Item 7. Management’s Discussion and Analysis
ITEM
7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
You
should read the following discussion and analysis of our financial condition and results of operations together with and our consolidated
financial statements and the related notes appearing elsewhere in this Annual Report on Form 10-K. In addition to historical information,
this discussion and analysis contains forward-looking statements that involve risks, uncertainties and assumptions. Our actual results
may differ materially from those discussed below. Factors that could cause or contribute to such differences include, but are not limited
to, those identified below, and those discussed in the section titled “Risk Factors” included elsewhere in this Annual Report
on Form 10-K.
Overview
The
Company is a clinical-stage biopharmaceutical company focused on identifying new targets for cancer drug development and developing
and commercializing cancer therapies. The Company is the majority shareholder of Liora Technologies Europe Ltd., which is pioneering
the development of electronically controlled proton therapy systems for treating tumors in various types of cancers. The
Company’s corporate office is located in Boca Raton, Florida.
The
Company’s product pipeline is primarily focused on inhibitors of protein phosphatase 2A, which is used to enhance cytotoxic agents,
radiation, immune checkpoint blockers and other cancer therapies. The Company believes that inhibitors of protein phosphatases have significant
therapeutic potential for a broad range of cancers. The Company is focusing on the clinical development of a specific protein phosphatase
inhibitor, referred to as LB-100, which has been shown to have clinical anti-cancer activity.
Liora’s proprietary technology,
known as LiGHT System (Linac for Image Guided Hadron Therapy), has significant advantages over currently available technologies for treating
tumors with proton therapy. Liora is an excellent complement to the pharmaceutical side of the Company’s business and ongoing clinical
trials with LB-100 for Ovarian Clear Cell Carcinoma and Metastatic Colon Cancer, The Company’s strategy for the LiGHT system is
to position it as a functional prototype asset (rather than a turnkey clinical system), valued primarily for its intellectual property,
accelerator hardware configuration, and accumulated engineering work, without immediate clinical operability. It will be saleable as a
functional unlicensed prototype to be copied and licensed at locations closer to large patient populations.
The
Company’s activities are subject to significant risks and uncertainties, including the need for additional capital. The Company
has not yet commenced any revenue-generating operations, does not have positive cash flows from operations, relies on stock-based compensation
for a substantial portion of employee and consultant compensation, and is dependent on periodic access to equity capital to fund its
operating requirements.
Recent
Significant Developments
Issuance
of News Releases
February
25, 2025-
The
Company announced that it had added the Robert H. Lurie Comprehensive Cancer Center (Lurie Cancer Center) of Northwestern University
as a second site in a clinical trial combining the Company’s proprietary compound LB-100 with GSK’s dostarlimab to treat
ovarian clear cell cancer.
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March
10, 2025 –
The
Company announced online publication of new pre-clinical data in BioXriv and International Journal of Pharmaceutics demonstrating how
the Company’s lead clinical compound, LB-100, is converted into its active form, endothall, a protein phosphatase (PP2A) inhibitor
that has been found to be effective in cancer treatment in combination with immunotherapy.
As
published in BioXriv, scientists at the Netherlands Cancer Institute have discovered an enzyme that mediates the conversion of LB-100
into the active metabolite endothall. Accordingly, this protein represents a potential biomarker to identify patients who are most likely
to respond to LB100. The biomarker discovery study was performed in the laboratories of Professor Rene Bernards, group leader at the
Netherlands Cancer Institute and LIXTE board member.
As
published in the International Journal of Pharmaceutics, Dr. Hans Rollema and colleagues, medicinal chemists and biochemists at BioPharmaWorks
LLC, a consultant to LIXTE, studied how LB-100 can spontaneously convert into the active metabolite endothall by hydrolysis. Their data
indicate that this conversion is slow under physiological conditions. The enzymatic conversion of LB-100 identified by the Bernards laboratory
expedites the activation of LB-100 inside the cell.
Other
Significant Developments:
Effective
March 11, 2025, the Company entered into Amendment No. 1 to the Collaboration Agreement between the Company and GEIS that relieved the
Company of the financial obligation to support the randomized Phase 2 portion of the clinical trial contemplated in the Collaboration
Agreement of approximately $3,095,000, as more fully described below at Principal Commitments – Clinical Trial Agreements - GEIS.
Going
Concern
For
the year ended December 31, 2025, the Company incurred a net loss of $6,009,520 and used cash in operations of $3,070,618. As of December
31, 2025, the Company had cash of $5,106,872 available to fund its operations. The Company has not generated recurring revenues since
inception and has incurred negative operating cash flows as it advances its clinical development programs.
The
Company is currently engaged in early-stage clinical trials for its lead product candidate, LB-100. These activities require substantial
research, development, regulatory, and clinical expenditures, and the Company does not expect to generate sustainable operating revenues
for several years, if ever. At March 31, 2026, the Company’s remaining contractual commitments pursuant to clinical trial agreements
and clinical trial monitoring agreements aggregated approximately $496,000, which are expected to be incurred through December 31, 2027.
In
addition, through the acquisition of Liora Technologies Europe Ltd. in November 2025, the Company assumed responsibility for the non-clinical
LiGHT proton therapy prototype located at the Daresbury Laboratory in the United Kingdom. The Company expects to incur approximately
$2 million over the next twenty-four months to recommission and update the system, together with annual lease obligations of approximately
$787,278 under an operating lease with the United Kingdom Research and Innovation. Liora currently has no revenues, and the Company will
require additional capital to fund these activities.
Management
is actively evaluating and pursuing additional financing alternatives, including equity and debt financings and potential strategic transactions.
However, there can be no assurance that additional funding will be available on acceptable terms, in sufficient amounts, or at all. If
the Company is unable to obtain the necessary funding, it may be required to delay, scale back, or eliminate its clinical development
programs; curtail expenditures related to the LiGHT system; or pursue strategic alternatives, including potential asset sales or the
cessation of operations.
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As a result, management has concluded,
and our independent registered public accounting firm has agreed with our conclusion, that there is a substantial doubt regarding the
Company’s ability to continue as a going concern for a period of at least 12 months beyond the filing of this Annual Report on Form
10-K. As a result, the report of our independent registered public accounting firm on our financial statements for the year ended December
31, 2025, includes an explanatory paragraph regarding the existence of substantial doubt about our ability to continue as a going concern.
Nasdaq
Compliance
The
Company’s common stock is traded on the Nasdaq Capital Market under the symbol “LIXT”.
On
June 2, 2023, the Company effected a 1-for-10 reverse split of its outstanding shares of common stock in order to remain in compliance
with the $1.00 minimum closing bid price requirement of Nasdaq. However, there can be no assurances that the Company will be able to
remain in compliance with the $1.00 minimum closing bid price requirement of Nasdaq over time. In addition, Nasdaq has other continued
listing requirements, one of which is maintaining a minimum net stockholders’ equity of $2,500,000.
On
August 23, 2024, the Company received a letter from the Listing Qualifications Department (the “Staff”) of the Nasdaq Stock
Market LLC (“Nasdaq”) on August 19, 2024 indicating that the Company was not in compliance with the minimum stockholders’
equity requirement of $2,500,000 for continued listing on the Nasdaq Capital Market under Listing Rule 5550(b) (the “Stockholders’
Equity Requirement”).
On
October 3, 2024, the Company submitted a plan to the Staff to regain compliance with the Stockholders’ Equity Requirement, which
outlined the Company’s proposed initiatives to regain compliance by raising equity capital through various registered equity offerings.
On
October 21, 2024, the Staff provided notice (the “Notice”) to the Company that it had granted an extension through February
18, 2025 to regain compliance with the Stockholders’ Equity Requirement, which required that the Company complete its capital raising
initiatives and evidence compliance with the Stockholders’ Equity Requirement through filing a Current Report on Form 8-K with
the Securities and Exchange Commission (the “SEC”) providing certain required information.
As
of February 18, 2025, the Company had not gained compliance with the Stockholders’ Equity Requirement. Accordingly, on February
19, 2025, the Company received a Staff determination letter from the Staff stating that the Company did not meet the terms of the extension
because it did not complete its proposed financing initiatives to regain compliance.
The
Company did not meet the terms of the extension and, on February 19, 2025, received a Staff determination letter. The Company timely
requested a hearing before the Nasdaq Hearings Panel, staying any suspension or delisting pending the Panel’s decision.
Following
an April 3, 2025 hearing, the Panel granted the Company a further extension through July 3, 2025 to regain compliance.
