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 March 31, 2025
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
May 7, 2025 there were 37,866,358 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 March 31, 2025 and December 31, 2024
3
Condensed Statements of Operations for the three months ended March 31, 2025 and 2024
4
Condensed Statements of Stockholders’ Equity for the three months ended March 31, 2025
5
Condensed Statements of Stockholders’ Equity for the three months ended March 31, 2024
6
Condensed Statements of Cash Flows for the three months ended March 31, 2025 and 2024
7
Notes to Unaudited Condensed Financial Statements
8
ITEM 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
15
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
27
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
(in
thousands, except share and per share amounts)
March
31, 2025
December
31, 2024
(unaudited)
Assets
Current Assets:
Cash and cash
equivalents
$ 16,478
$ 22,515
Investments
189,213
212,589
Other
current assets
11,906
9,467
Total current assets
217,597
244,571
Property and equipment, net
358
336
Operating lease right-of-use
assets
172
216
Total
Assets
$ 218,127
$ 245,123
Liabilities and Stockholders’
Equity:
Current Liabilities:
Accounts payable
$ 9,932
$ 9,366
Operating lease liabilities
169
172
Accrued
expenses
22,818
22,185
Total current liabilities
32,919
31,723
Operating lease liabilities
13
54
Note payable, non-current
98,527
97,727
Total
Liabilities
131,459
129,504
Commitments and Contingencies
(Note 5)
-
-
Stockholders’ Equity:
Preferred stock, $ 0.001 par value: 2,500,000 shares authorized; 317,577
shares issued and outstanding as of each of March 31, 2025 and December 31, 2024
-
-
Common stock, $ 0.001 par value: 95,000,000 shares authorized; 37,839,392
and 37,143,242 shares issued and outstanding as of March 31, 2025 and December 31, 2024, respectively
38
37
Additional paid-in capital
395,482
387,437
Accumulated deficit
( 308,852 )
( 271,855 )
Total
Stockholders’ Equity
86,668
115,619
Total
Liabilities and Stockholders’ Equity
$ 218,127
$ 245,123
See
accompanying notes to the condensed financial statements.
3
Celcuity
Inc.
Condensed
Statements of Operations
(in
thousands, except share and per share amounts)
(unaudited)
Three
Months Ended March 31,
2025
2024
Operating expenses:
Research and
development
$ 32,227
$ 20,647
General
and administrative
3,906
1,846
Total operating expenses
36,133
22,493
Loss from operations
( 36,133 )
( 22,493 )
Other (expense) income
Interest expense
( 3,183 )
( 1,401 )
Interest
income
2,319
2,282
Other (expense) income,
net
( 864 )
881
Net
loss before income taxes
( 36,997 )
( 21,612 )
Income tax benefits
-
-
Net
loss
$ ( 36,997 )
$ ( 21,612 )
Net loss per share, basic and diluted
$ ( 0.86 )
$ ( 0.64 )
Weighted average common shares outstanding,
basic and diluted
43,052,757
33,612,054
See
accompanying notes to the condensed financial statements.
4
Celcuity
Inc.
Condensed
Statements of Changes in Stockholders’ Equity
Three
Months Ended March 31, 2025
(in
thousands, except share amounts)
Shares
Amount
Shares
Amount
Capital
Deficit
Total
Common
Stock
Preferred
Stock
Additional Paid-In
Accumulated
Shares
Amount
Shares
Amount
Capital
Deficit
Total
Balance at December 31, 2024
37,143,242
$ 37
317,577
$ -
$ 387,437
$ ( 271,855 )
$ 115,619
Stock-based compensation
-
-
-
-
2,444
-
2,444
Exercise of common stock warrants
695,650
1
-
-
5,599
-
5,600
Exercise of common stock options, net of shares withheld for exercise
price
500
-
-
-
2
-
2
Net loss
-
-
-
-
-
( 36,997 )
( 36,997 )
Balance at March 31, 2025
(unaudited)
37,839,392
$ 38
317,577
$ -
$ 395,482
$ ( 308,852 )
$ 86,668
See
accompanying notes to the condensed financial statements.
5
Celcuity
Inc.
Condensed
Statements of Changes in Stockholders’ Equity
Three
Months Ended March 31, 2024
(in
thousands, except share amounts)
Common
Stock
Preferred
Stock
Additional Paid-In
Accumulated
Shares
Amount
Shares
Amount
Capital
Deficit
Total
Balance at December 31, 2023
25,506,012
$ 26
854,134
$ 1
$ 299,819
$ ( 160,076 )
$ 139,770
Balance
25,506,012
$ 26
854,134
$ 1
$ 299,819
$ ( 160,076 )
$ 139,770
Stock-based compensation
-
-
-
-
1,331
-
1,331
Exercise of common stock warrants, net of shares withheld for exercise price
1,742,763
2
-
-
14,007
-
14,009
Exercise of common stock options, net of shares withheld for exercise
price
36,550
-
-
-
239
-
239
Conversion of preferred to common stock
3,488,570
3
( 348,857 )
-
( 3 )
-
-
Net loss
-
-
-
-
-
( 21,612 )
( 21,612 )
Balance at March 31, 2024
(unaudited)
30,773,895
$ 31
505,277
$ 1
$ 315,393
$ ( 181,688 )
$ 133,737
Balance
30,773,895
$ 31
505,277
$ 1
$ 315,393
$ ( 181,688 )
$ 133,737
See
accompanying notes to the condensed financial statements.
6
Celcuity
Inc.
Condensed
Statements of Cash Flows
(in
thousands)
(unaudited)
2025
2024
Three
Months Ended March 31,
2025
2024
Cash flows from operating
activities:
Net loss
$ ( 36,997 )
$ ( 21,612 )
Adjustments to reconcile net loss to net cash
used for operations:
Depreciation
37
30
Stock-based compensation
2,444
1,331
Amortization of debt
issuance costs and discount
551
65
Payment-in-Kind interest
249
466
Non-cash operating lease,
net
( 1 )
1
Change in accrued interest
income
( 946 )
( 154 )
Changes in operating assets and liabilities:
-
Other current assets
( 2,436 )
269
Accounts payable
613
238
Accrued
expenses
633
2,298
Net
cash used for operating activities
( 35,853 )
( 17,068 )
Cash flows from investing
activities:
Proceeds from maturities of investments
66,808
125,061
Purchases of investments
( 42,486 )
( 121,435 )
Purchases of property
and equipment
( 60 )
( 90 )
Net
cash provided by investing activities
24,262
3,536
Cash flows from financing
activities:
Proceeds from exercise of common stock warrants
5,600
14,009
Proceeds from exercise of employee stock options
-
131
Payments for secondary
registration statement costs
( 46 )
( 56 )
Net
cash provided by financing activities
5,554
14,084
Net change in cash and cash equivalents
( 6,037 )
552
Cash and cash equivalents:
Beginning of period
22,515
30,663
End of period
$ 16,478
$ 31,215
Supplemental disclosure
of cash flow information:
Interest paid
$ 2,383
$ 870
Supplemental disclosures
of non-cash investing and financing activities:
Deferred financing costs and offering and registration
statement costs included in accounts payable
$ -
$ 13
Property and equipment included in accounts
payable
-
19
Property and equipment included in accrued
expenses
-
12
Exercise of stock options pending receipt of
cash proceeds
2
108
See
accompanying notes to the condensed financial statements
7
CELCUITY
INC.
NOTES
TO CONDENSED FINANCIAL STATEMENTS (unaudited)
(For
the Three Months Ended March 31, 2025 and 2024)
1.
Organization
Nature
of Business
Celcuity
Inc., a Delaware corporation (the “Company”), is a clinical-stage biotechnology company focused on the development of targeted
therapies for the treatment of multiple solid tumor indications. The Company’s lead therapeutic candidate is gedatolisib, a kinase inhibitor of the phosphatidylinositol 3-kinase (“PI3K”),
serine/threonine-protein kinase protein kinase B (“AKT”), mechanistic target of rapamycin (“mTOR”) pathway that
binds to all class I PI3K isoforms and the mTOR complexes, mTORC1 and mTORC2. By targeting all class I PI3K isoforms and mTORC1/2, gedatolisib
induces comprehensive inhibition of the PI3K/AKT/mTOR (“PAM”) pathway. Gedatolisib’s
mechanism of action and pharmacokinetic properties are differentiated from other currently approved and investigational therapies that
target PI3K or mTOR alone or together. A Phase 3 clinical trial, VIKTORIA-1, evaluating gedatolisib in combination with fulvestrant with
or without palbociclib in patients with HR+/HER2- advanced breast cancer is currently enrolling patients. Site selection activities for a Phase 3 clinical trial, VIKTORIA-2, evaluating gedatolisib in combination with a CDK4/6 inhibitor and fulvestrant as
first-line treatment for patients with HR+/HER2- advanced breast cancer, are completed and site activities have begun. The first patient is expected to be dosed in the
second quarter of 2025. A Phase 1b/2 clinical trial, CELC-G-201, evaluating gedatolisib in combination with darolutamide in patients
with metastatic castration resistant prostate cancer, is currently underway. 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 condensed 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 condensed 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, 2024 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, 2024
and the related footnotes thereto included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2024. Operating
results for the three months ended March 31, 2025 are not necessarily indicative of the results to be expected during the remainder of
the current year or for any other 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, the clinical and commercial success
of its initial drug product, gedatolisib, the regulatory approval of gedatolisib, 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.
