UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
WASHINGTON,
D.C. 20549
FORM
10-K
☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended December 31 , 2024
or
☐ TRANSITION
REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For
the transition period from ____ to ____
Commission
File Number: 001-36357
LIPOCINE
INC.
(Exact
name of registrant as specified in its charter)
Delaware
99-0370688
(State
or Other Jurisdiction of
Incorporation
or Organization)
(IRS
Employer
Identification
No.)
675
Arapeen Drive , Suite 202 ,
Salt
Lake City , Utah
84108
(Address
of Principal Executive Offices)
(Zip
Code)
801 - 994-7383
(Registrant’s
telephone number, including area code)
Securities
registered pursuant to Section 12(b) of the Act:
Title
of Each Class
Trading
Symbol(s)
Name
of Each Exchange on Which Registered
Common
Stock, par value $0.0001 per share
LPCN
The
NASDAQ Stock Market LLC
Securities
registered pursuant to Section 12(g) of the Act: None
Indicate
by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ☐ No ☒
Indicate
by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.
Yes ☐ No ☒
Indicate
by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities
Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such
reports) and (2) has been subject to such filing requirements for the past 90 days. Yes :
☒ No ☐
Indicate
by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule
405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant
was required to submit such files). Yes ☒ No ☐
Indicate
by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting
company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,”
“smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act:
Large
accelerated filer ☐
Accelerated filer
☐
Non-accelerated
filer ☒
Smaller reporting company ☒
Emerging growth company ☐
If
an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying
with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate
by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness
of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered
public accounting firm that prepared or issued its audit report. ☐
If
securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant
included in the filing reflect the correction of an error to previously issued financial statements. ☐
Indicate
by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation
received by any of the registrant’s executive officers during the relevant recovery period pursuant to § 240.10D-1(b). ☐
Indicate
by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes ☐ No ☒
Outstanding
Shares
The
aggregate market value of the common stock held by non-affiliates of the registrant was $ 42.8 million as of June 28, 2024. For purposes
of calculating the aggregate market value of shares of our common stock held by non-affiliates as set forth on the cover page of this
Annual Report on Form 10-K, we have assumed that all outstanding shares are held by non-affiliates, except for shares held by each of
our executive officers, directors and 10% or greater stockholders. However, this assumption should not be deemed to constitute an admission
that all executive officers, directors and 10% or greater stockholders are, in fact, affiliates of our company, or that there are no
other persons who may be deemed to be affiliates of our company. Further information concerning shareholdings of our officers, directors
and principal stockholders is included or incorporated by reference in Part III, Item 12 of this Annual Report on Form 10-K.
As
of March 11, 2025, the registrant had 5,350,356 shares of common stock outstanding.
DOCUMENTS
INCORPORATED BY REFERENCE
Portions of the definitive proxy statement relating to the annual meeting of shareholders to be held on June 4, 2025 are incorporated by reference into Part III of this annual report.
TABLE
OF CONTENTS
Page
PART
I
Item 1.
Business
4
Item 1A.
Risk
Factors
23
Item 1B.
Unresolved
Staff Comments
52
Item 1C.
Cybersecurity
52
Item
2.
Properties
52
Item
3.
Legal
Proceedings
52
Item
4.
Mine
Safety Disclosures
52
PART
II
Item
5.
Market
for the Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
53
Item
6.
[Reserved]
53
Item
7.
Management’s
Discussion and Analysis of Financial Condition and Results of Operations
53
Item
7A.
Quantitative
and Qualitative Disclosures About Market Risk
63
Item 8.
Financial
Statements and Supplementary Data
64
Item 9.
Changes
in and Disagreements with Accountants on Accounting and Financial Disclosure
92
Item 9A.
Controls
and Procedures
92
Item 9B.
Other
Information
92
Item 9C.
Disclosure
Regarding Foreign Jurisdictions that Prevent Inspections
92
PART
III
Item 10.
Directors,
Executive Officers and Corporate Governance
93
Item 11.
Executive
Compensation
93
Item 12.
Security
Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
93
Item 13.
Certain
Relationships and Related Transactions, and Director Independence
93
Item 14.
Principal
Accountant Fees and Services
93
PART
IV
Item 15.
Exhibits
and Financial Statement Schedules
94
Item 16.
10-K
Summary
97
2
FORWARD-LOOKING
STATEMENTS
THIS
ANNUAL REPORT ON FORM 10-K (THE “ANNUAL REPORT”), IN PARTICULAR “ITEM 7. MANAGEMENT’S DISCUSSION AND
ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATION,” AND “ITEM 1. BUSINESS,” CONTAINS FORWARD-LOOKING
STATEMENTS WITHIN THE MEANING OF SECTION 27A OF THE SECURITIES ACT OF 1933, AS AMENDED (the “SECURITIES ACT”), AND
SECTION 21E OF THE SECURITIES EXCHANGE ACT OF 1934, AS AMENDED (the “EXCHANGE ACT”), that involve risks and uncertainties. Forward-looking statements
provide current expectations of future events based on certain assumptions and include any statement that does not directly relate
to any historical or current fact. Forward-looking statements may refer to such matters as products, product benefits, pre-clinical
and clinical development timelines, clinical and regulatory expectations and plans, global political changes, particularly the transition in the U.S. presidential administration, and their impact on
the pharmaceutical industry, REGULATORY DEVELOPMENTS AND REQUIREMENTS, THE
RECEIPT OF REGULATORY APPROVALS, THE EXPECTATIONS FOR AND RESULTS OF CLINICAL TRIALS, PATIENT ACCEPTANCE OF LIPOCINE’S
PRODUCTS, MANUFACTURING AND COMMERCIALIZATION OF LIPOCINE’S PRODUCTS, anticipated financial performance, future revenues or
earnings, business prospects, projected ventures, new products and services, anticipated market performance, future expectations for
liquidity and capital resources needs and similar matters. Such words as
“may,” “will,” “expect,” “continue,” “estimate,” “project,” “intend,”
and “potential” and similar terms and expressions are intended to identify forward looking statements. Forward-looking statements
are not guarantees of future performance and our actual results may differ significantly from the results discussed in the forward-looking
statements. Factors that might cause such differences include, but are not limited to, those discussed in Part I, Item 1A “Risk
Factors” of this ANNUAL REPORT. Except as required by applicable law, we assume no obligation to revise or update any forward-looking
statements for any reason .
There
are a number of risks, uncertainties and other important factors that could cause our actual results to differ materially from the forward-looking
statements contained in this Annual Report. Such risks, uncertainties and other important factors include, among others,
the risks, uncertainties and factors set forth in “Risk Factors,” and the following risks, uncertainties and factors:
● our
and our licensee’s plans to develop and commercialize any products or future product
candidates;
● our
ongoing and planned clinical trials;
● the
timing of and our ability to obtain regulatory approvals or fast track or orphan drug designation,
breakthrough designation or Investigational New Drug (“IND”) clearance for any future product candidates;
● our
ability to monetize non-core product candidates;
● our
estimates regarding expenses, future revenue, capital requirements and needs for additional
financing;
● the
rate and degree of market acceptance and clinical utility of any products or future product
candidates, if approved;
● significant
competition in our industry;
● our
intellectual property position;
● loss
of key members of management;
● failure
to successfully execute our strategy;
● risks associated with global political changes and global economic conditions, including changes in the U.S. presidential
administration, inflation or uncertainty caused by political violence and unrest, including ongoing global and regional conflicts; and
● our
failure to maintain effective internal controls.
There
may be other factors that may cause our actual results to differ materially from the forward-looking statements, including factors disclosed
in “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations.”
You should evaluate all forward-looking statements made in this Annual Report on Form 10-K in the context of these risks and uncertainties.
We
caution you that the risks, uncertainties and other factors referred to above may not contain all of the risks, uncertainties and other
factors that are important to you. In addition, we cannot assure you that we will realize the results, benefits or developments that
we expect or anticipate or, even if substantially realized, that they will result in the consequences or affect us or our business in
the way expected. All forward-looking statements in this Annual Report apply only as of the date made and are expressly
qualified in their entirety by the cautionary statements included in this Annual Report. We undertake no obligation to publicly
update or revise any forward-looking statements to reflect subsequent events or circumstances, except as otherwise required by law .
3
PART
I
ITEM
1. BUSINESS
General
Lipocine
Inc. (“Lipocine” or the “Company”) is incorporated under the laws of the State of Delaware.
We
are a biopharmaceutical company focused on leveraging our proprietary Lip’ral platform to develop differentiated products through
the oral delivery of previously difficult to deliver molecules. Our proprietary delivery technologies are designed to improve patient
compliance and safety through orally available treatment options. Our primary development programs are based on oral delivery solutions
for poorly bioavailable drugs. We have a portfolio of differentiated innovative product candidates that target high unmet needs for neurological
and psychiatric CNS disorders, liver diseases, and hormone supplementation for men and women.
We
entered into a license agreement for the development and commercialization of our product candidate, TLANDO®, an oral treatment
indicated for testosterone replacement therapy (“testosterone replacement therapy” or “TRT”) in adult males
for conditions associated with a deficiency or absence of endogenous testosterone (primary or hypogonadotropic hypogonadism)
comprised of testosterone undecanoate (“testosterone undecanoate” or “TU”). On January 12, 2024, we entered
into a license agreement (the “Verity License Agreement”) with Gordon Silver Limited (“GSL”) and Verity
Pharmaceuticals, Inc. (“Verity” or our “Licensee”), pursuant to which we granted to Verity an exclusive,
royalty-bearing, sublicensable right and license to commercialize TLANDO for TRT in the U.S. and Canada (the “Licensed Verity
Territory”). Any post-marketing studies required by the United States Food and Drug Administration (“FDA”) will
also be the responsibility of our Licensee, Verity. On January 31, 2024, our license agreement with former licensee (the “Antares License Agreement”), Antares
Pharma, Inc. (“Antares”), was terminated and the transition of the U.S. commercial rights for TLANDO from Antares to
Verity was completed on February 1, 2024, for the distribution, marketing and sale of TLANDO. The Verity License Agreement also
provides Verity with a license to develop and commercialize LPCN 1111 (also referred to as TLANDO XR), the Company’s potential
next generation, once daily oral product candidate for testosterone replacement therapy comprised of testosterone tridecanoate
(“TT”), in the U.S. and Canada.
In
September 2024, we entered into a distribution and license agreement (the “SPC License Agreement”) for the development and
commercialization of TLANDO, an oral TRT with SPC Korea Limited (“SPC”), pursuant to which the Company granted to SPC a non-transferable,
exclusive, royalty-bearing license to commercialize our TLANDO product for TRT in South Korea (the “SPC Territory”). In October
2024, we entered into a distribution and supply agreement (the “Pharmalink Distribution Agreement”) with Pharmalink granting
a non-transferable, exclusive, license to commercialize our TLANDO product in the field specific to the Gulf Cooperation Council (“GCC”)
countries, including Saudi Arabia, Kuwait, the United Arab Emirates, Qatar, Bahrain, and Oman (the “Pharmalink
Territory”).
Additional
clinical development pipeline candidates include: LPCN 1154 for postpartum depression (“PPD”); LPCN 2101 for epilepsy;
LPCN 2203 for essential tremor and LPCN 2401 for improved body composition in obesity management. In addition to our clinical
development product candidates, we have assets for which we expect to seek partnerships to enable further development including
TLANDO for territories outside of the United States, South Korea, and the GCC, LPCN 1148 comprising a novel prodrug of testosterone
and testosterone laurate (“ testosterone
laurate” or “TL”), for the management of cirrhosis, LPCN 1144, an oral prodrug of androgen
receptor modulator for the treatment of metabolic dysfunction-associated steatohepatitis (“MASH”), formerly referred to
as non-cirrhotic non-alcoholic steatohepatitis (“MASH”), which has completed Phase 2 testing; and LPCN 1107, potentially
the first oral hydroxy progesterone caproate (“HPC”) product indicated for the prevention of recurrent PTB, which has completed a dose finding clinical study in pregnant women and has been granted orphan drug
designation by the FDA.
4
The
following chart summarizes the status of our product candidate development programs:
Corporate
Strategy
Our
goal is to become a leading biopharmaceutical company focused on leveraging our proprietary Lip’ral drug delivery technology platform
to develop differentiated products through oral delivery of previously difficult to deliver molecules. The key components of our strategy
are to:
Advance
LPCN 1154 and other CNS product candidates. We intend to focus on the development of endogenous neuroactive steroids (“NASs”)
which have broad applicability in treating various CNS conditions where we can leverage our technology platform to develop highly differentiated
oral therapeutics. Our priority is on the development of LPCN 1154, a fast-acting oral antidepressant for PPD with potential for outpatient use.
Support
our Licensees, Verity, SPC, and Pharmalink, in commercialization of our licensed oral TRT product . We believe the TRT market
needs a differentiated, convenient oral option. We have exclusively licensed rights to TLANDO to Verity for commercialization of TLANDO
in the Licensed Verity Territory, to SPC for commercialization in the SPC Territory, and to Pharmalink in the Pharmalink Territory (together,
the “Currently Licensed TLANDO Territories”). We plan to support Verity’s, SPC’s and Pharmalink’s
efforts to effectively enable the availability of TLANDO to patients in a timely manner, in addition to receiving milestone payments,
royalty payments, and/or payments for product sales associated with TLANDO commercialization as agreed to in the Verity License Agreement,
the SPC License Agreement and the Pharmalink Distribution Agreement.
Develop
partnership(s) to continue the advancement of pipeline assets . We continuously strive to prioritize our resources in seeking
partnerships of our pipeline assets. We are currently exploring partnerships for our liver programs LPCN 1144, our candidate for
treatment of MASH and LPCN 1148 for the management of cirrhosis including prevention of the recurrence of overt
hepatic encephalopathy (“overt hepatic encephalopathy” or “OHE”); LPCN 2401 for improved body composition in
obesity management as adjunct therapy as an adjunct therapy to or as a monotherapy post cessation of incretin mimetics use; and LPCN
1107, our candidate for prevention of pre-term birth. We are also exploring the possibility of licensing LPCN 1021 (known as TLANDO
in the United States) to third parties outside of the Currently Licensed TLANDO Territories, although no additional licensing
agreements have been entered into by the Company in any other territories.
Our
Pipeline Product Candidates
Our
pipeline of clinical development candidates includes LPCN 1154 for PPD, LPCN 2101 for epilepsy, LPCN 2203 for essential tremor, and LPCN
2401 as an aid for improved body composition in obesity management. We will continue to explore other product development candidates
targeting CNS indications with a significant unmet need. We will also continue efforts to enter into partnership arrangements for the
continued development and/or marketing of LPCN 1144, LPCN 1148, LPCN 2401, LPCN 1107 as well as for the TRT Assets outside of the Currently
Licensed TLANDO Territories.
5
Our
products are based on our proprietary Lip’ral drug delivery technology platform. Lip’ral-based TLANDO was approved by the
FDA in March 2022. Lip’ral technology is a patented technology based on lipidic compositions which form an optimal dispersed phase
in the gastrointestinal environment for improved absorption of insoluble drugs. The drug loaded dispersed phase presents the solubilized
drug efficiently at the absorption site (gastrointestinal tract membrane) thus improving the absorption process and making the drug less
dependent on physiological variables such as dilution, gastro-intestinal pH and food effects for absorption. Lip’ral-based formulation
enables improved solubilization and higher drug-loading capacity, which can lead to improved bioavailability, reduced dose, faster and
more consistent absorption, reduced variability, reduced sensitivity to food effects, improved patient compliance, and targeted lymphatic
delivery where appropriate.
TRT
Franchise – TLANDO and LPCN 1111 (TLANDO XR)
TLANDO:
An Oral Product for Testosterone Replacement Therapy
As
previously described, under the Verity License Agreement, in January 2024, we granted to Verity an exclusive, royalty-bearing,
sublicensable right and license to develop and commercialize TLANDO, our product for TRT, in the U.S. and Canada effective February 1,
2024. TLANDO received FDA approval on March 28, 2022. Any FDA requirement to conduct certain post-marketing studies will be the responsibility
of Verity. In addition, in September 2024, we granted SPC an exclusive, royalty-bearing license to commercialize TLANDO in South
Korea and in October 2024 we granted Pharmalink an exclusive license to commercialize TLANDO in the GCC countries.
Proof-of-concept
for TLANDO was initially established in 2006, and TLANDO was subsequently licensed in 2009 to Solvay Pharmaceuticals, Inc., which was
then acquired by Abbott Products, Inc. (“Abbott”). Following a portfolio review associated with the spin-off of AbbVie Inc.
by Abbott in 2011, the rights to TLANDO were reacquired by us. All obligations under the prior license agreement have been completed
except that Lipocine will owe Abbott a perpetual 1% royalty on net sales of TLANDO. Such royalties are limited to $1 million in the first
two calendar years following product launch, after which period there is no cap on royalties and no maximum aggregate amount. If generic
versions of any such product are introduced, then royalties are reduced by 50%. TLANDO was commercially launched on June 7, 2022. During
the years ended December 31, 2024 and 2023, we incurred royalty expense of approximately $24,000 and $34,000, respectively.
Since
TLANDO received full FDA approval, under the terms of the Verity License Agreement, Verity will need to assess the safety and
effectiveness of TLANDO in pediatric patients, as required by the Pediatric Research Equity Act. The FDA may also require certain post-marketing
studies to be conducted which will also be the responsibility of Verity. Similarly, SPC and Pharmalink are responsible for obtaining
any regulatory/marketing approvals for TLANDO required for the SPC Territory and the Pharmalink Territory, respectively.
Upon
execution of the Verity License Agreement, Verity paid us an initial payment of $2.5 million which was received on signing of
the License Agreement and $5 million which was received on February 1, 2024. Verity also made an additional payment of $2.5 million
to us on December 30, 2024, and is required to make an additional payment of $1 million to us before January 1, 2026. We are also eligible
to receive milestone payments of up to $259 million in the aggregate, depending on the achievement of certain sales milestones in a single
calendar year and/or development milestones with respect to products licensed by Verity under the Verity License Agreement. In
addition, we will receive tiered royalty payments at rates ranging from 12% up to 18% of net sales of all products licensed under the
Verity License Agreement in the Licensed Verity Territory.
SPC
paid us a non-refundable, non-creditable upfront fee in October 2024. The Company also received an additional payment for a non-refundable,
non-creditable prepayment in consideration for TLANDO product inventory, and is eligible to receive additional payments for various marketing
authorization and sales milestones, and the Company will supply TLANDO to SPC and receive a supply price. In addition, we will receive
royalties on net sales in South Korea under the SPC License Agreement.
Upon
execution of the Pharmalink Distribution Agreement, Pharmalink paid a non-refundable, non-creditable upfront fee. Under the
Pharmalink Distribution Agreement, we could receive additional payments in regulatory authorization milestones and we will supply
TLANDO to Pharmalink at an agreed transfer price. Our ex-U.S. commercialization partners are planning to file marketing approval
applications in Canada, the GCC countries, and South Korea in 2025.
We
are exploring the possibility of licensing LPCN 1021 (known as TLANDO in the United States) to third parties outside the Currently Licensed
TLANDO Territories, although no licensing agreement has been entered into by the Company in any other territories. If and when an agreement
is made with a partner, such an arrangement would likely be partially contingent upon obtaining local regulatory approval. No assurance
can be given that any license agreement will be completed or, if an agreement is completed, that such an agreement would be on terms
favorable to us.
6
LPCN
1111: A Next-Generation Long-Acting Oral Product Candidate for TRT
As
previously described, under the terms of the Verity License Agreement, we have licensed the development and commercialization rights
to LPCN 1111 (TLANDO XR) in the Licensed Verity Territory to Verity. We will continue to explore the possibility of partnering
LPCN 1111 with third parties outside of the Licensed Verity Territory, although no additional partnering agreement has been entered into
by the Company. No assurance can be given that any license agreement outside of the Licensed Verity Territory will be completed, or,
if an agreement is completed, that such an agreement would be on terms favorable to us.
LPCN
1111 is a next-generation, novel ester prodrug of testosterone comprised of testosterone tridecanoate which uses our proprietary delivery
technology to enhance solubility and improve systemic absorption. We completed a Phase 2b dose finding study in hypogonadal men in the
third quarter of 2016. The primary objectives of the Phase 2b clinical study were to determine the starting Phase 3 dose of LPCN 1111
along with safety and tolerability of LPCN 1111 and its metabolites following oral administration of single and multiple doses in hypogonadal
men. Good dose-response relationship was observed over the tested dose range in the Phase 2b study. Additionally, the target Phase 3
dose met primary and secondary end points. Overall, LPCN 1111 was well tolerated with no drug-related severe or serious adverse events
reported in the Phase 2b study. All future development and commercialization of LPCN 1111 in the Licensed Verity Territory will be the
responsibility of Verity.
Oral
Programs for CNS Disorders
Some
preferred endogenous or naturally occurring NAS present in the central nervous system act as positive allosteric modulators (“PAMs”)
of the GABA A receptor, the major biological target of the inhibitory neurotransmitter γ-aminobutyric acid (“GABA A ”).
To improve oral delivery of these modulators, several synthetic NAS derivatives of endogenous GABA A receptor PAMs have been
developed for therapeutic use in the past few decades.
In
October 2024, we announced positive data from our qEEG study of our oral brexanolone with results indicating robust central nervous system
activity of oral brexanolone, with concentration- and time-dependent post-dose changes in qEEG as follows:
●
Quantitative Electroencephalogram (“qEEG”) in healthy subjects administered single doses of oral brexanolone, a neuroactive
steroid, confirmed GABAA modulation
●
Rapid and durable CNS target engagement confirms effective oral delivery of bioidentical brexanolone
●
Promising results support continued development of oral brexanolone for the treatment of neuropsychiatric disorders
We
believe through utilization of our proprietary technology we may have the ability to enable effective oral delivery of endogenous GABA A
receptor PAMs which historically had been deemed to be not orally bioavailable. As a novel drug class, NASs have received considerable
attention because of their potential to treat various neuropsychiatric conditions including depression, movement disorders, epilepsy,
anxiety, and neurodegenerative diseases. We have conducted Phase 1 pharmacokinetic (“PK”) studies for each of our three lead
NAS candidates which have demonstrated promising PK results, safety, and tolerability and we are evaluating additional undisclosed CNS-focused
candidates.
LPCN
1154: Product Candidate for PPD
Our
most advanced NAS candidate is LPCN 1154, a non-invasive, rapid onset, oral formulation of the neuroactive steroid brexanolone which
we are developing for the treatment of PPD. We have completed clinical oral PK studies including a pilot food effect study and a pilot
PK bridge study. In addition, as a prelude to a LPCN 1154 pivotal study, a multi-dose study was done confirming the dosing regimen for
the PK bridge study using the scaled up “to be marketed” formulation required for New Drug Application (“NDA”)
filing. In June 2024, we announced results from the PK bridge study which demonstrated LPCN 1154 meets bioequivalence with comparator,
IV brexanolone, meeting standard bioequivalence criteria and C trough criteria. LPCN 1154 treatment was well-tolerated with
no sedation nor somnolence events observed in the pivotal study.
After
completing PK studies and labeling studies such as a food effect study and PK profiling in women with PPD, we met with the FDA in
the first quarter of 2025. In the meeting, we were advised that the FDA believes, in addition to the previously completed PK bridge
data, an efficacy and safety study of oral LPCN 1154 in the target population will be required for 505(b)(2) NDA
submission. Based on observed comparable exposure of LPCN 1154 and the
reference drug in the PK bridge study, we are initiating a phase 3 safety and efficacy study with expected first patient dosed in the second quarter of 2025.
We are exploring the possibility of partnering with a third party for the development and/or marketing of LPCN 1154,
although no partnering agreement has been entered into by the Company. No assurance can be given that any partnering agreement will be
completed, or, if an agreement is completed, that such an agreement would be on terms favorable to us.
7
PPD
PPD,
a type of major depressive disorder with onset either during pregnancy or within four weeks of delivery, refers to depression persisting
up to 12 months after childbirth. PPD can be clinically segmented by the severity of symptoms and presence of a comorbidity, including
epilepsy. Approximately one in eight mothers suffers from PPD in the United States alone; this equates to approximately 600,000 women being
affected by PPD annually.
Disease
Overview - PPD
● PPD
is distinct from the “baby blues,” a condition that up to 70% of all new mother’s
experience; “baby blues” tend to be short-lived emotional conditions that do
not interfere with daily activities.
● Symptoms
of PPD include hallmarks of major depression, including, but not limited to, sadness, depressed
mood, loss of interest, change in appetite, insomnia, sleeping too much, fatigue, difficulty
thinking/concentrating, excessive crying, fear of harming the baby/oneself, and/or thoughts
of death or suicide.
● During
pregnancy, levels of endogenous NASs increase considerably along with levels of progesterone;
however, they drop sharply postpartum. It has been hypothesized that the rapid perinatal
decrease in circulating levels of endogenous NASs may be involved in the development of PPD.
The first approved treatment option for PPD was an injectable containing endogenous NASs.
● Depression
may persist long after child delivery. Additionally, approximately 40% of women relapse in
subsequent pregnancies or on other occasions.
● Psychiatric
comorbidities are common in patients with epilepsy. Patients with epilepsy are at high risk
for major depressive disorders and PPD. Reported PPD rates are higher among women with epilepsy
than the general population.
Associated
Risk Factors
● Genetic:
family history and/or previous experience of depression or other mood disorders.
● Physiological:
rapid changes in sex hormones, stress hormones, and thyroid hormone levels during and after
delivery.
● Environmental:
stressful life events, changes in relationships at home and at work, and/or lack of familial
support.
Unmet
Medical Need
We
believe there is considerable unmet need within women with PPD due to lack of convenient and fast-acting oral therapies. Selective Serotonin
Reuptake Inhibitors (“SSRIs”) have been the traditional first-line choice for women with severe PPD and require weeks for
onset of efficacy; therefore, a need for an oral treatment option with a faster onset of action remains a significant unmet need in treating
PPD, especially in mothers with moderate to severe depression prone to harmful actions.
Injectable
brexanolone (Zulresso™, SAGE Therapeutics) became the first FDA-approved treatment for postpartum depression. However,
numerous factors limited the utilization of injectable brexanolone such as method of administration, cost, and safety concerns, and
SAGE Therapeutics discontinued Zulresso in October 2024. In addition to approval for Zulresso, SAGE Therapeutics received FDA
approval for zuranolone (brand name ZURZUVAE™) in August 2023 and ZURZUVAE was launched commercially in December 2023.
Zuranolone, a synthetic neuroactive steroid derivative, is an oral, once daily 14-day treatment for postpartum depression and is the
first oral medication approved by the FDA for the treatment of postpartum depression. Per label, besides long terminal half-life of
approximately 19.7 to 24.6 hours and dosage modifications needed for concomitant use with CYP3A4 modulators, warnings and
precautions include CNS depressant effects, impaired ability to drive or engage in other potentially hazardous activities and
embryo-fetal toxicity.
We
believe LPCN 1154 targets the unmet need for robust, rapid relief of PPD symptoms with a 48-hour dosing duration through a convenient
oral therapy candidate comprising bioidentical NASs with good tolerability.
LPCN
2101: NAS for Epilepsy
We
are currently evaluating an additional NAS candidate, LPCN 2101, for women with epilepsy (“WWE”). We have completed pre-clinical
and Phase 1 studies for LPCN 2101 which demonstrated promising PK results, safety and tolerability. In July 2022 our IND was accepted
by the FDA for LPCN 2101 for adults with epilepsy and we plan to initiate a Phase 2 IND opening proof-of-concept study to evaluate the
safety, tolerability, and efficacy of LPCN 2101, subject to resource prioritization.
8
Disease
Overview – Epilepsy
Epilepsy
is defined by the 1) occurrence of at least two unprovoked seizures more than 24 hours apart, 2) occurrence of one unprovoked seizure
and a probability of further seizures occurring over the next 10 years, and/or 3) diagnosis of an epilepsy syndrome. Patients with epilepsy
have increased risk of mortality due to direct effects of seizures (e.g., status epilepticus, car accidents) and indirect effects of
seizures (e.g., suicide, cardiovascular effects.)
Epilepsy
is a disorder of the brain that causes seizures, affecting the physical, mental, and social well-being of persons, and is associated
with a 2 to 3 times greater mortality rate compared with the general population. About 60-65% of epilepsy is idiopathic and about 30%
of patients are refractory (i.e., epilepsy not well managed with currently available Anti-Seizure Medications (“ASMs”). Epilepsy
is the most common neurological disorder during pregnancy.
It
is estimated that approximately 900,000 child-bearing (“CB”) age women suffer from active epilepsy in the U.S. Women of CB
age with epilepsy face many additional challenges due to hormonal influences on seizure activity and endocrine function throughout the
different phases of their reproductive cycles. Elevated estrogen or decreased progesterone levels can exacerbate seizure frequency. Often,
these women experience hormonal and endogenous NAS imbalances, coupled with fluctuations in the blood levels of ASMs that impact control
of seizures, efficacy of oral contraceptives, any coexisting anxiety and/or depression and any associated sleep impairment. Epileptic
patients are 5-20 times more likely to develop depression.
Clinical
segmentation can be categorized by epilepsy type, comorbidities and patient subgroups. Categorization of focal epilepsy, generalized
epilepsy, combined focal and generalized epilepsy, and unknown epilepsy can guide the choice of ASM. Special patient subgroups, including
WWE of CB age and elderly patients, require special care and management of epilepsy. Comorbidities such as depression and anxiety may
be co-treated with therapies that do not aggravate seizures and have no drug interaction with the ASM used for epilepsy. While lowest
effective dose and monotherapy are preferred, management of patients with epilepsy is focused on controlling seizures, avoiding adverse
events, and maintaining quality of life. Despite a wide range of ASMs available, about 30% of all people with epilepsy still fail to
respond to treatment effectively. Women with epilepsy face specific challenges throughout their lifespan because of seizures, ASMs, and
hormonal fluctuations.
Women
with epilepsy were once counseled to avoid pregnancy, but epilepsy is no longer considered a contraindication to pregnancy. Caregivers
for WWE in the preconception phase either intending to start a family (planning pregnancy) or using contraception to prevent an unplanned
pregnancy face significant challenges to balance seizure control efficacy with the selection and dosage of ASMs and ASM-related risks
such as, among other risks, fetal-neonatal toxicity, contraception failure, and psychiatric side effects.
Several
ASMs are known to have teratogenic effects on the developing fetus (converging evidence from registry studies indicates that teratogenic
risks are highest with valproate, followed by carbamazepine and topiramate). Other commonly prescribed ASMs, including older generation
agents, such as phenobarbital and phenytoin, have been associated with higher risks as compared with lamotrigine, levetiracetam, clonazepam
and gabapentin (Vajda et al., 2014; Voinescu and Pennell, 2015). Moreover, risks associated with ASMs are considerable early in pregnancy;
therefore, it is necessary that WWE of CB age undergo counseling, monitoring, and adjustment to the most appropriate ASM prior to becoming
pregnant. It is preferable that WWE of CB age discuss seizure control with their doctor for at least 6 months before conception and,
if possible, cease ASM therapy or use the lowest effective dose of a single anticonvulsant according to the type of epilepsy and the
fetal toxicity of the ASM. Anxiety, depression, lack of adherence to ASM, and/or contraception failure may be experienced by women who
are worried about unplanned pregnancy or are late in confirming pregnancy, planned or unplanned. ASMs can reduce the efficacy of oral
contraceptives, compounding this problem.
Complex,
multidirectional interactions between female hormones, seizures, and ASMs exist. Most hormones act as NASs and can thus modulate brain
excitability. Any changes in endogenous or exogenous hormone levels can affect the occurrence of seizures, either directly or via PK
interactions that modify the plasma levels of ASMs (Harden, 2008). The PK interactions between oral contraceptives and ASMs are bidirectional
(Johnston and Crawford, 2014). The efficacy of hormonal contraception may be diminished for women taking CYP-P450 enzyme inducing ASMs.
Epilepsy is not a medical condition in which contraceptives are contraindicated. Contraceptive failure, possibly related to ASMs, may
be responsible for up to 1 in 4 unplanned pregnancies in WWE (~12.5% of all WWE pregnancies), versus a rate of 1% in healthy women.
Unmet
need to treat WWE in CB age
It
is estimated that approximately 900,000 CB age women suffer from active epilepsy in the U.S. Women of CB age with epilepsy face many
additional challenges such as hormonal influences on seizure activity and endocrine function throughout the different phases of their
reproductive cycles, and approximately 30% of patients with epilepsy cannot efficiently control their seizures with available ASMs, making
consideration of newer pharmacological treatment development options important.
9
Managing
uncontrolled seizures in WWE of CB age is the primary aim during preconception, pregnancy, and postpartum phases. Therefore, uncompromised
ASM efficacy with acceptable variability and less or no drug-drug interactions achieved with lowest possible monotherapy dose to address
fetal toxicity concerns remain highly unmet needs. Moreover, control of seizures including prevention of breakthrough seizures is critical
when planning for pregnancy and also during pregnancy, as it can also lead to undesired falls or auto-accidents and compromise freedom
to drive.
Select
ASMs have the potential to induce contraception failures, reproductive hormone imbalance, anxiety, and depression. There remains an unmet
need for an ASM without the aforementioned downsides, with no to low fetal-neonatal toxicity and without any breast-feeding concerns,
as well as the potential to treat associated comorbidities.
While
over 30 molecules have been approved for the treatment of epilepsy in the U.S., no epilepsy drug has been specifically approved for WWE
of CB age. We believe our endogenous NASs as GABA A PAMs, while targeting the goal of seizure control, also have the potential
for additional benefits in psychiatric disorders comorbidities (e.g., anxiety and/or depression) and sleep impairment. Moreover, these
oral endogenous NASs could potentially address some of the fetal toxicity concerns related to unplanned or planned pregnancy in WWE.
(1)
(1) Ref:
S.Bangar et al. Functional Neurology 2016; 31(3): 127-134; Reimers et al. Seizure. 2015 May;
28: 66-70.
LPCN
2203: Oral Product for Management of Essential Tremor
LPCN
2203 is an oral candidate for management of essential tremor (“ET”) comprising a bioidentical GABA A modulating
NAS. We have successfully completed oral pharmacokinetics with bioidentical GABA A modulating NAS and are planning to submit
a protocol for a proof-of-concept phase 2 study for ET to the FDA.
Disease
Overview - Essential Tremor
Essential
Tremor is one of the most common movement disorders in the United States, affecting an estimated 7 million in the U.S. For ET patients,
uncontrollable shaking of the hands, head, voice, or legs creates difficulty eating, dressing, writing, and pursuing other day-to-day
tasks. The etiology of ET is largely unknown, but reduced GABA A receptor levels and decreased GABAergic activity have been
observed in ET.
While
ET is often associated with aging populations, ET can begin much earlier in life, with a progressive disease course that can eventually
necessitate a care partner. Social anxiety and depressive symptoms can manifest in patients with ET as tremor severity increases, and
may negatively impact a patient’s ability to work and engage in hobbies. In an interview study of ET patients and care partners,
the most common impacts on activities of daily living are pouring liquids and writing/typing (100%) and grooming/hygiene, drinking, dressing,
eating, and reading (80-85%). Overall, 90% of participants noted the emotional impact of ET, with 75% reporting tremor-related worry
or anxiety.
The
only FDA approved pharmacological treatment for ET was approved more than 50 years ago, and the majority of patients with ET experience
a sub-optimal response with standard-of-care treatments, highlighting numerous and compelling unmet needs in care such as daytime efficacy
and improved tolerability, a PRN (pro re nata) or “as needed” option, and a superior benefit-to-risk profile. (1) (2)
(1)
Ref: Louis ED, Ottman R. Tremor Other Kyperkinet Mov (NY). 2014;4:259.
(2)
Ref: Gerbasi et.al. Patient experiences in essential tremor: Mapping functional impacts to existing measures using qualitative research.
MDS 2023.
Other
Pipeline Candidates
We
continue to pursue opportunities for partnering and/or development arrangements for the continued development and/or marketing of LPCN
2401, LPCN 1148, LPCN 1144, and LPCN 1107. We do not currently anticipate conducting any further significant development activities
with respect to these products and product candidates without the participation of a partner. There can be no guarantee that we will
be able to identify or enter into partnering arrangements on terms that are beneficial to us or at all. Even if we do enter into partnering
arrangements, such arrangements may not be sufficient to successfully develop and commercialize these products.
10
LPCN
2401: For Improved Body Composition in Obesity Management
LPCN
2401 is targeted to be a once daily oral formulation comprising a proprietary anabolic androgen receptor agonist, and LPCN 2401+E is
a proprietary anabolic androgen receptor agonist co-formulated with Vitamin E, an antioxidant metabolic modifier. LPCN 2401 is expected
to have a favorable benefit to risk profile as a non-invasive option for use as an adjunct to GLP-1 receptor agonist chronic weight management
therapies and/or as a monotherapy post cessation of GLP-1 receptor agonist chronic weight management therapies with demonstrated benefits
to the liver.
