Item 1A. Risk Factors
ITEM
1A. RISK FACTORS
The
following risk factors, together with the other information presented in this document, including the financial statements and
the notes thereto, should be considered by investors.
Risks
Related to Our Financial Resources and Capital Needs
We
are engaged in early-stage research and as such may not be successful in our efforts to develop a portfolio of commercially viable
products.
A
key element of our strategy is to discover, develop and commercialize a portfolio of new drugs. We are seeking to do so through
our internal research programs. A significant portion of the research that we are conducting involves new and unproven technologies.
Research programs to identify new disease targets and product candidates require substantial technical, financial and human resources
whether or not any candidates or technologies are ultimately identified. Our research programs may initially show promise in identifying
potential product candidates, yet fail to yield product candidates for clinical development for the following reasons:
●
the
research methodology used may not be successful in identifying potential product candidates; however, we have identified two
promising lead candidate compounds which have activity in animal models, one of which, LB-100, has completed a Phase 1 clinical
trial; or
●
product
candidates for drugs may on further study be shown to have harmful side effects or other characteristics that indicate they
are unlikely to be effective drugs.
If
we are unable to discover suitable potential product candidates, develop additional delivery technologies through internal research
programs or in-license suitable products or delivery technologies on acceptable business terms, our business prospects will suffer.
We
have incurred substantial losses since our inception and anticipate that we will continue to incur substantial and increasing
losses for the foreseeable future.
We
are a clinical stage biopharmaceutical company that uses biomarker technology to identify enzyme targets associated with serious
common diseases and then designs novel compounds to attack those threats. We do not have any products approved by regulatory authorities
and have not generated any revenues from collaboration and licensing agreements or product sales to date, and have incurred significant
research, development and other expenses related to our ongoing operations and expect to continue to incur such expenses. As a
result, we have not been profitable and have incurred significant operating losses since our inception. For the years ended December
31, 2020 and 2019, we reported a net loss of $3,264,882 and $2,440,343, respectively. As of December 31, 2020 and December 31,
2019, we had an accumulated deficit of $30,353,768 and $27,088,886, respectively.
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We
do not expect to generate revenues for many years, if at all. We expect to continue to incur significant expenses and operating
losses for the foreseeable future. We anticipate these losses to increase as we continue to research, develop and seek regulatory
approvals for our product candidate and any additional product candidates we may acquire, and potentially begin to commercialize
product candidates that may achieve regulatory approval. We may also encounter unforeseen expenses, difficulties, complications,
delays and other unknown factors that may adversely affect our business. The size of our future net losses will depend, in part,
on the rate of future growth of our expenses and our ability to generate revenues. Our expenses will further increase as we:
●
conduct
clinical trials of our lead product candidate, LB-100;
●
in-license
or acquire the rights to, and pursue development of, other products, product candidates or technologies;
●
hire
additional clinical, manufacturing, quality control, quality assurance and scientific personnel;
●
seek
marketing approval for any product candidates that successfully complete clinical trials;
●
develop
our outsourced manufacturing and commercial activities and establish sales, marketing and distribution capabilities, if we
receive, or expect to receive, marketing approval for any product candidates;
●
maintain,
expand and protect our intellectual property portfolio; and
●
add
operational, financial and management information systems and personnel.
We
need significant additional financing to fund our operations and complete the development and, if approved, the commercialization
of our product candidate. If we are unable to raise capital when needed, we could be forced to delay, reduce or eliminate our
product development programs or commercialization efforts.
We
expect that our existing cash resources as of December 31, 2020, combined with the proceeds from our registered direct equity
offering completed in March 2021, will provide sufficient working capital resources to fund our operations, including our clinical
trial program with respect to the development of our lead anti-cancer clinical compound LB-100, through mid-2022. However, our
existing cash resources will not be sufficient to complete development of and obtain regulatory approval for our product candidate,
and we will need to raise significant additional capital to help us do so. The Company estimates that it will need to raise additional
capital to fund its operations, including its various clinical trial commitments, by no later than June 30, 2022. In addition,
our operating plan may change as a result of many factors currently unknown to us, including possible additional clinical trials,
and we may need additional funds sooner than planned.
We
expect to expend substantial resources for the foreseeable future to continue the clinical development and manufacturing of our
product candidate and the advancement and expansion of our preclinical research pipeline. These expenditures will include costs
associated with research and development, potentially acquiring new product candidates or technologies, conducting preclinical
studies and clinical trials and potentially obtaining regulatory approvals and manufacturing products, as well as marketing and
selling products approved for sale, if any.
Budgets
and future capital requirements depend on many factors, including:
●
the
scope, progress, results and costs of our ongoing and planned development programs for our product candidate, as well as any
additional clinical trials we undertake to obtain data sufficient to seek marketing approval for our product candidate;
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●
the
timing of, and the costs involved in, obtaining regulatory approvals for our product candidate if our clinical trials are
successful;
●
the
cost of commercialization activities for our product candidate, if our product candidate is approved for sale, including marketing,
sales and distribution costs;
●
the
cost of manufacturing our product candidate for clinical trials in preparation for regulatory approval, including the cost
and timing of process development, manufacturing scale-up and validation activities;
●
our
ability to establish and maintain strategic licensing or other arrangements and the financial terms of such agreements;
●
the
costs to in-license future product candidates or technologies;
●
the
costs involved in preparing, filing, prosecuting, maintaining, expanding, defending and enforcing patent claims, including
litigation costs and the outcome of such litigation;
●
the
costs in defending and resolving future derivative and securities class action litigation;
●
our
operating expenses; and
●
the
emergence of competing technologies or other adverse market developments.
Additional
funds may not be available when we need them on terms that are acceptable to us, or at all. We have no committed source of additional
capital. If adequate funds are not available to us on a timely basis, we may not be able to continue as a going concern or we
may be required to delay, limit, reduce or terminate preclinical studies, clinical trials or other development activities for
our product candidate or target indications, or delay, limit, reduce or terminate our establishment of sales and marketing capabilities
or other activities that may be necessary to commercialize our product candidate.
We
currently have no source of revenues. We may never generate revenues or achieve profitability.
Currently,
we do not generate any revenues from product sales or otherwise. Even if we are able to successfully achieve regulatory approval
for our product candidate, we do not know when we will generate revenues or become profitable, if at all. Our ability to generate
revenues from product sales and achieve profitability will depend on our ability to successfully commercialize products, including
our primary product candidate, LB-100, and any other product candidates that we may develop, in-license or acquire in the future.
Our ability to generate revenues and achieve profitability also depends on a number of additional factors, including our ability
to:
●
successfully
complete development activities, including the necessary clinical trials;
●
complete
and submit New Drug Applications, or NDAs, to the FDA and obtain U.S. regulatory approval for indications for which there
is a commercial market;
●
complete
and submit applications to foreign regulatory authorities;
●
obtain
regulatory approval in territories with viable market sizes;
●
obtain
coverage and adequate reimbursement from third parties, including government and private payors;
●
set
commercially viable prices for our product, if any;
●
establish
and maintain supply and manufacturing relationships with reliable third parties and/or build our own manufacturing facility
and ensure adequate, legally globally compliant manufacturing of bulk drug substances and drug products to maintain that supply;
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●
develop
distribution processes for our product candidate;
●
develop
commercial quantities of our product candidate, once approved, at acceptable cost levels; obtain additional funding, if required
to develop and commercialize our product candidate;
●
develop
a commercial organization capable of sales, marketing and distribution for any products we intend to sell ourselves, in the
markets in which we choose to commercialize on our own;
●
achieve
market acceptance of our product;
●
attract,
hire and retain qualified personnel; and
●
protect
our rights in our intellectual property portfolio.
Our
revenues for any product candidate for which regulatory approval is obtained will be dependent, in part, upon the size of the
markets in the territories for which it gains regulatory approval, the accepted price for the product, the ability to get reimbursement
at any price, and whether we own the commercial rights for that territory. If the number of our addressable disease patients is
not as significant as our estimates, the indication approved by regulatory authorities is narrower than we expect, or the reasonably
accepted population for treatment is narrowed by competition, physician choice or treatment guidelines, we may not generate significant
revenues from sales of such products, even if approved. In addition, we anticipate incurring significant costs associated with
commercializing any approved product candidate. As a result, even if we generate revenues, we may not become profitable and may
need to obtain additional funding to continue operations. If we fail to become profitable or are unable to sustain profitability
on a continuing basis, then we may be unable to continue our operations at planned levels and may be forced to reduce our operations.
The
Tax Cuts and Jobs Act could adversely affect our business and financial condition.
H.R.
1, “An Act to provide for reconciliation pursuant to title II and V of the concurrent resolution on the budget for fiscal
year 2018,” informally entitled the Tax Cuts and Jobs Act (“Tax Act”) enacted on December 22, 2017, among other
things, contains significant changes to corporate taxation, including reduction of the corporate tax rate from a top marginal
rate of 35% to a single rate of 21%, limitation of the tax deduction for interest expense to 30% of adjusted taxable income (except
for certain small businesses), limitation of the deduction for net operating losses carried forward from taxable years beginning
after December 31, 2017 to 80% of current year taxable income and elimination of net operating loss carrybacks, one time taxation
of offshore earnings at reduced rates regardless of whether they are repatriated, elimination of U.S. tax on foreign earnings
(subject to certain important exceptions), providing immediate deductions for certain new investments instead of deductions for
depreciation expense over time, and modifying or repealing many business deductions and credits (including reduction of tax credits
under the Orphan Drug Act). Notwithstanding the reduction in the corporate income tax rate, the overall impact of the Tax Act
is uncertain and our business and financial condition could be adversely affected. In addition, it is uncertain if and to what
extent various states will conform to the Tax Act.
Our
ability to use net operating losses to offset future taxable income may be subject to limitations.
As
of December 31, 2020, we had federal net operating loss, or NOL, carryforwards of approximately $5,477,000. Our NOLs generated
in tax years ending on or prior to December 31, 2017 are only permitted to be carried forward for 20 years under applicable U.S.
tax laws, and will begin to expire, if not utilized, beginning in 2027. These NOL carryforwards could expire unused and be unavailable
to offset future income tax liabilities. Under the Tax Act, federal NOLs incurred in tax years ending after December 31, 2017
may be carried forward indefinitely, but the deductibility of such federal NOLs is limited. It is uncertain if and to what extent
various states will conform to the Tax Act, or whether any further regulatory changes may be adopted in the future that could
minimize its applicability. In addition, under Section 382 of the Internal Revenue Code of 1986, as amended, and certain corresponding
provisions of state law, if a corporation undergoes an “ownership change,” which is generally defined as a greater
than 50% change, by value, in the ownership of its equity over a three-year period, the corporation’s ability to use its
pre-change NOL carryforwards and other pre-change tax attributes to offset its post-change income may be limited.
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Risks
Related to the Development and Regulatory Approval of Our Product Candidate
Clinical-stage
biopharmaceutical companies with product candidates in clinical development face a wide range of challenging activities which
may entail substantial risk.
We
are a clinical-stage biopharmaceutical company with a product candidate in clinical development. The success of our product candidate
will depend on several factors, including the following:
●
designing,
conducting and successfully completing preclinical development activities, including preclinical efficacy and IND-enabling
studies, for our product candidate or product candidates we may, in the future, in-license or acquire;
●
designing,
conducting and completing clinical trials for our product candidate with positive results;
●
receipt
of regulatory approvals from applicable authorities;
●
obtaining
and maintaining patent and trade secret protection and regulatory exclusivity for our product candidate;
●
making
arrangements with third-party manufacturers, receiving regulatory approval of our manufacturing processes and our third-party
manufacturers’ facilities from applicable regulatory authorities and ensuring adequate supply of drug product;
●
manufacturing
our product candidate at an acceptable cost;
●
effectively
launching commercial sales of our product candidate, if approved, whether alone or in collaboration with others;
●
achieving
acceptance of our product candidate, if approved, by patients, the medical community and third-party payors;
●
effectively
competing with other therapies;
●
if
our product candidate is approved, obtaining and maintaining coverage and adequate reimbursement by third-party payors, including
government payors, for our product candidate;
●
complying
with all applicable regulatory requirements, including FDA current Good Clinical Practices (“GCP”), current Good
Manufacturing Practices (“cGMP”), and standards, rules and regulations governing promotional and other marketing
activities;
●
maintaining
a continued acceptable safety profile of the product during development and following approval.
If
we do not achieve one or more of these factors in a timely manner or at all, we could experience significant delays or an inability
to successfully develop and commercialize our product candidate, which could materially harm our business.
We
may find it difficult to enroll patients in our clinical trials which could delay or prevent the start of clinical trials for
our product candidate.
Identifying
and qualifying patients to participate in clinical trials of our product candidate is essential to our success. The timing of
our clinical trials depends in part on the rate at which we can recruit patients to participate in clinical trials of our product
candidate, and we may experience delays in our clinical trials if we encounter difficulties in enrollment. If we experience delays
in our clinical trials, the timeline for obtaining regulatory approval of our product candidate will most likely be delayed.
