−Removed: An investment in our common
−Removed: stock involves a high degree of risk.
−Removed: You should carefully consider the risks described below together with all of the other information
−Removed: included in this annual report before making an investment decision with regard to our securities.
−Removed: The statements contained in
−Removed: this annual report include forward-looking statements that are subject to risks and uncertainties that could cause actual results
−Removed: to differ materially from those set forth in or implied by forward-looking statements.
−Removed: The risks set forth below are not the only
−Removed: risks facing us.
−Removed: Additional risks and uncertainties may exist that could also adversely affect our business, prospects or operations.
−Removed: If any of the following risks actually occurs, our business, financial condition or results of operations could be harmed.
−Removed: case, the trading price of our common stock could decline, and you may lose all or a significant part of your investment.
−Removed: Risks Concerning our Business
−Removed: Because of a lack of funds, we have
−Removed: suspended our product development operations.
−Removed: Our business is the development of transdermal
−Removed: systems for the delivery of pharmaceuticals.
−Removed: The development of pharmaceutical products is highly cash intensive, and many early
−Removed: stage drug development companies are unable to raise sufficient cash to complete the development and testing of their products
−Removed: and obtain regulatory approval, with the result that they either obtain funding on very unfavorable terms, cease to conduct business
−Removed: or sell or license their intellectual property on unfavorable terms.
−Removed: At January 31, 2020, we had a working capital deficiency of
−Removed: approximately $1.9 million, and cash of approximately $10,000.
−Removed: Because of our lack of cash and the absence of any significant financing,
−Removed: we have suspended our development activities relating to our transdermal pharmaceutical products.
−Removed: Because of the anticipated lack
−Removed: of revenues until we have an approved product that we can market and the time required to obtain FDA approval, which can take many
−Removed: years, we must rely on our ability to raise money in the private or public equity market or enter into a joint venture relationship
−Removed: with a company that has the funds, the willingness and the ability to fund or obtain funds for the project that is the subject
−Removed: of the joint venture.
−Removed: In March 2020, we withdrew a registration statement relating to a proposed public offering.
−Removed: If we are able
−Removed: to raise funds or enter into a joint venture, it is likely that the term will not be favourable to us.
−Removed: We cannot assure you that
−Removed: we will be able to raise funds in a public or private financing or a joint venture, and, if we are unable to do so, we may cease
−Removed: Because we are an early-stage company
−Removed: with minimal revenue and a history of losses and we expect to continue to incur substantial losses for the foreseeable future,
−Removed: we cannot assure you that we can or will be able to operate profitably.
−Removed: We did not generate any revenue prior to
−Removed: the quarter ended October 31, 2018, we have incurred losses since our organization, 4P Therapeutics generated only modest revenue
−Removed: from contract research and development services which are not related to our pharmaceutical transdermal patch business.
−Removed: we anticipate that, for the near term, we will continue to perform research and development services for third parties, we do not
−Removed: expect to generate significant revenue from performing contract research and development services for our clients and we have generated
−Removed: losses from operations from this business.
−Removed: During the year ended January 31, 2020, we experienced a significant decline in revenue
−Removed: from 4P Therapeutics’
+Added: investment in our common stock involves a high degree of risk.
+Added: You should carefully consider the risks described below together
+Added: with all of the other information included in this annual report before making an investment decision with regard to our securities.
+Added: The statements contained in this annual report include forward-looking statements that are subject to risks and uncertainties
+Added: that could cause actual results to differ materially from those set forth in or implied by forward-looking statements.
+Added: set forth below are not the only risks facing us.
+Added: Additional risks and uncertainties may exist that could also adversely affect
+Added: our business, prospects or operations.
+Added: If any of the following risks actually occurs, our business, financial condition or results
+Added: of operations could be harmed.
+Added: In that case, the trading price of our common stock could decline, and you may lose all or a significant
+Added: part of your investment.
+Added: Concerning our Business
+Added: of a lack of funds, we have suspended our pharmaceutical product development operations.
+Added: business is the development of transdermal systems for the delivery of pharmaceuticals.
+Added: The development of pharmaceutical products
+Added: is highly cash intensive, and many early-stage drug development companies are unable to raise sufficient cash to complete the
+Added: development and testing of their products and obtain regulatory approval, with the result that they either obtain funding on very
+Added: unfavorable terms, cease to conduct business or sell or license their intellectual property on unfavorable terms.
+Added: Because of our
+Added: lack of cash and the absence of any significant financing, we have suspended our development activities relating to our transdermal
+Added: pharmaceutical products.
+Added: Because of the anticipated lack of revenues until we have an approved product that we can market and
+Added: the time required to obtain FDA approval, which can take many years, we must rely on our ability to raise money in the private
+Added: or public equity market or enter into a joint venture relationship with a company that has the funds, the willingness and the
+Added: ability to fund or obtain funds for the project that is the subject of the joint venture.
+Added: In March 2020, we withdrew a registration
+Added: statement relating to a proposed public offering.
+Added: If we are able to raise funds or enter into a joint venture, it is likely that
+Added: the term will not be favorable to us.
+Added: We cannot assure you that we will be able to raise funds in a public or private financing
+Added: or a joint venture, and, if we are unable to do so, we may cease operations.
+Added: we are an early-stage company with minimal revenue and a history of losses and we expect to continue to incur substantial losses
+Added: for the foreseeable future, we cannot assure you that we can or will be able to operate profitably.
+Added: did not generate any revenue prior to the quarter ended October 31, 2018 and since then, we have incurred losses as, 4P Therapeutics
+Added: generated only modest revenue from contract research and development services which are not related to our pharmaceutical transdermal
+Added: patch business.
+Added: Although we anticipate that, for the near term, we will continue to perform research and development services
+Added: for third parties, we do not expect to generate significant revenue from performing contract research and development services
+Added: for our clients and we have generated losses from operations from this business.
+Added: During the year ended January 31, 2021, we experienced
+Added: a significant decline in revenue from 4P Therapeutics’
largest customer.
−Removed: We generated a negative gross margin and negative cash flow from operations for the
−Removed: years ended January 31, 2020 and 2019.
−Removed: We are subject to the risks common to start-up, pre-revenue enterprises, including, among
−Removed: other factors, undercapitalization, cash shortages, limitations with respect to personnel, financial and other resources and lack
−Removed: Drug development companies typically incur substantial losses during the product development and FDA testing phase
−Removed: of the business and do not generate revenues until after the drug has received FDA approval, which cannot be assured, and until
−Removed: the company has started to sell the product.
−Removed: We can give no assurance that we can or will ever be successful in achieving profitability
−Removed: and the likelihood of our success must be considered in light of our early stage of operations.
−Removed: We cannot assure you that we will
−Removed: be able to operate profitably or generate positive cash flow.
−Removed: If we cannot achieve profitability, we may be forced to cease operations
−Removed: and you may suffer a total loss of your investment.
−Removed: Our auditors’
−Removed: report includes
−Removed: a going concern paragraph.
−Removed: Our financial statements include a going-concern
−Removed: qualification from our auditors, which expresses doubt about our ability to continue as a going concern.
−Removed: We have operated at a
−Removed: loss since inception.
−Removed: Our ability to operate profitable is dependent upon, among other things, obtaining substantial financing,
−Removed: developing our products, completing FDA clinical testing, obtaining FDA approval and implementing a marketing program for our products.
−Removed: These factors, among others, raise substantial doubt about our ability to continue as a going concern.
−Removed: The accompanying financial
−Removed: statements do not include any adjustments that take into consideration the uncertainty of our ability to continue operations.
−Removed: Our business will be likely be adversely
−Removed: affected by the COVID-19 pandemic.
−Removed: The COVID-19 pandemic and the response to the pandemic will
−Removed: affect our business in a number of ways, including, 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: ● 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 decline 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
+Added: We generated negative cash flow from operations
+Added: for the years ended January 31, 2021 and 2020.
+Added: We are subject to the risks common to start-up, pre-revenue enterprises, including,
+Added: among other factors, undercapitalization, cash shortages, limitations with respect to personnel, financial and other resources
+Added: and lack of revenues.
+Added: Drug development companies typically incur substantial losses during the product development and FDA testing
+Added: phase of the business and do not generate revenues until after the drug has received FDA approval, which cannot be assured, and
+Added: until the company has started to sell the product.
+Added: We can give no assurance that we can or will ever be successful in achieving
+Added: profitability and the likelihood of our success must be considered in light of our early stage of operations.
+Added: We cannot assure
+Added: you that we will be able to operate profitably or generate positive cash flow.
+Added: If we cannot achieve profitability, we may be forced
+Added: to cease operations and you may suffer a total loss of your investment.
+Added: business will be likely be adversely affected by the COVID-19 pandemic.
+Added: COVID-19 pandemic and the response to the pandemic will affect our business in a number of ways, including, but are not limited
+Added: to, the following:
+Added: Our ability to raise
+Added: financing for our operations and to enter into a joint venture agreement may be affected by both the willingness and ability
+Added: of potential financing sources and 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 its resources to existing portfolio
+Added: companies or joint ventures which may be in need of financing.
+Added: The decision by
+Added: investors who would invest in early stage pharmaceutical companies to limit their financing efforts to companies that are
+Added: dealing with products or services related to COVID-19 diagnosis or treatment.
+Added: The effect of recent
+Added: stock market decline on the willingness of investors to make an investment in our securities.
+Added: The financial health
+Added: of our potential contract service customers.
+Added: Our ability to perform
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: Because we do not have a product
−Removed: we can market in the United States, we cannot predict when or whether we will operate profitably.
−Removed: We have not completed the development of
−Removed: our lead product, which is our abuse deterrent fentanyl transdermal system, and we do not have any product that we can market in
−Removed: the United States.
−Removed: Because of the numerous risks and uncertainties associated with product development, we cannot assure you that
−Removed: we will be able to develop and market any products or achieve or attain profitability.
−Removed: If we are able to obtain financing for our
−Removed: operations, we expect that we will incur substantial expenses as we continue with our product development and clinical trials.
−Removed: Further, if we are required by applicable regulatory authorities, including the FDA as well as the comparable regulatory agencies
−Removed: in other countries in which we may seek to market product, to perform studies in addition to those we currently anticipate, our
−Removed: expenses will increase beyond expectations and the timing of any potential product approval may be delayed.
−Removed: As a result, we expect
−Removed: to continue to incur substantial losses and negative cash flow for the foreseeable future.
−Removed: A number of factors, including, but not
−Removed: limited to the following, may affect our ability to develop our business and operate profitably:
−Removed: ● our ability to obtain necessary funding to develop
−Removed: our proposed products;
−Removed: ● the success of clinical trials for our products;
−Removed: ● our ability to obtain FDA approval for us to market
−Removed: any proposed product in our pipeline in the United States;
−Removed: ● any delays in regulatory review and approval of product
−Removed: in development;
−Removed: ● if we obtain FDA approval to market our product, our
−Removed: ability to establish manufacturing and distribution operations or entering into manufacturing and distribution agreements with
−Removed: qualified third parties;
−Removed: ● market acceptance of our products;
−Removed: ● our ability to establish an effective sales and marketing
−Removed: infrastructure;
−Removed: ● our ability to protect our intellectual property;
−Removed: ● competition from existing products or new products
−Removed: that may emerge;
−Removed: ● the ability to commercialize our products;
−Removed: ● potential product liability claims and adverse events;
−Removed: ● our ability to adequately support future growth;
−Removed: ● our ability to attract and retain key personnel to
−Removed: manage our business effectively.
−Removed: Our failure to develop our abuse
−Removed: deterrent fentanyl transdermal system will impair our ability to continue in business.
−Removed: Our lead product is our abuse deterrent
−Removed: fentanyl transdermal system, and we are devoting our resources primarily to developing this product, and, if we complete the development
−Removed: of this product, we will conduct the clinical trials necessary to enable us to obtain FDA approval and to market the product.
−Removed: we are not able to obtain necessary financing to develop, obtain FDA marketing approval and market this product successfully, we
−Removed: may not have the resources to develop additional products, and we may not be able to continue in business.
−Removed: Before we can market in the United
−Removed: States any product which is classified by the FDA as a drug, we must obtain FDA marketing approval.
−Removed: Our proposed transdermal products are drug-device
−Removed: combinations that are considered by the FDA to be drugs, which require approval by the FDA.
−Removed: In order to obtain FDA approval, it
−Removed: is necessary to conduct a series of preclinical and clinical tests to confirm that the product is safe and effective.
−Removed: the medication that is being delivered through our transdermal patch may have already received FDA approval, because we are delivering
−Removed: the medication through the skin, we will need to complete, to the FDA’s satisfaction, all of the required clinical testing
−Removed: steps to demonstrate safety and efficacy.
−Removed: At any point, the FDA could ask us to perform additional tests or to refine and redo
−Removed: a test that we had previously completed.
−Removed: The process of obtaining FDA approval could take many years, with no assurance that the
−Removed: FDA will approve the product.
−Removed: The FDA also will need to approve the manufacturing process and the manufacturing facility.
−Removed: We may need to rely on a third party
−Removed: contract research organization to conduct our preclinical and clinical trials.
−Removed: Although we believe that we, through 4P
−Removed: Therapeutics, have the capabilities to conduct preclinical studies and early stage clinical studies in house, we may need to rely
−Removed: on third party contract research organizations to conduct our pivotal preclinical and clinical trials.
−Removed: Our failure or the failure
−Removed: of the contract research organization to conduct the trials in compliance with FDA regulations could possibly derail our obtaining
−Removed: FDA approval, and could require us to redo any preclinical or clinical trials which we or the organization administered.
−Removed: We may encounter delays in completing
−Removed: clinical trials, which would increase our costs and delay market entry.
−Removed: We may experience delays in completing
−Removed: the clinical trials necessary for FDA approval.
−Removed: These delays may result from a number of factors which could prevent us from starting
−Removed: the trial on time or completing the study in a timely manner, which may include factors out of our control.
−Removed: Since we may need to
−Removed: rely on third parties for supplying us with the drug and transdermal patches used in the trials, there may be various reasons for
−Removed: us to experience a delay in obtaining the clinical materials required to start each clinical trial, which may include factors out
+Added: Our ability to obtain
+Added: any goods or services which we may need to perform contract services.
+Added: The ability of our
+Added: foreign distributors to obtain regulatory approval, which may be affected by the regulatory agencies giving a low priority
+Added: to products such as our consumer patches.
+Added: The financial health
+Added: of Best Choice.
+Added: If regulatory approval
+Added: is obtained in South Korea, the extent to which consumers in South Korea purchase our products.
+Added: The extent to which
+Added: the purchase of our consumer products is a low priority item for a population whose disposable income may have decreased as
+Added: a result of COVID-19 and the steps taken by the South Korean government to curb the spread of infection.
+Added: we do not have a product we can market in the United States, we cannot predict when or whether we will operate profitably.
+Added: have not completed the development of our lead product, which is our abuse deterrent fentanyl transdermal system, and we do not
+Added: have any product that we can market in the United States.
