Item 7. Management’s Discussion and Analysis
Item 7. Management’s Discussion and Analysis
of Financial Condition and Results of Operations
Overview
Apimeds Pharmaceuticals US, Inc. (“APUS,”
the “Company,” “we,” “us,” or “our”) is a development-stage biopharmaceutical company
incorporated in the State of Delaware. Our primary focus is the clinical development of Apitox, a purified honeybee venom-based drug candidate
being evaluated for the treatment of acute pain and inflammation associated with knee osteoarthritis. We operate our biopharmaceutical
business through our wholly owned subsidiary, Lokahi Therapeutics Inc. (“Lokahi”).
Fiscal year 2025 was a transformative year for
the Company. In addition to advancing our biopharmaceutical pipeline and completing our initial public offering on the New York Stock
Exchange on May 12, 2025, we completed a merger with MindWave Innovations Inc. (“MindWave”) on December 1, 2025. As a result
of the Merger, the Company became a dual-segment operating company, adding a digital asset operations segment alongside our core biopharmaceutical
business. MindWave, now a wholly owned subsidiary, operates the MindWaveDAO blockchain ecosystem and holds digital assets consisting of
Bitcoin (“BTC”), Tether (“USDT”), and the MindWaveDAO native utility token (“NILA Tokens”). The Merger
fundamentally changed the scale and composition of our balance sheet, adding approximately $145.3 million in identifiable net assets,
primarily digital assets, and was effected through the issuance of 7,477,017 shares of Series A Convertible Preferred Stock.
We have not yet generated revenue from our biopharmaceutical
operations and MindWave operations and do not expect to do so until we have successfully advanced Apitox through clinical development
and commercialization. Our ability to continue as a going concern depends on our ability to raise additional capital and execute our operational
plans, as discussed further under “Liquidity and Capital Resources” below.
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Key Developments in Fiscal Year 2025
Initial Public Offering
On May 12, 2025, we completed our IPO on the New York
Stock Exchange, issuing 3,375,000 shares of common stock and generating net proceeds of approximately $11.6 million after deducting underwriting
discounts, commissions, and offering costs.
Business Combination with MindWave Innovations
Inc.
On December 1, 2025, we completed the Merger with
MindWave, which became a wholly owned subsidiary of the Company. The transaction was effected as a non-cash business combination, with
consideration consisting solely of 7,477,017 shares of Series A Convertible Preferred Stock with an aggregate fair value of approximately
$145.4 million, equivalent to the fair value of the net identifiable assets acquired. No goodwill was recorded. Through the Merger, we
acquired digital assets with an aggregate fair value of approximately $146.3 million at the acquisition date, consisting of BTC ($90.8
million), USDT ($4.7 million), and NILA Tokens ($50.8 million), as well as the operations of the MindWaveDAO blockchain.
PIPE Convertible Note Financing
In connection with the Merger, on December 1, 2025,
we entered into a Securities Purchase Agreement providing for the issuance of senior secured convertible notes in an aggregate maximum
principal amount of $129 million, to be drawn in tranches at our election. On December 8, 2025, we executed the first tranche, issuing
a senior secured convertible note with a principal amount of $10.9 million and gross proceeds of $10 million. Of the proceeds, $8 million
is currently held in a Deposit Account Control Agreement (“DACA”) account, and $1.1 million was disbursed to MindWave to fund
its operations.
Biopharmaceutical Development Activity
During 2025, we significantly increased development
activity related to Apitox, incurring research and development expenses of $1.6 million. We also entered into an agreement with Prevail
InfoWorks Inc., our Clinical Research Organization (“CRO”), establishing a prepaid balance of approximately $2 million to
be applied against future clinical trial execution.
Results of Operations
Year Ended December 31, 2025 Compared to Year Ended
December 31, 2024
(a) Revenue
We generated no revenue from biopharmaceutical operations
during the years ended December 31, 2025 or 2024. Proceeds from the sale of NILA Tokens are recognized as realized gains on digital assets
and are not classified as revenue under ASC 606.
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(b) Research and Development Expenses
Research and development expenses were $1.6 million
for the year ended December 31, 2025, compared to zero for the year ended December 31, 2024. The increase reflects the commencement of
meaningful development activity related to Apitox during 2025, including consulting fees, manufacturing costs, and CRO expenses incurred
in connection with our clinical development program.
