−Removed: Our primary business is the development
−Removed: of a portfolio of transdermal pharmaceutical products.
−Removed: Our lead product is our abuse deterrent fentanyl transdermal system which
−Removed: we are developing to provide clinicians and patients with an extended-release transdermal fentanyl product for use in managing
−Removed: chronic pain requiring around the clock opioid therapy combined with properties designed to help combat the opioid crisis by deterring
−Removed: the abuse and misuse of fentanyl patches.
−Removed: We believe that our abuse deterrent technology can be broadly applied to various transdermal
−Removed: products and our strategy is to follow the development of our abuse deterrent fentanyl transdermal system with the development
−Removed: of additional transdermal prescription products for pharmaceuticals that have risks or a history of abuse.
−Removed: In addition, we are
−Removed: developing a portfolio of transdermal pharmaceutical products to deliver commercially available drugs or biologics that are typically
−Removed: delivered by injection but with the potential to improve compliance and therapeutic outcomes.
−Removed: Because of our financial position, we have
−Removed: put our development efforts with respect to these products on hold, and our only business is the performance of contract services
−Removed: for a small number of customers.
−Removed: Because of both our financial position and the effects of the COVID-19 pandemic, our contract
−Removed: service business has also been scaled back.
−Removed: The description of our business in this annual report is based on our ability to raise
−Removed: significant financing or enter into a joint venture agreement with a third party that has the financial ability to fund the joint
−Removed: venture’s operations.
−Removed: We cannot assure you that we will be able to obtain necessary financing or enter into a joint venture
−Removed: agreement on reasonable, if any, terms.
−Removed: If we are not able to continue obtain financing or enter into a joint venture agreement,
−Removed: we may not be able to continue in business.
−Removed: Through July 31, 2018, we had not generated
−Removed: any revenue from our business, which was the development and marketing of a range of transdermal consumer patches.
−Removed: Consumer products
−Removed: are products that can be sold over-the-counter and do not require a prescription.
−Removed: Most of our consumer products are considered
−Removed: drugs in the United States and cannot be marketed in the United States without approval from the FDA.
−Removed: We have not taken any steps
−Removed: to seek to obtain FDA approval for any of our consumer products, and we have no plans to do so in the near term.
−Removed: As a result, we
−Removed: are not selling our consumer transdermal patch products in the United States.
−Removed: Any revenue we generate from our consumer products
−Removed: will be from the sale of the products to distributors for distribution outside of the United States.
−Removed: We acquired 4P Therapeutics on August 1,
−Removed: 2018 for $2,250,000 consisting of 62,500 shares of common stock, valued at $1,850,000, cash of $400,000, and a 6% royalty on any
−Removed: revenues we generate or derive from the abuse deterrent intellectual property developed by 4P Therapeutics payable to Steve Damon,
−Removed: who has been one of our directors since April 2018 and who was the sole equity owner of 4P Therapeutics.
−Removed: As a result of the acquisition,
−Removed: the focus of our business has changed from the development and marketing of consumer transdermal products to the development of
−Removed: 4P Therapeutics’
−Removed: portfolio of pharmaceutical transdermal system, with the lead product being the abuse deterrent fentanyl
−Removed: transdermal system.
−Removed: We have received patent protection from the
−Removed: European Patent Office, the patent offices for Japan, Australia and Russia and the patent office of Mexico has granted a notice
−Removed: of allowance for abuse deterrent transdermal technology patent used in our lead product, an abuse deterrent fentanyl transdermal
+Added: primary business is the development of a portfolio of transdermal pharmaceutical products.
+Added: Our lead product is our abuse deterrent
+Added: fentanyl transdermal system which we are developing to provide clinicians and patients with an extended-release transdermal fentanyl
+Added: product for use in managing chronic pain requiring around the clock opioid therapy combined with our AVERSA®
+Added: technology which
+Added: we plan to show can reduce the abuse and misuse of fentanyl patches.
+Added: We believe that AVERSA®
+Added: can be broadly applied to various
+Added: transdermal products and our strategy is to follow the development of our abuse deterrent fentanyl transdermal system with the
+Added: development of additional transdermal prescription products for pharmaceuticals that have risks or a history of abuse.
+Added: we are developing a portfolio of transdermal pharmaceutical products to deliver commercially available drugs or biologics that
+Added: are typically delivered by injection but with the potential to improve compliance and therapeutic outcomes.
+Added: of our financial position, we have put our development efforts with respect to these products on hold, and our only business is
+Added: the performance of contract manufacturing and R&D services.
+Added: The description of our business in this annual report is based
+Added: on our ability to raise significant financing or enter into a joint venture agreement with a third party that has the financial
+Added: ability to fund the joint venture’s operations.
+Added: We cannot assure you that we will be able to obtain necessary financing
+Added: or enter into a joint venture agreement on reasonable, if any, terms for the development of our prescription pipeline.
+Added: July 31, 2018, we had not generated any revenue from our business, which was the development of a range of transdermal consumer
+Added: Consumer products are products that can be sold over-the-counter and do not require a prescription.
+Added: Most transdermal
+Added: patches are considered drugs in the United States and cannot be marketed in the United States without approval from the FDA.
+Added: have not taken any steps to seek to obtain FDA approval for any of our consumer products, and we have no plans to do so in the
+Added: acquired 4P Therapeutics on August 1, 2018 for $2,250,000 consisting of 62,500 shares of common stock, valued at $1,850,000, cash
+Added: of $400,000, and a 6% royalty on any revenues we generate or derive from the abuse deterrent intellectual property developed by
+Added: 4P Therapeutics payable to Steve Damon, who has been one of our directors since April 2018 and who was the sole equity owner of
+Added: 4P Therapeutics.
+Added: As a result of the acquisition, the focus of our business has changed from the development and marketing of consumer
+Added: transdermal products to the development of 4P Therapeutics’
+Added: portfolio of pharmaceutical transdermal system, with the lead
+Added: product being the abuse deterrent fentanyl transdermal system, AVERSA®.
+Added: have received patent protection from the European Patent Office, the patent offices for Japan, Australia and Russia and and the
+Added: patent office of Mexico has granted a notice of allowance for abuse deterrent transdermal technology patent used in our lead product,
+Added: an abuse deterrent fentanyl transdermal system.
The patent is being prosecuted in the United States and in other countries.
−Removed: The patent applications were filed by 4P Therapeutics
−Removed: prior to our acquisition of 4P Therapeutics and any patents issued in respect of these applications will be in the name of 4P Therapeutics.
−Removed: In addition to applying the technology to developing an abuse deterrent fentanyl transdermal system, we believe that the abuse
−Removed: deterrent patch technology can be applied to other opioids and pain medication patches where there is a risk of abuse and overdose,
−Removed: as well as other transdermal pharmaceuticals where we believe our technology can help prevent abuse or accidental misuse.
−Removed: Our lead product under development is our
−Removed: abuse deterrent fentanyl transdermal system which we plan to develop to deter the abuse and accidental misuse of fentanyl transdermal
−Removed: Fentanyl is a potent synthetic opioid that is marketed as a transdermal patch for chronic pain management.
−Removed: There are currently
−Removed: a number of generic fentanyl patches on the market but we believe that none of them are abuse deterrent.
−Removed: We believe that our abuse
−Removed: deterrent technology containing aversive agents will significantly deter the abuse and accidental misuse of fentanyl from transdermal
−Removed: In 2017, according to a report from the National Institute on Drug Abuse, of the more than 72,000 drug overdose deaths
−Removed: in the United States, nearly 30,000 occurred due to overdoses of fentanyl and fentanyl analogues.
−Removed: The development of our abuse deterrent
−Removed: fentanyl transdermal system requires preclinical and clinical trials to be conducted for the purposes of obtaining FDA approval.
+Added: patent applications were filed by 4P Therapeutics prior to our acquisition of 4P Therapeutics and any patents issued in respect
+Added: of these applications will be in the name of 4P Therapeutics.
+Added: In addition to applying the technology to developing an abuse deterrent
+Added: fentanyl transdermal system, we believe that the abuse deterrent patch technology can be applied to other opioids and pain medication
+Added: patches where there is a risk of abuse and overdose, as well as other transdermal pharmaceuticals where we believe our technology
+Added: can help prevent abuse or accidental misuse.
+Added: lead product under development is our abuse deterrent fentanyl transdermal system which we plan to develop to deter the abuse
+Added: and accidental misuse of fentanyl transdermal patches.
+Added: Fentanyl is a potent synthetic opioid that is marketed as a transdermal
+Added: patch for chronic pain management.
+Added: There are currently a number of generic fentanyl patches on the market but we believe that
+Added: none of them are abuse deterrent.
+Added: We believe that our abuse deterrent technology, AVERSA®, containing aversive agents will
+Added: significantly deter the abuse and accidental misuse of fentanyl from transdermal patches.
+Added: In 2017, according to a report from
+Added: the National Institute on Drug Abuse, of the more than 72,000 drug overdose deaths in the United States, nearly 30,000 occurred
+Added: due to overdoses of fentanyl and fentanyl analogues.
+Added: development of our abuse deterrent fentanyl transdermal system requires preclinical and clinical trials to be conducted for the
+Added: purposes of obtaining FDA approval.
We require funds for these trials.
−Removed: With the acquisition of 4P Therapeutics,
−Removed: we acquired a pipeline of other transdermal products, including peptides and proteins such as exenatide for type 2 diabetes and
−Removed: FSH for infertility, which we anticipate will be the next products for development.
−Removed: These drugs are off-patent but are currently
−Removed: only available as injections, and we are evaluating the possibility of developing a transdermal delivery system for these drugs
−Removed: as an alternative to injection but with improved compliance and safety.
−Removed: In addition we may develop certain generic transdermal
−Removed: products where we think we can make an improvement to existing patches and where we believe we can take significant market share
−Removed: with good profit margins.
−Removed: One example of such a product candidate is the development of a generic scopolamine patch.
−Removed: The prioritization
−Removed: of our portfolio product candidates will be reviewed on an ongoing basis and will take into account technical progress, market
−Removed: potential and commercial interest.
−Removed: We cannot assure you that we will be able to develop and obtain FDA approval for any of these
−Removed: potential products or that we can be successful in marketing any such products.
−Removed: The FDA approval process can take many years to
−Removed: complete successfully and we will require substantial funding for each product that goes through the process.
−Removed: We cannot assure
−Removed: you that we will obtain FDA marketing approval for any of our products.
−Removed: Since 4P Therapeutics did not have any products
−Removed: that it can market, its sole source of revenue to date was derived from the performance of contract research and development and
−Removed: other services for a small number of clients in the life sciences field on an as-needed basis to support its ongoing operations.
−Removed: The work varied in nature and includes early stage drug and device preclinical studies, commercial biologic manufacturing support,
−Removed: clinical-regulatory consulting, drug or device clinical studies and formulation/analytical services relating to the chemistry,
−Removed: manufacturing and controls function of drug manufacturing.
−Removed: The current continuing arrangements are varied, from purchase order
−Removed: supported per animal study fees, to hourly rate research and development services, to flat rate contract research and development
−Removed: Neither we nor current clients have any long-term commitments, and either party can terminate at any time.
−Removed: to devote our efforts toward the development and testing of our lead product and other product candidates in our pipeline.
−Removed: for the near term, we are looking to perform research and development services for third parties although we do not expect to generate
−Removed: significant revenues from these services.
−Removed: Our marketing effort with respect to our
−Removed: consumer transdermal products is presently limited to our distribution agreement dated April 13, 2018 with EMI-Korea (Best Choice),
−Removed: Inc., whom we refer to as Best Choice, for marketing in certain regions in Asia.
−Removed: Pursuant to an exclusive distribution agreement,
−Removed: we granted Best Choice exclusive distribution rights for all of our transdermal consumer products in South Korea, Taiwan (the Republic
−Removed: of China), the People’s Republic of China and South Asia.
−Removed: Best Choice is presently planning to market three of our consumer
−Removed: products only in South Korea, and is responsible for complying with all applicable regulations.
−Removed: The ability of Best Choice to market
−Removed: products at the volume we anticipated when we signed the contract with Best Choice was affected be a number of factors, including
−Removed: its inability to obtain necessary regulatory approval, which, as of the date of this annual report, has not been obtained.
