Item 1A. Risk Factors
Item
1A. Risk Factors
An
investment in our common stock involves risks. You should carefully consider the risks described below, together with all of the other
information included in this Annual Report, as well as in our other filings with the SEC, in evaluating our business. If any of the following
risks actually occur, our business, financial condition, operating results and future prospects could be materially and adversely affected.
In that case, the trading price of our common stock may decline and you might lose all or part of your investment. The risks described
below, which are the risks we judge (rightly or wrongly) to be the most significant to investors, are not the only ones we face. Additional
risks that we currently do not judge to be among the “most significant” may also impair our business, financial condition,
operating results and prospects.
Certain
statements below are forward-looking statements. For additional information, see the section of this Annual Report under the caption
“Cautionary Note Regarding Forward-Looking Statements.”
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Risks
Related to Our Therapeutics and Diagnostics Pipeline
Our
business strategy is high-risk
We
are focusing our resources and efforts primarily on development of therapeutic product candidates, which requires extensive cash needs
for research and development activities. This is a high-risk strategy because there is no assurance that our products will ever become
commercially viable (commercial risk), that we will prevent other companies from depriving us of market share and profit margins by selling
products based on our inventions and developments (legal risk), that we will successfully manage a company in a new area of business
and on a different scale than we have operated in the past (operational risk), that our product candidates will be able to achieve the
desired therapeutic results (scientific risk), or that our cash resources will be adequate to develop our product candidates until we
become profitable, if ever (financial risk). This may make our stock an unsuitable investment for many investors.
We
do not currently have enough working capital to execute fully our strategic plan .
We
have suffered recurring losses from operations, and we will need capital to support our intended development of our therapeutics business.
We believe that future financings will be necessary in order for us to properly execute our strategic plan. There can be no assurance
that such future financings will be able to be obtained (or, if they can be obtained, that they can be obtained on desirable terms).
We
may, in the short and long-term, seek to raise capital through the issuance of equity securities or through other financing sources.
To the extent that we seek to raise additional funds by issuing equity securities, our stockholders may experience significant dilution.
Any debt financing, if available, may include financial and other covenants that could restrict our use of the proceeds from such financing
or impose other business and financial restrictions on us. In addition, we may consider alternative approaches such as licensing, joint
venture, or partnership arrangements to provide long term capital. Additional funding may not be available to us on acceptable terms,
or at all.
Our
product candidates are still in the early stages of development. We have not begun clinical trials or obtained regulatory approval for
any drug candidate or STARS. We may never obtain approval for any of our drug candidates or STARS.
We
are still early in our development efforts and have not yet begun enrollment in any clinical trials evaluating QN-302, QN-247, RAS-F
or STARS. There can be no assurance that QN-302, QN-247, RAS-F or STARS will achieve success in their clinical trials or obtain regulatory
approval.
Our
ability to generate revenues from drug candidates or STARS will depend on the successful development and eventual commercialization of
QN-302, QN-247, RAS-F or STARS. The success of these products will depend on several factors, including the following:
● successful
completion of preclinical studies and clinical trials;
● acceptance
of an IND or IDE application by the FDA or other clinical trial or similar applications from
foreign regulatory authorities for our future clinical trials for our pipeline;
● timely
and successful enrollment of patients in, and completion of, clinical trials with favorable
results;
● demonstration
of safety, efficacy and acceptable risk-benefit profiles of our products to the satisfaction
of the FDA and foreign regulatory agencies;
● receipt
and related terms of marketing approvals from applicable regulatory authorities, including
the completion of any required post-marketing studies or trials;
● obtaining
and maintaining patent, trade secret and other intellectual property protection and regulatory
exclusivity for our products;
● developing
and implementing marketing and reimbursement strategies;
● establishing
sales, marketing and distribution capabilities and launching commercial sales of our products,
if and when approved, whether alone or in collaboration with others;
● acceptance
of our drugs or STARS, if and when approved, by patients, the medical community and third-party
payors;
● effectively
competing with other therapies;
● obtaining
and maintaining third-party payor coverage and adequate reimbursement; and
● maintaining
a continued acceptable safety profile of the products following approval.
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Many
of these factors are beyond our control, and it is possible that none of our drug candidates or STARS will ever obtain regulatory approval
even if we expend substantial time and resources seeking such approval. If we do not achieve one or more of these factors in a timely
manner or at all, we could experience significant delays or an inability to successfully commercialize our drug candidates or STARS.
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
vary adversely from our expectations.
Drug
and device development involves a lengthy and expensive process. We may incur additional costs or experience delays in completing, or
ultimately be unable to complete, the development and commercialization of QN-302, QN-247, RAS-F or STARS.
Most
drug candidates fail, and taking a medical device from concept through clinical trials and regulatory approval is not easy or guaranteed.
We are unable to predict when or if our drug candidates or STARS, our therapeutic medical device concept, will prove effective or safe
in humans or will obtain marketing approval. Before obtaining marketing approval from regulatory authorities for the sale of these products,
we must complete preclinical development and then conduct extensive clinical trials to demonstrate the safety and efficacy of these products
for humans. Clinical testing is expensive, difficult to design and implement, can take many years to complete and is uncertain as to
the outcome. A failure of one or more clinical trials can occur at any stage of testing. The outcome of preclinical testing and early
clinical trials may not be predictive of the success of later clinical trials, and interim or preliminary results of a clinical trial
do not necessarily predict final results.
We
may experience numerous unforeseen events that could delay or prevent our ability to obtain marketing approval or commercialize our drug
candidates or STARS, including:
● regulators
or IRBs or ECs may not authorize us or our investigators to commence a clinical trial or
conduct a clinical trial at a prospective trial site;
● we
may experience delays in reaching, or fail to reach, agreement on acceptable clinical trial
contracts or clinical trial protocols with prospective trial sites;
● clinical
trials for our drug candidates and STARS may produce negative or inconclusive results, and
we may decide, or regulators may require us, to conduct additional clinical trials, delay
clinical trials or abandon product development programs;
● the
number of patients required for clinical trials for our drug candidates and STARS may be
larger than we anticipate, enrollment in these clinical trials may be slower than we anticipate,
participants may drop out of these clinical trials at a higher rate than we anticipate or
the duration of these clinical trials may be longer than we anticipate;
● competition
for clinical trial participants from investigational and approved therapies may make it more
difficult to enroll patients in our clinical trials;
● our
third-party contractors may fail to meet their contractual obligations to us in a timely
manner, or at all, or may fail to comply with regulatory requirements;
● we
may have to suspend or terminate clinical trials for our drug candidates or STARS for various
reasons, including a finding that the participants are being exposed to unacceptable health
risks;
● our
drug candidates or STARS may have undesirable or unexpected side effects or other unexpected
characteristics, causing us or our investigators, regulators or IRBs/ECs to suspend or terminate
the trials;
● the
cost of clinical trials for our drug candidates and STARS may be greater than we anticipate;
and
● the
supply or quality of our drug candidates, STARS or other materials necessary to conduct clinical
trials may be insufficient or inadequate and result in delays or suspension of our clinical
trials.
