Item 2. Management’s Discussion and Analysis
ITEM
2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
Note
Regarding Forward-Looking Statements
This
Quarterly Report on Form 10-Q includes a number of forward-looking statements that reflect management’s current views with respect
to future events and financial performance. Forward-looking
statements are projections in respect of future events or our future financial performance. In some cases, you can identify forward-looking
statements by terminology such as “may,” “should,” “expects,” “plans,” “anticipates,”
“believes,” “estimates,” “predicts,” “potential” or “continue” or the negative
of these terms or other comparable terminology. These statements include statements regarding the
intent, belief or current expectations of us and members of our management team, as well as the assumptions on which such statements
are based. Prospective investors are cautioned that any such forward-looking statements are not guarantees of future performance and
involve risk and uncertainties, and that actual results may differ materially from those contemplated by such forward-looking statements.
These statements are only predictions and involve known and unknown risks, uncertainties and other factors, including the risks
set forth in the section entitled “Risk Factors” in our Annual Report on Form 10-K for the fiscal year ended December 31,
2020, as filed with the U.S. Securities and Exchange Commission (the “SEC”) on April 30, 2021, any of which may cause our
company’s or our industry’s actual results, levels of activity, performance or achievements to be materially different from
any future results, levels of activity, performance or achievements expressed or implied in our forward-looking statements. These risks
and factors include, by way of example and without limitation:
●
our
ability to obtain financing needed to commence and complete our clinical trials;
●
our
ability to successfully develop and commercialize BRTX-100, our lead product candidate for the treatment of chronic lumbar disc disease;
●
our
ability to retain exclusive rights with regard to our licensed technology;
●
our
ability to protect our proprietary rights;
●
our
ability to achieve and sustain profitability of the existing lines of business;
●
our
ability to attract and retain world-class research and development talent;
●
our
ability to attract and retain key science, technology and management personnel and to expand our management team;
●
the
accuracy of estimates regarding expenses, future revenue, capital requirements, profitability, and needs for additional financing;
●
business
interruptions resulting from geo-political actions, including war and terrorism or disease outbreaks (such as the recent outbreak
of COVID-19);
●
our
ability to attract and retain customers; and
●
our
ability to navigate through the increasingly complex therapeutic regulatory environment.
Although
we believe that the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee future results, levels
of activity or performance. Except as required by applicable law, including the securities laws of the United States, we do not intend
to update any of the forward-looking statements to conform these statements to actual results.
Readers
are urged to carefully review and consider the various disclosures made by us in this report and in our other reports filed with the
SEC. We undertake no obligation to update or revise forward-looking statements to reflect changed assumptions, the occurrence of unanticipated
events or changes in the future operating results over time, except as required by law. We believe that our assumptions are based upon
reasonable data derived from and known about our business and operations. No assurances are made that actual results of operations or
the results of our future activities will not differ materially from our assumptions.
As
used in this Quarterly Report on Form 10-Q and unless otherwise indicated, the terms “Company,” “we,” “us”
and “our” refer to BioRestorative Therapies, Inc., a Delaware corporation (“BRT”), and its wholly-owned subsidiary,
Stem Pearls, LLC, a New York limited liability company (“Stem Pearls”). Unless otherwise specified, all dollar amounts are
expressed in United States dollars.
27
Intellectual
Property
This
report includes references to our federally registered trademarks, BioRestorative Therapies and Dragonfly design , BRTX-100,
ThermoStem and Stem Pearls . We also own an allowed trademark application for BRTX . The Dragonfly Logo is also registered with
the U.S. Copyright Office. This report also includes references to trademarks, trade names and service marks that are the property of
other organizations. Solely for convenience, trademarks and trade names referred to in this report appear without the ®, SM
or ™ symbols, and copyrighted content appears without the use of the symbol ©, but the absence of use of these symbols
does not reflect upon the validity or enforceability of the intellectual property owned by us or third parties.
Corporate
History
BioRestorative
Therapies, Inc. has one wholly-owned subsidiary, Stem Pearls. BioRestorative Therapies, Inc. and its subsidiary are referred to collectively
as “BRT” or the “Company”.
On
March 20, 2020 (the “Petition Date”), the Company filed a voluntary petition commencing a case (the “Chapter 11 Case”)
under Chapter 11 of title 11 of the U.S. Code in the United States Bankruptcy Court for the Eastern District of New York (the “Bankruptcy
Court”).
