Item 5. Market for Registrant’s Common Equity
Item
5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
Market
Information
Our
common stock is listed on the Nasdaq Global Market under the symbol “ETON.” The closing price of our common stock
on the Nasdaq Global Market on December 31, 2020, the last trading date in 2020, was $8.13 per share.
Record
Holders
As
of March 8, 2021, we had 14 holders of record of our common stock. The actual number of stockholders is greater than this number
of record holders and includes stockholders who are beneficial owners but whose shares are held in street name by brokers and
other nominees. This number of holders of record also does not include stockholders whose shares may be held in trust by other
entities. The closing price per share of our common stock on March 8, 2021 was $7.48.
Dividends
We
have never declared or paid a cash dividend on our common stock. We currently intend to retain any future earnings and do not
expect to pay any dividends in the foreseeable future. Any future determinations to pay cash dividends will be made at the discretion
of our board of directors, subject to applicable laws, and will depend on a number of factors, including our financial condition,
results of operations, capital requirements, contractual restrictions, general business conditions, and any other factors that
our board of directors may deem relevant.
Recent
Sales of Unregistered Securities
Not
applicable.
Item
6. Selected Financial Data
Not
applicable.
46
Item
7. Management’s Discussion and Analysis of Financial Condition and Results of Operations
You
should read the following discussion and analysis together with our financial statements and the related notes thereto included
in “Item 8. Financial Statements and Supplementary Data” in this Annual Report on Form 10-K. The following discussion
contains forward-looking statements that involve risks and uncertainties. For a complete discussion of forward-looking statements,
see the section above entitled “Forward Looking Statements.” Our actual results could differ materially from those
expressed or implied in any forward-looking statements as a result of various factors, including those set forth under the caption
“Item 1A. Risk Factors.”
Overview
We
are a unique pharmaceutical company focused on developing, acquiring, and commercializing innovative pharmaceutical products that
fulfill an unmet patient need. Since the formation of our company in 2017, we have used our expertise in business development,
regulatory, and product development to assemble a diversified portfolio of nine products. All nine products have now been submitted
to the FDA and three of them have been approved and commercially launched. We plan to continue growing our business through the
acquisition of additional late-stage, high-value product candidates.
Results
of Operations
To
date we have realized limited revenues from a licensing arrangement on our EM-100 product that was sold to Bausch Health and the
launch of our Biorphen® and Alkindi Sprinkle® products in December 2019 and December 2020, respectively. We anticipate
successfully growing our sales for these products and commercializing additional product candidates in 2021 and beyond.
Year
Ended December 31, 2020 Compared to Year Ended December 31, 2019
Net
revenues for 2020 reflected limited benefit from Alkindi Sprinkle which launched in December. In addition, revenue was
negatively impacted by a price discount for Biorphen related to the shelf stock at our wholesale customers. Our gross profit was
also adversely impacted by a reserve charge to cost of sales for certain slow-moving Biorphen inventory that we do not believe
we will be able to sell before its expiry date. Revenue and gross profit in 2019 reflected the initial launch for Biorphen and
a $0.5 million milestone payment for our sale of EM-100 to Bausch Health. For the years ended December 31, 2020 and 2019, we incurred
$14.1 million and $11.6 million of research and development (“R&D”) expenses, respectively, and $12.8 million
and $7.6 million of general and administrative (“G&A”) expenses, respectively. The comparative period detail of
our R&D expense is listed in the table below. The $5.2 million increase in G&A expenses was primarily due to personnel
additions and increased sales/marketing spending to support our recent product launches. In addition, we incurred significant
legal expenses associated with our patent challenge against Exela Pharma Sciences for the Cysteine product that we have in development.
We incurred a net loss of $28.0 million and $18.3 million for the years ended December 31, 2020 and 2019, respectively.
General
and Administrative Expenses
G&A
expenses consist primarily of employee compensation expenses, selling and adverting/promotional expenses, legal and professional
fees, business insurance and travel expenses. We anticipate that our G&A expenses will increase to support our business growth
– particularly with respect to sales and marketing for additional personnel and promotional expenses.