Our
product development costs will increase if we experience delays in preclinical studies or clinical trials or in obtaining marketing approvals.
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
be restructured or will be completed on schedule, or at all. For example, the FDA may place a partial or full clinical hold on any of
our clinical trials for a variety of reasons.
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Significant
preclinical or clinical trial delays also could shorten any periods during which we may have the exclusive right to commercialize our
drug candidates or STARS or allow our competitors to bring products to market before we do and impair our ability to successfully commercialize
our drug candidates or STARS.
Any
delays in the commencement or completion, or termination or suspension, of our future clinical trials, if any, could result in increased
costs to us, delay or limit our ability to generate revenue and adversely affect our commercial prospects.
Before
we can initiate clinical trials of a drug candidate or STARS, we must submit the results of preclinical studies to the FDA along with
other information as part of an IND or IDE application or similar regulatory filing, and the FDA (or corresponding foreign regulatory
body) must approve the application. We have not yet submitted our IND application for QN-302 for pancreatic cancer) and we remain in
a development stage with respect to STARS and any subsequent IDE. We cannot guarantee the timing for submitting the IND application for
QN-302, and we do not know when this IND application (or any other IND or IDE application) would be approved, if ever.
Before
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
clinical studies to demonstrate safety and efficacy. Clinical testing is expensive, time consuming and uncertain as to outcome. The FDA
may require us to conduct additional preclinical studies for any drug candidate or STARS before it allows us to initiate clinical trials
under any IND or IDE, which may lead to additional delays and increase the costs of our preclinical development programs.
Any
delays in the commencement or completion of our ongoing, planned or future clinical trials could significantly increase our costs, slow
down our development and approval process and jeopardize our ability to commence product sales and generate revenues. We do not know
whether our planned trials will begin on time or at all, or be completed on schedule, if at all. The commencement and completion of clinical
trials can be delayed for a number of reasons, including delays related to:
● the
FDA disagreeing as to the design or implementation of our clinical trials or with our recommended
dose for any of our pipeline programs;
● obtaining
FDA authorization to commence a trial or reaching a consensus with the FDA on trial design;
● obtaining
approval from one or more IRBs/ECs;
● IRBs/ECs
refusing to approve, suspending or terminating the trial at an investigational site, precluding
enrollment of additional subjects, or withdrawing their approval of the trial;
● changes
to clinical trial protocol;
● clinical
sites deviating from trial protocol or dropping out of a trial;
● failing
to manufacture or obtain sufficient quantities of drug candidate, STARS or, if applicable,
combination therapies for use in clinical trials;
● patients
failing to enroll or remain in our trial at the rate we expect, or failing to return for
post-treatment follow-up;
● patients
choosing an alternative treatment, or participating in competing clinical trials;
● lack
of adequate funding to continue the clinical trial;
● patients
experiencing severe or unexpected drug-related adverse effects;
● occurrence
of serious adverse events in trials of the same class of agents conducted by other companies;
● selecting
or being required to use clinical end points that require prolonged periods of clinical observation
or analysis of the resulting data;
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● a
facility manufacturing our drug candidates, STARS or any of their components, including without
limitation, our own facilities being ordered by the FDA to temporarily or permanently shut
down due to violations of cGMP, regulations or other applicable requirements, or infections
or cross-contaminations in the manufacturing process;
● lack
of stability of our clinical trial material or any quality issues that arise with the clinical
trial material;
● any
changes to our manufacturing process that may be necessary or desired;
● Qualigen,
or our third-party contractors, not performing data collection or analysis in a timely or
accurate manner or improperly disclosing data prematurely or otherwise in violation of a
clinical trial protocol; or
● any
third-party contractors becoming debarred or suspended or otherwise penalized by the FDA
or other government or regulatory authorities for violations of regulatory requirements,
in which case we may need to find a substitute contractor, and we may not be able to use
some or all of the data produced by such contractors in support of our marketing applications.
We
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
are being conducted, by a Data Safety Monitoring Board for such trial or by the FDA. Such authorities may impose such a suspension or
termination due to a number of factors, including failure to conduct the clinical trial in accordance with regulatory requirements or
our clinical protocols, inspection of the clinical trial operations or trial site by the FDA resulting in the imposition of a clinical
hold, unforeseen safety issues or adverse side effects, failure to demonstrate a benefit from using the product under investigation,
changes in governmental regulations or administrative actions or lack of adequate funding to continue the clinical trial. In addition,
changes in regulatory requirements and policies may occur, and we may need to amend clinical trial protocols to comply with these changes.
Amendments may require us to resubmit our clinical trial protocols to IRBs/ECs for reexamination, which may impact the costs, timing
or successful completion of a clinical trial.
If
we experience delays or difficulties in enrolling patients in our ongoing or planned clinical trials, our receipt of necessary regulatory
approval could be delayed or prevented.
We
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
a sufficient number of eligible patients to participate in these trials as required by the FDA. In addition, some of our competitors
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
would otherwise be eligible for our clinical trials may instead enroll in clinical trials of our competitors’ products. In addition,
introduction of new drugs or devices to the marketplace may have an effect on the number of patients available or timing of the availability
of the patients.
Our
inability to enroll a sufficient number of patients for our clinical trials would result in significant delays or may require us to abandon
one or more clinical trials altogether.
Adverse
side effects or other safety risks associated with QN-302, QN-247, RAS-F or STARS product candidates could delay or preclude approval,
cause us to suspend or discontinue any clinical trials or abandon further development, limit the commercial profile of an approved label,
or result in significant negative consequences following regulatory approval, if any.
Results
of our planned clinical trials could reveal a high and unacceptable severity and prevalence of side effects or unexpected characteristics.