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Many
factors may affect our ability to identify, enroll and maintain qualified patients, including the following:
●
eligibility
criteria of our ongoing and planned clinical trials with specific characteristics appropriate for inclusion in our clinical
trials;
●
design
of the clinical trial;
●
size
and nature of the patient population;
●
patients’
perceptions as to risks and benefits of the product candidate under study and the participation in a clinical trial generally
in relation to other available therapies, including any new drugs that may be approved for the indications we are investigating;
●
the
availability and efficacy of competing therapies and clinical trials;
●
pendency
of other trials underway in the same patient population;
●
willingness
of physicians to participate in our planned clinical trials;
●
severity
of the disease under investigation;
●
proximity
of patients to clinical sites;
●
patients
who do not complete the trials for personal reasons; and
●
issues
with CROs and/or with other vendors that handle our clinical trials.
We
may not be able to initiate or continue to support clinical trials of LB-100, our product candidate, for one or more indications,
or any future product candidates if we are unable to locate and enroll a sufficient number of eligible participants in these trials
as required by the FDA or other regulatory authorities. Even if we are able to enroll a sufficient number of patients in our clinical
trials, if the pace of enrollment is slower than we expect, the development costs for our product candidate may increase and the
completion of our trials may be delayed or our trials could become too expensive to complete.
If
we experience delays in the completion of, or termination of, any clinical trials of our product candidate, the commercial prospects
of our product candidate could be harmed, and our ability to generate product revenue from any of our product candidate could
be delayed or prevented. In addition, any delays in completing our clinical trials would likely increase our overall costs, impair
product candidate development and jeopardize our ability to obtain regulatory approval relative to our current plans. Any of these
occurrences may harm our business, financial condition, and prospects significantly.
The
results of preclinical studies or earlier clinical trials are not necessarily predictive of future results. Our existing product
candidate in clinical trials, and any other product candidates that may advance into clinical trials, may not have favorable results
in later clinical trials or receive regulatory approval.
Success
in preclinical studies and early clinical trials does not ensure that later clinical trials will generate adequate data to demonstrate
the efficacy and safety of an investigational drug. A number of companies in the pharmaceutical and biotechnology industries,
including those with greater resources and experience than us, have suffered significant setbacks in clinical trials, even after
seeing promising results in earlier preclinical studies or clinical trials.
Despite
the results reported in earlier preclinical studies or clinical trials for our product candidate, we do not know whether the clinical
trials we may conduct will demonstrate adequate efficacy and safety to result in regulatory approval to market our product candidate
for a particular indication, in any particular jurisdiction. Efficacy data from prospectively designed trials may differ significantly
from those obtained from retrospective subgroup analyses. If later-stage clinical trials do not produce favorable results, our
ability to achieve regulatory approval for our product candidate may be adversely impacted. Even if we believe that we have adequate
data to support an application for regulatory approval to market our current product candidate or any future product candidates,
the FDA or other regulatory authorities may not agree and may require that we conduct additional clinical trials.
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Clinical
drug development involves a lengthy and expensive process with an uncertain outcome.
Clinical
testing is expensive and can take many years to complete, with the outcome inherently uncertain. Failure can occur at any time
during the clinical trial process. Before obtaining approval from regulatory authorities for the sale of our product candidate,
we must conduct extensive clinical trials to demonstrate the safety and efficacy of our product candidate in humans. Prior to
initiating clinical trials, a sponsor must complete extensive preclinical testing of a product candidate, including, in most cases,
preclinical efficacy experiments as well as IND-enabling toxicology studies. These experiments and studies may be time-consuming
and expensive to complete. The necessary preclinical testing may not be completed successfully for a preclinical product candidate
and a potentially promising product candidate may therefore never be tested in humans. Once it commences, clinical testing is
expensive, difficult to design and implement, can take many years to complete and is uncertain as to outcome. A failure of one
or more clinical trials can occur at any stage of testing. The outcome of preclinical testing and early clinical trials may not
be predictive of the success of later clinical trials, and interim results of a clinical trial do not necessarily predict final
results. Moreover, 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 marketing approval of their products. We may experience numerous unforeseen events during drug development that
could delay or prevent our ability to receive marketing approval or commercialize our product candidate. In particular, clinical
trials of our product candidate may produce inconclusive or negative results. We have limited data regarding the safety, tolerability
and efficacy of our product candidate. Clinical trials also require the review and oversight of an institutional review board
(“IRB”). An inability or delay in obtaining IRB approval could prevent or delay the initiation and completion of clinical
trials, and the FDA may decide not to consider any data or information derived from a clinical investigation not subject to initial
and continuing IRB review and approval.
We
may experience delays in our ongoing or future clinical trials, and we do not know whether planned clinical trials will begin
or enroll subjects on time, will need to be redesigned or will be completed on schedule, if at all. There can be no assurance
that the FDA will not put clinical trials of our product candidate on hold in the future. Clinical trials may be delayed, suspended
or prematurely terminated for a variety of reasons, such as:
●
delay
or failure in reaching agreement with the FDA or a comparable foreign regulatory authority on a clinical trial design that
we are able to execute;
●
delay
or failure in obtaining authorization to commence a trial or inability to comply with conditions imposed by a regulatory authority
regarding the scope or design of a trial;
●
delay
or failure in reaching agreement on acceptable terms with prospective CROs and clinical trial sites, the terms of which can
be subject to extensive negotiation and may vary significantly among different CROs and trial sites;
●
delay
or failure in obtaining IRB approval or the approval of other reviewing entities, including comparable foreign regulatory
authorities, to conduct a clinical trial at each site;
●
withdrawal
of clinical trial sites from our clinical trials or the ineligibility of a site to participate in our clinical trials;
●
delay
or failure in recruiting and enrolling suitable subjects to participate in a trial;
●
delay
or failure in subjects completing a trial or returning for post-treatment follow-up;
●
clinical
sites and investigators deviating from trial protocol, failing to conduct the trial in accordance with regulatory requirements,
or dropping out of a trial;
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●
inability
to identify and maintain a sufficient number of trial sites, many of which may already be engaged in other clinical trial
programs, including some that may be for the same indication;
●
failure
of our third-party clinical trial managers, CROs, clinical trial sites, contracted laboratories or other third-party vendors
to satisfy their contractual duties, meet expected deadlines or return trustworthy data;
●
delay
or failure in adding new trial sites;
●
interim
results or data that are ambiguous or negative or are inconsistent with earlier results or data;
●
alteration
of trial design necessitated by re-evaluation of design assumptions based upon observed data;
●
feedback
from the FDA, the IRB or a comparable foreign regulatory authority, or results from earlier stage or concurrent preclinical
studies and clinical trials, that might require modification to the protocol for a trial;
●
a
decision by the FDA, the IRB, a comparable foreign regulatory authority, or us to suspend or terminate clinical trials at
any time for safety issues or for any other reason;
●
unacceptable
risk-benefit profile, unforeseen safety issues or adverse side effects;
●
failure
to demonstrate a benefit from using a product candidate;
●
difficulties
in manufacturing or obtaining from third parties sufficient quantities of a product candidate to start or to use in clinical
trials;
●
lack
of adequate funding to continue a trial, including the incurrence of unforeseen costs due to enrollment delays, requirements
to conduct additional studies or increased expenses associated with the services of our CROs and other third parties; or
●
changes
in governmental regulations or administrative actions or lack of adequate funding to continue a clinical trial.
If
we experience delays in the completion or termination of any clinical trial of our product candidate, the approval and commercial
prospects of our product candidate will be harmed, delaying our ability to generate product revenues from such product candidate
and our costs will most likely increase. The required regulatory approvals may also be delayed, thereby jeopardizing our ability
to commence product sales and generate revenues and the period of commercial exclusivity for our product may be decreased. Regulatory
approval of our product candidate may be denied for the same reasons that caused the delay.
Risks
associated with operating in foreign countries could materially adversely affect our product development.
We
may conduct future studies in countries outside of the U.S. Consequently, we may be subject to risks related to operating in foreign
countries. Risks associated with conducting operations in foreign countries include:
●
differing
regulatory requirements for drug approvals and regulation of approved drugs in foreign countries; more stringent privacy requirements
for data to be supplied to our operations in the U.S., e.g. , General Data Protection Regulation in the European Union;
●
unexpected
changes in tariffs, trade barriers and regulatory requirements; economic weakness, including inflation, or political instability
in particular foreign economies and markets; compliance with tax, employment, immigration and labor laws for employees living
or traveling abroad; foreign taxes, including withholding of payroll taxes;
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●
differing
payor reimbursement regimes, governmental payors or patient self-pay systems and price controls;
●
foreign
currency fluctuations, which could result in increased operating expenses or reduced revenues, and other obligations incident
to doing business or operating in another country;
●
workforce
uncertainty in countries where labor unrest is more common than in the U.S.;
●
production
shortages resulting from any events affecting raw material supply or manufacturing capabilities abroad; and
●
business
interruptions resulting from geopolitical actions, including war and terrorism.
Our
current and future product candidates, the methods used to deliver them or their dosage levels may cause undesirable side effects
or have other properties that could delay or prevent their regulatory approval, limit the commercial profile of an approved label
or result in significant negative consequences following any regulatory approval.
Undesirable
side effects caused by our current or future product candidates, their delivery methods or dosage levels could cause us or regulatory
authorities to interrupt, delay or halt clinical trials and could result in a more restrictive label or the delay or denial of
regulatory approval or termination of clinical trials by the FDA or other comparable foreign regulatory authorities; or an IRB,
that approves and, monitors biomedical research to protect the rights and welfare of human subjects. As a result of safety or
toxicity issues that we may experience in our clinical trials, or negative or inconclusive results from the clinical trials of
others for drug candidates similar to our own, we may not receive approval to market our current product candidate or any product
candidates we may pursue, which could prevent us from ever generating revenues or achieving profitability. Results of our trials
could reveal an unacceptably high severity and incidence of side effects. In such an event, our trials could be suspended or terminated,
and the FDA or comparable foreign regulatory authorities could order us to cease further development of or deny approval of our
current or any future product candidates for any or all targeted indications. The drug-related side effects could also affect
patient recruitment or the ability of enrolled subjects to complete the trial or result in potential product liability claims.
Any of these occurrences may have a material adverse effect on our business, results of operations, financial condition, cash
flows and future prospects.
Additionally,
if our product candidate receives regulatory approval, and we or others later identify undesirable side effects caused by such
product, a number of potentially significant negative consequences could result, including that:
●
we
may be forced to suspend marketing of such product;
●
regulatory
authorities may withdraw their approvals of such product;
●
regulatory
authorities may require additional warnings on the label that could diminish the usage or otherwise limit the commercial success
of such product;
●
we
may be required to conduct post-marketing studies;
●
we
may be required to change the way the product is administered;
●
we
could be sued and held liable for harm caused to subjects or patients; and
●
our
reputation may suffer.
Any
of these events could prevent us from achieving or maintaining market acceptance of our product candidate, if approved.
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Our
product development program may not uncover all possible adverse events that patients who take our product candidate may experience.
The number of subjects exposed to our product candidate and the average exposure time in the clinical development program may
be inadequate to detect rare adverse events or chance findings that may only be detected once the product is administered to more
patients and for greater periods of time.
Clinical
trials by their nature utilize a sample of the potential patient population. However, with a limited number of subjects and limited
duration of exposure, we cannot be fully assured that rare and severe side effects of our product candidate will be uncovered.
Such rare and severe side effects may only be uncovered with a significantly larger number of patients exposed to our product
candidate. If such safety problems occur or are identified after our product candidate reaches the market, the FDA may require
that we amend the labeling of the product or recall the product, or may even withdraw approval for the product.
Our
future success is dependent on the regulatory approval of our product candidate.
Our
business is dependent on our ability to obtain regulatory approval for our product candidate in a timely manner. We cannot commercialize
our product candidate in the U.S. without first obtaining regulatory approval for the product from the FDA. Similarly, we cannot
commercialize our product candidate outside of the U.S. without obtaining regulatory approval from comparable foreign regulatory
authorities. Before obtaining regulatory approvals for the commercial sale of our product candidate for a target indication, we
must demonstrate with substantial evidence gathered in preclinical studies and clinical trials, that the product candidate is
safe and effective for use for that target indication and that the manufacturing facilities, processes and controls are adequate
with respect to such product candidate.
The
time required to obtain approval by the FDA and comparable foreign regulatory authorities is unpredictable but typically takes
many years following the commencement of preclinical studies and clinical trials and depends upon numerous factors, including
the substantial discretion of the regulatory authorities. In addition, approval policies, regulations, or the type and amount
of clinical data necessary to gain approval may change during the course of a product candidate’s clinical development and
may vary among jurisdictions.
Even
if a product candidate were to successfully obtain approval from the FDA and comparable foreign regulatory authorities, any approval
might contain significant limitations related to use restrictions for specified age groups, warnings, precautions or contraindications,
or may be subject to burdensome post-approval study or risk management requirements. Also, any regulatory approval of our current
product candidate or any future product candidates we may pursue, once obtained, may be withdrawn.
Our
current product candidate and future product candidates could fail to receive regulatory approval from the FDA.
