−Removed: MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
−Removed: should read the following discussion and analysis of financial condition and results of operations of NeuroOne together with our financial
−Removed: statements and the related notes included elsewhere in this Report.
−Removed: References in this discussion to “series” or “notes”
−Removed: refer to all of our outstanding notes as of the relevant date of the item being discussed.
−Removed: References in this discussion to “convertible
−Removed: promissory notes” refer to all of our outstanding convertible promissory notes as of the relevant date of the item being discussed.
−Removed: are a medical technology company focused on the development and commercialization of thin film electrode technology for continuous electroencephalogram
−Removed: (cEEG) and stereoelectrocencephalography (sEEG), spinal cord stimulation, brain stimulation and ablation solutions for patients suffering
−Removed: from epilepsy, Parkinson’s disease, dystonia, essential tremors, chronic pain due to failed back surgeries and other related neurological
−Removed: Additionally, we are investigating the potential applications of our technology associated with artificial intelligence.
−Removed: November 2019, our Evo cortical technology (“cEEG”) received 510(k) clearance from the FDA for recording, monitoring, and
−Removed: stimulating brain tissue for up to 30 days, and in October 2022, we received FDA clearance for our Evo sEEG electrode technology for
−Removed: temporary (less than 30 days) use with recording, monitoring, and stimulation equipment for the recording, monitoring, and stimulation
−Removed: of electrical signals at the subsurface level of the brain.
−Removed: completed feasibility bench top testing with a new design of our diagnostic and ablation depth electrode in the first calendar quarter
−Removed: of 2021, and signed a contract with RBC Medical Innovations to develop hardware for the system in the third calendar quarter of 2021.
−Removed: We are targeting the fourth calendar quarter of 2022 for completion of such hardware.
−Removed: We also completed an animal feasibility study at
−Removed: Emory University in September 2021.
−Removed: Next, we plan to complete additional animal studies through the first quarter of calendar 2023, and
−Removed: submit an application for FDA 510(k) clearance in the second calendar quarter of 2023.
+Added: MANAGEMENT’S DISCUSSION AND ANALYSIS
+Added: OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
+Added: You should read the following discussion and
+Added: analysis of financial condition and results of operations of NeuroOne together with our financial statements and the related notes included
+Added: elsewhere in this Report.
+Added: We are a medical technology
+Added: company focused on the development and commercialization of thin film electrode technology for continuous electroencephalogram (“cEEG”)
+Added: and stereoelectrocencephalography (“sEEG”), spinal cord stimulation, brain stimulation, drug delivery and ablation solutions
+Added: for patients suffering from epilepsy, Parkinson’s disease, dystonia, essential tremors, chronic pain due to failed back surgeries
+Added: and other related neurological disorders.
+Added: We are also developing the capability to use our sEEG electrode technology to deliver drugs
+Added: or gene therapy while being able to record brain activity before, during, and after delivery.
+Added: Additionally, we are investigating the potential
+Added: applications of our technology associated with artificial intelligence.
+Added: In November 2019, our Evo cortical electrode technology
+Added: received 510(k) clearance from the FDA for recording, monitoring, and stimulating brain tissue for up to 30 days, and in October 2022,
+Added: we received FDA clearance for our Evo sEEG electrode technology for temporary (less than 30 days) use with recording, monitoring, and
+Added: stimulation equipment for the recording, monitoring, and stimulation of electrical signals at the subsurface level of the brain.
+Added: We completed feasibility bench top testing with
+Added: a new design of our diagnostic and ablation depth electrode in the first calendar quarter of 2021 and signed a contract with RBC Medical
+Added: Innovations to develop hardware for the system in the third calendar quarter of 2021.
+Added: We completed design verification of such hardware
+Added: early in the second calendar quarter of 2023.
+Added: We also completed an animal feasibility study at Emory University in September 2021.
+Added: completed additional animal studies early in the second quarter of calendar 2023 and received 510(k) clearance in December 2023 for creation
+Added: of radiofrequency lesions in nervous tissue for functional neurosurgical procedures.
Our other products are still under development.
−Removed: commenced commercial sales of cEEG strip/grid and electrode cable assembly products beginning in the first quarter of fiscal year 2021.
−Removed: We sold, on a limited application basis for design verification, sEEG depth electrode products for non-human use beginning in late fiscal
−Removed: year 2021, and plan to commence commercial sales of our sEEG depth electrode products in early calendar 2023.
−Removed: Our other products are
−Removed: still under development.
−Removed: have incurred losses since inception.
−Removed: As of September 30, 2022, we had an accumulated deficit of $50.8 million, primarily as a result
−Removed: of expenses incurred in connection with our research and development, selling, general and administrative expenses associated with our
−Removed: operations and interest expense, fair value adjustments and loss on extinguishments related to our debt, offset in part by collaborations
−Removed: and product revenues.
−Removed: to FDA clearance of certain of our products, our main sources of cash, cash equivalents and short-term investments were proceeds from
−Removed: the issuances of notes, common stock, warrants and unsecured loans.
−Removed: See “Liquidity and Capital Resources—Capital Resources”
−Removed: While we have begun to generate revenue from the sale of products based on our cEEG and sEEG technology and through
−Removed: milestone and other payments from our current collaboration with Zimmer, we expect to continue to incur significant expenses and
−Removed: increasing operating and net losses for the foreseeable future until and unless we generate a higher level of revenue from commercial
−Removed: sales, and we will need to obtain substantial additional funding in connection with our continuing operations through public
−Removed: or private equity or debt financings, through collaborations or partnerships with other companies or other sources.
−Removed: Medical Technologies Corporation
−Removed: may be unable to raise additional funds when needed on favorable terms or at all.
−Removed: Our failure to raise such capital as and when needed
−Removed: would have a negative impact on our financial condition and our ability to develop and commercialize our cortical strip, grid electrode
−Removed: and depth electrode technology and future products and our ability to pursue our business strategy.
−Removed: See “Liquidity and Capital
−Removed: Resources—Liquidity Outlook” below
−Removed: Developments and Upcoming Milestones
−Removed: Zimmer Milestone Payment
−Removed: August 2022, we entered into an amendment to the Exclusive Development and Distribution Agreement with Zimmer that provided us with a
−Removed: $3.5 million accelerated payment relating to certain milestone events.
−Removed: As part of the consideration, Zimmer received a Warrant to purchase
−Removed: 350,000 shares of our Common Stock, with an exercise price of $3.00 per share.
−Removed: Economic Conditions
−Removed: worldwide economic conditions remain uncertain, particularly due to the effects of the COVID-19 pandemic and increased inflation.
−Removed: The general economic and capital market conditions both in the U.S.
−Removed: and worldwide, have been volatile in the past and at times have adversely
−Removed: affected our access to capital and increased the cost of capital.
−Removed: The capital and credit markets may not be available to support future
−Removed: capital raising activity on favorable terms.
−Removed: If economic conditions decline, our future cost of equity or debt capital and access to
−Removed: the capital markets could be adversely affected.
−Removed: COVID-19 pandemic that began in late 2019 introduced significant volatility to the global economy, disrupted supply chains and had a
−Removed: widespread adverse effect on the financial markets.
−Removed: Additionally, our operating results could be materially impacted by changes
−Removed: in the overall macroeconomic environment and other economic factors.
−Removed: Changes in economic conditions, supply chain constraints, logistics
−Removed: challenges, labor shortages, the conflict in Ukraine, and steps taken by governments and central banks, particularly in response to the
−Removed: COVID-19 pandemic as well as other stimulus and spending programs, have led to higher inflation, which has led to an increase in costs
−Removed: and has caused changes in fiscal and monetary policy, including increased interest rates.
−Removed: product revenue was derived from the sale of our strip and grid cortical electrodes (“Strip/Grid Products”) and electrode
−Removed: cable assembly products (“Electrode Cable Assembly Products”) based on Evo cortical technology.
−Removed: We anticipate that we will
−Removed: generate additional revenue from the sale of products based on Evo cortical technology.
−Removed: November 2019, we received FDA 510(k) clearance for our cortical strip electrode for temporary
−Removed: (less than 30 days) recording, monitoring, and stimulation on the surface of the brain .