Undesirable side effects caused by our products could result in the delay, suspension or termination of clinical trials by us or the
FDA for a number of reasons.
Moreover,
if our products are associated with undesirable side effects in clinical trials or have characteristics that are unexpected, we may elect
to abandon or limit their development to more narrow uses or subpopulations in which the undesirable side effects or other characteristics
are less prevalent, less severe or more acceptable from a risk-benefit perspective, which may limit the commercial expectations for our
products, if approved. We may also be required to modify our study plans based on findings in our clinical trials. Many drug candidates
that initially showed promise in early stage testing have later been found to cause side effects that prevented further development.
In addition, regulatory authorities may draw different conclusions or require additional testing to confirm these determinations.
It
is possible that as we test our drug candidates and STARS in larger, longer and more extensive clinical trials, including with different
dosing regimens, or as the use of our drug candidates and STARS becomes more widespread following any regulatory approval, illnesses,
injuries, discomforts and other adverse events that were observed in earlier trials, as well as conditions that did not occur or went
undetected in previous trials, will be reported by patients.
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The
development and commercialization of pharmaceutical and device products are subject to extensive regulation, and we may not obtain regulatory
approvals for QN-302, QN-247, RAS-F, STARS or any other product candidates, on a timely basis or at all.
The
clinical development, manufacturing, labeling, packaging, storage, recordkeeping, advertising, promotion, export, import, marketing,
distribution, adverse event reporting, including the submission of safety and other post-marketing information and reports, and other
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,
are subject to extensive regulation.
Regulatory
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
product candidate in the United States until we obtain approval from the FDA of the NDA for that product. An NDA must be supported by
extensive clinical and preclinical data, as well as extensive information regarding pharmacology, chemistry, manufacturing and controls.
The
current anticipated regulatory pathway for STARS in the United States will require the submission of a PMA to the FDA to demonstrate
that the device is safe and effective for its intended use. This approval process generally requires clinical data to support the safety
and effectiveness of the device.
FDA
approval of an NDA or PMA is not guaranteed, and the review and approval process is an expensive and uncertain process that may take
several years. The FDA also has substantial discretion in the approval process. The number and types of preclinical studies and clinical
trials that will be required for NDA or PMA approval varies depending on the product candidate, the disease or the condition that the
product candidate is designed to treat and the regulations applicable to any particular product candidate. Despite the time and expense
associated with preclinical studies and clinical trials, failure can occur at any stage. The results of preclinical and any clinical
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
trials.
Clinical
trial failure may result from a multitude of factors including flaws in trial design, dose selection, placebo effect, patient enrollment
criteria and failure to demonstrate favorable safety or efficacy traits, and failure in clinical trials can occur at any stage. Companies
in the pharmaceutical and device industry frequently suffer setbacks in the advancement of clinical trials due to lack of efficacy or
adverse safety profiles, notwithstanding promising results in earlier trials. Based upon negative or inconclusive results, we may decide,
or regulators may require us, to conduct additional clinical trials or preclinical studies. In addition, data obtained from clinical
trials are susceptible to varying interpretations, and regulators may not interpret our data as favorably as we do, which may further
delay, limit or prevent regulatory approval.
Even
if we are able to commercialize any drug candidates, the products may become subject to unfavorable pricing regulations, third-party
reimbursement practices or healthcare reform initiatives, which would harm our business.
The
regulations that govern marketing approvals, pricing, coverage and reimbursement for new drug products vary widely from country to country.
Current and future legislation may significantly change the approval requirements in ways that could involve additional costs and cause
delays in obtaining approvals. Some countries require approval of the sale price of a drug before it can be marketed. In many countries,
the pricing review period begins after marketing or product licensing approval is granted. To obtain reimbursement or pricing approval
in some countries, we may be required to conduct a clinical trial that compares the cost-effectiveness of our drug candidate to other
available therapies. In some foreign markets, prescription pharmaceutical pricing remains subject to continuing governmental control
even after initial approval is granted. As a result, we might obtain marketing approval for a drug candidate in a particular country,
but then be subject to price regulations that delay commercial launch of the product, possibly for lengthy time periods, and negatively
impact the revenues, if any, we are able to generate from the sale of the product in that country. Adverse pricing limitations may hinder
our ability to recoup our investment in one or more drug candidates, even if such drug candidates obtain regulatory approval.
Our
ability to commercialize any drug candidates successfully also will depend in part on the extent to which coverage and adequate reimbursement
for these products and related treatments will be available from third-party payors, including government healthcare programs, private
health insurers and other organizations. Third-party payors decide which medications they will pay for and establish reimbursement levels.
A primary trend in the U.S. healthcare industry and elsewhere has been cost containment. Third-party payors have attempted to control
costs by limiting coverage and the amount of reimbursement for particular medications. Increasingly, third-party payors are requiring
that drug companies provide them with predetermined discounts from list prices and are challenging the prices charged for medical products.
Coverage and reimbursement may not be available for any product that we commercialize and, even if these are available, the level of
reimbursement may not be satisfactory. Reimbursement may affect the demand for, or the price of, any drug candidate for which we obtain
regulatory approval. Obtaining and maintaining coverage and adequate reimbursement for our products may be difficult. We may be required
to conduct expensive pharmacoeconomic studies to justify coverage and reimbursement or the level of reimbursement relative to other therapies.
If coverage and adequate reimbursement are not available or reimbursement is available only to limited levels, we may not be able to
successfully commercialize any drug candidate for which we obtain regulatory approval.
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There
may also be significant delays in obtaining coverage and reimbursement for newly approved drugs, and coverage may be more limited than
the purposes for which the drug is approved by the FDA or similar regulatory authorities outside of the United States. Moreover, eligibility
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
research, development, intellectual property, manufacture, sale and distribution expenses. Interim reimbursement levels for new drugs,
if applicable, may also not be sufficient to cover our costs and may not be made permanent. Reimbursement rates may vary according to
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
and may be incorporated into existing payments for other services. Net prices for drugs may be reduced by mandatory discounts or rebates
required by government healthcare programs or private payors and by any future relaxation of laws that presently restrict imports of
drugs from countries where they may be sold at lower prices than in the United States. Third-party payors often rely upon Medicare coverage
policy and payment limitations in setting their own reimbursement policies, but also have their own methods and approval process apart
from Medicare determinations.