LPCN
2401 has potential for use as an adjunct to incretin mimetics (GLP-1/GIP agonists) including amplification of GLP-1 insulinotropic actions
which is supported by studies demonstrating the role of androgen receptor agonist in regulation of GLP-1 through:
●
Enhancement of GLP-1-mediated insulin release from β cells through genomic- and non-genomic mechanisms
●
Increase in GLP-1 Receptor Expression in diabetics and non-diabetics
●
Promoting proliferation of β cells and improving insulin sensitivity
Target
benefits of LPCN 2401 in combination with GLP-1 agonists include improved body composition with quality weight loss while attenuating
lean mass loss, a serious unmet need, in addition to quality fat loss through appreciable abdominal fat loss. Moreover, as an adjunct
to incretin mimetics, LPCN 2401 may increase weight loss, particularly in diabetics, through increased expression activity of GLP1R and
increased effectiveness of GIP1 therapies secondary to actions at GLP1R (glucose lowering). LPCN 2401 could also be potentially used
as monotherapy post discontinuation of GLP-1 agonist to manage weight/fat regain and durability of diabetes remission.
Data
from preclinical and clinical studies support the potential of LPCN 2401 and LPCN 2401+E in improving body composition. In April 2024,
Lipocine announced results from a multi-center prospective, blinded Phase 2 study, which demonstrated placebo-adjusted increase in lean
mass of 4.4%, decrease in fat mass of 6.7%, reduction in trunk fat mass of 2.5%, and increased bone mineral content of 2.8% with LPCN
2401+E in a population consistent with FDA guidance for developing products for weight management. LPCN 2401 was well tolerated with
minimal GI or androgenic adverse events and no reports of muscle spasms. The 2025 FDA draft guidance (https://www.fda.gov/media/71252/download)
on Obesity and Overweight: Developing Drugs and Biological Products for Weight Reduction defines obesity as a chronic disease characterized
by excess adiposity and defines weight reduction as a long-term reduction in excess adiposity (body fat) but states the primary endpoint
for a weight-reduction drug should be mean percent change in weight. FDA also invited sponsors to consult with FDA to discuss
efficacy claims related to change in body composition as this was beyond the scope of the guidance document. Areas for discussion would
include the appropriate population and selection of endpoint that measures how a patient feels, functions, or survives.
As
an adjunct therapy to incretin mimetics, LPCN 2401 has the potential to attenuate fat/weight rebound, ameliorate loss of muscle mass,
improve muscle quality and functionality, amplify fat mass loss with improved body composition, maintain weight, prevent “fat overshoot,”
attenuate fat/weight rebound, and accelerate muscle rebound post incretin mimetic discontinuation. In pre-IND written responses (November
2024), FDA’s recommendations were consistent with the 2025 draft guidance. Specifically, FDA recommended we identify the appropriate
patient population for treatment, ‘such as those with demonstrated impairments in muscle function after weight loss intervention,’
and an approvable endpoint would be one that measures how a patient feels, functions, or survives. FDA also recognized that Lipocine’s
proposed indication and population (including women) would be distinct to those for whom testosterone therapy is currently approved (testosterone
replacement in men with low T not due to aging). We may explore the possibility of partnering LPCN 2401 with a third party, although
no partnering agreement has been entered into by us. No assurance can be given that any license agreement will be completed, or, if an
agreement is completed, that such an agreement would be on terms favorable to us.
Disease
and Market Overview – Obesity Management
Approximately
74% of U.S. adults aged 20 and older are either obese or overweight, and an estimated 30% of the U.S. adult population has a BMI ≥
30 kg/m 2 . Obesity is a chronic, relapsing health risk defined by excess body fat. Excess body fat increases the risk of death
and major comorbidities such as type 2 diabetes, hypertension, dyslipidemia, cardiovascular disease, osteoarthritis of the knee, sleep
apnea, and some cancers 1 . About 30% of overweight (BMI ≥ 25 kg/m 2 ) adults 2 have type 2 diabetes,
50% 3 have dyslipidemia, and 67% 4 have hypertension. It is estimated that the total GLP-1 users in the U.S. may
reach 30 million (around 9% of the overall population) by 2030 5 . Among older adults aged 60 and over prevalence of: obesity
(BMI ≥ 30 kg/m2) is ~43%). 6
Sarcopenic
obesity (SO) is defined as the coexistence of excess fat mass and reduced skeletal muscle mass. The rates of sarcopenic obesity
increase with age. 7 Reportedly, ~54% of adults with obesity have sarcopenia (low muscle mass.) 8
11
The
causes of SO are multifactorial and can include sedentary lifestyle, hormonal changes, chronic diseases, inflammation, insulin resistance,
and nutritional deficiencies. SO is associated with several clinical complications: frailty, fractures, cardiovascular diseases, cancer,
mental health, and an increased risk of hospitalization and mortality. 9
The
rapid weight loss observed with the currently approved chronic weight management GLP-1 receptor agonist medications includes unwanted
lean mass loss, up to 40% of the patient’s total weight lost. Moreover, discontinuation of these therapies frequently results in
a rapid regain in weight. Loss of lean mass has multiple negative health implications including weakness/fatigue and lowered metabolism
which can cause a regain in fat mass, declines in neuromuscular function, potential effects on emotion and psychological states, and
increased risk of injury.
Elderly
obese and SO patients are most vulnerable to lean mass loss with GLP-1 receptor agonist use due to pre-existing low muscle mass that
is compounded with high magnitude and rate of muscle mass loss with GLP use. 10 Recent reports suggest ~4% loss in lean mass
with ~43% with compromised functionality (loss of ≥10% Stair Climb Power ) in elderly obese patients upon just 16 weeks of semaglutide
treatment. 10
Several
recent studies showed that body composition, especially lean body mass (muscle) may play an independent role in survival of patients
with diseases such as cancer and cardiovascular diseases. 11 Therefore, a focus on body composition in obesity management to
sustainably lose fat mass while maintaining lean mass should be an essential goal.
There
is a significant unmet need for an oral, efficacious, muscle preserving/gaining option for chronic obesity/weight management that ameliorates
the loss of lean mass associated with GLP-1/GIP agonist treatment, resulting in a higher quality weight loss and improved functionality,
especially in elderly obese and sarcopenic obese patients. Moreover, there is a need for a chronic long-term pharmacotherapy option to
maintain weight upon cessation of incretin mimetic therapy, prevent fat/weight rebound “overshoot” and minimize lag in muscle
recovery to prevent collateral fattening as well as improve the durability of any achieved diabetes remission while on GLP-1.
(1)
Ref: Caterson and Hubbard et al. 2004; Calle and Thun et al. 1999
(2)
https://news.harvard.edu/gazette/story/2012/03/the-big-setup/
(3)
https://www.ncbi.nlm.nih.gov/books/NBK305895/
(4)
https://pmc.ncbi.nlm.nih.gov/articles/PMC6316192/#sec3-nutrients-10-01976
(5)
https://www.jpmorgan.com/insights/global-research/current-events/obesity-drugs
(6 )
Ref: Flynn et al. Morgan Stanley, February 27, 2024 https://www.cdc.gov/nchs/products/databriefs/db360.htm
(7)
J. Gerontol. A Biol. Sci. Med. Sci 72, 1445–1451 (2017)
(8)
Prev Chronic Dis 2020;17:200167
(9)
J Am Med Dir Assoc. 2011 May;12(4):249-56
(10)
Veru press release on January 27, 2025. https://ir.verupharma.com/news-events/press-releases/detail/225/veru- announces-positive-topline-data-from-phase-2b-quality
(11)
DH Lee and EL Giovannucci, Exp Biol Med. 2018
LPCN
1148: Oral Product Candidate for the Management of Cirrhosis
We
are currently evaluating LPCN 1148 comprising TL for the management of cirrhosis.
We believe LPCN 1148 targets unmet needs for patients with cirrhosis including improvement in the quality of life of patients while on
the liver transplant waiting list, prevention or reduction in the occurrence of new decompensation events such as OHE, and improvement
in post liver transplant survival, including outcomes and costs. We are exploring the possibility of partnering with a third party for
the development and/or marketing of LPCN 1148, although no partnering agreement has been entered into by the Company. No assurance can
be given that any partnering agreement will be completed, or, if an agreement is completed, that such an agreement would be on terms
favorable to us.
We
conducted a Phase 2 proof of concept (“POC”) study (NCT04874350) in male subjects with cirrhosis to evaluate the therapeutic
potential of LPCN 1148 for the management of sarcopenia. The Phase 2 POC study was a prospective, multi-center, randomized, placebo-controlled
study in male sarcopenic patients with cirrhosis. Subjects were initially randomized 1:1 to 1 of 2 arms. The treatment arm was an oral
dose of LPCN 1148, and the second arm was a matching placebo. There were no restrictions on patients with respect to background therapies,
including current standard of care, diet or exercise. The primary endpoint was a change in skeletal muscle index at week 24 with key
secondary endpoints including change in liver frailty index, rates of breakthrough OHE, and number of waitlist events, including all-cause
mortality. Total treatment was 52 weeks, with 24-week placebo-controlled treatment subjects receiving LPCN 1148 in the 28-week open-label
extension (“OLE”) phase of the study for the duration of the study through week 52.
12
In
July 2023 we announced that the Phase 2 study met its primary endpoint, increased skeletal muscle index (L3-SMI) relative to placebo
(P<.01), in patients with cirrhosis. The study also demonstrated improvements in clinical outcomes such as prevention of new decompensation
events including OHE, rates of hospitalizations, and patient reported outcomes (“PROs”). LPCN 1148 was well-tolerated, with
adverse event (“AE”) rates and severities similar to placebo and no mortality was noted in the LPCN 1148 treatment group,
nor were there any cases of drug-induced liver injury.
In
March 2024 we announced that 24-week L3-SMI increases were maintained through 52 weeks of LPCN 1148 intervention and that placebo patients
who switched to LPCN 1148 in the open label extension period of the study had increases in L3-SMI. Furthermore, fewer OHE events were
observed in LPCN 1148 treated patients and time to first recurrent OHE event was longer for treated patients. LPCN 1148 was well-tolerated,
with AE rates and severities similar to placebo and fewer participants experienced serious or severe adverse events when switched from
placebo to LPCN 1148 and patients on therapy were hospitalized for fewer days. In December 2024 we announced that the FDA granted Fast
Track Designation for LPCN 1148 as a treatment for sarcopenia in patients with decompensated cirrhosis due to the clinical effectiveness
of LPCN 1148 in improving sarcopenia in patients with cirrhosis. We plan to request a Type C meeting with the FDA to discuss the clinical
development plan for LPCN 1148.
Disease
Overview – Cirrhosis
There
are over two million cases of cirrhosis worldwide, with over 500,000 people living with decompensated cirrhosis in the U.S. Non-alcoholic
fatty liver disease is the most rapidly increasing indication for liver transplant. 62% of those on the liver transplant (“LT”)
waitlist are male and the economic burden (approximately $812,500/transplant) is high and continues to increase. Each year about half
of the approximately 17,000 people in U.S. on the LT waitlist undergo transplant, while nearly 3,000 patients either die or are removed
from the list because they were “too sick to transplant.”
Liver
cirrhosis is defined as the histological development of regenerative nodules surrounded by fibrous bands. Patients with cirrhosis typically
have a years-long silent, asymptomatic phase (compensated cirrhosis) until decreasing liver function and increasing portal pressure move
the patient into the symptomatic phase (decompensated cirrhosis). Transition to decompensated cirrhosis is marked by clinical events
including ascites, encephalopathy, jaundice, and/or variceal hemorrhage. Decompensated subjects survive on average less than two years.
Common causes of liver cirrhosis include alcoholic liver disease, non-alcoholic fatty liver disease (“NAFLD”), chronic hepatitis
B and C, primary biliary cirrhosis (“PBC”), and primary sclerosing cholangitis (“PSC”) and some patients have
liver disease of unknown cause (cryptogenic).
Common
complications in patients with cirrhosis may include: compromised liver function, portal hypertension, varices in GI tract with
internal bleeding, edema, ascites, hepatic encephalopathy (“hepatic encephalopathy” or “HE”), compromised
immunity with post-transplant acute rejection risk, high sodium levels, increased bilirubin, low albumin level, insulin resistance
with impaired peripheral uptake of glucose, depression, accelerated muscle disorder in the form of sarcopenia, myosteatosis, and
frailty with compromised energetics, bone diseases (e.g., osteoporosis), high alkaline phosphatase (“ALP”), cachexia,
malnutrition, weight loss (>5%), symptoms of hypogonadism such as abnormal hair distribution, anemia, sexual dysfunction,
testicular atrophy, muscle wasting, fatigue, osteoporosis, gynecomastia, inflammation with elevated cytokines, and infection risk
leading to hospital admissions and possibly death.
HE,
a significant decompensation event in patients with cirrhosis, is a brain dysfunction caused by liver insufficiency and/or portal systemic
shunting. Because the damaged liver cannot function normally (as in cirrhosis), neurotoxins such as ammonia are inadequately removed
from systemic circulation and travel to the brain, where they affect neurotransmission. This can cause episodes of HE, which may present
as alterations in consciousness, cognition, and behavior that range from minimal to severe. Overt HE occurs in 30% to 40% of patients
with cirrhosis at some point during the clinical course of their disease. As the burden of chronic liver disease and cirrhosis is increasing,
the frequency of HE is also increasing.
Sarcopenia
in cirrhosis is characterized by the loss of muscle mass, strength, and function observed in ~60% of patients with cirrhosis 1-3
which may lead to higher (3x) mortality rate compared to no sarcopenia 1 and increases risk of OHE ~2x. 2
(1)
Kim, PLoS One, 2017.
(2)
Tandon, J Hepatol, 2021.
(3)
Jindal Clin Mol Hepatol, 2019
LPCN
1144: An Oral Prodrug of Bioidentical Testosterone Product Candidate for the Treatment of MASH
We
are exploring the possibility of partnering with a third party for LPCN 1144, although no partnering agreement has been entered into
by the Company. No assurance can be given that any license agreement will be completed, or, if an agreement is completed, that such an
agreement would be on terms favorable to us.
13
Disease
Overview – MASH
MASH
is an advanced state of non-alcoholic fatty liver disease (“NAFLD”) and can progress to a cirrhotic liver or liver failure,
require liver transplant, and can result in hepatocellular carcinoma/ liver cancer, and death. Progression of MASH to end stage liver
disease is one of the leading causes of liver failure requiring liver transplantation. Importantly, beyond these critical conditions,
MASH and NAFLD patients additionally suffer heightened cardiovascular risk and die more frequently from cardiovascular events than from
liver disease. NAFLD/MASH is becoming more common due to its strong correlation with obesity and metabolic syndrome, including components
of metabolic syndrome such as diabetes, cardiovascular disease and high blood pressure. 20% to 30% of the U.S. population is estimated
to suffer from NAFLD, with a large proportion of that group, 15% to 20%, progressing to MASH, which lacks effective therapy. MASH is
a silent killer that affects millions in the U.S. Diagnoses have been on the rise and are expected to increase dramatically in the next
decade. Approximately 50% of MASH patients are adult males. In men, especially with comorbidities associated with NAFLD/MASH, testosterone
deficiency has been associated with an increased accumulation of visceral adipose tissue and insulin resistance, which could be factors
contributing to NAFLD/MASH.
The
critical pathophysiologic mechanisms underlying the development and progression of MASH include reduced ability to handle lipids, increased
insulin resistance, injury to hepatocytes and liver fibrosis in response to hepatocyte injury. MASH patients have an excessive accumulation
of fat in the liver resulting primarily from a caloric intake above and beyond energy needs. A healthy liver contains less than 5% fat,
but a liver in someone with MASH can contain more than 20% fat. This abnormal liver fat contributes to the progression to MASH, a liver
necro-inflammatory state that can lead to scarring, also known as fibrosis, and, for some, can progress to cirrhosis and liver failure.
Current
Status
We
have completed the LiFT Phase 2 clinical study in biopsy-confirmed non-cirrhotic MASH subjects. The LiFT clinical study
was a prospective, multi-center, randomized, double-blind, placebo-controlled multiple-arm study in biopsy-confirmed hypogonadal and
eugonadal male MASH subjects with grade F1-F3 fibrosis and a target NAFLD Activity Score ≥ 4 with a 36-week treatment period. The
LiFT clinical study enrolled 56 biopsy confirmed MASH male subjects. Subjects were randomized 1:1:1 to one of three arms (Treatment
A is a twice daily oral dose of 142 mg testosterone equivalent, Treatment B is a twice daily oral dose of 142 mg testosterone equivalent
formulated with 217 mg of d-alpha tocopherol equivalent, and the third arm is twice daily matching placebo).
The
primary endpoint of the LiFT clinical study was change in hepatic fat fraction via MRI-PDFF and exploratory liver fat/marker end
points post 12 weeks of treatment. Additionally, key secondary endpoints post 36 weeks of treatment included assessment of histological
change for MASH resolution and/or fibrosis improvement (biopsy) as well as liver fat data (MRI-PDFF). The LiFT clinical study
was not powered to assess statistical significance of any of the secondary endpoints. Other important endpoints included the following:
change in liver injury markers, anthropomorphic measurements, lipids, insulin resistance and inflammatory/fibrosis markers; as well as
patient reported outcomes.
Treatments
with LPCN 1144 post 12 weeks of treatment in the LiFT study resulted in robust liver fat reduction, assessed by MRI-PDFF, and
showed improvement of liver injury markers with no observed tolerability issues.
Liver
biopsies were performed at baseline (“BL”) and after 36 weeks of treatment (“EOS”). Pre-specified biopsy analyses
included MASH Clinical Research Network (“CRN”) scoring as well as a continuous paired (“Paired Technique”) and
digital technique (“Digital Technique-Fibronest”). All biopsy analyses were performed on the same slides and the reads for
the three techniques were done independently. Analysis sets included the MASH Resolution Set (all subjects that have BL and EOS biopsy
with MASH at BL [NAS ≥4 with lobular inflammation score ≥ 1 and hepatocyte ballooning score ≥1 at BL] (n=37)), the Biopsy Set
(all subjects with baseline and EOS biopsies (n=44)), and the Safety Set (all randomized subjects (n=56)).
Both
LPCN 1144 treatment arms met with statistical significance the pre-specified accelerated approval regulatory endpoint of MASH resolution
with no worsening of fibrosis based on MASH CRN scoring. Additionally, both treatment arms showed substantial improvement of the observed
MASH activity in steatosis, inflammation, and ballooning.
During
the 36 weeks of treatment, LPCN 1144 was well tolerated with an overall safety profile comparable to placebo. Additionally, subjects
were given the option to have access to LPCN 1144 through an open label extension (“OLE”) study. The extension study enabled
the collection of additional data on LPCN 1144 for up to a total of 72 weeks of therapy, as well as data for 36 weeks of therapy for
those subjects on placebo in the LiFT study. Key results from the OLE study are as follows:
● LPCN
1144 was well tolerated over 72-week exposure with no observed safety signals;
● Liver
injury markers were reduced and maintained with extended LPCN 1144 treatment; and
● Observed
liver histology improvements support further development.
14
In
November 2021, the FDA granted Fast Track Designation to LPCN 1144 as a treatment for non-cirrhotic MASH. The Fast Track program is designed
to accelerate the development and expedite the review of products, such as LPCN 1144, which are intended to treat serious diseases and
for which there is an unmet medical need.
We
had a written only response from the FDA for a LPCN 1144 Type C meeting with the FDA in January 2022 to discuss the development path
forward with LPCN 1144. The FDA acknowledged that the NDA submission of LPCN 1144 would be via 505(b)2 regulatory pathway and agreed
that no additional non-clinical studies are needed to support an NDA submission. The FDA acknowledged that subjects in the LiFT study
achieved improvements in key components associated with MASH histopathology after 36-weeks of treatment with LPCN 1144 in adult males
and agreed that the proposed multicomponent primary surrogate endpoint is acceptable for seeking approval under the accelerated approval
pathway. The FDA agreed that the proposed primary multicomponent surrogate endpoint, MASH resolution with no worsening of fibrosis, is
acceptable for seeking approval under the accelerated approval pathway and the FDA recommended a Phase 3 trial with a study duration
of 72 weeks. In July 2022, Lipocine held an End of Phase 2 meeting with the FDA for LPCN 1144 in MASH. The FDA recommended a Phase 2
dose ranging study be conducted to identify the optimal dose prior to conducting a pivotal study. The FDA agreed to the proposed unique
testosterone ester, testosterone laurate, for future clinical studies.
LPCN
1107: An Oral Product Candidate for the Prevention of Preterm Birth (“PTB”)
We
are exploring the possibility of partnering with a third party for the development and/or marketing of LPCN 1107, although no partnering
agreement has been entered into by us. No assurance can be given that any partnering agreement will be completed, or, if an agreement
is completed, that such an agreement would be on terms favorable to us.
We
believe LPCN 1107 has the potential to become the first oral hydroxyprogesterone caproate (“HPC”) product indicated for the
reduction of risk of PTB (delivery less than 37 weeks) in women with singleton pregnancy who have a history of singleton spontaneous
PTB. Prevention of PTB is a significant unmet need as approximately 11% of all U.S. pregnancies result in PTB, a leading cause of neonatal
mortality and morbidity.
Current
Status
We
have completed a multi-dose PK dose selection study in pregnant women. The objective of the multi-dose PK selection study was to assess
HPC blood levels in order to identify the appropriate LPCN 1107 Phase 3 dose. The multi-dose PK dose selection study was an open-label,
4-period, 4-treatment, randomized, single and multiple dose PK study in pregnant women with 3 dose levels of LPCN 1107 and the IM HPC
(Makena®). The study enrolled 12 healthy pregnant women (average age of 27 years) with a gestational age of approximately 16 to 19
weeks. Subjects received three dose levels of LPCN 1107 (400 mg BID, 600 mg BID, or 800 mg BID) in a randomized, crossover manner during
the first 3 treatment periods and then received 5 weekly injections of HPC during the fourth treatment period. During each of the LPCN
1107 treatment periods, subjects received a single dose of LPCN 1107 on Day 1 followed by twice daily administration from Day 2 to Day
8. Following completion of the 3 LPCN 1107 treatment periods and a washout period, all subjects received 5 weekly injections of HPC.
Results from this study demonstrated that average steady state HPC levels (Cavg0-24) were comparable or higher for all 3 LPCN 1107 doses
than for injectable HPC. Additionally, HPC levels as a function of daily dose were linear for the 3 LPCN 1107 doses. Also, unlike the
injectable HPC, steady state exposure was achieved for all 3 LPCN 1107 doses within 7 days.
A
traditional PK/PD based Phase 2 clinical study in the intended patient population is not expected to be required prior to entering into
Phase 3. Therefore, based on the results of our multi-dose PK study we had an End-of-Phase 2 meeting and subsequent guidance meetings
with the FDA to define a pivotal Phase 2b/3 development plan for LPCN 1107. We have completed a food effect study to characterize the
dosing regimen for the pivotal study and we have submitted a pivotal clinical study protocol to the FDA.
The
FDA has granted orphan drug designation to LPCN 1107 based on a major contribution to patient care. Orphan designation qualifies Lipocine
for various development incentives, including tax credits for qualified clinical testing, and a waiver of the prescription drug user
fee when we file our NDA.
Recent
Competition Update
On
October 5, 2020, the FDA’s Center for Drug Evaluation and Research (“CDER”) proposed that Makena be withdrawn from
the market because the PROLONG trial failed to verify the clinical benefit of Makena and concluded that the available evidence does not
show Makena is effective for its approved use.
15
The
CDER issued AMAG Pharmaceuticals, the NDA holder at the time, a Notice of Opportunity for Hearing (“NOOH”) to withdraw approval
of Makena, for which AMAG Pharmaceuticals responded by requesting a hearing and providing detail on the company’s position,
recognizing clinicians’ decade-long use of treatment with Makena and the public health implications of withdrawing approval. The
FDA Commissioner held a public hearing with Covis October 17 through 19, 2022, which resulted in a 14-1 vote recommending removal of
the product from the market. On October 31, 2022, Covis approached the CDER and outlined a plan of orderly withdrawal which would set
a withdrawal timeframe sufficient for current patients to complete their courses of treatment. The CDER declined this proposal. On March
6, 2023, Covis announced its plan to voluntarily withdraw Makena from the market and submitted a request to the CDER for a minimum 21-week
wind-down. On April 6, 2023, the FDA withdrew its approval of Makena and ordered the immediate withdrawal of Makena and several approved
generic versions of the drug, making it unlawful for the drug to be distributed in the U.S. The FDA stated that in light of the unmet
need for a treatment for preventing preterm birth and improving neonatal outcomes, it is imperative that the medical and scientific communities
increase their efforts to find effective treatments and stated their hope that the decision to withdraw Makena will help galvanize further
research. The FDA further stated their commitment to working together with patients, researchers, and drug developers to advance the
development of safe and effective therapies that are urgently needed as a treatment for the prevention of preterm birth.
Research
and Development
As
disclosed in our development pipeline, we continue to build a diversified multi-asset pipeline of novel therapies. In 2024 and 2023,
we spent $7.4 million and $10.2 million, respectively, on research and development.
Competition
Neuroactive
Steroids Market overview
The
unique potential mechanism of action (“MOA”) of NAS presents an opportunity to treat a variety of CNS disorders. Accordingly,
multiple NASs as GABA A receptor PAMs are in active development for varied indications. Some companies engaged in development/commercialization
include SAGE Therapeutics, Inc., Marinus Pharmaceuticals, and Praxis Precision Medicines.
In
September 2024, SAGE Therapeutics announced negative results from the Phase 2 Kinetic 2 Study of investigational SAGE-324 for the chronic
treatment of essential tremor and their decision to discontinue any further development of Sage-324 for the treatment of ET.
Postpartum
Depression
SAGE
Therapeutics’ product ZURZUVAE (zuranolone), an oral, once-daily, 14-day treatment for PPD was approved by the FDA in August 2023.
ZURZUVAE became commercially available in December 2023. In October 2024, SAGE Therapeutics announced plans to discontinue marketing their
injectable version of an endogenous neuroactive steroid, brexanolone, ZULRESSO™, for treatment in PPD in order to focus their commercial
efforts on ZURZUVAE.
Cirrhosis/MASH
Market Overview
Decompensated
cirrhosis patients with sarcopenia exhibit significantly shorter overall survival than those without sarcopenia. There are no therapies
specifically approved for sarcopenia or decompensated cirrhosis. Currently, the only curative therapy for decompensated cirrhosis is
liver transplant; however, liver transplantation is very costly, limited by the supply of available donors, and has a high risk of post-operative
complications.
Xifaxan®
(rifaximin) is the only FDA-approved medicine indicated for the reduction in risk of overt hepatic encephalopathy recurrence in
adults, a decompensation event typically associated with liver cirrhosis. Reportedly, Xifaxan sales for the 12-month period ending November
2024 totaled ~ $2.5B.
Currently,
there are no FDA approved drugs to treat secondary sarcopenia in decompensated cirrhosis beyond treatment of the underlying conditions.
Lipocine is a leader in pursuing treatment for subjects with decompensated cirrhosis with sarcopenia, however, there are candidates known
to be under development for cirrhosis related indication(s).
GB
1211 (by Galecto), an oral galectin-3 inhibitor for advanced liver cirrhosis targeted for directly addressing fibrosis, targeted for
initiation of a long-term cirrhosis trial in the first half of 2024, is in development being assessed in patients with moderate-to-severe
cirrhosis (Child-Pugh classes B and C).
16
Reformulated
Rifaximin SSD (by BAUSCH health) is in a Phase 3 study for Reduction of Early Decompensation in Cirrhosis with time to first occurrence
of hepatic encephalopathy as the primary endpoint. Reportedly, topline data is anticipated in the first half of 2026.
In
March 2024, Madrigal Pharmaceuticals announced FDA approval of Rezdiffra TM (resmetirom) for treatment of patients with MASH.
In addition, in February 2025, Akero Therapeutics announced preliminary topline results with Efruxifermin (EFX) showing statistically
significant reversal of compensated cirrhosis (F4) due to MASH at week 96 in their Phase 2b SYMMETRY study. Various therapeutics are
used off-label for the treatment of MASH, including vitamin E (an antioxidant), insulin sensitizers (e.g., metformin, pioglitazone),
antihyperlipidemic agents (e.g., gemfibrozil), pentoxifylline and ursodeoxycholic acid. There are several product candidates in Phase
3 or earlier clinical or preclinical development for the treatment of MASH, including FGF21 stimulants such as BIO89 - 100 (89bio);
FGF19 Analog:Aldafermin (NGM Biopharmaceuticals); FXR Agonists: PXL065 (Pxel);Vonafexor (EYP001) (Enyo Pharma); Glucagon - like
Peptide - 1 (GLP - 1) Agonist: Peroxisome Proliferator - activated Receptor (PPAR); Regulator: Lanifibranor (Inventiva) ;
THR - β Agonisit and VK2809 (Viking Therapeutics) .
(1)
Bank of American Global Reseach, Pharmaceutical Scripts/sales Data Report, Jan 21, 2025
Testosterone
Replacement Therapy Market Overview
The
gel-based testosterone replacement products that are currently available include AbbVie’s AndroGel®, Lilly and Company’s
Axiron® Topical Solution and Endo ’ s Testim® and Fortesta® along with their respective authorized
generics as well as the equivalent generic versions of each. Transdermal patches include Allergan’s Androderm®.
Intramuscular forms of testosterone also exist although commercialized mostly in generic forms by multiple companies and in branded
form as Aveed® by Endo. Additionally, Endo markets the buccal testosterone replacement therapy Striant® and the
Testopel® implantable testosterone pellets, which it acquired from Auxillium in 2015. Antares Pharma, Inc. markets a
sub-cutaneous weekly auto-injector testosterone therapy, Xyosted®. Acerus Pharmaceuticals markets an intranasal testosterone
therapy, NATESTO®. Finally, Tolmar Pharmaceuticals markets an oral TRT, JATENZO®, which received FDA approval in March 2019
and Marius Pharmaceuticals markets an oral TU, KYZATREX®, which received FDA approval for treatment of those with
Klinefelter’s Syndrome in August 2022.
Currently,
intramuscular injections have the highest market share in the testosterone replacement market in terms of annual prescriptions. While
gels are also a widely used form of TRT, there is a risk of transference; additionally, the gels are messy to apply and have significant
compliance issues leading to high rates of discontinuance among patients. Additionally, certain intramuscular injections have the potential
to cause pulmonary embolisms as well as cause injection site reactions, scarring, pain and risk of infection in patients. We believe
a safe and effective oral therapy could potentially increase patient convenience and compliance, while eliminating the testosterone transference
risk associated with gels and injection site reaction of injectables.
The
FDA has granted a therapeutic equivalence rating of AB to “generic” versions of approved products which have been
approved via a 505(b)(2) NDA. In July 2014, the FDA granted the AB rating to Perrigo’s 1% testosterone gel drug product (NDA
203098) approved in January 2013, and a BX rating to Teva’s 1% gel drug product (NDA 202763) approved in February 2012. Each
are versions of AbbVie’s AndroGel 1.0% and employed 505(b)(2) submissions citing AndroGel as their reference listed drugs.
Teva’s version was found to be bioinequivalent to AndroGel, hence the BX rating. Upsher-Smith Laboratories also received
approval for a version of Endo’s Testim (Vogelxo™; NDA 204399) in June 2014 using the same pathway. In January of 2015,
the FDA determined that Vogelxo™ is therapeutically equivalent to Testim and received an AB rating. In August 2015, the FDA
granted AB rating to Perrigo’s 1.62% testosterone gel drug product (NDA 204268) which also received FDA approval in August
2015. Lilly and Company and Acrux’s Axiron had patent expiry in February 2017. On July 6, 2017, Acrux confirmed that a generic
version of Axiron® Topical Solution, 30 mg/1.5 mL (Testosterone Topical Solution, 30 mg/1.5 mL) has been launched in the United
States by Perrigo Company plc. Acrux also confirmed the availability of an authorized generic version of Axiron in the United
States, through a marketing and distribution agreement between Lilly and Company and a leading authorized generics
company.
Other
TRT Therapies in Development
Recently
there has been increased interest in developing oral TRTs as well as testosterone therapies which are not considered testosterone replacement
and as such will need to achieve efficacy endpoints in addition to endpoints related to serum testosterone levels that are required for
testosterone replacement therapies.
We
believe there remains a significant unmet need in TRT for a once-a-day convenient oral option. LPCN 1111 is targeted to meet this unmet
need.
17
Hydroxyprogesterone
caproate, or HPC, Preterm Birth, or PTB, Market Overview
PTB
is defined as delivery before 37 weeks of gestation. The only previously approved therapy for prevention of PTB in women with a
prior history of at least one preterm birth (approximately 145,000 pregnancies annually) which was a weekly intramuscular injection
of HPC, marketed by Covis under the brand name Makena®, was pulled from the market effective April 6, 2023, because the PROLONG
trial failed to verify the clinical benefit of Makena. The FDA concluded that the available evidence does not show Makena is
effective for its approved use and withdrew its approval of Makena and ordered the immediate withdrawal of Makena and several
approved generic versions of the drug, making it unlawful for the drug to be distributed in the U.S.
Intellectual
Property
Drug
Delivery Technologies for Lipophilic Drug Substances
Our
patent portfolio is directed to various types of compositions and methods for delivery of lipophilic drugs, which are drugs that are
soluble in lipids. Our FDA approved product, TLANDO, is an oral formulation of the lipophilic prodrug TU, utilizing our proprietary technology
for improved delivery of lipophilic therapeutic agents.
As
of March 13, 2025, our intellectual property patent portfolio consists of various issued patents and patent applications related to Oral
TU, LPCN 1111, LPCN 1107, LPCN 1144/1148, LPCN 1154, and LPCN 2401 both in the U.S. and in multiple countries outside of the U.S.
We
also hold license rights in the field of cough and cold, to two U.S. patents and one U.S. application (and related foreign patents and applications)
that we previously assigned to Spriaso LLC, which could be possibly used with future product candidates.
Additionally,
we have 13 U.S. patents that are listed in the FDA Orange Book for TLANDO that are expected to expire between 2029 and 2041. If we or
our Licensee are marketing the TLANDO product at the time the patents expire and have no other issued U.S. patents covering the product,
then we will lose certain advantages that come with FDA Orange Book listing of patents and will no longer be able to prevent others in
the U.S. from practicing the inventions claimed by the 13 patents.
We
expect to file new patent applications in the future to further cover various aspects of our products and product development.
See
Item 3 – Legal Proceedings, for a discussion of intellectual property related legal proceedings.
Government
Regulation
The
Regulatory Process for Drug Development
The
production and manufacture of our product candidates and our research and development activities are subject to regulation by various
governmental authorities around the world. In the United States, drugs and products are subject to regulation by the FDA. There are other
comparable agencies in Europe and other parts of the world. Regulations govern, among other things, the research, development, testing,
manufacture, quality control, approval, labeling, packaging, storage, record-keeping, promotion, advertising, distribution, post-approval
monitoring and reporting, marketing and export and import of products. Applicable law requires licensing and registration of manufacturing
and contract research facilities, carefully controlled research and testing of products, governmental review and/or approval of results
prior to marketing therapeutic products. Additionally, adherence to good laboratory practices, or GLP, good clinical practices, or GCP,
during clinical testing and current good manufacturing practices, or cGMP, during production is required. Following FDA approval of a drug product, drug manufacturers are subject to continuing regulation by the FDA, including,
among other things, record-keeping requirements, reporting of adverse experiences with the product, providing the FDA with updated safety
and efficacy information, and promotion and advertising rules, among others. The system of new drug approval
in the United States is generally considered to be the most rigorous in the world and is described in further detail below under “United
States Pharmaceutical Product Development Process.”
United
States Pharmaceutical Product Development Process
In
the United States, the FDA regulates pharmaceutical products under the Federal Food, Drug and Cosmetic Act and the regulations it implements.
The testing, production, sale, promotion, and pricing of pharmaceutical products are also subject to other federal, state and local statutes and
regulations. The process of obtaining regulatory approvals and the subsequent compliance with appropriate federal, state, local and foreign
statutes and regulations require the expenditure of substantial time and financial resources. Failure to comply with the applicable United
States requirements at any time during the product development process, approval process or after approval, may subject an applicant
to administrative or judicial sanctions. FDA sanctions could include refusal to approve pending applications, withdrawal of an approval,
a clinical hold, warning letters, product recalls, product seizures, total or partial suspension of production or distribution injunctions,
fines, refusals of government contracts, restitution, disgorgement or civil or criminal penalties. Any agency or judicial enforcement
action could have a material adverse effect on us.
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It
takes many years for a typical experimental drug to go from concept to approval. The process required by the FDA before a pharmaceutical
product may be marketed in the United States generally includes the following:
● Completion
of preclinical laboratory tests and animal studies. The latter, often conducted according
to GLPs or other applicable regulations, as well as synthesis and drug formulation development
leading ultimately to clinical drug supplies manufactured according to cGMPs;
● Submission
to the FDA of an Investigational New Drug application (“IND”), which must be submitted to the FDA and become effective before human
clinical trials may begin in the United States;
● Performance
of adequate and well-controlled human clinical trials according to the FDA’s current
GCPs, to establish the safety and efficacy of the proposed pharmaceutical product for its
intended use;
● Submission
to the FDA of an NDA for a new pharmaceutical product;
● Satisfactory
completion of an FDA inspection of the manufacturing facility or facilities where the pharmaceutical
product is produced to assess compliance with the FDA’s cGMP to assure that the facilities,
methods and controls are adequate to preserve the pharmaceutical product’s identity,
strength, quality and purity;
● Potential
FDA audit of the preclinical and clinical trial sites that generated the data in support
of the NDA; and
● FDA
review and approval of the NDA.