−Removed: In October 2022, we received FDA 510(k)
−Removed: clearance for our Evo sEEG electrode technology for temporary (less than 30 days) use with recording,
+Added: We commenced commercial
+Added: sales of cEEG strip/grid and electrode cable assembly products beginning in the first quarter of fiscal year 2021.
+Added: We sold, on a limited
+Added: application basis for design verification, sEEG depth electrode products for non-human use beginning in late fiscal year 2021, and we
+Added: commenced commercial sales of our sEEG depth electrode products in late calendar 2022.
+Added: Our other products are still under development.
+Added: NeuroOne Medical Technologies
+Added: We have incurred losses since inception.
+Added: As of September 30, 2023,
+Added: we had an accumulated deficit of $62.7 million, primarily as a result of expenses incurred in connection with our research and development,
+Added: selling, general and administrative expenses associated with our operations and interest expense, fair value adjustments and loss on extinguishments
+Added: related to our debt, offset in part by collaborations and product revenues.
+Added: Prior to FDA clearance
+Added: of certain of our products, our main sources of cash, cash equivalents and short-term investments were proceeds from the issuances of
+Added: notes, common stock, warrants and unsecured loans.
+Added: See “Liquidity and Capital Resources—Capital Resources” below.
+Added: we have begun to generate revenue from the sale of products based on our cEEG and sEEG technology and through milestone and other
+Added: payments from our current collaboration with Zimmer, we expect to continue to incur significant expenses and increasing operating
+Added: and net losses for the foreseeable future until and unless we generate a higher level of revenue from commercial sales, and we will
+Added: need to obtain substantial additional funding in connection with our continuing operations through public or private equity or debt financings,
+Added: through collaborations or partnerships with other companies or other sources.
+Added: We may be unable to raise
+Added: additional funds when needed on favorable terms or at all.
+Added: Our failure to raise such capital as and when needed would have a negative
+Added: impact on our financial condition and our ability to develop and commercialize our cortical strip, grid electrode and depth electrode
+Added: technology and future products and our ability to pursue our business strategy.
+Added: See “Liquidity and Capital Resources—Liquidity
+Added: Outlook” below.
+Added: Recent Developments and Upcoming Milestones
+Added: Corporate Updates
+Added: Appointment of COO
+Added: On November 14, 2023, we announced the appointment
+Added: of Christopher R.
+Added: Volker as the Chief Operating Officer of the Company, effective on November 10, 2023.
+Added: sEEG Commercial Launch
+Added: In May 2023, we announced the commercial launch
+Added: of the Evo® sEEG electrode product line in the United States with exclusive distribution partner Zimmer Biomet.
+Added: We have fulfilled
+Added: eight shipments of sEEG product to Zimmer Biomet in preparation for launch and completed initial training on the sEEG product line to
+Added: Zimmer Biomet sales personnel.
+Added: The first clinical case using the Evo® sEEG
+Added: electrode in robotic neurosurgery was performed by Dr.
+Added: William Bingaman at the Cleveland Clinic.
+Added: The procedure was the first to utilize
+Added: NeuroOne’s Evo sEEG electrode with Zimmer Biomet’s ROSA One® Brain, a robotic platform that assists surgeons in planning
+Added: and performing complex yet minimally invasive neurosurgical procedures.
+Added: OneRF Ablation
+Added: During the second fiscal quarter of 2023, we successfully
+Added: completed summative usability testing for OneRF with 15 neurosurgeons, and completed execution of internal device verification/validation
+Added: protocols for the final OneRF ablation system.
+Added: We submitted a 510(k) application to the FDA for the OneRF ablation system in June 2023,
+Added: submitted responses to FDA comments on November 6, 2023 and received 510(k) clearance on December 6, 2023.
+Added: Spinal Cord Stimulation Program
+Added: During the second fiscal quarter of 2023, we completed
+Added: an initial animal implant of novel thin film paddle leads for spinal cord stimulation (SCS).
+Added: The devices are intended for the treatment
+Added: of patients with chronic back pain due to multiple failed back surgery syndrome, intractable low back, and leg pain.
+Added: A percutaneous (through
+Added: a needle) delivery system for paddle leads is also under development and has been successfully bench-tested.
+Added: NeuroOne Medical Technologies
+Added: Global Economic Conditions
+Added: Generally, worldwide economic conditions remain
+Added: uncertain, particularly due to the conflicts between Russia and Ukraine and the Middle East, disruptions in the banking system and financial
+Added: markets, lingering effects of the COVID-19 pandemic and increased inflation.
+Added: The general economic and capital market conditions both in
+Added: and worldwide, have been volatile in the past and at times have adversely affected our access to capital and increased the cost
+Added: The capital and credit markets may not be available to support future capital raising activity on favorable terms or at all.
+Added: If economic conditions decline, our future cost of equity or debt capital and access to the capital markets could be adversely affected.
+Added: The COVID-19 pandemic
+Added: that began in late 2019 introduced significant volatility to the global economy, disrupted supply chains and had a widespread adverse
+Added: effect on the financial markets.
+Added: Additionally, our operating results could be materially impacted by changes in the overall macroeconomic
+Added: environment and other economic factors.
+Added: Changes in economic conditions, supply chain constraints, logistics challenges, labor shortages,
+Added: the conflicts in Ukraine and the Middle East, disruptions in the banking system and financial markets, and steps taken by governments
+Added: and central banks, particularly in response to the COVID-19 pandemic as well as other stimulus and spending programs, have led to higher
+Added: inflation, which has led to an increase in costs and has caused changes in fiscal and monetary policy, including increased interest rates.
+Added: Financial Overview
+Added: Product Revenue
+Added: Our product revenue was derived from the sale
+Added: of our Strip/Grid Products, depth electrodes (“sEEG Products”) and electrode
+Added: cable assembly products (“Electrode Cable Assembly Products”) based on Evo cortical electrode technology.
+Added: We anticipate that
+Added: we will generate additional revenue from the sale of products based on Evo cortical electrode technology.
+Added: In November 2019, we received FDA 510(k) clearance
+Added: for our cortical strip electrode for temporary (less than 30 days) recording, monitoring, and stimulation on the surface of the brain.
+Added: In October 2022, we received FDA 510(k) clearance for our Evo sEEG electrode technology for temporary (less than 30 days) use with recording,
monitoring, and stimulation equipment for the recording, monitoring, and stimulation of electrical signals at the subsurface level of
−Removed: We expect to begin generating revenue from our depth electrode technology in the first quarter of fiscal 2023.
−Removed: gross loss represents our product revenue less our cost of product revenue.
−Removed: Our cost of product revenue consists of the manufacturing
−Removed: and materials costs incurred by our third-party contract manufacturer in connection with our Strip/Grid Products and outside supplier
−Removed: materials costs of producing the Electrode Cable Assembly Products.
−Removed: In addition, cost of product revenue includes royalty fees incurred
−Removed: in connection with our license agreements.
−Removed: Medical Technologies Corporation
−Removed: Collaborations
−Removed: July 20, 2020, we entered into an exclusive development and distribution agreement (the “Zimmer Development Agreement”) with
−Removed: Zimmer, pursuant to which we granted Zimmer exclusive global rights to distribute the Strip/Grid Products and electrode cable assembly
−Removed: products (the “Electrode Cable Assembly Products”).
−Removed: Additionally, we granted Zimmer the exclusive right and license to distribute
−Removed: certain depth electrodes developed by the Company (“SEEG Products”, and together with the Strip/Grid Products and Electrode
−Removed: Cable Assembly Products, the “Products”).
−Removed: The parties have agreed to collaborate with respect to development activities under
−Removed: the Zimmer Development Agreement through a joint development committee composed of an equal number of representatives of Zimmer and the
−Removed: the terms of the Zimmer Development Agreement, we are responsible for all costs and expenses related to developing the Products, and
−Removed: Zimmer is responsible for all costs and expenses related to the commercialization of the Products.
−Removed: In addition to the Development Agreement,
−Removed: Zimmer and the Company have entered into a Manufacturing and Supply Agreement (the “MS Agreement”) and a supplier quality
−Removed: agreement (the “Quality Agreement”) with respect to the manufacturing and supply of the Products.
−Removed: as otherwise provided in the Zimmer Development Agreement, we are responsible for performing all development activities, including non-clinical
−Removed: and clinical studies directed at obtaining regulatory approval of each Product.
