UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
FORM
10-Q
(Mark
One)
☒
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For
the quarterly period ended June 30, 2022
OR
☐
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For
the transition period from to
Commission
File No. 001-38207
CELCUITY
INC.
(Exact
name of registrant as specified in its charter)
Delaware
No.
82-2863566
(State
of incorporation)
(IRS
Employer Identification No.)
16305
36th Avenue North; Suite 100
Minneapolis ,
Minnesota 55446
(Address
of principal executive offices, including zip code)
Registrant’s
telephone number, including area code: (763) 392-0767
Securities
registered pursuant to Section 12(b) of the Act:
Title
of each class
Trading
Symbol(s)
Name
of each exchange on which registered
Common
Stock, $0.001 par value per share
CELC
The
Nasdaq Stock Market LLC
Indicate
by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange
Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2)
has been subject to such filing requirements for the past 90 days. YES ☒ NO ☐
Indicate
by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule
405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant
was required to submit such files). YES ☒ NO ☐
Indicate
by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting
company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,”
“smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large
accelerated filer
☐
Accelerated
filer
☐
Non-accelerated
filer
☒
Smaller
reporting company
☒
Emerging
growth company
☒
If
an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying
with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☒
Indicate
by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). YES ☐ NO
☒
On
August 8, 2022 there were 14,941,334 shares of the registrant’s common stock, $0.001 par value per share, outstanding.
Celcuity
Inc.
Table
of Contents
PAGE
PART I. FINANCIAL INFORMATION
ITEM 1. Financial Statements (unaudited)
3
Condensed Balance Sheets as of June 30, 2022 and December 31, 2021
3
Condensed Statements of Operations for the three months and six months ended June 30, 2022 and 2021
4
Condensed Statements of Stockholders’ Equity for the three months and six months ended June 30, 2022
5
Condensed Statements of Stockholders’ Equity for the three months and six months ended June 30, 2021
6
Condensed Statements of Cash Flows for the six months ended June 30, 2022 and 2021
7
Notes to Unaudited Condensed Financial Statements
8
ITEM 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
16
ITEM 3. Quantitative and Qualitative Disclosures About Market Risk
24
ITEM 4. Controls and Procedures
24
PART II. OTHER INFORMATION
ITEM 1. Legal Proceedings
25
ITEM 1A. Risk Factors
25
ITEM 2. Unregistered Sales of Equity Securities and Use of Proceeds
25
ITEM 3. Defaults Upon Senior Securities
25
ITEM 4 . Mine Safety Disclosures
25
ITEM 5 . Other Information
25
ITEM 6. Exhibits
26
Signatures
28
As
used in this report, the terms “we,” “us,” “our,” “Celcuity,” and the “Company”
mean Celcuity Inc., unless the context indicates another meaning.
2
PART
I. FINANCIAL INFORMATION
ITEM
1. Financial Statements
Celcuity
Inc.
Condensed
Balance Sheets
June
30, 2022
December
31, 2021
(unaudited)
Assets
Current
Assets:
Cash and cash
equivalents
$ 66,910,824
$ 84,286,381
Deposits
22,009
22,009
Deferred transaction costs
332,824
22,144
Payroll tax receivable
95,300
298,764
Prepaid
assets
4,601,874
722,677
Total
current assets
71,962,831
85,351,975
Property and equipment, net
238,629
312,444
Operating lease right-of-use
assets
148,727
241,901
Total
Assets
$ 72,350,187
$ 85,906,320
Liabilities
and Stockholders’ Equity:
Current
Liabilities:
Accounts payable
$ 2,304,543
$ 1,507,099
Finance lease liabilities
5,379
5,850
Operating lease liabilities
156,769
189,858
Accrued
expenses
1,683,305
802,893
Total
current liabilities
4,149,996
2,505,700
Finance lease liabilities
-
2,449
Operating lease liabilities
-
61,771
Note payable, non-current
15,011,460
14,625,923
Total
Liabilities
19,161,456
17,195,843
Stockholders’
Equity:
Preferred stock, $ 0.001 par value: 2,500,000 shares authorized; 0 shares
issued and outstanding as of June 30, 2022 and December 31, 2021
-
-
Common stock, $ 0.001 par value: 30,000,000 and 25,000,000 shares authorized
as of June 30, 2022 and December 31, 2021, respectively; 14,941,334 and 14,918,887 shares issued and outstanding as of June 30, 2022
and December 31, 2021, respectively
14,941
14,919
Additional paid-in capital
126,995,610
124,622,405
Accumulated deficit
( 73,821,820 )
( 55,926,847 )
Total
Stockholders’ Equity
53,188,731
68,710,477
Total
Liabilities and Stockholders’ Equity
$ 72,350,187
$ 85,906,320
See
accompanying notes to the financial statements
3
Celcuity
Inc.
Condensed
Statements of Operations
(unaudited)
2022
2021
2022
2021
Three
Months Ended June 30,
Six
Months Ended June 30,
2022
2021
2022
2021
Operating
expenses:
Research and development
$ 8,367,687
$ 13,070,108
$ 15,064,000
$ 15,306,451
General and administrative
1,233,040
573,360
2,044,332
1,128,787
Total operating expenses
9,600,727
13,643,468
17,108,332
16,435,238
Loss from operations
( 9,600,727 )
( 13,643,468 )
( 17,108,332 )
( 16,435,238 )
Other income (expense)
Interest expense
( 455,445 )
( 391,187 )
( 890,446 )
( 391,210 )
Interest income
95,646
1,803
103,805
2,191
Loss on sale of fixed
assets
-
-
-
( 263 )
Other income (expense),
net
( 359,799 )
( 389,384 )
( 786,641 )
( 389,282 )
Net
loss before income taxes
( 9,960,526 )
( 14,032,852 )
( 17,894,973 )
( 16,824,520 )
Income tax benefits
-
-
-
-
Net
loss
$ ( 9,960,526 )
$ ( 14,032,852 )
$ ( 17,894,973 )
$ ( 16,824,520 )
Net loss per share, basic and diluted
$ ( 0.67 )
$ ( 1.11 )
$ ( 1.20 )
$ ( 1.42 )
Weighted average common shares outstanding,
basic and diluted
14,930,538
12,610,917
14,923,900
11,845,758
See
accompanying notes to the financial statements
4
Celcuity
Inc.
Condensed
Statements of Changes in Stockholders’ Equity
Three
and Six Months Ended June 30, 2022
Shares
Amount
Capital
Deficit
Total
Additional
Common
Stock
Paid-In
Accumulated
Shares
Amount
Capital
Deficit
Total
Balance at December 31, 2021
14,918,887
$ 14,919
$ 124,622,405
$ ( 55,926,847 )
$ 68,710,477
Stock-based compensation
-
-
756,271
-
756,271
Exercise of common stock options, net of shares withheld for exercise
price
1,415
1
7,413
-
7,414
Net loss
-
-
-
( 7,934,447 )
( 7,934,447 )
Balance
at March 31, 2022 (unaudited)
14,920,302
$ 14,920
$ 125,386,089
$ ( 63,861,294 )
$ 61,539,715
Stock-based compensation
3,273
3
1,519,456
-
1,519,459
Employee stock purchases
15,888
16
80,525
-
80,541
Exercise of common stock options, net of shares withheld for exercise
price
1,871
2
9,540
-
9,542
Net loss
-
-
-
( 9,960,526 )
( 9,960,526 )
Balance
at June 30, 2022 (unaudited)
14,941,334
$ 14,941
$ 126,995,610
$ ( 73,821,820 )
$ 53,188,731
See
accompanying notes to the financial statements
5
Celcuity
Inc.
Condensed
Statements of Changes in Stockholders’ Equity
Three
and Six Months Ended June 30, 2021
Additional
Common
Stock
Paid-In
Accumulated
Shares
Amount
Capital
Deficit
Total
Balance at December 31, 2020
10,299,822
$ 10,300
$ 38,013,551
$ ( 26,321,581 )
$ 11,702,270
Stock-based compensation
-
-
449,098
-
449,098
Exercise of common stock warrants
1,185
1
11,256
-
11,257
Exercise of common stock options, net of shares withheld for exercise
price
12,707
13
( 13 )
-
-
Issuance of common stock upon closing of follow-on
offering, net of underwriting discounts and offering costs
1,971,100
1,971
25,766,522
-
25,768,493
Issuance of common stock in an at-the-market
(“ATM”) offering
3,082
3
38,959
-
38,962
Issuance costs associated with ATM offering
-
-
( 3,868 )
-
( 3,868 )
Net loss
-
-
-
( 2,791,668 )
( 2,791,668 )
Balance
at March 31, 2021 (unaudited)
12,287,896
$ 12,288
$ 64,275,505
$ ( 29,113,249 )
$ 35,174,544
Stock-based compensation
2,964
3
540,314
-
540,317
Employee stock purchases
5,496
6
25,811
-
25,817
Exercise of common stock options, net of shares withheld for exercise
price
9,136
9
36,850
-
36,859
Issuance of common stock warrants, note payable
-
289,839
-
289,839
Issuance of common stock, licensing agreement
349,406
349
4,999,651
-
5,000,000
Net loss
-
-
-
( 14,032,852 )
( 14,032,852 )
Balance
at June 30, 2021 (unaudited)
12,654,898
$ 12,655
$ 70,167,970
$ ( 43,146,101 )
$ 27,034,524
See
accompanying notes to the financial statements
6
Celcuity
Inc.
Condensed
Statements of Cash Flows
(unaudited)
2022
2021
Six
Months Ended June 30,
2022
2021
Cash
flows from operating activities:
Net loss
$ ( 17,894,973 )
$ ( 16,824,520 )
Adjustments to reconcile net loss to net cash
used for operations:
Depreciation
108,436
176,597
Stock-based compensation
2,275,730
989,415
Issuance of common stock,
licensing agreement
-
5,000,000
Amortization of debt issuance
costs and discount
179,539
81,571
Payment-in-Kind interest
205,998
93,397
Loss on sale of fixed assets
-
263
Changes in operating assets and liabilities:
Payroll tax receivable
203,464
-
Prepaid assets and deposits
( 3,879,197 )
37,496
Accounts payable
705,145
438,018
Accrued expenses
875,412
( 124,940 )
Non-cash
operating lease, net
( 1,686 )
( 6,550 )
Net
cash used for operating activities
( 17,222,132 )
( 10,139,253 )
Cash
flows from investing activities:
Purchases of property and equipment
( 34,621 )
( 57,897 )
Proceeds from sale of
property and equipment
-
500
Net
cash used for investing activities
( 34,621 )
( 57,397 )
Cash
flows from financing activities:
Proceeds from exercise of common stock warrants
-
11,257
Proceeds from exercise of employee stock options
16,956
36,859
Proceeds from employee stock purchases
80,541
25,817
Proceeds from follow-on offering, net of underwriting
discounts and offering costs
-
25,768,493
Proceeds from note payable, net of debt issuance
costs and discount of $ 652,061
-
14,347,939
Gross proceeds from an ATM offering
-
38,962
Payments for secondary registration statement
costs
( 213,381 )
( 29,065 )
Payments for finance leases
( 2,920 )
( 2,900 )
Net cash provided by financing
activities
( 118,804 )
40,197,362
Net change in cash and
cash equivalents
( 17,375,557 )
30,000,712
Cash
and cash equivalents:
Beginning of period
84,286,381
11,637,911
End of period
$ 66,910,824
$ 41,638,623
Supplemental disclosure
of cash flow information:
Interest paid
$ 504,909
$ 216,242
Supplemental
disclosures of non-cash investing and financing activities:
Offering and registration statement costs included
in accounts payable
$ 100,422
$ 96,111
Offering and registration statement costs included
in accrued expenses
5,000
-
Issuance of common stock warrants and final
fee recognized as discount to note payable
-
964,839
See
accompanying notes to the financial statements
7
CELCUITY
INC.