8
Clinical
Trial Costs
The
Company relies on third parties to conduct certain aspects of clinical studies and to formulate and manufacture our drug product. While
there are alternative vendors that can perform these functions, any disruption or delay by the Company’s current third parties
in carrying out their contractual duties could delay the clinical trials. 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
primarily relies on a compilation of progress reports from third-party service providers, including the respective invoicing, to record
actual expenses, along with determining changes to prepaid assets and accrued liabilities. To date, the Company believes utilization
of third-party reports most accurately reflects expenses incurred. With the ongoing VIKTORIA-1 Phase 3 clinical trial and the CELC-G-201
Phase 1b/2 clinical trial, and the commencement of the VIKTORIA-2 Phase 3 clinical trial, the Company’s estimated expenses in future periods and actual services performed may vary from these
estimates, and these estimates may become more significant. 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 and financial position.
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 preferred stock, options, warrants,
and restricted stock 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 are the same.
The
following table summarizes the potentially-dilutive shares excluded from the diluted weighted-average shares outstanding:
Schedule
of Potentially-Dilutive Shares Excluded from Diluted Weighted-Average Shares Outstanding
2025
2024
March
31,
2025
2024
Preferred stock on an as-if-converted
to common stock basis
3,175,770
5,052,770
Options to purchase common stock
4,847,454
3,049,387
Warrants to purchase common stock
4,825,502
5,517,725
Restricted common stock
1,079
1,958
Total
12,849,805
13,621,840
Anti-dilutive securities excluded from
diluted weighted- average shares outstanding
12,849,805
13,621,840
Pre-funded
warrant shares of 5,747,787 are included in the computation of basic and diluted net loss per share for each of the three months ended
March 31, 2025 and 2024, as the pre-funded warrants are exercisable for nominal consideration.
4.
Investments
Debt
securities for which the Company has the positive intent and ability to hold to maturity are classified as held-to-maturity and reported
at historical cost adjusted for amortization of premiums and accretion of discounts. Expected credit losses, if any, are recorded through
the establishment of an allowance for credit losses. All of the Company’s held-to-maturity
investment securities are U.S. Treasury and agencies securities that are guaranteed or otherwise
supported by the United States government and have no history of credit losses. Accordingly, the Company does not expect to incur any
credit losses on held-to-maturity investment securities and has no allowance
for credit losses recorded for these securities.
9
The
following tables summarize the Company’s held-to-maturity investment securities at amortized cost as of March 31, 2025 and December
31, 2024:
Schedule
of Investment
Amortized
Cost, as Adjusted
Gross
Unrealized Holding Gains
Gross
Unrealized Holding Losses
Estimated
Fair Value
March
31, 2025
(in thousands)
Amortized
Cost, as Adjusted
Gross
Unrealized Holding Gains
Gross
Unrealized Holding Losses
Estimated
Fair Value
U.S. Treasury
Bills
$ 189,213
$ 25
$ -
$ 189,238
Total
$ 189,213
$ 25
$ -
$ 189,238
Amortized
Cost, as Adjusted
Gross
Unrealized Holding Gains
Gross
Unrealized Holding Losses
Estimated
Fair Value
December
31, 2024
(in thousands)
Amortized
Cost, as Adjusted
Gross
Unrealized Holding Gains
Gross
Unrealized Holding Losses
Estimated
Fair Value
U.S. Treasury
Bills
$ 212,589
$ 82
$ -
$ 212,671
Total
$ 212,589
$ 82
$ -
$ 212,671
The
fair value of the Company’s held-to-maturity debt securities is determined based upon inputs, other than the quoted prices in active
markets, that are observable either directly or indirectly and are classified as Level 2 fair value instruments.
5.
Commitments
Operating
and Finance Leases
The
Company leases its corporate space in Minneapolis, Minnesota, with an operating lease in place through April 30, 2026. The lease provides
for monthly rent, real estate taxes, and operating expenses. Rent expense is recorded on a straight-line basis over the lease term.
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, contract manufacturing organizations, and contract research
organizations. The Company has a license agreement in place with Pfizer Inc. (“Pfizer”) to research, develop, manufacture
and commercialize gedatolisib. In conjunction with the license agreement, the Company completed a Phase 1b clinical trial – B2151009
related to gedatolisib. These patients subsequently transitioned to an Expanded Access study – CELC-G-001. Contracts related to
the Expanded Access study are generally based on time and material. In addition, contracts related to the Company’s Phase 3 clinical
studies (VIKTORIA-1 and VIKTORIA-2) and the Phase 1b/2 clinical trial (CELC-G-201) 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 subject to amendments as a result of any change orders executed by the parties. As of March 31, 2025, the Company had six
material non-cancelable contractual commitments with respect to these arrangements, which totaled approximately $ 6.9 million.
6.
Stockholders’ Equity
Capital
Stock
At
December 31, 2024, the Company’s authorized capital stock consisted of 95,000,000 shares
of common stock, of which 37,143,242 shares
were outstanding, and 2,500,000 shares
of preferred stock, including 1,850,000 shares designated as Series A Preferred Stock, of which 317,577 shares
were outstanding.
In
March 2025, an investor exercised 695,650 warrants at an exercise price of $ 8.05 , which generated approximately $ 5.6 million in cash.
The warrants were issued pursuant to a private placement that closed on December 9, 2022.
At
March 31, 2025, the Company’s authorized capital stock consisted of 95,000,000 shares of common stock, of which 37,839,392 shares
were outstanding, and 2,500,000 shares of preferred stock, including 1,850,000 shares designated as Series A Preferred Stock, of which
317,577 shares were outstanding. As of March 31, 2025, no dividends have been declared on the Company’s capital stock.
10
7.
Stock-Based Compensation
The
following table summarizes the activity for all stock options outstanding for the three months ended March 31:
Schedule of Stock Options Activity
2025
2024
Shares
Weighted
Average
Exercise Price
Shares
Weighted
Average
Exercise Price
Options outstanding at beginning
of year
4,306,977
$ 10.42
2,815,392
$ 7.95
Granted
650,603
10.54
285,795
15.29
Exercised
( 500 )
5.10
( 36,550 )
6.55
Forfeited
( 109,626 )
12.00
( 15,250 )
9.05
Balance at March 31
4,847,454
$ 10.40
3,049,387
$ 8.65
Options exercisable
at March 31:
2,170,729
$ 7.58
1,569,614
$ 6.55
Weighted Average Grant Date Fair Value for
options granted during the period:
$ 7.43
$ 10.53
The
following table summarizes additional information about stock options outstanding and exercisable at March 31, 2025. The stock-based
compensation expense disclosed in the following paragraphs is shown in thousands.
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
(in 000’s)
Options
Exercisable
Weighted
Average
Exercise Price
Aggregate
Intrinsic
Value
(in 000’s)
4,847,454
7.94
$ 10.40
$ 6,952
2,170,729
$ 7.58
$ 6,396
The
Company recognized stock-based compensation expense for stock options of $ 2,260
and $ 1,290
for the three months ended March 31, 2025 and 2024, respectively.
In January 2025, May 2022, December 2021 and May 2020, the Company modified previously granted stock option awards to certain employees. The total incremental compensation expense recognized as a result of the modifications was $ 141 and $ 45 for the three months ended March 31, 2025 and 2024, respectively. The effect of these modifications on stock-based compensation over the remaining service periods will be $ 416 .
11
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 three months ended March 31:
Schedule
of Assumptions for Fair Value of Equity-based Awards
2025
2024
Risk-free interest rate
4.03 %
- 4.65 %
3.94 %
- 4.33 %
Expected volatility
76.2
to 77.3 %
76.1 %
Expected life (years)
5.01
to 6.42
5.25
to 6.08
Expected dividend yield
0 %
0 %
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 for the time-based awards, in accordance
with 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
for the time-based awards.
