Item 2. Management’s Discussion and Analysis
Item
2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The
following discussion and analysis of our financial condition and results of operations should be read together with our financial statements
and the related notes and the other financial information included elsewhere in this Quarterly Report on Form 10-Q. This discussion contains
forward-looking statements that involve risks and uncertainties. Our actual results could differ materially from those anticipated in
these forward-looking statements as a result of various factors, including those discussed below and elsewhere in this Quarterly Report
on Form 10-Q, in our Annual Report on Form 10-K for the year ended December 31, 2023 and in other reports we file with the Securities
and Exchange Commission, particularly those under “Risk Factors.” Dollars in tabular format are presented in thousands, except
per share data, or otherwise indicated.
CAUTIONARY
NOTE REGARDING FORWARD-LOOKING STATEMENTS
This
report on Form 10-Q contains forward-looking statements made pursuant to the safe harbor provisions of the Private Securities Litigation
Reform Act of 1995 under Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934,
as amended. Forward-looking statements include statements with respect to our beliefs, plans, objectives, goals, expectations, anticipations,
assumptions, estimates, intentions and future performance, and involve known and unknown risks, uncertainties and other factors, which
may be beyond our control, and which may cause our actual results, performance or achievements to be materially different from future
results, performance or achievements expressed or implied by such forward-looking statements. All statements other than statements of
historical fact are statements that could be forward-looking statements. You can identify these forward-looking statements through our
use of words such as “may,” “can,” “anticipate,” “assume,” “should,” “indicate,”
“would,” “believe,” “contemplate,” “expect,” “seek,” “estimate,”
“continue,” “plan,” “point to,” “project,” “predict,” “could,”
“intend,” “target,” “potential” and other similar words and expressions of the future.
There
are a number of important factors that could cause the actual results to differ materially from those expressed in any forward-looking
statement made by us. These factors include, but are not limited to:
●
our possible retention of an advisor to assist with a potential transaction
involving MAT2203 and the evaluation of other alternatives including but not limited to winddown and dissolution of the Company;
●
our reduction by 80% of our workforce and the cessation of all product
development activities;
●
our
ability to raise additional capital to fund our operations and to develop our product candidates;
●
our
anticipated timing for preclinical development, regulatory submissions, commencement and completion of clinical trials and product
approvals;
●
our
history of operating losses in each year since inception and the expectation that we will continue to incur operating losses for
the foreseeable future;
●
our
dependence on product candidates which are still in an early development stage;
●
our
reliance on our proprietary lipid nanocrystal (LNC) platform delivery technology, and certain related patents which are exclusively
licensed to us by Rutgers University;
●
our
ability to manufacture GMP batches of our product candidates which are required for preclinical and clinical trials and, subsequently,
if regulatory approval is obtained for any of our products, our ability to manufacture commercial quantities;
●
our
ability to complete required clinical trials for our lead product candidate and other product candidates and obtain approval from
the FDA or other regulatory agents in different jurisdictions;
●
our
dependence on third parties, including third parties to manufacture our intermediates and final product formulations and third-party
contract research organizations to conduct our clinical trials;
●
our
ability to maintain or protect the validity of our patents and other intellectual property;
●
our
ability to retain and recruit key personnel;
16
●
our
ability to internally develop new inventions and intellectual property;
●
interpretations
of current laws and the passages of future laws;
●
our
lack of a sales and marketing organization and our ability to commercialize products, if we obtain regulatory approval, whether alone
or through potential future collaborators;
●
our
ability to successfully commercialize, and our expectations regarding future therapeutic and commercial potential with respect to,
our product candidates;
●
the
accuracy of our estimates regarding expenses, ongoing losses, future revenue, capital requirements and our needs for or ability to
obtain additional financing;
●
developments
and projections relating to our competitors or our industry; and
●
the
factors listed under the heading “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2023,
elsewhere in this report and other reports that we file with the Securities and Exchange Commission.
