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for the foreseeable future.
−Removed: We are a clinical-stage biopharmaceutical company focused on developing
−Removed: a novel class of TSTx in oncology and inflammation.
−Removed: Investment in biopharmaceutical product development is highly speculative because
−Removed: it entails substantial upfront capital expenditures and significant risk that a product candidate will fail to prove effective, gain regulatory
−Removed: approval or become commercially viable.
−Removed: We do not have any products approved by regulatory authorities and have not generated any revenues
−Removed: from collaboration or licensing agreements or product sales to date, and have incurred significant research, development and other expenses
−Removed: related to our ongoing operations and expect to continue to incur such expenses.
−Removed: As a result, we have not been profitable and have incurred
−Removed: significant operating losses since our inception.
−Removed: For the years ended December 31, 2022 and 2021, we reported net losses of $8,229,713
−Removed: and $24,383,879, respectively.
−Removed: As of December 31, 2022, we had an accumulated deficit of $37,985,247.
+Added: are a clinical-stage biopharmaceutical company focused on developing a novel class of TSTx in oncology and inflammation.
+Added: Investment in
+Added: biopharmaceutical product development is highly speculative because it entails substantial upfront capital expenditures and significant
+Added: risk that a product candidate will fail to prove effective, gain regulatory approval or become commercially viable.
+Added: We do not have any
+Added: products approved by regulatory authorities and have not generated any revenues from collaboration or licensing agreements or product
+Added: sales to date, and have incurred significant research, development and other expenses related to our ongoing operations and expect to
+Added: continue to incur such expenses.
+Added: As a result, we have not been profitable and have incurred significant operating losses since our inception.
+Added: For the years ended December 31, 2023 and 2022, we reported net losses of $15,595,522 and $8,229,713, respectively.
+Added: As of December
+Added: 31, 2023, we had an accumulated deficit of $53,411,295.
do not expect to generate revenues for many years, if at all.
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pre-clinical and clinical trials of our product candidates;
−Removed: or acquire the rights to, and pursue development of, other products, product candidates or technologies;
+Added: or acquire the rights to, and pursue development of, other products, product candidates or
+Added: technologies;
additional clinical, manufacturing, quality control, quality assurance and scientific personnel;
marketing approval for any product candidates that successfully complete clinical trials;
−Removed: sales, marketing and distribution capabilities, if we receive, or expect to receive, marketing approval for any product candidates;
+Added: sales, marketing and distribution capabilities, if we receive, or expect to receive, marketing
+Added: approval for any product candidates;
expand and protect our intellectual property portfolio;
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will need to raise significant additional capital to complete development and obtain regulatory approval for our product candidates.
−Removed: Although we believe that our existing cash balance of $13,436,714 as of December 31, 2022, and funds available to be raised pursuant to the Sales Agreement, will be sufficient to meet our cash, operational and liquidity requirements for at
−Removed: least 12 months from March 27, 2023, our operating plan may change as a result of many factors currently unknown to us, and we may
−Removed: need additional funds sooner than planned.
+Added: Although we believe that our existing cash and cash equivalents balance of $17,509,791 as of December 31, 2023, plus the net proceeds
+Added: of $15.5 million from our February 2024 offering of common stock, will be sufficient to meet our cash, operational and
+Added: liquidity requirements for at least 12 months from the date of this report, our operating plan may change as a result of many
+Added: factors currently unknown to us, and we may need additional funds sooner than planned.
expect to expend substantial resources for the foreseeable future to continue the clinical development and manufacturing of our product
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and achieve profitability also depends on a number of additional factors, including our ability to:
+Added: ● successfully
complete development activities, including the necessary clinical trials;
and submit either BLAs or NDAs to the FDA and obtain U.S.
−Removed: regulatory approval for indications for which there is a commercial market;
+Added: regulatory approval for indications
+Added: for which there is a commercial market;
and submit applications to foreign regulatory authorities;
regulatory approval in territories with viable market sizes;
−Removed: coverage and adequate reimbursement from third parties, including government and private payors;
+Added: coverage and adequate reimbursement from third parties, including government and private
commercially viable prices for our products, if any;
−Removed: and maintain supply and manufacturing relationships with reliable third parties, legally globally compliant manufacturing of bulk
−Removed: drug substances and drug products to maintain that supply;
+Added: and maintain supply and manufacturing relationships with reliable third parties, legally
+Added: globally compliant manufacturing of bulk drug substances and drug products to maintain that
distribution processes for our product candidates;
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ability to use net operating losses to offset future taxable income may be subject to limitations.
−Removed: As of December 31, 2022, we had federal net operating loss (“NOLs”)
−Removed: carryforwards of approximately $5,800,000.
−Removed: Our NOLs generated in tax years ending on or prior to December 31, 2017 are only permitted
−Removed: to be carried forward for 20 years under applicable U.S.
−Removed: tax laws, and will begin to expire, if not utilized, beginning in 2027.
−Removed: NOL carryforwards could expire unused and be unavailable to offset future income tax liabilities.
−Removed: Under the Tax Act, federal NOLs incurred
−Removed: in tax years ending after December 31, 2017 may be carried forward indefinitely, but the deductibility of such federal NOLs is limited.
−Removed: It is uncertain if and to what extent various states will conform to the Tax Act, or whether any further regulatory changes may be adopted
−Removed: in the future that could minimize its applicability.
−Removed: In addition, under Section 382 of the Internal Revenue Code of 1986, as amended,
−Removed: and certain corresponding provisions of state law, if a corporation undergoes an “ownership change,” which is generally defined
−Removed: as a greater than 50% change, by value, in the ownership of its equity over a three-year period, the corporation’s ability to use
−Removed: its pre-change NOL carryforwards and other pre-change tax attributes to offset its post-change income may be limited.
+Added: of December 31, 2023 we had federal net operating loss (“NOLs”) carryforwards of approximately $11,800,000.
+Added: Our NOLs generated
+Added: in tax years ending on or prior to December 31, 2017 are only permitted to be carried forward for 20 years under applicable U.S.
+Added: laws, and will begin to expire, if not utilized, beginning in 2034.
+Added: These NOL carryforwards could expire unused and be unavailable to
+Added: offset future income tax liabilities.
+Added: Under the Tax Act, federal NOLs incurred in tax years ending after December 31, 2017 may be carried
+Added: forward indefinitely, but the deductibility of such federal NOLs is limited.
+Added: It is uncertain if and to what extent various states will
+Added: conform to the Tax Act, or whether any further regulatory changes may be adopted in the future that could minimize its applicability.
+Added: In addition, under Section 382 of the Internal Revenue Code of 1986, as amended, and certain corresponding provisions of state law, if
+Added: a corporation undergoes an “ownership change,” which is generally defined as a greater than 50% change, by value, in the
+Added: ownership of its equity over a three-year period, the corporation’s ability to use its pre-change NOL carryforwards and other pre-change
+Added: tax attributes to offset its post-change income may be limited.
Relating to the Development and Regulatory Approval of Our Product Candidates
10 unchanged sentences
the following:
+Added: ● successfully
completing formulation and process development activities;
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marketing approval from applicable regulatory authorities;
+Added: ● establishing
commercial manufacturing capabilities;
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including, but not limited to:
+Added: ● discussions
with the FDA or other regulatory agencies regarding the scope or design of our clinical trials;
−Removed: limited number of, and competition for, suitable sites to conduct our clinical trials, many of which may already be engaged in other
−Removed: clinical trial programs, including some that may be for the same indication as our product candidates;
−Removed: delay or failure to obtain approval or agreement to commence a clinical trial in any of the countries where enrollment is planned;
+Added: limited number of, and competition for, suitable sites to conduct our clinical trials, many
+Added: of which may already be engaged in other clinical trial programs, including some that may
+Added: be for the same indication as our product candidates;
+Added: delay or failure to obtain approval or agreement to commence a clinical trial in any of the
+Added: countries where enrollment is planned;
to obtain sufficient funds required for a clinical trial;
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or failure to manufacture sufficient supplies of product candidates for our clinical trials;
−Removed: or failure to reach agreement on acceptable clinical trial agreement terms or clinical trial protocols with prospective sites or
−Removed: clinical research organizations (“CROs”), the terms of which can be subject to extensive negotiation and may vary significantly
−Removed: among different sites or CROs;
+Added: or failure to reach agreement on acceptable clinical trial agreement terms or clinical trial
+Added: protocols with prospective sites or clinical research organizations (“CROs”),
+Added: the terms of which can be subject to extensive negotiation and may vary significantly among
+Added: different sites or CROs;
or failure to obtain IRB approval to conduct a clinical trial at a prospective site;
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of patients to complete the clinical trial;
−Removed: inability to enroll a sufficient number of patients in studies to ensure adequate statistical power to detect statistically significant
−Removed: treatment effects;
−Removed: safety issues, including severe or unexpected drug-related adverse effects experienced by patients, including possible deaths;
+Added: inability to enroll a sufficient number of patients in studies to ensure adequate statistical
+Added: power to detect statistically significant treatment effects;
+Added: safety issues, including severe or unexpected drug-related adverse effects experienced by
+Added: patients, including possible deaths;
of efficacy during clinical trials;
+Added: ● termination
of our clinical trials by one or more clinical trial sites;
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to monitor patients adequately during or after treatment;
−Removed: study sites failing to comply with regulatory requirements or meet their contractual obligations to us in a timely manner, or at
−Removed: all, deviating from the protocol or dropping out of a study;
−Removed: to address any non-compliance with regulatory requirements or safety concerns that arise during the course of a clinical trial;
−Removed: need to repeat or terminate clinical trials as a result of inconclusive or negative results or unforeseen complications in testing;
−Removed: clinical trials may be suspended or terminated upon a breach or pursuant to the terms of any agreement with, or for any other reason
−Removed: by, current or future strategic partners that have responsibility for the clinical development of any of our product candidates.