−Removed: Zimmer has agreed to use commercially reasonable efforts
−Removed: to promote, market and sell each Product following the “Product Availability Date” (as defined in the Zimmer Development
−Removed: Agreement) for such Product.
−Removed: to the Zimmer Development Agreement, Zimmer made an upfront initial exclusivity fee payment of $2.0 million (the “Initial
−Removed: Exclusivity Fee”) to the Company in fiscal year 2020.
−Removed: In addition, on August 2, 2022, we entered into a Third Amendment to the
−Removed: Zimmer Development Agreement (the “Amendment”) with Zimmer.
−Removed: Pursuant to the terms and conditions of the Amendment, Zimmer
−Removed: made a $3.5 million payment to us in August 2022.
−Removed: consideration of the mutual covenants and agreements contained in the Development Agreement, certain fee and milestone payment provisions
−Removed: in the Development Agreement were replaced with the following below:
+Added: Product Gross Profit (Loss)
+Added: Product gross profit (loss) represents our product
+Added: revenue less our cost of product revenue.
+Added: Our cost of product revenue consists of the manufacturing and materials costs incurred by our
+Added: third-party contract manufacturer in connection with our Strip/Grid Products, sEEG Products and outside supplier materials costs of producing
+Added: the Electrode Cable Assembly Products.
+Added: In addition, cost of product revenue includes royalty fees incurred in connection with our license
+Added: Collaborations Revenue
+Added: On July 20, 2020, we entered into an exclusive
+Added: development and distribution agreement (the “Zimmer Development Agreement”) with Zimmer, pursuant to which we granted Zimmer
+Added: exclusive global rights to distribute the Strip/Grid Products and electrode cable assembly products (the “Electrode Cable Assembly
+Added: Additionally, we granted Zimmer the exclusive right and license to distribute certain depth electrodes developed by
+Added: the Company (“sEEG Products”, and together with the Strip/Grid Products and Electrode Cable Assembly Products, the “Products”).
+Added: The parties have agreed to collaborate with respect to development activities under the Zimmer Development Agreement through a joint development
+Added: committee composed of an equal number of representatives of Zimmer and the Company.
+Added: Under the terms of the Zimmer Development Agreement,
+Added: we are responsible for all costs and expenses related to developing the Products, and Zimmer is responsible for all costs and expenses
+Added: related to the commercialization of the Products.
+Added: In addition to the Zimmer Development Agreement, Zimmer and the Company have entered
+Added: into an MS Agreement and a Quality Agreement with respect to the manufacturing and supply of the Products.
+Added: NeuroOne Medical Technologies
+Added: Except as otherwise provided in the Zimmer Development Agreement, we
+Added: are responsible for performing all development activities, including non-clinical and clinical studies directed at obtaining regulatory
+Added: approval of each Product.
+Added: Zimmer has agreed to use commercially reasonable efforts to promote, market and sell each Product following
+Added: the “Product Availability Date” (as defined in the Zimmer Development Agreement) for such Product.
+Added: Pursuant to the Zimmer Development Agreement,
+Added: Zimmer made an upfront initial exclusivity fee payment of $2.0 million (the “Initial Exclusivity Fee”) to the Company
+Added: in fiscal year 2020.
+Added: In addition, on August 2, 2022, we entered into a Third Amendment to the Zimmer Development Agreement (the “Amendment”)
+Added: Pursuant to the terms and conditions of the Amendment, Zimmer made a $3.5 million payment to us in August 2022.
+Added: In consideration
+Added: of the mutual covenants and agreements contained in the Zimmer Development Agreement, certain fee and milestone payment provisions in
+Added: the Zimmer Development Agreement were replaced with the following below:
$1.5 million for the sEEG exclusivity maintenance fee;
−Removed: million for satisfaction of each of the milestone events related to the design of SEEG Products
−Removed: set forth in the Development Agreement, even though the satisfaction was after the deadlines
−Removed: originally identified.
−Removed: addition, in connection with the Amendment, we issued to Zimmer a warrant to purchase common stock (the “2022 Zimmer Warrant”).
−Removed: The 2022 Zimmer Warrant is exercisable for up to an aggregate of 350,000 shares of our Common Stock.
−Removed: The 2022 Zimmer Warrant
−Removed: has an exercise price of $3.00 per share, will be exercisable commencing six months from the issuance date, and will expire on August
−Removed: Development Agreement will expire on the tenth anniversary of the date of the first commercial sale of the last Products to achieve a
−Removed: first commercial sale (the “Zimmer Term”), unless terminated earlier pursuant to its terms.
−Removed: Either party may terminate the
−Removed: Zimmer Development Agreement (x) with written notice for the other party’s material breach following a cure period or (y) if the
−Removed: other party becomes subject to certain insolvency proceedings.
−Removed: In addition, Zimmer may terminate the Zimmer Development Agreement for
−Removed: any reason with 90 days’ written notice, and the Company may terminate the Zimmer Development Agreement if Zimmer acquires or directly
−Removed: or indirectly owns a controlling interest in certain competitors of the Company.
−Removed: license rights granted to Zimmer under the Zimmer Development Agreement shall be exclusive from the effective date of the Amendment until
−Removed: the end of the Zimmer Term.
−Removed: payments attributed to the Initial Exclusivity Fee, the sEEG exclusivity maintenance fee and sEEG design milestone payment are non-refundable.
−Removed: Zimmer Development Agreement and Amendment were accounted for under the provisions of Accounting Standards Codification (“ASC”)
−Removed: 606, Revenue from Contracts with Customers (“ASC 606”).
−Removed: In accordance with the provisions under ASC 606, we
−Removed: identified five performance obligations under the Zimmer Development Agreement and Amendment:
−Removed: (1) our obligation to grant Zimmer access
−Removed: to our intellectual property;
−Removed: (2) completion SEEG Product development;
+Added: $2.0 million for satisfaction of each of the milestone events related to the design of sEEG Products set forth in the Zimmer Development Agreement, even though the satisfaction was after the deadlines originally identified.
+Added: In addition, in connection with the Amendment,
+Added: we issued to Zimmer a warrant to purchase common stock (the “2022 Zimmer Warrant”).
+Added: The 2022 Zimmer Warrant is exercisable
+Added: for up to an aggregate of 350,000 shares of our Common Stock.
+Added: The 2022 Zimmer Warrant has an exercise price of $3.00 per
+Added: share, will be exercisable commencing six months from the issuance date, and will expire on August 2, 2027.
+Added: The Zimmer Development Agreement will expire on
+Added: the tenth anniversary of the date of the first commercial sale of the last Products to achieve a first commercial sale (the “Zimmer
+Added: Term”), unless terminated earlier pursuant to its terms.
+Added: Either party may terminate the Zimmer Development Agreement (x) with written
+Added: notice for the other party’s material breach following a cure period or (y) if the other party becomes subject to certain insolvency
+Added: In addition, Zimmer may terminate the Zimmer Development Agreement for any reason with 90 days’ written notice, and
+Added: the Company may terminate the Zimmer Development Agreement if Zimmer acquires or directly or indirectly owns a controlling interest in
+Added: certain competitors of the Company.
+Added: The license rights granted to Zimmer under the Zimmer Development Agreement shall be exclusive from
+Added: the effective date of the Amendment until the end of the Zimmer Term.
+Added: All payments attributed to the Initial Exclusivity
+Added: Fee, the sEEG exclusivity maintenance fee and sEEG design milestone payment are non-refundable.
+Added: The Zimmer Development Agreement and Amendment
+Added: were accounted for under the provisions of Accounting Standards Codification (“ASC”) 606, Revenue from Contracts with
+Added: Customers (“ASC 606”).
+Added: In accordance with the provisions under ASC 606, we identified five performance obligations under
+Added: the Zimmer Development Agreement and Amendment:
+Added: (1) our obligation to grant Zimmer access to our intellectual property;
+Added: (2) completion
+Added: of sEEG Product development;
(3) completion of Strip/Grid Product development;
−Removed: (4) the provision
−Removed: of sEEG exclusivity maintenance;
−Removed: and (5) sEEG design modifications as requested by Zimmer.
−Removed: All performance obligations under the Zimmer
−Removed: Development Agreement and Amendment, outside of the sEEG exclusivity maintenance obligation, were met as of September 30, 2022.