All
forward-looking statements are expressly qualified in their entirety by this cautionary notice. You are cautioned not to place undue
reliance on any forward-looking statements, which speak only as of the date of this report or the date of the document incorporated by
reference into this report. We have no obligation, and expressly disclaim any obligation, to update, revise or correct any of the forward-
looking statements, whether as a result of new information, future events or otherwise. We have expressed our expectations, beliefs and
projections in good faith, and we believe they have a reasonable basis. However, we cannot assure you that our expectations, beliefs
or projections will result or be achieved or accomplished.
Overview
We are a clinical-stage biopharmaceutical company. In October 2024, we
announced that negotiations under a previously disclosed non-binding term sheet regarding global rights to our MAT2203 (oral amphotericin
B) product candidate have been terminated following notification from the prospective partner. As a result, we implemented an 80% workforce
reduction and ceased all product development activities to conserve cash. We may retain an advisor to assist us with a potential transaction
involving MAT2203, and will evaluate other alternatives including but not limited to winddown and dissolution of the company. Prior to
ceasing product development activities, we were focused on delivering groundbreaking therapies using our lipid nanocrystal (LNC) platform
delivery technology (LNC Platform) and sought to develop an internal pipeline of products utilizing the LNC Platform to successfully encapsulate
small molecules and small oligonucleotides and facilitate targeted and extrahepatic delivery to desired cell tissues without toxicity.
Key
elements of our strategy included:
●
Advancing
MAT2203 into the ORALTO trial for the treatment of invasive aspergillosis in patients with limited treatment options by securing
a development and/or commercial partner. This initial indication is designed to be a gateway indication to establish the pharmacodynamic
bridge necessary to expand the use of MAT2203 into other indications to treat deadly invasive fungal infections (e.g., mucormycosis,
candidiasis and the endemic mycoses) through limited additional clinical work under a 505(b)(2) pathway, thereby making MAT2203 a
pipeline in a product.
●
Expanding
the utilization of our LNC Platform with other small molecules and small oligonucleotides into inflammation and oncology in order
to develop an internal pipeline of differentiated drug candidates. Oral, extrahepatic and non-toxic intracellular delivery of these
molecules would represent a significant advancement.
17
●
Building
an external pipeline of collaborations focused on our LNC Platform with leading pharmaceutical companies to provide delivery solutions
for their complex small molecules and small oligonucleotides, including ASOs and siRNAs.
For
the nine month periods ended September 30, 2024 and 2023, our net loss was $15,818 and $17,628, respectively. We have incurred losses
for each period from our inception and expect to incur additional losses for the foreseeable future. We do not believe the cash, cash
equivalents and marketable debt securities on hand are sufficient to fund planned operations beyond the next twelve months from the filing
date of these financial statements. We seek to fund our operations through public or private equity offerings, debt financing, government
or other third-party funding, collaborations and licensing arrangements. These financing alternatives may not be available to us on acceptable
terms, or at all. As a result, substantial doubt exists about our ability to continue as a going concern.
Financial
Operations Overview
Revenue
During
the three and nine months ended September 30, 2024, we did not generate any revenue. During the three and nine months ended September
30, 2023, we generated $0 and $1,096, respectively, in contract research revenue resulting from the research collaborations with BioNTech
SE and Genentech Inc. Our ability to generate product revenue, which we do not expect to occur for many years, if ever, will depend heavily
on the successful development and eventual commercialization of our early-stage product candidates.
Research
and Development Expenses
Research
and development expenses consist of costs incurred for the development of product candidate MAT2203 and advancement of our LNC platform
delivery technology, which include:
●
the
cost of conducting pre-clinical work;
●
the
cost of acquiring, developing and manufacturing pre-clinical and human clinical trial materials;
●
costs
for consultants and contractors associated with Chemistry and Manufacturing Controls (CMC), pre-clinical and clinical activities
and regulatory operations;
●
expenses
incurred under agreements with contract research organizations, or CROs, including the National Institutes of Health (NIH), that
conduct our pre-clinical or clinical trials; and
●
employee-related
expenses, including salaries and stock-based compensation expense for those employees involved in the research and development process.
The
table below summarizes our direct research and development expenses for our product candidates and development platform for the three
and nine months ended September 30, 2024 and 2023. Our direct research and development expenses consist principally of external costs,
such as fees paid to contractors, consultants, analytical laboratories and CROs and/or the NIH, in connection with our development work.