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.
The
Company had 1,079 and 1,958 shares of restricted stock outstanding as of March 31, 2025 and 2024, respectively, and no shares of restricted
stock vested during the three months ended March 31, 2025 and 2024. The Company recognized stock-based compensation expense for restricted
stock of $ 4 and $ 5 for the three months ended March 31, 2025 and 2024, 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 371,432 and
255,060 shares
on January 1, 2025 and 2024, respectively, and will increase
automatically on January 1 of each year 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
each of the Annual Meetings held on May 12, 2021 and May 12, 2022, the stockholders approved a 500,000
share increase each year to the number of shares reserved for issuance under the 2017 Plan. At each of the Annual Meetings held on
May 11, 2023 and May 9, 2024, the stockholders approved a 1,500,000
share increase each year 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 March 31, 2025 was 1,007,905 .
Total
unrecognized compensation cost related to stock options and restricted stock is estimated to be recognized at March 31, 2025:
Schedule
of Unrecognized Compensation Cost
(in thousands)
2025
$ 6,418
2026
7,443
2027
6,142
2028
2,769
2029
166
Total
estimated compensation cost to be recognized
$ 22,938
12
The
Company recognized stock-based compensation expense related to its employee stock purchase plan of $ 180 and
$ 36 for
the three months ended March 31, 2025 and 2024, 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 185,716 and
127,530 shares
on January 1, 2025 and 2024, 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 March 31, 2025 was 546,666 .
The
Company recognized total stock-based compensation expense as follows for the three months ended March 31:
Schedule
of Stock-based Compensation Expenses
2025
2024
Three Months
Ended
March
31,
(in thousands)
2025
2024
Stock-based compensation expense in operating
expenses:
Research and development
$ 1,505
$ 832
General and administrative
939
499
Total
$ 2,444
$ 1,331
8.
Debt
On
May 30, 2024, the Company entered into an Amended and Restated Loan and Security Agreement (the “A&R Loan Agreement”)
with Innovatus Life Sciences Lending Fund I, LP, a Delaware limited partnership (“Innovatus”), as collateral agent, and the
Lenders including Innovatus in its capacity as a Lender and Oxford Finance LLC (“Oxford”), pursuant to which Innovatus and
Oxford, as Lenders, have agreed to make certain term loans (“Term Loans”) to the Company in the aggregate principal amount
of up to $ 180 million. The A&R Loan Agreement amends and restates, in its entirety, that certain Loan and Security Agreement, dated
April 8, 2021, as amended, between the Company and Innovatus, as collateral agent, and the Lenders named therein (the “Prior Loan
Agreement”).
Funding
of the first $ 100 million under the A&R Loan Agreement occurred on May 30, 2024, including tranche payments of $ 16.8 million (the
“Term A Loan”) and $ 21.5 million (the “Term B Loan”) reflecting repayment of the principal amount of loans under
the Prior Loan Agreement plus accrued payment-in-kind interest, in addition to $ 61.7 million of new borrowings (the “Term C Loan”).
The Company will be eligible to draw on a fourth tranche of $ 30 million (the “Term D Loan”) and fifth tranche of $ 50 million
(the “Term E Loan”), in each case upon achievement of certain clinical trial milestones and satisfaction of certain financial
covenants determined on a pro forma as-funded basis. The Lenders may, in their sole discretion upon the Company’s request, make
additional term loans to the Company of $ 45 million (the “Term F Loan”). Funding of these additional tranches is also subject
to other customary conditions and limits on when the Company can request funding for such tranches. Costs associated with the new borrowings
were approximately $ 2.4 million.
Pursuant
to the A&R Loan Agreement, 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 May 1, 2029 and will bear interest at a rate equal to the sum of (a) the
greater of (i) the Prime Rate (as defined in the A&R Loan Agreement) or (ii) 7.75%, plus (b) 2.85%, provided that 1.0% of such interest
will be payable in-kind by adding an amount equal to such 1.0% of the outstanding principal amount to the then outstanding principal
balance on a monthly basis through May 31, 2027. The A&R Loan Agreement is secured by all assets of the Company. Proceeds will be
used for working capital purposes and to fund the Company’s general business requirements, including the Phase 3 VIKTORIA-2 clinical
trial. The A&R Loan Agreement contains customary representations and warranties and covenants, subject to customary carve-outs, and
includes financial covenants related to liquidity and other financial measures. Innovatus has the right, at its election and until August
9, 2025, to convert up to 20 % of the outstanding principal of the Term A Loan into shares of the Company’s common stock at a price
per share of $ 10.00 . Innovatus will continue to have the right to exercise a previously disclosed warrant granted to it under the Prior
Loan Agreement to purchase 26,042 shares of common stock at a price per share of $ 14.40 through April 8, 2031.
13
The
A&R Loan Agreement contains a Final Fee, which is equal to 4.5 % of the initial funding of the agreement and is due on the earliest
to occur of (a) the Maturity Date, (b) the acceleration of any Term Loan, and (c) the prepayment of the Term Loans. There is also a contingent
non-utilization fee for both the Term D and Term E Loans. If the Company achieves the Term D Milestone and (i) fails to draw the full
amount of the Term D Loan during the Term D Draw Period and (ii) fails to notify Collateral Agent, at any time before the date that is
four weeks after the Company’s achievement of the Term D Milestone, of the Company’s intent not to draw the full amount of
the Term D Loan, a non-utilization fee of $ 0.9 million, with respect to the Term D Loan shall become due and payable on the earliest of
(i) the termination of the Term D Draw Period, (ii) the Maturity Date, (iii) the acceleration of any Term Loan, and (iv) the prepayment
in whole of the Term Loans. If the Company achieves the Term E Milestone and (i) fails to draw the full amount of the Term E Loan during
the Term E Draw Period and (ii) fails to notify Collateral Agent, at any time before the date that is four weeks after the Company’s
achievement of the Term E Milestone, of the Company’s intent not to draw the full amount of the Term E Loan, a non-utilization
fee of $ 1.5 million, with respect to the Term E Loan shall become due and payable on the earliest of (i) the termination of the Term
E Draw Period, (ii) the Maturity Date, (iii) the acceleration of any Term Loan, and (iv) the prepayment in whole of the Term Loans. After
the 18-month anniversary of the Effective Date, the Company shall have the option to prepay all, but not less than all, of the Term Loans
advanced by the Lenders under the A&R Loan Agreement, provided the Company (i) provides written notice to Collateral Agent of its
election to prepay the Term Loans at least seven Business Days prior to such prepayment, and (ii) pays to Lenders on the date of such
prepayment, payable to each Lender in accordance with its respective Pro Rata Share, an amount equal to the sum of (A) all outstanding
principal of the Term Loans plus accrued and unpaid interest thereon through the prepayment date, (B) the Final Fee, (C) the Prepayment
Fee, plus (D) all other outstanding Obligations that are due and payable, including, without limitation, Lenders’ Expenses and
interest at the Default Rate with respect to any past due amounts. At May 30, 2024, the Company recognized the Final Fee of $ 4.5 million
as additional debt principal and a corresponding debt discount to be amortized over the life of the loan.
In
connection with the funding of each of the Term C Loan, the Term D Loan, the Term E Loan and the Term F Loan, the Company agreed to issue
to Innovatus and Oxford warrants to purchase that number of shares of the Company’s common stock equal to 2.5 % of the principal
amount of the applicable Term Loan divided by the exercise price, which shall, with respect to the Term C Loan, be equal to the lower
of (i) the volume weighted average closing price of the Company’s common stock for the five-trading day period ending on the last
trading day immediately preceding the execution of the A&R Loan Agreement or (ii) the closing price on the last trading day immediately
preceding the execution of the A&R Loan Agreement. Accordingly, on May 30, 2024, the Company issued 103,876 warrants with an exercise
price of $ 14.84 per share. The relative fair value of the warrants was approximately $ 1.2 million. For the additional Term Loans, the
exercise price will be based on the lower of (i) the exercise price for the Warrants issued pursuant to the Term C Loan or (ii) the volume
weighted average closing price of the Company’s common stock for the five-trading day period ending on the last trading day immediately
preceding the applicable Term Loan funding. The Warrants may be exercised on a cashless basis and are exercisable through the tenth anniversary
of the applicable funding date. The number of shares of common stock for which each Warrant is exercisable and the associated exercise
price are subject to certain proportional adjustments as set forth in such Warrant.
