Item 2. Management’s Discussion and Analysis
Item 2. Management’s Discussion and Analysis of Financial
Condition and Results of Operations.
Forward-Looking Statement Notice
Certain statements made
in this Quarterly Report on Form 10-Q are “forward-looking statements” (within the meaning of the Private Securities
Litigation Reform Act of 1995) regarding the plans and objectives of management for future operations. Such statements involve
known and unknown risks, uncertainties and other factors that may cause actual results, performance or achievements of Enochian
Biosciences, Inc. (“Enochian”, and together with its subsidiaries, the “Company”, “we” or “us”)
to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements.
The forward-looking statements included herein are based on current expectations that involve numerous risks and uncertainties.
Our actual future results and trends may differ materially depending on a variety of factors, including, but not limited to, the
risks and uncertainties discussed in Part I, Item 1A, “Risk Factors” in our Annual Report on Form 10-K as filed with
the SEC on September 24, 2021. The Company’s plans and objectives are based, in part, on assumptions involving the continued
expansion of the business. Assumptions relating to the foregoing involve judgments with respect to, among other things, future
economic, competitive and market conditions and future business decisions, all of which are difficult or impossible to predict
accurately and many of which are beyond the control of the Company. Although the Company believes its assumptions underlying the
forward-looking statements are reasonable, any of the assumptions could prove inaccurate and, therefore, there can be no assurance
the forward-looking statements included in this Quarterly Report will prove to be accurate. In light of the significant uncertainties
inherent in the forward-looking statements included herein, the inclusion of such information should not be regarded as a representation
by the Company or any other person that the objectives and plans of the Company will be achieved.
Our Business
We
are a pre-clinical stage biotechnology company committed to using our genetically modified cell, gene, and immune therapy technologies
to potentially prevent or cure HIV, HBV, influenza and coronavirus infections, as well as to provide potentially long-term or life-long
cancer remission in some of the deadliest cancers.
Over the past several years,
Enochian BioSciences Inc. has expanded the pipeline from a single potential cure for HIV (autologous transplantation with gene-modified
cells; ENOB-HV-01) to three additional potential cures for HIV, a potential cure for Hepatitis B Virus (HBV), potential inhaled
treatment and prophylaxis/prevention of all variants of SARS-CoV-1 and -2 (the cause of the COVID-19 pandemic), and potential cures
for many solid tumors, beginning with pancreatic cancer.
Our integrated platforms
encompass innovative interventions in gene and immune therapies that provide hope for cures or life-long remissions for devastating
diseases. Our platforms can potentially streamline and accelerate pre-clinical, regulatory, clinical, and production pathways.
Because of the relative ease of administration, our potentially groundbreaking interventions could be used throughout the world.
Platforms:
Hijack RNA
Our novel approach
tricks the virus into sending suicide signals to the infected cell instead of turning the cell into a virus factory. The technology
is delivered by vectors that would allow it to rapidly treat an infection, or to lay and wait in ambush until a cell becomes infected,
which would prevent (prophylaxis, similar to taking drugs to protect from becoming infected with malaria or HIV) future infections.
The delivery mechanism
can be adapted for aerosol (e.g., respiratory infections like the virus that causes COVID-19 and influenza), intravenous or other
delivery mechanisms (e.g. for Hepatitis B Virus and HIV).
Allogeneic Cell
Therapy
The human immune
system is designed to recognize “self” and destroy “otherness” or “non-self”, such as bacteria,
viruses and cancer cells.
Alloreactivity
(reacting against another person’s cells) is the most powerful response the immune system generates. Several of our technologies
take advantage of the alloreactivity to hyperstimulate a person’s immune response to better attack a chronic infection (e.g.
HIV) or solid tumors. In certain treatments (e.g. HIV and cancer), cells taken from healthy donors are sometimes genetically modified
to further boost the immune system to seek and kill diseases.
In addition to
those platforms, Enochian BioSciences has an innovative approach to remove cells from a person living with HIV and genetically
modify them so they cannot be infected with HIV. The unique innovation is an additional genetic alteration to increase the ability
of those cells to survive and expand when they are given back to the same person (autologous transplantation).
To
date, our operations have been funded by sales of our securities and the issuance of debt. We have never generated any sales revenue,
and we expect this to continue until our therapies or products are approved for marketing in the United States and/or Europe. Even
if we are successful in having our therapies or products approved for sale in the United States and/or Europe, we cannot guarantee
that a market for the therapies or products will develop. We may never be profitable.
Respiratory Diseases
In
June 2021, Enochian BioSciences acquired the exclusive license to a potential pan-SARS-Cornavirus-1 and-2 (SARS-CoV) and pan-Influenza
inhaled treatment and prophylaxis.
