Item 1A. Risk Factors
ITEM
1A. RISK
FACTORS
In
addition to the other information set forth in this Report, consider the risk factors discussed in Part 1, “Item 1A. Risk Factors”
in the Company’s Annual Report filed on Form 10-K for the year ended December 31, 2020 filed with the SEC on March 11, 2021, risk
factors discussed in Item 1A of the Form 10-Q for the quarter ended March 31, 2021 filed with the SEC on May 6, 2021, risk factors discussed
in Item 1A of the Form 10-Q for the quarter ended June 30, 2021 filed with the SEC on August 5, 2021 and the risk factors discussed in
Item 1A of this Form 10-Q, which could materially affect our business, financial condition or future results. The risks described in
the aforementioned report are not the only risks facing the Company. Additional risks and uncertainties not currently known to the Company
or that it currently deems to be not material also may materially adversely affect the Company’s business, financial condition
and or operating results.
The
following are the risk factors that have materially changed from our risk factors included in our Form 10-K for the year ended December
31, 2020 filed with the SEC on March 11, 2021, from our risk factors included in our Form 10-Q for the quarter ended March 31, 2021 filed
with the SEC on May 6, 2021, and from our risk factors included in our Form 10-Q for the quarter ended June 30, 2021 filed with the SEC
on August 4, 2021.
Risks
Relating to Our Business and Industry
We
will not be able to successfully commercialize our product candidates without establishing sales, marketing and market access capabilities
internally or through collaborators.
We
currently do not have a sales, marketing and market access staff. If and when any of our product candidates are commercialized, we may
not be able to find suitable sales and marketing staff and collaborators for our product candidates. The outside collaborators we work
with, including Antares under the Antares License Agreement with respect to TLANDO, may not be adequate or successful and any collaborators
could terminate or materially reduce the effort they direct to our products. The development of collaborations or an internal sales force
and marketing, market access and sales capability will require significant capital, management resources and time. The cost of establishing
such a sales force may exceed any potential product revenues and our marketing, market access and sales efforts may be unsuccessful.
If we are unable to develop an internal marketing, market access and sales capability or if we are unable to enter into a marketing and
sales arrangement with a third party on acceptable terms, we may be unable to successfully commercialize our product candidates.
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We
will need to grow our Company, and we may encounter difficulties in managing this growth, which could disrupt our operations.
As
of September 30, 2021, we had 13 employees. To manage our anticipated future growth, we must continue to implement and improve our managerial,
operational and financial systems, expand our facilities and continue to recruit and train additional qualified personnel. Also, our
management may need to divert a disproportionate amount of its attention away from our day-to-day activities and devote a substantial
amount of time to managing these growth activities. Due to our limited resources, we may not be able to effectively manage the expansion
of our operations or recruit and train additional qualified personnel. This may result in weaknesses in our infrastructure, give rise
to operational mistakes, loss of business opportunities, loss of employees and reduced productivity among remaining employees. The physical
expansion of our operations may lead to significant costs and may divert financial resources from other projects. If our management is
unable to effectively manage our future growth, our expenses may increase more than expected, our ability to generate revenue could be
reduced and we may not be able to implement our business strategy. Our future financial performance and our ability to commercialize
our product candidates and compete effectively will depend, in part, on our ability to effectively manage any future growth.
Risks
Related to Our Dependence on Third Parties
We
may enter into collaborations with third parties for the development and commercialization of our drug candidates. If those collaborations,
including, without limitation, our license arrangement with Antares for the development and commercialization of TLANDO, are not successful,
we may not be able to capitalize on the market potential of these drug candidates and may have to alter our development and commercialization
plans for our products.
Our
drug development programs for our product candidates will require substantial additional cash to fund expenses. We have not yet established
any collaborative arrangements relating to the development or commercialization of LPCN 1144, TLANDO XR, LPCN 1148, LPCN 1154, or LPCN
1107. We have entered into the Antares License Agreement for TLANDO with respect to TRT in the U.S. We intend to continue to develop
our product candidates in the United States without a partner although our ability to advance these product candidates will depend on
our capital resources. However, in order to commercialize our product candidates in the United States, we have partnered with Antares
with respect to TLANDO and we will likely look to establish a partnership or co-promotion arrangement with an established pharmaceutical
company that has a sales force, collaborate on the establishment of an internal sales force or build an internal sales force on our own
with respect to other product candidates. We may also seek to enter into collaborative arrangements to develop and commercialize our
product candidates outside the United States. We will face significant competition in seeking appropriate collaborators and these collaborations
are complex and time-consuming to negotiate and document. We may not be able to negotiate collaborations on acceptable terms or in a
timely manner, or at all. If that were to occur, we may have to curtail the development or delay commercialization of our product candidates
in certain geographies, reduce the scope of our sales or marketing activities, reduce the scope of our commercialization plans, or increase
our expenditures and undertake development or commercialization activities at our own expense. If we elect to increase our expenditures
to fund development or commercialization activities either inside or outside of the United States on our own, we may need to obtain additional
capital, which may not be available to us on acceptable terms, or at all.