+Added: study sites failing to comply with regulatory requirements or meet their contractual obligations
+Added: to us in a timely manner, or at all, deviating from the protocol or dropping out of a study;
+Added: to address any non-compliance with regulatory requirements or safety concerns that arise
+Added: during the course of a clinical trial;
+Added: need to repeat or terminate clinical trials as a result of inconclusive or negative results
+Added: or unforeseen complications in testing;
+Added: clinical trials may be suspended or terminated upon a breach or pursuant to the terms of
+Added: any agreement with, or for any other reason by, current or future strategic partners that
+Added: have responsibility for the clinical development of any of our product candidates.
in regulatory requirements, policies and guidelines may also occur and we may need to significantly amend clinical trial protocols to
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factors may affect our ability to identify, enroll and maintain qualified patients, including the following:
−Removed: criteria of our ongoing and planned clinical trials with specific characteristics appropriate for inclusion in our clinical trials;
+Added: ● eligibility
+Added: criteria of our ongoing and planned clinical trials with specific characteristics appropriate
+Added: for inclusion in our clinical trials;
of the clinical trial;
and nature of the patient population;
−Removed: perceptions as to risks and benefits of the product candidate under study and the participation in a clinical trial generally in
−Removed: relation to other available therapies, including any new drugs that may be approved for the indications we are investigating;
+Added: perceptions as to risks and benefits of the product candidate under study and the participation
+Added: in a clinical trial generally in relation to other available therapies, including any new
+Added: drugs that may be approved for the indications we are investigating;
availability and efficacy of competing therapies and clinical trials;
of other trials underway in the same patient population;
+Added: ● willingness
of physicians to participate in our planned clinical trials;
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authorities may require us to take our approved product off the market;
−Removed: authorities may require the addition of labeling statements, specific warnings, and/or a contraindication or field alerts to physicians
−Removed: and pharmacies;
−Removed: may be required to change the way the product is administered, conduct additional clinical trials or change the labeling of the product;
+Added: authorities may require the addition of labeling statements, specific warnings, and/or a
+Added: contraindication or field alerts to physicians and pharmacies;
+Added: may be required to change the way the product is administered, conduct additional clinical
+Added: trials or change the labeling of the product;
may be subject to limitations on how we may promote the product;
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incur significant additional expenses.
−Removed: do not own or operate any manufacturing facilities.
−Removed: We rely on and intend to continue to rely on CMOs to formulate and manufacture our
−Removed: pre-clinical and clinical materials.
−Removed: Our reliance on a CMO exposes us to a number of risks, any of which could delay or prevent the completion
−Removed: of our pre-clinical studies or clinical trials, or the regulatory approval or commercialization of our product candidates, result in
−Removed: higher costs, or deprive us of potential product revenues.
+Added: Although in January
+Added: 2024, the Company entered into a long-term operating lease agreement for manufacturing space located in California, as of March
+Added: 2024, we do not own or operate any operating manufacturing
+Added: We rely on and intend to continue to rely on CMOs to formulate and manufacture our pre-clinical and clinical materials.
+Added: Our reliance on a CMO exposes us to a number of risks, any of which could delay or prevent the completion of our pre-clinical
+Added: studies or clinical trials, or the regulatory approval or commercialization of our product candidates, result in higher costs, or
+Added: deprive us of potential product revenues.
Some of these risks include:
−Removed: CMO failing to develop an acceptable formulation to support later-stage clinical trials for, or the commercialization of, our product
−Removed: CMO failing to manufacture our product candidate according to our specifications, the FDA’s cGMP requirements, or otherwise
−Removed: manufacturing material that we, the FDA or other regulatory agencies may deem to be unsuitable in our clinical trials;
−Removed: CMO being unable to increase the scale of, increase the capacity for, or reformulate the form of our product candidates.
−Removed: We may experience
−Removed: a shortage in supply, or the cost to manufacture our products may increase to the point where it may adversely affect the cost of
−Removed: our product candidates.
−Removed: We cannot assure you that our CMO will be able to manufacture our product candidates at a suitable scale,
−Removed: or we will be able to find alternative manufacturers acceptable to us that can do so;
−Removed: CMO placing a priority on the manufacture of their own products, or other customers’ products;
+Added: CMO failing to develop an acceptable formulation to support later-stage clinical trials for,
+Added: or the commercialization of, our product candidates;
+Added: CMO failing to manufacture our product candidate according to our specifications, the FDA’s
+Added: cGMP requirements, or otherwise manufacturing material that we, the FDA or other regulatory
+Added: agencies may deem to be unsuitable in our clinical trials;
+Added: CMO being unable to increase the scale of, increase the capacity for, or reformulate the
+Added: form of our product candidates.
+Added: We may experience a shortage in supply, or the cost to manufacture
+Added: our products may increase to the point where it may adversely affect the cost of our product
+Added: We cannot assure you that our CMO will be able to manufacture our product candidates
+Added: at a suitable scale, or we will be able to find alternative manufacturers acceptable to us
+Added: that can do so;
+Added: CMO placing a priority on the manufacture of their own products, or other customers’
CMO failing to perform as agreed upon or not remain in business;
−Removed: CMO’s plants being closed as a result of regulatory sanctions, natural disasters, health epidemics or otherwise.
+Added: CMO’s plants being closed as a result of regulatory sanctions, natural disasters, health
+Added: epidemics or otherwise.
Manufacturers
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The degree of market acceptance of our product candidates will depend on a number of factors, including:
+Added: ● limitations
or warnings contained in the approved labeling for a product candidate;
in the standard of care for the targeted indications for any of our product candidates;
+Added: ● limitations
in the approved clinical indications for our product candidates;
+Added: ● demonstrated
clinical safety and efficacy compared to other products;
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marketing and distribution support;
+Added: ● availability
of coverage and reimbursement amounts from managed care plans and other third-party payors;
1 unchanged sentence
cost-effectiveness of our product candidates;
−Removed: of alternative products at similar or lower cost, including generic and over-the-counter products;
−Removed: extent to which the product candidate is approved for inclusion on formularies of hospitals and managed care organizations;
−Removed: the product is designated under physician treatment guidelines as a first-line therapy or as a second- or third-line therapy for
−Removed: particular diseases;
+Added: ● availability
+Added: of alternative products at similar or lower cost, including generic and over-the-counter
+Added: extent to which the product candidate is approved for inclusion on formularies of hospitals
+Added: and managed care organizations;
+Added: the product is designated under physician treatment guidelines as a first-line therapy or
+Added: as a second- or third-line therapy for particular diseases;
the product can be used effectively with other therapies to achieve higher response rates;
publicity about our product candidates or favorable publicity about competitive products;
+Added: ● convenience
and ease of administration of our products;
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manufacturing processes, or failure to comply with regulatory requirements, may result in, among other things:
+Added: ● restrictions
on the marketing or manufacturing of the product;
1 unchanged sentence
warning letters or holds on clinical trials;
−Removed: by the FDA, European Medicines Agency (“EMA”) or another competent regulatory authority to approve pending applications
−Removed: or supplements to approved applications filed by us, or suspension or revocation of product license approvals;
+Added: by the FDA, European Medicines Agency (“EMA”) or another competent regulatory
+Added: authority to approve pending applications or supplements to approved applications filed by
+Added: us, or suspension or revocation of product license approvals;
seizure or detention, or refusal to permit the import or export of products;
+Added: ● injunctions
or the imposition of civil or criminal penalties.
