UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
WASHINGTON,
D.C. 20549
FORM
10-Q
(Mark
One)
☒
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For
the quarterly period ended June 30, 2020
☐
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For
the transition period from ________ to ________
Commission
file number 001-34673
CORMEDIX INC.
(Exact Name of Registrant as Specified in Its Charter)
Delaware 20-5894890
(State or Other Jurisdiction of
Incorporation or Organization)
(I.R.S. Employer
Identification No.)
400 Connell Drive , Suite 5000 , Berkeley Heights , NJ 07922
(Address of Principal Executive Offices) (Zip Code)
(908) 517-9500
(Registrant’s
Telephone Number, Including Area Code)
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 CRMD NYSE American 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 ☒
The number of shares
outstanding of the issuer’s common stock, as of August 6, 2020 was 31,238,594 .
CORMEDIX
INC. AND SUBSIDIARIES
INDEX
PART
I FINANCIAL INFORMATION
1
Item 1.
Unaudited
Condensed Consolidated Financial Statements
1
Condensed
Consolidated Balance Sheets as of June 30, 2020 and December 31, 2019
1
Condensed
Consolidated Statements of Operations and Comprehensive Loss for the Three and Six Months Ended June 30, 2020 and
2019
2
Condensed
Consolidated Statements of Changes in Stockholders’ Equity for the Three and Six Months Ended June 30, 2020 and
2019
3
Condensed
Consolidated Statements of Cash Flows for the Six Months Ended June 30, 2020 and 2019
5
Notes
to Unaudited Condensed Consolidated Financial Statements
6
Item 2.
Management’s
Discussion and Analysis of Financial Condition and Results of Operations
25
Item 3.
Quantitative
and Qualitative Disclosure About Market Risk
35
Item 4.
Controls
and Procedures
35
PART
II OTHER INFORMATION
36
Item 1.
Legal
Proceedings
36
Item 1A.
Risk
Factors
38
Item 6.
Exhibits
39
SIGNATURES
40
i
PART I
FINANCIAL INFORMATION
Item
1. Unaudited Condensed Consolidated Financial Statements.
CorMedix
Inc. AND SUBSIDIARIES
CONDENSED
CONSOLIDATED BALANCE SHEETS
(Unaudited)
June 30,
2020
December 31,
2019
ASSETS
Current assets
Cash and cash equivalents
$ 16,493,967
$ 16,350,237
Restricted cash
175,160
174,950
Short-term investments
5,948,034
11,984,157
Trade receivables
11,030
35
Inventories, net
277,835
338,465
Prepaid research and development expenses
79,622
34,831
Security deposit
20,000
20,000
Other prepaid expenses and current assets
1,128,755
446,415
Total current assets
24,134,403
29,349,090
Property and equipment, net
102,836
126,820
TOTAL ASSETS
$ 24,237,239
$ 29,475,910
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities
Accounts payable
$ 1,385,909
$ 1,024,280
Accrued expenses
4,328,033
4,800,486
Deferred revenue
-
2,206
Total current liabilities
5,713,942
5,826,972
Operating lease liabilities,
net of current portion
1,827
2,678
TOTAL LIABILITIES
5,715,769
5,829,650
COMMITMENTS AND CONTINGENCIES
STOCKHOLDERS’ EQUITY
Preferred stock - $ 0.001 par value: 2,000,000 shares authorized; 241,623 shares issued and outstanding at June 30, 2020 and December 31, 2019, respectively
242
242
Common stock - $ 0.001 par value: 160,000,000 shares authorized; 26,127,379 and 25,665,350 shares issued and outstanding at June 30, 2020 and December 31, 2019, respectively
26,127
25,665
Accumulated other comprehensive income
105,590
97,257
Additional paid-in capital
223,150,674
218,944,268
Accumulated deficit
( 204,761,163 )
( 195,421,172 )
TOTAL STOCKHOLDERS’ EQUITY
18,521,470
23,646,260
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY
$ 24,237,239
$ 29,475,910
See
Accompanying Notes to Unaudited Condensed Consolidated Financial Statements.
1
CORMEDIX INC. AND SUBSIDIARIES
CONDENSED
CONSOLIDATED STATEMENTS OF OPERATIONS
AND
COMPREHENSIVE LOSS
(Unaudited)
For the Three Months Ended
June 30,
For the Six Months Ended
June 30,
2020
2019
2020
2019
Revenue:
Net sales
$ 16,443
$ 35,266
$ 90,498
$ 198,958
Cost of sales
( 19,184 )
( 21,128 )
( 67,701 )
( 248,083 )
Gross profit (loss)
( 2,741 )
14,138
22,797
( 49,125 )
Operating Expenses:
Research and development
( 5,685,292 )
( 2,979,907 )
( 8,157,408 )
( 5,854,903 )
Selling, general and administrative
( 3,232,576 )
( 2,571,587 )
( 6,397,747 )
( 4,556,509 )
Total Operating Expenses
( 8,917,868 )
( 5,551,494 )
( 14,555,155 )
( 10,411,412 )
Loss From Operations
( 8,920,609 )
( 5,537,356 )
( 14,532,358 )
( 10,460,537 )
Other Income (Expense):
Interest income
38,603
95,964
102,282
154,785
Foreign exchange transaction loss
( 55,985 )
( 8,808 )
( 59,206 )
( 10,285 )
Interest expense, including amortization of debt discount
( 13,828 )
( 306,736 )
( 20,104 )
( 608,783 )
Total Other Income (Expense)
( 31,210 )
( 219,580 )
22,972
( 464,283 )
Loss before income taxes
( 8,951,819 )
( 5,756,936 )
( 14,509,386 )
( 10,924,820 )
Tax benefit
5,169,395
5,060,778
5,169,395
5,060,778
Net Loss
( 3,782,424 )
( 696,158 )
( 9,339,991 )
( 5,864,042 )
Other Comprehensive Income:
Unrealized gain from investments
13,853
8,846
8,221
7,839
Foreign currency translation gain (loss)
1,001
285
112
( 21 )
Total Other Comprehensive Income
14,854
9,131
8,333
7,818
Comprehensive Loss
$ ( 3,767,570 )
$ ( 687,027 )
$ ( 9,331,658 )
$ ( 5,856,224 )
Net Loss Per Common Share – Basic and Diluted
$ ( 0.14 )
$ ( 0.03 )
$ ( 0.36 )
$ ( 0.25 )
Weighted Average Common Shares Outstanding – Basic and Diluted
26,143,360
23,825,773
26,101,493
23,451,988
See
Accompanying Notes to Unaudited Condensed Consolidated Financial Statements.
2
CORMEDIX INC. AND SUBSIDIARIES
CONDENSED
CONSOLIDATED STATEMENTS OF CHANGES IN
STOCKHOLDERS’ EQUITY
(Unaudited)
For
the three months ended June 30, 2020
Common Stock
Preferred Stock
– Series C-3,
Series E and
Series G
Accumulated
Other
Comprehensive
Additional
Paid-in
Accumulated
Total
Stockholders’
Shares
Amount
Shares
Amount
Income (Loss)
Capital
Deficit
Equity
Balance at March 31, 2020
26,127,067
$ 26,127
241,623
$ 242
$ 90,736
$ 222,455,084
$ ( 200,978,739 )
$ 21,593,450
Issuance of vested restricted stock
312
-
-
-
-
-
-
-
Stock-based compensation
-
-
-
-
-
695,590
-
695,590
Other comprehensive income
-
-
-
-
14,854
-
-
14,854
Net loss
-
-
-
-
-
-
( 3,782,424 )
( 3,782,424 )
Balance at June 30, 2020
26,127,379
$ 26,127
241,623
$ 242
$ 105,590
$ 223,150,674
$ ( 204,761,163 )
$ 18,521,470
For
the six months ended June 30, 2020
Common Stock
Preferred
Stock
– Series C-3,
Series E
and Series G
Accumulated
Other
Comprehensive
Additional
Paid-in
Accumulated
Total
Stockholders’
Shares
Amount
Shares
Amount
Income (Loss)
Capital
Deficit
Equity
Balance at December 31, 2019
25,665,350
$ 25,665
241,623
$ 242
$ 97,257
$ 218,944,268
$ ( 195,421,172 )
$ 23,646,260
Stock issued in connection with ATM sale of common stock, net
368,144
368
-
-
-
2,469,569
-
2,469,937
Stock issued in connection with warrants exercised
91,500
92
-
-
-
411,659
-
411,751
Payment of financing fees
-
-
-
-
-
( 47,024 )
-
( 47,024 )
Issuance of vested restricted stock
2,385
2
-
-
-
( 2 )
-
-
Stock-based compensation
-
-
-
-
-
1,372,204
-
1,372,204
Other comprehensive income
-
-
-
-
8,333
-
-
8,333
Net loss
-
-
-
-
-
-
( 9,339,991 )
( 9,339,991 )
Balance at June 30, 2020
26,127,379
$ 26,127
241,623
$ 242
$ 105,590
$ 223,150,674
$ ( 204,761,163 )
$ 18,521,470
See
Accompanying Notes to Unaudited Condensed Consolidated Financial Statements.
3
CORMEDIX INC. AND SUBSIDIARIES
CONDENSED
CONSOLIDATED STATEMENTS OF CHANGES IN
STOCKHOLDERS’ EQUITY
(Unaudited)
For
the three months ended June 30, 2019
Common Stock
Non-Voting
Preferred Stock
– Series C-2,
Series C-3,
Series D,
Series E
and Series F
Accumulated
Other
Comprehensive
Additional
Paid-in
Accumulated
Total
Stockholders’
Shares
Amount
Shares
Amount
Income
Capital
Deficit
Equity
Balance at March 31, 2019
23,811,634
$ 23,812
369,585
$ 370
$ 95,209
$ 200,578,556
$ ( 184,155,982 )
$ 16,541,965
Stock issued in connection with warrants exercised
2,625
3
-
-
-
13,779
-
13,782
Issuance of vested restricted stock
6,275
6
-
-
-
( 6 )
-
-
Reversal of common stock issued as a result of reverse stock split rounding
( 200 )
-
-
-
-
-
-
-
Stock-based compensation
-
-
-
-
-
606,331
-
606,331
Other comprehensive income
-
-
-
-
9,131
-
-
9,131
Net loss
-
-
-
-
-
-
( 696,158 )
( 696,158 )
Balance at June 30, 2019
23,820,334
$ 23,821
369,585
$ 370
$ 104,340
$ 201,198,660
$ ( 184,852,140 )
$ 16,475,051
For
the six months ended June 30, 2019
Common Stock
Non-Voting
Preferred Stock
– Series C-2,
Series C-3,
Series D,
Series E
and Series F
Accumulated
Other
Comprehensive
Additional
Paid-in
Accumulated
Total
Stockholders’
Shares
Amount
Shares
Amount
Income
Capital
Deficit
Equity
Balance at December 31, 2018
21,775,173
$ 21,775
419,585
$ 420
$ 96,522
$ 183,803,637
$ ( 178,988,098 )
$ 4,934,256
Stock issued in connection with ATM sale of common stock, net
1,768,012
1,768
-
-
-
15,232,761
-
15,234,529
Stock issued in connection with warrants exercised
121,845
122
-
-
-
633,940
-
634,062
Stock issued in connection with stock options exercised
35,840
36
-
-
-
112,730
-
112,766
Conversion of Series C-3 non-voting preferred stock to common stock
100,000
100
( 50,000 )
( 50 )
-
( 50 )
-
-
Issuance of vested restricted stock
12,942
13
-
-
-
( 13 )
-
-
Issuance of common stock as a result of reverse stock split rounding
6,722
7
-
-
-
( 7 )
-
-
Reversal of common stock issued as a result of reverse stock split rounding
( 200 )
-
-
-
-
-
-
-
Stock-based compensation
-
-
-
-
-
1,415,662
-
1,415,662
Other comprehensive income
-
-
-
-
7,818
-
-
7,818
Net loss
-
-
-
-
-
-
( 5,864,042 )
( 5,864,042 )
Balance at June 30, 2019
23,820,334
$ 23,821
369,585
$ 370
$ 104,340
$ 201,198,660
$ ( 184,852,140 )
$ 16,475,051
See
Accompanying Notes to Unaudited Condensed Consolidated Financial Statements.
4
CORMEDIX INC. AND SUBSIDIARIES
CONDENSED
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
For the Six Months Ended
June 30,
2020
2019
CASH FLOWS FROM OPERATING ACTIVITIES:
Net loss
$ ( 9,339,991 )
$ ( 5,864,042 )
Adjustments to reconcile net loss to net cash used in operating activities:
Stock-based compensation
1,372,204
1,415,662
Amortization of debt discount
-
229,095
Non-cash interest expense
-
379,688
Depreciation
37,087
40,470
Changes in operating assets and liabilities:
(Increase) decrease in trade receivables
( 10,789 )
10,728
Decrease in inventory
49,532
25,801
Increase in prepaid expenses and other current assets
( 715,626 )
( 21,523 )
Increase (decrease) in accounts payable
361,508
( 1,682,752 )
Decrease in accrued expenses
( 473,014 )
( 1,731,730 )
Decrease in deferred revenue
( 2,206 )
( 4,412 )
Net cash used in operating activities
( 8,721,295 )
( 7,203,015 )
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchase of short-term investments
( 3,818,720 )
( 13,246,855 )
Maturity of short-term investments
9,863,064
1,430,052
Purchase of equipment
( 13,955 )
( 22,725 )
Net cash provided by (used in) investing activities
6,030,389
( 11,839,528 )
CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from sale of common stock from at-the-market program, net
2,469,937
15,234,529
Proceeds from exercise of warrants
411,751
634,062
Payment of financing fees
( 47,024 )
-
Proceeds from exercise of stock options
-
112,766
Net cash provided by financing activities
2,834,664
15,981,357
Foreign exchange effect on cash
182
( 754 )
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS
143,940
( 3,061,940 )
CASH, CASH EQUIVALENTS AND RESTRICTED CASH – BEGINNING OF PERIOD
16,525,187
17,795,323
CASH, CASH EQUIVALENTS AND RESTRICTED CASH – END OF PERIOD
$ 16,669,127
$ 14,733,383
Cash paid for interest
$ 20,104
$ -
Supplemental Disclosure of Non-Cash Financing Activities:
Conversion of preferred stock to common stock
$ -
$ 50
Unrealized gain from investments
$ 8,221
$ 7,839
Right-of-use assets obtained in exchange for lease liability
$ -
$ 6,000
Issuance of common stock for vested restricted stock units
$ 2
$ 13
See
Accompanying Notes to Unaudited Condensed Consolidated Financial Statements.
5
CORMEDIX
INC. AND SUBSIDIARIES
NOTES
TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Note
1 — Organization, Business and Basis of Presentation:
Organization
and Business
CorMedix Inc., together with its wholly owned
subsidiaries (collectively “CorMedix” or the “Company”), is a biopharmaceutical company focused on developing
and commercializing therapeutic products for the prevention and treatment of infectious and inflammatory diseases. The Company’s
primary focus is on the development of its lead product candidate, Defencath ™ , for potential commercialization
in the United States (“U.S.”), and other key markets as a catheter lock solution (“CLS”). The name Defencath
is the U.S. proprietary name conditionally approved by the U.S. Food and Drug Administration (“FDA”), while the name
Neutrolin® is currently used in the European Union (“EU”) and other territories where the Company has received
CE-Mark approval for the commercial distribution of Neutrolin as a CLS regulated as a medical device.