On
July 2, 2025, the Company closed a $5.05 million private placement and, on July 8, 2025, completed a $1.5 million registered
direct offering (see Note 5). On July 15, 2025, Nasdaq notified the Company that it had regained compliance with the stockholders’
equity requirement.
The
Company remains subject to a Panel Monitor under Nasdaq Listing Rule 5815(d)(4)(B) through July 15, 2026. During this period, any future
deficiency in stockholders’ equity would require the Company to request a hearing before the Panel rather than submit a new compliance
plan.
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Recent
Accounting Pronouncements
A
description of recently issued accounting pronouncements that may potentially impact the Company’s consolidated financial statements,
including their presentation and related disclosures, is provided in Note 2 to consolidated financial statements included elsewhere in
this document.
Critical
Accounting Policies and Estimates
The
preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported
amounts of assets and liabilities at the date of the financial statements and the reported amounts of expenses during the reporting period.
Some of those judgments can be subjective and complex, and therefore, actual results could differ materially from those estimates under
different assumptions or conditions. Management bases its estimates on historical experience and on various assumptions that are believed
to be reasonable in relation to the financial statements taken, as a whole, under the circumstances, the results of which form the basis
for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Management
regularly evaluates the key factors and assumptions used to develop the estimates utilizing currently available information, changes
in facts and circumstances, historical experience, and reasonable assumptions. After such evaluations, if deemed appropriate, those estimates
are adjusted accordingly. Actual results could differ from those estimates. Significant estimates include those related to assumptions
used in the calculation of accruals for clinical trial costs and other potential liabilities, and valuing equity instruments issued for
services.
The
following critical accounting policies affect the more significant judgements and estimates used in the preparation of the Company’s
consolidated financial statements.
Asset
Acquisitions
The
Company assesses whether an acquisition is a business combination or an asset acquisition. If substantially all of the gross assets acquired
are concentrated in a single asset or group of similar assets, then the acquisition is accounted for as an asset acquisition, where the
purchase consideration is allocated on a relative fair value basis to the assets acquired. An asset acquisition does not result in the
recognition of goodwill and transaction costs are capitalized as part of the cost of the asset or group of assets acquired. The Company
uses its best estimates and assumptions to assign fair value to the tangible and intangible assets acquired and liabilities assumed at
the acquisition date. The acquisitions costs are allocated to the assets acquired on a relative fair value basis.
Digital
Assets
The
Company periodically holds certain digital assets, consisting of Bitcoin and Ethereum cryptocurrencies. Digital assets are initially
recorded at cost and subsequently measured at fair value as of each reporting period. The Company determines the fair value of its digital
assets in accordance with FASB ASC 820, Fair Value Measurement, based on quoted prices on the active exchange(s) that it has determined
is the principal market for Bitcoin and Ethereum (Level 1). Changes in fair value are included in unrealized gain (loss) on digital assets
in other income (expense) in the Company’s consolidated statements of operations. Realized gains and losses on the sale of digital
assets are included in other income (expense) in the Company’s consolidated statements of operations. The Company tracks its cost
basis of digital assets in accordance with the first-in-first-out method of accounting. The Company’s digital assets are reasonably
expected to be realized in cash or sold or consumed during the Company’s normal operating cycle and as such have been classified
as current assets in the Company’s consolidated balance sheets.
Property
and Equipment
The
Company property and equipment consists of Liora’s Light machine. Property and equipment are recorded at cost. The Light machine
requires recommissioning and updates and is not yet ready for its intended use. Accordingly, it is treated as an asset under construction,
and depreciation will not begin until the asset is placed into service.
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Long
– Lived Assets
Long-lived
assets, which include property, plant and equipment and operating lease right-of-use assets, are reviewed for impairment whenever events
or changes in circumstances indicate the carrying amount of an asset may not be recoverable.
Recoverability
of long-lived assets to be held and used is measured by comparing the carrying amount of an asset to the estimated undiscounted future
cash flows expected to be generated by the asset. If the carrying amount of an asset exceeds its estimated undiscounted future cash flows,
an impairment charge is recognized by the amount by which the carrying amount of the asset exceeds the fair value of the assets. Fair
value is generally determined using the asset’s expected future discounted cash flows or market value, if readily determinable.
The
Company reviews long-lived assets for impairment whenever events or changes in circumstances indicate that the asset’s carrying
amount may not be recoverable. In conducting its long-lived asset impairment analyses, the Company groups assets and liabilities at the
lowest level for which identifiable cash flows are largely independent of the cash flows of other assets and liabilities and evaluates
the asset group against the sum of the undiscounted future cash flows. If the undiscounted cash flows do not indicate the carrying amount
of the asset is recoverable, an impairment charge is measured as the amount by which the carrying amount of the asset group asset group
exceeds its fair value based on discounted cash flow analysis or appraisals. There was no impairment of long-lived assets for the periods
ended December 31, 2025 and 2024.
Research
and Development
Research
and development costs are charged to expense as incurred. The costs of equipment that are acquired or constructed for research and development
activities, and have alternative future uses, are classified as property and equipment and depreciated over their estimated useful lives.
Research and development costs consist primarily of fees paid to consultants and contractors, and other expenses relating to the negotiation,
design, development, conduct and management of clinical trials with respect to the Company’s clinical compound and product candidate.
Research and development costs also include the costs to manufacture compounds used in research and clinical trials, which are charged
to operations as incurred. The Company’s inventory of LB-100 for clinical use has been manufactured separately in the United States
and in the European Union in accordance with the laws and regulations of such jurisdictions.
Research
and development costs are generally charged to operations ratably over the life of the underlying contracts, unless the achievement of
milestones, the completion of contracted work, the termination of an agreement, or other information indicates that a different expensing
schedule is more appropriate. However, payments for research and development costs that are contractually defined as non-refundable are
charged to operations as incurred.
Obligations
incurred with respect to mandatory scheduled payments under agreements with milestone provisions are recognized as charges to research
and development costs in the Company’s consolidated statement of operations based on the achievement of such milestones, as specified
in the respective agreement. Obligations incurred with respect to mandatory scheduled payments under agreements without milestone provisions
are accounted for when due, are recognized ratably over the appropriate period, as specified in the respective agreement.
Payments
made pursuant to contracts are initially recorded as advances on research and development contract services in the Company’s consolidated
balance sheet and are then charged to research and development costs in the Company’s consolidated statement of operations as those
contract services are performed. Expenses incurred under contracts in excess of amounts advanced are recorded as research and development
contract liabilities in the Company’s consolidated balance sheet, with a corresponding charge to research and development costs
in the Company’s consolidated statement of operations. The Company reviews the status of its various clinical trial and research
and development contracts on a quarterly basis.
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Stock-Based
Compensation
The
Company periodically issues common stock and stock options to officers, directors, employees, contractors and consultants for services
rendered. Options vest and expire according to terms established at the issuance date of each grant. Stock grants, which are generally
time vested, are measured at the grant date fair value and charged to operations ratably over the vesting period.
The
Company accounts for stock-based payments to officers, directors, employees, contractors, and consultants by measuring the cost of services
received in exchange for equity awards utilizing the grant date fair value of the awards, with the cost recognized as compensation expense
on the straight-line basis in the Company’s financial statements over the vesting period of the awards. Recognition of compensation
expense for non-employees is in the same period and manner as if the Company had paid cash for the services.
The
fair value of stock options granted as stock-based compensation is determined utilizing the Black-Scholes option-pricing model, and is
affected by several variables, the most significant of which are the expected life of the stock option, the exercise price of the stock
option as compared to the fair market value of the common stock on the grant date, and the estimated volatility of the common stock.
Unless sufficient historical exercise data is available, the expected life of the stock option is calculated as the mid-point between
the vesting period and the contractual term (the “simplified method”). The estimated volatility is based on the historical
volatility of the Company’s common stock, calculated utilizing a look-back period approximately equal to the contractual life of
the stock option being granted. The risk-free interest rate is based on the U.S. Treasury yield curve in effect at the time of grant.
The fair market value of the common stock is determined by reference to the quoted market price of the Company’s common stock on
the grant date. The expected dividend yield is based on the Company’s expectation of dividend payouts and is assumed to be zero.
The
Company recognizes the fair value of stock-based compensation awards in general and administrative costs and in research and development
costs, as appropriate, in the Company’s consolidated statements of operations. The Company issues new shares of common stock to
satisfy stock option exercises.