+Added: Because of the numerous risks and uncertainties associated with product
+Added: development, we cannot assure you that we will be able to develop and market any products or achieve or attain profitability.
+Added: If we are able to obtain financing for our operations, we expect that we will incur substantial expenses as we continue with our
+Added: product development and clinical trials.
+Added: Further, if we are required by applicable regulatory authorities, including the FDA as
+Added: well as the comparable regulatory agencies in other countries in which we may seek to market product, to perform studies in addition
+Added: to those we currently anticipate, our expenses will increase beyond expectations and the timing of any potential product approval
+Added: may be delayed.
+Added: As a result, we expect to continue to incur substantial losses and negative cash flow for the foreseeable future.
+Added: number of factors, including, but not limited to the following, may affect our ability to develop our business and operate profitably:
+Added: our ability to obtain
+Added: necessary funding to develop our proposed products;
+Added: the success of clinical
+Added: trials for our products;
+Added: our ability to obtain
+Added: FDA approval for us to market any proposed product in our pipeline in the United States;
+Added: any delays in regulatory
+Added: review and approval of product in development;
+Added: if we obtain FDA
+Added: approval to market our product, our ability to establish manufacturing and distribution operations or entering into manufacturing
+Added: and distribution agreements with qualified third parties;
+Added: market acceptance
+Added: of our products;
+Added: our ability to establish
+Added: an effective sales and marketing infrastructure;
+Added: our ability to protect
+Added: our intellectual property;
+Added: competition from
+Added: existing products or new products that may emerge;
+Added: the ability to commercialize
+Added: our products;
+Added: potential product
+Added: liability claims and adverse events;
+Added: our ability to adequately
+Added: support future growth;
+Added: our ability to attract
+Added: and retain key personnel to manage our business effectively.
+Added: failure to develop our abuse deterrent fentanyl transdermal system will harm our business.
+Added: lead product is our abuse deterrent fentanyl transdermal system, and we are devoting our resources primarily to developing this
+Added: product, and, if we complete the development of this product, we will conduct the clinical trials necessary to enable us to obtain
+Added: FDA approval and to market the product.
+Added: If we are not able to obtain necessary financing to develop, obtain FDA marketing approval
+Added: and market this product successfully, we may not have the resources to develop additional products..
+Added: we can market in the United States any product which is classified by the FDA as a drug, we must obtain FDA marketing approval.
+Added: proposed transdermal products are drug-device combinations that are considered by the FDA to be drugs, which require approval
+Added: In order to obtain FDA approval, it is necessary to conduct a series of preclinical and clinical tests to confirm
+Added: that the product is safe and effective.
+Added: Even though the medication that is being delivered through our transdermal patch may have
+Added: already received FDA approval, because we are delivering the medication through the skin, we will need to complete, to the FDA’s
+Added: satisfaction, all of the required clinical testing steps to demonstrate safety and efficacy.
+Added: At any point, the FDA could ask us
+Added: to perform additional tests or to refine and redo a test that we had previously completed.
+Added: The process of obtaining FDA approval
+Added: could take many years, with no assurance that the FDA will approve the product.
+Added: The FDA also will need to approve the manufacturing
+Added: process and the manufacturing facility.
+Added: may need to rely on a third party contract research organization to conduct our preclinical and clinical trials.
+Added: we believe that we, through 4P Therapeutics, have the capabilities to conduct preclinical studies and early stage clinical studies
+Added: in house, we may need to rely on third party contract research organizations to conduct our pivotal preclinical and clinical trials.
+Added: Our failure or the failure of the contract research organization to conduct the trials in compliance with FDA regulations could
+Added: possibly derail our obtaining FDA approval, and could require us to redo any preclinical or clinical trials which we or the organization
+Added: administered.
+Added: may encounter delays in completing clinical trials, which would increase our costs and delay market entry.
+Added: may experience delays in completing the clinical trials necessary for FDA approval.
+Added: These delays may result from a number of factors
+Added: which could prevent us from starting the trial on time or completing the study in a timely manner, which may include factors out
of our control.
−Removed: Clinical trials can be delayed or terminated for a number of reasons, including delay or failure to:
−Removed: ● obtain necessary financing;
−Removed: ● obtain regulatory approval to commence a trial;
−Removed: ● reach agreement on acceptable terms with prospective
−Removed: contract research organizations, investigators and clinical trial sites, the terms of which may be subject to extensive negotiation
−Removed: and vary significantly among different research organizations and trial sites;
−Removed: ● obtain institutional review board approval at each
−Removed: ● enlist suitable patients to participate in a trial;
−Removed: ● have patients complete a trial or return for post-treatment
−Removed: ● ensure clinical sites observe trial protocol or continue
−Removed: to participate in a trial;
−Removed: ● address any patient safety concerns that arise during
−Removed: the course of a trial;
−Removed: ● address any conflicts with new or existing laws or
−Removed: ● add a sufficient number of clinical trial sites;
−Removed: ● manufacture sufficient quantities of the product candidate
−Removed: for use in clinical trials.
−Removed: Patient enrolment is also a significant
−Removed: factor in the timely completion of clinical trials and is affected by many factors, including the size and nature of the patient
−Removed: population, the proximity of patients to clinical sites, the eligibility criteria for the trial, the design of the clinical trial,
−Removed: competing clinical trials and clinicians’
+Added: Since we may need to rely on third parties for supplying us with the drug and transdermal patches used in the
+Added: trials, there may be various reasons for us to experience a delay in obtaining the clinical materials required to start each clinical
+Added: trial, which may include factors out of our control.
+Added: Clinical trials can be delayed or terminated for a number of reasons, including
+Added: delay or failure to:
+Added: obtain necessary
+Added: obtain regulatory
+Added: approval to commence a trial;
+Added: reach agreement
+Added: on acceptable terms with prospective contract research organizations, investigators and clinical trial sites, the terms of
+Added: which may be subject to extensive negotiation and vary significantly among different research organizations and trial sites;
+Added: obtain institutional
+Added: review board approval at each site;
+Added: enlist suitable
+Added: patients to participate in a trial;
+Added: have patients complete
+Added: a trial or return for post-treatment follow-up;
+Added: ensure clinical
+Added: sites observe trial protocol or continue to participate in a trial;
+Added: address any patient
+Added: safety concerns that arise during the course of a trial;
+Added: address any conflicts
+Added: with new or existing laws or regulations;
+Added: add a sufficient
+Added: number of clinical trial sites;
+Added: manufacture sufficient
+Added: quantities of the product candidate for use in clinical trials.
+Added: enrolment is also a significant factor in the timely completion of clinical trials and is affected by many factors, including
+Added: the size and nature of the patient population, the proximity of patients to clinical sites, the eligibility criteria for the trial,
+Added: the design of the clinical trial, competing clinical trials and clinicians’
and patients’
−Removed: perceptions as to the potential advantages of the drug being
−Removed: studied in relation to available alternatives, including any new drugs or treatments that may be approved for the indications we
−Removed: are investigating.
−Removed: We may also encounter delays if a clinical
−Removed: trial is suspended or terminated by us, by the independent review boards of the institutions in which such trials are being conducted,
−Removed: by the trial’s data safety monitoring board, or by the FDA.
−Removed: Such authorities may suspend or terminate one or more of our
−Removed: clinical trials due to a number of factors, including our failure to conduct the clinical trial in accordance with relevant regulatory
−Removed: requirements or clinical protocols, inspection of the clinical trial operations or trial site by the FDA resulting in the imposition
−Removed: of a clinical hold, unforeseen safety issues or adverse side effects, failure to demonstrate a benefit from using a drug, changes
−Removed: in governmental regulations or administrative actions or lack of adequate funding to continue the clinical trial.
−Removed: If we experience delays in carrying out
−Removed: or completing preclinical or clinical trials for any product candidates, the commercial prospects of our product candidates may
−Removed: be harmed, and our ability to generate revenues from any of these product candidates will be delayed.
−Removed: In addition, any delays in
−Removed: completing our clinical trials will increase our costs, slow down our product candidate development and approval process and jeopardize
−Removed: our ability to commence product sales and generate revenues.
−Removed: Any of these occurrences may significantly harm our business and financial
−Removed: In addition, many of the factors that cause, or lead to, a delay in the commencement or completion of clinical trials
−Removed: may also ultimately lead to the denial of regulatory approval of our product candidates.
−Removed: Our ability to finance our operations
−Removed: and generate revenues depends on the clinical and commercial success of our abuse deterrent fentanyl transdermal system and our
−Removed: other product candidates and failure to achieve such success will negatively impact our business.
−Removed: Our prospects, including our ability to
−Removed: finance our operations and generate revenues, depend on the successful development, regulatory approval and commercialization of
−Removed: our abuse deterrent fentanyl transdermal system, which itself requires substantial financing, as well as our other product candidates.
−Removed: The clinical and commercial success of our product candidates depends on a number of factors, many of which are beyond our control,
−Removed: ● the FDA’s acceptance of our parameters for regulatory
−Removed: approval relating to our product candidates, including our proposed indications, primary endpoint assessments, primary endpoint
−Removed: measurements and regulatory pathways;
−Removed: ● the FDA’s acceptance of the number, design,
−Removed: size, conduct and implementation of our clinical trials, our trial protocols and the interpretation of data from preclinical studies
−Removed: or clinical trials;
−Removed: ● the FDA’s acceptance of the sufficiency of the
−Removed: data we collect from our preclinical studies and pivotal clinical trials to support the submission of a New Drug Application,
−Removed: known as an NDA, without requiring additional preclinical or clinical trials;
−Removed: ● the FDA’s acceptance of our abuse deterrent labelling relating
−Removed: to our products, including our abuse deterrent fentanyl transdermal system;
−Removed: ● when we submit our NDA upon completion of our clinical
−Removed: trials, the FDA’s willingness to schedule an advisory committee meeting, if applicable, in a timely manner to evaluate and
−Removed: decide on the approval of our NDA;
−Removed: ● the recommendation of the FDA’s advisory committee,
−Removed: if applicable, to approve our application without limiting the approved labelling, specifications, distribution or use of the products,
−Removed: or imposing other restrictions;
−Removed: ● our ability to satisfy any issued raised by the FDA
−Removed: in response to our test data;
−Removed: ● the FDA’s satisfaction with the safety and efficacy
−Removed: of our product candidates;
−Removed: ● the prevalence and severity of adverse events associated
−Removed: with our product candidates;
−Removed: ● the timely and satisfactory performance by third party
−Removed: contractors of their obligations in relation to our clinical trials;
−Removed: ● if we receive FDA approval, our success in educating
−Removed: physicians and patients about the benefits, administration and use our product candidates;
−Removed: ● our ability to raise additional capital on acceptable
−Removed: terms in order to achieve conduct the necessary clinical trials;
−Removed: ● the availability, perceived advantages and relative
−Removed: cost of alternative and competing treatments;
−Removed: ● the effectiveness of our marketing, sales and distribution
−Removed: strategy and operations;
−Removed: ● our ability to develop, validate and maintain a commercially
−Removed: viable manufacturing process that is compliant with current good manufacturing practices;
−Removed: ● our ability to obtain, protect and enforce our intellectual
−Removed: property rights;
−Removed: ● our ability to bring an action timely for patent infringement
−Removed: arising out of the filing of ANDAs by generic companies seeking approval to market generic versions of our products, if applicable,
−Removed: before the expiry of our patents;
−Removed: ● our ability to avoid third party claims of patent
−Removed: infringement or intellectual property violations.
−Removed: If we fail to achieve these objectives
−Removed: or to overcome the challenges presented above, many of which are beyond our control, in a timely manner, we could experience significant
−Removed: delays or an inability to successfully commercialize our product candidates.
−Removed: Accordingly, even if we obtain FDA approval to market
−Removed: our products, we may not be able to generate sufficient revenues through the sale of our products to enable us to continue our
−Removed: Since we do not have commercial manufacturing
−Removed: capability, if we are unable to establish manufacturing facilities, we may have to enter into a manufacturing agreement with a
−Removed: manufacturer that has been approved by the FDA.
−Removed: Any commercial manufacturer of our products
−Removed: and the manufacturing facilities where we make our commercial products will be subject to FDA approval.
−Removed: Part of the process of
−Removed: seeking FDA approval to market our products is the FDA’s approval of the manufacturing process and facility.
−Removed: plan to establish our own manufacturing facilities, the establishment of a manufacturing facility is very costly, and, unless we
−Removed: obtain funding for that purpose, it would be necessary for us to engage a third party who has experience is manufacturing transdermal
−Removed: patches for FDA approved products.
−Removed: By relying on a third party manufacturer, we will be dependent upon the manufacturer, whose
−Removed: interests may be different from ours.
−Removed: Any third party contract manufacturer will be responsible for quality control and for meeting
−Removed: our requirements.
−Removed: If the manufacturer does not meet our quality standards and delivers products that do not meet our specifications,
−Removed: we may both incur liability for breach of our warranty to our customer, as well as liability for any damage, including death, that
−Removed: may result from the use, abuse or accidental misuse of the product.
−Removed: Regardless of whether we are able to make a claim against the
−Removed: manufacturer, our reputation may be impaired and we may lose business as a result.
−Removed: Further, the contract manufacturer may have
−Removed: other customers and may allocate its resources based on the contract manufacturer’s interest rather than our interest.
−Removed: we may not be able to assure ourselves that we will get favorable pricing.
−Removed: We have previously had problems with our manufacturer
−Removed: of our consumer over-the-counter transdermal patches, and we cannot assure you that we will not have the same, similar or other
−Removed: problems with the manufacturer of our FDA approved products.
−Removed: If we or any third-party manufacturer
−Removed: fails to comply with FDA current good manufacturing practices, we may not be able to sell our products until and unless the manufacture
−Removed: becomes compliant.
−Removed: All FDA approved drugs, including our proposed
−Removed: transdermal products, must be manufactured in accordance with good manufacturing practices.
−Removed: All manufacturing facilities are inspected
−Removed: by the FDA as a matter of routine inspection or for a specific cause.
−Removed: If a manufacturer fails to comply with all applicable regulations,
−Removed: the FDA can prohibit us from distributing products manufactured in those facilities, whether they are a contract manufacturer or
−Removed: own facility.
−Removed: A failure to be in compliance with good manufacturing practices could result in the FDA closing the facilities or
−Removed: limiting our use of the facilities.
−Removed: If the FDA implements Risk Evaluation
−Removed: and Mitigation Strategies policies for any of our proposed products, we will need to comply with such policies before we can obtain
−Removed: FDA approval or the product.
−Removed: The Food and Drug Administration Amendments
−Removed: Act of 2007 gave FDA the authority to require a Risk Evaluation and Mitigation Strategy from manufacturers to ensure that the benefits
−Removed: of a drug or biological product outweigh its risks.
−Removed: The FDA has issued a Risk Evaluation Mitigation Strategy for a fentanyl iontophoretic
−Removed: transdermal system.
−Removed: Before we can receive FDA approval for any product for which the FDA has issued a Risk Evaluation Mitigation
−Removed: Strategy, we must satisfy the FDA that we have complied with the Risk Evaluation Mitigation Strategy.