−Removed: Choice has advised us that it is working with the South Korean Ministry of Food and Drug Safety (“MFDS”) to determine
−Removed: a classification for our products, which is necessary before Best Choice can obtain approval from the MFDS to market our products
−Removed: to consumers.
−Removed: Our supplier had manufacturing problems in the United States because it ran into supply problems for certain foil
−Removed: components used in the transdermal patches due to the new tariffs on Chinese imports into the United States, design changes in
−Removed: the pouch, and quality problems with material in the pouch, all of which resulted in manufacturing delays in meeting the first
−Removed: order for Best Choice.
−Removed: We solved the problem by delivering the patch in bulk and unpackaged, and Best Choice has the assembly of
−Removed: the patch completed in South Korea.
−Removed: Best Choice’s purchases to date were for preliminary marketing activities.
−Removed: has advised us that its preliminary marketing activities consisted of purchasing inventory in anticipation of obtaining regulatory
−Removed: approval, meeting with potential distributors and trying to build brand awareness through various marketing approaches most notably
−Removed: on social media.
−Removed: Until Best Choice has obtained the necessary regulatory approval, we do not anticipate generating any significant
−Removed: revenue from Best Choice.
−Removed: Our agreement with Best Choice agreement had an initial term which expired on April 30, 2019 and was
−Removed: extended to April 30, 2020.
−Removed: The agreement provides for an automatic renewal for three years and for five-year periods thereafter
−Removed: if certain minimum purchases are made.
−Removed: As of the date of this report, the minimum purchases for the current contract year have
−Removed: not been met.
−Removed: Acquisition of 4P Therapeutics
−Removed: Pursuant to an acquisition agreement dated
−Removed: April 5, 2018 between us and 4P Therapeutics, on August 1, 2018, we acquired all of the equity interest in 4P Therapeutics from
−Removed: Steven Damon, the owner of 4P Therapeutics.
−Removed: The purchase price of $2,250,000, consisting of 62,500 shares of common stock, valued
−Removed: at $1,850,000, and cash of $400,000, and are to pay Mr.
−Removed: Damon a 6% royalty on any revenue we receive or derive from our utilization
−Removed: or sale of the abuse deterrent intellectual property that we acquired as a part of the assets 4P Therapeutics, including partner
−Removed: license milestones and development payments.
−Removed: The royalty is payable pursuant to the acquisition agreement and continues as long
−Removed: as we generate revenue from our utilization or sale of the abuse deterrent intellectual property we acquired as part of the acquisition
+Added: the acquisition of 4P Therapeutics, we acquired a pipeline of other transdermal products, including peptides and proteins such
+Added: as exenatide for type 2 diabetes and FSH for infertility, which we anticipate will be the next products for development.
+Added: drugs are off-patent but are currently only available as injections, and we are evaluating the possibility of developing a transdermal
+Added: delivery system for these drugs as an alternative to injection but with improved compliance and safety.
+Added: In addition we may develop
+Added: certain generic transdermal products where we think we can make an improvement to existing patches and where we believe we can
+Added: take significant market share with good profit margins.
+Added: One example of such a product candidate is the development of a generic
+Added: scopolamine patch.
+Added: The prioritization of our portfolio product candidates will be reviewed on an ongoing basis and will take into
+Added: account technical progress, market potential and commercial interest.
+Added: We cannot assure you that we will be able to develop and
+Added: obtain FDA approval for any of these potential products or that we can be successful in marketing any such products.
+Added: The FDA approval
+Added: process can take many years to complete successfully and we will require substantial funding for each product that goes through
+Added: We cannot assure you that we will obtain FDA marketing approval for any of our products.
+Added: 4P Therapeutics did not have any products that it can market, its sole source of revenue to date was derived from the performance
+Added: of contract research and development and other services for a small number of clients in the life sciences field on an as-needed
+Added: basis to support its ongoing operations.
+Added: The work varied in nature and includes early stage drug and device preclinical studies,
+Added: commercial biologic manufacturing support, clinical-regulatory consulting, drug or device clinical studies and formulation/analytical
+Added: services relating to the chemistry, manufacturing and controls function of drug manufacturing.
+Added: The current continuing arrangements
+Added: are varied, from purchase order supported per animal study fees, to hourly rate research and development services, to flat rate
+Added: contract research and development projects.
+Added: Neither we nor current clients have any long-term commitments, and either party can
+Added: terminate at any time.
+Added: If we raise financing we intend to devote our efforts toward the development and testing of our lead product
+Added: and other product candidates in our pipeline.
+Added: However, for the near term, we are looking to perform research and development services
+Added: for third parties although we do not expect to generate significant revenues from these services.
+Added: have a distribution agreement dated April 13, 2018 with EMI-Korea (Best Choice), Inc., whom we refer to as Best Choice, for marketing
+Added: in certain regions in Asia.
+Added: Pursuant to an exclusive distribution agreement, we granted Best Choice exclusive distribution rights
+Added: for all of our transdermal consumer products in South Korea, Taiwan (the Republic of China), the People’s Republic of China
+Added: and South Asia.
+Added: We currently have no plans to market our own products in these regions and following our acquisition of Pocono
+Added: Pharma we are primarily focused on contract manufacturing services for Best Choice and its partners.
+Added: Best Choice is responsible
+Added: for complying with all applicable regulations.
of 4P Therapeutics
+Added: to an acquisition agreement dated April 5, 2018 between us and 4P Therapeutics, on August 1, 2018, we acquired all of the equity
+Added: interest in 4P Therapeutics from Steven Damon, the owner of 4P Therapeutics.
+Added: The purchase price of $2,250,000, consisting of 62,500
+Added: shares of common stock, valued at $1,850,000, and cash of $400,000, and are to pay Mr.
+Added: Damon a 6% royalty on any revenue we receive
+Added: or derive from our utilization or sale of the abuse deterrent intellectual property that we acquired as a part of the assets 4P
+Added: Therapeutics, including partner license milestones and development payments.
+Added: The royalty is payable pursuant to the acquisition
+Added: agreement and continues as long as we generate revenue from our utilization or sale of the abuse deterrent intellectual property
+Added: we acquired as part of the acquisition of 4P Therapeutics.
The 62,500 shares were issued to Mr.
1 unchanged sentence
Alan Smith (20,750 shares).
−Removed: In connection
−Removed: with the acquisition, Mr.
−Removed: Damon retained any cash and accounts receivable and assumed any liabilities other than those relating
−Removed: to the ongoing business.
+Added: In connection with the acquisition, Mr.
+Added: Damon retained any cash and accounts receivable and assumed
+Added: any liabilities other than those relating to the ongoing business.
Pursuant to the acquisition agreement, we appointed Mr.
−Removed: Damon to our board of directors in April 2018,
−Removed: when we signed the acquisition agreement, and we agreed to pay Mr.
−Removed: Damon the compensation received by independent board members.
−Removed: Our Organization
−Removed: We are a Nevada corporation, incorporated
−Removed: on January 4, 2016.
−Removed: In January 2016, we acquired Nutriband Ltd, an Irish company which was formed by Gareth Sheridan, our chief
−Removed: executive officer, in 2012 to enter the health and wellness market by marketing transdermal patches.
−Removed: Our corporate headquarters
−Removed: are located at 121 S.
+Added: to our board of directors in April 2018, when we signed the acquisition agreement, and we agreed to pay Mr.
+Added: Damon the compensation
+Added: received by independent board members.
+Added: of Pocono Coated Products
+Added: August 31, 2020, the Company acquired from Pocono Coated Products (“PCP”), pursuant to which PCP agreed to sell the
+Added: Company certain of the assets and liabilities associated with its Transdermal, Topical, Cosmetic and Nutraceutical business.
+Added: in the transaction, the Company acquired 100% of the membership interests of Active Intelligence LLC.
+Added: The purchase price for the
+Added: acquired assets was (i) $6,085,180 paid in shares of the Company’s common stock of Nutriband at a value of the average price
+Added: of the previous 90 days at the date of Closing equal to 608,519 shares;
+Added: (ii) a promissory note of the Company in the principal
+Added: amount of $1,500,000, which is due upon the earlier of (a) twelve (12) months from issuance, or (b) immediately following a capital
+Added: raise of not less than $4,000,000 and/or a public offering of no less than $4,000,000
+Added: are a Nevada corporation, incorporated on January 4, 2016.
+Added: In January 2016, we acquired Nutriband Ltd, an Irish company which
+Added: was formed by Gareth Sheridan, our chief executive officer, in 2012 to enter the health and wellness market by marketing transdermal
+Added: Our corporate headquarters are located at 121 S.
Suite 1500, Orlando, Florida 32765, telephone (407) 377-6695.
Our website is www.nutriband.com .
−Removed: Information contained on or available through our website or any other website does not constitute a portion of this annual report.
−Removed: Implications of Being an Emerging Growth Company
−Removed: As a company with less than $1.07 billion
−Removed: in revenue during our last fiscal year, we qualify as an “emerging growth company”
−Removed: as defined in the Jumpstart Our
−Removed: Business Startups Act of 2012, or the JOBS Act.
−Removed: An emerging growth company may take advantage of reduced reporting requirements
−Removed: that are otherwise generally applicable to public companies, although as a smaller reporting company we are taking advantage of
−Removed: reduced reporting requirements.
+Added: Information contained on or available through our website or any other website does not
+Added: constitute a portion of this annual report.
+Added: of Being an Emerging Growth Company
+Added: a company with less than $1.07 billion in revenue during our last fiscal year, we qualify as an “emerging growth company”
+Added: as defined in the Jumpstart Our Business Startups Act of 2012, or the JOBS Act.
+Added: An emerging growth company may take advantage
+Added: of reduced reporting requirements that are otherwise generally applicable to public companies, although as a smaller reporting
+Added: company we are taking advantage of reduced reporting requirements.
In particular, as an emerging growth company, we:
−Removed: ● may present only two years of audited financial statements
−Removed: and related disclosure under Management’s Discussion and Analysis of Financial Condition and Results of Operations, or MD&A;
−Removed: ● are not required to provide a detailed narrative disclosure
−Removed: discussing our compensation principles, objectives and elements and analyzing how those elements fit with our principles and objectives,
−Removed: which is commonly referred to as “compensation discussion and analysis”;
−Removed: ● are not required to obtain an attestation and report
−Removed: from our auditors on our management’s assessment of our internal control over financial reporting pursuant to the Sarbanes-Oxley
−Removed: ● are not required to obtain a non-binding advisory
−Removed: vote from our stockholders on executive compensation or golden parachute arrangements (commonly referred to as the “say-on-pay,”
+Added: present only two years of audited financial statements and related disclosure under Management’s Discussion and Analysis
+Added: of Financial Condition and Results of Operations, or MD&A;
+Added: not required to provide a detailed narrative disclosure discussing our compensation principles, objectives and elements and analyzing
+Added: how those elements fit with our principles and objectives, which is commonly referred to as “compensation discussion and
+Added: analysis”;
+Added: not required to obtain an attestation and report from our auditors on our management’s assessment of our internal control
+Added: over financial reporting pursuant to the Sarbanes-Oxley Act of 2002;
+Added: not required to obtain a non-binding advisory vote from our stockholders on executive compensation or golden parachute arrangements
+Added: (commonly referred to as the “say-on-pay,”
“say-on frequency”
and “say-on-golden-parachute”
−Removed: ● are exempt from certain executive compensation disclosure
−Removed: provisions requiring a pay-for-performance graph and chief executive officer pay ratio disclosure;
−Removed: ● are not be required to conduct an evaluation of our
−Removed: internal control over financial reporting by our auditors.
−Removed: We intend to take advantage of all of these
−Removed: reduced reporting requirements and exemptions.
−Removed: However, since we have already adopted certain new or revised accounting standards
−Removed: under §107 of the JOBS Act, we are not able to take advantage of the delayed phase in of the new or revised accounting standards.
−Removed: Under the JOBS Act, we may take advantage
−Removed: of the above-described reduced reporting requirements and exemptions for up to five years after our initial sale of common equity
−Removed: pursuant to a registration statement declared effective under the Securities Act of 1933, as amended, or such earlier time that
−Removed: we no longer meet the definition of an emerging growth company.