Warrants
The
Company accounts for warrants as either equity-classified or liability-classified instruments based on an assessment of the warrant’s
specific terms and applicable authoritative guidance in Accounting Standards Codification (“ASC”) 480, Distinguishing Liabilities
from Equity (“ASC 480”), and ASC 815, Derivatives and Hedging (“ASC 815”). The assessment considers whether the
warrants are freestanding financial instruments pursuant to ASC 480, meet the definition of a liability pursuant to ASC 480, and whether
the warrants meet all of the requirements for equity classification under ASC 815, including whether the warrants are indexed to the
Company’s own common stock and whether the warrant holders could potentially require “net cash settlement” in a circumstance
outside of the Company’s control, among other conditions for equity classification. This assessment, which requires the use of
professional judgment, is conducted when the warrants are issued and at the end each subsequent quarterly period while the warrants are
outstanding. For issued or modified warrants that meet all of the criteria for equity classification, the warrants are required to be
recorded as a component of additional paid-in capital at the time of issuance. For issued or modified warrants that do not meet all of
the criteria for equity classification, the warrants are required to be liability-classified and recorded at their initial fair value
on the date of issuance and remeasured at fair value at each reporting date. Effective November 28, 2025, the Company delisted its public
warrants that traded under the symbol “LIXTW”. At December 31, 2025 and 2024, the Company did not have any liability-classified
warrants.
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Summary
of Business Activities and Plans
Company
Overview
The
Company is a clinical-stage biopharmaceutical and proton cancer therapy company focused on identifying new targets for cancer drug development
and developing and commercializing cancer therapies. The Company’s product pipeline is primarily focused on inhibitors of protein
phosphatase 2A, which is used to enhance cytotoxic agents, radiation, immune checkpoint blockers and other cancer therapies. The Company
believes that inhibitors of protein phosphatases have significant therapeutic potential for a broad range of cancers. The Company is
focusing on the clinical development of a specific protein phosphatase inhibitor, referred to as LB-100, which has been shown to have
clinical anti-cancer activity.
The
Company is the majority shareholder of Liora Technologies Europe Ltd., which is pioneering the development of electronically controlled
proton therapy systems for treating tumors in various types of cancers. Liora’s proprietary technology, known as LiGHT System (Linac
for Image Guided Hadron Therapy), has significant advantages over currently available technologies for treating tumors with proton therapy.
Liora is an excellent complement to the pharmaceutical side of the Company’s business and ongoing clinical trials with LB-100 for
Ovarian Clear Cell Carcinoma and Metastatic Colon Cancer,
LB-100
The
Company believes that the mechanism by which LB-100 affects cancer cell growth is different from cancer agents currently approved for
clinical use. LB-100 is currently being tested in clinical trials in Ovarian Clear Cell Carcinoma, Metastatic Micro Satellite Stable
(MSS) Colon Cancer, and Advanced Soft Tissue Sarcoma. LB-100 has shown anti-cancer activity in animal models of glioblastoma multiforme,
neuroblastoma, and medulloblastoma, all cancers of neural tissue. LB-100 has also been shown to enhance the effectiveness of commonly
used anti-cancer drugs in animal models of melanoma, breast cancer and sarcoma. The enhancement of anti-cancer activity of these anti-cancer
drugs occurs at doses of LB-100 that do not significantly increase toxicity in animals. It is therefore hoped that, when combined with
standard anti-cancer regimens against many tumor types, LB-100 will improve therapeutic benefit.
As
a compound moves through the FDA-approval process, it becomes an increasingly valuable property, but at a cost of additional investment
at each stage. As the potential effectiveness of LB-100 has been documented at the clinical trial level, the Company has allocated resources
to expand the breadth and depth of its patent portfolio. The Company’s approach has been to operate with a minimum of overhead,
moving compounds forward as efficiently and inexpensively as possible, and to raise funds to support each of these stages as certain
milestones are reached. The Company’s longer-term objective is to secure one or more strategic partnerships or licensing agreements
with pharmaceutical companies with major programs in cancer.
LIORA
TECHNOLOGIE EUROPE LTD..
The
Company’s strategy for the LiGHT system is to position it as a functional prototype asset (rather than a turnkey clinical system),
valued primarily for its intellectual property, accelerator hardware configuration, and accumulated engineering work, without immediate
clinical operability. It will be saleable as a functional unlicensed prototype to be copied and licensed at locations closer to large
patient populations.
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Specific
Risks Associated with the Company’s Business Activities
Serious
Adverse Events
The
Company’s lead drug candidate, LB-100, is currently undergoing various clinical trials, and there is a risk that one or more of
these trials could be placed on hold by regulatory authorities due to serious adverse events (SAEs) related to the Company’s drug
candidate or to another company’s drug used in combination in one of the Company’s clinical trials. It is possible that the
SAEs could be attributable to the Company’s drug candidate and could include, but not be limited to, unexpected severe side effects,
treatment-related deaths, or long-term health complications. A dose given could result in non-tolerable adverse events defined as dose-limiting
toxicity (DLT). When two DLTs occur at the same dose-level, that dose-level is considered too high and unsafe. Further treatment is only
allowed at lower dose-levels that have previously been found safe.
If
an SAE or a pattern of SAEs is observed during the course of a clinical trial involving the Company’s drug candidate, the U.S.
Food and Drug Administration (FDA), European Medicines Agency (EMA), or other regulatory authorities may issue a clinical hold, requiring
the Company to pause or discontinue further enrollment and dosing in its clinical trial. It is also possible that the clinical trial
could be terminated. Any of these actions could delay or halt the development of the Company’s drug candidate, increase development
costs, and negatively impact the Company’s ability to ultimately achieve regulatory approval. Additionally, if an SAE is confirmed
to be drug-related, the Company may be required to conduct additional studies, modify the study design, or abandon further development
of the drug candidate altogether, which could materially impact the Company’s business, financial condition, and prospects.
The
occurrence of an SAE and any resulting clinical hold could also harm the Company’s reputation with patients, physicians, health
institutions, and investors, diminish its ability to attract clinical trial participants, and damage its ability to interest investors
and obtain financing in the future. There can be no assurance that the Company will not experience such SAEs in the future or that any
related clinical hold will be lifted in a timely manner, or at all.
The
principal investigator of the colorectal study testing LB-100 in combination with atezolizumab (Roche PD-L1 inhibitor) is currently investigating
two SAEs observed in the clinical trial that was launched in August 2024. The Institutional Review Board (the “IRB”) of the
Netherlands Cancer Institute (“NKI”) has put the colorectal cancer study on hold. The adverse reactions that developed in
the two patients were dyspnea (shortness of breath) due to lung toxicity possibly or probably related to the combination of LB-100 and
atezolizumab in one patient and fever and aphasia possibly or probably related to the combination of LB-100 and atezolizumab in the second
patient. The patient who developed lung toxicity deceased due to the combination of lung metastases of colorectal cancer and dyspnea.
The patient with fever and aphasia fully recovered from the adverse events with supportive medication.
Given
the identified adverse events in the two patients in the clinical trial, the IRB requested from the principal investigator of the study
at the NKI information as to whether the adverse events could have been caused by the combination of LB-100 and atezolizumab and information
about the mode of action of the combination of LB-100 and atezolizumab. The principal investigator has prepared a response to the IRB
detailing the safety experience with LB-100 given alone and in combination with other cancer drugs, especially doxorubicin and dostarlimab.
Doxorubicin is a well-known chemotherapy, and dostarlimab is a well-known immunotherapy of which the mode of action is closely related
to that of atezolizumab.
The
reported adverse events in the colorectal cancer study have not been seen in any other patients thus far treated with LB-100 alone or
in combination with other cancer drugs. Through February 2025, a total of 78 patient have received or are receiving experimental treatment
with LB-100. The investigators have completed the IRB review in Q4 2025 and the trial is open again for enrolment Q1 2026.
- 64 -
External
Risks Associated with the Company’s Business Activities
Inflation
and Interest Rate Risk. The Company does not believe that inflation or increasing interest rates have had a material effect on its
operations to date, other than their impact on the general economy. However, there is a risk that the Company’s operating costs
could become subject to inflationary and interest rate pressures in the future, which would have the effect of increasing the Company’s
operating costs (including, specifically, clinical trial costs), and which would put additional stress on the Company’s working
capital resources.