−Removed: If one of our products becomes
−Removed: subject to a Risk Evaluation and Mitigation Strategy policy after receiving FDA approval, it will need to comply with such policy.
−Removed: Our products will continue to be subject to FDA review
−Removed: after FDA approval is given.
−Removed: Discovery of previously unknown problems
−Removed: with our products or unanticipated problems with the manufacturing processes and facilities, even after FDA and other regulatory
−Removed: approvals of the product for commercial sale, may result in the imposition of significant restrictions, including withdrawal of
−Removed: the product from the market.
−Removed: The FDA and other regulatory agencies continue
−Removed: to review products even after the products receive agency approval.
−Removed: If and when the FDA approves one of our products, its manufacture
−Removed: and marketing will be subject to ongoing regulation, which could include compliance with current good manufacturing practices,
−Removed: adverse event reporting requirements and general prohibitions against promoting products for unapproved or “off-label”
−Removed: We are also subject to inspection and market surveillance by the FDA for compliance with these and other requirements.
−Removed: enforcement action resulting from the failure, even by inadvertence, to comply with these requirements could affect the manufacture
−Removed: and marketing of our products.
−Removed: In addition, the FDA or other regulatory agencies could withdraw a previously approved product from
−Removed: the market upon receipt of newly discovered information.
−Removed: The FDA or another regulatory agency could also require us to conduct
−Removed: additional, and potentially expensive, studies in areas outside our approved indicated uses.
−Removed: We must continually monitor the safety
−Removed: of our products once approved and marketed for potential adverse events which could jeopardize our ability to continue marketing
−Removed: the products.
−Removed: As with all medical products, the use of our
−Removed: products could sometimes produce undesirable side effects or adverse reactions or events (referred to cumulatively as adverse events).
−Removed: Our consumer products initially caused skin irritation because of certain of the ingredients in the patch, which we corrected by
−Removed: reformulating the patches.
−Removed: For the most part, we expect these adverse events to be known and occur at some predicted frequency
−Removed: based on our experience in the clinical development program.
−Removed: When adverse events are reported to us, we are required to investigate
−Removed: each event and the circumstances surrounding it to determine whether it was caused by our product and whether a previously unrecognized
−Removed: safety issue exists.
−Removed: We will also be required to periodically report summaries of these events to the applicable regulatory authorities.
−Removed: If the adverse effects are significant, we may be required to recall our product.
−Removed: We cannot assure you that our medical products
−Removed: will not cause skin irritation or other adverse events.
−Removed: Our ability to market our products may be impaired by unanticipated adverse
−Removed: events and any recall of our product.
−Removed: Because we are an early-stage company, our reputation, and our ability to market products,
−Removed: could be affected more severely than a major pharmaceutical company.
−Removed: In addition, the use of our products could
−Removed: be associated with serious and unexpected adverse events, or with less serious reactions at a greater than expected frequency.
−Removed: Such issues may arise when our products are used in critically ill or otherwise compromised patient populations.
−Removed: When unexpected
−Removed: events are reported to us, we are required to make a thorough investigation to determine causality and the implications for product
−Removed: These events must also be specifically reported to the applicable regulatory authorities.
−Removed: If our evaluation concludes,
−Removed: or regulatory authorities perceive, that there is an unreasonable risk associated with the product, we would be obligated to withdraw
−Removed: the impacted lot(s) of that product or recall the product and discontinue marketing until all problems are satisfactorily resolved.
−Removed: Furthermore, an unexpected adverse event of a new product could be recognized only after extensive use of the product, which could
−Removed: expose us to product liability risks, enforcement action by regulatory authorities and damage to our reputation and public image.
−Removed: A serious adverse finding concerning the
−Removed: risk of any of our products by any regulatory authority could adversely affect our reputation, business and financial results.
−Removed: If we obtain FDA approval to market
−Removed: our products, we expect to spend considerable time and money complying with federal and state laws and regulations governing their
−Removed: sale, and, if we are unable to fully comply with such laws and regulations, we could face substantial penalties.
−Removed: Health care providers, physicians and others
−Removed: will play a primary role in the recommendation and prescription of our proposed products.
−Removed: Further, if we use third-party sales
−Removed: and marketing providers, they may expose us to broadly applicable fraud and abuse and other health care laws and regulations that
−Removed: may constrain the business or financial arrangements and relationships through which we market, sell and distribute our products.
−Removed: Applicable federal and state health care laws and regulations are expected to include, but not be limited to, the following:
−Removed: ● The federal anti-kickback statute is a criminal statute that makes
−Removed: it a felony for individuals or entities knowingly and wilfully to offer or pay, or to solicit or receive, direct or indirect remuneration,
−Removed: in order to induce the purchase, order, lease, or recommending of items or services, or the referral of patients for services,
−Removed: that are reimbursed under a federal health care program, including Medicare and Medicaid;
−Removed: ● The federal False Claims Act imposes liability on
−Removed: any person who knowingly submits, or causes another person or entity to submit, a false claim for payment of government funds.
−Removed: Penalties include three times the government’s damages plus civil penalties of $5,500 to $11,000 per false claim.
−Removed: the False Claims Act permits a person with knowledge of fraud, referred to as a qui tam plaintiff, to file a lawsuit on behalf
−Removed: of the government against the person or business that committed the fraud, and, if the action is successful, the qui tam plaintiff
−Removed: is rewarded with a percentage of the recovery;
−Removed: ● Health Insurance Portability and Accountability Act,
−Removed: known as HIPAA, imposes obligations, including mandatory contractual terms, with respect to safeguarding the privacy, security
−Removed: and transmission of individually identifiable health information;
−Removed: ● The Social Security Act contains numerous provisions
−Removed: allowing the imposition of a civil money penalty, a monetary assessment, exclusion from the Medicare and Medicaid programs, or
−Removed: some combination of these penalties;
−Removed: ● Many states have analogous state laws and regulations,
−Removed: such as state anti-kickback and false claims laws.
−Removed: In some cases, these state laws impose more strict requirements than the federal
−Removed: Some state laws also require pharmaceutical companies to comply with certain price reporting and other compliance requirements.
−Removed: Our failure to comply with any of these
−Removed: federal and state health care laws and regulations, or health care laws in foreign jurisdictions, could have a material adverse
−Removed: effect on our business, financial condition, result of operations and cash flows.
−Removed: Best Choice may not obtain approval
−Removed: to market our consumer products in South Korea.
−Removed: Although Best Choice has made modest purchases
−Removed: of our consumer products in South Korea in connection with its preliminary marketing activities, Best Choice requires regulatory
−Removed: approval by the MFDS before it can market our consumer products in South Korea.
−Removed: Although Best Choice has advised us it is working
−Removed: with the MFDS to determine a classification for our products, which is necessary before it can obtain authorization to market the
−Removed: products in South Korea, we cannot assure you that it will obtain the necessary authorization.
−Removed: The sale of products that require
−Removed: authorization without the required authorization is a criminal offense.
−Removed: We cannot assure you that Best Choice will be able to obtain
−Removed: the necessary approval, and if it unable to obtain the necessary approval, it will not be able sell our consumer products in South
−Removed: We may not be able to continue our
−Removed: relationship with Best Choice, which is the only distributor for our consumer products.
−Removed: Our agreement with Best Choice has an initial
−Removed: term which, as a result of an extension dated May 26, 2019, will expire on April 30, 2020.
−Removed: The agreement provides for an automatic
−Removed: renewal for three years and for five-year periods thereafter if certain minimum purchases are made.
−Removed: Best Choice did not meet the
−Removed: initial conditions for the continuation of the agreement and we extended the period during which Best Choice must meet the initial
−Removed: purchase requirement from April 30, 2019 to April 30, 2020.
−Removed: As of the date of this annual report, Best Choice has not met the initial
−Removed: purchase requirements.
−Removed: We cannot assure you that Best Choice will meet the minimum purchase requirements for the extended initial
−Removed: term and that the agreement will not terminate if Best Choice fail to make such purchases.
−Removed: However, we cannot assure you that,
−Removed: if the agreement with Best Choice terminates, we will be able to enter into an agreement with another distributor who would be
−Removed: willing and able to obtain necessary regulatory approval and sell our product in the international market.
−Removed: Our failure to have
−Removed: any international distributor will materially impair our ability to generate revenue from our consumer products in the South Korean
−Removed: or any other international market.
−Removed: Before we can market our product
−Removed: outside of the United States, we will need to obtain regulatory approval in each country in which we propose to sell our products.
−Removed: In order to market and sell our products in
−Removed: jurisdictions other than the United States, we must obtain separate marketing approvals and comply with numerous and varying regulatory
+Added: perceptions as to the potential
+Added: advantages of the drug being studied in relation to available alternatives, including any new drugs or treatments that may be
+Added: approved for the indications we are investigating.
+Added: may also encounter delays if a clinical trial is suspended or terminated by us, by the independent review boards of the institutions
+Added: in which such trials are being conducted, by the trial’s data safety monitoring board, or by the FDA.
+Added: Such authorities may
+Added: suspend or terminate one or more of our clinical trials due to a number of factors, including our failure to conduct the clinical
+Added: trial in accordance with relevant regulatory requirements or clinical protocols, inspection of the clinical trial operations or
+Added: trial site by the FDA resulting in the imposition of a clinical hold, unforeseen safety issues or adverse side effects, failure
+Added: to demonstrate a benefit from using a drug, changes in governmental regulations or administrative actions or lack of adequate
+Added: funding to continue the clinical trial.
+Added: we experience delays in carrying out or completing preclinical or clinical trials for any product candidates, the commercial prospects
+Added: of our product candidates may be harmed, and our ability to generate revenues from any of these product candidates will be delayed.
+Added: In addition, any delays in completing our clinical trials will increase our costs, slow down our product candidate development
+Added: and approval process and jeopardize our ability to commence product sales and generate revenues.
+Added: Any of these occurrences may
+Added: significantly harm our business and financial condition.
+Added: In addition, many of the factors that cause, or lead to, a delay in the
+Added: commencement or completion of clinical trials may also ultimately lead to the denial of regulatory approval of our product candidates.
+Added: ability to generate revenues from our planned pharmaceutical products depends on the clinical and commercial success of our abuse
+Added: deterrent fentanyl transdermal system and our other product candidates and failure to achieve such success will negatively impact
+Added: our business.
+Added: clinical and commercial success of our pharmaceutical product candidates depends on a number of factors, many of which are beyond
+Added: our control, including:
+Added: the FDA’s
+Added: acceptance of our parameters for regulatory approval relating to our product candidates, including our proposed indications,
+Added: primary endpoint assessments, primary endpoint measurements and regulatory pathways;
+Added: the FDA’s
+Added: acceptance of the number, design, size, conduct and implementation of our clinical trials, our trial protocols and the interpretation
+Added: of data from preclinical studies or clinical trials;
+Added: the FDA’s
+Added: acceptance of the sufficiency of the data we collect from our preclinical studies and pivotal clinical trials to support the
+Added: submission of a New Drug Application, known as an NDA, without requiring additional preclinical or clinical trials;
+Added: the FDA’s
+Added: acceptance of our abuse deterrent labelling relating to our products, including our abuse deterrent fentanyl transdermal system;
+Added: when we submit our
+Added: NDA upon completion of our clinical trials, the FDA’s willingness to schedule an advisory committee meeting, if applicable,
+Added: in a timely manner to evaluate and decide on the approval of our NDA;
+Added: the recommendation
+Added: of the FDA’s advisory committee, if applicable, to approve our application without limiting the approved labelling,
+Added: specifications, distribution or use of the products, or imposing other restrictions;
+Added: our ability to satisfy
+Added: any issued raised by the FDA in response to our test data;
+Added: the FDA’s
+Added: satisfaction with the safety and efficacy of our product candidates;
+Added: the prevalence and
+Added: severity of adverse events associated with our product candidates;
+Added: the timely and satisfactory
+Added: performance by third party contractors of their obligations in relation to our clinical trials;
+Added: if we receive FDA
+Added: approval, our success in educating physicians and patients about the benefits, administration and use our product candidates;
+Added: our ability to raise
+Added: additional capital on acceptable terms in order to achieve conduct the necessary clinical trials;
+Added: the availability,
+Added: perceived advantages and relative cost of alternative and competing treatments;
+Added: the effectiveness
+Added: of our marketing, sales and distribution strategy and operations;
+Added: our ability to develop,
+Added: validate and maintain a commercially viable manufacturing process that is compliant with current good manufacturing practices;
+Added: our ability to obtain,
+Added: protect and enforce our intellectual property rights;
+Added: our ability to bring
+Added: an action timely for patent infringement arising out of the filing of ANDAs by generic companies seeking approval to market
+Added: generic versions of our products, if applicable, before the expiry of our patents;
+Added: our ability to avoid
+Added: third party claims of patent infringement or intellectual property violations.
+Added: we do not have commercial drug manufacturing capability, if we are unable to establish manufacturing facilities, we may have to
+Added: enter into a manufacturing agreement with a manufacturer that has been approved by the FDA.
+Added: commercial manufacturer of our products and the manufacturing facilities where we make our commercial products will be subject
+Added: to FDA approval.
+Added: Part of the process of seeking FDA approval to market our products is the FDA’s approval of the manufacturing
+Added: process and facility.
+Added: Although we recently added certain manufacturing capabilities through our acquisition of Pocono, the establishment
+Added: of a manufacturing facility at the level required for prescription medication’s is very costly, and, unless we obtain funding
+Added: for that purpose, it would be necessary for us to engage a third party who has experience is manufacturing transdermal patches
+Added: for FDA approved products.
+Added: By relying on a third-party manufacturer, we will be dependent upon the manufacturer, whose interests
+Added: may be different from ours.
+Added: Any third-party contract manufacturer will be responsible for quality control and for meeting our
requirements.
−Removed: The regulatory approval process outside the United States generally includes all of the risks associated with obtaining
−Removed: FDA and can involve additional testing.
−Removed: In addition, in many countries worldwide, it
−Removed: 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, approval by the FDA does not ensure approval by regulatory authorities in other countries.
−Removed: approval by one regulatory authority outside the United States would not ensure approval by regulatory authorities in other countries.
−Removed: We may not be able to file for marketing approvals and may not receive necessary approvals to commercialize our products in any
−Removed: If we are unable to obtain approval of our product candidates by regulatory authorities in foreign jurisdictions, the commercial
−Removed: prospects of those product candidates may be significantly diminished and our business prospects could be impaired.
−Removed: Outside the United States, particularly in
−Removed: 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: If we do not have sufficient product
−Removed: liability insurance, we may be subject to claims that are in excess of our net worth.
−Removed: Before we market any pharmaceutical product,
−Removed: we will need to purchase significant product liability insurance.
−Removed: However, in the event of major claims from the use of our products,
−Removed: it is possible that our product liability insurance will not be sufficient to cover claims against us.
−Removed: We cannot assure you that
−Removed: we will not face liability arising out of the use of our products which is significantly in excess of the limits of our product
−Removed: liability insurance.
−Removed: In such event, if we do not have the funds or access to the funds necessary to satisfy such liability, we
−Removed: may be unable to continue in business.
