Item 7. Management’s Discussion and Analysis
ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS
OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The following discussion may contain forward-looking
statements that involve risks and uncertainties. As described under the caption “Cautionary Note Regarding Forward-Looking Statements,”
our actual results could differ materially from those discussed here. Factors that could cause or contribute to such differences include,
but are not limited to, any factors discussed in this section as well as factors described in Part II, Item 1A. “Risk Factors”
and under the caption “Cautionary Note Regarding Forward-Looking Statements.”
Overview
We are a biotechnology company focused on developing
and preparing to commercialize cellular therapies for cancer, diabetes and malignant ascites based upon our proprietary cellulose-based
live cell encapsulation technology we refer to as Cell-in-a-Box ® . We are working to advance clinical research and development
of new cellular-based therapies in oncology and diabetes.
We are actively engaged preparing for a clinical
trial in LAPC using encapsulated live cells like those used in the previous Phase 1/2 and Phase 2 clinical trials discussed above.
On September 1, 2020, we submitted an IND to the
FDA for our planned clinical trial in LAPC. On October 1, 2020, we received notice from the FDA that it had placed our IND on clinical
hold. On October 30, 2020, the FDA sent a letter to us setting forth the reasons for the clinical hold and specific guidance on what we
must do to have the clinical hold lifted.
To address our clinical hold, we assembled a team
of regulatory and scientific experts to respond to the items requested by the FDA. That team has been working to complete the list of
items requested by the FDA. For a complete discussion of what the FDA requires of us and the efforts we have undertaken to lift the clinical
hold, see Item 1. Business under the Section entitled, “Clinical Hold” of this Report.
We are also developing a way to delay the production
and accumulation of malignant ascites that results from many types of abdominal cancerous tumors. Our therapy for malignant ascites involves
using the same encapsulated cells we employ for pancreatic cancer but placing the encapsulated cells in the peritoneal cavity of a patient
and administering ifosfamide intravenously.
In addition to these cancer programs, we have
also been considering ways to exploit the benefits of the Cell-in-a-Box ® technology to develop therapies for cancer that
involve prodrugs based upon certain constituents of the Cannabis plant. However, until the FDA allows us to commence our clinical
trial in LAPC and we are able to validate our Cell-in-a-Box ® encapsulation technology in a clinical trial, we are not spending
any further resources developing our Cannabis Program.
Finally, we have been developing a potential therapy
for Type 1 diabetes and insulin-dependent Type 2 diabetes Our product candidate for the treatment of diabetes consists of encapsulated
genetically modified insulin-producing cells. The encapsulation will be done using the Cell-in-a-Box ® technology. Implanting
these encapsulated cells in the body is designed to function as a bio-artificial pancreas for purposes of insulin production.
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Reverse Stock Split
Effective July 12, 2021, we filed a Certificate
of Change to our Articles of Incorporation, as amended (the “Articles of Incorporation”) with the Nevada Secretary of State
that authorized a 1:1500 reverse stock split of our common stock. The reverse stock split resulted in reducing the authorized number of
shares of our common stock from 50 billion to thirty-three million three hundred thirty-three thousand three hundred thirty-four with
a par value of $0.0001 per share. Any fractional shares resulting from the reverse stock split were rounded up to the next whole share.
All warrants, option, share and per share information in this Report gives retroactive effect to such 1:1500 reverse stock split.
Increase in Authorized Shares
On March 14, 2023, we filed a Certificate of Change
with the State of Nevada, Secretary of State, to increase the number of authorized shares of our common stock to 133,333,334 shares effective
immediately. The par value remained $0.0001 per share.
COVID-19 Impact on Our Financial Condition
and Results of Operations
We face the ongoing risk that the coronavirus
pandemic may slow our operations, our preclinical studies or the eventual enrollment of our planned clinical trial. In order to prioritize
patient health and that of the investigators at clinical trial sites, we may need monitor enrollment of patients in our clinical study.
