholders, such liquidity could
−Removed: also be adversely affected by the reduced number of shares outstanding after the proposed reverse stock split.
−Removed: The reduction in
−Removed: the number of outstanding shares may lead to reduced trading and a smaller number of market makers for our common stock.
−Removed: proposed reverse stock split may lead to a decrease in the combined company’s overall market capitalization.
−Removed: the market price of the combined company’s common stock decline after the proposed reverse stock split, the percentage decline
−Removed: may be greater, due to the smaller number of shares outstanding, than it would have been prior to the proposed reverse stock split.
−Removed: A reverse stock split may be viewed negatively by the market and, consequently, can lead to a decrease in the combined company’s
−Removed: overall market capitalization.
−Removed: If the per share market price does not increase in proportion to the proposed reverse stock split
−Removed: ratio, then the value of the combined company, as measured by its stock capitalization, will be reduced.
−Removed: In some cases, the per-share
−Removed: stock price of companies that have effected reverse stock splits subsequently declined back to pre-reverse split levels, and accordingly,
−Removed: it cannot be assured that the total market value of the combined company’s common stock will remain the same after the proposed
−Removed: reverse stock split is effected, or that the proposed reverse stock split will not have an adverse effect on the stock price of
−Removed: our common stock due to the reduced number of shares outstanding after the proposed reverse stock split.
−Removed: Related to Our Financial Condition and Our Need for Additional Financing, and Additional Risks Related to the Merger
−Removed: is no assurance that the merger will be completed in a timely manner or at all.
−Removed: If the merger is not completed, our business
−Removed: could suffer materially and our stock price could decline, and we will likely be involuntarily delisted from Nasdaq.
−Removed: closing of the merger is subject to the satisfaction or waiver of a number of closing conditions, as described above, including
−Removed: the required approvals by Ritter stockholders and Qualigen stockholders and other customary closing conditions.
−Removed: See the risk factors
−Removed: above titled, “
−Removed: The issuance of our common stock to Qualigen stockholders pursuant to the Merger Agreement and the resulting
−Removed: change in control from the merger (pursuant to Nasdaq rules) along with certain other matters must be approved by our stockholders,
−Removed: and the Merger Agreement and transactions contemplated thereby must be approved by the Qualigen stockholders.
−Removed: Failure to obtain
−Removed: these approvals would prevent the closing of the merger.
−Removed: If the conditions are not satisfied or waived, the merger
−Removed: may be materially delayed or abandoned.
−Removed: If the merger is not consummated, our ongoing business may be adversely affected and,
−Removed: without realizing any of the benefits of having consummated the merger, we will be subject to a number of risks, including the
−Removed: have incurred and expect to continue to incur significant expenses related to the merger even if the merger is not consummated;
−Removed: could be obligated to pay Qualigen a termination fee of
−Removed: $100,000 under certain circumstances set forth in the Merger Agreement;
−Removed: market price of our common stock may decline to the extent that the current market price reflects a market assumption
−Removed: that the merger will be completed;
−Removed: relating to the merger have required and will continue to require substantial commitments of time and resources by our
−Removed: remaining management and employees, which could otherwise have been devoted to other opportunities that may have been
−Removed: beneficial to us.
−Removed: also could be subject to litigation related to any failure to consummate the merger or to perform our obligations under the Merger
−Removed: If the merger is not completed, these risks may materialize and may adversely affect our business, financial condition
−Removed: and the market price of our common stock.
−Removed: If the merger is not consummated, it is also likely that we will be involuntarily delisted
−Removed: Risk Factors–Our failure to meet the continued listing requirements of Nasdaq could result in
−Removed: a delisting of our common stock and the termination of the Merger Agreement by Qualigen .”
−Removed: the merger is not completed, we may be unsuccessful in completing an alternative transaction on terms that are as favorable as
−Removed: the terms of the merger with Qualigen, or at all, and we may otherwise be unable to continue to operate our business.
−Removed: of directors may decide to pursue a dissolution and liquidation.
−Removed: In such an event, the amount of cash available for distribution
−Removed: to our stockholders will depend heavily on the timing of such liquidation as well as the amount of cash that will need to be reserved
−Removed: for commitments and contingent liabilities.
−Removed: assets currently consist primarily of cash, cash equivalents and short-term investments, our RP-G28 assets, our listing on the
−Removed: Nasdaq Capital Market and the Merger Agreement with Qualigen.
−Removed: While we have entered into the Merger Agreement with Qualigen, the
−Removed: closing of the merger may be delayed or may not occur at all and there can be no assurance that the merger will deliver the anticipated
−Removed: benefits we expect or enhance stockholder value.
−Removed: If we are unable to consummate the merger, our board of directors may elect to
−Removed: pursue an alternative strategy, one of which may be a strategic transaction similar to the merger.
−Removed: If the merger is not consummated,
−Removed: it is likely that we will be involuntarily delisted from Nasdaq, which may make it more difficult for us to complete an alternative
−Removed: Attempting to complete an alternative transaction like the merger will be costly and time consuming, and we can make
−Removed: no assurances that such an alternative transaction would occur at all.
−Removed: the merger is not consummated, our board of directors may elect to continue our operations to determine if we can identify a path
−Removed: forward for RP-G28.
−Removed: We may seek to recommence the development and commercialization of RP-G28 as a prescription drug (which may
−Removed: require the filing of a new IND), or explore its potential development as an OTC product or dietary supplement for the consumer
−Removed: healthcare industry.
−Removed: However, our existing capital resources will not be adequate to enable us to conduct and complete any additional
−Removed: clinical trials that would be required to obtain the necessary regulatory approvals to commercialize RP-G28.
−Removed: We would need significant
−Removed: additional funding to initiate and complete any additional clinical trials of RP-G28 and to otherwise further the development
−Removed: of our RP-G28 program.
−Removed: the merger is not completed and we are unable to raise sufficient additional funds for the continued development of RP-G28, whether
−Removed: through potential collaborative, partnering or other strategic arrangements or otherwise, or if we otherwise determine to discontinue
−Removed: the development of our RP-G28 program, we will likely determine to cease operations.
−Removed: our board of directors pursues a dissolution and liquidation, the amount of cash available for distribution to our stockholders
−Removed: will depend heavily on the timing of such decision, as with the passage of time the amount of cash available for distribution
−Removed: will be reduced as we continue to fund our operations.
−Removed: In addition, if our board of directors were to approve and recommend, and
−Removed: our stockholders were to approve, a dissolution and liquidation, we would be required under Delaware corporate law to pay our
−Removed: outstanding obligations, as well as to make reasonable provision for contingent and unknown obligations, prior to making any distributions
−Removed: in liquidation to our stockholders.
−Removed: Our commitments and contingent liabilities may include severance obligations, regulatory and
−Removed: clinical obligations, and certain fees and expenses related to the merger.
−Removed: As a result of this requirement, a portion of our assets
−Removed: may need to be reserved pending the resolution of such obligations.
−Removed: In addition, we may be subject to litigation or other claims
−Removed: related to a dissolution and liquidation.
−Removed: If a dissolution and liquidation were pursued, our board of directors, in consultation
−Removed: with our advisors, would need to evaluate these matters and make a determination about a reasonable amount to reserve.
−Removed: our stockholders could lose all or a significant portion of their investment in the event of a liquidation, dissolution or winding
−Removed: issuance of shares of our common stock to Qualigen stockholders in the merger will substantially dilute the voting power
−Removed: of our current stockholders.
−Removed: the merger is completed, pre-merger Ritter securityholders are expected to own approximately 7.5% of the combined company, on
−Removed: a fully-diluted basis.
−Removed: Accordingly, the issuance of shares of our common stock to Qualigen stockholders in the merger will reduce
−Removed: significantly the relative voting power of each share of common stock held by our current stockholders.
−Removed: Consequently, our stockholders
−Removed: as a group will have significantly less influence over the management and policies of the combined company after the merger than
−Removed: prior to the merger.
−Removed: These estimates are based on the anticipated exchange ratio and are subject to adjustment as provided in
−Removed: the Merger Agreement.
−Removed: stockholders may not receive any payment on the CVRs and the CVRs may otherwise expire valueless.
−Removed: right of our stockholders to receive any future payment for or derive any value from the CVRs will be contingent solely upon our
−Removed: ability to monetize all or any part of our current business or all or any part of our intellectual property or technology through
−Removed: a Legacy Monetization within the time periods specified in the CVR Agreement and the consideration received being greater than
−Removed: the amounts permitted to be retained or deducted by us (including the success bonus contemplated by the CVR Agreement) under the
−Removed: CVR Agreement.
−Removed: There is currently no third-party sale or transaction involving RP-G28 planned or contemplated and there is no
−Removed: guarantee that we will be able to find a buyer or strategic partner for these assets, particularly in light of our failed Liberatus
−Removed: Phase 3 clinical trial.
−Removed: If a Legacy Monetization is not achieved within the time periods specified in the CVR Agreement or the
−Removed: consideration received is not greater than the amounts permitted to be retained or deducted by us, no payments will be made under
−Removed: the CVR Agreement, and the CVRs will expire valueless.
−Removed: Qualigen has agreed to commit up to $350,000 to support our pursuit of
−Removed: a Legacy Monetization, subject to reductions.
−Removed: the Effective Time, neither Ritter nor Qualigen will have any obligation to develop RP-G28, or to expend any effort or resources
−Removed: to divest or otherwise monetize RP-G28.
−Removed: If the up to $350,000 (or any such reduced amount) is insufficient to fund the expenses
−Removed: incurred in connection with a Legacy Monetization, neither Ritter nor Qualigen will have any obligation to provide further funding.
−Removed: the CVRs will be unsecured obligations of the combined company and all payments under the CVRs, all other obligations under the
−Removed: CVR Agreement and the CVRs and any rights or claims relating thereto will be subordinated in right of payment to the prior payment
−Removed: in full of all current or future senior obligations of the combined company.
−Removed: tax treatment of the CVRs is uncertain.
−Removed: tax treatment of the CVRs is uncertain.
−Removed: There is no authority directly on point addressing the U.S.
−Removed: federal income tax treatment
−Removed: of contingent value rights with characteristics similar to the CVRs.
−Removed: Therefore, it is possible that the issuance of the CVRs may
−Removed: be treated as a distribution of equity with respect to our stock, as an “open transaction,”
−Removed: or as a “debt instrument”
−Removed: federal income tax purposes, and such questions are inherently factual in nature.
−Removed: have incurred losses since inception, and we anticipate that we will continue to incur losses for the foreseeable future.
−Removed: net losses were $10.1 million for the year ended December 31, 2019.
−Removed: As of December 31, 2019, we had an accumulated deficit of
−Removed: $80.3 million.
−Removed: These losses, among other things, have had and will continue to have an adverse effect on our stockholders’
−Removed: equity and working capital.
−Removed: We expect to continue to incur significant expenses and increased operating losses for the foreseeable
−Removed: have financed our operations primarily through the issuance and sale of common stock and warrants in public and private offerings,
−Removed: and have devoted substantially all of our financial resources and efforts on research and development, including clinical development
−Removed: However, in September 2019 we announced that our Liberatus Phase 3 clinical trial
−Removed: of RP-G28 for LI failed to demonstrate statistical significance in its pre-specified primary and secondary endpoints.
−Removed: failure of the Liberatus Phase 3 clinical trial to achieve its endpoints has significantly depressed our stock price and has severely
−Removed: harmed our ability to raise additional capital and to secure potential collaborative, partnering or other strategic arrangements
−Removed: for its RP-G28 assets, and consequently, our prospects to continue as a going concern have been severely diminished.
−Removed: become and remain profitable, we must develop and eventually commercialize a product with market potential, which would require
−Removed: us to raise additional capital.
−Removed: Currently, we have no ongoing collaborations for the development and commercialization of RP-G28
−Removed: or any other product candidate and have limited sources of revenue.
−Removed: If the merger is not completed and we are unable to raise
−Removed: sufficient additional funds for the continued development of our RP-G28 program, whether through potential collaborative, partnering
−Removed: or other strategic arrangements or otherwise, or if we otherwise determine to discontinue the development of our RP-G28 program,
−Removed: we will likely determine to cease operations.
−Removed: if we are able to raise additional funds to permit the continued development of RP-G28 or another product candidate, if we and/or
−Removed: any potential collaborators are unable to develop and commercialize RP-G28 or another product candidate, if development is further
−Removed: delayed or is eliminated, or if sales revenue from any product upon receiving marketing approval, if ever, is insufficient, we
−Removed: may never become profitable and it will not be successful.
−Removed: are substantially dependent on our remaining employees to facilitate the consummation of the merger.
−Removed: of the date of this Annual Report, we have only five full-time employees.
−Removed: Our ability to successfully complete the merger depends
−Removed: in large part on our ability to retain our remaining personnel.
−Removed: Despite our efforts to retain these employees, one or more may
−Removed: terminate their employment with us on short notice.
−Removed: The loss of the services of these employees could potentially harm our ability
−Removed: to consummate the merger, to run our day-to-day business operations, and to continue to fulfill our reporting obligations as a
−Removed: public company.
−Removed: pendency of the merger could have an adverse effect on the trading price of our common stock and our business, financial condition
−Removed: and prospects.
−Removed: pendency of the merger could disrupt our business in many ways, including:
−Removed: attention of our remaining management and employees may be directed toward the completion of the merger and related
−Removed: matters and may be diverted from our day-to-day business operations;
−Removed: parties may seek to terminate or renegotiate their relationships with us as a result of the merger, whether pursuant
−Removed: to the terms of their existing agreements with us or otherwise.
−Removed: occurrence of these events or others resulting from the proposed merger could adversely affect the trading price of our
−Removed: common stock or harm its business, financial condition and prospects.
−Removed: Related to Regulatory Approval Status of RP-G28 and Ongoing Regulatory Requirements if the Merger is not Completed
−Removed: business has been entirely dependent on the success of RP-G28, our only product candidate.
−Removed: The failure of RP-G28 to demonstrate
−Removed: statistical significance in its pre-specified primary and secondary endpoints in our Liberatus Phase 3 clinical trial has severely
−Removed: diminished our prospects to continue as a going concern.
−Removed: If the merger is not completed, we may seek to recommence the development
−Removed: and commercialization of RP-G28 as either a prescription drug (which may require the filing of a new IND), or explore its potential
−Removed: development as an OTC product or a dietary supplement for the consumer healthcare industry, which would, in any case, require
−Removed: significant additional funding.
−Removed: If we are unable to obtain funding for and to advance the development of RP-G28, we would likely
−Removed: be required to cease operations.
−Removed: Even if we are able to obtain funding for and to advance the development of RP-G28 (as either
−Removed: a prescription drug, OTC product or dietary supplement), we may never receive marketing approval for, or successfully commercialize,
−Removed: RP-G28 for any indication.
−Removed: currently have only one product candidate, RP-G28, previously in clinical development as a prescription drug, and our business
−Removed: has depended on RP-G28’s successful clinical development, regulatory approval and commercialization.
−Removed: In September 2019,
−Removed: we announced that our Liberatus Phase 3 clinical trial of RP-G28 for lactose intolerance failed to demonstrate statistical significance
−Removed: in its primary and secondary endpoints.
−Removed: failure of the Liberatus trial to achieve its primary and secondary endpoints has significantly depressed our stock price and
−Removed: has severely harmed our ability to raise additional capital and to secure potential collaborative, partnering or other strategic
−Removed: arrangements for our RP-G28 assets, and consequently, our prospects to continue as a going concern have been severely diminished.
−Removed: the Effective Time, neither Ritter nor Qualigen will have any obligation to continue the development of RP-G28, or to expend
−Removed: any funds or efforts with respect to RP-G28.
−Removed: Pursuant to the terms of the CVR Agreement, Qualigen has agreed to commit up to $350,000
−Removed: (subject to possible reduction pursuant to the terms of the Merger Agreement) to support our continued pursuit of a Legacy
−Removed: Monetization.
−Removed: If the up to $350,000 (or any such reduced amount) is insufficient to fund the expenses incurred in connection with
−Removed: a Legacy Monetization, however, neither Ritter nor Qualigen will have any obligation to provide further funding.
−Removed: if we were to obtain the additional funding necessary to advance the development of RP-G28 (as a prescription drug, OTC
−Removed: product or dietary supplement), including through a strategic partnership, the process for obtaining regulatory approval
−Removed: or completing the regulatory process necessary to commercialize RP-G28 could be extensive and lengthy.
−Removed: There can be no guarantee
−Removed: that we would ever obtain the regulatory approvals or the regulatory hurdles necessary to commercialize RP-G28 in these
−Removed: commercialize RP-G28 as a prescription drug or OTC product,
−Removed: we will need to demonstrate to the FDA the safety and efficacy of RP-G28 for its intended use.
−Removed: Additional clinical testing
−Removed: is expensive, time consuming and uncertain as to outcome.
−Removed: OTC drugs must generally either receive premarket approval by the FDA
−Removed: through the NDA process or conform to a “monograph”
−Removed: for a particular drug category, as established by the FDA’s
−Removed: OTC Drug Review.
−Removed: These monographs specify conditions whereby OTC drug ingredients are generally recognized as safe and effective,
−Removed: and not misbranded.
−Removed: Certain OTC drugs may remain on the market without an NDA approval until a monograph for its class of drugs
−Removed: is finalized as a regulation.
−Removed: However, once the FDA has made a final determination on the status of an OTC drug category, such
−Removed: products must either be the subject of an approved NDA or comply with the appropriate monograph for an OTC drug.
−Removed: can be given that RP-G28 may be sold as an OTC drug product under and NDA or under the FDA’s OTC monograph product regulations.
−Removed: Of the large number of drugs in development in the United States, only a small percentage of drugs successfully complete the FDA
−Removed: regulatory process and are commercialized.
−Removed: Accordingly, even if we are able to complete development of RP-G28, we
−Removed: cannot assure you that RP-G28 will ever be commercialized.
−Removed: the merger is not completed, we may also seek to explore the development and commercialization of RP-G28 as a dietary supplement.
−Removed: A dietary supplement is a product taken by mouth that contains a “dietary ingredient”
−Removed: intended to supplement the diet.
−Removed: The “dietary ingredients”
−Removed: in these products may include:
−Removed: vitamins, minerals, herbs or other botanicals, amino acids,
−Removed: and substances such as enzymes, organ tissues, glandulars, and metabolites.