−Removed: Because some of the patches we are
−Removed: developing, such as our abuse deterrent fentanyl patch, have potential severe side effects, we may face liability in the event
−Removed: patients suffer serious, possibly life-threatening, side effects from our products.
−Removed: Fentanyl patches have known side effects and
−Removed: may cause serious or life-threatening breathing problems due to opioid-induced respiratory depression.
−Removed: In addition, taking certain
−Removed: medications with fentanyl may increase the risk of serious or life-threatening breathing problems, sedation or coma.
−Removed: the seriousness of the side effects, fentanyl patches should only be used in accordance labelling approved by the FDA or by the
−Removed: applicable regulatory authorities outside of the United States.
−Removed: Fentanyl patches are only indicated for the treatment of people
−Removed: who are tolerant to opioid medications because they have taken this type of medication for at least one week and should not be
−Removed: used to treat mild or moderate pain, short-term pain, pain after an operation or medical or dental procedure, or pain that can
−Removed: be controlled by medication that is taken on an as-needed basis.
−Removed: Although we will include all warnings on the packaging that are
−Removed: required by the FDA or foreign regulatory authorities, claims may be made against us in the event that death or serious side effects
−Removed: result from the use of our abuse deterrent fentanyl transdermal system, even if prescribed for a patient for whom fentanyl patches
−Removed: should not be prescribed.
−Removed: We cannot assure you that we will not face significant liability as a result of such side effects and
−Removed: we may not have sufficient product liability insurance to cover any damages that may be assessed against us.
−Removed: Because of our lack of funds, we
−Removed: may have to enter into a joint venture or strategic relationship or licensing agreement with a third party to develop and seek
−Removed: to obtain FDA approval of our potential products.
−Removed: Our present efforts are directed to developing
−Removed: and seeking FDA approval for our pipeline of transdermal pharmaceutical products including our lead product, the abuse deterrent
−Removed: fentanyl transdermal system.
−Removed: The development of pharmaceutical products including a new delivery system for an already approved
−Removed: drug, is very expensive with no assurance of obtaining FDA approval.
−Removed: Because of the costs involved, we may need to enter into a
−Removed: joint venture or strategic alliance or licensing or similar agreement with a third party to bring our products to market, in which
−Removed: event we would have to give up a significant percentage of the equity in or rights to the product and require the other party to
−Removed: provide the necessary financing and personnel and to take a significant role in making the decisions relating to the development,
−Removed: testing, marketing and manufacturing of the product.
−Removed: The third party may have interests which are different from, and possibly
−Removed: in conflict with, our own.
−Removed: If we are unable to attract competent parties to distribute and market any product which we may develop,
−Removed: or if such parties’
−Removed: efforts are inadequate, we will not be able to implement our business strategy and may have to cease
−Removed: We cannot assure you that we will be successful in entering into joint ventures or other strategic relationships or
−Removed: that any relationship into which we may enter will develop a marketable product or that we will generate any revenue or net income
−Removed: from such a venture.
−Removed: We may decide not to continue developing
−Removed: or commercializing any products at any time during development or after approval, which would reduce or eliminate our potential
−Removed: return on investment for those product candidates.
−Removed: We may decide to discontinue the development
−Removed: of our abuse deterrent fentanyl transdermal system or any other product in our pipeline or not to continue to commercialize any
−Removed: potential product for a variety of reasons, such as the appearance of new technologies that make our product less commercially
−Removed: viable, an increase in competition, changes in or failure to comply with applicable regulatory requirements, the discovery of unforeseen
−Removed: side effects during clinical development or after the approved product has been marketed or the occurrence of adverse events at
−Removed: a rate or severity level that is greater than experienced in prior clinical trials.
−Removed: If we discontinue a program in which we have
−Removed: invested significant resources, we will not receive any return on our investment.
−Removed: If any of our potential products
−Removed: are approved for marketing but fail to achieve the broad degree of physician or market acceptance necessary for commercial success,
−Removed: our operating results and financial condition will be adversely affected.
−Removed: If any of the products in our pipeline
−Removed: receives FDA approval for us to market the product in the United States, it will be necessary for us to generate acceptance of
−Removed: our product for the indications covered by the FDA approval.
−Removed: In order to generate acceptance in the marketplace, we will need to
−Removed: demonstrate to physicians that our product provides a distinct advantage or better outcome at a price that reflects the value of
−Removed: our product as compared with existing products.
−Removed: We will need to develop and implement a marketing program directed at both physicians
−Removed: and the general public.
−Removed: Since we do not presently have the resources necessary to develop or implement an in-house marketing program
−Removed: and we may not have the funds to do so if and when we obtain FDA approval to market our product, we will need to establish a distribution
−Removed: network though license and distribution agreements with third parties who have the capability to market our product to physicians
−Removed: and emergency service organizations, and we will be dependent upon the ability of these third parties to market our products effectively.
−Removed: We cannot assure you that we will be able to negotiate license and distribution agreements with terms that are acceptable to us.
−Removed: Since we do not have an established track record and our product pipeline is relatively small, we may be at a disadvantage in negotiating
−Removed: the terms of license and distribution agreements.
−Removed: Further, we may have little control over the development and implementation of
−Removed: our licensee’s marketing program, and our licensees may have interests that are inconsistent with ours with respect to the
−Removed: allocation of resources and implementation of the marketing program.
−Removed: We cannot assure you that a marketing program for any of our
−Removed: products can or will be implemented effectively or that we will be successful in developing physician and emergency service acceptance
−Removed: of our products.
−Removed: If we seek to market any products
−Removed: in our pipeline in countries other than the United States, we will need to comply with the regulations of each country in which
−Removed: we seek to market our products.
−Removed: None of our pharmaceutical products are
−Removed: currently approved for sale by any government authority in any jurisdiction.
−Removed: If we fail to comply with regulatory requirements
−Removed: in any market we decide to enter, or to obtain and maintain required approvals, or if regulatory approvals in the relevant markets
−Removed: are delayed, our target market will be reduced and our ability to realize the full market potential of our products will be harmed.
−Removed: Marketing approval in one jurisdiction, including the United States, does not ensure marketing approval in another, but a failure
−Removed: or delay in obtaining marketing approval in one jurisdiction may have a negative effect on the regulatory process in others.
−Removed: to obtain a marketing approval in countries in which we seek to market our products or any delay or setback in obtaining such approval
−Removed: would impair our ability to develop foreign markets for any of our products.
−Removed: The drug delivery industry is subject
−Removed: to rapid technological change and, our failure to keep up with technological developments may impair our ability to market our
−Removed: Our products use technology which we developed
−Removed: for the transdermal delivery of drugs.
−Removed: The field of drug delivery is subject to rapid technological changes.
−Removed: Our future success
−Removed: will depend upon our ability to keep abreast of the latest developments in the industry and to keep pace with advances in technology
−Removed: and changing customer requirements.
−Removed: If we cannot keep pace with such changes and advances, our proposed products could be rendered
−Removed: obsolete, which would result in our having to cease its operations.
−Removed: If we obtain FDA approval, we will
−Removed: face significant competition from better known and better capitalized companies.
−Removed: If we obtain FDA approval for any of our
−Removed: products, we expect to face significant competition from existing companies, which are better known and already have developed
−Removed: relationships with physicians within the healthcare system.
−Removed: Any product we may develop will compete with existing medications performing
−Removed: the same medicinal functions, which may include transdermal patches.
−Removed: We cannot assure you that we will be able to compete successfully.
−Removed: In addition, even if we are able to commercialize our product candidates, we may not be able to price them competitively with current
−Removed: standard of care products or their price may drop considerably due to factors outside our control.
−Removed: If this happens or the price
−Removed: of materials and manufacture increases dramatically, our ability to continue to operate our business would be materially harmed
−Removed: and we may be unable to commercialize any products successfully.
−Removed: In addition, other pharmaceutical companies may be engaged in
−Removed: developing, patenting, manufacturing and marketing products that compete with those that we are developing.
−Removed: These potential competitors
−Removed: may include large and experienced companies that enjoy significant competitive advantages over us, such as greater financial, research
−Removed: and development, manufacturing, personnel and marketing resources, greater brand recognition and more experience and expertise
−Removed: in obtaining marketing approvals from the FDA and foreign regulatory authorities.
−Removed: Healthcare reforms by governmental
−Removed: authorities, court decisions affecting health care policies and related reductions in pharmaceutical pricing, reimbursement and
−Removed: coverage by third-party payors may adversely affect our business.
−Removed: We expect the healthcare industry to face
−Removed: increased limitations on reimbursement, rebates and other payments as a result of healthcare reform, which could adversely affect
−Removed: third-party coverage of our proposed products and how much or under what circumstances healthcare providers will prescribe or administer
−Removed: our products, if approved.
−Removed: In both the U.S.
−Removed: and other countries, sales
−Removed: of our products, if approved for marketing, will depend in part upon the availability of reimbursement from third-party payors,
−Removed: which include governmental authorities, managed care organizations and other private health insurers.
−Removed: Third-party payors are increasingly
−Removed: challenging the price and examining the cost effectiveness of medical products and services.
−Removed: Increasing expenditures for healthcare
−Removed: have been the subject of considerable public attention in the United States.
−Removed: Both private and government entities are seeking ways
−Removed: to reduce or contain healthcare costs.
−Removed: Numerous proposals that would effect changes in the United States healthcare system have
−Removed: been introduced or proposed in Congress and in some state legislatures, including reducing reimbursement for prescription products
−Removed: and reducing the levels at which consumers and healthcare providers are reimbursed for purchases of pharmaceutical products.
−Removed: Cost reduction initiatives and changes
−Removed: in coverage implemented through legislation or regulation could decrease utilization of and reimbursement for any approved products,
−Removed: which in turn would affect the price we can receive for those products.
−Removed: Any reduction in reimbursement that results from federal
−Removed: legislation or regulation may also result in a similar reduction in payments from private payors, since private payors often follow
−Removed: Medicare coverage policy and payment limitations in setting their own reimbursement rates.
−Removed: Significant developments that may adversely
−Removed: affect pricing in the United States include the enactment of federal healthcare reform laws and regulations, including the Affordable
−Removed: Care Act, or ACA, which is popularly known as Obamacare, and the Medicare Prescription Drug Improvement and Modernization Act of
−Removed: A recent district court decision which struck down Obamacare, if upheld, could have a material adverse effect upon
−Removed: reimbursement and payment for products such as our proposed products.
−Removed: Changes to the healthcare system enacted as part of any healthcare
−Removed: reform in the United States, as well as the increased purchasing power of entities that negotiate on behalf of Medicare, Medicaid,
−Removed: and private sector beneficiaries, may result in increased pricing pressure by influencing, for instance, the reimbursement policies
−Removed: of third-party payors.
−Removed: Regulatory changes which have the effect of decreasing the use of opioids has resulted in a decrease in
−Removed: the size of the market for opioid products, including fentanyl, could impact the market for our abuse deterrent fentanyl transdermal
−Removed: system or any other opioid-based transdermal product we may develop.
−Removed: In 2017, a new administration, which had
−Removed: promised to repeal and replace the ACA, took office in the United States.
−Removed: Although we cannot predict the form any such replacement
−Removed: of the ACA may take or the full effect on our business of the enactment of additional legislation pursuant to healthcare and
−Removed: other legislative reform, we believe that legislation or regulations that would reduce reimbursement for, or restrict coverage
−Removed: of, our products could adversely affect how much or under what circumstances healthcare providers prescribe or administer our products.
−Removed: This could materially and adversely affect our business by reducing our ability to generate revenues, raise capital, obtain licensees
−Removed: and market our products.
−Removed: In addition, we believe the increasing emphasis on managed care in the United States, has and will continue
−Removed: to put pressure on the price and usage of pharmaceutical products, which may adversely impact product sales.
−Removed: It will be difficult for us to profitably
−Removed: sell any of our products if reimbursement for these products is limited by government authorities and third-party payor policies.
−Removed: It is difficult and costly to protect
−Removed: our proprietary rights, and we may not be able to ensure their protection.
−Removed: Our commercial success will depend in part
−Removed: on obtaining and maintaining patent protection and trade secret protection for our technology which is incorporated in our products
−Removed: as well as successfully defending these patents against third-party challenges, should any be brought.
−Removed: 4P Therapeutics originally
−Removed: filed an international patent application under the Patent Cooperation Treaty for worldwide prosecution of the abuse deterrent
−Removed: transdermal technology patent used in our lead product, the abuse deterrent fentanyl transdermal system.
−Removed: The patent is being prosecuted
−Removed: in the United States and in other countries.
−Removed: Although the European Patent Office and the Japan patent office have approved
−Removed: our patent application, we have not yet received any response from the United States Patent and Trademark Office.
−Removed: Our ability to
−Removed: stop third parties from making, using, selling, offering to sell or importing products utilizing our proprietary or patented technology
−Removed: is dependent upon the extent to which we have rights under valid and enforceable patents or trade secrets that cover these activities.
−Removed: We cannot assure you that a patent will be granted in the United States or in any country in which the patent is being prosecuted.
−Removed: The patent positions of pharmaceutical and biopharmaceutical companies can be highly uncertain and involve complex legal and factual
−Removed: questions for which important legal principles remain unresolved.
−Removed: No consistent policy regarding the breadth of claims allowed
−Removed: in biopharmaceutical patents has emerged to date in the United States.
−Removed: The biopharmaceutical patent situation outside the United
−Removed: States varies from country to country and is even more uncertain.
−Removed: Changes in either the patent laws or in interpretations of patent
−Removed: laws in the United States and other countries may diminish the value of our intellectual property.
−Removed: Accordingly, we cannot predict
−Removed: the breadth of claims that may be allowed or enforced in any patents we may be granted.
−Removed: Further, if any patents are granted and
−Removed: are subsequently deemed invalid and unenforceable, it could impact our ability to license our technology and, as noted previously,
−Removed: fend off competitive challenges.
−Removed: Patent litigation is very expensive and we may not have sufficient funds to defend our proprietary
−Removed: technology from infringement, either as a plaintiff in an action seeking to stop infringers from using our technology, or as a
−Removed: defendant in an action against us alleging infringement by us.
−Removed: The degree of future protection for our
−Removed: proprietary rights is uncertain because legal means afford only limited protection and may not adequately protect our rights or
−Removed: permit us to gain or keep our competitive advantage.
−Removed: ● others may be able to make compositions or formulations
−Removed: that are similar to our product s but that are not covered by the claims of our patents;
−Removed: ● other persons may have filed patents covering inventions,
−Removed: technology or processes that we use, with the result that we may infringe upon the prior patents;
−Removed: ● others may independently develop similar or alternative
−Removed: technologies or duplicate any of our technologies;
−Removed: ● our pending patent applications may not result in
−Removed: the grant of patents;
−Removed: ● any patents which may be issued may not provide us
−Removed: with any competitive advantages, or may be held invalid or unenforceable as a result of legal challenges by third parties;
−Removed: ● our inability to fund any litigation to defend our
−Removed: proprietary rights, either in defense of an action against us or a plaintiff to seek to prevent infringement.