In addition, some patients may be unwilling to enroll in our trials or be unable to comply with clinical trial protocols if quarantines
or travel restrictions impede patient movement or interrupt healthcare services. These and other factors outside of our control could
delay our ability to conduct clinical trials or release clinical trial results. In addition, the effects of the ongoing coronavirus pandemic
may also increase non-trial costs such as insurance premiums, increase the demand for and cost of capital, increase loss of work time
from key personnel, and negatively impact our key clinical trial vendors.
Performance Indicators
Non-financial performance indicators used by management
to manage and assess how the business is progressing will include, but are not limited to, the ability to: (i) acquire appropriate funding
for all aspects of our operations; (ii) acquire and complete necessary contracts; (iii) complete activities for producing genetically
modified human cells and having them encapsulated for our preclinical studies and the planned clinical trial in LAPC; (iv) have regulatory
work completed to enable studies and trials to be submitted to regulatory agencies; (v) complete all required tests and studies on the
cells and capsules we plan to use in our clinical trial in patients with LAPC; (vi) ensure completion of the production of encapsulated
cells according to cGMP regulations to use in our planned clinical trial; (vii) complete all of the tasked the FDA requires of us in order
to have the clinical hold lifted; and (viii) obtain approval from the FDA to lift the clinical hold on our IND that we may commence our
planned clinical trial in LAPC.
There are numerous items required to be completed
successfully to ensure our final product candidate is ready for use in our planned clinical trial in LAPC. The effects of material transactions
with related parties, and certain other parties to the extent necessary for such an undertaking, may have substantial effects on both
the timeliness and success of our current and prospective financial position and operating results. Nonetheless, we are actively working
to ensure strong ties and interactions to minimize the inherent risks regarding success. We do not believe there are factors which will
cause materially different amounts to be reported than those presented in this Report. We aim to assess this regularly to provide accurate
information to our shareholders.
75
Liquidity and Capital Resources
As of April 30, 2023, our cash and cash equivalents
totaled approximately $68 million, compared to approximately $85.4 million as of April 30, 2022. Working capital was approximately $67.6
million as of April 30, 2023, and approximately $84.8 million as of April 30, 2022. The decrease in cash is attributable to the repurchase
of our common stock pursuant to the Repurchase Programs, recorded as treasury stock and an increase in our operating expenses.
2021 Underwritten Offering
On August 9, 2021, we entered into an underwriting
agreement with H.C. Wainwright & Co. (“Wainwright”), pursuant to which we offered and sold an aggregate of 2,630,385 shares
of common stock, and 899,027 pre-funded warrants to purchase common stock, and common warrants to purchase 4,028,528 shares of common
stock (the “First 2021 Offering”). The common warrants sold in the First 2021 Offering have an exercise price of $4.25 per
share, were exercisable immediately upon issuance, and expire five years following the date of issuance. The pre-funded warrants sold
in the First 2021 Offering have an exercise price of $0.001 per share, were exercisable immediately upon issuance, and do not have an
expiration date. The gross proceeds of the First 2021 Offering were $15 million, before deduction of underwriting discounts, commissions,
and estimated offering expenses.
Wainwright acted as the exclusive placement agent
for the Second 2021 Offering pursuant to an engagement letter with the Company dated April 26, 2021 (the “Wainwright Engagement
Letter”). Pursuant to the Wainwright Engagement Letter and in connection with the First 2021 Offering, we paid Wainwright a placement
agent fee equal to 7.5% of the aggregate gross proceeds and a management fee equal to 1.0% of the gross proceeds, and we issued Wainwright
warrants to purchase up to [ ] shares of common stock (the “Placement Agent Warrants”). The Placement Agent Warrants have
an exercise price of $6.25 per share, were exercisable immediately upon issuance, and expire five years following the date of issuance.
In August 2021, we received twenty-seven (27)
exercise notices from holders of the common warrants issued in the First 2021 Offering, pursuant to which we received approximately $10,720,000
and issued 2,522,387 shares of common stock (the “2021 Warrant Exercises”).