We
have not obtained regulatory approval for our product candidate and it is possible that our existing product candidate or any
future product candidates will not obtain regulatory approval, for many reasons, including:
●
disagreement
with the regulatory authorities regarding the scope, design or implementation of our clinical trials;
●
failure
to demonstrate that a product candidate is safe and effective for our proposed indication;
●
failure
of clinical trials to meet the level of statistical significance required for approval;
●
failure
to demonstrate that a product candidate’s clinical and other benefits outweigh its safety risks;
●
disagreement
with our interpretation of data from preclinical studies or clinical trials;
●
the
insufficiency of data collected from clinical trials of our product candidate to support the submission and filing of an NDA
or other submission or to obtain regulatory approval;
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●
failure
to obtain approval of our manufacturing processes or facilities of third-party manufacturers with whom we contract for clinical
and commercial supplies or our own manufacturing facility; or
●
changes
in the approval policies or regulations that render our preclinical and clinical data insufficient for approval.
The
FDA or a comparable foreign regulatory authority may require more information, including additional preclinical or clinical data
to support approval or additional studies, which may delay or prevent approval and our commercialization plans, or we may decide
to abandon the development program. If we were to obtain approval, regulatory authorities may approve our current product candidate
and any future product candidates we may pursue for fewer or more limited indications than we request (including failing to approve
the most commercially promising indications), may grant approval contingent on the performance of costly post-marketing clinical
trials, or may approve a product candidate with a label that does not include the labeling claims necessary or desirable for the
successful commercialization of that product candidate.
If
we are unable to obtain regulatory approval for our product candidate in one or more jurisdictions, or any approval contains significant
limitations, we may not be able to obtain sufficient funding to continue the development of that product or generate revenues
attributable to that product candidate.
Failure
to obtain regulatory approval in international jurisdictions would prevent our product candidate from being marketed abroad.
In
addition to regulations in the U.S., to market and sell our product candidate in the European Union, United Kingdom, many Asian
countries and other jurisdictions, we must obtain separate regulatory approvals and comply with numerous and varying regulatory
requirements. Approval by the FDA does not ensure approval by regulatory authorities in other countries or jurisdictions, and
approval by one regulatory authority outside the U.S. does not ensure approval by regulatory authorities in other countries or
jurisdictions or by the FDA. The regulatory approval process outside the U.S. generally includes all of the risks associated with
obtaining FDA approval as well as risks attributable to the satisfaction of local regulations in foreign jurisdictions. The approval
procedure varies among countries and can involve additional testing. The time required to obtain approval may differ substantially
from that required to obtain FDA approval. We may not be able to obtain approvals from regulatory authorities outside the U.S.
on a timely basis, if at all. Clinical trials accepted in one country may not be accepted by regulatory authorities in other countries.
In addition, many countries outside the U.S. require that a product be approved for reimbursement before it can be approved for
sale in that country. A product candidate that has been approved for sale in a particular country may not receive reimbursement
approval in that country.
We
may not be able to file for regulatory approvals and may not receive necessary approvals to commercialize our product in any market.
If we are unable to obtain approval of any of our current product candidate or any future product candidates we may pursue by
regulatory authorities in the European Union, United Kingdom, Asia or elsewhere, the commercial prospects of that product candidate
may be significantly diminished, our business prospects could decline and this could materially adversely affect our business,
results of operations and financial condition.
Even
if our current primary product candidate received regulatory approval, it may still face future development and regulatory difficulties.
Even
if we obtain regulatory approval for our primary product candidate, LB-100, that approval would be subject to ongoing requirements
by the FDA and comparable foreign regulatory authorities governing the manufacture, quality control, further development, labeling,
packaging, storage, distribution, adverse event reporting, safety surveillance, import, export, advertising, promotion, recordkeeping
and reporting of safety and other post-marketing information. These requirements include submissions of safety and other post-marketing
information and reports, registration, as well as continued compliance by us and/or our CMOs and CROs for any post-approval clinical
trials that we may conduct. The safety profile of any product will continue to be closely monitored by the FDA and comparable
foreign regulatory authorities after approval. If the FDA or comparable foreign regulatory authorities become aware of new safety
information after approval of our product candidate, they may require labeling changes or establishment of a risk evaluation and
mitigation strategy, impose significant restrictions on such product’s indicated uses or marketing or impose ongoing requirements
for potentially costly post-approval studies or post-market surveillance.
- 26 -
In
addition, manufacturers of drug products and their facilities are subject to continual review and periodic inspections by the
FDA and other regulatory authorities for compliance with cGMP, GCP, and other regulations. If we or a regulatory agency discover
previously unknown problems with a product, such as adverse events of unanticipated severity or frequency, or problems with the
facility where the product is manufactured, a regulatory agency may impose restrictions on that product, the manufacturing facility
or us, including requiring recall or withdrawal of the product from the market or suspension of manufacturing. If we, our product
candidate or the manufacturing facilities for our product candidate fail to comply with applicable regulatory requirements, a
regulatory agency may:
●
issue
warning letters or untitled letters;
●
mandate
modifications to promotional materials or require us to provide corrective information to healthcare practitioners;
●
require
us to enter into a consent decree, which can include imposition of various fines, reimbursements for inspection costs, required
due dates for specific actions and penalties for noncompliance;
●
seek
an injunction or impose civil or criminal penalties or monetary fines;
●
suspend
or withdraw regulatory approval;
●
suspend
any ongoing clinical trials;
●
refuse
to approve pending applications or supplements to applications filed by us;
●
suspend
or impose restrictions on operations, including costly new manufacturing requirements; or
●
seize
or detain products, refuse to permit the import or export of products, or require us to initiate a product recall.
The
occurrence of any event or penalty described above may inhibit our ability to successfully commercialize our product and generate
revenues.
Advertising
and promotion of any product candidate that obtains approval in the U.S. is heavily scrutinized by the FDA, the Department of
Justice, the Office of Inspector General of Health and Human Services, state attorneys general, members of Congress and the public.
A company can make only those claims relating to safety and efficacy, purity and potency that are approved by the FDA and in accordance
with the provisions of the approved label. Additionally, advertising and promotion of any product candidate that obtains approval
outside of the U.S. is heavily scrutinized by comparable foreign regulatory authorities. Violations, including actual or alleged
promotion of our product for unapproved or off-label uses, are subject to enforcement letters, inquiries and investigations, and
civil and criminal sanctions by the FDA, as well as prosecution under the federal False Claims Act. Any actual or alleged failure
to comply with labeling and promotion requirements may have a negative impact on our business.
Risks
Related to Our Dependence on Third Parties
We
depend on certain key scientific personnel for our success who do not work full time for us. The loss of any such personnel could
adversely affect our business, financial condition and results of operations.
Our
success depends on the continued availability and contributions of our founder and Chief Executive Officer, Dr. John S. Kovach.
Dr. Kovach is 84 years old and is being treated for recurrent asymptomatic prostate cancer. The loss of services of Dr. Kovach
could delay or reduce our product development and commercialization efforts and would require that we hire a qualified replacement
to fill the position of the Chief Executive Officer. Furthermore, recruiting and retaining qualified scientific personnel to perform
future research and development work will be critical to our success. The loss of members of our scientific personnel, or our
inability to attract or retain other qualified personnel or advisors, could significantly weaken our management, harm our ability
to compete effectively and harm our business. The competition for qualified personnel in the pharmaceutical field is intense and,
as a result, we may be unable to attract and retain qualified personnel necessary for the development of our business.
- 27 -
During
September 2015, we entered into a Collaboration Agreement with BioPharmaWorks, pursuant to which we engaged BioPharmaWorks to
perform certain services for us. Those services include, among other things: (a) assisting us to (i) commercialize our products
and strengthen our patent portfolio, (ii) identify large pharmaceutical companies with potential interest in our product pipeline,
and (iii) prepare and deliver presentations concerning our products; (b) at the request of the Board of Directors, serving as
backup management for up to three months should our Chief Executive Officer and scientific leader be temporarily unable to carry
out his duties; (c) being available for consultation in drug discovery and development; and (d) identifying providers and overseeing
tasks relating to clinical use and commercialization of new compounds. BioPharmaWorks was founded in 2015 by former Pfizer scientists
with extensive multi-disciplinary research and development and drug development experience. The Collaboration Agreement automatically
renews annually unless either party elects to terminate it. Services under this Collaboration Agreement have been periodically
suspended and resumed; effective March 1, 2019, we and BioPharmaWorks agreed to resume services under this Collaboration Agreement,
and the Collaboration Agreement is currently in effect.
Additionally,
we have recently hired Dr. James S. Miser as Chief Medical Officer. For the foreseeable future, Dr. Miser will be working with
us on a half-time basis. We believe that this Collaboration Agreement with BioPharmaWorks and the hiring of Dr. Miser mitigate,
to a certain extent, our reliance on the services of Dr. Kovach, and would allow us the time to replace Dr. Kovach in the event
that such a need arose.
We
expect to rely heavily on third parties for the conduct of clinical trials of our product candidates. If these clinical trials
are not successful, or if we or our collaborators are not able to obtain the necessary regulatory approvals, we will not be able
to commercialize our product candidates.
In
order to obtain regulatory approval for the commercial sale of our product candidates, we and our collaborators will be required
to complete extensive preclinical studies as well as clinical trials in humans to demonstrate to the FDA and foreign regulatory
authorities that our product candidates are safe and effective.
Dr.
Kovach is experienced in the design and conduct of early clinical cancer trials, having been the lead investigator for a National
Cancer Institute Phase 1 clinical trial contract for ten years at the Mayo Clinic, Rochester, Minnesota. However, we have no experience
in conducting clinical trials and expects to rely heavily on collaborative partners and contract research organizations for their
performance and management of clinical trials of our product candidates.
Our
products under development may not be effective in treating any of our targeted disorders or may prove to have undesirable or
unintended side effects, toxicities or other characteristics that may prevent or limit their commercial use. Institutional review
boards or regulators, including the FDA, may hold, suspend or terminate our clinical research or the clinical trials of our product
candidates for various reasons, including non-compliance with regulatory requirements or if, in their opinion, the participating
subjects are being exposed to unacceptable health risks. Additionally, the failure of third parties conducting or overseeing the
operation of the clinical trials to perform their contractual or regulatory obligations in a timely fashion could delay the clinical
trials. Failure of clinical trials can occur at any stage of testing. Any of these events would adversely affect our ability to
market a product candidate.
The
development process necessary to obtain regulatory approval is lengthy, complex and costly. If we and our collaborative partners
do not obtain necessary regulatory approvals at each stage of development, then our business would not be successful, and the
market price of our common stock could decline substantially.
To
the extent that we, or our collaborative partners, are able to successfully advance a product candidate through the clinic, we,
or such partner, will be required to obtain regulatory approval prior to marketing and selling such product. The process of obtaining
FDA and other required regulatory approvals is costly and lengthy. The time required for FDA and other approvals is uncertain
and can typically take a number of years, depending on the complexity and novelty of the product.
- 28 -
Any
regulatory approval to market a product may be subject to limitations on the indicated uses for which we, or our collaborative
partners, may market the product. These limitations may restrict the size of the market for the product and affect reimbursement
by third-party payors. In addition, regulatory agencies may not grant approvals on a timely basis or may revoke or significantly
modify previously granted approvals.
We,
or our collaborative partners, also are subject to numerous foreign regulatory requirements governing the manufacturing and marketing
of our potential future products outside of the United States. The approval procedure varies among countries, additional testing
may be required in some jurisdictions, and the time required to obtain foreign approvals often differs from that required to obtain
FDA approvals. Moreover, approval by the FDA does not ensure approval by regulatory authorities in other countries, and vice versa.
As
a result of these factors, we, or our collaborative partners, may not successfully complete clinical trials in the time periods
estimated, if at all. Moreover, if we, or our collaborative partners, incur unanticipated costs and/or delays in development programs
or if we fail to successfully develop and commercialize products based upon our technologies, we may not be able to generate significant
operating revenues and sustainable profitability, as a result of which our stock price could decline substantially.
Business
interruptions could adversely affect future operations, revenues, and financial conditions, and may increase our costs and expenses.
Our
operations, and those of our directors, advisors, contractors, consultants, CROs, and collaborators, could be adversely affected
by earthquakes, floods, hurricanes, typhoons, extreme weather conditions, fires, water shortages, power failures, business systems
failures, medical epidemics and other natural and man-made disaster or business interruptions. Our phones, electronic devices
and computer systems and those of our directors, advisors, contractors, consultants, CROs, and collaborators are vulnerable to
damages, theft and accidental loss, negligence, unauthorized access, terrorism, war, electronic and telecommunications failures,
and other natural and man-made disasters. Operating as a virtual company, our employees conduct business outside of our headquarters
and leased or owned facilities. These locations may be subject to additional security and other risk factors due to the limited
control of our employees. If such an event as described above were to occur in the future, it may cause interruptions in our operations,
delay research and development programs, clinical trials, regulatory activities, manufacturing and quality assurance activities,
sales and marketing activities, hiring, training of employees and persons within associated third parties, and other business
activities. For example, the loss of clinical trial data from completed or future clinical trials could result in delays in our
regulatory approval efforts and significantly increase our costs to recover or reproduce the data.