−Removed: Dietary supplements can also be extracts or concentrates,
−Removed: and may be found in many forms such as tablets, capsules, soft gels, gel caps, liquids, or powders.
−Removed: Whatever their form may be,
−Removed: the Dietary Supplement Health and Education Act (“DSHEA”) places dietary supplements in a special category under the
−Removed: general umbrella of “foods,”
−Removed: not drugs, and requires that every supplement be labeled a dietary supplement.
−Removed: created a new regulatory framework for the safety and labeling of dietary supplements.
−Removed: Under DSHEA, a firm is responsible for
−Removed: determining that the dietary supplements it manufactures or distributes are safe and that any representations or claims made about
−Removed: them are substantiated by adequate evidence to show that they are not false or misleading.
−Removed: This means that dietary supplements
−Removed: do not need approval from the FDA before they are marketed.
−Removed: Except in the case of a new dietary ingredient, where pre-market review
−Removed: for safety data and other information is required by law, a firm does not have to provide the FDA with the evidence it relies
−Removed: on to substantiate safety or effectiveness before or after it markets its products.
−Removed: is a >95% purified GOS, product derived from a commercially available GOS food ingredient, which is designated as “generally
−Removed: recognized as safe”
−Removed: (“GRAS”) by the FDA.
−Removed: In 2016, the FDA published an updated draft guidance, which is intended,
−Removed: among other things, to help manufacturers and distributors of dietary supplement products determine when they are required to
−Removed: file with the FDA a New Dietary Ingredient (“NDI”), notification with respect to a dietary supplement product.
−Removed: this draft guidance, the FDA highlighted the necessity for marketers of dietary supplements to submit NDI notifications as an
−Removed: important preventive control to ensure that consumers are not exposed to potential unnecessary public health risks in the form
−Removed: of new ingredients with unknown safety profiles.
−Removed: Ritter cannot provide any assurance that if it decided to pursue RP-G28 as a
−Removed: dietary supplement, it would not be required to submit an NDI notification.
−Removed: If the FDA were to conclude that we should
−Removed: have filed an NDI notification, then we could be subject to enforcement actions by the FDA.
−Removed: Such enforcement actions could
−Removed: include product seizures and injunctive relief being granted against us, any of which would harm its business.
−Removed: or more stringent regulations of dietary supplements and other products have been considered from time to time.
−Removed: In recent years,
−Removed: there has been increased pressure in the United States and other markets to increase regulation of dietary supplements.
−Removed: New regulations,
−Removed: or new interpretations of those regulations, could impose additional restrictions, including requiring reformulation of some products
−Removed: to meet new standards, recalls or discontinuance of some products not able to be reformulated, additional record-keeping requirements,
−Removed: increased documentation of the properties of some products, additional or different labeling, additional scientific substantiation,
−Removed: additional adverse event reporting, or other new requirements.
−Removed: may have undesirable side effects that may delay or prevent marketing approval, or, if approval is received, require it to be
−Removed: taken off the market, require us to include safety warnings or otherwise limit sales.
−Removed: the merger is not completed and we elect to recommence the development and commercialization of RP-G28 as a prescription
−Removed: drug (which may require the filing of a new IND) or explore its potential development as an OTC product or a dietary supplement
−Removed: for the consumer healthcare industry, and we are able to obtain the necessary funding for such development, the detection
−Removed: of any undesirable side effects could delay or prevent marketing approval or commercialization.
−Removed: Alternatively, if we are
−Removed: able to identify and secure a Legacy Monetization for RP-G28, and undesirable side effects of RP-G28 are later identified, we
−Removed: could face seller liability.
−Removed: were no notable differences observed between placebo-treated subjects and RP-G28-treated subjects in the Phase 3 clinical trial.
−Removed: However, unforeseen side effects from RP-G28 could arise at any time during clinical development or, if approved, after RP-G28
−Removed: has been marketed.
−Removed: Any undesirable or unacceptable side effects associated with RP-G28 could interrupt, delay or halt clinical
−Removed: trials, and result in delay of, or failure to obtain, marketing approval from the FDA and other regulatory authorities, and could
−Removed: impact our ability to attract potential third-party collaborators, or could result in our facing seller liability
−Removed: in the event RP-G28 is sold to another party.
−Removed: if we receive regulatory approval for RP-G28, we may still face future development and regulatory difficulties.
−Removed: if approved (as either a prescription drug or OTC product) or launched as a dietary supplement, will be subject to ongoing regulatory
−Removed: requirements for labeling, packaging, storage, advertising, promotion, record-keeping and submission of safety and other post-market
−Removed: In addition, products, manufacturers and manufacturers’
−Removed: facilities are required to comply with extensive FDA
−Removed: and EMA requirements and requirements of other similar agencies, including ensuring
−Removed: that quality control and manufacturing procedures conform to applicable current good manufacturing practice (“cGMPs”),
−Removed: whether governing drugs or dietary supplements.
−Removed: Accordingly, we and others with whom we works must continue to expend time, money
−Removed: and effort in all areas of regulatory compliance, including manufacturing, production and quality control.
−Removed: We will also be required
−Removed: to report certain adverse reactions and production problems, if any, to the FDA and EMA and other similar agencies and to comply
−Removed: with certain requirements concerning advertising and promotion for its products.
−Removed: Promotional communications with respect to prescription
−Removed: drugs are subject to a variety of legal and regulatory restrictions by the FDA and must be consistent with the information in
−Removed: the product’s approved label.
−Removed: Accordingly, we may not promote its approved products, if any, for indications or uses for
−Removed: which they are not approved.
−Removed: Similarly, the U.S.
−Removed: Federal Trade Commission (the “FTC”) exercises jurisdiction over
−Removed: the advertising of OTC product and dietary supplements and has instituted numerous enforcement actions against OTC product and
−Removed: supplement companies for failure to have adequate substantiation for claims made in advertising or for the use of false or misleading
−Removed: advertising claims.
−Removed: Our failure to comply with applicable regulations could result in substantial monetary penalties, which could
−Removed: have a material adverse effect on our financial condition or results of operations.
−Removed: a regulatory agency discovers previously unknown problems with a product, such as adverse events of unanticipated severity or
−Removed: frequency, or problems with the facility where the product is manufactured, or disagrees with the promotion, marketing or labeling
−Removed: of a product, it may impose restrictions on that product or us, including requiring withdrawal of the product from the
−Removed: If RP-G28, or any product candidate we develop in the future, fails to comply with applicable regulatory requirements,
−Removed: a regulatory agency may:
−Removed: warning letters;
−Removed: modifications to promotional materials or require us to provide corrective information to healthcare practitioners;
−Removed: us or our potential future collaborators to enter into a consent decree or permanent injunction, which can include
−Removed: imposition of various fines, reimbursements for inspection costs, required due dates for specific actions and penalties for
−Removed: noncompliance;
−Removed: other administrative or judicial civil or criminal penalties;
+Added: investment in our common stock involves risks.
+Added: You should carefully consider the risks described below, together with all of the other
+Added: information included in this Annual Report, as well as in our other filings with the SEC, in evaluating our business.
+Added: If any of the following
+Added: risks actually occur, our business, financial condition, operating results and future prospects could be materially and adversely affected.
+Added: In that case, the trading price of our common stock may decline and you might lose all or part of your investment.
+Added: The risks described
+Added: below, which are the risks we judge (rightly or wrongly) to be the most significant to investors, are not the only ones we face.
+Added: risks that we currently do not judge to be among the “most significant” may also impair our business, financial condition,
+Added: operating results and prospects.
+Added: statements below are forward-looking statements.
+Added: For additional information, see the section of this Annual Report under the caption
+Added: “Cautionary Note Regarding Forward-Looking Statements.”
+Added: Related to Our Therapeutics and Diagnostics Pipeline
+Added: business strategy is high-risk
+Added: are focusing our resources and efforts primarily on development of therapeutic product candidates, which requires extensive cash needs
+Added: for research and development activities.
+Added: This is a high-risk strategy because there is no assurance that our products will ever become
+Added: commercially viable (commercial risk), that we will prevent other companies from depriving us of market share and profit margins by selling
+Added: products based on our inventions and developments (legal risk), that we will successfully manage a company in a new area of business
+Added: and on a different scale than we have operated in the past (operational risk), that our product candidates will be able to achieve the
+Added: desired therapeutic results (scientific risk), or that our cash resources will be adequate to develop our product candidates until we
+Added: become profitable, if ever (financial risk).
+Added: This may make our stock an unsuitable investment for many investors.
+Added: do not currently have enough working capital to execute fully our strategic plan .
+Added: have suffered recurring losses from operations, and we will need capital to support our intended development of our therapeutics business.
+Added: We believe that future financings will be necessary in order for us to properly execute our strategic plan.
+Added: There can be no assurance
+Added: that such future financings will be able to be obtained (or, if they can be obtained, that they can be obtained on desirable terms).
+Added: may, in the short and long-term, seek to raise capital through the issuance of equity securities or through other financing sources.
+Added: To the extent that we seek to raise additional funds by issuing equity securities, our stockholders may experience significant dilution.
+Added: Any debt financing, if available, may include financial and other covenants that could restrict our use of the proceeds from such financing
+Added: or impose other business and financial restrictions on us.
+Added: In addition, we may consider alternative approaches such as licensing, joint
+Added: venture, or partnership arrangements to provide long term capital.
+Added: Additional funding may not be available to us on acceptable terms,
+Added: product candidates are still in the early stages of development.
+Added: We have not begun clinical trials or obtained regulatory approval for
+Added: any drug candidate or STARS.
+Added: We may never obtain approval for any of our drug candidates or STARS.
+Added: are still early in our development efforts and have not yet begun enrollment in any clinical trials evaluating QN-302, QN-247, RAS-F
+Added: There can be no assurance that QN-302, QN-247, RAS-F or STARS will achieve success in their clinical trials or obtain regulatory
+Added: ability to generate revenues from drug candidates or STARS will depend on the successful development and eventual commercialization of
+Added: QN-302, QN-247, RAS-F or STARS.
+Added: The success of these products will depend on several factors, including the following:
+Added: completion of preclinical studies and clinical trials;
+Added: of an IND or IDE application by the FDA or other clinical trial or similar applications from
+Added: foreign regulatory authorities for our future clinical trials for our pipeline;
+Added: and successful enrollment of patients in, and completion of, clinical trials with favorable
+Added: ● demonstration
+Added: of safety, efficacy and acceptable risk-benefit profiles of our products to the satisfaction
+Added: of the FDA and foreign regulatory agencies;
+Added: and related terms of marketing approvals from applicable regulatory authorities, including
+Added: the completion of any required post-marketing studies or trials;
+Added: and maintaining patent, trade secret and other intellectual property protection and regulatory
+Added: exclusivity for our products;
+Added: and implementing marketing and reimbursement strategies;
+Added: ● establishing
+Added: sales, marketing and distribution capabilities and launching commercial sales of our products,
+Added: if and when approved, whether alone or in collaboration with others;
+Added: of our drugs or STARS, if and when approved, by patients, the medical community and third-party
+Added: ● effectively
+Added: competing with other therapies;
+Added: and maintaining third-party payor coverage and adequate reimbursement;
+Added: ● maintaining
+Added: a continued acceptable safety profile of the products following approval.
+Added: of these factors are beyond our control, and it is possible that none of our drug candidates or STARS will ever obtain regulatory approval
+Added: even if we expend substantial time and resources seeking such approval.
+Added: If we do not achieve one or more of these factors in a timely
+Added: manner or at all, we could experience significant delays or an inability to successfully commercialize our drug candidates or STARS.
+Added: For example, our business could be harmed if results of the clinical trials of QN-302, QN-247, RAS-F, any other drug candidates or STARS
+Added: vary adversely from our expectations.
+Added: and device development involves a lengthy and expensive process.
+Added: We may incur additional costs or experience delays in completing, or
+Added: ultimately be unable to complete, the development and commercialization of QN-302, QN-247, RAS-F or STARS.
+Added: drug candidates fail, and taking a medical device from concept through clinical trials and regulatory approval is not easy or guaranteed.
+Added: We are unable to predict when or if our drug candidates or STARS, our therapeutic medical device concept, will prove effective or safe
+Added: in humans or will obtain marketing approval.
+Added: Before obtaining marketing approval from regulatory authorities for the sale of these products,
+Added: we must complete preclinical development and then conduct extensive clinical trials to demonstrate the safety and efficacy of these products
+Added: Clinical testing is expensive, difficult to design and implement, can take many years to complete and is uncertain as to
+Added: A failure of one or more clinical trials can occur at any stage of testing.
+Added: The outcome of preclinical testing and early
+Added: clinical trials may not be predictive of the success of later clinical trials, and interim or preliminary results of a clinical trial
+Added: do not necessarily predict final results.
+Added: may experience numerous unforeseen events that could delay or prevent our ability to obtain marketing approval or commercialize our drug
+Added: candidates or STARS, including:
+Added: or IRBs or ECs may not authorize us or our investigators to commence a clinical trial or
+Added: conduct a clinical trial at a prospective trial site;
+Added: may experience delays in reaching, or fail to reach, agreement on acceptable clinical trial
+Added: contracts or clinical trial protocols with prospective trial sites;
+Added: trials for our drug candidates and STARS may produce negative or inconclusive results, and
+Added: we may decide, or regulators may require us, to conduct additional clinical trials, delay
+Added: clinical trials or abandon product development programs;
+Added: number of patients required for clinical trials for our drug candidates and STARS may be
+Added: larger than we anticipate, enrollment in these clinical trials may be slower than we anticipate,
+Added: participants may drop out of these clinical trials at a higher rate than we anticipate or
+Added: the duration of these clinical trials may be longer than we anticipate;
+Added: ● competition
+Added: for clinical trial participants from investigational and approved therapies may make it more
+Added: difficult to enroll patients in our clinical trials;
+Added: third-party contractors may fail to meet their contractual obligations to us in a timely
+Added: manner, or at all, or may fail to comply with regulatory requirements;
+Added: may have to suspend or terminate clinical trials for our drug candidates or STARS for various
+Added: reasons, including a finding that the participants are being exposed to unacceptable health
+Added: drug candidates or STARS may have undesirable or unexpected side effects or other unexpected
+Added: characteristics, causing us or our investigators, regulators or IRBs/ECs to suspend or terminate
+Added: cost of clinical trials for our drug candidates and STARS may be greater than we anticipate;
+Added: supply or quality of our drug candidates, STARS or other materials necessary to conduct clinical
+Added: trials may be insufficient or inadequate and result in delays or suspension of our clinical
+Added: product development costs will increase if we experience delays in preclinical studies or clinical trials or in obtaining marketing approvals.
+Added: We do not know whether any of our planned preclinical studies or clinical trials will begin on a timely basis or at all, will need to
+Added: be restructured or will be completed on schedule, or at all.
+Added: For example, the FDA may place a partial or full clinical hold on any of
+Added: our clinical trials for a variety of reasons.
+Added: preclinical or clinical trial delays also could shorten any periods during which we may have the exclusive right to commercialize our
+Added: drug candidates or STARS or allow our competitors to bring products to market before we do and impair our ability to successfully commercialize
+Added: our drug candidates or STARS.
+Added: delays in the commencement or completion, or termination or suspension, of our future clinical trials, if any, could result in increased
+Added: costs to us, delay or limit our ability to generate revenue and adversely affect our commercial prospects.
+Added: we can initiate clinical trials of a drug candidate or STARS, we must submit the results of preclinical studies to the FDA along with
+Added: other information as part of an IND or IDE application or similar regulatory filing, and the FDA (or corresponding foreign regulatory
+Added: body) must approve the application.
+Added: We have not yet submitted our IND application for QN-302 for pancreatic cancer) and we remain in
+Added: a development stage with respect to STARS and any subsequent IDE.
+Added: We cannot guarantee the timing for submitting the IND application for
+Added: QN-302, and we do not know when this IND application (or any other IND or IDE application) would be approved, if ever.
+Added: obtaining marketing approval from the FDA for the sale of QN-302, QN-247, RAS-F, any other drug candidate or STARS, we must conduct extensive
+Added: clinical studies to demonstrate safety and efficacy.
+Added: Clinical testing is expensive, time consuming and uncertain as to outcome.
+Added: may require us to conduct additional preclinical studies for any drug candidate or STARS before it allows us to initiate clinical trials
+Added: under any IND or IDE, which may lead to additional delays and increase the costs of our preclinical development programs.
+Added: delays in the commencement or completion of our ongoing, planned or future clinical trials could significantly increase our costs, slow
+Added: down our development and approval process and jeopardize our ability to commence product sales and generate revenues.
+Added: We do not know
+Added: whether our planned trials will begin on time or at all, or be completed on schedule, if at all.
+Added: The commencement and completion of clinical
+Added: trials can be delayed for a number of reasons, including delays related to:
+Added: FDA disagreeing as to the design or implementation of our clinical trials or with our recommended
+Added: dose for any of our pipeline programs;
+Added: FDA authorization to commence a trial or reaching a consensus with the FDA on trial design;
+Added: approval from one or more IRBs/ECs;
+Added: refusing to approve, suspending or terminating the trial at an investigational site, precluding
+Added: enrollment of additional subjects, or withdrawing their approval of the trial;
+Added: to clinical trial protocol;
+Added: sites deviating from trial protocol or dropping out of a trial;
+Added: to manufacture or obtain sufficient quantities of drug candidate, STARS or, if applicable,
+Added: combination therapies for use in clinical trials;
+Added: failing to enroll or remain in our trial at the rate we expect, or failing to return for
+Added: post-treatment follow-up;
+Added: choosing an alternative treatment, or participating in competing clinical trials;
+Added: of adequate funding to continue the clinical trial;
+Added: experiencing severe or unexpected drug-related adverse effects;
+Added: of serious adverse events in trials of the same class of agents conducted by other companies;
+Added: or being required to use clinical end points that require prolonged periods of clinical observation
+Added: or analysis of the resulting data;
+Added: facility manufacturing our drug candidates, STARS or any of their components, including without
+Added: limitation, our own facilities being ordered by the FDA to temporarily or permanently shut
+Added: down due to violations of cGMP, regulations or other applicable requirements, or infections
+Added: or cross-contaminations in the manufacturing process;
+Added: of stability of our clinical trial material or any quality issues that arise with the clinical
+Added: trial material;
+Added: changes to our manufacturing process that may be necessary or desired;
+Added: or our third-party contractors, not performing data collection or analysis in a timely or
+Added: accurate manner or improperly disclosing data prematurely or otherwise in violation of a
+Added: clinical trial protocol;
+Added: third-party contractors becoming debarred or suspended or otherwise penalized by the FDA
+Added: or other government or regulatory authorities for violations of regulatory requirements,
+Added: in which case we may need to find a substitute contractor, and we may not be able to use
+Added: some or all of the data produced by such contractors in support of our marketing applications.