On May 13, 2025, the Company entered into the First Amendment (the “First
Amendment”) to the A&R Loan Agreement, pursuant to which the Company agreed to (i) pay Oxford an amendment fee of $40,000 on
the effective date of the First Amendment, (ii) extend to March 9, 2026 the expiration date of Innovatus’ right to convert up to
20% of the outstanding principal of the Term A Loan into shares of the Company’s common stock at a price per share of $10.00, (iii)
extend the expiration date of the Term D Draw Period to the earlier of (x) August 31, 2025 and (y) the occurrence of an Event of
Default (as defined in the A&R Loan Agreement), (iv) update the liquidity covenant to increase the Minimum Liquidity Percentage (as
defined in the First Amendment) to 50% if the Company fails to achieve the Term D Milestone prior to June 1, 2025 and to decrease the
Minimum Liquidity Percentage back to 30% if the Company subsequently achieves the Term D Milestone prior to the end of the Term D Draw
Period, and (v) release Innovatus and the Lenders from any and all claims arising out of or related to the A&R Loan Agreement, the
First Amendment and related documentation.
The
Company evaluated the change of terms under ASC 470-50, “Debt – Modification and Extinguishment”, and concluded the
change in terms did not result in significant and consequential changes to the economic substance of the debt and thus resulted in a
modification of the debt and not an extinguishment of the debt.
Long-term
debt consisted of the following at March 31, 2025 and December 31, 2024:
Schedule
of Long-term Debt
(in thousands)
March
31, 2025
December
31, 2024
Note payable
$ 100,000
$ 100,000
Add: Final fee
4,500
4,500
Add: PIK interest (added
to principal)
842
593
Less: unamortized debt
issuance costs
( 1,374 )
( 1,614 )
Less:
unamortized debt discount
( 5,441 )
( 5,752 )
Total long-term debt
$ 98,527
$ 97,727
Future
principal payments, including the incurred PIK interest and Final Fee, are as follows:
Schedule
of Long Term Debt Future Principal Payments
(in thousands)
Years
Ending December 31,
2027
$ 30,691
2028
52,613
2029
22,038
Total
$ 105,342
14
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 Annual Report on Form 10-K for
the year ended December 31, 2024, filed with the SEC on March 31, 2025, and the cautionary statements 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 the development of targeted therapies for the treatment of multiple solid tumor
indications. The Company’s lead therapeutic candidate is gedatolisib, a kinase inhibitor of the phosphatidylinositol 3-kinase
(“PI3K”), serine/threonine-protein kinase protein kinase B (“AKT”), mechanistic target of rapamycin
(“mTOR”) pathway that binds to all class I PI3K isoforms and the mTOR complexes, mTORC1 and mTORC2. By targeting all
class I PI3K isoforms and mTORC1/2, gedatolisib induces comprehensive inhibition of the PI3K/AKT/mTOR (“PAM”) pathway.
Its mechanism of action and pharmacokinetic properties are differentiated from other currently approved and investigational
therapies that target PI3K or mTOR alone or together. A Phase 3 clinical trial, VIKTORIA-1, evaluating gedatolisib in combination
with fulvestrant with or without palbociclib in patients with HR+/HER2- advanced breast cancer is currently enrolling patients. Site
selection activities are completed and site activation activities for a Phase 3 clinical trial, VIKTORIA-2, evaluating gedatolisib
in combination with a CDK4/6 inhibitor and fulvestrant as first-line treatment for patients with endocrine treatment resistant
HR+/HER2- advanced breast cancer, are completed and site activities have begun. The first patient is expected to be dosed in the
second quarter of 2025. A Phase 1b/2 clinical trial, CELC-G-201, evaluating gedatolisib in combination with darolutamide in patients
with metastatic castration resistant prostate cancer (“mCRPC”), is currently underway. An
investigator sponsored trial has been initiated in collaboration with the Dana Farber Cancer Institute and Massachusetts General
Hospital to evaluate gedatolisib in combination with abemaciclib and letrozole in patients with endometrial
cancer.
In
April 2021, we obtained exclusive global development and commercialization rights to gedatolisib under a license agreement with Pfizer.
We believe gedatolisib’s unique mechanism of action, differentiated chemical structure, favorable pharmacokinetic properties, and
intravenous route of administration offer distinct advantages over currently approved and investigational therapies that target PI3K,
AKT, or mTOR alone or together.
● Overcomes
limitations of therapies that only inhibit a single Class I PI3K isoform, AKT, or 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 and the mTORC1 and mTORC2 complexes. By targeting all class I PI3K isoforms and mTORC1/2, gedatolisib induces comprehensive
inhibition of the PAM pathway. Each PI3K isoform and mTOR complex 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 PI3K isoform (e.g., alpelisib, a PI3K-α inhibitor), AKT (e.g., capivasertib, an AKT inhibitor) or
only one mTOR kinase complex (e.g., everolimus, an mTORC1 inhibitor), numerous feedforward and feedback loops between the PI3K
isoforms and mTOR complexes cross-activate the uninhibited sub-units. This, in turn, induces compensatory resistance that reduces
the efficacy of isoform specific PI3K, AKT, or mTORC1 kinase 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, AKT, and mTOR.
● Better
tolerated by patients than oral PI3K and mTOR drugs.
Gedatolisib
is administered intravenously 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’s comprehensive inhibition of the PAM pathway at low nanomolar potency, IV route of administration,
and pharmacokinetic properties enables it to achieve optimal anti-proliferative effects on tumor cells without inducing the levels of
hyperglycemia, rash, and diarrhea typically associated with oral single-node inhibitors of the PAM pathway.
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, 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 AEs. 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 9%
discontinued treatment.
As
of March 31, 2025, 492 patients with solid tumors have received gedatolisib in eight completed clinical trials. 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.
15
A
Phase 1b clinical trial (B2151009) evaluating patients with HR+/HER2- metastatic breast cancer was initiated in 2016 and subsequently
enrolled 138 patients. Four patients from this study continue to receive study treatment, as of March 31, 2025, each of whom has received
study treatment for more than five years. The B2151009 clinical trial was an open label, multiple arm Phase 1b clinical trial 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, and D).
High
objective overall response rates (“ORR”) were observed in all four expansion arms and were comparable in each arm for PIK3CA
wild type (“WT”) and PIK3CA mutant (“MT”) patients. In patients who received prior hormonal therapy alone or
in combination with a CDK4/6 inhibitor (Arms B, C, and D), the ORR (including unconfirmed partial responses) ranged from 36% to 77%.
In patients who were treatment naïve in the advanced setting (Arm A), the ORR was 85%. Each arm achieved its primary endpoint target,
which was reporting higher ORR in the study arm than the ORR from either the PALOMA-2 study (ORR=55%) 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 patients
enrolled in the expansion portion of the study who had evaluable tumors, the ORR observed was 63%.
Median
progression-free survival (“PFS”) was 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). For all treatment naïve patients who received gedatolisib combined with palbociclib
plus letrozole in Expansion Arm A and Escalation Arm A (N=41), median PFS was 48.6 months and ORR was 79%. These results compare favorably
to published data for current first-line standard-of-care treatments for patients with HR+/HER2-advanced breast cancer.
Gedatolisib
combined with palbociclib and endocrine therapy demonstrated a favorable safety profile with manageable toxicity. The majority of treatment
related AEs were Grades 1 and 2. The most frequently observed AEs included stomatitis/mucosal inflammation, the majority of which were
Grades 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 currently enrolling patients in a Phase 3, open-label, randomized clinical trial, VIKTORIA-1, 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. Over two hundred clinical sites in North America, Europe, Latin America, and Asia-Pacific are
participating in the study. The first patient was dosed in this trial in December 2022.
The
VIKTORA-1 Phase 3 clinical trial enables separate evaluation of subjects according to their PIK3CA status. Subjects who meet
eligibility criteria and have PIK3CA WT tumors were 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). During the fourth quarter of
2024, we achieved our enrollment goal of 351 subjects for the PIK3CA WT cohort. Based on evaluation of blinded event rates, the
primary completion date is projected to occur in June 2025 with topline data now expected to be available in the third quarter of
2025 for this group. Subjects who meet eligibility criteria and are PIK3CA MT are
randomly assigned (3:3:1) to receive a regimen of either gedatolisib, palbociclib, and fulvestrant (Arm D), alpelisib and
fulvestrant (Arm E), or gedatolisib and fulvestrant (Arm F). Enrollment of up to 350 subjects who have PIK3CA MT tumors is ongoing.
We expect topline data for this group to be available in the fourth quarter of 2025.