−Removed: The JOBS Act provides that we would cease to be an “emerging
−Removed: growth company”
−Removed: if we have more than $1.07 billion in annual revenues (as adjusted for inflation), have more than $700 million
−Removed: in market value of our common stock held by non-affiliates, or issue more than $1 billion in principal amount of non-convertible
−Removed: debt over a three-year period.
−Removed: Under current Securities and Exchange Commission, or SEC, rules however, we will continue to qualify
−Removed: as a “smaller reporting company”
−Removed: for so long as we have either (i) a public float (i.e., the market value of common
−Removed: equity held by non-affiliates) of less than $250 million as of the last business day of our most recently completed second fiscal
−Removed: quarter or (ii) annual revenues of less than $100 million and a public float of less than $700 million.
−Removed: Effects of the COVID-19 Pandemic
−Removed: Our business may be affected by the COVID-19 pandemic and the
−Removed: response to the pandemic.
−Removed: Factors which may affect our business include, but are not limited to, the following:
−Removed: ● Our ability to raise financing for our operations and to enter into
−Removed: a joint venture agreement may be affected by both the willingness and ability of potential financing sources and potential joint
−Removed: venture partners to invest in an undercapitalized business, particularly at a time when the potential financing source or joint
−Removed: venture partner may need to devote its resources to existing portfolio companies or joint ventures which may be in need of financing.
−Removed: decision by investors who would invest in early stage pharmaceutical companies to limit their financing efforts to companies that
−Removed: are dealing with products or services related to COVID-19 diagnosis or treatment.
−Removed: ● The decision by investors who would invest in early stage pharmaceutical
−Removed: companies to limit their financing efforts to companies that are dealing with products or services related to COVID-19 diagnosis
−Removed: or treatment.
−Removed: ● The effect of recent stock market declines on the willingness of investors
−Removed: to make an investment in our securities.
−Removed: ● The financial health of our potential contract service customers.
−Removed: ● Our ability to perform contract services.
−Removed: ● Our ability to obtain any goods or services which we may need to perform
−Removed: contract services.
−Removed: ● The ability of our foreign distributors to obtain regulatory approval,
−Removed: which may be affected by the regulatory agencies giving a low priority to products such as our consumer patches.
−Removed: ● The financial health of Best Choice.
−Removed: ● If regulatory approval is obtained in South Korea, the extent to which
−Removed: consumers in South Korea purchase our products.
−Removed: ● The extent to which the purchase of our consumer products is a low
−Removed: priority item for a population whose disposable income may have decreased as a result of COVID-19 and the steps taken by the South
−Removed: Korean government to curb the spread of infection.
−Removed: Pharmaceutical Products in Development
−Removed: We have a pipeline of transdermal pharmaceutical
−Removed: products that are primarily in the early, preclinical, stages of development.
−Removed: Our pipeline consists primarily of drug compounds
−Removed: which have been previously approved by the FDA and are now off-patent.
−Removed: In many cases, we are developing the first non-injectable
−Removed: version of the drug utilizing our transdermal technology which represents a new route of administration.
−Removed: In most cases, we plan
−Removed: to utilize the 505(b) (2) regulatory pathway provided by the FDA which allows us to reference the safety information on file
−Removed: at FDA for the approved drug or to reference the published literature instead of having to generate new safety information that
−Removed: would typically be required for new chemical entities.
−Removed: However, we cannot assure you that the FDA will concur with our approach
−Removed: or that we will be able to receive FDA approval to market any of products that we develop.
−Removed: Our lead product under development is our
−Removed: abuse deterrent fentanyl transdermal system.
−Removed: As the United States faces an epidemic of opioid abuse, fentanyl transdermal patches
−Removed: have become an attractive target for recreational drug abusers due to the drug’s potency and its ease of abuse by the oral
−Removed: We are looking to utilize our proprietary approach to incorporate aversive agents into the transdermal patch to deter the
−Removed: abuse of fentanyl patches by the oral, buccal and inhaled routes, which represent as much as 70% of all transdermal fentanyl abuse.
−Removed: The technology is based on the incorporation of taste and sensory aversive agents into the patch.
−Removed: We believe that the aversive
−Removed: agents we selected have several advantages, such as their high potency, established safety, and the potential to prevent accidental
−Removed: misuse by children and pets.
−Removed: The aversive agents are formulated in a controlled-release matrix that is coated onto the backing
−Removed: of a transdermal fentanyl patch.
−Removed: The controlled release aspect of the technology is designed so that the abuse deterrent properties
−Removed: are maintained after normal use and during attempts to separate the aversive agents from the fentanyl.
−Removed: We believe that this structure
−Removed: provides maximum exposure during oral abuse and during attempts to extract the drug, while preventing exposure of the patient to
−Removed: the aversive agents during transdermal wear.
−Removed: We believe that a key differentiating aspect of the technology is that the aversive
−Removed: agents are physically separated from the drug matrix, meaning that the aversive agents do not have to be formulated in the fentanyl
−Removed: drug matrix and do not contact the skin.
−Removed: In addition to the fentanyl patch, this technology has broad applicability to any therapeutic
−Removed: patch where deterring abuse and accidental misuse by children and pets are valuable attributes.
−Removed: We believe that our abuse deterrent technology
−Removed: can be broadly applied to various transdermal products and our strategy is to follow the development of our abuse deterrent fentanyl
−Removed: transdermal system with the development of additional products for pharmaceuticals that have risks or history of abuse.
−Removed: we believe that our technology can be utilized in other transdermal products to deter the abuse of other transdermal drugs such
−Removed: as buprenorphine, an opioid used to treat acute pain and chronic pain, and methylphenidate, a central nervous system stimulant.
−Removed: Buprenorphine is an opioid used to treat
−Removed: opioid addiction, acute pain and chronic pain.
−Removed: It can be used under the tongue, by injection, as a skin patch, or as an implant.
−Removed: For opioid addiction, it is typically only started when withdrawal symptoms have begun and for the first two days of treatment
−Removed: under direct observation of a health care provider.
−Removed: For longer term treatment of addiction, a combination formulation of buprenorphine/naloxone
−Removed: is recommended to prevent misuse by injection.
−Removed: Methylphenidate, sold under various trade
−Removed: names, such as Ritalin in oral form, and in transdermal patch form known as Daytrana, is a central nervous system stimulant of
−Removed: the phenethylamine and Piperidine classes that is used in the treatment of attention deficit hyperactivity disorder and narcolepsy.
−Removed: We plan to follow up with transdermal delivery systems for buprenorphine and methylphenidate after we make significant progress
−Removed: on our abuse deterrent fentanyl transdermal system.
−Removed: We are also exploring product applications
−Removed: for our transdermal technology to deliver proteins and peptides such as exenatide for type 2 diabetes and follicle stimulating
−Removed: hormone (FSH) for infertility.
−Removed: Presently, these products are only available by injection or oral routes.
−Removed: We believe that transdermal
−Removed: delivery has the potential to improve compliance, which can lead to improved therapeutic outcomes associated with these treatments.
−Removed: Exenatide (exendin-4) is a glucagon-like
−Removed: peptide-1 (GLP-1) receptor agonist which is approved to improve glycemic control in patients with type 2 diabetes mellitus.
−Removed: is currently approved as a twice-daily subcutaneous injection or as a once-weekly injection.
−Removed: However, many patients have a strong
−Removed: aversion to needles, resist initiation of injections even when oral agents are failing to control their diabetes and struggle with
−Removed: compliance after starting therapy.
−Removed: We have performed pre-clinical work on the development of a novel transdermal patch for administration
−Removed: of exenatide to match the therapeutic plasma levels achieved by subcutaneous injections of exenatide.
−Removed: However, we need substantial
−Removed: funds before we can continue these efforts.
−Removed: In addition to being needle-free, painless and easy-to-use, our proposed exenatide
−Removed: transdermal system is being designed to incorporate compliance tracking to help providers improve patient outcomes.
−Removed: that the development of an exenatide patch matching the profile of exenatide injections will follow the 505(b)(2) NDA regulatory
−Removed: pathway, thereby limiting the extent of safety and efficacy trials required for FDA approval, although we cannot assure you that
−Removed: the FDA will agree.
+Added: exempt from certain executive compensation disclosure provisions requiring a pay-for-performance graph and chief executive officer
+Added: pay ratio disclosure;
+Added: not be required to conduct an evaluation of our internal control over financial reporting by our auditors.
+Added: intend to take advantage of all of these reduced reporting requirements and exemptions.
+Added: However, since we have already adopted
+Added: certain new or revised accounting standards under §107 of the JOBS Act, we are not able to take advantage of the delayed
+Added: phase in of the new or revised accounting standards.
+Added: the JOBS Act, we may take advantage of the above-described reduced reporting requirements and exemptions for up to five years
+Added: after our initial sale of common equity pursuant to a registration statement declared effective under the Securities Act of 1933,
+Added: as amended, or such earlier time that we no longer meet the definition of an emerging growth company.
+Added: The JOBS Act provides that
+Added: we would cease to be an “emerging growth company”
+Added: if we have more than $1.07 billion in annual revenues (as adjusted
+Added: for inflation), have more than $700 million in market value of our common stock held by non-affiliates, or issue more than $1
+Added: billion in principal amount of non-convertible debt over a three-year period.
+Added: Under current Securities and Exchange Commission,
+Added: or SEC, rules however, we will continue to qualify as a “smaller reporting company”
+Added: for so long as we have either
+Added: (i) a public float (i.e., the market value of common equity held by non-affiliates) of less than $250 million as of the last business
+Added: day of our most recently completed second fiscal quarter or (ii) annual revenues of less than $100 million and a public float
+Added: of less than $700 million.
+Added: of the COVID-19 Pandemic
+Added: business may be affected by the COVID-19 pandemic and the response to the pandemic.
+Added: Factors which may affect our business include,
+Added: but are not limited to, the following:
+Added: ability to raise financing for our operations and to enter into a joint venture agreement
+Added: may be affected by both the willingness and ability of potential financing sources and
+Added: potential joint venture partners to invest in an undercapitalized business, particularly
+Added: at a time when the potential financing source or joint venture partner may need to devote
+Added: its resources to existing portfolio companies or joint ventures which may be in need
+Added: of financing decision by investors who would invest in early stage pharmaceutical companies
+Added: to limit their financing efforts to companies that are dealing with products or services
+Added: related to COVID-19 diagnosis or treatment.
+Added: decision by investors who would invest in early stage pharmaceutical companies to limit
+Added: their financing efforts to companies that are dealing with products or services related
+Added: to COVID-19 diagnosis or treatment.
+Added: effect of recent stock market declines on the willingness of investors to make an investment
+Added: in our securities.
+Added: financial health of our potential contract service customers.
+Added: ability to perform contract services.
+Added: ability to obtain any goods or services which we may need to perform contract services.
+Added: ability of our foreign distributors to obtain regulatory approval, which may be affected
+Added: by the regulatory agencies giving a low priority to products such as our consumer patches.
+Added: financial health of Best Choice.
+Added: regulatory approval is obtained in South Korea, the extent to which consumers in South
+Added: Korea purchase our products.
+Added: extent to which the purchase of our consumer products is a low priority item for a population
+Added: whose disposable income may have decreased as a result of COVID-19 and the steps taken
+Added: by the South Korean government to curb the spread of infection.
+Added: Pharmaceutical
+Added: Products in Development
+Added: have a pipeline of transdermal pharmaceutical products that are primarily in the early, preclinical, stages of development.
+Added: pipeline consists primarily of drug compounds which have been previously approved by the FDA and are now off-patent.
+Added: In many cases,
+Added: we are developing the first non-injectable version of the drug utilizing our transdermal technology which represents a new route
+Added: of administration.
+Added: In most cases, we plan to utilize the 505(b) (2) regulatory pathway provided by the FDA which allows us
+Added: to reference the safety information on file at FDA for the approved drug or to reference the published literature instead of having
+Added: to generate new safety information that would typically be required for new chemical entities.
+Added: However, we cannot assure you that
+Added: the FDA will concur with our approach or that we will be able to receive FDA approval to market any of products that we develop.