Supply
Chain Issues. The Company does not currently expect that supply chain issues will have a significant impact on its business activities,
including its ongoing clinical trials in the US. Our current batch of LB-100 in Europe expires by European Law after 5 years, which will
be Q4 2026. We are looking to extend the shelf life with an additional 12 months until Q4 2027. If we do not manage to extend the shelf
life or are not able to manufacture a new batch we might not be able to complete the enrollment in the Colon Cancer Trail at the NKI.
Potential
Recession. There are some indications that the United States economy may be at risk of entering a recessionary period. Although unclear
at this time, an economic recession would likely impact the general business environment and the capital markets, which could, in turn,
affect the Company.
Geopolitical
Risk. The geopolitical landscape poses inherent risks that could significantly impact the operations and financial performance of
the Company. In the event of a military conflict, supply chain disruptions, geopolitical uncertainties, and economic repercussions may
adversely affect the Company’s ability to conduct research, develop, test and manufacture products, and distribute them globally.
This could lead to delays in product development, interruptions in the supply of critical materials, and delays in clinical trials, thereby
impeding the Company’s clinical development and commercialization plans. Furthermore, the impact of a conflict on global financial
markets may result in increased volatility and uncertainty in the capital markets, thereby affecting the valuation of the Company’s
publicly-traded shares. Investor confidence, market sentiment, and access to capital could all be negatively influenced. Such geopolitical
risks are outside the control of the Company, and the actual effects on the Company’s business, financial condition and results
of operations may differ from current estimates.
Cybersecurity
Risks. The Company has established policies and processes for assessing, identifying and managing material risk from cybersecurity
threats, and has integrated these processes into its overall risk management systems and processes. The Company routinely assesses material
risks from cybersecurity threats, including any potential unauthorized occurrence on or conducted through its information and email systems
that may result in adverse effects on the confidentiality, integrity, or availability of the Company’s information and email systems
or any information residing therein. The Company conducts periodic risk assessments to identify cybersecurity threats, as well as assessments
in the event of a material change in the Company’s business practices that may affect information systems that are vulnerable to
such cybersecurity threats. These risk assessments include identification of reasonably foreseeable internal and external risks, the
likelihood and potential damage that could result from such risks, and the sufficiency of existing policies, procedures, systems and
safeguards in place to manage such risks. The Company has not encountered any cybersecurity challenges to date that have materially impaired
its operations or financial condition.
The
Company is continuing to monitor these matters and will adjust its current business and financing plans as more information becomes available.
Results
of Operations
At
December 31, 2025, the Company had not yet commenced any revenue-generating operations, does not have any positive cash flows from operations,
and is dependent on its ability to raise equity capital to fund its operating requirements.
- 65 -
The
Company’s consolidated statements of operations as discussed herein are presented below.
Years Ended
December 31,
2025
2024
Revenues
$ —
$ —
Costs and expenses:
General and administrative costs
4,852,702
2,846,557
Research and development
costs
254,919
726,232
Total costs and expenses
5,107,621
3,572,789
Loss from operations
(5,107,621 )
(3,572,789 )
Interest income
7,388
7,048
Interest expense
(9,158 )
(16,821 )
Realized loss on digital asset
(904,394 )
-
Foreign currency gain (loss)
525
(3,403 )
Other income
3,740
Net loss
(6,009,520 )
(3,585,965 )
Series B convertible
(69,073 )
-
Non-controlling interest
-
-
Net loss attributable
to common stockholders
$ (6,078,593 )
(3,585,965 )
Net loss per common
share – basic and diluted
$ (1.26 )
$ (1.59 )
Weighted average common
shares outstanding – basic and diluted
4,840,731
2,249,290
Years
Ended December 31, 2025 and 2024
Revenues .
The Company did not have any revenues for the years ended December 31, 2025 and 2024.
Research
and Development Costs . For the years ended December 31, 2025 and December 31, 2024, research and development costs were $254, 919
and $726,232, respectively. These costs consisted of clinical and related oversight costs of $57,193 and $377,958, respectively, regulatory
service costs of $9,050 and $18,836, respectively and preclinical research focused on development of additional novel anti-cancer compounds
of 188,675 and $329,438, respectively, for the years ended December 31, 2025 and December 31, 2024.
Included
in clinical and related oversight costs for the year ended December 31, 2024 is $207,004 for the cost of patients enrolled in the City
of Hope clinical trial prior to its termination on July 8, 2024.
Effective
June 10, 2024, the Company entered into a Clinical Trial Agreement with the Netherlands Cancer Institute (“NKI”) to
conduct a Phase 1b/2 clinical trial of the Company’s protein phosphatase inhibitor, LB-100, combined with atezolizumab, a
PD-L1 inhibitor, the proprietary molecule of F. Hoffman-La Roche Ltd. (“Roche”), for patients with metastatic colon
cancer. NKI employs Dr. René Bernards, a director of the Company since June 15, 2022 until his resignation from the Board on August 18, 2025. Dr. Bernards was then appointed as Chairman of the Company’s
Scientific Advisory Committee. The Company has no financial
contractual commitment associated with this clinical trial.
Included
in preclinical research costs for the years ended December 31, 2024 and 2023 were $210,362 and $226,150, respectively, of costs paid
to the Netherlands Cancer Institute, On October 8, 2021, the Company entered into a Development Collaboration Agreement with the Netherlands
Cancer Institute, Amsterdam, one of the world’s leading comprehensive cancer centers, and Oncode Institute, Utrecht, a major independent
cancer research center, to identify the most promising drugs to be combined with LB-100, and potential LB-100 analogues, to be used to
treat a range of cancers, as well as to identify the specific molecular mechanisms underlying the identified combinations.
On
October 3, 2023, the Company entered into Amendment No. 2 to the Development Collaboration Agreement with the Netherlands Cancer Institute,
which provided for additional research activities, extended the termination date of the Development Collaboration Agreement by two years
to October 8, 2026, and added 500,000 Euros to the operating budget being funded by the Company.
On
October 4, 2024, the Company entered into Amendment No. 3 to the Development Collaboration Agreement with NKI, which suspended Amendment
No. 2 and provided for a new study term of one year commencing upon the dosing of the first patient in the clinical trial at a project
cost of 100,000 Euros (see “Principal Commitments – Other Significant Agreements and Contracts – Netherlands Cancer
Institute” below).
Research
and development costs decreased by $471,313, or 64.9%, in 2025 as compared to 2024, primarily as a result of a decrease in preclinical
research focused on development of additional novel anti-cancer compounds to add to the Company’s clinical pipeline of $133,655.
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General
and Administrative Costs . For the year ended December 31, 2025, general and administrative costs were $4,852,702 which consisted
of the fair value of vested stock options issued to directors and officers of $1,527,855 (including quarterly director and board
committee fees of $55,000), lease expense of $61,695, patent and licensing legal and filing fees and costs of $112,092, other
consulting and professional fees of $1,431,118, insurance expense of $257,478, officer salaries and related costs of $694,827,
cash-based director and board committee fees of $27,500, legal settlement of $100,000, licensing and royalties of $30,000,
shareholder reporting costs of $68,939, litigation settlement of $100,000, listing fees of $73,000, filing fees of $23,559, investor
relations of $372,387, rent of $2,093, and other operating costs of $97,656.
For
the year ended December 31, 2024, general and administrative costs were $2,846,557, which consisted of the fair value of vested stock
options issued to directors and officers of $418,422 (including quarterly director and board committee fees of $55,000), patent and licensing
legal and filing fees and costs of $243,186, other consulting and professional fees of $735,021, insurance expense of $434,444, officer
salaries and related costs of $691,244, cash-based director and board committee fees of $38,819, shareholder reporting costs of $41,488,
listing fees of $49,500, filing fees of $28,012, investor relations of $59,588, rent of $16,435, conference fees of $14,475 and other
operating costs of $45,830, offset by a state franchise tax credits of $45,550.
General
and administrative costs increased by $2,006,145, or 70.0%, in 2025 as compared to 2024, primarily as a result of an increase in the fair
value of vested stock options issued to directors and officers of $1,054,443, an increase in other consulting and professional fees $696,097,
an increase in other costs and expenses of $280,172, offset by decreases in insurance expense of $176,964, decrease in patent and licensing
legal and filing fees and costs of $131,094 and decrease in board fees by $11,319.
Interest
Income . For the year ended December 31, 2025, the Company had interest income of $7,388, as compared to interest income of
$7,048 for the year ended December 31, 2024, related to the investment of the Company’s cash resources.
Interest
Exp ense . For the year ended December 31, 2025, the Company had
interest expense of $9,158, as compared to interest expense of $16,821 for the year ended December 31, 2024, related to the financing
of the premium for the Company’s directors and officers liability insurance policy.