+Added: could also encounter delays if a clinical trial is suspended or terminated by us, by the IRBs/ECs of the institutions in which such trials
+Added: are being conducted, by a Data Safety Monitoring Board for such trial or by the FDA.
+Added: Such authorities may impose such a suspension or
+Added: termination due to a number of factors, including failure to conduct the clinical trial in accordance with regulatory requirements or
+Added: our clinical protocols, inspection of the clinical trial operations or trial site by the FDA resulting in the imposition of a clinical
+Added: hold, unforeseen safety issues or adverse side effects, failure to demonstrate a benefit from using the product under investigation,
+Added: changes in governmental regulations or administrative actions or lack of adequate funding to continue the clinical trial.
+Added: changes in regulatory requirements and policies may occur, and we may need to amend clinical trial protocols to comply with these changes.
+Added: Amendments may require us to resubmit our clinical trial protocols to IRBs/ECs for reexamination, which may impact the costs, timing
+Added: or successful completion of a clinical trial.
+Added: we experience delays or difficulties in enrolling patients in our ongoing or planned clinical trials, our receipt of necessary regulatory
+Added: approval could be delayed or prevented.
+Added: may not be able to initiate or continue our ongoing or planned clinical trials for our products if we are unable to identify and enroll
+Added: a sufficient number of eligible patients to participate in these trials as required by the FDA.
+Added: In addition, some of our competitors
+Added: may have ongoing clinical trials for products that would treat the same patients as QN-302, QN-247, RAS-F or STARS, and patients who
+Added: would otherwise be eligible for our clinical trials may instead enroll in clinical trials of our competitors’ products.
+Added: introduction of new drugs or devices to the marketplace may have an effect on the number of patients available or timing of the availability
+Added: of the patients.
+Added: inability to enroll a sufficient number of patients for our clinical trials would result in significant delays or may require us to abandon
+Added: one or more clinical trials altogether.
+Added: side effects or other safety risks associated with QN-302, QN-247, RAS-F or STARS product candidates could delay or preclude approval,
+Added: cause us to suspend or discontinue any clinical trials or abandon further development, limit the commercial profile of an approved label,
+Added: or result in significant negative consequences following regulatory approval, if any.
+Added: of our planned clinical trials could reveal a high and unacceptable severity and prevalence of side effects or unexpected characteristics.
+Added: Undesirable side effects caused by our products could result in the delay, suspension or termination of clinical trials by us or the
+Added: FDA for a number of reasons.
+Added: if our products are associated with undesirable side effects in clinical trials or have characteristics that are unexpected, we may elect
+Added: to abandon or limit their development to more narrow uses or subpopulations in which the undesirable side effects or other characteristics
+Added: are less prevalent, less severe or more acceptable from a risk-benefit perspective, which may limit the commercial expectations for our
+Added: products, if approved.
+Added: We may also be required to modify our study plans based on findings in our clinical trials.
+Added: Many drug candidates
+Added: that initially showed promise in early stage testing have later been found to cause side effects that prevented further development.
+Added: In addition, regulatory authorities may draw different conclusions or require additional testing to confirm these determinations.
+Added: is possible that as we test our drug candidates and STARS in larger, longer and more extensive clinical trials, including with different
+Added: dosing regimens, or as the use of our drug candidates and STARS becomes more widespread following any regulatory approval, illnesses,
+Added: injuries, discomforts and other adverse events that were observed in earlier trials, as well as conditions that did not occur or went
+Added: undetected in previous trials, will be reported by patients.
+Added: development and commercialization of pharmaceutical and device products are subject to extensive regulation, and we may not obtain regulatory
+Added: approvals for QN-302, QN-247, RAS-F, STARS or any other product candidates, on a timely basis or at all.
+Added: clinical development, manufacturing, labeling, packaging, storage, recordkeeping, advertising, promotion, export, import, marketing,
+Added: distribution, adverse event reporting, including the submission of safety and other post-marketing information and reports, and other
+Added: possible activities relating to QN-302, QN-247, RAS-F and STARS, as well as any other product candidate that we may develop in the future,
+Added: are subject to extensive regulation.
+Added: approval of drugs in the United States requires the submission of an NDA to the FDA and we are not permitted to market any pharmaceutical
+Added: product candidate in the United States until we obtain approval from the FDA of the NDA for that product.
+Added: An NDA must be supported by
+Added: extensive clinical and preclinical data, as well as extensive information regarding pharmacology, chemistry, manufacturing and controls.
+Added: current anticipated regulatory pathway for STARS in the United States will require the submission of a PMA to the FDA to demonstrate
+Added: that the device is safe and effective for its intended use.
+Added: This approval process generally requires clinical data to support the safety
+Added: and effectiveness of the device.
+Added: approval of an NDA or PMA is not guaranteed, and the review and approval process is an expensive and uncertain process that may take
+Added: several years.
+Added: The FDA also has substantial discretion in the approval process.
+Added: The number and types of preclinical studies and clinical
+Added: trials that will be required for NDA or PMA approval varies depending on the product candidate, the disease or the condition that the
+Added: product candidate is designed to treat and the regulations applicable to any particular product candidate.
+Added: Despite the time and expense
+Added: associated with preclinical studies and clinical trials, failure can occur at any stage.
+Added: The results of preclinical and any clinical
+Added: trials of QN-302, QN-247, RAS-F, STARS or any other product candidate may not be predictive of the results of our later-stage clinical
+Added: trial failure may result from a multitude of factors including flaws in trial design, dose selection, placebo effect, patient enrollment
+Added: criteria and failure to demonstrate favorable safety or efficacy traits, and failure in clinical trials can occur at any stage.
+Added: in the pharmaceutical and device industry frequently suffer setbacks in the advancement of clinical trials due to lack of efficacy or
+Added: adverse safety profiles, notwithstanding promising results in earlier trials.
+Added: Based upon negative or inconclusive results, we may decide,
+Added: or regulators may require us, to conduct additional clinical trials or preclinical studies.
+Added: In addition, data obtained from clinical
+Added: trials are susceptible to varying interpretations, and regulators may not interpret our data as favorably as we do, which may further
+Added: delay, limit or prevent regulatory approval.
+Added: if we are able to commercialize any drug candidates, the products may become subject to unfavorable pricing regulations, third-party
+Added: reimbursement practices or healthcare reform initiatives, which would harm our business.
+Added: regulations that govern marketing approvals, pricing, coverage and reimbursement for new drug products vary widely from country to country.
+Added: Current and future legislation may significantly change the approval requirements in ways that could involve additional costs and cause
+Added: delays in obtaining approvals.
+Added: Some countries require approval of the sale price of a drug before it can be marketed.
+Added: In many countries,
+Added: the pricing review period begins after marketing or product licensing approval is granted.
+Added: To obtain reimbursement or pricing approval
+Added: in some countries, we may be required to conduct a clinical trial that compares the cost-effectiveness of our drug candidate to other
+Added: available therapies.
+Added: In some foreign markets, prescription pharmaceutical pricing remains subject to continuing governmental control
+Added: even after initial approval is granted.
+Added: As a result, we might obtain marketing approval for a drug candidate in a particular country,
+Added: but then be subject to price regulations that delay commercial launch of the product, possibly for lengthy time periods, and negatively
+Added: impact the revenues, if any, we are able to generate from the sale of the product in that country.
+Added: Adverse pricing limitations may hinder
+Added: our ability to recoup our investment in one or more drug candidates, even if such drug candidates obtain regulatory approval.
+Added: ability to commercialize any drug candidates successfully also will depend in part on the extent to which coverage and adequate reimbursement
+Added: for these products and related treatments will be available from third-party payors, including government healthcare programs, private
+Added: health insurers and other organizations.
+Added: Third-party payors decide which medications they will pay for and establish reimbursement levels.
+Added: A primary trend in the U.S.
+Added: healthcare industry and elsewhere has been cost containment.
+Added: Third-party payors have attempted to control
+Added: costs by limiting coverage and the amount of reimbursement for particular medications.
+Added: Increasingly, third-party payors are requiring
+Added: that drug companies provide them with predetermined discounts from list prices and are challenging the prices charged for medical products.
+Added: Coverage and reimbursement may not be available for any product that we commercialize and, even if these are available, the level of
+Added: reimbursement may not be satisfactory.
+Added: Reimbursement may affect the demand for, or the price of, any drug candidate for which we obtain
regulatory approval.
−Removed: to approve pending applications or supplements to approved applications filed by us or our potential future
−Removed: collaborators;
−Removed: restrictions on operations, including costly new manufacturing requirements;
−Removed: seize and/or condemn and destroy products.
−Removed: we market products in a manner that violates healthcare fraud and abuse laws, or if we violate government price reporting laws,
−Removed: we may be subject to civil or criminal penalties.
−Removed: addition to FDA and FTC restrictions on marketing of pharmaceutical products, several other types of state and federal healthcare
−Removed: laws, commonly referred to as “fraud and abuse”
−Removed: laws, have been applied in recent years to restrict certain marketing
−Removed: practices in the pharmaceutical and supplement industry.
−Removed: Other jurisdictions such as Europe have similar laws.
−Removed: These laws include
−Removed: false claims and anti-kickback statutes.
−Removed: If we market our products and our products are paid for by governmental programs, it
−Removed: is possible that some of our business activities could be subject to challenge under one or more of these laws.
−Removed: false claims laws prohibit any person from knowingly presenting, or causing to be presented, a false claim for payment to the
−Removed: federal government or knowingly making, or causing to be made, a false statement to get a false claim paid.
−Removed: The federal healthcare
−Removed: program anti-kickback statute prohibits, among other things, knowingly and willfully offering, paying, soliciting or receiving
−Removed: remuneration to induce, or in return for, purchasing, leasing, ordering or arranging for the purchase, lease or order of any healthcare
−Removed: item or service covered by Medicare, Medicaid or other federally financed healthcare programs.
−Removed: This statute has been interpreted
−Removed: to apply to arrangements between pharmaceutical manufacturers on the one hand and prescribers, purchasers or formulary managers
−Removed: on the other.
−Removed: Although there are several statutory exemptions and regulatory safe harbors protecting certain common activities
−Removed: from prosecution, the exemptions and safe harbors are drawn narrowly, and practices that involve remuneration intended to induce
−Removed: prescribing, purchasing or recommending may be subject to scrutiny if they do not qualify for an exemption or safe harbor.
−Removed: states also have statutes or regulations similar to the federal anti-kickback law and federal false claims laws, which apply to
−Removed: items and services covered by Medicaid and other state programs, or, in several states, apply regardless of the payor.
−Removed: Administrative,
−Removed: civil and criminal sanctions may be imposed under these federal and state laws.
−Removed: the past few years, a number of pharmaceutical and other healthcare companies have been prosecuted under these laws for a variety
−Removed: of promotional and marketing activities, such as:
−Removed: providing free trips, free goods, sham consulting fees and grants and other
−Removed: monetary benefits to prescribers;
−Removed: reporting inflated average wholesale prices that were then used by federal programs to set reimbursement
−Removed: engaging in off-label promotion;
−Removed: and submitting inflated best price information to the Medicaid Rebate Program to reduce
−Removed: liability for Medicaid rebates.
−Removed: Related to Dependence on Third Parties
−Removed: collaborative arrangements that we establish in the future may not be successful or we may otherwise not realize the anticipated
−Removed: benefits from these collaborations.
−Removed: In addition, any future collaborative arrangements may place the development and commercialization
−Removed: of our product candidates outside our control, may require us to relinquish important rights or may otherwise be on terms unfavorable
−Removed: the merger with Qualigen is not completed, we may continue to seek partnering, collaborative or similar strategic arrangements
−Removed: with third parties to develop and commercialize RP-G28 either as a prescription drug or OTC product or as a dietary supplement,
−Removed: but we may be unsuccessful in locating a third-party collaborator to develop and market RP-G28.
−Removed: If we are able to locate a third-party
−Removed: collaborator, the collaboration may not be successful or we may otherwise not realize the anticipated benefits from such collaboration.
−Removed: on collaborative arrangements subjects us to a number of risks, including:
−Removed: may not be able to control the
−Removed: amount and timing of resources that our potential collaborators may devote to RP-G28;
−Removed: collaborations may experience financial difficulties or changes in business focus;
−Removed: may be required to relinquish important rights such as
−Removed: marketing and distribution rights;
−Removed: a collaborator fail to develop or commercialize RP-G28, we may not receive any future milestone payments and will not
−Removed: receive any royalties for RP-G28;
−Removed: combinations or significant changes in a collaborator’s business strategy may also adversely affect a collaborator’s
−Removed: willingness or ability to complete its obligations under any arrangement;
−Removed: certain circumstances, a collaborator could move forward with a competing product candidate developed either independently
−Removed: or in collaboration with others, including our competitors;
−Removed: collaborative
−Removed: arrangements are often terminated or allowed to expire, which could delay the development and may increase the cost of developing
−Removed: delay or disruption in the manufacture and supply of any product may negatively impact our operations.
−Removed: do not intend to manufacture any product that is offered for sale.
−Removed: We currently have an agreement with RSM, our contract manufacturer,
−Removed: for the production of Improved GOS, the active pharmaceutical ingredient in RP-G28, and the formulation of sufficient quantities
−Removed: of Improved GOS for the clinical and nonclinical studies that we believe we will need to conduct prior to seeking regulatory approval
−Removed: for RP-G28 if we decide to pursue the development of RP-G28.
−Removed: However, we do not have agreements for commercial supplies of RP-G28
−Removed: and we may not be able to reach agreement with RSM or any other contract manufacturer for sufficient supplies to commercialize
−Removed: RP-G28 if it is approved or any other product candidate we may develop in the future.
−Removed: on third-party manufacturers entails risks, to which we would not be subject if it manufactured its products itself, including:
−Removed: possibility that we are unable to enter into a manufacturing agreement with third parties to manufacture RP-G28 or
−Removed: any other product candidate we may develop in the future;
−Removed: possible breach of the manufacturing agreements by third parties because of factors beyond our control;
−Removed: possible termination or nonrenewal of manufacturing agreements by the third parties before we are able to arrange for
−Removed: a qualified replacement third-party manufacturer.
−Removed: of these factors could cause the delay of approval or commercialization of RP-G28 or any other product candidate we may develop
−Removed: in the future (in the event the merger is not completed), or cause us to incur higher costs.
−Removed: Furthermore, if RP-G28 or another
−Removed: product candidate is approved and contract manufacturers fail to deliver the required commercial quantities of finished product
−Removed: on a timely basis and at commercially reasonable prices and we are unable to find one or more replacement manufacturers capable
−Removed: of production at a substantially equivalent cost, in substantially equivalent volumes and quality and on a timely basis, we would
−Removed: likely be unable to meet demand for our product and could lose potential revenue.
−Removed: It may take several years to establish an alternative
−Removed: source of supply for RP-G28 or any other product candidate and to have any such new source approved by the government agencies
−Removed: that regulate our products.
−Removed: In the event we do need to identify alternative manufacturing partners, we may have to secure licenses
−Removed: to manufacturing and/or purification technologies, including third-party patent licenses, to allow us to manufacture RP-G28 or
−Removed: any other product candidate that is suitable for the late-stage regulatory review process and/or adequate to manufacture commercial
−Removed: quantities for such product candidate.
−Removed: have historically depended on third-party contractors for a substantial portion of our operations and may not be able to control
−Removed: our work as effectively as if we performed these functions itself.
−Removed: the merger is not completed and we elect to continue the clinical development of RP-G28 (as either a prescription drug, OTC product
−Removed: or dietary supplement) we will continue to outsource substantial portions of our operations to third-party service providers,
−Removed: including the conduct of preclinical studies and clinical trials, collection and analysis of data, and manufacturing.
−Removed: Our agreements
−Removed: with third-party service providers and contract research organizations (“CROs”) are on a study-by-study and project-by-project
−Removed: Typically, we may terminate the agreements with notice and would be responsible for the supplier’s previously incurred
−Removed: In addition, any CRO that we retain will be subject to the FDA’s and EMA’s regulatory requirements and similar
−Removed: standards outside of the United States and Europe and we do not have control over compliance with these regulations by these providers.
−Removed: Consequently, if these providers do not adhere to applicable governing practices and standards, the development and commercialization
−Removed: of our product candidates could be delayed or stopped, which could severely harm our business and financial condition.
−Removed: we have relied on third parties, our internal capacity to perform these functions is limited to management oversight.
−Removed: these functions involves the risk that third parties may not perform to our standards, may not produce results in a timely manner
−Removed: or may fail to perform at all.
−Removed: Although we have not experienced any significant difficulties with its third-party contractors,
−Removed: it is possible that we could experience difficulties in the future.
−Removed: In addition, the use of third-party service providers requires
−Removed: us to disclose its proprietary information to these parties, which could increase the risk that this information will be misappropriated.
−Removed: There are a limited number of third-party service providers that specialize or have the expertise required to achieve its business
−Removed: Identifying, qualifying and managing performance of third-party service providers can be difficult, time consuming
−Removed: and cause delays in our development programs.
−Removed: We currently have a small number of employees, which limits the internal resources
−Removed: we have available to identify and monitor third-party service providers.
−Removed: To the extent we are unable to identify, retain and successfully
−Removed: manage the performance of third-party service providers in the future, our business may be adversely affected, and we may be subject
−Removed: to the imposition of civil or criminal penalties if their conduct of clinical trials violates applicable law.
−Removed: Reimbursement
−Removed: decisions by third-party payors may have an adverse effect on pricing and market acceptance.
−Removed: If there is not sufficient reimbursement
−Removed: for RP-G28, it is less likely that it will be widely used.
−Removed: the event we are able to obtain the additional funding necessary to advance the clinical development of RP-G28, and RP-G28 is
−Removed: ultimately approved for sale by the applicable regulatory authorities, market acceptance and sales of RP-G28 will depend on reimbursement
−Removed: policies and may be affected by, among other things, future healthcare reform measures.