+Added: lead product under development is our abuse deterrent fentanyl transdermal system.
+Added: As the United States faces an epidemic of opioid
+Added: abuse, fentanyl transdermal patches have become an attractive target for recreational drug abusers due to the drug’s potency
+Added: and its ease of abuse by the oral route.
+Added: We are looking to utilize our proprietary approach to incorporate aversive agents into
+Added: the transdermal patch to deter the abuse of fentanyl patches by the oral, buccal and inhaled routes, which represent as much as
+Added: 70% of all transdermal fentanyl abuse.
+Added: The technology is based on the incorporation of taste and sensory aversive agents into
+Added: We believe that the aversive agents we selected have several advantages, such as their high potency, established safety,
+Added: and the potential to prevent accidental misuse by children and pets.
+Added: The aversive agents are formulated in a controlled-release
+Added: matrix that is coated onto the backing of a transdermal fentanyl patch.
+Added: The controlled release aspect of the technology is designed
+Added: so that the abuse deterrent properties are maintained after normal use and during attempts to separate the aversive agents from
+Added: the fentanyl.
+Added: We believe that this structure provides maximum exposure during oral abuse and during attempts to extract the drug,
+Added: while preventing exposure of the patient to the aversive agents during transdermal wear.
+Added: We believe that a key differentiating
+Added: aspect of the technology is that the aversive agents are physically separated from the drug matrix, meaning that the aversive
+Added: agents do not have to be formulated in the fentanyl drug matrix and do not contact the skin.
+Added: In addition to the fentanyl patch,
+Added: this technology has broad applicability to any therapeutic patch where deterring abuse and accidental misuse by children and pets
+Added: are valuable attributes.
+Added: believe that our abuse deterrent technology can be broadly applied to various transdermal products and our strategy is to follow
+Added: the development of our abuse deterrent fentanyl transdermal system with the development of additional products for pharmaceuticals
+Added: that have risks or history of abuse.
+Added: For example, we believe that our technology can be utilized in other transdermal products
+Added: to deter the abuse of other transdermal drugs such as buprenorphine, an opioid used to treat acute pain and chronic pain, and
+Added: methylphenidate, a central nervous system stimulant.
+Added: Buprenorphine
+Added: is an opioid used to treat opioid addiction, acute pain and chronic pain.
+Added: It can be used under the tongue, by injection, as a
+Added: skin patch, or as an implant.
+Added: For opioid addiction, it is typically only started when withdrawal symptoms have begun and for the
+Added: first two days of treatment under direct observation of a health care provider.
+Added: For longer term treatment of addiction, a combination
+Added: formulation of buprenorphine/naloxone is recommended to prevent misuse by injection.
+Added: Methylphenidate,
+Added: sold under various trade names, such as Ritalin in oral form, and in transdermal patch form known as Daytrana, is a central nervous
+Added: system stimulant of the phenethylamine and Piperidine classes that is used in the treatment of attention deficit hyperactivity
+Added: disorder and narcolepsy.
+Added: We plan to follow up with transdermal delivery systems for buprenorphine and methylphenidate after we
+Added: make significant progress on our abuse deterrent fentanyl transdermal system.
+Added: are also exploring product applications for our transdermal technology to deliver proteins and peptides such as exenatide for
+Added: type 2 diabetes and follicle stimulating hormone (FSH) for infertility.
+Added: Presently, these products are only available by injection
+Added: or oral routes.
+Added: We believe that transdermal delivery has the potential to improve compliance, which can lead to improved therapeutic
+Added: outcomes associated with these treatments.
+Added: (exendin-4) is a glucagon-like peptide-1 (GLP-1) receptor agonist which is approved to improve glycemic control in patients with
+Added: type 2 diabetes mellitus.
+Added: Exenatide is currently approved as a twice-daily subcutaneous injection or as a once-weekly injection.
+Added: However, many patients have a strong aversion to needles, resist initiation of injections even when oral agents are failing to
+Added: control their diabetes and struggle with compliance after starting therapy.
+Added: We have performed pre-clinical work on the development
+Added: of a novel transdermal patch for administration of exenatide to match the therapeutic plasma levels achieved by subcutaneous injections
+Added: of exenatide.
+Added: However, we need substantial funds before we can continue these efforts.
+Added: In addition to being needle-free, painless
+Added: and easy-to-use, our proposed exenatide transdermal system is being designed to incorporate compliance tracking to help providers
+Added: improve patient outcomes.
+Added: We believe that the development of an exenatide patch matching the profile of exenatide injections will
+Added: follow the 505(b)(2) NDA regulatory pathway, thereby limiting the extent of safety and efficacy trials required for FDA approval,
+Added: although we cannot assure you that the FDA will agree.
Transdermal exenatide is currently in the preclinical phase of development.
−Removed: Follicle-stimulating hormone (FSH) is a
−Removed: gonadotropin, a glycoprotein polypeptide hormone that is synthesized and secreted by the gonadotropic cells of the anterior pituitary
−Removed: Follicle stimulating hormone (FSH) is indicated for the treatment of infertility in women and is currently only approved
−Removed: and marketed as a subcutaneous injection.
−Removed: FSH is mainly used for ovarian hyperstimulation as part of an in vitro fertilization
−Removed: (IVF) regimen.
+Added: Follicle-stimulating
+Added: hormone (FSH) is a gonadotropin, a glycoprotein polypeptide hormone that is synthesized and secreted by the gonadotropic cells
+Added: of the anterior pituitary gland.
+Added: Follicle stimulating hormone (FSH) is indicated for the treatment of infertility in women and
+Added: is currently only approved and marketed as a subcutaneous injection.
+Added: FSH is mainly used for ovarian hyperstimulation as part of
+Added: an in vitro fertilization (IVF) regimen.
There are several purified and recombinant FSH injections currently on the market.
−Removed: We are developing a novel transdermal
−Removed: patch to match the pharmacokinetic profile of FSH subcutaneous injection but without the need for painful injections.
−Removed: FSH is intended to offer a painless, easy to use one-step application to improve patient compliance with FSH therapy.
−Removed: FSH will be offered at multiple strengths to match the typical doses prescribed to treat infertility.
−Removed: We plan to conduct a Phase
−Removed: 1 clinical trial to demonstrate that the transdermal patch can match the pharmacokinetics of subcutaneous injection.
−Removed: to conduct an irritation and sensitization study to demonstrate the skin safety of the product and a pivotal clinical efficacy
−Removed: trial to demonstrate that transdermal FSH is not inferior to subcutaneous injection.
−Removed: We intend to seek to utilize the 505(b)(2)
−Removed: NDA regulatory pathway to register the product with the FDA which allows us to reference the know safety of FSH on file at FDA
−Removed: for the reference listed drug and the safety information that has been published in the literature.
−Removed: We have not yet communicated
−Removed: with the FDA on our proposed development plan or registration plan and we cannot assure you that the FDA will agree to our use
−Removed: of the 505(b)(2) pathway.
+Added: are developing a novel transdermal patch to match the pharmacokinetic profile of FSH subcutaneous injection but without the need
+Added: for painful injections.
+Added: Transdermal FSH is intended to offer a painless, easy to use one-step application to improve patient compliance
+Added: with FSH therapy.
+Added: Transdermal FSH will be offered at multiple strengths to match the typical doses prescribed to treat infertility.
+Added: We plan to conduct a Phase 1 clinical trial to demonstrate that the transdermal patch can match the pharmacokinetics of subcutaneous
+Added: Then we plan to conduct an irritation and sensitization study to demonstrate the skin safety of the product and a pivotal
+Added: clinical efficacy trial to demonstrate that transdermal FSH is not inferior to subcutaneous injection.
+Added: We intend to seek to utilize
+Added: the 505(b)(2) NDA regulatory pathway to register the product with the FDA which allows us to reference the know safety of FSH
+Added: on file at FDA for the reference listed drug and the safety information that has been published in the literature.
+Added: yet communicated with the FDA on our proposed development plan or registration plan and we cannot assure you that the FDA will
+Added: agree to our use of the 505(b)(2) pathway.
Transdermal FSH is currently in the preclinical phase of development.
−Removed: In addition, we may seek to develop certain
−Removed: generic transdermal products where we think we can efficiently make an improvement to existing patches and potentially take significant
−Removed: market share with good profit margins.
−Removed: One example of such a product candidate is the development of a generic scopolamine patch.
−Removed: Transdermal scopolamine (Transderm Scop®)
−Removed: was developed in the 1970s by Alza Corporation for Ciba-Geigy (now Novartis) for prevention of nausea and vomiting associated with
−Removed: motion sickness and recovery from anesthesia and surgery.
−Removed: The product was approved as the first modern transdermal therapeutic
−Removed: system by the FDA in 1979.
−Removed: A generic transdermal scopolamine product was approved in 2015 (Perrigo) but was not marketed until
−Removed: As of November 2018, there was only one generic transdermal scopolamine approved and marketed.
−Removed: We are looking to develop
−Removed: what we believe is an improved proprietary generic scopolamine patch.
−Removed: Product improvements include enhancements to the manufacturing
−Removed: processes to reduce the manufacturing cost and optimization of the adhesive formulation to reduce cold flow and increase patient
−Removed: acceptability.
−Removed: We have performed pre-clinical work on this proposed product, however, we cannot proceed further without significant
−Removed: We plan to follow the FDA guidance on the product development of a generic transdermal scopolamine patch and plan on utilizing
−Removed: the ANDA regulatory pathway to obtain FDA approval for marketing.
−Removed: Transdermal scopolamine is currently in the preclinical phase
−Removed: of development.
−Removed: We have not yet determined which product
−Removed: we will seek to develop after our abuse deterrent fentanyl transdermal system.
−Removed: The prioritization of our portfolio of product candidates
−Removed: will be reviewed on an ongoing basis and will take into account technical progress, market potential, available funding and commercial
−Removed: Our ability to take any meaningful steps to the development of any of these products is determined by our ability to
−Removed: provide sufficient funding for such purchase.
−Removed: As stated above, without significant financing or a joint venture agreement we will
−Removed: not be able to take any steps to the development of any of these products.
−Removed: Consumer Products
−Removed: Our consumer transdermal product line consists
−Removed: of eleven product lines:
−Removed: an energy patch line, a weight management patch line, a multivitamin patch line, a children’s multivitamin
−Removed: patch line, an amino acid patch line, an anti-wrinkle patch line, an insect repellent patch line, a detox patch line, a PMS patch
−Removed: line, a sleep patch line and a nausea and motion sickness patch line.
−Removed: These products require FDA or EPA (for the insect repellent
−Removed: line) approval in order to be sold in the United States.
−Removed: Since we have not received FDA or EPA approval and we have no plans to
−Removed: do so at this time, and we are limiting our marketing to countries in which we believe that these products can be sold without
−Removed: significant product development costs for clinical or nonclinical testing and product registration for government approval.
−Removed: on our initial in-house testing, we modified the formulation of our consumer patches to include non-synthetic ingredients to avoid
−Removed: any concerns regarding potential skin irritation.
−Removed: Pursuant to an exclusive distribution dated
−Removed: April 13, 2018, we granted Best Choice exclusive distribution rights for all of our consumer products in South Korea, Taiwan (the
−Removed: Republic of China), the People’s Republic of China and South Asia.
−Removed: Best Choice is presently marketing our products only in
−Removed: The agreement has an initial term which expired on April 30, 2019 and was extended to April 30, 2020.
−Removed: The agreement
−Removed: provides that it automatically renews for an additional three years and for each five year period thereafter if a minimum increase
−Removed: in sales of 10% per year or a cumulative equivalent or a year by year 10% increase is achieved by the end of the initial term and
−Removed: each extension period thereafter.
−Removed: The agreement, as extended, provides a minimum purchase requirement $2.0 million for the initial
−Removed: term, which is the prior from the commencement date through April 30, 2020.
−Removed: The minimum purchase requirement increases by 10% each
−Removed: year after the initial term.
−Removed: The agreement provides that our price to Best Choice will be no greater than lowest price sold to
−Removed: anyone plus 5%.
−Removed: Best Choice has the right to purchase a minimum of 50% of our production capacity.