Realized
loss on digital assets . During the year ended December 31, 2025, the Company recorded a realized loss related to the disposal of
certain digital assets (BTC and ETH) that were transferred to Orbit as part of the consideration for the LiGHT equipment acquired in
the Liora transaction. This loss reflects the difference between the carrying value of the digital assets and their fair value at the
time of transfer.
Fore ig n
Curre ncy Gain (Loss ).
For the year ended December 31, 2025, the Company had a foreign currency gain of $525, as compared to a foreign currency loss of
$3,403 for the year ended December 31, 2024, from foreign currency transactions.
Net
Loss . For the year ended December 31, 2025, the Company incurred a net loss of $6,009,520, as compared to a net loss of $3,585,965
for the year ended December 31, 2024.
Liquidity
and Capital Resources – December 31, 2025
The
Company’s consolidated statements of cash flows as discussed herein are as follows:
Years
Ended December 31,
2025
2024
Net
cash used in operating activities
$ (3,070,618 )
$ (3,164,536 )
Net
cash used in investing activities
(3,172,462 )
—
Net
cash provided by financing activities
10,311,000
—
Net
increase (decrease) in cash
$ 4,067,920
$ (3,164,536 )
At
December 31, 2025, the Company had working capital of $3,845,268, as compared to working capital of $827,219 at December 31, 2024,
reflecting an increase in working capital of $3,018,049 for the year ended December 31, 2025. The increase in working capital during
the year ended December 31, 2025 was primarily the result of the Company’s completed securities offerings on February 13, July
8, and December 22, 2025 and private placement completed on July 2, 2025 that generated gross proceeds of $10,311,000, net after
deducting the placement agent’s fees and related offering expenses during 2025.
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Going
Concern
The Company has no recurring source
of revenues and has experienced negative operating cash flows since inception. The Company has financed its working capital requirements
through the recurring sale of its equity securities.
As a result, management has concluded,
and our independent registered public accounting firm has agreed with our conclusion, that there is a substantial doubt regarding the
Company’s ability to continue as a going concern for a period of at least 12 months beyond the filing of this Annual Report on Form
10-K. As a result, the report of our independent registered public accounting firm on our financial statements for the year ended December
31, 2025, includes an explanatory paragraph regarding the existence of substantial doubt about our ability to continue as a going concern.
The Company’s ability to
continue as a going concern is dependent upon its ability to raise additional equity capital to fund its research and development activities
and to ultimately achieve sustainable operating revenues and profitability. The amount and timing of future cash requirements depends
on the pace, design, and results of the Company’s clinical trial program, which, in turn, depends on the availability of operating
capital to fund such activities.
For
the year ended December 31, 2025, the Company incurred a net loss of $6,009,520 and used cash in operations of $3,070,618. As of December
31, 2025, the Company had cash of $5,106,872 available to fund its operations. The Company has not generated recurring revenues since
inception and has incurred negative operating cash flows as it advances its clinical development programs.
The
Company is currently engaged in early-stage clinical trials for its lead product candidate, LB-100. These activities require substantial
research, development, regulatory, and clinical expenditures, and the Company does not expect to generate sustainable operating revenues
for several years, if ever. At March 31, 2026, the Company’s remaining contractual commitments pursuant to clinical trial agreements
and clinical trial monitoring agreements aggregated approximately $496,000, which are expected to be incurred through December 31, 2027.
In
addition, through the acquisition of Liora Technologies Europe Ltd. in November 2025, the Company assumed responsibility for the non-clinical
LiGHT proton therapy prototype located at the Daresbury Laboratory in the United Kingdom. The Company expects to incur approximately
$2 million over the next twenty-four months to recommission and update the system, together with annual lease obligations of approximately
$787,278 under an operating lease with the United Kingdom Research and Innovation. Liora currently has no revenues, and the Company will
require additional capital to fund these activities.
Management
is actively evaluating and pursuing additional financing alternatives, including equity and debt financings and potential strategic transactions.
However, there can be no assurance that additional funding will be available on acceptable terms, in sufficient amounts, or at all. If
the Company is unable to obtain the necessary funding, it may be required to delay, scale back, or eliminate its clinical development
programs; curtail expenditures related to the LiGHT system; or pursue strategic alternatives, including potential asset sales or the
cessation of operations.
The consolidated financial statements have been
prepared assuming the Company will continue as a going concern and do not include any adjustments that might result from the outcome
of this uncertainty.
At
December 31, 2025, the Company did not have any transactions, obligations or relationships that could be considered off-balance sheet
arrangements.
Operating
Activities . For the year ended December 31, 2025, operating activities utilized cash of $3,070,618, as compared to utilizing cash
of $3,164,536 for the year ended December 31, 2024, to fund the Company’s ongoing research and development activities and to fund
its other ongoing operating expenses, including maintaining and developing its patent portfolio.
Investing
Activities . For the year ended December 31, 2025, the Company had investing activities for the cash portion of the purchase of
Liora in the amount of $440,000 and purchase of digital assets $2,637,360, that were transferred to the third party seller for the
Investment in Liora. In addition, capitalized transaction costs totaled $95,102. For the year ended December 31, 2024, the Company
had no investing activities.
Financing
Activities . For the year ended December 31, 2025, financing activities consisted primarily of the gross proceeds from the sale of
securities in the Company’s registered direct offering of $11,900,000, reduced by offering costs of $1,634,801 and $45,801 from
the exercise of common stock options.. For the year ended December 31, 2024, the Company had no financing activities.
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Principal
Commitments
Clinical
Trial Agreements
At
December 31, 2025, the Company’s remaining financial contractual commitments pursuant to clinical trial agreements and clinical trial
monitoring agreements not yet incurred, as described below, aggregated $496,000, including clinical trial agreements of $293,000 and
clinical trial monitoring agreements of $203,000, which, based on current estimates, are currently scheduled to be incurred through approximately
December 31, 2027. The Company’s ability to conduct and fund these contractual commitments is subject to the timely availability
of sufficient capital to fund such expenditures, as well as any changes in the allocation or reallocation of such funds to the Company’s
current or future clinical trial programs. The Company expects that the full amount of these expenditures will be incurred only if such
clinical trial programs are conducted as originally designed and their respective enrollments and duration are not modified or reduced.
Clinical trial programs, such as the types that the Company is engaged in, can be highly variable and can frequently involve a series
of changes and modifications over time as clinical data is obtained and analyzed, and is frequently modified, suspended or terminated,
in part based on receipt or lack of receipt of an indication of clinical benefit or activity, before the clinical trial endpoint is reached.
Accordingly, such contractual commitments as discussed herein should be considered as estimates only based on current clinical assumptions
and conditions and are typically subject to significant modifications and revisions over time.
Additional
information with respect to the conduct of the Company’s clinical trial programs is provide at “ITEM 1A. RISK FACTORS - Risks
Related to the Development and Regulatory Approval of Our Product Candidates”.
The
following is a summary of the Company’s ongoing contractual clinical trials described below as of December 31,
2025:
Description
of Clinical Trial
Institution
Start
Date
Projected
End Date
Number
of Patients in Trial
Study
Objective
Clinical
Update
Expected
Date of Preliminary Efficacy Signal
NCT
No.
Remaining
Financial Contractual Commitment
LB-100 combined
with atezolizumab in microsatellite stable metastatic colorectal cancer (Phase 1b)
Netherlands
Cancer Institute (NKI)
August 2024
December
2026
37
Determine RP2D
with atezolizumab
First patient
entered August 2024, in total two patients entered
December
2027
NCT06012734
(1
)
LB-100 combined with doxorubicin
in advanced soft tissue sarcoma (Phase 1b)
GEIS
June 2023
Enrollment completed
September 2024
9 to 18
Determine MTD and RP2D
Fourteen patients
entered
March 2026
NCT05809830
$
293,000
Doxorubicin with or without
LB-100 in advanced soft tissue sarcoma (Randomized Phase 2)
GEIS
TBD
TBD
150
Determine efficacy: PFS
Clinical trial not yet
begun (subject to completion of Phase 1b GEIS clinical trial)
TBD
NCT05809830
$
(1
)
LB-100 combined with dostarlimab
in ovarian clear cell carcinoma (Phase 1b/2)
MD Anderson
January 2024
December 2027
42
Determine the OS of patients
with recurrent ovarian clear cell carcinoma
Twenty one patients entered
December 2027
NCT06065462
(1
)
Total
$
293,000
(1)
The Company has no financial contractual commitment associated with this clinical trial at December 31, 2025.