The
lengthy process of seeking required approvals and the continuing need for compliance with applicable statutes and regulations require
the expenditure of substantial resources and FDA approval is inherently uncertain.
Preclinical
Studies : Prior to preclinical studies, a research phase takes place which involves demonstration of target and function, design,
screening and synthesis of agonists or antagonists. Preclinical studies include laboratory evaluations of product chemistry, toxicity
and formulation, as well as animal studies to evaluate efficacy and activity, toxic effects, pharmacokinetics (“PKs”) and metabolism of the pharmaceutical
product candidate and to provide evidence of the safety, bioavailability and activity of the pharmaceutical product candidate in animals.
The conduct of the preclinical safety evaluations must comply with federal regulations and requirements including GLPs. The results of
the formal IND-enabling preclinical studies, together with manufacturing information, analytical data, any available clinical data or
literature as well as the comprehensive descriptions of proposed human clinical studies, are then submitted as part of the IND application
to the FDA.
The
IND automatically becomes effective 30 days after receipt by the FDA, unless the FDA places the IND on a clinical hold within that 30-day
time period. In such a case, the IND sponsor and the FDA must resolve any outstanding concerns before the clinical trial can begin. The
FDA may also impose clinical holds on a pharmaceutical product candidate at any time before or during clinical trials due to safety concerns
or non-compliance. Accordingly, we cannot be certain that submission of an IND will result in the FDA allowing clinical trials to begin,
or that, once begun, issues will not arise that suspend or terminate such clinical trial.
Clinical
Trials : Clinical trials involve the administration of the pharmaceutical product candidate to healthy volunteers or patients under
the supervision of qualified investigators, generally physicians not employed by the sponsor. Clinical trials are conducted under protocols
detailing, among other things, the objectives of the clinical trial, dosing procedures, subject selection and exclusion criteria, and
the parameters to be used to monitor subject safety. Each protocol must be submitted to the FDA if conducted under a U.S. IND. Clinical
trials must be conducted in accordance with the FDA’s GCP requirements. Further, each clinical trial must be reviewed and approved
by an independent institutional review board, or IRB, or ethics committee at or servicing each institution at which the clinical trial
will be conducted. An IRB or ethics committee is charged with protecting the welfare and rights of trial participants and considers such
items as whether the risks to individuals participating in the clinical trials are minimized and are reasonable in relation to anticipated
benefits. The IRB or ethics committee also approves the informed consent form that must be provided to each clinical trial subject or
his or her legal representative and must monitor the clinical trial until completed.
Human
clinical trials are typically conducted in three sequential phases that may overlap or be combined:
Phase
1 Clinical Trials : Phase 1 clinical trials are usually first-in-man trials, take approximately 1 to 2 years to complete and are generally
conducted on a small number of healthy human subjects to evaluate the drug’s activity, schedule and dose, PKs and pharmacodynamics.
However, in the case of life-threatening diseases, such as cancer, the initial Phase 1 testing may be done in patients with the disease.
These trials typically take longer to complete and may provide insights into drug activity.
Phase
2 Clinical Trials : Phase 2 clinical trials can take approximately 1 to 3 years to complete and are carried out on a relatively small
to moderate number of patients (as compared to Phase 3) in a specific indication. The pharmaceutical product is evaluated to preliminarily
assess efficacy, to identify possible adverse effects and safety risks, and to determine optimal dose, regimens, PKs, pharmacodynamics
and dose response relationships. This phase also provides additional safety data and serves to identify possible common short-term side
effects and risks in a larger group of patients. Phase 2 clinical trials sometimes include randomization of patients.
19
Phase
3 Clinical Trials : Phase 3 clinical trials take approximately 2 to 5 years to complete and involve tests on a much larger population
of patients (several hundred to several thousand patients) suffering from the targeted condition or disease. These studies usually include
randomization of patients and blinding of both patients and investigators at geographically dispersed test sites (multi-center trials).
These trials are undertaken to further evaluate dosage, clinical efficacy and safety and are intended to establish the overall risk/benefit
ratio of the product and provide an adequate basis for product labeling. Generally, 2 adequate and well-controlled Phase 3 clinical trials
are required by the FDA for approval of an NDA or foreign authorities for approval of NDAs.
Post-approval
studies, or Phase 4 clinical trials, may be conducted after initial marketing approval. These studies are used to gain additional experience
from the treatment of patients in the intended therapeutic indication and may be required by the FDA as a condition of approval.
Progress
reports detailing the results of the clinical trials must be submitted at least annually to the FDA, and written IND safety reports must
be submitted to the FDA and the investigators for serious and unexpected adverse events or for any finding from tests in laboratory animals
that suggests a significant risk for human subjects. Phase 1, Phase 2 and Phase 3 clinical trials may not be completed successfully within
any specified period, if at all. The FDA or the sponsor or, if used, its data safety and monitoring board may suspend a clinical trial
at any time on various grounds, including a finding that the research subjects or patients are being exposed to an unacceptable health
risk. Similarly, an IRB or ethics committee can suspend or terminate approval of a clinical trial at its institution if the clinical
trial is not being conducted in accordance with the IRB’s or ethics committee’s requirements or if the pharmaceutical product
has been associated with unexpected serious harm to patients.
Concurrent
with clinical trials, companies usually complete additional animal studies and must also develop additional information about the chemistry
and physical characteristics of the pharmaceutical product, as well as finalize a process for manufacturing the product in commercial
quantities in accordance with cGMP requirements. The manufacturing process must be capable of consistently producing quality batches
of the pharmaceutical product candidate and, among other things, must develop methods for testing the identity, strength, quality and
purity of the final pharmaceutical product. Additionally, appropriate packaging must be selected and tested, and stability studies must
be conducted to demonstrate that the pharmaceutical product candidate does not undergo unacceptable deterioration over its shelf life.
U.S.
Pharmaceutical Review and Approval Process
New
Drug Application : Upon completion of pivotal Phase 3 clinical studies, the sponsor assembles all the product development, preclinical
and clinical data along with descriptions of the manufacturing process, analytical tests conducted on the chemistry of the pharmaceutical
product, proposed labeling and other relevant information, and submits it to the FDA as part of an NDA. The submission or application
is then reviewed by the regulatory body for approval to market the product. This process typically takes 8 months to 1 year to complete.
The FDA may refuse to approve an NDA if the applicable regulatory criteria are not satisfied or may require additional clinical data
or other data and information. Even if such data and information is submitted, the FDA may ultimately decide that the NDA does not satisfy
the criteria for approval. If a product receives regulatory approval, the approval may be limited to specific diseases and dosages or
the indications for use may otherwise be limited, which could restrict the commercial value of the product. Further, the FDA may require
that certain contraindications, warnings or precautions be included in the product labeling.
The
Trump administration issued an executive order on February 11, 2025, called “Implementing the President’s ‘Department
of Government Efficiency’ Workforce Optimization Initiative.” This Workforce Optimization Initiative may significantly reduce
the size of the federal government workforce, including FDA workforce. This initiative could result in fewer FDA staff available to review
INDs and NDAs, and less opportunity for product candidate sponsors to meet with FDA to develop cooperative solutions to product development
issues. It is possible that the Workforce Optimization Initiative could significantly lengthen the time it takes to obtain FDA approval
of a new drug product.
Orphan
Drug Designation
Under
the Orphan Drug Act, the FDA may grant orphan drug designation to drugs intended to treat a rare disease or condition, which is generally
a disease or condition that affects fewer than 200,000 individuals in the United States, or more than 200,000 individuals in the United
States and for which there is no reasonable expectation that the cost of developing and making available in the United States a drug
for this type of disease or condition will be recovered from sales in the United States for that drug. Orphan drug designation must be
requested before submitting an NDA. If the FDA grants orphan drug designation, the FDA then discloses publicly the identity of the therapeutic
agent and its potential orphan use. Orphan drug designation does not convey any advantage in or shorten the duration of the regulatory
review and approval process.
If
a product that has orphan drug designation subsequently receives the first FDA approval for the disease for which it has such designation,
the product is entitled to orphan product exclusivity, which means that the FDA may not approve any other applications to market the
same drug for the same indication, except in very limited circumstances, for 7 years. Orphan drug exclusivity, however, could also block
the approval of one of our products for seven years if a competitor obtains approval of the same drug as defined by the FDA or if our
drug candidate is determined to be contained within the competitor’s product for the same indication or disease.
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Priority
Review
Priority
Review is a designation for an NDA after it has been submitted to the FDA for review. Reviews for NDAs are designated as either “Standard”
or “Priority.” A Standard designation sets the target date for completing all aspects of a review and the FDA taking an action
on 90% of applications (i.e., approve or not approve) at 12 months after the date it was submitted for drugs considered new molecular
entities and at 10 months after the date it was submitted for drugs considered non-new molecular entities. A Priority designation sets
the target date for the FDA action on 90% of applications at eight months after submission for drugs considered new molecular entities
and at 6 months after submission for drugs considered non-new molecular entities. A Priority designation is intended for those products
that address unmet medical needs.
Accelerated
Approval
Accelerated
Approval or Subpart H Approval is a program described in the NDA regulations that is intended to make promising products for life threatening
diseases available on the basis of evidence of effect on a surrogate endpoint prior to formal demonstration of patient benefit. A surrogate
marker is a measurement intended to substitute for the clinical measurement of interest, usually prolongation of survival in oncology
that is considered likely to predict patient benefit. The approval that is granted may be considered a provisional approval with a written
commitment to complete clinical studies that formally demonstrate patient benefit.
Post-Approval
Requirements
Any
pharmaceutical products for which we may receive FDA approval are subject to continuing regulation by the FDA, including, among
other things, record-keeping requirements, reporting of adverse experiences with the product, providing the FDA with updated safety
and efficacy information, product sampling and distribution requirements, complying with certain electronic records and signature
requirements and complying with the FDA promotion and advertising requirements, which include, among others, standards for
direct-to-consumer advertising, prohibitions on promoting pharmaceutical products for uses or in patient populations that are not
described in the pharmaceutical product’s approved labeling (known as “off-label use”), industry-sponsored
scientific and educational activities and promotional activities involving the internet. Failure to comply with the FDA requirements
can have negative consequences, including adverse publicity, enforcement letters from the FDA, removal of a product from the market,
mandated corrective advertising or communications with doctors and civil or criminal penalties.
The
FDA also may require post-marketing testing, known as Phase 4 testing, risk evaluation and mitigation strategies and surveillance to
monitor the effects of an approved product or place conditions on an approval that could restrict the distribution or use of the product.
Other
Healthcare Laws and Compliance Requirements
In
the United States, our activities are potentially subject to regulation by various federal, state and local authorities in addition to
the FDA, including, but not limited, to the Centers for Medicare and Medicaid Services and other divisions of the United States government,
including the U.S. Federal Communications Commission, the Department of Health and Human Services, the U.S. Department of Justice and
individual U.S. Attorney offices within the Department of Justice, and state and local governments. For example, if a drug product is
reimbursed by Medicare, Medicaid, or other federal or state healthcare programs, our Company, including our sales, marketing and scientific/educational
grant programs, among others, must comply with federal healthcare laws, including, but not limited to, the federal Anti-Kickback Statute,
false claims laws, civil monetary penalties laws, healthcare fraud and false statement provisions and data privacy and security provisions
under the Health Insurance Portability and Accountability Act, or HIPAA, the Physician Payment Sunshine Act, and any analogous state
laws. If a drug product is reimbursed by Medicare or Medicaid, pricing and rebate programs must comply with, as applicable, the Medicaid
rebate requirements of the Omnibus Budget Reconciliation Act of 1990 (“OBRA”) and the Medicare Prescription Drug Improvement
and Modernization Act of 2003. Among other things, OBRA requires drug manufacturers to pay rebates on prescription drugs to state Medicaid
programs and empowers states to negotiate rebates on pharmaceutical prices, which may result in prices for our future products that will
likely be lower than the prices we might otherwise obtain. Additionally, the Patient Protection and Affordable Care Act as amended by
the Health Care and Education Reconciliation Act of 2010 (collectively, “ACA”) substantially changes the way healthcare is
financed by both governmental and private insurers. Among other cost containment measures, ACA establishes: an annual, nondeductible
fee on any entity that manufactures or imports certain branded prescription drugs and biologic agents; a new Medicare Part D coverage
gap discount program; and a new formula that increases the rebates a manufacturer must pay under the Medicaid Drug Rebate Program. There
may continue to be additional proposals relating to the reform of the U.S. healthcare system, in the future, some of which could further
limit coverage and reimbursement of drug products. If drug products are made available to authorized users of the Federal Supply Schedule
of the General Services Administration, additional laws and requirements may apply.
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Additionally,
to the extent that any of our products are sold in a foreign country, we may be subject to similar foreign laws and regulations, which
may include, for instance, applicable post-marketing requirements, including fraud and abuse, privacy and transparency laws.
Pharmaceutical
Coverage, Pricing and Reimbursement
In
the United States and markets in other countries, sales of any products for which we receive regulatory approval for commercial sale
will depend in part on the availability of coverage and adequate reimbursement from third-party payers, including government health administrative
authorities, managed care providers, private health insurers and other organizations. In the United States, private health insurers and
other third-party payers often provide reimbursement for products and services based on the level at which the government (through the
Medicare or Medicaid programs) provides reimbursement for such treatments. Third-party payers are increasingly examining the medical
necessity and cost-effectiveness of medical products and services in addition to their safety and efficacy and, accordingly, significant
uncertainty exists as to the coverage and reimbursement status of newly approved therapeutics. In particular, in the United States, the
European Union and other potentially significant markets for our product candidates, government authorities and third-party payers are
increasingly attempting to limit or regulate the price of medical products and services, particularly for new and innovative products
and therapies, which has resulted in lower average selling prices. Further, the increased emphasis on managed healthcare in the United
States and on country and regional pricing and reimbursement controls in the European Union will put additional pressure on product pricing,
reimbursement and usage, which may adversely affect our future product sales and results of operations. These pressures can arise from
rules and practices of insurers and managed care organizations, judicial decisions and governmental laws and regulations related
to Medicare, Medicaid and healthcare reform, pharmaceutical reimbursement policies and pricing in general. As a result, coverage and
adequate third-party reimbursement may not be available for our products to enable us to realize an appropriate return on our investment
in research and product development.
The
Inflation Reduction Act of 2022 (Pub. L. No. 117-169) was signed into law on August 16, 2022, and includes a number of provisions aimed
at lowering prescription drug costs and reducing government spending on drugs. This includes a requirement that the Department of Health
and Human Services negotiate a “maximum fair price” with drug manufacturers for certain single-source brand drugs or biologics
without generic or biosimilar competitors that are covered under Medicare Part D and Part B. This pricing will begin in 2026 for Medicare
Part D and 2028 for Medicare Part B. An excise tax is imposed on drug manufacturers that fail to comply with the required negotiation
process. In addition, the law requires drug manufacturers to pay a rebate to the federal government if the price for almost all drugs
covered under Medicare Part D (starting in 2022), and single-source drug or biologics covered under Medicare B (starting in 2023), increase
greater than the inflation rate. The rebate amount equals the number of drug units sold in Medicare multiplied by the amount the drug’s
price exceeds the inflation-adjusted price. The law also modifies the Medicare Part D benefit structure to cap the amount beneficiaries
must spend on drug costs and increase the discounts manufacturers are required to pay. The Inflation Reduction Act of 2022 signals an
increased desire to control the prices and costs associated with pharmaceutical products. In recent years, state laws have been enacted
to lower prescription drug costs and prices. In some states, such as Colorado and Maryland, a drug affordability board was created to
identify specific drugs that are particularly costly or otherwise create affordability challenges. These drug affordability boards have
authority to either implement or recommend upper payment limits for these drugs. This legislation, as well as any future statutes or
regulations at the federal or state level, may impact reimbursement for our product candidates and may challenge our ability to realize
an appropriate return on our investment in research and product development.
The
market for our product candidates for which we may receive regulatory approval will depend significantly on access to third-party payers’
drug formularies or lists of medications for which third-party payers provide coverage and reimbursement. The industry competition to
be included in such formularies often leads to downward pricing pressures on pharmaceutical companies. Also, third-party payers may refuse
to include a particular branded drug in their formularies or may otherwise restrict patient access to a branded drug when a less-costly
generic equivalent or other alternative is available. In addition, because each third-party payer individually approves coverage and
reimbursement levels, obtaining coverage and adequate reimbursement is a time-consuming and costly process. We would be required to provide
scientific and clinical support for the use of any product to each third-party payer separately with no assurance that approval would
be obtained, and we may need to conduct expensive pharmacoeconomic studies in order to demonstrate the cost-effectiveness of our products.
This process could delay the market acceptance of any of our product candidates for which we may receive approval and could have a negative
effect on our future revenues and operating results. We cannot be certain that our product candidates will be considered cost-effective.
If we are unable to obtain coverage and adequate payment levels for our product candidates from third-party payers, physicians may limit
how much or under what circumstances they will prescribe or administer them, and patients may decline to purchase them. This in turn
could affect our ability to successfully commercialize our products and impact our profitability, results of operations, financial condition,
and future success.
22
Related
Party Transaction
On
July 23, 2013, we entered into assignment/license and services agreements with Spriaso, an entity that is majority-owned by Mahesh V. Patel,
Gordhan Patel, John W. Higuchi, the late Dr. William I. Higuchi, and their affiliates. Mahesh V. Patel
is our President and Chief Executive Officer. Mr. Higuchi is a member of our Board of Directors and Gordhan Patel and Dr. Higuchi,
former Board members, were each members of our Board of Directors at the date the license and agreements were entered into.
Under
the assignment agreement, we assigned and transferred to Spriaso all of our rights, title and interest in our intellectual property for
the cough and cold field. In addition, Spriaso was assigned all rights and obligations under our product development agreement with a
co-development partner. In exchange, we would be entitled to receive a potential cash royalty of 20% of the net proceeds received by
Spriaso, up to a maximum of $10 million. Spriaso also granted back to us an exclusive license to such intellectual property to develop
products outside of the cough and cold field. The assignment agreement will expire upon the expiration of all of Spriaso’s payment
obligations thereunder and the expiration of all of the licensed patents thereunder. Spriaso has the right to terminate the assignment
agreement with 30 days written notice. We have the right to terminate the assignment agreement upon the complete liquidation or
dissolution of Spriaso, unless the assignment agreement is assigned to an affiliate or successor of Spriaso.
Under
the services agreement, we agreed to provide facilities and up to 10% of the services of certain employees to Spriaso for a period of
time. The agreement to provide services expired in 2021; however, it may be extended upon written agreement of Spriaso and us. Additionally,
Spriaso filed its first NDA in 2014, and as an affiliated entity of Lipocine, it used up the one-time waiver of user fees for a small
business submitting its first human drug application to FDA.
Employees
As
of December 31, 2024, we had 16 full time employees, and we also utilize the services of consultants on a regular basis. Eleven employees
are engaged in drug development activities and five are in general and administration functions and the majority of our employees work
out of our Salt Lake City facility. The Company continually evaluates the business need and opportunity
and balances in-house expertise and capacity with outsourced expertise and capacity. Currently, we outsource substantial clinical trial
work to clinical research organizations and certain drug manufacturing to contract manufacturers. None of our employees are represented
by labor unions or covered by collective bargaining agreements and we consider our relations with our employees to be good.
We
strive toward having a diverse team of employees and are committed to equality, inclusion and workplace diversity.
Reverse
Stock Split
On
May 10, 2023, our Board of Directors approved a reverse stock split of 1-for-17. We filed an Amendment to our Certificate of
Incorporation with the Secretary of the State of Delaware on May 10, 2023, and the Amendment became effective at 5:00 pm Eastern
Time on May 11, 2023. Our shares began trading on a split-adjusted basis on the Nasdaq Capital Market commencing upon market open on
May 12, 2023. The par value of the common stock and preferred stock was not adjusted as a result of the reverse stock split. All
common stock and per share amounts in the financial statements have been retroactively adjusted for all periods presented to give
effect to the reverse stock splits.
Available
Information
Our
website address is www.lipocine.com. We make available free of charge on the Investor Relations portion of our website our annual reports on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K, and amendments to those reports filed or
furnished pursuant to Section 13(a) or 15(d) of the Exchange Act as soon as reasonably practicable after we electronically
file such material with, or furnish it to, the SEC. The SEC maintains an internet website that contains
reports, proxy and information statements, and other information that we file electronically, which can be found at http://www.sec.gov.
ITEM 1A. RISK
FACTORS
We
have identified the following risks and uncertainties that may have a material adverse effect on our business, financial condition, results
of operations and future growth prospects. Our business could be harmed by any of these risks. The risks and uncertainties described
below are not the only ones we face. The trading price of our common stock could decline due to any of these risks, and you may lose
all or part of your investment. In assessing these risks, you should also refer to the other information contained in this Annual Report, including our consolidated financial statements and related notes.
23
Risk
Factors Summary
Our
business operations are subject to numerous risks, factors and uncertainties, including those outside of our control, that could cause
our actual results to be harmed, including risks regarding the following:
Risks
Relating to Our Business and Industry
● the
timelines of our clinical trials;
● the
early stage of development of LPCN 1154, LPCN 2401, LPCN 2101, LPCN 2203, LPCN 1148, LPCN
1144, LPCN 1111 and LPCN 1107;
● the
early stage of development of our research and development programs and processes and the
risk of competition;
● the
regulatory requirements for our product candidates and the possibility that regulatory approval
will not be received;
● the
commercial success of our licensed product candidate, TLANDO;
● the
possibility that T-replacement therapies could be found to create, or could be perceived
to create, health risks;
● any
possible failure to obtain adequate healthcare reimbursement for our products;
● competition
in the TRT market, including the entrance of generic TRTs into the market;
● our
Licensee’s ability to commercialize TLANDO may be limited;
● successful
commercialization of our product candidates internally or through collaborators;
● the
possibility that we may never receive regulatory approval to market our products outside
the United States;
● the
stringent government regulations concerning the clinical testing of our products;
● the
market’s acceptance of our products;
● physicians
and patients using other products may not switch to our product;
● the
possibility that regulatory agencies could find that we have improperly promoted off-label
uses;
● any
possible failure to comply with federal and state healthcare laws;
● our
ability to retain our chief executive officer and other key executives and to attract, retain
and motivate qualified personnel;
● difficulties
in managing the growth of the Company;
● re-importation
of drugs from foreign countries into the United States by our competitors;
● any
product liability claims;
● any
failure to comply with the Controlled Substances Act;
● the
defense and resolution of any litigation; and
● cyber
security risks.
Risks
Related to Our Dependence on Third Parties
● our
reliance on third-party contractors and service providers for the execution of some aspects
of our development programs;
● our
reliance on contract research organizations or other third parties to assist us in conducting
clinical trials;
● our
reliance on suppliers for the active and inactive ingredients for our products; and
● our
ability to establish successful collaborations for our products.
24
Risks
Related to Ownership of Our Common Stock
● our
stock price’s reaction to the results and timing of clinical trials, regulatory and
other decisions;
● the
effectiveness of our internal control over financial reporting;
● the
cost and expense to comply with the requirements of being a public company;
● the
volatility of our share price;
● the
possibility of delisting of our securities from the Nasdaq Capital Market;
● anti-takeover
provisions in our amended and restated certificate of incorporation and our amended and restated
bylaws, as well as provisions of Delaware law and our stockholder rights plan;
● our
decision not to pay dividends on our common stock;
● our
management and directors’ ability to exert influence over our affairs;
● volatility
in the trading price of our common stock; and
● any
failure of securities or industry analysts to publish accurate research about our business.
Risks
Relating to Our Financial Position and Capital Requirements
● our
need for and ability to obtain substantial additional capital in the future;
● potential
dilution to our existing stockholders from raising any additional capital;
● our
inability to predict when we will generate product revenues or achieve profitability;
● our
incurrence of significant operating losses; and
● any
fluctuation in our operating results.
Risks
Relating to Our Intellectual Property
● our
ability to protect our intellectual property;
● our
ability to obtain additional protection under the Drug Price Competition and Patent Term
Restoration Act;
● the
possibility of incurring substantial costs as a result of litigation or other proceedings
relating to patent and other intellectual property rights, or our inability to protect our
rights to our products and technology;
● the
cost and expense, and any unfavorable outcomes, resulting from any claims for infringing
intellectual property rights of third parties;
● the
fact that we do not have patent protection for our product candidates in a significant number
of countries;
● our
ability to comply with various procedural, document submission, fee payment and other requirements
imposed by governmental patent agencies; and
● the
possibility that we may be subject to claims that our employees have wrongfully used or disclosed
alleged trade secrets of their former employers.
25
Risks
Relating to Our Business and Industry
The
timelines and costs of our clinical trials may be impacted by numerous factors and any delays may adversely affect our ability to execute
our current business strategy.
Our
expectations regarding the success of our product candidates, including our clinical candidates and lead compounds, and our business
are based on projections which may not be realized for many scientific, business or other reasons. We therefore cannot assure investors
that we will be able to adhere to our current schedule. We set goals that forecast the accomplishment of objectives material to our success:
selecting clinical candidates, product candidates, failures in research, the inability to identify or advance lead compounds, identifying
target patient groups or clinical candidates, the timing and completion of clinical trials, and anticipated regulatory approval. The
actual timing of these events can vary dramatically due to factors such as available capital resources, slow enrollment of subjects in
studies, uncertainties in scale-up, manufacturing and formulation of our compounds, failures in research, the inability to identify clinical
candidates, failures in our clinical trials, requirements for additional clinical trials and uncertainties inherent in the regulatory
approval process and regulatory submissions. Decisions by our partners or collaborators may also affect our timelines and delays in achieving
manufacturing capacity. The length of time necessary to complete clinical trials and to submit an application for marketing approval
by applicable regulatory authorities may also vary significantly based on the type, complexity and novelty of the product candidate involved,
as well as other factors. In addition, the development of our product candidates will require significant capital resources and we may
not be able to raise sufficient additional capital to fund continued development. Further, we may choose to allocate available capital
resources to the development of product candidates that do not ultimately achieve commercialization.
LPCN
1154 is in development and an NDA submission may not be filed, or if filed, may not be accepted by the FDA.
LPCN
1154 is currently in development. There can be no assurance as to whether the results of the clinical trials will support an NDA
submission or whether an NDA submission will be accepted for review or approved by the FDA for postpartum depression, including the
oral route related brexanolone or its metabolites exposure profile relative to the reference injectable brexanolone. Although we
have an agreement with the FDA on a 505(b)(2) pathway to NDA submission, we will be required to undertake an additional safety and
efficacy study in the patient population and possibly additional clinical studie(s) including studies in addition to our pivotal
study which was conducted in 2024 in post-menopausal women. There can be no assurance that a safety and efficacy study will be
initiated or that, if a study is completed, the results from the study will meet the primary endpoint. Further, there can be no
assurance that additional studies will not be required, and if they are required that we will have sufficient resources to conduct
such additional studies to enable an NDA submission.
LPCN
1154 may not achieve planned commercialization or commercialization objectives for a variety of reasons.
Commercialization
of LPCN 1154 is likely highly dependent on us finding a partner to market and sell LPCN 1154, if approved. We are exploring the possibility
of partnering LPCN 1154 to a third party for commercialization, however we may not be able to identify potential partners or successfully
enter into partnership arrangements on terms favorable to us, if at all. We cannot be certain as to whether label language required by
the FDA will require warnings, blackbox or otherwise, as to the safety or efficacy of LPCN 1154 which could negatively affect the commercialization
of the LPCN 1154, if approved. If we are unable to successfully partner or otherwise develop and get a regulatory approval for LPCN 1154,
LPCN 1154 may never be commercialized.
Our
current LPCN 1154 505(b)(2) filing strategy includes referencing injectable brexanolone (Zulresso) as a listed drug. There can be no
assurance there will not be any third-party patent infringement proceedings against us. Such proceedings could delay or prevent further development of LPCN 1154.
We
rely on third party vendors for our supply of brexanolone, the active pharmaceutical ingredient of LPCN 1154, and on a third-party manufacturer
for the development and supply of commercial drug product of LPCN 1154. The loss of these third-party vendors could adversely affect our ability to successfully develop and commercialize LPCN 1154.
LPCN
2401 is in a very early stage of development and may not be further developed for a variety of reasons.
LPCN
2401 is in a very early stage of development and consequently the risk that we may fail to develop, commercialize, or partner LPCN 2401
and related products is high. This development program is susceptible to technical failures in future clinical studies and regulatory
hurdles for further testing and/or meeting the FDA’s needs for NDA filing or approval. The result of a possible POC Phase 2 study
may not be indicative of ultimate success in a larger Phase 2 or Phase 3 clinical study and, although we are exploring the possibility
of partnering LPCN 2401 with a third party for further development and commercialization, we may not be able to identify potential partners
or successfully enter into partnership arrangements on terms favorable to us, if at all. We may
not be able to further test in-clinic in a timely manner or at all due to other regulatory hurdles. In addition, LPCN 2401 in combination
with incretin mimetics may not be effective in achieving weight loss and improving body composition or may not have differentiation from
competitive products on the market or in development. Pending resource availability, we may expend significant resources before determining
that this program is not a viable candidate for regulatory approval and commercialization.
26
LPCN
2101 is in a very early stage of development and may not be further developed for a variety of reasons.
Our
oral NAS comprising program LPCN 2101 is in a very early stage of development and consequently the risk that we may fail to commercialize
LPCN 2101 and related products is high. We have only conducted Phase 1 clinical studies of LPCN 2101 and the ultimate regulatory or technical
success of the neuroactive steroids under investigation in these programs is uncertain. The current limited pre-clinical and phase 1
results we have observed may not be replicated in larger studies, future PK, Phase 2, or pivotal studies with a potential “to be
marketed formulation.” We may not be able to further test in-clinic in a timely manner or at all due to other regulatory hurdles.
In
addition, our oral NAS product candidate LPCN 2101 may not be effective in treating WWE or any other indications or may not have differentiation
from competitive products on the market or in development. We may expend significant resources before determining that this program is
not a viable candidate for regulatory approval and commercialization.
LPCN
2203 is in an early stage of development and may not be further developed for a variety of reasons.
Our
oral NAS comprising programs (including LPCN 2203) are in a very early stage of development and consequently the risk that we may fail
to commercialize LPCN 2203 and related products is high. We have only conducted Phase 1 clinical studies with the active pharmaceutical
ingredient in LPCN 2203 and the ultimate regulatory or technical success of the neuroactive steroids under investigation in these programs
is uncertain. The current limited pre-clinical and Phase 1 results we have observed may not be replicated in larger studies, future PK,
Phase 2, or pivotal studies. We may not be able to further test in-clinic in a timely manner or at all due to other regulatory hurdles.
In
addition, our oral NAS product candidate LPCN 2203 may not be effective in treating ET or may not have differentiation from competitive
products on the market or in development. We may expend significant resources before determining that this program is not a viable candidate
for regulatory approval and commercialization.
LPCN
1148 is in a very early stage of development for management of liver cirrhosis in male patients and while there are no therapies specifically
approved by the FDA for secondary sarcopenia or cirrhosis beyond treatment of underlying conditions, there are candidates known to be
under development for cirrhosis related indication(s).
LPCN
1148 is in a very early stage of development and consequently the risk that we may fail to commercialize or partner LPCN 1148 and related
products is high. This development program is susceptible to technical failures in future clinical studies and regulatory hurdles for
further testing and/or meeting the FDA’s needs for NDA filing or approval. The result of the Phase 2 study may not be indicative
of ultimate success in a larger Phase 2/3 clinical study and, although we are exploring the possibility of partnering LPCN 1148 to a
third party for further development and commercialization, we may not be able to identify potential partners or successfully enter into
a partnership arrangement on terms favorable to us, if at all. While we believe there is a potential to gain Orphan Drug Designation
for an indication or condition in male liver cirrhosis, the FDA may not grant such designation which could adversely impact development
or the commercial potential of LPCN 1148.
LPCN
1111 is in a very early stage of development and may not be further developed for a variety of reasons.
LPCN
1111 is in a very early stage of development. We have completed a Phase 2a and Phase 2b study in hypogonadal men. Future studies may
not have clinical results that support continued development and/or a path towards regulatory approval and commercialization.
In
addition, the active ingredient in LPCN 1111 has only been manufactured on a small scale. Further, our Licensee may choose not to engage
in further development of LPCN 1111 or, if developed, to effectively commercialize LPCN 1111 in the U.S. or Canada. In addition, the
anticipated Phase 3 program for an NDA filing for LPCN 1111 could be very long and expensive, and LPCN 1111 may never be successfully
further developed or commercialized.
LPCN
1107 is in a very early stage of development and may not be further developed for a variety of reasons.
LPCN
1107 is in a very early stage of development and consequently, although we are exploring the possibility of partnering LPCN 1107 to a
third party for further development and commercialization, we may not be able to identify potential partners or successfully enter into
a partnership arrangement on terms favorable to us, if at all. If we are unable to successfully partner LPCN 1107, LPCN 1107 may never
be successfully commercialized. In particular, we have only conducted three Phase 1 clinical studies with this product candidate. Our
completed Phase 1 clinical studies may not be predictive of safety concerns that may arise in pregnant women or demonstrate that LPCN
1107 has an adequate safety profile to warrant further development. These factors can impact the timing of and our ability to continue
development or partner LPCN 1107.
27
In
addition, a number of companies in the pharmaceutical and biotechnology industries have suffered significant setbacks in late-stage clinical
trials, even after achieving positive results in early-stage development. Accordingly, our results from our Phase 1a, our Phase 1b and
our multi-dose PK dose selection studies may not be predictive of the results we may obtain from further studies and trials.
The
FDA has concluded that Makena, based on Makena’s failed definitive PROLONG study, a competing product with the same active ingredient
and similar target indication, is ineffective and Makena has been withdrawn from the market. It is entirely possible that any pivotal
study on LPCN 1107 may require a placebo-controlled trial design. Therefore, we and/or our partner may face significant challenges in
patient recruitment for a placebo-controlled trial, be faced with significant resource investment to conduct additional trials, and face
potential perceived risk of efficacy failure in a pivotal study resulting in no further development of LPCN 1107.
LPCN
1144 is in a very early stage of development and may not be further developed for a variety of reasons.
LPCN
1144 is in a very early stage of development and consequently the risk that we fail to commercialize LPCN 1144 and related products is
high. We have announced topline primary and key secondary endpoint results from our Phase 2 LiFT and open label extension clinical
studies.
Although
our results from the LiFT and open label extension clinical study results were positive for MASH resolution with no worsening
of fibrosis, these results may not be indicative of ultimate success in a larger Phase 2/3 clinical study with required FDA endpoints
and populations needed for regulatory approval of LPCN 1144 for the treatment of MASH.
In
addition, a number of companies in the pharmaceutical and biotechnology industries have suffered significant setbacks in late-stage clinical
trials, even after achieving positive results in early-stage development. The FDA currently insists on histopathology endpoints for diagnosis
and assessment of efficacy of treatment for MASH with LPCN 1144 in a pivotal trial. Accordingly, our results from our LiFT study
may not be predictive of the results we may obtain from further studies and trials.
Several
factors could significantly affect the prospects for LPCN 1144, including factors relating to the regulatory approval, competitive landscape
and clinical development challenges for LPCN 1144. The anticipated Phase 3 programs for an NDA filing for LPCN 1144 will be very long
and resource intensive. Although we are exploring the possibility of partnering LPCN 1144 to a third party for further development and
commercialization, we may not be able to identify potential partners or successfully enter into partnership arrangements on terms favorable
to us, if at all. If we are unable to successfully partner LPCN 1144, LPCN 1144 may never be successfully commercialized.
Our
research and development programs and processes are at an early stage of development, which makes it difficult to evaluate our business
and prospects or predict if or when we will successfully commercialize or partner our product candidates.
Our
operations to date have primarily been limited to conducting research and development activities under license and collaboration agreements.
Our current portfolio consists of product candidates at various clinical stages of development in addition to our out-licensed product
TLANDO. We have never marketed or commercialized a drug product. Consequently, any predictions about our future performance may not be
as accurate as they could be if we were further along our commercialization path. In addition, as a pre-commercial stage business, we
may encounter unforeseen expenses, difficulties, complications, delays and other unknown factors.
Our
clinical product candidates are at an early stage of development and will require significant further investment and regulatory approvals
prior to marketing and commercialization. As such, our product development processes for LPCN 1154, LPCN 2401, LPCN 2101, LPCN 2203,
and LPCN 1148, in addition to LPCN 1111, LPCN 1144, and LPCN 1107 are very risky and uncertain, and our product candidates may fail to
advance beyond the current study. Even if we obtain required financing, we cannot ensure successful product development or that we will
obtain regulatory approval or successfully commercialize or partner any of our product candidates and generate product revenues.