SARS-CoV-2
has caused the most devastating global pandemic in a century – COVID-19. Using the Hijack RNA platform technology, in
vitro and in vivo results showing rapid killing of infected cells but not uninfected cells were presented at the important
Conference on Retroviruses and Opportunistic Infections in March 2021. Since that time, there has been substantial progress with
a Pre-IND (as defined below) submission expected in the near term.
22
Influenza
has caused dozens of major global pandemics; the most notable in 1918 that killed 50 to 100 million people. There was an H1N1 threat
as recently as 2009. The Hijack RNA also has shown promising in vitro results that were presented at the Annual Conference
of the American Society of Gene and Cell Therapy (ASGCT) in May 2020.
Two
leading scientists and public health experts were announced as members of our newly formed Scientific Advisory Board focused on
respiratory diseases on August 30, 2021.
Human Immunodeficiency
Virus (HIV), and Acquired Immunodeficiency Syndrome (AIDS)
HIV
attacks the human immune system, specifically killing off CD4+ cells, or T cells, which play a central, controlling role in the
immune system. Left untreated, HIV dramatically reduces the number of T cells in the body, devastates the immune system, leading
to AIDS, a condition where the immune system cannot fight off life-threatening infections and cancers.
Currently
there are over 30 antiretroviral drugs, or ART, approved by the U.S. Food and Drug Administration (“FDA”) to treat
HIV but these drugs are expensive, require daily adherence, and can have significant side effects over time. In addition, on a
global basis, as many as 1 million people, including persons in high-income countries, continue to die each year from HIV/AIDS
due to drug-resistant HIV or lack of access to treatment. To date, there are no treatments that can eliminate the reservoir of
immune cells that are infected with HIV from the body. Consequently, treatment for HIV is life-long.
There
have been several efforts to cure HIV by re-engineering a person’s own T-cells so that these cells no longer express a special
protein (C-C chemokine co-receptor type 5 or CCR5), which HIV uses to gain entry to them. A naturally occurring mutation that blocks
expression of CCR5 on T cells occurs in ~1% of persons living in or from Northern Europe with no known adverse effects. The “Berlin
patient”, and more recently the “London patient” were HIV-positive persons who developed cancer and were treated
with a bone marrow transplant with cells donated from persons with this naturally occurring mutation of CCR5. The Berlin and London
patients seem to have been effectively cured from HIV providing proof-of-concept that HIV can be cured. However, because the transplanted
cells come from another person, such transplants carry high risk and can result in death in a significant proportion of patients.
Given the success with these two patients, several researchers and companies have attempted to replicate this experience by genetically
modifying T cells of HIV-positive patients to render them unable to be infected by HIV and then returning them to the patient.
Because the transplanted cells are from the same person, the risks to the patient are much lower. The uptake, or engraftment of
the modified T cells, however, has not been optimal, leading to failure to achieve a cure. In addition, the transplant pre-treatment
that has been used is bone marrow-destroying chemotherapy, which wipes out the patient’s immune system and can have long-term
side effects including the risk of developing cancer.
ENOB-HV-01
is a novel, proprietary approach with the potential to overcome the failures of recent efforts to develop a cure for HIV. The intervention
provides gene-modified T cells with a competitive advantage over non-modified cells in the HIV-positive person, with the potential
to significantly increase engraftment; and avoid the need for chemotherapy that substantially depletes the bone marrow and could
potentially be given as an outpatient treatment. The Company met with the FDA INTERACT team on June 2, 2020. INTERACT is the first
available FDA interaction and is a key step in the process towards a potential Investigational New Drug Application (IND) to study
First-in-Human products potentially leading to marketing authorization via Biologics License Application (BLA). The FDA Center
for Biologics Evaluation and Research (CBER) has numerous INTERACT requests and grants meetings that are deemed appropriate for
this early FDA engagement. The Enochian management team considered the meeting to be successful with strong alignment between Enochian’s
approach to developing ENOB-HV-01 and the comments of the FDA reviewers.
Initial
scientific findings from a mouse study on the ENOB-HV-01 approach were presented at the annual ASCGT conference in May 2020. Additional
in vitro and in vivo studies are ongoing and/or planned. We hope to make a Pre-IND submission to the US FDA in the
latter part of 2022.
We
are also developing ENOB-HV-11 and ENOB-HV-12 that will utilize a novel cellular- and immunotherapy approach that could potentially
provide both preventative and therapeutic vaccines for HIV. A non-human primate study is in process and on schedule. Preliminary
results could potentially be available by the latter part of 2022.