We
received approval from the FDA in mid-2023 to proceed with the clinical development of gedatolisib in combination with Nubeqa® (darolutamide),
an approved androgen receptor inhibitor, for the treatment of patients with mCRPC.
We have since initiated a Phase 1b/2 clinical trial, CELC-G-201, that is enrolling patients with mCRPC who progressed after treatment
with an androgen receptor inhibitor. The first patient was dosed in this trial in February 2024.
In
the Phase 1b portion of the clinical trial, Celcuity expects approximately 36 participants will be randomly assigned to receive 600 mg
darolutamide combined with either 120 mg gedatolisib in Arm 1 or 180 mg gedatolisib in Arm 2. An additional 12 participants will then
be enrolled in the Phase 2 portion of the study at the recommended Phase 2 dose (“RP2D”) level to enable evaluation of 30
participants treated with the RP2D of gedatolisib.
16
The
primary objectives of the Phase 1b portion of the trial include assessment of the safety and tolerability of gedatolisib in combination
with darolutamide and determination of the recommended Phase 2 dose of gedatolisib. The primary objective of the Phase 2 portion of the
trial is to assess the radiographic PFS at six months of patients who received the RP2D. The study is expected to report topline data for the Phase 1b dose
escalation portion of the trial late in the second quarter of 2025.
A
Phase 3, open-label, randomized clinical trial to evaluate the efficacy and safety of gedatolisib plus a CDK4/6 inhibitor and fulvestrant
as first-line treatment for patients with HR+/HER2- advanced breast cancer that is endocrine treatment resistant (“VIKTORIA-2”)
is currently activating clinical trial sites. For the CDK4/6 inhibitor, investigators may choose either ribociclib or palbociclib. This
multi-center, international trial is expected to enroll approximately 12–36 evaluable subjects in the safety run-in portion of
the study to evaluate the safety of gedatolisib when combined with ribociclib and fulvestrant. In the Phase 3 portion of the study, approximately
638 subjects will be randomized and assigned to Cohort 1 (PIK3CA WT) or Cohort 2 (PIK3CA MT) based on their PIK3CA status. Subjects in
each cohort will be randomized on a 1:1 basis to either Arm A (gedatolisib with fulvestrant and ribociclib or palbociclib) or Arm B (fulvestrant
and ribociclib or palbociclib). It is expected that approximately 200 clinical sites across North America, Europe, Latin America, and
Asia-Pacific will participate. The first patient is expected to be dosed in the second quarter of 2025.
Recent
Developments
Based
on evaluation of blinded event rates in the ongoing VIKTORIA-1 Phase 3 clinical trial, the primary completion date for the PIK3CA WT
patient cohort is projected to occur in June 2025 with topline data now anticipated to be available in the third quarter of 2025. If
our topline data from the WT cohort is positive, we expect the data will support the filing of our first new drug application and, if
approved, our transition to a commercial stage company. If gedatolisib ultimately does receive FDA approval for both the PIK3CA WT and
MT populations, we estimate the peak revenue potential for this second-line indication could exceed $2 billion with just 40% market penetration.
● Enrollment
is ongoing in the PIK3CA MT of the VIKTORIA-1 trial and remains on track to report
topline data in the fourth quarter of 2025.
● VIKTORIA-1
is a global Phase 3 study evaluating gedatolisib in combination with fulvestrant with and
without palbociclib in adults with HR+, HER2- advanced breast cancer who have received prior
treatment with a CDK4/6 inhibitor.
Site
activation activities are underway globally for the VIKTORIA-2 Phase 3 clinical trial and dosing of the first patient is anticipated
to occur in the second quarter of 2025.
● VIKTORIA-2
is a global, Phase 3 open-label randomized study evaluating the efficacy and safety of gedatolisib
in combination with fulvestrant plus a CDK4/6 inhibitor, either ribociclib or palbociclib,
in comparison to fulvestrant plus a CDK4/6 inhibitor as a first-line treatment for patients
with HR+/HER2- advanced breast cancer who are endocrine therapy resistant.
● Prior
to initiating the Phase 3 portion of the study, a safety run-in will be conducted in 12-36
participants to assess the safety of gedatolisib in combination with ribociclib and fulvestrant.
The
CELC-G-201 study is on track to report topline data for the Phase 1b portion of the trial late in the second quarter of 2025.
● CELC-G-201
is a Phase 1b/2 evaluating gedatolisib in combination with darolutamide for the treatment
of patients with metastatic castration resistant prostate cancer (mCRPC) whose disease progressed
while on or after treatment with an androgen receptor signaling inhibitor.
● The
Phase 1b portion of the trial will assess the safety and tolerability of gedatolisib in combination with darolutamide and is expected
to identify the recommended phase 2 dose regimen.
Initiating a clinical trial collaboration with the Dana Farber Cancer Institute and Massachusetts General Hospital
to evaluate gedatolisib in combination with abemaciclib and letrozole in patients with endometrial cancer.
●
In a prior Phase 2 study, gedatolisib was evaluated as a monotherapy
in patients with endometrial cancer.
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 March 31, 2025 and 2024, we reported a net loss of approximately $37.0 million and $21.6 million,
respectively. As of March 31, 2025, we had an accumulated deficit of approximately $308.9 million. As of March 31, 2025, we had
cash and cash equivalents and short-term investments of approximately $205.7 million.
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 initiated a Phase 3 clinical trial, VIKTORIA-1, in 2022 to support
potential regulatory approval to market gedatolisib. In August 2023, we initiated a Phase 1b/2 clinical trial, CELC-G-201, and we have
initiated a second Phase 3 clinical trial, VIKTORIA-2, with dosing of the first patient planned in the second quarter of 2025 to support
submission to the FDA seeking approval for this indication for 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.
Research
and Development
Since
our inception, we have primarily focused on research and development of gedatolisib, a PI3K/mTOR targeted therapy, and our CELsignia
platform and corresponding tests. 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.
17
Internal
and external research and development costs are expensed as they are incurred. As we continue development of gedatolisib and manage studies
and clinical trials, including the VIKTORIA-1 Phase 3 clinical trial, the CELC-G-201 Phase 1b/2 clinical trial, and the VIKTORIA-2 Phase
3 clinical trial, 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
Expenses
and costs related to the initiation and operation of our medical and marketing teams, supply chain and distribution network are being
incurred in anticipation of the commercialization of our first drug candidate, gedatolisib. These expenses consist primarily of employee-related
expenses, professional and consulting fees related to these functions and operations, software costs, and the acquisition of data required
to support our market analysis for our drug product. We would expect to begin to incur sales force, sales support staff and marketing
expenses closer to a potential FDA approval date.
Interest
Expense
Interest
expense is primarily due to the A&R Loan Agreement (as defined below).
Interest
Income
Interest
income consists of interest income earned on our cash, cash equivalents, and investment balances.
Results
of Operations
Comparison
of the Three Months Ended March 31, 2025 and 2024
Three Months
Ended
March
31,
Increase
(Decrease)
(in thousands)
2025
2024
$
Percent
Change
Statements of Operations Data:
Operating expenses:
Research and
development
$ 32,227
$ 20,647
$ 11,580
56 %
General
and administrative
3,906
1,846
2,060
112
Total operating expenses
36,133
22,493
13,640
61
Loss from operations
(36,133 )
(22,493 )
(13,640 )
61
Other (expense) income
Interest expense
(3,183 )
(1,401 )
(1,782 )
127
Interest
income
2,319
2,282
37
2
Other (expense) income,
net
(864 )
881
(1,745 )
(198 )
Net
loss before income taxes
(36,997 )
(21,612 )
(15,385 )
71
Income tax benefits
-
-
-
-
Net
loss
$ ( 3 6,997 )
$ (21,612 )
$ (15,385 )
71 %
18
Research
and Development
Our
research and development expenses for the three months ended March 31, 2025 were approximately $32.2 million, representing an
increase of approximately $11.6 million, or 56%, compared to the same period in 2024. Of the $11.6 million increase in research and
development expense, $5.9 million was related to increased employee and consulting expenses. The remaining $5.7 million was
primarily related to activities supporting our ongoing clinical trials.
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 and conduct the VIKTORIA-1 Phase 3 clinical trial, the CELC-G-201 Phase 1b/2
clinical trial and the VIKTORIA-2 Phase 3 clinical trial.
General
and Administrative
Our
general and administrative expenses for the three months ended March 31, 2025 were approximately $3.9 million, representing an increase
of approximately $2.1 million, or 112%, compared to the same period in 2024. Of the $2.1 million increase in general and administrative
expense, $1.6 million was related to increased employee and consulting expenses. The remaining $0.5 million of the $2.1 million increase
resulted from professional fees, expanding infrastructure and other administrative expenses.