We
expect that the Affordable Care Act, as well as other healthcare reform measures that may be adopted in the future, may continue to result
in more rigorous coverage criteria and in additional downward pressure on the price that providers receive for any approved therapeutics
products of ours. This would adversely affect the prices we receive and could also adversely affect providers’ willingness to prescribe
our therapeutics products, if any.
We
may not be able to obtain or maintain orphan drug designation or exclusivity for our drug candidates.
Regulatory
authorities in some jurisdictions, including the United States, may designate drugs for relatively small patient populations as “orphan
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
to treat a rare disease or condition, which is generally defined as a patient population of fewer than 200,000 individuals in the United
States, or if the disease or condition affects more than 200,000 individuals in the United States and there is no reasonable expectation
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
from sales of the product.
Orphan
drug designation entitles a party to financial incentives, such as opportunities for grant funding towards clinical trial costs, tax
advantages and user-fee waivers. Additionally, if a product that has orphan designation subsequently receives the first FDA approval
for the disease or condition for which it has such designation, the product is entitled to orphan drug exclusivity. This means that the
FDA may not approve any other applications to market the same drug or biological product for the same indication for seven years, except
in certain circumstances, including proving clinical superiority ( i.e ., another product is safer, more effective or makes a major
contribution to patient care) to the product with orphan exclusivity. Competitors, however, may receive approval of different products
for the indication for which the orphan product has exclusivity, or obtain approval for the same product but for a different indication
than that for which the orphan product has exclusivity. In addition, exclusive marketing rights in the United States may be limited if
we seek approval for an indication broader than the orphan-designated indication or may be lost if the FDA later determines that the
request for designation was materially defective.
We
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
pancreatic cancer, AML and pediatric neuroblastoma. Orphan drug status does not ensure that we will receive marketing exclusivity in
a particular market, and there is no assurance that any application for orphan drug designation will be granted. Orphan drug
designation neither shortens the development time or regulatory review time of a drug, nor gives the drug any advantage in the
regulatory review or approval process.
We
rely, and intend to continue to rely, on third parties to conduct our preclinical studies and clinical trials and perform some of our
research and preclinical studies. If these third parties do not satisfactorily carry out their contractual duties, fail to comply with
applicable regulatory requirements or do not meet expected deadlines, our development programs may be delayed or subject to increased
costs or we may be unable to obtain regulatory approval.
We
are dependent on third parties to conduct our planned preclinical studies and clinical trials of QN-302, QN-247, RAS-F and STARS. The
timing of the initiation and completion of these trials will therefore be partially controlled by such third parties and may result in
delays to our development programs. We have relied heavily, and expect to continue to rely, on UofL for preclinical studies related to
QN-247 and RAS-F, and we expect to rely heavily on contract research organizations (“CROs”) and sponsored academic researchers
for preclinical studies related to QN-302. As to any clinical trials, we expect to rely on CROs, sponsored academic researchers, clinical
investigators and consultants to play a significant role in the conduct of these trials and the subsequent collection and analysis of
data. However, we will not be able to control all aspects of their activities. Nevertheless, we are responsible for ensuring that each
clinical trial is conducted in accordance with the applicable protocol and legal, regulatory and scientific standards, including GCP,
requirements, and our reliance on the CROs and other third parties does not relieve us of our regulatory responsibilities.
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There
is no guarantee that any such CROs, clinical trial investigators or other third parties on which we rely will devote adequate time and
resources to our development activities or perform as contractually required. If any of these third parties fail to meet expected deadlines,
adhere to our clinical protocols or meet regulatory requirements, otherwise perform in a substandard manner, or terminate their engagements
with us, the timelines for our development programs may be extended or delayed or our development activities may be suspended or terminated.
If a Qualigen clinical trial site terminates for any reason, we may experience the loss of follow-up information on subjects enrolled
in such clinical trial unless we are able to transfer those subjects to another qualified clinical trial site, which may be difficult
or impossible.
If
these third parties do not successfully carry out their contractual duties, meet expected deadlines or conduct clinical trials in accordance
with regulatory requirements or our stated protocols, we will not be able to obtain, or may be delayed in obtaining, regulatory approvals
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.
Manufacturing
pharmaceutical products is complex and subject to product loss for a variety of reasons. We contract with third parties for the manufacture
of our product candidates for preclinical testing and clinical trials and expect to continue to do so for commercialization. This reliance
on third parties increases the risk that we will not have sufficient quantities of our product candidates or such quantities at an acceptable
cost or quality, which could delay, prevent or impair our development or commercialization efforts.
We
rely, and expect to continue to rely, on third parties for the manufacture of our products for preclinical and any clinical testing,
as well as for commercial manufacture if any of our product candidates obtain regulatory approval. This reliance on third parties increases
the risk that we will not have sufficient quantities of our product candidates or such quantities at an acceptable cost or quality, which
could delay, prevent or impair our development or commercialization efforts.
We
may be unable to establish any agreements with third-party manufacturers or to do so on favorable terms. Even if we are able to establish
agreements with third-party manufacturers, reliance on third-party manufacturers entails additional risks, including:
● reliance
on the third-party for regulatory, compliance and quality assurance;
● operations
of our third-party manufacturers or suppliers could be disrupted by conditions unrelated
to our business or operations, including the bankruptcy of the manufacturer or supplier or
the issuance of an FDA Form 483 notice or warning letter;
● the
possible breach of the manufacturing agreement by the third-party; and
● the
possible termination or nonrenewal of the agreement by the third-party at a time that is
costly or inconvenient for us.
We
do not have manufacturing agreements in place for any of our current drug candidates. We acquire many key materials on a purchase order
basis. As a result, we do not have long-term committed arrangements with respect to our product candidates and other materials. If we
obtain regulatory approval for any of our product candidates, we will need to establish an agreement for commercial manufacture with
a third-party.
Any
performance failure on the part of our existing or future manufacturers could delay clinical development or regulatory approval. We do
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.
We
may enter into collaborations with third parties for the development and commercialization of our products. If those collaborations are
not successful, we may not be able to capitalize on the market potential of these products. Even if they are successful, they may result
in a limitation of our upside potential.
We
may in the future seek third-party collaborators for the development and commercialization of some of our products on a selected basis.