−Removed: We give Best Choice a warranty
−Removed: that we will replace or refund any product which is not in a marketable state, such as damaged packaging and missing product.
−Removed: agreement may be terminated at any time by Best Choice with or without cause on 90 days’
−Removed: The agreement may be terminated
−Removed: by us for cause, which includes Best Choice’s failure to meet the minimum purchase requirements.
−Removed: While the agreement has
−Removed: minimum purchase requirements, it does not assure us that Best Choice will meet the minimum purchase requirements or that Best
−Removed: Choice will not terminate the agreement.
−Removed: Best Choice has advised us that, subject
−Removed: to obtaining regulatory approval, it plans to market the energy patch line, vitamin patch line and weight management patch line
−Removed: products in South Korea.
−Removed: However, in order for Best Choice to market our products in South Korea, it needs to obtain approval from
−Removed: Although Best Choice has made modest purchases from us for its preliminary marketing activities, until it receives approval
−Removed: to market our product in South Korea, we will not generate significant revenue from our consumer products.
−Removed: Best Choice has advised
−Removed: us that its preliminary marketing activities consisted of purchasing inventory in anticipation of obtaining regulatory approval,
−Removed: meeting with potential distributors and trying to build brand awareness through various marketing approaches most notably on social
−Removed: We cannot assure you that we will generate significant revenue from Best Choice’s activities in South Korea if it
−Removed: obtains regulatory clearance.
−Removed: At present, Best Choice has not received the necessary regulatory approval to market our consumer
−Removed: products in South Korea.
−Removed: Although Best Choice has advised us that it is working with the MFDS to obtain a classification, if it
−Removed: is unable to obtain a classification and complete the regulatory procedures, it will be unable to sell our products in South Korea.
−Removed: If we obtain FDA approval for any of our
−Removed: pharmaceutical transdermal products, we will need to establish a distribution network in the United States.
−Removed: We do not anticipate
−Removed: that we will take any steps toward establishing such a distribution network until we are in the late stages of the FDA approval
+Added: addition, we may seek to develop certain generic transdermal products where we think we can efficiently make an improvement to
+Added: existing patches and potentially take significant market share with good profit margins.
+Added: One example of such a product candidate
+Added: is the development of a generic scopolamine patch.
+Added: scopolamine (Transderm Scop®) was developed in the 1970s by Alza Corporation for Ciba-Geigy (now Novartis) for prevention
+Added: of nausea and vomiting associated with motion sickness and recovery from anesthesia and surgery.
+Added: The product was approved as the
+Added: first modern transdermal therapeutic system by the FDA in 1979.
+Added: A generic transdermal scopolamine product was approved in 2015
+Added: (Perrigo) but was not marketed until 2017.
+Added: As of November 2018, there was only one generic transdermal scopolamine approved and
+Added: We are looking to develop what we believe is an improved proprietary generic scopolamine patch.
+Added: Product improvements
+Added: include enhancements to the manufacturing processes to reduce the manufacturing cost and optimization of the adhesive formulation
+Added: to reduce cold flow and increase patient acceptability.
+Added: We have performed pre-clinical work on this proposed product, however,
+Added: we cannot proceed further without significant funding.
+Added: We plan to follow the FDA guidance on the product development of a generic
+Added: transdermal scopolamine patch and plan on utilizing the ANDA regulatory pathway to obtain FDA approval for marketing.
+Added: scopolamine is currently in the preclinical phase of development.
+Added: have not yet determined which product we will seek to develop after our abuse deterrent fentanyl transdermal system.
+Added: The prioritization
+Added: of our portfolio of product candidates will be reviewed on an ongoing basis and will take into account technical progress, market
+Added: potential, available funding and commercial interest.
+Added: Our ability to take any meaningful steps to the development of any of these
+Added: products is determined by our ability to provide sufficient funding for such purchase.
+Added: As stated above, without significant financing
+Added: or a joint venture agreement we will not be able to take any steps to the development of any of these products.
+Added: currently have no branded OTC or Consumer products nor do we plan to launch any OTC or Consumer products in the near term as our
+Added: focus is primarily on our prescription pipeline and contract services offered by both 4P Therapeutics and Pocono Pharma.
Manufacturing
−Removed: We have an agreement with Pocono Coated
−Removed: Products LLC to manufacture our consumer transdermal products.
−Removed: Pocono manufactures coated film roll stock using a solvent coating
−Removed: These rolls are then sealed and shipped to South Korea for slitting, die-cutting and pouching of individual patches and
−Removed: then packaging in boxes of 30 packs or five packs.
−Removed: Manufacturing of our pharmaceutical transdermal
−Removed: products will be performed for clinical trials during the development program and for manufacturing of commercial products prior
−Removed: to FDA approval and for sales and marketing.
−Removed: Clinical manufacturing for our early stage clinical trials will most likely be performed
−Removed: at our facilities at 4P Therapeutics.
−Removed: However, the manufacture of clinical products for later stage pivotal clinical trials and
−Removed: for commercial manufacturing may either be done by contract manufacturers or done in our commercial facilities.
−Removed: Manufacture of
−Removed: clinical and commercial product will be performed in compliance with current FDA Good Manufacturing Procedures (cGMP) and all applicable
−Removed: local regulations.
−Removed: All manufacturing processes will be subject to review by the FDA during development, prior to approval and during
−Removed: subsequent routine FDA inspections.
−Removed: Government Regulations
−Removed: United States
−Removed: The pharmaceutical business is subject
−Removed: to extensive government regulation.
−Removed: In the United States, we must comply with the rules and regulations of the FDA.
−Removed: In other countries
−Removed: we must comply with the laws and regulations of each country to legally market and sell our products.
−Removed: Obtaining FDA approval does
−Removed: not mean that the product will be approved in other countries.
−Removed: Each country may require that additional clinical and nonclinical
−Removed: studies be conducted prior to approval.
−Removed: The process required by the FDA to receive
−Removed: approval prior to marketing and distributing a drug in the United States generally involves the following.
−Removed: The definition of drug
−Removed: is broadly defined, and includes our pharmaceutical products and most of our consumer transdermal patches.
−Removed: Even though the drug
−Removed: used in each of our proposed products is currently approved by the FDA in oral or injectable dosage forms, we will still need to
−Removed: conduct a full development program including preclinical and clinical trials before we receive FDA marketing approval.
−Removed: also has a number of abbreviated approval pathways which, if we are eligible, could shorten the time for approval.
−Removed: cannot be certain that we will be able to use any abbreviated approval pathway, in which event we will need to comply with the
−Removed: full regulatory pathway.
−Removed: ● Preclinical phase .
−Removed: a drug company can test an experimental treatment in humans, it must prove the drug is safe and effective in animals.
−Removed: run tests in various animals before presenting the data to the FDA as an investigational new drug application.
−Removed: For already approved
−Removed: drugs, an animal study may not be required prior to testing in humans.
−Removed: In most cases, the company must file an Investigational
−Removed: New Drug (IND) submission to get clearance to test the product in humans.
−Removed: ● Phase one clinical trial .
−Removed: the first round of clinical trials, the drug company attempts to establish the drug’s safety in humans.
−Removed: Drug researchers
−Removed: administer the treatment to healthy individuals —
−Removed: instead of patients suffering from the disease or condition the drug is
−Removed: intended to treat —
−Removed: and gradually increase the dose to see if the drug is toxic at higher levels or if any possible side
−Removed: effects occur.
−Removed: These drug trials are usually small, containing about 20 to 80 participants, according to the FDA.
−Removed: For drug delivery
−Removed: products incorporating already approved drugs, Phase 1 studies involve measuring blood levels of the drug to understand the pharmacokinetics
−Removed: for a new route of administration.
−Removed: ● Phase two clinical trial .
−Removed: the second round of clinical trials, researchers give the treatment to patients who have the disease to assess the drug’s
−Removed: The trial is randomized, meaning half of the study participants receive the drug and half receive a placebo.
−Removed: usually contain hundreds of participants, according to the FDA.
−Removed: There is about a 30 percent chance of a drug moving on to a phase
−Removed: three clinical trial, according to data from the biotech trade organization BIO.
−Removed: For already approved drugs, as is the case with
−Removed: drug delivery products, a Phase 2 trial may not be necessary as the therapeutic drug doses and blood concentrations are already
−Removed: However, a Phase 2 may be conducted to inform the design of the Phase 3 clinical trial in regards to the safety and efficacy
−Removed: of the product when used by patients.
−Removed: ● Phase three clinical trial .
−Removed: the third phase of clinical trials, researchers work with the FDA to design a larger trial to test the drug’s ideal dosage,
−Removed: patient population and other factors that could decide whether the drug is approved, according to the report.
−Removed: These trials usually
−Removed: contain a few hundred to thousands of participants.
−Removed: In the case of drug delivery products that utilize an approved drug, Phase
−Removed: 3 trials will typically include a comparison to the already approved reference product.
−Removed: For example a transdermal patch may be
−Removed: compared to an injection.
+Added: of our pharmaceutical transdermal products will be performed for clinical trials during the development program and for manufacturing
+Added: of commercial products prior to FDA approval and for sales and marketing.
+Added: Clinical manufacturing for our early stage clinical
+Added: trials will most likely be performed at our facilities at 4P Therapeutics.
+Added: However, the manufacture of clinical products for later
+Added: stage pivotal clinical trials and for commercial manufacturing may either be done by contract manufacturers or done in our commercial
+Added: Manufacture of clinical and commercial product will be performed in compliance with current FDA Good Manufacturing
+Added: Procedures (cGMP) and all applicable local regulations.
+Added: All manufacturing processes will be subject to review by the FDA during
+Added: development, prior to approval and during subsequent routine FDA inspections.
+Added: December 9, 2020, the Company entered into a License Agreement (the “License Agreement”) with Rambam Med-Tech Ltd.,
+Added: Haifa, Israel (“RamBam”), for us to develop the RAMBAM Closed System Transfer Device (CSTD) the (“Medical Products”).
+Added: As a part of the transaction with RamBam for the License Agreement, and to assist in the development of the RAMBAM CSTD Device,
+Added: on March 10, 2021, the Company finalized a Distribution Agreement (“Distribution Agreement”)_with BPM Inno Ltd., Kiryat,
+Added: Israel (“BPM”), providing for distribution of the Medical Products developed and produced under the License Agreement
+Added: and a Stock Purchase Agreement (“SPA”), dated December 7, 2020, providing for the purchase by BPM of 81,396 shares
+Added: of common stock at a price of $8.60 per share, or $700,000.
+Added: The investment by BPM in our common stock under the SPA was
+Added: completed on February 26, 2021.
+Added: Under the Distribution Agreement, BPM has the right to distribute the Medical Products
+Added: in Israel and has a right of first refusal in relation to all other countries/states, other than United States, Korea, China,
+Added: Vietnam, Canada and Ecuador, which are termed excluded countries.
+Added: As of January 1, 2021, we had five employees, all
+Added: of which are officers of the Company, and three of which are full-time and two of which are currently part-time.
+Added: We also engage one consultant
+Added: who provides services on a part-time basis.
+Added: None of our employees is represented by a labor union and we consider our employee relations
+Added: pharmaceutical business is subject to extensive government regulation.
+Added: In the United States, we must comply with the rules and
+Added: regulations of the FDA.
+Added: In other countries we must comply with the laws and regulations of each country to legally market and
+Added: sell our products.
+Added: Obtaining FDA approval does not mean that the product will be approved in other countries.
+Added: Each country may
+Added: require that additional clinical and nonclinical studies be conducted prior to approval.
+Added: process required by the FDA to receive approval prior to marketing and distributing a drug in the United States generally involves
+Added: the following.
+Added: The definition of drug is broadly defined, and includes our pharmaceutical products and most of our consumer transdermal
+Added: Even though the drug used in each of our proposed products is currently approved by the FDA in oral or injectable dosage
+Added: forms, we will still need to conduct a full development program including preclinical and clinical trials before we receive FDA
+Added: marketing approval.
+Added: The FDA also has a number of abbreviated approval pathways which, if we are eligible, could shorten the time
+Added: for approval.
+Added: However, we cannot be certain that we will be able to use any abbreviated approval pathway, in which event we will
+Added: need to comply with the full regulatory pathway.