−Removed: We recognized
−Removed: revenue in the amount of $1,948,872 and $64,812 during the years ended September 30, 2022 and 2021, respectively, in connection
−Removed: with the Zimmer Development Agreement and Amendment.
−Removed: Medical Technologies Corporation
−Removed: achievement of the level of sales required to earn royalty payments from Zimmer is uncertain.
−Removed: further discussion about the determination of collaborations revenue, product revenue and cost of product revenue, see “Note 7
−Removed: — Zimmer Development Agreement” included in “Item 8 — Financial Statements and Supplementary Data” in this
−Removed: General and Administrative
−Removed: general and administrative expenses consist primarily of personnel-related costs including stock-based compensation for personnel in
−Removed: functions not directly associated with research and development activities.
−Removed: Other significant costs include legal and litigation costs
−Removed: relating to corporate matters, intellectual property costs, professional fees for consultants assisting with financial and administrative
−Removed: matters, and sales and marketing in connection with the commercial sale of cEEG strip/grid, sEEG depth electrode and electrode cable
−Removed: assembly products.
−Removed: We anticipate that our selling, general and administrative expenses will significantly increase in the future to support
−Removed: our continued research and development activities, further commercialization of our cortical strip technology, our grid electrode technology,
−Removed: and our depth electrode technology, and the increased costs of operating as a public company.
−Removed: These increases will include increased
−Removed: costs related to the hiring of additional personnel and fees for legal and professional services, as well as other public company related
−Removed: and Development
−Removed: and development expenses consist of expenses incurred in performing research and development activities in developing our cortical strip,
−Removed: grid electrode and depth electrode technology.
−Removed: Research and development expenses include compensation and benefits for research and development
−Removed: employees including stock-based compensation, overhead expenses, cost of laboratory supplies, clinical trial and related clinical manufacturing
−Removed: expenses, costs related to regulatory operations, fees paid to consultants and other outside expenses.
−Removed: Research and development costs
−Removed: are expensed as incurred and costs incurred by third parties are expensed as the contracted work is performed.
−Removed: Lastly, de minimis income
−Removed: from the sale of prototype products and related materials are offset against research and development expenses.
−Removed: expect our research and development expenses to significantly increase over the next several years as we develop our cortical strip,
−Removed: grid electrode and depth electrode technology and conduct preclinical testing and clinical trials and will depend on the duration, costs
−Removed: and timing to complete our preclinical programs and clinical trials.
−Removed: expense consists of interest costs related to our convertible notes issued in 2019 (the “2019 Paulson Notes”) outstanding
−Removed: during the first quarter of fiscal year 2021.
−Removed: valuation change of instruments measured at fair value
−Removed: net valuation change of instruments measured at fair value included the change in fair value of the 2019 Paulson Notes while they were
−Removed: income primarily consists of interest income related to our cash, cash equivalents and short-term investments and to proceeds outside
−Removed: of normal operating activity relating to legal settlements and sales of non-commercial supplies.
−Removed: Medical Technologies Corporation
−Removed: of Operations
−Removed: of the Fiscal Years Ended September 30, 2022 and 2021
−Removed: following table sets forth our results of operations for the fiscal years ended September 30, 2022 and 2021.
−Removed: the years ended
+Added: (4) the provision of sEEG exclusivity maintenance;
+Added: (5) sEEG design modifications as requested by Zimmer.
+Added: All performance obligations under the Zimmer Development Agreement and Amendment
+Added: were met as of December 31, 2022.
+Added: In October 2022, we received 510(k) clearance
+Added: from the FDA for our Evo sEEG electrode technology for temporary (less than 30 days) use with recording, monitoring, and stimulation equipment
+Added: for the recording, monitoring, and stimulation of electrical signals at the subsurface level of the brain.
+Added: Accordingly, we recognized
+Added: revenue in the amount of $1.5 million during the year ended September 30, 2023 related to the completion of the sEEG exclusivity maintenance
+Added: During the year ended September 30, 2022, we recognized revenue in the amount of $1.9 million related to sEEG Product development.
+Added: NeuroOne Medical Technologies
+Added: The achievement of the level of sales required
+Added: to earn royalty payments from Zimmer is uncertain.
+Added: For further discussion about the determination
+Added: of collaborations revenue, product revenue and cost of product revenue, and for a discussion of milestones and royalty payments under
+Added: the Zimmer Development Agreement, see “—Liquidity and Capital Resources—Liquidity Outlook” below and see “Note
+Added: 7 — Zimmer Development Agreement” included in our financial statements included in “Item 8 — Financial Statements
+Added: and Supplementary Data” in this Report.
+Added: Selling, General and Administrative
+Added: Selling, general and administrative expenses consist
+Added: primarily of personnel-related costs including stock-based compensation for personnel in functions not directly associated with research
+Added: and development activities.
+Added: Other significant costs include legal and litigation costs relating to corporate matters, intellectual property
+Added: costs, professional fees for consultants assisting with financial and administrative matters, and sales and marketing in connection with
+Added: the commercial sale of cEEG strip/grid, sEEG depth electrode and electrode cable assembly products.
+Added: We anticipate that our selling, general
+Added: and administrative expenses will increase in the future to support our continued research and development activities, further commercialization
+Added: of our cortical strip and grid technology, and our depth electrode technology, and the increased costs of operating as a public company.
+Added: These increases will include increased costs related to the hiring of additional personnel and fees for legal and professional services,
+Added: as well as other public company related costs.
+Added: Research and Development
+Added: Research and development expenses consist of expenses
+Added: incurred in performing research and development activities in developing our cortical strip and grid electrode and depth electrode technology.
+Added: Research and development expenses include compensation and benefits for research and development employees including stock-based compensation,
+Added: overhead expenses, cost of laboratory supplies, clinical trial and related clinical manufacturing expenses, costs related to regulatory
+Added: operations, fees paid to consultants and other outside expenses.
+Added: Research and development costs are expensed as incurred and costs incurred
+Added: by third parties are expensed as the contracted work is performed.
+Added: Lastly, de minimis income from the sale of prototype products and related
+Added: materials are offset against research and development expenses.
+Added: We expect our research and development expenses
+Added: to significantly increase over the next several years as we develop our cortical strip and grid electrode and depth electrode technology
+Added: and conduct preclinical testing and clinical trials and will depend on the duration, costs and timing to complete our preclinical programs
+Added: and clinical trials.
+Added: Other Income, net
+Added: Other income, net primarily consists of interest
+Added: income related to our cash, cash equivalents, investment income or loss from short-term investments and other income or expense outside
+Added: of normal operating activity relating to legal settlements, sales of non-commercial supplies and other items as applicable.
+Added: Results of Operations
+Added: Comparison of the Fiscal Years Ended September
+Added: 30, 2023 and 2022
+Added: The following table sets forth our results of
+Added: operations for the fiscal years ended September 30, 2023 and 2022.
+Added: For the years ended
September 30,
Product revenue
−Removed: of product revenue
−Removed: Collaborations
+Added: Cost of product revenue
+Added: Product gross profit (loss)
+Added: Collaborations revenue
Operating expenses:
Selling, general and administrative
−Removed: and development
−Removed: operating expenses
+Added: Research and development
+Added: Total operating expenses
Loss from operations
1 unchanged sentence
(10,030,765 )
−Removed: Interest expense
−Removed: Net valuation change of
−Removed: instruments measured at fair value
+Added: Other income, net
+Added: Loss before income taxes
(11,859,491 )
+Added: Provision for income taxes
$ (11,859,491 )
−Removed: Revenue and Product Gross Loss
−Removed: revenue and product gross loss were $0.2 million and $(0.1) million, respectively, during each of the years ended September 30, 2022
−Removed: The product revenue consisted of the sale of Strip/Grid Products and Electrode Cable Assembly Products.
−Removed: Cost of product revenue
−Removed: consisted of the manufacturing and materials costs incurred by our third-party contract manufacturer in connection with our Strip/Grid
−Removed: Products and outside supplier materials costs in connection with the Electrode Cable Assembly Products.
−Removed: In addition, cost of product
−Removed: revenue included royalty fees incurred, including the royalty fees to WARF and Mayo of $0.1 million in connection with our license agreements
−Removed: during each of the years ended September 31, 2022 and 2021.
−Removed: Collaborations
−Removed: Collaborations
−Removed: revenue was $1.9 million and $0.1 million during the years ended September 30, 2022 and 2021, respectively.