Research
and Development Expenses
Set
forth below is our R&D spending for our current product candidates. We currently have six employees that support our
overall product development and we also have facility and operating costs for a laboratory to support product development. We
do not track internal costs by product for our employees and laboratory expenses and they are listed as indirect expenses in
the table below (amounts are in thousands).
47
Product Candidate
Year ended
December 31, 2020
Year ended
December 31, 2019
Alkindi Sprinkle
4,775
—
Selenious acid
$ 27
$ 1,901
Cysteine
1,279
1,237
Topiramate
1,757
211
Zonisamide
1,852
778
Lamotrigine
24
2,127
Biorphen
676
2,000
Other products
1,386
535
Indirect expenses
2,328
2,766
Total
$ 14,104
$ 11,555
Year
Ended December 31, 2019 Compared to Year Ended December 31, 2018
For
the years ended December 31, 2019 and 2018, we generated $1.0 million and $0 in revenue, respectively. The revenue realized in
2019 was from a licensing arrangement for our EM-100 product which is pending additional FDA review and the launch of our Biorphen
product in December 2019. For the years 2019 and 2018, we incurred $11.6 million and $5.6 million of research and development
(“R&D”) expenses, respectively, and $7.6 million and $4.7 million of general and administrative (“G&A”)
expenses, respectively. The comparative period detail of our R&D expense is listed in the table below. The $2.9 million increase
in G&A expenses was primarily due to additional expenses related to becoming a public company, sales and marketing for the
launch of our Biorphen product, and the impact of personnel additions in the second half of 2018 and first half of 2019. This
was partially offset by lower stock-based consulting expenses. In addition, the change in the fair value of our warrant liability
reflected in other expense decreased by $2.6 million as this mark–to–market accounting treatment was terminated in
conjunction with our November 2018 initial public offering (the “IPO”). We incurred a net loss of $18.3 million and
$12.7 million for the years ended December 31, 2019 and 2018, respectively.
Research
and Development Expenses
Set
forth below is our R&D spending for our product candidates. As of December 31, 2019, we have ten employees that support
our overall product development and we also have facility and operating costs for a laboratory that supports our product development.
The laboratory personnel and related capital equipment additions were added in late 2018. We do not track internal costs by product
for our employees and laboratory expenses and they are listed as indirect expenses in the table below (amounts are in thousands).
Product Candidate
Year ended
December 31, 2019
Year ended
December 31, 2018
Selenious acid
$ 1,901
$ 910
Cysteine
1,237
1,251
Alaway® Preservative Fee (fka EM-100)
150
1,265
Lamotrigine
2,127
—
Biorphen
2,000
—
Other products
1,374
1,026
Indirect expenses
2,766
1,175
Total
$ 11,555
$ 5,627
48
Liquidity
and Capital Resources
As
of December 31, 2020, we had total assets of $26.3 million, cash and cash equivalents of $21.3 million and working capital of
$20.9 million. We had previously capitalized our operations from the June 2017 private placement of approximately $20.1 million
of Series A preferred stock which converted into shares of our common stock concurrent with our IPO in November 2018 and also
the IPO which provided us with net proceeds of $22.0 million. In addition, we entered into a Credit Agreement with SWK Holdings
in November 2019 whereby we drew a $5.0 million loan amount at closing and an additional $2.0 million in August 2020. In March
and April 2020, we received net proceeds of approximately $7.8 million from the sale of shares of its common stock, and in October
2020, the Company received net proceeds of approximately $21.0 million from a public offering for its shares at an offering price
of $7.00 per share. We believe that our existing funding, revenues from our approved products and $9.5 million received in February
2021 from the sale of three pediatric neurology product candidates will be sufficient for at least the next twelve months of our
operations. However, our projected estimates for our product development spending, administrative expenses and our working capital
requirements could be inaccurate, or we may experience growth more quickly or on a larger scale than we expect, any of which could
result in the depletion of capital resources more rapidly than anticipated and could require us to seek additional financing earlier
than we expect to support our operations.