23
Our co-founder and inventor,
Dr. Serhat Gumrukcu, who is also the Director of Seraph Research Institute (SRI), submitted Pre-IND for ENOB-HV-21 an innovative
treatment of Natural Killer (NK) and Gamma Delta T-Cells (GDT) collected from another person. It is believed that the GDT cells,
a small subset of immune cells that can be infected with HIV, could be a key factor in controlling the virus. The initial scientific
findings were presented during the ASCGT Conference this past May. Enochian BioSciences has an exclusive license to use the underlying
patent to develop ENOB-HV-21 for the prevention, treatment, and/or amelioration of and/or therapy exclusively for HIV in humans,
and research and development exclusively relating to HIV in humans.
We
are in the development phase of additional product candidates related to our HIV pipeline. ENOB-HV-31, which is an in vivo gene
therapy, and ENOB-HV-32, which is a peptide drug for packaging and distribution.
Hepatitis B (HBV)
Despite the availability
of an effective vaccine and treatment that can control infection if it is taken daily for life, hepatitis B virus (HBV) is the
world’s most common serious liver infection. While vaccines are increasingly required for children, many adults have not
been vaccinated. Life-long treatment can be difficult for certain people and access can be limited.
In that regard, HBV remains
the leading cause of liver cancer and the second leading cause of cancer deaths in the world. Two billion people have been infected
with HBV, approximately 350 million have chronic HBV infection, and nearly one million people die every year.
Current efforts to develop
novel treatment or cure largely focus on approaches to deplete the pool of a certain type of HBV DNA. Enochian BioSciences has
collaborated with SRI to develop an innovative approach to co-opt HBV polymerase, a key expanding factor that the virus needs to
reproduce itself, to induce the death of liver cells infected with the virus.
On July 27, 2020, Enochian
BioSciences announced the creation of an HBV Scientific Advisory Board comprised of distinguished leaders in HBV disease, treatment
and cure. On August 23, 2021, we announced the addition of a third leading expert with substantial experience in HBV clinical trials.
The initial in vitro
and in vivo work was presented at the biannual HEP DART meeting in December of 2019, where it was selected as one of
the best new therapies/novel strategies. Additional data was presented at the annual ASCGT conference in May 2020. A proof-of-concept,
in vivo cure study is in advanced stages. A Pre-IND request was accepted.
Cancer
Based on learning from peer-reviewed publications
of Phase I/IIa trials, we have designed an innovative therapeutic vaccination platform that could potentially be used to induce
life-long remissions from some of the deadliest solid tumors. Initial preclinical in vitro studies have been encouraging.
We initially plan to target pancreatic cancer, triple-negative breast cancer, glioblastoma, and renal cell carcinoma. The platform
might also allow for non-specific immune enhancement that could have impact against a broad array of solid tumors. As with HIV,
our approach would potentially allow for outpatient therapy without ablating or significantly impairing the patient’s immune
system, as many current approaches require.
Through a collaboration with a leader in the
field of pancreatic cancer, our first cancer-related therapeutic target, we are developing the pipeline with in vitro and
in vivo proof-of-concept studies to evaluate the potential to induce long-term remission or cure. Results are expected in
late 2021or first half 2022.
Recent Developments
On August 11, 2021, and with an effective date
of July 1, 2021, the Company and Dr. Dybul entered into an Employment Agreement.
24
On September 27, 2021, the
Company announced the completion of a Pre-Investigational New Drug (IND) process following receipt of written comments from the
U.S. Food and Drug Administration (FDA) Center for Biologics Evaluation and Research (CBER) Office of Tissues and Advanced Therapies
(OTAT) for ENOB-HB-01.
On October 18, 2021, the Company announced the
completion of an Investigator Pre-Investigational New Drug (IND) process following receipt of written comments from the U.S. Food
and Drug Administration (FDA) Center for Biologics Evaluation and Research (CBER) Office of Tissues and Advanced Therapies (OTAT)
for ENOB-HV-21.
Corporate History
On February 16, 2018, we
completed our acquisition of Enochian Biopharma pursuant to an acquisition agreement, dated January 12, 2018, by and among the
Registrant, its wholly owned subsidiary DanDrit Acquisition Sub, Inc., Enochian Biopharma and Weird Science with Enochian Biopharma
surviving as a wholly owned subsidiary of the Registrant. As consideration for the acquisition, the stockholders of Enochian Biopharma
received (i) 18,081,962 shares of Common Stock and (ii) the right to receive contingent shares pro rata upon the exercise or conversion
of warrants, which were outstanding at closing (see Note 7.)