−Removed: Revenue during the periods
−Removed: presented were derived from the Zimmer Development Agreement and Amendment and represented the portion of our performance obligations
−Removed: that were met in connection with the upfront initial development fee and payments associated with the Amendment.
−Removed: general and administrative expenses
−Removed: general and administrative expenses were $7.0 million for the year ended September 30, 2022, compared to $6.3 million for the year ended
−Removed: September 30, 2021.
−Removed: The increase of $0.7 million was primarily due to an increase in legal and litigation settlement costs of $0.8 million,
−Removed: public company costs largely in connection with the Nasdaq up-listing of $0.6 million and other operating costs on a net basis of $0.1
−Removed: million, offset partially by a reduction in stock-based compensation of $0.8 million.
−Removed: and development expenses
−Removed: and development expenses were $4.9 million for the year ended September 30, 2022, compared to $3.9 million for the year ended September
−Removed: The $1.0 million increase during fiscal 2022 over the comparable prior year period was due to an increase in supporting development
−Removed: activities largely attributed to our Evo sEEG electrode technology, which primarily included salary-related expenses and other costs
−Removed: of consulting services, materials and supplies.
−Removed: Medical Technologies Corporation
−Removed: expense for the year ended September 30, 2021 was $3,000 and consisted of issuance costs in connection with our 2019 Paulson Notes described
−Removed: further below.
−Removed: We did not incur any interest expense in fiscal year 2022.
−Removed: valuation change of instruments measured at fair value
−Removed: net valuation change of instruments measured at fair value for the year 2021 was a benefit of $(2,000) attributed to the fair value change
−Removed: of Paulson Notes while they were outstanding.
−Removed: We did not have any instruments measured at fair value during fiscal year 2022.
−Removed: income during the year ended September 30, 2022 related to interest income on our cash, cash equivalents
−Removed: and short-term investments in the amount of $31,000.
−Removed: Other income during the year ended September 30, 2021 consisted principally
−Removed: of proceeds received in connection with the PMT Corporation litigation in the amount of $0.2 million and from the forgiveness of the
−Removed: paycheck protection program loan in the amount of $0.1 million.
−Removed: and Capital Resources
−Removed: of September 30, 2022, our principal source of liquidity consisted of cash, cash equivalents and short-term investments in the aggregate
−Removed: of approximately $11.1 million.
−Removed: While we began to generate revenue in fiscal year 2021 from commercial sales and through milestone and
−Removed: other payments under our collaboration with Zimmer, we expect to continue to incur significant expenses and increasing operating and
−Removed: net losses for the foreseeable future until and unless we generate an adequate level of revenue from commercial sales to cover expenses.
−Removed: Our most significant cash requirements relate to the funding of our ongoing product development and commercialization operations and
−Removed: our royalty obligations under our intellectual property licenses with the Wisconsin Alumni Research Foundation (“WARF”) and
−Removed: the Mayo Foundation for Medical Education and Research (“Mayo”).
−Removed: Our additional material cash needs include commitments
−Removed: under operating leases and other administrative services.
−Removed: See “Funding Requirements” below for more information.
−Removed: We anticipate
−Removed: that our expenses will increase substantially as we develop and commercialize our cortical strip, grid electrode and depth electrode
−Removed: technology and pursue pre-clinical and clinical trials, seek regulatory approvals, manufacture products, establish our own sales, marketing
−Removed: and distribution infrastructure to commercialize our ablation electrode technology, hire additional staff, add operational, financial
−Removed: and management systems and continue to operate as a public company.
−Removed: sources of cash, cash equivalents and short-term investments to date have been limited to collaboration and product revenues, along with
−Removed: proceeds from the issuances of notes with warrants, common stock with and without warrants and unsecured loans with the terms of our
−Removed: financings described below.
+Added: $ (9,999,613 )
+Added: $ (1,859,878 )
+Added: NeuroOne Medical Technologies
+Added: Product Revenue and Product Gross Profit (Loss)
+Added: Product revenue and product gross profit were
+Added: $2.0 million and $0.5 million, respectively, during the year ended September 30, 2023.
+Added: Product revenue and product gross loss were $0.2
+Added: million and $0.1 million, respectively, during the year ended September 30, 2022.
+Added: The increase in gross profit during the current period
+Added: was largely due to the higher sales volume that exceeded fixed royalty and other overhead costs in the current year resulting in a positive
+Added: gross margin of 23.4% for the first time in our history.
+Added: Product revenue consisted of Strip/Grid Products, sEEG Products and Electrode
+Added: Cable Assembly Products sales.
+Added: The increase in product revenue of $1.8 million year over was attributed primarily to the sale of our sEEG
+Added: Products that followed the FDA 510(k) clearance in October 2022 for our Evo sEEG electrode technology for temporary (less than 30 days)
+Added: Cost of product revenue consisted of the manufacturing and materials costs incurred by our third-party contract manufacturer in connection
+Added: with our Strip/Grid Products, sEEG Products and outside supplier materials costs in connection with the Electrode Cable Assembly Products.
+Added: In addition, cost of product revenue included royalty fees incurred of approximately $0.2 million and $0.1 million in connection with
+Added: our license agreements during the years ended September 30, 2023 and 2022, respectively.
+Added: Collaborations Revenue
+Added: Collaborations revenue was $1.5 million and $1.9
+Added: million during the years ended September 30, 2023 and 2022, respectively.
+Added: Revenue during the periods presented were derived from the Zimmer
+Added: Development Agreement and Amendment and represented the portion of our performance obligations that were met in connection with the upfront
+Added: initial development fee and payments associated with the Amendment.
+Added: Selling, general and administrative expenses
+Added: Selling, general and administrative expenses were
+Added: $6.9 million and $7.0 million for the years ended September 30, 2023 and 2022, respectively.
+Added: The negligible change period over period
+Added: was composed primarily due to an increase in payroll related costs of approximately $0.3 million offset by a reduction in professional
+Added: service and marketing related costs of $0.4 million.
+Added: Research and development expenses
+Added: Research and development expenses were $6.9 million
+Added: for the year ended September 30, 2023, compared to $4.9 million for the year ended September 30, 2022.
+Added: The $2.0 million increase during
+Added: fiscal 2023 over the comparable prior year period was attributed to supporting development activities, which primarily included salary-related
+Added: expenses and costs related to consulting services, materials and supplies associated with the development of future sEEG product applications
+Added: and other products utilizing new technologies.
+Added: Other Income, net
+Added: Other income, net during the year ended September
+Added: 30, 2023 related to interest income attributed to our cash, cash equivalents and short-term investments in the amount of $0.2 million,
+Added: while outstanding, which was partially offset by an exploit loss of $94,000 and a loss on disposal of equipment in the amount of $32,000.
+Added: Other income, net during the year ended September
+Added: 30, 2022 consisted principally of interest income attributed to our cash, cash equivalents and short-term investments, while outstanding.
+Added: NeuroOne Medical Technologies
+Added: Liquidity and Capital Resources
+Added: As of September 30, 2023, our principal source
+Added: of liquidity consisted of cash and cash equivalents in the aggregate of approximately $5.3 million.
+Added: While we began to generate revenue
+Added: in fiscal year 2021 from commercial sales and through milestone and other payments under our collaboration with Zimmer, we expect to continue
+Added: to incur significant expenses and increasing operating and net losses for the foreseeable future until and unless we generate an adequate
+Added: level of revenue from commercial sales to cover expenses.
+Added: Our most significant cash requirements relate to the funding of our ongoing
+Added: product development and commercialization operations and our royalty obligations under our intellectual property licenses with the Wisconsin
+Added: Alumni Research Foundation (“WARF”) and the Mayo Foundation for Medical Education and Research (“Mayo”).
+Added: additional material cash needs include commitments under operating leases and other administrative services.
+Added: See “Funding Requirements”
+Added: below for more information.
+Added: We anticipate that our expenses will increase substantially as we develop and commercialize our cortical strip,
+Added: grid electrode and depth electrode technology and pursue pre-clinical and clinical trials, seek regulatory approvals, manufacture products,
+Added: establish our own sales, marketing and distribution infrastructure to commercialize our ablation electrode technology, hire additional
+Added: staff, add operational, financial and management systems and continue to operate as a public company.