(c) General and Administrative Expenses
General and administrative expenses increased to $10.2 million for
the year ended December 31, 2025, from $1.3 million for the year ended December 31, 2024, an increase of approximately $8.9 million. The
increase was driven by a significant expansion of corporate activity and headcount in connection with becoming a public company and completing
the Merger. Key drivers included increased consulting and professional fees, payroll and benefits, stock-based compensation of approximately
$2.0 million (consisting of option grants, common stock grants, and advisory warrants), merger and acquisition related fees, office rent
and supplies, and travel expenses.
(d) Total Operating Expenses
Total operating expenses were $11.9 million for the year ended December
31, 2025, compared to $1.3 million for the year ended December 31, 2024, reflecting the significant increase in both R&D and G&A
activity described above.
(e) Other Income (Expense)
Total other income was $5.9 million for the year
ended December 31, 2025, compared to other expense of approximately $0.1 million for the year ended December 31, 2024. The improvement
was driven mostly by the digital asset activities acquired through the MindWave Merger, which closed on December 1, 2025, and was reflected
in our consolidated results for the period December 1 through December 31, 2025 only. Key components of other income (expense) are as
follows:
● Unrealized gain on digital assets of $1.8 million, reflecting fair value increases in BTC and NILA
Token holdings between the acquisition date and December 31, 2025, partially offset by a decline in BTC value during the period.
● Realized gain on sale of digital assets of $4.2 million, reflecting gains recognized on the sale
of approximately 4.3 million NILA Tokens for aggregate proceeds of approximately $1.8 million in USDT during the period December 1 through
December 31, 2025. These proceeds are noncash, delivered in the form of USDT, described above. These proceeds are used to maintain liquidity
as well as satisfy operational expenses directly pertaining to blockchain and token management.
● Trading gains, net of approximately $97, representing the net of market-making income and expenses
associated with the maintenance and trading activity of the MindWaveDAO NILA token. These gains are non-cash in nature.
●
Change in fair value of derivative liability of $55,146, reflecting the remeasurement of the derivative liability bifurcated
from the PIPE convertible note at issuance on December 8, 2025 through December 31, 2025. The derivative arises from the variable conversion
terms of the note, which allow conversion at a 20% discount to the minimum volume-weighted average price over a five-day lookback period.
● Change in fair value of warrant liability of $22,377, reflecting the remeasurement of the advisory
warrant liability between issuance and reclassification to equity on August 5, 2025.
● Interest income of $0.1 million, earned primarily on IPO proceeds held in a money market account
at PNC Bank.
● Interest expense of $0.3 million, consisting primarily of accretion of the discount attributable
to the PIPE convertible note issued December 8, 2025, as well as accrued interest on the related party notes payable aggregating $500,100
in principal as of December 31, 2025.
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(f) Net Loss
Net loss was $6.0 million for the year ended December 31, 2025, compared
to a net loss of $1.4 million for the year ended December 31, 2024. The increase reflects the scale-up of operations in connection with
the IPO, Merger, and advancement of the Apitox development program, partially offset by digital asset gains recognized following the MindWave
acquisition.
Net loss per common share, basic and diluted, was $(0.55) for the year
ended December 31, 2025, based on weighted-average shares outstanding of 10,881,907. All potentially dilutive securities, including 149.5
million common share equivalents underlying the Series A Convertible Preferred Stock, 8.3 million shares underlying the PIPE convertible
note, 1.1 million warrant shares, and 0.5 million stock option shares, were excluded from the diluted calculation as their inclusion would
have been anti-dilutive.
Liquidity and Capital Resources
Overview
As of December 31, 2025, we had cash and cash equivalents of $1.6 million
and restricted cash of $8.0 million, for total cash, cash equivalents, and restricted cash of $9.6 million. We also held short-term investments
of $2.0 million, representing a certificate of deposit established by Lokahi to earn interest on funds not deployed in operations. Working
capital, excluding the fair value of digital assets (which are subject to price volatility and liquidity risk and therefore excluded from
management’s assessment of near-term operational liquidity), was approximately $3.2 million as of December 31, 2025.
The $8.0 million of restricted cash represents PIPE
convertible note proceeds currently held in a DACA account, pending release upon conversion of the Series A Convertible Preferred Stock
in accordance with the terms of the note agreement. These funds are not available for general operating purposes until released from the
DACA.