The Company has in-licensed the worldwide rights
to develop and commercialize Defencath and Neutrolin. The CLS is a formulation of 1.35% taurolidine, 3.5% citrate, and 1000 u/ml
heparin and is regulated by the FDA as an investigational new drug, where it is being developed to prevent catheter-related blood
stream infections (“CRBSIs”) and thrombosis in patients using central venous catheters (“CVCs”) for hemodialysis.
CRBSIs and thrombosis represent key complications among hemodialysis, intensive care, cancer and total parenteral nutrition (“TPN”)
patients with CVCs. These complications can lead to treatment delays and increased costs to the healthcare system when they occur
due to hospitalizations, need for intravenous (“IV”), antibiotic treatment, long-term anticoagulation therapy, removal/replacement
of the CVC, related treatment costs and increased mortality. The Company initially expects to sell Defencath directly to dialysis
centers and hospitals, but also plans to expand its usage into intensive care, oncology and TPN patients using central venous catheters.
The Company believes Defencath addresses a significant unmet medical need and a potential large market opportunity in the U.S.
In late 2013, the Company met with the FDA to
determine the regulatory pathway for U.S. marketing approval of Defencath and began discussions on the clinical development program.
In January 2015, the FDA granted Fast Track designation to Defencath, which is a program designed to facilitate development of
drugs that are intended to treat serious and life-threatening conditions and to address an unmet medical need. Fast Track designation
provides eligibility to request Priority Review of the marketing application. The FDA informs the applicant of a Priority Review
designation within 60 days of the receipt of the complete New Drug Application (“NDA”), if it determines the criteria
have been met.
Also,
in January 2015, the FDA designated Defencath as a Qualified Infectious Disease Product (“QIDP”), which provides an
additional five years of marketing exclusivity to be added to any exclusivity for which the application qualifies upon approval.
For example, an additional five years of marketing exclusivity will be added to the five years granted to a New Chemical Entity
(“NCE”) upon approval of the NDA. QIDP designation also confers eligibility for Priority Review of the NDA.
The
Company launched its Phase 3 Prospective, Multicenter, Double-blind, Randomized, Active Control Study to Demonstrate Safety &
Effectiveness of Defencath/Neutrolin in Preventing Catheter related Bloodstream Infection in Subjects on Hemodialysis for End
Stage Renal Disease (“LOCK-IT-100”) in patients with hemodialysis catheters in the U.S. in December 2015. The clinical
trial was designed to demonstrate the safety and effectiveness of Defencath compared to the standard of care CLS, Heparin, in
preventing CRBSIs. The primary endpoint for the trial assessed the incidence of CRBSI and time to CRBSI for each study subject.
Secondary endpoints were catheter patency, which was defined as required use of tissue plasminogen activating factor (“tPA”),
or removal of catheter due to dysfunction, and removal of catheter for any reason.
6
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS
In July 2018, 28 potential
cases of CRBSI were identified in LOCK-IT-100 that occurred through early December 2017. As previously agreed with the FDA, an
interim efficacy analysis was performed. Based on these first 28 cases, there was a highly statistically significant 72% reduction
in CRBSI by Defencath relative to the active control of heparin (p=0.0034). Because the pre-specified level of statistical significance
was reached for the primary endpoint and efficacy had been demonstrated with no safety concerns, the independent Data Safety Monitoring
Board (“DSMB”) recommended early termination. Following discussions with the FDA, we proceeded with an orderly termination
of LOCK-IT-100. The study had continued enrolling and treating subjects until study termination, and the final analysis was based
on a total of 795 subjects. The Company remained blinded until the topline results of the full data set of LOCK-IT-100 were announced
in late January 2019. In a total of 41 cases, there was a 71% reduction in CRBSI by Defencath relative to heparin, which was highly
statistically significant (p=0.0006), with a good safety profile. During 2019, CorMedix had a series of meetings with the FDA to
discuss the analyses of data from LOCK-IT-100, including an end of Phase 3 meeting, a pre-NDA meeting and a CMC meeting, in preparation
for submission of the NDA.
The
FDA granted the Company’s request for a rolling submission and review of the NDA, which is designed to expedite the approval
process for products being developed to address an unmet medical need. Although the FDA usually requires two pivotal clinical
trials to provide substantial evidence of safety and effectiveness for approval of the NDA, the FDA will in some cases accept
one adequate and well-controlled trial, where it is a large multicenter trial with a broad range of subjects and study sites that
has demonstrated a clinically meaningful and statistically very persuasive effect on a disease with potentially serious outcome.
In March 2020, the Company began the modular submission process for the NDA for Defencath for the prevention of CRBSI in hemodialysis
patients, and recently announced on July 8, 2020, that submission of all modules for the NDA was completed. The Company requested
Priority Review of the NDA, which if granted, would provide for a goal for the FDA of a six-month review period, instead of ten
months for applications under standard review. The Company has not been informed of any delays by the FDA in the review of the
NDA, but the FDA has limited international and domestic travel due to COVID-19, and pre-approval inspections are required for
manufacturing sites. The FDA has 60 days to evaluate the submission for completeness for a substantive review to accept for filing
and make a determination for priority or standard review. If the FDA determines that the application is materially incomplete
or identifies electronic submission issues that render the application unreviewable, the FDA will refuse to file the application.
In that case, the deficiencies will need to be corrected and the application resubmitted for review to be accepted for filing.
The
FDA also previously agreed that the Company could request consideration of Defencath for approval under the Limited Population
Pathway for Antibacterial and Antifungal Drugs (“LPAD”). LPAD, passed as part of the 21 st Century Cures
Act, is a new program intended to expedite the development and approval of certain antibacterial and antifungal drugs to treat
serious or life-threatening infections in limited populations of patients with unmet medical needs. Given that the LPAD pathway
provides for a streamlined clinical development program for a limited population that may involve smaller, shorter, or fewer clinical
trials, the Company believes that LPAD will provide additional flexibility for the FDA to approve Defencath to prevent CRBSIs
in the limited population of adult patients with end-stage renal disease receiving hemodialysis through a CVC.
7
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS
The
Company was granted a deferral by the FDA under the Pediatric Research Equity Act (“PREA”) that requires sponsors
to conduct pediatric studies for NDAs for a new active ingredient, such as taurolidine in Defencath, unless a waiver or deferral
is obtained from the FDA. A deferral acknowledges that a pediatric assessment is required but permits the applicant to submit
the pediatric assessment after the submission of an NDA. The Company has made a commitment to conduct the pediatric study after
approval of the NDA for use in adult hemodialysis patients. Pediatric studies for an approved product conducted under PREA may
qualify for pediatric exclusivity, which if granted would provide an additional six months of marketing exclusivity. Defencath
would then have the potential to receive a total marketing exclusivity period of 10.5 years, including exclusivity pursuant to
NCE and QIDP.
The Company anticipates that Medicare reimbursement
could be available for Defencath in hemodialysis and other catheter indications in intensive care, oncology and TPN through relevant
hospital inpatient diagnosis-related groups (“DRGs”), or outpatient ambulatory payment classifications (“APCs”),
the End-Stage Renal Disease Prospective Payment System (“ESRD PPS”), base payment, or under the Durable Medical Equipment,
Prosthetics, Orthotics, and Supplies (“DMEPOS”), Fee Schedule, depending on the setting of care. The Company also plans
to seek separate reimbursement as a drug, where available under Medicare, through mechanisms such as pass-through status under
the Hospital Outpatient Prospective Payment System, the transitional drug add-on payment adjustment (“TDAPA”), under
the ESRD PPS, or reimbursement as a drug used with a DMEPOS infusion pump. The Company has engaged U.S. Centers for Medicare &
Medicaid Services (“CMS”), in preliminary discussions concerning the reimbursement for Defencath under TDAPA; however,
qualifications cannot be determined until after FDA approval and CMS evaluates the request for coverage in a quarterly review.
If approved under TDAPA, reimbursement of Defencath would be calculated based on its average selling price.
Although
the Company cannot fully anticipate changes in reimbursement requirements and mechanisms in the coming years, the Company expects
Defencath would be eligible for and would obtain TDAPA. To be eligible for TDAPA, an innovative new renal drug or biologic must
be, among other things, identified as having an end action effect that treats or manages a condition or conditions associated
with ESRD and as not fitting into an established ESRD PPS functional category. The Company believes that in addition to the Fast
Track and QIDP designations granted by the FDA, Defencath meets the criterion of being a new renal dialysis product used to treat
or manage a condition associated with ESRD, since infections are the second leading cause of death in patients with ESRD and CVCs
are a significant risk factor for infection-associated mortality.
In
the EU, Neutrolin is regulated as a Class 3 medical device. In July 2013, the Company received CE Mark approval for Neutrolin.
In December 2013, the Company started commercial sales of Neutrolin in Germany for the prevention of CRBSI, and maintenance
of catheter patency in hemodialysis patients using a tunneled, cuffed CVC for vascular access. To date, Neutrolin is
registered and may be sold in certain European Union and Middle Eastern countries for such treatment.
In
September 2014, the TUV-SUD and The Medicines Evaluation Board of the Netherlands (“MEB”), granted a label expansion
for Neutrolin for these same expanded indications for the EU. In December 2014, the Company received approval from the Hessian
District President in Germany to expand the label to include use in oncology patients receiving chemotherapy, IV hydration and
IV medications via CVC. The expansion also adds patients receiving medication and IV fluids via CVC in intensive or critical care
units (cardiac care unit, surgical care unit, neonatal critical care unit, and urgent care centers). An indication for use in
total parenteral nutrition was also approved.
In May 2020, the Company began forming a
wholly-owned Spanish subsidiary, CorMedix Spain, S.L.U.
The
Company intends to pursue additional indications for Defencath use as a CLS in populations with an unmet medical need that also
represent a significant market opportunity. For example, the Company intends to pursue marketing authorization in the U.S. for
use as a CLS to reduce CRBSIs in oncology and total parenteral nutrition patients using a CVC.
8
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS
In
addition to the CLS, the Company is sponsoring a pre-clinical research collaboration for the use of taurolidine as a possible
treatment for pediatric tumors. In February 2018, the FDA granted orphan drug designation to taurolidine for the treatment of
neuroblastoma in children. The Company may seek one or more strategic partners or other sources of capital to help with the development
and commercialization of taurolidine for the treatment of neuroblastoma in children. The Company is also evaluating opportunities
for the possible expansion of taurolidine as a platform compound for use in certain medical devices. Patent applications have
been filed in several indications, including wound closure, surgical meshes, and wound management. Based on initial feasibility
work, the Company is advancing pre-clinical studies for taurolidine-infused surgical meshes, suture materials and hydrogels. The
Company will seek to establish development/commercial partnerships as these programs advance.
The
FDA regards taurolidine as an NCE and therefore it is currently an unapproved new drug. The Company may in the future pursue product
candidates that would involve devices impregnated with taurolidine, and the Company believes that at the current time such products
would be combination products subject to device premarket submission requirements, while subject also, under review by the FDA,
to the standards for drug approvability. Consequently, given that there is no appropriate predicate medical device currently marketed
in the U.S. on which a 510(k) approval process could be based and that taurolidine is not yet approved in any application, the
Company anticipates that it would be required to submit a premarket approval application, or PMA, for marketing authorization
for any medical device indications that the Company may pursue for devices containing taurolidine. In the event that an NDA for
Defencath is approved by the FDA, the regulatory pathway for these medical device product candidates may be revisited with the
FDA. Although there may be no appropriate predicate, de novo Class II designation can be proposed, based on a risk assessment
and a reasonable assurance of safety and effectiveness.
In
December 2019, the novel coronavirus disease, COVID-19, was identified in Wuhan, China. This virus has been declared a pandemic
and has spread to multiple global regions. The outbreak and government measures taken in response have also had a significant
impact, both direct and indirect, on businesses and commerce, as worker shortages have occurred; supply chains have been disrupted;
facilities and production have been suspended; and demand for certain goods and services, such as medical services and supplies,
has spiked, while demand for other goods and services, such as travel, has fallen. In response to the COVID-19 outbreak, “shelter
in place” orders and other public health guidance measures have been implemented across much of the United States, Europe
and Asia, including in the locations of the Company’s offices, clinical trial sites, key vendors and partners. The Company’s
program timelines may be negatively affected by COVID-19, which could materially and adversely affect its business, financial
condition and results of operations.
Basis
of Presentation
The
accompanying unaudited condensed consolidated financial statements have been prepared in accordance with accounting principles
generally accepted in the United States of America (“GAAP”) for interim financial information and with the instructions
for Form 10-Q and Article 8 of Regulation S-X. Accordingly, the unaudited condensed consolidated financial statements do not include
all information and footnotes required by GAAP for complete annual financial statements. In the opinion of management, the accompanying
unaudited condensed consolidated financial statements reflect all adjustments, consisting of normal recurring adjustments, considered
necessary to fairly state the interim results. Interim operating results are not necessarily indicative of results that may be
expected for the full year ending December 31, 2020 or for any subsequent period. These unaudited condensed consolidated financial
statements should be read in conjunction with the audited financial statements and notes thereto of the Company which are included
in the Company’s Annual Report on Form 10-K filed with the Securities and Exchange Commission (“SEC”) on March
16, 2020. The accompanying condensed consolidated balance sheet as of December 31, 2019 has been derived from the audited financial
statements included in such Form 10-K.
9
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS
Recently
Adopted Accounting Pronouncements
In
June 2016, the Financial Accounting Standards Board (“FASB”) issued new guidance which replaces the incurred loss
impairment methodology in current GAAP with a methodology that reflects expected credit losses and requires consideration of a
broader range of reasonable and supportable information to inform credit loss estimates. This adoption on January 1, 2020 did
not have a material impact on the Company’s condensed consolidated financial statements.
In
August 2018, the FASB issued a new guidance which modifies the disclosure requirements on fair value measurements. The guidance
was effective for the Company beginning in the first quarter of fiscal year 2020. This adoption on January 1, 2020 did not have
a material impact on the Company’s condensed consolidated financial statements.
In
November 2018, the FASB issued new guidance to clarify the interaction between the authoritative guidance for collaborative arrangements
and revenue from contracts with customers. The new guidance clarifies that, when the collaborative arrangement participant is
a customer in the context of a unit-of-account, revenue from contracts with customers guidance should be applied, adds unit-of-account
guidance to collaborative arrangements guidance, and that, in a transaction with a collaborative arrangement participant who is
not a customer, precludes presenting the transaction together with revenue recognized under contracts with customers. The guidance
was effective for the Company beginning in the first quarter of fiscal year 2020. This adoption on January 1, 2020 did not have
a material impact on the Company’s condensed consolidated financial statements.
In
November 2019, the FASB issued new guidance which requires that an entity measure and classify share-based payment awards granted
to a customer by applying the guidance in FASB’s Accounting Standards Codification (“ASC”) 718. The guidance
was effective for the Company beginning in the first quarter of fiscal year 2020. This adoption on January 1, 2020 did not have
a material impact on the Company’s condensed consolidated financial statements.