We typically use our employee and infrastructure resources for manufacturing clinical trial materials, conducting product analysis, study
protocol development and overseeing outside vendors. Included in “Internal staffing, overhead and other” below is the cost
of laboratory space, supplies, research and development (R&D) employee costs (including stock-based compensation), travel and medical
education.
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Three months ended
September 30,
Nine months ended
September 30,
2024
2023
2024
2023
Direct research and development expenses:
Manufacturing process development
$ 203
$ 349
$ 753
$ 942
Preclinical trials
171
101
1,034
350
Clinical development
104
314
375
1,183
Regulatory
62
133
233
463
Internal staffing, overhead and other
1,699
2,398
6,662
7,886
Total research and development
$ 2,239
$ 3,295
$ 9,057
$ 10,824
Research
and development activities are central to our business model. We expect our research and development expenses to increase over time because
product candidates in later stages of clinical development generally have higher development costs than those in earlier stages of clinical
development, primarily due to the increased size and duration of later-stage human trials. However, we anticipate that our research and
development expenses during 2024 will be lower compared with expenses incurred during 2023 until such time as we are able to secure additional
funding to support initiation of our ORALTO trial for MAT2203 and advancement of our LNC platform delivery technology.
General
and Administrative Expenses
General
and administrative expense for the three and nine months ended September 30, 2024 were $2,142 and $7,067, respectively, and the three
and nine months ended September 30, 2023 were $2,839 and $8,151, respectively. General and administrative expenses consist principally
of salaries and related costs for personnel in executive and finance functions. Other general and administrative expenses include facility
costs, insurance, investor relations expenses, professional fees for legal, patent review, consulting and accounting/audit services.
We anticipate that our general and administrative expenses during 2024 will decrease slightly compared to expenses incurred during 2023.
Other
Income, net
Other
income, net is largely comprised of interest income/(expense) and dividends.
Reverse
Stock Split
On
August 30, 2024, we effected a 1-for-50 reverse stock split of our issued and outstanding common stock (the “Reverse Stock Split”).
As a result of the Reverse Stock Split, each of our stockholders received one share of our common stock for every 50 shares such stockholder
held immediately prior to the effective time of the Reverse Stock Split. Unless otherwise noted, all shares of common stock, common stock
per share data and shares of common stock underlying stock-based awards and warrants convertible into shares of common stock included
in these condensed consolidated financial statements, including the exercise or conversion price of such equity instruments, as applicable,
have been retroactively adjusted to reflect the Reverse Stock Split for all periods presented.
Application
of Critical Accounting Policies and Accounting Estimates
A
critical accounting policy is one that is both important to the portrayal of our financial condition and results of operation and requires
management’s most difficult, subjective or complex judgments, often as a result of the need to make estimates about the effect
of matters that are inherently uncertain.
For
a description of our significant accounting policies, refer to “Note 3 – Summary of Significant Accounting Policies ”
in our 2023 Form 10-K. Of these policies, the following are considered critical to an understanding of our Unaudited Condensed Consolidated
Financial Statements as they require the application of the most difficult, subjective and complex judgments: (i) Research and development
costs, and (ii) Goodwill and other intangible assets.
Recent
Accounting Pronouncements
Refer
to “Note 3 – Summary of Significant Accounting Policies” in the Notes to Unaudited Condensed Consolidated Financial
Statements for a discussion of recently adopted accounting pronouncements and their expected impact on our financial positions and results
of operations.
19
Current
Operating Trends
In October 2024, we announced implementation of an 80% workforce reduction
(the “October RIF”) and ceased all product development activities to conserve cash. We may retain an advisor to assist us
with a potential transaction involving MAT2203, and will evaluate other alternatives including but not limited to winddown and dissolution
of the company. While this evaluation is ongoing, we expect our R&D expenses will be limited to costs associated with supporting the
Company’s MAT2203 Compassionate/Expanded Use Access Program and other costs necessary to maintain compliance with certain regulatory
requirements.
