Item 2. Management’s Discussion and Analysis
ITEM
2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The
following discussion and analysis of our financial condition and results of operations should be read in conjunction with our unaudited
condensed consolidated interim financial statements and related notes included in this Quarterly Report on Form 10-Q and the audited
consolidated financial statements and notes thereto as of and for the year ended December 31, 2025 and the related Management’s
Discussion and Analysis of Financial Condition and Results of Operations, which was filed with the Securities and Exchange Commission
(the “SEC”) on March 26, 2026.
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, 2025, as filed with the SEC on March 26, 2026, 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 complete our clinical trials and implement our business plan;
●
our
ability to successfully develop and commercialize BRTX-100, our lead product candidate for the treatment of chronic lumbar disc disease,
as well as our metabolic ThermoStem Program and commercial biocosmeceuticals platform;
●
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;
●
our
ability to attract and retain customers;
●
our
ability to navigate through the increasingly complex therapeutic regulatory environment;
●
our
ability to successfully engage in any new business lines that we pursue; and
●
risks
related to our failure to meet the continued listing requirements of Nasdaq which could result in a delisting of our Common
Stock.
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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 Nevada 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.
Intellectual
Property
This
report includes references to our federally registered trademarks, BioRestorative Therapies and Dragonfly design, BRTX-100,
ThermoStem, and BRTX . The Dragonfly logo is also registered with the U.S. Copyright Office. This report may also include
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
Our
offices are located in Melville, New York where we have established a laboratory facility in order to increase our capabilities for the
further development of possible cellular-based treatments, products and protocols, stem cell-related intellectual property and translational
research applications.
As
of March 31, 2026, our accumulated deficit was $172,075,095 We have historically only generated a modest amount of revenue, and our
losses have principally been operating expenses incurred in research and development, marketing and promotional activities in order to
commercialize our products and services, plus costs associated with meeting the requirements of being a public company. We expect to
continue to incur substantial costs for these activities over at least the next year.
Business
Overview
We
develop therapeutic products and medical therapies using cell and tissue protocols, primarily involving adult stem cells.
We
are currently pursuing our Disc/Spine Program with our initial investigational therapeutic product being called BRTX-100 .
In March 2022, a United States patent issued in our Disc/Spine Program . Pursuant to authorization received from the FDA, we are
conducting a Phase 2 clinical trial investigating the use of BRTX-100 in the treatment of chronic lower back pain arising from
degenerative disc disease. We have received a license from the New York State Department of Health to act as a tissue bank for mesenchymal
stem cell processing. In June 2023, we received a unanimous recommendation from the Data Safety Monitoring Board to continue our Phase
2 clinical trial without any changes. We have obtained a worldwide (excluding Asia and Argentina) exclusive 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 investigating the expansion of the clinic application of BRTX-100 to other indications within the
body.
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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, July
2021, June 2023 and December 2023; Australian patents related to the ThermoStem Program were issued in April 2017, October 2019,
and August 2021; Japanese patents related to the ThermoStem Program were issued in December 2017, June 2021, February 2022, June
2023, July 2024 and September 2025; Israeli patents related to our ThermoStem Program were issued in October 2019, May 2020, March
2022, and March 2025; European patents related to the ThermoStem Program were issued in April 2020, January 2021, July 2023, and
March 2025.
We
have obtained a license for 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 Phase 2 clinical trial with
regard to BRTX-100 .
In
addition, in continuation of our mission of developing and commercializing cell-based biologics, we have developed a biologics-based
cosmetic products business through which we formulate, manufacture and sell products designed for cosmetic and aesthetic uses. Our biocosmeceutical
product offerings consist of two product lines: ExoCR, which is sold pursuant to a supply agreement with Cartessa Aesthetics, LLC (“Cartessa”),
a North American aesthetic company, and BioX, which we commenced selling commercially during the three months ended March 31, 2026 to
multiple customers in the ordinary course of business.
Revenue
We
derive royalty revenue pursuant to a license agreement with a stem cell treatment company (the “SCTC”) entered into in January
2012, as amended in November 2015 and November 2022. Pursuant to the license agreement, the SCTC granted to us an exclusive 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.
We
also derive product revenue from sales of our biocosmeceutical product offerings. During the three months ended March 31, 2026, we derived
$11,870 of product revenue, all of which was generated from sales of our BioX product line. We did not derive any revenue from our supply
agreement with Cartessa during the three months ended March 31, 2026. We did not generate any product revenue during the three months
ended March 31, 2025.