Likewise,
we will rely on third parties to manufacture our product candidates and conduct clinical trials, and similar events as those described
in the prior paragraph relating to their business systems, equipment and facilities could also have a material adverse effect
on our business. To the extent that any disruption or security breach were to result in a loss of, or damage to, our data or applications,
or inappropriate disclosure of confidential or proprietary information, we could incur liability and the further development and
commercialization of our product candidate could be delayed or altogether terminated.
Our
failure to find third party collaborators to assist or share in the costs of product development could materially harm our business,
financial condition and results of operations.
Our
strategy for the development and commercialization of our proprietary product candidates may include the formation of collaborative
arrangements with third parties. We have entered into a number of agreements with third parties as described below under “Business,”
including a clinical trial research agreement with Moffitt Cancer Center, a collaboration agreement with the Spanish Sarcoma Group,
a cooperative research and development agreement with the National Cancer Institute, a clinical trial research agreement with
City of Hope National Medical Center, an agreement with Theradex Systems, Inc., a patent assignment and exploitation agreement
with Inserm Transfert, SA, a consulting agreement with Liberi Life Sciences Consultancy BV, an exclusive license agreement with
Moffitt, a material cooperative research and development agreement with the National Institutes of Health, a collaboration agreement
with BioPharmaWorks and a consulting agreement with NDA Consulting Corp. Existing and future collaborators have significant discretion
in determining the efforts and resources they apply and may not perform their obligations as expected. Potential third-party collaborators
include biopharmaceutical, pharmaceutical and biotechnology companies, academic institutions and other entities. Third-party collaborators
may assist us in:
●
funding
research, preclinical development, clinical trials and manufacturing;
●
seeking
and obtaining regulatory approvals; and
●
successfully
commercializing any future product candidates.
- 29 -
If
we are not able to establish further collaboration agreements, we may be required to undertake product development and commercialization
at our own expense. Such an undertaking may limit the number of product candidates that we will be able to develop, significantly
increase our capital requirements and place additional strain on our internal resources. Our failure to enter into additional
collaborations could materially harm our business, financial condition and results of operations.
In
addition, our dependence on licensing, collaboration and other agreements with third parties may subject us to a number of risks.
These agreements may not be on terms that prove favorable to us and may require us to relinquish certain rights in our product
candidates. To the extent we agree to work exclusively with one collaborator in a given area, our opportunities to collaborate
with other entities could be curtailed. Lengthy negotiations with potential new collaborators may lead to delays in the research,
development or commercialization of product candidates. The decision by our collaborators to pursue alternative technologies or
the failure of our collaborators to develop or commercialize successfully any product candidate to which they have obtained rights
from us could materially harm our business, financial condition and results of operations.
Risks
Related to Our Intellectual Property
We
cannot be certain we will be able to obtain patent protection to protect our product candidates and technology.
We
cannot be certain that all patents applied for will be issued. If a third party has also filed a patent application relating to
an invention claimed by us or one or more of our licensors, we may be required to participate in an interference or derivation
proceeding declared or instituted by the United States Patent and Trademark Office, which could result in substantial uncertainties
and cost for us, even if the eventual outcome is favorable to us. The degree of future protection for our proprietary rights is
uncertain. For example:
●
we
or our licensors might not have been the first to make the inventions covered by our pending or future patent applications;
●
we
or our licensors 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 patent applications will not result in an issued patent or patents, or that the scope of protection granted
by any patents arising from our patent applications will be significantly narrower than expected;
●
any
patents under which we hold ultimate rights may not provide us with a basis for commercially-viable products, may not provide
us with any competitive advantages or may be challenged by third parties as not infringed, invalid, or unenforceable under
United States or foreign laws;
●
any
patent issued to us in the future or under which we hold rights may not be valid or enforceable; or
●
we
may develop additional proprietary technologies that are not patentable and which may not be adequately protected through
trade secrets; for example, if a competitor independently develops duplicative, similar, or alternative technologies.
- 30 -
If
we do not obtain patent term extension in the United States under the Hatch-Waxman Act and in foreign countries under similar
legislation, thereby potentially extending the term of our marketing exclusivity for any product candidates we may develop, our
business may be materially harmed.
In
the United States, the patent term of a patent that covers an FDA-approved drug may be eligible for limited patent term extension,
which permits patent term restoration as compensation for the patent term lost during the FDA regulatory review process. The Drug
Price Competition and Patent Term Restoration Act of 1984, also known as the Hatch-Waxman Act, permits a patent term extension
of up to five years beyond the expiration of the patent. The length of the patent term extension is related to the length of time
the drug is under clinical development and regulatory review. Patent term extension cannot extend the remaining term of a patent
beyond a total of 14 years from the date of product approval, and only one patent that is applicable to and covers an approved
drug may be extended. Similar provisions are available in Europe, such as supplementary protection certificates, and in certain
other non-United States jurisdictions to extend the term of a patent that covers an approved drug. While, in the future, if and
when our product candidates receive FDA approval, we expect to apply for patent term extensions on patents covering those product
candidates, there is no guarantee that the applicable authorities will agree with our assessment of whether such extensions should
be granted, and even if granted, the length of such extensions. We may not be granted patent term extension either in the United
States or in any foreign country because of, for example, failing to exercise due diligence during the testing phase or regulatory
review process, failing to apply within applicable deadlines, failing to apply prior to expiration of relevant patents or otherwise
failing to satisfy applicable requirements. Moreover, the length of a patent term extension, as well as the scope of patent protection
during any such extension, afforded by the governmental authority could be less than we request. If we are unable to obtain any
patent term extension or the term of any such extension is less than we request, our competitors may obtain approval of competing
products following the expiration of our patent rights, and our business, financial condition, results of operations and prospects
could be materially harmed.
It
is possible that we will not obtain patent term extension under the Hatch-Waxman Act for a U.S. patent covering any of our product
candidates that we may identify even where that patent is eligible for patent term extension, or if we obtain such an extension,
it may be for a shorter period than we had sought.
If
we fail to comply with our obligations in the agreements under which we may license intellectual property rights from third parties
or otherwise experience disruptions to our business relationships with our licensors, we could lose rights that are important
to our business.
We
have entered and may be required to enter into intellectual property license agreements that are important to our business. These
license agreements may impose various diligence, milestone payment, royalty and other obligations on us. For example, we may enter
into exclusive license agreements with various third parties (for example, universities and research institutions), we may be
required to use commercially reasonable efforts to engage in various development and commercialization activities with respect
to licensed products, and may need to satisfy specified milestone and royalty payment obligations. If we fail to comply with any
obligations under our agreements with any of these licensors, we may be subject to termination of the license agreement in whole
or in part; increased financial obligations to our licensors or loss of exclusivity in a particular field or territory, in which
case our ability to develop or commercialize products covered by the license agreement will be impaired.
In
addition, disputes may arise regarding intellectual property subject to a license agreement, including:
●
the
scope of rights granted under the license agreement and other interpretation-related issues;
●
the
extent to which our technology and processes infringe on intellectual property of the licensor that is not subject to the
licensing agreement;
●
our
diligence obligations under the license agreement and what activities satisfy those obligations;
●
if
a third-party expresses interest in an area under a license that we are not pursuing, under the terms of certain of our license
agreements, we may be required to sublicense rights in that area to a third party, and that sublicense could harm our business;
and
●
the
ownership of inventions and know-how resulting from the joint creation or use of intellectual property by our licensors and
us.
- 31 -
If
disputes over intellectual property that we have licensed prevent or impair our ability to maintain our current licensing arrangements
on acceptable terms, we may be unable to successfully develop and commercialize the affected product candidates.
We
may need to obtain licenses from third parties to advance our research or allow commercialization of our product candidates. We
may fail to obtain any of these licenses at a reasonable cost or on reasonable terms, if at all. In that event, we would be unable
to further develop and commercialize one or more of our product candidates, which could harm our business significantly.
We
may infringe the intellectual property rights of others, which may prevent or delay our product development efforts and stop us
from commercializing or increase the costs of commercializing our product candidates.
Our
success will depend in part on our ability to operate without infringing the proprietary rights of third parties. We cannot guarantee
that our products or product candidates, or manufacture or use of our products or product candidates, will not infringe third-party
patents. Furthermore, a third party may claim that we are using inventions covered by the third party’s patent rights and
may go to court to stop us from engaging in our normal operations and activities, including making or selling our product candidates.
These lawsuits are costly and could affect our results of operations and divert the attention of managerial and scientific personnel.
Some of these third parties may be better capitalized and have more resources than us. There is a risk that a court would decide
that we are infringing the third party’s patents and would order us to stop the activities covered by the patents. In that
event, we may not have a viable way around the patent and may need to halt commercialization of the relevant product candidate.
In addition, there is a risk that a court will order us to pay the other party damages for having violated the other party’s
patents. In addition, we may be obligated to indemnify our licensors and collaborators against certain intellectual property infringement
claims brought by third parties, which could require us to expend additional resources. The pharmaceutical and biotechnology industries
have produced a proliferation of patents, and it is not always clear to industry participants, including us, which patents cover
various types of products or methods of use. The coverage of patents is subject to interpretation by the courts, and the interpretation
is not always uniform.
If
we are sued for patent infringement, we would need to demonstrate that our products or products or methods either do not infringe
the patent claims of the relevant patent or that the patent claims are invalid or unenforceable, and we may not be able to do
this. Proving invalidity is difficult. For example, in the United States, proving invalidity requires a showing of clear and convincing
evidence to overcome the presumption of validity enjoyed by issued patents. Even if we are successful in these proceedings, we
may incur substantial costs and divert management’s time and attention in pursuing these proceedings, which could have a
material adverse effect on us. If we are unable to avoid infringing the patent rights of others, we may be required to seek a
license, which may not be available, and then we will have to defend an infringement action or challenge the validity of the patents
in court. Patent litigation is costly and time consuming. We may not have sufficient resources to bring these actions to a successful
conclusion. In addition, if we do not obtain a license, develop or obtain non-infringing technology, fail to defend an infringement
action successfully or have infringed patents declared invalid or unenforceable, we may incur substantial monetary damages, encounter
significant delays in bringing our product candidates to market and be precluded from manufacturing or selling our product candidates.
We
cannot be certain that others have not filed patent applications for technology covered by our pending applications, or that we
were the first to invent the technology, because:
●
some
patent applications in the United States may be maintained in secrecy until the patents are issued;
●
patent
applications in the United States are typically not published until 18 months after the priority date; and
●
publications
in the scientific literature often lag behind actual discoveries.
Our
competitors may have filed, and may in the future file, patent applications covering technology similar to ours. Any such patent
application may have priority over our patent applications, which could further require us to obtain rights to issued patents
covering such technologies. If another party has filed US patent applications on inventions similar to ours that claims priority
to any applications filed prior to the priority dates of our applications, we may have to participate in an interference proceeding
declared or a derivation proceed instituted by the USPTO to determine priority of invention in the United States. The costs of
these proceedings could be substantial, and it is possible that such efforts would be unsuccessful if, unbeknownst to us, the
other party had independently arrived at the same or similar inventions prior to our own inventions, resulting in a loss of our
U.S. patent position with respect to such inventions. Other countries have similar laws that permit secrecy of patent applications,
and thus the third party’s patent or patent application may be entitled to priority over our applications in such jurisdictions.
- 32 -
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.
We
may be subject to claims that our employees, consultants or independent contractors have wrongfully used or disclosed alleged
trade secrets.
As
is common in the biotechnology and pharmaceutical industries, we employ, and may employ in the future, individuals who were previously
employed at other biotechnology or pharmaceutical companies, including our competitors or potential competitors. Although we try
to ensure that our employees, consultants and independent contractors do not use the proprietary information or know-how of others
in their work for us, we may be subject to claims that we or our employees, consultants or independent contractors 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. If we fail in defending any such claims, in addition to paying monetary damages, we could lose
valuable intellectual property rights or personnel, which could adversely impact our business. Even if we are successful in defending
against these claims, litigation could result in substantial costs and be a distraction to management.
Our
intellectual property may not be sufficient to protect our products from competition, which may negatively affect our business
as well as limit our partnership or acquisition appeal.
We
may be subject to competition despite the existence of intellectual property we license or own. We can give no assurances that
our intellectual property claims will be sufficient to prevent third parties from designing around patents we own or license and
developing and commercializing competitive products. The existence of competitive products that avoid our intellectual property
could materially adversely affect our operating results and financial condition. Furthermore, limitations, or perceived limitations,
in our intellectual property may limit the interest of third parties to partner, collaborate or otherwise transact with us, if
third parties perceive a higher than acceptable risk to commercialization of our products or future products.
Our
approach involves the filing of patent applications covering new methods of use and/or new formulations of previously known, studied
and/or marketed drugs. Although the protection afforded by our patent applications may be significant, when looking at our patents’
ability to block competition, the protection offered by our patents may be, to some extent, more limited than the protection provided
by patents claiming the composition of matter of entirely new chemical structures previously unknown. If a competitor were able
to successfully design around any method of use and formulation patents we may have in the future, our business and competitive
advantage could be significantly affected.
