Item 2. Management’s Discussion and Analysis
Item
2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.
Forward-Looking Statements
You should read the
following discussion and analysis of our financial condition and results of operations together with “Cautionary Note Regarding
Forward-Looking Statements” and our condensed consolidated financial statements and related notes included under Item 1 of this
Quarterly Report as well as our most recent Annual Report on Form 10-K for the year ended December 31, 2023, as amended, including Part
1, Item 1A “Risk Factors.”
Overview
We
are a biopharmaceutical company focused on discovering and developing highly targeted anti-cancer drug candidates. Through the use of
its Drug Response Predictor (DRP ® ) platform, we identify the value in drug assets that have otherwise been discontinued
by identifying patient populations where these drugs are active. Our lead drug candidate is:, the poly-ADP-ribose polymerase (PARP)
inhibitor stenoparib, or Stenoparib.
Recent
Developments
NASDAQ
Delisting Notifications
26
On February 1, 2024, the
Company attended a de-listing appeal hearing with Nasdaq, and on March 12, 2024, the Company received a response from Nasdaq granting
the Company’s request to continue its listing on Nasdaq subject to the requirement that on or before April 24, 2024, the Company
shall demonstrate compliance with the Bid Price and on Equity Rules. On April 27, 2024, we received a confirmation from Nasdaq that the
Company has regained compliance with the minimum bid price requirement in Listing Rule 5550(a)(2) (the “Bid Price Rule”),
as required by the Hearing Panel’s (“Panel”) decision of March 12, 2024. As a result of the capital raise under the
ATM Offering, the Company has communicated to Nasdaq its belief that it has achieved compliance with the Equity Rules, subject to a confirmation
from Nasdaq.
Amendments
to the Certificate of Designation of Series A Preferred Stock
On January 14, 2024, pursuant
to the terms of the First Note, the Company modified the conversion price of the 3i Exchange Warrants from $20.00 to $8.95, thereby increasing
the number of Exchange Warrants outstanding from 220,361 at December 31, 2023 to 492,317 outstanding at January 14, 2024. Also on January 14,
2024, the conversion price of the outstanding 1,417 shares of Series A Preferred Stock was revised from $20.00 to $8.95. The Company filed
the Fifth Certificate of Amendment to Amended and Restated COD (the “Fifth Amendment”) with the Secretary of State of the
State of Delaware to reflect the new conversion price of the Series A Preferred Stock of $8.95. As of January 14, 2024, the Company used
the Black-Scholes option pricing model to determine the fair value of the 1,417 Series A Preferred Stock outstanding at $1,970 versus
their carrying value of $1,742. Accordingly, the Company has recorded a deemed dividend of $228 as at January 14, 2024. At a stated value
of $1,080 for each share of Series A Preferred Stock, the revised price of $8.95 per share results in the 1,417 shares being convertible
into 170,952 shares of Common Stock as of January 14, 2024.
On February 13, 2024, pursuant
to the terms of the Second Note, the Company modified the conversion price of the 3i Exchange Warrants from $8.95 to $8.10 and thereby
increased the number of Exchange Warrants outstanding from 492,317 on January 18, 2024, to 544,101 on February 13, 2024. The Company filed
the Sixth Certificate of Amendment to Amended and Restated COD (the “Sixth Amendment”) with the Secretary of State of the
State of Delaware to reflect the new conversion price of the Series A Preferred Stock of $8.10. As of February 14, 2024, the Company used
the Black-Scholes option pricing model to determine the fair value of the then 1,296 Series A Preferred Stock outstanding and concluded
there was a gain on extinguishment of $122. At a stated value of $1,080 for each share of Series A Preferred Stock, the revised price
of $8.10 per share results in the 1,296 shares being convertible into 493,573 shares of Common Stock.