COVID-19
The COVID-19 pandemic continues
to evolve, and to date has led to the implementation of various mitigation responses, including government-imposed quarantines,
travel restrictions and other public health safety measures, as well as leading to reported adverse impacts on healthcare resources,
facilities and providers across the United States and in other countries. COVID-19 may cause delays in our research activities.
To date, it has not materially affected our operations; however it has caused delays in the conduct of experiments due to limitations
of various organizations, in particular those conducting experiments related to COVID-19. There have also been increases in the
cost to conduct animal studies due to staffing and other limitations.
The full extent to which
the COVID-19 pandemic may impact our business and operations is subject to future developments, which are uncertain and difficult
to predict. Further quarantines, shelter-in-place or similar restrictions and other actions taken or imposed by foreign, federal,
state and local governments could adversely impact our or our partners’ clinical, research and development, regulatory and
manufacturing operations or timelines.
We continue to monitor the
impact of the COVID-19 pandemic on our business and operations and will seek to adjust our activities as appropriate. In addition,
the pandemic could result in significant and prolonged disruption of global financial markets, reducing our ability to access capital,
which could in the future negatively affect the financial resources available to us.
25
Results
of Operations for the three months ended September 30, 2021 and 2020
The following table sets
forth our revenues, expenses and net loss for the three months ended September 30, 2021 and 2020. The financial information below
is derived from our unaudited condensed consolidated financial statements.
For the Three Months Ended
September 30,
Increase/(Decrease)
2021
2020
$
%
Operating Expenses
General and administrative expenses
$ 4,466,697
$ 1,777,923
$ 2,688,774
151 %
Research and development expenses
3,006,243
1,050,376
1,955,867
186 %
Depreciation and amortization
31,733
30,458
1,275
4 %
Total Operating Expense
7,504,673
2,858,757
4,645,916
163 %
LOSS FROM OPERATIONS
(7,504,673 )
(2,858,757 )
(4,645,916 )
163 %
Other Income (Expense)
Change in fair value of contingent consideration
(2,824,642 )
427,400
(3,252,042 )
(761 )%
Interest expense
(89,739 )
(92,313 )
2,574
(3 )%
Gain on currency transactions
9
—
9
100 %
Interest income
7,110
4,306
2,804
65 %
Total Other Income (Expense)
(2,907,262 )
339,393
(3,246,655 )
(957 )%
Loss Before Income Taxes
(10,411,935 )
(2,519,364 )
(7,892,571 )
313 %
Income Tax Benefit (Provision)
(34 )
122,794
(122,828 )
100 %
NET LOSS
$ (10,411,969 )
$ (2,396,570 )
$ (8,015,399 )
335 %
Results of Operations
for the three months ended September 30, 2021 compared to the three months ended September 30, 2020
Revenues
We are a pre-revenue, pre-clinical biotechnology company. We have
never generated revenues and have incurred losses since inception. We do not anticipate earning any revenues until our therapies
or products are approved for marketing and sale.
Expenses
Our operating expenses for
the three months ended September 30, 2021, and September 30, 2020 were $7,504,673 and $2,858,757,
respectively, representing an increase of $4,645,916, or approximately 163% .
General and administrative
expenses for the three months ended September 30, 2021, and September 30, 2020 were $4,466,697 and $1,777,923, respectively, representing
an increase of $2,688,774 or approximately 151%. The variance is primarily related to an increase in stock based compensation of
$2,401,819, and an increase in compensation expense of $353,422, partially offset by decreases in legal fees and consulting fees
totaling $161,881.
Research and development
expenses for the three months ended September 30, 2021, and September 30, 2020 were $3,006,243 and $1,050,3776, respectively, representing
an increase of $1,955,867, or approximately 186%. The variance is primarily driven by a $1,500,000 milestone payment related to
the pre-IND submission for ENOB-HB-01, $600,000 related to costs for ENOB-HV-21, an increase in CRO costs of $48,000, Covid license
payments of $75,000, and $76,383 in additional regulatory consulting fees, partially offset by a decrease of $400,000 in payments
of 3 rd party R&D study fees incurred in the prior period but, not incurred in the current period. All other R&D
costs have remained relatively stable during these periods.
The Company recorded other
(expense) of $2,907,262 for the three months ended September 30, 2021, compared to other income of $339,393 for the three months
ended September 30, 2020, representing an increase in other expense of $3,246,655 or 957%. The variance is primarily due to the
change in fair value of the contingent consideration liability expense of $3,252,042.