−Removed: Government authorities and third-party
−Removed: payors, such as private health insurers and health maintenance organizations, decide which drugs they will cover and establish
−Removed: payment levels.
−Removed: We cannot be certain that reimbursement will be available for RP-G28.
−Removed: Also, we cannot be certain that reimbursement
−Removed: policies will not reduce the demand for, or the price paid for, our products.
−Removed: If reimbursement is not available or is available
−Removed: on a limited basis, we may not be able to successfully commercialize RP-G28.
−Removed: the United States, the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (the “MMA”), changed
−Removed: the way Medicare covers and pays for pharmaceutical products.
−Removed: The legislation established Medicare Part D, which expanded Medicare
−Removed: coverage for outpatient prescription drug purchases by the elderly but provided authority for limiting the number of drugs that
−Removed: will be covered in any therapeutic class.
−Removed: The MMA also introduced a new reimbursement methodology based on average sales prices
−Removed: for physician-administered drugs.
−Removed: Any negotiated prices for our products covered by a Part D prescription drug plan would
−Removed: likely be lower than the prices it might otherwise obtain in the United States.
−Removed: Moreover, while the MMA applies only to drug
−Removed: benefits for Medicare beneficiaries, private payors often follow Medicare coverage policy and payment limitations in setting their
−Removed: own payment rates.
−Removed: Any reduction in payment that results from the MMA may result in a similar reduction in payments from non-governmental
−Removed: United States and several other jurisdictions are considering, or have already enacted, a number of legislative and regulatory
−Removed: proposals to change the healthcare system in ways that could affect our ability to sell its products profitably.
−Removed: policy makers and payors in the United States and elsewhere, there is significant interest in promoting changes in healthcare
−Removed: systems with the stated goals of containing healthcare costs, improving quality and/or expanding access to healthcare.
−Removed: United States, the pharmaceutical industry has been a particular focus of these efforts and has been significantly affected by
−Removed: major legislative initiatives.
−Removed: If RP-G28 is ultimately approved for sale by the applicable regulatory authorities, we expect
−Removed: that it would experience pricing pressures in connection with the sale of RP-G28, due to the trend toward managed healthcare,
−Removed: the increasing influence of health maintenance organizations and additional legislative proposals.
−Removed: Patient Protection and Affordable Care Act, as amended by the Health Care and Education Affordability Reconciliation Act of 2010
−Removed: (collectively, the “ACA”), enacted in March 2010, is a sweeping law intended to broaden access to health insurance,
−Removed: reduce or constrain the growth of healthcare spending, enhance remedies against fraud and abuse, add new transparency requirements
−Removed: for healthcare and health insurance industries, impose new taxes and fees on health industry and impose additional health policy
−Removed: With regard to pharmaceutical products, among other things, the ACA is expected to expand and increase industry rebates
−Removed: for drugs covered under Medicaid programs and make changes to the coverage requirements under Medicare Part D program.
−Removed: it is too early to determine the full effect of the ACA, the law appears likely to continue the pressure on pharmaceutical pricing,
−Removed: especially under the Medicare program, and may also increase our regulatory burdens and operating costs.
−Removed: Since its enactment,
−Removed: there have been judicial and Congressional challenges to certain aspects of the ACA.
−Removed: Congress and President Trump have expressed
−Removed: their intentions to repeal and replace the ACA.
−Removed: President Trump issued an Executive Order and both chambers of Congress passed
−Removed: bills, all with the goal of fulfilling their intentions.
−Removed: However, to date, the Executive Order has had limited effect and the
−Removed: Congressional activities have not resulted in the passage of a law.
−Removed: If a law is enacted, many if not all of the provisions of
−Removed: the ACA may no longer apply to prescription drugs.
−Removed: Related to the Commercialization of RP-G28 or Any Other Product Candidate Developed by Us in the Future in the Event the
−Removed: Merger is not Completed
−Removed: product approved for sale by the applicable regulatory authorities, or launched as an OTC product without the need for regulatory
−Removed: approval, may not achieve broad market acceptance among physicians, patients and healthcare payors, and as a result our
−Removed: revenues generated from sales of any such product may be limited.
−Removed: commercial success of any product we launch will depend upon its acceptance among the medical community, including physicians,
−Removed: health care payors and patients.
−Removed: The degree of market acceptance of a product will depend on a number of factors, including:
−Removed: or warnings contained in our product candidates’
−Removed: labeling, including FDA-approved labeling;
−Removed: in the standard of care or availability of alternative therapies at similar or lower costs for the targeted indications for
−Removed: such product candidates;
−Removed: in the approved clinical indications or intended use for such product;
−Removed: clinical safety and efficacy compared to other products;
−Removed: of significant adverse side effects;
−Removed: marketing and distribution support;
−Removed: of reimbursement from managed care plans and other third-party payors;
−Removed: of market introduction and perceived effectiveness of competitive products;
−Removed: degree of cost-effectiveness;
−Removed: of alternative therapies at similar or lower cost, including generics and OTC products;
−Removed: extent to which a product candidate is approved for inclusion on formularies of hospitals and managed care organizations;
−Removed: a product candidate is designated under physician treatment guidelines for the treatment of or reduction of symptoms associated
−Removed: with the indications for which we have received regulatory approval;
−Removed: publicity about a product candidate or favorable publicity about competitive products;
−Removed: and ease of administration of a product candidate;
−Removed: product liability claims.
−Removed: RP-G28 or any other product candidate we develop is approved by the applicable regulatory authorities (or launched without
−Removed: the need for regulatory approval), but does not achieve an adequate level of acceptance by physicians, patients, the medical community
−Removed: and healthcare payors, sufficient revenue may not be generated from its sales and we may not become or remain profitable.
−Removed: In addition, efforts to educate the medical community and third-party payors on the benefits of any product candidate may require
−Removed: significant resources and may never be successful.
−Removed: OTC drug business is subject to significant competitive pressures.
−Removed: the merger is not completed, we may continue to seek partnering, collaborative or similar strategic arrangements with third parties
−Removed: to develop and commercialize RP-G28 as an OTC product.
−Removed: The OTC healthcare product industry, however, is highly competitive.
−Removed: participants in this industry have substantially greater capital resources, technical staffs, facilities, marketing resources,
−Removed: product development, and distribution experience than we do.
−Removed: We believe that our ability to compete in the OTC healthcare product
−Removed: industry will depend on a number of factors, including product quality and price, availability, speed to market, consumer marketing,
−Removed: reliability, credit terms, brand name recognition, delivery time and post-sale service and support.
−Removed: However, our failure to appropriately
−Removed: and timely respond to consumer preferences and demand for new products could significantly harm its business, financial condition
−Removed: and results of operations.
−Removed: Furthermore, unfavorable publicity or consumer perception of products we develop and commercialize
−Removed: could have a material adverse effect on our business and operations.
−Removed: There can be no assurance that we would be able to compete
−Removed: successfully in this highly competitive OTC industry.
−Removed: If we are unable to compete effectively, our earnings would be significantly
−Removed: negatively impacted.
−Removed: have no internal sales, distribution and/or marketing capabilities and we would have to invest significant resources to develop
−Removed: those capabilities or enter into acceptable third-party sales and marketing arrangements in the event the merger is not completed
−Removed: and we decide to continue operations.
−Removed: have no internal sales, distribution and/or marketing capabilities
−Removed: at this time.
−Removed: To develop these capabilities, we would need to invest significant amounts of financial and management resources,
−Removed: some of which may need to be committed prior to any confirmation that a particular product candidate will be approved.
−Removed: could also face a number of additional risks, including:
−Removed: or our third-party sales collaborators may not be able
−Removed: to attract and build an effective marketing or sales force;
−Removed: cost of securing or establishing a marketing or sales force may exceed the revenues generated by the product candidate;
−Removed: direct sales and marketing efforts may not be successful.
−Removed: may have limited or no control over the sales, marketing and distribution activities of third parties.
−Removed: Its future revenues could
−Removed: depend heavily on the success of the efforts of third parties.
−Removed: Relating to Our Intellectual Property if the Merger is not Completed
−Removed: our patent position does not adequately protect our product candidates, others could compete against us more directly, which would
−Removed: harm our business, possibly materially.
−Removed: commercial success will depend in part on obtaining, maintaining and enforcing patent protection and on developing, preserving
−Removed: and enforcing current trade secret protection.
−Removed: In particular, it will depend in part on our ability to obtain, maintain and enforce
−Removed: patents, especially those directed to methods of using our products and those directed to the methods used to develop and manufacture
−Removed: our products, as well as successfully defending these patents against third-party challenges.
−Removed: Our ability to stop third parties
−Removed: from making, using, selling, offering to sell or importing our products depends on the extent to which we have rights under valid
−Removed: and enforceable patents (and/or trade secrets) that cover these activities.
−Removed: We cannot be sure that patents will be granted with
−Removed: respect to any of its pending patent applications or with respect to any patent applications it files in the future, nor can we
−Removed: be sure that any of its existing patents or any patents that may be granted to it in the future will withstand subsequent challenges
−Removed: to their validity, enforceability, and/or patentability, or if they will be commercially useful in protecting our product candidates,
−Removed: discovery programs and processes.
−Removed: Furthermore, we cannot be sure that our existing patents and patent applications will embrace
−Removed: (or “claim”) the particular uses for RP-G28 or any other product candidate that may be approved by the FDA.
−Removed: Our inability
−Removed: to protect our patents, would also likely impact our ability to attract potential third-party collaborators.
−Removed: patent positions of biotechnology and pharmaceutical companies can be highly uncertain and involve complex legal and factual questions
−Removed: for which important legal principles remain unresolved.
−Removed: consistent policy regarding the patentability and/or validity of patent claims related to pharmaceutical patents has emerged,
−Removed: to date, in the United States or in most jurisdictions outside of the United States.
−Removed: Changes in either the patent laws (be they
−Removed: substantive or procedural) or in the interpretations of patent laws in the United States and other countries may diminish the
−Removed: value of our intellectual property.
−Removed: Accordingly, we cannot predict the breadth of any claims that will issue or will be enforceable
−Removed: in the patents that have or may be issued from the patents and applications we currently own or may in the future own or license
−Removed: from third parties.
−Removed: Further, if any patents we obtain, or to which we obtain licenses, are deemed invalid, unpatentable and unenforceable,
−Removed: our ability to commercialize or license our technology could be adversely affected.
−Removed: the future others may file patent applications directed to products, uses for products, and manufacturing techniques and related
−Removed: technologies that are similar, identical or competitive to our or important to our business.
−Removed: We cannot be certain that any patent
−Removed: or patent application owned by a third-party will not have priority over patent applications filed or in-licensed by us in the
−Removed: future, or that we or our licensors will not be involved in interference, opposition, inter partes review or invalidity proceedings
−Removed: patent offices or courts.
−Removed: degree of future protection for our proprietary rights is uncertain because legal means afford only limited protection
−Removed: and may not adequately protect its rights or permit us to gain or keep its competitive advantage.
−Removed: may be able to develop a platform similar to, or better than, ours in a way that does not infringe our patents;
−Removed: may be able to make compounds that are similar to our product candidates but that do not infringe our patents;
−Removed: may be able to manufacture compounds that are similar or identical to our product candidates using processes that do not infringe
−Removed: our method of making patents;
−Removed: may obtain regulatory approval for uses of compounds, similar or identical to our product, that do not infringe our pharmaceutical
−Removed: composition patents or our method of use patents;
−Removed: may not be able to obtain licenses for patents that are essential to the process of making the product;
−Removed: might not have been the first to make the inventions claimed in its issued patents and pending patent applications;
−Removed: might not have been the first to file patent applications for these inventions;
−Removed: may independently develop similar or alternative technologies or duplicate any of our technologies;
−Removed: patents that we obtain may not provide us with any competitive advantages;
−Removed: may not develop additional proprietary technologies that are patentable;
−Removed: patents of others may have an adverse effect on our business.
−Removed: directed to pharmaceutical compositions containing RP-G28 or methods of using RP-G28 expire in 2030 if the appropriate maintenance
−Removed: fee renewal, annuity, or other government fees are paid, unless a patent term extension based on regulatory delay is obtained.
−Removed: We expect that expiration in 2030 of some of its pharmaceutical composition and method-of-use patents directed to RP-G28 and its
−Removed: use in treating lactose intolerance will have a limited impact on its ability to protect its intellectual property in the United
−Removed: States, where we have additional issued patents directed to such compositions and uses that extend until 2030.
−Removed: In other countries,
−Removed: our issued patents and pending patent applications directed to compositions containing or methods of using RP-G28 for treating
−Removed: other indications, if issued, would expire in 2030.
−Removed: If we decide to pursue the continued development of RP-G28, including with
−Removed: a strategic partner, we will attempt to mitigate the effect of patent expiration by seeking data exclusivity, or the foreign equivalent
−Removed: thereof, in conjunction with product approval, as well as by filing additional patent applications covering improvements in its
−Removed: intellectual property.
−Removed: expect that the other patent applications for the RP-G28 portfolio, if issued, and if the appropriate maintenance, renewal, annuity
−Removed: or other governmental fees are paid, would expire in 2030.
−Removed: We own pending applications in the United States, Europe, and certain
−Removed: other countries directed to uses of RP-G28 to treat a variety of disorders, including lactose intolerance.
−Removed: Patent protection,
−Removed: to the extent these patents issue, would be expected to extend to 2030, unless a patent term extension based on regulatory delay
−Removed: to the patent laws of a country, or the decisions of a patent examiner in a country, or our own filing strategies, we may not
−Removed: obtain patents directed to all of its product candidates or methods involving these candidates in the parent patent application.
−Removed: We could pursue divisional patent applications or continuation patent applications in the United States and other countries to
−Removed: obtain claims directed to inventions that were disclosed but not claimed in the parent patent application.
−Removed: also may rely on trade secrets to protect its technology, especially where we do not believe patent protection is appropriate
−Removed: However, trade secrets are difficult to protect.
−Removed: Although we use reasonable efforts to protect our trade secrets,
−Removed: its employees, consultants, contractors, outside scientific collaborators and other advisors may unintentionally or willfully
−Removed: disclose our information to competitors.
−Removed: Enforcing a claim that a third-party illegally obtained and is using any of our trade
−Removed: secrets is expensive and time consuming, and the outcome is unpredictable.
−Removed: In addition, courts outside the United States are sometimes
−Removed: less willing to protect trade secrets.
−Removed: Moreover, our competitors may independently develop equivalent knowledge, methods and know-how.
−Removed: patents are not directed to RP-G28 as a composition of matter.
−Removed: we own certain patents and patent applications with claims directed to specific pharmaceutical compositions and methods of using
−Removed: RP-G28 to treat LI, we do not have patents directed to RP-G28 as a composition of matter in the United States or elsewhere.
−Removed: a result, we may be limited in our ability to list our patents in the FDA’s Orange Book if our product or the use of our
−Removed: product, consistent with its FDA-approved label, would not fall within the scope of our patent claims.
−Removed: Also, our competitors may
−Removed: be able to offer and sell products so long as these competitors do not infringe any other patents that we (or third parties) hold,
−Removed: including patents with claims directed to the manufacture of RP-G28, pharmaceutical compositions containing RP-G28, and/or method
−Removed: of using RP-G28.
−Removed: In general, pharmaceutical composition patents and method of use patents are more difficult to enforce than composition
−Removed: of matter patents because, for example, of the risks that FDA may approve alternative uses of the subject compounds not covered
−Removed: by the method of use patents, and others may engage in off-label sale or use of the subject compounds.
−Removed: Physicians are permitted
−Removed: to prescribe an approved product for uses that are not described in the product’s labeling.
−Removed: Although off-label prescriptions
−Removed: may infringe our method of use patents, the practice is common across medical specialties and such infringement is difficult to
−Removed: prevent or prosecute.
−Removed: FDA approval of uses that are not covered by our patents would limit its ability to generate revenue from
−Removed: the sale of RP-G28, if approved, for commercial sale.
−Removed: Off-label sales would limit our ability to generate revenue from the sale
−Removed: of RP-G28, if approved for commercial sale.
−Removed: Any of these factors could impact our ability to attract potential third-party collaborators.
−Removed: may incur substantial costs as a result of litigation or other proceedings relating to patent and other intellectual property
−Removed: we choose to go to court to stop another party from using the inventions claimed in any patents we obtain, that individual or
−Removed: company may seek a post grant review (including inter partes review) of our patents, and has the right to ask the court to rule
−Removed: that such patents are invalid or should not be enforced against that third-party.
−Removed: These lawsuits and administrative proceedings
−Removed: are expensive and would consume time and resources and divert the attention of managerial and scientific personnel even if we
−Removed: were successful in stopping the infringement of such patents.
−Removed: In addition, there is a risk that the court or administrative body
−Removed: will decide that such patents are not valid or unpatentable and that we do not have the right to stop the other party from using
−Removed: the inventions.
−Removed: There is also the risk that, even if the validity/patentability of such patents is upheld, the court will refuse
−Removed: to stop the other party on the ground that such other party’s activities do not infringe our patents.
−Removed: In addition, the U.S.
−Removed: Supreme Court and the Court of Appeals for the Federal Circuit have articulated and/or modified certain tests used by the U.S.
−Removed: Patent and Trademark Office (the “USPTO”), in assessing patentability and by the courts in assessing validity and
−Removed: claim scope, which may decrease the likelihood that we will be able to obtain patents and increase the likelihood that others
−Removed: may succeed in challenging any patents we obtain or license.
−Removed: may infringe the intellectual property rights of others, which may prevent or delay our product development efforts and stop it
−Removed: from commercializing or increase the costs of commercializing our product candidates.
−Removed: success will depend in part on our ability to operate without infringing the proprietary rights of third parties.
−Removed: We cannot guarantee
−Removed: that our products, methods of manufacture, or uses of RP-G28 (or any future product candidate), will not infringe third-party
−Removed: Furthermore, a third-party may claim that we or our manufacturing or commercialization collaborators are using inventions
−Removed: covered by the third-party’s patent rights and may go to court to stop us from engaging in our normal operations and activities,
−Removed: including making or selling its product candidates.
−Removed: These lawsuits are costly and could affect our results of operations and divert
−Removed: the attention of managerial and scientific personnel.