−Removed: ● our failure to develop additional proprietary technologies
−Removed: that are patentable.
−Removed: If we seek to expand our business
−Removed: through acquisition, we may not be successful in identifying acquisition targets or integrating their businesses with our existing
−Removed: We have recently expanded our business
−Removed: by acquisition, and we may make acquisitions in the future.
−Removed: In 2017, we issued 1,250,000 shares of common stock, valued at $2,500,000,
−Removed: in connection with our proposed acquisition of Advanced Health Brands, Inc., but the stock of Advanced Health Brands was never
−Removed: transferred to us and the value of the intellectual property we were to have acquired did not have the value we anticipated, with
−Removed: the result that we incurred a $2,500,000 impairment loss in the year ended January 31, 2018.
−Removed: In September 2018, we entered into
−Removed: an agreement to acquire Carmel Biosciences Inc., and in November 2018, we terminated the agreement.
−Removed: We previously entered into
−Removed: another acquisition agreement which was rescinded shortly after the agreement was executed.
−Removed: We cannot assure you that any acquisition
−Removed: we complete will be successful or that any acquisition agreement we may enter into will result in an acquisition.
−Removed: An acquisition
−Removed: can be unsuccessful for a number of reasons, including the following:
−Removed: ● We may incur significant expenses and devote significant
−Removed: management time to the acquisition and we may be unable to consummate the acquisition on acceptable terms.
−Removed: ● If we identify a potential acquisition, we may face
−Removed: competition from other companies in the industry or from financial buyers in seeking to make the acquisition.
−Removed: ● The integration of any acquisition with our existing
−Removed: business may be difficult and, if we are not able to integrate the business successfully, we may not only be unable to operate
−Removed: the business profitably, but management may be unable to devote the necessary time to the development of our existing business;
−Removed: ● The key employees who operated the acquired business
−Removed: successfully prior to the acquisition may not be happy working for us and may resign, thus leaving the business without the necessary
−Removed: continuity of management.
−Removed: ● Even if the business is successful, our senior executive
−Removed: officers may need to devote significant time to the acquired business, which may distract them from their other management activities.
−Removed: ● If the business does not operate as we expect, we
−Removed: may incur an impairment charge based on the value of the assets acquired.
−Removed: ● The products or proposed products of the acquired
−Removed: company may have regulatory problems with the FDA or any other regulatory agency, including the need for additional and unanticipated
−Removed: testing or the need for a recall or a change in labeling.
−Removed: ● We may have difficulty maintaining the necessary quality
−Removed: control over the acquired business and its products and services.
−Removed: ● To the extent that an acquired company operates at
−Removed: a loss prior to our acquisition, we may not be able to develop profitable operations following the acquisition.
−Removed: ● Problems and claims relating to the acquired business
−Removed: that were not disclosed at the time of the acquisition may result in increased costs and may impair our ability to operate the
−Removed: acquired company.
−Removed: ● The acquired company may have liabilities or obligations
−Removed: which were not disclosed to us, or the acquired assets, including any intellectual property, may not have the value we anticipated.
−Removed: ● The assets, including intellectual property, of the
−Removed: acquired company may not have the value that we anticipated.
−Removed: ● The products may not perform as anticipated.
−Removed: ● We may not be able to fund the development of any
−Removed: assets we may acquire.
−Removed: ● The products may be subject to recall or the FDA may
−Removed: require additional trials for the product.
−Removed: ● Components or ingredients for the product may become
−Removed: subject to tariffs which may increase manufacturing costs.
−Removed: ● We may require significant capital both to acquire
−Removed: and to operate the business, and the capital requirements of the business may be greater than we anticipated.
−Removed: Our failure to obtain
−Removed: funds on reasonable terms may impair the value of the acquisition.
−Removed: ● The acquired company may not operate at the revenue
−Removed: level or with the gross margin shown in the financial statements or projections.
−Removed: ● The acquired company may have granted rights to its
−Removed: intellectual property which decrease the value of the intellectual property to us.
−Removed: ● Patents may not be granted for patent applications
−Removed: which the acquired company filed or patents may be successfully challenged.
−Removed: ● There may be conflicts in management styles that prevent
−Removed: us from integrating the acquired company with us.
−Removed: ● The former equity owners or officers may compete in
−Removed: violation of their non-competition covenants or the non-competition covenants may be held to be unenforceable.
−Removed: ● The business of the acquired company may have problems
−Removed: of which management was unaware and which do not become evident until after the acquisition and we may require significant funding
−Removed: to remedy the problem.
−Removed: ● The indemnification obligations of the seller under
−Removed: the purchase agreement, if any, may be inadequate to compensate us for any loss, damage or expense which we may sustain, including
−Removed: undisclosed claims or liabilities.
−Removed: ● To the extent that the acquired company is dependent
−Removed: upon its management to maintain relationships with existing customers, we may have difficulty in retaining the business of these
−Removed: customers if there is a change in management.
−Removed: ● Government agencies may seek damages after we make
−Removed: the acquisition for conduct which occurred prior to the acquisition and we may not have adequate recourse against the seller.
−Removed: ● The acquired company may have operated in violation
−Removed: of laws which results significant expenditures for us to remedy as well as potential penalties for the violations.
−Removed: ● We may have difficult collecting the acquired company’s
−Removed: accounts receivable and in selling the acquired company’s inventory.
−Removed: ● The sellers of the acquired company may be in breach
−Removed: of their representations and warranties and we may not be able to recover damages.
−Removed: If any of the foregoing or any other events
−Removed: which we do not contemplate happen, we may incur significant expenses, which we may not be able to cover, and the development of
−Removed: our business can be impaired.
−Removed: We cannot assure you that any acquisition we will make will be successful.
−Removed: We may not be able to recover the
−Removed: 1,200,000 shares of common stock we issued in connection with our proposed acquisition of Advanced Health Brands.
−Removed: On May 22, 2017, we entered into an agreement
−Removed: to acquire Advanced Health Brands, which held six provisional patents for transdermal products.
−Removed: Pursuant to the agreement, we were
−Removed: to issue 1,250,000 shares of common stock, valued at $2,500,000, in exchange for the stock of Advanced Health Brands and a related
−Removed: In August 2017, when we issued the shares to the Advanced Health Brands stockholders, the Advanced Health Brands stock
−Removed: had not been transferred to us.
−Removed: Although we did not have title to the shares of Advanced Health Brands stock, we treated the transaction
−Removed: as completed and we announced that we had acquired Advanced Health Brands, relying on the stockholders’
−Removed: obligation to transfer
−Removed: the shares to us.
−Removed: We had appointed two of the Advanced Health Brands stockholders as directors and executive officers.
−Removed: 2018, we recognized an impairment loss of $2,500,000 based on both our failure to obtain title to the Advanced Health Brands stock
−Removed: and our conclusion that the provisional patents that were held by Advanced Health Brands did not have any value to us.
−Removed: 2018 50,000 shares were returned by one of the defendants.
−Removed: We have commenced legal actions against Advanced Health Brands and its
−Removed: stockholders in Florida and New York.
−Removed: In the Florida action, the court ruled against us.
−Removed: On February 1, 2019, we appealed the court’s
−Removed: Pursuant to a settlement agreement with one of the defendants, that defendant returned the 50,000 shares which had been
−Removed: issued to her, and the shares were cancelled as of January 31, 2019.
−Removed: On March 20, 2020, the Florida district court of appeal reversed
−Removed: the lower court ruling in the Florida state court action that dismissed our complaint with prejudice, and gave us leave to file
−Removed: an amended complaint.
−Removed: The New York action was recently commenced against the stockholders of Advanced Health Brands, and the defendants
−Removed: have filed a motion to dismiss the action.
−Removed: See “Bsiness —
−Removed: Legal Proceedings.”
−Removed: We cannot assure you that we will
−Removed: prevail in either action, that we will be able recover either the 1,200,000 shares of common stock or any monetary damages from
−Removed: the Advanced Health Brands stockholders or that we will not incur any liability as a result of either our issuance of the shares
−Removed: or our failure to provide the necessary documentation to permit the Advanced Health Brands stockholders to sell their shares pursuant
−Removed: to Rule 144 or from our treating and announcing the acquisition as completed or based on other claims.
−Removed: We are dependent on third party distributors
−Removed: for the marketing of our consumer products and complying with applicable laws.
−Removed: We do not currently sell or market our
−Removed: consumer transdermal products directly, and we rely on distributors to sell and market these products.
−Removed: We cannot market our consumer
−Removed: transdermal patch products in the United States without first obtaining FDA approval.
−Removed: We do not plan to seek FDA approval or market
−Removed: these products in the United States at this time.
−Removed: We plan to sell our transdermal consumer products to distributors in those countries
−Removed: in which the products can be sold in compliance with all applicable regulations without our spending significant monies for preclinical
−Removed: and clinical studies to obtain regulatory approval.
−Removed: At present we have one distribution agreement, which is our agreement with
−Removed: Best Choice that covers certain countries in Asia.
−Removed: At present, Best Choice is planning to market three of our product lines in
−Removed: South Korea pending receipt of necessary regulatory approval, and we cannot assure you that we will generate any significant revenue
−Removed: form Best Choice or that Best Choice will be able to sell our products in any country, including South Korea.
−Removed: Best Choice is responsible
−Removed: for compliance with all applicable government regulations relating to our products in the countries in which it sells our products.
−Removed: The failure of Best Choice or any other international distributor to comply with applicable government regulations could impair
−Removed: our ability to derive revenue from those countries and could result in actions against us as the supplier of the products regardless
−Removed: of whether we were involved in the conduct which violated applicable laws.
−Removed: We have had difficulty in having
−Removed: our consumer transdermal products manufactured for us;
−Removed: and we cannot assure you that we will not have problems with the manufacture
−Removed: of any other products we may develop.
−Removed: Our consumer transdermal products have
−Removed: been manufactured by a domestic contract manufacturer since 2016.
−Removed: However, our supplier ran into supply problems for certain foil
−Removed: components due to the new tariffs on Chinese imports into the United States, design changes in the pouch, and quality problems
−Removed: with material in the pouch, all of which resulted in manufacturing delays in meeting the first order for Best Choice, which was
−Removed: for product to be used for preliminary marketing activities.
−Removed: Our current arrangement is to have the manufacturer manufacture coated
−Removed: film roll stock and ship sealed rolls to Best Choice in South Korea for slitting, die-cutting and packaging individual patches
−Removed: in foil pouches.
−Removed: We cannot assure you that we will not have difficulty manufacturing any transdermal products in the future.
−Removed: failure to establish reliable manufacturing for our products may impair our ability to generate revenue from our products.
−Removed: we will be responsible for the performance of the products we sell, regardless of whether or not we manufacture the products ourselves
−Removed: or manufacture them with a contract manufacturer.
−Removed: In addition, while we intend to require any manufacturer to maintain sufficient
−Removed: product liability insurance to protect us against any liability we may incur as a result of defects in manufacturing, we cannot
−Removed: assure you that any product liability insurance the manufacturer may obtain will be sufficient to protect us against liability.
−Removed: We are dependent upon our chief executive
−Removed: officer and our chief operating officer.
−Removed: We are dependent upon Gareth Sheridan,
−Removed: our chief executive officer, and Dr.
−Removed: Alan Smith, our chief operating officer who is president of 4P Therapeutics.
−Removed: Sheridan has an employment agreement with us, the employment agreement does not guarantee that he will continue with us.
−Removed: not have an employment agreement with Dr.
+Added: If the manufacturer does not meet our quality standards and delivers products that do not meet our specifications,
+Added: we may both incur liability for breach of our warranty to our customer, as well as liability for any damage, including death,
+Added: that may result from the use, abuse or accidental misuse of the product.
+Added: Regardless of whether we are able to make a claim against
+Added: the manufacturer, our reputation may be impaired and we may lose business as a result.
+Added: Further, the contract manufacturer may
+Added: have other customers and may allocate its resources based on the contract manufacturer’s interest rather than our interest.
+Added: Furthermore, we may not be able to assure ourselves that we will get favorable pricing.
+Added: We have previously had problems with our
+Added: manufacturer of our consumer over-the-counter transdermal patches, and we cannot assure you that we will not have the same, similar
+Added: or other problems with the manufacturer of our FDA approved products.
+Added: we or any third-party manufacturer fails to comply with FDA current good manufacturing practices, we may not be able to sell our
+Added: products until and unless the manufacture becomes compliant.
+Added: FDA approved drugs, including our proposed transdermal products, must be manufactured in accordance with good manufacturing practices.
+Added: All manufacturing facilities are inspected by the FDA as a matter of routine inspection or for a specific cause.
+Added: If a manufacturer
+Added: fails to comply with all applicable regulations, the FDA can prohibit us from distributing products manufactured in those facilities,
+Added: whether they are a contract manufacturer or own facility.
+Added: A failure to be in compliance with good manufacturing practices could
+Added: result in the FDA closing the facilities or limiting our use of the facilities.
+Added: the FDA implements Risk Evaluation and Mitigation Strategies policies for any of our proposed products, we will need to comply
+Added: with such policies before we can obtain FDA approval or the product.
+Added: Food and Drug Administration Amendments Act of 2007 gave FDA the authority to require a Risk Evaluation and Mitigation Strategy
+Added: from manufacturers to ensure that the benefits of a drug or biological product outweigh its risks.
+Added: The FDA has issued a Risk Evaluation
+Added: Mitigation Strategy for a fentanyl iontophoretic transdermal system.
+Added: Before we can receive FDA approval for any product for which
+Added: the FDA has issued a Risk Evaluation Mitigation Strategy, we must satisfy the FDA that we have complied with the Risk Evaluation
+Added: Mitigation Strategy.
+Added: If one of our products becomes subject to a Risk Evaluation and Mitigation Strategy policy after receiving
+Added: FDA approval, it will need to comply with such policy.
+Added: products will continue to be subject to FDA review after FDA approval is given.
+Added: of previously unknown problems with our products or unanticipated problems with the manufacturing processes and facilities, even
+Added: after FDA and other regulatory approvals of the product for commercial sale, may result in the imposition of significant restrictions,
+Added: including withdrawal of the product from the market.
+Added: FDA and other regulatory agencies continue to review products even after the products receive agency approval.
+Added: If and when the
+Added: FDA approves one of our products, its manufacture and marketing will be subject to ongoing regulation, which could include compliance
+Added: with current good manufacturing practices, adverse event reporting requirements and general prohibitions against promoting products
+Added: for unapproved or “off-label”
+Added: We are also subject to inspection and market surveillance by the FDA for compliance
+Added: with these and other requirements.
+Added: Any enforcement action resulting from the failure, even by inadvertence, to comply with these
+Added: requirements could affect the manufacture and marketing of our products.
+Added: In addition, the FDA or other regulatory agencies could
+Added: withdraw a previously approved product from the market upon receipt of newly discovered information.
+Added: The FDA or another regulatory
+Added: agency could also require us to conduct additional, and potentially expensive, studies in areas outside our approved indicated
+Added: must continually monitor the safety of our products once approved and marketed for potential adverse events which could jeopardize
+Added: our ability to continue marketing the products.