Recently
Issued Authoritative Pronouncements
In
December 2019, the FASB issued new guidance which removes certain exceptions to the general principles of the accounting for income
taxes and also improves consistent application of and simplification of other areas when accounting for income taxes. The guidance
is effective for the company beginning in the first quarter of fiscal year 2021. Early adoption is permitted. The Company is assessing
the impact of adopting this guidance on its consolidated financial statements.
10
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS
Note
2 — Summary of Significant Accounting Policies:
Liquidity
and Uncertainties
The financial statements have been prepared
in conformity with GAAP which contemplate continuation of the Company as a going concern. To date, the Company’s commercial
operations have not generated sufficient revenues to enable profitability. As of June 30, 2020, the Company had an accumulated
deficit of $204.8 million, and incurred losses from operations of $ 3.8 million and $ 0.7 million for the three months ended June
30, 2020 and 2019, respectively and $ 9.3 million and $ 5.9 million for the six months ended June 30, 2020 and 2019, respectively.
The Company currently estimates that as of June 30, 2020 it has sufficient cash, cash equivalents and short-term investments on
hand to fund operations for at least twelve months after the filing date of this report, after taking into consideration the net
proceeds received from the public offering (see Note 7) and the initial preparations for commercial launch of Defencath.
In
April 2020, the Company received approximately $ 5.2 million, net of expenses, from the sale of most of its remaining unused New
Jersey net operating losses (“NOL”) eligible for sale under the State of New Jersey’s Economic Development Authority’s
New Jersey Technology Business Tax Certificate Transfer program (“NJEDA Program”). The NJEDA Program allowed the Company to
sell approximately $ 5.5 million of its total $ 6 .0 million in available NOL tax benefits for the state fiscal year 2019.
In
April 2020, the Company received from the FDA a refund for the NDA application fee in the amount of $ 2.9 million, which was
paid in the first quarter of 2020. The Company met the conditions of the Federal Food, Drug, and Cosmetic Act for the small business
waiver of the user fees and its request for a waiver of an application user fee was granted by the FDA.
The Company’s continued
operations will depend on its ability to raise additional capital through various potential sources, such as equity and/or
debt financings, strategic relationships, or out-licensing of its products, to commercially launch Defencath upon NDA
approval, and until profitability is achieved, if ever. Management can provide no assurances that such financing or strategic
relationships will be available on acceptable terms, or at all. At June 30, 2020, the Company had approximately $2.1 million
available under its current ATM program and $30.3 million available under its current shelf registration statement for the
issuance of equity, debt or equity-linked securities unrelated to the current ATM program. After taking into consideration
the equity financing that closed in July 2020, the current shelf registration statement has a balance of approximately $7.3
million available to be drawn (see Note 7).
The
Company’s operations are subject to a number of other factors that can affect its operating results and financial condition.
Such factors include, but are not limited to: the ability to obtain regulatory approval to market the Company’s products;
ability to manufacture successfully; competition from products manufactured and sold or being developed by other companies; the
price of, and demand for, Company products; the Company’s ability to negotiate favorable licensing or other manufacturing
and marketing agreements for its products; the results of clinical testing and trial activities of the Company’s product
candidates; and the Company’s ability to raise capital to support its operations.
Use
of Estimates
The
preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect
the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial
statements and reported amounts of revenue and expenses during the reporting period. Actual results could differ from those estimates.
Basis
of Consolidation
The
condensed consolidated financial statements include the accounts of the Company, CorMedix Europe GmbH and CorMedix Spain, S.L.U.
its wholly owned subsidiaries. All significant intercompany accounts and transactions have been eliminated in consolidation.
11
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS
Financial
Instruments
Financial
instruments that potentially subject the Company to concentrations of credit risk consist principally of cash and cash equivalents
and short-term investments. The Company maintains its cash and cash equivalents in bank deposit and other interest-bearing accounts,
the balances of which, at times, may exceed federally insured limits.
The
following table is the reconciliation of the accounting standard that modifies certain aspects of the recognition, measurement,
presentation and disclosure of financial instruments as shown on the Company’s consolidated statement of cash flows:
June
30,
2020
December 31,
2019
Cash and cash equivalents
$ 16,493,967
$ 16,350,237
Restricted cash
175,160
174,950
Total cash, cash equivalents and restricted cash
$ 16,669,127
$ 16,525,187
The
appropriate classification of marketable securities is determined at the time of purchase and reevaluated as of each balance sheet
date. Investments in marketable debt classified as available-for-sale and equity securities are reported at fair value. Fair value
is determined using quoted market prices in active markets for identical assets or liabilities or quoted prices for similar assets
or liabilities or other inputs that are observable or can be corroborated by observable market data for substantially the full
term of the assets or liabilities. Changes in fair value that are considered temporary are reported in the condensed consolidated
statement of operations. Realized gains and losses, amortization of premiums and discounts and interest and dividends earned are
included in other income (expense). For declines in the fair value of equity securities that are considered other-than-temporary,
impairment losses are charged to other income (expense), net. The Company considers available evidence in evaluating potential
impairments of its investments, including the duration and extent to which fair value is less than cost. There were no deemed
permanent impairments at June 30, 2020 or December 31, 2019.
The
Company’s marketable securities are highly liquid and consist of U.S. government agency securities, high-grade corporate
obligations and commercial paper with original maturities of more than 90 days. As of June 30, 2020, and December 31, 2019, all
of the Company’s investments had contractual maturities of less than one year. As of June 30, 2020, no allowance for credit
loss was recorded. The following table summarizes the amortized cost, unrealized gains and losses and the fair value at June
30, 2020 and December 31, 2019:
June 30, 2020:
Amortized
Cost
Gross
Unrealized
Losses
Gross
Unrealized
Gains
Fair
Value
Money Market Funds included in Cash Equivalents
$ 1,675,906
$ -
$ -
$ 1,675,906
U.S. Government Agency Securities
1,700,336
-
1,443
1,701,779
Corporate Securities
3,589,612
-
6,663
3,596,275
Commercial Paper
649,596
-
384
649,980
Subtotal
5,939,544
-
8,490
5,948,034
Total June 30, 2020
$ 7,615,450
$ -
$ 8,490
$ 7,623,940
December 31, 2019:
Money Market Funds included in Cash Equivalents
$ 3,472,043
$ -
$ 51
$ 3,472,094
U.S. Government Agency Securities
2,691,091
( 42 )
869
2,691,918
Corporate Securities
6,058,265
( 1,438 )
440
6,057,267
Commercial Paper
3,234,583
( 16 )
405
3,234,972
Subtotal
11,983,939
( 1,496 )
1,714
11,984,157
Total December 31, 2019
$ 15,455,982
$ ( 1,496 )
$ 1,765
$ 15,456,251
12
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS
Fair
Value Measurements
The
Company’s financial instruments recorded in the condensed consolidated balance sheets include cash and cash equivalents,
accounts receivable, investment securities, accounts payable and accrued expenses. The carrying value of certain financial
instruments, primarily cash and cash equivalents, accounts receivable, accounts payable, and accrued expenses approximate their
estimated fair values based upon the short-term nature of their maturity dates.
The
Company categorizes its financial instruments into a three-level fair value hierarchy that prioritizes the inputs to valuation
techniques used to measure fair value. The fair value hierarchy gives the highest priority to quoted prices in active markets
for identical assets (Level 1) and the lowest priority to unobservable inputs (Level 3). If the inputs used to measure fair value
fall within different levels of the hierarchy, the category level is based on the lowest priority level input that is significant
to the fair value measurement of the instrument. Financial assets recorded at fair value on the Company’s condensed consolidated
balance sheets are categorized as follows:
● Level
1 inputs—Observable inputs that reflect quoted prices (unadjusted) for identical assets or liabilities in active markets.
● Level
2 inputs— Significant other observable inputs (e.g., quoted prices for similar items in active markets, quoted prices for
identical or similar items in markets that are not active, inputs other than quoted prices that are observable such as interest
rate and yield curves, and market-corroborated inputs).
● Level
3 inputs—Unobservable inputs for the asset or liability, which are supported by little or no market activity and are valued
based on management’s estimates of assumptions that market participants would use in pricing the asset or liability.
13
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS
The
following table provides the carrying value and fair value of the Company’s financial assets measured at fair value on a
recurring basis as of June 30, 2020 and December 31, 2019:
June 30, 2020:
Carrying Value
Level
1
Level
2
Level
3
Money Market Funds and Cash Equivalents
$ 1,675,906
$ 1,675,906
$ -
$ -
U.S. Government Agency Securities
1,701,779
1,701,779
-
-
Corporate Securities
3,596,275
-
3,596,275
-
Commercial Paper
649,980
-
649,980
-
Subtotal
5,948,034
1,701,779
4,246,225
$ -
Total June 30, 2020
$ 7,623,940
$ 3,377,685
$ 4,246,255
$ -
December 31, 2019:
Money Market Funds and Cash Equivalents
$ 3,472,094
$ 3,472,094
$ -
$ -
U.S. Government Agency Securities
2,691,918
2,691,918
-
-
Corporate Securities
6,057,267
-
6,057,267
-
Commercial Paper
3,234,972
-
3,234,972
-
Subtotal
11,984,157
2,691,918
9,292,239
-
Total December 31, 2019
$ 15,456,251
$ 6,164,012
$ 9,292,239
$ -
Foreign
Currency Translation and Transactions
The
condensed consolidated financial statements are presented in U.S. Dollars (“USD”), the reporting currency of the Company.
For the financial statements of the Company’s foreign subsidiaries, whose functional currency is the EURO, foreign currency
asset and liability amounts, are translated into USD at end-of-period exchange rates. Foreign currency income and expenses are
translated at average exchange rates in effect during the period in which the income and expenses were recognized. Translation
gains and losses are included in other comprehensive income (loss).
The
Company has intercompany loans between the parent company based in New Jersey and its German subsidiary. The intercompany loans
outstanding are not expected to be repaid in the foreseeable future and unrealized foreign exchange movements related to long-term
intercompany loans are recognized in other comprehensive income (loss).
Foreign
currency exchange transaction gain (loss) is the result of re-measuring transactions denominated in a currency other than the
functional currency of the entity recording the transaction.
Restricted
Cash
As of June 30, 2020, and December 31,
2019, the Company has restricted cash in connection with the patent and utility model infringement proceedings against
TauroPharm (see Note 4). The Company was required by the District Courts of Mannheim to provide a security deposit of
an aggregate of approximately $ 124,000 (€ 110,000 ) to cover legal fees in the event TauroPharm is entitled to
reimbursement of these costs. The company furthermore had to provide a deposit in the amount of $ 40,000 (€ 36,000 ) and
$ 11,000 (€ 10,000 ) for the first and second instances, respectively, in connection with the unfair competition
proceedings in Cologne. During the six months ended June 30, 2020, the Company accrued an expense of $ 12,000 in connection
with the utility model infringement proceedings, which will be deducted from restricted cash when settled.
14
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS
Prepaid
Research and Development and Other Prepaid Expenses
Prepaid expenses consist of payments made
in advance to vendors relating to service contracts for clinical trial development, manufacturing, preclinical development, deposits
on equipment and insurance policies. These advanced payments are amortized to expense either as services are performed or over
the relevant service period using the straight-line method.
Other prepaid expenses consist of the following:
June 30,
2020
December 31,
2019
Deposit on equipment
$ 500,822
$ -
Insurance expense
123,142
244,828
Subscription fees
147,778
97,983
Software costs
296,574
10,081
Other
60,439
93,523
Total
$ 1,128,755
$ 446,415
Inventories,
net
Inventories
are valued at the lower of cost or net realizable value on a first in, first out basis. Inventories consist of raw materials (including
labeling and packaging), work-in-process, and finished goods, if any, for the Defencath product. Inventories consist of the following:
June
30,
2020
December 31,
2019
Raw materials
$ -
$ 6,893
Finished goods
407,998
461,735
Inventory reserve
( 130,163 )
( 130,163 )
Total
$ 277,835
$ 338,465
Leases
The
Company determines if an arrangement is a lease at inception. Operating leases are included in operating lease right-of-use (“ROU”)
assets, current portion of operating lease liabilities, and operating lease liabilities, net of current portion, on the condensed
consolidated balance sheet.
Operating
lease ROU assets and operating lease liabilities are recognized based on the present value of the future minimum lease payments
over the lease term at commencement date. As the Company’s leases do not provide an implicit rate, the Company uses its
incremental borrowing rate based on the information available at commencement date in determining the present value of future
payments. The Company’s lease terms may include options to extend or terminate the lease when it is reasonably certain that
the Company will exercise that option. Lease expense for minimum lease payments is recognized on a straight-line basis over the
lease term.
The
Company has elected, as an accounting policy, not to apply the recognition requirements in ASC 842 to short-term leases. Short-term
leases are leases that have a term of 12 months or less and do not include an option to purchase the underlying asset that
the Company is reasonably certain to exercise. The Company recognizes the lease payments for short-term leases on a straight-line
basis over the lease term.
The
Company has also elected, as a practical expedient, by underlying class of asset, not to separate lease components from non-lease
components and, instead, account for them as a single component.
15
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS
Accrued
Expenses
Accrued
expenses consist of the following:
June
30,
2020
December 31,
2019
Professional and consulting fees
$ 313,578
$ 214,777
Accrued payroll and payroll taxes
1,255,554
1,287,047
Clinical trial related
2,434,310
2,435,953
Manufacturing development related
234,378
806,032
Other
90,213
56,677
Total
$ 4,328,033
$ 4,800,486
In
December 2015, the Company contracted a clinical research organization (“CRO”) to help conduct its LOCK-IT-100 Phase
3 multicenter, double-blind, randomized active control study to demonstrate the safety and effectiveness of Defencath/Neutrolin
in preventing catheter-related bloodstream infections and blood clotting in subjects receiving hemodialysis therapy as treatment
for end stage renal disease.
Through
June 30, 2020, approximately $ 30 .0 million of clinical trial expense has been recorded, of which approximately $ 27.5 million has
been paid. During the three and six months ended June 30, 2020, the Company recognized $ 12,000 and $ 34,000 , respectively, in research
and development expense related to this agreement and $ 185,000 and $ 702,000 during the three and six months ended June 30, 2019.
At June 30, 2020, the Company had accrued approximately $ 2.4 million in accounts payable and accrued expenses.
Revenue
Recognition
The
Company recognizes revenue in accordance with ASC 606, “ Revenue from Contracts with Customers.” ASC 606 prescribes
a five-step model for recognizing revenue which includes (i) identifying contracts with customers; (ii) identifying performance
obligations; (iii) determining the transaction price; (iv) allocating the transaction price; and (v) recognizing revenue.
The
Company recognizes net sales upon shipment of product and upon meeting the five-step model prescribed by ASC 606 outlined above.
Loss
Per Common Share
Basic
loss per common share excludes any potential dilution and is computed by dividing net loss by the weighted average number of common
shares outstanding during the period. Diluted net loss per common share reflects the potential dilution that could occur if securities
or other contracts to issue common stock were exercised or converted into common stock or resulted in the issuance of common stock
that then shared in the earnings of the entity. However, since their effect is anti-dilutive, the Company has excluded potentially
dilutive shares. The following potentially dilutive shares have been excluded from the calculation of diluted net loss per share
as their effect would be anti-dilutive.