2021 Registered Direct Offering and Concurrent
Private Placement
On August 19, 2021, we entered into a securities
purchase agreement with certain institutional investors, pursuant to which we sold (i) 8,430,000 shares of common stock and pre-funded
warrants to purchase up to 5,570,000 shares of common stock in a registered direct offering and (ii) unregistered warrants to purchase
up to 7,000,000 shares of common stock (the “Series A Warrants”) in a concurrent private placement (collectively, the “Second
2021 Offering”). The pre-funded warrants sold in the Second 2021 Offering have an exercise price of $0.001 per share, were exercisable
immediately upon issuance, and do not have an expiration date. The Series A Warrants have an exercise price of $5.00 per share, were exercisable
immediately upon issuance, and expire five years following the date of issuance.
Wainwright acted as the exclusive placement agent
for the Second 2021 Offering pursuant to the Wainwright Engagement Letter. Pursuant to such engagement letter and in connection with the
Second 2021 Offering, we paid Wainwright a placement agent fee equal to 7.5% of the aggregate gross proceeds and a management fee equal
to 1.0% of the gross proceeds, and we issued Wainwright an additional 1,050,000 Placement Agent Warrants. We received gross proceeds from
the Second 2021 Offering, before deducting placement agent fees and other estimated offering expenses payable by the Company, of approximately
$70 million. On November 17, 2021, our Registration Statement on Form S-3 registering the resale of the shares of common stock underlying
the Series A Warrants and the Placement Agent Warrants was declared effective by the U.S. Securities and Exchange Commission (“Commission”).
During the year ended April 30, 2022, we received
approximately $87.4 million from the First 2021 Offering, the Second 2021 Offering and the 2021 Warrant Exercises.
76
Repurchase Programs
Pursuant to the First Repurchase Program, we may
acquire up to $10 million of our outstanding shares of common stock, as determined by a formula based on the market price of the common
stock and average daily volumes. Pursuant to the Second Repurchase Program, we may acquire up to $10 million of our outstanding shares
of common stock from time to time in open market transactions, privately negotiated block transactions or other means in accordance with
applicable securities laws. For more information on the Repurchase Programs, see “Note 12 – Treasury Stock.”
Other Liquidity Matters
We have no other off-balance sheet arrangements
that could have a material current effect or that are reasonably likely to have a material adverse effect on our financial condition,
changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources.
To meet our short and long-term liquidity needs,
we expect to use existing cash balances and a variety of other means. Other sources of liquidity could include additional potential issuances
of debt or equity securities in public or private financings, partnerships, collaborations and sale of assets. Our history of operating
losses and liquidity challenges may make it difficult for us to raise capital on acceptable terms or at all. The demand for the equity
and debt of pharmaceutical companies like ours is dependent upon many factors, including the general state of the financial markets. During
times of extreme market volatility, capital may not be available on favorable terms, if at all. Our inability to obtain such additional
capital could materially and adversely affect our business operations. Our future capital requirements are difficult to forecast and will
depend on many factors, but we believe that our cash on hand will enable us to fund operating expenses for at least the next 12 months
following the issuance of our consolidated financial statements.
Year ended April 30, 2023, compared to year
ended April 30, 2022
Revenue
We had no revenues in the fiscal years ended April
30, 2023, and 2022.
Operating Expenses
Our total operating expenses during the year ended
April 30, 2023 were $6,455,494, representing an increase of $2,063,480 compared to the year ended April 30, 2022. The increase is mainly
attributable to increases in director fees and legal and professional expenses, net of decreases in R&D costs and compensation expense.
Operating expenses:
Year ended
April 30,
2023
Change -
Increase
(Decrease)
and Percent
Year ended
April 30,
2022
R&D
$
468,536
$
(222,401
)
$
690,937
(32%
)
Compensation expense
$
1,234,956
$
(309,795
)
$
1,544,751
(20%
)
Director fees
$
951,347
$
694,857
$
256,490
271%
General and administrative, legal and professional
$
3,800,655
$
1,900,819
$
1,899,836
100%
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Loss from Operations
Loss from operations during the year ended April
30, 2023 was $6,455,494, an increase of $2,063,480 compared to the year ended April 30, 2022. The increase is mainly attributable to increases
in director fees and legal and professional expenses, and consulting expenses in 2023 from 2022, net of decreases in R&D costs and
compensation expense. See the table under “ Operating Expenses ” above for more detail.