+Added: with all medical products, the use of our products could sometimes produce undesirable side effects or adverse reactions or events
+Added: (referred to cumulatively as adverse events).
+Added: Our consumer products initially caused skin irritation because of certain of the
+Added: ingredients in the patch, which we corrected by reformulating the patches.
+Added: For the most part, we expect these adverse events to
+Added: be known and occur at some predicted frequency based on our experience in the clinical development program.
+Added: When adverse events
+Added: are reported to us, we are required to investigate each event and the circumstances surrounding it to determine whether it was
+Added: caused by our product and whether a previously unrecognized safety issue exists.
+Added: We will also be required to periodically report
+Added: summaries of these events to the applicable regulatory authorities.
+Added: If the adverse effects are significant, we may be required
+Added: to recall our product.
+Added: We cannot assure you that our medical products will not cause skin irritation or other adverse events.
+Added: Our ability to market our products may be impaired by unanticipated adverse events and any recall of our product.
+Added: Because we are
+Added: an early-stage company, our reputation, and our ability to market products, could be affected more severely than a major pharmaceutical
+Added: addition, the use of our products could be associated with serious and unexpected adverse events, or with less serious reactions
+Added: at a greater than expected frequency.
+Added: Such issues may arise when our products are used in critically ill or otherwise compromised
+Added: patient populations.
+Added: When unexpected events are reported to us, we are required to make a thorough investigation to determine
+Added: causality and the implications for product safety.
+Added: These events must also be specifically reported to the applicable regulatory
+Added: If our evaluation concludes, or regulatory authorities perceive, that there is an unreasonable risk associated with
+Added: the product, we would be obligated to withdraw the impacted lot(s) of that product or recall the product and discontinue marketing
+Added: until all problems are satisfactorily resolved.
+Added: Furthermore, an unexpected adverse event of a new product could be recognized
+Added: only after extensive use of the product, which could expose us to product liability risks, enforcement action by regulatory authorities
+Added: and damage to our reputation and public image.
+Added: serious adverse finding concerning the risk of any of our products by any regulatory authority could adversely affect our reputation,
+Added: business and financial results.
+Added: we obtain FDA approval to market our products, we expect to spend considerable time and money complying with federal and state
+Added: laws and regulations governing their sale, and, if we are unable to fully comply with such laws and regulations, we could face
+Added: substantial penalties.
+Added: care providers, physicians and others will play a primary role in the recommendation and prescription of our proposed products.
+Added: Further, if we use third-party sales and marketing providers, they may expose us to broadly applicable fraud and abuse and other
+Added: health care laws and regulations that may constrain the business or financial arrangements and relationships through which we
+Added: market, sell and distribute our products.
+Added: Applicable federal and state health care laws and regulations are expected to include,
+Added: but not be limited to, the following:
+Added: The federal anti-kickback
+Added: statute is a criminal statute that makes it a felony for individuals or entities knowingly and willfully to offer or pay,
+Added: or to solicit or receive, direct or indirect remuneration, in order to induce the purchase, order, lease, or recommending
+Added: of items or services, or the referral of patients for services, that are reimbursed under a federal health care program, including
+Added: Medicare and Medicaid;
+Added: The federal False
+Added: Claims Act imposes liability on any person who knowingly submits, or causes another person or entity to submit, a false claim
+Added: for payment of government funds.
+Added: Penalties include three times the government’s damages plus civil penalties of $5,500
+Added: to $11,000 per false claim.
+Added: In addition, the False Claims Act permits a person with knowledge of fraud, referred to as a qui
+Added: tam plaintiff, to file a lawsuit on behalf of the government against the person or business that committed the fraud, and,
+Added: if the action is successful, the qui tam plaintiff is rewarded with a percentage of the recovery;
+Added: Health Insurance
+Added: Portability and Accountability Act, known as HIPAA, imposes obligations, including mandatory contractual terms, with respect
+Added: to safeguarding the privacy, security and transmission of individually identifiable health information;
+Added: The Social Security
+Added: Act contains numerous provisions allowing the imposition of a civil money penalty, a monetary assessment, exclusion from the
+Added: Medicare and Medicaid programs, or some combination of these penalties;
+Added: Many states have
+Added: analogous state laws and regulations, such as state anti-kickback and false claims laws.
+Added: In some cases, these state laws impose
+Added: more strict requirements than the federal laws.
+Added: Some state laws also require pharmaceutical companies to comply with certain
+Added: price reporting and other compliance requirements.
+Added: failure to comply with any of these federal and state health care laws and regulations, or health care laws in foreign jurisdictions,
+Added: could have a material adverse effect on our business, financial condition, result of operations and cash flows.
+Added: we can market our product outside of the United States, we will need to obtain regulatory approval in each country in which we
+Added: propose to sell our products.
+Added: order to market and sell our products in jurisdictions other than the United States, we must obtain separate marketing approvals
+Added: and comply with numerous and varying regulatory requirements.
+Added: The regulatory approval process outside the United States generally
+Added: includes all of the risks associated with obtaining FDA and 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, approval by the FDA does not ensure approval by regulatory
+Added: authorities in other countries.
+Added: Similarly, approval by one regulatory authority outside the United States would not ensure approval
+Added: by regulatory authorities in other countries.
+Added: We may not be able to file for marketing approvals and may not receive necessary
+Added: approvals to commercialize our products in any market.
+Added: If we are unable to obtain approval of our product candidates by regulatory
+Added: authorities in foreign jurisdictions, the commercial prospects of those product candidates may be significantly diminished, and
+Added: our business prospects could be impaired.
+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: we do not have sufficient product liability insurance, we may be subject to claims that are in excess of our net worth.
+Added: we market any pharmaceutical product, we will need to purchase significant product liability insurance.
+Added: However, in the event
+Added: of major claims from the use of our products, it is possible that our product liability insurance will not be sufficient to cover
+Added: claims against us.
+Added: We cannot assure you that we will not face liability arising out of the use of our products which is significantly
+Added: in excess of the limits of our product liability insurance.
+Added: In such event, if we do not have the funds or access to the funds
+Added: necessary to satisfy such liability, we may be unable to continue in business.
+Added: some of the patches we are developing, such as our abuse deterrent fentanyl patch, have potential severe side effects, we may
+Added: face liability in the event patients suffer serious, possibly life-threatening, side effects from our products.
+Added: patches have known side effects and may cause serious or life-threatening breathing problems due to opioid-induced respiratory
+Added: In addition, taking certain medications with fentanyl may increase the risk of serious or life-threatening breathing
+Added: problems, sedation or coma.
+Added: Because of the seriousness of the side effects, fentanyl patches should only be used in accordance
+Added: labelling approved by the FDA or by the applicable regulatory authorities outside of the United States.
+Added: Fentanyl patches are only
+Added: indicated for the treatment of people who are tolerant to opioid medications because they have taken this type of medication for
+Added: at least one week and should not be used to treat mild or moderate pain, short-term pain, pain after an operation or medical or
+Added: dental procedure, or pain that can be controlled by medication that is taken on an as-needed basis.
+Added: Although we will include all
+Added: warnings on the packaging that are required by the FDA or foreign regulatory authorities, claims may be made against us in the
+Added: event that death or serious side effects result from the use of our abuse deterrent fentanyl transdermal system, even if prescribed
+Added: for a patient for whom fentanyl patches should not be prescribed.
+Added: We cannot assure you that we will not face significant liability
+Added: as a result of such side effects, and we may not have sufficient product liability insurance to cover any damages that may be
+Added: assessed against us.
+Added: of our lack of funds, we may have to enter into a joint venture or strategic relationship or licensing agreement with a third
+Added: party to develop and seek to obtain FDA approval of our potential products.
+Added: present efforts are directed to developing and seeking FDA approval for our pipeline of transdermal pharmaceutical products including
+Added: our lead product, the abuse deterrent fentanyl transdermal system.
+Added: The development of pharmaceutical products including a new
+Added: delivery system for an already approved drug, is very expensive with no assurance of obtaining FDA approval.
+Added: Because of the costs
+Added: involved, we may need to enter into a joint venture or strategic alliance or licensing or similar agreement with a third party
+Added: to bring our products to market, in which event we would have to give up a significant percentage of the equity in or rights to
+Added: the product and require the other party to provide the necessary financing and personnel and to take a significant role in making
+Added: the decisions relating to the development, testing, marketing and manufacturing of the product.
+Added: The third party may have interests
+Added: which are different from, and possibly in conflict with, our own.
+Added: If we are unable to attract competent parties to distribute
+Added: and market any product which we may develop, or if such parties’
+Added: efforts are inadequate, we will not be able to implement
+Added: our business strategy and may have to cease operations.
+Added: We cannot assure you that we will be successful in entering into joint
+Added: ventures or other strategic relationships or that any relationship into which we may enter will develop a marketable product or
+Added: that we will generate any revenue or net income from such a venture.
+Added: may decide not to continue developing or commercializing any products at any time during development or after approval, which
+Added: would reduce or eliminate our potential return on investment for those product candidates.
+Added: may decide to discontinue the development of our abuse deterrent fentanyl transdermal system or any other product in our pipeline
+Added: or not to continue to commercialize any potential product for a variety of reasons, such as the appearance of new technologies
+Added: that make our product less commercially viable, an increase in competition, changes in or failure to comply with applicable regulatory
+Added: requirements, the discovery of unforeseen side effects during clinical development or after the approved product has been marketed
+Added: or the occurrence of adverse events at a rate or severity level that is greater than experienced in prior clinical trials.
+Added: we discontinue a program in which we have invested significant resources, we will not receive any return on our investment.
+Added: any of our potential products are approved for marketing but fail to achieve the broad degree of physician or market acceptance
+Added: necessary for commercial success, our operating results and financial condition will be adversely affected.
+Added: any of the products in our pipeline receives FDA approval for us to market the product in the United States, it will be necessary
+Added: for us to generate acceptance of our product for the indications covered by the FDA approval.
+Added: In order to generate acceptance
+Added: in the marketplace, we will need to demonstrate to physicians that our product provides a distinct advantage or better outcome
+Added: at a price that reflects the value of our product as compared with existing products.
+Added: We will need to develop and implement a
+Added: marketing program directed at both physicians and the general public.
+Added: Since we do not presently have the resources necessary to
+Added: develop or implement an in-house marketing program and we may not have the funds to do so if and when we obtain FDA approval to
+Added: market our product, we will need to establish a distribution network though license and distribution agreements with third parties
+Added: who have the capability to market our product to physicians and emergency service organizations, and we will be dependent upon
+Added: the ability of these third parties to market our products effectively.
+Added: We cannot assure you that we will be able to negotiate
+Added: license and distribution agreements with terms that are acceptable to us.
+Added: Since we do not have an established track record and
+Added: our product pipeline is relatively small, we may be at a disadvantage in negotiating the terms of license and distribution agreements.
+Added: Further, we may have little control over the development and implementation of our licensee’s marketing program, and our
+Added: licensees may have interests that are inconsistent with ours with respect to the allocation of resources and implementation of
+Added: the marketing program.
+Added: We cannot assure you that a marketing program for any of our products can or will be implemented effectively
+Added: or that we will be successful in developing physician and emergency service acceptance of our products.
+Added: we seek to market any products in our pipeline in countries other than the United States, we will need to comply with the regulations
+Added: of each country in which we seek to market our products.
+Added: of our pharmaceutical products are currently approved for sale by any government authority in any jurisdiction.
+Added: If we fail to
+Added: comply with regulatory requirements in any market we decide to enter, or to obtain and maintain required approvals, or if regulatory
+Added: approvals in the relevant markets are delayed, our target market will be reduced and our ability to realize the full market potential
+Added: of our products will be harmed.
+Added: Marketing approval in one jurisdiction, including the United States, does not ensure marketing
+Added: approval in another, but a failure or delay in obtaining marketing approval in one jurisdiction may have a negative effect on
+Added: the regulatory process in others.
+Added: Failure to obtain a marketing approval in countries in which we seek to market our products
+Added: or any delay or setback in obtaining such approval would impair our ability to develop foreign markets for any of our products.
+Added: drug delivery industry is subject to rapid technological change and, our failure to keep up with technological developments may
+Added: impair our ability to market our products.
+Added: products use technology which we developed for the transdermal delivery of drugs.
+Added: The field of drug delivery is subject to rapid
+Added: technological changes.
+Added: Our future success will depend upon our ability to keep abreast of the latest developments in the industry
+Added: and to keep pace with advances in technology and changing customer requirements.
+Added: If we cannot keep pace with such changes and
+Added: advances, our proposed products could be rendered obsolete, which would result in our having to cease its operations.
+Added: we obtain FDA approval, we will face significant competition from better known and better capitalized companies.
+Added: we obtain FDA approval for any of our products, we expect to face significant competition from existing companies, which are better
+Added: known and already have developed relationships with physicians within the healthcare system.
+Added: Any product we may develop will compete
+Added: with existing medications performing the same medicinal functions, which may include transdermal patches.
+Added: We cannot assure you
+Added: that we will be able to compete successfully.
+Added: In addition, even if we are able to commercialize our product candidates, we may
+Added: not be able to price them competitively with current standard of care products or their price may drop considerably due to factors
+Added: outside our control.
+Added: If this happens or the price of materials and manufacture increases dramatically, our ability to continue
+Added: to operate our business would be materially harmed and we may be unable to commercialize any products successfully.
+Added: other pharmaceutical companies may be engaged in developing, patenting, manufacturing and marketing products that compete with
+Added: those that we are developing.
+Added: These potential competitors may include large and experienced companies that enjoy significant competitive
+Added: advantages over us, such as greater financial, research and development, manufacturing, personnel and marketing resources, greater
+Added: brand recognition and more experience and expertise in obtaining marketing approvals from the FDA and foreign regulatory authorities.
+Added: reforms by governmental authorities, court decisions affecting health care policies and related reductions in pharmaceutical pricing,
+Added: reimbursement and coverage by third-party payors may adversely affect our business.
+Added: expect the healthcare industry to face increased limitations on reimbursement, rebates and other payments as a result of healthcare
+Added: reform, which could adversely affect third-party coverage of our proposed products and how much or under what circumstances healthcare
+Added: providers will prescribe or administer our products, if approved.
+Added: both the U.S.
+Added: and other countries, sales of our products, if approved for marketing, will depend in part upon the availability
+Added: of reimbursement from third-party payors, which include governmental authorities, managed care organizations and other private
+Added: health insurers.
+Added: Third-party payors are increasingly challenging the price and examining the cost effectiveness of medical products
+Added: and services.
+Added: expenditures for healthcare have been the subject of considerable public attention in the United States.
+Added: Both private and government
+Added: entities are seeking ways to reduce or contain healthcare costs.
+Added: Numerous proposals that would effect changes in the United States
+Added: healthcare system have been introduced or proposed in Congress and in some state legislatures, including reducing reimbursement
+Added: for prescription products and reducing the levels at which consumers and healthcare providers are reimbursed for purchases of
+Added: pharmaceutical products.