We
may elect to sue a third party, or otherwise make a claim, alleging infringement or other violation of patents, trademarks, trade
dress, copyrights, trade secrets, domain names or other intellectual property rights that we either own or license. If we do not
prevail in enforcing our intellectual property rights in this type of litigation, we may be subject to:
●
paying
monetary damages related to the legal expenses of the third party;
●
facing
additional competition that may have a significant adverse effect on our product pricing, market share, business operations,
financial condition, and the commercial viability of our products; and
●
restructuring
our company or delaying or terminating select business opportunities, including, but not limited to, research and development,
clinical trials, and commercialization activities, due to a potential deterioration of our financial condition or market competitiveness.
- 33 -
A
third party may also challenge the validity, enforceability or scope of the intellectual property rights that we license or own;
and, the result of these challenges may narrow the scope or claims of or invalidate patents that are integral to our product candidates
in the future. There can be no assurance that we will be able to successfully defend patents we own in an action against third
parties due to the unpredictability of litigation and the high costs associated with intellectual property litigation, amongst
other factors.
The
laws of some jurisdictions do not protect intellectual property rights to the same extent as the laws or rules and regulations
in the United States and Europe, and many companies have encountered significant difficulties in protecting and defending such
rights in such jurisdictions. The legal systems of certain countries, particularly certain developing countries, do not favor
the enforcement of patents, trade secrets and other intellectual property protection, which could make it difficult for us to
stop the infringement of our patents or marketing of competing products in violation of our proprietary rights generally. Proceedings
to enforce our patent rights in other jurisdictions, whether or not successful, could result in substantial costs and divert our
efforts and attention from other aspects of our business, could put our patents at risk of being invalidated or interpreted narrowly
and our patent applications at risk of not issuing, and could provoke third parties to assert claims against us. We may not prevail
in any lawsuits that we initiate, and the damages or other remedies awarded, if any, may not be commercially meaningful. Accordingly,
our efforts to enforce our intellectual property rights around the world may be inadequate to obtain a significant commercial
advantage from the intellectual property that we develop or license. Furthermore, while we intend to protect our intellectual
property rights in our expected significant markets, we cannot ensure that we will be able to initiate or maintain similar efforts
in all jurisdictions in which we may wish to market our products or product candidates. Accordingly, our efforts to protect our
intellectual property rights in such countries may be inadequate, which may have an adverse effect on our ability to successfully
commercialize our product candidates in all of our expected significant foreign markets. If we or our licensors encounter difficulties
in protecting, or are otherwise precluded from effectively protecting, the intellectual property rights important for our business
in such jurisdictions, the value of these rights may be diminished, and we may face additional competition from others in those
jurisdictions.
Changes
to patent law, for example the Leahy-Smith America Invests Act, AIA or Leahy-Smith Act, of 2011 and the Patent Reform Act of 2009
and other future article of legislation in the U.S., may substantially change the regulations and procedures surrounding patent
applications, issuance of patents, prosecution of patents, challenges to patent validity, and patent enforcement. We can give
no assurances that our patents and those of our licensor(s) can be defended or will protect us against future intellectual property
challenges, particularly as they pertain to changes in patent law and future patent law interpretations.
In
addition, enforcing and maintaining our intellectual property protection depends on compliance with various procedural, document
submission, fee payment and other requirements imposed by the U.S. Patent and Trademark Office and courts, and foreign government
patent agencies and courts, and our patent protection could be reduced or eliminated for non-compliance with these requirements.
If
we are not able to protect and control our unpatented trade secrets, know-how and other technological innovation, we may suffer
competitive harm.
We
also rely on proprietary trade secrets and unpatented know-how to protect our research and development activities, particularly
when we do not believe that patent protection is appropriate or available. However, trade secrets are difficult to protect. We
will attempt to protect our trade secrets and unpatented know-how by requiring our employees, consultants, collaborators, and
advisors to execute a confidentiality and non-use agreement. We cannot guarantee that these agreements will provide meaningful
protection, that these agreements will not be breached, that we will have an adequate remedy for any such breach, or that our
trade secrets will not otherwise become known or independently developed by a third party. Our trade secrets, and those of our
present or future collaborators that we utilize by agreement, may become known or may be independently discovered by others, which
could adversely affect the competitive position of our product candidates.
- 34 -
We
may incur substantial costs enforcing our patents, defending against third-party patents, invalidating third-party patents or
licensing third-party intellectual property, as a result of litigation or other proceedings relating to patent and other intellectual
property rights.
We
may be unaware of or unfamiliar with prior art and/or interpretations of prior art that could potentially impact the validity
or scope of our patents or pending patent applications, or patent applications that we will file. We may have elected, or elect
now or in the future, not to maintain or pursue intellectual property rights that, at some point in time, may be considered relevant
to or enforceable against a competitor.
We
take efforts and enter into agreements with employees, consultants, collaborators, and advisors to confirm ownership and chain
of title in intellectual property rights. However, an inventorship or ownership dispute could arise that may permit one or more
third parties to practice or enforce our intellectual property rights, including possible efforts to enforce rights against us.
We
may not have rights under some patents or patent applications that may cover technologies that we use in our research, drug targets
that we select, product candidates and particular uses thereof that we seek to develop and commercialize, as well as synthesis
of our product candidates. Third parties may own or control these patents and patent applications in the United States and elsewhere.
These third parties could bring claims against us or our collaborators that would cause us to incur substantial expenses and,
if successful against us, could cause us to pay substantial damages. Further, if a patent infringement suit were brought against
us or our collaborators, we or they could be forced to stop or delay research, development, manufacturing or sales of the product
or product candidate that is the subject of the suit. We or our collaborators therefore may choose to seek, or be required to
seek, a license from the third-party and would most likely be required to pay license fees or royalties or both. These licenses
may not be available on acceptable terms, or at all. Even if we or our collaborators were able to obtain a license, the rights
may be nonexclusive, which would give our competitors access to the same intellectual property. Ultimately, we could be prevented
from commercializing a product or product candidate, or forced to cease some aspect of our business operations, as a result of
patent infringement claims, which could harm our business.
There
has been substantial litigation and other legal proceedings regarding patent and other intellectual property rights in the pharmaceutical
and biotechnology industries. Although we are not currently a party to any patent litigation or any other adversarial proceeding,
including any interference or derivation proceeding declared or instituted before the United States Patent and Trademark Office,
regarding intellectual property rights with respect to our products, product candidates and technology, it is possible that we
may become so in the future. We are not currently aware of any actual or potential third-party infringement claim involving our
product candidates. The cost to us of any patent litigation or other proceeding, even if resolved in our favor, could be substantial.
The outcome of patent litigation is subject to uncertainties that cannot be adequately quantified in advance, including the demeanor
and credibility of witnesses and the identity of the adverse party, especially in pharmaceutical and biotechnology related patent
cases that may turn on the testimony of experts as to technical facts upon which experts may reasonably disagree. Some of our
competitors may be able to sustain the costs of such litigation or proceedings more effectively than we can because of their substantially
greater financial resources. If a patent or other proceeding is resolved against us, we may be enjoined from researching, developing,
manufacturing or commercializing our products or product candidates without a license from the other party and we may be held
liable for significant damages. We may not be able to obtain any required license on commercially acceptable terms or at all.
Uncertainties
resulting from the initiation and continuation of patent litigation or other proceedings could harm our ability to compete in
the marketplace. Patent litigation and other proceedings may also absorb significant management time.
If
we are unable to protect our intellectual property rights, our competitors may develop and market products with similar features
that may reduce demand for our potential products.
The
following factors are important to our success:
●
receiving
patent protection for our product candidates;
●
preventing
others from infringing our intellectual property rights; and
●
maintaining
our patent rights and trade secrets.
- 35 -
We
will be able to protect our intellectual property rights in patents and trade secrets from unauthorized use by third parties only
to the extent that such intellectual property rights are covered by valid and enforceable patents or are effectively maintained
as trade secrets.
Because
issues of patentability involve complex legal and factual questions, the issuance, scope and enforceability of patents cannot
be predicted with certainty. Patents may be challenged, invalidated, found unenforceable, or circumvented. United States patents
and patent applications may be subject to interference and derivation proceedings, United States patents may also be subject to
post grant proceedings, including re-examination, derivation, Inter Partes Review and Post Grant Review, in the United
States Patent and Trademark Office and foreign patents may be subject to opposition or comparable proceedings in corresponding
foreign patent offices, which could result in either loss of the patent or denial of the patent application or loss or reduction
in the scope of one or more of the claims of the patent or patent application. In addition, such interference, derivation, post
grant and opposition proceedings may be costly. Thus, any patents that we own or license from others may not provide any protection
against competitors. Furthermore, an adverse decision in an interference or derivation proceeding can result in a third-party
receiving the patent rights sought by us, which in turn could affect our ability to market a potential product to which that patent
filing was directed. Our pending patent applications, those that we may file in the future, or those that we may license from
third parties may not result in patents being issued. If issued, they may not provide us with proprietary protection or competitive
advantages against competitors with similar technology. Furthermore, others may independently develop similar technologies or
duplicate any technology that we have developed. Many countries, including certain countries in Europe, have compulsory licensing
laws under which a patent owner may be compelled to grant licenses to third parties. For example, compulsory licenses may be required
in cases where the patent owner has failed to “work” the invention in that country, or the third-party has patented
improvements. In addition, many countries limit the enforceability of patents against government agencies or government contractors.
In these countries, the patent owner may have limited remedies, which could materially diminish the value of our patents. Moreover,
the legal systems of certain countries, particularly certain developing countries, do not favor the aggressive enforcement of
patents and other intellectual property protection, which makes it difficult to stop infringement.
In
addition, our ability to enforce our patent rights depends on our ability to detect infringement. It is difficult to detect infringers
who do not advertise or otherwise promote the compounds that are used in their products. Any litigation to enforce or defend our
patent rights, even if we prevail, could be costly and time-consuming and would divert the attention of management and key personnel
from business operations.
We
will also rely on trade secrets, know-how and technology, which are not protected by patents, to maintain our competitive position.
We will seek to protect this information by entering into confidentiality agreements with parties that have access to it, such
as strategic partners, collaborators, employees, contractors and consultants. Any of these parties may breach these agreements
and disclose our confidential information or our competitors might learn of the information in some other way. If any trade secret,
know-how or other technology not protected by a patent were disclosed to, or independently developed by, a competitor, our business,
financial condition and results of operations could be materially adversely affected.
Risks
Related to Commercialization of Our Current Product Candidate and Future Product Candidates
Our
commercial success depends upon attaining significant market acceptance of our current product candidate and future product candidates,
if approved, among physicians, patients, healthcare payors and cancer treatment centers.
Even
if we obtain regulatory approval for our current product candidate or any future product candidates, the products may not gain
market acceptance among physicians, healthcare payors, patients or the medical community, including cancer treatment centers.
Market acceptance of any product candidates for which we receive approval depends on a number of factors, including:
●
the
efficacy and safety of such product candidates as demonstrated in clinical trials;
- 36 -
●
the
clinical indications and patient populations for which the product candidate is approved;
●
acceptance
by physicians, major cancer treatment centers and patients of the drug as a safe and effective treatment;
●
the
adoption of novel immunotherapies by physicians, hospitals and third-party payors;
●
the
potential and perceived advantages of product candidates over alternative treatments;
●
the
safety of product candidates seen in a broader patient group, including our use outside the approved indications;
●
any
restrictions on use together with other medications;
●
the
prevalence and severity of any side effects;
●
product
labeling or product insert requirements of the FDA or other regulatory authorities;
●
the
timing of market introduction of our product as well as competitive products;
●
the
development of manufacturing and distribution processes for commercial scale manufacturing for our current product candidate
and any future product candidates;
●
the
cost of treatment in relation to alternative treatments;
●
the
availability of coverage and adequate reimbursement from third-party payors and government authorities;
●
relative
convenience and ease of administration; and
●
the
effectiveness of our sales and marketing efforts and those of our collaborators.
If
our current product and any future product candidates are approved but fail to achieve market acceptance among physicians, patients,
healthcare payors or cancer treatment centers, we will not be able to generate significant revenues, which would compromise our
ability to become profitable.
Even
if we are able to commercialize our current product candidate or any future product candidates, the products may not receive coverage
and adequate reimbursement from third-party payors in the U.S. and in other countries in which we seek to commercialize our products,
which could harm our business.
Our
ability to commercialize any product successfully will depend, in part, on the extent to which coverage and adequate reimbursement
for such product and related treatments will be available from third-party payors, including government health administration
authorities, private health insurers and other organizations.
Third-party
payors determine which medications they will cover and establish reimbursement levels. A primary trend in the healthcare industry
is cost containment. Third-party payors have attempted to control costs by limiting coverage and the amount of reimbursement for
particular medications. Increasingly, third-party payors are requiring that drug companies provide them with predetermined discounts
from list prices and are challenging the prices charged for medical products. Third-party payors may also seek additional clinical
evidence, beyond the data required to obtain regulatory approval, demonstrating clinical benefit and value in specific patient
populations before covering our product for those patients. We cannot be sure that coverage and adequate reimbursement will be
available for any product that we commercialize and, if coverage is available, what the level of reimbursement will be. Coverage
and reimbursement may impact the demand for, or the price of, any product candidate for which we obtain regulatory approval. If
reimbursement is not available or is available only at limited levels, we may not be able to successfully commercialize any product
candidate for which we obtain regulatory approval.