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Netherlands
Cancer Institute. Effective June 10, 2024, the Company entered into a Clinical Trial Agreement with the Netherlands Cancer Institute
(“NKI”) to conduct a Phase 1b clinical trial of the Company’s protein phosphatase inhibitor, LB-100, combined with
atezolizumab, a PD-L1 inhibitor, the proprietary molecule of F. Hoffman-La Roche Ltd. (“Roche”), for patients with microsatellite
stable metastatic colorectal cancer. Under the agreement, the Company will provide its lead compound, LB-100, and under a separate agreement
between NKI and Roche, Roche will provide atezolizumab and financial support for the clinical trial. The Company has no obligation to
and will not provide any reimbursement of clinical trial costs. Pursuant to the agreement and the protocol set forth in the agreement,
the clinical trial will be conducted by NKI at NKI’s site in Amsterdam by principal investigator Neeltje Steeghs, MD, PhD, and
NKI will be responsible for the recruitment of patients. The agreement provides for the protection of the respective intellectual property
rights of each of the Company, NKI and Roche.
This
Phase 1b clinical trial will evaluate safety, optimal dose and preliminary efficacy of LB-100 combined with atezolizumab for the treatment
of patients with metastatic microsatellite stable colorectal cancer. Immunotherapy using monoclonal antibodies like atezolizumab can
enhance the body’s immune response against cancer and hinder tumor growth and spread. LB-100 has been found to improve the effectiveness
of anticancer drugs in killing cancer cells by inhibiting a protein called PP2A on cell surfaces. Blocking PP2A increases stress signals
in tumor cells expressing the PP2A protein. Accordingly, combining atezolizumab with LB-100 may enhance treatment efficacy for metastatic
colorectal cancer, as cancer cells with heightened stress signals are more vulnerable to immunotherapy.
This
study comprises a dose escalation phase and a dose expansion phase. The objective of the dose escalation phase is to determine the recommended
Phase 2 dose (RP2D) of LB-100 when combined with the standard dosage of atezolizumab. The dose expansion phase will further investigate
the preliminary efficacy, safety, tolerability, and pharmacokinetics/dynamics of the LB-100 and atezolizumab combination. The clinical
trial opened in August 2024 with the enrollment of the first patient. A total of two patients have been enrolled to date. Patient accrual
is expected to take up to 24 months, with a maximum of 37 patients with advanced colorectal cancer to be enrolled in this study.
The
principal investigator of the colorectal study testing LB-100 in combination with atezolizumab has completed the investigation into two
Serious Adverse Events (“SAEs”) observed in the clinical trial (see “Specific Risks Associated with the Company’s
Business Activities – Serious Adverse Events” above for additional information).
The
Company has no financial contractual commitment associated with this clinical trial.
City
of Hope. Effective January 18, 2021, the Company executed a Clinical Research Support Agreement (the “Agreement”) with
the City of Hope National Medical Center, an NCI-designated comprehensive cancer center, and City of Hope Medical Foundation (collectively,
“City of Hope”), to carry out a Phase 1b clinical trial of LB-100, the Company’s first-in-class protein phosphatase
inhibitor, combined with an FDA-approved standard regimen for treatment of untreated extensive-stage disease small cell lung cancer (“ED-SCLC”).
LB-100 was given in combination with carboplatin, etoposide and atezolizumab, an FDA-approved standard of care regimen, to previously
untreated ED-SCLC patients. The LB-100 dose was to be escalated with the standard fixed doses of the 3-drug regimen to reach a recommended
Phase 2 dose (“RP2D”). Patient entry was to be expanded so that a total of 12 patients would be evaluable at the RP2D to
confirm the safety of the LB-100 combination and to look for potential therapeutic activity as assessed by objective response rate, duration
of overall response, progression-free survival, and overall survival.
The
clinical trial was initiated on March 9, 2021, with patient accrual expected to take approximately two years to complete. Because patient
accrual was slower than expected, effective March 6, 2023, the Company and City of Hope added the Sarah Cannon Research Institute (“SCRI”),
Nashville, Tennessee, to the ongoing Phase 1b clinical trial. The Company and City of Hope continued efforts to increase patient accrual
by adding additional sites and by modifying the protocol to increase the number of patients eligible for the clinical trial. The impact
of these efforts to increase patient accrual and to decrease time to completion was evaluated in subsequent quarters.
After
evaluating patient accrual through June 30, 2024, the Company and City of Hope agreed to close the clinical trial. Pursuant to the
terms of the Agreement, the Company provided notice to City of Hope of the Company’s intent to terminate the Agreement
effective as of July 8, 2024. Upon closure, the Company incurred a prorated charge of $207,004 for the cost of patients enrolled to
date, which is included in accounts payable and accrued expenses at December 31, 2025 and 2024.
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During
the year ended December 31, 2025 and 2024, the Company incurred costs of $0 and $285,019, respectively, pursuant to this Agreement. As
of December 31, 2025, total costs of $732,532 had been incurred pursuant to this Agreement.
GEIS.
Effective July 31, 2019, the Company entered into a Collaboration Agreement for an Investigator-Initiated Clinical Trial with the
Spanish Sarcoma Group (Grupo Español de Investigación en Sarcomas or “GEIS”), Madrid, Spain, to carry out a
study entitled “Randomized phase I/II trial of LB-100 plus doxorubicin vs. doxorubicin alone in first line of advanced soft tissue
sarcoma”. The purpose of this clinical trial is to obtain information with respect to the efficacy and safety of LB-100 combined
with doxorubicin in soft tissue sarcomas. Doxorubicin is the global standard for initial treatment of advanced soft tissue sarcomas (“ASTS”).
Doxorubicin alone has been the mainstay of first line treatment of ASTS for over 40 years, with little improvement in survival from adding
cytotoxic compounds to or substituting other cytotoxic compounds for doxorubicin. In animal models, LB-100 consistently enhances the
anti-tumor activity of doxorubicin without apparent increases in toxicity.
GEIS
has a network of referral centers in Spain and across Europe that have an impressive track record of efficiently conducting innovative
studies in ASTS. The Company agreed to provide GEIS with a supply of LB-100 to be utilized in the conduct of this clinical trial, as
well as to provide funding for the clinical trial. The goal is to enter approximately 150 to 170 patients in this clinical trial over
a period of two to four years. The Phase 1 portion of the study began in the quarter ended June 30, 2023 to determine the recommended
Phase 2 dose of the combination of doxorubicin and LB-100. As advanced sarcoma is a very aggressive disease, the design of the Phase
2 portion of the study assumes a median progression-free survival (“PFS”), no evidence of disease progression or death from
any cause, of 4.5 months in the doxorubicin arm and an alternative median PFS of 7.5 months in the doxorubicin plus LB-100 arm to demonstrate
a statistically significant decrease in relative risk of progression or death by adding LB-100. There is a planned interim analysis of
the primary endpoint when approximately 50% of the 102 events required for final analysis is reached.
The
Company had previously expected that this clinical trial would commence during the quarter ended June 30, 2020. However, during July
2020, the Spanish regulatory authority advised the Company that although it had approved the scientific and ethical basis of the protocol,
it required that the Company manufacture new inventory of LB-100 under current Spanish pharmaceutical manufacturing standards. These
standards were adopted subsequent to the production of the Company’s existing LB-100 inventory.
In
order to manufacture a new inventory supply of LB-100 for the GEIS clinical trial, the Company engaged a number of vendors to carry out
the multiple tasks needed to make and gain approval of a new clinical product for investigational study in Spain. These tasks included
the synthesis under good manufacturing practice (GMP) of the active pharmaceutical ingredient (API), with documentation of each of the
steps involved by an independent auditor. The API was then transferred to a vendor that prepares the clinical drug product, also under
GMP conditions documented by an independent auditor. The clinical drug product was then sent to a vendor to test for purity and sterility,
provide appropriate labels, store the drug, and distribute the drug to the clinical centers for use in the clinical trials. A formal
application documenting all steps taken to prepare the clinical drug product for clinical use was submitted to the appropriate regulatory
authorities for review and approval before being used in a clinical trial.
As
of December 31, 2024, this program to provide new inventory of the clinical drug product for the Spanish Sarcoma Group study, and potentially
for subsequent multiple trials within the European Union, had cost approximately $1,144,000.