Our likely collaborators for any collaboration arrangements include large and mid-size pharmaceutical companies, regional and national
pharmaceutical companies and biotechnology companies. We face significant competition in seeking appropriate collaborators. Our ability
to reach a definitive agreement for a collaboration will depend, among other things, upon our assessment of the collaborator’s
resources and expertise, the terms and conditions of the proposed collaboration and the proposed collaborator’s evaluation of a
number of factors.
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If
we do enter into any such arrangements with any third parties, we will likely have limited control over the amount and timing of resources
that such collaborators dedicate to the development or commercialization of our products. Our ability to generate revenues from these
arrangements will depend on our collaborators’ abilities and efforts to successfully perform the functions assigned to them in
these arrangements.
Any
collaboration will necessarily result in a sharing of economics with the collaborator, which might otherwise have been captured by us
directly.
Even
if any of our product candidates receives regulatory approval, we may fail to achieve the degree of market acceptance by physicians,
patients, third-party payors and others in the medical community necessary for commercial success.
If
any of our product candidates receives regulatory approval, we may nonetheless fail to gain sufficient market acceptance by physicians,
patients, third-party payors and others in the medical community. For example, current cancer treatments, such as existing targeted therapies,
chemotherapy, and radiation therapy, are well established in the medical community, and doctors may continue to rely on these treatments.
If our product candidates do not achieve an adequate level of acceptance, we may not generate significant product revenues and we may
not become profitable. The degree of market acceptance of our product candidates, if approved for commercial sale, will depend on a number
of factors, including:
● the
efficacy and potential advantages compared to alternative treatments;
● the
prevalence and severity of any side effects, in particular compared to alternative treatments;
● limitations
or warnings contained in the labeling approved for our product candidates by the FDA;
● the
size of the target patient population;
● the
willingness of the target patient population to try new therapies and of physicians to prescribe
these therapies;
● our
ability to offer our products for sale at competitive prices;
● the
convenience and ease of administration compared to alternative treatments;
● the
strength of marketing and distribution support;
● publicity
for our product candidates and competing products and treatments;
● the
existence of distribution and/or use restrictions, such as through a Risk Evaluation and
Mitigation Strategy;
● the
availability of third-party payor coverage and adequate reimbursement and the willingness
of patients to pay for our products in the absence of such coverage and adequate reimbursement;
● the
timing of any marketing approval in relation to other product approvals;
● support
from patient advocacy groups; and
● any
restrictions on the use of our products together with other medications.
We
face substantial competition, which may result in others discovering, developing or commercializing products before or more successfully
than we do.
The
development and commercialization of pharmaceutical and device therapeutics products is highly competitive. We face competition from
major pharmaceutical and device companies, specialty pharmaceutical and device companies and biotechnology companies worldwide. There
are a number of large pharmaceutical and biotechnology companies that currently market and sell products or are pursuing the development
of products for the treatment of the disease indications for which we are developing our product candidates and other platform technologies
that may be effective in developing therapeutics. Some of these competitive products, therapies and technologies are based on scientific
approaches that are similar to our approach, and others are based on entirely different approaches. Potential competitors also include
academic institutions, government agencies and other public and private research organizations that conduct research, seek patent protection
and establish collaborative arrangements for research, development, manufacturing and commercialization.
21
We
expect that our oncology drug product candidates and our STARS system will face competition from traditional small or large molecule
drugs that target specific cancers that are FDA-approved and marketed for the indications that we are pursuing, in addition to off-label
use of current therapeutics and therapeutics in development; and from other drugs using targeted approaches to direct payloads to cancerous
tumors, as well as newer approaches, such as immuno-oncology, which attempts to harness the patient’s own immune system to fight
cancer itself.
Many
of the companies against which we are competing or against which we may compete in the future have significantly greater financial resources
and expertise in research and development, manufacturing, preclinical testing, conducting clinical trials, obtaining regulatory approvals
and marketing and selling approved products than we do. Mergers and acquisitions in the pharmaceutical and biotechnology industries may
result in even more resources being concentrated among a smaller number of our competitors. Smaller and other early-stage companies may
also prove to be significant competitors, particularly through collaborative arrangements with large and established companies. These
third parties compete with us in recruiting and retaining qualified scientific, management and sales and marketing personnel, establishing
clinical trial sites and patient registration for clinical trials, as well as in acquiring technologies complementary to, or necessary
for, our programs.
Our
commercial opportunity could be reduced or eliminated if our competitors develop and commercialize products that are safer, more effective,
have fewer or less severe side effects, are approved for broader indications or patient populations, are more convenient or are less
expensive than any products that we may develop. Our competitors also may obtain FDA or other marketing approval for their products more
rapidly than any approval we may obtain, which could result in our competitors establishing a strong market position before we are able
to enter the market. In addition, our ability to compete may be affected in many cases by insurers or other third-party payors seeking
to encourage the use of generic products. The key competitive factors affecting the success of QN-302, QN-247, RAS-F and STARS are likely
to be efficacy, safety, scope and limitations of marketing approval, and availability of reimbursement.
If
we are unable to obtain and maintain sufficient patent protection for our therapeutic product candidates and platform technologies, or
if the scope of the patent protection is not sufficiently broad, third parties, including our competitors, could develop and commercialize
products similar or identical to ours, and our ability to commercialize our product candidates successfully may be adversely affected.
Our
commercial success depends significantly on our ability to protect our proprietary (and exclusively in-licensed) technologies that we
believe are important to our business, including pursuing, obtaining and maintaining patent protection in the United States and other
countries intended to cover the composition of matter of our product candidates, for example, QN-302, QN-247, RAS-F and STARS, the methods
of use, related technologies, and other inventions that are important to our business. In addition to patent protection, we also rely
on trade secrets to protect aspects of our business that are not amenable to, or that we do not consider appropriate for, patent protection.
If we do not adequately pursue, obtain, maintain, protect or enforce our intellectual property, third parties, including our competitors
and/or collaborators, may be able to erode or negate any competitive advantage we may have, which could harm our business and ability
to achieve profitability.
To
protect our proprietary position, we file patent applications in the United States and abroad related to our product candidates, their
methods of manufacture and use. The patent application and approval process is expensive, time-consuming and complex. We may not be able
to prepare, file, prosecute and maintain all necessary or desirable patent applications at a reasonable cost or in a timely manner or
in all jurisdictions. It is also possible that we will fail to identify patentable aspects of our research and development output before
it is too late to obtain patent protection. Moreover, depending on the terms of any future license agreements to which we may become
a party, we may not have the right to control the preparation, filing, and prosecution of patent applications, or to maintain or defend
the patents, covering technology licensed from third parties. Therefore, these patents and patent applications may not be prosecuted
and enforced in a manner consistent with the best interests of our business.