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There
may be significant delays in obtaining coverage and reimbursement for newly approved drugs, and coverage may be more limited than
the purposes for which the drug is approved by the FDA or comparable foreign regulatory authorities. Moreover, eligibility for
coverage and reimbursement does not imply that any drug will be paid for in all cases or at a rate that covers our costs, including
research, development, manufacture, sale and distribution. Interim reimbursement levels for new drugs, if applicable, may also
not be sufficient to cover our costs and may only be temporary. Reimbursement rates may vary according to the use of the drug
and the clinical setting in which it is used, may be based on reimbursement levels already set for lower cost drugs and may be
incorporated into existing payments for other services. Net prices for drugs may be reduced by mandatory discounts or rebates
required by third-party payors and by any future relaxation of laws that presently restrict imports of drugs from countries where
they may be sold at lower prices than in the U.S. No uniform policy for coverage and reimbursement exists in the U.S., and coverage
and reimbursement can differ significantly from payor to payor. Third-party payors often rely upon Medicare coverage policy and
payment limitations in setting their own reimbursement policies, but also have their own methods and approval process apart from
Medicare determinations. Our inability to promptly obtain coverage and profitable reimbursement rates from both government-funded
and private payors for any approved product that we develop could have a material adverse effect on our operating results, ability
to raise capital needed to commercialize our product and overall financial condition.
Healthcare
legislative measures aimed at reducing healthcare costs may have a material adverse effect on our business and results of operations.
Third-party
payors, whether domestic or foreign, or governmental or commercial, are developing increasingly sophisticated methods of controlling
healthcare costs. In both the U.S. and certain international jurisdictions, there have been a number of legislative and regulatory
changes to the health care system that could impact our ability to sell our product profitably. In particular, in 2010, the Affordable
Care Act (“ACA”) was enacted, which, among other things, subjected biologic products to potential competition by lower-cost
biosimilars, addressed a new methodology by which rebates owed by manufacturers under the Medicaid Drug Rebate Program are calculated
for drugs that are inhaled, infused, instilled, implanted or injected, increased the minimum Medicaid rebates owed by most manufacturers
under the Medicaid Drug Rebate Program, extended the Medicaid Drug Rebate Program to utilization of prescriptions of individuals
enrolled in Medicaid managed care organizations, subjected manufacturers to new annual fees and taxes for certain branded prescription
drugs, and provided incentives to programs that increase the federal government’s comparative effectiveness research. Since
its enactment, there have been judicial and Congressional challenges to certain aspects of the ACA, as well as recent efforts
by the current U.S. administration to repeal or repeal and replace certain aspects of the ACA. On December 14, 2018, a U.S. District
Court Judge in the Northern District of Texas, or the Texas District Court Judge, ruled that the individual mandate is a critical
and inseverable feature of the ACA, and therefore, because it was repealed as a part of the Tax Act, the remaining provisions
of the ACA are invalid as well. While the Texas District Court Judge, as well as the Trump Administration and CMS, have stated
that the ruling will have no immediate effect, it is unclear how this decision, subsequent appeals and other efforts to repeal
and replace the ACA will impact the ACA. Until there is more certainty concerning the future of the ACA, it will be difficult
to predict its full impact and influence on our business.
In
addition, other legislative changes have been proposed and adopted in the U.S. since the ACA was enacted. In August 2011, the
Budget Control Act of 2011, among other things, created 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 of Medicare payments to providers of 2% per fiscal year, which went into effect in
2013, and will remain in effect through 2027 unless additional Congressional action is taken. The American Taxpayer Relief Act
of 2012 further reduced Medicare payments to several providers, including hospitals and cancer treatment centers, and increased
the statute of limitations period for the government to recover overpayments to providers from three to five years.
There
have been, and likely will continue to be, legislative and regulatory proposals at the foreign, federal and state levels directed
at containing or lowering the cost of healthcare. We cannot predict the initiatives that may be adopted in the future. The continuing
efforts of the government, insurance companies, managed care organizations and other payors of healthcare services to contain
or reduce costs of healthcare and/or impose price controls may adversely affect:
●
the
demand for our product candidate, if we obtain regulatory approval;
- 38 -
●
our
ability to receive or set a price that we believe is fair for our product;
●
our
ability to generate revenue and achieve or maintain profitability;
●
the
level of taxes that we are required to pay; and
●
the
availability of capital.
We
expect that the ACA, as well as other healthcare reform measures that may be adopted in the future, may result in additional reductions
in Medicare and other healthcare funding, more rigorous coverage criteria, lower reimbursement and new payment methodologies.
This could lower the price that we receive for any approved product. Any denial in coverage or reduction in reimbursement from
Medicare or other government-funded programs may result in a similar denial or reduction in payments from private payors, which
may prevent us from being able to generate sufficient revenue, attain profitability or commercialize our product candidate, if
approved.
Price
controls may be imposed in foreign markets, which may adversely affect our future profitability.
In
some countries, particularly member states of the European Union, the pricing of prescription drugs is subject to governmental
control. In these countries, pricing negotiations with governmental authorities can take considerable time after receipt of regulatory
approval for a product. In addition, there can be considerable pressure by governments and other stakeholders on prices and reimbursement
levels, including as part of cost containment measures. Political, economic and regulatory developments may further complicate
pricing negotiations, and pricing negotiations may continue after reimbursement has been obtained. Reference pricing used by various
European Union member states and parallel distribution, or arbitrage between low-priced and high-priced member states, can further
reduce prices.
In
some countries, we or our collaborators may be required to conduct a clinical trial or other studies that compare the cost-effectiveness
of our product candidate to other available therapies in order to obtain or maintain reimbursement or pricing approval. Publication
of discounts by third-party payors or authorities may lead to further pressure on the prices or reimbursement levels within the
country of publication and other countries. If reimbursement of our product is unavailable or limited in scope or amount, or if
pricing is set at unsatisfactory levels, our business could be adversely affected.
Risks
Related to Healthcare Compliance Regulations
Our
relationships with customers and third-party payors will be subject to applicable anti-kickback, fraud and abuse and other healthcare
laws and regulations, which could expose us to criminal sanctions, civil penalties, contractual damages, reputational harm and
diminished profits and future earnings. If we or they are unable to comply with these provisions, we may become subject to civil
and criminal investigations and proceedings that could have a material adverse effect on our business, financial condition and
prospects.
Healthcare
providers, physicians and third-party payors will play a primary role in the recommendation and prescription of any product candidates
for which we obtain regulatory approval. Our current and future arrangements with healthcare providers, healthcare entities, third-party
payors and customers may expose us to broadly applicable fraud and abuse and other healthcare laws and regulations that may constrain
the business or financial arrangements and relationships through which we research, develop and will market, sell and distribute
our product. 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 payors, federal and state healthcare laws and regulations pertaining to fraud
and abuse and patients’ rights are applicable to our business. Restrictions under applicable federal and state healthcare
laws and regulations that may affect our ability to operate include the following:
●
the
federal healthcare Anti-Kickback Statute which prohibits, among other things, individuals and entities from knowingly and
willfully soliciting, offering, receiving or providing remuneration, directly or indirectly, overtly or covertly, in cash
or in kind, to induce or reward, or in return for, either the referral of an individual for, or the purchase, order or recommendation
of, any good or service, for which payment may be made under a federal healthcare program such as Medicare and Medicaid;
- 39 -
●
federal
civil and criminal false claims laws, including the federal False Claims Act that can be enforced through civil whistleblower
or qui tam actions, and civil monetary penalty laws, prohibit individuals or entities from knowingly presenting, or causing
to be presented, to the federal government, including the Medicare and Medicaid programs, claims for payment or approval that
are false or fraudulent or making a false statement to avoid, decrease or conceal an obligation to pay money to the federal
government;
●
the
federal Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) which imposes criminal and civil
liability for executing a scheme to defraud any healthcare benefit program and also created federal criminal laws that prohibit
knowingly and willfully falsifying, concealing or covering up a material fact or making any materially false statements in
connection with the delivery of or payment for healthcare benefits, items or services, as amended by the Health Information
Technology for Economic and Clinical Health Act of 2009 (“HITECH”) which imposes obligations, including mandatory
contractual terms, with respect to safeguarding the privacy, security and transmission of individually identifiable health
information on entities subject to the law, such as certain healthcare providers, health plans, and healthcare clearinghouses,
known as covered entities, and their respective business associates that perform services for them that involve the creation,
use, maintenance or disclosure of, individually identifiable health information;
●
the
federal physician sunshine requirements under the ACA which requires certain manufacturers of drugs, devices, biologics and
medical supplies, with certain exceptions, to report annually to HHS information related to payments and other transfers of
value to physicians, other healthcare providers, and teaching hospitals, and ownership and investment interests held by physicians
and other healthcare providers and their immediate family members and applicable group purchasing organizations;
●
analogous
state and foreign laws and regulations, such as state anti-kickback and false claims laws, which may apply to sales or marketing
arrangements and claims involving healthcare items or services reimbursed by non-governmental third-party payors, including
private insurers; some state laws which require pharmaceutical companies to comply with the pharmaceutical industry’s
voluntary compliance guidelines and the relevant compliance guidance promulgated by the federal government and may require
drug manufacturers to report information related to payments and other transfers of value to physicians and other healthcare
providers, marketing expenditures or pricing information; and certain state and local laws which require the registration
of pharmaceutical sales representatives; and
●
state
and foreign laws govern the privacy and security of health information in specified circumstances, many of which differ from
each other in significant ways and often are not pre-empted by HIPAA, thus complicating compliance efforts.
Efforts
to ensure that our business arrangements with third parties will comply with applicable healthcare laws and regulations will involve
substantial costs. It is possible that governmental authorities will conclude that our business practices may not comply with
current or future statutes, regulations or case law involving applicable fraud and abuse or other healthcare laws and regulations.
If our operations are found to be in violation of any of these laws or any other governmental regulations that may apply to us,
we may be subject to significant civil, criminal and administrative penalties, damages, fines, imprisonment, disgorgement, exclusion
from government funded healthcare programs, such as Medicare and Medicaid, integrity oversight and reporting obligations, and
the curtailment or restructuring of our operations. If any physicians or other healthcare providers or entities with whom we expect
to do business are found to not be in compliance with applicable laws, they may be subject to criminal, civil or administrative
sanctions, including exclusions from government funded healthcare programs.
- 40 -
Our
employees may engage in misconduct or other improper activities, including noncompliance with regulatory standards and requirements,
which could cause significant liability for us and harm our reputation.
We
are exposed to the risk of employee fraud or other misconduct, including intentional failures to comply with FDA regulations or
similar regulations of comparable foreign regulatory authorities, provide accurate information to the FDA or comparable foreign
regulatory authorities, comply with manufacturing standards we have established, comply with federal and state healthcare fraud
and abuse laws and regulations and similar laws and regulations established and enforced by comparable foreign regulatory authorities,
report financial information or data accurately or disclose unauthorized activities to us. Employee misconduct could also involve
the improper use of information obtained in the course of clinical trials, which could result in regulatory sanctions and serious
harm to our reputation. It is not always possible to identify and deter employee misconduct, and the precautions we take to detect
and prevent this activity may not be effective in controlling unknown or unmanaged risks or losses or in protecting us from governmental
investigations or other actions or lawsuits stemming from a failure to be in compliance with such laws or regulations. If any
such actions are instituted against us, and we are not successful in defending ourselves or asserting our rights, those actions
could have a significant impact on our business and results of operations, including the imposition of significant civil, criminal
and administrative penalties, damages, fines, imprisonment, exclusion from government funded healthcare programs, such as Medicare
and Medicaid, and integrity oversight and reporting obligations.
Product
liability lawsuits against us could cause us to incur substantial liabilities and to limit commercialization of any products that
we may develop.
We
face an inherent risk of product liability exposure related to the testing of our current product candidate or future product
candidates in human clinical trials and will face an even greater risk if we commercially sell any products that we may develop.
Product liability claims may be brought against us by subjects enrolled in our clinical trials, patients, healthcare providers
or others using, administering or selling our product. If we cannot successfully defend ourselves against claims that our product
candidate or product caused injuries, we could incur substantial liabilities. Regardless of merit or eventual outcome, liability
claims may result in:
●
decreased
demand for any product candidates or products that we may develop;
●
termination
of clinical trial sites or entire clinical trial programs;
●
injury
to our reputation and significant negative media attention;
●
withdrawal
of clinical trial participants;
●
significant
costs to defend the related litigation;
●
substantial
monetary awards to trial subjects or patients;
●
loss
of revenue;
●
diversion
of management and scientific resources from our business operations; and
●
the
inability to commercialize any products that we may develop.