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, an expanding infrastructure, and increased professional fees associated with
public company regulatory developments and requirements, and other compliance matters.
Interest
Expense
Interest
expense for the three months ended March 31, 2025 was $3.2 million and represents an increase of $1.8 million, or 127%, compared to the
same period in 2024. Interest expense is the result of the A&R Loan Agreement. The increase is due primarily to the incremental
$61.7 million funding of Term Loan C in May 2024. The $3.2 million of interest expense includes $0.8 million of non-cash interest expense.
Interest
Income
Interest
income for the three months ended March 31, 2025 was $2.3 million which is flat compared to the same period in 2024.
Liquidity
and Capital Resources
Since
our inception, we have incurred losses and cumulative negative cash flows from operations. Through March 31, 2025, we have funded our
operations primarily through private placements and registered offerings of our equity securities and unsecured convertible notes, and
borrowings under loan agreements. From inception through March 31, 2025, we raised an aggregate of approximately $374.6 million of net
proceeds through sales of our securities, and as of March 31, 2025 had $100.0 million of borrowings under loan agreements, not including
payable-in-kind interest. As of March 31, 2025, our cash and cash equivalents and short-term investments were approximately $16.5 million
and $189.2 million, respectively, and we had an accumulated deficit of approximately $308.9 million.
In
March 2025, an investor exercised 695,650 warrants at an exercise price of $8.05, which generated approximately $5.6 million in cash.
The warrants were issued pursuant to a private placement that closed on December 9, 2022.
Open
Market Sale Agreement. On February 4, 2022, we entered into an Open Market Sale Agreement with Jefferies LLC (“Jefferies”),
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 $50.0 million, which amount was subsequently increased to $125.0 million on December 6, 2024. On October 12,
2022, pursuant to this agreement, the Company sold 500,000 shares of common stock in a single transaction at a price of $10.35 per share,
generating gross proceeds of $5.2 million ($4.8 million net of commissions and offering expenses). On December 1, 2023, pursuant to this
agreement, the Company sold 1,034,500 shares of common stock in a single transaction at a price of $14.50 per share, generating gross
proceeds of $15.0 million ($14.4 million net of commissions and offering expenses). In April 2024 and May 2024, pursuant to this agreement, the Company sold 285,714 and 149,700 shares of common stock, respectively, at an average selling price of $17.55 per share, generating
gross proceeds of $7.6 million before deducting commissions and other offering expenses of $0.3 million. At March 31, 2025, $125.0 million
of common stock remains available for sale under the Open Market Sale Agreement with Jefferies.
19
Equity
Offering. On May 30, 2024, the Company entered into an underwriting agreement with Leerink Partners LLC, TD Securities (USA) LLC
and Stifel, Nicolaus & Company, Incorporated as representatives of the several underwriters relating to the issuance and sale of
3,871,000 shares of common stock, at a price to the public of $15.50, generating gross proceeds of approximately $60.0 million. The offering
closed on May 31, 2024 and resulted in net proceeds to the Company of approximately $56.3 million after deducting underwriting discounts
and other offering expenses payable by the Company. The Company intends to use the net proceeds from the offering for working capital
and general corporate purposes, which may include research and development expenditures, clinical trial expenditures, expansion of business
development activities and other general corporate purposes.
Loan
Agreement. On May 30, 2024, the Company entered into an Amended and Restated Loan and Security Agreement (the “A&R Loan
Agreement”) with Innovatus Life Sciences Lending Fund I, LP, a Delaware limited partnership (“Innovatus”), as collateral
agent, and the Lenders including Innovatus in its capacity as a Lender and Oxford Finance LLC (“Oxford”), pursuant to which
Innovatus and Oxford, as Lenders, have agreed to make certain term loans (“Term Loans”) to the Company in the aggregate principal
amount of up to $180 million. The A&R Loan Agreement amends and restates, in its entirety, that certain Loan and Security Agreement,
dated April 8, 2021, as amended, between the Company and Innovatus, as collateral agent, and the Lenders named therein (the “Prior
Loan Agreement”).
Funding
of the first $100 million under the A&R Loan Agreement occurred on May 30, 2024, including tranche payments of $16.8 million (the
“Term A Loan”) and $21.5 million (the “Term B Loan”) reflecting repayment of the principal amount of loans under
the Prior Loan Agreement plus accrued payment-in-kind interest, in addition to $61.7 million of new borrowings (the “Term C Loan”).
The Company will be eligible to draw on a fourth tranche of $30 million (the “Term D Loan”) and fifth tranche of $50 million
(the “Term E Loan”), in each case upon achievement of certain clinical trial milestones and satisfaction of certain financial
covenants determined on a pro forma as-funded basis. The Lenders may, in their sole discretion upon the Company’s request, make
additional term loans to the Company of $45 million (the “Term F Loan”). Funding of these additional tranches is also subject
to other customary conditions and limits on when the Company can request funding for such tranches. Costs associated with the new borrowings
were approximately $2.4 million.
Pursuant
to the A&R Loan Agreement, 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 May 1, 2029 and will bear interest at a rate equal to the sum of (a) the
greater of (i) the Prime Rate (as defined in the A&R Loan Agreement) or (ii) 7.75%, plus (b) 2.85%, provided that 1.0% of such interest
will be payable in-kind by adding an amount equal to such 1.0% of the outstanding principal amount to the then outstanding principal
balance on a monthly basis through May 31, 2027. The A&R Loan Agreement is secured by all assets of the Company. Proceeds will be
used for working capital purposes and to fund the Company’s general business requirements, including the Phase 3 VIKTORIA-2 clinical
trial. The A&R Loan Agreement contains customary representations and warranties and covenants, subject to customary carve-outs, and
includes financial covenants related to liquidity and other financial measures. Innovatus has the right, at its election and until August
9, 2025, to convert up to 20% of the outstanding principal of the Term A Loan into shares of the Company’s common stock at a price
per share of $10.00. Innovatus will continue to have the right to exercise a previously disclosed warrant granted to it under the Prior
Loan Agreement to purchase 26,042 shares of common stock at a price per share of $14.40 through April 8, 2031.
The
A&R Loan Agreement contains a Final Fee, which is equal to 4.5% of the initial funding of the agreement and is due on the earliest
to occur of (a) the Maturity Date, (b) the acceleration of any Term Loan, and (c) the prepayment of the Term Loans. There is also a contingent
non-utilization fee for both the Term D and Term E Loans. If the Company achieves the Term D Milestone and (i) fails to draw the full
amount of the Term D Loan during the Term D Draw Period and (ii) fails to notify Collateral Agent, at any time before the date that is
four weeks after the Company’s achievement of the Term D Milestone, of the Company’s intent not to draw the full amount of
the Term D Loan, a non-utilization fee of $0.9 million, with respect to the Term D Loan shall become due and payable on the earliest of
(i) the termination of the Term D Draw Period, (ii) the Maturity Date, (iii) the acceleration of any Term Loan, and (iv) the prepayment
in whole of the Term Loans. If the Company achieves the Term E Milestone and (i) fails to draw the full amount of the Term E Loan during
the Term E Draw Period and (ii) fails to notify Collateral Agent, at any time before the date that is four weeks after the Company’s
achievement of the Term E Milestone, of the Company’s intent not to draw the full amount of the Term E Loan, a non-utilization
fee of $1.5 million with respect to the Term E Loan shall become due and payable on the earliest of (i) the termination of the Term E
Draw Period, (ii) the Maturity Date, (iii) the acceleration of any Term Loan, and (iv) the prepayment in whole of the Term Loans. After
the 18-month anniversary of the Effective Date, the Company shall have the option to prepay all, but not less than all, of the Term Loans
advanced by the Lenders under the A&R Loan Agreement, provided the Company (i) provides written notice to Collateral Agent of its
election to prepay the Term Loans at least seven Business Days prior to such prepayment, and (ii) pays to Lenders on the date of such
prepayment, payable to each Lender in accordance with its respective Pro Rata Share, an amount equal to the sum of (A) all outstanding
principal of the Term Loans plus accrued and unpaid interest thereon through the prepayment date, (B) the Final Fee, (C) the Prepayment
Fee, plus (D) all other outstanding Obligations that are due and payable, including, without limitation, Lenders’ Expenses and
interest at the Default Rate with respect to any past due amounts. At May 30, 2024, the Company recognized the Final Fee of $4.5 million
as additional debt principal and a corresponding debt discount to be amortized over the life of the loan.