Prior to the October RIF, our R&D efforts had been focused on advancing
our lead LNC product candidate, MAT2203, through clinical development toward an initial indication for the treatment of CM and expanding
application of our LNC Platform through both internal efforts and collaborations with third parties. Our R&D expenses consisted of
manufacturing work and the cost of active pharmaceutical ingredients and excipients used in such work, fees paid to consultants for work
related to clinical trial design and regulatory activities, fees paid to providers for conducting various clinical studies as well as
for the analysis of the results of such studies, and for other medical research addressing the potential efficacy and safety of our drugs.
We believe that significant investment in product development is a competitive necessity.
Results
of Operations
Comparison
of the three months ended September 30, 2024 to the three months ended September 30, 2023
The
following tables summarize our revenues and operating expenses for the periods presented:
Three Months Ended September 30,
2024
2023
Revenues
$ —
$ —
Expenses:
Research and development
$ 2,239
$ 3,295
General and administrative
2,142
2,839
Operating Expenses
$ 4,381
$ 6,134
Revenues.
During the three months ended September 30, 2024 and 2023, we did not generate any revenue.
Research
and Development expenses. Research and Development (R&D) expense for the three months ended September 30, 2024 and 2023
was $2,239 and $3,295, respectively. The decrease in R&D expense was primarily attributable to lower headcount related expenses,
and lower manufacturing and clinical trial expenses.
General
and Administrative expenses. General and Administrative (G&A) expense for the three months ended September 30, 2024 and 2023
was $2,142 and $2,839, respectively. The decrease in G&A expense was primarily attributable to lower consulting fees and lower headcount
related expenses.
Comparison
of the nine months ended September 30, 2024 to the nine months ended September 30, 2023
20
The
following tables summarize our revenues and operating expenses for the periods presented:
Nine Months Ended September 30,
2024
2023
Revenues
$ —
$ 1,096
Expenses:
Research and development
$ 9,057
$ 10,824
General and administrative
7,067
8,151
Operating Expenses
$ 16,124
$ 18,975
Revenues.
During the nine month periods ended September 30, 2024 and 2023, we generated revenue of $0 and $1,096. The amount earned during
the prior year consists of contract research revenue resulting from the research collaboration with BioNTech SE and Genentech Inc.
Research
and Development expenses. R&D expense for the nine month periods ended September 30, 2024 and 2023 was $9,057 and $10,824,
respectively. The decrease in R&D expense was primarily attributable to lower stock based compensation expense, a decrease in other
payroll related costs due to decreased headcount and the decrease in manufacturing and clinical trial expenses.
General
and Administrative expenses. G&A for the nine month periods ended September 30, 2024 and 2023 was $7,067 and $8,151, respectively.
The decrease in G&A expense was primarily attributable to lower stock based compensation expense, consulting fees and decreased insurance
premiums.
Liquidity
and capital resources
Sources
of Liquidity
We
have funded our operations since inception primarily through private placements and public offerings of our equity securities. As of
September 30, 2024, we have raised a total of $166,907 in gross proceeds and $153,445, net, from sales of our equity securities.
As
of September 30, 2024, we had unrestricted cash, cash equivalents and marketable debt securities totaling $10,795.
2024
Registered Direct Offering
On
April 5, 2024, the Company closed a registered direct offering of 666,667 shares of its common stock and warrants to purchase up to an
aggregate of 666,667 additional shares of common stock, at a combined purchase price of $15.00 per share and accompanying warrant. The
Company generated gross proceeds of approximately $10,000 and net proceeds of approximately $9,190, after deducting underwriting discounts
and commissions and other offering expenses.
Cash
Flows
The
following table sets forth the primary sources and uses of cash, cash equivalents and restricted cash for each of the periods set forth
below:
Nine Months Ended September 30,
2024
2023
Cash used in operating activities
$ (12,375 )
$ (10,699 )
Cash provided by investing activities
8,708
10,282
Cash provided by/(used in) financing activities
9,175
(6 )
Net increase/(decrease) in cash and cash equivalents and restricted cash
$ 5,508
$ (423 )
21
Operating
Activities
Net
cash used in operating activities was $12,375 and $10,699 for the nine month periods ended September 30, 2024 and 2023, respectively.