Prior
to engaging in future clinical trials, we intend to obtain product liability insurance coverage at a level that we believe is
customary for similarly situated companies and adequate to provide us with insurance coverage for foreseeable risks; however,
we may be unable to obtain such coverage at a reasonable cost, if at all. If we are able to obtain product liability insurance,
we may not be able to maintain insurance coverage at a reasonable cost or in an amount adequate to satisfy any liability that
may arise and such insurance may not be adequate to cover all liabilities that we may incur. Furthermore, we intend to expand
our insurance coverage for products to include the sale of commercial products if we obtain regulatory approval for our product
candidate in development, but we may be unable to obtain commercially reasonable product liability insurance for any products
that receive regulatory approval. Large judgments have been awarded in class action lawsuits based on drugs that had unanticipated
side effects. A successful product liability claim or series of claims brought against us, particularly if judgments exceed our
insurance coverage, could decrease our cash and adversely affect our business.
- 41 -
Risks
Related to our Business Operations
We
face substantial competition, which may result in others discovering, developing or commercializing products before or more successfully
than we do.
We
will face competition from numerous pharmaceutical and biotechnology enterprises, as well as from academic institutions, government
agencies and private and public research institutions for our current product candidate. Our commercial opportunities will be
reduced or eliminated if our competitors develop and commercialize products that are safer, more effective, have fewer side effects
or are less expensive than any products that we may develop. Competition could result in reduced sales and pricing pressure on
our current product candidate, if approved, which in turn would reduce our ability to generate meaningful revenues and have a
negative impact on our results of operations. In addition, significant delays in the development of our product candidate could
allow our competitors to bring products to market before we do and impair our ability to commercialize our product candidate.
The biotechnology industry, including the cancer immunotherapy market, is intensely competitive and involves a high degree of
risk. We compete with other companies that have far greater experience and financial, research and technical resources than us.
Potential competitors in the U.S. and worldwide are numerous and include pharmaceutical and biotechnology companies, educational
institutions and research foundations, many of which have substantially greater capital resources, marketing experience, research
and development staffs and facilities than ours. Some of our competitors may develop and commercialize products that compete directly
with those incorporating our technology or may introduce products to market earlier than our product or on a more cost-effective
basis. Our competitors compete with us in recruiting and retaining qualified scientific and management personnel as well as in
acquiring technologies complementary to our technology. We may face competition with respect to product efficacy and safety, ease
of use and adaptability to various modes of administration, acceptance by physicians, the timing and scope of regulatory approvals,
availability of resources, reimbursement coverage, price and patent position, including the potentially dominant patent positions
of others. An inability to successfully complete our product development or commercializing our product candidate could result
in our having limited prospects for establishing market share or generating revenue.
Many
of our competitors or potential competitors have significantly greater established presence in the market, financial resources
and expertise in research and development, manufacturing, preclinical testing, conducting clinical trials, obtaining regulatory
approvals and marketing approved products than we do, and as a result may have a competitive advantage over us. Mergers and acquisitions
in the pharmaceutical and biotechnology industries may result in even more resources being concentrated among a smaller number
of our competitors. Smaller or early-stage companies may also prove to be significant competitors, particularly through collaborative
arrangements with large and established companies. These third parties compete with us in recruiting and retaining qualified scientific
and management personnel, establishing clinical trial sites and patient registration for clinical trials, as well as in acquiring
technologies and technology licenses complementary to our programs or potentially advantageous to our business.
As
a result of these factors, these competitors may obtain regulatory approval of their products before we are able to obtain patent
protection or other intellectual property rights, which will limit our ability to develop or commercialize our current product
candidate. Our competitors may also develop drugs that are safer, more effective, more widely used and cheaper than ours, and
may also be more successful than us in manufacturing and marketing their products. These appreciable advantages could render our
product candidate obsolete or non-competitive before we can recover the expenses of development and commercialization.
Our
business may be adversely affected by the ongoing coronavirus pandemic.
The
outbreak of the novel coronavirus (COVID-19) has evolved into a global pandemic. The coronavirus has spread to many regions of
the world. The extent to which the coronavirus impacts our business and operating results will depend on future developments that
are highly uncertain and cannot be accurately predicted, including new information that may emerge concerning the coronavirus
and the actions to contain the coronavirus or treat its impact, among others.
As
a result of the continuing spread of the coronavirus, our business operations could be delayed or interrupted. For instance, our
clinical trials may be affected by the pandemic. Site initiation, participant recruitment and enrollment, participant dosing,
distribution of clinical trial materials, study monitoring and data analysis may be paused or delayed due to changes in hospital
or university policies, federal, state or local regulations, prioritization of hospital resources toward pandemic efforts, or
other reasons related to the pandemic. If the coronavirus continues to spread, some participants and clinical investigators may
not be able to comply with clinical trial protocols. For example, quarantines or other travel limitations (whether voluntary or
required) may impede participant movement, affect sponsor access to study sites, or interrupt healthcare services, and we may
be unable to conduct our clinical trials. Further, if the spread of the coronavirus pandemic continues and our operations are
adversely impacted, we risk a delay, default and/or non-performance under existing agreements which may increase our costs. These
cost increases may not be fully recoverable or adequately covered by insurance.
- 42 -
Infections
and deaths related to the pandemic may disrupt the United States’ healthcare and healthcare regulatory systems. Such disruptions
could divert healthcare resources away from, or materially delay FDA review and/or approval with respect to, our clinical trials.
It is unknown how long these disruptions could continue, were they to occur. Any elongation or de-prioritization of our clinical
trials or delay in regulatory review resulting from such disruptions could materially affect the development and study of our
product candidates.
We
currently utilize third parties to, among other things, manufacture raw materials. If either any third-party parties in the supply
chain for materials used in the production of our product candidates are adversely impacted by restrictions resulting from the
coronavirus outbreak, our supply chain may be disrupted, limiting our ability to manufacture our product candidates for our clinical
trials and research and development operations.
As
a result of the shelter-in-place order and other mandated local travel restrictions, our employees conducting research and development
or manufacturing activities may not be able to access their laboratory or manufacturing space which may result in our core activities
being significantly limited or curtailed, possibly for an extended period of time.
The
spread of the coronavirus, which has caused a broad impact globally, including restrictions on travel and quarantine policies
put into place by businesses and governments, may have a material economic effect on our business. While the potential economic
impact brought by and the duration of the pandemic may be difficult to assess or predict, it has already caused, and is likely
to result in further, significant disruption of global financial markets, which may reduce our ability to access capital either
at all or on favorable terms. In addition, a recession, depression or other sustained adverse market event resulting from the
spread of the coronavirus could materially and adversely affect our business and the value of our common stock.
The
ultimate impact of the current pandemic, or any other health epidemic, is highly uncertain and subject to change. We do not yet
know the full extent of potential delays or impacts on our business, our clinical trials, our research programs, healthcare systems
or the global economy as a whole. However, these effects could have a material impact on our operations, and we will continue
to monitor the situation closely.
Significant
disruptions of information technology systems, computer system failures or breaches of information security could adversely affect
our business.
We
rely to a large extent upon sophisticated information technology systems to operate our business. In the ordinary course of business,
we collect, store and transmit large amounts of confidential information (including, but not limited to, personal information
and intellectual property). The size and complexity of our information technology and information security systems, and those
of our third-party vendors with whom we may contract, make such systems potentially vulnerable to service interruptions or to
security breaches from inadvertent or intentional actions by our employees or vendors, or from malicious attacks by third parties.
Such attacks are of ever-increasing levels of sophistication and are made by groups and individuals with a wide range of motives
(including, but not limited to, industrial espionage and market manipulation) and expertise. While we intend to invest in the
protection of data and information technology, there can be no assurance that our efforts will prevent service interruptions or
security breaches.
Our
internal computer systems, and those of our CROs, our CMOs, and other business vendors on which we may rely, are vulnerable to
damage from computer viruses, unauthorized access, natural disasters, fire, terrorism, war and telecommunication and electrical
failures. We exercise little or no control over these third parties, which increases our vulnerability to problems with their
systems. If such an event were to occur and cause interruptions in our operations, it could result in a material disruption of
our drug development programs. Any interruption or breach in our systems could adversely affect our business operations and/or
result in the loss of critical or sensitive confidential information or intellectual property, and could result in financial,
legal, business and reputational harm to us or allow third parties to gain material, inside information that they use to trade
in our securities. For example, the loss of clinical trial data from completed or ongoing clinical trials could result in delays
in our regulatory approval efforts and significantly increase our costs to recover or reproduce the data. To the extent that any
disruption or security breach results in a loss of or damage to our data or applications, or inappropriate disclosure of confidential
or proprietary information, we could incur liability, the further development of our current and future product candidates could
be delayed and our business could be otherwise adversely affected.
- 43 -
We
will need to grow the size of our organization in the future, and we may experience difficulties in managing this growth.
As
of March 12, 2021, we had three full-time employees and one part-time employee. We will need to grow the size of our organization
in order to support our continued development and potential commercialization of our product candidate. As our development and
commercialization plans and strategies continue to develop, our need for additional managerial, operational, manufacturing, sales,
marketing, financial and other resources may increase. Our management, personnel and systems currently in place may not be adequate
to support this future growth. Future growth would impose significant added responsibilities on members of management, including:
●
managing
our clinical trials effectively;
●
identifying,
recruiting, maintaining, motivating and integrating additional employees;
●
managing
our internal development efforts effectively while complying with our contractual obligations to licensors, licensees, contractors
and other third parties;
●
improving
our managerial, development, operational, information technology, and finance systems; and
●
expanding
our facilities.
If
our operations expand, we will also need to manage additional relationships with various strategic partners, suppliers and other
third parties. Our future financial performance and our ability to commercialize our product candidate and to compete effectively
will depend, in part, on our ability to manage any future growth effectively, as well as our ability to develop a sales and marketing
force when appropriate for our company. To that end, we must be able to manage our development efforts and preclinical studies
and clinical trials effectively and hire, train and integrate additional management, research and development, manufacturing,
administrative and sales and marketing personnel. The failure to accomplish any of these tasks could prevent us from successfully
growing our company.
Inadequate
funding for the FDA, the SEC and other government agencies could hinder their ability to hire and retain key leadership and other
personnel, prevent new products and services from being developed or commercialized in a timely manner or otherwise prevent those
agencies from performing normal business functions on which the operation of our business may rely, which could negatively impact
our business.
The
ability of the FDA to review and approve new products can be affected by a variety of factors, including government budget and
funding levels, ability to hire and retain key personnel and accept the payment of user fees, and statutory, regulatory, and policy
changes. Average review times at the agency have fluctuated in recent years as a result. In addition, government funding of the
SEC and other government agencies on which our operations may rely, including those that fund research and development activities
is subject to the political process, which is inherently fluid and unpredictable.
Disruptions
at the FDA and other agencies may also slow the time necessary for new drugs to be reviewed and/or approved by necessary government
agencies, which would adversely affect our business. For example, over the last several years, including beginning on December
22, 2018, the U.S. government has shut down several times and certain regulatory agencies, such as the FDA and the SEC, have had
to furlough critical FDA, SEC and other government employees and stop critical activities. If a prolonged government shutdown
occurs, it could significantly impact the ability of the FDA to timely review and process our regulatory submissions, which could
have a material adverse effect on our business. Further, in our operations as a public company, future government shutdowns could
impact our ability to access the public markets and obtain necessary capital in order to properly capitalize and continue our
operations.
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Risks
Related to Owning our Common Stock
We
are a “smaller reporting company” and we have elected to comply with certain reduced reporting and disclosure requirements
which could make its common stock less attractive to investors.
We
are a “smaller reporting company,” as defined in the Regulation S-K of the Securities Act of 1933, as amended, which
allows us to take advantage of certain exemptions from various reporting requirements that are applicable to other public companies
that are not smaller reporting companies, including (1) not being required to comply with the auditor attestation requirements
of Section 404 of the Sarbanes-Oxley Act of 2002, and (2) reduced disclosure obligations regarding executive compensation in our
periodic reports and proxy statements. In addition, as an emerging growth company, we are only required to provide two years of
audited financial statements in this document. As a result of these reduced reporting and disclosure requirements our financial
statements may not be comparable to SEC registrants not classified as emerging growth companies.
We
cannot predict if investors will find our common stock less attractive because we may rely on these exemptions. If some investors
find our common stock less attractive as a result, there may be a less active trading market for our common stock and our stock
price may be more volatile.
Our
independent registered public accounting firm is not be required to formally attest to the effectiveness of our internal control
over financial reporting until we are no longer a “smaller reporting company”. We cannot assure you that there will
not be material weaknesses or significant deficiencies in our internal controls in the future.
Investors
may find our common stock less attractive as a result of our election to utilize these exemptions, which could result in a less
active trading market for our common stock and/or the market price of our common stock may be more volatile.
The
Warrants are speculative in nature.
The
Warrants offered in our November 2020 public offering do not confer any rights of common stock ownership on their holders, such
as voting rights or the right to receive dividends, but rather merely represent the right to acquire shares of common stock at
a fixed price. Specifically, holders of the Warrants may exercise their right to acquire the common stock and pay an exercise
price of $5.70 per share. Furthermore, each Warrant will expire five (5) years from the original issuance date. In the event our
common stock price does not exceed the exercise price of the Warrants during the period when the Warrants are exercisable, the
Warrants may not have any value.
Holders
of the Warrants will have no rights as a common stockholder until they acquire our common stock.