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of clinical trial participants;
+Added: ● termination
of clinical trial sites or entire trial programs;
regulatory scrutiny;
+Added: ● significant
litigation costs;
+Added: ● substantial
monetary awards to or costly settlement with patients or other claimants;
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laws to which we will be subject and which could impact our business activities include the following.
−Removed: and state healthcare program anti-kickback laws (including the federal Anti-Kickback Statute and Civil Monetary Penalties Law) prohibit
−Removed: among other things, persons from soliciting, receiving or providing remuneration, directly or indirectly, to induce either the referral
−Removed: of an individual, for an item or service or the purchasing or ordering of a good or service, for which payment may be made under
−Removed: federal healthcare programs such as the Medicare and Medicaid programs.
−Removed: Such anti-kickback laws can be implicated by, among other
−Removed: activities, marketing arrangements with ordering providers, discount or rebate programs or other inducements to purchase our products.
−Removed: Violation of these laws can result in criminal prosecution and imposition of criminal penalties and fines, as well civil monetary
−Removed: penalties and multiple damage judgments, and exclusion from participation in federal healthcare programs;
+Added: and state healthcare program anti-kickback laws (including the federal Anti-Kickback Statute
+Added: and Civil Monetary Penalties Law) prohibit among other things, persons from soliciting, receiving
+Added: or providing remuneration, directly or indirectly, to induce either the referral of an individual,
+Added: for an item or service or the purchasing or ordering of a good or service, for which payment
+Added: may be made under federal healthcare programs such as the Medicare and Medicaid programs.
+Added: Such anti-kickback laws can be implicated by, among other activities, marketing arrangements
+Added: with ordering providers, discount or rebate programs or other inducements to purchase our
+Added: Violation of these laws can result in criminal prosecution and imposition of criminal
+Added: penalties and fines, as well civil monetary penalties and multiple damage judgments, and
+Added: exclusion from participation in federal healthcare programs;
Omnibus Budget Reconciliation Act of 1993 (42 U.S.C.
−Removed: § 1395nn) prohibit referrals by ordering
−Removed: by a physician of “designated health services” which include pharmaceuticals and drugs that are payable, in whole or
−Removed: in part, by Medicare or Medicaid, to an entity in which the physician or the physician’s immediate family member has an investment
−Removed: interest or other financial relationship, subject to several exceptions.
−Removed: Financial relationships that are implicated by the Stark
−Removed: Law can include arrangements ranging from marketing arrangements and consulting agreements to medical director agreements with physicians
−Removed: who order our products.
+Added: § 1395nn) prohibit referrals by
+Added: ordering by a physician of “designated health services” which include pharmaceuticals
+Added: and drugs that are payable, in whole or in part, by Medicare or Medicaid, to an entity in
+Added: which the physician or the physician’s immediate family member has an investment interest
+Added: or other financial relationship, subject to several exceptions.
+Added: Financial relationships that
+Added: are implicated by the Stark Law can include arrangements ranging from marketing arrangements
+Added: and consulting agreements to medical director agreements with physicians who order our products.
The Stark Law also prohibits billing for services rendered pursuant to a prohibited referral.
−Removed: Several states
−Removed: have enacted laws similar to the Stark Law.
−Removed: These state laws may cover all (not just Medicare and Medicaid) patients.
−Removed: If we violate
−Removed: the Stark Law, our financial results and operations could be adversely affected.
+Added: Several states have enacted laws similar to the Stark Law.
+Added: These state laws may cover all
+Added: (not just Medicare and Medicaid) patients.
+Added: If we violate the Stark Law, our financial results
+Added: and operations could be adversely affected.
Penalties for violations include denial of payment
−Removed: for the services, significant civil monetary penalties, and exclusion from the Medicare and Medicaid programs;
−Removed: false claims laws which prohibit, among other things, individuals or entities from knowingly presenting, or causing to be presented,
−Removed: claims for payment from Medicare, Medicaid, or other third-party payers that are false or fraudulent, and which may apply to entities
−Removed: like us which provide coding and billing information to customers;
−Removed: which imposes certain requirements relating to the privacy, security and transmission of protected health information which includes
−Removed: individually identifiable health information, demographic data, medical histories and test results;
−Removed: Federal Food, Drug and Cosmetic Act which among other things, strictly regulates drug manufacturing and product marketing, prohibits
−Removed: manufacturers from marketing drug products for off-label use and regulates the distribution of drug samples;
−Removed: Physician Payments Sunshine Act which requires manufacturers of drugs, devices, biologics, and medical supplies for which payment
−Removed: is available under Medicare, Medicaid or the Children’s Health Insurance Program (with certain exceptions) to report annually
−Removed: to the CMS, information related to payments and other transfers of value to physicians (defined to include doctors, dentists, optometrists,
−Removed: podiatrists, and chiropractors), certain other healthcare professionals (such as physician assistants and nurse practitioners), and
−Removed: teaching hospitals, and ownership and investment interests held by physicians and their immediate family members and applicable group
−Removed: purchasing organizations;
−Removed: law equivalents of each of the above federal laws, such as, Stark Law, anti-kickback and false claims laws which may apply to items
−Removed: or services reimbursed by any third-party payer, including commercial insurers, state laws that require pharmaceutical companies
−Removed: to comply with the pharmaceutical industry’s voluntary compliance guidelines and the relevant compliance guidance promulgated
−Removed: by the federal government, state laws that require drug manufacturers to report information related to payments and other transfers
−Removed: of value to physicians and other healthcare providers, marketing expenditures, or drug pricing, state and local laws that require
−Removed: the registration of pharmaceutical sales representatives, and state laws governing the privacy and security of health information
−Removed: in certain circumstances, many of which differ from each other in significant ways and often are not preempted by federal laws, thus
−Removed: complicating compliance efforts.
+Added: for the services, significant civil monetary penalties, and exclusion from the Medicare and
+Added: Medicaid programs;
+Added: false claims laws which prohibit, among other things, individuals or entities from knowingly
+Added: presenting, or causing to be presented, claims for payment from Medicare, Medicaid, or other
+Added: third-party payers that are false or fraudulent, and which may apply to entities like us
+Added: which provide coding and billing information to customers;
+Added: which imposes certain requirements relating to the privacy, security and transmission of
+Added: protected health information which includes individually identifiable health information,
+Added: demographic data, medical histories and test results;
+Added: Federal Food, Drug and Cosmetic Act which among other things, strictly regulates drug manufacturing
+Added: and product marketing, prohibits manufacturers from marketing drug products for off-label
+Added: use and regulates the distribution of drug samples;
+Added: Physician Payments Sunshine Act which requires manufacturers of drugs, devices, biologics,
+Added: and medical supplies for which payment is available under Medicare, Medicaid or the Children’s
+Added: Health Insurance Program (with certain exceptions) to report annually to the CMS, information
+Added: related to payments and other transfers of value to physicians (defined to include doctors,
+Added: dentists, optometrists, podiatrists, and chiropractors), certain other healthcare professionals
+Added: (such as physician assistants and nurse practitioners), and teaching hospitals, and ownership
+Added: and investment interests held by physicians and their immediate family members and applicable
+Added: group purchasing organizations;
+Added: law equivalents of each of the above federal laws, such as, Stark Law, anti-kickback and
+Added: false claims laws which may apply to items or services reimbursed by any third-party payer,
+Added: including commercial insurers, state laws that require pharmaceutical companies to comply
+Added: with the pharmaceutical industry’s voluntary compliance guidelines and the relevant
+Added: compliance guidance promulgated by the federal government, state laws that require drug manufacturers
+Added: to report information related to payments and other transfers of value to physicians and
+Added: other healthcare providers, marketing expenditures, or drug pricing, state and local laws
+Added: that require the registration of pharmaceutical sales representatives, and state laws governing
+Added: the privacy and security of health information in certain circumstances, many of which differ
+Added: from each other in significant ways and often are not preempted by federal laws, thus complicating
+Added: compliance efforts.
our operations are found to be in violation of any of the laws described above or any governmental regulations that apply to us, we may
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products will face significant competition, and if they are unable to compete successfully, our business will suffer.
−Removed: compete in an industry that is characterized by:
−Removed: (i) rapid technological
−Removed: change, (ii) evolving industry standards, (iii) emerging competition, (iv) new product introductions and (v) an emphasis on proprietary
−Removed: and novel products and product candidates.
−Removed: Our competitors, some of which include larger pharmaceutical companies, biotechnology companies,
−Removed: and academic institutions, have and may develop products and technologies that will compete with our products and technologies.