+Added: Capital Resources
+Added: Our sources of cash, cash equivalents and short-term
+Added: investments to date have been limited to collaboration and product revenues, along with proceeds from the issuances of notes with warrants,
+Added: common stock with and without warrants and unsecured loans with the terms of our financings described below.
+Added: July 2023 Public Offering
+Added: On July 24, 2023, we entered into an underwriting
+Added: agreement with The Benchmark Company, LLC, as underwriter (“Benchmark”), relating to the issuance and sale of 5,250,000 shares
+Added: of our common stock, par value $0.001 per share, at a price to the public of $1.00 per share (the “July 2023 Public Offering”).
+Added: In addition, under the terms of the July 2023 Public Offering, we granted Benchmark an option, exercisable for 30 days, to purchase up
+Added: to an additional 787,500 shares of common stock on the same terms (“the Overallotment Option”).
+Added: The July 2023 Public Offering
+Added: closed on July 27, 2023, and we completed the sale and issuance of an aggregate of 6,037,500 shares of our common stock, including the
+Added: exercise in full of the Overallotment Option.
+Added: The net proceeds to us from the July 2023 Public
+Added: Offering were approximately $5.2 million after deducting underwriting discounts and other offering expenses payable by the Company.
+Added: intend to use the net proceeds from this offering to:
+Added: (i) support the commercial launch of the EVO sEEG electrode with Zimmer Biomet,
+Added: (ii) support the FDA submission for the OneRF ablation system, and (iii) complete the design of a novel drug delivery electrode, among
+Added: other general corporate purposes.
+Added: At-The-Market Offering
+Added: On December 21, 2022, we entered into a Capital
+Added: on Demand TM Sales Agreement (“Sales Agreement”) with JonesTrading Institutional Services LLC (“JonesTrading”)
+Added: to create an at-the-market offering program (“ATM”) under which we may offer and sell shares having an aggregate offering
+Added: price of up to $14.5 million.
+Added: JonesTrading is entitled to a commission at a fixed commission rate equal to up to 3% of the gross proceeds.
+Added: Through September 30, 2023, we have issued 1,439,677 shares of common stock under the ATM for gross proceeds in the amount of $2.6 million.
+Added: We incurred issuance costs in connection with the ATM in the amount of $0.2 million through September 30, 2023.
+Added: On July 24, 2023, we decreased
+Added: the amount of common stock that can be sold pursuant to the Sales Agreement, such that we were offering up to an aggregate of $2.6 million
+Added: of our common stock for sale under the Sales Agreement, including the shares of common stock previously sold.
+Added: On December 1, 2023, we
+Added: increased the amount of common stock that can be sold pursuant to the Sales Agreement, such that we are offering up to an aggregate of
+Added: $4.8 million of our common stock for sale under the Sales Agreement, including the shares of common stock previously sold.
+Added: NeuroOne Medical Technologies
+Added: October 2021 Underwritten Public Offering
+Added: On October 13, 2021, we entered into an underwriting
+Added: agreement relating to the issuance and sale of 3,750,000 shares of our common stock at a price to the public of $3.20 per share (the “October
2021 Underwritten Public Offering”).
−Removed: October 13, 2021, we entered into an underwriting agreement relating to the issuance and sale of 3,750,000 shares of our common stock
−Removed: at a price to the public of $3.20 per share (the “October 2021 Underwritten Public Offering”).
−Removed: In addition, under the terms
−Removed: of the underwriting agreement, we granted the underwriter an option, exercisable for 30 days, to purchase up to an additional 562,500
−Removed: shares of common stock on the same terms.
−Removed: The base offering closed on October 15, 2021, and the sale of 422,057 shares of common stock
−Removed: subject to the underwriter’s overallotment option closed on November 15, 2021.
−Removed: The gross proceeds from this offering were approximately
−Removed: $13.4 million prior to deducting underwriting discounts and other offering expenses payable by us.
−Removed: NeuroOne Medical Technologies Corporation
−Removed: 2021 Private Placement
−Removed: On January 12, 2021, we entered into a purchase
−Removed: agreement with certain accredited investors, pursuant to which the Company, in a private placement (the “2021 Private Placement”),
−Removed: agreed to issue and sell an aggregate of 4,166,682 shares of the common stock of the Company, and warrants to purchase an aggregate of
−Removed: 4,166,682 shares of common stock (the “2021 Warrants”) at an aggregate purchase price of $3.00 per share of common stock and
−Removed: corresponding warrant, resulting in total gross proceeds of $12.5 million before deducting placement agent fees and estimated offering
−Removed: The 2021 Warrants have an initial exercise price of $5.25 per share.
−Removed: The 2021 Warrants became immediately exercisable beginning
−Removed: on the date of issuance and will expire on the fifth anniversary of such date.
−Removed: Prior to expiration, subject to the terms and conditions
−Removed: set forth in the 2021 Warrants, the holders of such 2021 Warrants may exercise the 2021 Warrants for shares of common stock by providing
−Removed: notice to the Company and paying the exercise price per share for each share so exercised or by utilizing the “cashless exercise”
−Removed: feature contained in each 2021 Warrant.
−Removed: The 2021 Private Placement closed on January 14, 2021.
−Removed: Common Stock Offerings
−Removed: On July 24, 2020, we
−Removed: entered into a securities purchase agreement (“2020 Purchase Agreement”) with an accredited investor pursuant to which we,
−Removed: in a private placement, issued and sold 25,000 shares of the Company’s common stock for gross proceeds in the amount of $135,000.
−Removed: Under the 2020 Purchase Agreement, we agreed to use the net proceeds from the private placement for funding operations or working capital
−Removed: and general corporate purposes.
−Removed: We granted the investor indemnification rights with respect to representations, warranties and agreements
−Removed: under the 2020 Purchase Agreement.
−Removed: On October 23, 2019,
−Removed: the Company entered into securities purchase agreements with certain accredited investors, pursuant to which the Company, in a private
−Removed: placement, issued and sold 47,223 shares of the Company’s common stock to the accredited investors at a price of $5.40 per share,
−Removed: for gross proceeds amounting to $0.3 million before deducting offering expenses.
−Removed: 2020 Paulson Convertible
−Removed: On April 30, 2020, the
−Removed: Company entered into a subscription agreement with certain accredited investors, pursuant to which the Company, in a private placement
−Removed: (the “2020 Paulson Private Placement”), agreed to issue and sell to the investors 13% convertible promissory notes (each,
−Removed: a “2020 Paulson Note” and collectively, the “2020 Paulson Notes”) and warrants (each, a “2020 Paulson Warrant”
−Removed: and collectively, the “2020 Paulson Warrants”) to purchase shares of the Company’s common stock.
−Removed: Between April 30, 2020
−Removed: and June 30, 2020, the Company issued 2020 Paulson Notes in an aggregate principal amount of $5.1 million to the Subscribers.
−Removed: closing under the 2020 Paulson Private Placement occurred on June 30, 2020.
−Removed: In July 2020, all remaining 2020 Paulson Notes outstanding
−Removed: were automatically converted into common stock following the announcement of a Strategic Transaction (as defined in the 2020 Paulson Notes)
−Removed: with Zimmer, Inc.
−Removed: Refer to “Liquidity and Capital Resources—Historical Capital Resources” in our Annual Report on Form
−Removed: 10-K for the year ended September 30, 2021 for additional information related to the 2020 Paulson Convertible Notes.
−Removed: 2019 Paulson Convertible
−Removed: On November 1, 2019,
−Removed: the Company entered into a subscription agreement with certain accredited investors, pursuant to which the Company, in a private placement
−Removed: (the “2019 Paulson Private Placement”), agreed to issue and sell to the investors 13% convertible promissory notes (each,
−Removed: a “2019 Paulson Note” and collectively, the “2019 Paulson Notes”) and warrants (each, a “2019 Paulson Warrant”
−Removed: and collectively, the “2019 Paulson Warrants”) to purchase shares of the Company’s common stock.
−Removed: NeuroOne Medical Technologies Corporation
−Removed: The initial closing of
−Removed: the private placement was consummated on November 1, 2019, and, on that date and through December 3, 2019, the Company issued 2019 Paulson
−Removed: Notes in an aggregate principal amount of $3,234,800 to the Subscribers for gross proceeds equaling the principal amount.