+Added: ● Preclinical
+Added: Before a drug company can test an experimental treatment in humans, it must prove the drug is
+Added: safe and effective in animals.
+Added: Scientists run tests in various animals before presenting the data to the FDA as an investigational
new drug application.
−Removed: a drug company collects and analyzes all data from the clinical trials, it submits a new drug application to the FDA.
−Removed: The application
−Removed: includes trial data, preclinical information and details on the drug’s manufacturing process.
−Removed: If the FDA accepts the application
−Removed: for review, the agency has ten months —
−Removed: or six months if the drug has priority review status —
−Removed: to make a decision,
−Removed: according to the report.
−Removed: The FDA can hold an advisory committee meeting where independent experts assess the data and recommend
−Removed: whether to approve the drug.
−Removed: From there, the FDA will either approve the drug or give the applicant a complete response letter,
−Removed: which explains why the drug did not get approved and what steps the applicant must take before resubmitting the application for
−Removed: The FDA may also require Human Abuse Liability
−Removed: or Human Abuse Potential clinical studies to evaluate the abuse liability or abuse potential of a new chemical entity for drugs
−Removed: that affect the central nervous system.
−Removed: If the abuse deterrent technology renders a product less desirable than conventional formulations,
−Removed: it is said to convey abuse deterrent properties and can include specific label language indicating this difference.
−Removed: In other instances, sponsors are required
−Removed: to evaluate the effectiveness of an Abuse Deterrent Formulation.
−Removed: For Abuse Deterrent Formulation trials, the objective is to assess
−Removed: the ability of the new formulation to be tampered with and abused, and is often pursuant to a 505(b)(2) strategy.
−Removed: Before approving an NDA, the FDA may inspect
−Removed: the facilities where the product is being manufactured or facilities that are significantly involved in the product development
−Removed: and distribution process and will not approve the product unless compliance with current good manufacturing processes is satisfactory.
−Removed: The FDA may deny approval of an NDA if applicable statutory or regulatory criteria are not satisfied, or may require additional
−Removed: testing or information, which can delay the approval process.
−Removed: In pursuing FDA approval there may be various delays and it is possible
−Removed: that approval may never be granted.
−Removed: In addition, new government requirements may be established that could delay or prevent regulatory
−Removed: approval of our product candidates under development.
−Removed: If a product is approved, the FDA may impose
−Removed: limitations on the indications for use for which the product may be marketed, may require that warning statements be included in
−Removed: the product labeling, may require that additional studies or trials be conducted following approval as a condition of the approval,
−Removed: may impose restrictions and conditions on product distribution, prescribing or dispensing in the form of a risk management plan,
−Removed: or impose other limitations.
−Removed: Once a product receives FDA approval, marketing
−Removed: the product for other indicated uses or making certain manufacturing or other changes related to the product will require FDA review
−Removed: and approval of a supplemental NDA or a new NDA, which may require additional clinical safety and efficacy data and may require
−Removed: additional review fees.
−Removed: In addition, further post-marketing testing and surveillance to monitor the safety or efficacy of a product
−Removed: may be required.
−Removed: Also, product approvals may be withdrawn if compliance with regulatory standards is not maintained or if safety
−Removed: or manufacturing problems occur following initial marketing.
−Removed: With respect to the labeling for our abuse
−Removed: deterrent transdermal fentanyl system or any other opioid transdermal patch we develop, it is likely that we will need to disclose
−Removed: the risks of improper use or abuse using language required by the FDA.
−Removed: FDA Approval Pathways
−Removed: The FDA has several pathways that can be
−Removed: followed to obtain FDA approval.
−Removed: ● A stand-alone NDA is an application submitted under
−Removed: Section 505(b)(1) of the Food, Drug and Cosmetic Act (“FD&C Act”) and approved under Section 505(c) of the FD&C
−Removed: Act that contains full reports of investigations of safety and effectiveness that were conducted by or for the applicant or for
−Removed: which the applicant has a right of reference or use.
−Removed: This is typically the pathway used for new chemical entities.
−Removed: ● A 505(b)(2) application is an NDA submitted under
−Removed: Section 505(b)(1) and approved under Section 505(c) of the FD&C Act that contains full reports of investigations of safety
−Removed: and effectiveness, where at least some of the information required for approval comes from studies not conducted by or for the
−Removed: applicant and for which the applicant has not obtained a right of reference or use.
−Removed: This is the pathway typically taken for off-patent
−Removed: drugs that are being development into alternate dosage forms or routes of administration.
−Removed: ● An ANDA is an application for a duplicate of a previously
−Removed: approved drug product that was submitted and approved under Section 505(j) of the FD&C Act.
−Removed: An ANDA relies on the FDA’s
−Removed: finding that the previously approved drug product is safe and effective.
−Removed: An ANDA generally must contain information to show that
−Removed: the proposed generic product (1) is the same as the drug with respect to the active ingredients, conditions of use, route of administration,
−Removed: dosage form, strength and labeling (with certain permissible differences) and (2) is bioequivalent to the referenced drug.
−Removed: ANDA may not be submitted if studies are necessary to establish the safety and effectiveness of the proposed product.
−Removed: the pathway taken for generic drugs.
−Removed: We cannot assure you that we will be able
−Removed: to take advantage of any of the available abbreviated approval pathways for any of our proposed products.
−Removed: Post-approval requirements
−Removed: Any drug products for which we receive
−Removed: FDA approval will be subject to continuing regulation by the FDA.
−Removed: Certain requirements include, among other things, record-keeping
−Removed: requirements, reporting of adverse events with the product, providing the FDA with updated safety and efficacy information on an
−Removed: annual basis or more frequently for specific events, product sampling and distribution requirements, complying with certain electronic
−Removed: records and signature requirements and complying with FDA promotion and advertising requirements.
−Removed: These promotion and advertising
−Removed: requirements include, among others, standards for direct-to-consumer advertising, prohibitions against promoting drugs for uses
−Removed: or patient populations that are not described in the drug’s approved labeling, known as “off-label use,”
−Removed: other promotional activities, such as those considered to be false or misleading.
−Removed: Failure to comply with FDA regulations can have
−Removed: negative consequences, including the immediate discontinuation of noncomplying materials, adverse publicity, enforcement letters
−Removed: from the FDA, mandated corrective advertising or communications with doctors, and civil or criminal penalties.
−Removed: Such enforcement
−Removed: may also lead to scrutiny and enforcement by other government and regulatory bodies.
−Removed: Although physicians may prescribe legally
−Removed: available drugs for off-label uses, manufacturers may not encourage, market or promote such off-label uses.
−Removed: As a result, “off-label
−Removed: promotion”
−Removed: has formed the basis for litigation under the Federal False Claims Act, violations of which are subject to significant
−Removed: civil fines and penalties.
−Removed: In addition, manufacturers of prescription products are required to disclose annually to the Center
−Removed: for Medicaid and Medicare any payments made to physicians and teaching hospitals in the U.S.
−Removed: under the federal Physician Payment
−Removed: Sunshine Act.
−Removed: Reportable payments may be direct or indirect, in cash or kind, for any reason, and are required to be disclosed
−Removed: even if the payments are not related to the approved product.
−Removed: Failure to fully disclose or not in time reporting could lead to
−Removed: penalties up to $1.15 million per year.
−Removed: The manufacturing of any of our products
−Removed: will be required to comply with the FDA’s current good manufacturing process (cGMP) regulations.
−Removed: These regulations require,
−Removed: among other things, quality control and quality assurance, as well as the corresponding maintenance of comprehensive records and
−Removed: documentation.
−Removed: Drug manufacturers and other entities involved in the manufacture and distribution of approved drugs are also required
−Removed: to register with the FDA their establishments and list any products they make and to comply with related requirements in certain
−Removed: These entities are further subject to periodic unannounced inspections by the FDA and certain state agencies for compliance
−Removed: with current good manufacturing processes and other laws.
−Removed: Accordingly, manufacturers must continue to expend time, money and effort
−Removed: in the area of production and quality control to maintain cGMP compliance.
−Removed: Discovery of problems with a product after
−Removed: approval may result in serious and extensive restrictions on a product, manufacturer or holder of an approved NDA, as well as lead
−Removed: to potential market disruptions.
−Removed: These restrictions may include recalls, suspension of a product until the FDA is assured that
−Removed: quality standards can be met, and continuing oversight of manufacturing by the FDA under a “consent decree,”
−Removed: frequently includes the imposition of costs and continuing inspections over a period of many years, as well as possible withdrawal
−Removed: of the product from the market.
−Removed: In addition, changes to the manufacturing process generally require prior FDA approval before being
−Removed: Other types of changes to the approved product, such as adding new indications and additional labeling claims, are
−Removed: also subject to further FDA review and approval.
−Removed: The FDA also may require post-marketing
−Removed: testing, or Phase IV testing, as well as risk minimization action plans and surveillance to monitor the effects of an approved
−Removed: product or place conditions on an approval that could otherwise restrict the distribution or use of our products.
−Removed: Other Government Regulations
−Removed: We are subject to government regulations
−Removed: that are applicable to businesses generally, including those relating to workers’
−Removed: health and safety, environmental and waste
−Removed: disposal, wage and hour and labor practices, including sexual harassment laws and regulations, and anti-discrimination laws and
−Removed: In addition, we must comply with the laws
−Removed: and regulations governing the research and manufacture of products containing controlled substances such as fentanyl and other
−Removed: We must be licensed by the Drug Enforcement Agency (DEA) and the state(s) in which we conduct research and development
−Removed: We currently hold a DEA license and a Georgia State Board of Pharmacy license to support our current research activities
−Removed: at our facility in Georgia.
−Removed: As a result we have been inspected by the DEA and the Georgia Board of Pharmacy.
−Removed: As we enter the manufacturing
−Removed: phase of development we will need to obtain a DEA manufacturing license and a Georgia Board of Pharmacy manufacturing license and
−Removed: obtain production quota from the DEA to allocate sufficient amounts of controlled substances to us to conduct our development program.
−Removed: There is no guarantee that we will be able to obtain sufficient production quota from the DEA to support our manufacturing operations.
−Removed: We do not sell products in South Korea.
−Removed: We sell our products to Best Choice and, subject to out extending our agreement with Best Choice, Best Choice will sell the products
−Removed: in South Korea upon receipt of regulatory approval.
−Removed: Food and drug products are regulated in South Korea by the MFDS.
−Removed: market the products in Korea, Best Choice needs to obtain a permit or complete the filing of a report with the MFDS.
−Removed: It is difficult
−Removed: to determine the classification of the products, and Best Choice has advised us that it is working with the MFDS to determine a
−Removed: classification for our products.
−Removed: It would be necessary to determine whether our products would be treated as health functional
−Removed: foods, quasi-drugs, over-the-counter drugs or prescription drug.
−Removed: Each category has a specific approval process, with health functional
−Removed: foods requiring the least amount of data and prescription drugs requiring the most date.
−Removed: Health functional foods refer to “foods”
−Removed: manufactured with functional raw materials or ingredients beneficial to the human body and “functionality”
−Removed: means controlling
−Removed: nutrients for the structure or functions of the human body or providing beneficial effects to health purposes, such as physiological
−Removed: “Quasi-drugs”
−Removed: refer to any of the following:
−Removed: fibers, rubber products or similar products used for the purpose
−Removed: of treating, alleviating, or preventing human or animal diseases;
−Removed: non-appliance, non-machinery or similar articles that have insignificant
−Removed: influences on or do not directly act upon human bodies;
−Removed: and preparations used for sterilization, insecticide, and uses similar
−Removed: thereto for the purpose of preventing infectious diseases.
−Removed: An over-the-counter drug is a drug, the misuse or abuse of which is
−Removed: of little concern, and the safety and efficacy of which may be expected even when used without a prescription by a physician or
−Removed: or a drug that may be used to cure a disease without a physician’s or dentist’s professional knowledge;
−Removed: or a drug that has a relatively small side effect on human bodies in light of the dosage form and pharmacological action.
−Removed: A prescription
−Removed: drug means a drug that is not an OTC drug.
