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, 2024 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 28, 2025.
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, 2024, as filed with the SEC on March 28, 2025, 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 the restatement of our previously issued financial statements.
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.
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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 June 30, 2025, our accumulated deficit was $163,674,777. 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 . We have received authorization from the FDA to commence
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 commenced such clinical trial through the execution of a CRO agreement with Professional Research Consulting, Inc.,
d/b/a PRC Clinical, the execution of clinical trial site agreements, patient enrollment, the commencement of patient procedures, the
purchase of manufacturing equipment and the expansion of our laboratory to include capabilities for clinical production. 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.
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, and July 2024; 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 are seeking to develop a biologics-based
cosmetic products business. Pursuant to such business, we would formulate, manufacture and sell products designed for cosmetic and aesthetic
uses. In April 2024, we announced that we entered into a five-year exclusive supply agreement with Cartessa Aesthetics, LLC (“Cartessa”),
a leading North American based aesthetic company, to supply to Cartessa our first commercial product.
Revenue
We
derive 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 has 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 sublicense, the SCTC has agreed to pay us royalties on a per disc
procedure basis.
We
have also derived product revenue from our five-year exclusive supply agreement with Cartessa entered into in April 2024.
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Common Stock Repurchase Program
On June
16, 2025, our Board of Directors authorized a common stock repurchase program under which we may repurchase up to $2,000,000 of our outstanding
common stock through June 16, 2026. No repurchases have been made as of June 30, 2025.
Results
of Operations
Comparison
of the Three Months Ended June 30, 2025 to the Three Months Ended June 30, 2024
Our
financial results for the three months ended June 30, 2025 are summarized as follows in comparison to the three months ended June 30,
2024:
For the Three Months Ended
June 30,
2025
2024
Revenues
$ 303,300
$ 89,100
Cost of goods sold
8,729
6,490
Gross profit
294,571
82,610
Operating Expenses:
Research
and development
2,225,882
1,454,000
General and administrative
1,373,976
1,097,417
Total
Operating Expenses
3,599,858
2,551,417
Loss
From Operations
(3,305,287 )
(2,468,807 )
Other (Expense) Income:
Interest income
73,915
175,945
Other income
518
911
Change in fair value of warrant liabilities
574,591
(1,736,611 )
Total Other (Expense) Income
649,024
(1,559,755 )
Net Loss
$ (2,656,263 )
$ (4,028,562 )
Revenues
For
the three months ended June 30, 2025 and 2024, we generated $3,300 and $19,800, respectively, of royalty revenue in connection with our
sublicense agreement with the SCTC. The decrease was primarily due to a decrease in disc procedures.
For
the three months ended June 30, 2025 and 2024, we generated $300,000 and $69,300, respectively, of cosmetic product sales revenue in
connection with our exclusive supply agreement with Cartessa.
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 and Biocosmeceuticals
program. Research and development expenses are expensed as they are incurred. For the three months ended June 30, 2025, research and
development expenses increased by $771,882 or 53.1%, as compared to the three months ended June 30, 2024. The increase was primarily
the result of an increase in recruitment and other costs for our Phase 2 clinical trial of $640,379, an increase in lab supply expense
of $83,768 and an increase in stock-based compensation expense of $38,533, partially offset by a decrease in bonus expense of $30,132.
We expect that our research and development expenses will continue to increase in subsequent fiscal periods.
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
June 30, 2025, general and administrative expenses increased by $276,559, or 25.2%, as compared to the three months ended June 30, 2024,
primarily driven by an increase in consulting expense of $122,777, an increase in stock-based compensation expense of $105,853, and an
increase in payroll of $36,409 all partially offset by a decrease in professional fees of $13,754.
Interest
Income
For
the three months ended June 30, 2025, interest income was $73,915 as compared to interest income of $175,945 for the three months ended
June 30, 2024. The change was primarily due to a decrease in interest income from the investments held in marketable securities.
19
Other
Income
For
the three months ended June 30, 2025, other income was $518, as compared to other income of $911 for the three months ended June 30,
2024. The change was primarily due to a decrease in dividend income from investments held in marketable securities.
Change
in Fair Value of Warrant Liabilities
For
the three months ended June 30, 2025, we recognized a gain on the change in fair value of warrant liabilities of $574,591, related to
the decrease in fair value of warrants that are accounted for as warrant liabilities. For the three months ended June 30, 2024, we recognized
a loss on the change in fair value of warrant liabilities of $1,736,611, related to the increase in fair value of warrants that are accounted
for as warrant liabilities.
Comparison
of the Six Months Ended June 30, 2025 to the Six Months Ended June 30, 2024
Our
financial results for the six months ended June 30, 2025 are summarized as follows in comparison to the six months ended June 30, 2024:
For the Six Months Ended
June 30,
2025
2024
Revenues
$ 328,300
$ 124,100
Cost of goods sold
11,638
6,490
Gross profit
316,662
117,610
Operating Expenses:
Research and development
4,872,782
3,531,278
General and administrative
3,556,701
3,164,391
Total
Operating Expenses
8,429,483
6,695,669
Loss From
Operations
(8,112,821 )
(6,578,059 )
Other (Income) Expense:
Interest income
173,881
338,542
Other income
2,406
149,932
Gain on exchange of warrants
-
1,711,698
Change
in fair value of warrant liabilities
(59,528 )
(1,873,930 )
Total Other (Income) Expense
116,759
326,242
Net Loss
$ (7,996,062 )
$ (6,251,817 )
Revenues
For
the six months ended June 30, 2025 and 2024, we generated $28,300 and $54,800, respectively, of royalty revenue in connection with our
sublicense agreement with the SCTC. The decrease was primarily due to a decrease in disc procedures.