On
August 7, 2020, the Company and Auctus Fund, LLC (“Auctus”), the Company’s largest unsecured creditor and a stockholder
as of the Petition Date, filed an Amended Joint Plan of Reorganization (the “Plan”) and on October 30, 2020, the Bankruptcy
Court entered an order (the “Confirmation Order”) confirming the Plan as amended. Amendments to the Plan are reflected in
the Confirmation Order. On November 16, 2020 (the “Effective Date”), the Plan became effective. See Note 5 – Notes
Payable in Part I, Item I of this report for additional information.
Business
Overview
We develop therapeutic products
and medical therapies using cell and tissue protocols, primarily involving adult (non-embryonic) stem cells. We are currently pursuing
our Disc/Spine Program with our initial investigational therapeutic product being called BRTX-100 . We submitted an IND
application to the FDA to obtain authorization to commence a Phase 2 clinical trial investigating the use of BRTX-100 , our lead
cell therapy candidate, in the treatment of chronic lower back pain arising from degenerative disc disease. We have received such authorization
from the FDA. We intend to commence such clinical trial during 2022 (assuming the receipt of necessary funding). We have obtained a license
to use technology for investigational adult stem cell treatment of disc and spine conditions, including protruding and bulging lumbar
discs. The technology is an advanced stem cell injection procedure that may offer relief from lower back pain, buttock and leg pain,
and numbness and tingling in the leg and foot. We are also developing our ThermoStem Program . This pre-clinical program involves
the use of brown adipose (fat) in connection with the cell-based treatment of type 2 diabetes and obesity as well as hypertension, other
metabolic disorders and cardiac deficiencies. United States patents related to the ThermoStem Program were issued in September
2015, January 2019, March 2020, March 2021 and July 2021; Australian patents related to the ThermoStem Program were issued in
April 2017, June and October 2019, and August 2021; Japanese patents related to the ThermoStem Program were issued
in December 2017 and June 2021; Israeli patents related to the ThermoStem Program were issued in October 2019 and May 2020;
and European patents related to the ThermoStem Program were issued in April 2020 and January 2021.
We
have licensed a patented curved needle device that is a needle system designed to deliver cells and/or other therapeutic products or
materials to the spine and discs or other potential sites. We anticipate that FDA approval or clearance will be necessary for this device
prior to commercialization. We do not intend to utilize this device in connection with our contemplated Phase 2 clinical trial with regard
to BRTX-100 .
On October 27, 2021, we effected
a 1-for-4,000 reverse stock split. We have retroactively applied the reverse stock split made effective on October 27, 2021 to share
and per share amounts on the unaudited condensed consolidated financial statements for the three and nine months ended September 30,
2021 and the year ended December 31, 2020. Our authorized shares of common stock and preferred stock were not affected as a result of
the reverse stock split.
Revenue
We derived all of our revenue
pursuant to a license agreement with the SCTC entered into in January 2012, as amended in November 2015. Pursuant to the license agreement,
the SCTC granted to us a license to use certain intellectual property related to, among other things, stem cell disc procedures and we
have granted to the SCTC a sublicense to use, and the right to sublicense to third parties the right to use, in certain locations in
the United States and the Cayman Islands, certain of the licensed intellectual property. In consideration of the sublicenses, the SCTC
has agreed to pay us royalties on a per disc procedure basis.
28
Results
of Operations
Comparison
of the Three Months Ended September 30, 2021 to the Three Months Ended September 30, 2020
Our
financial results for the three months ended September 30, 2021 are summarized as follows in comparison to the three months ended September
30, 2020:
For The Three Months Ended
September 30,
2021
2020
Revenues
$ 8,000
$ 15,000
Operating Expenses:
Marketing and promotion
300
150
Consulting
-
33,594
Research and development
237,410
251,036
General and administrative
3,458,977
340,485
Total Operating Expenses
3,696,687
625,265
Loss From Operations
(3,688,687 )
(610,265 )
Other Expense:
Interest expense
(495,545 )
(42,611 )
Reorganization items, net
-
(183,387 )
Total Other Expense
(495,545 )
(225,998 )
Net Loss
$ (4,184,232 )
$ (836,263 )
Revenues
For
the three months ended September 30, 2021 and 2020, we generated $8,000 and $15,000, respectively, of royalty revenue in connection with
our sublicense agreement.
Marketing
and Promotion
Marketing
and promotion expenses include advertising and promotion, marketing and seminars, meals, entertainment and travel expenses. For the three
months ended September 30, 2021 and 2020, marketing and promotion expenses remained consistent.