On March 14, 2024, pursuant
to the terms of the Third Note, the Company modified the conversion price of the 3i Exchange Warrants from $8.10 to $7.00 and thereby
increased the number of Exchange Warrants outstanding from 544,101 on February 13, 2024, to 829,423 on March 14, 2024. The Company filed
the Seventh Certificate of Amendment to Amended and Restated COD (the “Seventh Amendment”) with the Secretary of State of
the State of Delaware to reflect the new conversion price of the Series A Preferred Stock of $7.00. As of March 14, 2024, the Company
used the Black-Scholes option pricing model to determine the fair value of the then 1,296 Series A Preferred Stock outstanding and concluded
there was a gain on extinguishment of $69. At a stated value of $1,080 for each share of Series A Preferred Stock, the revised price of
$7.00 per share results in the 1,215 shares being convertible into 535,286 shares of Common Stock.
During
the period April 1, 2024, through the date of this Quarterly Report, the Company has further amended the conversion prices of the Series
A Convertible Preferred Stock, the Exchange Warrants and the 2024 Notes to equal the current last sale price of shares of its common
stock of $1.15 as of May 1, 2024.
Special
Meeting of Stockholders; Share Consolidation
On April 1, 2024, we held
a Special Meeting of Stockholders (the “Special Meeting”) for our stockholders of record of our outstanding shares of Common
Stock and Series A Preferred Stock. At the Special Meeting, the stockholders of Common Stock and Series A Preferred Stock approved an
amendment to our Certificate of Incorporation, to, at the discretion of the Company’s board and after the Company’s stockholders’
approval, effected the Reverse Stock Split. In addition, the Company filed a Fifth Certificate of Amendment of the COD in Delware.
27
We effected a 1-for-20 share
consolidation of our Common Stock on April 9, 2024 (“Share Consolidation”). No fractional shares were issued in connection
with the Share Consolidation. If, as a result of the Share Consolidation, a stockholder would otherwise have been entitled to a fractional
share, each fractional share was rounded up to the next whole number. The Share Consolidation resulted in a reduction of our outstanding
shares of Common Stock on March 31, 2024 from 6,854,604 to 342,774. The par value of our authorized stock remained unchanged at $0.0001.
3i Transactions
During the period April 1, 2024, through May 6,
2024, 3i:
i. converted 1,215 Series
A Preferred Stock for 452,131 shares of Common Stock at prices of between $1.15 and $7.00 per share (as of the date of the Financial Statements,
all Series A Preferred Stock have been converted and there are no outstanding shares of Series A Preferred Stock);
ii. converted 200,000 Exchange
Warrants on a cashless basis for 84,712 shares of Common Stock at $2.30 per share on April 12 2024 and 3,432,366 Exchange Warrants at
$1.15 per share for 2,274,938 shares of Common Stock on May 2, 2024 (as of the date of the Financial Statements, there are no outstanding
Exchange Warrants); and
iii. completely
redeemed all of the 3i 2024 Notes and interest for cash in the amount of $1,746, inclusive of principal of $1,540 and interest of $123,200.
Risks
and Uncertainties
The
Company is subject to risks common to companies in the biotechnology industry, including but not limited to, risks of failure of preclinical
studies and clinical trials, the need to obtain marketing approval for any drug product candidate that it may identify and develop, the
need to successfully commercialize and gain market acceptance of its product candidates, dependence on key personnel and collaboration
partners, protection of proprietary technology, compliance with government regulations, development by competitors of technological innovations,
and the ability to secure additional capital to fund operations. Product candidates currently under development will require significant
additional research and development efforts, including preclinical and clinical testing and regulatory approval prior to commercialization.
Even if the Company’s research and development efforts are successful, it is uncertain when, if ever, the Company will realize
significant revenue from product sales.
Financial
Operations Overview
Since
our inception in September of 2004, we have focused substantially all our resources on conducting research and development activities,
including drug discovery and preclinical studies, establishing, and maintaining our intellectual property portfolio, the manufacturing
of clinical and research material, hiring personnel, raising capital and providing general and administrative support for these operations.
In recent years, we have recorded very limited revenue from collaboration activities, or any other sources. We have funded our operations
to date primarily from convertible notes and the issuance and sale of our ordinary shares.