26
Net Loss
Net loss for the three months
ended September 30, 2021, and 2020, was $10,411,969 and $2,396,570, respectively, representing an increase in loss of $8,015,399
or approximately 335%. The increase in loss was primarily due to the increase in expense related to the change in fair value of
the contingent consideration of $3,252,042, an increase in research and development expenses of $1,955,867 primarily related to
the $1,500,000 milestone payment made in connection with the HBV license agreement and, costs related to ENOB-HV-21, and an increase
in general and administrative expenses of $2,688,774.
Liquidity and Capital Resources
We have historically satisfied
our capital and liquidity requirements through funding from shareholders, the sale of our Common Stock and warrants, and debt financing.
We have never generated any sales revenue to support our operations and we expect this to continue until our therapies or products
are approved for marketing in the United States and/or Europe. Even if we are successful in having our therapies or products approved
for sale in the United States and/or Europe, we cannot guarantee that a market for the therapies or products will develop. We may
never be profitable.
At this time, we believe
we have sufficient liquidity and access to committed funds to fund our operations for the next twelve months. We may need additional
funds for (a) the purchase of equipment, (b) increases in personnel, and, (c) research and development, specifically to advance
towards an Investigational New Drug Application (IND) following Pre-IND readouts from the FDA for ENOB-CV-01, ENOB-HB-01, ENOB-HV-01,
and ENOB-HV-21. We will also require additional funding to continue our research and development of ENOB-HV-11/12 and ENOB-DC-11
and ENOB-FL-01 and -11 and ENOB-CV-11, to fund the Coronavirus and Influenza Indications License Agreement in furtherance of treatment
related to all coronaviruses, and for possible future strategic acquisitions of businesses, products or technologies complementary
to our business. If additional funds are required, we may raise such funds from time to time through public or private sales of
our equity or debt securities. Such financing may not be available on acceptable terms, or at all, and our failure to raise capital
when needed could materially adversely affect our growth plans and our financial condition and results of operations.
As of September 30, 2021,
the Company had $15,377,050 in cash and working capital of $14,244,631 as compared to $20,664,410 in cash and working capital of
$19,013,100 as of June 30, 2021, a decrease of 26 % and 25%, respectively.
Assets
Total assets at September
30, 2021, were $184,064,717 compared to $189,605,225 as of June 30, 2021. The decrease in total assets was primarily due to the
decrease in cash of $5,287,360. The change is primarily attributed to $3,006,243 in research and development costs primarily related
to the HBV License Agreement and ENOB-HV-21 studies, and general and administrative expenses of $1,738,722 net of non-cash items.
Liabilities
Total liabilities at September
30, 2021, were $17,089,765 compared to $14,942,286 as of June 30, 2021. The increase in total liabilities was primarily related
to the increase of 2,824,642 in the contingent consideration liability as a result of mark-to-market adjustment, and the increase
in accounts payable of $227,307, partially offset by the reduction in accrued expenses of $817,554 due to timing, and a decrease
in other short-term liabilities of $90,602.
27
The following is a summary
of the Company’s cash flows (used by) or provided by operating, investing, and financing activities:
Three
Months
Ended
September 30,
2021
Three Months
Ended September 30,
2020
Net Cash (Used in) Operating Activities
$ (5,276,687 )
$ (2,755,665 )
Net Cash (Used in) Investing Activities
(5,156 )
—
Net Cash Provided by Financing Activities
—
—
(Loss) Gain on Currency Translation
(5,517 )
24,965
Change in Cash and Cash Equivalents
$ (5,287,360 )
$ (2,730,700 )
Cash Flows
Cash used in operating activities
for the three months ended September 30, 2021, and 2020 was ($5,276,687) and ($2,755,665), respectively. Cash used in operating
activities during the current period included $3,006,243 in research and development costs primarily related to the HBV License
Agreement and studies related to ENOB-HV-21, and general and administrative expenses of $1,738,722 net of non-cash items.
Off-Balance Sheet Arrangements
The Company does not have
any off-balance sheet arrangements that have or are reasonably likely to have a current or future effect on the Company’s
financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures
or capital resources that is material to investors.
Significant Accounting Policies and Critical
Accounting Estimates
The methods, estimates,
and judgments that we use in applying our accounting policies have a significant impact on the results that we report in our financial
statements. Some of our accounting policies require us to make difficult and subjective judgments, often as a result of the need
to make estimates regarding matters that are inherently uncertain.
For a full explanation of
our accounting policies, see Note 1 to the unaudited condensed consolidated financial statements.
Item 3. Quantitative and Qualitative Disclosures
About Market Risk.
As a “smaller reporting
company” as defined by Rule 12b-2 of the Securities Exchange Act of 1934, the Company is not required to provide the information
required by this Item.
Text extracted from the filing as submitted to EDGAR. Formatting, tables and exhibits are simplified for reading; the original document is authoritative for anything you rely on.