Cash Flows
(a) Operating Activities
Net cash used in operating activities was $8.9
million for the year ended December 31, 2025, compared to $0.7 million for the year ended December 31, 2024. The increase reflects the
significant expansion of operating activity in connection with the IPO, Merger, and clinical development programs. Non-cash charges included
in operating activities consisted primarily of stock-based compensation of $3.2 million (inclusive of option grants, common stock grants,
and advisory warrants), accretion of debt discount of $0.3 million, and non-cash digital asset operating expenses of $2.4 million, partially
offset by unrealized and realized gains on digital assets.
(b) Investing Activities
Net cash used in investing activities was $10.0
million for the year ended December 31, 2025, consisting primarily of the $8.0 million deposit into the DACA restricted cash account,
$2.0 million invested in short-term instruments, and $57,333 in purchases of property and equipment (consisting of computer equipment
and furniture), partially offset by $15,345 of cash acquired in the Merger.
(c) Financing Activities
Net cash provided by financing activities was
$20.6 million for the year ended December 31, 2025, consisting primarily of $11.6 million in net proceeds from the IPO, $10.0 million
in gross proceeds from the PIPE convertible note, and $250,100 in proceeds from related party promissory notes, partially offset by $946,000
in cash issuance costs and $1.1 million disbursed to MindWave from PIPE proceeds.
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Future Capital Requirements and Going Concern
Since inception, we have incurred recurring operating losses and negative
cash flows from operations, and we have not generated revenue from our biopharmaceutical operations. For the year ended December 31, 2025,
we reported a net loss of $6.0 million and used $8.9 million in cash in operating activities. As of December 31, 2025, our accumulated
deficit was $10.3 million. We expect to continue to incur significant operating losses as we advance the clinical development of Apitox
and build our operational infrastructure. Significant manufacturing costs related to Apitox development are expected to be incurred beginning
in the first quarter of 2026 and throughout the year. These conditions raise substantial doubt about our ability to continue as a going
concern.
Management’s primary plan to address near-term
liquidity needs is the continued execution of additional tranches under the Securities Purchase Agreement, which provides for the issuance
of up to $129.0 million in aggregate principal of senior secured convertible notes. As of December 31, 2025, only the first tranche of
$10.9 million in principal ($10.0 million gross proceeds) has been drawn, leaving substantial capacity available under the facility. Management
believes that the remaining available tranches under the Securities Purchase Agreement, combined with continued NILA Token sales for USDT
proceeds and potential additional equity or debt financing, represent the primary sources of capital to fund operations over the next
twelve months. However, there can be no assurance that future tranches will be drawn, that NILA Token sales will generate sufficient proceeds,
or that additional financing will be available on acceptable terms or at all. The consolidated financial statements do not include any
adjustments that might result from the outcome of this uncertainty.
Contractual Obligations and Commitments
Our material contractual obligations as of December
31, 2025 include: (i) future minimum lease payments under our San Diego, California office lease of $184,167 in aggregate through December
31, 2028, with $47,527 due in 2026; (ii) principal and accrued interest on related party notes payable aggregating $500,100 in principal,
maturing May 19, 2026; and (iii) the PIPE convertible note with a principal amount of $10.9 million maturing December 8, 2026. We have
also entered into a prepaid services agreement with our CRO, Prevail InfoWorks Inc., with a prepaid balance of approximately $2.0 million
as of December 31, 2025, to be applied against future clinical trial costs.
Segment Information
Following the completion of the MindWave Merger on
December 1, 2025, the Company operates in two segments: (i) the biopharmaceutical segment, which is focused on the clinical development
of Apitox through Lokahi, and (ii) the digital asset operations segment, which encompasses the holding, sale, and advancement of the MindWaveDAO
blockchain and related digital assets through MindWave.
Critical Accounting Estimates
The preparation of our consolidated financial statements
requires management to make estimates and assumptions that affect reported amounts. We consider the following estimates to be the most
critical to understanding our financial results and condition:
Fair Value of Digital Assets. We account for
digital assets, including BTC, USDT, and NILA Tokens, at fair value in accordance with ASU 2023-08. BTC and USDT are classified within
Level 1 of the fair value hierarchy based on quoted prices in active markets. NILA Tokens are classified within Level 2, as they trade
on a limited number of centralized exchanges with modest daily trading volume. Changes in the fair value of digital assets are recognized
in earnings each reporting period. Given the significant concentration of digital assets on our balance sheet of approximately $149.9
million as of December 31, 2025, changes in the fair value of these assets, particularly BTC and NILA Tokens, could have a material impact
on our reported results.