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Results
of Operations
Comparison
of the Three Months Ended March 31, 2026 to the Three Months Ended March 31, 2025
Our
financial results for the three months ended March 31, 2026 are summarized as follows in comparison to the three months ended March 31,
2025:
For the Three Months Ended
March 31
2026
2025
Revenues
$ 23,170
$ 25,000
Cost of goods sold
7,385
2,909
Gross profit
15,785
22,091
Operating Expenses:
Research and development
1,926,311
2,646,900
General and administrative
1,475,207
2,182,725
Total Operating Expenses
3,401,518
4,829,625
Loss From Operations
(3,385,733 )
(4,807,534 )
Other Income (Expense):
Dividend and interest income, net
5,479
100,608
Other income
5,728
1,246
Change in fair value of warrant liabilities
1,220,121
(634,119 )
Total Other Income (Expense)
1,231,328
(532,265 )
Net Loss
$ (2,154,405 )
$ (5,339,799 )
Revenues
For
the three months ended March 31, 2026, we generated total revenues of $23,170, comprised of $11,870 of product revenue and $11,300 of
royalty revenue, as compared to total revenues of $25,000, comprised entirely of royalty revenue, for the three months ended March 31,
2025. Royalty revenue, which is derived from our sublicense agreement with the SCTC, decreased by $13,700, or 54.8%, to $11,300 from
$25,000, primarily due to a decrease in disc procedures performed by the SCTC. Product revenue, which is derived from sales of our biocosmeceutical
product offerings, increased by $11,870 to $11,870 from $0, due to the commencement of commercial sales of our BioX product line during
the three months ended March 31, 2026.
Research
and Development
Research
and development expenses include 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 March 31, 2026, research and development expenses decreased by $720,589
or 27.2%, as compared to the three months ended March 31, 2025. The decrease is primarily attributed to a decrease in stock-based compensation
expense of $799,983, a decrease in general lab supplies expense of $83,447, and a decrease in bonus expense of $61,625, partially offset
by an increase in recruitment and other costs for our Phase 2 clinical trial of $230,824.
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General
and Administrative
General
and administrative expenses consist primarily of salaries, bonuses, payroll taxes and stock-based compensation to employees, as well
as corporate expenses such as legal and professional fees, investor relations and occupancy-related expenses. For the three months ended
March 31, 2026, general and administrative expenses decreased by $707,518, or 32.4%, as compared to the three months ended March 31,
2025. The decrease is primarily attributed to a decrease in stock-based compensation expense of $918,928, partially offset by an increase
in professional fees of $141,428, an increase in headcount costs of $64,583 and an increase in consulting expense of $17,019.
Dividend
and Interest Income, net
For
the three months ended March 31, 2026, dividend and interest income, net of interest expense decreased by $95,129, or 95%, to $5,479
as compared to interest income of $100,608 for the three months ended March 31, 2025. The change was primarily due to a decrease in interest
income from the investments held in marketable securities due to a lower average balance of the marketable securities during 2026 as
compared to 2025.
Other
Income
For
the three months ended March 31, 2026, other income was $5,728, as compared to other income of $1,246 for the three months ended March
31, 2025.
Change
in Fair Value of Warrant Liabilities
For
the three months ended March 31, 2026, we recognized a gain on the change in fair value of warrant liabilities of $1,220,121, primarily
reflecting the decrease in our stock price between January 1, 2026 and February 24, 2026, the date on which the warrants previously classified
as derivative liabilities were reclassified to equity. For the three months ended March 31, 2025, we recognized a loss on the change
in fair value of warrant liabilities of $634,119 related to the increase in our stock price during that period.
Liquidity
and Capital Resources
Liquidity
We
measure our liquidity in a number of ways, including the following:
March 31, 2026
December 31, 2025
Cash and cash equivalents
$ 3,112,679
$ 1,511,188
Investments held in marketable securities
$ 479,351
$ 1,441,734
Working capital (deficiency)
$ 2,185,071
$ (586,029 )
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Working
capital increased by $2,771,100, from a working capital deficiency of $586,029 at December 31, 2025 to working capital of $2,185,071
at March 31, 2026. The increase in working capital was driven primarily by a $1,399,349 reduction in current liabilities resulting from
the reclassification of warrant liabilities to equity in connection with the conversion of the Series B Convertible Preferred Stock,
a $674,597 decrease in accounts payable, and a net increase in current assets, of which cash and cash equivalents increased by $1,601,491
(partially offset by a $962,383 decrease in investments held in marketable securities). The net increase in cash and cash equivalents
reflected $4,440,836 of cash provided by financing activities and $968,447 of cash provided by investing activities, partially offset
by $3,807,792 of cash used in operating activities.
Availability
of Additional Funds
For
the three months ended March 31, 2026, we had a net loss of $2.2 million and negative cash flows from operations of $3.8 million, and
as of March 31, 2026, we had working capital of $2.2 million. We anticipate that we will continue to incur net losses and negative cash
flows from operations as we execute our development plans during 2026 and beyond, as well as other potential strategic and business development
initiatives. Based on these conditions, we believe we do not have sufficient cash for at least twelve months after the issuance date
of the financial statements included in this Quarterly Report which raises substantial doubt about our ability to continue as a going
concern.