All
of our clinical candidates will be subject to extensive regulation which can be costly and time consuming, cause delays or prevent approval
of the products for commercialization.
Our
clinical development of LPCN 1154, LPCN 2401, LPCN 2101, LPCN 2203, LPCN 1148, LPCN 1144, and LPCN 1107 and any future product candidates
is subject to extensive regulations by the FDA. Product development is a very lengthy and expensive process and can vary significantly
based upon the product candidate’s novelty and complexity. Regulations are subject to change and regulatory agencies have significant
discretion in the approval process.
Numerous
statutes and regulations govern human testing and the manufacture and sale of human therapeutic products in the United States. Such legislation
and regulation bears upon, among other things, the approval of protocols and human testing, the approval of manufacturing facilities,
safety of the product candidates, testing procedures and controlled research, review and approval of manufacturing, preclinical and clinical
data prior to marketing approval including adherence to cGMP during production and storage as well as regulation of marketing activities
including advertising and labeling.
28
In
order to obtain regulatory clearance for the commercial sale of any of our product candidates, we must demonstrate through preclinical
studies and clinical trials that the potential product is safe and efficacious for use in humans for each target indication. Obtaining
approval of any of our product candidates is an extensive, lengthy, expensive and uncertain process, and the FDA may delay, limit or
deny approval for many reasons, including:
●
we may
not be able to demonstrate that the product candidate is safe and effective to the satisfaction of the FDA;
●
the results
of our clinical trials may not meet the level of statistical or clinical significance required by the FDA for marketing approval;
●
the FDA
may disagree with the number, design, size, conduct or implementation of our clinical trials;
●
the contract
research organization that we retain to manage our clinical trials may take actions outside of our control that materially adversely
impact our clinical trials;
●
the FDA
may not find the data from preclinical studies and clinical trials sufficient to demonstrate that a particular product candidate’s
clinical and other benefits outweigh its safety risks;
●
the FDA
may disagree with our interpretation of data from our preclinical studies and/or clinical trials or may require that we conduct additional
trials;
●
the FDA
may not accept data generated at our clinical trial sites;
●
if an
NDA, once submitted, is reviewed by an Advisory Committee, the FDA may have difficulties scheduling an Advisory Committee meeting
in a timely manner or the Advisory Committee may recommend against approval of our application or may recommend that the FDA require,
as a condition of approval, additional preclinical studies or clinical trials, limitations on approved labeling or distribution and
use restrictions;
●
the FDA
may require development of a REMS as a condition of approval;
●
the FDA
may require longer or additional duration of stability data on the clinical lots prior to initiation of further clinical trials;
and
●
the FDA
may identify deficiencies in the formulation or stability of our product candidates or products, or relating to our manufacturing
processes or facilities, or in the processes and facilities of the contract manufacturing organization (“CMO”), our suppliers,
or other third parties that may be utilized in the production supply chain of our products.
Preclinical
and clinical data are often susceptible to varying interpretations and analyses, and many companies that have believed their product
candidates performed satisfactorily in preclinical studies and clinical trials have nonetheless failed to obtain FDA approval for their
products.
No
assurance can be given that current regulations relating to regulatory approval will not change or become more stringent. The FDA may
also require that we amend clinical trial protocols and/or run additional trials in order to provide additional information regarding
the safety, efficacy or equivalency of any compound for which we seek regulatory approval. Moreover, any regulatory approval of a drug
which is eventually obtained may entail limitations on the indicated uses for which that drug may be marketed. Furthermore, product approvals
may be withdrawn or limited in some way if problems occur following initial marketing or if compliance with regulatory standards is not
maintained. The FDA could become more risk averse to any side effects or set higher standards of safety and efficacy prior to reviewing
or approving a product. This could result in a product not being approved.
We
are dependent on the commercial success of our licensed product, TLANDO, for royalty revenue and potential milestone payments.
TLANDO
is currently our only product that has completed Phase 3 clinical trials. On February 1, 2024, we transitioned the commercialization
of TLANDO to Verity from our previous licensee Antares. In January 2024, we entered into the Verity License Agreement with Verity, pursuant
to which we granted Verity an exclusive, royalty-bearing, sublicensable right and license to develop and commercialize our TLANDO product
with respect to TRT in the U.S. and Canada. None of our other products have been approved for sale. Therefore, at this stage, our ability
to realize revenue depends on TLANDO’s successful commercialization. The commercial success of TLANDO depends almost entirely on
Verity’s commercialization efforts and we have very limited ability to influence Verity’s efforts, including the amount and
timing of resources they devote, if any, to the commercialization of TLANDO. On March 29, 2022, the FDA granted approval to TLANDO for
testosterone replacement therapy in adult males indicated for conditions associated with a deficiency or absence of endogenous testosterone : primary
hypogonadism (congenital or acquired) and hypogonadotropic hypogonadism (congenital or acquired). Our ability to realize royalty revenue,
will depend on the commercialization efforts of Verity. If Verity is not able to successfully commercialize TLANDO, we may not realize
any royalty revenue under the Verity License Agreement and our business could be adversely affected. Additionally, regulatory approval
of TLANDO may be withdrawn and the failure to maintain regulatory approvals would prevent TLANDO from being marketed and could have a
material adverse effect on our business.
29
Under
the PREA, our licensing partner, Verity, will need to address the PREA requirement to assess the safety and effectiveness of TLANDO in
pediatric patients. The FDA required certain post-marketing studies including: (i) conducting an appropriately designed label comprehension
and knowledge study that assesses patient understanding of key risk messages in the Medication Guide for TLANDO and (ii) conducting an
appropriately designed one-year trial to evaluate development of adrenal insufficiency with chronic TLANDO therapy. Verity is responsible
for conducting these post-marketing studies. The ramifications of the results of these studies conducted by Verity, or the ramifications
of Verity’s inability or unwillingness to conduct these studies, are unknown to us and would be the between Verity and the FDA.
In
September 2024, we entered into a distribution and license agreement for the development and commercialization of TLANDO in South
Korea with SPC and in October 2024, we entered into a distribution and supply agreement for TLANDO in the GCC countries with
Pharmalink Markets for TLANDO outside the United States, including Canada, South Korea and the GCC countries. Such markets have
requirements for approval of drug candidates with which our licensee(s) must comply prior to marketing. Obtaining regulatory
approval for marketing of TLANDO in the United States or any other one country does not ensure we will be able to obtain regulatory
approval in other countries, but a failure or delay in obtaining regulatory approval in one country may have a negative effect on
the regulatory process in other countries.
If T-replacement
therapies are found, or are perceived, to create health risks, our ability to realize any revenue from TLANDO and LPCN 1111 could be
materially adversely affected, and our business could be harmed. Physicians and patients may be deterred from prescribing and using T-replacement
therapies, which could depress demand for TLANDO and compromise the successful commercialization of TLANDO.
Certain
publications have suggested potential health risks associated with T-replacement therapy, such as increased cardiovascular disease risk,
including increased risk of heart attack or stroke, fluid retention, sleep apnea, breast tenderness or enlargement, increased red blood
cells, development of clinical prostate disease, including prostate cancer, and the suppression of sperm production.
On
March 29, 2022, the FDA approved TLANDO. As part of their approval, the FDA required the inclusion of certain warnings and precautions
in our labeling for TLANDO, including a “black box warning,” including warnings relating to blood pressure increases and
an indication that the safety and efficacy of TLANDO in males less than 18 years has not been established. These warnings may deter physicians
and patients from using TLANDO, which could adversely affect our business.
The
FDA has also required that certain post-marketing studies be conducted to (i) assess patient understanding of key risks relating to TLANDO
and (ii) evaluate development of adrenal insufficiency with chronic TLANDO therapy. Verity is responsible for conducting these post-marketing
studies. Negative outcomes from such studies could adversely affect the ability of Verity to successfully commercialize TLANDO, which
would adversely affect our ability to realize royalty revenue under the Verity License Agreement.
If
we fail to obtain adequate healthcare reimbursement for our products, our revenue-generating ability will be diminished and there is
no assurance that the anticipated market for our products will be sustained.
We
believe that there could be many different applications for products successfully derived from our technologies and that the anticipated
market for products under development could continue to expand. However, due to competition from existing or new products, potential
changes to the class TRT label by the FDA and the yet to be established commercial viability of our products, no assurance can be given
that these beliefs will prove to be correct. Physicians, patients, formularies, payors or the medical community in general may not accept
or utilize any products that we or our collaborative partners may develop. Other drugs may be approved during our clinical testing which
could change the accepted treatments for the disease targeted and make our compound(s) obsolete.
Our
ability to commercialize our products with success may depend, in part, on the extent to which coverage and adequate reimbursement to
patients for the cost of such products and related treatment will be available from governmental health administration authorities, private
health coverage insurers and other organizations, as well as the ability of private payors to pay for or afford our drugs. Adequate third-party
coverage may not be available to patients to allow us to maintain price levels sufficient for us to realize an appropriate return on
our investment in product development.
Coverage
and adequate reimbursement from governmental healthcare programs, such as Medicare and Medicaid, and commercial payers can be critical
to new product acceptance. Coverage decisions may depend upon clinical and economic standards that disfavor new drug products when more
established or lower cost therapeutic alternatives are already available or subsequently become available. Additionally, current manufacturers
of drug products may have agreements with payors that may limit the ability of new products to get on formulary or require a step edit
with an existing product before reimbursement of a new product will occur. Even if we obtain coverage for our products, the resulting
reimbursement payment rates might not be adequate or may require co-payments that patients find unacceptably high. Patients are less
likely to use our products unless coverage is provided and reimbursement is adequate to cover a significant portion of the cost of our
products. Payers may require a more arduous prior authorization process as a condition to payment for TRT therapy. This could adversely
affect the market for TRT products.
30
In
the United States and in many other countries, pricing and/or profitability of some or all prescription pharmaceuticals and biopharmaceuticals
are subject to varying degrees of government control. Healthcare reform and controls on healthcare spending may limit the price we charge
for any products and the amounts thereof that we can sell. In particular, in the United States, the federal government and private insurers
have changed and have considered ways to change, the manner in which healthcare services are provided. In March 2010, ACA became law
in the United States. ACA substantially changes the way healthcare is financed by both governmental and private insurers and significantly
affects the healthcare industry. The provisions of ACA of importance to our potential product candidates include the following:
● an
annual, nondeductible fee on any entity that manufactures or imports certain branded prescription
drugs and biologic agents;
● an
increase in the statutory minimum rebates a manufacturer must pay under the Medicaid Drug
Rebate Program;
● expansion
of healthcare fraud and abuse laws, including the False Claims Act and the Anti-Kickback
Statute, new government investigative powers, and enhanced penalties for noncompliance;
● a
new Medicare Part D coverage gap discount program, in which manufacturers must agree to offer
50% point-of-sale discounts off negotiated prices of applicable brand drugs to eligible beneficiaries
during their coverage gap period, as a condition for the manufacturer’s outpatient
drugs to be covered under Medicare Part D;
● extension
of manufacturers’ Medicaid rebate liability to covered drugs dispensed to individuals
who are enrolled in Medicaid managed care organizations;
● expansion
of eligibility criteria for Medicaid programs by, among other things, allowing states to
offer Medicaid coverage to additional individuals beginning in 2014 and by adding new mandatory
eligibility categories for certain individuals with specified income levels, thereby potentially
increasing manufacturers’ Medicaid rebate liability;
● expansion
of the entities eligible for discounts under the Public Health Service pharmaceutical pricing
program;
● new
requirements to report annually certain financial arrangements with physicians, certain other
healthcare professionals, and teaching hospitals;
● a
new requirement to annually report drug samples that manufacturers and distributors provide
to licensed practitioners, pharmacies of hospitals and other healthcare entities; and
● a
new Patient-Centered Outcomes Research Institute to oversee, identify priorities in, and
conduct comparative clinical effectiveness research, along with funding for such research.
In
addition, other legislative changes have been proposed and adopted since ACA was enacted. On August 2, 2011, the Budget Control
Act of 2011, created, among other things, measures for spending reductions by Congress. A Joint Select Committee on Deficit Reduction,
tasked with recommending a targeted deficit reduction of at least $1.2 trillion for the years 2013 through 2021, was unable to reach
required goals, thereby triggering the legislation’s automatic reduction to several government programs. This includes aggregate
reductions to Medicare payments to providers of up to 2% per fiscal year, starting in 2013. On January 2, 2013, President Obama
signed into law the American Taxpayer Relief Act of 2012, which, among other things, reduced Medicare payments to several providers and
increased the statute of limitations period for the government to recover overpayments to providers from three to five years. The Medicare
Access and CHIP Reauthorization Act of 2015 was signed into law on April 16, 2015 and implemented the most significant change in Medicare
reimbursement since the ACA was enacted. This 2015 law authorizes a new Medicare pay –for-performance reimbursement system for
physicians, which will reward physicians for performance on metrics related to quality of care, resource use, meaningful use of electronic
medical records, and clinical practice improvement activities. The Bipartisan Budget Act was enacted on November 2, 2015, and among provisions,
restricts the types of facilities that may receive hospital reimbursement under Medicare. These new laws may result in additional reductions
in Medicare and other healthcare funding, which could have a material adverse effect on our customers and accordingly, our financial
operations.
Any
reduction in reimbursement from Medicare and other government programs may result in a similar reduction in payments from private payers.
In the future, the U.S. government may institute further controls and different reimbursement schemes and limits on Medicare and Medicaid
spending or reimbursement that may affect the payments we could collect from sales of any products in the United States.
31
The
Department of Health and Human Services Office of Inspector General issued final regulations on November 30, 2020 to eliminate safe harbor
protection under the anti-kickback statute for drug price reductions that pharmaceutical manufacturers pay to Medicare and Medicaid plan
sponsors and their pharmacy benefit managers. The proposal reflects a clear intent to substantially alter many of the current drug discount
and services compensation practices among pharmaceutical manufacturers and Medicare and Medicaid managed care organizations and their
pharmacy benefit managers. The proposal also reflects a skepticism that current drug discount and compensation practices among manufacturers
and pharmacy benefit managers are sufficiently transparent to health plans to ensure that all appropriate cost reductions and value is
passed through to health plans and reflected in lower health plans costs and lower premiums for beneficiaries. The Infrastructure Investment
and Jobs Act enacted in 2021 delayed the potential effective date of the proposal until January 1, 2026, and the Inflation Reduction
Act of 2022 further delayed potential implementation of the rule until 2032. If the regulation becomes effective, it could result in
lower prices for pharmaceutical products in general.
The
Centers for Medicare and Medicaid Services issued an interim final rule on November 20, 2020, that would tie prices for certain drugs
under Medicare Part B to the lowest price for those drugs available in certain countries that are members of the Organization for Economic
Co-operation and Development. This rule was rescinded in December 2021. If resurrected, any similar proposal could result in lower prices
for pharmaceutical products in general.
The
Inflation Reduction Act of 2022 (Pub. L. No. 117-169) was signed into law on August 16, 2022 and includes a number of provisions aimed
at lowering prescription drug costs and reducing government spending on drugs. This includes a requirement that the Department of Health
and Human Services negotiate a “maximum fair price” with drug manufacturers for certain single-source brand drugs or biologics
without generic or biosimilar competitors that are covered under Medicare Part D and Part B. This pricing will begin in 2026 for Medicare
Part D and 2028 for Medicare Part B. An excise tax is imposed on drug manufacturers that fail to comply with the required negotiation
process. In August 2023 the Biden Administration released the first round of drugs subject to this new Medicare Drug Pricing Negotiation
Program. In addition, the law requires drug manufacturers to pay a rebate to the federal government if the price for almost all drugs
covered under Medicare Part D (starting in 2022), and single-source drug or biologics covered under Medicare B (starting in 2023), increase
greater than the inflation rate. The rebate amount equals the number of drug units sold in Medicare multiplied by the amount the drug’s
price exceeds the inflation-adjusted price. The law also modifies the Medicare Part D benefit structure to cap the amount beneficiaries
must spend on drug costs and increase the discounts manufacturers are required to pay. The Inflation Reduction Act of 2022 signals an
increased desire to control the prices and costs associated with pharmaceutical products. A number of states have adopted drug affordability
legislation which permits a drug affordability board to implement or recommend upper payment limits for drugs identified as posing affordability
challenges. This legislation, as well as any future statutes or regulations at the federal or state level, may impact reimbursement for
our product candidates and may challenge our ability to realize an appropriate return on our investment in research and product development.
Any further legislative or administrative action to reduce reimbursement or health benefits to beneficiaries under the Medicare or Medicaid
program could affect the payment we could collect from sale of any product in the United States.
There
is substantial competition in the TRT market, which may result in others discovering, developing or commercializing products before or
more successfully than our licensing partner(s).
We
expect to face significant competition for any of our product candidates, if approved. In particular, TLANDO competes in the T-replacement
therapies market, which is competitive and currently dominated by the sale of T-gels and T-injectables. Receipt of future potential payments
under our licensing agreement will depend, in large part, on our licensing partner’s ability to obtain an adequate share of the
market. Potential competitors in North America, Europe and elsewhere include major pharmaceutical companies, specialty pharmaceutical
companies, biotechnology firms, universities and other research institutions and government agencies. Other pharmaceutical companies
may develop oral T-replacement therapies that compete with TLANDO. For example, because TU is not a patented compound and is commercially
available to third parties, it is possible that competitors may design methods of TU administration that would be outside the scope of
the claims of either our issued patents or our patent applications. This would enable their products to effectively compete with TLANDO,
which could have a negative effect on potential payments under our licensing agreement.
The
following T-replacement therapies currently on the market in the United States compete with TLANDO:
● Oral-T,
such as Jatenzo and Kyzatrek;
● T-gels,
such as AndroGel (marketed by AbbVie) and Perrigo’s AB-rated 1% generic of AndroGel,
Teva’s 1% generic of AndroGel, Testim and its generics (marketed by Endo Health Solutions,
or Endo), and Fortesta and its generics (marketed by Endo);
● T-injectables,
including a subcutaneous auto-injector, XYOSTED, marketed by Antares Pharma, Inc.;
32
●
Branded,
longer-acting injectables, such as Aveed (marketed by Endo);
●
T-nasals,
such as Natesto (marketed by Acerus);
●
methyl-T,
such as Methitest (marketed by Impax) and Testred (marketed by Valeant);
●
transdermal
patches, such as Androderm (marketed by Allergan);
●
buccal
patches, such as Striant (marketed by Endo);
●
generic
testosterone enanthate intra-muscular injectables;
●
authorized
generic and generic T-gels; and
●
subcutaneous
injectable pellets, such as Testopel (marketed by Endo).
On
March 27, 2019, Clarus’ product JATENZO®, an oral TU product, was approved by the FDA and also received three years of marketing
exclusivity. On February 10, 2020, Clarus announced that JATENZO® had been launched and is commercially available. The FDA approved
TLANDO on March 29, 2022, following the expiration of the exclusivity period granted to Clarus with respect to JATENZO®. In October
2022, Clarus’ assets, including JATENZO®, were purchased by Tolmar Pharmaceuticals Inc. in bankruptcy proceedings.
We
are also aware of other pharmaceutical companies that have T-replacement therapies or testosterone therapies in development that may
be approved for marketing in the United States or outside of the United States.
Based
on publicly available information, we believe that several other T-replacement therapies that would be competitive with TLANDO are in
varying stages of development. These therapies include T-gels, oral-T, an aromatase inhibitor, a new class of drugs called Selective
Androgen Receptor Modulators and hydroalcoholic gel formulations of dihydrotestosterone (“DHT”).
In
light of the competitive landscape above, TLANDO is not the only oral TRT to market, which may significantly affect the market acceptance
and commercial success of TLANDO.
Furthermore,
many of our potential competitors have substantially greater financial, technical, and human resources than we do and significantly greater
experience in the discovery and development of drug candidates, obtaining FDA and other marketing approvals of products and the commercialization
of those products. Accordingly, our competitors may be more successful than we may be in obtaining FDA approval for drugs and achieving
widespread market acceptance. Our competitors’ drugs may be more effective, or more effectively marketed and sold, than our products
and may render our products obsolete or non-competitive before we can recover the expenses of developing and commercializing them. We
anticipate that we will face intense and increasing competition as new drugs enter the market and advanced technologies become available.
Failure to successfully compete in this market could materially and negatively impact our business and operations.
Our
Licensees’ ability to commercialize TLANDO may be limited.
Our
Licensee partners’ ability to commercialize TLANDO or obtain marketing approval outside of the United States is uncertain. Our
Licensee’s ability to successfully commercialize TLANDO is contingent upon numerous factors including, among other things, the
completion of post-marketing studies, the availability of supplies, commercial acceptance by patients, the medical community, and third-party
payors, and the resources that our Licensee devotes to the commercialization of TLANDO. If our Licensee is unable to successfully commercialize
TLANDO at scale, our business and operations could be adversely affected.
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 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 Verity under the Verity 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.
33
Even
if we receive marketing approval in the United States, we may never receive regulatory approval to market our products outside the United
States, which could reduce the size of our potential markets and have a material adverse impact on our business.
In
order to market any products outside of the United States including South Korea and the GCC countries, we must establish and comply with
numerous and varying regulatory requirements of other countries regarding safety and efficacy.
Approval
procedures vary among countries and can involve additional product candidate testing and additional administrative review periods. The
time required to obtain approvals in other countries might differ from that required to obtain FDA approval. The marketing approval process
in other countries may include all of the risks detailed above regarding FDA approval in the United States as well as other risks. In
particular, in many countries outside of the United States, products must receive pricing and reimbursement approval before the product
can be commercialized. This can result in substantial delays in such countries. Marketing approval in one country does not ensure marketing
approval in another, but a failure or delay in obtaining marketing approval in one country may have a negative effect on the regulatory
process in others. Failure to obtain marketing approval in other countries or any delay or setback in obtaining such approval would impair
our ability to market our products in such foreign markets. Any such impairment would reduce the size of our potential markets, which
could have an adverse impact on our business, results of operations and prospects.
We
are subject to stringent government regulations concerning the clinical testing of our products and will continue to be subject to government
regulation of any product that receives regulatory approval.
Numerous
statutes and regulations govern human testing and the manufacture and sale of human therapeutic products in the United States and other
countries where we intend to market our products. Such legislation and regulation bears upon, among other things, the approval of clinical
study protocols and human testing of our products, the approval of manufacturing facilities, testing procedures and controlled research,
the review and approval of manufacturing, preclinical and clinical data prior to marketing approval, including adherence to cGMP during
production and storage, and marketing activities including advertising and labeling.
Clinical
trials may be delayed or suspended at any time by us or by the FDA or by other similar regulatory authorities if it is determined at
any time that patients may be or are being exposed to unacceptable health risks, including the risk of death, or if compounds are not
manufactured under acceptable cGMP conditions or with acceptable quality. Current regulations relating to regulatory approval may change
or become more stringent. The agencies may also require additional clinical trials to be run in order to provide additional information
regarding the safety, efficacy or equivalency of any compound for which we seek regulatory approval. Moreover, any regulatory approval
of a drug which is eventually obtained may entail limitations on the indicated uses for which that drug may be marketed. Furthermore,
product approvals may be withdrawn or limited in some way if problems occur following initial marketing or if compliance with regulatory
standards is not maintained. Regulatory agencies could become more risk adverse to any side effects or set higher standards of safety
and efficacy prior to reviewing or approving a product. This could result in a product not being approved.
If
we, or any future marketing collaborators or CMOs, fail to comply with applicable regulatory requirements, we may be subject to sanctions
including fines, product recalls or seizures and related publicity requirements, injunctions, total or partial suspension of production,
civil penalties, suspension or withdrawals of previously granted regulatory approvals, warning or untitled letters, refusal to approve
pending applications for marketing approval of new products or of supplements to approved applications, import or export bans or restrictions,
and criminal prosecution and penalties. Any of these penalties could delay or prevent the promotion, marketing or sale of our products.
The
successful commercialization of our product candidates and ability to generate significant revenue will depend on achieving market acceptance.
Even
if our product candidates are successfully developed and receive regulatory approval, they may not gain market acceptance among physicians,
patients, healthcare payers such as private insurers or governments and other funding parties and the medical community. The degree of
market acceptance for our products, if approved, will depend on a number of factors, including:
● the
relative convenience and ease of administration, including as compared to alternative treatments
and competitive therapies;
● the
prevalence and severity of any adverse side effects;
● limitations
or warnings contained in the labeling approved by the FDA;
● availability
of alternative treatments, including a number of competitive therapies already approved or
expected to be commercially launched in the near future;
● distribution
and use restrictions imposed by the FDA or agreed to by us as part of a mandatory REMS or
voluntary risk management plan;
● pricing
and cost effectiveness;
● the
effectiveness of our or any future collaborators’ sales and marketing strategies;
● our
ability to increase awareness of our products through marketing efforts;
● our
ability to obtain sufficient third-party coverage or reimbursement; and
● the
willingness of patients to pay out-of-pocket in the absence of third-party coverage.
34
If
our product candidates are approved but do not achieve an adequate level of acceptance by physicians, healthcare payors and patients,
we may not generate sufficient revenue from our products and we may never become or remain profitable. In addition, our efforts to educate
the medical community and third-party payors on the benefits of our products may require significant resources and may never be successful.
Even
if we obtain marketing approval for our products, physicians and patients using existing products may choose not to switch to our products.
Physicians
often show a reluctance to switch their patients from existing drug products even when new and potentially more effective and convenient
treatments enter the market. Also, physicians may be reluctant to switch patients if adequate reimbursement for new products is not available.
In addition, patients often acclimate to the brand or type of drug product that they are currently taking and do not want to switch unless
their physicians recommend switching products or they are required to switch drug treatments due to lack of reimbursement for existing
drug treatments and only if the new product has adequate reimbursement. The existence of either or both of physician or patient reluctance
in switching to our products would have an adverse effect on our operating results and financial condition.
The
FDA and other regulatory agencies actively enforce the laws and regulations prohibiting the promotion of off-label uses. If we are found
to have improperly promoted off-label uses, we may become subject to significant liability.
The
FDA and other regulatory agencies strictly regulate the promotional claims that may be made about prescription products, such as our
product candidates. In particular, a product may not be promoted for uses that are not approved by the FDA or such other regulatory agencies
as reflected in the product’s approved labeling. The FDA may impose further requirements or restrictions on the distribution or
use of our product candidates as part of a REMS plan, such as limiting prescribing to certain physicians or medical centers that have
undergone specialized training, limiting treatment to patients who meet certain safe-use criteria and requiring treated patients to enroll
in a registry. If we receive marketing approval for our product candidates, physicians may nevertheless prescribe our products to their
patients in a manner that is inconsistent with the approved label. If we are found to have promoted such off-label uses, we may become
subject to significant liability, including potential liability under federal civil and criminal false claims acts. The federal government
has levied large civil and criminal fines against companies for alleged improper promotion and has enjoined several companies from engaging
in off-label promotion. The FDA has also requested that companies enter into consent decrees or permanent injunctions under which specified
promotional conduct is changed or curtailed.
If
we fail to comply with federal and state healthcare laws, including fraud and abuse and health information privacy and security laws,
we could face substantial penalties and our business, results of operations, financial condition and prospects could be adversely affected.
As
a pharmaceutical company, even though we do not and will not control referrals of healthcare services or bill directly to Medicare, Medicaid
or other third-party payers, certain federal and state healthcare laws and regulations pertaining to fraud and abuse and patients’
rights are and will be applicable to our business. We could be subject to healthcare fraud and abuse and patient privacy regulation by
both the federal government and the states in which we conduct our business. The laws that may affect our ability to operate include:
● the
federal Anti-Kickback Statute, which constrains our marketing practices, educational programs,
pricing policies, and relationships with healthcare providers or other entities, by prohibiting,
among other things, soliciting, receiving, offering or paying remuneration, directly or indirectly,
to induce, or in return for, either the referral of an individual or the purchase or recommendation
of an item or service reimbursable under a federal healthcare program, such as the Medicare
and Medicaid programs;
● federal
civil and criminal false claims laws and civil monetary penalty laws, which prohibit, among
other things, individuals or entities from knowingly presenting, or causing to be presented,
claims for payment from Medicare, Medicaid, or other third-party payers that are false or
fraudulent;
● HIPAA,
which among other things created new federal criminal statutes that prohibit executing a
scheme to defraud any healthcare benefit program or making false statements relating to healthcare
matters;
● the
federal Physician Payments Sunshine Act, which, among other things, requires manufacturers
of drugs, devices, biologics and medical supplies for which payment is available under certain
federal healthcare programs to report annually information related to “payments or
other transfers of value” made to physicians (defined to include doctors, dentists,
optometrists, podiatrists and chiropractors) and teaching hospitals, and ownership and investment
interests held by certain healthcare professionals and their immediate family members;
● HIPAA,
as amended by the Health Information Technology for Economic and Clinical Health Act of 2009,
and its implementing regulations, which imposes certain requirements relating to the privacy,
security, breach notification, and transmission of individually identifiable health information;
and
● state
and foreign law equivalents of each of the above federal laws, such as anti-kickback and
false claims laws which may apply to items or services reimbursed by any third-party payer,
including commercial insurers, and state and foreign laws governing the privacy and security
of health information in certain circumstances, many of which differ from each other in significant
ways and often are not preempted by HIPAA, thus complicating compliance efforts.
35
Because
of the breadth of these laws and the narrowness of available statutory and regulatory exceptions, it is possible that some of our business
activities could be subject to challenge under one or more such laws. To the extent that any of our product candidates is ultimately
sold in countries other than the United States, we may be subject to similar laws and regulations in those countries. If we or our operations
are found to be in violation of any of the laws described above or any other governmental regulations that apply to us, we may be subject
to penalties, including civil, criminal and administrative penalties, damages, fines, disgorgement, exclusion from participating in government
healthcare programs, contractual damages, reputational harm and the curtailment or restructuring of our operations. Any penalties, damages,
fines, curtailment or restructuring of our operations could materially adversely affect our ability to operate our business and our financial
results. Although compliance programs can mitigate the risk of investigation and prosecution for violations of these laws, the risks
cannot be entirely eliminated. Any action against us for violation of these laws, even if we successfully defend against it, could cause
us to incur significant legal expenses and divert our management’s attention from the operation of our business. Moreover, achieving
and sustaining compliance with applicable federal and state privacy, security and fraud laws may prove costly.
The
Department of Health and Human Services Office of Inspector General proposed new regulations on February 6, 2019 to eliminate safe harbor
protection under the anti-kickback statute for drug price reductions that pharmaceutical manufacturers pay to Medicare and Medicaid plan
sponsors and their pharmacy benefit managers. The proposal reflects a clear intent to substantially alter many of the current drug discount
and services compensation practices among pharmaceutical manufacturers and Medicare and Medicaid managed care organizations and their
pharmacy benefit managers. The proposal also reflects a skepticism that current drug discount and compensation practices among manufacturers
and pharmacy benefit managers are sufficiently transparent to health plans to ensure that all appropriate cost reductions and value is
passed through to health plans and reflected in lower health plans costs and lower premiums for beneficiaries. If the proposal is finalized,
it could result in lower prices for pharmaceutical products in general. The Infrastructure Investment and Jobs Act enacted in 2021 delayed
the potential effective date of the proposal until January 1, 2026, and the Inflation Reduction Act of 2022 further delayed potential
implementation of the rule until 2032. If the regulation becomes effective, it could result in lower prices for pharmaceutical products
in general.
Any
further legislative or administrative action to reduce reimbursement or health benefits to beneficiaries under the Medicare or Medicaid
program could affect the payment we could collect from sale of any product in the United States.
Our
future success depends on our ability to retain our chief executive officer and other key executives and to attract, retain and motivate
qualified personnel.
We
are highly dependent on Dr. Mahesh V. Patel and the other principal members of our executive team. Employment with our executives
and other employees are “at will,” meaning that there is no mandatory fixed term and their employment with us may be terminated
by us or by them for any or no reason. The loss of the services of any of our executives or other key employees might impede the achievement
of our research, development and commercialization objectives. Recruiting and retaining qualified scientific personnel and accounting
personnel will also be critical to our success. We may not be able to attract and retain qualified personnel on acceptable terms, or
at all, given the competition among numerous pharmaceutical and biotechnology companies for similar personnel. We also experience competition
for the hiring of scientific personnel from universities and research institutions. Failure to succeed in clinical trials may make it
more challenging to recruit and retain qualified scientific personnel.
In
addition, we rely on consultants and advisors, including scientific and clinical advisors, to assist us in formulating our development
and commercialization strategy. Our consultants and advisors may be employed by employers other than us and may have commitments under
consulting or advisory contracts with other entities that may limit their availability to us.
Federal
legislation and actions by state and local governments may permit re-importation of drugs from foreign countries into the United States,
including foreign countries where the drugs are sold at lower prices than in the United States, which could materially adversely affect
our operating results.
Our
licensing partner may face competition for TLANDO from lower priced T-replacement therapies from foreign countries that have placed price
controls on pharmaceutical products. The Medicare Prescription Drug Improvement and Modernization Act of 2003 contains provisions that
may change U.S. importation laws and expand pharmacists’ and wholesalers’ ability to import lower priced versions of an approved
drug and competing products from Canada, where there are government price controls. These changes to U.S. importation laws will not take
effect unless and until the Secretary of Health and Human Services certifies that the changes will pose no additional risk to the public’s
health and safety and will result in a significant reduction in the cost of products to consumers. The Secretary of Health and Human
Services has not yet announced any plans to make this required certification.
A
number of federal legislative proposals have been made to implement the changes to the U.S. importation laws without any certification
and to broaden permissible imports in other ways. Even if the changes do not take effect, and other changes are not enacted, imports
from Canada and elsewhere may continue to increase due to market and political forces, and the limited enforcement resources of the FDA,
U.S. Customs and Border Protection and other government agencies. For example, Pub. L. No. 111-83, which was signed into law in
October 2009, provides appropriations for the Department of Homeland Security for the 2010 fiscal year, expressly prohibits U.S. Customs
and Border Protection from using funds to prevent individuals from importing from Canada less than a 90-day supply of a prescription
drug for personal use, when the drug otherwise complies with the Federal Food, Drug, and Cosmetic Act. Further, several states and local
governments have implemented importation schemes for their citizens, and, in the absence of federal action to curtail such activities,
we expect other states and local governments to launch importation efforts.
The
importation of foreign products that compete with our products could have an adverse effect on our revenue and profitability.
36
We
may become subject to the risk of product liability claims.
We
face an inherent risk of product liability as a result of the clinical testing of our product candidates and face an even greater risk
on commercialized products. Human therapeutic products involve the risk of product liability claims and associated adverse publicity.
Currently, the principal risks we face relate to patients in our clinical trials, who may suffer unintended consequences. Claims might
be made by patients, healthcare providers or pharmaceutical companies or others. We may be sued if any product we develop allegedly causes
injury or is found to be otherwise unsuitable during product testing, manufacturing, marketing or sale.
For
example, to our knowledge, HPC has not been administered orally in a published clinical trial in any pregnant woman for the prevention
of PTB. We cannot be certain of the safety profile upon single oral or multiple oral administration of LPCN 1107 to the patient or the
fetus and its long term side effects on the mother as well as the child because (i) oral performance of LPCN 1107 may be substantially
different from efficacy and/or safety standpoint compared to previously commercialized intramuscular HPC, Makena, and (ii) oral
delivery of HPC could have a very different PK and/or pharmacodynamic profile that has never been experienced with non-oral administration
of HPC, thus having its own significant liability exposure independent of known safety of non-oral HPC in humans.
Any
product liability claims may include allegations of defects in manufacturing, defects in design, a failure to warn of dangers inherent
in the product, negligence, strict liability and a breach of warranties. Claims could also be asserted under state consumer protection
acts. If we cannot successfully defend ourselves against product liability claims, we may incur substantial liabilities or be required
to limit commercialization of our product candidates, if approved. Even successful defense would require significant financial and management
resources. Regardless of the merits or eventual outcome, liability claims may result in:
● decreased
demand for our product candidates;
● injury
to our reputation;
● withdrawal
of clinical trial participants;
● initiation
of investigations by regulators;
● costs
to defend the related litigation;
● a
diversion of management’s time and our resources;
● substantial
monetary awards to trial participants or patients;
● product
recalls, withdrawals or labeling, marketing or promotional restrictions;
● loss
of revenues from product sales; and
● the
inability to commercialize any of our product candidates, if approved.
We
may not have or be able to obtain or maintain sufficient and affordable insurance coverage, and without sufficient coverage any claim
brought against us could have a materially adverse effect on our business, financial condition or results of operations. We run clinical
trials through investigators that could be negligent through no fault of our own and which could affect patients, cause potential liability
claims against us and result in delayed or stopped clinical trials. We are required in many cases by contractual obligations, to indemnify
collaborators, partners, third party contractors, clinical investigators and institutions. These indemnifications could result in a material
impact due to product liability claims against us and/or these groups. We currently carry $3.0 million in product liability insurance,
which we believe is appropriate for our clinical trials. Although we maintain such insurance, any claim that may be brought against us
could result in a court judgment or settlement in an amount that is not covered, in whole or in part, by our insurance or that is in
excess of the limits of our insurance coverage. Our insurance policies also have various exclusions, and we may be subject to a product
liability claim for which we have no coverage. We will have to pay any amounts awarded by a court or negotiated in a settlement that
exceed our coverage limitations or that are not covered by our insurance, and we may not have, or be able to obtain, sufficient capital
to pay such amounts.