Six
Months Ended
June 30,
2020
2019
(Number
of Shares of
Common Stock Issuable)
Series C non-voting preferred stock
104,000
408,000
Series D non-voting preferred stock
-
295,848
Series E non-voting preferred stock
391,953
391,953
Series F non-voting preferred stock
-
2,469,137
Series G non-voting preferred stock
5,560,137
-
Shares issuable upon conversion of convertible debt
-
1,000,000
Restricted stock units
105
13,642
Shares issuable for payment of deferred board compensation
40,556
30,553
Shares underlying outstanding warrants
183,148
3,197,163
Shares underlying outstanding stock options
2,300,937
1,297,793
Total potentially dilutive shares
8,580,836
9,104,089
16
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS
Stock-Based
Compensation
Share-based
compensation cost for stock options granted to employees is measured at grant date using the Black-Scholes stock option pricing
model in accordance with ASC No. 718, “Compensation-Stock Compensation” , based on the estimated fair value
of the award for options with service or performance-based conditions and is recognized as expense over the requisite service
period on a straight-line basis. For stock options with performance-based vesting provisions, share-based compensation cost is
recorded when the achievement of the performance condition is probable.
Research
and Development
Research and development costs are charged
to expense as incurred. Research and development include fees associated with operational consultants, contract clinical research
organizations, contract manufacturing organizations, clinical site fees, contract laboratory research organizations, contract
central testing laboratories, licensing activities, and allocated executive, human resources, facilities expenses and costs related
to the manufacturing of the product that could potentially be available to support the commercial launch prior to marketing approval.
For the six months ended June 30, 2020, costs related to the manufacturing of commercial pre-launch inventory that were expensed
amounted to approximately $ 3.7 million. The Company accrues for costs incurred as the services are being provided by monitoring
the status of the activities and the invoices received from its external service providers. Costs related to the acquisition of
technology rights and patents for which development work is still in process are charged to operations as incurred and considered
a component of research and development expense.
Note
3 — Stockholders’ Equity:
Common
Stock
The Company is a party to a sales
agreement with B. Riley dated March 9, 2018 for the sale of up to $ 14.7 million of the Company’s common stock under the
Company’s ATM program, pursuant to a registration statement filed on March 9, 2018 for an aggregate of $70.0 million of
the Company’s securities, which became effective on April 16, 2018. In November 2018, the ATM program amount was
increased by $25.0 million. Under the ATM program, the Company may issue and sell common stock from time to time through B.
Riley acting as agent, subject to limitations imposed by the Company and subject to B. Riley’s acceptance, such as the
number or dollar amount of shares registered under the registration statement to which the offering relates. B. Riley is
entitled to a commission of up to 3 % of the gross proceeds from the sale of common stock sold under the ATM program. At June
30, 2020, the Company has approximately $ 2.1 million available under its current ATM program and $ 30.3 million available
under its current shelf registration for the issuance of equity, debt or equity-linked securities unrelated to the current
ATM program. After taking into consideration the equity financing that closed in July 2020, the current shelf registration
statement has a balance of approximately $7.3 million available to be drawn (see Note 7).
17
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS
During
the six months ended June 30, 2020 and 2019, the Company sold 368,144 and 1,768,012 shares of common stock under the ATM program,
respectively, and realized net proceeds of approximately $ 2.5 million and $ 15.2 million, respectively.
During
the six months ended June 30, 2020 and 2019, the Company issued an aggregate of 91,500 and 121,845 shares of its common stock
upon exercise of warrants, respectively, resulting in net proceeds to the Company of $ 412,000 and $ 634,000 , respectively.
During
the six months ended June 30, 2020 and 2019, the Company issued an aggregate of 2,385 and 12,942 shares of its common stock, respectively,
upon the vesting of restricted stock units issued to the Company’s board of directors.
During
the six months ended June 30, 2019, the Company issued an aggregate of 35,840 shares of its common stock upon exercise of stock
options, resulting in net proceeds of $ 113,000 to the Company. No stock options were exercised during the six months ended June
30, 2020.
Preferred
Stock
The
Company is authorized to issue up to 2,000,000 shares of preferred stock in one or more series without stockholder approval. The
Company’s board of directors has the discretion to determine the rights, preferences, privileges and restrictions, including
voting rights, dividend rights, conversion rights, redemption privileges and liquidation preferences, of each series of preferred
stock. Of the 2,000,000 shares of preferred stock authorized, the Company’s board of directors has designated (all with
par value of $ 0.001 per share) the following:
As
of June 30, 2020
As
of December 31, 2019
Preferred
Shares
Outstanding
Liquidation
Preference
(Per Share)
Total
Liquidation
Preference
Preferred
Shares
Outstanding
Liquidation
Preference
(Per Share)
Total
Liquidation
Preference
Series C-3
52,000
$ 10.00
$ 520,000
52,000
$ 10.00
$ 520,000
Series E
89,623
$ 49.20
$ 4,409,452
89,623
$ 49.20
$ 4,409,452
Series G
100,000
$ 187.36
$ 18,736,452
100,000
$ 187.36
$ 18,736,452
Total
241,623
$ 23,665,904
241,623
$ 23,665,904
Stock
Options
During
the six months ended June 30, 2020, the Company granted ten-year qualified and non-qualified stock options covering an aggregate
of 960,234 shares of the Company’s common stock under the 2019 Stock Incentive Plan. The weighted average exercise price
of these options is $ 5.17 per share.
During
the three and six months ended June 30, 2020, total compensation expense for stock options issued to employees, directors, officers
and consultants was $ 693,000 and $ 1,362,000 , respectively, and $ 557,000 and $ 1,317,000 for the three and six months ended June
30, 2019, respectively.
As
of June 30, 2020, there was approximately $ 3,881,000 in total unrecognized compensation expense related to stock options granted,
which expense will be recognized over an expected remaining weighted average period of 1.7 years.
18
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS
The
fair value of each stock option award estimated on the grant date is determined using the Black-Scholes option pricing model with
the following assumptions, for the six months ended June 30, 2020:
Expected
term, years
5 - 10
Volatility
102.73 % - 107.87 %
Dividend
yield
0.0 %
Risk-free
interest rate
0.36 % - 1.67 %
Weighted
average grant date fair value of options granted during the period
$ 3.58
The
Company estimated the expected term of the stock options granted based on anticipated exercises in future periods. The expected
term of the stock options granted to consultants is based upon the full term of the respective option agreements. The expected
stock price volatility for the Company’s stock options is calculated based on the historical volatility since the initial
public offering of the Company’s common stock in March 2010. The expected dividend yield of 0.0 % reflects the Company’s
current and expected future policy for dividends on the Company’s common stock. To determine the risk-free interest rate,
the Company utilized the U.S. Treasury yield curve in effect at the time of grant with a term consistent with the expected term
of the Company’s awards which is 5 years for employees and 10 years for non-employees.
The
following table summarizes the Company’s stock options activity and related information for the six months ended June 30,
2020:
Shares
Weighted
Average
Exercise
Price
Weighted
Average
Remaining
Contractual
Term (Years)
Aggregate
Intrinsic
Value
Outstanding at beginning of period
1,376,394
$ 8.98
6.8
$ 880,902
Granted
960,234
$ 5.17
$ 1,132,914
Forfeited
( 28,800 )
$ 9.01
$ -
Expired
( 6,891 )
$ 12.53
$ -
Exercised
-
-
$ -
Outstanding at end of period
2,300,937
$ 7.38
7.6
$ 2,013,816
Exercisable at end of period
1,143,055
$ 8.62
5.9
$ 909,506
The
aggregate intrinsic value is calculated as the difference between the exercise prices of the underlying options and the quoted
closing price of the common stock of the Company at the end of the reporting period for those options that have an exercise price
below the quoted closing price. There were no stock options exercised during the six months ended June 30, 2020.
Restricted
Stock Units
During
the six months ended June 30, 2020, the Company issued an aggregate of 2,385 shares of its common stock upon the vesting of RSUs
issued to the Company’s board of directors.
During
the three and six months ended June 30, 2020, compensation expense recorded for the RSUs was $ 3,000 and $ 10,000 , respectively,
and $ 49,000 and $ 99,000 for the three and six months ended June 30, 2019, respectively. Unrecognized compensation expense for
these RSUs amounted to $ 400 . The expected weighted average period for the expense to be recognized is 0.03 years
19
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS
Warrants
During
the six months ended June 30, 2020 and 2019, the Company issued an aggregate of 91,500 and 121,845 shares of its common stock
upon exercise of warrants, respectively, resulting in net proceeds to the Company of $ 412,000 and $ 634,000 , respectively.
As
of June 30, 2020, there were 183,148 outstanding warrants with a weighted average exercise price of $ 4.96 per share and a weighted
average remaining contractual life of 2.1 years.
Note
4 — Commitments and Contingencies:
Contingency
Matters
On
September 9, 2014, the Company filed in the District Court of Mannheim, Germany, a patent infringement action against TauroPharm
GmbH and Tauro-Implant GmbH as well as their respective CEOs (the “Defendants”) claiming infringement of the Company’s
European Patent EP 1 814 562 B1, which was granted by the European Patent Office (the “EPO”) on January 8, 2014 (the
“Prosl European Patent”). The Prosl European Patent covers the formulation of taurolidine and citrate with low
dose heparin in a catheter lock solution for maintaining patency and preventing infection in hemodialysis catheters. In this action,
the Company claims that the Defendants infringe on the Prosl European Patent by manufacturing and distributing catheter locking
solutions to the extent they are covered by the claims of the Prosl European Patent. The Company believes that its
patent is sound and is seeking injunctive relief and raising claims for information, rendering of accounts, calling back, destruction
and damages. Separately, TauroPharm has filed an opposition with the EPO against the Prosl European Patent alleging that it lacks
novelty and inventive step. The Company cannot predict what other defenses the Defendants may raise, or the ultimate
outcome of either of these related matters. At present, the EPO has revoked the Prosl European Patent as invalid, and the Company
has filed an appeal, which is currently pending.
In
the same complaint against the same Defendants, the Company also alleged an infringement (requesting the same remedies) of ND
Partners’ utility model DE 20 2005 022 124 U1 (the “Utility Model”), which the Company believes is fundamentally
identical to the Prosl European Patent in its main aspects and claims. The Court separated the two proceedings and the Prosl European
Patent and the Utility Model claims are now being tried separately. TauroPharm has filed a cancellation action against the Utility
Model before the German Patent and Trademark Office (the “German PTO”) based on the similar arguments as those in
the opposition against the Prosl European Patent.
On
March 27, 2015, the District Court held a hearing to evaluate whether the Utility Model has been infringed by TauroPharm in connection
with the manufacture, sale and distribution of its TauroLock-HEP100 TM and TauroLock-HEP500 TM products. A
hearing before the same court was held on January 30, 2015 on the separate, but related, question of infringement of the Prosl
European Patent by TauroPharm.
20
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS
The
Court issued its decisions on May 8, 2015, staying both proceedings. In its decisions, the Court found that the commercialization
by TauroPharm in Germany of its TauroLock catheter lock solutions Hep100 and Hep500 infringes both the Prosl European Patent
and the Utility Model and further that there is no prior use right that would allow TauroPharm to continue to make, use or sell
its product in Germany. However, the Court declined to issue an injunction in favor of the Company that would preclude the continued
commercialization by TauroPharm based upon its finding that there is a sufficient likelihood that the EPO, in the case of the
Prosl European Patent, or the German PTO, in the case of the Utility Model, may find that such patent or utility model is invalid.
Specifically, the Court noted the possible publication of certain instructions for product use that may be deemed to constitute
prior art. As such, the District Court determined that it will defer any consideration of the request by the Company for injunctive
and other relief until such time as the EPO or the German PTO made a final decision on the underlying validity of the Prosl European
Patent and the Utility Model. We expect that the complaint regarding the infringement of the Utility Model will be dismissed now
that the German PTO has voided the Utility Model (see below). This does not, however, have a direct effect on the infringement
proceedings concerning the Prosl European Patent.
The
opposition proceeding against the Prosl European Patent before the EPO is ongoing. The EPO held a hearing in the opposition proceeding
on November 25, 2015. In its preliminary consideration of the matter, the EPO (and the German PTO) had regarded the patent as
not inventive or novel due to publication of prior art. However, the EPO did not issue a decision at the end of the hearing but
adjourned the matter due to the fact that the panel was of the view that Claus Herdeis, one of the managing directors of TauroPharm,
had to be heard as a witness in a further hearing in order to close some gaps in the documentation presented by TauroPharm as
regards the publication of the prior art.
The
German PTO held a hearing in the validity proceedings relating to the Utility Model on June 29, 2016, at which the panel affirmed
its preliminary finding that the Utility Model was invalid based upon prior publication of a reference to the benefits that may
be associated with adding heparin to a taurolidine based solution. The Company filed an appeal against the ruling on September
7, 2016. An oral hearing was held on September 17, 2019 in which the German Federal Patent Court affirmed the first instance decision
that the Utility Model was invalid. The decision has only a declaratory effect, as the Utility Model had expired in November 2015.
On April 28, 2020, the Company filed a withdrawal of the complaint on the German utility model, thereby waiving its claims on
these proceedings. The Company estimates that the expense will be less than € 40,000 .
In
October 2016, TauroPharm submitted a further writ to the EPO requesting a date for the hearing and bringing forward further arguments,
in particular in view of the June 2016 decision of the German PTO on the invalidity of the utility model. On November 22, 2017,
the EPO in Munich, Germany held a further oral hearing in this matter. At the hearing, the panel held that the Prosl European
Patent would be invalidated because it did not meet the requirements of novelty based on a technical aspect of the European intellectual
property law. The Company disagrees with this decision and, after the written opinion was issued by the Opposition Division in
September 2018, has appealed the decision. The Company continues to believe that the Prosl European Patent is indeed novel and
that its validity should be maintained. There can be no assurance that the Company will prevail in this matter. In addition, the
ongoing Unfair Competition litigation brought by the Company against TauroPharm is not affected and will continue.