−Removed: There is a risk that a court would decide that we or our commercialization
−Removed: collaborators are infringing the third-party’s patents and would order us or our collaborators to stop the activities covered
−Removed: by the patents.
−Removed: In that event, we or our commercialization collaborators may not have a viable way around the patent and may need
−Removed: to halt commercialization of the relevant product.
−Removed: In addition, there is a risk that a court will order us or our collaborators
−Removed: to pay the other party damages for having violated the other party’s patents.
−Removed: In the future, we may agree to indemnify our
−Removed: commercial collaborators against certain intellectual property infringement claims brought by third parties.
−Removed: The pharmaceutical
−Removed: and biotechnology industries have produced a proliferation of patents, and it is not always clear to industry participants, including
−Removed: Ritter, which patents cover various types of products or methods of use.
−Removed: The scope of coverage of a patent is subject to interpretation
−Removed: by the courts, and the interpretation is not always uniform.
−Removed: we are sued for patent infringement, the patentee would need to demonstrate, by a preponderance of the evidence that our products
−Removed: or methods infringe the patent claims of the relevant patent, and we would need to demonstrate either that we do not infringe
−Removed: or, by clear and convincing evidence, that the patent claims are invalid;
−Removed: we may not be able to do this.
−Removed: Proving invalidity is
−Removed: For example, in the United States, proving invalidity requires a showing of clear and convincing evidence to overcome
−Removed: the presumption of validity enjoyed by issued patents.
−Removed: Even if we are successful in these proceedings, we may incur substantial
−Removed: costs and divert management’s time and attention in pursuing these proceedings, which could have a material adverse effect
−Removed: If we are unable to avoid infringing the patent rights of others, we may be required to seek a license, which may not be
−Removed: available, defend an infringement action or challenge the validity or enforceability of the patents in court.
−Removed: Patent litigation
−Removed: is costly and time consuming.
−Removed: We may not have sufficient resources to bring these actions to a successful conclusion.
−Removed: if we do not obtain a license, develop or obtain non-infringing technology, otherwise fail to defend an infringement action successfully
−Removed: or have a court hold that any patent we infringe is invalid or unenforceable, we may incur substantial monetary damages, encounter
−Removed: significant delays in bringing its product candidates to market and may be precluded from manufacturing or selling its product
−Removed: cannot be certain that others have not filed patent applications for technology claimed in its pending applications, or that we
−Removed: were the first to invent the technology, because:
−Removed: patent applications in the United States may be maintained in secrecy until the patents are issued;
−Removed: applications in the United States are typically not published until at least 18 months after the earliest asserted priority
−Removed: in the scientific literature often lag behind actual discoveries.
−Removed: competitors may have filed, and may in the future file, patent applications directed to technology similar to ours.
−Removed: Any such patent
−Removed: application may have priority over our patent applications, which could further require us to obtain rights to issued patents
−Removed: directed to such technologies.
−Removed: If another party has filed a U.S.
−Removed: patent application on inventions similar to ours, we may have
−Removed: to participate in an interference proceeding declared by the USPTO to determine priority of invention in the United States.
−Removed: costs of these proceedings could be substantial, and it is possible that such efforts would be unsuccessful if, unbeknownst to
−Removed: us, the other party had independently arrived at the same or similar invention prior to our own invention, resulting in a loss
−Removed: patent position with respect to such inventions.
−Removed: Other countries have similar laws that permit secrecy of patent applications,
−Removed: and other parties may be entitled to priority over our applications in such jurisdictions.
−Removed: of our competitors may be able to sustain the costs of complex patent litigation more effectively than we can because they have
−Removed: substantially greater resources.
−Removed: In addition, any uncertainties resulting from the initiation and continuation of any litigation
−Removed: could have a material adverse effect on our ability to raise the funds necessary to continue its operations or to attract potential
−Removed: third-party collaborators.
−Removed: and maintaining our patent portfolio depends on compliance with various procedural, document submission, fee payment and other
−Removed: requirements imposed by governmental patent agencies, and our patents could be deemed abandoned or eliminated for non-compliance
−Removed: with these requirements.
−Removed: maintenance fees, renewal fees, annuity fees and various other governmental fees on patents and/or applications will be due to
−Removed: be paid to the USPTO and various governmental patent agencies outside of the United States in several stages over the lifetime
−Removed: of the patents and/or applications.
−Removed: We employ an outside firm to pay fees due to non-U.S.
−Removed: patent agencies and this outside firm
−Removed: has systems in place to ensure compliance on payment of fees.
−Removed: The USPTO and various non-U.S.
−Removed: governmental patent agencies require
−Removed: compliance with a number of procedural, documentary, fee payment and other similar provisions during the patent application process.
−Removed: We employ reputable law firms and other professionals to help us comply, and in many cases, an inadvertent lapse can be cured
−Removed: by payment of a late fee or by other means in accordance with the applicable rules.
−Removed: However, there are situations in which noncompliance
−Removed: can result in abandonment or lapse of the patent or patent application, resulting in partial or complete loss of patent rights
−Removed: in the relevant jurisdiction.
−Removed: In such an event, our competitors might be able to enter the market and this circumstance would
−Removed: have a material adverse effect on our business.
−Removed: Furthermore, our inability to protect its patents, would also likely impact its
−Removed: ability to attract potential third-party collaborators.
−Removed: may be subject to claims that our employees have wrongfully used or disclosed alleged trade secrets of their former employers.
−Removed: If we are not able to adequately prevent disclosure of trade secrets and other proprietary information, the value of our technology
−Removed: and products could be significantly diminished.
−Removed: is common in the biotechnology and pharmaceutical industries, we employ individuals who were previously employed at other biotechnology
−Removed: or pharmaceutical companies, including competitors or potential competitors.
−Removed: We may be subject to claims that these employees,
−Removed: or that we, have inadvertently or otherwise used or disclosed trade secrets or other proprietary information of their former employers.
−Removed: Litigation may be necessary to defend against these claims.
−Removed: Even if we were successful in defending against these claims, litigation
−Removed: could result in substantial costs and be a distraction to management.
−Removed: have relied on trade secrets to protect our proprietary technologies, especially where we do not believe patent protection is
−Removed: appropriate or obtainable.
−Removed: However, trade secrets are difficult to protect.
−Removed: We have also relied in part on confidentiality agreements
−Removed: with our employees, consultants, outside scientific collaborators, sponsored researchers and other advisors to protect our trade
−Removed: secrets and other proprietary information.
−Removed: These agreements may not effectively prevent disclosure of confidential information
−Removed: and may not provide an adequate remedy in the event of unauthorized disclosure of confidential information.
−Removed: In addition, others
−Removed: may independently discover our trade secrets and proprietary information.
−Removed: For example, the FDA, as part of its Transparency Initiative,
−Removed: is currently considering whether to make additional information publicly available on a routine basis, including information that
−Removed: we may consider to be trade secrets or other proprietary information, and it is not clear at the present time how the FDA’s
−Removed: disclosure policies may change in the future, if at all.
−Removed: Costly and time-consuming litigation could be necessary to enforce and
−Removed: determine the scope of our proprietary rights, and failure to obtain or maintain trade secret protection could adversely affect
−Removed: our competitive business position.
−Removed: to secure trademark registrations could adversely affect our business.
−Removed: have not developed a trademark for our RP-G28 product.
−Removed: Hence, we do not currently own any actual or potential trademark rights
−Removed: associated with our RP-G28 product.
−Removed: If we seek to register any trademarks in the future, our trademark applications may not be
−Removed: allowed for registration or our registered trademarks may not be maintained or enforced.
−Removed: During trademark registration proceedings,
−Removed: we may receive rejections.
−Removed: Although we would be given an opportunity to respond to those rejections, we may be unable to overcome
−Removed: such rejections.
−Removed: In addition, in the USPTO and in comparable agencies in many other jurisdictions, third parties are given an
−Removed: opportunity to oppose pending trademark applications and to seek to cancel registered trademarks.
−Removed: Opposition or cancellation proceedings
−Removed: may be filed against our trademarks, and our trademarks may not survive such proceedings.
−Removed: If we do not secure registrations for
−Removed: our trademarks, we may encounter more difficulty in enforcing them against third parties than we otherwise would.
−Removed: Relating to Our Business and Strategy if the Merger is not Completed
−Removed: the merger is not completed and we decide to continue our operations and the development of RP-G28 as either a prescription drug,
−Removed: OTC product or dietary supplement, we will face competition from other biotechnology and pharmaceutical companies and our operating
−Removed: results will suffer if we fail to compete effectively.
−Removed: we know of no other drug candidates in advanced clinical trials for treating lactose intolerance, the biotechnology and pharmaceutical
−Removed: industries are intensely competitive and subject to rapid and significant technological change.
−Removed: If the merger is not completed
−Removed: and we decide to continue our operations and the development of RP-G28 as either a prescription drug, OTC product or dietary supplement,
−Removed: we would have potential competitors in the United States, Europe and other jurisdictions, including major multinational pharmaceutical
−Removed: companies, established biotechnology companies, specialty pharmaceutical and generic drug companies and universities and other
−Removed: research institutions.
−Removed: Many of these potential competitors have greater financial and other resources, such as larger research
−Removed: and development staff and more experienced marketing and manufacturing organizations.
−Removed: Large pharmaceutical companies, in particular,
−Removed: have extensive experience in clinical testing, obtaining regulatory approvals, recruiting patients and manufacturing pharmaceutical
−Removed: These companies also have significantly greater research, sales and marketing capabilities and collaborative arrangements
−Removed: in our target markets with leading companies and research institutions.
−Removed: Established pharmaceutical companies may also invest heavily
−Removed: to accelerate discovery and development of novel compounds or to in-license novel compounds that could make the product candidates
−Removed: that we develop obsolete.
−Removed: a result of all of these factors, these potential competitors may succeed in obtaining patent protection and/or FDA approval or
−Removed: discovering, developing and commercializing drugs for the diseases that we would target before we do.
−Removed: Smaller or early-stage companies
−Removed: may also prove to be significant competitors, particularly through collaborative arrangements with large, established companies.
−Removed: Some of the pharmaceutical and biotechnology companies we could compete with include microbiome-based development companies:
−Removed: Genome, Inc., Seres Health, Inc., Enterome SA, Vedanta Biosciences, Inc., and Rebiotix Inc.
−Removed: In addition, many universities and
−Removed: private and public research institutes may become active in our target disease areas.
−Removed: These potential competitors may succeed
−Removed: in developing, acquiring or licensing on an exclusive basis, technologies and drug products that are more effective or less costly,
−Removed: which could render our products obsolete and noncompetitive.
−Removed: believe that our ability to successfully compete will depend on, among other things:
−Removed: ability to commercialize and market any product candidates
−Removed: approved for sale;
−Removed: efficacy, safety and reliability of any product candidates approved for sale;
−Removed: price of any product candidates approved for sale;
−Removed: levels of reimbursement under private and governmental health insurance plans, including Medicare;
−Removed: ability to protect intellectual property rights related
−Removed: to any product candidates approved for sale;
−Removed: ability to manufacture and sell commercial quantities
−Removed: of any product candidates approved for sale to the market;
−Removed: of any product candidates approved for sale by physicians and other health care providers.
−Removed: our competitors market products that are more effective, safer or less expensive, or that reach the market sooner than any of
−Removed: our product candidate approved for sale, we may not achieve commercial success.
−Removed: In addition, the biopharmaceutical industry is
−Removed: characterized by rapid technological change.
−Removed: Because our research approach integrates many technologies, it may be difficult for
−Removed: us to stay abreast of the rapid changes in each technology.
−Removed: If we fail to stay at the forefront of technological change, we may
−Removed: be unable to compete effectively.
−Removed: Technological advances or products developed by our competitors may render our technologies
−Removed: or product candidates obsolete, less competitive or not economical.
−Removed: the merger is not completed and we are able to raise the additional funds necessary to pursue the continued development of RP-G28
−Removed: (either as a prescription drug, OTC product or dietary supplement), we will need to expand our operations and increase the size
−Removed: of its company, and we may experience difficulties in managing growth.
−Removed: the merger is not completed and we are able to raise the additional funds necessary to pursue the continued development of RP-G28
−Removed: (either as a prescription drug, OTC product or dietary supplement), we will need to increase its product development, scientific
−Removed: and administrative headcount to manage the development and commercialization of our product candidates.
−Removed: If we are unable to successfully
−Removed: manage this growth and increased complexity of operations, our business may be adversely affected.
−Removed: may not be able to manage our business effectively if we are unable to attract and retain key personnel and consultants.
−Removed: we are not able to attract and retain necessary personnel and consultants to accomplish our business objectives, we may experience
−Removed: constraints that will significantly impede the achievement of our development objectives, our ability to raise additional capital
−Removed: and its ability to implement our business strategy.
−Removed: There is also a risk that other obligations could distract our officers and
−Removed: employees from its business, which could have negative impact on our ability to effectuate its business plans.
−Removed: to hire and retain consultants from a limited pool is intense.
−Removed: Further, because these advisors are not our employees, they may
−Removed: have commitments to, or consulting or advisory contracts with, other entities that may limit their availability to us, and typically
−Removed: they will not enter into non-compete agreements with us.
−Removed: If a conflict of interest arises between their work for us and their
−Removed: work for another entity, we may lose their services.
−Removed: In addition, our advisors may have arrangements with other companies to assist
−Removed: those companies in developing products or technologies that may compete with ours.
−Removed: the merger is not completed and we decide to pursue the development of RP-G28 as either a prescription drug, OTC product or dietary
−Removed: supplement, we may face product liability exposure, and if successful claims are brought against us, we may incur substantial
−Removed: liability for a product candidate and may have to limit its commercialization.
−Removed: use of our product candidates in clinical trials and the sale of any products for which we may obtain marketing approval expose
−Removed: us to the risk of product liability claims.
−Removed: Product liability claims may be brought against us or our potential future collaborators
−Removed: by participants enrolled in its clinical trials, patients, health care providers or others using, administering or selling its
−Removed: If we cannot successfully defend ourselves against any such claims, we would incur substantial liabilities.
−Removed: of merit or eventual outcome, product liability claims may result in:
−Removed: of clinical trial participants;
−Removed: of clinical trial sites or entire trial programs;
−Removed: of related litigation;
−Removed: monetary awards to patients or other claimants;
−Removed: demand for our product candidates and loss of revenues;
−Removed: of our business reputation;
−Removed: of management and scientific resources from our business operations;
−Removed: inability to commercialize our product candidates.
−Removed: have product liability insurance coverage for our clinical trials in the United States and in selected other jurisdictions where
−Removed: we intends to conduct clinical trials at levels we believe are sufficient and consistent with industry standards for companies
−Removed: at our stage of development.
−Removed: However, our insurance coverage may not reimburse us or may not be sufficient to reimburse us for
−Removed: any expenses or losses we may suffer.
−Removed: Moreover, insurance coverage is becoming increasingly expensive, and, in the future, we
−Removed: may not be able to maintain insurance coverage at a reasonable cost or in sufficient amounts to protect us against losses due
−Removed: to product liability.
−Removed: We intend to expand our insurance coverage for products to include the sale of any commercial products for
−Removed: which we obtain marketing approval, but we may be unable to obtain commercially reasonable product liability insurance for any
−Removed: products approved for marketing.
−Removed: Large judgments have been awarded in class action lawsuits based on drugs that had unanticipated
−Removed: side effects.
−Removed: A successful product liability claim or series of claims brought against us, particularly if judgments exceed our
−Removed: insurance coverage, could decrease our cash resources and adversely affect our business.
−Removed: insurance policies are expensive and only protect
−Removed: it from some business risks, which will leave us exposed to significant uninsured liabilities.
−Removed: do not carry insurance for all categories of risk that our business may encounter.
−Removed: Some of the policies we currently maintain
−Removed: include general liability ($2.0 million coverage), employment practices liability, workers’
−Removed: compensation, and directors’
−Removed: and officers’
−Removed: insurance at levels we believe are typical for a company in our industry and at our stage of development.
−Removed: We currently carry clinical trial liability insurance for our clinical trials at levels we believe are sufficient and consistent
−Removed: with industry standards for companies at our stage of development.
−Removed: We do not know, however, if we will be able to maintain insurance
−Removed: with adequate levels of coverage.
−Removed: Any significant uninsured liability may require us to pay substantial amounts, which would adversely
−Removed: affect our financial position and results of operations.
−Removed: Relating to Our Capital Stock
−Removed: active trading market for our common stock may not develop or be sustained.
−Removed: active trading market in our common stock may not develop or, if developed, may not be sustained.
−Removed: The lack of an active market
−Removed: may impair your ability to sell your shares at the time you wish to sell them or at a price that you consider reasonable.
−Removed: lack of an active market may also reduce the fair market value of our common stock.
−Removed: An inactive market may also impair our ability
−Removed: to raise capital to continue to fund operations by selling shares and may impair our ability to acquire other companies or technologies
−Removed: by using our shares as consideration.
−Removed: share price has been and may continue to be volatile, which could subject us to securities class action litigation and prevent
−Removed: our stockholders from being able to sell their shares at or above their purchase price.
−Removed: market price of shares of Ritter common stock could be subject to wide fluctuations in response to many risk factors listed in
−Removed: this section, and others beyond Ritter’s control, including:
−Removed: ability to consummate
−Removed: the transactions contemplated by the Merger Agreement, including the merger;
−Removed: ability to raise
−Removed: sufficient additional funds necessary for the continued development of RP-G28 (as a prescription
−Removed: drug, OTC product or dietary supplement), in the event we decide
−Removed: to continue development of RP-G28, whether through potential collaborative, partnering
−Removed: or other strategic arrangements or otherwise, and the terms and timing of any future
−Removed: collaborative, licensing or other strategic arrangements that we may establish;
−Removed: ability to realize
−Removed: any value from the sale of its RP-G28 assets, in the event we decide to sell or
−Removed: license RP-G28 to a third-party;
−Removed: ability to maintain
−Removed: our listing on the Nasdaq Capital Market;
−Removed: of clinical trials of our competitors’
−Removed: actions with respect to our products or Ritter’s competitors’
−Removed: or anticipated fluctuations in our financial condition and operating results;
−Removed: or anticipated changes in our growth rate relative to our competitors;
−Removed: or anticipated fluctuations in our competitors’
−Removed: operating results or changes
−Removed: in their growth rate;
−Removed: from existing products or new products that may emerge;
−Removed: announcements
−Removed: by us, our potential future collaborators or its competitors of significant acquisitions,
−Removed: strategic collaborations, joint ventures, or capital commitments;
−Removed: of new or updated research or reports by securities analysts;
−Removed: in the valuation of companies perceived by investors to be comparable to us;
−Removed: trading volume levels of our shares;
−Removed: or departures of key management or scientific personnel;
−Removed: or other developments related to proprietary rights, including patents, litigation matters
−Removed: and our ability to obtain patent protection for our technologies;
−Removed: or expectation of additional financing efforts;
−Removed: of our common stock by us, our insiders or our other stockholders;
−Removed: conditions for biopharmaceutical stocks in general;
−Removed: economic and market conditions.