We
cannot offer any assurances about which, if any, patents will issue, the breadth of any such patents, whether any issued patents will
be found invalid and unenforceable or will be threatened by third parties or whether any issued patents will effectively prevent others
from commercializing competing technologies and product candidates. We have not filed patent applications in every jurisdiction, and
some filings are only pending in the United States.
Because
patent applications in the United States and most other countries are confidential for a period of time after filing, and some remain
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
patent application related to our product candidates or technology.
22
Moreover,
because the issuance of a patent, although presumptive, is not conclusive as to its inventorship, scope, validity or enforceability,
our patents or pending patent applications may be challenged in the courts or patent offices in the United States and abroad. Such challenges
may result in loss of exclusivity or in our patent claims being narrowed, invalidated or held unenforceable, in whole or in part, which
could limit our ability to stop others from using or commercializing similar or identical technology and products or limit the duration
of the patent protection of our technology and products. Such challenges also may result in substantial cost and require significant
time from our scientists and management, even if the eventual outcome is favorable to us.
Our
and our licensors’ pending and future patent applications may not result in patents being issued that protect our product candidates,
in whole or in part, or that effectively prevent others from commercializing competitive products. Even if our patent applications issue
as patents, they may not issue in a form that will provide us with any meaningful protection, prevent competitors or other third parties
from competing with us or otherwise provide us with any competitive advantage. Our competitors and other third parties may be able to
circumvent our patents by developing similar or alternative technologies or products in a non-infringing manner. Our competitors and
other third parties may also seek approval to market their own products similar to or otherwise competitive with our products. Alternatively,
our competitors or other third parties may seek to market generic versions of any approved products by submitting abbreviated NDAs to
the FDA during which process they may claim that patents owned by us are invalid, unenforceable or not infringed. In these circumstances,
we may need to defend or assert our patents, or both, including by filing lawsuits alleging patent infringement. In any of these types
of proceedings, a court or other agency with jurisdiction may find our patents invalid or unenforceable, or that our competitors are
competing in a non-infringing manner. Thus, even if we have valid and enforceable patents, these patents still may not provide protection
against competing products or processes sufficient to achieve our business objectives.
The
term of our patents may be inadequate to protect our competitive position on our products.
Given
the amount of time required for the development, testing and regulatory review of drug candidates, patents protecting such candidates
might expire before or shortly after such candidates are commercialized. In such an event (and if we are unable to obtain patent term
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
of competing products following patent expiration and take advantage of our investment in development and clinical trials by referencing
our clinical and preclinical data and launch their product earlier than might otherwise be the case. Generic competition usually results
in serious price erosion for the original drug brand.
Risks
Related to Our Diagnostics Business
We
may face challenges distributing our diagnostic products after our distribution agreement with Sekisui expires.
We
currently rely on our diagnostics distribution partner Sekisui for most of our FastPack® distribution worldwide, pursuant to the
terms of our distribution agreement with Sekisui. We maintain direct distribution for certain house accounts, including Low T.
Our
distribution agreement with Sekisui expires on March 31, 2022. We will incur costs re-establishing and maintaining a direct sales force,
and we may also face logistical issues and relationship issues with customers during the transition period. In addition, there is the
risk that the direct sales force assembled and used by us will not be as efficient and effective as Sekisui’s distribution efforts.
Our
diagnostic products face heavy competition.
Our
FastPack system is a mature technology and faces heavy competition from manufacturers of more complex immunoassay systems designed primarily
for central laboratory use, but that also are sold to physician offices. Many of our competitors have substantially greater financial,
technical, research and other resources and capabilities. We also face competition from companies that have developed or are developing
newer blood testing systems for use in physician offices. The FastPack system may not continue to be competitive in light of future technological
developments by others.
Our
diagnostic products are disadvantaged by reduced Medicare reimbursement and third-party payer pricing.
As
noted above, a primary trend in the U.S. healthcare industry and elsewhere is cost containment. Third-party payors have attempted to
control costs by limiting coverage and the amount of reimbursement for particular medical devices, especially mature ones such as ours.
Decreases in Medicare and private-insurer reimbursement for diagnostic tests such as ours in recent years are a negative factor in our
attempts to maintain and grow our diagnostics business. This factor constrains the price that we can charge to providers for our diagnostic
products. Moreover, if adequate reimbursement is not available or reimbursement is available only to limited levels, some physician offices,
clinics and small hospitals may choose not to offer (or to discontinue offering) some or all of our diagnostic products. During the Transition
Period, Low T discontinued our Total PSA test for this reason.
23
Yi
Xin may not meet expectations in its China/overseas business.
We
have largely ceded our overseas diagnostics business to Yi Xin. Yi Xin is a new and untested company and there is no assurance that its
financial and other capabilities will enable it to succeed in commercializing FastPack-based diagnostic products. We would receive royalties
from Yi Xin if and only if Yi Xin achieves sales of FastPack-based diagnostic products.
Risks
Related to Employee Matters, Managing Growth, Potential Dilution, Stock Price Variability and Other Risks Related to Our Business
Our
future success depends on our ability to retain key employees and to attract, retain and motivate qualified personnel.
We
are highly dependent on Michael Poirier, our Chief Executive Officer and Chairman, Christopher Lotz, our Chief Financial Officer and
Vice President of Finance, Amy Broidrick, our President and Chief Strategy Officer, Dr. Wajdi Abdul-Ahad, our Chief Scientific Officer
and Vice President of Research & Development, Shishir Sinha, our Chief Operating Officer, and Dr. Tariq Arshad, MD, our Chief Medical
Officer, as well as other members of scientific, operations and corporate development teams.
Our
ability to compete depends upon our ability to attract, retain and motivate highly skilled and experienced personnel with scientific,
clinical, regulatory, manufacturing and management skills and experience. We may not be able to attract or retain qualified personnel
in the future. Many of the companies against which we compete have greater financial and other resources, different risk profiles and
a longer history in the industry than we do. Our competitors may provide higher compensation, more diverse opportunities and/or better
opportunities for career advancement. Any or all of these competing factors may limit our ability to continue to attract and retain high
quality personnel, which could negatively affect our ability to successfully develop and commercialize our product candidates and to
grow our business and operations as currently contemplated.