Testosterone
is a Schedule III substance under the Controlled Substances Act and any failure to comply with this Act or its state equivalents
would have a negative impact on our business.
Testosterone
is listed by the U.S. Drug Enforcement Agency, or DEA, as a Schedule III substance under the Controlled Substances Act of 1970.
The DEA classifies substances as Schedule I, II, III, IV or V substances, with Schedule I substances considered to present
the highest risk of substance abuse and Schedule V substances the lowest risk. Scheduled substances are subject to DEA regulations
relating to manufacturing, storage, distribution and physician prescription procedures. For example, all regular Schedule III drug
prescriptions must be signed by a physician and may not be refilled more than six months after the date of the original prescription
or more than five times unless renewed by the physician.
37
Entities
must register annually with the DEA to manufacture, distribute, dispense, import, export and conduct research using controlled substances.
In addition, the DEA requires entities handling controlled substances to maintain records and file reports, follow specific labeling
and packaging requirements, and provide appropriate security measures to control against diversion of controlled substances. Failure
to follow these requirements can lead to significant civil and/or criminal penalties and possibly even lead to a revocation of a DEA
registration. Individual states also have controlled substances laws. State controlled substances laws often mirror federal law, however
because the states are separate jurisdictions, they may schedule products separately. While some states automatically schedule a
drug when the DEA does so, in other states there must be rulemaking or legislative action, which could delay commercialization.
Products
containing controlled substances may generate public controversy. As a result, these products may have their marketing approvals withdrawn.
State and Federal legislatures and administrative agencies may take additional action to combat a perceived misuse or overuse of such
products.
We
may have to dedicate resources to the defense and resolution of litigation.
Securities
legislation in the United States makes it relatively easy for stockholders to sue companies. This can lead to frivolous lawsuits which
take substantial time, money, resources and attention or force us to settle such claims rather than seek adequate judicial remedy or
dismissal of such claims. Historically, securities class action litigation has often been brought against a company following a decline
in the market price of its securities. Biotechnology and pharmaceutical companies, including us, have experienced significant stock price
volatility in recent years, increasing the risk of such litigation. We have insurance that covers claims of this nature. However, as
we defend class action lawsuits or future patent infringement actions should they be filed, or if we are required to defend future actions
brought by shareholders, we may be required to pay substantial litigation costs and managerial attention and financial resources may
be diverted from business operations even if the outcome is in our favor. In addition, while our insurance carrier may cover the costs
of settling claims, the Company’s capital resources are critical to its continued operations, and the payment of litigation settlements
and associated legal fees diverts these capital resources away from our operations, even if such amounts do not have a material impact
on our financial statements.
On
November 14, 2019, the Company and certain of its officers were named as defendants in a purported shareholder class action lawsuit,
Solomon Abady v. Lipocine Inc. et al ., 2:19-cv-00906-PMW, filed in the United District Court for the District of Utah. The complaint
alleges that the defendants made false and/or misleading statements and/or failed to disclose that our filing of the NDA for TLANDO to
the FDA contained deficiencies and as a result the defendants’ statements about our business and operations were false and misleading
and/or lacked a reasonable basis in violation of federal securities laws. The lawsuit seeks certification as a class action (for a purported
class of purchasers of the Company’s securities from March 27, 2019 through November 8, 2019), compensatory damages in an unspecified
amount, and unspecified equitable or injunctive relief. The Company filed a motion to dismiss the class action lawsuit on July 24, 2020.
In response, the plaintiffs filed their response to the motion to dismiss the class action lawsuit on September 22, 2020 and the Company
filed its reply to its motion to dismiss on October 22, 2020. A hearing on the motion to dismiss occurred on January 12, 2022. On April
14, 2023, a judgment was issued ordering the case dismissed with prejudice and closure of the action. Although this outcome was in favor
of our current and former officers and directors, we incurred litigation costs and expended managerial resources defending ourselves
against these allegations. In addition, there can be no assurance that we will not experience similar claims in the future.
Cyber
security risks and the failure to maintain the integrity of company, employee or guest data could expose us to data loss, litigation
and liability, and our reputation could be significantly harmed.
We
collect, and third parties collaborating on our clinical trials collect and retain, large volumes of data, including personally identifiable
information regarding clinical trial participants and others, for business purposes, including for regulatory, research and development
and commercialization purposes, and our collaborators’ various information technology systems enter, process, summarize and report
such data. We also maintain personally identifiable information about our employees. The integrity and protection of our Company, employee
and clinical data is critical to our business. We are subject to significant security and privacy regulations, as well as requirements
imposed by government regulation. Maintaining compliance with these evolving regulations and requirements could be difficult and may
increase our expenses. In addition, a penetrated or compromised data system or the intentional, inadvertent or negligent release or disclosure
of data could result in theft, loss or fraudulent or unlawful use of company, employee or clinical data which could harm our reputation,
disrupt our operations, or result in remedial and other costs, fines or lawsuits.
38
Risks
Related to Our Dependence on Third Parties
We
may enter into license agreements and/or collaborations with third parties for the development and commercialization of our drug candidates.
If those collaborations, including, without limitation, our license arrangement with Verity 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 1154, LPCN 2401, LPCN 2101, LPCN 2203, LPCN 1144,
LPCN 1148, or LPCN 1107. We have entered into the Verity License Agreement for TLANDO and LPCN 1111 with respect to TRT in the U.S. and
Canada. We intend to continue to develop our product candidates in the United States with or without a partner although our ability to
advance these product candidates will depend on our capital resources and/or our ability to find a suitable partner to further develop
our product candidates. In order to commercialize our TLANDO product candidates in the United States and Canada, we have partnered with
Verity with respect to TLANDO and LPCN 1111 and we will likely look to establish partnership arrangements with respect to the development
of some of our other product candidates. We may also seek to enter into collaborative arrangements to develop and commercialize our product
candidates outside the United States and have partnered with SPC for South Korea and with Pharmalink for the GCC countries for
TRT. 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 development 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 partners dedicate to the development or commercialization of our product candidates.
On January 12, 2024, we entered into the Verity License Agreement with Verity, pursuant to which we granted to Verity an exclusive, royalty-bearing,
sublicensable right and license to develop and commercialize our TLANDO and LPCN 1111 products with respect to TRT in the U.S. and Canada.
Consequently, our ability to generate any revenues from TLANDO with respect to TRT in the U.S. and Canada depends on the efforts of Verity
to commercialize TLANDO. We have very limited control over the amount and timing of resources that Verity dedicates to these efforts.
Our
ability to generate revenues from this and other collaborative arrangements, including with SPC and Pharmalink, will
depend on our collaborators’ abilities and efforts to successfully perform the functions agreed to with them in these
arrangements. License agreements and/or collaborations involving our drug candidates, such as our agreement with Verity, pose
numerous risks to us, including the following:
● partners
have significant discretion in determining the efforts and resources that they will apply
to these efforts and may not perform their obligations as expected;
●
partners
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 partners’ 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;
●
partners
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;
●
partners
could independently develop, or develop with third parties, products that compete directly or indirectly with our products or drug
candidates if the partners believe that competitive products are more likely to be successfully developed or can be commercialized
under terms that are more economically attractive than ours;
●
partners
may not be able to acquire and maintain supplier and manufacturer relationships necessary to successfully commercialize our products;
●
a partner
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;
39
● partners
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 our partners 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;
●
agreements
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;
●
agreements
may not lead to development or commercialization of drug candidates in the most efficient manner or at all; and
●
if a partner
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 Verity, or any other or future license or collaboration we may enter into, if any, are 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 Verity License Agreement, or any other or future license or collaboration we may enter into, if
any, could adversely affect us financially or harm our business reputation, development and commercialization efforts.
We
rely upon third-party contractors and service providers for the execution of some aspects of our development programs. Failure of these
collaborators to provide services of a suitable quality and within acceptable timeframes may cause the delay or failure of our development
programs.
We
outsource certain functions, tests and services to contract research organizations (“CROs”), medical institutions and collaborators;
and also outsource manufacturing to collaborators and/or contract manufacturers (“CMOs”). We also rely on third parties for
quality assurance, clinical monitoring, clinical data management and regulatory expertise. We may also engage a CRO to run all aspects
of a clinical trial on our behalf. There is no assurance that such individuals or organizations will be able to provide the functions,
tests, drug supply or services as agreed upon or in a quality fashion. Any failure to do so could cause us to suffer significant delays
in the development of our products or processes.
Due
to our reliance on CROs or other third parties to assist us or who have historically assisted us in conducting clinical trials, we will
be unable to directly control all aspects of our clinical trials .
We
engaged a CRO to conduct our SOAR, DV and DF Phase 3 clinical studies for TLANDO, as well as the ABPM study for TLANDO. Additionally,
we utilized a CRO for the Phase 2 LiFT clinical study for LPCN 1144, the Phase 2 clinical study for LPCN 1148 and the pilot, pivotal
and future studies for LPCN 1154. As a result, we have less direct control over the conduct of our clinical trials, the timing and completion
of the trials and the management of data developed through the trials than if we were relying entirely upon our own staff. Communicating
with outside parties can also be challenging, potentially leading to mistakes as well as difficulties in coordinating activities. Outside
parties, including CROs, may:
● have
staffing difficulties or disruptions;
● fail
to comply with contractual obligations;
● experience
regulatory compliance issues;
● undergo
changes in priorities or may become financially distressed;
● form
relationships with other entities, some of which may be our competitors; or
● be subject to manufacturing capacity limitations.
These
factors may materially adversely affect their willingness or ability to conduct our trials in a manner acceptable to us. We may experience
unexpected cost increases that are beyond our control.
Moreover,
the FDA requires us to comply with GCP’s for conducting, recording, and reporting the results of clinical trials to assure that
data and reported results are credible and accurate and that the rights, integrity and confidentiality of trial participants are protected.
Our reliance on third parties that we do not control does not relieve us of these responsibilities and requirements.
40
Problems
with the timeliness or quality of the work of a CRO may lead us to seek to terminate the relationship and use an alternative service
provider. However, making this change may be costly and may delay our trials, and contractual restrictions may make such a change difficult
or impossible. If we must replace any CRO that is conducting our clinical trials, our trials may have to be suspended until we find another
CRO that offers comparable services. The time that it takes us to find alternative organizations may cause a delay in the commercialization
of our product candidates or may cause us to incur significant expenses to replicate data that may be lost. Although we do not believe
that any CRO on which we may rely will offer services that are not available elsewhere, it may be difficult to find a replacement organization
that can conduct our trials in an acceptable manner and at an acceptable cost. Any delay in or inability to complete our clinical trials
could significantly compromise our ability to secure regulatory approval of our product candidates and preclude our ability to commercialize
them, thereby limiting or preventing our ability to generate revenue from their sales.
We
and our Licensees rely/will rely on a single supplier for our supply of testosterone esters, the active pharmaceutical ingredient of
TLANDO, LPCN 1111, LPCN 1148, and LPCN 1144, and the loss of this supplier could harm our business.
We
and our Licensees rely/will rely on a single third-party supplier for our supply of testosterone esters, the active pharmaceutical ingredient
of TLANDO, LPCN 1111, LPCN 1148, and LPCN 1144. Since there are only a limited number of testosterone esters suppliers in the world,
if this supplier ceases to provide us with testosterone esters, we or our Licensees may be unable to procure testosterone esters on commercially
favorable terms and/or may not be able to obtain testosterone esters in a timely manner. Furthermore, the limited number of suppliers
of testosterone esters may provide such companies with greater opportunity to raise their prices. If we or our Licensees are unable
to obtain testosterone esters in a timely manner and/or in sufficient quantities, our ability to develop, and potentially commercialize,
LPCN 1111, LPCN 1148, and LPCN 1144 may be adversely affected. In addition, any increase in price for testosterone esters will likely
reduce our potential gross margins for LPCN 1148 and LPCN 1144.
We
rely on limited suppliers for our supply of NAS, the active pharmaceutical ingredients of LPCN 1154, LPCN 2101, and LPCN 2203 and the
loss of these limited suppliers could harm our business.
We
rely on a limited third-party supplier for our supply of NAS, the active pharmaceutical ingredients of LPCN 1154, LPCN 2101, and LPCN
2203. Since there are only a limited number of NAS suppliers in the world, if a supplier ceases to provide us with NAS, we may be unable
to procure NAS on developmental or commercially favorable terms. Furthermore, the limited number of suppliers of NAS may provide such
suppliers with a greater opportunity to raise their prices. If we are unable to obtain NAS in a timely manner and/or in sufficient
quantities, our ability to develop and potentially commercialize LPCN 1154, LPCN 2101, and LPCN 2203 may be adversely affected.
If
we do not establish successful collaborations, we 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 1154, LPCN 1148, LPCN 1144, or LPCN 1107. We
could continue to develop some of 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 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. 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.
If
we are successful in entering into collaborative arrangements and any of our collaborative partners do not devote sufficient time and
resources to a collaboration arrangement with us, we may not realize the potential commercial benefits of the arrangement, and our results
of operations may be materially adversely affected. In addition, if any future collaboration partner were to breach or terminate its
arrangements with us, the development and commercialization of our product candidates could be delayed, curtailed or terminated because
we may not have sufficient financial resources or capabilities to continue development and commercialization of our product candidates
on our own in such locations.
41
Risks
Related to Ownership of Our Common Stock
Our
stock price could decline significantly based on the results and timing of clinical trials, and/or regulatory and other decisions affecting
our product candidates.
Results
of clinical trials and preclinical studies of our current and potential product candidates may not be viewed favorably by us or third
parties, including the FDA or other regulatory authorities, investors, analysts and potential collaborators. The same may be true of
how we design the clinical trials of our product candidates and regulatory decisions affecting those clinical trials. Pharmaceutical
company stock prices have declined significantly when such results and decisions were unfavorable or perceived negatively or when a product
candidate did not otherwise meet expectations. The final results from our clinical development programs may be negative, may not meet
expectations or may be perceived negatively. The designs of our clinical trials (which may change significantly and be more expensive
than currently anticipated depending on our clinical results and regulatory decisions) may also be viewed negatively by third parties.
We may not be successful in completing these clinical trials on our projected timetable, if at all. In addition, we may never achieve
FDA approval for any of our product candidates other than TLANDO, which could cause our stock price to decline significantly and have
other significant adverse effects on our business.
If
we do not maintain effective internal controls over financial reporting in the future, the accuracy and timeliness of our financial reporting
may be adversely affected.
The
Sarbanes-Oxley Act requires, among other things, that we assess the effectiveness of our internal control over financial reporting annually
and disclosure controls and procedures quarterly. In particular, we must perform system and process evaluation and testing of our internal
control over financial reporting to allow management to report on the effectiveness of our internal control over financial reporting,
as required by Section 404 of the Sarbanes-Oxley Act. If material weaknesses are identified in the future or we are not able to
comply with the requirements of Section 404 in a timely manner, our reported financial results could be materially misstated, we
could receive an adverse opinion regarding our internal controls over financial reporting from our accounting firm, and we could be subject
to investigations or sanctions by regulatory authorities, which would require additional financial and management resources, and the
market price of our stock could decline.
We
incur significant expenses in order to comply with the requirements of being a public company in the United States.
As
a public company, we incur significantly more legal, accounting and other expenses than as a private company. In addition, the Sarbanes-Oxley
Act of 2002 and rules implemented by the SEC and U.S. stock exchanges impose numerous requirements on public companies, including requiring
changes in corporate governance practices. Also, the Exchange Act requires, among other things, that we file annual, quarterly and current
reports with respect to our business and operating results. Our management and other personnel will need to devote a substantial amount
of time to compliance with these laws and regulations. These requirements have increased and will continue to increase our legal, accounting,
and financial compliance costs and have made and will continue to make some activities more time-consuming and costly.
Our
share price is expected to be volatile and may be influenced by numerous factors that are beyond our control.
A
low share price and low market valuation may make it difficult to raise sufficient additional cash due to the significant dilution to
current stockholders. Market prices for shares of biotechnology and biopharmaceutical companies such as ours are often volatile. The
market price of our common stock may fluctuate significantly in response to a number of factors, most of which we cannot control, including:
● the
success of the commercialization of TLANDO;
● plans
for, costs of, progress of and results from clinical trials of our product candidates;
● the
failure of our product candidates to receive FDA approval;
● regulatory
uncertainty in the TRT class;
● FDA
Advisory Committee meetings and related recommendations;
● product
approval and potential FDA required labeling language and/or Phase 4 study commitments;
● announcements
of new products, technologies, commercial relationships, acquisitions or other events by
us or our competitors;
● our
ability to license our products to third parties;
42
● failure
to engage with collaborators or build an internal sales force to commercialize our products
should a product candidate other than TLANDO receive FDA approval;
● the
success or failure of other TRT products or non-testosterone based testosterone therapy products;
● failure
of our products, if approved, to achieve commercial success;
● fluctuations
in stock market prices and trading volumes of similar companies;
● general
market conditions and overall fluctuations in U.S. equity markets;
● variations
in our quarterly operating results;
● changes
in our financial guidance or securities analysts’ estimates of our financial performance;
● changes
in accounting principles;
● sales
of large blocks of our common stock, including sales by our executive officers, directors
and significant stockholders;
● additions
or departures of key personnel;
● discussion
of us or our stock price by the press and by online investor communities;
● our
cash balance; and
● other
risks and uncertainties described in these risk factors.
In
recent years, the stock of other biotechnology and biopharmaceutical companies has experienced extreme price fluctuations that have been
unrelated to the operating performance of the affected companies. There can be no assurance that the market price of our shares of common
stock will not experience significant fluctuations in the future, including fluctuations that are unrelated to our performance. These
fluctuations may result due to macroeconomic and world events, national or local events, general perception of the biotechnology industry
or to a lack of liquidity. In addition, other biotechnology companies or our competitors’ programs could have positive or negative
results that impact their stock prices and their results, or stock fluctuations could have a positive or negative impact on our stock
price regardless of whether such impact is direct or not.
Stockholders
may not agree with our business, scientific, clinical, commercial, or financial strategy, including additional dilutive financings, and
may decide to sell their shares or vote against shareholder proposals. Such actions could materially impact our stock price. In addition,
portfolio managers of funds or large investors can change or change their view on us and decide to sell our shares. These actions could
have a material impact on our stock price. In order to complete a financing, or for other business reasons, we may elect to consolidate
our shares of common stock. Investors may not agree with these actions and may sell our shares. We may have little or no ability to impact
or alter such decisions.
The
stock prices of many companies in the biotechnology industry have experienced wide fluctuations that have often been unrelated to the
operating performance of the companies. Following periods of volatility in the market price of a company’s securities, securities
class action litigation often has been initiated against a company. For example, on July 1, 2016, the Company and certain of its
officers were named as defendants in a purported shareholder class action lawsuit, David Lewis v. Lipocine Inc., et al .,
filed in the United States District Court for the District of New Jersey. This initial action was followed by additional lawsuits also
filed in the District of New Jersey. David Lewis v Lipocine Inc., et al. was ultimately settled. Additionally on November 14, 2019, the
Company and certain of its officers were named as defendants in a purported shareholder class action lawsuit, Solomon Abady v. Lipocine
Inc. et al ., 2:19-cv-00906-PMW, filed in the United District Court for the District of Utah. This initial action was followed by
additional lawsuits also filed in the United States District Court for the District of Utah. Any future class action litigation that
may be initiated against us may result in us incurring substantial costs and our management’s attention may be diverted from our
operations, which could significantly harm our business. In addition, such litigation could lead to increased volatility in our share
price.
43
We
may not be able to maintain our listing on the Nasdaq Capital Market, which would adversely affect the price and liquidity of our common
stock.
As
a small capitalization pharmaceutical company, the price of our common shares has been, and is likely to continue to be, highly volatile.
Any announcements concerning us or our competitors, clinical trial results, quarterly variations in operating results, introduction of
new products, delays in the introduction of new products or changes in product pricing policies by us or our competitors, acquisition
or loss of significant customers, partners and suppliers, changes in earnings estimates or our ratings by analysts, regulatory developments,
or fluctuations in the economy or general market conditions, among other factors, could cause the market price of our common shares to
fluctuate substantially. There can be no assurance that the market price of our common shares will not decline below its current price
or that it will not experience significant fluctuations in the future, including fluctuations that are unrelated to our performance.
Currently
our common stock is quoted on the Nasdaq Capital Market under the symbol “LPCN.” We must satisfy certain minimum listing
maintenance requirements to maintain the Nasdaq Capital Market quotation, including certain governance requirements and a series of financial
tests relating to stockholders’ equity or net income or market value, public float, number of market makers and stockholders, market
capitalization, and maintaining a minimum bid price of $1.00 per share.
If
Nasdaq delists our common stock from trading on its exchange and we are not able to list our securities on another national securities
exchange, we expect our securities could be quoted on an over-the-counter market. If this were to occur, we could face significant material
adverse consequences, including:
● a
limited availability of market quotations for our securities;
● reduced
liquidity for our securities;
● a
determination that our common stock is a “penny stock” which will require
brokers trading in our common stock to adhere to more stringent rules and possibly result
in a reduced level of trading activity in the secondary trading market for our securities;
● a
limited amount of news and analyst coverage; and
● a
decreased ability to issue additional securities or obtain additional financing in the future.
The
National Securities Markets Improvement Act of 1996, which is a federal statute, prevents or preempts the states from regulating the
sale of certain securities, which are referred to as “covered securities.” If our common stock continues to be listed on
Nasdaq, our common stock will be a covered security. Although the states are preempted from regulating the sale of our securities, the
federal statute does allow the states to investigate companies if there is a suspicion of fraud, and, if there is a finding of fraudulent
activity, then the states can regulate or bar the sale of covered securities in a particular case.
Anti-takeover
provisions in our amended and restated certificate of incorporation and our amended and restated bylaws, as well as provisions of Delaware
law and our stockholder rights plan, might discourage, delay or prevent a change in control of our Company or changes in our Board of
Directors or management and, therefore, depress the trading price of our common stock.
Our
amended and restated certificate of incorporation, amended and restated bylaws and Delaware law contain provisions that may depress the
market price of our common stock by acting to discourage, delay or prevent a merger, acquisition or other change in control that stockholders
may consider favorable, including transactions in which stockholders might otherwise receive a premium for their shares of our common
stock. These provisions may also prevent or frustrate attempts by our stockholders to replace or remove members of our Board of Directors
or our management. Our corporate governance documents include provisions:
● limiting
the ability of our stockholders to call and bring business before special meetings and to
take action by written consent in lieu of a meeting;
● requiring
advance notice of stockholder proposals for business to be conducted at meetings of our stockholders
and for nominations of candidates for election to our Board of Directors;
● authorizing
blank check preferred stock, which could be issued with voting, liquidation, dividend and
other rights superior to our common stock; and
● limiting
the liability of, and providing indemnification to, our directors and officers.
As
a Delaware corporation, we are also subject to provisions of Delaware law, including Section 203 of the Delaware General Corporation
Law, which limits the ability of stockholders owning in excess of 15% of our outstanding voting stock from engaging in certain business
combinations with us. Any provision of our amended and restated certificate of incorporation, amended and restated bylaws or Delaware
law that has the effect of delaying or deterring a change in control could limit the opportunity for our stockholders to receive a premium
for their shares of our common stock, and could also affect the price that some investors are willing to pay for our common stock.
44
Additionally,
on October 22, 2024, we adopted an amended and restated stockholder rights plan that would cause substantial dilution to, and substantially
increase the costs paid by, a stockholder who attempts to acquire us on terms not approved by our board. The intent of the stockholder
rights plan is to protect our stockholders’ interests by encouraging anyone seeking control of our Company to negotiate with our
board. However, our stockholder rights plan could make it more difficult for a third party to acquire us without the consent of our board,
even if doing so may be beneficial to our stockholders. This plan may discourage, delay or prevent a tender offer or takeover attempt,
including offers or attempts that could result in a premium over the market price of our common stock. This plan could reduce the price
that stockholders might be willing to pay for shares of our common stock in the future. Furthermore, the anti-takeover provisions of
our stockholder rights plan may entrench management and make it more difficult to replace management even if the stockholders consider
it beneficial to do so.
We
have no current plans to pay dividends on our common stock and investors must look solely to stock appreciation for a return on their
investment in us.
We
do not anticipate paying any cash dividends on our common stock in the foreseeable future. We currently intend to retain all future earnings
to fund the development and growth of our business. Any payment of future dividends will be at the discretion of our board of directors
and will depend on, among other things, our earnings, financial condition, capital requirements, level of indebtedness, statutory and
contractual restrictions applying to the payment of dividends and other considerations that the board of directors deems relevant. Investors
may need to rely on sales of their common stock after price appreciation, which may never occur, as the only way to realize a return
on their investment. Investors seeking cash dividends should not purchase our common stock.
Our
management and directors will be able to exert influence over our affairs.
As
of December 31, 2024, our executive officers and directors beneficially owned approximately 6.3% 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. During
2024, our common stock has traded as low as $2.83 and as high as $10.69 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.
If
securities or industry analysts do not publish research or publish inaccurate or unfavorable research about our business, our stock price
could decline.
The
trading market for our common stock will depend in part on the research and reports that securities or industry analysts publish about
us or our business. We currently only have limited securities and industry analysts providing research coverage of our Company and may
never obtain additional research coverage by securities and industry analysts. If no additional securities or industry analysts commence
coverage of our Company or if current securities analyst coverage of our Company ceases, the trading price for our stock could be negatively
impacted. If the analysts downgrade our stock or publish inaccurate or unfavorable research about our business, our stock price would
likely decline. If analysts cease coverage of us or fail to publish reports on us regularly, demand for our stock could decrease, which
could cause our stock price and trading volume to decline.
Risks
Relating to Our Financial Position and Capital Requirements
We
will need substantial additional capital in the future. If additional capital is not available, we will have to delay, reduce or cease
operations.
We
will need to raise additional capital to continue to fund our operations. Our future capital requirements may be substantial and will
depend on many factors including:
● market
conditions for raising capital, particularly for life science companies;
45
● current
and future clinical trials for our product candidates, including for LPCN 1154, LPCN 2401,
LPCN 2101, LPCN 2203 and LPCN 1148;
● regulatory
actions of the FDA;
● the
scope, size, rate of progress, results and costs of completing ongoing clinical trials and
development plans with our product candidates;
● the
cost, timing and outcomes of our efforts to obtain marketing approval for our product candidates
in the United States;
● payments
received under any current or future license agreements, strategic partnerships or collaborations;
● the
cost of filing, prosecuting and enforcing patent claims;
● the
costs associated with commercializing our product candidates if we receive marketing approval
for product candidates other than TLANDO, including the cost and timing of developing internal
sales and marketing capabilities or entering into strategic collaborations to market and
sell our products;
● the
costs of on-going and future litigation; and
● funding
additional product line expansions.
We
believe that our existing capital resources, together with interest thereon, will be sufficient to meet our projected operating requirements
through at least March 31, 2026. We have based this estimate on assumptions that may prove to be wrong, and we could utilize our available
capital resources sooner than we currently expect. While we believe we have sufficient liquidity and capital resources to fund our projected
operating requirements through at least March 31, 2026, we will need to raise additional capital at some point through the equity or
debt markets or through out-licensing activities, either before or after March 31, 2026, to support our operations, the on-going clinical
development of our product candidates, and compliance with regulatory requirements. If the Company is unsuccessful in raising additional
capital, its ability to continue as a going concern will become a risk. Further, our operating plan may change, and we may need additional
funds to meet operational needs and capital requirements for product development, regulatory compliance, and clinical trial activities
sooner than planned. In addition, our capital resources may be consumed more rapidly if we pursue additional clinical studies for LPCN
1154, LPCN 2401, LPCN 2101, LPCN 2203, LPCN 1148, LPCN 1144, and LPCN 1107. Conversely, our capital resources could last longer if we
reduce expenses, reduce the number of activities currently contemplated under our operating plan or if we terminate or suspend on-going
clinical studies.
Funding
may not be available to us on favorable terms, or at all. Also, market conditions may prevent us from accessing the debt and equity capital
markets, including sales of our common stock through the ATM Offering (as defined below). If we are unable to obtain adequate financing
when needed, we may have to delay, reduce the scope of or suspend one or more of our clinical studies, research and development programs
or, if any of our product candidates other than TLANDO receive approval from the FDA, commercialization efforts. We may seek to raise
any necessary additional capital through a combination of public or private equity offerings, including the ATM Offering, debt financings,
collaborations, strategic alliances, licensing arrangements and other marketing and distribution arrangements. These arrangements may
not be available to us or available on terms favorable to us. To the extent that we raise additional capital through marketing and distribution
arrangements, other collaborations, strategic alliances or licensing arrangements with third parties, we may have to relinquish valuable
rights to our product candidates, future revenue streams, research programs or product candidates or grant licenses on terms that may
not be favorable to us. If we do raise additional capital through public or private equity offerings, the ownership interest of our existing
stockholders will be diluted, and the terms of these securities may include liquidation or other preferences, warrants or other terms
that adversely affect our stockholders’ rights or further complicate raising additional capital in the future. If we raise additional
capital through debt financing, we may be subject to covenants limiting or restricting our ability to take specific actions, such as
incurring additional debt, making capital expenditures or declaring dividends. If we are unable, for any reason, to raise needed capital,
we will have to reduce costs, delay research and development programs, liquidate assets, dispose of rights, commercialize products or
product candidates earlier than planned or on less favorable terms than desired, or reduce or cease operations.
Raising
additional capital may cause dilution to our existing stockholders, restrict our operations, or require us to relinquish rights.
We
may seek additional capital through a combination of private and public equity offerings, debt financings, collaborations, and strategic
and licensing arrangements. To the extent that we raise additional capital through the sale of common stock or securities convertible
or exchangeable into common stock, current stockholders’ ownership interest in the Company will be diluted. In addition, the terms
may include liquidation or other preferences that materially adversely affect their rights as a stockholder. Debt financing, if available,
would increase our fixed payment obligations and may involve agreements that include covenants limiting or restricting our ability to
take specific actions, such as incurring additional debt, making capital expenditures or declaring dividends. If we raise additional
funds through collaboration, strategic alliance and licensing arrangements with third parties, we may have to relinquish valuable rights
to our product candidates, our intellectual property, future revenue streams or grant licenses on terms that are not favorable to us.
46
We
cannot predict when we will generate product revenues and may never achieve or maintain profitability.
Our
ability to become profitable depends upon our ability to generate revenue from product sales and/or licensing agreements. To date, we
have not generated any significant revenue from product sales of TLANDO or our other drug candidates in the current pipeline, and we
do not know when, or if, we will generate significant revenue from product sales. Our ability to generate revenue depends on a number
of factors, including, but not limited to, our ability to:
● other
than for TLANDO in the U.S., obtain U.S. and foreign marketing approval for our product candidates;
● commercialize
our product candidates by developing a sales force and/or entering into licensing agreements
or collaborations with partners/third parties, either before or after obtaining marketing
approval for our product candidates; and
● achieve
market acceptance of our product candidates in the medical community and with third-party
payors.
Even
if our product candidates other than TLANDO are approved for commercial sale, we expect to incur significant costs as we prepare to commercialize
them. Even if we receive FDA approval for our product candidates, they may not be commercially successful drugs. We may not achieve profitability
soon after generating product sales, if ever. If we are unable to generate product revenue, we will not become profitable and may be
unable to continue operations without continued funding.
Accordingly,
the likelihood of our success must be evaluated in light of many potential challenges and variables associated with an early-stage drug
development company, many of which are outside of our control, and past operating or financial results should not be relied on as an
indication of future results. If one or more of our product candidates is approved for commercial sale and we retain commercial rights,
we anticipate incurring significant costs associated with commercializing any such approved product candidate. Therefore, even if we
are able to generate revenues from the sale of any approved product, we may never become profitable. Because of the numerous risks and
uncertainties associated with pharmaceutical product development, we are unable to predict the timing or amount of expenses and when
we will be able to achieve or maintain profitability, if ever.
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 our oral neuroactive steroids LPCN 1154,
LPCN 2101, and LPCN 2203, in addition to LPCN 2401, and LPCN 1148. 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 December 31, 2024, we had an accumulated deficit of $199.8 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 increase in connection with clinical trials associated
with our oral neuroactive steroids LPCN 1154, LPCN 2101, and LPCN 2203, and possible trials associated with LPCN 2401 and/or LPCN 1148,
if further clinical trials are 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 1154, LPCN 2401, LPCN 2101, LPCN 2203, and LPCN 1148 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.
Our
operating results may fluctuate significantly, and any failure to meet financial expectations may disappoint securities analysts or investors
and result in a decline in the price of our securities.
We
have a history of operating losses. Our operating results have fluctuated in the past and are likely to do so in the future. These fluctuations
could cause our share price to decline. Due to fluctuations in our operating results, we believe that period-to-period comparisons of
our results are not indicative of our future performance. It is possible that in some future quarter or quarters, our operating results
will be above or below the expectations of securities analysts or investors. In this case, the price of our securities could decline.
Risks
Relating to Our Intellectual Property
Our
success depends in part on our ability to protect our intellectual property. It is difficult and costly to protect our proprietary rights
and technology, and we may not be able to ensure their protection.
Our
commercial success will depend in large part on obtaining and maintaining patent, trademark and trade secret protection of our product
candidates, their respective formulations, methods used to manufacture them and methods of treatment, as well as successfully defending
these patents against third party challenges. Our ability to stop unauthorized third parties from making, using, selling, offering to
sell, or importing our product candidates, once commercialized, is dependent upon the extent to which we have rights under valid and
enforceable patents or trade secrets that cover these products and activities.
47
The
patent positions of pharmaceutical, biopharmaceutical and related companies can be highly uncertain and involve complex legal and factual
questions for which important legal principles remain unresolved. No consistent policy regarding the breadth of claims allowed in patents
in these fields has emerged to date in the United States. There have been changes regarding how patent laws are interpreted, and both
the United States Patent and Trademark Office (“USPTO”) and Congress have enacted radical changes to the patent system. We
cannot accurately predict future changes in the interpretation of patent laws or changes to patent laws which might be enacted into law.
Those changes may materially affect our patents, our ability to obtain patents and/or the patents and applications of our collaborators
and licensors. The patent situation in these fields outside the United States is even more uncertain. Changes in either the patent laws
or in interpretations of patent laws in the United States and other countries may diminish the value of our intellectual property or
narrow the scope of our patent protection. Accordingly, we cannot predict the breadth of claims that may be allowed or enforced in the
patents we own or which we license or third-party patents.
The
degree of future protection for our proprietary rights is uncertain because legal means afford only limited protection and may not adequately
protect our rights or permit us to gain or keep a competitive advantage. For example:
● others
may be able to make or use compounds that are the same or similar to the pharmaceutical compounds
used in our product candidates but that are not covered by the claims of our patents;
● the
Active Pharmaceutical Ingredients (“APIs”) in our licensed product TLANDO and
current product candidates LPCN 1154, LPCN 2401, LPCN 1148, LPCN 1144, LPCN 1111, and LPCN
1107 are, or may soon become, commercially available in generic drug products, and no patent
protection may be available without regard to formulation or method of use;
● we
may not be able to detect infringement against our owned or licensed patents, which may be
especially difficult for manufacturing processes or formulation patents;
● we
might not have been the first to make the inventions covered by our issued patents or pending
patent applications or those we license;
● we
might not have been the first to file patent applications for these inventions;
● others
may independently develop similar or alternative technologies or duplicate any of our technologies;
● it
is possible that our pending patent applications or those of our licensor will not result
in issued patents;
● it
is possible that there are dominating patents to any of our product candidates of which we
are not aware;
● it
is possible that there are prior public disclosures that could invalidate our patents, or
parts of our patents, of which we are not aware;
● it
is possible that others may circumvent our owned or licensed patents;
● it
is possible that there are unpublished applications or other patent applications maintained
in secrecy that may issue later than our patents/applications but may have priority dates
that are earlier than our priority dates and may have claims covering our products or technology
similar to ours;
● the
laws of foreign countries may not protect our proprietary rights to the same extent as the
laws of the United States;
● the
claims of our owned or licensed issued patents or patent applications, if and when issued,
may not cover our product candidates;
● our
issued patents or those of our licensor may not provide us with any competitive advantages,
or may be narrowed in scope, be held invalid or unenforceable as a result of legal challenges
by third parties;
● our
licensor or licensees as the case may be, who have access to our patents, may attempt to
enforce our owned or licensed patents, which if unsuccessful, may result in narrower scope
of protection of our owned or licensed patents or our owned or licensed patents becoming
invalid or unenforceable;
● we
may not develop additional proprietary technologies for which we can obtain patent protection;
or
● the
patents of others may have an adverse effect on our business.
We
also may rely on trade secrets to protect our technology, especially where we do not believe patent protection is appropriate or obtainable.
However, trade secrets are difficult to protect, and we have limited control over the protection of trade secrets used by our collaborators
and suppliers. Although we use reasonable efforts to protect our trade secrets, our employees, consultants, contractors, outside scientific
collaborators and other advisors may unintentionally or willfully disclose our information to competitors. Enforcing a claim that a third
party illegally obtained and is using for any of our trade secrets is expensive and time consuming, and the outcome is unpredictable.