−Removed: the stock markets have experienced extreme price and volume fluctuations that have affected and continue to affect the market
−Removed: prices of equity securities of many companies.
−Removed: These fluctuations often have been unrelated or disproportionate to the operating
−Removed: performance of those companies.
−Removed: These broad market and industry fluctuations, as well as general economic, political and market
−Removed: conditions such as recessions, interest rate changes or international currency fluctuations, may negatively impact the market
−Removed: price of shares of our common stock.
−Removed: In addition, such fluctuations could subject us to securities class action
−Removed: litigation, which could result in substantial costs and divert our management’s attention from other business concerns,
−Removed: which could seriously harm our business.
−Removed: securities or industry analysts do not publish research or publish inaccurate or unfavorable research about our business,
−Removed: our share price and trading volume could decline.
−Removed: trading market for our common stock will depend on the research and reports that securities or industry analysts publish about
−Removed: us or our business.
−Removed: We do not have any control over these analysts.
−Removed: There can be no assurance that analysts will cover us or provide
−Removed: favorable coverage.
−Removed: If one or more of the analysts who cover us downgrade our stock or change their opinion of our stock, our
−Removed: share price would likely decline.
−Removed: If one or more of these analysts cease coverage of us or fail to regularly publish reports on
−Removed: us, we could lose visibility in the financial markets, which could cause its share price or trading volume to decline.
−Removed: sales of our common stock, or the perception that future sales may occur, may cause the market price of our common stock to decline,
−Removed: even if our business is doing well.
−Removed: by our stockholders of a substantial number of shares of our common stock in the public market could occur in the future.
−Removed: sales, or the perception in the market that the holders of a large number of shares of common stock intend to sell shares, could
−Removed: reduce the market price of our common stock.
−Removed: may sell up to approximately $8.0 million of our shares of common stock under our at-the-market (“ATM Agreement”)
−Removed: sales agreement with A.G.P./Alliance Global Partners (“AGP”).
−Removed: The sale of a substantial number of shares of our common
−Removed: stock pursuant to the ATM Agreement, or anticipation of such sales, could cause the trading price of our common stock to decline
−Removed: or make it more difficult for us to sell equity or equity-related securities in the future at a time and at a price that we might
−Removed: otherwise desire.
−Removed: However, we may terminate the financing arrangement at any time at our discretion without any penalty or cost
−Removed: of options or warrants or conversion of convertible securities may have a dilutive effect on your percentage ownership and may
−Removed: result in a dilution of your voting power and an increase in the number of shares of common stock eligible for future resale in
−Removed: the public market, which may negatively impact the trading price of our shares of common stock.
−Removed: exercise or conversion of some or all of our outstanding options, warrants, or convertible securities (or, after the merger, the
−Removed: issuance of equity awards under the Ritter 2020 Plan) could result in significant dilution in the percentage ownership interest
−Removed: of our stockholders and in a significant dilution of voting rights and earnings per share.
−Removed: Additionally,
−Removed: the issuance of shares of our common stock upon exercise of stock options outstanding under our stock incentive plans will further
−Removed: dilute our stockholders’
−Removed: voting interests.
−Removed: To the extent options and/or warrants and/or conversion rights are exercised,
−Removed: additional shares of common stock will be issued, and such issuance will dilute stockholders.
−Removed: are an “emerging growth company”
−Removed: and will be able to avail itself of reduced disclosure requirements applicable to emerging growth companies, which could make
−Removed: our common stock less attractive to investors.
−Removed: are an “emerging growth company,”
−Removed: as defined in the Jumpstart Our Business Startups Act (the “JOBS Act”),
−Removed: and rely on certain exemptions from various reporting requirements that are applicable to other public companies that are not
−Removed: “emerging growth companies”
−Removed: including not being required to comply with the auditor attestation requirements of Section
−Removed: 404(b) of the Sarbanes-Oxley Act, reduced disclosure obligations regarding executive compensation in our periodic reports and
−Removed: proxy statements, and exemptions from the requirements of holding a nonbinding advisory vote on executive compensation and shareholder
−Removed: approval of any golden parachute payments not previously approved.
−Removed: We cannot predict if investors will find our common stock less
−Removed: attractive because we may rely on these exemptions.
−Removed: If some investors find our common stock less attractive as a result, there
−Removed: may be a less active trading market for our common stock and our stock price may be more volatile.
−Removed: (and the combined company following the merger) may take advantage of these reporting exemptions until we are no longer an “emerging
−Removed: growth company.”
−Removed: We will remain an emerging growth company until December 31, 2020, the last day of the fiscal year following
−Removed: the fifth anniversary of the date we completed our initial public offering, after which time the combined company will no longer
−Removed: be entitled to rely on the exemptions available to emerging growth companies.
−Removed: failure to meet the continued listing requirements
−Removed: of Nasdaq could result in a delisting of our common stock and the termination of the Merger Agreement by Qualigen.
−Removed: August 19, 2019, we received a written notice from Nasdaq indicating that we were not in compliance with Nasdaq Listing Rule 5550(b)(1),
−Removed: as our stockholders’
−Removed: equity, as reported in our Quarterly Report on Form 10-Q for the period ended June 30, 2019, was below
−Removed: $2.5 million, which is the minimum stockholders’
−Removed: equity required for compliance with Rule 5550(b)(1).
−Removed: As of August 19, 2019,
−Removed: we also did not satisfy the conditions for the alternative market value of listed securities standard for continued listing or
−Removed: the net income standard for continued listing.
−Removed: were given until October 3, 2019 to submit a plan to regain compliance, which, if accepted by Nasdaq, could have resulted in us
−Removed: being granted an extension of up to 180 calendar days from the date of the original notice of noncompliance, or until February
−Removed: 15, 2020, to demonstrate compliance with Nasdaq Listing Rule 5550(b)(1).
−Removed: October 28, 2019, we received a second written notice from Nasdaq indicating that, because the closing bid price for our common
−Removed: stock had been below $1.00 per share for 30 consecutive business days, we no longer complied with the minimum bid price requirement
−Removed: for continued listing on The Nasdaq Capital Market.
−Removed: Nasdaq Listing Rule 5550(a)(2) requires listed securities to maintain a minimum
−Removed: bid price of $1.00 per share (the “Minimum Bid Price Requirement”), and Listing Rule 5810(c)(3)(A) provides that a
−Removed: failure to meet the Minimum Bid Price Requirement exists if the deficiency continues for a period of 30 consecutive business days.
−Removed: We were given until April 27, 2020, to regain compliance with the Minimum Bid Price Requirement.
−Removed: To regain compliance, the closing
−Removed: bid price of our common stock would need to meet or exceed $1.00 per share for a minimum of 10 consecutive business days during
−Removed: the 180-calendar day grace period.
−Removed: November 21, 2019, we received a letter from the Listing Qualifications Department of Nasdaq, notifying us that Nasdaq had determined
−Removed: to delist our common stock pursuant to Nasdaq’s discretionary authority under Listing Rule 5101, based on our failure to
−Removed: comply with the above described continued listing requirements and its belief that we do not have any current operating business.
−Removed: The letter stated that, unless we appealed Nasdaq’s determination and requested a hearing on the matter by the applicable
−Removed: deadline, trading of our common stock on the Nasdaq Capital Market would be suspended at the opening of business on December 3,
−Removed: 2019 and a Form 25-NSE would be filed with the SEC.
−Removed: appealed Nasdaq’s determination and a hearing was held on January 16, 2020, at which we submitted our compliance plan to
−Removed: The plan identified the Merger Agreement as a “change of control”
−Removed: transaction under Nasdaq Rule 5110(a) and
−Removed: indicated that upon filing the Registration Statement, we would file a Change of Control Application with Nasdaq via the Nasdaq
−Removed: Listing Center.
−Removed: The compliance plan also formally requested, on behalf of Ritter, and its proposed partner, Qualigen, that an
−Removed: exception through May 19, 2020 to complete the merger and provide evidence of compliance with all applicable requirements for
−Removed: Initial Listing on the Nasdaq Capital Market be made, which request has been granted by Nasdaq.
−Removed: terms of the Merger Agreement provide that the Merger Agreement may be terminated by Qualigen if we fail to maintain our listing
−Removed: If our common stock is delisted, we would expect our common stock to be traded in the OTC market, which could adversely
−Removed: affect the liquidity of our common stock.
−Removed: Additionally, we could face significant material adverse consequences, including:
−Removed: limited availability of market quotations for our common stock;
−Removed: decreased ability to issue additional securities and a concomitant substantial impairment
−Removed: in our ability to obtain sufficient additional capital to fund its operations
−Removed: and to continue as a going concern;
−Removed: liquidity for our stockholders;
−Removed: loss of confidence by employees and potential future partners or collaborators;
−Removed: and loss of institutional investor interest
−Removed: and fewer business development opportunities.
−Removed: in our corporate charter documents and under Delaware law could make an acquisition of Ritter, which may be beneficial to our
−Removed: stockholders, more difficult and may prevent attempts by our stockholders to replace or remove our current management.
−Removed: in our Certificate of Incorporation and our Bylaws may discourage, delay or prevent a merger, acquisition or other change in control
−Removed: that stockholders may consider favorable, including transactions in which you might otherwise receive a premium for your shares.
−Removed: These provisions could also limit the price that investors might be willing to pay in the future for shares of our common stock,
−Removed: thereby depressing the market price of our common stock.
−Removed: In addition, because our board of directors is responsible for appointing
−Removed: the members of our management team, these provisions may frustrate or prevent any attempts by our stockholders to replace or remove
−Removed: our current management by making it more difficult for stockholders to replace members of our board of directors.
−Removed: things, these provisions provide that:
−Removed: authorized number of directors can be changed only by resolution of our board of directors;
−Removed: Bylaws may be amended
−Removed: or repealed by our board of directors or our stockholders;
−Removed: may not call special meetings of the stockholders or fill vacancies on the board of directors;
−Removed: board of directors is authorized to issue, without stockholder approval, preferred stock,
−Removed: the rights of which will be determined at the discretion of the board of directors and
−Removed: that, if issued, could operate as a “poison pill”
−Removed: to dilute the stock ownership
−Removed: of a potential hostile acquirer to prevent an acquisition that our board of directors
−Removed: does not approve;
−Removed: stockholders do not have cumulative voting rights, and therefore our stockholders holding
−Removed: a majority of the shares of common stock outstanding will be able to elect all of our
−Removed: stockholders must comply with advance notice provisions to bring business before or nominate
−Removed: directors for election at a stockholder meeting.
−Removed: because we are incorporated in Delaware, we are governed by the provisions of Section 203 of the DGCL, which prohibits a person
−Removed: who owns in excess of 15% of our outstanding voting stock from merging or combining with Ritter for a period of three years after
−Removed: the date of the transaction in which the person acquired in excess of 15% of our outstanding voting stock, unless the merger or
−Removed: combination is approved in a prescribed manner.
−Removed: for indemnification by our directors and officers may reduce our available funds to satisfy successful stockholder claims against
−Removed: us and may reduce the amount of money available to us.
−Removed: permitted by Section 102(b)(7) of the DGCL, our Certificate of Incorporation limits the liability of our directors to the fullest
−Removed: extent permitted by law.
−Removed: In addition, as permitted by Section 145 of the DGCL, our Certificate of Incorporation and our Bylaws
−Removed: provide that we shall indemnify, to the fullest extent authorized by the DGCL, each person who is involved in any litigation or
−Removed: other proceeding because such person is or was a director or officer of Ritter or is or was serving as an officer or director
−Removed: of another entity at our request, against all expense, loss or liability reasonably incurred or suffered in connection therewith.
−Removed: Our Certificate of Incorporation provides that the right to indemnification includes the right to be paid expenses incurred in
−Removed: defending any proceeding in advance of its final disposition, provided, however, that such advance payment will only be made upon
−Removed: delivery to us of an undertaking, by or on behalf of the director or officer, to repay all amounts so advanced if it is ultimately
−Removed: determined that such director is not entitled to indemnification.
−Removed: If we do not pay a proper claim for indemnification in full
−Removed: within 60 days after we receive a written claim for such indemnification, except in the case of a claim for an advancement of
−Removed: expenses, in which case such period is 20 days, our Certificate of Incorporation and our Bylaws authorize the claimant to bring
−Removed: an action against us and prescribe what constitutes a defense to such action.
−Removed: 145 of the DGCL permits a corporation to indemnify any director or officer of the corporation against expenses (including attorney’s
−Removed: fees), judgments, fines and amounts paid in settlement actually and reasonably incurred in connection with any action, suit or
−Removed: proceeding brought by reason of the fact that such person is or was a director or officer of the corporation, if such person acted
−Removed: in good faith and in a manner that he reasonably believed to be in, or not opposed to, the best interests of the corporation,
−Removed: and, with respect to any criminal action or proceeding, if he or she had no reason to believe his or her conduct was unlawful.
−Removed: In a derivative action, ( i.e.
−Removed: , one brought by or on behalf of the corporation), indemnification may be provided only for
−Removed: expenses actually and reasonably incurred by any director or officer in connection with the defense or settlement of such an action
−Removed: or suit if such person acted in good faith and in a manner that he or she reasonably believed to be in, or not opposed to, the
−Removed: best interests of the corporation, except that no indemnification shall be provided if such person shall have been adjudged to
−Removed: be liable to the corporation, unless and only to the extent that the court in which the action or suit was brought shall determine
−Removed: that the defendant is fairly and reasonably entitled to indemnity for such expenses despite such adjudication of liability.
−Removed: rights conferred in our Certificate of Incorporation and Bylaws are not exclusive, and we are authorized to enter into indemnification
−Removed: agreements with our directors, officers, employees and agents and to obtain insurance to indemnify such persons.
−Removed: We have entered
−Removed: into indemnification agreements with each of our officers and directors.
−Removed: above limitations on liability and our indemnification obligations limit the personal liability of our directors and officers
−Removed: for monetary damages for breach of their fiduciary duty as directors by shifting the burden of such losses and expenses to us.
−Removed: Although we plan to increase the coverage under our directors’
−Removed: and officers’
−Removed: liability insurance, certain liabilities
−Removed: or expenses covered by our indemnification obligations may not be covered by such insurance or the coverage limitation amounts
−Removed: may be exceeded.
−Removed: As a result, we may need to use a significant amount of our funds to satisfy our indemnification obligations,
−Removed: which could severely harm our business and financial condition and limit the funds available to stockholders who may choose to
−Removed: bring a claim against us.
−Removed: the merger will result in an ownership change under Section 382 of the Code for Ritter, our pre-merger net operating loss carryforwards
−Removed: and certain other tax attributes will be subject to limitation or elimination.
−Removed: The net operating loss carryforwards and certain
−Removed: other tax attributes of Qualigen and of the combined company may also be subject to limitations as a result of ownership changes.
−Removed: a corporation undergoes an “ownership change”
−Removed: within the meaning of Section 382 of the Code, the corporation’s
−Removed: net operating loss carryforwards and certain other tax attributes arising before the ownership change are subject to limitations
−Removed: on use after the ownership change.
−Removed: In general, an ownership change occurs if there is a cumulative change in the corporation’s
−Removed: equity ownership by certain stockholders that exceed 50 percentage points by value over a rolling three-year period.
−Removed: Similar rules
−Removed: may apply under applicable state income tax laws.
−Removed: While we have not performed a detailed analysis of limitations on the use of
−Removed: our existing net operating loss carry forwards and certain other tax attributes arising before the ownership change, the merger
−Removed: will result in an ownership change for Ritter and, accordingly, our net operating loss carryforwards and certain other tax attributes
−Removed: will be subject to limitation and possibly elimination after the merger.
−Removed: The merger may, if part of a cumulative change in Qualigen’s
−Removed: equity ownership by certain stockholders that exceeds 50 percentage points by value over a rolling three-year period, limit Qualigen’s
−Removed: net operating loss carryforwards and certain other tax attributes.
−Removed: Additional ownership changes in the future could result in
−Removed: additional limitations on Ritter’s, Qualigen’s and the combined company’s net operating loss carryforwards and
−Removed: certain other tax attributes.
−Removed: Consequently, even if the combined company achieves profitability, it may not be able to utilize
−Removed: a material portion of Ritter’s, Qualigen’s or the combined company’s net operating loss carryforwards and certain
−Removed: other tax attributes, which could have a material adverse effect on cash flow and results of operations.
+Added: Obtaining and maintaining coverage and adequate reimbursement for our products may be difficult.
+Added: We may be required
+Added: to conduct expensive pharmacoeconomic studies to justify coverage and reimbursement or the level of reimbursement relative to other therapies.
+Added: If coverage and adequate reimbursement are not available or reimbursement is available only to limited levels, we may not be able to
+Added: successfully commercialize any drug candidate for which we obtain regulatory approval.
+Added: may also be significant delays in obtaining coverage and reimbursement for newly approved drugs, and coverage may be more limited than
+Added: the purposes for which the drug is approved by the FDA or similar regulatory authorities outside of the United States.
+Added: Moreover, eligibility
+Added: for coverage and reimbursement does not imply that a drug will be paid for in all cases or at a rate that covers our costs, including
+Added: research, development, intellectual property, manufacture, sale and distribution expenses.
+Added: Interim reimbursement levels for new drugs,
+Added: if applicable, may also not be sufficient to cover our costs and may not be made permanent.
+Added: Reimbursement rates may vary according to
+Added: the use of the drug and the clinical setting in which it is used, may be based on reimbursement levels already set for lower cost drugs
+Added: and may be incorporated into existing payments for other services.