We
expect that we will need to expand our development and regulatory capabilities as our product candidates progress through the clinic,
or additional product candidates are developed; if any products are approved, we would have to implement sales, marketing and distribution
capabilities, and as a result, we may encounter difficulties in managing growth, which could disrupt our operations.
As
of March 25, 2022 , we had 46 employees, 39 of whom were full-time employees.
Although we outsource many drug development functions and may choose to continue to do so in the future, we expect to experience growth
in the number of employees and the scope of our operations, particularly in the areas of clinical development, clinical operations, manufacturing,
and regulatory affairs as we progress QN-302, QN-247, RAS-F and STARS through the clinic and develop additional product candidates. In
addition, in anticipation of the expiration of our distribution agreement with Sekisui on March 31, 2022, we are currently recruiting
direct sales personnel. If any of our therapeutics product candidates receives regulatory approval, we would potentially need to expand
into sales, marketing and distribution. To manage anticipated future growth, we must continue to implement and improve our managerial,
operational and financial systems, expand our facilities and continue to recruit and train additional qualified personnel. We may not
be able to effectively manage the expansion of our operations or recruit and train additional qualified personnel. The expansion of our
operations may lead to significant costs and may divert management and business development resources.
We
currently rely, and for the foreseeable future will continue to rely, in substantial part, on certain third-party contract research organizations,
sponsored academic researchers, advisors and consultants to provide certain services, including assuming substantial responsibilities
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
candidates. We cannot assure that the services of such third-party contract research organizations, sponsored academic researchers, advisors
and consultants will continue to be available to us on a timely basis when needed, or that we can find qualified replacements. In addition,
if we are unable to effectively manage our outsourced activities or if the quality or accuracy of the services provided by our vendors
or consultants is compromised for any reason, our clinical trials may be extended, delayed or terminated, and we may not be able to obtain
regulatory approval of QN-302, QN-247, RAS-F, STARS or any of our other current or future product candidates or otherwise advance our
business. We cannot assure that we will be able to properly manage our existing vendors or consultants or find other competent outside
vendors and consultants on economically reasonable terms, or at all.
We
may engage in strategic transactions that could impact liquidity, increase expenses and present significant distractions to management.
From
time to time, we may consider strategic transactions, such as acquisitions of companies, businesses or assets and out-licensing or in-licensing
of products, drug candidates or technologies. Additional potential transactions that we may consider include a variety of different business
arrangements, including spin-offs, in-licensing, strategic partnerships, joint ventures, restructurings, divestitures, business combinations
and investments. Any such transaction may require us to incur non-recurring or other charges, may increase near term or long-term expenditures
and may pose significant integration challenges or disrupt management or business, which could adversely affect our operations and financial
results. For example, these transactions may entail numerous operational and financial risks, including:
● exposure
to unknown liabilities;
● disruption
of business and diversion of management’s time and attention in order to develop acquired
products, drug candidates or technologies;
24
● incurrence
of substantial debt or dilutive issuances of equity securities to pay for acquisitions;
● higher
than expected acquisition and integration costs;
● write-downs
of assets or impairment charges;
● increased
amortization expenses;
● difficulty
and cost in combining the operations, systems and personnel of any acquired businesses with
our operations, systems and personnel;
● impairment
of relationships with key suppliers or customers of any acquired businesses due to changes
in management and ownership; and
● inability
to retain key employees of any acquired businesses.
Our
reported financial condition and results of operations may fluctuate significantly from quarter to quarter and year to year, which makes
them difficult to predict or understand.
We
expect our financial condition and results of operations to fluctuate from quarter to quarter and year to year due to a variety of factors,
many of which are beyond our control. In particular, the warrant liabilities from our issued “exploding warrants” (and change
in the fair value of warrant liabilities, over a reporting period) results in distortions and sharp variability in reported periodic
results. Accordingly, you should not blindly rely upon the results of any quarterly or annual periods as indications of future operating
performance. Other investors may, however, attach undue significance to reported results which are heavily influenced by such distortions
and variability, which in turn could cause our stock price to rise or fall despite there being no corresponding change in our prospects
or position as a practical matter.
We
have a substantial amount of derivative securities outstanding.
As
of December 31, 2021 there were 4,841,856 stock options outstanding under our equity incentive plans for service providers. In addition,
as of December 31, 2021, we had 9,821,399 outstanding warrants, of which 5,469,994 were held by Alpha Capital Anstalt. Outstanding stock
options, warrants and preferred stock can potentially result in dilution to the holders of existing outstanding common stock.
We
rely significantly upon information technology, and any failure, inadequacy, interruption or security lapse of that technology, including
any cyber security incidents, could harm our ability to operate our business effectively and result in a material disruption of our product
development programs.
We
could be subject to risks caused by misappropriation, misuse, leakage, falsification or intentional or accidental release or loss of
information maintained in the information systems and networks of our company. Outside parties may attempt to penetrate our systems or
those of our partners or fraudulently induce our employees or employees of our partners to disclose sensitive information to gain access
to our data. Like other companies, we may experience threats to our data and systems, including malicious codes and computer viruses,
cyber-attacks or other system failures. Any system failure, accident or security breach that causes interruptions in our operations,
for us or our partners, could result in a material disruption of our product development programs and business operations, in addition
to possibly requiring substantial expenditures of resources to remedy. For example, the loss of clinical trial data from completed clinical
trials could result in delays in our regulatory approval efforts and we could incur significant increases in costs to recover or reproduce
the data. The risk o f cyber incidents could also be increased by cyberwarfare in connection
with the ongoing conflict between Russia and Ukraine, including potential proliferation of malware from the conflict into systems unrelated
to the conflict. To the extent that any disruption or security breach results in a loss of, or damage to, our data or applications, or
inappropriate public disclosure of confidential or proprietary information, we may incur liabilities and the further development of our
product candidates may be delayed.
25
The
number and complexity of these security threats continue to increase over time. If a breach of our security systems or that of our partners
occurs, the market perception of the effectiveness of our security measures could be harmed, we could lose business and our reputation
and credibility could be damaged. We could be required to expend significant amounts of money and other resources to repair or replace
information systems or networks. Although we develop and maintain systems and controls designed to prevent these events from occurring,
and we have a process to identify and mitigate threats, the development and maintenance of these systems, controls and processes is costly
and requires ongoing monitoring and updating as technologies change and efforts to overcome security measures become more sophisticated.