21
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS
On
January 16, 2015, the Company filed a complaint against TauroPharm GmbH and its managing directors in the District Court
of Cologne, Germany. In the complaint, the Company alleges violation of the German Unfair Competition Act by TauroPharm
for the unauthorized use of its proprietary information obtained in confidence by TauroPharm. The Company alleges that
TauroPharm is improperly and unfairly using its proprietary information relating to the composition and manufacture of Neutrolin,
in the manufacture and sale of TauroPharm’s products TauroLock TM , TauroLock-HEP100 and TauroLock-HEP500. The
Company seeks a cease and desist order against TauroPharm from continuing to manufacture and sell any product containing taurolidine
(the active pharmaceutical ingredient (“API”) of Neutrolin) and citric acid in addition to possible other components,
damages for any sales in the past and the removal of all such products from the market. An initial hearing in the District
Court of Cologne, Germany was held on November 19, 2015 to consider the Company’s claims. In this hearing, the presiding
judge explained that the court needed more information with regard to several aspects of the case. As a consequence, the Court
issued an interim decision in the form of a court order outlining several issues of concern that relate primarily to the court's
interest in clarifying the facts and reviewing any and all available documentation, in particular with regard to the question
which specific know-how was provided to TauroPharm by whom and when. The Company's legal team prepared the requested reply and
produced the respective documentation. TauroPharm had also filed another writ within the same deadline and both parties have filed
further writs at the end of April 2016 setting out their respective argumentation in more detail. A further oral hearing in this
matter was held on November 15, 2016. In this hearing, the court heard arguments from CorMedix and TauroPharm concerning the allegations
of unfair competition. The Court made no rulings from the bench and indicated that it is prepared to further examine the underlying
facts of the Company's allegations. On March 7, 2017, the Court issued another interim decision in the form of a court order outlining
again several issues relating to the argumentation of both sides in the proceedings. In particular the court requested the Company
to further specify its requests and to further substantiate in even more detail which know-how was provided by Biolink (the company
who developed Neutrolin that was acquired by ND Partners) to TauroPharm by whom and when. The Court also raised the question whether
the know-how provided at the time to TauroPharm could still be considered to be secret know-how or may have become public in the
meantime. The Court granted both sides the opportunity to reply to this court order and provide additional facts and evidence
until May 15, 2017. Both parties have submitted further writs in this matter and the Court scheduled a further hearing on May
8, 2018. After having been rescheduled several times, the hearing took place on November 20, 2018. A decision was rendered by
the court on December 11, 2018, dismissing the complaint in its entirety. However, the Company intends to continue to pursue this
matter, and still believes firmly that its claims are well-founded. The Company therefore appealed in January 2019 and filed its
grounds of appeal in March 2019. An oral hearing was held on September 6, 2019 in which the legal counsel of the Company brought
forward further arguments for the fact that the manufacturing process of the respective catheter locking solution is indeed protectable
as a trade secret. In view of these new arguments, the Court issued an evidentiary order on September 27, 2019 ordering an expert
opinion. The expert opinion was not in the Company's favor but the Company has filed a response to the expert opinion in reaction
to which the Court asked the expert to supplement his opinion to address the issues brought forward in the Company's submission.
Next steps will be taken after the receipt of the supplementary expert opinion.
In
connection with the aforementioned patent and utility model infringement and unfair competition proceedings against TauroPharm,
the Company was required by the District Courts of Mannheim and Cologne to provide security deposits of an aggregate of approximately
$ 175,000 , to cover legal fees in the event TauroPharm is entitled to reimbursement of these costs. The
Company recorded the deposits as restricted cash on the consolidated balance sheets. During the six months ended June 30, 2020,
the Company accrued an expense of $ 12,000 in connection with the utility model infringement proceedings, which will be deducted
from restricted cash when settled.
22
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS
Commitments
In-Licensing
In
2008, the Company entered into a License and Assignment Agreement (the “NDP License Agreement”) with ND Partners,
LLP (“NDP”). Pursuant to the NDP License Agreement, NDP granted the Company exclusive, worldwide licenses for certain
antimicrobial catheter lock solutions, processes for treating and inhibiting infections, a biocidal lock system and a taurolidine
delivery apparatus, and the corresponding United States and foreign patents and applications (the “NDP Technology”).
The Company acquired such licenses and patents through its assignment and assumption of NDP’s rights under certain separate
license agreements by and between NDP and Dr. Hans-Dietrich Polaschegg, Dr. Klaus Sodemann and Dr. Johannes Reinmueller. As consideration
in part for the rights to the NDP Technology, the Company paid NDP an initial licensing fee of $ 325,000 and granted NDP a 5 % equity
interest in the Company, consisting of 7,996 shares of the Company’s common stock.
The
Company is required to make payments to NDP upon the achievement of certain regulatory and sales-based milestones. Certain of
the milestone payments are to be made in the form of shares of common stock currently held in escrow for NDP, and other milestone
payments are to be paid in cash. The maximum aggregate number of shares issuable upon achievement of milestones is 29,109 shares.
In 2014, a certain milestone was achieved resulting in the release of 7,277 shares held in escrow. The number of shares held in
escrow as of June 30, 2020 is 21,832 shares of common stock. The maximum aggregate amount of cash payments due upon achievement
of milestones is $ 3,000,000 with the balance being $ 2,500,000 as of June 30, 2020 and 2019. Events that trigger milestone payments
include but are not limited to the reaching of various stages of regulatory approval and upon achieving certain worldwide net
sales amounts. There were no milestones achieved during the quarters ended June 30, 2020 and 2019.
The
NDP License Agreement may be terminated by the Company on a country-by-country basis upon 60 days prior written notice. If the
NDP License Agreement is terminated by either party, the Company’s rights to the NDP Technology will revert back to NDP.
Employment
Agreements
On
April 30, 2020, the Company entered into an employment agreement with Dr. Matthew David, pursuant to which Dr. David became
the Company’s Executive Vice President and Chief Financial Officer effective on May 11, 2020. After the initial
three-year term of the employment agreement, the agreement will automatically renew for additional successive one-year
periods, unless either party notifies the other in writing at least 90 days before the expiration of the then current term
that the agreement will not be renewed. In connection with Dr. David’s employment, the Company granted him stock
options to purchase 250,000 shares of common stock, 166,000 of which vest in four equal installments over four years
beginning one year after his start date and continuing on each of the next three anniversaries, subject to Dr. David’s
continued employment with the Company, and 84,000 of which vest upon the achievement of designated performance milestones,
subject to Dr. David’s continued employment with the Company.
If
the Company terminates Dr. David’s employment other than for Cause (as defined in the agreement), death, disability, or
by notice of nonrenewal, or if he resigns for Good Reason (as defined in the agreement), including in each case within 24 months
of a Change of Control (as defined in the agreement), Dr. David will receive his base salary and benefits for a period of nine
months following the effective date of the termination of his employment, and all unvested stock options held by him that are
scheduled to vest on or before the next succeeding anniversary of the date of termination will be accelerated and deemed to have
vested as of the termination date, provided that any milestone option whose vesting requirements have not been met as of the termination
date will be terminated.
If
the Company terminates Dr. David’s employment for Cause (as defined in the agreement), Dr. David will be entitled to receive
only the accrued compensation due to him as of the date of such termination, rights to indemnification and directors’ and
officers’ liability insurance, and as otherwise required by law. All outstanding equity awards and all outstanding stock
options then held by Dr. David that are granted on or after the effective date of his employment agreement, whether or not vested,
will be forfeited to us as of such date.
23
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED
FINANCIAL STATEMENTS
Note
5 — Leases:
The
Company entered into a seven-year operating lease agreement in March 2020 for an office space at 300 Connell Drive, Berkeley Heights,
New Jersey 07922. The lease agreement, with a monthly average cost of approximately $ 17,000 , is expected to commence in the late
third quarter or early fourth quarter of 2020 upon the Company’s occupation of the premises. The Company’s lease on
its current premises terminates on November 30, 2020.
The
Company entered into an operating lease for office space in Germany that began in July 2017. The rental agreement has a three-month
term which automatically renews and includes a monthly cost of 400 Euros. The Company elected to apply the short-term practical
expedient to the office lease. The Company also has an operating lease for office equipment.
Operating
lease expense in the Company’s condensed consolidated statements of operations and comprehensive loss for each of the three
and six months ended June 30, 2020 and 2019 was approximately $ 2,000 and $ 4,000 , respectively, which includes costs associated
with leases for which ROU assets have been recognized as well as short-term leases.
At
June 30, 2020, the Company has a total operating lease liability of $ 3,000 . Approximately $ 1,000 and $ 2,000 , respectively, are
included in accrued expenses and operating lease liabilities, net of current portion on the condensed consolidated balance sheet.
Operating ROU assets as of June 30, 2020 are $ 4,000 and are included in property and equipment, net on the condensed consolidated
balance sheet.
For
the three and six months ended June 30, 2020 and 2019, cash paid for amounts included in the measurement of lease liabilities
in operating cash flows from operating leases was $ 2,000 and $ 4,000 respectively.
The
weighted average remaining lease term as of June 30, 2020 and 2019 were 2.1 and 2.5 years, respectively, and the weighted average
discount rate for operating leases was 10.0% each as of June 30, 2020 and 2019.
As
of June 30, 2020, maturities of lease liabilities were as follows:
2020 (excluding the six months ended June 30, 2020)
$ 1,000
2021
2,000
2022
1,000
Total future minimum lease payments
4,000
Less imputed interest
( 1,000 )
Total
$ 3,000
Note
6 — Concentrations:
At June 30, 2020, 97 % of net accounts receivable
was due from three customers that exceeded 10% of the Company’s accounts receivable ( 55 %, 27 % and 15 %) and at December 31,
2019, no customer exceeded 10% of the Company’s accounts receivable. During the three months ended June 30, 2020, the Company
had revenue from five customers that exceeded 10 % of its total sales ( 30 %, 30 %, 15 %, 15 % and 10 %) and for the six months ended
June 30, 2020, the Company had revenue from three customers that each exceeded 10 % of its total sales ( 50 %, 16 % and 14 %). During
the three months ended June 30, 2019, the Company had revenue from one customer that exceeded 10 % of its totals sales ( 96 %) and
for the six months ended June 30, 2019, the Company had revenue from three customers that each exceeded 10 % of its total sales
( 59 %, 18 % and 17 %).
Note
7 — Subsequent Event:
On July 30, 2020, the Company completed an underwritten
public offering of its common stock, par value $ 0.001 per share, which yielded gross proceeds, before underwriting commissions
and estimated expenses, of approximately $ 23.0 million. The public offering was made pursuant to an underwriting agreement with
SunTrust Robinson Humphrey, Inc. and JMP Securities LLC (collectively, the “Underwriters”), relating to the issuance
and sale of an aggregate of 5,111,110 shares of common stock, including 666,666 shares of common stock pursuant to the full exercise
of the Underwriters’ option, at a public offering price of $ 4.50 per share. The offering was made pursuant to the Company’s
effective registration statement on Form S-3 Registration Statement No. 333-223562 previously filed with and declared effective
by the SEC and a prospectus supplement and accompanying prospectus filed with the SEC.
24
Item
2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.
The
following discussion and analysis of our financial condition and results of operations should be read in conjunction with our
2019 Annual Report on Form 10-K, filed with the Securities and Exchange Commission, or the SEC, on March 16, 2020.
Forward
Looking Statements
This
Quarterly Report on Form 10-Q contains “forward-looking statements” that involve risks and uncertainties, as
well as assumptions that, if they never materialize or prove incorrect, could cause our results to differ materially from those
expressed or implied by such forward-looking statements. The statements contained in this Quarterly Report on Form 10-Q that
are not purely historical are forward-looking statements within the meaning of Section 27A of the Securities Act of 1933,
as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, referred to herein as the Exchange Act. Forward-looking
statements are often identified by the use of words such as, but not limited to, “anticipate,” “believe,”
“can,” “continue,” “could,” “estimate,” “expect,” “intend,”
“may,” “will,” “plan,” “project,” “seek,” “should,” “target,”
“will,” “would” and similar expressions or variations intended to identify forward-looking statements.
These statements are based on the beliefs and assumptions of our management based on information currently available to management.
Such forward-looking statements are subject to risks, uncertainties and other important factors that could cause actual results
and the timing of certain events to differ materially from future results expressed or implied by such forward-looking statements.
Factors that could cause or contribute to such differences include, but are not limited to, those identified below and those discussed
in the section titled “Risk Factors” included in our most recent annual report on Form 10-K, as well as any amendments
thereto, as filed with the SEC and which are incorporated herein by reference. Furthermore, such forward-looking statements speak
only as of the date of this report. Except as required by law, we undertake no obligation to update any forward-looking statements
to reflect events or circumstances after the date of such statements.
Overview
CorMedix
Inc., together with our wholly owned subsidiaries (collectively referred to herein as “we,” “us,” “our”
and the “Company”), is a biopharmaceutical company focused on developing and commercializing therapeutic products
for the prevention and treatment of infectious and inflammatory diseases.
Our primary focus is on the development of our
lead product candidate, Defencath™, for potential commercialization in the United States, or U.S., and other key markets
as a catheter lock solution, or CLS. The name Defencath is the U.S. proprietary name conditionally approved by the U.S. Food and
Drug Administration, or FDA, while the name Neutrolin® is currently used in the European Union, or EU, and other territories
where we received CE-Mark approval for the commercial distribution of Neutrolin as a CLS regulated as a medical device. In May
2020, we began forming a wholly-owned Spanish subsidiary, CorMedix Spain, S.L.U.
We have in-licensed the worldwide rights to
develop and commercialize Defencath and Neutrolin. The CLS is a formulation of 1.35% taurolidine, 3.5% citrate and 1000 u/ml heparin
and is regulated by the FDA as an investigational new drug, where it is being developed to prevent catheter-related blood stream
infections, (CRBSIs) and thrombosis in patients using central venous catheters, or CVCs, for hemodialysis. CRBSIs and thrombosis
represent key complications among hemodialysis, intensive care, cancer and total parenteral nutrition, or TPN, patients with CVCs.
These complications can lead to treatment delays and increased costs to the healthcare system when they occur due to hospitalizations,
need for intravenous, or IV, antibiotic treatment, long-term anticoagulation therapy, removal/replacement of the CVC, related treatment
costs and increased mortality. We initially expect to sell Defencath directly to dialysis centers and hospitals, but also plan
to expand its usage into intensive care, oncology and total parenteral nutrition patients using central venous catheters. We believe
Defencath addresses a significant unmet medical need and a potential large market opportunity in the U.S.
25
In
December 2015, we launched our Phase 3 Prospective, Multicenter, Double-blind, Randomized, Active Control Study to Demonstrate
Safety & Effectiveness of Defencath/Neutrolin in Preventing Catheter related Bloodstream Infection in Subjects on Hemodialysis
for End Stage Renal Disease, or LOCK-IT-100, in patients with hemodialysis catheters in the U.S. in December 2015. The clinical
trial was designed to demonstrate the safety and effectiveness of Defencath compared to the standard of care CLS, Heparin, in
preventing CRBSIs. The primary endpoint for the trial assessed the incidence of CRBSI and time to CRBSI for each study subject.
Secondary endpoints were catheter patency, which was defined as required use of tissue plasminogen activating factor, or tPA,
or removal of catheter due to dysfunction, and removal of catheter for any reason.
In
July 2018, 28 potential cases of CRBSI were identified in LOCK-IT-100 that occurred through early December 2017. As
previously agreed with the FDA, an interim efficacy analysis was performed. Based on these first 28 cases, there was a highly
statistically significant 72% reduction in CRBSI by Defencath relative to the active control of heparin (p=0.0034). Because
the pre-specified level of statistical significance was reached for the primary endpoint and efficacy had been demonstrated
with no safety concerns, the independent Data Safety Monitoring Board (“DSMB”) recommended early termination.