We
have incurred net losses in each year since inception. Our net losses were $3.8 million and $3.4 million for the three months ended March
31, 2024 and 2023, respectively. As of March 31, 2024, we had an accumulated deficit of $98.3 million and cash of $312 thousand. Substantially
all our net losses have resulted from costs incurred in connection with our research and development programs and from general and administrative
costs associated with our operations. We expect to continue to incur significant expenses and increasing operating losses over at least
the next several years. We expect our expenses will increase substantially in connection with our ongoing activities, as we:
●
advance
drug candidates through clinical trials;
●
pursue
regulatory approval of drug candidates;
28
●
operate
as a public company;
●
continue
our preclinical programs and clinical development efforts;
●
continue
research activities for the discovery of new drug candidates; and
●
manufacture
supplies for our preclinical studies and clinical trials.
Components
of Operating Expenses
Research
and Development Expenses
Research
and development expenses include:
●
expenses
incurred under agreements with third-party contract organizations, and consultants;
●
costs
related to production of drug substance, including fees paid to contract manufacturers;
●
laboratory
and vendor expenses related to the execution of preclinical trials; and
●
employee-related
expenses, which include salaries, benefits, and stock-based compensation.
We expense all research and
development costs in the periods in which they are incurred. Costs for certain development activities are recognized based on an evaluation
of the progress to completion of specific tasks and estimates of services performed using information and data provided to us by our
vendors and third-party service providers. Non-refundable advance payments for goods or services to be received in future periods for
use in research and development activities are deferred and accounted for as prepaid expenses. The prepayments are then expensed as the
related goods are delivered and as services are performed. To date, most of these expenses have been incurred to advance our lead drug
candidate Stenoparib.
We expect our research and
development expenses on Stenoparib to increase substantially for the foreseeable future as we continue to invest to accelerate Stenoparib
in clinical trials designed to attain regulatory approval. Costs related to dovitinib and IXEMPRA will decrease precipitously as these
have been deprioritized/ terminated. We expect additional costs in research and development activities as we continue to conduct clinical
trials. The process of conducting the necessary clinical research to obtain regulatory approval is costly and time-consuming, and the
successful development of our drug candidates is highly uncertain. As a result, we are unable to determine the duration and completion
costs of our research and development projects or when and to what extent we will generate revenue from the commercialization and sale
of any of our drug candidates.
General
and Administrative Expenses
General and administrative
expenses consist primarily of personnel-related costs, facilities costs, depreciation and amortization expenses and professional services
expenses, including legal, human resources, audit, and accounting services. Personnel-related costs consist of salaries, benefits, and
stock-based compensation. Facilities costs consist of rent and maintenance of facilities. We expect our general and administrative expenses
to increase for the foreseeable future due to anticipated increases in headcount to advance our drug candidates and as a result of operating
as a public company, including expenses related to compliance with the rules and regulations of the SEC, Nasdaq, additional insurance
expenses, investor relations activities and other administrative and professional services.
29
Results
of Operations for the Three Months Ended March 31, 2024, and 2023 (unaudited) (in thousands, except where otherwise noted)
The
following table summarizes our results of operations for the three months ended March 31, 2024 and 2023:
For the Three Months Ended
March 31,
Increase/
2024
2023
(Decrease)
(In thousands)
Operating expenses:
Research and development
$ 2,170
$ 1,427
$ 743
General and administrative
2,070
2,241
(171 )
Total operating expenses
4,240
3,668
572
Loss from operations:
(4,240 )
(3,668 )
(572 )
Other income
393
316
77
Net loss
$ (3,847 )
$ (3,352 )
$ (491 )
Research
and Development Expenses
For
the three months ended March 31, 2024, compared to March 31, 2023
The
increase of $743 thousand in research and development expenses was primarily because manufacturing and supplies expenses increased by
$524 thousand, research study expenses increased by $113 thousand, contractors and consultants expenses increased by $51 thousand, stock
based compensation expense increased by $28 thousand, and other research expense increased by $2 thousand; offset by increased tax credits
of $56 thousand, decreased staffing expenses of $71 thousand, and decreased amortization of $8 thousand. Manufacturing and supplies expenses
have increased because of increased drug manufacturing. Staffing and contractor costs have decreased as a result of cost-cutting measures.