On
October 13, 2022, the Company announced that the Spanish Agency for Medicines and Health Products (Agencia Española de Medicamentos
y Productos Sanitarios or “AEMPS”) had authorized a Phase 1b/randomized Phase 2 study of LB-100, the Company’s lead
clinical compound, plus doxorubicin, versus doxorubicin alone, the global standard for initial treatment of ASTS. Consequently, this
clinical trial commenced during the quarter ended June 30, 2023 and is expected to be completed and a report prepared by December 31,
2026. In April 2023, GEIS completed its first site initiation visit in preparation for the clinical trial at Fundación Jiménez
Díaz University Hospital (Madrid). Up to 170 patents will be entered into the clinical trial. The recruitment for the Phase 1b
portion of the protocol was extended with two patients and was completed during the quarter ended September 30, 2024. The Company expects
to have data on toxicity and preliminary efficacy from this portion of the clinical trial during the quarter ending March 31, 2026.
- 71 -
Given
the focus on the combination of LB-100 with immunotherapy in ovarian clear cell carcinoma and colorectal cancer and the availability
of capital resources, the Company entered into Amendment No. 1 to the Collaboration Agreement effective March 11, 2025 that relieved
the Company of the financial obligation to support the randomized Phase 2 portion of the clinical trial contemplated in the Collaboration
Agreement of approximately $3,095,000. As a result, the Phase 2 portion of this clinical trial will not proceed, and the trial will be
closed after completion of the first phase in Q1 2026.
The
Company’s agreement with GEIS provided for various payments based on achieving specific milestones over the term of the agreement.
During the years ended December 31, 2025 and 2024, the Company incurred costs of $0 and $268,829, respectively, pursuant to this agreement.
The
Company’s aggregate commitment pursuant to this agreement, less amounts previously paid to date, totaled approximately $293,000
for the Phase 1b portion of this clinical trial as of December 31, 2025, which is scheduled to be incurred Q1, 2026. As the work is being
conducted in Europe and is paid for in Euros, final costs are subject to foreign currency fluctuations between the United States Dollar
and the Euro. Such fluctuations are recorded in the consolidated statements of operations as foreign currency gain or loss, as appropriate,
and have not been significant.
MD
Anderson Cancer Center Clinical Trial . On September 20, 2023, the Company announced an investigator-initiated Phase 1b/2 collaborative
clinical trial to assess whether adding LB-100 to a human programmed death receptor-1 (“PD-1”) blocking antibody of GSK plc
(“GSK”), dostarlimab-gxly, may enhance the effectiveness of immunotherapy in the treatment of ovarian clear cell carcinoma
(“OCCC”). The study objective is to determine the overall survival (“OS”) of patients with OCCC. The clinical
trial is being sponsored by The University of Texas MD Anderson Cancer Center (“MD Anderson”) and is being conducted at The
University of Texas - MD Anderson Cancer Center. The Company is providing LB-100 and GSK is providing dostarlimab-gxly and financial
support for the clinical trial. On January 29, 2024, the Company announced the entry of the first patient into this clinical trial. The
Company currently expects that this clinical trial will be completed by December 31, 2027.
On
February 25, 2025, the Company announced that it has added the Robert H. Lurie Comprehensive Cancer Center (Lurie Cancer Center) of Northwestern
University as a second site in a clinical trial combining the Company’s proprietary compound LB-100 with GSK’s dostarlimab
to treat ovarian clear cell cancer. Patient recruitment is underway, and the first patient has been dosed.
On
December 23, 2025 we announced that we are going to expand the enrollment of the trial from 21 to 42 patients in collaboration with GSK,
MD Anderson and Northwestern University. We completed the enrollment of the first 21 patients in Q4, 2025 and expect patient 22 to be
enrolled in Q1 2026.
Clinical
Trial Monitoring Agreements
MD
Anderson Cancer Center Clinical Trial . On May 15, 2024, the Company signed a letter of intent with Theradex to monitor the MD Andersen
investigator-initiated Phase 1b/2 collaborative clinical trial to assess whether adding LB-100 to a human programmed death receptor-1
(“PD-1”) blocking antibody of GSK plc (“GSK”), dostarlimab-gxly, may enhance the effectiveness of immunotherapy
in the treatment of ovarian clear cell carcinoma (“OCCC”). On August 19, 2024, the Company signed a work order agreement
with Theradex to monitor the MD Anderson clinical trial. The study oversight is expected to be completed by January 31, 2027.
Costs
under this letter of intent and related work order agreement are estimated to be approximately $95,000. During the year ended December
31, 2025 and 2024, the Company incurred costs of $21,706 and $26,763, respectively, pursuant to this letter of intent and subsequent
work order. As of December 31, 2025, total costs of $46,598 have been incurred pursuant to this letter of intent and subsequent work
order.
The
Company’s aggregate commitment pursuant to this letter of intent, less amounts previously paid to date, totaled approximately $48,000
as of December 31, 2025, which is expected to be incurred through December 31, 2027.
City
of Hope. On February 5, 2021, the Company signed a new work order agreement with Theradex to monitor the City of Hope investigator-initiated
clinical trial in small cell lung cancer in accordance with FDA requirements for oversight by the sponsoring party. Costs under this
work order agreement were estimated to be approximately $335,000. During the years December 31, 2025 and 2024, the Company incurred costs
of $0 and $10,642, respectively, pursuant to this work order. As of December 31, 2025, total costs of $89,323 had been incurred pursuant
to this work order agreement. As a result of the closure of the Agreement with City of Hope effective July 8, 2024, the work order was
terminated on July 8, 2024.
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GEIS.
On June 22, 2023, the Company finalized a work order agreement with Theradex, to monitor the GEIS investigator-initiated clinical
Phase I/II randomized trial of LB-100 plus doxorubicin vs. doxorubicin alone in first line of advanced soft tissue sarcoma. The study
oversight is expected to be completed by December 31, 2026.
Costs
under this work order agreement are estimated to be approximately $153,000, with such payments expected to be allocated approximately
72% to Theradex for services and approximately 28% for payments for pass-through software costs. During the years ended December 31,
2024 and 2023, the Company incurred costs of $34,593 and $14,862, respectively, pursuant to this work order.
The
Company’s aggregate commitment pursuant to this clinical trial monitoring agreement, less amounts previously paid to date, totaled
approximately $104,000 as of December 31, 2024, which is expected to be incurred through December 31, 2026.
Netherlands
Cancer Institute. On August 27, 2024, the Company finalized a work order agreement with Theradex, to monitor the NKI Phase 1b clinical
trial of LB-100 combined with atezolizumab, a PD-L1 inhibitor, for patients with microsatellite stable metastatic colorectal cancer.
The study oversight is expected to be completed by May 31, 2027.
Costs
under this work order agreement are estimated to be approximately $106,380, with such payments expected to be allocated approximately
47% to Theradex for services and approximately 53% for payments for pass-through software costs. During the year ended December 31, 2024,
the Company incurred costs of $20,191 pursuant to this work order. As of December 31, 2024, total costs of $20,191 have been incurred
pursuant to this work order agreement.
The
Company’s aggregate commitment pursuant to this clinical trial monitoring agreement, less amounts previously paid to date, totaled
approximately $88,000 as of December 31, 2024, which is expected to be incurred through May 31, 2027.
Patent
and License Agreements
National
Institute of Health. Effective February 23, 2024, the Company entered into a Patent License Agreement (the “License Agreement”)
with the National Institute of Neurological Disorders and Stroke (“NINDS”) and the National Cancer Institute (“NCI”),
each an institute or center of the National Institute of Health (“NIH”). Pursuant to the License Agreement, the Company has
licensed on an exclusive basis the NIH’s intellectual property rights claimed for a Cooperative Research and Development Agreement
(“CRADA”) subject invention co-developed with the Company, and the licensed field of use, which focuses on promoting anti-cancer
activity alone, or in combination with standard anti-cancer drugs. The scope of this clinical research extends to checkpoint inhibitors,
immunotherapy, and radiation for the treatment of cancer. The License Agreement is effective, and shall extend, on a licensed product,
licensed process, and country basis, until the expiration of the last-to-expire valid claim of the jointly owned licensed patent rights
in each such country in the licensed territory, estimated at twenty years, unless sooner terminated.
The
License Agreement contemplates that the Company will seek to work with pharmaceutical companies and clinical trial sites (including comprehensive
cancer centers) to initiate clinical trials within timeframes that will meet certain benchmarks. Data from the clinical trials will be
the subject of various regulatory filings for marketing approval in applicable countries in the licensed territories. Subject to the
receipt of marketing approval, the Company would be expected to commercialize the licensed products in markets where regulatory approval
has been obtained.