20
In
connection with the funding of each of the Term C Loan, the Term D Loan, the Term E Loan and the Term F Loan, the Company agreed to issue
to Innovatus and Oxford warrants to purchase that number of shares of the Company’s common stock equal to 2.5% of the principal
amount of the applicable Term Loan divided by the exercise price, which shall, with respect to the Term C Loan, be equal to the lower
of (i) the volume weighted average closing price of the Company’s common stock for the five-trading day period ending on the last
trading day immediately preceding the execution of the A&R Loan Agreement or (ii) the closing price on the last trading day immediately
preceding the execution of the A&R Loan Agreement. Accordingly, on May 30, 2024, the Company issued 103,876 warrants with an exercise
price of $14.84 per share. The relative fair value of the warrants was approximately $1.2 million. For the additional Term Loans, the
exercise price will be based on the lower of (i) the exercise price for the Warrants issued pursuant to the Term C Loan or (ii) the volume
weighted average closing price of the Company’s common stock for the five-trading day period ending on the last trading day immediately
preceding the applicable Term Loan funding. The Warrants may be exercised on a cashless basis and are exercisable through the tenth anniversary
of the applicable funding date. The number of shares of common stock for which each Warrant is exercisable and the associated exercise
price are subject to certain proportional adjustments as set forth in such Warrant.
On May 13, 2025, we entered into the First Amendment (the “First
Amendment”) to the A&R Loan Agreement, pursuant to which we agreed to (i) pay Oxford an amendment fee of $40,000 on the effective
date of the First Amendment, (ii) extend to March 9, 2026 the expiration date of Innovatus’ right to convert up to 20% of the outstanding
principal of the Term A Loan into shares of the Company’s common stock at a price per share of $10.00, (iii) extend the expiration
date of the Term D Draw Period to the earlier of (x) August 31, 2025 and (y) the occurrence of an Event of Default (as defined in
the A&R Loan Agreement), (iv) update the liquidity covenant to increase the Minimum Liquidity Percentage (as defined in the First
Amendment) to 50% if we fail to achieve the Term D Milestone prior to June 1, 2025 and to decrease the Minimum Liquidity Percentage back
to 30% if we subsequently achieve the Term D Milestone prior to the end of the Term D Draw Period, and (v) release Innovatus and the Lenders
from any and all claims arising out of or related to the A&R Loan Agreement, the First Amendment and related documentation.
We
expect that our research and development and general and administrative expenses will increase as we continue to develop
gedatolisib, conduct the VIKTORIA-1 Phase 3 clinical trial, the CELC-G-201 Phase 1b/2 trial, and the VIKTORIA-2 Phase 3 clinical
trial, conduct other studies and clinical trials, and pursue other business development activities. We would also expect to incur
sales and marketing expenses as we commercialize gedatolisib. We expect to use cash on hand, together with the funds received or to
be received under the debt and equity financings 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, cash equivalents and short-term investments together with available borrowings
under the Innovatus Loan Agreement will provide sufficient cash to finance our clinical development program activities through 2026.
Our
expectations as to how long our current capital resources will be sufficient to fund our operations are based on assumptions that may
not be accurate, and we could use our current capital resources sooner than we currently expect. In addition, we may seek to raise additional
capital to finance capital expenditures and operating expenses over the next several years as we launch our integrated therapeutic and
companion diagnostic strategy and expand our infrastructure, commercial operations and research and development activities, and to 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.
21
Cash
Flows
The
following table sets forth the primary sources and uses of cash for the three months ended March 31:
March
31,
2025
2024
(in thousands)
Net cash (used in) provided by:
Operating activities
$ (35,853 )
$ (17,068 )
Investing activities
24,262
3,536
Financing
activities
5,554
14,084
Net (decrease) increase
in cash and cash equivalents
$ (6,037 )
$ 552
Operating
Activities
Net
cash used in operating activities was approximately $35.9 million for the three months ended March 31, 2025 and consisted primarily of
a net loss of approximately $37.0 million and working capital changes of $1.2 million, partially offset by non-cash expense items
of approximately $2.3 million. Non-cash expense items of approximately $2.3 million primarily consisted of $2.4 million of stock-based
compensation expense, partially offset by net non-cash interest of $0.1 million. The approximately $1.2 million of working capital changes
was primarily due to an increase in other current assets and amortization of debt issuance costs and discount, partially offset by increases
in accrued expenses and accounts payable.
Net
cash used in operating activities was approximately $17.1 million for the three months ended March 31, 2024 and consisted primarily
of a net loss of approximately $21.6 million, partially offset by working capital changes of $2.8 million and non-cash
expense items of approximately $1.7 million. Non-cash expense items of approximately $1.7 million primarily consisted of $1.3
million of stock-based compensation expense and net non-cash interest of $0.4 million. The approximately $2.8 million of working
capital changes was primarily due to increases in accrued expenses and accounts payable and a decrease in other current
assets.
Investing
Activities
Net
cash provided by investing activities for the three months ended March 31, 2025 was approximately $24.3 million and consisted primarily
of net proceeds from short-term investments in government securities (U.S. Treasury Bills and U.S.
government securities), partially offset by purchases of property and equipment.
Net cash provided by investing
activities for the three months ended March 31, 2024 was approximately $3.5 million and consisted primarily of net proceeds from maturities
of short-term investments in government securities (U.S. Treasury Bills), partially offset by $0.1 million purchases of property and
equipment.
Financing
Activities
Net
cash provided by financing activities for the three months ended March 31, 2025 was approximately $5.6 million and primarily consisted
of net proceeds from the exercise of 695,650 common stock warrants at an exercise price of $8.05.
Net
cash provided by financing activities for the three months ended March 31, 2024 was approximately $14.1 million and primarily consisted
of proceeds from the exercise of common stock warrants and the exercise of employee stock options, slightly offset by payments for secondary
registration costs.
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.
22
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.
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 timelines and costs for such trials;
(ii) our plans to develop and commercialize our products, and our expectations about the market opportunity for gedatolisib and our
ability to serve that market; (iii) our expectations with respect to our competitive advantages, including the potential efficacy of
gedatolisib in various patient types alone or in combination with other treatments; (iv) our expectations regarding the timeline of
patient enrollment and results from clinical trials, including our ongoing Phase 3 VIKTORIA-1 clinical trial, ongoing Phase 3
VIKTORIA-2 clinical trial, and ongoing Phase 1b/2 clinical trial for gedatolisib; (v) our expectations regarding our ability to
obtain FDA approval to commercialize gedatolisib; (vi) our expectations regarding governmental laws and regulations affecting our
operations, including, without limitation, developments in laws and regulations or their interpretation, including, among others,
changes in tax laws and regulations internationally and in the U.S. and laws that affect our operations and our laboratory; (vii)
our expectations with respect to the development, validation, required approvals, costs and timelines of our drug candidate
gedatolisib; (viii) our beliefs related to the potential benefits resulting from Breakthrough Therapy designation for gedatolisib;
(ix) our plans with respect to research and development and related expenses for the foreseeable future; (x) our beliefs about our
ability to capitalize on the exclusive global development and commercialization rights obtained from our license agreement with
Pfizer with respect to gedatolisib; (xi) our expectations regarding the future payments that may be owed to Pfizer under the license
agreement with them; (xii) our beliefs with respect to the potential rate and degree of market acceptance, both in the United States
and internationally, and clinical utility of gedatolisib; (xiii) our revenue expectations; (xiv) our expectations regarding business
development activities, including collaborations with pharmaceutical companies; (xv) our plans with respect to pricing in the United
States and internationally, and our ability to obtain reimbursement for our drug candidate, gedatolisib, including expectations as
to our ability or the amount of time it will take to achieve successful reimbursement from third-party payors, such as commercial
insurance companies and health maintenance organizations, and from government insurance programs, such as Medicare and Medicaid;
(xvi) our expectations as to the use of proceeds from our financing activities; (xvii) our expectations with respect to availability
of capital, including accessing our current debt facility or any other debt facility or other capital sources in the future, and our
assumption that we will have adequate authorized shares for future equity issuances; (xviii) our beliefs regarding the adequacy of
our cash on hand to fund our clinical trials, capital expenditures, working capital, and other general corporate expenses, as well
as the increased costs associated with being a public company; (xix) our plans with respect to potentially raising capital; and (xx)
our expectations regarding our ability to obtain and maintain intellectual property protection for our product candidates, including
our gedatolisib drug candidate and our CELsignia platform and tests.
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.