Following discussions with the FDA, we proceeded with an orderly termination of LOCK-IT-100. The study had continued
enrolling and treating subjects until study termination, and the final analysis was based on a total of 795 subjects. We
remained blinded until the topline results of the full data set of LOCK-IT-100 were announced in late January 2019. In a
total of 41 cases, there was a 71% reduction in CRBSI by Defencath relative to heparin, which was highly statistically
significant (p=0.0006), with a good safety profile. During 2019, we had a series of meetings with the FDA to discuss
the analyses of data from LOCK-IT-100, including an end of Phase 3 meeting, a pre-NDA meeting and a CMC meeting, in preparation
for submission of the NDA
The
FDA granted our request for a rolling submission and review of the New Drug Application, or NDA, which is designed to expedite
the approval process for products being developed to address an unmet medical need. Although the FDA usually requires two pivotal
clinical trials to provide substantial evidence of safety and effectiveness for approval of the NDA, the FDA will in some cases
accept one adequate and well-controlled trial, where it is a large multicenter trial with a broad range of subjects and study
sites that has demonstrated a clinically meaningful and statistically very persuasive effect on a disease with potentially serious
outcome.
In
March 2020, we began the modular submission process for the NDA for Defencath for the prevention of CRBSI in hemodialysis patients,
and recently announced on July 8, 2020, that submission of all modules for the NDA was completed. We requested Priority Review
of the NDA, which if granted, would provide for a goal for FDA of a six-month review period, instead of ten months for applications
under standard review. We have not been informed of any delays by the FDA in the review of the NDA, but the FDA has limited international
and domestic travel due to COVID-19, and pre-approval inspections are required for manufacturing sites. The FDA has 60 days to
evaluate the submission for completeness for a substantive review to accept for filing and make a determination for priority or
standard review. If the FDA determines that the application is materially incomplete or identifies electronic submission issues
that render the application unreviewable, the FDA will refuse to file the application. In that case, the deficiencies will need
to be corrected and the application resubmitted for review to be accepted for filing.
We
intend to pursue additional indications for Defencath use as a CLS in populations with an unmet medical need that also represent
a significant market opportunity. For example, we intend to pursue marketing authorization in the U.S. for use as a CLS to reduce
CRBSIs in oncology and total parenteral nutrition patients using a CVC.
In
the EU, Neutrolin is regulated as a Class 3 medical device. In July 2013, we received CE Mark approval for Neutrolin. In December 2013,
we started commercial sales of Neutrolin in Germany for the prevention of CRBSI, and maintenance of catheter patency in hemodialysis
patients using a tunneled, cuffed central venous catheter for vascular access. To date, Neutrolin is registered and
may be sold in certain European Union and Middle Eastern countries for such treatment.
26
In
September 2014, the TUV-SUD and The Medicines Evaluation Board of the Netherlands, or MEB, granted a label expansion for Neutrolin
for these same expanded indications for the EU. In December 2014, we received approval from the Hessian District President in
Germany to expand the label to include use in oncology patients receiving chemotherapy, IV hydration and IV medications via central
venous catheters. The expansion also adds patients receiving medication and IV fluids via central venous catheters in intensive
or critical care units (cardiac care unit, surgical care unit, neonatal critical care unit, and urgent care centers). An indication
for use in total parenteral nutrition was also approved.
In
addition to the CLS, we are sponsoring a pre-clinical research collaboration for the use of taurolidine as a possible treatment
for pediatric tumors. In February 2018, the FDA granted orphan drug designation to taurolidine for the treatment of neuroblastoma
in children. We may seek one or more strategic partners or other sources of capital to help with the development and commercialization
of taurolidine for the treatment of neuroblastoma in children. We are also evaluating opportunities for the possible expansion
of taurolidine as a platform compound for use in certain medical devices. Patent applications have been filed in several indications,
including wound closure, surgical meshes, and wound management. Based on initial feasibility work, we are advancing pre-clinical
studies for taurolidine-infused surgical meshes, suture materials and hydrogels. We will seek to establish development/commercial
partnerships as these programs advance.
The
FDA regards taurolidine as a new chemical entity and therefore it is currently an unapproved new drug. We may in the future pursue
product candidates that would involve devices impregnated with taurolidine, and we believe that at the current time such products
would be combination products subject to device premarket submission requirements, while subject also, under review by the FDA,
to the standards for drug approvability. Consequently, given that there is no appropriate predicate medical device currently marketed
in the U.S. on which a 510(k) approval process could be based and that taurolidine is not yet approved in any application, we
anticipate that it would be required to submit a premarket approval application, or PMA, for marketing authorization for any medical
device indications that we may pursue for devices containing taurolidine. In the event that an NDA for Defencath is approved by
the FDA, the regulatory pathway for these medical device product candidates may be revisited with the FDA. Although there may
be no appropriate predicate, de novo Class II designation can be proposed, based on a risk assessment and a reasonable assurance
of safety and effectiveness.
In September 2019, our registration with
the Saudi Arabia Food and Drug Administration, or the SFDA, expired. As a result, we cannot sell Neutrolin in Saudi Arabia. We
intend to complete the documentation required to renew our registration with the SFDA, however, we cannot predict how long the
renewal process will take. There is no assurance that the registration will be renewed by the SFDA or that there will be significant
sales in Saudi Arabia.
In
April 2020, we received approximately $5.2 million, net of expenses, from the sale of most of our remaining unused New Jersey
net operating losses, or NOL, eligible for sale under the State of New Jersey’s Economic Development Authority’s New
Jersey Technology Business Tax Certificate Transfer program, or NJEDA Program. The NJEDA Program allowed us to sell approximately
$5.5 million of our total $6.0 million in available NOL tax benefits for the state fiscal year 2019.
In
April 2020, we received from the FDA a refund for the NDA application fee in the amount of $2.9 million, which was paid in
the first quarter of 2020. We met the conditions of the Federal Food, Drug, and Cosmetic Act for the small business waiver of
the user fees and our request for a waiver of an application user fee was granted by the FDA.
On July 30, 2020, we completed an underwritten
public offering of our common stock, which yielded gross proceeds, before underwriting commissions and estimated expenses, of approximately
$23.0 million. The public offering was made pursuant to an underwriting agreement with SunTrust Robinson Humphrey, Inc. and JMP
Securities LLC (collectively, the “Underwriters”), relating to the issuance and sale of an aggregate of 5,111,110 shares
of common stock, including 666,666 shares of common stock pursuant to the full exercise of the Underwriters’ option, at a
public offering price of $4.50 per share. The offering was made pursuant to our effective registration statement on Form S-3 Registration
Statement No. 333-223562 previously filed with and declared effective by the SEC and a prospectus supplement and accompanying prospectus
filed with the SEC.
The
novel coronavirus has been declared a pandemic and has spread to multiple global regions. The outbreak and government measures
taken in response have also had a significant impact, both direct and indirect, on businesses and commerce, as worker shortages
have occurred; supply chains have been disrupted; facilities and production have been suspended; and demand for certain goods
and services, such as medical services and supplies, has spiked, while demand for other goods and services, such as travel, has
fallen. In response to the COVID-19 outbreak, “shelter in place” orders and other public health guidance measures
have been implemented across much of the United States, Europe and Asia, including in the locations of our offices, clinical trial
sites, key vendors and partners. Our program timelines may be negatively affected by COVID-19, which could materially and adversely
affect its business, financial conditions and results of operations.
27
Since
our inception, our operations have been primarily limited to conducting clinical trials and establishing manufacturing for our
product candidates, licensing product candidates, business and financial planning, research and development, seeking regulatory
approval for our products, initial commercialization activities for Defencath in the U.S. and Neutrolin in the EU and other foreign
markets, and maintaining and improving our patent portfolio. We have funded our operations primarily through debt and
equity financings. We have generated significant losses to date, and we expect to use substantial amounts of cash for our operations
as we commence pre-launch commercial activities for Defencath for the U.S. market and continue to commercialize Neutrolin in the
EU and other foreign markets, pursue business development activities, and incur additional legal costs to defend our intellectual
property. As of June 30, 2020, we had an accumulated deficit of approximately $204.8 million. We are unable
to predict the extent of any future losses or when we will become profitable, if ever.
Financial
Operations Overview
Revenue
We
have not generated substantial revenue since our inception. Through June 30, 2020, we have funded our operations primarily through
debt and equity financings and the sale of our unused New Jersey NOL.
Research
and Development Expense
Research and development, or R&D, expense
consists of: (i) internal costs associated with our development activities; (ii) payments we make to third party contract research
organizations, or CRO, contract manufacturers, investigative sites, and consultants; (iii) technology and intellectual property
license costs; (iv) manufacturing development costs; (v) personnel related expenses, including salaries, stock–based compensation
expense, benefits, travel and related costs for the personnel involved in drug development; (vi) activities relating to regulatory
filings and the advancement of our product candidates through preclinical studies and clinical trials; (vii) facilities and other
allocated expenses, which include direct and allocated expenses for rent, facility maintenance, as well as laboratory and other
supplies; and (viii) costs related to the manufacturing of the product that could potentially be available to support the commercial
launch prior to marketing approval. For the six months ended June 30, 2020, costs related to the manufacturing of commercial pre-launch
inventory that were expensed amounted to approximately $3.7 million. All R&D is expensed as incurred.
Conducting
a significant amount of development is central to our business model. Product candidates in later-stage clinical development generally
have higher development costs than those in earlier stages of development, primarily due to the significantly increased size and
duration of the clinical trials.
The
process of conducting pre-clinical studies and clinical trials necessary to obtain regulatory approval is costly and time consuming.
The probability of success for each product candidate and clinical trial may be affected by a variety of factors, including, among
others, the quality of the product candidate’s early clinical data, clinical trial enrollment, duration, conduct and results,
investment in the program, competition, manufacturing capabilities and commercial viability of the product candidate. As a result
of the uncertainties associated with clinical trials in specific, and the risks inherent in the development process in general,
we are unable to determine the duration and completion costs of current or future clinical stages of our product candidates or
when, or to what extent, we will generate revenues from the commercialization and sale of any of our product candidates that may
be approved.
28
Development
timelines, probability of success and development costs vary widely. We are currently focused on securing the marketing approval
for Defencath in the U.S. In December 2015, we signed an agreement with a CRO, to help us conduct our LOCK-IT-100 Phase 3 clinical
trial in hemodialysis patients with central venous catheters to demonstrate the efficacy and safety of Defencath in preventing
catheter-related bloodstream infections and blood clotting in subjects receiving hemodialysis therapy as treatment for end stage
renal disease. During 2018, we contested a substantial amount of the unpaid clinical trial expense due to the unexpected delay
and additional costs we incurred in preparing for the interim analysis of the LOCK-IT-100 study. In November 2018, we signed a
settlement agreement with the CRO. In parallel with the settlement agreement, a new work order under the Master Service Agreement
was executed specifying certain services the CRO would provide to us related to the closeout of the study. The budgeted amount
of the new work order was approximately $1.4 million, which has been completed.
In
March 2020, we were granted a deferral by FDA under the Pediatric Research Equity Act, or PREA that requires sponsors to conduct
pediatric studies for NDAs for a new active ingredient, such as taurolidine in Defencath, unless a waiver or deferral is obtained
from the FDA. A deferral acknowledges that a pediatric assessment is required but permits the applicant to submit the pediatric
assessment after the submission of an NDA. We have made a commitment to conduct the pediatric study after approval of the NDA
for use in hemodialysis patients. Pediatric studies for an approved product conducted under PREA may qualify for pediatric exclusivity,
which if granted would provide an additional six months of marketing exclusivity. Defencath would then have the potential
to receive a total marketing exclusivity period of 10.5 years, including exclusivity pursuant to NCE and QIDP.
We
are pursuing additional opportunities to generate value from taurolidine, an active component of Defencath. Based on initial feasibility
work, we have completed an initial round of pre-clinical studies for taurolidine-infused surgical meshes, suture materials, and
hydrogels, which require a PMA regulatory pathway for approval. We are also involved in a pre-clinical research collaboration
for the use of taurolidine as a possible treatment for rare orphan pediatric tumors. In February 2018, the FDA granted orphan
drug designation to taurolidine for the treatment of neuroblastoma. We may seek one or more strategic partners or other sources
of capital to help us develop and commercialize taurolidine for the treatment of neuroblastoma.
Selling,
General and Administrative Expense
Selling,
general and administrative, or SG&A, expense includes costs related to commercial personnel, medical education professionals,
marketing and advertising, salaries and other related costs, including stock-based compensation expense, for persons serving in
our executive, sales, finance and accounting functions. Other SG&A expense includes facility-related costs not included in
R&D expense, promotional expenses, costs associated with industry and trade shows, and professional fees for legal services
and accounting services. We expect to incur significant sales and marketing expenses for the foreseeable future as we prepare
for the potential commercial launch of Defencath in the U.S.
Foreign
Currency Exchange Transaction Gain (Loss)
Foreign
currency exchange transaction gain (loss) is the result of re-measuring transactions denominated in a currency other than our
functional currency and is reported in the condensed consolidated statement of operations as a separate line item within other
income (expense). The intercompany loans outstanding between our company based in New Jersey and our subsidiary based in Germany
are not expected to be repaid in the foreseeable future and the nature of the funding advanced is of a long-term investment nature.
As such, unrealized foreign exchange movements related to long-term intercompany loans are recorded in other comprehensive income
(loss).
Interest
Income
Interest
income consists of interest earned on our cash and cash equivalents and short-term investments.
29
Interest
Expense
Interest
expense consists of interest incurred on our convertible debt, amortization of debt discount and on financing of expenditures.
Results
of Operations
Three
and six months ended June 30, 2020 compared to three and six months ended June 30, 2019
The
following is a tabular presentation of our consolidated operating results (in thousands):
For the Three Months Ended
June 30,
%
Increase
For the Six Months Ended
June 30,
%
Increase
2020
2019
(Decrease)
2020
2019
(Decrease)
Revenue
$ 16,443
$ 35,266
(53 )%
$ 90,498
$ 198,958
(55 )%
Cost of sales
(19,184 )
(21,128 )
(9 )%
(67,701 )
(248,083 )
(73 )%
Gross profit (loss)
(2,741 )
14,138
(119 )%
22,797
(49,125 )
(146 )%
Operating Expenses:
Research and development
(5,685,292 )
(2,979,907 )
91 %
(8,157,408 )
(5,854,903 )
39 %
Selling, general and administrative
(3,232,576 )
(2,571,587 )
26 %
(6,397,747 )
(4,556,509 )
40 %
Total operating expenses
(8,917,868 )
(5,551,494 )
61 %
(14,555,155 )
(10,411,412 )
40 %
Loss from operations
(8,920,609 )
(5,537,356 )
61 %
(14,532,358 )
(10,460,537 )
39 %
Interest income
38,603
95,964
(60 )%
102,282
154,785
(34 )%
Foreign exchange transaction loss
(55,985 )
(8,808 )
536 %
(59,206 )
(10,285 )
476 %
Interest expense, including amortization of debt discount
(13,828 )
(306,736 )
(95 )%
(20,104 )
(608,783 )
(97 )%
Total other income (expense)
(31,210 )
(219,580 )
(86 )%
22,972
(464,283 )
(105 )%
Loss before income taxes
(8,951,819 )
(5,756,936 )
55 %
(14,509,386 )
(10,924,820 )
33 %
Tax benefit
5,169,395
5,060,778
2 %
5,169,395
5,060,778
2 %
Net loss
(3,782,424 )
(696,158 )
443 %
(9,339,991 )
(5,864,042 )
59 %
Other comprehensive income
14,854
9,131
63 %
8,333
7,818
7 %
Comprehensive loss
$ (3,767,570 )
$ (687,027 )
448 %
$ (9,331,658 )
$ (5,856,224 )
59 %
Revenue.