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Fair Value of Stock-Based Compensation. We
measure the fair value of stock options using the Black-Scholes option-pricing model, which requires significant estimates including expected
volatility, expected term, and risk-free interest rate. Changes in these assumptions could materially affect the amount of stock-based
compensation expense recognized.
Fair Value of Derivative Liability. The derivative
liability bifurcated from the PIPE convertible note is measured at fair value each reporting period. The variable conversion feature,
which allows the noteholder to convert at a 20% discount to the minimum VWAP over a five-day lookback period, is sensitive to changes
in our stock price and volatility. Changes in the fair value of the derivative are recognized in earnings and could be material in future
periods.
Going Concern Assessment. Management’s
assessment of the Company’s ability to continue as a going concern requires significant judgment regarding future capital raises,
the availability of remaining PIPE tranches, and the expected pace of operating expenditures. Changes in these assumptions could affect
the going concern conclusion and related disclosures.
Purchase Price Allocation. The allocation
of consideration in the MindWave Merger required management to estimate the fair values of acquired digital assets and assumed liabilities
at the acquisition date. The fair values of NILA Tokens, in particular, involved the use of Level 2 observable inputs and management judgment
regarding market activity and trading volumes.
Recently Issued Accounting Pronouncements
We adopted ASU 2023-08, Accounting for and Disclosure
of Crypto Assets , effective upon the acquisition of digital assets in connection with the MindWave Merger on December 1, 2025. Under
ASU 2023-08, in-scope crypto assets that meet the definition of an intangible asset and are fungible are measured at fair value with changes
recognized in earnings each period. The adoption of ASU 2023-08 did not have a cumulative effect on periods prior to adoption, as the
Company had no digital asset holdings prior to the Merger.
Recent Developments
On April 24, 2026, the Company, MindWave, and Lokahi
Therapeutics, Inc., a Nevada corporation (“ Lokahi ” and, together with the Company and MindWave, the “ Company
Parties ”), together with Erik Emerson, individually and in his capacity as Bio Business Representative under the Merger Agreement,
entered into a Confidential Settlement and Mutual Release Agreement (the “ Settlement Agreement ”) with Inscobee Inc.,
a South Korean corporation (“ Inscobee ”), and Apimeds Inc., a South Korean corporation and wholly owned subsidiary of
Inscobee (“ Apimeds Korea ” and, together with Inscobee, the “ Inscobee Parties ”). Concurrently with
the Settlement Agreement, the Company Parties and the Inscobee Parties also entered into a Side Letter Agreement (Merger Unwind Conditions)
(the “ Side Letter ”), which is incorporated into and forms part of the Settlement Agreement.
The Settlement Agreement resolves all outstanding
disputes among the parties arising from the Merger Agreement and related transactions.
Also on April 30, 2026,
the Company entered into a Forbearance Agreement (the “ Forbearance Agreement ”) with Alto Opportunity Master Fund, SPC
– Segregated Master Portfolio B (the “ Investor ”), which holds a senior convertible note in the aggregate original
principal amount of $11,000,000 (the “ Existing Note ”), issued pursuant to a Securities Purchase Agreement, dated
December 1, 2025 (the “ Securities Purchase Agreement ”).
Pursuant to the Forbearance Agreement, the Investor
has agreed to forbear from exercising any of its rights or remedies under the Existing Note with respect to certain existing events of
default (collectively, the “ Existing Defaults ”) during the period commencing on the date of the Forbearance Agreement
through and including June 30, 2026 (or such later date as the Investor may elect in its sole discretion) (the “ Forbearance Period ”).
The Settlement Agreement, the Side Letter, and the Forbearance Agreement
are described in the Company’s Current Report on Form 8-K filed with the SEC on May 3, 2026, and are incorporated herein by reference.
Item 7A. Quantitative and Qualitative Disclosures
about Market Risk
As a smaller reporting company, we are not required
to provide the information required by this Item.
Item 8. Financial Statements and Supplementary Data
This information appears following Item 15 of this
Report and is incorporated herein by reference.
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Item 9. Changes in and Disagreements With Accountants on Accounting
and Financial Disclosure
None.