−Removed: Regardless of efficacy in pharmacological
−Removed: actions, based on the overall judgment of the ingredients, shape (container, packaging, design, etc.), name, indicated purpose
−Removed: of use, efficacy, effects, administration methods, dosage, advertising or explanation for sale, in case it is perceived to be used
−Removed: for as a health functional food, quasi-drug or prescription drugs, the aforementioned purpose or demonstrated to have medicinal
−Removed: effects in the perspective of the general public, they all are drugs that are subject to the Pharmaceutical Affairs Act.
−Removed: in case the products are sold without obtaining the required approval, it will be deemed an act of selling drugs without obtaining
−Removed: an approval, which is a criminal offense by the person selling without authorization in South Korea.
−Removed: Europe and Other Countries
−Removed: If we market our products in any countries
−Removed: other than the United States, we would be subject to the laws of those countries.
−Removed: In order to obtain market our products in other
−Removed: countries we must comply with numerous and varying regulatory requirements of such countries regarding safety and efficacy and
−Removed: governing, among other things, clinical trials and commercial sales, pricing and distribution of our products.
−Removed: The European medicines regulatory system
−Removed: is based on a network of around 50 regulatory authorities from the 31 countries in the European Economic Area, the European
−Removed: Commission and the European Medicines Agency.
−Removed: All medicines must be authorized before they can be placed on the market in the European
+Added: For already approved drugs, an animal study may not be required prior to testing in humans.
+Added: In most cases,
+Added: the company must file an Investigational New Drug (IND) submission to get clearance to test the product in humans.
+Added: one clinical trial .
+Added: In the first round of clinical trials, the drug company attempts to establish the
+Added: drug’s safety in humans.
+Added: Drug researchers administer the treatment to healthy individuals —
+Added: instead of patients suffering
+Added: from the disease or condition the drug is intended to treat —
+Added: and gradually increase the dose to see if the drug is toxic
+Added: at higher levels or if any possible side effects occur.
+Added: These drug trials are usually small, containing about 20 to 80 participants,
+Added: according to the FDA.
+Added: For drug delivery products incorporating already approved drugs, Phase 1 studies involve measuring blood
+Added: levels of the drug to understand the pharmacokinetics for a new route of administration.
+Added: two clinical trial .
+Added: In the second round of clinical trials, researchers give the treatment to patients
+Added: who have the disease to assess the drug’s efficacy.
+Added: The trial is randomized, meaning half of the study participants receive
+Added: the drug and half receive a placebo.
+Added: These trials usually contain hundreds of participants, according to the FDA.
+Added: There is about
+Added: a 30 percent chance of a drug moving on to a phase three clinical trial, according to data from the biotech trade organization
+Added: For already approved drugs, as is the case with drug delivery products, a Phase 2 trial may not be necessary as the therapeutic
+Added: drug doses and blood concentrations are already known.
+Added: However, a Phase 2 may be conducted to inform the design of the Phase 3
+Added: clinical trial in regards to the safety and efficacy of the product when used by patients.
+Added: three clinical trial .
+Added: In the third phase of clinical trials, researchers work with the FDA to design
+Added: a larger trial to test the drug’s ideal dosage, patient population and other factors that could decide whether the drug
+Added: is approved, according to the report.
+Added: These trials usually contain a few hundred to thousands of participants.
+Added: In the case of
+Added: drug delivery products that utilize an approved drug, Phase 3 trials will typically include a comparison to the already approved
+Added: reference product.
+Added: For example a transdermal patch may be compared to an injection.
+Added: drug application .
+Added: Once a drug company collects and analyzes all data from the clinical trials, it submits
+Added: a new drug application to the FDA.
+Added: The application includes trial data, preclinical information and details on the drug’s
+Added: manufacturing process.
+Added: If the FDA accepts the application for review, the agency has ten months —
+Added: or six months if the drug
+Added: has priority review status —
+Added: to make a decision, according to the report.
+Added: The FDA can hold an advisory committee meeting
+Added: where independent experts assess the data and recommend whether to approve the drug.
+Added: From there, the FDA will either approve the
+Added: drug or give the applicant a complete response letter, which explains why the drug did not get approved and what steps the applicant
+Added: must take before resubmitting the application for approval.
+Added: FDA may also require Human Abuse Liability or Human Abuse Potential clinical studies to evaluate the abuse liability or abuse
+Added: potential of a new chemical entity for drugs that affect the central nervous system.
+Added: If the abuse deterrent technology renders
+Added: a product less desirable than conventional formulations, it is said to convey abuse deterrent properties and can include specific
+Added: label language indicating this difference.
+Added: other instances, sponsors are required to evaluate the effectiveness of an Abuse Deterrent Formulation.
+Added: For Abuse Deterrent Formulation
+Added: trials, the objective is to assess the ability of the new formulation to be tampered with and abused, and is often pursuant to
+Added: a 505(b)(2) strategy.
+Added: approving an NDA, the FDA may inspect the facilities where the product is being manufactured or facilities that are significantly
+Added: involved in the product development and distribution process and will not approve the product unless compliance with current good
+Added: manufacturing processes is satisfactory.
+Added: The FDA may deny approval of an NDA if applicable statutory or regulatory criteria are
+Added: not satisfied, or may require additional testing or information, which can delay the approval process.
+Added: In pursuing FDA approval
+Added: there may be various delays and it is possible that approval may never be granted.
+Added: In addition, new government requirements may
+Added: be established that could delay or prevent regulatory approval of our product candidates under development.
+Added: a product is approved, the FDA may impose limitations on the indications for use for which the product may be marketed, may require
+Added: that warning statements be included in the product labeling, may require that additional studies or trials be conducted following
+Added: approval as a condition of the approval, may impose restrictions and conditions on product distribution, prescribing or dispensing
+Added: in the form of a risk management plan, or impose other limitations.
+Added: a product receives FDA approval, marketing the product for other indicated uses or making certain manufacturing or other changes
+Added: related to the product will require FDA review and approval of a supplemental NDA or a new NDA, which may require additional clinical
+Added: safety and efficacy data and may require additional review fees.
+Added: In addition, further post-marketing testing and surveillance
+Added: to monitor the safety or efficacy of a product may be required.
+Added: Also, product approvals may be withdrawn if compliance with regulatory
+Added: standards is not maintained or if safety or manufacturing problems occur following initial marketing.
+Added: respect to the labeling for our abuse deterrent transdermal fentanyl system or any other opioid transdermal patch we develop,
+Added: it is likely that we will need to disclose the risks of improper use or abuse using language required by the FDA.
+Added: Approval Pathways
+Added: FDA has several pathways that can be followed to obtain FDA approval.
+Added: stand-alone NDA is an application submitted under Section 505(b)(1) of the Food, Drug and Cosmetic Act (“FD&C Act”)
+Added: and approved under Section 505(c) of the FD&C Act that contains full reports of investigations of safety and effectiveness
+Added: that were conducted by or for the applicant or for which the applicant has a right of reference or use.
+Added: This is typically the
+Added: pathway used for new chemical entities.
+Added: 505(b)(2) application is an NDA submitted under Section 505(b)(1) and approved under Section 505(c) of the FD&C Act that contains
+Added: full reports of investigations of safety and effectiveness, where at least some of the information required for approval comes
+Added: from studies not conducted by or for the applicant and for which the applicant has not obtained a right of reference or use.
+Added: is the pathway typically taken for off-patent drugs that are being development into alternate dosage forms or routes of administration.
+Added: ANDA is an application for a duplicate of a previously approved drug product that was submitted and approved under Section 505(j)
+Added: of the FD&C Act.
+Added: An ANDA relies on the FDA’s finding that the previously approved drug product is safe and effective.
+Added: An ANDA generally must contain information to show that the proposed generic product (1) is the same as the drug with respect
+Added: to the active ingredients, conditions of use, route of administration, dosage form, strength and labeling (with certain permissible
+Added: differences) and (2) is bioequivalent to the referenced drug.
+Added: An ANDA may not be submitted if studies are necessary to establish
+Added: the safety and effectiveness of the proposed product.
+Added: This is the pathway taken for generic drugs.
+Added: cannot assure you that we will be able to take advantage of any of the available abbreviated approval pathways for any of our
+Added: proposed products.
+Added: Post-approval
+Added: drug products for which we receive FDA approval will be subject to continuing regulation by the FDA.
+Added: Certain requirements include,
+Added: among other things, record-keeping requirements, reporting of adverse events with the product, providing the FDA with updated
+Added: safety and efficacy information on an annual basis or more frequently for specific events, product sampling and distribution requirements,
+Added: complying with certain electronic records and signature requirements and complying with FDA promotion and advertising requirements.
+Added: These promotion and advertising requirements include, among others, standards for direct-to-consumer advertising, prohibitions
+Added: against promoting drugs for uses or patient populations that are not described in the drug’s approved labeling, known as
+Added: “off-label use,”
+Added: and other promotional activities, such as those considered to be false or misleading.
+Added: comply with FDA regulations can have negative consequences, including the immediate discontinuation of noncomplying materials,
+Added: adverse publicity, enforcement letters from the FDA, mandated corrective advertising or communications with doctors, and civil
+Added: or criminal penalties.
+Added: Such enforcement may also lead to scrutiny and enforcement by other government and regulatory bodies.
+Added: physicians may prescribe legally available drugs for off-label uses, manufacturers may not encourage, market or promote such off-label
+Added: As a result, “off-label promotion”
+Added: has formed the basis for litigation under the Federal False Claims Act, violations
+Added: of which are subject to significant civil fines and penalties.
+Added: In addition, manufacturers of prescription products are required
+Added: to disclose annually to the Center for Medicaid and Medicare any payments made to physicians and teaching hospitals in the U.S.
+Added: under the federal Physician Payment Sunshine Act.
+Added: Reportable payments may be direct or indirect, in cash or kind, for any reason,
+Added: and are required to be disclosed even if the payments are not related to the approved product.
+Added: Failure to fully disclose or not
+Added: in time reporting could lead to penalties up to $1.15 million per year.
+Added: manufacturing of any of our products will be required to comply with the FDA’s current good manufacturing process (cGMP)
+Added: These regulations require, among other things, quality control and quality assurance, as well as the corresponding
+Added: maintenance of comprehensive records and documentation.
+Added: Drug manufacturers and other entities involved in the manufacture and
+Added: distribution of approved drugs are also required to register with the FDA their establishments and list any products they make
+Added: and to comply with related requirements in certain states.
+Added: These entities are further subject to periodic unannounced inspections
+Added: by the FDA and certain state agencies for compliance with current good manufacturing processes and other laws.
+Added: Accordingly, manufacturers
+Added: must continue to expend time, money and effort in the area of production and quality control to maintain cGMP compliance.
+Added: of problems with a product after approval may result in serious and extensive restrictions on a product, manufacturer or holder
+Added: of an approved NDA, as well as lead to potential market disruptions.
+Added: These restrictions may include recalls, suspension of a product
+Added: until the FDA is assured that quality standards can be met, and continuing oversight of manufacturing by the FDA under a “consent
+Added: decree,”
+Added: which frequently includes the imposition of costs and continuing inspections over a period of many years, as well
+Added: as possible withdrawal of the product from the market.
+Added: In addition, changes to the manufacturing process generally require prior
+Added: FDA approval before being implemented.
+Added: Other types of changes to the approved product, such as adding new indications and additional
+Added: labeling claims, are also subject to further FDA review and approval.
+Added: FDA also may require post-marketing testing, or Phase IV testing, as well as risk minimization action plans and surveillance to
+Added: monitor the effects of an approved product or place conditions on an approval that could otherwise restrict the distribution or
+Added: use of our products.
+Added: Government Regulations
+Added: are subject to government regulations that are applicable to businesses generally, including those relating to workers’
+Added: health and safety, environmental and waste disposal, wage and hour and labor practices, including sexual harassment laws and regulations,
+Added: and anti-discrimination laws and regulations.
+Added: addition, we must comply with the laws and regulations governing the research and manufacture of products containing controlled
+Added: substances such as fentanyl and other opioids.
+Added: We must be licensed by the Drug Enforcement Agency (DEA) and the state(s) in which
+Added: we conduct research and development activities.
+Added: We currently hold a DEA license and a Georgia State Board of Pharmacy license
+Added: to support our current research activities at our facility in Georgia.