Cash
Flows
The
following table sets forth a summary of our cash flows for the years ended December 31, 2020, 2019 and 2018 (amounts are in thousands):
Year ended
December 31, 2020
Year ended
December 31, 2019
Year ended
December 31, 2018
Net cash used in operating activities
$ (22,346 )
$ (18,026 )
$ (8,145 )
Cash used in investing activities
(50 )
(1,846 )
(236 )
Cash flows provided by financing activities
31,625
5,203
21,960
Net change in cash and cash equivalents
$ 9,229
$ (14,669 )
$ 13,579
The
increase in cash used in operating activities is primarily a result of higher operating losses due to our business expansion including
additional personnel and increased product candidate development activity. Investing activities consist primarily of licensing
fees for Biorphen and capital expenditures for setting up our laboratory facility and our headquarters office. The financing activity
primarily consists of the November 2018 IPO, the November 2019 Credit Agreement borrowing from SWK Holdings and the October 2020
follow-on common stock offering.
Critical
Accounting Policies
Our
financial statements are prepared in accordance with GAAP. The preparation of our financial statements and related disclosures
requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, costs and expenses in our
financial statements. We base our estimates on historical experience, known trends and events and various other factors that we
believe are reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values
of assets and liabilities that are not readily apparent from other sources. We evaluate our estimates and assumptions on an ongoing
basis. Our actual results may differ from these estimates under different assumptions or conditions.
While
our significant accounting policies are described in more detail in Note 3 to our financial statements included herein, we believe
that the following accounting policies are those most critical to the judgments and estimates used in the preparation of our financial
statements.
Revenue
Recognition
We
account for contracts with our customers in accordance with Accounting Standards Codification (“ASC”) 606 —
Revenue from Contracts with Customers. ASC 606 applies to all contracts with customers, except for contracts that are within the
scope of other standards. Under ASC 606, an entity recognizes revenue when its customer obtains control of promised goods or services,
in an amount that reflects the consideration which the entity expects to receive in exchange for those goods or services. To determine
revenue recognition for arrangements that an entity determines are within the scope of ASC 606, the entity performs the following
five steps: (i) identify the contract(s) with a customer; (ii) identify the performance obligations in the contract; (iii) determine
the transaction price; (iv) allocate the transaction price to the performance obligations in the contract; and (v) recognize revenue
when (or as) the entity satisfies a performance obligation.
49
At
contract inception, once the contract is determined to be within the scope of ASC 606, we assess the goods or services promised
within each contract and determines those that are performance obligations and assesses whether each promised good or service
is distinct. We then recognize as revenue the amount of the transaction price that is allocated to the respective performance
obligation when (or as) the performance obligation is satisfied. Arrangements that include rights to additional goods or services
that are exercisable at a customer’s discretion are generally considered options. We assess whether these options provide
a material right to the customer and, if so, they are considered performance obligations. The exercise of a material right is
accounted for as a contract modification for accounting purposes.
We
recognize as revenue the amount of the transaction price that is allocated to the respective performance obligation when (or as)
each performance obligation is satisfied at a point in time or over time, and if over time this is based on the use of an output
or input method. Any amounts received prior to revenue recognition will be recorded as deferred revenue. Amounts expected to be
recognized as revenue within the twelve months following the balance sheet date will be classified as current portion of deferred
revenue in our balance sheets. Amounts not expected to be recognized as revenue within the twelve months following the balance
sheet date are classified as long-term deferred revenue, net of current portion.
Milestone
Payments – If a commercial contract arrangement includes development and regulatory milestone payments, we will evaluate
whether the milestone conditions have been achieved and if it is probable that a significant revenue reversal would not occur
before recognizing the associated revenue. Milestone payments that are not within our control or the licensee’s control,
such as regulatory approvals, are generally not considered probable of being achieved until those approvals are received.
Royalties
– For arrangements that include sales-based royalties, including milestone payments based on a level of sales, which
are the result of a customer-vendor relationship and for which the license is deemed to be the predominant item to which the royalties
relate, we will recognize revenue at the later of (i) when the related sales occur, or (ii) when the performance obligation to
which some or all of the royalty has been allocated has been satisfied or partially satisfied. To date, we have not recognized
any royalty revenue resulting from any of our licensing arrangements.