Our
operating needs include the planned costs to operate our business, including amounts required to fund our clinical trials, 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.
We
may be unable to raise sufficient additional capital when we need it or raise capital on favorable terms. 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.
Nasdaq
Listing Compliance
On
March 26, 2026, we received a notification letter from The Nasdaq Stock Market LLC (“Nasdaq”) indicating that we are not
in compliance with the minimum bid price requirement of Nasdaq Listing Rule 5550(a)(2), which requires listed securities to maintain
a minimum closing bid price of $1.00 per share. Pursuant to Nasdaq Listing Rule 5810(c)(3)(A), we have an initial compliance period of
180 calendar days, or until September 22, 2026, to regain compliance. We intend to monitor the closing bid price of our Common Stock
and consider available options to resolve the noncompliance, including effecting a reverse stock split of our Common Stock. There can
be no assurance that we will regain compliance with the minimum bid price requirement or otherwise be in compliance with the Nasdaq listing
criteria. See Note 1 to the unaudited condensed consolidated financial statements for additional information.
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Cash
Flows
During
the three months ended March 31, 2026 and 2025, our sources and uses of cash were as follows:
Three Months Ended March 31,
2026
2025
Net Cash Used In Operating Activities
$ (3,807,792 )
$ (2,778,786 )
Net Cash Provided By Investing Activities
$ 968,447
$ 2,366,967
Net Cash Provided By Financing Activities
$ 4,440,836
$ 1,092,718
Net Increase in Cash
$ 1,601,491
$ 680,899
Operating
Activities
Net
cash used in operating activities was $3,807,792 for the three months ended March 31, 2026, primarily due to cash used to fund the net
loss of $2,154,405, adjustments to net non-cash expenses of $883,576, and $769,811 of cash used in changes in operating assets and liabilities.
Net cash used in operating activities was $2,778,786 for the
three months ended March 31, 2025 , primarily due to cash used to fund the net loss of $5,339,799
and $31,214 of cash used in changes in operating assets and liabilities, partially offset for adjustments to net non-cash expenses of
$2,592,227.
Investing
Activities
Net
cash provided by investing activities was $968,447 for the three months ended March 31, 2026 primarily due to sales of marketable securities
which provided $1,043,367 of cash, partially offset by purchases of marketable securities which used $74,920 of cash. Net cash provided
by investing activities was $2,366,967 for the three months ended March 31, 2025 primarily due to sales of marketable securities which
provided $3,456,535 of cash, partially offset by purchases of marketable securities which used $1,053,168 of cash and a purchase of equipment
which used $36,400 of cash.
Financing
Activities
Net
cash provided by financing activities was $4,440,836 for the three months ended March 31, 2026 due to the issuance of Common Stock and
pre-funded warrants in the Rodman public offering which provided gross proceeds of $5,000,000 of cash, partially offset by the payment
of issuance costs which used $559,164 of cash. Net cash provided by financing activities was $1,092,718 for the three months ended March
31, 2025 due to the issuance of Common Stock in an at-the-market offering which provided $1,083,915 of cash and the exercise of stock
options which provided $42,411 of cash, partially offset by the payment of issuance costs which used $33,608 of cash.
Effects
of Inflation
We
do not believe that inflation had a material impact on our business, revenues or operating results during the periods presented.
Critical
Accounting Policies and Estimates
We
prepare our unaudited condensed consolidated financial statements in accordance with U.S. generally accepted accounting principles, which
require our management to make estimates that affect the reported amounts of assets, liabilities and disclosures of contingent assets
and liabilities at the balance sheet dates, as well as the reported amounts of revenues and expenses during the reporting periods. To
the extent that there are material differences between these estimates and actual results, our financial condition or results of operations
would be affected. We base our estimates on our own historical experience and other assumptions that we believe are reasonable after
taking account of our circumstances and expectations for the future based on available information. We evaluate these estimates on an
ongoing basis.
24
We
consider an accounting estimate to be critical if: (i) the accounting estimate requires us to make assumptions about matters that were
highly uncertain at the time the accounting estimate was made, and (ii) changes in the estimate that are reasonably likely to occur from
period to period or use of different estimates that we reasonably could have used in the current period, would have a material impact
on our financial condition or results of operations. There are items within our unaudited condensed consolidated financial statements
that require estimation but are not deemed critical, as defined above.
For
a detailed discussion of our significant accounting policies and related judgments, see Note 2 of the Notes to Unaudited Condensed Consolidated
Financial Statements in “Item 1. Financial Statements” of this report.
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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