We
expect that marketing and promotion expenses will increase in the future as we increase our marketing activities following full commercialization
of our products and services.
Consulting
Consulting expenses consist
of consulting fees and stock-based compensation to consultants. For the three months ended September 30, 2021, consulting expenses decreased
by $33,594, or 100%, from $33,594 to $0, as compared to the three months ended September 30, 2020. The decrease is primarily due to our
reduced usage of consultants as we continue to emerge from our Chapter 11 reorganization.
Research
and Development
Research
and development expenses include cash and non-cash compensation of (a) our Vice President of Research and Development; (b) our Scientific
Advisory Board members; and (c) laboratory staff and costs related to our brown fat and disc/spine initiatives. Research and development
expenses are expensed as they are incurred. For the three months ended September 30, 2021, research and development expenses decreased
by $13,626, or 5%, from $251,036 to $237,410, as compared to the three months ended September 30, 2020. The decrease is primarily due
to a small decrease in stock compensation expense attributable to research and development.
29
We
expect that our research and development expenses will increase with the recommencement of our research and development initiatives during
the quarter ended December 31, 2021 and subsequent fiscal periods.
General
and Administrative
General
and administrative expenses consist primarily of salaries, bonuses, payroll taxes, severance costs and stock-based compensation to employees
(excluding any cash or non-cash compensation of our Vice President of Research and Development and our laboratory staff), as well as
corporate expenses such as legal and professional fees, investor relations and occupancy-related expenses. For the three months ended
September 30, 2021, general and administrative expenses increased by $3,118,492, or 916%, from $340,485 to $3,458,977,
as compared to the three months ended September 30, 2020. The increase is primarily due to an increase of approximately $2,800,000
in stock-based compensation resulting from the issuances of 586,959 stock options and 293,479 RSUs.
We
expect that our general and administrative expenses will further increase as we expand our staff, develop our infrastructure and incur
additional costs to support the growth of our business.
Interest
expense
For
the three months ended September 30, 2021, interest expense increased $452,934, or 1,063%, as compared to the three months ended
September 30, 2020. The increase was due to the increase in both interest and amortization of debt discount on outstanding notes payable
as a result of our restructuring under our Chapter 11 reorganization.
Reorganization
items, net
Reorganization
items, net consists primarily of costs associated the post-petition Chapter 11 bankruptcy. For the three months ended September 30, 2021,
we did not record reorganization items, net as compared to reorganization items, net of ($183,387) for the three months ended September
30, 2020.
Comparison
of the Nine Months Ended September 30, 2021 to the Nine Months Ended September 30, 2020
Our
financial results for the nine months ended September 30, 2021 are summarized as follows in comparison to the nine months ended September
30, 2020:
For The Nine Months Ended
September 30,
2021
2020
Revenues
$ 41,000
$ 60,000
Operating Expenses:
Marketing and promotion
9,120
28,131
Consulting
10,037
101,195
Research and development
563,562
698,917
General and administrative
21,756,887
1,129,218
Total Operating Expenses
22,339,606
1,957,611
Loss From Operations
(22,298,606 )
(1,897,611 )
Other Income (Expense):
Interest expense
(1,601,551 )
(412,462 )
Loss on extinguishment of notes payable, net
-
(658,152 )
Change in fair value of derivative liabilities
-
(2,141,069 )
Reorganization items, net
-
597,919
Total Other Expense
(1,601,551 )
(3,613,764 )
Net Loss
$ (23,900,157 )
$ (5,511,375 )
30
Revenues
For
the nine months ended September 30, 2021 and 2020, we generated $41,000 and $60,000, respectively, of royalty revenue in connection with
our sublicense agreement.
Marketing
and Promotion
Marketing
and promotion expenses include advertising and promotion, marketing and seminars, meals, entertainment and travel expenses. For the nine
months ended September 30, 2021, marketing and promotion expenses decreased by $19,011, or 68%, from $28,131 to $9,120, as compared to
the nine months ended September 30, 2020. The decrease is primarily due to our reduced marketing plan as we continue to
emerge from our Chapter 11 reorganization.
We
expect that marketing and promotion expenses will increase in the future as we increase our marketing activities following full commercialization
of our products and services.