In addition, courts outside the United States are sometimes less willing to protect trade secrets. Moreover, our competitors may independently
develop equivalent knowledge, methods, and know-how. If our confidential or proprietary information is divulged to or acquired by third
parties, including our competitors, our competitive position in the marketplace will be harmed and our ability to successfully penetrate
our target markets could be severely compromised.
48
If
any of our owned or licensed patents are found to be invalid or unenforceable, or if we are otherwise unable to adequately protect our
rights, it could have a material adverse impact on our business and our ability to commercialize or license our technology and products.
Additionally, we currently do not have patent protection for some of our product candidates in many countries, including large territories
such as India, Russia, and China, and we will be unable to prevent unauthorized third parties from using our intellectual property in
those countries unless we can file patent applications and obtain patents in those countries that cover our product candidates. Likewise,
our United States patents covering certain technology used in our product candidates, including TLANDO, are expected to expire on various
dates through 2042. Upon the expiration of these patents, we will lose the right to exclude others from practicing these inventions to
the extent that at those times we have no additional issued patents to protect our product candidates, including TLANDO. Additionally,
if these are our only patents listed in the FDA Orange Book, should we have an FDA-approved and marketed product at that time, their
expiration will mean that we lose certain advantages that come with Orange Book listing of patents. The expiration of these patents could
also have a similar material adverse effect on our business, results of operations, financial condition and prospects. Moreover, if we
are unable to commence or continue any action relating to the defense of our patents, we may be unable to protect our product candidates.
If
we do not obtain additional protection under the Drug Price Competition and Patent Term Restoration Act and similar foreign legislation
by extending the patent terms and obtaining data exclusivity for our product candidates, our business may be materially harmed.
Depending
upon the timing, duration and specifics of FDA marketing approval of our product candidates, one or more of our U.S. patents may be eligible
for limited patent term restoration under the Drug Price Competition and Patent Term Restoration Act of 1984, referred to as the Hatch-Waxman
Act. The Hatch-Waxman Act permits a patent restoration term of up to five years as compensation for patent term lost during product development
and the FDA regulatory review process. However, we may not be granted an extension because of, for example, failing to apply within applicable
deadlines, failing to apply prior to expiration of relevant patents or competitor’s prior product launch or otherwise failing to
satisfy applicable requirements. Moreover, the applicable time period or the scope of patent protection afforded could be less than we
request. If we are unable to obtain patent term extension or restoration or the term of any such extension is less than we request, our
competitors may obtain approval of competing products following our patent expiration, and our ability to generate revenues could be
materially adversely affected.
We
may incur substantial costs as a result of litigation or other proceedings relating to patent and other intellectual property rights,
and we may be unable to protect our rights to our products and technology.
If
we or our collaborators choose to go to court to stop a third party from using the inventions claimed in our owned or licensed patents,
that third party may ask a court to rule that the patents are invalid and should not be enforced against that third party. These lawsuits
are expensive and would consume time and other resources, including financial resources, even if we were successful in stopping the infringement
of these patents. In addition, there is a risk that a court will decide that these patents are not valid or not enforceable and that
we do not have the right to stop others from using the inventions.
There
is also the risk that, even if the validity of these patents is not challenged or is upheld, the court will refuse to stop the third
party on the ground that such third-party’s activities do not infringe on our owned or licensed patents. In addition, the U.S.
Supreme Court has changed and continues to change some standards relating to the granting of patents and assessing the validity of patents.
As a consequence, issued patents may be found to contain invalid claims according to the newly revised standards. Some of our owned or
licensed patents may be subject to challenge and subsequent invalidation or significant narrowing of claim scope in a reexamination or
other proceeding before the USPTO, or during litigation, under the revised criteria which make it more difficult to obtain or maintain
patents.
While
our in-licensed patents and applications are not currently used in our product candidates, should we develop other product candidates
that are covered by this intellectual property, we may rely on our licensor to file and prosecute patent applications and maintain patents
and otherwise protect the intellectual property we license from them. Our licensor has retained the first right, but not the obligation,
to initiate an infringement proceeding against a third-party infringer of the intellectual property licensed to us, and enforcement of
our in-licensed patents or defense of any claims asserting the invalidity or unenforceability of these patents would also be subject
to the control or cooperation of our licensor. It is possible that our licensor’s defense activities may be less vigorous than
had we conducted the defense ourselves.
We
also license our patent portfolio, including U.S. and foreign patents and patent applications that cover TLANDO and our other product
candidates, to third parties for their respective products and product candidates. Under our agreements with our licensees, we have the
right, but not the obligation, to enforce our current and future licensed patents against infringers of our licensees. In certain
cases, our licensees may have primary enforcement rights and we have the obligation to cooperate. In the event of an enforcement
action against infringers of our licensees, our licensees might not have the interest or resources to successfully preserve the patents,
the infringers may countersue, and as a result our patents may be found invalid or unenforceable or of a narrower scope of coverage and
leave us with no patent protection for TLANDO and our other product candidates.
49
We
may be subject to a third-party pre-issuance submission of prior art to the USPTO, or become involved in opposition, derivation, reexamination,
inter partes review, post-grant review or interference proceedings challenging our owned or licensed patent rights or the patent rights
of others. An adverse determination in any such submission, proceeding or litigation could reduce the scope of, or invalidate, our owned
or licensed patent rights, allow third parties to commercialize our technology or products and compete directly with us, without payment
to us, or result in our inability to manufacture or commercialize products without infringing third party patent rights. In addition,
if the breadth or strength of protection provided by our patents and patent applications is threatened, it could dissuade companies from
collaborating with us to license, develop or commercialize current or future product candidates and impair our ability to raise needed
capital.
If
we are required to defend patent infringement actions brought by other third parties, or if we sue to protect our own patent rights or
otherwise to protect our proprietary information and to prevent its disclosure, we may be required to pay substantial litigation costs
and managerial attention and financial resources may be diverted from business operations even if the outcome is in our favor.
If
we are sued for infringing intellectual property rights of third parties, it will be costly and time consuming, and an unfavorable outcome
in that litigation would have a material adverse effect on our business.
Our
commercial success depends upon our ability and the ability of our collaborators to develop, manufacture, market and sell our product
candidates and use our proprietary technologies without infringing the proprietary rights of third parties. Numerous U.S. and foreign
patents and pending patent applications, which are owned by third parties, exist in the fields relating to our product candidates. As
the biotechnology, pharmaceutical, and related industries expand and more patents are issued, the risk increases that others may assert
that our product or product candidates infringe the patent rights of others. Moreover, it is not always clear to industry participants,
including us, which patents cover various types of drugs, products or their formulations or methods of use. Thus, because of the large
number of patents issued and patent applications filed in our fields, there may be a risk that third parties may allege they have patent
rights encompassing our product, product candidates, technology, or methods. For example, on November 2, 2015, Clarus Therapeutics Holdings,
Inc. (Clarus) filed a complaint against us in the United States District Court for the District of Delaware alleging that TLANDO would
infringe the Clarus 428 Patent, and the complaint sought damages, declaratory and injunctive relief. On October 6, 2016, United
States District Court of the District of Delaware granted our motion to dismiss the lawsuit filed by Clarus, because at the time there
was no actionable infringement on Clarus’ 428 patent.
In
addition, there may be issued patents of third parties of which we are currently unaware, that are infringed or are alleged to be infringed
by our product candidates or proprietary technologies. Because some patent applications in the United States may be maintained in secrecy
until the patents are issued, because patent applications in the United States and many foreign jurisdictions are typically not published
until eighteen months after filing, and because publications in the scientific literature often lag behind actual discoveries, we cannot
be certain that others have not filed patent applications for technology covered by our or our licensor’s patents or our pending
applications, or that we were the first to invent the technology. Our competitors may have filed, and may in the future file, patent
applications covering our products or technology similar to ours. Any such patent application may have priority over our owned or licensed
patent applications or patents, which could further require us to obtain rights to issued patents covering such technologies. If another
party has filed a U.S. patent application on inventions similar to those owned or licensed by us, we may have to participate in an interference
proceeding declared by the USPTO to determine priority of invention in the United States. If another party has an allowed reason to question
the validity of our owned or licensed U.S. patents, the third party can request that the USPTO reexamine the patent claims, which may
result in a loss of scope of some claims or a loss of the entire patent. In addition to potential infringement claims, interference and
reexamination proceedings, we may become a party to patent opposition proceedings in the European Patent Office or post-grant proceedings
in the United States where either our patents are challenged, or we are challenging the patents of others. The costs of these proceedings
could be substantial, and it is possible that such efforts would be unsuccessful, for example if the other party had independently arrived
at the same or similar invention prior to our invention, resulting in a loss of our U.S. patent position with respect to such inventions.
We may be exposed to, or threatened with, future litigation by third parties having patent or other intellectual property rights alleging
that our product candidates and/or proprietary technologies infringe their intellectual property rights. These lawsuits are costly and
could adversely affect our results of operations and divert the attention of managerial and technical personnel. There is a risk that
a court would decide that we or our commercialization partners are infringing the third party’s patents and would order us or our
partners to stop the activities covered by the patents. In addition, there is a risk that a court will order us or our partners to pay
the other party damages for having violated the other party’s patents.
If
a third-party’s patent was found to cover our product candidates, proprietary technologies or their uses, we or our collaborators
could be enjoined by a court and required to pay damages and could be unable to commercialize any one or more of our product candidates
or use our proprietary technologies unless we or they obtain a license to the patent. A license may not be available to us or our collaborators
on acceptable terms, if at all. In addition, during litigation, the patent holder could obtain a preliminary injunction or other equitable
relief which could prohibit us from making, using or selling our products, technologies or methods pending a trial on the merits, which
could be years away.
There
is a substantial amount of litigation involving patent and other intellectual property rights in the biotechnology, pharmaceutical, and
related industries generally. If a third-party claims that we or our collaborators infringe its intellectual property rights, we may
face a number of issues, including, but not limited to:
● infringement
and other intellectual property claims which, regardless of merit, may be expensive and time-consuming
to litigate and may divert our management’s attention from our core business;
50
● substantial
damages for infringement, which we may have to pay if a court decides that the product at
issue infringes on or violates the third party’s rights, and if the court finds that
the infringement was willful, we could be ordered to pay treble damages and the patent owner’s
attorneys’ fees;
● a
court prohibiting us from selling or licensing the product unless the third-party licenses
its product rights to us, which it is not required to do;
● if
a license is available from a third party, we may have to pay substantial royalties, upfront
fees and/or grant cross-licenses to intellectual property rights for our products; and
● redesigning
our products or processes so they do not infringe, which may not be possible or may require
substantial monetary expenditures and time.
Some
of our competitors may be able to sustain the costs of complex patent litigation more effectively than we can because they have substantially
greater resources. In addition, any uncertainties resulting from the initiation and continuation of any litigation could have a material
adverse effect on our ability to raise the funds necessary to continue our operations or otherwise have a material adverse effect on
our business, results of operations, financial condition, and prospects.
Although
we own worldwide rights to our product candidates, we do not have patent protection for the product candidates in a significant number
of countries, and we will be unable to prevent infringement in those countries.
Our
patent portfolio related to our product candidates includes patents in the United States and other foreign countries. The covered technology
and the scope of coverage varies from country to country. For those countries where we do not have granted patents, we have no ability
to prevent the unauthorized use of our intellectual property, and third parties in those countries may be able to make, use, or sell
products identical to, or substantially similar to our product candidates.
Obtaining
and maintaining our patent protection depends on compliance with various procedural, document submission, fee payment and other requirements
imposed by governmental patent agencies, and our patent protection could be reduced or eliminated for non-compliance with these requirements.
Periodic
maintenance/annuity fees on our owned or licensed patents and patent applications are due to be paid to respective patent offices in
several stages over the lifetime of the patents and applications. In addition, the USPTO and various foreign governmental patent agencies
require compliance with a number of procedural, documentary, fee payment and other similar provisions during the patent application process.
There are situations in which noncompliance can result in abandonment or lapse of the patent or patent application, resulting in partial
or complete loss of patent rights in the relevant jurisdiction. In such an event, our competitors might be able to enter the market and
this circumstance would have a material adverse effect on our business.
We
also may rely on trade secrets and confidentiality agreements to protect our technology and know-how, especially where we do not believe
patent protection is appropriate or obtainable. However, trade secrets are difficult to protect, and we have limited control over the
protection of trade secrets used by our collaborators and suppliers. Although we use reasonable efforts to protect our trade secrets,
our employees, consultants, contractors, outside scientific collaborators, and other advisors may unintentionally or willfully disclose
our information to competitors. Enforcing a claim that a third party illegally obtained and is using any of our trade secrets is expensive
and time consuming, and the outcome is unpredictable. In addition, courts outside the United States are sometimes less willing to protect
trade secrets. Moreover, our competitors may independently develop equivalent knowledge, methods, and know-how. If our confidential or
proprietary information is divulged to or acquired by third parties, including our competitors, our competitive position in the marketplace
will be harmed and our ability to successfully generate revenues from our product candidates, if approved by the FDA or other regulatory
authorities, could be adversely affected.
We
may be subject to claims that our employees have wrongfully used or disclosed alleged trade secrets of their former employers.
As
is common in the biotechnology, pharmaceutical and related industries, we employ individuals who were previously employed at other biotechnology
or pharmaceutical companies, including our competitors or potential competitors. Although no claims against us are currently pending,
we may be subject to claims that these employees or we have inadvertently or otherwise used or disclosed trade secrets or other proprietary
information of their former employers. Litigation may be necessary to defend against these claims. Even if we are successful in defending
against these claims, litigation could result in substantial costs and be a distraction to management, which would adversely affect our
financial condition.
51
ITEM 1B. UNRESOLVED
STAFF COMMENTS
None.
ITEM
1C. CYBERSECURITY
Risk
Management and Strategy
We
regularly assess risks from cybersecurity threats, monitor our information systems for potential vulnerabilities, and test those systems
pursuant to our cybersecurity policies, processes, and practices, which are integrated into our overall risk management program. To protect
our information systems from cybersecurity threats, we use various security tools that are designed to help identify, escalate, investigate,
resolve, and recover from security incidents in a timely manner. Our board of directors assesses risks based on probability and potential
impact to key business systems and processes as part of our overall risk management program overseen by the board of directors. Risks
that are considered high are incorporated into our overall risk management program. We collaborate with third parties to assess the effectiveness
of our cybersecurity prevention and response systems and processes and to assist in the identification, verification, and validation
of cybersecurity risks, as well as to support associated mitigation plans when necessary. We have also developed a third-party cybersecurity
risk management process to conduct due diligence on external entities, including those that perform cybersecurity services. Cybersecurity
threats, including those resulting from any previous cybersecurity incidents, have not materially affected our Company, including our
business strategy, results of operations, or financial condition. Refer to the risk factor captioned “ Cyber security risks and
the failure to maintain the integrity of company, employee or guest data could expose us to data loss, litigation and liability, and
our reputation could be significantly harmed ” in Part I, Item 1A. “Risk Factors” for additional details regarding
cybersecurity risks and potential impacts on our business.
Governance
Our
board of directors oversees our risk management process, including as it pertains to cybersecurity risks, which focuses on the most significant
risks we face in the short-, intermediate-, and long-term timeframe. Management is responsible for the operational oversight of company-wide
cybersecurity strategy, policy, and standards across relevant departments to assess and help prepare us to address cybersecurity risks .
Meetings of our board of directors include discussions and presentations from management regarding specific risk areas throughout the
year, including, among others, those relating to cybersecurity threats, and reports from management on our enterprise risk profile on
an annual basis. The board of directors reviews our cybersecurity risk profile with management on a periodic basis using key performance
and/or risk indicators. These key performance indicators are metrics and measurements designed to assess the effectiveness of our cybersecurity
program in the prevention, detection, mitigation, and remediation of cybersecurity incidents. We take a risk-based approach to cybersecurity
and have implemented cybersecurity policies throughout our operations that are designed to address cybersecurity threats and incidents.
ITEM
2. PROPERTIES
Our
corporate headquarters are located in a leased facility in Salt Lake City, Utah. Our lease expires on February 28, 2026. We believe that
our existing facility is suitable and adequate and that we have sufficient capacity to meet our current anticipated needs.
ITEM
3. LEGAL
PROCEEDINGS
On
November 14, 2019, we and certain of our officers were named as defendants in a purported shareholder class action lawsuit, Solomon
Abady v. Lipocine Inc. et al ., 2:19-cv-00906-PMW, filed in the United District Court for the District of Utah. The complaint alleged
that the defendants made false and/or misleading statements and/or failed to disclose that our filing of the NDA for TLANDO to the FDA
contained deficiencies and as a result the defendants’ statements about our business and operations were false and misleading and/or
lacked a reasonable basis in violation of federal securities laws. The lawsuit sought certification as a class action (for a purported
class of purchasers of the Company’s securities from March 27, 2019, through November 8, 2019), compensatory damages in an unspecified
amount, and unspecified equitable or injunctive relief. We have insurance that covers claims of this nature. The retention amount payable
by us under our policy is $1.5 million. On April 14, 2023, a judgment was issued ordering the case dismissed with prejudice and closure
of the action.
We
are not currently a party to any material litigation or other material legal proceedings. We may, from time to time, be involved in various
legal proceedings arising from the normal course of business activities, and, while the Company has insurance that covers claims of this
nature, unfavorable resolution of any of these matters could materially affect our future results of operations, cash flows, or financial
position.
ITEM
4. MINE
SAFETY DISCLOSURES
Not
Applicable.
52
PART
II
ITEM
5. MARKET
FOR THE REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES
OF EQUITY SECURITIES
Market
Information
Our
common stock is quoted on The Nasdaq Capital Market under the symbol “LPCN.”
Holders
As
of March 11, 2025, there were approximately 87 holders of record of our common stock. This number does not include an undetermined number
of stockholders whose stock is held in “street” or “nominee” name.
Dividends
We
do not anticipate paying any cash dividends on our common stock in the foreseeable future. We intend to retain any future earnings to
finance growth and development and therefore do not anticipate paying cash dividends in the foreseeable future.
Recent
Sales of Unregistered Securities
None.
Issuer
Purchases of Equity Securities
None
ITEM
6. [RESERVED]
ITEM 7. MANAGEMENT’S
DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The
following discussion of our financial condition and results of operations should be read in conjunction with our consolidated financial
statements and the related notes thereto and other financial information included elsewhere in this Annual Report. As used in the discussion
below, “we,” “our,” and “us” refers to the historical financial results of Lipocine.
Forward
Looking Statements
This
section and other parts of this report contain forward-looking statements within the meaning of Section 27A of the Securities Act of
1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, that involve risks and uncertainties. Forward-looking
statements provide current expectations of future events based on certain assumptions and include any statement that does not directly
relate to any historical or current fact. Forward-looking statements may refer to such matters as products, product benefits, pre-clinical
and clinical development timelines, clinical and regulatory expectations and plans, anticipated financial performance, future revenues
or earnings, business prospects, projected ventures, new products and services, anticipated market performance, future expectations for
liquidity and capital resources needs and similar matters. Such words as “may”, “will”, “expect”,
“continue”, “estimate”, “project”, and “intend” and similar terms and expressions are
intended to identify forward looking statements. Forward-looking statements are not guarantees of future performance and our actual results
may differ significantly from the results discussed in the forward-looking statements. Factors that might cause such differences include,
but are not limited to, those discussed in Part I, Item 1A (Risk Factors) of this Form 10-K. Except as required by applicable law,
we assume no obligation to revise or update any forward-looking statements for any reason.
Overview
of Our Business
We
are a biopharmaceutical company focused on leveraging our proprietary Lip’ral platform to develop differentiated products through
the oral delivery of previously difficult to deliver molecules. Our proprietary delivery technologies are designed to improve patient
compliance and safety through orally available treatment options. Our primary development programs are based on oral delivery solutions
for poorly bioavailable drugs. We have a portfolio of differentiated innovative product candidates that target high unmet needs for neurological
and psychiatric CNS disorders, liver diseases, and hormone supplementation for men and women.
We
entered into a license agreement for the development and commercialization our product candidate, TLANDO®, an oral testosterone replacement
therapy comprised of testosterone undecanoate. On March 28, 2022, the FDA approved TLANDO as a TRT in adult males for conditions
associated with a deficiency of endogenous testosterone, also known as hypogonadism. On June 7, 2022, our former commercial partner Antares
(a wholly owned subsidiary of Halozyme) announced the commercial launch of TLANDO.
On
January 12, 2024, we entered into the Verity License Agreement with Verity, pursuant to which we granted to Verity an exclusive, royalty-bearing,
sublicensable right and license to develop and commercialize the TLANDO product for TRT in the Licensed Verity Territory. Any FDA post-marketing
studies required will also be the responsibility of our Licensee, Verity.
53
In
September 2024, we entered into the SPC License Agreement for the development and commercialization of TLANDO with SPC, pursuant to which
the Company granted to SPC a non-transferable, exclusive, royalty-bearing license to commercialize our TLANDO product in the SPC Territory.
In October 2024, we entered into the Pharmalink Distribution Agreement with Pharmalink granting a non-transferable, exclusive, license
to commercialize our TLANDO product in the Pharmalink Territory. Our ex-U.S. commercialization partners are planning to file marketing
approval applications in Canada, the GCC countries, and South Korea in 2025.
Additional
clinical development pipeline candidates include: LPCN 1154 for PPD, LPCN 2101 for epilepsy, LPCN 2203 for essential tremor and LPCN
2401 for improved body composition in obesity management. In addition to our clinical development product candidates, we have assets
for which we expect to seek partnerships to enable further development including TLANDO for territories outside of North America,
South Korea, and the GCC, LPCN 1148 comprising a novel prodrug of testosterone, and TL, for the management of cirrhosis, LPCN 1144, an oral prodrug of androgen receptor modulator for the treatment of non-cirrhotic MASH which has completed
Phase 2 testing, and LPCN 1107, potentially the first oral HPC product indicated for the prevention of recurrent PTB, which has
completed a dose finding clinical study in pregnant women and has been granted orphan drug designation by the FDA.
To
date, we have funded our operations primarily through the sale of equity securities, debt and convertible debt and through up-front payments,
research funding and royalty and milestone payments from our license and collaboration arrangements. We have not generated any revenues
from product sales and while we expect to generate royalties from our Licensee’s sales of TLANDO, we do not expect to generate
revenue from product sales from our other product candidates unless and until approval.
We
have incurred losses in most years since our inception. As of December 31, 2024, we had an accumulated deficit of approximately
$199.8 million. Income and losses fluctuate year to year, primarily depending on the nature and timing of research and development
occurring on our product candidates. Our net income was approximately $8,000 for the year ended December 31, 2024, compared to
approximately $16.4 million for the year ended December 31, 2023. Substantially all of our operating losses resulted from expenses
incurred in connection with our product candidate development programs, our research activities and general and administrative costs
associated with our operations.
We
expect to continue to incur significant expenses and operating losses for the foreseeable future as we:
● subject
to resource availability, conduct further development of our other product candidates, including
LPCN 1154, LPCN 2101, LPCN 2203, and LPCN 2401;
● continue
our research efforts;
● research
new products or new uses for our existing products;
● maintain,
expand and protect our intellectual property portfolio; and
● provide
general and administrative support for our operations.
To
fund future long-term operations, including the potential commercialization of any of our product candidates, we will need to raise additional
capital. The amount and timing of future funding requirements will depend on many factors, including capital market conditions, regulatory
requirements and commercial success of TLANDO, regulatory requirements related to our other product development programs, the timing
and results of our ongoing development efforts, the potential expansion of our current development programs, potential new development
programs, our ability to license and/or partner our products to third parties, the pursuit of various potential commercial activities
and strategies associated with our development programs and related general and administrative support. We anticipate that we will seek
to fund our operations through public or private equity or debt financings or other sources, such as potential license, partnering and
collaboration agreements. We cannot be certain that anticipated additional financing will be available to us on favorable terms, in amounts
sufficient to fund our operations, or at all. Although we have previously been successful in obtaining financing through public and private
equity securities offerings and our license and collaboration agreements, there can be no assurance that we will be able to do so in
the future.
54
Corporate
Strategy
Our
goal is to become a leading biopharmaceutical company focused on leveraging our proprietary Lip’ral drug delivery technology platform
to develop differentiated products through oral delivery of previously difficult to deliver molecules. The key components of our strategy
are to:
Advance
LPCN 1154 and other CNS product candidates. We intend to focus on the development of NASs
which have broad applicability in treating various CNS conditions where we can leverage our technology platform to develop highly differentiated
oral therapeutics. Our priority is on the development of LPCN 1154, a fast-acting oral antidepressant for PPD with potential for outpatient use.
Support
our licensees, Verity, SPC, and Pharmalink in commercialization and/or of our licensed oral TRT product . We believe the TRT
market needs a differentiated, convenient oral option. We have exclusively licensed rights to TLANDO to Verity for commercialization
of TLANDO in the Licensed Verity Territory, to SPC for commercialization in the SPC
Territory, and to Pharmalink in the Pharmalink Territory. We plan to support Verity’s, SPC’s and Pharmalink’s efforts to effectively enable the availability
of TLANDO to patients in a timely manner, in addition to receiving milestone payments, royalty payments, and/or payments for product
sales associated with TLANDO commercialization as agreed to in the Verity License Agreement, the SPC License Agreement and the Pharmalink
Distribution Agreement.
Develop
partnership(s) to continue the advancement of pipeline assets . We continuously strive to prioritize our resources in seeking partnerships
of our pipeline assets. We are currently exploring partnerships for our liver programs LPCN 1144, our candidate for treatment of non-cirrhotic
MASH and LPCN 1148 for the management of cirrhosis including prevention of the recurrence of overt hepatic encephalopathy; LPCN 2401 for improved body composition in obesity management as an adjunct therapy to or as a monotherapy post
cessation of incretin mimetics use; and LPCN 1107, our candidate for prevention of pre-term birth. We are exploring the possibility of
licensing TLANDO to third parties outside of the Currently Licensed TLANDO Territories, although
as of the date of this Annual Report, no additional licensing agreements have been entered into by the Company in any other territories.
Financial
Operations Overview
Revenue
To
date, we have not generated any revenues from product sales and do not expect to do so until our FDA approved product receives regulatory
approval in the SPC Territory or the Pharmalink Territory or until one of our other product candidates receives approval from the FDA.
Revenues to date have been generated substantially from license fees, royalty and milestone payments and research support from our licensees.
Since our inception through December 31, 2024, we have generated $53.1 million in revenue under our various license and collaboration
arrangements and from government grants. We have entered into the Verity License Agreement, the SPC License Agreement and the Pharmalink
Distribution Agreement with the potential for revenue from future milestones, royalties, and/or product sales, but we may never generate
revenues from any of our clinical or preclinical development programs or licensed products as we may never succeed in obtaining regulatory
approval or commercializing any of these product candidates.
Research
and Development Expenses
Research
and development expenses consist primarily of salaries, benefits, stock-based compensation and related personnel costs, fees paid to
external service providers such as contract research organizations and contract manufacturing organizations, contractual obligations
for clinical development, clinical sites, manufacturing and scale-up for late stage clinical trials, formulation of clinical drug supplies,
and expenses associated with regulatory submissions. Research and development expenses also include an allocation of indirect costs,
such as those for facilities, office expense, and depreciation of equipment based on the ratio of direct labor hours for research and
development personnel. We expense research and development expenses as incurred. Since our inception, we have spent approximately $154.6
million in research and development expenses through December 31, 2024.
55
We
expect to continue to incur significant costs in the development of future pipeline product candidates.
In
general, the cost of clinical trials may vary significantly over the life of a project as a result of uncertainties in clinical development,
including, among others:
● the
number of sites included in the trials;
● the
length of time required to enroll suitable subjects;
● the
duration of subject follow-ups;
● the
length of time required to collect, analyze and report trial results;
● the
cost, timing and outcome of regulatory review; and
● potential
changes by the FDA in clinical trial and NDA filing requirements.
Future
research and development expenditures are subject to numerous uncertainties regarding timing and cost to completion, including, among
others:
●
the timing and outcome of
regulatory filings and FDA reviews and actions for product candidates;
●
our dependence on third-party
manufacturers for the production of satisfactory finished product for registration and launch should regulatory approval be obtained
on any of our product candidates;
●
the potential for future
license or co-promote arrangements for our product candidates, when such arrangements will be secured, if at all, and to what degree
such arrangements would affect our future plans and capital requirements; and
●
the effect on our product
development activities of actions taken by the FDA or other regulatory authorities.
A
change of outcome for any of these variables with respect to the development of our product development candidates could mean a substantial
change in the costs and timing associated with these efforts, could require us to raise additional capital, and may require us to reduce
operations.
Given
the stage of clinical development and the significant risks and uncertainties inherent in the clinical development, manufacturing and
regulatory approval process, we are unable to estimate with any certainty the time or cost to complete the development of LPCN 1154,
LPCN 2401, LPCN 2101, LPCN 2203, LPCN 1148, LPCN 1144, LPCN 1107 and other product candidates. Clinical development timelines, the
probability of success and development costs can differ materially from expectations and results from our clinical trials may not be
favorable. If we are successful in progressing LPCN 1154, LPCN 2401, LPCN 2101, LPCN 2203 or other future product candidates into
later stage development, we will require additional capital. The amount and timing of our future research and development expenses for
these product candidates will depend on the pre-clinical and clinical success of both our current development activities and potential
development of new product candidates, as well as ongoing assessments of the commercial potential of such activities. We will continue
efforts to enter into partnership arrangements for the continued development and/or marketing of LPCN 1144, LPCN 1148, LPCN 2401, LPCN
1107, for the development and commercialization of TLANDO outside of the United States, Canada, South Korea, and the GCC countries and
LPCN 1111 outside of the United States and Canada.
We
expect to incur significant research and development expenses in the future as we conduct future clinical studies, including when and
if we conduct Phase 2 clinical studies with our development product candidates and when and if we conduct Phase 3 clinical studies with
LPCN 1144, LPCN 1148, and LPCN 1107. We are also exploring the possibility of licensing LPCN 1144, LPCN 1148, LPCN 2401 and LPCN 1107,
although we have not entered into a licensing agreement and no assurance can be given that any license agreement will be completed, or,
if an agreement is completed, that such an agreement would be on terms favorable to us. If we are unable to raise additional capital
or obtain non-dilutive financing, we may need to reduce research and development expenses in order to extend our ability to continue
as a going concern.
56
General
and Administrative Expenses
General
and administrative expenses consist primarily of salaries and related benefits, including stock-based compensation and outside consulting
services related to our executive, finance, business development, and administrative support functions. Other general and administrative
expenses include rent and utilities, travel expenses, and professional fees for auditing, tax, legal and various other services.
General
and administrative expenses also include expenses for the cost of preparing, filling and prosecuting patent applications and maintaining,
enforcing and defending intellectual property-related claims.
We
expect that general and administrative expenses will increase in the future as we continue as a public company. These fees include legal
and consulting fees, accounting and audit fees, director fees, directors’ and officers’ insurance premiums, fees for investor
relations services and enhanced business and accounting systems, litigation costs, professional fees and other costs. However, if we
are unable to raise additional capital, we may need to reduce general and administrative expenses in order to extend our ability to continue
as a going concern.
Other
Income and Expense
Other
income and expense consists primarily of interest income earned on our cash, cash equivalents and marketable investment securities, imputed
interest on minimum royalties under the Antares Licensing Agreement in 2023, and gains on our warrant liability.
Results
of Operations
Comparison
of the Years Ended December 31, 2024, and 2023
The
following table summarizes our results of operations for the years ended December 31, 2024 and 2023:
Years
Ended December 31,
2024
2023
Variance
Revenue
$ 11,198,144
$ (2,850,818 )
$ 14,048,962
Research and development expenses
7,351,753
10,175,251
(2,823,498 )
General and administrative expenses
5,001,426
4,904,888
96,538
Interest and investment income
1,146,902
1,366,940
(220,038 )
Unrealized gain on warrant liability
17,166
212,690
(195,524 )
Income tax expense
(681 )
(755 )
74
Revenue
We
recognized revenue of $11.2 million during the year ended December 31, 2024, compared to a net reversal of variable consideration revenue
of $2.9 million during the year ended December 31, 2023. Revenue in 2024 primarily consisted of revenue from our licensees, Verity, SPC
and Pharmalink and royalty revenue from TLANDO sales. Net reversal of variable consideration revenue in fiscal year ended December 31,
2023 was mainly attributable to the reversal of variable consideration revenue recognized for minimum guaranteed royalties in 2021 under
the license agreement with Antares, offset by $110,000 in license revenue payments received from Spriaso under a licensing agreement
in the cough and cold field. The Antares License Agreement was terminated effective January 31, 2024. On January 12, 2024, we entered
into the Verity License Agreement with Verity. Upon termination of the Antares License Agreement, all rights and licenses granted by
us to Antares under the Antares License Agreement terminated and all rights in TLANDO were transferred to our new licensing partner,
Verity.
Research
and Development Expenses
We
recorded research and development expenses of $7.4 million and $10.2 million, respectively, for the years ended December 31, 2024 and
2023. The decrease in research and development expenses during the year ended December 31, 2024 was primarily due to a $3.1 million decrease
related to the completion of our LPCN 1148 Phase 2 POC study in male patients with cirrhosis in 2023, a $584,000 decrease in TLANDO related costs, and a $348,000 decrease in personnel related costs. These decreases were offset by a $996,000 increase in LPCN 1154
clinical studies, a $188,000 increase in other lab supplies and research costs, and a $46,000 increase in LPCN 2401 costs.
57
General
and Administrative Expenses
We
recorded general and administrative expenses of $5.0 million and $4.9 million, respectively, for the years ended December 31, 2024 and
2023. The increase in general and administrative expenses during the year ended December 31, 2024 was primarily due to a $800,000 increase
in business development and strategic advisory services related expenses and a $53,000 increase in intellectual property and patent expenses,
offset by a $222,000 decrease in corporate insurance expense, a $208,000 decrease in personnel related costs, a $161,000 decrease in
professional fees relating to our annual shareholder’s meeting and subsequent decision to enact a reverse stock split, a $146,000
decrease in other various consulting and professional fees, and a $20,000 decrease in other general and administrative expenses.
Interest and Investment Income
The
decrease in interest and investment income of approximately $220,000 during the year ended December 31, 2024 was due to declining
cash and marketable investment securities balances in fiscal year ended December 31, 2024 compared to 2023.
Unrealized
Gain on Warrant Liability
We
recorded gains of $17,000 and $213,000, respectively, on warrant liability during the fiscal years ended December 31, 2024 and 2023 related
to the change in the fair value of outstanding common stock warrants issued in November 2019. The gain in fiscal year ended December
31, 2024 was attributable to the expiration in November 2024 of the warrant issued in the November 2019 Offering. The gain in fiscal
year ended December 31, 2023 was the result of a decreased stock price and shorter term remaining on the warrants as compared to the
stock price and remaining term of the warrants as of December 31, 2022. There were no common stock warrants from the November 2019 Offering
exercised during fiscal years ended December 31, 2024 or 2023. The warrants were classified as a liability due to a provision contained
within the warrant agreement which allowed the warrant holder the option to elect to receive an amount of cash equal to the value of
the warrants as determined in accordance with the Black-Scholes option pricing model with certain defined assumptions upon a change of
control.
Liquidity
and Capital Resources
Since
our inception, our operations have been primarily financed through sales of our equity securities, debt and payments received under our
license and collaboration arrangements. We have devoted our resources to funding research and development programs, including discovery
research, preclinical and clinical development activities. We have incurred operating losses in most years since our inception and we
expect to continue to incur operating losses into the foreseeable future as we advance clinical development of LPCN 1154, LPCN 2101,
LPCN 2203, LPCN 2401 and any other product candidate, including continued research efforts.
As
of December 31, 2024, we had $21.6 million of unrestricted cash, cash equivalents and marketable investment securities compared to $22.0
million as of December 31, 2023.
In October 2024, we entered into the Pharmalink Distribution Agreement
with Pharmalink, pursuant to which we granted to Pharmalink a non-transferable, exclusive, license to commercialize our TLANDO product
in the Pharmalink Territory. Pharmalink paid us a one-time non-refundable, non-creditable upfront fee. We are eligible to receive additional
payments in regulatory authorization milestones related to the marketing approval in countries in the Pharmalink Territory under the Pharmalink
Distribution Agreement and we have agreed to supply TLANDO to Pharmalink at a specified transfer price.
In
September 2024, we entered into the SPC License Agreement with SPC. Under the terms of the SPC License Agreement, SPC paid us a
non-refundable, non-creditable upfront fee in October 2024. We also received an additional payment for a non-refundable,
non-creditable prepayment in consideration for TLANDO product inventory, and are eligible to receive additional payments for various
marketing authorization and sales milestones and will supply TLANDO to SPC and receive a supply price. In addition, we will receive
royalties on net sales in the SPC Territory under the SPC License Agreement. Our ability to realize benefits from the SPC License
Agreement, including milestone, product sale and royalty payments, is subject to a number of risks. We may not realize milestone,
product sale or royalty payments in anticipated amounts, or at all.