NOTES
TO CONDENSED FINANCIAL STATEMENTS (unaudited)
(For
the Three and Six Months Ended June 30, 2022 and 2021)
1.
Organization
Nature
of Business
Celcuity
Inc., a Delaware corporation (the “Company”), is a clinical-stage biotechnology company focused on development of targeted
therapies for hormonally driven cancers. The company’s lead therapeutic candidate is gedatolisib, a potent, reversible dual inhibitor
that selectively targets all Class I PI3K isoforms and mTOR. Its mechanism of action and pharmacokinetic properties are highly differentiated
from other currently approved and investigational therapies that target PI3K or mTOR alone or together. The company expects to initiate
a Phase 3 study evaluating gedatolisib in patients with HR+/HER2- advanced breast cancer in 2022. Its CELsignia companion diagnostic
platform is uniquely able to analyze live patient tumor cells to identify new groups of cancer patients likely to benefit from already
approved targeted therapies. The Company was co-founded in 2012 by Brian F. Sullivan and Dr. Lance G. Laing and is based in Minnesota.
The Company has not generated any revenues to date.
2.
Basis of Presentation, Summary of Significant Accounting Policies and Recent Accounting Pronouncements
Basis
of Presentation
The
accompanying unaudited financial statements include the accounts of the Company and have been prepared in accordance with Article 10
of Regulation S-X promulgated by the Securities and Exchange Commission (“SEC”). Accordingly, as permitted by Article 10,
the unaudited financial statements do not include all of the information required by accounting principles generally accepted in the
United States (“U.S. GAAP”). The balance sheet at December 31, 2021 was derived from the audited financial statements at
that date and does not include all the disclosures required by U.S. GAAP. In the opinion of management, all adjustments which are of
a normal recurring nature and necessary for a fair presentation have been reflected in the financial statements. These unaudited condensed
financial statements should be read in conjunction with the audited financial statements as of and for the year ended December 31, 2021
and the related footnotes thereto included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2021. Operating
results for the three and six months ended June 30, 2022 are not necessarily indicative of the results to be expected during the remainder
of the current year or for any future period.
Accounting
Estimates
Management
uses estimates and assumptions in preparing these unaudited condensed financial statements in accordance with U.S. GAAP. Those estimates
and assumptions affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities, and the reported
revenues and expenses. Actual results could differ from those estimates and the difference could be material. Significant items subject
to such estimates and assumptions include the valuation of stock-based compensation and prepaid or accrued clinical trial costs.
Risks
and Uncertainties
The
Company is subject to risks common to companies in the development stage including, but not limited to, dependency on, the clinical and
commercial success of its initial drug product, gedatolisib, the clinical and commercial success of its diagnostic tests, ability to
obtain regulatory approval of its drug product, gedatolisib, ability to obtain regulatory approval of its diagnostic tests, the need
for substantial additional financing to achieve its goals, uncertainty of broad adoption of its approved products, if any, by physicians
and consumers, and significant competition.
Clinical
Trial Costs
The
Company records prepaid assets or accrued expenses for prepaid or estimated clinical trial costs conducted by third-party service providers,
which includes the conduct of preclinical studies and clinical trials. These costs can be a significant component of the Company’s
research and development expenses. The Company accrues for these costs based on factors such as estimates of the work completed and in
accordance with service agreements with its third-party service providers. The Company makes significant judgments and estimates in determining
the accrued liabilities balance in each reporting period. As actual costs become known, the Company adjusts its prepaid assets or accrued
expenses. The Company has not experienced any material differences between accrued costs and actual costs incurred. However, the status
and timing of actual services performed, number of patients enrolled, and the rate of patient enrollments may vary from the Company’s
estimates, resulting in an adjustment to expense in future periods. Changes in these estimates that result in material changes to the
Company’s prepaid assets or accrued expenses could materially affect the Company’s results of operations.
8
Application
of New or Revised Accounting Standards
Pursuant
to the Jumpstart Our Business Startups Act of 2012 (the “JOBS Act”), a company constituting an “emerging growth company”
is, among other things, entitled to rely upon certain reduced reporting requirements. The Company is an emerging growth company but has
irrevocably elected not to take advantage of the extended transition period afforded by the JOBS Act for the implementation of new or
revised accounting standards. As a result, the Company will comply with new or revised accounting standards on the relevant dates on
which adoption of such standards is required for public companies that are not emerging growth companies.
3.
Net Loss Per Common Share
Basic
and diluted net loss per common share is determined by dividing net loss attributable to common stockholders by the weighted-average
common shares outstanding during the period. For all periods presented, the common shares underlying the options and warrants have been
excluded from the calculation because their effect would be anti-dilutive. Therefore, the weighted-average shares outstanding used to
calculate both basic and diluted loss per common share is the same.
For
the three and six months ended June 30, 2022 and 2021, potentially dilutive securities excluded from the computations of diluted weighted-average
shares outstanding were options to purchase 1,782,782 and 1,023,513 shares of common stock, respectively, warrants to purchase 377,652
and 378,442 shares of common stock, respectively, and 3,273 and 2,964 shares of restricted common stock, respectively.
4.
Commitments
Operating
and Finance Leases
The
Company leases its corporate space in Minneapolis, Minnesota. In September 2017, the Company entered into a non-cancelable operating
lease agreement for building space. The lease commenced, and the Company moved to the facility in May 2018, in conjunction with the termination
of its then existing lease. Rent expense is recorded on a straight-line basis over the lease term. In July 2020, the Company signed an
amendment to extend this lease through April 30, 2022. The lease amendment provides for monthly rent, real estate taxes and operating
expenses. As a result of the lease amendment, the Company recorded an incremental $ 197,211 in the operating right-of-use (“ROU”)
asset and lease liability. In July 2021, the Company signed the second amendment to extend this lease through April 30, 2023. This amendment
provides for monthly rent, real estate taxes and operating expenses. The Company recorded an incremental $ 193,517 in the operating right-of-use
(“ROU”) asset and lease liability pertaining to this amendment. The second amendment also includes the option to extend the
term for one additional year. The option to extend is at the Company’s discretion and because the Company has not determined if
the option to extend will be exercised, the extended lease term is not included in the ROU assets and lease liabilities. The Company
regularly evaluates the renewal options and when it is reasonably certain of exercise, the Company will include the renewal period in
its lease term.
In
May 2018, the Company entered into a non-cancelable finance lease agreement for office equipment with a five-year term. The underlying
assets are included in furniture and equipment. The lease contains a bargain purchase option at the end of the lease.
When
an implicit rate is not provided, the Company uses its incremental borrowing rate based on the information available at the lease commencement
date in determining the present value of the lease payments.
9
Supplemental
balance sheet information consisted of the following at June 30, 2022:
Schedule
of Supplemental Balance Sheet Information Related to Leases
Operating Lease
Right-of-use
assets
$ 148,727
Operating lease liability
$ 156,769
Less:
short term portion
( 156,769 )
Long
term portion
$ -
Finance Lease
Furniture and equipment
$ 28,932
Less:
Accumulated depreciation
( 23,628 )
Net
book value of property and equipment under finance lease
$ 5,304
Finance lease liability
$ 5,379
Less:
short term portion
( 5,379 )
Long
term portion
$ -
Maturity
analysis under lease agreements consisted of the following as of June 30, 2022:
Schedule
of Maturity Analysis Under Lease Agreements
Operating
Leases
Finance
Leases
2022
$ 102,119
$ 3,627
2023
68,080
3,023
Total
minimum lease payments
170,199
6,650
Less: Present value discount
( 13,430 )
( 19 )
Less
amount representing services
-
( 1,252 )
Present
value of net minimum lease payments
$ 156,769
$ 5,379
Remaining
Lease Term
Discount
Rate
Weighted Average
Operating lease
0.8 years
6.0 %
Finance lease
0.9 years
1.0 %
Lease
costs for the period ended June 30, 2022:
Schedule of Lease Costs
Three-month
period
Six-month
period
Operating lease cost
$ 48,647
$ 97,204
Finance lease cost:
Amortization
1,446
2,893
Interest
11
25
Variable lease cost
20,269
40,538
Total
lease cost
$ 70,373
$ 140,660
Supplemental
cash flow information related to leases period ended June 30, 2022:
Schedule
of Supplemental Cash Flow Information Related to Leases
Three-month
period
Six-month
period
Cash paid for amounts included in operating
and finance leases:
Operating cash
outflow from operating leases
$ 70,544
$ 139,429
Operating cash outflow
from finance leases
11
25
Financing
cash outflow from finance leases
1,461
2,920
Total
cash paid for amounts included in operating and finance leases
$ 72,016
$ 142,374
10
Clinical
Research Studies
The
Company enters into contracts in the normal course of business to conduct research and development programs internally and through
third parties that include, among others, arrangements with vendors, consultants, CMOs, and CROs. The Company currently has
five Phase 2 clinical trial agreements in place to evaluate targeted therapies selected with one of our CELsignia tests. Timing of
milestone payments related to the Phase 2 clinical trials are uncertain and the contracts generally provide for termination
following a certain period after notice, therefore the Company believes that non-cancelable obligations under the agreements are not
material. The Company also has a license agreement in place with Pfizer to research, develop, manufacture and commercialize
gedatolisib. In conjunction with the license agreement, the Company continued a Phase 1b study – B2151009 related to
gedatolisib. These patients subsequently transitioned to an Expanded Access study – CELC-G-001. Contracts related to the Phase
1b study and the Expanded Access study, are generally based on time and material. In addition, contracts related to the
Company’s forthcoming Phase 3 clinical study (VIKTORIA-1) are generally cancelable with
reasonable notice within 120 days and the Company’s obligations under these contracts are primarily based on services
performed through termination dates plus certain cancelation charges, if any, as defined in each of the respective agreements. In
addition, these agreements may, from time to time, be subjected to amendments as a result of any change orders executed by the
parties. As of June 30, 2022, the Company had only one material non-cancelable contractual commitment with respect to these arrangements,
which totaled approximately $ 2,600,000 .
5.