+Added: Net prices for drugs may be reduced by mandatory discounts or rebates
+Added: required by government healthcare programs or private payors and by any future relaxation of laws that presently restrict imports of
+Added: drugs from countries where they may be sold at lower prices than in the United States.
+Added: Third-party payors often rely upon Medicare coverage
+Added: policy and payment limitations in setting their own reimbursement policies, but also have their own methods and approval process apart
+Added: from Medicare determinations.
+Added: expect that the Affordable Care Act, as well as other healthcare reform measures that may be adopted in the future, may continue to result
+Added: in more rigorous coverage criteria and in additional downward pressure on the price that providers receive for any approved therapeutics
+Added: products of ours.
+Added: This would adversely affect the prices we receive and could also adversely affect providers’ willingness to prescribe
+Added: our therapeutics products, if any.
+Added: may not be able to obtain or maintain orphan drug designation or exclusivity for our drug candidates.
+Added: authorities in some jurisdictions, including the United States, may designate drugs for relatively small patient populations as “orphan
+Added: drugs.” Under the Orphan Drug Act of 1983, as amended, the FDA may designate a drug candidate as an orphan drug if it is intended
+Added: to treat a rare disease or condition, which is generally defined as a patient population of fewer than 200,000 individuals in the United
+Added: States, or if the disease or condition affects more than 200,000 individuals in the United States and there is no reasonable expectation
+Added: that the cost of developing and making a drug product available in the United States for the type of disease or condition will be recovered
+Added: from sales of the product.
+Added: drug designation entitles a party to financial incentives, such as opportunities for grant funding towards clinical trial costs, tax
+Added: advantages and user-fee waivers.
+Added: Additionally, if a product that has orphan designation subsequently receives the first FDA approval
+Added: for the disease or condition for which it has such designation, the product is entitled to orphan drug exclusivity.
+Added: This means that the
+Added: FDA may not approve any other applications to market the same drug or biological product for the same indication for seven years, except
+Added: in certain circumstances, including proving clinical superiority ( i.e ., another product is safer, more effective or makes a major
+Added: contribution to patient care) to the product with orphan exclusivity.
+Added: Competitors, however, may receive approval of different products
+Added: for the indication for which the orphan product has exclusivity, or obtain approval for the same product but for a different indication
+Added: than that for which the orphan product has exclusivity.
+Added: In addition, exclusive marketing rights in the United States may be limited if
+Added: we seek approval for an indication broader than the orphan-designated indication or may be lost if the FDA later determines that the
+Added: request for designation was materially defective.
+Added: intend to seek orphan drug designation in the United States for QN-302, QN-247, and/or RAS-F for one or more indications, such as
+Added: pancreatic cancer, AML and pediatric neuroblastoma.
+Added: Orphan drug status does not ensure that we will receive marketing exclusivity in
+Added: a particular market, and there is no assurance that any application for orphan drug designation will be granted.
+Added: designation neither shortens the development time or regulatory review time of a drug, nor gives the drug any advantage in the
+Added: regulatory review or approval process.
+Added: rely, and intend to continue to rely, on third parties to conduct our preclinical studies and clinical trials and perform some of our
+Added: research and preclinical studies.
+Added: If these third parties do not satisfactorily carry out their contractual duties, fail to comply with
+Added: applicable regulatory requirements or do not meet expected deadlines, our development programs may be delayed or subject to increased
+Added: costs or we may be unable to obtain regulatory approval.
+Added: are dependent on third parties to conduct our planned preclinical studies and clinical trials of QN-302, QN-247, RAS-F and STARS.
+Added: timing of the initiation and completion of these trials will therefore be partially controlled by such third parties and may result in
+Added: delays to our development programs.
+Added: We have relied heavily, and expect to continue to rely, on UofL for preclinical studies related to
+Added: QN-247 and RAS-F, and we expect to rely heavily on contract research organizations (“CROs”) and sponsored academic researchers
+Added: for preclinical studies related to QN-302.
+Added: As to any clinical trials, we expect to rely on CROs, sponsored academic researchers, clinical
+Added: investigators and consultants to play a significant role in the conduct of these trials and the subsequent collection and analysis of
+Added: However, we will not be able to control all aspects of their activities.
+Added: Nevertheless, we are responsible for ensuring that each
+Added: clinical trial is conducted in accordance with the applicable protocol and legal, regulatory and scientific standards, including GCP,
+Added: requirements, and our reliance on the CROs and other third parties does not relieve us of our regulatory responsibilities.
+Added: is no guarantee that any such CROs, clinical trial investigators or other third parties on which we rely will devote adequate time and
+Added: resources to our development activities or perform as contractually required.
+Added: If any of these third parties fail to meet expected deadlines,
+Added: adhere to our clinical protocols or meet regulatory requirements, otherwise perform in a substandard manner, or terminate their engagements
+Added: with us, the timelines for our development programs may be extended or delayed or our development activities may be suspended or terminated.
+Added: If a Qualigen clinical trial site terminates for any reason, we may experience the loss of follow-up information on subjects enrolled
+Added: in such clinical trial unless we are able to transfer those subjects to another qualified clinical trial site, which may be difficult
+Added: or impossible.
+Added: these third parties do not successfully carry out their contractual duties, meet expected deadlines or conduct clinical trials in accordance
+Added: with regulatory requirements or our stated protocols, we will not be able to obtain, or may be delayed in obtaining, regulatory approvals
+Added: for QN-302, QN-247, RAS-F or STARS and will not be able to, or may be delayed in our efforts to, successfully commercialize our products.
+Added: Manufacturing
+Added: pharmaceutical products is complex and subject to product loss for a variety of reasons.
+Added: We contract with third parties for the manufacture
+Added: of our product candidates for preclinical testing and clinical trials and expect to continue to do so for commercialization.
+Added: This reliance
+Added: on third parties increases the risk that we will not have sufficient quantities of our product candidates or such quantities at an acceptable
+Added: cost or quality, which could delay, prevent or impair our development or commercialization efforts.
+Added: rely, and expect to continue to rely, on third parties for the manufacture of our products for preclinical and any clinical testing,
+Added: as well as for commercial manufacture if any of our product candidates obtain regulatory approval.
+Added: This reliance on third parties increases
+Added: the risk that we will not have sufficient quantities of our product candidates or such quantities at an acceptable cost or quality, which
+Added: could delay, prevent or impair our development or commercialization efforts.
+Added: may be unable to establish any agreements with third-party manufacturers or to do so on favorable terms.
+Added: Even if we are able to establish
+Added: agreements with third-party manufacturers, reliance on third-party manufacturers entails additional risks, including:
+Added: on the third-party for regulatory, compliance and quality assurance;
+Added: of our third-party manufacturers or suppliers could be disrupted by conditions unrelated
+Added: to our business or operations, including the bankruptcy of the manufacturer or supplier or
+Added: the issuance of an FDA Form 483 notice or warning letter;
+Added: possible breach of the manufacturing agreement by the third-party;
+Added: possible termination or nonrenewal of the agreement by the third-party at a time that is
+Added: costly or inconvenient for us.
+Added: do not have manufacturing agreements in place for any of our current drug candidates.
+Added: We acquire many key materials on a purchase order
+Added: As a result, we do not have long-term committed arrangements with respect to our product candidates and other materials.
+Added: obtain regulatory approval for any of our product candidates, we will need to establish an agreement for commercial manufacture with
+Added: a third-party.
+Added: performance failure on the part of our existing or future manufacturers could delay clinical development or regulatory approval.
+Added: not currently have arrangements in place for redundant supply or a second source for bulk drug substance for QN-302, QN-247 or RAS-F.
+Added: may enter into collaborations with third parties for the development and commercialization of our products.
+Added: If those collaborations are
+Added: not successful, we may not be able to capitalize on the market potential of these products.
+Added: Even if they are successful, they may result
+Added: in a limitation of our upside potential.
+Added: may in the future seek third-party collaborators for the development and commercialization of some of our products on a selected basis.
+Added: Our likely collaborators for any collaboration arrangements include large and mid-size pharmaceutical companies, regional and national
+Added: pharmaceutical companies and biotechnology companies.
+Added: We face significant competition in seeking appropriate collaborators.
+Added: to reach a definitive agreement for a collaboration will depend, among other things, upon our assessment of the collaborator’s
+Added: resources and expertise, the terms and conditions of the proposed collaboration and the proposed collaborator’s evaluation of a
+Added: number of factors.
+Added: we do enter into any such arrangements with any third parties, we will likely have limited control over the amount and timing of resources
+Added: that such collaborators dedicate to the development or commercialization of our products.
+Added: Our ability to generate revenues from these
+Added: arrangements will depend on our collaborators’ abilities and efforts to successfully perform the functions assigned to them in
+Added: these arrangements.
+Added: collaboration will necessarily result in a sharing of economics with the collaborator, which might otherwise have been captured by us
+Added: if any of our product candidates receives regulatory approval, we may fail to achieve the degree of market acceptance by physicians,
+Added: patients, third-party payors and others in the medical community necessary for commercial success.
+Added: any of our product candidates receives regulatory approval, we may nonetheless fail to gain sufficient market acceptance by physicians,
+Added: patients, third-party payors and others in the medical community.
+Added: For example, current cancer treatments, such as existing targeted therapies,
+Added: chemotherapy, and radiation therapy, are well established in the medical community, and doctors may continue to rely on these treatments.
+Added: If our product candidates do not achieve an adequate level of acceptance, we may not generate significant product revenues and we may
+Added: not become profitable.
+Added: The degree of market acceptance of our product candidates, if approved for commercial sale, will depend on a number
+Added: of factors, including:
+Added: efficacy and potential advantages compared to alternative treatments;
+Added: prevalence and severity of any side effects, in particular compared to alternative treatments;
+Added: ● limitations
+Added: or warnings contained in the labeling approved for our product candidates by the FDA;
+Added: size of the target patient population;
+Added: willingness of the target patient population to try new therapies and of physicians to prescribe
+Added: these therapies;
+Added: ability to offer our products for sale at competitive prices;
+Added: convenience and ease of administration compared to alternative treatments;
+Added: strength of marketing and distribution support;
+Added: for our product candidates and competing products and treatments;
+Added: existence of distribution and/or use restrictions, such as through a Risk Evaluation and
+Added: Mitigation Strategy;
+Added: availability of third-party payor coverage and adequate reimbursement and the willingness
+Added: of patients to pay for our products in the absence of such coverage and adequate reimbursement;
+Added: timing of any marketing approval in relation to other product approvals;
+Added: from patient advocacy groups;
+Added: restrictions on the use of our products together with other medications.
+Added: face substantial competition, which may result in others discovering, developing or commercializing products before or more successfully
+Added: development and commercialization of pharmaceutical and device therapeutics products is highly competitive.
+Added: We face competition from
+Added: major pharmaceutical and device companies, specialty pharmaceutical and device companies and biotechnology companies worldwide.
+Added: are a number of large pharmaceutical and biotechnology companies that currently market and sell products or are pursuing the development
+Added: of products for the treatment of the disease indications for which we are developing our product candidates and other platform technologies
+Added: that may be effective in developing therapeutics.
+Added: Some of these competitive products, therapies and technologies are based on scientific
+Added: approaches that are similar to our approach, and others are based on entirely different approaches.
+Added: Potential competitors also include
+Added: academic institutions, government agencies and other public and private research organizations that conduct research, seek patent protection
+Added: and establish collaborative arrangements for research, development, manufacturing and commercialization.
+Added: expect that our oncology drug product candidates and our STARS system will face competition from traditional small or large molecule
+Added: drugs that target specific cancers that are FDA-approved and marketed for the indications that we are pursuing, in addition to off-label
+Added: use of current therapeutics and therapeutics in development;
+Added: and from other drugs using targeted approaches to direct payloads to cancerous
+Added: tumors, as well as newer approaches, such as immuno-oncology, which attempts to harness the patient’s own immune system to fight
+Added: cancer itself.
+Added: of the companies against which we are competing or against which we may compete in the future have significantly greater financial resources
+Added: and expertise in research and development, manufacturing, preclinical testing, conducting clinical trials, obtaining regulatory approvals
+Added: and marketing and selling approved products than we do.
+Added: Mergers and acquisitions in the pharmaceutical and biotechnology industries may
+Added: result in even more resources being concentrated among a smaller number of our competitors.
+Added: Smaller and other early-stage companies may
+Added: also prove to be significant competitors, particularly through collaborative arrangements with large and established companies.
+Added: third parties compete with us in recruiting and retaining qualified scientific, management and sales and marketing personnel, establishing
+Added: clinical trial sites and patient registration for clinical trials, as well as in acquiring technologies complementary to, or necessary
+Added: for, our programs.
+Added: commercial opportunity could be reduced or eliminated if our competitors develop and commercialize products that are safer, more effective,
+Added: have fewer or less severe side effects, are approved for broader indications or patient populations, are more convenient or are less
+Added: expensive than any products that we may develop.
+Added: Our competitors also may obtain FDA or other marketing approval for their products more
+Added: rapidly than any approval we may obtain, which could result in our competitors establishing a strong market position before we are able
+Added: to enter the market.
+Added: In addition, our ability to compete may be affected in many cases by insurers or other third-party payors seeking
+Added: to encourage the use of generic products.
+Added: The key competitive factors affecting the success of QN-302, QN-247, RAS-F and STARS are likely
+Added: to be efficacy, safety, scope and limitations of marketing approval, and availability of reimbursement.
+Added: we are unable to obtain and maintain sufficient patent protection for our therapeutic product candidates and platform technologies, or
+Added: if the scope of the patent protection is not sufficiently broad, third parties, including our competitors, could develop and commercialize
+Added: products similar or identical to ours, and our ability to commercialize our product candidates successfully may be adversely affected.
+Added: commercial success depends significantly on our ability to protect our proprietary (and exclusively in-licensed) technologies that we
+Added: believe are important to our business, including pursuing, obtaining and maintaining patent protection in the United States and other
+Added: countries intended to cover the composition of matter of our product candidates, for example, QN-302, QN-247, RAS-F and STARS, the methods
+Added: of use, related technologies, and other inventions that are important to our business.
+Added: In addition to patent protection, we also rely
+Added: on trade secrets to protect aspects of our business that are not amenable to, or that we do not consider appropriate for, patent protection.
+Added: If we do not adequately pursue, obtain, maintain, protect or enforce our intellectual property, third parties, including our competitors
+Added: and/or collaborators, may be able to erode or negate any competitive advantage we may have, which could harm our business and ability
+Added: to achieve profitability.
+Added: protect our proprietary position, we file patent applications in the United States and abroad related to our product candidates, their
+Added: methods of manufacture and use.
+Added: The patent application and approval process is expensive, time-consuming and complex.
+Added: We may not be able
+Added: to prepare, file, prosecute and maintain all necessary or desirable patent applications at a reasonable cost or in a timely manner or
+Added: in all jurisdictions.
+Added: It is also possible that we will fail to identify patentable aspects of our research and development output before
+Added: it is too late to obtain patent protection.
+Added: Moreover, depending on the terms of any future license agreements to which we may become
+Added: a party, we may not have the right to control the preparation, filing, and prosecution of patent applications, or to maintain or defend
+Added: the patents, covering technology licensed from third parties.
+Added: Therefore, these patents and patent applications may not be prosecuted
+Added: and enforced in a manner consistent with the best interests of our business.
+Added: cannot offer any assurances about which, if any, patents will issue, the breadth of any such patents, whether any issued patents will
+Added: be found invalid and unenforceable or will be threatened by third parties or whether any issued patents will effectively prevent others
+Added: from commercializing competing technologies and product candidates.
+Added: We have not filed patent applications in every jurisdiction, and
+Added: some filings are only pending in the United States.
+Added: patent applications in the United States and most other countries are confidential for a period of time after filing, and some remain
+Added: so until issued, we cannot be certain that we were the first to file or invent (before March 16, 2013) the invention disclosed in any
+Added: patent application related to our product candidates or technology.
+Added: because the issuance of a patent, although presumptive, is not conclusive as to its inventorship, scope, validity or enforceability,
+Added: our patents or pending patent applications may be challenged in the courts or patent offices in the United States and abroad.
+Added: Such challenges
+Added: may result in loss of exclusivity or in our patent claims being narrowed, invalidated or held unenforceable, in whole or in part, which
+Added: could limit our ability to stop others from using or commercializing similar or identical technology and products or limit the duration
+Added: of the patent protection of our technology and products.
+Added: Such challenges also may result in substantial cost and require significant
+Added: time from our scientists and management, even if the eventual outcome is favorable to us.
+Added: and our licensors’ pending and future patent applications may not result in patents being issued that protect our product candidates,
+Added: in whole or in part, or that effectively prevent others from commercializing competitive products.
+Added: Even if our patent applications issue
+Added: as patents, they may not issue in a form that will provide us with any meaningful protection, prevent competitors or other third parties
+Added: from competing with us or otherwise provide us with any competitive advantage.
+Added: Our competitors and other third parties may be able to
+Added: circumvent our patents by developing similar or alternative technologies or products in a non-infringing manner.
+Added: Our competitors and
+Added: other third parties may also seek approval to market their own products similar to or otherwise competitive with our products.
+Added: Alternatively,
+Added: our competitors or other third parties may seek to market generic versions of any approved products by submitting abbreviated NDAs to
+Added: the FDA during which process they may claim that patents owned by us are invalid, unenforceable or not infringed.
+Added: In these circumstances,
+Added: we may need to defend or assert our patents, or both, including by filing lawsuits alleging patent infringement.
+Added: In any of these types
+Added: of proceedings, a court or other agency with jurisdiction may find our patents invalid or unenforceable, or that our competitors are
+Added: competing in a non-infringing manner.
+Added: Thus, even if we have valid and enforceable patents, these patents still may not provide protection
+Added: against competing products or processes sufficient to achieve our business objectives.
+Added: term of our patents may be inadequate to protect our competitive position on our products.
+Added: the amount of time required for the development, testing and regulatory review of drug candidates, patents protecting such candidates
+Added: might expire before or shortly after such candidates are commercialized.
+Added: In such an event (and if we are unable to obtain patent term
+Added: extension or the term of any such extension is less than we request), our competitors and other third parties may be able to obtain approval
+Added: of competing products following patent expiration and take advantage of our investment in development and clinical trials by referencing
+Added: our clinical and preclinical data and launch their product earlier than might otherwise be the case.