To
the extent we have, and if we do enter into any further such arrangements with any third parties, we will likely have limited control
over the amount and timing of resources that our collaborators dedicate to the development or commercialization of our drug candidates.
On October 14, 2021, we entered into the Antares License Agreement with Antares, pursuant to which we granted to Antares an exclusive,
royalty-bearing, sublicensable right and license to develop and commercialize, upon final approval of TLANDO from the FDA, our TLANDO
product with respect to TRT in the U.S. The Antares License Agreement also provides Antares with an option, exercisable on or before
March 31, 2022, to license TLANDO XR. Consequently, our ability to generate any revenues from TLANDO with respect to TRT in the U.S.
depends on our ability to maintain our collaborations with Antares, as well as the efforts of Antares to commercialize TLANDO, once final
FDA approval is obtained. We have limited control over the amount and timing of resources that Antares will dedicate to these efforts.
Our
ability to generate revenues from this and other collaborative arrangements will depend on our collaborators’ abilities and efforts
to successfully perform the functions assigned to them in these arrangements. Collaborations involving our drug candidates, such as our
collaborations with Antares, pose numerous risks to us, including the following:
●
collaborators
have significant discretion in determining the efforts and resources that they will apply to these collaborations and may not perform
their obligations as expected;
●
collaborators
may de-emphasize or not pursue development and commercialization of our drug candidates or may elect not to continue or renew development
or commercialization programs based on clinical trial results, changes in the collaborators’ strategic focus, including as
a result of a sale or disposition of a business unit or development function, or available funding or external factors such as an
acquisition that diverts resources or creates competing priorities;
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●
collaborators
may delay clinical trials, provide insufficient funding for a clinical trial program, stop a clinical trial or abandon a drug candidate,
repeat or conduct new clinical trials or require a new formulation of a drug candidate for clinical testing;
●
collaborators
could independently develop, or develop with third parties, products that compete directly or indirectly with our products or drug
candidates if the collaborators believe that competitive products are more likely to be successfully developed or can be commercialized
under terms that are more economically attractive than ours;
●
a
collaborator with marketing and distribution rights to multiple products may not commit sufficient resources to the marketing and
distribution of our product relative to other products;
●
collaborators
may not properly obtain, maintain, defend or enforce our intellectual property rights or may use our proprietary information and
intellectual property in such a way as to invite litigation or other intellectual property related proceedings that could jeopardize
or invalidate our proprietary information and intellectual property or expose us to potential litigation or other intellectual property
related proceedings;
●
disputes
may arise between the collaborators and us that result in the delay or termination of the research, development or commercialization
of our products or drug candidates or that result in costly litigation or arbitration that diverts management attention and resources;
●
collaborations
may be terminated and, if terminated, may result in a need for additional capital to pursue further development or commercialization
of the applicable drug candidates;
●
collaboration
agreements may not lead to development or commercialization of drug candidates in the most efficient manner or at all; and
●
if
a collaborator of ours were to be involved in a business combination, the continued pursuit and emphasis on our product development
or commercialization program could be delayed, diminished or terminated.
If
our license arrangements with Antares, or any future license or collaboration we may enter into, if any, is not successful, our business,
financial condition, results of operations, prospects and development and commercialization efforts may be adversely affected. Any termination
or expiration of the Antares License Agreement, or any future license or collaboration we may enter into, if any, could adversely affect
us financially or harm our business reputation, development and commercialization efforts.
Risks
Related to Ownership of Our Common Stock
The
value of our warrants outstanding from the November 2019 Offering is subject to potentially material increases and decreases based on
fluctuations in the price of our common stock.
In
November 2019, we completed a public offering of common stock and warrants to purchase common stock (the “November 2019 Offering”).
Gross proceeds from the November 2019 Offering were approximately $6.0 million. In the November 2019 Offering, the Company sold (i) 10,450,000
Class A Units, with each Class A Unit consisting of one share of common stock and a common stock warrant to purchase one share of common
stock, and (ii) 1,550,000 Class B Units, with each Class B Unit consisting of one pre-funded warrant to purchase one share of a common
stock and one common stock warrant to purchase one share of common stock at a price of $0.50 per Class A Unit and $0.4999 per Class B
Unit. The pre-funded warrants were issued in lieu of common stock in order to ensure the purchaser did not exceed certain beneficial
ownership limitations. The pre-funded warrants were immediately exercisable at an exercise price of $.0001 per share, subject to adjustment.
