Item 7. Management’s Discussion and Analysis
ITEM
7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
You
should read the following discussion and analysis together with our Consolidated Financial Statements and the notes thereto included
elsewhere in this Form 10-K. This discussion contains forward-looking statements that involve risks and uncertainties. For additional
discussion, see “CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS” above.
Overview
We
are a clinical-stage medical diagnostics company developing rapid tests using whole blood on our Symphony platform (“Symphony”)
to improve patient outcomes in critical care settings. Our Symphony technology platform is an exclusively licensed, patented system that
consists of a mobile device and single-use test cartridges that if cleared, authorized, or approved by the U.S. Food and Drug Administration
(“FDA”), could provide a solution to a significant market need in the United States. Clinical trials indicate Symphony produces
laboratory-quality results in less than 20 minutes in critical care settings, including Intensive Care Units (“ICUs”) and
Emergency Rooms (“ERs”), where rapid and reliable results are required.
Since
inception, we have incurred net losses from operations each year and we expect to continue to incur losses for the foreseeable future.
We incurred net losses of approximately $7.7 million and $10.0 million for the years ended December 31, 2024 and 2023, respectively.
We had negative cash flow from operating activities of approximately $7.5 million and $8.3 million for the years ended December 31, 2024
and 2023, respectively, and had an accumulated deficit of approximately $34.7 million and $26.95 million as of December 31, 2024 and
2023, respectively.
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Results
of Operations
Comparison
of Years Ended December 31, 2024 and 2023
The
following table sets forth our results of operations for the years ended December 31, 2024 and 2023:
For Years Ended
December 31,
2024
2023
Operating expenses:
Research and development
$ 3,471,671
$ 5,714,574
General and administrative
3,689,648
4,313,200
Sales and marketing
8,297
283,443
Total operating expenses
7,169,616
10,311,217
Operating loss
(7,169,616 )
(10,311,217 )
Other income (expense):
Interest expense
(823,028 )
-
Interest income
145,823
164,900
Other income, net
129,027
192,429
Total other income (expense)
(548,178 )
357,329
Net loss
$ (7,717,794 )
$ (9,953,888 )
Research
and development
Research
and development expenses decreased approximately $2.2 million, or 39%, for the year ended December 31, 2024, as compared to 2023. The
decrease in research and development expenses was primarily due to a $0.5 million decrease in personnel related costs, a $0.8 million
decrease in depreciation expense, and a $1.1 million decrease in product development costs, which was partially offset by a $0.5 million
increase in clinical development costs.
The
decrease in research and development expenses was primarily due to a reduction in technology transfer efforts which offset increased
clinical trial expenses. We expect future research and development expenses to be focused on costs specifically associated with our clinical
trial program supporting our regulatory strategy, technology transfer efforts and any necessary manufacturing improvements.
General
and administrative
General
and administrative expenses decreased approximately $0.6 million, or 14%, for the year ended December 31, 2024, as compared to 2023.
The decrease in general and administrative expenses is primarily due to the cost reduction efforts focused on reducing personnel and
other administrative costs.
We
expect to monitor and continue to reduce our general and administrative spend, as necessary, to optimize operational alignment.
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Sales
and marketing
Sales
and marketing expenses decreased approximately $0.3 million, or 97%, for year ended December 31, 2024, as compared to 2023. The low sales
and marketing expenses in 2024 are due to a reduction in spending in all sales and marketing efforts.
Other
income (expense)
Total
other income (expense) decreased approximately $0.9 million for the year ended December 31, 2024 as compared to 2023. The decreases primarily
related to the $0.8 million increase in interest expense associated with the Bridge Note Financing.
Summary
Statement of Cash Flows
The
following table sets forth the primary sources and uses of cash and cash equivalents for each of the periods presented.
Years Ended
December 31,
2024
2023
Cash proceeds provided by (used in):
Operating activities
$ (7,819,769 )
$ (8,313,870 )
Investing activities
(306,783 )
(704,166 )
Financing activities
10,219,981
1,111,562
Net increase (decrease) in cash and cash equivalents
$ 2,093,429
$ (7,906,474 )
Net
cash used in operating activities
During 2024, we used approximately $7.8 million
in cash for operating activities, a decrease of approximately $0.5 million from 2023. The decrease in net cash used in operating activities
was primarily due to a decrease in the net loss and partially offset by the timing of payments to vendors and other decreases in working
capital during 2024.
Net
cash used in investing activities
During
2024, we used approximately $0.3 million in cash for investing activities, an approximately $0.4 million decrease from 2023. The Company
acquired laboratory equipment and manufacturing equipment for the development of the Symphony devices in both 2024 and 2023.
Net
cash provided by financing activities
During 2024, we generated approximately $10.2
million in cash from financing activities, as compared to $1.1 million in 2023. The increase in net cash provided by financing activities
was primarily due to the proceeds from our public offerings in January 2024 and June 2024 as compared to our private placement of common
stock in August 2023.