Stockholders’ Equity
On
May 15, 2022, the Company entered into a securities purchase agreement with certain institutional and other accredited investors for
the sale of Company common stock, preferred stock that may be convertible into common stock and warrants initially exercisable for preferred
stock for $ 100 million in the aggregate, before deducting placement agent fees and other offering expenses. Pursuant to the securities
purchase agreement, investors will purchase shares of common stock and preferred stock at a price per share of $ 5.75 (on an as converted
to common stock basis). For each share of common stock and each 1/10 of a share of preferred stock purchased, investors will receive
a warrant initially exercisable for preferred stock equivalent to 0.40 shares of common stock on an as converted basis. The exercise
price of the warrants will be at a 40 % premium to the price paid by investors for the initial shares of common stock purchased in the
private placement. The preferred stock will be convertible into common stock at the holder’s election, subject to certain limitations
such as beneficial ownership and the approval by the Company’s stockholders to increase the number of authorized shares of common
stock sufficient to cover the shares of common stock issuable upon conversion of (i) the preferred stock purchased in the private placement
and (ii) the shares of preferred stock that may be issued upon exercise of warrants purchased in the private placement. The warrants
are initially exercisable for preferred stock and will convert into warrants to purchase common stock if the proposed increase in the
Company’s authorized common stock is approved by stockholders. The closing of the private placement is conditioned on, among other
customary items, the first patient enrolled in the Company’s forthcoming Phase 3 clinical study (VIKTORIA-1) having received their
first dose of treatment at a clinical site located in the United States, provided that such date must occur on or before December 31,
2022. The Company also entered into a customary registration rights agreement with the investors pursuant to which it agreed to file
a registration statement with the SEC registering the resale of (i) the shares of common stock to be issued and sold in the private placement,
(ii) the shares of common stock issuable upon conversion of the preferred stock purchased in the private placement and (iii) the shares
of common stock issuable upon conversion of the shares of preferred stock that may be issued upon exercise of warrants purchased in the
private placement.
On
February 4, 2022, the Company entered into an Open Market Sale Agreement SM with Jefferies LLC, as agent (“Jefferies”),
pursuant to which we may offer and sell, from time to time, through Jefferies, shares of our common stock having an aggregate offering
price of up to $ 50,000,000 . The Company will pay Jefferies a commission equal to 3.0 % of the aggregate gross proceeds from each sale
of such shares. To date, the Company has not yet made any sales under this arrangement.
On
July 1, 2021, the Company completed a follow-on offering whereby it sold 2,250,000 shares of common stock at a public offering price
of $ 25.00 per share. The offering generated approximately $ 56.3 million before deducting underwriting discounts of approximately $ 3.4
million and offering expenses of approximately $ 0.1 million.
On
February 26, 2021, the Company completed a follow-on offering whereby it sold 1,971,100 shares of common stock (including 257,100 shares
of common stock in connection with the full exercise of the underwriters’ option to purchase additional shares) at a public offering
price of $ 14.00 per share. The aggregate gross proceeds from the sale of shares in the follow-on offering, including the sale of shares
pursuant to the full exercise of the underwriters’ option to purchase additional shares, was approximately $ 27.6 million before
deducting underwriting discounts of approximately $ 1.6 million and offering expenses of approximately $ 0.2 million.
On
June 5, 2020, the Company entered into an At Market Issuance Sales Agreement (the “ATM Agreement”) with B. Riley FBR, Inc.
(the “Agent”). Pursuant to the ATM Agreement, the Company was able to offer and sell from time to time, at its option, shares
of common stock having an aggregate offering price of up to $ 10,000,000 , par value $ 0.001 per share (the “Placement Shares”),
through the Agent.
The
Placement Shares were registered under the Securities Act of 1933, as amended, pursuant to the Registration Statement on Form S-3 (File
No. 333-227466), which was originally filed with the SEC on September 21, 2018 and declared effective by the SEC on October 4, 2018,
the base prospectus contained within the Registration Statement, and a prospectus supplement that was filed on June 5, 2020. Sales of
the Company’s common stock under this prospectus supplement were able to be made by any method deemed to be an “at the market
offering” as defined in Rule 415 promulgated under the Securities Act of 1933, as amended.
11
During
the six months ended June 30, 2022 and 2021, the Company sold 0 and 3,082 shares, respectively, of common stock pursuant to the ATM Agreement,
at an average selling price of $ 12.64 per share.
On
February 23, 2021, in conjunction with the Company’s follow-on offering, the ATM Agreement was terminated.
6.
Stock-Based Compensation
The
following table summarizes the activity for all stock options outstanding for the six months ended June 30:
Schedule
of Stock Options Activity
2022
2021
Shares
Weighted
Average
Exercise Price
Shares
Weighted
Average
Exercise Price
Options outstanding at beginning
of year
1,315,321
$ 11.97
849,949
$ 9.33
Granted
550,747
6.52
218,050
24.70
Exercised
( 3,286 )
5.16
( 39,620 )
7.32
Forfeited
( 80,000 )
13.01
( 4,866 )
7.67
Balance at June 30
1,782,782
$ 5.75
1,023,513
$ 12.69
Options exercisable
at June 30:
724,666
$ 6.02
504,189
$ 9.64
Weighted Average Grant Date Fair Value for
options granted during the period:
$ 4.34
$ 16.39
The
following table summarizes additional information about stock options outstanding and exercisable at June 30, 2022:
Schedule
of Stock Options Outstanding and Exercisable
Options
Outstanding
Options
Exercisable
Options
Outstanding
Weighted
Average Remaining Contractual Life
Weighted
Average Exercise Price
Aggregate
Intrinsic Value
Options
Exercisable
Weighted
Average Exercise Price
Aggregate
Intrinsic Value
1,782,782
8.16
$ 5.75
$ 6,161,776
724,666
$ 6.02
$ 2,396,078
The
Company recognized stock-based compensation expense for stock options of $ 1,460,031 and $ 520,361 for the three months ended June 30,
2022 and 2021, respectively and $ 2,169,540 and $ 938,553 for the six months ended June 30, 2022 and 2021, respectively. In May 2022, the
Company modified the exercise price on 776,324 stock option awards to $ 5.50 , the closing market price on the Nasdaq Capital Market on
May 17, 2022. The effect of this modification on stock-based compensation was $ 428,343 for the three- and six-months ending June 30,
2022. The effect of this modification on stock-based compensation over the remaining service period will be approximately $ 444,000 . In
December 2021, the Company modified the exercise price on 311,000 stock option awards to $ 13.44 , the closing market price on the Nasdaq
Capital Market on December 15, 2021. No director or officer awards were modified. The effect of this modification on stock-based compensation
was $ 25,755 and $ 0 for the three months ended June 30, 2022 and 2021, respectively and $ 53,784 and $ 0 for the six months ended June 30,
2022 and 2021, respectively. The effect of this modification on stock-based compensation over the remaining service period will be approximately
$ 242,000 . In May 2020, the Company modified the exercise price on 203,750 stock option awards to $ 5.10 , the closing market price on the
Nasdaq Capital Market on May 14, 2020. No director or officer awards were modified. The effect of this modification on stock-based compensation
was $ 11,601 and $ 12,790 for the three months ended June 30, 2022 and 2021, respectively and $ 23,216 and $ 26,239 for the six months ended
June 30, 2022 and 2021. The effect of this modification on stock-based compensation over the remaining service period will be approximately
$ 62,000 .
The
Black-Scholes option-pricing model was used to estimate the fair value of equity-based awards with the following weighted-average assumptions
for the six months ended June 30:
Schedule
of Assumptions for Fair Value of Equity-based Awards
2022
2021
Risk-free interest rate
1.68 %
- 3.10 %
0.63 %
- 1.14 %
Expected volatility
76.2 %
- 78.3 %
76.6 %
- 76.9 %
Expected life (years)
5.29
to 6.08
5.0
to 6.08
Expected dividend
yield
0 %
0 %
12
The
inputs for the Black-Scholes valuation model require management’s significant assumptions. Prior to the Company’s initial
public offering, the price per share of common stock was determined by the Company’s board based on recent prices of common stock
sold in private offerings. Subsequent to the initial public offering, the price per share of common stock is determined by using the
closing market price on the Nasdaq Capital Market on the grant date. The risk-free interest rates are based on the rate for U.S. Treasury
securities at the date of grant with maturity dates approximately
equal to the expected life at the grant date. The expected life is based on the simplified method in accordance with the SEC Staff Accounting
Bulletin Nos. 107 and 110. The expected volatility is estimated based on historical volatility information of peer companies that are
publicly available in combination with the Company’s calculated volatility since being publicly traded.
All
assumptions used to calculate the grant date fair value of non-employee options are generally consistent with the assumptions used for
options granted to employees. In the event the Company terminates any of its consulting agreements, the unvested options issued in connection
with the agreements would also be cancelled.
Restricted
stock awards were granted to members of the Company’s board during the three months ended June 30, 2022 and 2021. The Company had
3,273 and 2,964 shares of restricted stock outstanding as of June 30, 2022 and 2021, respectively, and 2,964 and 15,686 shares of restricted
stock vested during the three months ended June 30, 2022 and 2021. The Company recognized stock-based compensation expense for restricted
stock of $ 6,775 and $ 18,112 for the three months ended June 30, 2022 and 2021, respectively and $ 27,119 and $ 38,567 for the six months
ended June 30, 2022 and 2021, respectively.
The
Company initially reserved a maximum of 750,000
shares of common stock for issuance under the 2017 Amended and Restated Stock Incentive Plan (the “2017 Plan”). The
number of shares reserved for issuance was automatically increased by 102,540 , 102,998
and 149,189
shares on January 1, 2020, 2021 and 2022, respectively, and will increase
automatically on January 1 of each of 2023 through 2027 by the number of shares equal to 1.0% of the aggregate number of outstanding
shares of Company common stock as of the immediately preceding December 31 . However, the Company’s board may reduce the
amount of the increase in any particular year. At the Annual Meeting held on May 12, 2021 and May 12, 2022, the stockholders
approved a one-time, 500,000
increase each year for a total increase of 1,000,000
to the number of shares reserved for issuance under the 2017 Plan. The total remaining shares available for grant under the
Company’s 2017 Plan as of June 30, 2022 was 463,925 .
Total
unrecognized compensation cost related to stock options and restricted stock is estimated to be recognized as follows:
Schedule
of Unrecognized Compensation Cost
2022
$ 2,192,203
2023
3,142,793
2024
2,008,832
2025
1,091,593
2026
28,373
Total
estimated compensation cost to be recognized
$ 8,463,794
The
Company recognized stock-based compensation expense related to its employee stock purchase plan of $ 52,653 and $ 1,844 for the three months
ended June 30, 2022 and 2021, respectively and $ 79,071 and $ 12,295 for the six months ended June 30, 2022 and 2021, respectively. The
Company initially reserved a total of 100,000 shares for issuance under the employee stock purchase plan. The number of shares reserved
for issuance was automatically increased by 51,270 , 51,499 and 74,594 shares on January 1, 2020, 2021 and 2022, respectively, and will
increase automatically on each subsequent January 1 by the number of shares equal to 0.5% of the total outstanding number of shares of
Company common stock as of the immediately preceding December 31. However, the Company’s board may reduce the amount of the increase
in any particular year. The total remaining shares available for issuance under the employee stock purchase plan as of June 30, 2022
was 208,929 .