Significant
Financing Component – In determining the transaction price, we will adjust consideration for the effects of the time
value of money if the expected period between payment by the licensees and the transfer of the promised goods or services to the
licensees will be more than one year.
We
sell Biorphen in the U.S. to wholesale pharmaceutical distributors, who then sell the product to hospitals and other end-user
customers. Sales to wholesalers are made pursuant to purchase orders subject to the terms of a master agreement, and delivery
of individual shipments of Biorphen represent performance obligations under each purchase order. We use a third-party logistics
(“3PL”) vendor to process and fulfill orders and have concluded it is the principal in the sales to wholesalers because
it controls access to the 3PL vendor services rendered and directs the 3PL vendor activities. We have no significant obligations
to wholesalers to generate pull-through sales. In addition, we sell our Alkindi Sprinkle product to one pharmacy distributor customer
which provides order fulfillment and inventory storage/distribution services.
Selling
prices initially billed to wholesalers are subject to discounts for prompt payment and subsequent chargebacks when the wholesalers
sell Biorphen at negotiated discounted prices to members of certain group purchasing organizations (“GPOs”) and government
programs. In addition, we pay fees to wholesalers for their distribution services, inventory reporting and chargeback processing.
We pay GPOs fees for administrative services and for access to GPO members and concluded the benefits received in exchange for
these fees are not distinct from our sales of Biorphen, and accordingly we apply these amounts to reduce revenues. Wholesalers
also have rights to return unsold product nearing or past the expiration date. Because of the shelf life of Biorphen and our lengthy
return period, there may be a significant period of time between when the product is shipped and when we issue credits on returned
product. For our Alkindi Sprinkle product, we bill at the initial product list prices which are subject to offsets for patient
co-pay assistance and potential state Medicaid reimbursements which are recorded as a reduction of net revenues at the date of
sale/shipment.
We
estimate the transaction price when we receive each purchase order, taking into account the expected reductions of the selling
price initially billed to the wholesaler arising from all of the above factors. We have developed estimates for future returns
and chargebacks of Biorphen and the impact of the other discounts and fees we pay. Our sales of Alkindi Sprinkle to our distributor
are not subject to returns. When estimating these adjustments to the transaction price, we reduce it sufficiently to be able to
assert that it is probable that there will be no significant reversal of revenue when the ultimate adjustment amounts are known.
We
recognize revenue from Biorphen product sales and related cost of sales upon product delivery to the wholesaler location. At that
time, the wholesalers take control of the product as they take title, bear the risk of loss of ownership, and have an enforceable
obligation to pay us. They also have the ability to direct sales of product to their customers on terms and at prices they negotiate.
Although wholesalers have product return rights, we do not believe they have a significant incentive to return the product to
us. We store our Alkindi Sprinkle inventory at our pharmacy distributor customer location and sales are recorded when stock is
pulled and shipped to fulfill specific patient orders.
50
Upon
recognition of revenue from product sales, the estimated amounts of credit for product returns, chargebacks, distribution fees,
prompt payment discounts, state Medicaid and GPO fees are included in sales reserves, accrued liabilities and net of accounts
receivable. We monitor actual product returns, chargebacks, discounts and fees subsequent to the sale. If these amounts end up
differing from our estimates, we will make adjustments to these allowances, which are applied to increase or reduce product sales
revenue and earnings in the period of adjustment.
In
addition, we anticipate we will receive revenues from product licensing agreements where we have contracted for milestone payments
and royalties from products we have developed or for which we have acquired the rights to a product developed by a third party.
Stock-Based
Compensation
We
account for stock-based compensation under the provisions of Accounting Standards Codification (“ASC”) – 718
Compensation – Stock Compensation. The guidance under ASC 718 requires companies to estimate the fair value of the stock-based
compensation awards on the date of grant and record expense over the related service periods, which are generally the vesting
period of the equity awards. Compensation expense is recognized over the period during which services are rendered by consultants
and non-employees until completed. At the end of each financial reporting period prior to completion of the service, the fair
value of these awards is remeasured using the then-current fair value of our common stock and updated assumption inputs in the
Black-Scholes option-pricing model (“BSM”).