58
On January 12, 2024, we entered into the Verity License Agreement with
Verity, pursuant to which we granted to Verity an exclusive, royalty-bearing, sublicensable right and license to develop and commercialize
our TLANDO product with respect to TRT in the Licensed Verity Territory. Upon execution of the Verity License Agreement in January 2024
and upon transition of the commercialization of TLANDO from Antares to Verity in February 2024, Verity paid to us an initial payment of
$2.5 million, and subsequent payments of $5 million and $2.5 million in February 2024 and December 2024, respectively. Verity has also
agreed to make an additional payment to us of $1 million before January 1, 2026. The Verity License Agreement also provides Verity with
a license to develop and commercialize TLANDO XR (“LPCN 1111”), our potential next generation, once daily oral product candidate
for testosterone replacement therapy comprised of testosterone tridecanoate, in the Licensed Verity Territory. We are also eligible to
receive milestone payments of up to $259 million in the aggregate, depending on the achievement of certain development milestones and
sales milestones in a single calendar year with respect to all products licensed by Verity under the Verity License Agreement. In
addition, we receive tiered royalty payments at rates ranging from percentages of 12% up to 18% of net sales of all products licensed
to Verity in the Licensed Verity Territory. Our ability to realize benefits from the Verity License Agreement, including milestone and
royalty payments, is subject to a number of risks. We may not realize milestone or royalty payments in anticipated amounts, or at all.
Previously
on March 6, 2017, we entered into a sales agreement (“Cantor Sales Agreement”) with Cantor Fitzgerald & Co. (“Cantor”)
under which we agreed to sell shares of our common stock, having registered up to $50.0 million for sale under the Cantor Sales Agreement.
During the year ended December 31, 2024, we sold 32,110 shares of our common stock under the Cantor Sales Agreement at a weighted-average sales price of $6.77 per share, resulting in net proceeds of approximately $209,000, which is net of approximately
$8,000 in expenses. During the year ended December 31, 2023, we sold 81,000 shares of our common stock under the Cantor Sales Agreement at a weighted-average sales price of $5.36 per share, resulting in net proceeds of approximately $405,000, which is net of approximately $24,000 in expenses. On April 24, 2024, we terminated the Cantor Sales Agreement. From the inception
to the termination of the Cantor Sales Agreement, we sold in aggregate 996,821 shares of our common stock for $33.5 million.
On
April 26, 2024, we entered into a sales agreement (the “A.G.P. Sales Agreement”) with A.G.P./Alliance Global Partners (“A.G.P.”)
pursuant to which we may issue and sell, from time to time, shares of our common stock having an aggregate offering price of up to the
amount we registered on an effective registration statement pursuant to which the offering is being made. We currently have registered
up to $10,616,169 of shares of common shares for sale under the A.G.P. Sales Agreement, pursuant to the Registration Statement on Form
S-3, as amended (File No. 333-275716) (the “Form S-3”), through A.G.P. as sales agent. A.G.P. may sell our common stock by
any method permitted by law deemed to be an “at the market offering” as defined in Rule 415(a)(4) of the Securities Act,
including sales made directly on or through the Nasdaq Capital Market or any other existing trade market for our common stock, in negotiated
transactions at market prices prevailing at the time of sale or at prices related to prevailing market prices, or any other method permitted
by law. A.G.P. will use its commercially reasonable efforts consistent with its normal trading and sales practices and applicable law
and regulations to sell shares under the A.G.P. Sales Agreement. We will pay A.G.P. 3.0% of the aggregate gross proceeds from each sale
of shares under the A.G.P. Sales Agreement. In addition, we have also provided A.G.P. with customary indemnification rights. Our shares
of common stock to be sold under the A.G.P. Sales Agreement will be sold and issued pursuant to the Form S-3, as amended, which was previously
declared effective by the SEC, and the related prospectus and one or more prospectus supplements. We are not obligated to make any sales
of our common stock under the A.G.P. Sales Agreement. The offering of common stock pursuant to the A.G.P. Sales Agreement will terminate
upon the termination of the A.G.P. Sales Agreement as permitted therein. We and A.G.P. may each terminate the A.G.P. Sales Agreement
at any time upon ten days’ prior notice. As of December 31, 2024, we had not sold any shares under the A.G.P. Sales Agreement.
We
believe that our existing capital resources, together with interest thereon, will be sufficient to meet our projected operating requirements
through at least March 31, 2026 which include a clinical study for LPCN 1154, research and development activities and compliance
with regulatory requirements. We have based this estimate on assumptions that may prove to be wrong, and we could utilize our available
capital resources sooner than we currently expect if additional activities are performed by us including new clinical studies for LPCN
2401, LPCN 2101, LPCN 1148, LPCN 1144, and/or LPCN 1107. While we believe we have sufficient liquidity and capital resources to fund
our projected operating requirements through at least March 31, 2026, we will need to raise additional capital at some point through
the equity or debt markets or through additional out-licensing activities, either before or after March 31, 2026, to support our operations.
If we are unsuccessful in raising additional capital as necessary, our ability to continue as a going concern will be limited. Further,
our operating plan may change, and we may need additional funds to meet operational needs and capital requirements for product development,
regulatory compliance and clinical trial activities sooner than planned. In addition, our capital resources may be consumed more rapidly
if we pursue additional clinical studies for LPCN 1154, LPCN 2401, LPCN 2101, LPCN 2203, LPCN 1148, LPCN 1144, and/or LPCN 1107. Conversely,
our capital resources could last longer if we reduce expenses, reduce the number of activities currently contemplated under our operating
plan or if we terminate, modify or suspend on-going and/or planned clinical studies. We can raise capital pursuant to the A.G.P. Sales
Agreement but may choose not to issue common stock if our market price is too low to justify such sales in our discretion. There are
numerous risks and uncertainties associated with the development and, subject to approval by the FDA, commercialization of our product
candidates. There are numerous risks and uncertainties impacting our ability to enter into collaborations with third parties to participate
in the development and potential commercialization of our product candidates. We are unable to precisely estimate the amounts of increased
capital outlays and operating expenditures associated with our anticipated or unanticipated clinical studies and ongoing development
efforts. All of these factors affect our need for additional capital resources. To fund future operations, we will need to ultimately
raise additional capital and our requirements will depend on many factors, including the following:
59
● the
scope, rate of progress, results and cost of our clinical studies, pre-clinical testing and
other related activities for all of our product candidates including LPCN 1154, LPCN 2401,
LPCN 2101, LPCN 2203, LPCN 1148, LPCN 1144, and LPCN 1107;
● the
cost of manufacturing clinical supplies, and establishing commercial supplies, of our product
candidates and any products that we may develop;
● the
cost and timing of establishing sales, marketing and distribution capabilities, if any;
● the
terms and timing of any collaborative, licensing, settlement and other arrangements that
we may establish;
● the
number and characteristics of product candidates that we pursue;
● the
cost, timing and outcomes of regulatory approvals;
● the
timing, receipt and amount of sales, profit sharing or royalties, if any, from our potential
products;
● the
cost of preparing, filing, prosecuting, defending and enforcing any patent claims and other
intellectual property rights;
● the
extent to which we acquire or invest in businesses, products or technologies, although we
currently have no commitments or agreements relating to any of these types of transactions;
and
● the
extent to which we grow significantly in the number of employees or the scope of our operations.
Funding
may not be available to us on favorable terms, or at all. Also, market conditions may prevent us from accessing the debt and equity capital
markets, including sales of our common stock through the A.G.P. Sales Agreement. If we are unable to obtain adequate financing when needed,
we may have to delay, reduce the scope of or suspend one or more of our clinical studies, research and development programs or, if any
of our product candidates receive approval from the FDA, commercialization efforts. We may seek to raise any necessary additional capital
through a combination of public or private equity offerings, including the A.G.P. Sales Agreement, debt financings, collaborations, strategic
alliances, licensing arrangements and other marketing and distribution arrangements. These arrangements may not be available to us or
available on terms favorable to us. To the extent that we raise additional capital through marketing and distribution arrangements, other
collaborations, strategic alliances or licensing arrangements with third parties, we may have to relinquish valuable rights to our product
candidates, future revenue streams, research programs or product candidates or grant licenses on terms that may not be favorable to us.
If we do raise additional capital through public or private equity offerings, the ownership interest of our existing stockholders will
be diluted, and the terms of these securities may include liquidation or other preferences, warrants or other terms that adversely affect
our stockholders’ rights or further complicate raising additional capital in the future. If we raise additional capital through
debt financing, we may be subject to covenants limiting or restricting our ability to take specific actions, such as incurring additional
debt, making capital expenditures or declaring dividends. If we are unable, for any reason, to raise needed capital, we will have to
reduce costs, delay research and development programs, liquidate assets, dispose of rights, commercialize products or product candidates
earlier than planned or on less favorable terms than desired or reduce or cease operations.
Sources
and Uses of Cash
The
following table provides a summary of our cash flows for the years ended December 31, 2024 and 2023.
Years
Ended December 31,
2024
2023
Cash used in operating activities
$ (1,221,233 )
$ (11,865,991 )
Cash provided by investing activities
2,446,061
13,084,686
Cash provided by financing activities
209,340
404,567
60
Net
Cash Used in Operating Activities
During
each of the years ended December 31, 2024 and 2023, net cash used in operating activities was $1.2 million and $11.9 million, respectively.
Net
cash used in operating activities during 2024 was primarily attributable to cash outlays to support on-going operations, including research
and development expenses primarily related to our LPCN 1154 clinical studies and manufacturing scale up, in addition to general and administrative
expenses. These cash outlays were offset by cash provided by the licensee and distribution agreements we entered into during 2024 of
$11.2 million. During 2023, we were performing activities mainly related to our LPCN 1154 clinical studies and our LPCN 1148 Phase 2
POC Study in male subjects with cirrhosis.
Net
Cash Provided by Investing Activities
During
the years ended December 31, 2024 and 2023, net cash used in investing activities was $2.4 million and $13.1 million.
Net
cash provided by investing activities during 2024 and 2023 was primarily the result of the maturity of marketable investment securities
of $35.4 million and $36.0 million, respectively offset by the purchase of marketable investment securities of $32.9 million and $22.9
million, respectively. There were $90,000 and $13,000 in capital expenditures for the years ended December 31, 2024 and 2023, respectively.
Net
Cash Provided by Financing Activities
During
the years ended December 31, 2024 and 2023, net cash provided by financing activities was $209,000 and $405,000, respectively, and was
the result of proceeds from the sales of our common stock under the Cantor Sales Agreement.
Net
cash provided by financing activities during the year ended December 31, 2024 and 2023, was related to the sale of 32,110 shares of
our common stock for net proceeds of $209,000 and 81,000 shares of our common stock for net proceeds of $405,000, respectively, under the Cantor Sales
Agreement, less associated costs.
Contractual
Commitments and Contingencies
Purchase
Obligations
We
enter into contracts and issue purchase orders in the normal course of business with clinical research organizations for clinical trials
and clinical and commercial supply manufacturing and with vendors for preclinical research studies, research supplies and other services
and products for operating purposes. These contracts generally provide for termination on notice and are cancellable obligations.
Operating
Leases
In
August 2004, we entered into an agreement to lease our facility in Salt Lake City, Utah consisting of office and laboratory space which
serves as our corporate headquarters. On December 2, 2024, we modified and extended the lease through February 28, 2026.
Critical
Accounting Policies and Significant Judgments and Estimates
Our
management’s discussion and analysis of our financial condition and results of operations is based on our financial statements
which we have prepared in accordance with U.S. GAAP. In preparing our financial statements, we are required to make estimates and assumptions
that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial
statements and the reported amounts of revenues and expenses during the reporting periods. Our estimates are based on our historical
experience and on various other factors that we believe are reasonable under the circumstances, the results of which form the basis for
making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources. Actual results
may differ from these estimates under different assumptions or conditions. We concluded that licensing revenue recognized in conjunction
with the Verity License Agreement, the SPC License Agreement and the Pharmalink Distribution Agreement met the requirements under ASC
606, Revenue from Contracts with Customers. We evaluate the measure of progress each reporting period and, if necessary, adjust the measure
of performance and related revenue recognition. License revenue from payments to be received in the future will be recognized when it
is probable that we will receive license payments under the terms of the Verity License Agreement, the SPC License Agreement or the Pharmalink
Distribution Agreement.
61
We
have identified the following accounting policies that we believe require application of management’s most subjective judgments,
often requiring the need to make estimates about the effect of matters that are inherently uncertain and may change in subsequent periods.
Our actual results could differ from these estimates and such differences could be material.
While
our significant accounting policies are described in more detail in Note 2 of our annual financial statements included in this filing,
we believe the following accounting policies to be critical to the judgments and estimates used in the preparation of our financial statements.
Revenue
Recognition
In
May 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”)
No. 2014-09, Revenue from Contracts with Customers (Topic 606) with amendments in 2015 (ASU
2015-14) and 2016 (ASU 2016-8, ASU 2016-10, ASU 2016-12 and ASU 2016-20) . The updated standard is a new comprehensive
revenue recognition model that requires revenue to be recognized in a manner that depicts the transfer of goods or services to a
customer at an amount that reflects the consideration expected to be received in exchange for those goods or services. The guidance
also requires disclosures regarding the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with
customers. We adopted this pronouncement effective January 1, 2017. We recognized license and royalty revenue of $11.2 million
during the year ended December 31, 2024 and a net reversal of variable consideration revenue of $2.9 million during the year ended
December 31, 2023. Net reversal of variable consideration revenue in 2023 was mainly attributable to the reversal of variable
consideration revenue recognized for minimum guaranteed royalties in 2021 under the license agreement with Antares, offset by
$110,000 in license revenue payments received from Spriaso under a licensing agreement in the cough and cold field.
We
may provide research and development services under collaboration arrangements to advance the development of jointly owned products.
We record the expenses incurred and reimbursed on a net basis in research and development expense.
As
of December 31, 2024, we do not have any active collaboration agreements.
Research
and Development Expenses
We
make estimates of our accrued expenses as of each balance sheet date in our financial statements based on the facts and circumstances
known to us at that time. Our expense accruals for contract research, contract manufacturing and other contract services are based on
estimates of the fees associated with services provided by the contracting organizations. Payments under some of the contracts we have
with such parties depend on factors such as successful enrollment of patients, site initiation and the completion of clinical trial milestones.
In accruing service fees, we estimate the time period over which services will be performed and the level of effort to be expended in
each period. If possible, we obtain information regarding unbilled services directly from these service providers. However, we may be
required to estimate these services based on other information available to us. If we underestimate or overestimate the activity or fees
associated with a study or service at a given point in time, adjustments to research and development expenses may be necessary in future
periods. Subsequent changes in estimates may result in a material change in our accruals.
Stock-Based
Compensation
We
recognize stock-based compensation expense for grants of stock option awards, restricted stock units and restricted stock under our Incentive
Plan to employees, nonemployees and nonemployee members of our board of directors based on the grant-date fair value of those awards.
The grant-date fair value of an award is generally recognized as compensation expense over the award’s requisite service period.
In addition, in the past we have granted performance-based stock option awards and restricted stock grants, which vest based upon our
satisfying certain performance conditions. Potential compensation cost, measured on the grant date, related to these performance options
will be recognized only if, and when, we estimate that these options will vest, which is based on whether we consider the options’
performance conditions to be probable of attainment. Our estimates of the number of performance-based options that will vest will be
revised, if necessary, in subsequent periods.
62
We
use the Black-Scholes model to compute the estimated fair value of stock option awards. Using this model, fair value is calculated based
on assumptions with respect to (i) expected volatility of our common stock price, (ii) the periods of time over which employees
and members of the board of directors are expected to hold their options prior to exercise (expected term), (iii) expected dividend
yield on the common stock, and (iv) risk-free interest rates. Stock-based compensation expense also includes an estimate, which
is made at the time of grant, of the number of awards that are expected to be forfeited. This estimate is revised, if necessary, in subsequent
periods if actual forfeitures differ from those estimates.
As
of December 31, 2024, there was $440,000 of total unrecognized compensation cost related to unvested share-based compensation arrangements
granted under the Company’s stock option plan.
Warrant
Liability
In
connection with the November 2019 public offering, we issued warrants to purchase common stock. The warrants would have required us to
pay such holders an amount of cash in the event of a fundamental transaction, as defined in the warrant agreement. As the cash payment
was at the option of the warrant holder, we accounted for the common stock warrants as a liability, which was adjusted to fair value
each reporting period as well as upon exercise of such warrants. The Company estimated the fair value of the warrant liability based
on a hypothetical payout associated with a fundamental transaction. The fair value estimate utilized a pricing model and unobservable
inputs. Unlike the fair value of other assets and liabilities which are readily observable and therefore more easily independently corroborated,
the warrants were not actively traded, and fair value was determined based on significant judgments regarding models, unobservable inputs
and valuation methodologies.
The
warrants issued under the November 2019 public offering expired in November 2024, and there were no warrants from the November 2019 offering
outstanding as of December 31, 2024. As of December 31, 2024 and 2023, the warrant liability was $0 and $17,000, respectively.
ITEM 7A. QUANTITATIVE
AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
As
a “smaller reporting company,” this item is not required.
63
ITEM 8. FINANCIAL
STATEMENTS AND SUPPLEMENTAL DATA
LIPOCINE
INC.
INDEX
TO FINANCIAL STATEMENTS
Page
Audited
Financial Statements of Lipocine Inc. for the Years ended December 31, 2024 and 2023
Report
of Independent Registered Public Accounting Firm (PCAOB ID No. 270 )
65
Consolidated
Balance Sheets
66
Consolidated
Statements of Operations and Comprehensive Loss
67
Consolidated
Statements of Changes in Stockholders’ Equity
68
Consolidated
Statements of Cash Flows
69
Notes
to Consolidated Financial Statements
70
64
Report
of Independent Registered Public Accounting Firm
To
the Board of Directors and Stockholders
Lipocine Inc.
Opinion
on the Consolidated Financial Statements
We
have audited the accompanying consolidated balance sheets of Lipocine Inc. and subsidiaries (the Company) as of December 31, 2024 and 2023, the related consolidated statements of operations and comprehensive income (loss), changes in stockholders’
equity, and cash flows for the years then ended, and the related notes (collectively, the consolidated financial statements). In our opinion,
the consolidated financial statements referred to above present fairly, in all material respects, the consolidated financial position
of the Company as of December 31, 2024 and 2023, and the consolidated results of its operations and its cash flows for years then ended,
in conformity with accounting principles generally accepted in the United States of America.
Basis for Opinion
These consolidated financial statements are the
responsibility of the Company’s management. Our responsibility is to express an opinion on the Company’s consolidated financial
statements based on our audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United
States) (PCAOB) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and
the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards
of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated
financial statements are free of material misstatement, whether due to error or fraud. The Company is not required to have, nor were we
engaged to perform, an audit of its internal control over financial reporting. As part of our audits, we are required to obtain an understanding
of internal control over financial reporting, but not for the purpose of expressing an opinion on the effectiveness of the Company’s
internal control over financial reporting. Accordingly, we express no such opinion.
Our audits included performing procedures to assess
the risks of material misstatement of the consolidated financial statements, whether due to error or fraud, and performing procedures
that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the
consolidated financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by
management, as well as evaluating the overall presentation of the consolidated financial statements. We believe that our audits provide
a reasonable basis for our opinion.
Critical Audit Matters
Critical audit matters are matters arising from the current period audit of the financial statements that were communicated
or required to be communicated to the audit committee and that (1) relate to accounts or disclosures that are material to the financial
statements and (2) involved our especially challenging, subjective, or complex judgments. We determined that there are no critical audit
matters.
/s/
Tanner LLC
We
have served as the Company’s auditor since 2018
Salt
Lake City, Utah
March
12, 2025
65
LIPOCINE
INC. AND SUBSIDIARIES
Consolidated
Balance Sheets
December 31,
December 31,
2024
2023
Assets
Current assets:
Cash and cash
equivalents
$ 6,205,926
$ 4,771,758
Marketable investment securities
15,427,385
17,263,788
Accrued interest income
120,447
52,254
Prepaid
and other current assets
567,915
773,424
Total current assets
22,321,673
22,861,224
Property and equipment,
net of accumulated depreciation of $ 1,223,297 and $ 1,182,191 respectively
165,075
116,095
Other assets
23,753
23,753
Total
assets
$ 22,510,501
$ 23,001,072
Liabilities and Stockholders’ Equity
Current liabilities:
Accounts payable
$ 271,696
$ 1,395,977
Accrued expenses
921,240
1,218,486
Deferred revenue
320,000
-
Warrant
liability
-
17,166
Total
current liabilities
1,512,936
2,631,629
Total
liabilities
1,512,936
2,631,629
Commitments and contingencies (notes 8, 9 and
11)
-
Stockholders’ equity:
Common stock, par value $ 0.0001 per share, 200,000,000
shares authorized; 5,348,276 and 5,316,166 issued and 5,347,940 and 5,315,830 outstanding, respectively
8,863
8,860
Additional paid-in capital
220,789,138
220,171,250
Treasury stock at cost,
336 shares
( 40,712 )
( 40,712 )
Accumulated other comprehensive
gain
9,138
7,259
Accumulated
deficit
( 199,768,862 )
( 199,777,214 )
Total
stockholders’ equity
20,997,565
20,369,443
Total
liabilities and stockholders’ equity
$ 22,510,501
$ 23,001,072
See
accompanying notes to consolidated financial statements
66
LIPOCINE
INC. AND SUBSIDIARIES
Consolidated
Statements of Operations and Comprehensive Income (Loss)
2024
2023
Years
Ended December 31,
2024
2023
Revenues:
License
and royalty revenue
$ 11,198,144
$ 109,987
Minimum
guaranteed royalties revenue (reversal of variable consideration)
-
( 2,960,805 )
Total
revenues (reversal of variable consideration), net
11,198,144
( 2,850,818 )
Operating expenses:
Research and development
7,351,753
10,175,251
General
and administrative
5,001,426
4,904,888
Total
operating expenses
12,353,179
15,080,139
Operating
loss
( 1,155,035 )
( 17,930,957 )
Other income:
Interest and investment
income
1,146,902
1,366,940
Unrealized
gain on warrant liability
17,166
212,690
Total
other income
1,164,068
1,579,630
Income (loss) before
income tax expense
9,033
( 16,351,327 )
Income tax expense
( 681 )
( 755 )
Net income (loss)
8,352
( 16,352,082 )
Issuance
of Series B preferred stock dividend
-
( 89 )
Net gain (loss) attributable to common shareholders
$ 8,352
$ ( 16,352,171 )
Basic income (loss)
per share attributable to common stock
$ -
$ ( 3.10 )
Weighted average common shares outstanding,
basic
5,338,957
5,269,671
Diluted income (loss)
per share attributable to common stock
$ -
$ ( 3.14 )
Weighted average
common shares outstanding, diluted
5,422,604
5,269,671
Comprehensive income (loss):
Net income (loss)
$ 8,352
$ ( 16,352,082 )
Net
unrealized gain on available-for-sale securities
1,879
27,580
Comprehensive gain (loss)
$ 10,231
$ ( 16,324,502 )
See
accompanying notes to consolidated financial statements
67
LIPOCINE
INC. AND SUBSIDIARIES
Consolidated
Statements of Changes in Stockholders’ Equity
For
the Years Ended December 31, 2024 and 2023
Number
of Shares
Amount
Number
of Shares
Amount
Number
of Shares
Amount
Paid-In
Capital
Comprehensive
Loss
Accumulated
Deficit
Stockholders’
Equity
Mezzanine
Equity
Stockholder’s
Equity
Series
B Preferred Stock
Common
Stock
Treasury
Stock
Additional
Accumulated
Other
Total
Number
of Shares
Amount
Number
of Shares
Amount
Number
of Shares
Amount
Paid-In
Capital
Comprehensive
Loss
Accumulated
Deficit
Stockholders’
Equity
Balances at December 31, 2022
-
$ -
5,234,830
$ 8,852
336
$ ( 40,712 )
$ 219,112,164
$ ( 20,321 )
$ ( 183,425,043 )
$ 35,634,940
Net loss
-
-
-
-
-
-
-
-
( 16,352,082 )
( 16,352,082 )
Unrealized net gain on marketable investment securities
-
-
-
-
-
-
-
27,580
-
27,580
-
Stock-based compensation
-
-
-
-
-
-
654,438
-
-
654,438
-
Issuance of Series B preferred stock dividend
88,511
9
-
-
-
-
80
-
-
80
Redemption of Series B preferred stock
( 88,511 )
( 9 )
9
( 89 )
( 80 )
-
Common stock sold through
ATM offering
-
-
81,000
8
-
-
404,559
-
-
404,567
Balances at December 31, 2023
-
$ -
5,315,830
$ 8,860
336
$ ( 40,712 )
$ 220,171,250
$ 7,259
$ ( 199,777,214 )
$ 20,369,443
Mezzanine
Equity
Stockholder’s
Equity
Series
B Preferred Stock
Common
Stock
Treasury
Stock
Additional
Accumulated
Other
Total
Number
of Shares
Amount
Number
of Shares
Amount
Number
of Shares
Amount
Paid-In
Capital
Comprehensive
Loss
Accumulated
Deficit
Stockholders’
Equity
Balances at December 31, 2023
-
$ -
5,315,830
$ 8,860
336
$ ( 40,712 )
$ 220,171,250
$ 7,259
$ ( 199,777,214 )
$ 20,369,443
Balance
-
$ -
5,315,830
$ 8,860
336
$ ( 40,712 )
$ 220,171,250
$ 7,259
$ ( 199,777,214 )
$ 20,369,443
Net income
-
-
-
-
-
-
-
-
8,352
8,352
Net
income (loss)
-
-
-
-
-
-
-
-
8,352
8,352
Unrealized
net gain on marketable investment securities
-
-
-
-
-
-
-
1,879
-
1,879
Stock-based compensation
-
-
-
-
-
-
408,551
-
-
408,551
Common stock sold through
ATM offering
-
-
32,110
3
-
-
209,337
-
-
209,340
Balances at December 31, 2024
-
$ -
5,347,940
$ 8,863
336
$ ( 40,712 )
$ 220,789,138
$ 9,138
$ ( 199,768,862 )
$ 20,997,565
Balance
-
$ -
5,347,940
$ 8,863
336
$ ( 40,712 )
$ 220,789,138
$ 9,138 #
$ ( 199,768,862 )
$ 20,997,565
See
accompanying notes to consolidated financial statements
68
LIPOCINE
INC. AND SUBSIDIARIES
Consolidated
Statements of Cash Flows
2024
2023
Years
Ended December 31,
2024
2023
Cash flows from operating activities:
Net income (loss)
$ 8,352
$ ( 16,352,082 )
Adjustments to reconcile
net income (loss) to cash used in operating activities:
Depreciation expense
41,106
28,661
Stock-based compensation
expense
408,551
654,438
Non-cash gain on change
in fair value of warrant liability
( 17,166 )
( 212,690 )
Amortization of discounts
on marketable investment securities
( 697,865 )
( 952,651 )
Write off of contract
asset due to variable consideration revenue reversal
-
2,960,805
Changes in operating assets
and liabilities:
Accrued interest income
( 68,193 )
28,173
Contract asset
-
709,933
Prepaid and other current
assets
205,509
333,085
Accounts payable
( 1,124,281 )
795,589
Accrued expenses
( 297,246 )
140,748
Deferred
revenue
320,000
-
Cash
used in operating activities
( 1,221,233 )
( 11,865,991 )
Cash flows from investing activities:
Purchase of property and
equipment
( 90,086 )
( 13,167 )
Purchases of marketable
investment securities
( 32,863,853 )
( 22,902,147 )
Maturities
of marketable investment securities
35,400,000
36,000,000
Cash
provided by investing activities
2,446,061
13,084,686
Cash flows from financing activities:
Net
proceeds from sale of common stock through ATM
209,340
404,567
Cash
provided by financing activities
209,340
404,567
Net increase in cash and
cash equivalents
1,434,168
1,623,262
Cash and cash equivalents
at beginning of period
4,771,758
3,148,496
Cash and cash equivalents
at end of period
$ 6,205,926
$ 4,771,758
Supplemental disclosure
of cash flow information:
Income taxes paid
$ 681
225
Supplemental disclosure
of non-cash investing and financing activity:
Net unrealized gain on available-for-sale
securities
$ 1,879
$ 27,580
Issuance of Series B preferred
stock
$ -
$ 89
See
accompanying notes to consolidated financial statements
69
LIPOCINE INC. AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER
31, 2024 and 2023
(1) Description of Business
Lipocine
Inc. (“Lipocine” or the “Company”), a clinical-stage biopharmaceutical company, is engaged in research and
development for the delivery of drugs using its proprietary delivery technology. The Company’s principal operation is to provide
oral delivery solutions for existing drugs. Lipocine develops its own drug candidates or it develops drug candidates on behalf of or
in collaboration with corporate partners. The Company has funded operating costs primarily through collaborative license, milestone and
research arrangements, through federal grants, through the sale of equity securities and through debt. The Company is incorporated under
the laws of the State of Delaware.
(2) Summary of Significant Accounting Policies
(a) Use of Estimates
The
preparation of financial statements in conformity with U.S. generally accepted accounting principles (“US GAAP”) requires
management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent
assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting
period. Actual results could differ from those estimates. Significant items subject to such estimates and assumptions include those related
to the timing and amount of revenue recognized from licensing agreements, stock-based compensation, income tax uncertainties, the fair
value of the warrant liability, and the useful lives of property and equipment.
(b) Cash and Cash Equivalents
The
Company considers all highly liquid investments with original maturities to the Company of three months or less to be cash equivalents.
Although the Company may deposit its cash and cash equivalents with multiple financial institutions, its deposits, at times, may exceed
federally insured limits. Cash and cash equivalents were $ 6.2 million and 4.8 million as of December 31, 2024 and 2023, respectively.
(c) Receivables
Accounts
receivable are recorded at the invoiced amount and do not bear interest.
The
Company maintains an allowance for doubtful accounts for estimated losses. In establishing the allowance, management considers historical
losses adjusted to take into account current market conditions and their customers’ financial condition, the amount of receivables
in dispute, and the current receivables aging and current payment patterns. The Company had no write-offs in 2024 and 2023 and the Company
did not record an allowance for doubtful accounts as of December 31, 2024 and 2023 as there were no accounts receivable outstanding.
The Company does not have any off-balance-sheet credit exposure related to its customers.
(d) Revenue Recognition
The
Company generates most of its revenue from license and royalty arrangements. At the inception of each contract, the Company identifies
the goods and services that have been promised to the customer and each of those that represent a distinct performance obligation, determines
the transaction price including any variable consideration, allocates the transaction price to the distinct performance obligations and
determines whether control transfers to the customer at a point in time or over time. Variable consideration is included in the transaction
price to the extent that it is probable that a significant reversal in the amount of cumulative revenue recognized will not occur or
when the uncertainty associated with the variable consideration is subsequently resolved. The Company reassesses its reserves for
variable consideration at each reporting date and makes adjustments, if necessary, which may affect revenue and earnings in periods
in which any such changes become known.
70
LIPOCINE
INC. AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER
31, 2024 and 2023
(2) Summary of Significant Accounting Policies – (continued)
Disaggregation
of Revenue . In the following tables, revenues reported for the years ended December 31, 2024 and 2023, under Topic 606, are
disaggregated by type of revenue.
Schedule of Disaggregation
of Revenue
Type of Revenue
2024
2023
License
$ 10,900,000
$ 109,987
Royalties
298,144
-
Minimum guaranteed royalties
revenue (reversal of variable consideration)
-
( 2,960,805 )
Revenue
$ 11,198,144
$ ( 2,850,818 )
Under
Topic 606, all revenue has been recognized as point in time for the years ended December 31, 2024 and 2023.
See
Note 4 for a description of the Verity License Agreement, the SPC License Agreement and the Pharmalink Supply and Distribution Agreement.
See Note 12 for a description of the agreement with Spriaso, a related party.
License
Fees . For distinct license performance obligations, upfront license fees are recognized when the Company satisfies the underlying
performance obligation. Performance obligations under these licenses, which consist of the right to use the Company’s proprietary
technology, are satisfied at a point in time corresponding with delivery of the under lying technology rights to the licensee, which
is generally upon transfer of the licensed technology/product to the customer. In addition, license arrangements may include contingent
milestone payments, which are due following achievement by our licensee of specified sales or regulatory milestones and the licensee
and/or Company must fulfill its performance obligation prior to achievement of these milestones. Because of the uncertainty of the milestone
achievement, and/or the dependence on sales of our licensee, variable consideration for contingent milestones is fully constrained and
is not recognized as revenue until the milestone is achieved by our licensee, to the extent collectability is reasonably certain.
Royalties.
Royalties revenue consists of sales-based and minimum royalties earned under licenses agreements for our products. Sales-based royalties
revenue represents variable consideration under license agreements and is recognized in the period a customer sells products incorporating
the Company’s licensed technologies/products. The Company estimates sales-based royalties revenue earned but unpaid at each reporting
period using information provided by the licensee. The Company’s license arrangements may also provide for minimum royalties, which
the Company recognizes upon the satisfaction of the underlying performance obligation, which generally occurs with delivery of the underlying
technology rights to the licensee. Sales-based and minimum royalties are generally due within 45 days after the end of each
quarter in which they are earned.
Revenue
Concentration
A
major partner is considered to be one that comprises more than 10 % of the Company’s total revenues. In 2024, the Company recognized
91.4 %, or $ 10.2 million of its revenue from the Verity License Agreement, which consisted of $ 10.0 million in licensing revenue and $ 232,000
in TLANDO sales-based royalties.
In
2023, the Company recognized a reversal of revenue relating to variable consideration of the Antares License Agreement of $ 2.9 million.
The reversal of revenue in 2023 was due to the write off of the contract asset resulting in a reversal of variable consideration recognized
in 2021 for minimum guaranteed royalties which resulted from the termination of the Antares License Agreement.
71
LIPOCINE
INC. AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER
31, 2024 and 2023
(2) Summary of Significant Accounting Policies – (continued)
(e) Property and Equipment
Property
and equipment are recorded at cost, less accumulated depreciation. Maintenance and repairs that do not extend the life or improve the
asset are expensed in the year incurred.
Depreciation
is computed using the straight-line method over the estimated useful lives of the assets, which are five years for laboratory and
office equipment, three years for computer equipment and software, and seven years for furniture and fixtures.
(f) Accounting for Impairment of Long-Lived Assets
Long-lived
assets are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not
be recoverable. Recoverability of assets held and used is measured by a comparison of the carrying amount of an asset to future net cash
flows (undiscounted) expected to be generated by the asset. If such assets are considered to be impaired, the impairment to be recognized
is measured as the amount by which the carrying amount of the assets exceeds the fair value of the assets. Assets held for sale are reported
at the lower of the carrying amount, or fair value, less costs to sell.
(g) Income Taxes
Income
taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences
attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective
tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected
to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred
tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. A valuation
allowance is provided against net deferred tax assets if, based upon the available evidence, it is more likely than not that some or
all of the net deferred tax assets will not be realized.
The
Company recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized
income tax positions are measured at the largest amount that is greater than 50 percent likely of being realized. Changes in recognition
or measurement are reflected in the period in which the change in judgment occurs. The Company records interest and penalties related
to unrecognized tax benefits as a component of its income tax expense.
(h) Share Based Payments
The
Company recognizes stock-based compensation expense for grants of stock option awards, restricted stock units and restricted stock under
the Company’s Incentive Plan to employees, nonemployees and nonemployee members of the Company’s board of directors based
on the grant-date fair value of those awards. The grant-date fair value of an award is generally recognized as compensation expense over
the award’s requisite service period. In addition, the Company has granted performance-based stock option awards and restricted
stock units, which vest based upon the Company satisfying certain performance conditions. Potential compensation cost, measured on the
grant date, related to these performance options will be recognized only if, and when, the Company estimates that these options or units
will vest, which is based on whether the Company considers the performance conditions to be probable of attainment. The Company’s
estimates of the number of performance-based options or units that will vest will be revised, if necessary, in subsequent periods.
72
LIPOCINE
INC. AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER
31, 2024 and 2023
(2) Summary of Significant Accounting Policies – (continued)
The
Company uses the Black-Scholes model to compute the estimated fair value of stock option awards. Using this model, fair value is calculated
based on assumptions with respect to (i) expected volatility of the Company’s common stock price, (ii) the periods of
time over which employees, nonemployees and members of the board of directors are expected to hold their options prior to exercise (expected
term), (iii) expected dividend yield on the common stock, and (iv) risk-free interest rates. Stock-based compensation expense
also includes an estimate, which is made at the time of grant, of the number of awards that are expected to be forfeited. This estimate
is revised, if necessary, in subsequent periods if actual forfeitures differ from those estimates. Stock-based compensation cost for
stock option awards and restricted stock units that have been expensed in the statements of operations amounted to approximately $ 409,000
and $ 654,000 for the years ended December 31, 2024 and 2023, allocated as follows:
Schedule of Employee Service Share-based Compensation, Allocation of Recognized Period Costs
Years
Ended December 31,
2024
2023
Research and development
$ 222,596
$ 358,352
General and administrative
185,955
296,086
$ 408,551
$ 654,438
The
Company issued 84,715 stock options and 26,467 stock options during the years ended December 31, 2024 and 2023, respectively. The Company
issued 21,762 restricted stock units and 0 restricted stock units during the years ended December 31, 2024 and 2023, respectively.