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Contractual
Obligations
See
Note 9 to consolidated financial statements for our lease obligations and Note 10 to the consolidated financial statements for our other
non-cancellable contractual obligations.
Liquidity
and Going Concern
The Company had cash and cash equivalents of $4,301,945
and current liabilities of $810,368 on its balance sheet as of December 31, 2024. The Company has incurred net losses since its inception,
and has negative cash flows from operations and had an accumulated deficit of $34,668,784 as of December 31, 2024. The Company continues
to develop its Symphony device and its first test for the measurement of IL-6. The Company remains committed to obtaining FDA clearance
and hopes to conduct clinical trials to obtain sufficient data to support its FDA submission, while also continuing to build its manufacturing
operations with its contract manufacturing organizations. Current cash resources and expected operating expenses are considered in determining
its liquidity requirements. The Company estimates cash resources will be sufficient to fund its operations up to the third quarter of
2025. The Company will need additional capital to fund its planned operations for the next 12 months. These conditions raise substantial
doubt about the Company’s ability to continue as a going concern within one year from the date these financial statements are issued.
The consolidated financial statements for the
years ended December 31, 2024 and 2023 were prepared under the assumption that the Company will continue as a going concern, and do not
include any adjustments relating to the recoverability and classification of recorded asset amounts or the amounts and classification
of liabilities that might result from the outcome of this uncertainty.
The
Company expects that it will seek to raise such additional capital through public or private equity offerings, grant financing and support
from governmental agencies, convertible debt, collaborations, strategic alliances and distribution arrangements. Additional funds may
not be available when it needs them on terms that are acceptable to them, or at all. If adequate funds are not available, it may be required
to delay its FDA regulatory strategy, and to delay or reduce the scope of its research or development programs, its commercialization
efforts or its manufacturing commitments and capacity. In addition, if it raises additional funds through collaborations, strategic alliances
or distribution arrangements with third parties, it may have to relinquish valuable rights to its technologies or future revenue streams.
Recent
Offerings
August
2023 Offering
On
August 24, 2023, the Company entered into a securities purchase agreement with certain institutional and accredited investors (the “Purchase
Agreement”) relating to the registered direct offering and sale of 540 shares of the Company’s common stock at a purchase
price of $2,946.00 per share (the “Offering”).
In
a concurrent private placement, the Company also issued to such institutional and accredited investors unregistered warrants to purchase
up to 540 shares of Common Stock (the “Warrants”). Pursuant to the terms of the Purchase Agreement, for each share of Common
Stock issued in this offering an accompanying Warrant was issued to the purchaser thereof. Each Warrant is exercisable for one share
of Common Stock (the “Warrant Shares”) at an exercise price of $2,896.00 per share, will be immediately exercisable upon
issuance and will expire five years from the date of issuance. The Warrants were offered and sold at a purchase price of $50.00 per underlying
warrant share, which purchase price is included in the offering price per share of Common Stock issued in the Offering (the “Private
Placement”).
Pursuant
to an engagement letter, dated as of August 7, 2023, between the Company and H.C. Wainwright & Co., LLC, or the placement agent,
the Company paid the placement agent a total cash fee of $111,359 equal to 7.0% of the gross proceeds received in the Offering and the
Private Placement. The Company also agreed to pay the placement agent in connection with the Offering and the Private Placement a management
fee equal to $15,908 or 1.0% of the gross proceeds raised in the Offering and Private Placement, $45,000 for non-accountable expenses,
and $15,950 for clearing fees. In addition, the Company agreed to issue to the placement agent, or its designees, warrants to purchase
up to 36 shares of Common Stock (the “Placement Agent Warrants”), which represents 7.0% of the aggregate number of shares
of Common Stock sold in the Offering. The Placement Agent Warrants have substantially the same terms as the Warrants, except that the
Placement Agent Warrants have an exercise price equal to $3,684.00, or 125% of the offering price per share of Common Stock sold in the
Offering, and a term of five years from the commencement of the sales pursuant to the Offering.
The
gross proceeds to the Company from the Offering and the Private Placement are $1,590,840. The Company incurred offering costs of $413,544.
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January
2024 Offering
On
January 2, 2024, the Company sold in a public offering (such transaction, the “January 2024 Offering”) (i) 1,344 shares of
the Company’s common stock, par value $0.0001 per share and (ii) prefunded warrants to purchase up to an aggregate 5,386 shares
of Common Stock (the “January Prefunded Warrants”). The Shares and January Prefunded Warrants were sold together with warrants
to purchase up to an aggregate of 6,730 shares of Common Stock at an exercise price of $520.00 per share (the “January 2024 Warrants”).
The combined public offering price was $520.00 per share of Common Stock and related January 2024 Warrant and $519.96 per January Prefunded
Warrant and related January 2024 Warrant.
As
of December 31, 2024, all January Prefunded Warrants have been exercised in full. The January 2024 Warrants are exercisable for a period
of five years following the date of issuance.