−Removed: placement terminated on December 3, 2019.
−Removed: Between April 24, 2020 and December 15, 2020, all of the holders elected to convert outstanding
−Removed: principal and accrued and unpaid interest of 2019 Paulson Notes in the amount of $3,453,883 into shares of common stock.
−Removed: Refer to “—Liquidity
−Removed: and Capital Resources—Historical Capital Resources” in our Annual Report on Form 10-K for the year ended September 30, 2021
−Removed: for additional information related to the 2019 Paulson Convertible Notes.
−Removed: Paycheck Protection
−Removed: In connection with the
−Removed: CARES Act, the Company received loan funding of approximately $83,000 under the Paycheck Protection Program (“PPP”), which
−Removed: was forgiven by the U.S.
−Removed: Small Business Administration on June 9, 2021.
+Added: In addition, under the terms of the underwriting agreement, we granted the underwriter an option,
+Added: exercisable for 30 days, to purchase up to an additional 562,500 shares of common stock on the same terms.
+Added: The base offering closed on
+Added: October 15, 2021, and the sale of 422,057 shares of common stock subject to the underwriter’s overallotment option closed on November
+Added: The gross proceeds from this offering were approximately $13.4 million prior to deducting underwriting discounts and other offering
+Added: expenses payable by us.
Funding Requirements
1 unchanged sentence
relate to the funding of our ongoing product development and commercialization operations and our milestone and royalty obligations under
−Removed: our intellectual property licenses with the Wisconsin Alumni Research Foundation (“WARF”) and the Mayo Foundation for Medical
−Removed: Education and Research (“Mayo”).
−Removed: See “Item 1—Business—Clinical Development and Regulatory Pathway—Clinical
−Removed: Experience, Future Development and Clinical Trial Plans” in the Report for a discussion of design, development, pre-clinical and
−Removed: clinical activities that we may conduct in the future, including expected cash expenditures required for some of those activities, to
−Removed: the extent we are able to estimate such costs.
−Removed: On January 22, 2020, we entered into an Amended
−Removed: and Restated License Agreement (the “WARF License”) with WARF, which amended and restated in full our prior license agreement
−Removed: with WARF, dated October 1, 2014 (the “Original WARF License”).
−Removed: Under the WARF License, we have agreed to pay WARF a royalty
−Removed: equal to a single-digit percentage of our product sales pursuant to the WARF License, with a minimum annual royalty payment of $50,000
−Removed: for 2020, $100,000 for 2021 and $150,000 for 2022 and each calendar year thereafter that the WARF License is in effect.
−Removed: If we or any of
−Removed: our sublicensees contest the validity of any licensed patent, the royalty rate will be doubled during the pendency of such contest and,
−Removed: if the contested patent is found to be valid and would be infringed by us if not for the WARF License, the royalty rate will be tripled
−Removed: for the remaining term of the WARF License.
−Removed: Under the Amended and Restated License and Development
−Removed: Agreement with Mayo (the “Mayo Development Agreement”), we have agreed to pay Mayo a royalty equal to a single-digit percentage
−Removed: of our product sales pursuant to the Mayo Development Agreement.
−Removed: See “Note 4 – Commitments and Contingencies” included
−Removed: in our financial statements included in “Item 8 — Financial Statements and Supplementary Data” in this Report for more
−Removed: information about the WARF License and the Mayo Development Agreement.
−Removed: Our other cash requirements within the next twelve
−Removed: months include accounts payable, accrued expenses, purchase commitments and other current liabilities.
−Removed: Our other cash requirements greater
−Removed: than twelve months from various contractual obligations and commitments include operating leases and contracted services.
−Removed: Refer to “Note
−Removed: 4 – Commitments and Contingencies” included in our financial statements included in “Item 8 — Financial Statements
−Removed: and Supplementary Data” in this Report for further detail of our lease obligations and the timing of expected future payments.
−Removed: services include agreements with third-party service providers for clinica l research, product development,
−Removed: manufacturing, supplies, payroll services, equipment maintenance services, and audits for periods up to fiscal 2024.
−Removed: We expect to satisfy our short-term and long-term
−Removed: obligations through cash on hand and, until we generate an adequate level of revenue from commercial sales to cover expenses, if ever,
−Removed: from future equity and debt financings.
+Added: our intellectual property licenses with WARF and Mayo.
+Added: 1—Business—Clinical Development and Regulatory Pathway—Clinical Experience, Future Development and Clinical Trial Plans”
+Added: in this Report for a discussion of design, development, pre-clinical and clinical activities that we may conduct in the future, including
+Added: expected cash expenditures required for some of those activities, to the extent we are able to estimate such costs.
+Added: On January 21, 2020,
+Added: we entered into an Amended and Restated License Agreement (the “WARF License”) with WARF, which amended and restated in full
+Added: our prior license agreement with WARF, dated October 1, 2014 (the “Original WARF License”).
+Added: Under the WARF License, we have
+Added: agreed to pay WARF a royalty equal to a single-digit percentage of our product sales pursuant to the WARF License, with a minimum annual
+Added: royalty payment of $50,000 for 2020, $100,000 for 2021 and $150,000 for 2022 and each calendar year thereafter that the WARF License is
+Added: If we or any of our sublicensees contest the validity of any licensed patent, the royalty rate will be doubled during the pendency
+Added: of such contest and, if the contested patent is found to be valid and would be infringed by us if not for the WARF License, the royalty
+Added: rate will be tripled for the remaining term of the WARF License.
+Added: Under the Amended and
+Added: Restated License and Development Agreement with Mayo (the “Mayo Development Agreement”), we have agreed to pay Mayo a royalty
+Added: equal to a single-digit percentage of our product sales pursuant to the Mayo Development Agreement.
+Added: Refer to “Note 4 – Commitments
+Added: and Contingencies” included in our financial statements included in “Item 8 — Financial Statements and Supplementary
+Added: Data” in this Report for more information about the WARF License and the Mayo Development Agreement.
+Added: Our other cash requirements
+Added: within the next twelve months include accounts payable, accrued expenses, purchase commitments and other current liabilities.
+Added: cash requirements greater than twelve months from various contractual obligations and commitments include operating leases and contracted
+Added: Refer to “Note 4 – Commitments and Contingencies” included in our financial statements included in “Item
+Added: 8 — Financial Statements and Supplementary Data” in this Report for further detail of our lease obligations and the timing
+Added: of expected future payments.
+Added: Contracted services include agreements with third-party service providers for clinical research, product
+Added: development, manufacturing, supplies, payroll services, equipment maintenance services, and audits for periods up to fiscal year 2025.
+Added: We expect to satisfy
+Added: our short-term and long-term obligations through cash on hand and, until we generate an adequate level of revenue from commercial sales
+Added: to cover expenses, if ever, from future equity and debt financings.
Liquidity Outlook
3 unchanged sentences
Even though we have received regulatory clearance
−Removed: to expand the use of our Evo sEEG Electrode technology for up to 30 days, we don’t anticipate that commercial sales of the sEEG
−Removed: Electrode will begin until early 2023.
−Removed: Zimmer has exclusive global rights to distribute our strip and grid cortical electrodes, depth
−Removed: electrodes and electrode cable assembly products.
−Removed: Zimmer’s failure to timely develop or commercialize these products would have
−Removed: a material adverse effect on our business and operating results.
−Removed: NeuroOne Medical Technologies Corporation
−Removed: At September 30, 2022, we had cash, cash equivalents
−Removed: and short-term investments in the aggregate of approximately $11.1 million.
−Removed: Management has noted the existence of substantial doubt about
−Removed: our ability to continue as a going concern.
−Removed: Additionally, our independent registered public accounting firm included an explanatory paragraph
−Removed: in the report on our financial statements as of and for the years ended September 30, 2022 and 2021, respectively, noting the existence
−Removed: of substantial doubt about our ability to continue as a going concern.
−Removed: Our existing cash, cash equivalents and short-term investments
−Removed: may not be sufficient to fund our operating expenses through at least twelve months from the date of this filing.
−Removed: To continue to fund
−Removed: operations, we will need to secure additional funding through public or private equity or debt financings, through collaborations or partnerships
−Removed: with other companies or other sources.
+Added: to expand the use of our Evo sEEG electrode technology for up to 30 days, commercial sales of the sEEG electrodes are expected to take
+Added: some time to be a significant source of liquidity.