+Added: As a result we have been inspected by the DEA and the Georgia
+Added: Board of Pharmacy.
+Added: As we enter the manufacturing phase of development we will need to obtain a DEA manufacturing license and a
+Added: Georgia Board of Pharmacy manufacturing license and obtain production quota from the DEA to allocate sufficient amounts of controlled
+Added: substances to us to conduct our development program.
+Added: There is no guarantee that we will be able to obtain sufficient production
+Added: quota from the DEA to support our manufacturing operations.
+Added: and Other Countries
+Added: we market our products in any countries other than the United States, we would be subject to the laws of those countries.
+Added: to obtain market our products in other countries we must comply with numerous and varying regulatory requirements of such countries
+Added: regarding safety and efficacy and governing, among other things, clinical trials and commercial sales, pricing and distribution
+Added: of our products.
+Added: European medicines regulatory system is based on a network of around 50 regulatory authorities from the 31 countries in the
+Added: European Economic Area, the European Commission and the European Medicines Agency.
+Added: All medicines must be authorized before they
+Added: can be placed on the market in the European Union.
The European system offers different routes for authorization.
−Removed: A centralized procedure allows the marketing of a medicine
−Removed: on the basis of a single European Union assessment and marketing authorization which is valid throughout the European Union.
−Removed: a majority of medicines authorized in the European Union do not fall within the scope of the centralized procedure, and we do not
−Removed: know whether our proposed products will fall within the centralized authorization.
−Removed: We also do not know how the withdrawal of Great
−Removed: Britain from the European Union will affect the procedure for approval of medicines in the United Kingdom.
−Removed: If we are not able to
−Removed: use the centralized procedure, we would need to use one of the following procedures.
−Removed: One method is the decentralized procedure
−Removed: where we would apply for the simultaneous authorization in more than one European Union member.
−Removed: The second method is the mutual-recognition
−Removed: procedure where we would have a medicine authorized in one European Union country apply for authorization to be recognized in other
−Removed: European Union countries.
−Removed: In either case, we would be required to complete clinical trials to demonstrate the safety and efficacy
−Removed: of the medicine and show and that the medicine is manufactured in accordance with good manufacturing practice based upon European
−Removed: Union standards.
−Removed: In countries other than the United States
−Removed: and the European Union, we would be required to comply with the applicable laws of those countries, which may require us to perform
−Removed: additional clinical testing.
−Removed: Failure to obtain regulatory approval in
−Removed: any country would prevent our product candidates from being marketed in those countries.
−Removed: In order to market and sell our products
−Removed: in jurisdictions other than the United States and the European Union, we must obtain separate marketing approvals and comply with
−Removed: numerous and varying regulatory requirements.
−Removed: The regulatory approval process outside the United States and the European Union
−Removed: generally includes all of the risks associated with obtaining FDA and European Union approval, but can involve additional testing.
−Removed: In addition, in many countries worldwide,
−Removed: it is required that the product be approved for reimbursement before the product can be approved for sale in that country.
−Removed: not obtain approvals from regulatory authorities outside the United States on a timely basis, if at all.
−Removed: Even if we were to receive
−Removed: approval in the United States or the European Union, approval by the FDA or the European Medicines Agency does not ensure approval
−Removed: by regulatory authorities in other countries or jurisdictions.
−Removed: Similarly, approval by one regulatory authority outside the United
−Removed: States would not ensure approval by regulatory authorities in other countries or jurisdictions.
−Removed: We may not be able to file for
−Removed: marketing approvals and may not receive necessary approvals to commercialize our products in any market.
−Removed: If we are unable to obtain
−Removed: approval of our product candidates by regulatory authorities in other foreign jurisdictions, the commercial prospects of those
−Removed: product candidates may be significantly diminished and our business prospects could decline.
−Removed: Outside the United States, particularly
−Removed: in member states of the European Union, the pricing of prescription drugs is subject to governmental control.
−Removed: In these countries,
−Removed: pricing negotiations or the successful completion of health technology assessment procedures with governmental authorities can
−Removed: take considerable time after receipt of marketing approval for a product.
−Removed: In addition, there can be considerable pressure by governments
−Removed: and other stakeholders on prices and reimbursement levels, including as part of cost containment measures.
−Removed: Certain countries allow
−Removed: companies to fix their own prices for medicines, but monitor the pricing.
−Removed: In addition to regulations in the United
−Removed: States, if we market outside of the United States, we will be subject to a variety of regulations governing, among other things,
−Removed: clinical trials and any commercial sales and distribution of our products.
−Removed: Whether or not we obtain FDA approval for a product,
−Removed: we must obtain the requisite approvals from regulatory authorities in foreign countries prior to the commencement of clinical trials
−Removed: or marketing of the product in those countries.
−Removed: Intellectual Property Rights
−Removed: 4P Therapeutics filed an international
−Removed: patent application under the Patent Cooperation Treaty for worldwide prosecution of the abuse deterrent transdermal technology
−Removed: patent used in our lead product, an abuse deterrent fentanyl transdermal system.
−Removed: The patent is being prosecuted in the United States
−Removed: and in other countries.
−Removed: The European Patent Office and the patent offices for Japan, Australia and Russia had granted patent protection
−Removed: for the patent application filed by 4P Therapeutics for its abuse deterrent transdermal technology and the patent office of Mexico
−Removed: has granted a notice of allowance.
−Removed: We have not received any response from the United States Patent and Trademark Office.
−Removed: to applying the technology to developing an abuse deterrent fentanyl transdermal system, we believe that the abuse deterrent patch
−Removed: technology can be applied to other opioids and pain medication patches where there is risk of abuse and overdose, as well as other
−Removed: transdermal pharmaceuticals where we believe our technology can help prevent abuse or accidental misuse.
−Removed: We have received a trademark for the name
−Removed: Since our proposed pharmaceutical products
−Removed: deliver a drug which is off patent and presently available, we will compete with a number of companies who are presently selling
−Removed: the drug which is generally taken by injection.
−Removed: In addition, there are a number of companies that market generic transdermal patches,
−Removed: including fentanyl transdermal patches, and we will compete against those companies that make products with the same drug.
−Removed: as transdermal patches become more popular, other companies, many of which have significantly greater resources and existing relationships
−Removed: with physicians and medical personnel, may use their resources to develop improved transdermal delivery systems for the drugs that
−Removed: are in our pipeline.
−Removed: We believe that competition is based on such factors as price, insurance/Medicaid and Medicare reimbursement
−Removed: rates and policies, safety and efficacy, side effects or reduction in side effects and the reliability of the supplier or manufacturer.
−Removed: Since we are developing our products to meet the needs of the patients, physicians, and the payers, we need to demonstrate advantages
−Removed: in terms of safety, efficacy, compliance and cost.
−Removed: If we obtain regulatory approval to market our products, we cannot assure you
−Removed: that we will be successful in the marketplace.
+Added: A centralized
+Added: procedure allows the marketing of a medicine on the basis of a single European Union assessment and marketing authorization which
+Added: is valid throughout the European Union.
+Added: However, a majority of medicines authorized in the European Union do not fall within the
+Added: scope of the centralized procedure, and we do not know whether our proposed products will fall within the centralized authorization.
+Added: We also do not know how the withdrawal of Great Britain from the European Union will affect the procedure for approval of medicines
+Added: in the United Kingdom.
+Added: If we are not able to use the centralized procedure, we would need to use one of the following procedures.
+Added: One method is the decentralized procedure where we would apply for the simultaneous authorization in more than one European Union
+Added: The second method is the mutual-recognition procedure where we would have a medicine authorized in one European Union
+Added: country apply for authorization to be recognized in other European Union countries.
+Added: In either case, we would be required to complete
+Added: clinical trials to demonstrate the safety and efficacy of the medicine and show and that the medicine is manufactured in accordance
+Added: with good manufacturing practice based upon European Union standards.
+Added: countries other than the United States and the European Union, we would be required to comply with the applicable laws of those
+Added: countries, which may require us to perform additional clinical testing.
+Added: to obtain regulatory approval in any country would prevent our product candidates from being marketed in those countries.
+Added: to market and sell our products in jurisdictions other than the United States and the European Union, we must obtain separate
+Added: marketing approvals and comply with numerous and varying regulatory requirements.
+Added: The regulatory approval process outside the
+Added: United States and the European Union generally includes all of the risks associated with obtaining FDA and European Union approval,
+Added: but can involve additional testing.
+Added: addition, in many countries worldwide, it is required that the product be approved for reimbursement before the product can be
+Added: approved for sale in that country.
+Added: We may not obtain approvals from regulatory authorities outside the United States on a timely
+Added: basis, if at all.
+Added: Even if we were to receive approval in the United States or the European Union, approval by the FDA or the European
+Added: Medicines Agency does not ensure approval by regulatory authorities in other countries or jurisdictions.
+Added: Similarly, approval by
+Added: one regulatory authority outside the United States would not ensure approval by regulatory authorities in other countries or jurisdictions.
+Added: We may not be able to file for marketing approvals and may not receive necessary approvals to commercialize our products in any
+Added: If we are unable to obtain approval of our product candidates by regulatory authorities in other foreign jurisdictions,
+Added: the commercial prospects of those product candidates may be significantly diminished and our business prospects could decline.
+Added: the United States, particularly in member states of the European Union, the pricing of prescription drugs is subject to governmental
+Added: In these countries, pricing negotiations or the successful completion of health technology assessment procedures with
+Added: governmental authorities can take considerable time after receipt of marketing approval for a product.
+Added: In addition, there can
+Added: be considerable pressure by governments and other stakeholders on prices and reimbursement levels, including as part of cost containment
+Added: Certain countries allow companies to fix their own prices for medicines, but monitor the pricing.
+Added: addition to regulations in the United States, if we market outside of the United States, we will be subject to a variety of regulations
+Added: governing, among other things, clinical trials and any commercial sales and distribution of our products.
+Added: Whether or not we obtain
+Added: FDA approval for a product, we must obtain the requisite approvals from regulatory authorities in foreign countries prior to the
+Added: commencement of clinical trials or marketing of the product in those countries.
+Added: Property Rights
+Added: Therapeutics filed an international patent application under the Patent Cooperation Treaty for worldwide prosecution of the abuse
+Added: deterrent transdermal technology patent used in our lead product, an abuse deterrent fentanyl transdermal system.
+Added: The patent is
+Added: being prosecuted in the United States and in other countries.
+Added: The European Patent Office and the patent offices for Japan, Australia
+Added: and Russia had granted patent protection for the patent application filed by 4P Therapeutics for its abuse deterrent transdermal
+Added: technology and the patent office of Mexico has granted a notice of allowance.
+Added: In addition to applying the technology to developing
+Added: an abuse deterrent fentanyl transdermal system, we believe that the abuse deterrent patch technology can be applied to other opioids
+Added: and pain medication patches where there is risk of abuse and overdose, as well as other transdermal pharmaceuticals where we believe
+Added: our technology can help prevent abuse or accidental misuse.
+Added: have received a trademark and Wordmark for the name Nutriband.
+Added: We have also received a trademark for the name AVERSA®
+Added: we use for our abuse deterrent technology.
+Added: our proposed pharmaceutical products deliver a drug which is off patent and presently available, we will compete with a number
+Added: of companies who are presently selling the drug which is generally taken by injection.
+Added: In addition, there are a number of companies
+Added: that market generic transdermal patches, including fentanyl transdermal patches, and we will compete against those companies that
+Added: make products with the same drug.
+Added: Further, as transdermal patches become more popular, other companies, many of which have significantly
+Added: greater resources and existing relationships with physicians and medical personnel, may use their resources to develop improved
+Added: transdermal delivery systems for the drugs that are in our pipeline.
+Added: We believe that competition is based on such factors as price,
+Added: insurance/Medicaid and Medicare reimbursement rates and policies, safety and efficacy, side effects or reduction in side effects
+Added: and the reliability of the supplier or manufacturer.
+Added: Since we are developing our products to meet the needs of the patients, physicians,
+Added: and the payers, we need to demonstrate advantages in terms of safety, efficacy, compliance and cost.
+Added: If we obtain regulatory approval
+Added: to market our products, we cannot assure you that we will be successful in the marketplace.
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.