23
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;
our potential inability to develop, validate and commercialize gedatolisib on a timely basis or at all; the uncertainties and costs associated
with clinical studies and with developing and commercializing biopharmaceuticals; the complexity and difficulty of demonstrating the
safety and sufficient magnitude of benefit to support regulatory approval of gedatolisib and other products we may develop; challenges
we may face in developing and maintaining relationships with pharmaceutical company partners; 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; 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;
tightening credit markets and limitations on access to capital; stock market volatility or other factors that may affect our ability
to access capital on favorable terms or at all; 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 Annual Report
on Form 10-K for the year ended December 31, 2024 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 March 31, 2025. 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 March 31, 2025 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
In
addition to other information set forth in this Quarterly Report, including the important information in the section entitled “Private
Securities Litigation Reform Act,” you should carefully consider the “Risk Factors” discussed in our Annual Report
on Form 10-K for the year ended December 31, 2024, 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. Except as set forth below,
there have been no material changes to the risk factors previously disclosed in such Annual Report on Form 10-K. 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.
Changes
to trade policy, including new or increased tariffs and changing import and export regulations, could have a material adverse effect
on our business, results of operations and financial condition.
Our
business, results of operations, and financial condition could be adversely affected by uncertainty and changes in U.S. or international
trade policies, including tariffs, quotas, trade agreements, or other trade restrictions imposed by the U.S. or other governments. For
example, the U.S. has instituted certain changes, and has proposed additional changes, in trade policies that include the negotiation
or termination of trade agreements, the imposition of higher tariffs on imports into the U.S., and other government regulations affecting
trade between the U.S. and other countries. The new tariffs and other changes in U.S. trade policy have triggered retaliatory actions
by affected countries, and foreign governments have instituted or are considering imposing trade sanctions on U.S. goods. Several tariff
announcements have been followed by announcements of limited exemptions, revisions, and temporary pauses, resulting in significant uncertainty.
The
imposition of tariffs and other trade restrictions, as well as the escalation of trade disputes and any downturns in the global economy
resulting therefrom, could materially and adversely affect our business, financial condition and results of operations. The extent and
duration of the tariffs and other trade restrictions and the resulting impact on general economic conditions and on our business are
uncertain and depend on various factors, such as negotiations between the U.S. and affected countries, the responses of other countries
or regions, exemptions or exclusions that may be granted, and availability and cost of alternative sources of supply.
While
we plan to maintain adequate inventory of the gedatolisib active pharmaceutical ingredient (“API”) and to qualify
a second source of gedatolisib API, any imposition of, or increase in, tariffs or other restrictions on imports of equipment or other
materials (or the components of these materials) could increase the cost for such materials and also increase the prices for such materials
available domestically or locally, if any, which in turn could increase our costs. Such cost increases could materially and adversely
affect our results of operations and financial condition. Tariffs or other trade restrictions may lead to continuing uncertainty and
volatility in U.S. and global financial and economic conditions and commodity markets, declining consumer confidence, significant inflation,
and diminished expectations for the economy. Such conditions could have a material adverse impact on our business, results of operations
and financial position.
Disruptions
at the FDA, and other government agencies from funding cuts, personnel losses, leadership changes,
regulatory reform, government shutdowns and other developments could hinder our ability to obtain guidance from the FDA regarding our
clinical development programs and develop and secure approval of our product candidates in a timely manner, which would negatively impact
our business.
The
FDA and comparable regulatory agencies in foreign jurisdictions, such as the European Medicines Agency (“EMA”), play an important role
in the development of our product candidates by providing guidance on our clinical development programs and reviewing our regulatory submissions,
including investigational new drug applications (“INDs”), requests for special designations and marketing applications. If these oversight
and review activities are disrupted, then correspondingly our ability to develop and secure timely approval of our product candidates
could be impacted in a negative manner.
For example,
the recent loss of FDA leadership and personnel, and new leadership at the U.S. Department of Health and Human Services, FDA and the
Center for Drug Evaluation and Research could lead to disruptions and delays in FDA guidance and review and approval of our product
candidate. Further, while the FDA’s review of marketing applications and other activities for new drugs is largely funded
through the user fee program established under the Prescription Drug User Fee Act, it remains unclear how the
administration’s recent reduction in force and budget cuts will impact this program and the ability of the FDA to provide
guidance and review our product candidate in a timely manner.
There
is also substantial uncertainty as to how regulatory reform measures being implemented by the Trump Administration across the government
will impact the FDA and other federal agencies with jurisdiction over our activities. For example, since taking office, the President
has issued a number of executive orders that could have a significant impact on the manner in which the FDA conducts its operations and
engages in regulatory and oversight activities.
Accordingly,
if any of the foregoing developments and others impact the ability of the FDA to provide us with guidance regarding our clinical development
programs or delay the agency’s review and processing of our regulatory submissions, including INDs and new drug applications, our
business would be negatively impacted.
ITEM
2. Unregistered Sales of Equity Securities and Use of Proceeds
Recent
Unregistered Sales of Equity Securities
None.
Issuer
Purchases of Equity Securities
None.
ITEM
3. Defaults Upon Senior Securities
None.
ITEM
4. Mine Safety Disclosures
None.
ITEM
5. Other Information
Trading Plans
During
the three months ended March 31, 2025, none of our directors or officers (as defined in Rule 16a-1(f) of the Exchange Act) adopted
or terminated a “Rule 10b5-1 trading arrangement” or “non-Rule 10b5-1 trading arrangement,” as each term is defined
in Item 408 of Regulation S-K.
First Amendment to Amended and Restated Loan and Security Agreement
On May 13, 2025, we entered into
the First Amendment (the “First Amendment”) to Amended and Restated Loan and Security Agreement (the “A&R Loan Agreement”)
with Innovatus Life Sciences Lending Fund I, LP, a Delaware limited partnership (“Innovatus”), as collateral agent, and the
Lenders listed on Schedule 1.1 thereto or otherwise party thereto from time to time (the “Lenders”), including Innovatus in
its capacity as a Lender, and Oxford Finance LLC (“Oxford”).
Pursuant to the First Amendment,
we agreed to (i) pay Oxford an amendment fee of $40,000 on the effective date of the First Amendment, (ii) extend to March 9, 2026 the
expiration date of Innovatus’ right to convert up to 20% of the outstanding principal of the Term A Loan (as defined in the A&R
Loan Agreement) into shares of the Company’s common stock at a price per share of $10.00, (iii) extend the expiration date of the
Term D Draw Period (as defined in the First Amendment) to the earlier of (x) August 31, 2025 and (y) the occurrence of an Event of
Default (as defined in the A&R Loan Agreement), (iv) update the liquidity covenant to increase the Minimum Liquidity Percentage (as
defined in the First Amendment) to 50% if we fail to achieve the Term D Milestone (as defined in the A&R Loan Agreement) prior to
June 1, 2025 and to decrease the Minimum Liquidity Percentage back to 30% if we subsequently achieve the Term D Milestone prior to the
end of the Term D Draw Period, and (v) release Innovatus and the Lenders from any and all claims arising out of or related to the A&R
Loan Agreement, the First Amendment and related documentation.
The foregoing description
of the First Amendment does not purport to be complete and is qualified in its entirety by reference to the full text of the First Amendment,
which is filed as Exhibit 10.3 hereto and is incorporated herein by reference.
25
ITEM
6. Exhibits
EXHIBIT
INDEX
Exhibit
No.
Description
3.1
Certificate
of Incorporation of the Company, as amended, including the Certificate of Designations of Preferences, Rights and Limitations of
Series A Convertible Preferred Stock (incorporated by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K
filed with the SEC on October 9, 2024).
3.2
Bylaws
(incorporated by reference to Exhibit 3.2 to the Company’s Quarterly Report on Form 10-Q filed with the SEC on November 13,
2017).
10.1
Change
in Control and Severance Plan and Summary Plan Description (incorporated by reference to Exhibit 10.35 to the Company’s Annual
Report on Form 10-K filed with the SEC on March 31, 2025).
10.2*
Form of Stock Option Agreement (Performance-Based) pursuant to Celcuity Inc. Amended and Restated 2017 Stock Incentive Plan.
10.3*
First Amendment to Amended and Restated Loan and Security Agreement, dated May 13, 2025, by and among the Company, Innovatus Life Sciences Lending Fund I, LP, as collateral agent, the Lenders named therein and Oxford Finance LLC.
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*
The
following information from the Quarterly Report on Form 10-Q of the Company for the quarter ended March 31, 2025, 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, (v) the Notes to Condensed Financial Statements, and (vi)
the information under Part II, Item 5, “Other Information.”
104*
Cover
Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)
*
Filed
herewith.
**
Furnished
herewith.
26
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:
May 15, 2025
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)
27
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.