+Added: reduction initiatives and changes in coverage implemented through legislation or regulation could decrease utilization of and
+Added: reimbursement for any approved products, which in turn would affect the price we can receive for those products.
+Added: Any reduction
+Added: in reimbursement that results from federal legislation or regulation may also result in a similar reduction in payments from private
+Added: payors, since private payors often follow Medicare coverage policy and payment limitations in setting their own reimbursement
+Added: developments that may adversely affect pricing in the United States include the enactment of federal healthcare reform laws and
+Added: regulations, including the Affordable Care Act, or ACA, which is popularly known as Obamacare, and the Medicare Prescription Drug
+Added: Improvement and Modernization Act of 2003.
+Added: A recent district court decision which struck down Obamacare, if upheld, could have
+Added: a material adverse effect upon reimbursement and payment for products such as our proposed products.
+Added: Changes to the healthcare
+Added: system enacted as part of any healthcare reform in the United States, as well as the increased purchasing power of entities that
+Added: negotiate on behalf of Medicare, Medicaid, and private sector beneficiaries, may result in increased pricing pressure by influencing,
+Added: for instance, the reimbursement policies of third-party payors.
+Added: Regulatory changes which have the effect of decreasing the use
+Added: of opioids has resulted in a decrease in the size of the market for opioid products, including fentanyl, could impact the market
+Added: for our abuse deterrent fentanyl transdermal system or any other opioid-based transdermal product we may develop.
+Added: 2017, a new administration, which had promised to repeal and replace the ACA, took office in the United States.
+Added: Although we cannot
+Added: predict the form any such replacement of the ACA may take or the full effect on our business of the enactment of additional
+Added: legislation pursuant to healthcare and other legislative reform, we believe that legislation or regulations that would reduce
+Added: reimbursement for, or restrict coverage of, our products could adversely affect how much or under what circumstances healthcare
+Added: providers prescribe or administer our products.
+Added: This could materially and adversely affect our business by reducing our ability
+Added: to generate revenues, raise capital, obtain licensees and market our products.
+Added: In addition, we believe the increasing emphasis
+Added: on managed care in the United States, has and will continue to put pressure on the price and usage of pharmaceutical products,
+Added: which may adversely impact product sales.
+Added: will be difficult for us to profitably sell any of our products if reimbursement for these products is limited by government authorities
+Added: and third-party payor policies.
+Added: is difficult and costly to protect our proprietary rights, and we may not be able to ensure their protection.
+Added: commercial success will depend in part on obtaining and maintaining patent protection and trade secret protection for our technology
+Added: which is incorporated in our products as well as successfully defending these patents against third-party challenges, should any
+Added: 4P Therapeutics originally filed an international patent application under the Patent Cooperation Treaty for worldwide
+Added: prosecution of the abuse deterrent transdermal technology patent used in our lead product, the abuse deterrent fentanyl transdermal
+Added: The patent is being prosecuted in the United States and in other countries.
+Added: Although the European Patent Office and
+Added: the Japan patent office have approved our patent application, we have not yet received any response from the United States Patent
+Added: and Trademark Office.
+Added: Our ability to stop third parties from making, using, selling, offering to sell or importing products utilizing
+Added: our proprietary or patented technology is dependent upon the extent to which we have rights under valid and enforceable patents
+Added: or trade secrets that cover these activities.
+Added: We cannot assure you that a patent will be granted in the United States or in any
+Added: country in which the patent is being prosecuted.
+Added: The patent positions of pharmaceutical and biopharmaceutical companies can be
+Added: highly uncertain and involve complex legal and factual questions for which important legal principles remain unresolved.
+Added: No consistent
+Added: policy regarding the breadth of claims allowed in biopharmaceutical patents has emerged to date in the United States.
+Added: The biopharmaceutical
+Added: patent situation outside the United States varies from country to country and is even more uncertain.
+Added: Changes in either the patent
+Added: laws or in interpretations of patent laws in the United States and other countries may diminish the value of our intellectual
+Added: Accordingly, we cannot predict the breadth of claims that may be allowed or enforced in any patents we may be granted.
+Added: Further, if any patents are granted and are subsequently deemed invalid and unenforceable, it could impact our ability to license
+Added: our technology and, as noted previously, fend off competitive challenges.
+Added: Patent litigation is very expensive, and we may not
+Added: have sufficient funds to defend our proprietary technology from infringement, either as a plaintiff in an action seeking to stop
+Added: infringers from using our technology, or as a defendant in an action against us alleging infringement by us.
+Added: degree of future protection for our proprietary rights is uncertain because legal means afford only limited protection and may
+Added: not adequately protect our rights or permit us to gain or keep our competitive advantage.
+Added: others may be able
+Added: to make compositions or formulations that are similar to our product s but that are not covered by the claims of our patents;
+Added: other persons may
+Added: have filed patents covering inventions, technology or processes that we use, with the result that we may infringe upon the
+Added: prior patents;
+Added: others may independently
+Added: develop similar or alternative technologies or duplicate any of our technologies;
+Added: our pending patent
+Added: applications may not result in the grant of patents;
+Added: any patents which
+Added: may be issued may not provide us with any competitive advantages, or may be held invalid or unenforceable as a result of legal
+Added: challenges by third parties;
+Added: our inability to
+Added: fund any litigation to defend our proprietary rights, either in defense of an action against us or a plaintiff to seek to
+Added: prevent infringement.
+Added: our failure to develop
+Added: additional proprietary technologies that are patentable.
+Added: have no current plans regarding the marketing of our own consumer products.
+Added: do not currently sell or market our own branded consumer transdermal products directly, and have no such plans to do so.
+Added: market our consumer transdermal patch products in the United States without first obtaining FDA approval.
+Added: We do not plan to seek
+Added: FDA approval or market our own branded products in the United States at this time.
+Added: Following our acquisition of Pocono, our core
+Added: focus is on contract manufacturing and consulting for third party brands primarily in Asia.
+Added: are dependent upon our chief executive officer and our chief operating officer.
+Added: are dependent upon Gareth Sheridan, our chief executive officer, and Dr.
+Added: Alan Smith, our chief operating officer who is president
+Added: of 4P Therapeutics.
+Added: Sheridan has an employment agreement with us, the employment agreement does not guarantee that
+Added: he will continue with us.
+Added: We do not have an employment agreement with Dr.
The loss of Mr.
Sheridan or Dr.
−Removed: Smith would materially impair our ability to conduct
−Removed: our business.
−Removed: If we are unable to attract, train
−Removed: and retain technical and financial personnel, our business may be materially and adversely affected.
−Removed: Our future success depends, to a significant
−Removed: extent, on our ability to attract, train and retain key management, technical, regulatory and financial personnel.
−Removed: Recruiting and
−Removed: retaining capable personnel with experience in pharmaceutical product development is vital to our success.
−Removed: There is substantial
−Removed: competition for qualified personnel, and, competition is likely to increase.
−Removed: We cannot assure you we will be able to attract or
−Removed: retain the personnel we require.
−Removed: Our financial condition is likely to impair our ability to attract qualified candidates.
−Removed: are unable to attract and retain qualified employees, our business may be materially and adversely affected.
−Removed: Risks Concerning our Securities
−Removed: We and our senior executive officers
−Removed: settled an SEC investigation, which may affect the market for and the market price of our common stock and warrants and our ability
−Removed: to list on a stock exchange.
−Removed: Following an investigation into the accuracy
−Removed: of statements in our Form 10 registration statement filed June 2, 2016, as amended, and our Form 10-K annual report filed May 8,
−Removed: 2017 that did not accurately reflect the FDA’s jurisdiction over our consumer products and did not disclose that we could
−Removed: not legally market these products in the United States, a Wells notice which we, our chief executive officer and our chief financial
−Removed: officer received on August 10, 2017 and a Wells submission which we and the officers submitted in response to the Wells notice,
−Removed: the SEC, on December 26, 2018, announced that it has accepted our settlement offer and instituted settled an administrative
−Removed: cease-and-desist proceeding against us and our chief executive officer and chief financial officer.
−Removed: The SEC’s administrative
−Removed: order, dated December 26, 2018, finds that we and the officers consented –
−Removed: without admitting or denying any findings by the
−Removed: to cease-and-desist orders against them for violations by us of Sections 12(g) and 13(a) of the Securities Exchange
−Removed: Act of 1934 and Rules 12b-20 and 13a-1 thereunder, which require issuers to file accurate registration statements and annual reports
−Removed: with the Commission;
−Removed: violations by the officers for causing our violations of the above issuer reporting provisions;
−Removed: and violations
−Removed: by the officers of Rule 13a-14 of the Exchange Act, which requires each principal executive and principal financial officer of
−Removed: issuers to attest that annual reports filed with the SEC do not contain any untrue statements of material fact.
−Removed: In addition to
−Removed: consenting to the cease-and-desist orders, the officers have each agreed to pay a $25,000 civil penalty to resolve the investigation.
−Removed: The administrative order does not impose a civil penalty or any other monetary relief against us.
−Removed: The settlement may affect the
−Removed: market for and the market price of our common stock and warrants.
−Removed: Our lack of internal controls over
−Removed: financial reporting may affect the market for and price of our common stock and warrants.
−Removed: Pursuant to Section 404 of the Sarbanes-Oxley
−Removed: Act, we are required to file a report by our management on our internal control over financial reporting.
−Removed: Our disclosure controls
−Removed: and our internal controls over financial reporting are not effective.
−Removed: We do not have the financial resources or personnel to develop
−Removed: or implement systems that would provide us with the necessary information on a timely basis so as to be able to implement financial
−Removed: Our financial condition together with the fact that we recently acquired 4P Therapeutics, which was a privately owned
−Removed: company prior to our acquisition and did not have any internal controls over financial reporting in effect, makes it difficult
−Removed: for us to implement a system of internal controls over financial reporting, and we cannot assure you that we will be able to develop
−Removed: and implement the necessary controls.
−Removed: The absence of internal controls over financial reporting may inhibit investors from purchasing
−Removed: our stock and may make it more difficult for us to raise capital or borrow money.
−Removed: Implementing any appropriate changes to our internal
−Removed: controls may require specific compliance training of our directors and employees, entail substantial costs in order to modify our
−Removed: existing accounting systems, take a significant period of time to complete and divert management’s attention from other business
−Removed: These changes may not, however, be effective in developing or maintaining internal control.
−Removed: If we are unable to conclude that we have
−Removed: effective internal controls over financial reporting, investors may lose confidence in our operating results, the price of the
−Removed: common stock and warrants could decline and we may be subject to litigation or regulatory enforcement actions.
−Removed: In addition, if
−Removed: we are unable to meet the requirements of Section 404 of the Sarbanes-Oxley Act, our common stock and warrants may not be able
−Removed: to remain listed on the NASDAQ Capital Market.
−Removed: The market price for our common stock
−Removed: and warrants may be volatile and your investment in our common stock and warrants could suffer a decline in value.
−Removed: The trading volume in our stock is low,
−Removed: which may result in volatility in our stock price.
−Removed: As a result, any reported prices may not reflect the price at which you would
−Removed: be able to sell shares of common stock or warrants if you want to sell any shares or warrants you own or buy shares or warrants
−Removed: if you wish to buy shares or warrants.
−Removed: Further, stocks with a low trading volume may be more subject to manipulation than a stock
−Removed: that has a significant public float and is actively traded.
−Removed: The price of our stock and warrants may fluctuate significantly in
−Removed: response to a number of factors, many of which are beyond our control.
−Removed: These factors include, but are not limited to, the following,
−Removed: in addition to the risks described above and general market and economic conditions:
−Removed: ● concern about the effects of the recent SEC settlement;
−Removed: ● the market’s reaction to our financial condition and its perception
−Removed: of our ability to raise necessary funding or enter into a joint venture, given the economic environment resulting from the COVID-19
−Removed: pandemic, as well as its perception of the possible terms of any financing or joint venture;
−Removed: ● the market’s perception as to our ability to
−Removed: generate positive cash flow or earnings;
−Removed: ● changes in our or any securities analysts’
−Removed: of our financial performance;
−Removed: ● the perception of our ability to raise the necessary
−Removed: financing to complete the product development activities including preclinical and clinical testing required for FDA approval
−Removed: and our ability to generate revenue and cash flow from our products;
−Removed: ● the anticipated or actual results of our operations;
−Removed: ● changes in market valuations of other companies in
−Removed: our industry;
−Removed: ● litigation or changes in regulations and insurance
−Removed: company reimbursement policies affecting prescription drugs;
−Removed: ● concern that our internal controls are ineffective;
−Removed: ● any discrepancy between anticipated or projected results
−Removed: and actual results of our operations;
−Removed: ● actions by third parties to either sell or purchase
−Removed: stock in quantities which would have a significant effect on our stock price;
−Removed: ● other factors not within our control.
−Removed: Because of our executive officers’
−Removed: stock ownership, they have the power to elect all directors and to approve any action requiring stockholder approval.
−Removed: Our officers and directors as a group beneficially
−Removed: own approximately 61% of our common stock.
−Removed: As a result, they have the effective power to elect all of our directors and to approve
−Removed: any action requiring stockholder approval.
−Removed: Raising funds by issuing equity or
−Removed: convertible debt securities could dilute the net tangible book value of the common stock and impose restrictions on our working
−Removed: We anticipate that we will require funds
−Removed: in addition to the net proceeds from this offering for our business.
−Removed: If we were to raise capital by issuing equity securities,
−Removed: either alone or in connection with a non-equity financing, the net tangible book value of the then outstanding common stock could
−Removed: If the additional equity securities were issued at a per share price less than the market price, which is customary in
−Removed: the private placement of equity securities, the holders of the outstanding shares would suffer dilution, which could be significant.
−Removed: Further, if we are able to raise funds from the sale of debt securities, the lenders may impose restrictions on our operations
−Removed: and may impair our working capital as we service any such debt obligations.
−Removed: Stockholders may experience significant
−Removed: dilution as a result of future equity offerings and other issuances of our common stock or other securities.
−Removed: We will need to raise substantial funds
−Removed: in order to develop our products.
−Removed: In order to raise additional capital, we may in the future offer additional shares of our common
−Removed: stock or other securities convertible into or exchangeable for our common stock at prices that may not which is less than the market
−Removed: price and which may be based on a discount from market at the time of issuance.
−Removed: Stockholders will incur dilution upon exercise
−Removed: of any outstanding stock options, warrants or upon the issuance of shares of common stock under our present and future stock incentive
−Removed: In addition, the sale of shares and any future sales of a substantial number of shares of our common stock in the public
−Removed: market, or the perception that such sales may occur, could adversely affect the price of our common stock.
−Removed: We cannot predict the
−Removed: effect, if any, that market sales of those shares of common stock or the availability of those shares of common stock for sale
−Removed: will have on the market price of our common stock.
−Removed: We may issue preferred stock whose
−Removed: terms could adversely affect the voting power or value of our common stock.
−Removed: Our articles of incorporation authorize
−Removed: us to issue, without the approval of our stockholders, one or more classes or series of preferred stock having such designations,
−Removed: preferences, limitations and relative rights, including preferences over our common stock respecting dividends and distributions,
−Removed: as our board of directors may determine.