We
estimate the fair value of stock-based option awards to our using the BSM. The BSM requires the input of subjective assumptions,
including the expected stock price volatility, the calculation of expected term, forfeitures and the fair value of the underlying
common stock on the date of grant, among other inputs. The risk-free interest rate was determined from the implied yields for
zero-coupon U.S. government issues with a remaining term approximating the expected life of the options or warrants. Dividends
on common stock are assumed to be zero for the BSM valuation of the stock options. The expected term of stock options granted
is based on vesting periods and the contractual life of the options. Expected volatilities are based on comparable companies’
historical volatility along with a limited weighting included for our own volatility subsequent to our IPO, which we believe represents
the most accurate basis for estimating expected future volatility under the current conditions. We account for forfeitures as
they occur.
Prior
to our initial public offering in November 2018, the fair value of the shares of common stock underlying our stock-based awards
was determined by our board of directors, with input from management. Because there had been no public market for our common stock
prior to the IPO, our board of directors had determined the fair value of the common stock on the grant-date of the stock-based
award by considering a number of objective and subjective factors, including enterprise valuations of our common stock performed
by an unrelated third-party specialist, valuations of comparable companies, sales of our convertible preferred stock to unrelated
third parties, operating and financial performance, the lack of liquidity of our capital stock, and general and industry-specific
economic outlook. Following our IPO, we use the closing stock price on the date of grant for the fair value of the common stock.
Research
and Development Expenses
R&D
expenses include both internal R&D activities and external contracted services. Internal R&D activity expenses include
salaries, benefits and stock-based compensation and other costs to support our R&D operations. External contracted services
include product development efforts including certain product licensor milestone payments, clinical trial activities, manufacturing
and control-related activities and regulatory costs. R&D expenses are charged to operations as incurred. We review and accrue
R&D expenses based on services performed and rely upon estimates of those costs applicable to the stage of completion of each
project. Significant judgments and estimates are made in determining the accrued balances at the end of any reporting period.
Actual results could differ from our estimates.
Upfront
payments and milestone payments made for the licensing of technology for products that are not yet approved by the FDA are expensed
as R&D in the period in which they are incurred. Nonrefundable advance payments for goods or services to be received in the
future for use in R&D activities are recorded as prepaid expenses and are expensed as the related goods are delivered or the
services are performed.
Off
Balance Sheet Transactions
We
do not have any off-balance sheet transactions.
51
JOBS
Act Transition Period
In
April 2012, the Jumpstart Our Business Startups Act of 2012 (the “JOBS Act”), was enacted. Section 107 of the JOBS
Act provides that an “emerging growth company” can take advantage of the extended transition period provided in Section
7(a)(2)(B) of the Securities Act for complying with new or revised accounting standards. Thus, an emerging growth company can
delay the adoption of certain accounting standards until those standards would otherwise apply to private companies. We have irrevocably
elected not to avail ourselves of this extended transition period and, as a result, we will adopt new or revised accounting standards
on the relevant dates on which adoption of such standards is required for other public companies.
Subject
to certain conditions, as an emerging growth company, we may rely on certain of these exemptions, including without limitation,
(i) providing an auditor’s attestation report on our system of internal controls over financial reporting pursuant to Section
404(b) of the Sarbanes-Oxley Act and (ii) complying with any requirement that may be adopted by the Public Company Accounting
Oversight Board regarding mandatory audit firm rotation or a supplement to the auditor’s report providing additional information
about the audit and the financial statements, known as the auditor discussion and analysis. We will remain an emerging growth
company until the earlier to occur of (1) the last day of the fiscal year (a) December 31, 2023, which is the end of the fiscal
year following the fifth anniversary of the completion of our IPO, (b) in which we have total annual gross revenues of at least
$1.07 billion or (c) in which we are deemed to be a “large accelerated filer” under the rules of the SEC, which means
the market value of our common stock that is held by non-affiliates exceeds $700 million as of the prior June 30th, and (2) the
date on which we have issued more than $1.0 billion in non-convertible debt during the prior three-year period.
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