+Added: Zimmer has exclusive global rights to distribute our strip and grid cortical electrodes,
+Added: depth electrodes and electrode cable assembly products.
+Added: Zimmer’s failure to timely develop or commercialize these products would
+Added: have a material adverse effect on our business and operating results.
+Added: NeuroOne Medical Technologies
+Added: At September 30, 2023, we had cash and cash equivalents
+Added: in the aggregate of approximately $5.3 million.
+Added: Management has noted the existence of substantial doubt about our ability to continue
+Added: as a going concern.
+Added: Additionally, our independent registered public accounting firm included an explanatory paragraph in the report on
+Added: our financial statements as of and for the years ended September 30, 2023 and 2022, respectively, noting the existence of substantial
+Added: doubt about our ability to continue as a going concern.
+Added: Our existing cash and cash equivalents may not be sufficient to fund our operating
+Added: expenses through at least twelve months from the date of this filing.
+Added: To continue to fund operations, we will need to secure additional
+Added: funding through public or private equity or debt financings, through collaborations or partnerships with other companies or other sources.
We may not be able to raise additional capital on terms acceptable to us, or at all.
−Removed: to raise capital when needed could compromise our ability to execute on our business plan.
−Removed: If we are unable to raise additional funds,
−Removed: or if our anticipated operating results are not achieved, we believe planned expenditures may need to be reduced in order to extend the
−Removed: time period that existing resources can fund our operations.
−Removed: If we are unable to obtain the necessary capital, it may have a material
−Removed: adverse effect on our operations and the development of our technology, or we may have to cease operations altogether.
+Added: Any failure to raise capital when needed could compromise
+Added: our ability to execute on our business plan.
+Added: If we are unable to raise additional funds, or if our anticipated operating results are not
+Added: achieved, we believe planned expenditures may need to be reduced in order to extend the time period that existing resources can fund our
+Added: If we are unable to obtain the necessary capital, it may have a material adverse effect on our operations and the development
+Added: of our technology, or we may have to cease operations altogether.
The development and commercialization of our cortical
−Removed: strip, grid electrode and depth electrode technology is subject to numerous uncertainties, and we could use our cash, cash equivalent
−Removed: and short-term investment resources sooner than we expect.
−Removed: Additionally, the process of developing medical devices is costly, and the
−Removed: timing of progress in pre-clinical tests and clinical trials is uncertain.
−Removed: Our ability to successfully transition to profitability will
−Removed: be dependent upon achieving further regulatory approvals and achieving a level of product sales adequate to support our cost structure.
−Removed: We cannot assure you that we will ever be profitable or generate positive cash flow from operating activities.
+Added: strip, grid electrode and depth electrode technology is subject to numerous uncertainties, and we could use our cash and cash equivalent
+Added: resources sooner than we expect.
+Added: Additionally, the process of developing medical devices is costly, and the timing of progress in pre-clinical
+Added: tests and clinical trials is uncertain.
+Added: Our ability to successfully transition to profitability will be dependent upon achieving further
+Added: regulatory approvals and achieving a level of product sales adequate to support our cost structure.
+Added: We cannot assure you that we will
+Added: ever be profitable or generate positive cash flow from operating activities.
The following is a summary of cash flows for each
5 unchanged sentences
$ (7,519,534 )
−Removed: Net cash used in investing activities
+Added: Net cash provided by (used in) investing activities
Net cash provided by financing activities
−Removed: Net increase in cash
+Added: Net (decrease) increase in cash
+Added: $ (2,837,836 )
Net cash used in operating activities
Net cash used in operating activities was $12.9
+Added: million for the year ended September 30, 2023, which consisted of a net loss of $11.9 million partially offset by non-cash stock-based
+Added: compensation, depreciation, amortization related to intangible assets and short term investment premiums and discounts, operating lease
+Added: expense and loss on disposal of fixed assets, totaling approximately $1.4 million in the aggregate.
+Added: The net change in our net operating
+Added: assets and liabilities associated with fluctuations in our operating activities resulted in a cash use of approximately $2.4 million.
+Added: The net cash use stemming from the change in operating assets and liabilities was primarily attributable to both a decrease in deferred
+Added: revenue in connection with the completion of the remaining milestone performance obligation under the Zimmer Development Agreement and
+Added: to an increase in inventory purchases, attributed to the timing of payments.
+Added: Partially offsetting the net cash operating use during the
+Added: period was a decrease in our accounts receivable, prepaid expenses and by an increase in our accrued expenses, on a net basis, resulting
+Added: from timing of payments and fluctuations in our operations.
+Added: Net cash used in operating activities was $7.5
million for the year ended September 30, 2022, which consisted of a net loss of $10.0 million partially offset primarily by stock-based
5 unchanged sentences
increase in accounts payable, accrued expenses and deferred revenue, offset partially by increases in inventory purchases and prepaid
−Removed: Net cash used in operating activities was $8.6
−Removed: million for the year ended September 30, 2021, which consisted of a net loss of $9.9 million partially offset primarily by stock-based
−Removed: compensation, depreciation, amortization related to intangible assets, revaluation of convertible notes, non-cash lease expense and Paycheck
−Removed: Protection Program loan forgiveness, totaling approximately $1.9 million in the aggregate.
−Removed: The net change in our net operating assets
−Removed: and liabilities associated with fluctuations in our operating activities resulted in a cash use of approximately $0.5 million.
−Removed: on year change in operating assets and liabilities was primarily attributable to a net decrease in accounts payable and accrued expenses,
−Removed: and by an increases in inventory purchases, accounts receivable and prepaid expenses.
−Removed: NeuroOne Medical Technologies Corporation
−Removed: Net cash used in investing activities
+Added: NeuroOne Medical Technologies
+Added: Net cash provided by (used in) investing activities
+Added: Net cash provided by investing activities was
+Added: $2.6 million for the year ended September 30, 2023 and consisted of maturities of short-term investments in the amount of $4.5 million,
+Added: offset by purchases of short term investments of $1.5 million, consisting of treasury and corporate notes.
+Added: The balance of activity during
+Added: the period consisted of outlays for purchases of property and equipment in the amount $0.4 million offset slightly by net proceeds associated
+Added: with the disposal of equipment.
Net cash used by investing activities for the
2 unchanged sentences
maturities of short-term investments in the amount of $0.5 million.
−Removed: Net cash used by investing activities for the
−Removed: year ended September 30, 2021 was $0.1 million and consisted of outlays for research and development equipment.
Net cash provided by financing activities
+Added: Net cash provided by financing activities was
+Added: $7.4 million for the year ended September 30, 2023, which consisted of net proceeds from the July 2023 Public Offering of $5.2 million
+Added: and from the ATM of $2.3 million, offset partially by repurchases of common stock for the payment of employee taxes in the amount of $0.1
provided by financing activities was $12.0 million for the year ended September 30, 2022, which consisted of net proceeds from the October
2021 Underwritten Public Offering.
−Removed: Net cash provided by financing activities was
−Removed: $11.5 million for the year ended September 30, 2021, which consisted primarily of net proceeds received upon the issuance of the 2021
−Removed: Private Placement in the amount of $11.3 million in the aggregate.
−Removed: There were also exercises of stock options and warrants during the
−Removed: year ended September 30, 2021 resulting in additional cash proceeds of $0.3 million, offset in part by deferred offering costs of $49,000.
Critical Accounting Policies and Significant
13 unchanged sentences
8 — Financial Statements and Supplementary Data” in this Report.
+Added: NeuroOne Medical Technologies
Of these policies, the following are considered
10 unchanged sentences
8 — Financial Statements and Supplementary Data” in this Report.
−Removed: NeuroOne Medical Technologies Corporation
Income Tax Assets
13 unchanged sentences
the impact of certain recent accounting pronouncements on our financial statements.
−Removed: QUANTITATIVE AND
−Removed: QUALITATIVE DISCLOSURES ABOUT MARKET RISK
+Added: QUANTITATIVE AND QUALITATIVE DISCLOSURES
+Added: ABOUT MARKET RISK
Not applicable.
Compared sentence by sentence after normalising whitespace, quotation marks, case and digits, so re-formatting and restated figures do not read as changed language. Wording changes appear as one removal and one addition. The current filing and the prior one are authoritative.