The
Company paid NIH a non-creditable, non-refundable license issue royalty of $50,000. The first minimum annual royalty of $25,643 was prorated from the effective
date of the License Agreement to the next subsequent January 1. Thereafter, the minimum annual royalty of $30,000 is due each January
1 and may be credited against any earned royalties due for sales made in that year. The second minimum annual royalty for 2025 of $30,000, was paid in December
2024 and is included in other prepaid expenses at December 31, 2024 in the accompanying consolidated balance sheet.
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The
Company is obligated to pay the NIH, on a country-by-country basis, earned royalties of 2% on net sales of each royalty-bearing product
and process, subject to reduction by 50% under certain circumstances relating to royalties paid by the Company to third parties, but
not less than 1%. The Company’s obligation to pay earned royalties under the License Agreement commences on the date of the first
commercial sale of a royalty-bearing product or process and expires on the date on which the last valid claim of the licensed product
or licensed process expires in such country.
The
Company is obligated to pay the NIH benchmark royalties, on a one-time basis, within sixty days from the first achievement of each such
benchmark. The License Agreement defines four such benchmarks, which the Company is required to pursue based on “commercially reasonable
efforts” as defined in the License Agreement, with deadlines of October 1, 2024, 2027, 2029 and 2031, respectively, each with a
different specified benchmark payment amount payable within thirty days of achieving such benchmark. The October 1, 2024 benchmark of
$100,000 was defined as the dosing of the first patient with a licensed product in a Phase 2 clinical study of such licensed product
in the licensed fields of use. The Company had not commenced a Phase 2 clinical study as of December 31, 2025. The total of all such
benchmark payments is $1,225,000.
The
Company is obligated to provide annual reports to the NIH on its progress toward the development and commercialization of products under
the licensed patents. These reports, due within sixty days following the end of each calendar year, must include updates on research
and development activities, regulatory submissions, manufacturing efforts, sublicensing, and sales initiatives. If any deviations from
the established commercial development plan or agreed-upon benchmarks occur, the Company is obligated to provide explanation and may
amend the commercial development plan and the benchmarks, which, subject to certain conditions, the NIH shall not unreasonably withhold,
condition, or delay approval of any request of the Company to amend the commercial development plan and/or the benchmarks and to extend
the time periods of the benchmarks.
The
Company is obligated to pay the NIH sublicensing royalties of 5% on sublicensing revenue received for granting each sublicense within
sixty days of receipt of such sublicensing revenue.
During
the years ended December 31, 2025 and 2024, the Company incurred costs of $30,000 and $75,643 in connection with its obligations
under the License Agreement. The Company’s aggregate commitment pursuant to this agreement, less amounts previously paid to date, totaled approximately
$1,765,000 as of December 31, 2025, which is expected to be incurred over approximately the next nineteen years.
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Other
Significant Agreements and Contracts
NDA
Consulting Corp. On December 24, 2013, the Company entered into a consulting agreement with NDA Consulting Corp. for consultation
and advice in the field of oncology research and drug development. As part of the consulting agreement, NDA also agreed to cause its
president, Dr. Daniel D. Von Hoff, M.D., to serve on the Company’s Scientific Advisory Committee during the term of such consulting
agreement. The term of the consulting agreement was for one year and provided for a quarterly cash fee of $4,000. The consulting agreement
had been automatically renewed for additional one-year terms on its anniversary date, most recently on December 24, 2023, but was subsequently
terminated effective September 30, 2024. Consulting and advisory fees charged to operations pursuant to this consulting agreement were
$12,000 and $16,000 for the years ended December 31, 2024 and 2023, respectively
BioPharmaWorks .
Effective September 14, 2015, the Company entered into a Collaboration Agreement with BioPharmaWorks, pursuant to which the Company engaged
BioPharmaWorks to perform certain services for the Company. Those services included, among other things, assisting the Company to commercialize
its products and strengthen its patent portfolio; identifying large pharmaceutical companies with a potential interest in the Company’s
product pipeline; assisting in preparing technical presentations concerning the Company’s products; consultation in drug discovery
and development; and identifying providers and overseeing tasks relating to clinical development 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 was for an initial term of two years and automatically renews for subsequent annual periods unless terminated
by a party prior to the expiration of the applicable period. In connection with the Collaboration Agreement, the
Company agreed to pay BioPharmaWorks a monthly fee of $10,000. Effective March 1, 2024, the compensation payable under the Collaboration Agreement was converted to an hourly
rate structure.
The
Company recorded charges to operations pursuant to this Collaboration Agreement of $59,600 and $39,200 during the years ended December
31, 2025 and 2024, respectively, which were included in research and development costs in the consolidated statements of operations.
Netherlands
Cancer Institute . On October 8, 2021, the Company entered into a Development Collaboration Agreement with the Netherlands Cancer
Institute, Amsterdam (“NKI”), one of the world’s leading comprehensive cancer centers, and Oncode Institute, Utrecht,
a major independent cancer research center, for a term of three years. The Development Collaboration Agreement was subsequently modified
by Amendment No. 1 thereto. The Development Collaboration Agreement is a preclinical study intended to identify the most promising drugs
to be combined with LB-100, and potentially LB-100 analogues, to be used to treat a range of cancers, as well as to identify the specific
molecular mechanisms underlying the identified combinations. The Company agreed to fund the preclinical study, at an approximate cost
of 391,000 Euros and provide a sufficient supply of LB-100 to conduct the preclinical study.
On
October 3, 2023, the Company entered into Amendment No. 2 to the Development Collaboration Agreement with NKI, which provides for additional
research activities, extends the termination date of the Development Collaboration Agreement by two years to October 8, 2026, and added
500,000 Euros to the operating budget being funded by the Company.
On
October 4, 2024, the Company entered into Amendment No. 3 to the Development Collaboration Agreement with NKI, which suspended Amendment
No. 2 and provided for a new study term of one year and starts upon the dosing of the first patient in the clinical trial at a project
cost of 100,000 Euros.
During
the years ended December 31, 2025 and 2024, the Company incurred charges in the amount of $0 and $210,362, respectively, with respect
to this agreement, which amounts are included in research and development costs in the Company’s consolidated statements of operations. The Company’s aggregate commitment
pursuant to this agreement, less amounts previously paid to date, totaled approximately $118,000 as of December 31, 2025, which is expected
to be incurred through October 2026. As the work is being conducted in Europe and is paid for in Euros, final costs are subject to
foreign currency fluctuations between the United States Dollar and the Euro.
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MRI
Global. As amended, the Company has contracted with MRI Global for stability analysis, storage and distribution of LB-100 for clinical
trials in the United States. During the years ended December 31, 2025 and 2024, the Company incurred costs of $750 and $23,308, respectively,
pursuant to this contract.
Trends,
Events and Uncertainties
Research
and development of new pharmaceutical compounds is, by its nature, unpredictable. Although we will undertake research and development
efforts with commercially reasonable diligence, there can be no assurance that our cash position will be sufficient to enable us to develop
our pharmaceutical compounds to the extent needed to create future sales to sustain operations as contemplated herein.
There
can be no assurance that our pharmaceutical compound will obtain the regulatory approvals and market acceptance to achieve sustainable
revenues sufficient to support our operations. Even if we are able to generate revenues, there can be no assurance that we will be able
to achieve operating profitability or positive operating cash flows. There can be no assurance that we will be able to secure additional
financing, to the extent required, on acceptable terms or at all. If cash resources are insufficient to satisfy our ongoing cash requirements,
we would be required to reduce or discontinue our research and development programs, or attempt to obtain funds, if available, through
strategic alliances, joint ventures or other transaction structures that could require the Company to relinquish rights to and/or control
of LB-100, or to discontinue operations entirely.
Other
than as discussed above, we are not currently aware of any trends, events or uncertainties that are likely to have a material effect
on our financial condition in the near term, although it is possible that new trends or events may develop in the future that could have
a material effect on our financial condition.
ITEM
7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
Not
applicable.
ITEM
8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
The
Company’s consolidated financial statements and notes thereto and the related report of its independent registered public accounting
firm are attached to this Annual Report on Form 10-K beginning on page F-1.
ITEM
9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE
Not
applicable.
Text extracted from the filing as submitted to EDGAR. Formatting, tables and exhibits are simplified for reading; the original document is authoritative for anything you rely on.