Pursuant
to an engagement letter, dated as of August 7, 2023, as amended October 11, 2023, by and between the Company and the Placement Agent,
the Company paid the Placement Agent a total cash fee of $245,000 equal to 7.0% of the gross proceeds received in the January 2024 Offering.
The Company also paid the Placement Agent in connection with the January Offering a management fee of $35,000 equal to 1.0% of the gross
proceeds raised in the January 2024 Offering and certain expenses incurred in connection with the January Offering. In addition, the
Company issued to the Placement Agent, warrants to purchase up to an aggregate 471 shares of Common Stock (the “January 2024 Placement
Agent Warrants”), which represents 7.0% of the aggregate number of shares of Common Stock and Prefunded Warrants sold in the January
2024 Offering. The January 2024 Placement Agent Warrants have substantially the same terms as the January 2024 Warrants, except that
the January 2024 Placement Agent Warrants have an exercise price equal to $650.00, or 125% of the offering price per share of Common
Stock and related January 2024 Warrant sold in the January Offering and expire on the fifth anniversary from the date of the commencement
of sales in the January 2024 Offering.
The
gross proceeds to the Company from the January 2024 Offering were $3,500,000. The Company incurred offering costs of $711,031.
May
2024 Bridge Note Financing
On
May 31, 2024, the Company entered into a Note Purchase Agreement with an accredited investor (the “NPA”), and a Securities
Purchase Agreement with three accredited investors (the “SPA”). Under the terms of the NPA, the investor provided the Company
with a $1,000,000 cash subscription in exchange for the issuance of a senior secured note. As of December 31, 2024, a total of $1,176,470
was repaid to the NPA investors. The difference between such note and the subscription amount, initially recorded as a discount on the
notes, was the result of the discount factor included in the NPA of approximately 17.6%.
Under
the terms of the SPA, the three investors agreed to collectively provide the Company with a separate $1,000,000 cash subscription in
exchange for the issuance of senior secured notes ($333,333 each), and the collective issuance of 1,451 shares of the Company’s
common stock. The fair value of the common stock issued in connection with the SPA was $307,563. As of December 31, 2024, a total of
$1,111,110 was repaid to the SPA investors. The difference between such notes and the subscription amounts, initially recorded as a discount
on the notes, was the result of the discount factor included in the SPA of 11.11%.
Interest
expense recorded on the NPA and SPAs was $807,797 for the year ended December 31, 2024, including debt issuance costs related to the
NPA and SPA totaling $212,654.
June
2024 Offering
On
June 28, 2024, the Company sold in a public offering ( the “June 2024 Offering”), (i) 11,541 common units (the “Common
Units”), each consisting of one share of common stock, two Class C Warrants and one Class D Warrant and (ii) 95,815 prefunded warrants
(the “Prefunded Units”), each consisting of one prefunded warrant to purchase one share of common stock (each, a “Prefunded
Warrant”), two Class C Warrants and one Class D Warrant to purchase Common Shares. Aegis Capital Corp. (“Aegis” or,
the “Underwriter”) partially exercised its over-allotment option in respect to 13,573 Class C Warrants and 6,787 Class D
Warrants (the “Over-Allotment Warrants”). The Common Units were sold at a price of $81.50 per unit and the Prefunded Warrants
were sold at a price of $81.495 per unit. As of December 31, 2024, all Prefunded Warrants have been exercised in full.
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Pursuant
to an engagement letter dated June 6, 2024, by and between the Company and Aegis, the Company paid Aegis a total cash fee of $743,750
equal to 8.5% of the gross proceeds received in the June 2024 Offering.
The
gross proceeds to the Company from the June 2024 Offering were $8,569,075. The Company incurred offering costs of $1,133,419.
Critical
Accounting Policies and Estimates
Some
of our critical accounting policies require us to make difficult, subjective or complex judgments or estimates. An accounting estimate
is considered to be critical if it meets both of the following criteria: (i) the estimate requires assumptions about matters that
are highly uncertain at the time the accounting estimate is made, and (ii) different estimates reasonably could have been used,
or changes in the estimate that are reasonably likely to occur from period to period may have a material impact on the presentation of
our financial condition, changes in financial condition or results of operations.
As
an emerging growth company, we have elected to opt-in to the extended transition period for new or revised accounting standards.
As a result, our consolidated financial statements may not be comparable to those of companies that comply with public company effective
dates.
See Note 2 to consolidated financial statements for a summary of significant
accounting policies.
Recently
Adopted Accounting Standards
See
Note 2 to consolidated financial statements (under the caption “Recently Issued Accounting Standards”).
Recently
Issued Accounting Standards
See
Note 2 to consolidated financial statements (under the caption “Recently Issued Accounting Standards”).
ITEM
7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
Information
requested by this Item is not applicable as we are electing scaled disclosure requirements available to Smaller Reporting Companies with
respect to this Item.
ITEM
8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
Our
Consolidated Financial Statements and The Report of Independent Registered Public Accounting Firm are included in this Form 10-K
on pages F-1 through F-19.
ITEM
9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE
None.
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