−Removed: Specifically,
−Removed: we face competition from companies developing therapies for both oncology and inflammation some of which include Kymera Therapeutics Inc.,
−Removed: Morphic Holding Inc., and RAPT Therapeutics Inc.
−Removed: In addition, we face competition from companies developing therapies for IBD (including
−Removed: UC and CD) some of which include Arena Pharmaceuticals Inc., Landos Biopharma Inc., and Seres Therapeutics Inc.
−Removed: Moreover, companies with
−Removed: approved therapies and that are developing therapies for soft tissue sarcoma include, but are not limited to, BioAtla Inc., Epizyme Inc.,
−Removed: Nanobiotix SA, C4 Therapeutics, Inc., Adaptimmune Therapeutics plc, Eisai, Novartis, and Janssen/Johnson & Johnson, and a company
−Removed: developing multi-kinase inhibitors is Mirati Therapeutics, Inc.
−Removed: We also face competition from companies developing CAR-Ts targeting multiple
−Removed: myeloma, some of which include Janssen/Johnson & Johnson, Bristol Myers Squibb, and Arcellx, Inc.
−Removed: and companies developing therapies
−Removed: for AL amyloidosis some of which include Prothena Corp, Caelum Biosciences (Now Alexion/AstraZeneca), and Janssen/Johnson & Johnson.
−Removed: We also compete with these organizations to recruit management, scientists and clinical development personnel, which could negatively
−Removed: affect our level of expertise and our ability to execute our business plan.
−Removed: We will also face competition in establishing clinical trial
−Removed: sites, enrolling subjects for clinical trials and in identifying new product candidates.
+Added: We compete in an industry that
+Added: is characterized by:
+Added: (i) rapid technological change, (ii) evolving industry standards, (iii) emerging competition, (iv) new product introductions
+Added: and (v) an emphasis on proprietary and novel products and product candidates.
+Added: Our competitors, some of which include larger pharmaceutical
+Added: companies, biotechnology companies, and academic institutions, have and may develop products and technologies that will compete with our
+Added: products and technologies.
+Added: Specifically, we face competition from companies developing therapies for AL amyloidosis which include Prothena
+Added: Corp, Caelum Biosciences (Now Alexion/AstraZeneca), and Janssen/Johnson & Johnson.
+Added: In addition, we face competition from companies
+Added: developing cell therapies for autoimmune indications, some of which include Kyverna Therapeutics, Inc.;
+Added: Cabaletta Bio, Inc.;
+Added: Fate Therapeutics
+Added: and Arcellx, Inc.
+Added: Moreover, companies with approved therapies for blood disorders include, but are not limited to, Novartis AG,
+Added: Bristol Myers Squibb Co, and Janssen/Johnson & Johnson.
+Added: We also compete with these organizations to recruit management, scientists
+Added: and clinical development personnel, which could negatively affect our level of expertise and our ability to execute our business plan.
+Added: We will also face competition in establishing clinical trial sites, enrolling subjects for clinical trials and in identifying new product
believe that a significant number of products are currently under development, and may become commercially available in the future, for
92 unchanged sentences
effect on our business.
−Removed: outbreak of COVID-19, or a similar pandemic, epidemic or outbreak of an infectious disease in the United States or elsewhere, could have
−Removed: a material adverse impact on our business, financial condition and results of operations, including the execution of our pre-clinical
−Removed: studies and clinical trials and the use and sufficiency of our existing cash.
−Removed: outbreak of COVID-19 evolved into a global pandemic and spread to many regions of the world.
−Removed: The extent to which COVID-19 impacts our
−Removed: business and operating results may continue to depend on future developments that are uncertain and cannot be accurately predicted, including
−Removed: new information that may emerge concerning COVID-19, including various variants, and the actions to contain the virus or treat its impact,
−Removed: among others.
−Removed: spread of an infectious disease, such as COVID-19, may also result in the inability of our suppliers to deliver supplies to us on a timely
−Removed: We currently utilize third parties to, among other things, manufacture components of our product candidates and, in the future,
−Removed: intend to utilize third parties to conduct our pre-clinical studies and clinical trials.
−Removed: If either we or any third-party parties in the
−Removed: supply chain for materials used in the production of our product candidates are adversely impacted by restrictions resulting from a health
−Removed: epidemic such as COVID-19, which, among other things, resulted in quarantines and restrictions on travel, our supply chain may be disrupted,
−Removed: limiting our ability to manufacture our product candidates for our pre-clinical studies and clinical trials.
−Removed: and deaths related to a health epidemic may also disrupt the United States’ healthcare and healthcare regulatory systems as well
−Removed: as other healthcare systems which could divert healthcare resources away from, or materially delay review and/or approval of our product
−Removed: candidates by the FDA and other regulatory agencies.
−Removed: Furthermore, a health epidemic may also slow potential enrollment of current and
−Removed: planned clinical trials, reduce the number of eligible patients for our current and planned clinical trials, create difficulties in recruiting
−Removed: clinical site investigators and staff, divert healthcare resources away from the conduct of clinical trials, delay receiving approval
−Removed: from local authorities to initiate our current and planned clinical trials, delay necessary interactions with local regulators, ethics
−Removed: committees and other important agencies and contractors due to limitations in employee resources or forced furlough of government employees,
−Removed: interrupt key clinical trial activities (like site monitoring) and create difficulties in data collection and analysis, among other things.
−Removed: spread of COVID-19, which caused a broad impact globally may have a material economic effect on our business.
−Removed: While the potential economic
−Removed: impact brought by the pandemic may be difficult to assess or predict, it has already caused, and is likely to result in further, significant
−Removed: disruption of global financial markets which may reduce our ability to access capital either at all or on favorable terms.
−Removed: a recession, depression or other sustained adverse market event resulting from COVID-19 could materially and adversely affect our business
−Removed: and the value of our common stock.
−Removed: ultimate impact of the current pandemic, or any other health epidemic, is highly uncertain and subject to change.
−Removed: We do not yet know
−Removed: the full extent of potential delays or impacts on our business, our pre-clinical studies and clinical trials, healthcare systems or the
−Removed: global economy as a whole.
−Removed: However, these effects could have a material impact on our operations.
+Added: geopolitical and macroeconomic developments could adversely affect our business, financial condition or results of operations.
+Added: business could be adversely affected by conditions in the U.S.
+Added: and global economies, the United States and global financial markets and
+Added: adverse geopolitical and macroeconomic developments, including rising inflation rates, the continuing impact of the COVID-19 pandemic,
+Added: the Ukrainian/Russian and Israeli/Palestinian conflicts and related sanctions, bank failures, and economic uncertainties related to these
+Added: example, inflation rates, particularly in the United States, have increased recently to levels not seen in years, and increased inflation
+Added: may result in increases in our operating costs (including our labor costs), reduced liquidity and limits on our ability to access credit
+Added: or otherwise raise capital on acceptable terms, if at all.
+Added: In response to rising inflation, the U.S.
+Added: Federal Reserve has raised, and
+Added: may again raise, interest rates, which, coupled with reduced government spending and volatility in financial markets, may have the effect
+Added: of further increasing economic uncertainty and heightening these risks.
+Added: the COVID-19 pandemic has abated, many of the consequences of the COVID-19 pandemic continue to cause disruption and increased costs
+Added: for businesses.
+Added: In the case of clinical stage biopharmaceutical companies, we believe there continue to be, among other things, supply
+Added: chain disruptions that are causing delays in the delivery of drug candidates and comparator products and healthcare staffing shortages
+Added: that are causing delays in the establishment of test sites and the conduct of clinical trials.
+Added: Additionally,
+Added: financial markets around the world experienced volatility following the invasion of Ukraine by Russia in February 2022 and the eruption
+Added: of the Israeli/Palestinian conflict in October 2023, including as a result of economic sanctions and export controls against Russia and
+Added: countermeasures taken by Russia.
+Added: The full economic and social impact of these sanctions and countermeasures, in addition to the ongoing
+Added: military conflicts in Ukraine and Gaza, which could conceivably expand, remains uncertain;
+Added: however, both the conflicts and related sanctions
+Added: have resulted and could continue to result in disruptions to trade, commerce, pricing stability, credit availability, and/or supply chain
+Added: continuity, in both Europe and globally, and has introduced significant uncertainty into global markets.
+Added: While we do not currently operate
+Added: in Russia, Ukraine or the Middle East, as the adverse effects of these conflicts continue to develop our business and results of operations
+Added: may be adversely affected.
international operations we undertake may subject us to risks inherent with operations outside of the United States.
27 unchanged sentences
maintain an effective management team and work force could adversely affect our ability to operate, grow and manage our business.