Until
the acquisition of shares of our common stock upon exercise of the Warrants, a holder will have no rights with respect to shares
of our common stock issuable upon exercise of the Warrant. Upon exercise of a Warrant, a holder will be entitled to exercise the
rights of a common stockholder as to the security exercised only as to matters for which the record date occurs after the exercise.
There
is a limited market for the Warrants to purchase shares of our common stock.
Although
the Warrants are currently trading on The Nasdaq Capital Market, there can be no assurance that there will be an active trading
market for the Warrants. Without an active trading market, the liquidity of the Warrants will be limited.
Provisions
of the Warrants could discourage an acquisition of us by a third party.
Certain
provisions of the Warrants could make it more difficult or expensive for a third party to acquire us. The Warrants prohibit us
from engaging in certain transactions constituting “fundamental transactions” unless, among other things, the surviving
entity assumes our obligations under the Warrants. These and other provisions of the Warrants could prevent or deter a third party
from acquiring us even where the acquisition could be beneficial to you.
- 45 -
The
price of our common stock or Warrants may fluctuate substantially.
You
should consider an investment in our common stock and Warrants to be risky. Some factors that may cause the market price of our
common stock or Warrants to fluctuate, in addition to the other risks mentioned in this “Risk Factors”, are:
●
sale
of our common stock by our stockholders, executives, and directors and our stockholders
●
volatility
and limitations in trading volumes of our shares of common stock;
●
our
ability to obtain financings to conduct and complete research and development activities including, but not limited to, our
clinical trials, and other business activities;
●
the
timing and success of introductions of new products by us or our competitors or any other change in the competitive dynamics
of our industry, including consolidation among competitors, customers or strategic partners;
●
network
outages or security breaches;
●
our
ability to secure resources and the necessary personnel to conduct clinical trials on our desired schedule;
●
commencement,
enrollment or results of our clinical trials for our product candidate or any future clinical trials we may conduct;
●
changes
in the development status of our product candidate;
●
any
delays or adverse developments or perceived adverse developments with respect to the FDA’s review of our planned preclinical
and clinical trials;
●
any
delay in our submission for studies or product approvals or adverse regulatory decisions, including failure to receive regulatory
approval for our product candidate;
●
unanticipated
safety concerns related to the use of our product candidate;
●
failures
to meet external expectations or management guidance;
●
changes
in our capital structure or dividend policy, future issuances of securities, sales of large blocks of common stock by our
stockholders;
●
our
cash position;
●
announcements
and events surrounding financing efforts, including debt and equity securities;
●
our
inability to enter into new markets or develop new products;
●
reputational
issues;
●
competition
from existing technologies and products or new technologies and products that may emerge;
●
announcements
of acquisitions, partnerships, collaborations, joint ventures, new products, capital commitments, or other events by us or
our competitors;
- 46 -
●
changes
in general economic, political and market conditions in or any of the regions in which we conduct our business;
●
changes
in industry conditions or perceptions;
●
changes
in valuations of similar companies or groups of companies;
●
analyst
research reports, recommendation and changes in recommendations, price targets, and withdrawals of coverage;
●
departures
and additions of key personnel;
●
disputes
and litigations related to intellectual properties, proprietary rights, and contractual obligations;
●
changes
in applicable laws, rules, regulations, or accounting practices and other dynamics; and
●
other
events or factors, many of which may be out of our control.
In
addition, if the market for stocks in our industry or industries related to our industry, or the stock market in general, experiences
a loss of investor confidence, the trading price of our common stock could decline for reasons unrelated to our business, financial
condition and results of operations. If any of the foregoing occurs, it could cause our stock price to fall and may expose us
to lawsuits that, even if unsuccessful, could be costly to defend and a distraction to management.
A
sale or perceived sale of a substantial number of shares of our common stock may cause the price of our common stock to decline.
In
connection with our recent public offering of shares of our common stock and Warrants, all of our executive officers and directors
and certain of our stockholders and warrant holders have agreed not to sell shares of our common stock for a period of 180 days
(until May 30, 2021), subject to extension under specified circumstances. Common stock subject to these lock-up agreements will
become eligible for sale in the public market upon expiration of these lock-up agreements, subject to limitations imposed by Rule
144 under the Securities Act of 1933, as amended. If our stockholders sell substantial amounts of our common stock in the public
market, the market price of our common stock could fall. Moreover, the perceived risk of this potential dilution could cause stockholders
to attempt to sell their shares and investors to short our common stock. These sales also may make it more difficult for us to
sell equity or equity-related securities in the future at a time and price that we deem reasonable or appropriate.
Market
and economic conditions may negatively impact our business, financial condition and share price.
Concerns
over medical epidemics, energy costs, geopolitical issues, the U.S. mortgage market and a deteriorating real estate market, unstable
global credit markets and financial conditions, and volatile oil prices have led to periods of significant economic instability,
diminished liquidity and credit availability, declines in consumer confidence and discretionary spending, diminished expectations
for the global economy and expectations of slower global economic growth, increased unemployment rates, and increased credit defaults
in recent years. Our general business strategy may be adversely affected by any such economic downturns (including the current
downturn related to the current COVID-19 pandemic), volatile business environments and continued unstable or unpredictable economic
and market conditions. If these conditions continue to deteriorate or do not improve, it may make any necessary debt or equity
financing more difficult to complete, more costly, and more dilutive. Failure to secure any necessary financing in a timely manner
and on favorable terms could have a material adverse effect on our growth strategy, financial performance, and share price and
could require us to delay or abandon development or commercialization plans.
- 47 -
If
securities or industry analysts do not publish research or reports, or publish unfavorable research or reports about our business,
our stock price and trading volume may decline.
The
trading market for our common stock will rely in part on the research and reports that industry or financial analysts publish
about us, our business, our markets and our competitors. We do not control these analysts. If securities analysts do not cover
our common stock, the lack of research coverage may adversely affect the market price of our common stock. Furthermore, if one
or more of the analysts who do cover us downgrade our stock or if those analysts issue other unfavorable commentary about us or
our business, our stock price would likely decline. If one or more of these analysts cease coverage of us or fails to regularly
publish reports on us, we could lose visibility in the market and interest in our stock could decrease, which in turn could cause
our stock price or trading volume to decline and may also impair our ability to expand our business with existing customers and
attract new customers.
Because
certain of our stockholders control a significant number of shares of our common stock, they may have effective control over actions
requiring stockholder approval.
Our
directors, executive officers and principal stockholders, and their respective affiliates, currently beneficially own approximately
75% of our outstanding shares of common stock, based on 13,538,259 shares of common stock currently issued and outstanding. This
percentage increases to approximately 76% in the event that the shares of our Series A Preferred Stock are converted into shares
of common stock. As a result, these stockholders, acting together, would have the ability to control the outcome of matters submitted
to our stockholders for approval, including the election of directors and any merger, consolidation or sale of all or substantially
all of our assets. In addition, these stockholders, acting together, would have the ability to control the management and affairs
of our company. Accordingly, this concentration of ownership might harm the market price of our common stock by:
●
delaying,
deferring or preventing a change in corporate control;
●
impeding
a merger, consolidation, takeover or other business combination involving us; or
●
discouraging
a potential acquirer from making a tender offer or otherwise attempting to obtain control of us.
Future
sales and issuances of our common stock could result in additional dilution of the percentage ownership of our stockholders and
could cause our share price to fall.
We
expect that significant additional capital will be needed in the future to continue our planned operations, including increased
marketing, hiring new personnel, commercializing our product, and continuing activities as an operating public company. To the
extent we raise additional capital by issuing equity securities, our stockholders may experience substantial dilution. We may
sell common stock, convertible securities or other equity securities in one or more transactions at prices and in a manner we
determine from time to time. If we sell common stock, convertible securities or other equity securities in more than one transaction,
investors may be materially diluted by subsequent sales. Such sales may also result in material dilution to our existing stockholders,
and new investors could gain rights superior to our existing stockholders.
We
do not intend to pay cash dividends on our shares of common stock so any returns will be limited to the value of our shares.
We
currently anticipate that we will retain future earnings for the development, operation and expansion of our business and do not
anticipate declaring or paying any cash dividends for the foreseeable future. Any return to stockholders will therefore be limited
to the increase, if any, of our share price.
We
may be at risk of securities class action litigation.
We
may be at risk of securities class action litigation. In the past, biotechnology and pharmaceutical companies have experienced
significant stock price volatility, particularly when associated with binary events such as clinical trials and product approvals.
If we face such litigation, it could result in substantial costs and a diversion of management’s attention and resources,
which could harm our business and results in a decline in the market price of our common stock.
- 48 -
Our
Certificate of Incorporation and our Amended and Restated Bylaws, and Delaware law may have anti-takeover effects that could discourage,
delay or prevent a change in control, which may cause our stock price to decline.
Our
Certificate of Incorporation and our Amended and Restated Bylaws, and Delaware law could make it more difficult for a third party
to acquire us, even if closing such a transaction would be beneficial to our stockholders. We are authorized to issue up to 10,000,000
shares of preferred stock. This preferred stock may be issued in one or more series, the terms of which may be determined at the
time of issuance by our Board of Directors without further action by stockholders. The terms of any series of preferred stock
may include voting rights (including the right to vote as a series on particular matters), preferences as to dividend, liquidation,
conversion and redemption rights and sinking fund provisions. As of March 12, 2021, we have designated 350,000 shares of preferred
stock as Series A Convertible Preferred Stock, all of which are issued and outstanding. The issuance of any preferred stock could
materially adversely affect the rights of the holders of our common stock, and therefore, reduce the value of our common stock.
In particular, specific rights granted to future holders of preferred stock could be used to restrict our ability to merge with,
or sell our assets to, a third party and thereby preserve control by the present management.
Provisions
of our Certificate of Incorporation and our Amended and Restated Bylaws and Delaware law also could have the effect of discouraging
potential acquisition proposals or making a tender offer or delaying or preventing a change in control, including changes a stockholder
might consider favorable. Such provisions may also prevent or frustrate attempts by our stockholders to replace or remove our
management. In particular, the certificate of incorporation and bylaws and Delaware law, as applicable, among other things:
●
provide
the Board of Directors with the ability to alter the bylaws without stockholder approval;
●
place
limitations on the removal of directors;
●
establishing
advance notice requirements for nominations for election to the Board of Directors or for proposing matters that can be acted
upon at stockholder meetings; and
●
provide
that vacancies on the Board of Directors may be filled by a majority of directors in office, although less than a quorum.
Financial
reporting obligations of being a public company in the U.S. are expensive and time-consuming, and our management will be required
to devote substantial time to compliance matters.
As
a publicly traded company we incur significant additional legal, accounting and other expenses. The obligations of being a public
company in the U.S. require significant expenditures and will place significant demands on our management and other personnel,
including costs resulting from public company reporting obligations under the Exchange Act and the rules and regulations regarding
corporate governance practices, including those under the Sarbanes-Oxley Act, the Dodd-Frank Wall Street Reform and Consumer Protection
Act, and the listing requirements of the stock exchange on which our securities are listed. These rules require the establishment
and maintenance of effective disclosure and financial controls and procedures, internal control over financial reporting and changes
in corporate governance practices, among many other complex rules that are often difficult to implement, monitor and maintain
compliance with. Moreover, despite recent reforms made possible by the JOBS Act, the reporting requirements, rules, and regulations
will make some activities more time-consuming and costly, particularly after we are no longer an “emerging growth company”.
In addition, we expect these rules and regulations to make it more difficult and more expensive for us to obtain director and
officer liability insurance. Our management and other personnel will need to devote a substantial amount of time to ensure that
we comply with all of these requirements and to keep pace with new regulations, otherwise we may fall out of compliance and risk
becoming subject to litigation or being delisted, among other potential problems.
- 49 -
If
we fail to comply with the rules under Sarbanes-Oxley related to accounting controls and procedures in the future, or, if we discover
material weaknesses and other deficiencies in our internal control and accounting procedures, our stock price could decline significantly
and raising capital could be more difficult.
Section
404 of Sarbanes-Oxley requires annual management assessments of the effectiveness of our internal control over financial reporting.
If we fail to comply with the rules under Sarbanes-Oxley related to disclosure controls and procedures in the future, or, if we
discover material weaknesses and other deficiencies in our internal control and accounting procedures, our stock price could decline
significantly and raising capital could be more difficult. If material weaknesses or significant deficiencies are discovered or
if we otherwise fail to achieve and maintain the adequacy of our internal control, we may not be able to ensure that we can conclude
on an ongoing basis that we have effective internal controls over financial reporting in accordance with Section 404 of Sarbanes-Oxley.
Moreover, effective internal controls are necessary for us to produce reliable financial reports and are important to helping
prevent financial fraud. If we cannot provide reliable financial reports or prevent fraud, our business and operating results
could be harmed, investors could lose confidence in our reported financial information, and the trading price of our common stock
could drop significantly.
ITEM
1B. UNRESOLVED STAFF COMMENTS
None.
ITEM
2. PROPERTIES
None.
ITEM
3. LEGAL PROCEEDINGS
The
Company is not a party to any threatened or pending legal proceedings.
ITEM
4. MINE SAFETY DISCLOSURES
Not
applicable.
- 50 -
PART
II
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.