Revenue for the three months ended June 30, 2020 was $16,000 as compared to $35,000 in the same period last year, a decrease
of $19,000. The decrease was attributable to decreased sales in the Middle East of $33,000, partially offset by higher sales in
the European Union of $15,000. The sales decrease in the Middle East was mainly due to the expiration of our registration with
the Saudi Arabia Food and Drug Administration. The registration must be renewed in order for us to continue selling in Saudi Arabia.
Revenue
for the six months ended June 30, 2020 was $90,000 as compared to $199,000 in the same period last year, a decrease of $109,000.
The decrease was attributable to lower sales in the Middle East, mainly due to the expiration of our registration with the Saudi
Arabia Food and Drug Administration.
30
Cost of Sales. Cost
of sales was $19,000 for the three months ended June 30, 2020 compared to $21,000 in the same period last year, a decrease of $2,000,
primarily attributable to a decrease in the cost related to stability studies.
Cost of sales was $68,000
for the six months ended June 30, 2020 compared to $248,000 in the same period last year, a decrease of $180,000, primarily attributable
to the cost of replacement of expired product that occurred during the same period in 2019.
Research and Development
Expense . R&D expense was $5,685,000 for the three months ended June 30, 2020, an increase of $2,705,000, or 91%, from $2,980,000
for the three months ended June 30, 2019. The increase was primarily attributable to the purchase of raw materials for the manufacturing
of Defencath amounting to $3,400,000 prior to its potential marketing approval that could potentially support the commercial launch,
offset by a decrease in clinical trial expenses of $430,000, mainly due to the completion of the our LOCK-IT-100 clinical trial.
R&D expense was $8,157,000 for the six
months ended June 30, 2020, an increase of $2,302,000, or 39%, from $5,855,000 for the six months ended June 30, 2019. The increase
was primarily attributable to the purchase of raw materials for the manufacturing of Defencath amounting to $3,400,000 prior to
its potential marketing approval that could potentially support the commercial launch, offset by a decrease in clinical trial expenses
of $1,301,000, mainly due to the closing of our LOCK-IT-100 clinical trial.
Selling,
General and Administrative Expense . SG&A expense was $3,233,000 for the three months ended June 30, 2020, an increase
of $661,000, or 26%, from $2,572,000 for the three months ended June 30, 2019. The increase was primarily attributable to increases
in: personnel expenses of $338,000, primarily for additional hires; insurance expenses of $138,000; and costs related to marketing
research studies of $128,000. In addition, board cash fees increased by $77,000 as a result of a change in compensation practice
which has eliminated equity as compensation for current services. These increases were partially offset, among others of lesser
significance, reduced selling and distribution expenses in the EU of $24,000.
SG&A
expense was $6,398,000 for the six months ended June 30, 2020, an increase of $1,841,000, or 40%, from $4,557,000 for the six
months ended June 30, 2019. The increase was primarily attributable to increases in: personnel expenses of $517,000, primarily
for additional hires during the first half of 2020; insurance expenses of $281,000; legal fees of $219,000, related to general
corporate advice in Germany; recruitment fees of $171,000, in search for additional personnel; board fees of $151,000, as a result
of a change in compensation practice which has eliminated equity as compensation for current services; investor relations and
business development activities of $131,000; consulting fees of $103,000; and increases in dues and subscription and office expenses
of $80,000.
Foreign Exchange Transaction Gain (Loss) .
A foreign exchange transaction loss of $56,000 was recorded for the three months ended June 30, 2020 compared to a loss of $9,000
for the same period last year. These losses occurred due to the re-measuring of transactions denominated in a currency other than
our functional currency.
Foreign exchange transaction losses were recorded
for the six months ended June 30, 2020 and 2019 of $59,000 and $10,000, respectively. These losses occurred due to the re-measuring
of transactions denominated in a currency other than our functional currency.
Interest
Income . Interest income was $39,000 for the three months ended June 30, 2020 compared to $96,000 for the same period last
year, a decrease of $57,000. The decrease was attributable to lower average interest-bearing cash balances and short-term investments
during the six months ending June 30, 2020 as compared to the same period in 2019.
31
Interest
income was $102,000 for the six months ended June 30, 2020 compared to $155,000 for the same period last year, a decrease of $53,000.
The decrease was attributable to lower average interest-bearing cash balances and short-term investments during the first half
of 2020 as compared to the same period in 2019.
Interest
Expense . Interest expense was $14,000 for the three months ended June 30, 2020 as compared to $307,000 for the three months
ended June 30, 2019. This was attributable to the amortization of debt discount and non-cash interest expense recognized during
the three months ended June 30, 2019 in connection with the senior secured convertible note issued in December 2018 that is no
longer outstanding.
Interest
expense was $20,000 for the six months ended June 30, 2020 compared to $609,000 for the same period last year. This was attributable
to the amortization of debt discount and non-cash interest expense recognized during the three months ended June 30, 2019 in connection
with the senior secured convertible note issued in December 2018 that is no longer outstanding.
Other
Comprehensive Income (Loss) . Unrealized foreign exchange movements related to long-term intercompany loans, the translation
of the foreign affiliate financial statements to U.S. dollars and unrealized movements related to short-term investment resulted
in gains of $15,000 and $9,000 for the three months ended June 30, 2020 and 2019, respectively.
Unrealized
foreign exchange movements related to long-term loans and the translation of the foreign affiliate financial statements to U.S.
dollars and unrealized movements related to short term investment are recorded in other comprehensive income (loss) totaling gains
of $8,000 for the six months ended June 30, 2020 and 2019, respectively.
Tax
Benefit. Tax benefits for the three and six months ended June 30, 2020 and 2019 of $5,169,000 and $5,061,000, respectively,
was an income tax benefit due to the sale of most of our remaining unused NOL through the NJEDA Program.
Liquidity
and Capital Resources
Sources
of Liquidity
As
a result of our cost of sales, R&D and SG&A expenditures and the lack of substantial product sales revenue, our ongoing
operations have not been profitable since our inception. During the six months ended June 30, 2020, we received net proceeds of
$2,470,000 from the issuance of 368,144 shares of common stock under our at-the-market-issuance sales agreement and $412,000 from
the exercise of warrants. We will continue to be reliant on external sources of cash for the foreseeable future until we are able
to generate revenue.
On July 30, 2020, we completed an underwritten
public offering of our common stock, which yielded gross proceeds, before underwriting commissions and estimated expenses, of approximately
$23,000,000. The public offering was made pursuant to an underwriting agreement with the Underwriters relating to the issuance
and sale of an aggregate of 5,111,110 shares of common stock, including 666,666 shares of common stock pursuant to the full exercise
of the Underwriters’ option, at a public offering price of $4.50 per share.
In April 2020, we received approximately $5,200,000,
net of expenses, from the sale of most of our remaining unused New Jersey NOL eligible for sale under the NJEDA Program. The NJEDA
Program allowed us to sell approximately $5,500,000 of our total $6,000,000 in available NOL tax benefits for the state fiscal
year 2019.
Net
Cash Used in Operating Activities
Net cash used in operating activities for
the six months ended June 30, 2020 was $8,721,000 as compared to $7,203,000 for the same period in 2019, an increase in net cash
use of $1,518,000. The increase was mainly attributable to the increase in net loss of $3,476,000, primarily driven by an increase
in operating expenses, mainly due to the research and development expense related to the purchase of raw materials for the manufacturing
of Defencath prior to its potential marketing approval, and a decrease in non-cash stock-based compensation of $44,000. The increase
was partially offset by an increase in prepaid expenses and other current assets for the six months ended June 30, 2020 of $716,000,
due to a deposit on the equipment, compared to a $22,000 increase for the same period in 2019; an increase in accounts payable
of $362,000 for the six months ended June 20, 2020, as compared to a decrease in accounts payable for the same period in 2019 of
$1,683,000; and a decrease in accrued expenses for the six months ended June 30, 2020 of $473,000 compared to a decrease of $1,732,000
for the same period in 2019.
32
Net
Cash Provided by (Used in) Investing Activities
Cash provided by investing activities for
the six months ended June 30, 2020 was $6,030,000 as compared to $11,840,000 used in same period in 2019. The increase in cash
provided during the six months ended June 30, 2020 as compared to the six months ended June 30, 2019 was due to the maturity of
short-term investments and a decline in purchases of short-term investments in 2020, due to lower proceeds from the Company’s
ATM program for the six months ended June 30, 2020 as compared to higher proceeds received during the same period last year.
Net
Cash Provided by Financing Activities
Net
cash provided by financing activities for the six months ended June 30, 2020 was $2,835,000 as compared to $15,981,000 for the
same period in 2019. During the six months ended June 30, 2020, we generated net proceeds of $2,470,000 from the sale of our common
stock in our at-the-market, or ATM program, $412,000 from the exercise of warrants and paid $47,000 in financing fees. In comparison
to the same period in 2019, the net proceeds we generated in the amount of $15,235,000 was from the sale of our common stock in
our ATM program, and gross proceeds of $634,000 and $113,000 from the exercise of warrants and stock options, respectively.
Funding
Requirements and Liquidity
Our total cash on hand and short-term
investments as of June 30, 2020 was $22.4 million, excluding restricted cash of $0.2 million, compared with $28.3 million at
December 31, 2019. As of June 30, 2020, we have approximately $2.1 million available under our current ATM program and
approximately $30.3 million available under our current shelf registration statement for the issuance of equity, debt or
equity-linked securities unrelated to the current ATM program. After taking into consideration the receipt of $23.0 million
gross proceeds from the equity financing that closed in July 2020, the current shelf registration statement has a balance of
approximately $7.3 million available to be drawn. We may utilize our ATM program, if conditions allow, to support our
activities in connection with the activities required for commercial launch of Defencath, as well as general corporate
expenses.
Because
our business has not generated positive operating cash flow, additional capital will likely be required in order to fund launch
activities for Defencath, as well as other taurolidine-based research and development activities and our operations generally.
Our continued operations will depend on our ability to raise sufficient funds through various potential sources, such as equity,
debt financings, and/or strategic relationships. We can provide no assurances that financing or strategic relationships will be
available on acceptable terms, or at all.
We
expect to continue to fund operations from cash on hand and through capital raising sources as previously described, which may
be dilutive to existing stockholders, through revenues from the licensing of our products, or through strategic alliances. We
may continue to utilize our ATM program, if conditions allow, to support our ongoing funding requirements. Additionally, we may
seek to sell additional equity or debt securities in one or more transactions, or enter into a strategic alliance arrangement, but
can provide no assurances that any such financing or strategic alliance arrangement will be available on acceptable terms, or
at all. Moreover, the incurrence of indebtedness would result in increased fixed obligations and could contain covenants that
would restrict our operations. Raising additional funds through strategic alliance arrangements with third parties may require
significant time to complete and could force us to relinquish valuable rights to our technologies, future revenue streams, research
programs or product candidates, or to grant licenses on terms that may not be favorable to us or our stockholders. Our actual
cash requirements may vary materially from those now planned due to a number of factors, any change in the focus and direction
of our research and development programs, any acquisition or pursuit of development of new product candidates, competitive and
technical advances, the costs of commercializing any of our product candidates, and costs of filing, prosecuting, defending and
enforcing any patent claims and any other intellectual property rights.
33
Sales
of Neutrolin outside the U.S. are not expected to generate significant product revenues for the foreseeable future, and while
we expect to grow product sales for Defencath in the U.S., should we receive the FDA marketing approval. In the absence of significant
revenue, we are likely to continue generating operating cash flow deficits. We will continue to use cash as we increase other
activities leading to the commercialization of Defencath upon approval, pursue business development activities, and incur additional
legal costs to defend our intellectual property.
We currently estimate that as of June
30, 2020 we have sufficient cash on hand to fund operations at least twelve months after the filing date of this report,
after taking into consideration the equity financing which closed in July 2020 and the initial preparations for commercial
launch for Defencath. Additional financing may be required to complete the build out of our commercial infrastructure and to
continue our operations post commercial launch depending on the rate of sales growth. We currently anticipate that marketing
approval could be obtained and product launch could commence by mid-2021. If we are unable to raise additional funds when
needed, we may be forced to slow or discontinue our preparations for the commercial launch of Defencath. We may also be
required to delay, scale back or eliminate some or all of our research and development programs. Each of these alternatives
would likely have a material adverse effect on our business.
Contractual
Obligations
In
March 2020, we entered into a seven-year lease agreement for approximately 6,089 square feet of office space at 300 Connell Drive,
Berkeley Heights, New Jersey. The average monthly lease payment is approximately $17,000. The lease agreement is expected to commence
late in the third quarter or early in the fourth quarter of 2020 upon our occupation of the premises. Our lease on our current
premises terminates on November 30, 2020.
Critical
Accounting Policies
Our
management’s discussion and analysis of our financial condition and results of operations is based on our financial statements,
which have been prepared in accordance with accounting principles generally accepted in the United States, or GAAP. The preparation
of these condensed consolidated financial statements requires us to make estimates and judgments that affect the reported amounts
of assets, liabilities and expenses. On an ongoing basis, we evaluate these estimates and judgments, including those described
below. We base our estimates on our historical experience and on various other assumptions that we believe to be reasonable under
the circumstances. These estimates and assumptions form the basis for making judgments about the carrying values of assets and
liabilities that are not readily apparent from other sources. Actual results and experiences may differ materially from these
estimates.
For
the six-month period ended June 30, 2020, there were no significant changes to our critical accounting policies as identified
in our Annual Report on Form 10-K for the year ended December 31, 2019.
Recently
Adopted Accounting Pronouncements
In
June 2016, the Financial Accounting Standards Board (“FASB”) issued new guidance which replaces the incurred loss
impairment methodology in current GAAP with a methodology that reflects expected credit losses and requires consideration of a
broader range of reasonable and supportable information to inform credit loss estimates. This adoption on January 1, 2020 did
not have a material impact on our condensed consolidated financial statements.
In
August 2018, the FASB issued new guidance which modifies the disclosure requirements on fair value measurements. The guidance
was effective for us beginning in the first quarter of fiscal year 2020. This adoption on January 1, 2020 did not have a material
impact on our condensed consolidated financial statements.
34
In
November 2018, the FASB issued new guidance to clarify the interaction between the authoritative guidance for collaborative arrangements
and revenue from contracts with customers. The new guidance clarifies that, when the collaborative arrangement participant is
a customer in the context of a unit-of-account, revenue from contracts with customers guidance should be applied, adds unit-of-account
guidance to collaborative arrangements guidance, and, in a transaction with a collaborative arrangement participant who is not
a customer, precludes presenting the transaction together with revenue recognized under contracts with customers. The guidance
was effective for us beginning in the first quarter of fiscal year 2020. This adoption on January 1, 2020 did not have a material
impact on our condensed consolidated financial statements.
In
November 2019, the FASB issued new guidance which requires that an entity measure and classify share-based payment awards granted
to a customer by applying the guidance in FASB ASC 718. The guidance was effective for us beginning in the first quarter of fiscal
year 2020. This adoption on January 1, 2020 did not have a material impact on our condensed consolidated financial statements.