−Removed: employees, consultants, commercial partners and vendors may engage in misconduct or other improper activities,
−Removed: including non-compliance with regulatory standards and requirements.
−Removed: are exposed to the risk of employee fraud or other illegal activity by our employees, consultants, commercial
−Removed: partners and vendors.
−Removed: Misconduct by these parties could include intentional, reckless and/or negligent conduct that fails to comply with
−Removed: FDA or other regulations, provide true, complete and accurate information to the FDA and other similar foreign regulatory bodies, comply
−Removed: with manufacturing standards we may establish, comply with healthcare fraud and abuse laws and regulations, report financial information
−Removed: or data accurately or disclose unauthorized activities to us.
−Removed: If we obtain approval of any of our product candidates from the FDA or
−Removed: any other foreign regulatory agency and begin commercializing those products in the United States or elsewhere, our potential exposure
−Removed: under these laws will increase significantly, and our costs associated with compliance with these laws are likely to increase.
−Removed: In particular,
−Removed: sales, marketing and business arrangements in the healthcare industry are subject to extensive laws and regulations intended to prevent
−Removed: fraud, kickbacks, self-dealing and other abusive practices.
−Removed: These laws and regulations may restrict or prohibit a wide range of pricing,
−Removed: discounting, marketing and promotion, sales commission, customer incentive programs and other business arrangements.
−Removed: Employee misconduct
−Removed: could also involve the improper use of information obtained in the course of clinical trials, which could result in regulatory sanctions
−Removed: and serious harm to our reputation.
−Removed: Additionally, we are subject to the risk that a person could allege such fraud or other misconduct,
−Removed: even if none occurred.
−Removed: It is not always possible to identify and deter employee misconduct, and the precautions we take to detect and
−Removed: prevent this activity may not be effective in controlling unknown or unmanaged risks or losses or in protecting us from governmental
−Removed: investigations or other actions or lawsuits stemming from a failure to comply with such laws or regulations.
−Removed: If any such actions are
−Removed: instituted against us, and we are not successful in defending ourselves or asserting our rights, those actions could have a material
−Removed: and adverse effect on our business, financial condition, results of operations and prospects, including the imposition of significant
−Removed: civil, criminal and administrative penalties, damages, fines, disgorgement, imprisonment, the curtailment or restructuring of our operations,
−Removed: loss of eligibility to obtain approvals from the FDA or other regulatory agencies, exclusion from participation in government contracting,
−Removed: healthcare reimbursement or other government programs, including Medicare and Medicaid, integrity oversight and reporting obligations,
−Removed: or reputational harm.
−Removed: Because Immix Biopharma
−Removed: and certain of its affiliates control a significant number of securities of Nexcella, it may have effective control over actions requiring
−Removed: Nexcella stockholder approval.
−Removed: As of March 20, 2023, Immix Biopharma and certain of its affiliates (Ilya Rachman, our Chief
−Removed: Executive Officer and Chairman and Gabriel Morris, our Chief Financial Officer and director) collectively own 5,044,988 shares of Nexcella’s
−Removed: common stock, or 98.50% of Nexcella’s outstanding common stock, 1,000,000 shares of Nexcella’s Class A common stock, or 100%
−Removed: of Nexcella’s outstanding Class A common stock and 250,000 shares of Nexcella’s Class A preferred stock, or 100% of Nexcella’s
−Removed: outstanding Class A preferred stock.
−Removed: Therefore, Immix Biopharma would have the ability to control the outcome of matters submitted to
−Removed: Nexcella’s stockholders for approval.
+Added: employees, consultants, commercial partners and vendors may engage in misconduct or other improper activities, including non-compliance
+Added: with regulatory standards and requirements.
+Added: are exposed to the risk of employee fraud or other illegal activity by our employees, consultants, commercial partners and vendors.
+Added: by these parties could include intentional, reckless and/or negligent conduct that fails to comply with FDA or other regulations, provide
+Added: true, complete and accurate information to the FDA and other similar foreign regulatory bodies, comply with manufacturing standards we
+Added: may establish, comply with healthcare fraud and abuse laws and regulations, report financial information or data accurately or disclose
+Added: unauthorized activities to us.
+Added: If we obtain approval of any of our product candidates from the FDA or any other foreign regulatory agency
+Added: and begin commercializing those products in the United States or elsewhere, our potential exposure under these laws will increase significantly,
+Added: and our costs associated with compliance with these laws are likely to increase.
+Added: In particular, sales, marketing and business arrangements
+Added: in the healthcare industry are subject to extensive laws and regulations intended to prevent fraud, kickbacks, self-dealing and other
+Added: abusive practices.
+Added: These laws and regulations may restrict or prohibit a wide range of pricing, discounting, marketing and promotion,
+Added: sales commission, customer incentive programs and other business arrangements.
+Added: Employee misconduct could also involve the improper use
+Added: of information obtained in the course of clinical trials, which could result in regulatory sanctions and serious harm to our reputation.
+Added: Additionally, we are subject to the risk that a person could allege such fraud or other misconduct, even if none occurred.
+Added: always possible to identify and deter employee misconduct, and the precautions we take to detect and prevent this activity may not be
+Added: effective in controlling unknown or unmanaged risks or losses or in protecting us from governmental investigations or other actions or
+Added: lawsuits stemming from a failure to comply with such laws or regulations.
+Added: If any such actions are instituted against us, and we are not
+Added: successful in defending ourselves or asserting our rights, those actions could have a material and adverse effect on our business, financial
+Added: condition, results of operations and prospects, including the imposition of significant civil, criminal and administrative penalties,
+Added: damages, fines, disgorgement, imprisonment, the curtailment or restructuring of our operations, loss of eligibility to obtain approvals
+Added: from the FDA or other regulatory agencies, exclusion from participation in government contracting, healthcare reimbursement or other
+Added: government programs, including Medicare and Medicaid, integrity oversight and reporting obligations, or reputational harm.
Relating to our Intellectual Property
29 unchanged sentences
protect our rights or permit us to gain or keep our competitive advantage.
−Removed: may be able to make compounds that are similar to our product candidates, but that are not covered by the claims of our patents;
+Added: may be able to make compounds that are similar to our product candidates, but that are not
+Added: covered by the claims of our patents;
might not have been the first to make the inventions covered by our pending patent applications;
1 unchanged sentence
pending patent applications may not result in issued patents;
−Removed: claims of our issued patents or patent applications when issued may not cover our products or product candidates;
−Removed: patents that we may obtain from licensing or otherwise may not provide us with any competitive advantages;
−Removed: granted patents that we rely upon may be held invalid or unenforceable as a result of legal challenges by third parties;
+Added: claims of our issued patents or patent applications when issued may not cover our products
+Added: or product candidates;
+Added: patents that we may obtain from licensing or otherwise may not provide us with any competitive
+Added: granted patents that we rely upon may be held invalid or unenforceable as a result of legal
+Added: challenges by third parties;
patents of others may have an adverse effect on our business.
15 unchanged sentences
scope of rights granted under the license agreement and other interpretation-related issues;
−Removed: extent to which our technology and processes infringe on intellectual property of the licensor that is not subject to the licensing
+Added: extent to which our technology and processes infringe on intellectual property of the licensor
+Added: that is not subject to the licensing agreement;
diligence obligations under the license agreement and what activities satisfy those obligations;
−Removed: a third-party expresses interest in an area under a license that we are not pursuing, under the terms of certain of our license agreements,
−Removed: we may be required to sublicense rights in that area to a third party, and that sublicense could harm our business;
−Removed: ownership of inventions and know-how resulting from the joint creation or use of intellectual property by our licensors and us.
+Added: a third-party expresses interest in an area under a license that we are not pursuing, under
+Added: the terms of certain of our license agreements, we may be required to sublicense rights in
+Added: that area to a third party, and that sublicense could harm our business;
+Added: ownership of inventions and know-how resulting from the joint creation or use of intellectual
+Added: property by our licensors and us.
disputes over intellectual property that we have licensed prevent or impair our ability to maintain our future licensing arrangements
69 unchanged sentences
are typically not published until 18 months after the priority date;
+Added: ● publications
in the scientific literature often lag behind actual discoveries.
28 unchanged sentences
protection could adversely affect our business.
−Removed: may be subject to claims that our employees or consultants have wrongfully used or disclosed alleged
−Removed: trade secrets.
−Removed: As is common in the biotechnology
−Removed: and pharmaceutical industries, we employ individuals who were previously employed at other biotechnology or pharmaceutical companies,
−Removed: including our competitors or potential competitors.