Additionally, the common stock warrants were immediately exercisable at an exercise price of $0.50 per share and expire on November 17,
2024.
We
account for the common stock warrants as a derivative instrument, and changes in the fair value of the warrants are included under other
income (expense) in the Company’s statements of operations for each reporting period. At September 30, 2021, the aggregate fair
value of the warrant liability included in the Company’s consolidated balance sheet was $645,000. We use the Black-Scholes option
pricing model to determine the fair value of the warrants. As a result, the option-pricing model requires the input of several assumptions,
including the stock price volatility, share price and risk-free interest rate. Changes in these assumptions can materially affect the
fair value estimate. While the liability may only result from a change of control at that point in time, we ultimately may incur amounts
significantly different than the carrying value.
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Our
management and directors will be able to exert influence over our affairs.
As
of September 30, 2021, our executive officers and directors beneficially owned approximately 5.0% of our common stock. These stockholders,
if they act together, may be able to influence our management and affairs and all matters requiring stockholder approval, including significant
corporate transactions. This concentration of ownership may have the effect of delaying or preventing a change in control and might affect
the market price of our common stock.
The
market price of our common stock has been volatile over the past year and may continue to be volatile.
The
market price and trading volume of our common stock has been volatile over the past year and it may continue to be volatile. Over the
past year, our common stock has traded as low as $1.08 and as high as $2.28 per share. We cannot predict the price at which our common
stock will trade in the future and it may decline. The price at which our common stock trades may fluctuate significantly and may be
influenced by many factors, including our financial results; developments generally affecting our industry; general economic, industry
and market conditions; the depth and liquidity of the market for our common stock; investor perceptions of our business; reports by industry
analysts; announcements by other market participants, including, among others, investors, our competitors, and our customers; regulatory
action affecting our business; and the impact of other “Risk Factors” discussed herein and in our Annual Report. In addition,
changes in the trading price of our common stock may be inconsistent with our operating results and outlook. The volatility of the market
price of our common stock may adversely affect investors’ ability to purchase or sell shares of our common stock.
Risks
Relating to Our Financial Position and Capital Requirements
We
have incurred significant operating losses in most years since our inception and anticipate that we will incur continued losses for the
foreseeable future.
We
have focused a significant portion of our efforts on developing TLANDO and more recently on LPCN 1144. We have funded our operations
to date through sales of our equity securities, debt and payments received under our license and collaboration arrangements. We have
incurred losses in most years since our inception. As of September 30, 2021, we had an accumulated deficit of $185.3 million. Substantially
all of our operating losses resulted from costs incurred in connection with our research and development programs and from general and
administrative costs associated with our operations. These losses, combined with expected future losses, have had and will continue to
have an adverse effect on our stockholders’ equity and working capital. We expect our research and development expenses to significantly
increase in connection with clinical trials associated with LPCN 1144, TLANDO XR, LPCN 1148, LPCN 1154and LPCN 1107, if initiated. As
a result, we expect to continue to incur significant operating losses for the foreseeable future as we evaluate further clinical development
of LPCN 1144, TLANDO XR, LPCN 1148, LPCN 1154, LPCN 1107 and our other programs and continued research efforts. Because of the numerous
risks and uncertainties associated with developing pharmaceutical products, we are unable to predict the extent of any future losses
or when we will become profitable, if at all.
We
have limited shares available for issuance to raise capital to fund our operations and grant stock-based incentive awards to employees,
directors, and consultants. If we are unable to increase the number of shares of common stock available for issuance, our business will
be adversely affected.
Currently,
we have 100,000,000 authorized shares of common stock. As of September 30, 2021, we had 88,290,650 shares of common stock outstanding.
After taking into account the 3,915,790 shares reserved for issuance upon the exercise of outstanding options and 1,934,366 reserved
for issuance upon the exercise of outstanding warrants, as of September 30, 2021, we have a limited number of shares available for issuance.
If we are not able to increase the number of shares of common stock available for issuance, including, for example, through an amendment
to our certificate of incorporation or a reverse stock split, we will have limited shares available for issuance to raise capital to
fund our operations, make grants of stock-based incentive awards, or take such other actions requiring available capital stock needed
to operate our business. Further delays in securing, or the failure to secure, shareholder approval of such actions, if needed, may prevent
us from executing a capital raising transaction, which may have a material adverse effect on our business and financial condition.
ITEM
2. UNREGISTERED
SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
None.
ITEM
3. DEFAULTS
UPON SENIOR SECURITIES
None.
ITEM
4. MINE
SAFETY DISCLOSURES
None.
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