Recently
Issued Authoritative Pronouncements
In
December 2019, the FASB issued new guidance which removes certain exceptions to the general principles of the accounting for income
taxes and also improves consistent application of and simplification of other areas when accounting for income taxes. The guidance
is effective for us beginning in the first quarter of fiscal year 2021. Early adoption is permitted. We are assessing the impact
of adopting this guidance on our consolidated financial statements.
Off-Balance
Sheet Arrangements
We
do not have any off-balance sheet arrangements.
Item
3. Quantitative and Qualitative Disclosure about Market Risk.
None.
Item
4. Controls and Procedures.
Evaluation
of Disclosure Controls and Procedures
Disclosure
controls and procedures are designed only to provide reasonable assurance that information to be disclosed in our Exchange Act
reports is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms.
Under the supervision and with the participation of our management, including our Chief Executive Officer and our Chief Financial
Officer, we carried out an evaluation of the effectiveness of the design and operation of our disclosure controls and procedures
(as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) as of June 30, 2020. Based on the foregoing evaluation,
our Chief Executive Officer and our Chief Financial Officer concluded that our disclosure controls and procedures are effective
to ensure that information required to be disclosed by us in the reports we file or submit under the Exchange Act is recorded,
processed, summarized and reported within the time periods specified in the rules and forms of the SEC, and that such information
is accumulated and communicated to our management, including our Chief Executive Officer and our Chief Financial Officer, to allow
timely decisions regarding required disclosures.
Changes
in Internal Control Over Financial Reporting
Other than the hiring of our new Chief Financial
Officer effective May 11, 2020, there were no changes in our internal control over financial reporting during the six months ended
June 30, 2020, or in other factors that could significantly affect these controls, that materially affected, or are reasonably
likely to materially affect, our internal control over financial reporting. Our former Chief Financial Officer is a consultant
to the Company and will assist with accounting and financial reporting through the transition.
35
PART
II
OTHER INFORMATION
Item 1. Legal Proceedings.
On
September 9, 2014, we filed in the District Court of Mannheim, Germany a patent infringement action against TauroPharm GmbH and
Tauro-Implant GmbH as well as their respective CEOs, referred to as the Defendants claiming infringement of our European Patent
EP 1 814 562 B1, which was granted by the EPO on January 8, 2014, or the Prosl European Patent. The Prosl European Patent covers
a low dose heparin catheter lock solution for maintaining patency and preventing infection in a hemodialysis catheter. In this
action, we claim that the Defendants infringe on the Prosl European Patent by manufacturing and distributing catheter locking
solutions to the extent they are covered by the claims of the Prosl European Patent. We believe that our patent is sound and are
seeking injunctive relief and raising claims for information, rendering of accounts, calling back, destruction and damages. Separately,
TauroPharm has filed an opposition with the EPO against the Prosl European Patent alleging that it lacks novelty and inventive
step. We cannot predict what other defenses the Defendants may raise, or the ultimate outcome of either of these related matters.
At present, the EPO has revoked the Prosl European Patent as invalid, and we have filed an appeal, which is currently pending.
In
the same complaint against the same Defendants, we also alleged an infringement (requesting the same remedies) of NDP’s
utility model DE 20 2005 022 124 U1, referred to as the Utility Model, which we believe is fundamentally identical to the Prosl
European Patent in its main aspects and claims. The Court separated the two proceedings and the Prosl European Patent and the
Utility Model claims are now being tried separately. TauroPharm has filed a cancellation action against the Utility Model before
the German Patent and Trademark Office, or German PTO based on the similar arguments as those in the opposition against the Prosl
European Patent.
On
March 27, 2015, the District Court held a hearing to evaluate whether the Utility Model has been infringed by TauroPharm in connection
with the manufacture, sale and distribution of its TauroLock-HEP100TM and TauroLock-HEP500TM products. A hearing before the same
court was held on January 30, 2015 on the separate, but related, question of infringement of the Prosl European Patent by TauroPharm.
The
Court issued its decisions on May 8, 2015, staying both proceedings. In its decisions, the Court found that the commercialization
by TauroPharm in Germany of its TauroLock catheter lock solutions Hep100 and Hep500 infringes both the Prosl European Patent and
the Utility Model and further that there is no prior use right that would allow TauroPharm to continue to make, use or sell its
product in Germany. However, the Court declined to issue an injunction in favor of us that would preclude the continued commercialization
by TauroPharm based upon its finding that there is a sufficient likelihood that the EPO, in the case of the Prosl European Patent,
or the German PTO, in the case of the Utility Model, may find that such patent or utility model is invalid. Specifically, the
Court noted the possible publication of certain instructions for product use that may be deemed to constitute prior art. As such,
the District Court determined that it will defer any consideration of the request by us for injunctive and other relief until
such time as the EPO or the German PTO made a final decision on the underlying validity of the Prosl European Patent and the Utility
Model. We expect that the complaint regarding the infringement of the Utility Model will be dismissed now that the German PTO
has voided the Utility Model (see below). This does, however, not have a direct effect on the infringement proceedings concerning
the Prosl European Patent.
36
The
opposition proceeding against the Prosl European Patent before the EPO is ongoing. In its preliminary consideration of the matter,
the EPO (and the German PTO) regarded the patent as not inventive or novel due to publication of prior art. Oral proceedings before
the Opposition Division at the EPO were held on November 25, 2015, at which the three-judge patent examiner panel considered arguments
related to the validity of the Prosl European Patent. The hearing was adjourned due to the fact that the panel was of the view
that Claus Herdeis, one of the managing directors of TauroPharm, had to be heard as a witness in a further hearing in order to
close some gaps in the documentation presented by TauroPharm as regards the publication of prior art.
The
German PTO held a hearing in the validity proceedings relating to the Utility Model on June 29, 2016, at which the panel affirmed
its preliminary finding that the Utility Model was invalid based upon prior publication of a reference to the benefits that may
be associated with adding heparin to a taurolidine based solution. We filed an appeal against the ruling on September 7, 2016.
An oral hearing was held on September 17, 2019 in which the German Federal Patent Court affirmed the first instance decision that
the Utility Model was invalid. The decision has only a declaratory effect, as the Utility Model had expired in November 2015.
On April 28, 2020, we filed a withdrawal of the complaint on the German utility model, thereby waiving our claims on these proceedings.
We estimate that the expense will be less than €40,000.
In
October 2016, TauroPharm submitted a further writ to the EPO requesting a date for the hearing and bringing forward further arguments,
in particular in view of the June 2016 decision of the German PTO on the invalidity of the utility model. On November 22, 2017,
the EPO in Munich, Germany held a further oral hearing in this matter. At the hearing, the panel held that the Prosl European
Patent would be invalidated because it did not meet the requirements of novelty based on a technical aspect of the European intellectual
property law. We disagree with this decision and, after the written opinion was issued by the Opposition Division in September
2018, have appealed the decision. We continue to believe that the Prosl European Patent is indeed novel and that its validity
should be maintained. There can be no assurance that we will prevail in this matter. In addition, the ongoing Unfair Competition
litigation against TauroPharm is not affected and will continue.
On
January 16, 2015, we filed a complaint against TauroPharm GmbH and its managing directors in the District Court of Cologne, Germany.
In the complaint, we allege violation of the German Unfair Competition Act by TauroPharm for the unauthorized use of our proprietary
information obtained in confidence by TauroPharm. We allege that TauroPharm is improperly and unfairly using our proprietary information
relating to the composition and manufacture of Neutrolin, in the manufacture and sale of TauroPharm’s products TauroLockTM,
TauroLock-HEP100 and TauroLock-HEP500. We seek a cease and desist order against TauroPharm from continuing to manufacture and
sell any product containing taurolidine (the API of Neutrolin) and citric acid in addition to possible other components, damages
for any sales in the past and the removal of all such products from the market. An initial hearing in the District Court of Cologne,
Germany was held on November 19, 2015 to consider our claims. The judge made no decision on the merits of our complaint. On January
14, 2016, the Court issued an interim decision in the form of a court order outlining several issues of concern that relate primarily
to the court's interest in clarifying the facts and reviewing any and all available documentation, in particular with regard to
the question which specific know-how was provided to TauroPharm by whom and when. We have prepared the requested reply and produced
the respective documentation. TauroPharm has also filed another writ within the same deadline and both parties have filed further
writs at the end of April 2016 setting out their respective argumentation in more detail. A further oral hearing in this matter
was held on November 15, 2016. In this hearing, the Court heard arguments from CorMedix and TauroPharm concerning the allegations
of unfair competition. The Court made no rulings from the bench and indicated that it is prepared to further examine the underlying
facts of our allegations. On March 7, 2017, the Court issued another interim decision in the form of a court order outlining again
several issues relating to the argumentation of both sides in the proceedings. In particular the Court requested us to further
specify our requests and to further substantiate in even more detail which know-how was provided by Biolink (the company who developed
Neutrolin that was acquired by ND Partners) to TauroPharm by whom and when. The Court also raised the question whether the know-how
provided at the time to TauroPharm could still be considered to be secret know-how or may have become public in the meantime.
The Court granted both sides the opportunity to reply to this court order and provide additional facts and evidence until May
15, 2017. Both parties have submitted further writs in this matter and the Court had scheduled a further hearing for May 8, 2018.
After having been rescheduled several times, the hearing took place on November 20, 2018. A decision was rendered by the Court
on December 11, 2018, dismissing the complaint in its entirety. However, we intend to continue to pursue this matter, and still
believe firmly that our claims are well-founded. We have therefore appealed in January 2019 and filed our grounds of appeal in
March 2019. An oral hearing was held on September 6, 2019 in which our legal counsel brought forward further arguments for the
fact that the manufacturing process of the respective catheter locking solution is indeed protectable as a trade secret. In view
of these new arguments, the Court issued an evidentiary order on September 27, 2019 ordering an expert opinion. The expert opinion
was not in our favor, but we have filed a response to the expert opinion in reaction to which the Court asked the expert to supplement
his opinion to address the issues brought forward in our submission. Next steps will be taken after the receipt of the supplementary
expert opinion.
37
Item 1A. Risk Factors.
The
outbreak of the novel coronavirus disease, COVID-19, or other pandemic, epidemic or outbreak of an infectious disease may materially
and adversely impact our business, including our preclinical studies and clinical trials.
In
December 2019, the novel coronavirus disease, COVID-19, was identified in Wuhan, China. This virus has been declared a pandemic
and has spread to multiple global regions. The outbreak and government measures taken in response have also had a significant
impact, both direct and indirect, on businesses and commerce, as worker shortages have occurred; supply chains have been disrupted;
facilities and production have been suspended; and demand for certain goods and services, such as medical services and supplies,
has spiked, while demand for other goods and services, such as travel, has fallen. In response to the COVID-19 outbreak, “shelter
in place” orders and other public health guidance measures have been implemented across much of the United States, Europe
and Asia, including in the locations of our offices, clinical trial sites, key vendors and partners. Such “shelter in place”
orders have been lifted, at least partially, in many locations. However, an increase in the spread of COVID-19 or a “second
wave” of the virus could lead to the re-imposition of such orders. Our clinical development program timelines may be negatively
affected by COVID-19, which could materially and adversely affect our business, financial condition and results of operations.
Further, due to “shelter in place” orders and other public health guidance measures, we have implemented a work-from-home
policy for all staff members excluding those necessary to maintain minimum basic operations. Our increased reliance on personnel
working from home may negatively impact productivity, or disrupt, delay or otherwise adversely impact our business.
As
a result of the COVID-19 outbreak, or similar pandemics, and related “shelter in place” orders and other public health
guidance measures, we have and may in the future experience disruptions that could materially and adversely impact our clinical
trials, business, financial condition and results of operations. Potential disruptions include but are not limited to:
● delays
or difficulties in enrolling patients in our clinical trials;
● delays
or difficulties in initiating or expanding clinical trials, including delays or difficulties
with clinical site initiation and recruiting clinical site investigators and clinical
site staff;
● increased
rates of patients withdrawing from our clinical trials following enrollment as a result
of contracting COVID-19 or other health conditions or being forced to quarantine;
● diversion
of healthcare resources away from the conduct of clinical trials, including the diversion
of hospitals serving as our clinical trial sites and hospital staff supporting the conduct
of our clinical trials;
● interruption
of key clinical trial activities, such as clinical trial site data monitoring, due to
limitations on travel imposed or recommended by federal or state governments, employers
and others or interruption of clinical trial subject visits and study procedures, which
may impact the integrity of subject data and clinical study endpoints;
● interruption
or delays in the operations of the FDA or other regulatory authorities, which may impact
review and approval timelines for our NDA;
38
●
delays
or disruptions in preclinical experiments and investigational new drug application-enabling
studies due to restrictions of on-site staff and unforeseen circumstances at contract
research organizations and vendors;
● interruption
of, or delays in receiving, supplies of our product candidates from our contract manufacturing
organizations due to staffing shortages, production slowdowns or stoppages and disruptions
in delivery systems;
● limitations
on our ability to recruit and hire key personnel due to our inability to meet with candidates
because of travel restrictions and “shelter in place” orders;
● limitations
on employee resources that would otherwise be focused on the conduct of our preclinical
studies and clinical trials, including because of sickness of employees or their families
or the desire of employees to avoid contact with large groups of people; and
● interruption
or delays to our sourced discovery and clinical activities.
The
COVID-19 pandemic continues to rapidly evolve. The extent to which the outbreak impacts our business, preclinical studies and
clinical trials will depend on future developments, which are highly uncertain and cannot be predicted with confidence, such as
the ultimate geographic spread of the disease, the duration of the pandemic, travel restrictions and social distancing in the
United States and other countries, business closures or business disruptions and the effectiveness of actions taken in the United
States and other countries to contain and treat the disease. If we or any of the third parties with whom we engage were to experience
shutdowns or other business disruptions, our ability to conduct our business in the manner and on the timelines presently planned
could be materially and negatively impacted.
In
addition, the trading prices for our common stock and other biopharmaceutical companies have been highly volatile as a result
of the COVID-19 pandemic. As a result, we may face difficulties raising capital through sales of our common stock or such sales
may be on unfavorable terms.
Item
6. Exhibits.
The
exhibit index set forth below is incorporated by reference in response to this Item 6.
Exhibit
Number
Description
31.1
Certification
of Principal Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.*
31.2
Certification
of Principal Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.*
32.1
Certification
of Principal Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.*
32.2
Certification
of Principal Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.*
101.INS
XBRL Instance
Document - The instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the
Inline XBRL document.
101.SCH
101.CAL
Inline
XBRL Taxonomy Extension Schema Document.
Inline
XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF
Inline XBRL
Taxonomy Extension Definition Linkbase Document.
101.LAB
Inline XBRL
Taxonomy Extension Label Linkbase Document.
101.PRE
Inline XBRL
Taxonomy Extension Presentation Linkbase Document.
104
Cover Page
Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101).
* Filed
herewith.
39
SIGNATURES
Pursuant
to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed
on its behalf by the undersigned thereunto duly authorized.
CORMEDIX
INC.
Date: August
10, 2020
By:
/s/
Khoso Baluch
Name:
Khoso
Baluch
Title:
Chief
Executive Officer
(Principal
Executive Officer)
40
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.