Net losses of $15,818 and $17,628 for the nine month periods ended September 30, 2024 and 2023, respectively, were partially offset by
working capital adjustments due to the timing of receipts and payments in the ordinary course of business and adjustments for non-cash
stock based compensation expense.
Investing
Activities
Net
cash provided by investing activities was $8,708 and $10,282 for the nine month periods ended September 30, 2024 and 2023, respectively.
The decrease of cash used in investing activities was primarily due to a $8,437 purchase of marketable securities offset by a $6,645
increase in maturities of marketable debt securities and a $218 decrease in the purchases of leasehold improvements and equipment.
Financing
Activities
Net
cash provided by/(used in) financing activities was $9,175 and ($6) for the nine month periods ended September 30, 2024 and 2023, respectively.
The increase in cash provided by financing activities is primarily due to the net proceeds received from the sale of our common stock
in the registered direct offering, $9,125, and the net proceeds received from the sale of our common stock under the ATM with BTIG, LLC,
$54.
Funding
Requirements and Other Liquidity Matters
We expect to continue to incur administrative expenses and operating losses
as we seek a potential transaction involving MAT2203, and continue to evaluate other alternatives including but not limited to winddown
and dissolution of the company. We anticipate that our expenses will increase substantially if we secure additional funding allowing us
to resume product development activities and:
●
conduct
further preclinical and clinical studies of MAT2203, our lead product candidate;
●
seek
to discover and develop additional product candidates;
●
seek
regulatory approvals for any product candidates that successfully complete clinical trials;
●
require
the manufacture of larger quantities of product candidates for clinical development and potentially commercialization;
●
maintain,
expand and protect our intellectual property portfolio;
●
hire
additional clinical, quality control and scientific personnel; and
●
add
operational, financial and management information systems and personnel, including personnel to support our product development and
planned future commercialization efforts and personnel and infrastructure necessary to help us comply with our obligations as a public
company.
We
do not expect that our existing cash, cash equivalents and marketable debt securities will be sufficient to fund our operating expenses
and capital expenditure requirements beyond the next twelve months from the filing date of these financial statements. As a result, substantial
doubt exists about the Company’s ability to continue as a going concern.
Until
such time, if ever, that we can generate product revenues sufficient to achieve profitability, we would expect to finance our cash
needs through a combination of private and public equity offerings, debt financings, government or other third-party funding,
collaborations, and licensing arrangements. To the extent that we raise additional capital through the sale of common stock,
convertible securities or other equity securities, the ownership interest of our stockholders may be materially diluted, and the
terms of these securities may include liquidation or other preferences that adversely affect your rights of our common stockholders.
Debt financing and preferred equity financing, if available, would result in increased 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, that could adversely impact our ability to conduct our business. Securing
additional financing could require a substantial amount of time and attention from our management and may divert a disproportionate
amount of their attention away from day-to-day activities, which may adversely affect our management’s ability to oversee the
development of our product candidates.
22
If
we raise additional funds through collaborations, strategic alliances or marketing, distribution, or licensing arrangements with third
parties, we may have to relinquish valuable rights to our technologies, future revenue streams, research programs or product candidates
or grant licenses on terms that may not be favorable to us. If we are unable to raise additional funds through equity or debt financings
when needed, we may be required to delay, limit, reduce or terminate our product development or future commercialization efforts or grant
rights to develop and market product candidates that we would otherwise prefer to develop and market ourselves.
Our
financial condition and results of operations may also be impacted by other factors we may not be able to control, such as global supply
chain disruptions, global trade disputes and/or political instability. Increases in interest rates, especially if coupled with reduced
government spending and volatility in financial markets, may have the effect of further increasing economic uncertainty and heightening
these risks. Additionally, rising inflation rates may affect us by increasing operating expenses, such as employee-related costs and
clinical trial expenses, negatively impacting our results of operations.
Off-Balance
Sheet Arrangements
We
did not have during the periods presented, and we do not currently have, any off-balance sheet arrangements, as defined under SEC rules,
such as relationships with unconsolidated entities or financial partnerships, which are often referred to as structured finance or special
purpose entities, established for the purpose of facilitating financing transactions that are not required to be reflected on our balance
sheets.
Item
3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK.
Not
applicable.
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.