For
the six months ended June 30, 2025 and 2024, we generated $300,000 and $69,300, respectively, of cosmetic product sales revenue in connection
with our exclusive supply agreement with Cartessa.
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 and Biocosmeceuticals
program. Research and development expenses are expensed as they are incurred. For the six months ended June 30, 2025, research and development
expenses increased by $1,341,504, or 38.0%, as compared to the six months ended June 30, 2024. The increase was primarily the result
of an increase in recruitment and other costs for our Phase 2 clinical trial of $1,180,237, an increase in lab supply expense of $190,519,
and an increase in cash compensation to employees of $45,315, partially offset by a decrease in bonus expense of $68,747 and a decrease
in stock-based compensation expense of $48,041. We expect that our research and development expenses will continue to increase in subsequent
fiscal periods.
20
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 six months ended
June 30, 2025, general and administrative expenses increased by $392,310, or 12.4%, as compared to the six months ended June 30, 2024,
primarily driven by an increase in stock-based compensation expense of $173,179 related to the vesting of awards, an increase in consulting
expense of $110,966, an increase in professional fees of $38,844, and an increase in payroll of $32,728.
Interest
Income
For
the six months ended June 30, 2025, interest income was $173,881, as compared to interest income of $338,542 for the six months ended
June 30, 2024. The change was primarily due to interest income from the investments held in marketable securities.
Other
Income
For
the six months ended June 30, 2025, other income was $2,406, as compared to other income of $149,932 for the six months ended June 30,
2024. The change was primarily due to a decrease in dividend income from investments held in marketable securities.
Gain
on Exchange of Warrants
For
the six months ended June 30, 2024, we recognized a gain on exchange of $1,711,698 related to the issuance of warrants and common stock
in exchange for the cancellation of existing warrants. There was no gain on exchange of warrants for the six months ended June 30, 2025.
Change
in Fair Value of Warrant Liabilities
For
the six months ended June 30, 2025 and 2024, we recognized a loss on the change in fair value of warrant liabilities of $59,528 and $1,873,930,
respectively, related to the increase in fair value of warrants that are accounted for as warrant liabilities.
Liquidity
and Capital Resources
Liquidity
We
measure our liquidity in a number of ways, including the following:
June 30, 2025
December 31, 2024
Cash and cash equivalents
$ 1,555,251
$ 547,890
Investments held in marketable securities
$ 5,825,685
$ 10,184,701
Working capital
$ 3,926,572
$ 7,395,815
Working
capital decreased by $3,469,243 primarily due to $5,472,653 of cash used to fund our operations and the $4,359,016 decrease in marketable
securities, offset by $4,499,158 of cash provided by investing activities and the $1,980,856 of cash provided by financing activities.
Availability
of Additional Funds
For
the six months ended June 30, 2025, we had a net loss of $8.0 million and negative cash flows from operations of $5.5 million, and as
of June 30, 2025, we had working capital of $3.9 million. We anticipate that we will continue to incur net losses and negative cash flows
from operations as we execute our development plans during 2025 and beyond, as well as other potential strategic and business development
initiatives. Based on these conditions, we believe we may 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.
21
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.
Cash
Flows
During
the six months ended June 30, 2025 and 2024, our sources and uses of cash were as follows:
Six Months Ended June 30,
2025
2024
Net Cash Used In Operating Activities
$ (5,472,653 )
$ (4,182,945 )
Net Cash Provided By (Used In) Investing Activities
$ 4,499,158
$ (1,954,831 )
Net Cash Provided By Financing Activities
$ 1,980,856
$ 7,505,646
Net Increase in Cash
$ 1,007,361
$ 1,367,870
Operating
Activities
Net
cash used in operating activities was $5,472,653 for the six months ended June 30, 2025, primarily due to cash used to fund the net loss
of $7,996,062, adjusted for net non-cash expenses of $2,465,349, and $58,060 of cash provided by changes in operating assets and liabilities.
Net cash used in operating activities was $4,182,945 for the six months ended June 30, 2024, primarily due to cash used to fund the net
loss of $6,251,817, adjusted for net non-cash expenses of $2,351,582, and $282,710 of cash used in changes in operating assets and liabilities.
Investing
Activities
Net
cash provided by investing activities was $4,499,158 for the six months ended June 30, 2025 primarily due to a sale of marketable securities
which provided $6,664,238 of cash, offset by a purchase of marketable securities which used $2,128,680 of cash and a purchase of equipment
which used $36,400 of cash. Net cash used in investing activities was $1,954,831 for the six months ended June 30, 2024 primarily due
to a purchase of marketable securities which used $12,784,535 of cash, offset by a sale of marketable securities which provided $10,865,000
of cash.
Financing
Activities
Net
cash provided by financing activities was $1,980,856 for the six months ended June 30, 2025 due to net proceeds of $1,938,445 received
in connection with the issuance of common stock for the 2024 ATM offering and $42,411 due to the exercise of stock options, compared
to $7,505,646 net cash provided by financing activities for the six months ended June 30, 2024 due to net proceeds received in connection
with the exercise and issuance of warrants.
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.
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.
22
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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