−Removed: Although we try to ensure that our employees or consultants do not use the proprietary
−Removed: information or know-how of others in their work for us, we may be subject to claims that we or our employees or consultants have inadvertently
−Removed: or otherwise used or disclosed trade secrets or other proprietary information of their former employers.
−Removed: Litigation may be necessary to
−Removed: defend against these claims.
−Removed: If we fail in defending any such claims, in addition to paying monetary damages, we could lose valuable intellectual
−Removed: property rights or personnel, which could adversely impact our business.
−Removed: Even if we are successful in defending against these claims,
−Removed: litigation could result in substantial costs and be a distraction to management.
+Added: may be subject to claims that our employees or consultants have wrongfully used or disclosed alleged trade secrets.
+Added: is common in the biotechnology and pharmaceutical industries, we employ individuals who were previously employed at other biotechnology
+Added: or pharmaceutical companies, including our competitors or potential competitors.
+Added: Although we try to ensure that our employees or consultants
+Added: do not use the proprietary information or know-how of others in their work for us, we may be subject to claims that we or our employees
+Added: or consultants have inadvertently or otherwise used or disclosed trade secrets or other proprietary information of their former employers.
+Added: Litigation may be necessary to defend against these claims.
+Added: If we fail in defending any such claims, in addition to paying monetary damages,
+Added: we could lose valuable intellectual property rights or personnel, which could adversely impact our business.
+Added: Even if we are successful
+Added: in defending against these claims, litigation could result in substantial costs and be a distraction to management.
intellectual property may not be sufficient to protect our product candidates from competition, which may negatively affect our business.
12 unchanged sentences
monetary damages related to the legal expenses of the third party;
−Removed: additional competition that may have a significant adverse effect on our product pricing, market share, business operations, financial
−Removed: condition, and the commercial viability of our products;
+Added: additional competition that may have a significant adverse effect on our product pricing,
+Added: market share, business operations, financial condition, and the commercial viability of our
● restructuring
−Removed: our Company or delaying or terminating select business opportunities, including, but not limited to, research and development, clinical
−Removed: trial, and commercialization activities, due to a potential deterioration of our financial condition or market competitiveness.
+Added: our Company or delaying or terminating select business opportunities, including, but not
+Added: limited to, research and development, clinical trial, and commercialization activities, due
+Added: to a potential deterioration of our financial condition or market competitiveness.
third party may also challenge the validity, enforceability or scope of the intellectual property rights that we own or in the future
18 unchanged sentences
business and results of operations could suffer.
−Removed: In August 2016, we formed a wholly-owned
−Removed: Australian subsidiary, Immix Biopharma Australia Pty Ltd to conduct various pre-clinical and clinical activities for our product and development
−Removed: candidates in Australia.
−Removed: We may not be able to efficiently or successfully monitor, develop and commercialize our lead products in Australia,
−Removed: including conducting clinical trials.
−Removed: Furthermore, we have no assurance that the results of any clinical trials that we conduct for our
−Removed: product candidates in Australia will be accepted by the FDA or foreign regulatory authorities for development and commercialization approvals.
+Added: August 2016, we formed a wholly-owned Australian subsidiary, Immix Biopharma Australia Pty Ltd to conduct various pre-clinical and clinical
+Added: activities for our product and development candidates in Australia.
+Added: We may not be able to efficiently or successfully monitor, develop
+Added: and commercialize our lead products in Australia, including conducting clinical trials.
+Added: Furthermore, we have no assurance that the results
+Added: of any clinical trials that we conduct for our product candidates in Australia will be accepted by the FDA or foreign regulatory authorities
+Added: for development and commercialization approvals.
addition, current Australian tax regulations provide for a refundable research and development tax credit equal to 43.5% of qualified
3 unchanged sentences
be adversely affected.
−Removed: Breakthrough Therapy Designation, Fast
−Removed: Track Designation or RPDD by the FDA, and equivalents granted by other regulatory authorities, even if granted for any of our
−Removed: product candidates developed for therapeutic indications, may not lead to a faster development, regulatory review or approval
−Removed: process, and it does not increase the likelihood that any of our product candidates will receive marketing approval in any
−Removed: jurisdiction.
−Removed: We may seek a Breakthrough Therapy Designation for some of our product
−Removed: A breakthrough therapy is defined as a therapy that is intended, alone or in combination with one or more other therapies,
−Removed: to treat a serious or life-threatening disease or condition, and preliminary clinical evidence indicates that the therapy may demonstrate
−Removed: substantial improvement over existing therapies on one or more clinically significant endpoints, such as substantial treatment effects
−Removed: observed early in clinical development.
−Removed: For therapies that have been designated as breakthrough therapies, interaction and communication
−Removed: between the FDA and the sponsor of the trial can help to identify the most efficient path for clinical development while minimizing the
−Removed: number of patients placed in ineffective control regimens.
−Removed: Therapies designated as breakthrough therapies by the FDA may also be eligible
−Removed: for priority review and accelerated approval.
−Removed: Designation as a breakthrough therapy is within the discretion of the FDA.
−Removed: even if we believe one of our product candidates meets the criteria for designation as a breakthrough therapy, the FDA may disagree and
−Removed: instead determine not to make such designation.
−Removed: In any event, the receipt of a Breakthrough Therapy Designation for a product candidate
−Removed: may not result in a faster development process, review or approval compared to therapies considered for approval under conventional FDA
−Removed: procedures and does not assure ultimate approval by the FDA.
−Removed: In addition, even if one or more of our product candidates qualify as breakthrough
−Removed: therapies, the FDA may later decide that such product candidates no longer meet the conditions for qualification or decide that the time
−Removed: period for FDA review or approval will not be shortened.
−Removed: We may seek Fast Track Designation for some of our product candidates
−Removed: for therapeutic indications.
−Removed: If a therapy is intended for the treatment of a serious or life-threatening condition and the therapy demonstrates
−Removed: the potential to address unmet medical needs for this condition, the therapy sponsor may apply for Fast Track Designation.
+Added: Therapy Designation, Fast Track Designation or RPDD by the FDA, and equivalents granted by indications, may not lead to a faster development,
+Added: regulatory review or approval process, and it does not increase the likelihood that any of our product candidates will receive marketing
+Added: approval in any jurisdiction.
+Added: may seek a Breakthrough Therapy Designation for some of our product candidates.
+Added: A breakthrough therapy is defined as a therapy that is
+Added: intended, alone or in combination with one or more other therapies, to treat a serious or life-threatening disease or condition, and
+Added: preliminary clinical evidence indicates that the therapy may demonstrate substantial improvement over existing therapies on one or more
+Added: clinically significant endpoints, such as substantial treatment effects observed early in clinical development.
+Added: For therapies that have
+Added: been designated as breakthrough therapies, interaction and communication between the FDA and the sponsor of the trial can help to identify
+Added: the most efficient path for clinical development while minimizing the number of patients placed in ineffective control regimens.
+Added: designated as breakthrough therapies by the FDA may also be eligible for priority review and accelerated approval.
+Added: Designation as a breakthrough
+Added: therapy is within the discretion of the FDA.
+Added: Accordingly, even if we believe one of our product candidates meets the criteria for designation
+Added: as a breakthrough therapy, the FDA may disagree and instead determine not to make such designation.
+Added: In any event, the receipt of a Breakthrough
+Added: Therapy Designation for a product candidate may not result in a faster development process, review or approval compared to therapies
+Added: considered for approval under conventional FDA procedures and does not assure ultimate approval by the FDA.
+Added: In addition, even if one
+Added: or more of our product candidates qualify as breakthrough therapies, the FDA may later decide that such product candidates no longer
+Added: meet the conditions for qualification or decide that the time period for FDA review or approval will not be shortened.
+Added: may seek Fast Track Designation for some of our product candidates for therapeutic indications.
+Added: If a therapy is intended for the treatment
+Added: of a serious or life-threatening condition and the therapy demonstrates the potential to address unmet medical needs for this condition,
+Added: the therapy sponsor may apply for Fast Track Designation.
Filling an unmet medical need is defined as providing a therapy where none
exists or providing a therapy which may be potentially better than available therapy.
−Removed: broad discretion whether or not to grant this designation, so even if we believe a particular product candidate is eligible for this designation,
−Removed: we cannot assure you that the FDA would decide to grant it.
−Removed: Even if we do receive Fast Track Designation, we may not experience a faster
−Removed: development process, review or approval compared to conventional FDA procedures.
−Removed: The FDA may withdraw Fast Track Designation if it believes
−Removed: that the designation is no longer supported by data from our clinical development program.
−Removed: Fast Track Designation alone does not guarantee
−Removed: qualification for the FDA’s priority review procedures.