The
Company recognized total stock-based compensation expense as follows for the three and six months ended June 30:
Schedule of Stock-based Compensation Expense
Three Months
Ended
Six Months
Ended
June 30,
June 30,
2022
2021
2022
2021
Stock-based compensation expense in operating
expenses:
Research and
development
$ 810,664
$ 328,077
$ 1,261,183
$ 583,258
General
and administrative
708,795
212,240
1,014,547
406,157
Total
$ 1,519,459
$ 540,317
$ 2,275,730
$ 989,415
13
7.
Debt
On
April 8, 2021, the Company entered into a loan and security agreement (the “Loan Agreement”) with Innovatus Life Sciences
Lending Fund I, LP, a Delaware limited partnership (“Innovatus”) in its capacity as Collateral Agent and sole Lender. The
Lender agreed to loan up to $ 25 million in three tranches consisting of (i) a $ 15.0 million non-contingent term A loan that was funded
on April 8, 2021, (ii) a $ 5 million term B loan to be funded upon request of the Company no later than March 31, 2022, and (iii) a $ 5
million term C loan to be funded upon request of the Company no later than March 31, 2023 (collectively the “Term Loans”).
The Company is no longer eligible to draw on the term B loan. Funding of the term C loan is subject to the Company’s ability to
achieve certain milestones. The Innovatus Loan Agreement is secured by a lien covering substantially all assets of the Company.
The
Loan Agreement also contains certain events of default, warranties and covenants of the Company. In connection with each funding of the
Term Loans, the Company is required to issue Innovatus a warrant (the “Warrants”) to purchase a number of shares of the Company’s
stock equal to 2.5% of the principal amount of the relevant Term Loan funded divided by the exercise price, which will be based on the
lower of (i) $14.40 per share or (ii) the volume weighted
price per share of the Company’s stock for the five-trading day period ending on the last trading day immediately preceding the
funding date of the Term C Loan . The warrants may be exercised on a cashless basis and are immediately exercisable through the tenth
anniversary of the applicable funding date. In connection with the first tranche of the Term Loans, the Company issued a warrant to Innovatus
to purchase 26,042 shares of the Company’s common stock at an exercise price of $ 14.40 per share. The Company evaluated the warrant
under ASC 470, debt, and recognized an additional debt discount of approximately $ 0.3 million based on the relative fair value of the
base instruments and warrants. The Company calculated the fair value of the warrant using the Black-Scholes model. The
Company is also required to maintain a minimum cash balance in agreement with the term loans’ default terms.
The
Company is entitled to make interest-only payments for thirty-six months, or up to forty-eight months if certain conditions are met.
The Term Loans will mature on the fifth anniversary of the initial funding date and will bear interest at a rate equal to sum of (a)
the greater of (i) Prime Rate (as defined in the Loan Agreement) or (ii) 3.25%, plus (b) 5.70% . The effective interest rate is 12.85 %.
Additionally, the Company elected to make 2.7 % of the interest rate as payable in kind, which shall accrue as principal monthly. The
Company is obligated to pay the Lenders (i) a non-refundable facility fee in the amount of 1.00 % of each term loan that is funded (the
“Facility Fee”), and (ii) a final fee equal to 4.50 % of the aggregate amount of the term loans funded (the “Final Fee”).
In connection with the funding of the first tranche of the Term Loans, a final fee of approximately $ 0.7 million was recorded as additional
principal and as a debt discount, and a facility fee of approximately $0.1 million was recorded as additional debt discount. The Company
has the option to prepay the loan at any time following the first anniversary of the loan closing, with tiered prepayment fees ranging
from 0 – 2% based on when the prepayment would occur .
Innovatus
also has the right, at its election, after June 1, 2021 and until the third anniversary of the Loan Agreement, to convert up to 20 % of
the outstanding principal amount of all Terms Loans made under the Loan Agreement into shares of the Company’s common stock at
a price per share equal to the volume weighted average closing price of the Company’s stock for the 5-trading day period ending
on the last trading day immediately preceding the execution of the Loan Agreement (the “Conversion Right”).
In
connection with the Loan Agreement and the funding of the first tranche of the Term Loans, the Company incurred debt issuance costs of
approximately $ 0.5 million. The debt issuance costs, and the debt discount are amortized to interest expense using the effective interest
method over the life of the Term Loans. The carrying value of the debt approximates fair value as of June 30, 2022.
Long-term
debt consisted of the following:
Schedule of Long-term Debt
June
30, 2022
Note payable
$ 15,000,000
Add: Payment-in-Kind interest
(added to principal)
506,000
Add: final fee
675,000
Less: unamortized debt
issuance costs
( 319,359 )
Less:
unamortized debt discount
( 850,181 )
Total long-term debt
$ 15,011,460
14
Future
principal payments, including the final fee, are as follows:
Schedule
of Long Term Debt Future Principal Payments
Years
Ending
December 31,
2024
$
5,814,750
2025
7,753,000
2026
2,613,250
Total
$
16,181,000
8.
License Agreement
On
April 8, 2021, the Company entered into a license agreement with Pfizer to research, develop, manufacture and commercialize gedatolisib,
a potent, well-tolerated, reversible dual inhibitor that selectively targets all Class I PI3K isoforms and mTOR. The Company paid Pfizer
$ 5.0 million in upfront fees and issued to Pfizer $ 5.0 million of shares of the Company’s common stock pursuant to an Equity Grant
Agreement. The upfront payment and the issuance of shares were expensed to research & development in full for the three months ending
June 30, 2021.
The
Company is also required to make milestone payments to Pfizer upon achievement of certain development and commercial milestone events,
up to an aggregate of $ 335.0 million. Additionally, the Company will pay Pfizer tiered royalties on sales of gedatolisib at percentages
ranging from the low to mid-teens, which may be subject to deductions for expiration of valid claims, amounts due under third-party licenses
and generic competition. Unless earlier terminated, the license agreement will expire upon the expiration of all royalty obligations.
The royalty period will expire on a country-by-country basis upon the later of (a) 12 years following the date of first commercial sale
of such product in such country, (b) the expiration of all regulatory or data exclusivity in such country for such product or (c) the
date upon which the manufacture, use, sale, offer for sale or importation of such product in such country would no longer infringe, but
for the license granted in the license agreement, a valid claim of a licensed patent right.
The
Company has the right to terminate the license agreement for convenience upon 90 days’ prior written notice. Pfizer may not terminate
the agreement for convenience. Either the Company or Pfizer may terminate the license agreement if the other party is in material breach
and such breach is not cured within the specified cure period. In addition, either the Company or Pfizer may terminate the license agreement
in the event of specified insolvency events involving the other party.
9.
Subsequent Events
On
July 27, 2022, the Company signed an amendment to exercise the option to extend the operating lease for building space for a period
of one year. The commencement of the extended period is May 1, 2023 and will terminate on April 30, 2024.
On August 9, 2022, the
Company amended the Loan Agreement described in Note 7 above. Under the amended Loan Agreement, Innovatus, as Lender, has agreed to loan
up to $ 75 million, a $ 50 million increase from the original Loan Agreement, in five tranches consisting of: (i) a $ 15 million term
A loan that was funded on April 8, 2021 upon entering into the original Loan Agreement, (ii) a $ 20 million term B loan to be funded upon
request of the Company no later than December 31, 2022, with such funding conditioned upon the closing of the Company’s $ 100 million
private placement announced on May 16, 2022, (iii) a $ 10 million term C loan to be funded upon request of the Company no later than April
1, 2024, (iv) a $ 20 million term D loan to be funded upon request of the Company no later than November 1, 2024, and (v) a $ 10 million
term E loan to be funded upon request of the Company no later than February 28, 2025. Funding of the term B loan is conditioned upon
the closing of the Company’s $ 100 million private placement announced on May 16, 2022, and funding of the term C, D and E loans
are conditioned upon satisfaction of certain clinical trial milestones and certain financial covenants determined on a pro forma as-funded
basis.
Under the amended Loan Agreement, Innovatus has the
right, at its election and until August 9, 2025, the third anniversary of the loan amendment date, to convert into Common Stock up to:
(i) 20% of the outstanding principal amount of term A loan, and (ii) an additional 7% of the amount by which the aggregate principal amount
of the funded term B, C, D and E loans exceed $35 million, provided that the aggregate outstanding principal amount of all term loans
is at least $35 million, with such conversion based upon a price per share equal to $10.00.
The Company is entitled to make interest-only
payments for forty-eight months, or up to sixty months from the original loan agreement date if certain conditions are met. The Term
Loans will mature on April 8, 2027, the sixth anniversary of the initial funding date, and will bear interest at a rate equal to sum
of (a) the greater of (i) Prime Rate (as defined in the amended Loan Agreement) or (ii) 3.25%,
plus 5.70%.
Additionally, the Company elected to make 4.95% of
the interest rate as payable in-kind, which shall accrue as principal monthly. The Amended Loan Agreement includes certain other
fees, such as a final fee of 4.5% of the funded loan amounts not converted into equity by the lender, which apply if prepayment, an
event of default, or change of control occurs prior to August 9, 2025, the third anniversary of the Amendment date. Subject to
certain other conditions, no final fee will be payable after August 9, 2025. The Company has the option to prepay the loan at any time
following the first anniversary of the amended loan agreement date, with tiered prepayment fees ranging from 0 – 1% based on
when the prepayment occurs. Upon a change in control or event of default, mandatory prepayment will be required, and if such an
event occurs prior to the first anniversary of the Amendment date, an additional prepayment fee of 3.0 % applies.
The amended Loan Agreement remains secured by all
assets of the Company. Proceeds will be used for working capital purposes and to fund the Company’s general business requirements.
The amended Loan Agreement contains customary representations and warranties and covenants, subject to customary carve outs, and includes
financial covenants related to or based upon liquidity, trailing twelve months revenue and the funded loan amounts.
15
ITEM
2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
You
should read the following discussion and analysis of our financial condition and results of operations together with our unaudited condensed
financial statements and the related notes appearing under Item 1 of Part I of this Quarterly Report on Form 10-Q (this “Quarterly
Report”). Some of the information contained in this discussion and analysis or set forth elsewhere in this Quarterly Report, including
information with respect to our plans and strategy for our business and expected financial results, includes forward-looking statements
that involve risks and uncertainties. You should review the “Risk Factors” discussed in our Quarterly Report for the period
ended March 31, 2022 and elsewhere in this Quarterly Report for a discussion of important factors that could cause actual results to
differ materially from the results described in or implied by the forward-looking statements contained in the following discussion and
analysis.
Overview
Celcuity
is a clinical-stage biotechnology company focused on development of targeted therapies for hormonally driven cancers. The company’s
lead therapeutic candidate is gedatolisib, a pan-PI3K/mTOR inhibitor. Its mechanism of action and pharmacokinetic properties are highly
differentiated from other currently approved and investigational therapies that target PI3K or mTOR alone or together. The company expects
to initiate a Phase 3 study evaluating gedatolisib in patients with HR+/HER2- advanced breast cancer in 2022. Its CELsignia companion
diagnostic platform is uniquely able to analyze live patient tumor cells to identify new groups of cancer patients likely to benefit
from already approved targeted therapies.