+Added: Generic competition usually results
+Added: in serious price erosion for the original drug brand.
+Added: Related to Our Diagnostics Business
+Added: may face challenges distributing our diagnostic products after our distribution agreement with Sekisui expires.
+Added: currently rely on our diagnostics distribution partner Sekisui for most of our FastPack® distribution worldwide, pursuant to the
+Added: terms of our distribution agreement with Sekisui.
+Added: We maintain direct distribution for certain house accounts, including Low T.
+Added: distribution agreement with Sekisui expires on March 31, 2022.
+Added: We will incur costs re-establishing and maintaining a direct sales force,
+Added: and we may also face logistical issues and relationship issues with customers during the transition period.
+Added: In addition, there is the
+Added: risk that the direct sales force assembled and used by us will not be as efficient and effective as Sekisui’s distribution efforts.
+Added: diagnostic products face heavy competition.
+Added: FastPack system is a mature technology and faces heavy competition from manufacturers of more complex immunoassay systems designed primarily
+Added: for central laboratory use, but that also are sold to physician offices.
+Added: Many of our competitors have substantially greater financial,
+Added: technical, research and other resources and capabilities.
+Added: We also face competition from companies that have developed or are developing
+Added: newer blood testing systems for use in physician offices.
+Added: The FastPack system may not continue to be competitive in light of future technological
+Added: developments by others.
+Added: diagnostic products are disadvantaged by reduced Medicare reimbursement and third-party payer pricing.
+Added: noted above, a primary trend in the U.S.
+Added: healthcare industry and elsewhere is cost containment.
+Added: Third-party payors have attempted to
+Added: control costs by limiting coverage and the amount of reimbursement for particular medical devices, especially mature ones such as ours.
+Added: Decreases in Medicare and private-insurer reimbursement for diagnostic tests such as ours in recent years are a negative factor in our
+Added: attempts to maintain and grow our diagnostics business.
+Added: This factor constrains the price that we can charge to providers for our diagnostic
+Added: Moreover, if adequate reimbursement is not available or reimbursement is available only to limited levels, some physician offices,
+Added: clinics and small hospitals may choose not to offer (or to discontinue offering) some or all of our diagnostic products.
+Added: During the Transition
+Added: Period, Low T discontinued our Total PSA test for this reason.
+Added: Xin may not meet expectations in its China/overseas business.
+Added: have largely ceded our overseas diagnostics business to Yi Xin.
+Added: Yi Xin is a new and untested company and there is no assurance that its
+Added: financial and other capabilities will enable it to succeed in commercializing FastPack-based diagnostic products.
+Added: We would receive royalties
+Added: from Yi Xin if and only if Yi Xin achieves sales of FastPack-based diagnostic products.
+Added: Related to Employee Matters, Managing Growth, Potential Dilution, Stock Price Variability and Other Risks Related to Our Business
+Added: future success depends on our ability to retain key employees and to attract, retain and motivate qualified personnel.
+Added: are highly dependent on Michael Poirier, our Chief Executive Officer and Chairman, Christopher Lotz, our Chief Financial Officer and
+Added: Vice President of Finance, Amy Broidrick, our President and Chief Strategy Officer, Dr.
+Added: Wajdi Abdul-Ahad, our Chief Scientific Officer
+Added: and Vice President of Research & Development, Shishir Sinha, our Chief Operating Officer, and Dr.
+Added: Tariq Arshad, MD, our Chief Medical
+Added: Officer, as well as other members of scientific, operations and corporate development teams.
+Added: ability to compete depends upon our ability to attract, retain and motivate highly skilled and experienced personnel with scientific,
+Added: clinical, regulatory, manufacturing and management skills and experience.
+Added: We may not be able to attract or retain qualified personnel
+Added: in the future.
+Added: Many of the companies against which we compete have greater financial and other resources, different risk profiles and
+Added: a longer history in the industry than we do.
+Added: Our competitors may provide higher compensation, more diverse opportunities and/or better
+Added: opportunities for career advancement.
+Added: Any or all of these competing factors may limit our ability to continue to attract and retain high
+Added: quality personnel, which could negatively affect our ability to successfully develop and commercialize our product candidates and to
+Added: grow our business and operations as currently contemplated.
+Added: expect that we will need to expand our development and regulatory capabilities as our product candidates progress through the clinic,
+Added: or additional product candidates are developed;
+Added: if any products are approved, we would have to implement sales, marketing and distribution
+Added: capabilities, and as a result, we may encounter difficulties in managing growth, which could disrupt our operations.
+Added: of March 25, 2022 , we had 46 employees, 39 of whom were full-time employees.
+Added: Although we outsource many drug development functions and may choose to continue to do so in the future, we expect to experience growth
+Added: in the number of employees and the scope of our operations, particularly in the areas of clinical development, clinical operations, manufacturing,
+Added: and regulatory affairs as we progress QN-302, QN-247, RAS-F and STARS through the clinic and develop additional product candidates.
+Added: addition, in anticipation of the expiration of our distribution agreement with Sekisui on March 31, 2022, we are currently recruiting
+Added: direct sales personnel.
+Added: If any of our therapeutics product candidates receives regulatory approval, we would potentially need to expand
+Added: into sales, marketing and distribution.
+Added: To manage anticipated future growth, we must continue to implement and improve our managerial,
+Added: operational and financial systems, expand our facilities and continue to recruit and train additional qualified personnel.
+Added: be able to effectively manage the expansion of our operations or recruit and train additional qualified personnel.
+Added: The expansion of our
+Added: operations may lead to significant costs and may divert management and business development resources.
+Added: currently rely, and for the foreseeable future will continue to rely, in substantial part, on certain third-party contract research organizations,
+Added: sponsored academic researchers, advisors and consultants to provide certain services, including assuming substantial responsibilities
+Added: for the conduct of our clinical trials and the manufacture of QN-302, QN-247, RAS-F, STARS or any of our other current or future product
+Added: We cannot assure that the services of such third-party contract research organizations, sponsored academic researchers, advisors
+Added: and consultants will continue to be available to us on a timely basis when needed, or that we can find qualified replacements.
+Added: if we are unable to effectively manage our outsourced activities or if the quality or accuracy of the services provided by our vendors
+Added: or consultants is compromised for any reason, our clinical trials may be extended, delayed or terminated, and we may not be able to obtain
+Added: regulatory approval of QN-302, QN-247, RAS-F, STARS or any of our other current or future product candidates or otherwise advance our
+Added: We cannot assure that we will be able to properly manage our existing vendors or consultants or find other competent outside
+Added: vendors and consultants on economically reasonable terms, or at all.
+Added: may engage in strategic transactions that could impact liquidity, increase expenses and present significant distractions to management.
+Added: time to time, we may consider strategic transactions, such as acquisitions of companies, businesses or assets and out-licensing or in-licensing
+Added: of products, drug candidates or technologies.
+Added: Additional potential transactions that we may consider include a variety of different business
+Added: arrangements, including spin-offs, in-licensing, strategic partnerships, joint ventures, restructurings, divestitures, business combinations
+Added: and investments.
+Added: Any such transaction may require us to incur non-recurring or other charges, may increase near term or long-term expenditures
+Added: and may pose significant integration challenges or disrupt management or business, which could adversely affect our operations and financial
+Added: For example, these transactions may entail numerous operational and financial risks, including:
+Added: to unknown liabilities;
+Added: of business and diversion of management’s time and attention in order to develop acquired
+Added: products, drug candidates or technologies;
+Added: of substantial debt or dilutive issuances of equity securities to pay for acquisitions;
+Added: than expected acquisition and integration costs;
+Added: ● write-downs
+Added: of assets or impairment charges;
+Added: amortization expenses;
+Added: and cost in combining the operations, systems and personnel of any acquired businesses with
+Added: our operations, systems and personnel;
+Added: of relationships with key suppliers or customers of any acquired businesses due to changes
+Added: in management and ownership;
+Added: to retain key employees of any acquired businesses.
+Added: reported financial condition and results of operations may fluctuate significantly from quarter to quarter and year to year, which makes
+Added: them difficult to predict or understand.
+Added: expect our financial condition and results of operations to fluctuate from quarter to quarter and year to year due to a variety of factors,
+Added: many of which are beyond our control.
+Added: In particular, the warrant liabilities from our issued “exploding warrants” (and change
+Added: in the fair value of warrant liabilities, over a reporting period) results in distortions and sharp variability in reported periodic
+Added: Accordingly, you should not blindly rely upon the results of any quarterly or annual periods as indications of future operating
+Added: Other investors may, however, attach undue significance to reported results which are heavily influenced by such distortions
+Added: and variability, which in turn could cause our stock price to rise or fall despite there being no corresponding change in our prospects
+Added: or position as a practical matter.
+Added: have a substantial amount of derivative securities outstanding.
+Added: of December 31, 2021 there were 4,841,856 stock options outstanding under our equity incentive plans for service providers.
+Added: as of December 31, 2021, we had 9,821,399 outstanding warrants, of which 5,469,994 were held by Alpha Capital Anstalt.
+Added: Outstanding stock
+Added: options, warrants and preferred stock can potentially result in dilution to the holders of existing outstanding common stock.
+Added: rely significantly upon information technology, and any failure, inadequacy, interruption or security lapse of that technology, including
+Added: any cyber security incidents, could harm our ability to operate our business effectively and result in a material disruption of our product
+Added: development programs.
+Added: could be subject to risks caused by misappropriation, misuse, leakage, falsification or intentional or accidental release or loss of
+Added: information maintained in the information systems and networks of our company.
+Added: Outside parties may attempt to penetrate our systems or
+Added: those of our partners or fraudulently induce our employees or employees of our partners to disclose sensitive information to gain access
+Added: Like other companies, we may experience threats to our data and systems, including malicious codes and computer viruses,
+Added: cyber-attacks or other system failures.
+Added: Any system failure, accident or security breach that causes interruptions in our operations,
+Added: for us or our partners, could result in a material disruption of our product development programs and business operations, in addition
+Added: to possibly requiring substantial expenditures of resources to remedy.
+Added: For example, the loss of clinical trial data from completed clinical
+Added: trials could result in delays in our regulatory approval efforts and we could incur significant increases in costs to recover or reproduce
+Added: The risk o f cyber incidents could also be increased by cyberwarfare in connection
+Added: with the ongoing conflict between Russia and Ukraine, including potential proliferation of malware from the conflict into systems unrelated
+Added: to the conflict.
+Added: To the extent that any disruption or security breach results in a loss of, or damage to, our data or applications, or
+Added: inappropriate public disclosure of confidential or proprietary information, we may incur liabilities and the further development of our
+Added: product candidates may be delayed.
+Added: number and complexity of these security threats continue to increase over time.
+Added: If a breach of our security systems or that of our partners
+Added: occurs, the market perception of the effectiveness of our security measures could be harmed, we could lose business and our reputation
+Added: and credibility could be damaged.
+Added: We could be required to expend significant amounts of money and other resources to repair or replace
+Added: information systems or networks.
+Added: Although we develop and maintain systems and controls designed to prevent these events from occurring,
+Added: and we have a process to identify and mitigate threats, the development and maintenance of these systems, controls and processes is costly
+Added: and requires ongoing monitoring and updating as technologies change and efforts to overcome security measures become more sophisticated.
+Added: Moreover, despite our efforts, the possibility of these events occurring cannot be eliminated entirely.
+Added: has and may continue to adversely affect our business and prospects.
+Added: has had, and may continue to have, adverse impacts on the U.S.
+Added: and world economy, health care systems, personnel availability,
+Added: supply chains, social and political assumptions, and capital markets.
+Added: Those impacts may be especially serious for smaller companies
+Added: such as Qualigen.
+Added: We could also be impacted by other pandemics, epidemics, or infectious diseases.
+Added: Our sales of diagnostic products
+Added: fell significantly during 2020 (and net loss increased significantly), as deferral of patients’ non-emergency visits to physician
+Added: offices, clinics and small hospitals sharply reduced demand for FastPack tests.
+Added: In 2021 we experienced some recovery in demand, but this
+Added: phenomenon ma y
+Added: continue to some extent for the duration of the pandemic, although its degree will probably vary depending on progress toward suppressing
+Added: the pandemic, lockdowns and similar responses, and personal and societal behavior changes arising from psychological factors.
+Added: We continue to evaluate the extent to which COVID-19 may impact our business and operations and adjust risk mitigation planning and
+Added: business continuity activities as needed.
+Added: in our IT and storage systems, including as a result of cyber-security breaches, could significantly disrupt our business or force us
+Added: to expend excessive costs.
+Added: utilize complex IT systems to transmit and store information, including sensitive personal information and proprietary or confidential
+Added: information, and otherwise to support our business and process.
+Added: In the future, our systems may prove inadequate to our business needs
+Added: and necessary upgrades may not operate as designed, which could result in excessive costs or disruptions in portions of our business.
+Added: In particular, any disruptions, delays or deficiencies from our enterprise resource planning systems could adversely affect our ability
+Added: to, among other matters, process orders, procure supplies, manufacture and ship products, track inventory, provide services and customer
+Added: support, send invoices and track payments, fulfill contractual obligations or otherwise operate our business.
+Added: IT and storage systems are potentially vulnerable to physical or electronic break-ins, ransomware attacks, computer viruses and similar
+Added: disruptive problems.
+Added: Sustained or repeated system failures that interrupt our ability to generate, maintain or access data could result
+Added: in a material disruption in our operations.
+Added: Furthermore, a security breach could be facilitated by ineffective protection measures, employee
+Added: errors or omissions, and malfeasance.
+Added: Despite our efforts to protect against cyber-attacks and security breaches, hackers and other cyber
+Added: criminals are using increasingly sophisticated and constantly evolving techniques, and we may need to expend substantial additional resources
+Added: to continue to protect against potential security breaches or to remediate problems caused by such attacks or any breach of our safeguards.
+Added: In addition, a data security breach or ransomware attack could distract management or other key personnel from performing their primary
+Added: operational duties.
+Added: If such a breach leads to disclosure of consumer, customer, supplier, partner or employee information (including
+Added: personally identifiable information or protected health information), it could harm our reputation, compel us to comply with disparate
+Added: state and foreign breach notification laws and otherwise subject us to liability under laws that protect personal data, resulting in
+Added: increased costs or loss of revenue.
+Added: The costs of maintaining adequate protection against such threats are significant and are expected
+Added: to continue to increase in the future and may be material to our financial statements.
+Added: global conditions, including economic uncertainty, may negatively impact our financial results.
+Added: conditions, disruptions in the financial markets, or inflation could adversely impact our business.
+Added: In addition, the global macroeconomic
+Added: environment has been and may continue to be negatively affected by, among other things, instability in global economic markets, increased
+Added: trade tariffs and trade disputes with other countries, instability in the global credit markets, supply chain weaknesses, instability
+Added: in the geopolitical environment as a result of the conflict between Russia and Ukraine, the withdrawal of the United Kingdom from the
+Added: European Union, and other political tensions, and foreign governmental debt concerns.
+Added: Such challenges have caused, and may continue to
+Added: cause, uncertainty and instability in local economies and in global financial markets, which may adversely affect our business.
+Added: or the third parties upon whom we depend may be adversely affected by natural disasters and our business continuity and disaster recovery
+Added: plans may not adequately protect us from a serious disaster.
+Added: are located in southern California, and are subject to risks posed by natural disasters, including wildfires, earthquakes and severe
+Added: weather that may interfere with our operations.
+Added: Extreme weather events and other natural disasters could severely disrupt our operations,
+Added: and have a material adverse effect on our business, results of operations, financial condition and prospects.
+Added: If a natural disaster,
+Added: power outage or other event occurred that prevented Qualigen from using all or a significant portion of our headquarters, that damaged
+Added: critical infrastructure, such as the manufacturing facilities of our third-party contract manufacturers, or that otherwise disrupted
+Added: operations, it may be difficult or, in certain cases, impossible for Qualigen to continue our business for a substantial period of time.
+Added: Any disaster recovery and business continuity plans we have in place may prove inadequate in the event of a serious disaster or similar
+Added: we are unable to remediate the material weakness in our internal controls over financial reporting or if additional material weaknesses
+Added: are discovered in our internal accounting procedures, the accuracy and timing of our financial reporting may be adversely affected, which
+Added: may adversely affect investor confidence in us and, as a result, the value of our common stock.
+Added: In connection with the audit
+Added: of our 2021 consolidated financial statements, our management and independent registered public accounting firm noted a material weakness
+Added: in our controls as discussed in Part 9.A.
+Added: A material weakness is a deficiency or combination of deficiencies in internal control
+Added: over financial reporting that results in more than a reasonable possibility that a material misstatement of annual or interim financial
+Added: statements will not be prevented or detected on a timely basis.
+Added: Any failure to develop or
+Added: maintain effective internal controls over financial reporting or difficulties encountered in implementing or improving our internal controls
+Added: over financial reporting could harm our operating results and prevent us from meeting our reporting obligations.
+Added: Moreover, effective
+Added: internal controls, particularly those related to revenue recognition, are necessary for us to produce reliable financial reports.
+Added: we cannot provide reliable financial reports, our business and operating results could be harmed, investors could lose confidence in
+Added: our reported financial information, and the trading price of our common stock could drop significantly.
+Added: In addition, investors relying
+Added: upon this misinformation could make an uninformed investment decision, and we could be subject to sanctions or investigations by the
+Added: SEC or other regulatory authorities or to stockholder class action securities litigation.
+Added: We cannot assure you that measures being taken in order to remediate the material weakness described above will
+Added: fully remediate such material weakness.
+Added: We also cannot assure you that we have identified all of our existing control deficiencies or
+Added: that we will not in the future have additional material weaknesses.
Unresolved Staff Comments.
+Added: currently lease an approximately 23,000 square feet all-purpose facility in Carlsbad, California, where we conduct all our operations.
+Added: Legal Proceedings.
+Added: information set forth in “Litigation and Other Legal Proceedings” in Note 9 to the Consolidated Financial Statements included
+Added: in this Annual Report is incorporated herein by reference.
+Added: Mine Safety Disclosures.
Compared sentence by sentence after normalising whitespace, quotation marks, case and digits, so re-formatting and restated figures do not read as changed language. Wording changes appear as one removal and one addition. The current filing and the prior one are authoritative.