−Removed: The terms of one or more classes or series of preferred stock could adversely impact the
−Removed: voting power or value of our common stock.
−Removed: For example, we might grant holders of preferred stock the right to elect a number of
−Removed: our directors in all events or on the happening of specified events or the right to veto specified transactions.
−Removed: Similarly, the
−Removed: repurchase or redemption rights or liquidation preferences we might assign to holders of preferred stock could affect the residual
−Removed: value of the common stock.
−Removed: For as long as we are an emerging
−Removed: growth company, we will not be required to comply with certain reporting requirements, including those relating to accounting standards
−Removed: and disclosure about our executive compensation, that apply to other public companies.
−Removed: We are classified as an “emerging
−Removed: growth company”
+Added: Smith would materially
+Added: impair our ability to conduct our business.
+Added: we are unable to attract, train and retain technical and financial personnel, our business may be materially and adversely affected.
+Added: future success depends, to a significant extent, on our ability to attract, train and retain key management, technical, regulatory
+Added: and financial personnel.
+Added: Recruiting and retaining capable personnel with experience in pharmaceutical product development is vital
+Added: to our success.
+Added: There is substantial competition for qualified personnel, and competition is likely to increase.
+Added: We cannot assure
+Added: you we will be able to attract or retain the personnel we require.
+Added: Our financial condition is likely to impair our ability to
+Added: attract qualified candidates.
+Added: If we are unable to attract and retain qualified employees, our business may be materially and adversely
+Added: Concerning our Securities
+Added: market price for our common stock may be volatile and your investment in our common stock could suffer a decline in value.
+Added: trading volume in our stock is low, which may result in volatility in our stock price.
+Added: As a result, any reported prices may not
+Added: reflect the price at which you would be able to sell shares of common stock if you want to sell any shares you own or buy if you
+Added: wish to buy shares.
+Added: Further, stocks with a low trading volume may be more subject to manipulation than a stock that has a significant
+Added: public float and is actively traded.
+Added: The price of our stock may fluctuate significantly in response to a number of factors, many
+Added: of which are beyond our control.
+Added: These factors include, but are not limited to, the following, in addition to the risks described
+Added: above and general market and economic conditions:
+Added: the market’s
+Added: reaction to the offering, our financial condition and the general perception of our ability to raise necessary funding or
+Added: enter into a joint venture or partnering arrangement, given the economic environment resulting from the COVID-19 pandemic,
+Added: as well as its perception of the possible terms of any financing or joint venture;
+Added: the market’s
+Added: perception as to our ability to generate positive cash flow or earnings;
+Added: changes in our or
+Added: any securities analysts’
+Added: estimate of our financial performance;
+Added: the perception of
+Added: our ability to raise the necessary financing to complete the product development activities including preclinical and clinical
+Added: testing required for FDA approval and our ability to generate revenue and cash flow from our products;
+Added: the anticipated
+Added: or actual results of our operations;
+Added: changes in market
+Added: valuations of other companies in our industry;
+Added: litigation or changes
+Added: in regulations and insurance company reimbursement policies affecting prescription drugs;
+Added: concern that our
+Added: internal controls are ineffective;
+Added: any discrepancy
+Added: between anticipated or projected results and actual results of our operations;
+Added: actions by third
+Added: parties to either sell or purchase stock in quantities which would have a significant effect on our stock price;
+Added: other factors not
+Added: within our control.
+Added: may issue preferred stock whose terms could adversely affect the voting power or value of our common stock.
+Added: articles of incorporation authorize us to issue, without the approval of our stockholders, one or more classes or series of preferred
+Added: stock having such designations, preferences, limitations and relative rights, including preferences over our common stock respecting
+Added: dividends and distributions, as our board of directors may determine.
+Added: The terms of one or more classes or series of preferred
+Added: stock could adversely impact the voting power or value of our common stock.
+Added: For example, we might grant holders of preferred stock
+Added: the right to elect a number of our directors in all events or on the happening of specified events or the right to veto specified
+Added: transactions.
+Added: Similarly, the repurchase or redemption rights or liquidation preferences we might assign to holders of preferred
+Added: stock could affect the residual value of the common stock.
+Added: may not be able to recover the 1,200,000 shares of common stock we issued in connection with our proposed acquisition of Advanced
+Added: Health Brands.
+Added: May 22, 2017, we entered into an agreement to acquire Advanced Health Brands, which held six provisional patents for transdermal
+Added: Pursuant to the agreement, we were to issue 1,250,000 shares of common stock, valued at $2,500,000, in exchange for
+Added: the stock of Advanced Health Brands and a related corporation.
+Added: In August 2017, when we issued the shares to the Advanced Health
+Added: Brands stockholders, the Advanced Health Brands stock had not been transferred to us.
+Added: Although we did not have title to the shares
+Added: of Advanced Health Brands stock, we treated the transaction as completed and we announced that we had acquired Advanced Health
+Added: Brands, relying on the stockholders’
+Added: obligation to transfer the shares to us.
+Added: We had appointed two of the Advanced Health
+Added: Brands stockholders as directors and executive officers.
+Added: In January 2018, we recognized an impairment loss of $2,500,000 based
+Added: on both our failure to obtain title to the Advanced Health Brands stock and our conclusion that the provisional patents that were
+Added: held by Advanced Health Brands did not have any value to us.
+Added: In December 2018 50,000 shares were returned by one of the defendants.
+Added: We have commenced legal actions against Advanced Health Brands and its stockholders in Florida and New York.
+Added: In the Florida action,
+Added: the court ruled against us.
+Added: On February 1, 2019, we appealed the court’s order.
+Added: Pursuant to a settlement agreement with
+Added: one of the defendants, that defendant returned the 50,000 shares which had been issued to her, and the shares were cancelled as
+Added: of January 31, 2019.
+Added: On March 20, 2020, the Florida district court of appeal reversed the lower court ruling in the Florida state
+Added: court action that dismissed our complaint with prejudice, and gave us leave to file an amended complaint.
+Added: The New York action
+Added: was recently commenced against the stockholders of Advanced Health Brands, and the defendants filed a motion to dismiss the action.
+Added: We cannot assure you that we will prevail in either action, that we will be able recover either the 1,200,000 shares of common
+Added: stock or any monetary damages from the Advanced Health Brands stockholders or that we will not incur any liability as a result
+Added: of either our issuance of the shares or our failure to provide the necessary documentation to permit the Advanced Health Brands
+Added: stockholders to sell their shares pursuant to Rule 144 or from our treating and announcing the acquisition as completed or based
+Added: on other claims.
+Added: as long as we are an emerging growth company, we will not be required to comply with certain reporting requirements, including
+Added: those relating to accounting standards and disclosure about our executive compensation, that apply to other public companies.
+Added: are classified as an “emerging growth company”
under the JOBS Act.
−Removed: For as long as we are an emerging growth company, which may be up to five full fiscal
−Removed: years, we will not be required to, among other things, (i) provide an auditor’s attestation report on management’s
−Removed: assessment of the effectiveness of our system of internal control over financial reporting pursuant to Section 404(b) of the
−Removed: Sarbanes-Oxley Act, (ii) comply with any new requirements adopted by the PCAOB requiring mandatory audit firm rotation or
−Removed: a supplement to the auditor’s report in which the auditor would be required to provide additional information about the audit
−Removed: and the financial statements of the issuer, (iii) provide certain disclosure regarding executive compensation, or (iv) hold
−Removed: nonbinding advisory votes on executive compensation.
−Removed: We will remain an emerging growth company for up to five years, although we
−Removed: will lose that status sooner if we have more than $1.07 billion of revenues in a fiscal year, have more than $700 million in market
−Removed: value of our common stock held by non-affiliates, or issue more than $1.07 billion of non-convertible debt over a three-year period.
−Removed: To the extent that we rely on any of the exemptions available to emerging growth companies, you will receive less information about
−Removed: our executive compensation and internal control over financial reporting than issuers that are not emerging growth companies.
−Removed: some investors find our common stock to be less attractive as a result, there may be a less active trading market for our common
−Removed: stock and our stock price may be more volatile.
−Removed: We do not intend to pay any cash
−Removed: dividends in the foreseeable future.
−Removed: We have not paid any cash dividends on
−Removed: our common stock and do not intend to pay cash dividends on our common stock in the foreseeable future.
−Removed: We do not own any real property.
−Removed: We lease approximately 200
−Removed: square feet of office space in Orlando, Florida pursuant to a one-year lease which expires in July 2020.
−Removed: The current annual rental
−Removed: We have the right to renew, at a rent to be determined.
−Removed: With the office lease, we have access to board rooms, kitchen
−Removed: facilities and administrative support services.
+Added: For as long as we are an emerging growth company,
+Added: which may be up to five full fiscal years, we will not be required to, among other things, (i) provide an auditor’s
+Added: attestation report on management’s assessment of the effectiveness of our system of internal control over financial reporting
+Added: pursuant to Section 404(b) of the Sarbanes-Oxley Act, (ii) comply with any new requirements adopted by the PCAOB requiring
+Added: mandatory audit firm rotation or a supplement to the auditor’s report in which the auditor would be required to provide
+Added: additional information about the audit and the financial statements of the issuer, (iii) provide certain disclosure regarding
+Added: executive compensation, or (iv) hold nonbinding advisory votes on executive compensation.
+Added: We will remain an emerging growth
+Added: company for up to five years, although we will lose that status sooner if we have more than $1.07 billion of revenues in a fiscal
+Added: year, have more than $700 million in market value of our common stock held by non-affiliates, or issue more than $1.07 billion
+Added: of non-convertible debt over a three-year period.
+Added: To the extent that we rely on any of the exemptions available to emerging
+Added: growth companies, you will receive less information about our executive compensation and internal control over financial reporting
+Added: than issuers that are not emerging growth companies.
+Added: If some investors find our common stock to be less attractive as a result,
+Added: there may be a less active trading market for our common stock and our stock price may be more volatile.
+Added: and our senior executive officers settled an SEC investigation, which may affect the market for and the market price of our common
+Added: stock and our ability to list on a stock exchange.
+Added: an investigation into the accuracy of statements in our Form 10 registration statement filed June 2, 2016, as amended, and our
+Added: Form 10-K annual report filed May 8, 2017 that did not accurately reflect the FDA’s jurisdiction over our consumer products
+Added: and did not disclose that we could not legally market these products in the United States, a Wells notice which we, our chief
+Added: executive officer and our chief financial officer received on August 10, 2017 and a Wells submission which we and the officers
+Added: submitted in response to the Wells notice, the SEC, on December 26, 2018, announced that it has accepted our settlement offer
+Added: and instituted settled an administrative cease-and-desist proceeding against us and our chief executive officer and chief financial
+Added: The SEC’s administrative order, dated December 26, 2018, finds that we and the officers consented –
+Added: admitting or denying any findings by the SEC —
+Added: to cease-and-desist orders against them for violations by us of Sections
+Added: 12(g) and 13(a) of the Securities Exchange Act of 1934 and Rules 12b-20 and 13a-1 thereunder, which require issuers to file accurate
+Added: registration statements and annual reports with the Commission;
+Added: violations by the officers for causing our violations of the above
+Added: issuer reporting provisions;
+Added: and violations by the officers of Rule 13a-14 of the Exchange Act, which requires each principal
+Added: executive and principal financial officer of issuers to attest that annual reports filed with the SEC do not contain any untrue
+Added: statements of material fact.
+Added: In addition to consenting to the cease-and-desist orders, the officers have each agreed to pay a
+Added: $25,000 civil penalty to resolve the investigation.
+Added: The administrative order does not impose a civil penalty or any other monetary
+Added: relief against us.
+Added: The settlement may affect the market for and the market price of our common stock.
+Added: lack of internal controls over financial reporting may affect the market for and price of our common stock.
+Added: to Section 404 of the Sarbanes-Oxley Act, we are required to file a report by our management on our internal control over financial
+Added: Our disclosure controls and our internal controls over financial reporting are not effective.
+Added: We do not have the financial
+Added: resources or personnel to develop or implement systems that would provide us with the necessary information on a timely basis
+Added: so as to be able to implement financial controls.
+Added: Our financial condition together with the fact that we recently acquired 4P
+Added: Therapeutics, which was a privately owned company prior to our acquisition and did not have any internal controls over financial
+Added: reporting in effect, makes it difficult for us to implement a system of internal controls over financial reporting, and we cannot
+Added: assure you that we will be able to develop and implement the necessary controls.
+Added: The absence of internal controls over financial
+Added: reporting may inhibit investors from purchasing our stock and may make it more difficult for us to raise capital or borrow money.
+Added: Implementing any appropriate changes to our internal controls may require specific compliance training of our directors and employees,
+Added: entail substantial costs in order to modify our existing accounting systems, take a significant period of time to complete and
+Added: divert management’s attention from other business concerns.
+Added: These changes may not, however, be effective in developing or
+Added: maintaining internal control.
+Added: funds by issuing equity or convertible debt securities could dilute the net tangible book value of the common stock and impose
+Added: restrictions on our working capital.
+Added: anticipate that we will require funds in addition to the net proceeds from this offering for our business.
+Added: If we were to raise
+Added: additional capital by issuing equity securities, either alone or in connection with a non-equity financing, the net tangible book
+Added: value of the then outstanding common stock could decline.
+Added: If the additional equity securities were issued at a per share price
+Added: less than the market price, which is customary in the private placement of equity securities, the holders of the outstanding shares
+Added: would suffer dilution, which could be significant.
+Added: Further, if we are able to raise funds from the sale of debt securities, the
+Added: lenders may impose restrictions on our operations and may impair our working capital as we service any such debt obligations.
+Added: may experience significant dilution as a result of future equity offerings and other issuances of our common stock or other securities.
+Added: will need to raise substantial funds in order to develop our products.
+Added: In order to raise additional capital, we may in the future
+Added: offer additional shares of our common stock or other securities convertible into or exchangeable for our common stock at prices
+Added: that may not which is less than the market price and which may be based on a discount from market at the time of issuance.
+Added: will incur dilution upon exercise of any outstanding stock options, warrants or upon the issuance of shares of common stock under
+Added: our present and future stock incentive programs.
+Added: In addition, the sale of shares and any future sales of a substantial number
+Added: of shares of our common stock in the public market, or the perception that such sales may occur, could adversely affect the price
+Added: of our common stock.
+Added: We cannot predict the effect, if any, that market sales of those shares of common stock or the availability
+Added: of those shares of common stock for sale will have on the market price of our common stock.
+Added: do not intend to pay any cash dividends in the foreseeable future.
+Added: have not paid any cash dividends on our common stock and do not intend to pay cash dividends on our common stock in the foreseeable
+Added: do not own any real property.
+Added: We lease a shared office space in Orlando for $ 149 per month.
+Added: With the office lease, we have access
+Added: to board rooms, kitchen facilities and administrative support services.
+Added: We lease manufacturing space in Cherryville, North Carolina,
+Added: for $4,200 per month under a verbal agreement on a month-to-month basis.
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.