Gedatolisib,
is a potent, well-tolerated, small molecule reversible dual inhibitor, administered intravenously, that selectively targets all class
I isoforms of PI3K and mammalian target of rapamycin (mTOR). In April 2021, we obtained exclusive global development and commercialization
rights to gedatolisib under a license agreement with Pfizer, Inc. We believe gedatolisib’s unique mechanism of action, differentiated
chemical structure, favorable pharmacokinetic properties, and intravenous formulation offer distinct advantages over currently approved
and investigational therapies that target PI3K or mTOR alone or together.
● Overcomes
limitations of therapies that only inhibit a single class I PI3K isoform or only one mTOR
kinase complex
Gedatolisib
is a pan-class I isoform PI3K inhibitor with low nanomolar potency for the p110α, p110β, p110γ, and p110δ isoforms.
Each isoform is known to preferentially affect different signal transduction events that involve tumor cell survival, depending upon
the aberrations associated with the linked pathway. When a therapy only inhibits a single class I isoforms (e.g., alpelisib, a PI3K-α
inhibitor) or only one mTOR kinase complex (e.g., everolimus, an mTORC1 inhibitor), numerous feedforward and feedback loops between the
PI3K isoforms and mTOR cross-activates the uninhibited sub-units. This, in turn, induces compensatory resistance that reduces the efficacy
of isoform specific PI3K or single mTOR kinase complex inhibitors. Inhibiting all four PI3K isoforms and both mTOR complexes, as gedatolisib
does, thus prevents the confounding effect of isoform interaction that may occur with isoform-specific PI3K inhibitors and the confounding
interaction between PI3K isoforms and mTOR.
● Better
tolerated by patients than oral PI3K and mTOR drugs
Gedatolisib
is administered intravenously (IV) on a four-week cycle of three weeks-on, one week-off, in contrast to the orally administered pan-PI3K
or dual PI3K/mTOR inhibitors that are no longer being clinically developed. Oral pan-PI3K or PI3K/mTOR inhibitors have repeatably been
found to induce significant side effects that were not well tolerated by patients. This typically leads to a high proportion of patients
requiring dose reductions or treatment discontinuation. The challenging toxicity profile of these drug candidates ultimately played a
significant role in the decisions to halt their development, despite showing promising efficacy. By contrast, gedatolisib stabilizes
at lower concentration levels in plasma compared to orally administered PI3K inhibitors, resulting in less toxicity, while maintaining
concentrations sufficient to inhibit PI3K/mTOR signaling.
Isoform-specific
PI3K inhibitors administered orally were developed to reduce toxicities in patients. While the range of toxicities associated with
isoform-specific inhibitors is narrower than oral pan-PI3K or PI3K/mTOR inhibitors, administering them orally on a continuous basis
still leads to challenging toxicities. The experience with an FDA approved oral p110-α specific inhibitor, Piqray (“alpelisib”),
illustrates the challenge. In its Phase 3 pivotal trial Piqray was found to induce a Grade 3 or 4 adverse event (AE) related to
hyperglycemia in 39% of patients evaluated. In addition, 26% of patients discontinued alpelisib due to treatment related adverse
events. By contrast, in the 103-patient dose expansion portion of the Phase 1b clinical trial with gedatolisib, only 7% of patients
experienced Grade 3 or 4 hyperglycemia and less than 10% discontinued treatment.
As
of June 30, 2022, 492 patients with solid tumors have received gedatolisib in eight clinical trials sponsored by Pfizer. Of the 492 patients,
129 were treated with gedatolisib as a single agent in three clinical trials. The remaining 363 patients received gedatolisib in combination
with other anti-cancer agents in five clinical trials. Additional patients received gedatolisib in combination with other anti-cancer
agents in nine investigator sponsored clinical trials.
16
A
Phase 1b trial (B2151009) evaluating patients with HR+/HER2- metastatic breast cancer was initiated in 2016 and subsequently enrolled
138 patients. Ten patients from this study continue to receive study treatment, as of June 30, 2022, each of whom have received study
treatment for more than three years. The B2151009 clinical trial was an open label, multiple arm Phase 1b study that evaluated gedatolisib
in combination with palbociclib (CDK4/6 inhibitor) and fulvestrant or letrozole in patients with HR+/HER2- advanced breast cancer. Thirty-five
patients were enrolled in two dose escalation arms to evaluate the safety and tolerability and to determine the maximum tolerated dose
(MTD) of gedatolisib when used in combination with the standard doses of palbociclib and endocrine therapy (letrozole or fulvestrant).
The MTD was determined to be 180 mg administered intravenously once weekly. A total of 103 patients were subsequently enrolled in one
of four expansion arms (A, B, C, D).
High
objective overall response rates (ORR) were observed in all four expansion arms and were comparable in each arm for PIK3CA WT and PIK3CA
MT patients. In treatment-naïve patients (Arm A), ORR was 85%. In patients who received prior hormonal therapy alone or in combination
with a CDK4/6 inhibitor (Arms B, C, and D), ORR ranged from 32% to 77%. Each arm achieved its primary endpoint target, which was reporting
higher ORR in the study arm than ORR from either the PALOMA-2 (ORR=55%) study that evaluated palbociclib plus letrozole for Arm A or
the PALOMA-3 study (ORR=25%) that evaluated palbociclib plus fulvestrant for Arms B, C, and D. For all enrolled patients, a clinical
benefit rate (CBR) of ≥79% was observed. Median progression-free survival (PFS) was 31.1 months for patients receiving first-line
treatment (Arm A) and 12.9 months for patients who received a prior CDK4/6 inhibitor and were treated in the study with the Phase 3 dosing
schedule (Arm D).
Gedatolisib
combined with palbociclib and endocrine therapy demonstrated a favorable safety profile with manageable toxicity. The majority of treatment
emergent adverse events were Grade 1 and 2. The most frequently observed adverse events included stomatitis/mucosal inflammation, the
majority of which were Grade 1 and 2. The most common Grade 4 AEs were neutropenia and neutrophil count decrease, which were assessed
as related to treatment with palbociclib. No grade 5 events were reported in this study.
We
are preparing to initiate VIKTORIA-1, a Phase 3, open-label, randomized clinical trial to evaluate the efficacy and safety of two regimens
in adults with HR+/HER2- advanced breast cancer whose disease has progressed after prior CDK4/6 therapy in combination with an aromatase
inhibitor: 1) gedatolisib in combination with palbociclib and fulvestrant; and 2) gedatolisib in combination with fulvestrant. We expect
to initiate the VIKTORIA-1 study in 2022.
The
clinical trial will enable separate evaluation of subjects according to their PIK3CA status. Subjects who meet eligibility criteria and
are PIK3CA WT will be randomly assigned (1:1:1) to receive a regimen of either gedatolisib, palbociclib, and fulvestrant (Arm A), gedatolisib
and fulvestrant (Arm B), or fulvestrant (Arm C). Subjects who meet eligibility criteria and are PIK3CA MT will be randomly assigned (1:1:1)
to receive a regimen of either gedatolisib, palbociclib, and fulvestrant (Arm D), alpelisib and fulvestrant (Arm E), or gedatolisib and
fulvestrant (Arm F).
Our
proprietary CELsignia diagnostic platform is the only commercially ready technology we are aware of that uses a patient’s living
tumor cells to identify the specific abnormal cellular process driving a patient’s cancer and the targeted therapy that best treats
it. This enables us to identify patients whose tumors may respond to a targeted therapy, even though they lack a previously associated
molecular mutation. By identifying cancer patients whose tumors lack an associated genetic mutation but have abnormal cellular activity
a matching targeted therapeutic is designed to inhibit, CELsignia CDx can expand the markets for a number of already approved targeted
therapies. Our current CDx identifies breast and ovarian cancer patients whose tumors have cancer drivers potentially responsive to treatment
with human epidermal growth factor receptor 2-negative (HER2), mesenchymal-epithelial transition factor (c-MET), or phosphatidylinositol
3-kinases (PI3K) targeted therapeutics. While U.S. Food and Drug Administration (“FDA”) approval or clearance is not currently
required for CELsignia tests offered as a stand-alone laboratory developed test, if we are partnered with a drug company to launch a
CELsignia test as a companion diagnostic for a new drug indication, we would be required to obtain premarket approval, or PMA, in conjunction
with the pharmaceutical company seeking a new drug approval for the matching therapy.
We
are supporting the advancement of new potential indications for four different targeted therapies, controlled by other pharmaceutical
companies, that would rely on a CELsignia CDx to select patients. Five Phase 2 trials are underway to evaluate the efficacy and safety
of these therapies in CELsignia selected patients. These patients are not currently eligible to receive these drugs and are not identifiable
with a molecular test.
Supporting
the development of a potential first-in-class targeted therapy for breast cancer, like gedatolisib, with our CELsignia platform is a
natural extension of our strategy to use our CELsignia CDx to enable new indications for other companies’ targeted therapies. By
combining companion diagnostics designed to enable proprietary new drug indications with targeted therapies that treat signaling dysregulation
our CDx identifies, we believe we are uniquely positioned to improve the standard-of-care for many early and late-stage breast cancer
patients. Our goal is to play a key role in the multiple treatment approaches required to treat breast cancer patients at various stages
of their disease. With each program, we are:
●
Leveraging
the proprietary insights CELsignia provides into live patient tumor cell function
●
Using
a CELsignia CDx to identify new patients likely to respond to the paired targeted therapy
●
Developing
a new targeted therapeutic option for breast cancer patients
●
Maximizing
the probability of getting regulatory approval to market the targeted therapy indication
17
Recent
Developments
On
August 9, 2022, Celcuity amended its existing debt financing agreement with an affiliate of Innovatus Capital Partners, LLC (“Innovatus”)
to provide Celcuity with up to $75 million in term loans, a $50 million increase from the original debt financing agreement dated April
8, 2021. Celcuity received $15 million at the closing of the original agreement in April 2021. Celcuity will be able to draw an additional
$20 million tranche following closing of the $100 million private placement. Celcuity will be able to draw on two additional tranches
of $10 million each and one additional tranche of $20 million upon achievement of certain clinical trial milestones and satisfaction of
certain financial covenants determined on a pro forma as-funded basis. Funding of these additional tranches is also subject to other customary
conditions and limits on when the Company can request funding for such tranches. Celcuity is entitled to make interest only payments for
the 48-month period from the original agreement date or for the 60-month period from the original agreement date if certain conditions
are met. The loans will mature on April 8, 2027, the sixth anniversary of the initial funding date. Innovatus has the right to convert
outstanding principal into shares of Celcuity common stock until the third anniversary of the loan amendment date, with such amount limited
to an aggregate of up to $6.5 million assuming all tranches are funded. The loan is secured by all of Celcuity’s assets.
The
VIKTORIA-1 Phase 3 clinical trial remains on track to dose the first patient in the next few months. The operational activities required
to initiate the clinical trial at a study site are completed. Further details about the study will be available at www.CT.gov. The clinical
trial protocol was updated to include an additional study arm (Arm F) to evaluate gedatolisib plus fulvestrant in 50 patients who have
PIK3CA mutations. This update was made in response to a recommendation from the European Medicines Agency (EMA) that the study arms for
PIK3CA mutated patients mirror the same study arms for PIK3CA non-mutated patients. No changes were made to the primary endpoints. VIKTORIA-1
will evaluate the safety and efficacy of gedatolisib in combination with fulvestrant with or without palbociclib in adults with HR+/HER2-
advanced breast cancer whose disease progressed while receiving prior CDK4/6 therapy.