Consulting
Consulting
expenses consist of consulting fees and stock-based compensation to consultants. For the nine months ended September 30, 2021, consulting
expenses decreased by $91,158, or 90%, from $101,195 to $10,037, as compared to the nine months ended September 30, 2020. The decrease
is primarily due to our reduced usage of consultants as we continue to emerge from our Chapter 11 reorganization.
Research
and Development
Research
and development expenses include cash and non-cash compensation of (a) our Vice President of Research and Development; (b) our Scientific
Advisory Board members; and (c) laboratory staff and costs related to our brown fat and disc/spine initiatives. Research and development
expenses are expensed as they are incurred. For the nine months ended September 30, 2021, research and development expenses decreased
by $135,355, or 19%, from $698,917 to $563,562, as compared to the nine months ended September 30, 2020. The decrease is primarily due
to the decrease in stock compensation allocated to our research and development activities.
We
expect that our research and development expenses will increase with the recommencement of our research and development initiatives during
the year ending December 31, 2021.
General
and Administrative
General
and administrative expenses consist primarily of salaries, bonuses, payroll taxes, severance costs and stock-based compensation to employees
(excluding any cash or non-cash compensation of our Vice President of Research and Development and our laboratory staff), as well as
corporate expenses such as legal and professional fees, investor relations and occupancy related expenses. For the nine months ended
September 30, 2021, general and administrative expenses increased by $20,627,669, or 1,827%, from $1,129,218 to $21,765,887,
as compared to the nine months ended September 30, 2020. The increase is primarily due to an increase of approximately $19,500,000 in
stock-based compensation resulting from the issuances of 586,959 stock options and 293,479 RSUs.
We
expect that our general and administrative expenses will further increase as we expand our staff, develop our infrastructure and incur
additional costs to support the growth of our business.
31
Interest
expense
For
the nine months ended September 30, 2021, interest expense increased $189,089, or 13%, as compared to the nine months ended September
30, 2020. The increase was due to the increase in both interest and amortization of debt discount on outstanding notes payable as a result
of our restructuring under our Chapter 11 reorganization.
Loss
on extinguishment of notes payable, net
For
the nine months ended September 30, 2021, we did not record a gain (loss) on extinguishment of notes payable, as compared to a loss on
extinguishment of notes payable of $658,152 for the nine months ended September 30, 2020.
Change
in fair value of derivative liabilities
For
the nine months ended September 30, 2021, we did not record a gain (loss) related to the change in fair value of derivative liabilities,
as compared to a loss related to the change in fair value of derivative liabilities of $2,141,069 for the nine months ended September
30, 2020.
Reorganization
items, net
Reorganization
items, net consists primarily of costs associated the post-petition Chapter 11 bankruptcy. For the nine months ended September 30, 2021,
we did not record reorganization items, net as compared to reorganization items, net of $597,919 for the nine months ended September
30, 2020.
Liquidity
and Capital Resources
Liquidity
We
measure our liquidity in a number of ways, including the following:
September 30,
December 31,
2021
2020
Cash
$ 1,129,716
$ 3,064,610
Working Capital
$ 296,200
$ 2,142,229
Notes Payable (Gross)
$ 10,041,342
$ 9,637,102
Availability
of Additional Funds
Based
upon our accumulated deficit and stockholders’ deficit of $113,742,990 and $4,879,304, respectively, as of September
30, 2021, along with our forecast for continued operating losses and our need for financing to fund our contemplated clinical trials,
as of such date, we required additional equity and/or debt financing to continue our operations.
As
of September 30, 2021, our outstanding debt of $10,041,342, together with interest at a rate of between 5% and 7% per annum, has
a maturity date of November 16, 2023, except for the PPP loan.
Our
operating needs include the planned costs to operate our business, including amounts required to fund working capital and capital expenditures.
Our future capital requirements and the adequacy of our available funds will depend on many factors, including our ability to successfully
commercialize our products and services, competing technological and market developments, and the need to enter into collaborations with
other companies or acquire other companies or technologies to enhance or complement our product and service offerings.
32
We
may be unable to raise sufficient additional capital when we need it or raise capital on favorable terms. In addition, future financing
may require us to pledge certain assets and enter into covenants that could restrict certain business activities or our ability to incur
further indebtedness and may contain other terms that are not favorable to our stockholders or us. If we are unable to obtain adequate
funds on reasonable terms, we may be required to significantly curtail or discontinue operations or obtain funds by entering into financing
agreements on unattractive terms.