−Removed: We may seek a RPDD for some of
−Removed: our product candidates.
−Removed: However, even if we believe a particular product candidate is eligible for this designation, we cannot guarantee
−Removed: that FDA would agree.
−Removed: The FDA may award priority review vouchers to sponsors of products that meet the definition of a “rare
−Removed: pediatric disease.” A “rare pediatric disease” is a (a) serious or life-threatening disease in which the
−Removed: serious or life-threatening manifestations primarily affect individuals aged from birth to 18 years, including age groups often called
+Added: The FDA has broad discretion whether or not to
+Added: grant this designation, so even if we believe a particular product candidate is eligible for this designation, we cannot assure you that
+Added: the FDA would decide to grant it.
+Added: Even if we do receive Fast Track Designation, we may not experience a faster development process, review
+Added: or approval compared to conventional FDA procedures.
+Added: The FDA may withdraw Fast Track Designation if it believes that the designation
+Added: is no longer supported by data from our clinical development program.
+Added: Fast Track Designation alone does not guarantee qualification for
+Added: the FDA’s priority review procedures.
+Added: may seek a RPDD for some of our product candidates.
+Added: However, even if we believe a particular product candidate is eligible for this designation,
+Added: we cannot guarantee that FDA would agree.
+Added: The FDA may award priority review vouchers to sponsors of products that meet the definition
+Added: of a “rare pediatric disease.” A “rare pediatric disease” is a (a) serious or life-threatening disease in which
+Added: the serious or life-threatening manifestations primarily affect individuals aged from birth to 18 years, including age groups often called
neonates, infants, children, and adolescents;
and (b) rare disease or conditions within the meaning of the Orphan Drug Act.
−Removed: However, this designation is at the discretion of the FDA and, even if we do receive a Rare Pediatric Disease Designation, we may
−Removed: not experience a faster development process, review or approval compared to conventional FDA procedures and are still not guaranteed final
−Removed: approval of our product candidate by the FDA.
+Added: this designation is at the discretion of the FDA and, even if we do receive a Rare Pediatric Disease Designation, we may not experience
+Added: a faster development process, review or approval compared to conventional FDA procedures and are still not guaranteed final approval
+Added: of our product candidate by the FDA.
Additionally, the benefits of a RPDD may not be available for future product candidates.
−Removed: After September 30, 2024, the FDA may only award a voucher for an approved rare pediatric disease product application if the sponsor has
−Removed: a RPDD for the drug that was granted by September 30, 2024.
−Removed: After September 30, 2026, the FDA may not award any additional rare pediatric
−Removed: disease priority review vouchers.
+Added: After September
+Added: 30, 2024, the FDA may only award a voucher for an approved rare pediatric disease product application if the sponsor has a RPDD for the
+Added: drug that was granted by September 30, 2024.
+Added: After September 30, 2026, the FDA may not award any additional rare pediatric disease priority
+Added: review vouchers.
Related to Owning our Common Stock
7 unchanged sentences
and limitations in trading volumes of our shares of common stock;
−Removed: ability to obtain financing to conduct and complete research and development activities including, but not limited to, our clinical
−Removed: trials, and other business activities;
−Removed: delays in the expected recognition of revenue due to lengthy and sometimes unpredictable sales timelines;
−Removed: timing and success of introductions of new products by us or our competitors or any other change in the competitive dynamics of our
−Removed: industry, including consolidation among competitors, customers or strategic partners;
+Added: ability to obtain financing to conduct and complete research and development activities including,
+Added: but not limited to, our clinical trials, and other business activities;
+Added: delays in the expected recognition of revenue due to lengthy and sometimes unpredictable
+Added: sales timelines;
+Added: timing and success of introductions of new products by us or our competitors or any other
+Added: change in the competitive dynamics of our industry, including consolidation among competitors,
+Added: customers or strategic partners;
outages or security breaches;
ability to attract new customers;
−Removed: ability to secure resources and the necessary personnel to conduct clinical trials on our desired schedule;
+Added: ability to secure resources and the necessary personnel to conduct clinical trials on our
+Added: desired schedule;
● commencement,
−Removed: enrollment or results of our clinical trials for our product candidates or any future clinical trials we may conduct;
+Added: enrollment or results of our clinical trials for our product candidates or any future clinical
+Added: trials we may conduct;
in the development status of our product candidates;
−Removed: delays or adverse developments or perceived adverse developments with respect to the FDA or other regulatory agencies’ review
−Removed: of our planned pre-clinical and clinical trials;
−Removed: delay in our submission for studies or product approvals or adverse regulatory decisions, including failure to receive regulatory
−Removed: approval for our product candidates;
+Added: delays or adverse developments or perceived adverse developments with respect to the FDA
+Added: or other regulatory agencies’ review of our planned pre-clinical and clinical trials;
+Added: delay in our submission for studies or product approvals or adverse regulatory decisions,
+Added: including failure to receive regulatory approval for our product candidates;
● unanticipated
6 unchanged sentences
inability to enter into new markets or develop new products;
+Added: ● reputational
+Added: ● competition
from existing technologies and products or new technologies and products that may emerge;
● announcements
−Removed: of acquisitions, partnerships, collaborations, joint ventures, new products, capital commitments, or other events by us or our competitors;
−Removed: in general economic, political and market conditions in or any of the regions in which we conduct our business;
+Added: of acquisitions, partnerships, collaborations, joint ventures, new products, capital commitments,
+Added: or other events by us or our competitors;
+Added: in general economic, political and market conditions in or any of the regions in which we
+Added: conduct our business;
in industry conditions or perceptions;
in valuations of similar companies or groups of companies;
−Removed: research reports, recommendation and changes in recommendations, price targets, and withdrawals of coverage;
+Added: research reports, recommendation and changes in recommendations, price targets, and withdrawals
and additions of key personnel;
28 unchanged sentences
requiring stockholder approval.
−Removed: of March 17, 2023, our directors, executive officers and principal stockholders, and their respective affiliates, beneficially own approximately
−Removed: 64.73% of our outstanding shares of common stock.
−Removed: As a result, these stockholders, acting together, would have the ability to control
−Removed: the outcome of matters submitted to our stockholders for approval, including the election of directors and any merger, consolidation
−Removed: or sale of all or substantially all of our assets.
−Removed: In addition, these stockholders, acting together, would have the ability to control
−Removed: the management and affairs of our Company.
−Removed: Accordingly, this concentration of ownership might harm the market price of our common stock
+Added: of March 25, 2024, our directors, executive officers and principal stockholders, and their respective affiliates, beneficially
+Added: own approximately 39% of our outstanding shares of common stock.
+Added: As a result, these stockholders, acting together, would have the
+Added: ability to control the outcome of matters submitted to our stockholders for approval, including the election of directors and any merger,
+Added: consolidation or sale of all or substantially all of our assets.
+Added: In addition, these stockholders, acting together, would have the ability
+Added: to control the management and affairs of our Company.
+Added: Accordingly, this concentration of ownership might harm the market price of our
+Added: common stock by:
deferring or preventing a change in corporate control;
a merger, consolidation, takeover or other business combination involving us;
−Removed: a potential acquirer from making a tender offer or otherwise attempting to obtain control of us.
+Added: ● discouraging
+Added: a potential acquirer from making a tender offer or otherwise attempting to obtain control
do not intend to pay cash dividends on our shares of common stock so any returns will be limited to the value of our shares.
1 unchanged sentence
declaring or paying any cash dividends for the foreseeable future.
−Removed: Furthermore, any future debt agreements may also preclude us from paying
−Removed: or place restrictions on our ability to pay dividends.
−Removed: Any future determination as to the declaration and payment of dividends will be
−Removed: at the discretion of our board of directors and will depend on factors the board of directors deems relevant, including among others,
−Removed: our results of operations, financial condition and cash requirements, business prospects, and the terms of any of our financing arrangements.
+Added: Furthermore, any future debt agreements may also preclude us from
+Added: paying or place restrictions on our ability to pay dividends.
+Added: Any future determination as to the declaration and payment of dividends
+Added: will be at the discretion of our board of directors and will depend on factors the board of directors deems relevant, including among
+Added: others, our results of operations, financial condition and cash requirements, business prospects, and the terms of any of our financing
+Added: arrangements.
Therefore, any return to stockholders may be limited to the increase, if any, of our share price.
25 unchanged sentences
as applicable, among other things:
−Removed: the board of directors with the ability to alter our Amended and Restated Bylaws without stockholder approval;
+Added: the board of directors with the ability to alter our Amended and Restated Bylaws without
+Added: stockholder approval;
limitations on the removal of directors;
−Removed: advance notice requirements for nominations for election to the board of directors or for proposing matters that can be acted upon
−Removed: at stockholder meetings;
−Removed: that vacancies on the board of directors may be filled by a majority of directors in office, although less than a quorum.