On
July 18, 2022, gedatolisib was granted Breakthrough Therapy Designation for HR+/HER2- metastatic breast cancer after progression on CDK4/6
therapy. Breakthrough Therapy designation is granted by the FDA to expedite the development and regulatory review of an investigational
medicine that is intended to treat a serious or life-threatening condition. The criteria for Breakthrough Therapy designation require
preliminary clinical evidence that demonstrates the drug may have substantial improvement on one or more clinically significant endpoints
over available therapy. The benefits of Breakthrough Therapy Designation include more intensive guidance from the FDA on an efficient
development program, access to a scientific liaison to help accelerate review time, and potential eligibility for priority review if
relevant criteria are met. Celcuity’s breakthrough application was supported by data from a Phase 1b study that assessed the safety,
tolerability and clinical activity of gedatolisib in combination with palbociclib and fulvestrant in patients with HR+/HER2- metastatic
breast cancer whose disease progressed during treatment with a CDK4/6 therapy and an aromatase inhibitor.
On
May 15, 2022, the Company entered into a securities purchase agreement with certain institutional and other accredited investors for
the sale of Company common stock, preferred stock that may be convertible into common stock and warrants initially exercisable for preferred
stock for $100 million in the aggregate, before deducting placement agent fees and other offering expenses. Pursuant to the securities
purchase agreement, investors will purchase shares of common stock and preferred stock at a price per share of $5.75 (on an as converted
to common stock basis). For each share of common stock and each 1/10 of a share of preferred stock purchased, investors will receive
a warrant initially exercisable for preferred stock equivalent to 0.40 shares of common stock on an as converted basis. The exercise
price of the warrants will be at a 40% premium to the price paid by investors for the initial shares of common stock purchased in the
private placement. The preferred stock will be convertible into common stock at the holder’s election, subject to certain limitations
such as beneficial ownership and the approval by the Company’s stockholders to increase the number of authorized shares of common
stock sufficient to cover the shares of common stock issuable upon conversion of (i) the preferred stock purchased in the private placement
and (ii) the shares of preferred stock that may be issued upon exercise of warrants purchased in the private placement. The warrants
are initially exercisable for preferred stock and will convert into warrants to purchase common stock if the proposed increase in the
Company’s authorized common stock is approved by stockholders. The closing of the private placement is conditioned on, among other
customary items, the first patient enrolled in the Company’s forthcoming Phase 3 clinical study (VIKTORIA-1) having received their
first dose of treatment at a clinical site located in the United States, provided that such date must occur on or before December 31,
2022. The Company also entered into a customary registration rights agreement with the investors pursuant to which it agreed to file
a registration statement with the SEC registering the resale of (i) the shares of common stock to be issued and sold in the private placement,
(ii) the shares of common stock issuable upon conversion of the preferred stock purchased in the private placement and (iii) the shares
of common stock issuable upon conversion of the shares of preferred stock that may be issued upon exercise of warrants purchased in the
private placement.
Impact
of COVID-19 on our Business
Although
we have largely returned to normal operations in our facility, the COVID-19 pandemic continues and its effect on our operations and financial
condition will depend in large part on future developments which cannot be reasonably estimated at this time. Future developments include
the duration, scope and severity of the pandemic, the emergence of new virus variants that are more contagious or harmful than prior
variants, actions taken by governmental authorities, suppliers, clinical trial sites, and other business partners to contain or mitigate
the pandemic’s impact, and the potential adverse effects on the suppliers, labor market and general economic activity.
As
we continue to advance our clinical trial collaborations, we remain in close contact with our current clinical sponsors, and principal
investigators, as well as prospective pharmaceutical company and clinical collaborators, to monitor the impact of COVID-19 on our trial
enrollment timelines and collaboration discussions. We experienced delays in the enrollment of patients in our ongoing clinical trials
and now expect interim results from two of our CELsignia Phase 2 clinical trials, FACT-1 and FACT-2 to be delayed until mid-2023 and
final results approximately nine months later. We could experience further delays in clinical trials and collaborations with pharmaceutical
companies and sponsors if new variants emerge or if the spread of COVID-19 once again accelerates. Due to the inherent uncertainty associated
with the COVID-19 pandemic, we are unable to predict the impact the pandemic may have on our clinical trial work and overall financial
condition.
Results
of Operations
We
have not generated any revenue from sales to date, and we continue to incur significant research and development and other expenses related
to our ongoing operations. As a result, we are not and have never been profitable and have incurred losses in each period since our inception
in 2012. For the three months ended June 30, 2022 and 2021, we reported a net loss of approximately $10.0 million and $14.0 million,
respectively and for the six months ended June 30, 2022 and 2021, we reported a net loss of approximately $17.9 million and $16.8 million,
respectively. As of June 30, 2022, we had an accumulated deficit of approximately $73.8 million. As of June 30, 2022, we had cash
and cash equivalents of approximately $66.9 million.
18
Components
of Operating Results
Revenue
To
date, we have not generated any revenue. With the execution of the Pfizer license agreement in April 2021, whereby we acquired exclusive
world-wide licensing rights to develop and commercialize gedatolisib, we expect to conduct clinical trials to support potential regulatory
approval to market gedatolisib. If we obtain regulatory approvals to market gedatolisib, we expect to generate revenue from sales of
the drug for the treatment of breast cancer patients. Additionally, we will seek to generate revenue from partnership agreements with
pharmaceutical companies to provide companion diagnostics for such pharmaceutical partners’ existing or investigational targeted
therapies. If a new drug indication is received that requires use of our companion diagnostic to identify eligible patients, we expect
to generate revenues from sales of tests to treating physicians.
Research
and Development
Since
our inception, we have primarily focused on research and development of our CELsignia platform, development and validation of our CELsignia
tests, and research related to the discovery of new cancer sub-types. Beginning in April 2021, we are also focusing on development of
gedatolisib, a PI3K/mTOR targeted therapy. Research and development expenses primarily include:
● employee-related
expenses related to our research and development activities, including salaries, benefits,
recruiting, travel and stock-based compensation expenses;
● laboratory
supplies;
● consulting
fees paid to third parties;
● clinical
trial costs;
● validation
costs for gedatolisib;
● facilities
expenses; and
● legal
costs associated with patent applications.
Internal
and external research and development costs are expensed as they are incurred. As we continue development of gedatolisib, initiate the
VIKTORIA-1 Phase 3 trial and manage clinical trials to evaluate the efficacy of targeted therapies in cancer patients selected with one
of our CELsignia tests, the proportion of research and development expenses allocated to external spending will grow at a faster rate
than expenses allocated to internal expenses.
General
and Administrative
General
and administrative expenses consist primarily of salaries, benefits and stock-based compensation related to our executive, finance and
support functions. Other general and administrative expenses include professional fees for auditing, tax, and legal services associated
with being a public company, director and officer insurance, investor relations and travel expenses for our general and administrative
personnel.
Sales
and Marketing
Sales
and marketing expenses consist primarily of professional and consulting fees related to these functions. To date, we have incurred immaterial
sales and marketing expenses as we continue to focus primarily on the development of our first drug, gedatolisib, CELsignia platform
and corresponding CELsignia tests. We would expect to begin to incur increased sales and marketing expenses in anticipation of the commercialization
of our first drug, gedatolisib, and CELsignia tests. These increased expenses are expected to include payroll-related costs as we add
employees in the commercial departments, costs related to the initiation and operation of our sales and distribution network and marketing
related costs.
Interest
Expense
Interest
expense is primarily due to a loan agreement and finance lease obligations.
Interest
Income
Interest
income consists of interest income earned on our cash and cash equivalent balances.
19
Results
of Operations
Comparison
of the Three Months Ended June 30, 2022 and 2021
Three Months
Ended
June
30,
Increase
(Decrease)
2022
2021
$
Percent
Change
Statements of Operations
Data:
Operating expenses:
Research and
development
$ 8,367,687
$ 13,070,108
$ (4,702,421 )
(36 )%
General
and administrative
1,233,040
573,360
659,680
115 %
Total operating expenses
9,600,727
13,643,468
(4,042,741 )
(30 )%
Loss from operations
(9,600,727 )
(13,643,468 )
4,042,741
(30 )%
Other income (expense)
Interest expense
(455,445 )
(391,187 )
(64,258 )
16 %
Interest
income
95,646
1,803
93,843
5,206 %
Other income (expense),
net
(359,799 )
(389,384 )
29,585
(8 )%
Net
loss before income taxes
(9,960,526 )
(14,032,852 )
4,072,326
(29 )%
Income tax benefits
-
-
-
-
Net
loss
$ (9,960,526 )
$ (14,032,852 )
$ 4,072,326
(29 )%
Comparison
of the Six Months Ended June 30, 2022 and 2021
Six Months
Ended
June
30,
Increase
(Decrease)
2022
2021
$
Percent
Change
Statements of Operations
Data:
Operating expenses:
Research and
development
$ 15,064,000
$ 15,306,451
$ (242,451 )
( 2 )%
General
and administrative
2,044,332
1,128,787
915,545
81 %
Total operating expenses
17,108,332
16,435,238
673,094
4 %
Loss from operations
(17,108,332 )
(16,435,238 )
(673,094 )
4 %
Other income (expense)
Interest expense
(890,446 )
(391,210 )
(499,236 )
128 %
Interest income
103,805
2,191
101,614
4,638 %
Loss
on sale of fixed assets
-
(263 )
263
n/a
Other income (expense),
net
(786,641 )
(389,282 )
(397,359 )
102 %
Net
loss before income taxes
(17,894,973 )
(16,824,520 )
(1,070,453 )
6 %
Income tax benefits
-
-
-
-
Net
loss
$ (17,894,973 )
$ (16,824,520 )
$ (1,070,453 )
6 %
20
Research
and Development
Our
research and development expenses for the three months ended June 30, 2022 were approximately $8.4 million, representing a decrease of
approximately $4.7 million, or 36%, compared to the same period in 2021. This decrease reflected a $10 million reduction in gedatolisib
licensing related expenses partially offset by increases of $5.3 million in other research and development expenses. In the 2021 period,
research and development expenses included a $10.0 million upfront license fee related to the execution of the Pfizer license agreement
while there were no licensing agreement expenses for gedatolisib in 2022. Of the $5.3 million increase in research and development expenses,
$1.5 million was related to increased employee and consulting expenses, of which $0.5 million was in the form of non-cash stock-based
compensation. The remaining $3.8 million increase of research and development expenses is primarily related to costs for existing clinical
trials and for activities supporting the initiation of the VIKTORIA-1 pivotal trial.