Moreover, despite our efforts, the possibility of these events occurring cannot be eliminated entirely.
COVID-19
has and may continue to adversely affect our business and prospects.
COVID-19
has had, and may continue to have, adverse impacts on the U.S. and world economy, health care systems, personnel availability,
supply chains, social and political assumptions, and capital markets. Those impacts may be especially serious for smaller companies
such as Qualigen. We could also be impacted by other pandemics, epidemics, or infectious diseases.
Our sales of diagnostic products
fell significantly during 2020 (and net loss increased significantly), as deferral of patients’ non-emergency visits to physician
offices, clinics and small hospitals sharply reduced demand for FastPack tests. In 2021 we experienced some recovery in demand, but this
phenomenon ma y
continue to some extent for the duration of the pandemic, although its degree will probably vary depending on progress toward suppressing
the pandemic, lockdowns and similar responses, and personal and societal behavior changes arising from psychological factors.
We continue to evaluate the extent to which COVID-19 may impact our business and operations and adjust risk mitigation planning and
business continuity activities as needed.
Failures
in our IT and storage systems, including as a result of cyber-security breaches, could significantly disrupt our business or force us
to expend excessive costs.
We
utilize complex IT systems to transmit and store information, including sensitive personal information and proprietary or confidential
information, and otherwise to support our business and process. In the future, our systems may prove inadequate to our business needs
and necessary upgrades may not operate as designed, which could result in excessive costs or disruptions in portions of our business.
In particular, any disruptions, delays or deficiencies from our enterprise resource planning systems could adversely affect our ability
to, among other matters, process orders, procure supplies, manufacture and ship products, track inventory, provide services and customer
support, send invoices and track payments, fulfill contractual obligations or otherwise operate our business.
Our
IT and storage systems are potentially vulnerable to physical or electronic break-ins, ransomware attacks, computer viruses and similar
disruptive problems. Sustained or repeated system failures that interrupt our ability to generate, maintain or access data could result
in a material disruption in our operations. Furthermore, a security breach could be facilitated by ineffective protection measures, employee
errors or omissions, and malfeasance. Despite our efforts to protect against cyber-attacks and security breaches, hackers and other cyber
criminals are using increasingly sophisticated and constantly evolving techniques, and we may need to expend substantial additional resources
to continue to protect against potential security breaches or to remediate problems caused by such attacks or any breach of our safeguards.
In addition, a data security breach or ransomware attack could distract management or other key personnel from performing their primary
operational duties. If such a breach leads to disclosure of consumer, customer, supplier, partner or employee information (including
personally identifiable information or protected health information), it could harm our reputation, compel us to comply with disparate
state and foreign breach notification laws and otherwise subject us to liability under laws that protect personal data, resulting in
increased costs or loss of revenue. The costs of maintaining adequate protection against such threats are significant and are expected
to continue to increase in the future and may be material to our financial statements.
Adverse
global conditions, including economic uncertainty, may negatively impact our financial results.
Global
conditions, disruptions in the financial markets, or inflation could adversely impact our business. In addition, the global macroeconomic
environment has been and may continue to be negatively affected by, among other things, instability in global economic markets, increased
U.S. trade tariffs and trade disputes with other countries, instability in the global credit markets, supply chain weaknesses, instability
in the geopolitical environment as a result of the conflict between Russia and Ukraine, the withdrawal of the United Kingdom from the
European Union, and other political tensions, and foreign governmental debt concerns. Such challenges have caused, and may continue to
cause, uncertainty and instability in local economies and in global financial markets, which may adversely affect our business.
26
We
or the third parties upon whom we depend may be adversely affected by natural disasters and our business continuity and disaster recovery
plans may not adequately protect us from a serious disaster.
We
are located in southern California, and are subject to risks posed by natural disasters, including wildfires, earthquakes and severe
weather that may interfere with our operations. Extreme weather events and other natural disasters could severely disrupt our operations,
and have a material adverse effect on our business, results of operations, financial condition and prospects. If a natural disaster,
power outage or other event occurred that prevented Qualigen from using all or a significant portion of our headquarters, that damaged
critical infrastructure, such as the manufacturing facilities of our third-party contract manufacturers, or that otherwise disrupted
operations, it may be difficult or, in certain cases, impossible for Qualigen to continue our business for a substantial period of time.
Any disaster recovery and business continuity plans we have in place may prove inadequate in the event of a serious disaster or similar
event.
I f
we are unable to remediate the material weakness in our internal controls over financial reporting or if additional material weaknesses
are discovered in our internal accounting procedures, the accuracy and timing of our financial reporting may be adversely affected, which
may adversely affect investor confidence in us and, as a result, the value of our common stock.
In connection with the audit
of our 2021 consolidated financial statements, our management and independent registered public accounting firm noted a material weakness
in our controls as discussed in Part 9.A. A material weakness is a deficiency or combination of deficiencies in internal control
over financial reporting that results in more than a reasonable possibility that a material misstatement of annual or interim financial
statements will not be prevented or detected on a timely basis.
Any failure to develop or
maintain effective internal controls over financial reporting or difficulties encountered in implementing or improving our internal controls
over financial reporting could harm our operating results and prevent us from meeting our reporting obligations. Moreover, effective
internal controls, particularly those related to revenue recognition, are necessary for us to produce reliable financial reports. If
we cannot provide reliable financial reports, our business and operating results could be harmed, investors could lose confidence in
our reported financial information, and the trading price of our common stock could drop significantly. In addition, investors relying
upon this misinformation could make an uninformed investment decision, and we could be subject to sanctions or investigations by the
SEC or other regulatory authorities or to stockholder class action securities litigation.
We cannot assure you that measures being taken in order to remediate the material weakness described above will
fully remediate such material weakness. We also cannot assure you that we have identified all of our existing control deficiencies or
that we will not in the future have additional material weaknesses.
Item
1B. Unresolved Staff Comments.
Not
applicable.
Item
2. Properties.
We
currently lease an approximately 23,000 square feet all-purpose facility in Carlsbad, California, where we conduct all our operations.
Item
3. Legal Proceedings.
The
information set forth in “Litigation and Other Legal Proceedings” in Note 9 to the Consolidated Financial Statements included
in this Annual Report is incorporated herein by reference.
Item
4. Mine Safety Disclosures.
Not
applicable.