On November 9, 2021, we completed a public offering of units, each consisting of one share of common stock and a warrant for the purchase of one share
of common stock. Pursuant to the public offering, we issued and sold 2,300,000 units at a publc offering price of $10.00 per
unit and, pursuant to the exercise of an option granted to the underwriters, warrants for the purchase of 345,000 shares of common stock at a public offering price of $0.01 per warrant, less underwriting discounts and commissions.
Our
unaudited condensed consolidated financial statements included elsewhere in this Quarterly Report have been prepared in conformity with
accounting principles generally accepted in the United States of America (“U.S. GAAP”), which contemplate our continuation
as a going concern and the realization of assets and satisfaction of liabilities in the normal course of business. The carrying amounts
of assets and liabilities presented in the financial statements do not necessarily purport to represent realizable or settlement values.
The financial statements do not include any adjustment that might result from the outcome of this uncertainty.
The following events have
mitigated the above factors with regards to our ability to continue as a going concern: (i) on November 9, 2021, we received net proceeds
of approximately $20,772,000 from our public offering, and (ii) in connection with the public offering, we exchanged all of our outstanding
convertible debt to shares of common stock, Series A preferred stock, and warrants. As a result of the above, we have sufficient cash
to fund operations for the twelve months subsequent to the filing date.
Cash
Flows
During
the nine months ended September 30, 2021 and 2020, our sources and uses of cash were as follows:
Nine Months Ended September 30,
2021
2020
Net cash used in operating activities
$ (2,184,894 )
$ (1,392,145 )
Net cash provided by financing activities
250,000
1,566,475
Increase (decrease) in cash
$ (1,934,894 )
$ 174,330
Operating
Activities
Net
cash used in operating activities was $2,184,894 for the nine months ended September 30, 2021, primarily due to the net loss of $23,900,157
which was primarily offset by non-cash expenses of $21,182,776 related primarily to amortization of debt discount and stock-based
compensation and $541,414 of cash provided by changes in the levels of operating assets and liabilities, primarily as a result of increases
in accrued interest and accounts payable, decreases in accounts receivable and prepaid and other current assets, all partially offset
by a decrease in lease liability. Net cash used in operating activities was $1,392,145 for the nine months ended September 30, 2020,
primarily due to the net loss of $5,511,375, which was partially offset by non-cash expenses of $3,047,219 related to amortization of
debt discount, accretion of interest expense, stock-based compensation, change in fair value of derivative liabilities, and loss on extinguishment
of notes payable and $1,072,011 of cash provided by changes in the levels of operating assets and liabilities, primarily as a result
of increases in accounts payable, accrued interest, expenses and other current liabilities and decreases in accounts receivable, prepaid
expenses and other current assets.
Financing
Activities
Net
cash provided by financing activities for the nine months ended September 30, 2021 was $250,000, which was due to $250,000 of net proceeds
from a loan received under the U.S. Small Business Administration’s Paycheck Protection Program. Net cash provided by financing
activities for the nine months ended September 30, 2020, was $1,566,475, which was primarily due to $1,114,713
of proceeds from the DIP financing and $441,762 of net proceeds from debt financings.
33
We
anticipate that the costs to complete our Phase 2 clinical trials with regard to our Disc/Spine Program will be at least $12,000,000.
In addition, we anticipate approximately $45,000,000 in additional funding will be needed to complete the clinical trials using BRTX-100
(assuming the receipt of no revenues). As a result of the above, we have sufficient cash to fund operations
for the twelve months subsequent to the filing date.
Effects
of Inflation
We
do not believe that inflation has had a material impact on our business, revenues or operating results during the periods presented.
Significant
Accounting Policies and Estimates
Our
significant accounting policies are more fully described in the notes to our unaudited condensed consolidated financial statements included
herein for the quarter ended September 30, 2021, and in the notes to our consolidated financial statements included in our Annual Report
on Form 10-K for the year ended December 31, 2020, as filed with the SEC on April 30, 2021.
New
and Recently Adopted Accounting Pronouncements
Any
new and recently adopted accounting pronouncements are more fully described in Note 2 to our unaudited condensed consolidated financial
statements herein for the quarter ended September 30, 2021.
Off-Balance
Sheet Arrangements
We
have no off-balance sheet arrangements that have or are reasonably likely to have a current or future effect on our financial condition,
changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources that
is material to stockholders.
Item
3. Quantitative and Qualitative Disclosures about Market Risk
Not
Applicable. As a smaller reporting company, we are not required to provide the information required by this Item.
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