Our
research and development expenses for the six months ended June 30, 2022 were approximately $15.1 million, representing a decrease of
approximately $0.2 million, or 2%, compared to the same period in 2021. The decrease reflected a $10 million reduction in gedatolisib
licensing related expenses largely offset by increases of $9.8 million in other research and development expenses. In the 2021 period,
research and development expenses included a $10.0 million upfront license fee related to the execution of the Pfizer license agreement
while there were no licensing agreement expenses for gedatolisib in 2022. Of the $9.8 million increase in research and development expense,
$3.1 million was related to increased employee and consulting expenses, of which $0.7 million was in the form of non-cash stock-based
compensation. The remaining $6.7 million increase of research and development expenses is related to costs for existing clinical trials
and for activities supporting the initiation of the VIKTORIA-1 pivotal trial.
Conducting
a significant amount of research and development is central to our business model. We plan to increase our research and development expenses
for the foreseeable future as we seek to develop gedatolisib, discover new cancer sub-types, and develop and validate additional CELsignia
tests to diagnose such sub-types. We also expect to incur increased expenses to support companion diagnostic business development activities
with pharmaceutical companies as we develop additional CELsignia tests and initiate a clinical trial for gedatolisib.
General
and Administrative
Our
general and administrative expenses for the three months ended June 30, 2022 were approximately $1.2 million, representing an
increase of approximately $0.6 million, or 115%, compared to the same period in 2021. Employee related expenses accounted for the
$0.6 million increase, including approximately $0.5 million in non-cash stock-based compensation.
Our
general and administrative expenses for the six months ended June 30, 2022 were approximately $2.0 million, representing an increase
of approximately $0.9 million, or 81%, compared to the same period in 2021. Employee related expenses accounted for $0.8 million of the
$0.9 million increase, including approximately $0.6 million in non-cash stock-based compensation. The remaining $0.1 million of the increase
resulted from director and officer insurance and other professional fees associated with being a public company.
We
anticipate that our general and administrative expenses will increase in future periods, reflecting both increased costs in connection
with the potential future commercialization of gedatolisib and CELsignia tests, an expanding infrastructure, and increased professional
fees associated with being a public company.
Interest
Expense
Interest
expense for the three months ended June 30, 2022 was $0.5 million and represents an increase of $0.1 million, or 16%, compared to the
same period in 2021. The increase is due to the loan agreement being in place for the entire three-month period in 2022 rather than for
only a fraction of the period in 2021 and a higher interest rate on the loan.
Interest
expense for the six months ended June 30, 2022 was $0.9 million and represents an increase of $0.5 million, or 128%, compared to the
same period in 2021. The increase is due to the loan agreement being in place for the entire six-month period in 2022 rather than for
only a fraction of the period in 2021 and a higher interest rate on the loan.
Interest
Income
Interest
income for the three months ended June 30, 2022 was $0.1 million higher compared to the same period in 2021. The increase was due to
higher market interest rates and a higher cash and cash equivalents balance.
Interest
income for the six months ended June 30, 2022 was $0.1 million higher compared to the same period in 2021. The increase was due to higher
market interest rates and a higher cash and cash equivalents balance.
21
Liquidity
and Capital Resources
Since
our inception, we have incurred losses and cumulative negative cash flows from operations. Through June 30, 2022, we have raised capital
of approximately $13.7 million and $7.5 million through private placements of common equity and unsecured convertible notes, respectively.
On September 22, 2017, we closed on the initial public offering of our common stock, which generated approximately $ 23.3
million of additional cash after taking into account underwriting discounts and commissions and offering expenses. On June 5,
2020, we entered into an At Market Issuance Sales Agreement with B. Riley, FBR, Inc (the “ATM Agreement”). The ATM Agreement
allowed us to sell shares of common stock up to an aggregate offering price of $10.0 million. Through March 31, 2022, we generated approximately
$0.1 million of additional cash through sales pursuant to the ATM Agreement, after taking into account commissions and offering expenses.
On February 26, 2021, we completed a follow-on offering of our common stock, which generated approximately $25.8 million of additional
cash after taking into account underwriting discounts and offering expenses. In conjunction with the follow-on offering, the ATM Agreement
was terminated. On April 8, 2021, we entered into a loan agreement with Innovatus Life Sciences Lending Fund I, LP (“Innovatus”),
whereby Innovatus agreed to loan up to $25 million in three tranches consisting of (i) a $15.0 million non-contingent term A loan that
was funded on April 8, 2021, (ii) a $5 million term B loan with a deadline of March 31, 2022, which we are no longer eligible to draw on,
and (iii) a $5 million term C loan to be funded upon our request no later than March 31, 2023. Funding of the term C loan is subject
to our ability to achieve certain milestones. On July 1, 2021, we completed a follow-on offering of our common stock, which generated
approximately $52.8 million of additional cash after taking into account underwriting discounts of approximately $3.4 million and offering
expenses of approximately $0.1 million.
On
February 4, 2022, we entered into an Open Market Sale Agreement SM with Jefferies LLC, as agent, pursuant to which we may offer
and sell, from time to time, through Jefferies, shares of our common stock having an aggregate offering price of up to $50,000,000. To
date, we have not yet made any sales under this arrangement.
On
May 15, 2022, we entered into a securities purchase agreement with certain institutional and other accredited investors for the sale
of Company common stock, preferred stock that may be convertible into common stock and warrants initially exercisable for preferred stock
for $100 million in the aggregate, before deducting placement agent fees and other offering expenses. Pursuant to the securities purchase
agreement, investors will purchase shares of common stock and preferred stock at a price per share of $5.75 (on an as converted to common
stock basis), with the closing (funding) of such purchase to occur following the achievement of a milestone in our forthcoming Phase
3 study (VIKTORIA-1). The sale of shares of common stock includes forty percent (40%) warrant coverage and customary resale registration
rights. Please see “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Recent Developments”
above for additional details.
On
August 9, 2022, the Company amended the loan agreement with Innovatus to provide up to $75 million in term loans. As mentioned
above, the initial term A loan of $15 million was funded on April 8, 2021. The Company will be able to draw an additional $20
million following the closing of the $100 million private placement. Additionally, the Company will be able to draw on two
additional tranches of $10 million and one additional tranche of $20 million upon achievement of certain clinical trial milestones
and satisfaction of certain financial covenants determined on a pro forma as-funded basis. Funding of these additional tranches is
also subject to other customary conditions and limits on when the Company can request funding for such tranches.
Cash
from our historical capital raising activities has been our primary source of funds for our operations since inception. As of June 30,
2022, our cash and cash equivalents were approximately $66.9 million, and we had an accumulated deficit of approximately $73.8 million.
We
expect that our research and development and general and administrative expenses will increase as we continue to develop gedatolisib,
conduct research related to the discovery of new cancer sub-types, conduct clinical trials, and pursue other business development activities.
We would also expect to incur sales and marketing expenses as we commercialize gedatolisib and our CELsignia tests. We expect to use
cash on hand, together with the funds to be received under the Securities Purchase Agreement described above, to fund our research and
development expenses, clinical trial costs, capital expenditures, working capital, sales and marketing expenses, and general corporate
expenses.
Based
on our current business plan, we believe that our current cash on hand will provide sufficient cash to finance operations and pay obligations
when due for at least the next twelve months.
We
may seek to raise additional capital to expand our business, pursue strategic investments, and take advantage of financing or other opportunities
that we believe to be in the best interests of the Company and our stockholders. Additional capital may be raised through the sale of
common or preferred equity or convertible debt securities, entry into debt facilities or other third-party funding arrangements. The
sale of equity and convertible debt securities may result in dilution to our stockholders and those securities may have rights senior
to those of our common shares. Agreements entered into in connection with such capital raising activities could contain covenants that
would restrict our operations or require us to relinquish certain rights. Additional capital may not be available on reasonable terms,
or at all.
Cash
Flows
The
following table sets forth the primary sources and uses of cash for the six months ended June 30:
June
30,
2022
2021
Net cash provided by (used in):
Operating activities
$ (17,222,132 )
$ (10,139,253 )
Investing activities
(34,621 )
(57,397 )
Financing
activities
(118,804 )
40,197,362
Net increase (decrease)
in cash and cash equivalents
$ (17,375,557 )
$ 30,000,712
22
Operating
Activities
Net
cash used in operating activities was approximately $17.2 million for the six months ended June 30, 2022 and consisted primarily of a
net loss of approximately $17.9 million and working capital changes of approximately $2.1 million, offset by non-cash expense
items of approximately $2.8 million. The approximately $2.1 million of working capital changes was primarily due to an increase of approximately
$3.9 million in prepaid assets, partially offset by increases in accounts payable and accrued expenses of approximately $0.7 million
and $0.9 million, respectively. Non-cash expense items of approximately $2.8 million primarily consisted of approximately $2.3 million
of stock-based compensation expense, non-cash interest expense of approximately $0.4 million and depreciation expense of approximately
$0.1 million.
Net
cash used in operating activities was approximately $10.1 million for the six months ended June 30, 2021 and consisted primarily of a
net loss of approximately $16.8 million, offset by non-cash expense items of approximately $6.4 million and working capital changes
of $0.3 million. Non-cash expense items of approximately $6.4 million primarily consisted of $5.0 for issuance of common stock related
to a license agreement, stock-based compensation expense of approximately $1.0 million, non-cash interest expense of approximately $0.2
million and depreciation expense of approximately $0.2 million. The approximately $0.3 million of working capital changes was primarily
due to an increase in accounts payable and a decrease in accrued expenses.
Investing
Activities
Net
cash used in investing activities for the six months ended June 30, 2022 and 2021 were minimal and consisted of purchases of property
and equipment.
Financing
Activities
Net
cash used in financing activities was approximately $0.1 million for the six months ended June 30, 2022 and consisted of payments for
secondary registration statement costs, offset partially by proceeds from the exercise of employee stock options and proceeds from employee
stock purchases.
Net
cash provided by financing activities for the six months ended June 30, 2021 was approximately $40.2 million. The $40.2 million primarily
consisted of approximately $25.8 million from net proceeds from the sale of shares of our common stock through a follow-on offering and
approximately $14.3 million from net proceeds related to the closing of a loan agreement. The remaining $0.1 million was the result of
proceeds from the exercise of common stock warrants and employee stock options and proceeds from employee stock purchases.
Recent
Accounting Pronouncements
From
time-to-time new accounting pronouncements are issued by the Financial Accounting Standards Board or other standard setting bodies and
adopted by us as of the specified effective date. Unless otherwise discussed in Note 2 to our unaudited condensed financial statements
included in Item 1 of Part I of this Quarterly Report, we believe that the impact of recently issued standards that are not yet effective
will not have a material impact on our financial position or results of operations upon adoption.
Critical
Accounting Policies and Use of Estimates
Our
management’s discussion and analysis of financial condition and results of operations is based on our unaudited condensed financial
statements, which have been prepared in accordance with U.S. GAAP. The preparation of these financial statements requires us to make
estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities
at the date of the financial statements, as well as the reported expenses during the reporting periods. These items are monitored and
analyzed by us for changes in facts and circumstances, and material changes in these estimates could occur in the future. We base our
estimates on historical experience and on various other factors that we believe are reasonable under the circumstances; the results of
which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other
sources. Changes in estimates are reflected in reported results for the period in which they become known. Actual results may differ
materially from these estimates.