Key
assumptions used in the determination of the fair value of stock options granted are as follows:
Expected
Term : The expected term represents the period that the stock-based awards are expected to be outstanding. The expected term was estimated
using the simplified method in accordance with the provisions of Staff Accounting Bulletin (“SAB”) No. 107, Share-Based
Payment, for awards with stated or implied service periods. The simplified method defines the expected term as the average of the
contractual term and the vesting period of the stock option. For awards with performance conditions, and that have the contractual term
to satisfy the performance condition, the contractual term was used.
Risk-Free
Interest Rate : The risk-free interest rate used was based on the implied yield currently available on U.S. Treasury issues with
an equivalent remaining term.
Expected
Dividend : The expected dividend assumption is based on management’s current expectation about the Company’s anticipated
dividend policy. The Company does not anticipate declaring dividends in the foreseeable future.
Expected
Volatility : The volatility factor is based solely on the Company’s trading history.
For
options granted in 2024 and 2023, the Company calculated the fair value of each option grant on the respective dates of grant using the
following weighted average assumptions:
Schedule of Key Assumption of Fair Value of Stock Options Granted
2024
2023
Expected term
5.81
years
5.73
years
Risk-free interest rate
4.41 %
3.73 %
Expected dividend yield
—
—
Expected volatility
98.76 %
98.97 %
73
LIPOCINE
INC. AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER
31, 2024 and 2023
(2) Summary of Significant Accounting Policies – (continued)
FASB
Accounting Standards Codification (“ASC”) 718, Stock Compensation, requires the Company to recognize compensation
expense for the portion of options that are expected to vest. Therefore, the Company applied estimated forfeiture rates that were derived
from historical employee termination behavior. If the actual number of forfeitures differs from those estimated by management, additional
adjustments to compensation expense may be required in future periods.
As
of December 31, 2024, there was $ 440,000 of total unrecognized compensation cost related to unvested share-based compensation arrangements
granted under the Company’s stock option plan, of which $ 368,000 relates to unvested stock options and $ 72,000 relates to unvested
restricted stock units. Share-based compensation related to options is expected to be recognized over a weighted average period of 1.2
years. The cost will be adjusted for subsequent changes in estimated forfeitures. The weighted average fair value of stock options granted
during the years ended December 31, 2024 and 2023 was approximately $ 3.80 and $ 6.19 per share, respectively.
(i) Fair Value
The
Company utilizes valuation techniques that maximize the use of observable inputs and minimize the use of unobservable inputs to the extent
possible. The Company determines fair value based on assumptions that market participants would use in pricing an asset or liability
in the principal or most advantageous market. When considering market participant assumptions in fair value measurements, the following
fair value hierarchy distinguishes between observable and unobservable inputs, which are categorized in one of the following levels:
● Level
1 Inputs: Quoted prices for identical instruments in active markets.
● Level
2 Inputs: Quoted prices for similar instruments in active markets, quoted prices for identical or similar instruments in markets
that are not active, and model-derived valuation in which all significant inputs and significant value drivers are observable in
active markets.
● Level
3 Inputs: Valuations derived from valuation techniques in which one or more significant inputs or significant value drivers are
unobservable.
All
of the Company’s financial instruments are valued using quoted prices in active markets or based on other observable inputs. For
accrued interest income, prepaid and other current assets, accounts payable, and accrued expenses, the carrying amounts approximate fair
value because of the short maturity of these instruments. The following table presents the placement in the fair value hierarchy of assets
and liabilities that are measured at fair value on a recurring basis as of December 31, 2024 and 2023:
74
LIPOCINE
INC. AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER
31, 2024 and 2023
(2) Summary of Significant Accounting Policies – (continued)
Schedule
of Fair Value, Assets and Liabilities Measured on Recurring Basis
Fair
value measurements at reporting date using
December
31, 2024
Level
1 inputs
Level
2 inputs
Level
3 inputs
Assets:
Cash equivalents
- money market funds
$ 6,155,167
$ 6,155,167
$ -
$ -
Government
treasury bills
15,427,385
15,427,385
-
-
$ 21,582,552
$ 21,582,552
$ -
$ -
Liabilities:
Warrant
liability
$ -
$ -
$ -
$ -
$ 21,582,552
$ 21,582,552
$ -
$ -
Fair
value measurements at reporting date using
Deember
31, 2023
Level
1 inputs
Level
2 inputs
Level
3 inputs
Assets:
Cash equivalents
- money market funds
$ 4,695,491
$ 4,695,491
$ -
$ -
Government treasury bills
14,281,104
14,281,104
-
-
U.S.
government agency securities
2,982,684
-
2,982,684
-
$ 21,959,279
$ 18,976,595
$ 2,982,684
$ -
Liabilities:
Warrant
liability
$ 17,166
$ -
$ -
$ 17,166
$ 21,976,445
$ 18,976,595
$ 2,982,684
$ 17,166
The
following methods and assumptions were used to determine the fair value of each class of assets and liabilities recorded at fair value
in the balance sheets:
Cash
equivalents: Cash equivalents primarily consist of highly rated money market funds and treasury bills with original maturities to the
Company of three months or less and are purchased daily at par value with specified yield rates. Cash equivalents related to money market
funds and treasury bills are classified within Level 1 of the fair value hierarchy because they are valued using quoted market prices
or broker or dealer quotations for similar assets.
75
LIPOCINE
INC. AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER
31, 2024 and 2023
(2) Summary of Significant Accounting Policies – (continued)
U.S.
government agency securities: The Company uses a third-party pricing service to value these investments. U.S. government agency securities
are classified within Level 2 of the fair value hierarchy because they are valued using broker/dealer quotes, bids and offers, benchmark
yields and credit spreads and other observable inputs.
Government
treasury bills: The Company uses a third-party pricing service to value these investments. United States treasury bills are classified
within Level 1 of the fair value hierarchy because they are valued using quoted market prices in active markets for identical assets
and reportable trades.
Warrant
liability: The warrant liability (which relates to warrants to purchase shares of common stock)
was marked-to-market each reporting period with the change in fair value recorded to other income (expense) in the accompanying statements
of operations until the warrants were exercised, expired or other facts and circumstances led the warrant liability to be reclassified
to stockholders’ equity. The fair value of the warrant liability is estimated using a Black-Scholes option-pricing model. All outstanding
warrants required to be classified as a liability had expired by December 31, 2024, therefore no liability existed at the end of the
year. The significant assumptions used in preparing the option pricing model for valuing the warrant liability as of December 31, 2023,
include (i) volatility of 100 %, (ii) risk free interest rate of 4.79 %, (iii) strike price of $ 8.50 , (iv) fair
value of common stock of $ 2.79 , and (v) expected life of 0.9 years.
The
Company’s accounting policy is to recognize transfers between levels of the fair value hierarchy on the date of the event or change
in circumstances that caused the transfer. There were no transfers into or out of Level 1, Level 2 or Level 3 for the years ended December
31, 2024 and 2023.
(j) Earnings (Loss) per Share
Basic
earnings (loss) per share is calculated by dividing net income (loss) available to common shareholders by the weighted average number
of common shares outstanding during the period.
Diluted
earnings (loss) per share is based on the weighted average number of common shares outstanding plus, where applicable, the additional
potential common shares that would have been outstanding related to dilutive options, warrants, and unvested restricted stock units to
the extent such shares are dilutive.
76
LIPOCINE
INC. AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER
31, 2024 and 2023
(2) Summary of Significant Accounting Policies – (continued)
The
following table sets forth the computation of basic and diluted earnings (loss) per share of common stock for the years ended December 31,
2024 and 2023.
Schedule of Computation of Basic and Diluted Earnings (Loss) Per Share of Common Stock
2024
2023
Years
Ended December 31,
2024
2023
Basic
earnings (loss) per share attributable to common stock:
Numerator
Net
earnings (loss)
$ 8,352
$ ( 16,352,171 )
Denominator
Weighted
avg. common shares outstanding
5,338,957
5,269,671
Basic
earnings (loss) per share attributable to common stock
$ -
$ ( 3.10 )
Diluted
earnings (loss) per share attributable to common stock:
Numerator
Net
earnings (loss)
$ 8,352
$ ( 16,352,171 )
Effect
of dilutive securities on net earnings (loss):
Common
stock warrants
17,166
212,690
Total
net loss for purpose of calculating diluted net loss per common share
$ ( 8,814 )
$ ( 16,564,861 )
Denominator
Weighted
avg. common shares outstanding
5,338,957
5,269,671
Weighted
average effect of dilutive securities:
Stock options
83,647
-
Total
shares for purpose of calculating diluted net earnings (loss) per common share
5,422,604
5,269,671
Diluted
earnings (loss) per share attributable to common stock
$ -
$ ( 3.14 )
The
computation of diluted earnings per share for the years ended December 31, 2024 and 2023 does not include the following stock options
or warrants to purchase shares in the computation of diluted earnings per share because these instruments were antidilutive:
Schedule of Anti-dilutive Securities Excluded from Computation of Earnings Per Share
2024
2023
December
31,
2024
2023
Stock options
251,611
262,247
Unvested restricted stock units
21,762
-
Warrants
49,433
49,433
Antidilutive Securities
49,433
49,433
77
LIPOCINE
INC. AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER
31, 2024 and 2023
(2) Summary of Significant Accounting Policies – (continued)
(k) Segment Information
The
Company is a single reportable segment engaged in research and development for the delivery of drugs using its proprietary delivery technology.
Operating segments are identified as components of an enterprise for which separate discrete financial information is available for evaluation
by the chief operating decision maker in making decisions regarding resource allocation and assessing performance. The chief operating
decision maker made such decisions and assessed performance at the company level, as one segment.
(l) Principles of Consolidation
The
consolidated financial statements include the accounts of the Company and all subsidiaries. The Company eliminates all intercompany accounts
and transactions in consolidation.
(3) Marketable Investment Securities
The
Company has classified its marketable investment securities as available-for-sale securities, all of which are debt securities. These
securities are carried at fair value with unrealized holding gains and losses, net of the related tax effect, included in accumulated
other comprehensive income (loss) in stockholders’ equity until realized. Gains and losses on investment security transactions
are reported on the specific-identification method. Dividend income is recognized on the ex-dividend date and interest income is recognized
on an accrual basis. The amortized cost, gross unrealized holding gains, gross unrealized holding losses, and fair value for available-for-sale
securities by major security type and class of security as of December 31, 2024 and 2023 were as follows:
Schedule
of Available for Sale Securities
December
31, 2024
Amortized Cost
Gross
Unrealized Holding Gains
Gross
Unrealized Holding Losses
Aggregate
Fair Value
Government
treasury bills
$ 15,418,247
$ 9,138
$ -
$ 15,427,385
$ 15,418,247
$ 9,138
$ -
$ 15,427,385
December
31, 2023
Amortized Cost
Gross
Unrealized Holding Gains
Gross
Unrealized Holding Losses
Aggregate
Fair Value
Government treasury bills
$ 14,272,530
$ 8,574
$ -
$ 14,281,104
U.S. government agency
securities
2,983,999
-
( 1,315 )
2,982,684
$ 17,256,529
$ 8,574
$ ( 1,315 )
$ 17,263,788
78
LIPOCINE
INC. AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER
31, 2024 and 2023
(3) Marketable
Investment Securities - (continued)
Maturities
of debt securities classified as available-for-sale securities as of December 31, 2024 are as follows:
Schedule of Maturities of Debt Securities Classified as Available-for-Sale Securities
December
31, 2024
Amortized
Cost
Aggregate
Fair Value
Due within
one year
$ 15,418,247
$ 15,427,385
$ 15,418,247
$ 15,427,385
There
were no sales of marketable investment securities during the years ended December 31, 2024 and 2023 and therefore no realized gains or
losses. Additionally, $ 35.4 million and $ 36.0 million of marketable investment securities matured during the years ended December 31,
2024 and 2023, respectively. The Company determined there were no other-than-temporary impairments for the years ended December 31, 2024
and 2023.
(4) Contractual Agreements
(a) Verity
Pharmaceuticals, Inc.
On
January 12, 2024, the Company entered into the Verity License Agreement with GSL and Verity Pharma, pursuant to which the Company granted
to GSL (an affiliate of Verity Pharma) an exclusive, royalty-bearing, sublicensable right and license to commercialize the Company’s
TLANDO product with respect to testosterone replacement therapy in males for conditions associated with a deficiency or absence of endogenous
testosterone, as indicated in NDA No. 208088, treatment of Klinefelter syndrome, and pediatric indications relating to testosterone replacement
therapy in males for conditions associated with a deficiency or absence of endogenous testosterone (the “Field”), in each
case within the United States and Canada (the “Licensed Verity Territory”). The Verity License Agreement also provides GSL
with a license to develop and commercialize TLANDO XR (LPCN 1111), the Company’s potential once-daily oral product candidate for
testosterone replacement therapy in the Licensed Verity Territory. Under the Verity License Agreement, the Company retains rights to
TLANDO and TLANDO XR in applications outside of the Field and to the development and commercialization rights outside of the United States
and Canada.
Upon
execution of the Verity License Agreement, GSL agreed to pay the Company a license fee of $ 11.0 million consisting of an initial payment
of $ 2.5 million which was received on signing of the Verity License Agreement, $ 5.0 million which was received on February 1, 2024, $ 2.5
million which was received on December 30, 2024, and $ 1.0 million which is to be paid no later than January 1, 2026. The Company is also
eligible to receive development and sales milestone payments of up to $ 259.0 million in the aggregate, depending primarily on the achievement
of certain sales milestones in a single calendar year with respect to all products licensed by GSL under the Verity License Agreement.
Under the Verity License Agreement, GSL is generally responsible for expenses relating to the development (including the conduct of any
clinical trials) and commercialization of licensed products in the Field in the Licensed Verity Territory, while the Company is generally
responsible for expenses relating to development activities outside of the Field and/or the Licensed Verity Territory.
The
Company concluded that licensing revenue recognized in conjunction with the Verity License Agreement met the requirements under ASC 606,
Revenue from Contracts with Customers. The Company evaluates the measure of progress each reporting period and, if necessary, adjusts
the measure of performance and related revenue recognition. License revenue from payments to be received in the future will be recognized
when it is probable that we will receive license payments under the terms of the Verity License Agreement.
During
2024 the Company recognized $ 10.0 million in licensing revenue and approximately $ 232,000 in sales-based royalty revenue under the Verity
License Agreement.
79
LIPOCINE
INC. AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER
31, 2024 and 2023
(4) Contractual
Agreements – (continued)
(b) SPC
Korea
In
September 2024, the Company entered into a Distribution and License Agreement (the “SPC License Agreement”) with SPC Korea
Limited (“SPC”), pursuant to which the Company granted to SPC a non-transferable, exclusive, royalty-bearing license to commercialize
the Company’s TLANDO product with respect to the Field,
specific to the country of South Korea (the “SPC Territory”). SPC paid the Company a one-time non-refundable, non-creditable
upfront fee in October 2024. The Company also received an additional payment for a non-refundable, non-creditable prepayment in consideration
for TLANDO product inventory, and is eligible to receive additional payments for various marketing authorization and sales milestones,
and the Company will supply TLANDO to SPC and receive a supply price. In addition, the Company will receive royalties on net sales in
the SPC Territory.
(c) Pharmalink
In
October 2024, the Company entered into a distribution and supply agreement (the “Pharmalink Distribution Agreement”) with
Pharmalink, pursuant to which the Company granted to Pharmalink a non-transferable, exclusive, license to commercialize the Company’s
TLANDO product with respect to the Field, specific to the Gulf Cooperation Council Countries (“GCC”), including Saudi Arabia,
Kuwait, the United Arab Emirates (“UAE”), Qatar, Bahrain, and Oman (the “GCC Territory”). Pharmalink paid the
Company a one-time non-refundable, non-creditable upfront fee. The Company is eligible to receive additional payments in regulatory authorization
milestones related to the marketing approval in countries in the GCC Territory under the Pharmalink Distribution Agreement and the Company
will supply TLANDO to Pharmalink at an agreed transfer price.
(d) Antares
Pharma, Inc.
On
October 14, 2021, the Company entered into a license agreement (“License Agreement”) with Antares Pharma, Inc. (“Antares”)
pursuant to which the Company granted to Antares an exclusive, royalty-bearing, sublicensable right and license to develop and commercialize,
upon final approval of TLANDO® from the U.S. Food and Drug Administration (“FDA”), the Company’s TLANDO product
with respect to testosterone replacement therapy in males for conditions associated with a deficiency or absence of endogenous testosterone,
as indicated in NDA No. 208088, treatment of Klinefelter syndrome, and pediatric indications relating to testosterone replacement therapy
in males for conditions associated with a deficiency or absence of endogenous testosterone, in each case within the United States. TLANDO
received FDA approval on March 29, 2022.
Upon
execution of the Antares License Agreement, Antares paid the Company an initial payment of $ 11.0 million. Antares agreed to make additional
payments of $ 5.0 million to the Company on each of January 1, 2025, and January 1, 2026, provided that certain conditions were satisfied.
The Company was also eligible to receive milestone payments of up to $ 160.0 million in the aggregate, depending on the achievement of
certain sales milestones in a single calendar year with respect to all products licensed by Antares under the Antares License Agreement. In
addition, upon commercialization, the Company was to receive tiered royalty payments at rates ranging from percentages in the mid-teens
to up to 20 % of net sales of TLANDO in the United States, subject to certain minimum royalty obligations. On October 2, 2023, the Company
received notice from Antares of Antares’ termination of the License Agreement. In accordance with the terms of the License Agreement,
the License Agreement was terminated effective January 31, 2024. On January 12, 2024, the Company entered into the “Verity License
Agreement” with Verity Pharmaceuticals Inc.
Upon
termination of the Antares License Agreement, all rights and licenses granted by the Company to Antares under the Antares License Agreement
terminated and all rights to TLANDO in the Field and Licensed Verity Territory transferred to the Company’s new licensing partner,
Verity.
80
LIPOCINE
INC. AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER
31, 2024 and 2023
(4) Contractual
Agreements – (continued)
During
the year ended December 31, 2024, the Company recognized royalty revenue of $ 67,000
and during the year ended December 31, 2023 and recorded a reversal of variable consideration revenue under the Antares License
Agreement of $ 2.9
million.
(e) Abbott
Products, Inc.
On
March 29, 2012, the Company terminated its collaborative agreement with Solvay Pharmaceuticals, Inc. (later acquired by Abbott Products,
Inc.) for TLANDO. As part of the termination, the Company reacquired the rights to the intellectual property from Abbott. All obligations
under the prior license agreement have been completed except that Lipocine will owe Abbott a perpetual 1 % royalty on net sales. Such
royalties are limited to $ 1.0 million in the first two calendar years following product launch, after which period there is not a cap
on royalties and no maximum aggregate amount. If generic versions of any such product are introduced, then royalties are reduced by 50 %.
The Company incurred royalty expense of $ 24,000 and $ 34,000 in the years ended December 31, 2024 and 2023, respectively.
(f ) Contract
Research and Development
The
Company has entered into agreements with various contract organizations that conduct preclinical, clinical, analytical and manufacturing
development work on behalf of the Company as well as a number of independent contractors, primarily clinical researchers, who serve as
advisors to the Company. The Company incurred expenses of $ 4.1 million and $ 6.7 million under these agreements in 2024 and 2023 and has
recorded these expenses in research and development expenses.
(5) Property and Equipment
Property
and equipment consisted of the following:
Schedule of Property and Equipment
2024
2023
Years
Ended December 31,
2024
2023
Computer equipment and software
$ 151,533
$ 66,830
Lab and office equipment
1,185,435
1,180,052
Furniture and fixtures
51,404
51,404
Property and equipment, gross
1,388,372
1,298,286
Less accumulated depreciation
( 1,223,297 )
( 1,182,191 )
Property
and equipment, net
$ 165,075
$ 116,095
Depreciation
expense for the years ended December 31, 2024 and 2023 was approximately $ 41,000 and $ 29,000 , respectively.
(6) Deferred Revenue
In
2024, the Company recognized deferred revenue resulting from a distributor’s prepayment of $ 320,000 for TLANDO inventory. Revenue
related to the sale of inventory will be recognized once the inventory has shipped in accordance with the Company’s revenue recognition
policy.
81
LIPOCINE
INC. AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER
31, 2024 and 2023
(7) Income Taxes
(a) Income
Tax Expense
Income
tax expense consists of:
Schedule of Income Tax Expense
2024
2023
December
31,
2024
2023
U.S. federal
$ -
$ -
State and local
681
755
Deferred
-
-
Total
$ 681
$ 755
(b) Tax
Rate Reconciliation
Income
tax expense was $ 681 and $ 755 , respectively, for the years ended December 31, 2024 and 2023 differed from the amounts computed by applying
the U.S. federal income tax rate of 21 % for 2024 and 2023, respectively, to pretax income from continuing operations as a result of the
following:
Schedule of Pretax Income from Continuing Operations
2024
2023
December
31,
2024
2023
Computed “expected”
tax expense (benefit)
$ 1,897
$ ( 3,433,893 )
Increase (reduction) in
income taxes resulting from:
Change in valuation allowance
295,361
3,619,564
State and local income taxes,
net of federal income tax benefit
538
596
Stock expense
189,209
319,214
Research and development
tax credits
( 480,338 )
( 434,858 )
Orphan drug tax credit
( 2,913 )
( 26,245 )
Warrant Liability
( 3,605 )
( 44,665 )
Other,
net
532
1,042
Total
$ 681
$ 755
82
LIPOCINE
INC. AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER
31, 2024 and 2023
(7) Income
Taxes – (continued)
(c) Significant
Components of Deferred Taxes
The
tax effects of temporary differences that give rise to significant portions of the deferred tax assets and deferred tax liabilities as of
December 31, 2024 and 2023 are presented below:
Schedule of Deferred Tax Assets and Liabilities
2024
2023
December
31,
2024
2023
Deferred tax assets:
Stock-based
compensation
$ 1,058,082
$ 1,188,535
Net operating loss carryforwards
34,275,198
35,108,766
Employee benefits
56,813
45,592
Research and development
tax credits
6,694,003
6,032,559
Orphan drug tax credits
1,277,891
1,274,204
Sec. 174 Expenses
4,780,931
3,945,862
Other
deductible temporary differences
88,657
167,371
Total deferred tax assets
$ 48,231,575
$ 47,762,889
Deferred tax liabilities:
Property
and equipment
( 8,778 )
( 7,227 )
Total deferred tax liabilities
$ ( 8,778 )
$ ( 7,227 )
Deferred tax asset/deferred
tax liability
48,222,797
47,755,662
Valuation allowance
( 48,222,797 )
( 47,755,662 )
Net deferred tax asset
$ -
$ -
The
valuation allowance for deferred tax assets as of December 31, 2024 and 2023 was $ 48.2 million and $ 47.8 million. The net change in the
valuation allowance was an increase of $ 0.5 million in 2024 and an increase of $ 1.9 million in 2023. A valuation allowance has been
provided for the full amount of the Company’s net deferred tax assets as the Company believes it is more likely than not that these
benefits will not be realized. In assessing the realizability of deferred tax assets, management considers whether it is more likely
than not that some portion or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is
dependent upon the generation of future taxable income during the periods in which those temporary differences become deductible. Management
considers the scheduled reversal of deferred tax liabilities (including the impact of available carryback and carryforward periods),
projected future taxable income, and tax planning strategies in making this assessment.
83
LIPOCINE
INC. AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER
31, 2024 and 2023
(7) Income
Taxes – (continued)
During
the year ended December 31, 2013, the Company experienced a change in ownership, as defined by the Internal Revenue Code, as amended
(the “Code”) under Section 382. A change of ownership occurs when ownership of a company increases by more than 50 percentage
points over a three-year testing period of certain stockholders. As a result of this ownership change, we determined that our annual
limitation on the utilization of our federal net operating loss (“NOL”) and credit carryforwards is approximately $ 1.1 million
per year. We will only be able to utilize $ 9.8 million of our pre-ownership change NOL carryforwards and will forgo utilizing $ 3.3 million
of our pre-ownership change NOL carryforwards and $ 1.2 million of our pre-change credit carryforwards as a result of this ownership change.
We do not account for forgone NOL and credit carryovers in our deferred tax assets and only account for the NOL and credit carryforwards
that will not expire unutilized as a result of the restrictions of Code Section 382.
As
of December 31, 2024, we had NOL and research and development credit carryforwards for U.S. federal income tax reporting purposes of
approximately $ 135.2 million and $ 5.0 million, respectively. Approximately $46.6 million of the NOL will expire between 2025 and 2035
and $36.1 million of the NOL will expire 2036 through 2037 . Pursuant to the Tax Cuts and Jobs Act of 2017, NOL’s generated in 2018
and subsequent years have an unlimited carryforward therefore the 2024, 2023, 2022, 2020, 2019 and 2018 NOL of $52.5 million can be carried
forward indefinitely. The research and development credits will begin to expire in 2033 through 2044 . We have orphan drug credit carry
forwards of approximately $ 1.3 million which will expire if unused through 2044.
We
also have state NOL and research and development credit carry forwards of approximately $ 129.5 million and $ 1.7 million, respectively.
The Company’s state NOL will not expire but can be used until exhausted under Utah Code Section 59-7-110. The state research and
development credits expire in 2025 through 2038.
The
Company’s federal and state income tax returns for December 31, 2021 through 2024 are open tax years.
A reconciliation of the beginning and ending amount of total unrecognized tax contingencies, excluding interest and
penalties, for the years ended December 31, 2024 and 2023 are as follows:
Schedule of Reconciliation of the Beginning and Ending Amount of Total Unrecognized Tax Contingencies, Excluding Interest and Penalties
December
31,
2024
2023
Balance, beginning
of year
$ -
$ -
Balance, end of year
$ -
$ -
(8) Leases
The
Company has a non-cancelable operating lease for office space and laboratory facilities in Salt Lake City, Utah. On December 2, 2024,
the term of the lease was extended through February 28, 2026.
84
LIPOCINE
INC. AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER
31, 2024 and 2023
Future
minimum lease payments under the non-cancelable operating lease as of December 31, 2024 are:
Schedule of Future Minimum Rental Payments for Operating Leases
Operating
Lease
Year ending December 31:
2025
$ 375,745
2026
62,880
Total
minimum lease payments
$ 438,625
The
Company’s rent expense was $ 366,000 and $ 355,000 for the years ended December 31, 2024 and 2023, respectively.
(9) Stockholders’ Equity
On
May 1, 2023, at the 2023 annual meeting of the stockholders, the Company’s stockholders approved an amendment to the Company’s
Amended and Restated Certificate of Incorporation to effect a reverse stock split at a ratio not less than 1-for-5 and not more than
1-for-20, with the exact ratio to be set within that range at the discretion of the Board without further approval or authorization from
stockholders.
On
May 10, 2023, the Company’s Board approved a reverse stock split of 1-for-17 . The Company filed the Amendment to its Certificate
of Incorporation with the Secretary of the State of Delaware on May 10, 2023, and the Amendment became effective at 5:00 pm Eastern Time
on May 11, 2023. The Company’s shares began trading on a split-adjusted basis on the Nasdaq Capital Market commencing upon market
open on May 12, 2023.
All
common stock share data and per share price data of the Company reflect the reverse stock split effective May 11, 2023.
The
Company is authorized to issue up to 200,000,000 shares of its common stock, par value $ 0.0001 .
(a) Issuance
of Common Stock
On
April 26, 2024, the Company entered into a sales agreement with A.G.P. (the “A.G.P. Sales Agreement”) pursuant to which the
Company may issue and sell, from time to time, shares of its common stock having an aggregate offering price of up to the amount the
Company registered on an effective registration statement pursuant to which the offering is being made. The Company currently has registered
$ 10,616,169 shares of common shares for sale under the Sales Agreement, pursuant to the Registration Statement on Form S-3, as amended
(File No. 333-275716) (the “Form S-3”), through A.G.P. as the Company’s sales agent. A.G.P. may sell the Company’s
common stock by any method permitted by law deemed to be an “at the market offering” as defined in Rule 415(a)(4) of the
Securities Act, including sales made directly on or through the Nasdaq Capital Market or any other existing trade market for our common
stock, in negotiated transactions at market prices prevailing at the time of sale or at prices related to prevailing market prices, or
any other method permitted by law. A.G.P. will use its commercially reasonable efforts consistent with its normal trading and sales practices
and applicable law and regulations to sell shares under the A.G.P. Sales Agreement. The Company will pay A.G.P. 3.0 % of the aggregate
gross proceeds from each sale of shares under the A.G.P. Sales Agreement. In addition, the Company has also provided A.G.P. with customary
indemnification rights. The shares of the Company’s common stock to be sold under the A.G.P. Sales Agreement will be sold and issued
pursuant to the Form S-3, as amended, which was previously declared effective by the Securities and Exchange Commission, and the related
prospectus and one or more prospectus supplements. The Company is not obligated to make any sales of its common stock under the A.G.P.
Sales Agreement. The offering of common stock pursuant to the A.G.P. Sales Agreement will terminate upon the termination of the A.G.P.
Sales Agreement as permitted therein. The Company and A.G.P. may each terminate the A.G.P. Sales Agreement at any time upon ten days’
prior notice. As of December 31, 2024, the Company had not sold any shares under the A.G.P. Sales Agreement.
85
LIPOCINE
INC. AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER
31, 2024 and 2023
(9) Stockholders’
Equity – (continued)
Previously,
on March 6, 2017, the Company entered into a sales agreement (“Sales Agreement”) with Cantor Fitzgerald & Co. (“Cantor”)
pursuant to which the Company could issue and sell, from time to time, shares of its common stock having an aggregate offering price
of up to the amount the Company registered on an effective registration statement pursuant to which the offering is being made.
As
of December 31, 2024, we had sold an aggregate of 996,821 shares at a weighted-average sales price of $ 33.62 per share under the At the
Market Offering (the “ATM Offering”) Cantor Sales Agreement, for aggregate gross proceeds of $ 33.5 million and net proceeds
of $ 32.4 million, after deducting sales agent commission and discounts and our other offering costs. During the year ended December 31,
2024, the Company sold 32,110 shares of its common stock pursuant to the Cantor Sales Agreement. On April 24, 2024 the Cantor Sales agreement
was terminated.
(b) Series
B Preferred Stock
On
March 7, 2023, the Board of the Company declared a dividend of one one-thousandth (1/1,000 th ) of a share of Series B Preferred
Stock, par value $ 0.0001 per share (“Series B Preferred Stock”), for each outstanding share of common stock of the Company,
to stockholders of record on March 24, 2023. The Certificate of Designation of Series B Preferred Stock (the “Certificate of Designation”)
was filed with the Delaware Secretary of State and became effective on March 10, 2023.
The
dividend was based on the number of shares of outstanding common stock on March 24, 2023, and resulted in 88,511 Series B Preferred shares
being issued. Each whole share of Series B Preferred Stock entitled the holder thereof to 1,000,000 votes per share, and each fraction
of a share of Series B Preferred Stock had a ratable number of votes. Thus, each one-thousandth of a share of Series B Preferred Stock
was entitled to 1,000 votes. The outstanding shares of Series B Preferred Stock were entitled to vote together with the outstanding shares
of common stock as a single class exclusively with respect to any proposal to adopt an amendment to the Company’s Amended and Restated
Certificate of Incorporation, as amended (the “Certificate of Incorporation”), to effect a reverse stock split of the outstanding
shares of Common Stock at a ratio determined in accordance with the terms of such amendment (the
“Reverse Stock Split”), and (ii) any proposal to adjourn any meeting of stockholders called for the purpose of voting on
the Reverse Stock Split (the “Adjournment Proposal”) in conjunction with the Company’s 2023 annual meeting of
stockholders.
All
shares of Series B Preferred Stock that were not present in person or by proxy at the 2023 annual meeting as of immediately prior to
the opening of the polls (the “Initial Redemption Time”) were automatically redeemed
by the Company without further action on the part of the Company or the holder of shares of Series B Preferred Stock (the “Initial
Redemption”). The remaining shares of Series B Preferred Stock that were not redeemed pursuant to the Initial Redemption were redeemed
automatically upon the effectiveness of the amendment to the Certificate of Incorporation implementing the Reverse Stock Split (the “Subsequent
Redemption”).
Each
“beneficial owner” (as such terms are defined in the Certificate of Designation with respect to the Series B Preferred Stock)
of shares of Series B Preferred Stock redeemed in the redemptions described above has the right to receive an amount equal to $0.01 in
cash for each ten whole shares of Series B Preferred Stock that were “beneficially owned” by the beneficial owner as of immediately
prior to the applicable redemption time and redeemed pursuant to such redemption, payable upon receipt by the Company of a written request
submitted by the applicable beneficial owner to the corporate secretary of the Company following the applicable redemption time.
The
Series B Preferred Stock was not convertible into, or exchangeable for, shares of any other class or series of stock or other securities
of the Company. The Series B Preferred Stock had no stated maturity and was not subject to any sinking fund. The Series B Preferred Stock
was not subject to any restriction on the redemption or repurchase of shares by the Company while there is any arrearage in the payment
of dividends or sinking fund installments.
86
LIPOCINE
INC. AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER
31, 2024 and 2023
(9) Stockholders’
Equity – (continued)
(b) Series
B Preferred Stock
The
Company was not solely in control of the redemption of the shares of Series B Preferred Stock prior to the annual meeting of stockholders
since the holders had the option of deciding whether to vote in respect of the above-described Reverse Stock Split, which determined
whether a given holder’s shares of Series B Preferred Stock was redeemed in the Initial Redemption or the Subsequent Redemption.
Since the redemption of the Series B Preferred Stock was not solely in the control of the Company, the shares of Series B Preferred Stock
were classified within the mezzanine equity in the Company’s unaudited consolidated statement of stockholder’s equity. Upon
issuance, the shares of Series B Preferred Stock were measured at redemption value. On May 10, 2023, all shares of Series B Preferred
Stock had been redeemed by the Company.
(c) Rights
Agreement
On
November 13, 2015, the Company and American Stock Transfer & Trust Company, LLC, as Rights Agent, entered into a Rights Agreement.
Also on November 12, 2015, the board of directors of the Company authorized and the Company declared a dividend of one preferred stock
purchase right (each a “Right” and collectively, the “Rights”) for each outstanding share of common stock of
the Company. The dividend was payable to stockholders of record as of the close of business on November 30, 2015 and entitles the registered
holder to purchase from the Company one one-thousandth of a fully paid non-assessable share of Series A Junior Participating Preferred
Stock of the Company at a price of $ 63.96 per one-thousandth share (the “Purchase Price”). The Rights will generally become
exercisable upon the earlier to occur of (i) 10 business days following a public announcement that a person or group of affiliated or
associated persons has become an Acquiring Person (as defined below) or (ii) 10 business days (or such later date as may be determined
by action of the board of directors prior to such time as any person or group of affiliated or associated persons becomes an Acquiring
Person) following the commencement of, or announcement of an intention to make, a tender offer or exchange offer the consummation of
which would result in the beneficial ownership by a person or group of 15% or more of the outstanding common stock of the Company. Except
in certain situations, a person or group of affiliated or associated persons becomes an “Acquiring Person” upon acquiring
beneficial ownership of 15% or more of the outstanding shares of common stock of the Company.
In
general, in the event a person becomes an Acquiring Person, then each Right not owned by such Acquiring Person will entitle its holder
to purchase from the Company, at the Right’s then current exercise price, in lieu of shares of Series A Junior Participating Preferred
Stock, common stock of the Company with a market value of twice the Purchase Price. In addition, if after any person has become an Acquiring
Person, (a) the Company is acquired in a merger or other business combination, or (b) 50% or more of the Company’s assets, or assets
accounting for 50% or more of its earning power, are sold, leased, exchanged or otherwise transferred (in one or more transactions),
proper provision shall be made so that each holder of a Right (other than the Acquiring Person, its affiliates and associates and certain
transferees thereof, whose Rights became void) shall thereafter have the right to purchase from the acquiring corporation, for the Purchase
Price, that number of shares of common stock of the acquiring corporation which at the time of such transaction would have a market value
of twice the Purchase Price.
The
Company will be entitled to redeem the Rights at $ 0.001 per Right at any time prior to the time an Acquiring Person becomes such. The
terms of the Rights are set forth in the Rights Agreement, which is summarized in the Company’s Current Report on Form 8-K dated
November 13, 2015. The rights plan was originally set to expire on November 12, 2018; however, on November 5, 2018 our Board of Directors
approved an Amended and Restated Rights Agreement pursuant to which the expiration date was extended to November 5, 2021. On November
1, 2021, the Company adopted a Second Amended and Restated Rights Agreement pursuant to which the expiration date was extended to November
1, 2024. On October 22, 2024, the Company adopted a Third Amended and Restated Rights Agreement extending the expiration until October
22, 2027, unless the rights are earlier redeemed or exchanged by the Company.
87
LIPOCINE
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.