+Added: advance notice requirements for nominations for election to the board of directors or for
+Added: proposing matters that can be acted upon at stockholder meetings;
+Added: that vacancies on the board of directors may be filled by a majority of directors in office,
+Added: although less than a quorum.
Certificate of Incorporation provides that the Court of Chancery of the State of Delaware will be the sole and exclusive forum for substantially
1 unchanged sentence
disputes with the us or our directors, officers or employees.
−Removed: Certificate of Incorporation provides that unless we consent in writing to the selection of an alternative forum, the State of Delaware
−Removed: is the sole and exclusive forum for:
−Removed: (i) any derivative action or proceeding brought on behalf of us, (ii) any action asserting a claim
−Removed: of breach of a fiduciary duty owed by any director, officer or other employee of our Company to us or our stockholders, (iii) any action
−Removed: asserting a claim against us, our directors, officers or employees arising pursuant to any provision of the Delaware General Corporation
−Removed: Law (the “DGCL”) or our Amended and Restated Certificate of Incorporation or our Amended and Restated Bylaws, or (iv) any
−Removed: action asserting a claim against us, our directors, officers, employees or agents governed by the internal affairs doctrine, except for,
−Removed: as to each of (i) through (iv) above, any claim as to which the Court of Chancery determines that there is an indispensable party not
−Removed: subject to the jurisdiction of the Court of Chancery (and the indispensable party does not consent to the personal jurisdiction of the
−Removed: Court of Chancery within ten days following such determination), which is vested in the exclusive jurisdiction of a court or forum other
−Removed: than the Court of Chancery, or for which the Court of Chancery does not have subject matter jurisdiction.
−Removed: This exclusive forum provision
−Removed: would not apply to suits brought to enforce any liability or duty created by the Securities Act or the Exchange Act or any other claim
−Removed: for which the federal courts have exclusive jurisdiction.
−Removed: To the extent that any such claims may be based upon federal law claims, Section
−Removed: 27 of the Exchange Act creates exclusive federal jurisdiction over all suits brought to enforce any duty or liability created by the
−Removed: Exchange Act or the rules and regulations thereunder.
+Added: Amended and Restated Certificate of Incorporation provides that unless we consent in writing to the selection of an alternative forum,
+Added: the State of Delaware is the sole and exclusive forum for:
+Added: (i) any derivative action or proceeding brought on behalf of us, (ii) any
+Added: action asserting a claim of breach of a fiduciary duty owed by any director, officer or other employee of our Company to us or our stockholders,
+Added: (iii) any action asserting a claim against us, our directors, officers or employees arising pursuant to any provision of the Delaware
+Added: General Corporation Law (the “DGCL”) or our Amended and Restated Certificate of Incorporation or our Amended and Restated
+Added: Bylaws, or (iv) any action asserting a claim against us, our directors, officers, employees or agents governed by the internal affairs
+Added: doctrine, except for, as to each of (i) through (iv) above, any claim as to which the Court of Chancery determines that there is an indispensable
+Added: party not subject to the jurisdiction of the Court of Chancery (and the indispensable party does not consent to the personal jurisdiction
+Added: of the Court of Chancery within ten days following such determination), which is vested in the exclusive jurisdiction of a court or forum
+Added: other than the Court of Chancery, or for which the Court of Chancery does not have subject matter jurisdiction.
+Added: This exclusive forum
+Added: provision would not apply to suits brought to enforce any liability or duty created by the Securities Act or the Exchange Act or any
+Added: other claim for which the federal courts have exclusive jurisdiction.
+Added: To the extent that any such claims may be based upon federal law
+Added: claims, Section 27 of the Exchange Act creates exclusive federal jurisdiction over all suits brought to enforce any duty or liability
+Added: created by the Exchange Act or the rules and regulations thereunder.
22 of the Securities Act creates concurrent jurisdiction for federal and state courts over all suits brought to enforce any duty or liability
12 unchanged sentences
costs associated with resolving such action in other jurisdictions, which could harm our business, results of operations, and financial
−Removed: to maintain effective internal controls could cause our investors to lose confidence in us and adversely affect the market price of our
−Removed: common stock.
−Removed: If our internal controls are not effective, we may not be able to accurately report our financial results or prevent fraud.
+Added: to maintain effective internal controls could cause our investors to lose confidence in us and adversely affect the market
+Added: price of our common stock.
+Added: If our internal controls are not effective, we may not be able to accurately report our financial results
+Added: or prevent fraud.
internal control over financial reporting is necessary for us to provide reliable financial reports in a timely manner.
7 unchanged sentences
statements will not be prevented or detected on a timely basis.
−Removed: We have implemented additional
−Removed: review procedures including addition of accounting consultants to remediate such weakness.
−Removed: While we believe that our remediation efforts
−Removed: will resolve the identified material weakness, there is no assurance that such efforts will be sufficient or that additional actions will
−Removed: not be necessary, which may undermine our ability to provide accurate, timely and reliable reports on our financial and operating results.
−Removed: Furthermore, if we remediate our current material weakness but identify new material weaknesses in our internal control over financial
−Removed: reporting in the future, investors may lose confidence in the accuracy and completeness of our financial reports and the market price
−Removed: of our common stock may be negatively affected.
−Removed: As a result of such failures, we could also become subject to investigations by Nasdaq,
−Removed: the SEC, or other regulatory authorities, and become subject to litigation from investors and stockholders, which could harm our reputation,
−Removed: financial condition or divert financial and management resources from our business.
+Added: have implemented additional review procedures including addition of accounting consultants to remediate such weakness.
+Added: While we believe
+Added: that our remediation efforts will resolve the identified material weakness, there is no assurance that such efforts will be sufficient
+Added: or that additional actions will not be necessary, which may undermine our ability to provide accurate, timely and reliable reports on
+Added: our financial and operating results.
+Added: Furthermore, if we remediate our current material weakness but identify new material weaknesses
+Added: in our internal control over financial reporting in the future, investors may lose confidence in the accuracy and completeness of our
+Added: financial reports and the market price of our common stock may be negatively affected.
+Added: As a result of such failures, we could also become
+Added: subject to investigations by Nasdaq, the SEC, or other regulatory authorities, and become subject to litigation from investors and stockholders,
+Added: which could harm our reputation, financial condition or divert financial and management resources from our business.
and economic conditions may negatively impact our business, financial condition and share price.
26 unchanged sentences
cause our share price to fall.
−Removed: In addition, the perception that sales of our common stock could occur, could cause our stock price to fall.
+Added: In addition, the perception that sales of our common stock could occur, could cause our stock price to
expect that significant additional capital will be needed to continue our planned operations, including increased marketing, hiring new
8 unchanged sentences
stockholders.
−Removed: Furthermore, sales of a substantial number of our shares of common stock in the public markets or the perception
−Removed: that such sales could occur, could depress the market price of our common stock and impair our ability to raise capital through the sale
−Removed: of additional equity securities.
−Removed: The number of shares of our common stock available
−Removed: for future issuance or sale could adversely affect the per share trading price of our common stock.
−Removed: We cannot predict whether future
−Removed: issuances or sales of our common stock or the availability of shares for resale in the open market will decrease the per share trading
−Removed: price of our common stock.
−Removed: The issuance of a substantial number of shares of our common stock in the public market or the perception that
−Removed: such issuances might occur could adversely affect the per share trading price of our common stock.
+Added: Furthermore, sales of a substantial number of our shares of common stock in the public markets or the perception that such
+Added: sales could occur, could depress the market price of our common stock and impair our ability to raise capital through the sale of additional
+Added: equity securities.
+Added: number of shares of our common stock available for future issuance or sale could adversely affect the per share trading price of our
+Added: common stock.
+Added: cannot predict whether future issuances or sales of our common stock or the availability of shares for resale in the open market will
+Added: decrease the per share trading price of our common stock.
+Added: The issuance of a substantial number of shares of our common stock in the public
+Added: market or the perception that such issuances might occur could adversely affect the per share trading price of our common stock.
are an “emerging growth company” and will be able to avail ourselves of reduced disclosure requirements applicable to emerging
45 unchanged sentences
otherwise we may fall out of compliance and risk becoming subject to litigation or being delisted, among other potential problems.
−Removed: UNRESOLVED STAFF COMMENTS
Compared sentence by sentence after normalising whitespace, quotation marks, case and digits, so re-formatting and restated figures do not read as changed language. Wording changes appear as one removal and one addition. The current filing and the prior one are authoritative.