Our
significant accounting policies are more fully described in Note 2 to our unaudited condensed financial statements included in Item 1
of Part I of this Quarterly Report.
23
Private
Securities Litigation Reform Act
The
Private Securities Litigation Reform Act of 1995 provides a “safe harbor” for forward-looking statements. Such forward-looking
information is included in this Quarterly Report and in other materials filed or to be filed by us with the SEC (as well as information
included in oral statements or other written statements made or to be made by us). Forward-looking statements include all statements
based on future expectations. This Quarterly Report contains forward-looking statements that involve risks and uncertainties including,
but not limited to, (i) our clinical trial plans and the estimated costs for such trials, including the timing of launching a Phase 3
clinical trial for gedatolisib; (ii) our expectations with respect to costs and timelines to develop, validate and launch CELsignia tests
and to continue to develop gedatolisib; (iii) our beliefs related to the perceived advantages of our CELsignia tests compared to traditional
molecular or other diagnostic tests; (iv) the expected benefits of gedatolisib; (v) our expectations regarding the timeline of patient
enrollment and results from clinical trials, including the existing clinical trial for gedatolisib; (vi) the future payments that may
be owed to Pfizer under the license agreement; (vii) our expectations regarding partnering with pharmaceutical companies and other third
parties; (viii) our expectations regarding revenue from sales of CELsignia tests and revenue from milestone or other payment sources;
(ix) our plans with respect to research and development and related expenses for the foreseeable future; (x) our expectations regarding
business development activities, including companion diagnostic related activities with pharmaceutical companies, expanding our sales
and marketing functions and the costs associated with such activities; (xi) our expectations with respect to the CELsignia tests and
the analytical capabilities and potential impact of such tests; (xii) our beliefs regarding the ability of our cash on hand to fund our
research and development expenses, capital expenditures, working capital, sales and marketing expenses, and general corporate expenses,
as well as the increased costs associated with being a public company; (xiii) our plans with respect to potentially raising capital;
and (xiv) our expectations regarding the impact that the COVID-19 pandemic and related economic effects will have on our business and
results of operations.
In
some cases, you can identify forward-looking statements by the following words: “anticipate,” “believe,” “continue,”
“could,” “estimate,” “expect,” “intend,” “may,” “ongoing,” “plan,”
“potential,” “predict,” “project,” “should,” “will,” “would,”
or the negative of these terms or other comparable terminology, although not all forward-looking statements contain these words. Forward-looking
statements are only predictions and are not guarantees of performance. These statements are based on our management’s beliefs and
assumptions, which in turn are based on their interpretation of currently available information.
These
statements involve known and unknown risks, uncertainties and other factors that may cause our results or our industry’s actual
results, levels of activity, performance or achievements to be materially different from the information expressed or implied by these
forward-looking statements. Certain risks, uncertainties and other factors include, but are not limited to, our limited operating history;
the potential impact of the COVID-19 pandemic on our business; our initial success being heavily dependent on the success of our CELsignia
HER2 Pathway Activity Test; our inability to develop and commercialize gedatolisib; our inability to determine whether our CELsignia
tests are currently commercially viable; challenges we may face in developing and maintaining relationships with pharmaceutical company
partners; the complexity and timeline for development of CELsignia tests and gedatolisib; the uncertainty and costs associated with clinical
trials; the uncertainty regarding market acceptance by physicians, patients, third-party payors and others in the medical community,
and with the size of market opportunities available to us; the pricing of molecular and other diagnostic products and services that compete
with us; uncertainty with insurance coverage and reimbursement for our CELsignia tests; difficulties
we may face in managing growth, such as hiring and retaining a qualified sales force and attracting and retaining key personnel; changes
in government regulations; and obtaining and maintaining intellectual property protection for our technology and time and expense associated
with defending third-party claims of intellectual property infringement, investigations or litigation threatened or initiated against
us. These and additional risks, uncertainties and other factors are described more fully in our Quarterly Report for the period
ended March 31, 2022 and elsewhere in this Quarterly Report. Copies of filings made with the SEC are available through the SEC’s
electronic data gathering analysis and retrieval system (EDGAR) at www.sec.gov.
You
should read the cautionary statements made in this Quarterly Report as being applicable to all related forward-looking statements wherever
they appear in this Quarterly Report. We cannot assure you that the forward-looking statements in this Quarterly Report will prove to
be accurate. Furthermore, if our forward-looking statements prove to be inaccurate, the inaccuracy may be material. You should read this
Quarterly Report completely. Other than as required by law, we undertake no obligation to update these forward-looking statements, even
though our situation may change in the future.
ITEM
3. Quantitative and Qualitative Disclosures about Market Risk
As
a smaller reporting company, we are not required to provide disclosure pursuant to this item.
ITEM
4. Controls and Procedures
Evaluation
of Disclosure Controls and Procedures
Our
Chief Executive Officer and Chief Financial Officer, referred to collectively herein as the Certifying Officers, are responsible for
establishing and maintaining our disclosure controls and procedures. The Certifying Officers have reviewed and evaluated the effectiveness
of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) promulgated under the Securities Exchange Act
of 1934, as amended (the “Exchange Act”)) as of June 30, 2022. Based on that review and evaluation, the Certifying Officers
have concluded that, as of the end of the period covered by this Quarterly Report, our disclosure controls and procedures, as designed
and implemented, are effective and provide reasonable assurance that information required to be disclosed by us in the periodic and current
reports that we file or submit under the Exchange Act is recorded, processed, summarized, and reported within the periods specified by
the SEC’s rules and forms.
Changes
in Internal Control Over Financial Reporting .
There
were no changes in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act)
during the three months ended June 30, 2022 that have materially affected, or are reasonably likely to materially affect, our internal
control over financial reporting.
24
PART
II. OTHER INFORMATION
ITEM
1. Legal Proceedings
From
time to time we may be involved in disputes or litigation relating to claims arising out of our operations. We are not currently a party
to any legal proceedings that could reasonably be expected to have a material adverse effect on our business, financial condition and
results of operations.
ITEM
1A. Risk Factors
As
a smaller reporting company, we are not required to provide disclosure pursuant to this item. However, in addition to other information
set forth in this Quarterly Report, including important information in the section entitled “Private Securities Litigation Reform
Act,” you should carefully consider the “Risk Factors” discussed in our Quarterly Report on Form 10-Q for the period
ended March 31, 2022 for a discussion of important factors that could cause actual results to differ materially from the results described
in or implied by the forward-looking statements contained in this Quarterly Report. Additional risks and uncertainties not currently
known to us or that we currently deem to be immaterial might materially adversely affect our actual business, financial condition and/or
operating results.
ITEM
2. Unregistered Sales of Equity Securities and Use of Proceeds
Recent
Unregistered Sales of Equity Securities
None
ITEM
3. Defaults Upon Senior Securities
None.
ITEM
4. Mine Safety Disclosures
None.
ITEM
5. Other Information
None.
25
ITEM
6. Exhibits
EXHIBIT
INDEX
Exhibit
No.
Description
2.1
Form of Plan of Conversion (incorporated by reference to Exhibit 2.1 to the Company’s Registration Statement on Form S-1/A filed with the SEC on September 12, 2017).
3.1*
Certificate of Incorporation of the Company, as amended.
3.2
Bylaws, incorporated by reference from Exhibit 3.2 to the Company’s Quarterly Report on Form 10-Q filed with the SEC on November 13, 2017.
4.1
Specimen Certificate representing shares of common stock of Celcuity Inc., incorporated by reference from Exhibit 4.1 to the Company’s Registration Statement on Form S-1/A filed September 12, 2017.
4.2
Description of Registered Securities (incorporated by reference to Exhibit 4.2 to the Company’s Annual Report on Form 10-K filed with the SEC on March 13, 2020).
4.3
Form of Warrant to Purchase Units of Membership Interest issued by Celcuity LLC to Cedar Point Capital, LLC, as placement agent of membership units and unsecured convertible promissory notes of Celcuity LLC (incorporated by reference to Exhibit 10.9 to the Company’s Registration Statement on Form S-1 filed with the SEC on August 23, 2017).
4.4
Form of Warrant to Purchase Shares of Common Stock issued by Celcuity Inc. in connection with the conversion of 1.25% Unsecured Convertible Promissory Notes (incorporated by reference to Exhibit 10.2 to the Company’s Current Report on Form 8-K filed with the SEC on September 25, 2017).
4.5
Representative’s Warrant to Purchase Common Stock (incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K filed with the SEC on September 25, 2017).
4.6
Form of Warrant, incorporated by reference from Exhibit 4.2 to the Company’s Current Report on Form 8-K filed with the SEC on April 8, 2021.
4.7
Equity Grant Agreement, dated April 8, 2021, between the Company and Pfizer, Inc., incorporated by reference from Exhibit 4.1 to the Company’s Current Report on Form 8-K filed with the SEC on April 8, 2021.
4.8
Loan and Security Agreement, dated as of April 8, 2021, by and between the Company and Innovatus Life Sciences Lending Fund I, LP., incorporated by reference from Exhibit 10.2 to the Company’s Quarterly Report on Form 10-Q filed with the SEC on August 11, 2021.
4.9
Form of Warrant, incorporated by reference to Exhibit 4.1 to the Company’s Current Report on Form 8-K filed with the SEC on May 18, 2022.
4.10
Certificate of Designations of Preferences, Rights and Limitations of Series A Convertible Preferred Stock filed May 16, 2022, incorporated by reference to Exhibit 4.2 to the Company’s Current Report on Form 8-K filed with the SEC on May 18, 2022.
10.1
Securities Purchase Agreement, dated May 15, 2022, by and among the Company and the Purchasers named therein, incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K filed with the SEC on May 18, 2022.
10.2
Registration Rights Agreement, dated May 15, 2022, by and among the Company and the Purchasers named therein, incorporated by reference to Exhibit 10.2 to the Company’s Current Report on Form 8-K filed with the SEC on May 18, 2022.
26
31.1*
Certification
of Chairman and Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.2*
Certification
of Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
32.1**
Certification
of Chairman and Chief Executive Officer Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
32.2**
Certification
of Chief Financial Officer Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101*
Financial
statements from the Quarterly Report on Form 10-Q of the Company for the quarter ended June 30, 2022, formatted in Inline XBRL: (i)
the Condensed Balance Sheets, (ii) the Condensed Statements of Operations, (iii) the Condensed Statements of Changes in Stockholders’
Equity, (iv) the Condensed Statements of Cash Flows, and (v) the Notes to Condensed Financial Statements.
104*
Cover
Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)
* Filed
herewith.
** Furnished
herewith.
27
SIGNATURES
Pursuant
to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this Report to be signed on its behalf by
the undersigned thereunto duly authorized.
Dated:
August 12, 2022
CELCUITY INC.
By
/s/
Brian F. Sullivan
Brian
F. Sullivan
Chairman
and Chief Executive Officer
(Principal
Executive Officer)
By
/s/
Vicky Hahne
Vicky
Hahne
Chief
Financial Officer
(Principal
Financial and Accounting Officer)
28
Text extracted from the filing as submitted to EDGAR. Formatting, tables and exhibits are simplified for reading; the original document is authoritative for anything you rely on.