General
and Administrative Expenses
General
and administrative expenses decreased by $171 thousand for the three months ended March 31, 2024, compared to March 31, 2023. The
decrease was primarily due to a decrease in insurance expense of $307 thousand, audit and legal expenses of $54 thousand, financial consultants’
expense of $39 thousand, communications expenses of $27 thousand, listings expenses of $16 thousand, finance expenses of $6 thousand,
and other expenses of $9 thousand; offset by increased staffing expenses of $115 thousand, and Delaware franchise tax of $162 thousand.
Staffing costs have increased as a result of severance accruals.
Other
Income (Expenses), Net
For
the three months ended March 31, 2024, compared to March 31, 2023
Other income (expense) of $393 thousand recognized in the three months
ended March 31, 2024, consisted primarily of a $419 thousand fair value adjustment to derivative and warrant liabilities and foreign
exchange gains of $76 thousand, offset by ($102) in interest expenses.
Other
income (expense) of $316 thousand recognized in the three months ended March 31, 2023, consisted primarily of a $309 thousand fair value
adjustment to derivative and warrant liabilities, foreign exchange gains of $95, and interest income of $4, offset by ($92) in interest
expenses.
Changes
in fair value of our derivative liabilities and convertible debt are measured using Level 3 inputs as described in our condensed consolidated
financial statements.
30
Liquidity,
Capital Resources and Plan of Operations
Since
our inception through March 31, 2024, our operations have been financed primarily by the sale of convertible promissory notes and the
sale and issuance of our securities. As of March 31, 2024, we had $312 in cash, and an accumulated deficit of $98.3 million. We had a
working capital deficit of $15.7 million.
Our primary use of cash is
to fund operating expenses, which consist of research and development as well as regulatory expenses related to our lead drug candidate
and clinical programs for Stenoparib, and to a lesser extent, general and administrative expenses. Cash used to fund operating expenses
is impacted by the timing of when we pay these expenses, as reflected in the change in our outstanding accounts payable and accrued expenses.
As of March 31, 2024, the
Company’s cash deposits of $312 were determined to be insufficient to fund its current operating plan and planned capital expenditures
for the next month. On March 21, 2024, the Company commenced an at the market offering of its common shares and as of March 31,
2024, had sold 6,792 common shares for net proceeds of $40. Subsequent to March 31, 2024, an additional 8,259,150 shares of our common
stock were sold at the market for net proceeds of $15,572. In light of the Company’s cash position as of the date of this Quarterly
Report, the Company does not have sufficient funds for its current operations and planned capital expenditures. As discussed above the
Company intends to seek capital through sale of its securities or other sources. There are no assurances, however, that the Company will
be successful in raising additional working capital, or if it is able to raise additional working capital, it may be unable to do so
on commercially favorable terms. The Company’s failure to raise capital or enter into other such arrangements if and when needed
would have a negative impact on its business, results of operations and financial condition and its ability to develop its product candidates.
Management’s
plans to mitigate the conditions or events that raise substantial doubt include additional funding through public equity, private equity,
debt financing, collaboration partnerships, or other sources. We currently plan on completing an additional public offering in the near
future, however there are no assurances that the Company will be successful in raising additional working capital, or if it is able to
raise additional working capital, it may be unable to do so on commercially favorable terms. The Company’s failure to raise capital
or enter into other such arrangements when needed would have a negative impact on its business, results of operations and financial condition
and its ability to continue its plan of operations.
We
expect to incur substantial expenses in the foreseeable future for the development and potential commercialization of our drug candidates
and ongoing internal research and development programs. At this time, we cannot reasonably estimate the nature, timing, or aggregate
amount of costs for our development, potential commercialization, and internal research and development programs. However, to complete
our current and future preclinical studies and clinical trials, and to complete the process of obtaining regulatory approval for our
drug candidates, as well as to build the sales, marketing, and distribution infrastructure that we believe will be necessary to commercialize
our drug candidates, if approved, we may require substantial additional funding in the future.
Contractual
Obligations and Commitments
We
enter into agreements in the normal course of business with vendors for preclinical studies, clinical trials, and other service providers
for operating purposes. We have not included these payments in the table of contractual obligations above since these contracts are generally
cancellable at any time by us following a certain period after notice and therefore, we believe that our non-cancellable obligations
under these agreements are not material.
31
Cash
Flows
The
following table summarizes our cash flows for the periods indicated:
For the three months ended
March 31,
2024
2023
(In thousands)
Net cash flows used in operating activities
$ (1,487 )
$ (3,201 )
Net cash flows provided by financing activities
1,380
1,158
Effect of foreign exchange rates on cash
253
309
Net increase (decrease) in cash
$ 146
$ (1,734 )
Operating
Activities
For
the three months ended March 31, 2024, net cash used in operating activities was approximately $1.5 million compared to approximately
$3.2 million for the three months ended March 31, 2023. The $1.7 million decrease in net cash used in operating activities was primarily
the result of an increase in cash provided non-cash operating assets of $2.3 million, offset by an increased loss of $500 thousand and
higher non-cash operating expenses of $100 thousand.
Investing
Activities
In the three months ended
March 31, 2024, and 2023, there were no cash flows from investing activities.
Financing Activities
For
the three months ended March 31, 2024, net cash provided by financing activities was approximately $1.4 million compared to $1.2 million
for the three months ended March 31, 2023. The increase in net cash provided by investing activities was primarily due to proceeds from
the sale of the 2024 Notes to 3i during the three months ended March 31, 2024.
Operating
Capital and Capital Expenditure Requirements
We believe that our existing cash and cash equivalents and our anticipated
expenditures and commitments for the next twelve months, will not enable us to fund our operating expenses and capital expenditure requirements
for at least twelve months from the date of this Quarterly Report. Our estimate as to how long we expect our cash to be able to continue
to fund our operations is based on assumptions that may prove to be wrong, and we could use our available capital resources sooner than
we currently expect. Further, changing circumstances, some of which may be beyond our control, could cause us to consume capital significantly
faster than we currently anticipate, and we may need to seek additional funds sooner than planned.
Off-Balance
Sheet Arrangements
The
Company does not have any off-balance sheet arrangements.
32
Critical
Accounting Policies and Significant Judgments and Estimates
Our
management’s discussion and analysis of financial condition and results of operations is based upon our unaudited condensed interim
consolidated financial statements for the three months ended March 31, 2024 and 2023, and our audited consolidated financial statements
for the years ended December 31, 2023 and 2022, which have been prepared in accordance with U.S. GAAP. The preparation of these financial
statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, and expenses. On an on-going
basis, we evaluate our critical accounting policies and estimates. We base our estimates on historical experience and on various other
assumptions that we believe to be reasonable in the circumstances, the results of which form the basis for making judgments about the
carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates
under different assumptions and conditions.
Our
significant accounting policies are described in the notes to our consolidated financial statements for the years ended December 31,
2023 and 2022, included in the Form 10-K, and there have been no significant changes to our significant accounting policies during the
three months ended March 31, 2024. These unaudited condensed interim consolidated financial statements should be read in conjunction
with the Company’s audited financial statements and accompanying notes.
Recently Issued Accounting Pronouncements
See the sections titled “ Recently
adopted accounting pronouncements” in Note 2 (cc) and “Recently issued accounting pronouncements not yet adopted ”
in Note 2 (x) to the Company’s consolidated financial statements for the years ended December 31, 2023 and 2022, respectively,
appearing in the Form 10-K; and in Note 2 (h) to the Company’s unaudited condensed interim consolidated financial statements
for the three months ended March 31, 2024 and 2023.
Item 3. Quantitative
and Qualitative Disclosures About Market Risk.
We are a smaller reporting
company as defined by Rule 12b-2 of the Exchange Act and are not required to provide the information under this item.
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