Other Income (Expenses), Net
Other income, net for the year ended April 30,
2023, was $2,139,501, as compared to other income, net of $152,853 in the year ended April 30, 2022. Other income, net for the year ended
April 30, 2023 is attributable to interest income of $1,937,499 net settlement of accounts payable of $152,976 and net of other income
and expense of $49,026. Other income, net for the year ended April 30, 2022 is attributable to interest income of $157,645 net of interest
expense and other expenses of $4,792.
Discussion of Operating, Investing and Financing
Activities
The following table presents a summary of our
sources and uses of cash for the years ended April 30, 2023 and 2022.
Year Ended
April 30,
2023
Year Ended
April 30,
2022
Net cash used in operating activities:
$
(3,793,731
)
$
(4,117,319
)
Net cash used in investing activities:
$
–
$
–
Net cash provided by (used in) financing activities:
$
(13,559,743
)
$
87,311,244
Effect of currency rate exchange
$
(7,246
)
$
4,625
Increase (decrease) in cash
$
(17,360,720
)
$
83,198,550
Operating Activities:
The cash used in operating activities for the
years ended April 30, 2023 and 2022 is a result of our net losses offset by securities issued for services and compensation, changes to
prepaid expenses, accounts payable and accrued expenses.
Investing Activities :
We had no investing activities for the years ended
April 30, 2023, and 2022.
Financing Activities:
The cash used in financing activities for the
year ended April 30, 2023 was mainly attributable to the Repurchase Programs, and the cash provided for the year ended April 30, 2022,
is mainly attributable to the proceeds from the First 2021 Offering and the Second 2021 Offering.
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Critical Accounting Estimates and Policies
Our Consolidated Financial Statements are prepared
in accordance with U.S. generally accepted accounting principles (“U.S. GAAP”). We are required to make assumptions and estimates
about future events and apply judgments that affect the reported amounts of assets, liabilities, revenue and expenses and the related
disclosures. We base our assumptions, estimates and judgments on historical experience, current trends and other factors that management
believes to be relevant at the time our Consolidated Financial Statements are prepared. On a regular basis, management reviews the accounting
policies, assumptions, estimates and judgments to ensure that our Consolidated Financial Statements are presented fairly and in accordance
with U.S. GAAP. However, because future events and their effects cannot be determined with certainty, actual results could differ from
our assumptions and estimates, and such differences could be material.
Our significant accounting policies are discussed
in Note 2 of the Notes to our Consolidated Financial Statements included in Item 8, “Financial Statements and Supplementary Data”
of this Report. Management believes that the following accounting estimates are the most critical to aid in fully understanding and evaluating
our reported financial results and require management’s most difficult, subjective or complex judgments resulting from the need
to make estimates about the effects of matters that are inherently uncertain. Management has reviewed these critical accounting estimates
and related disclosures with our Board.
Research and Development Expenses
R&D expenses consist of costs incurred for
direct and overhead-related research expenses and are expensed as incurred. Costs to acquire technologies, including licenses, which are
utilized in R&D and that have no alternative future use are expensed when incurred. Technology developed for use in our product candidates
is expensed as incurred until technological feasibility has been established.
Stock-Based Compensation
Our stock-based compensation plans are described
in Note 4 and 5 of the Notes of the Consolidated Financial Statements to this Report. We follow the provisions of ASC 718, Compensation
- Stock Compensation (“ASC 718”), which requires the measurement and recognition of compensation expense for all stock-based
awards made to employees.
Net Income (Loss) Per Share
Basic net income (loss) per share of common stock
is computed using the weighted-average number of shares of common stock outstanding. Diluted net income (loss) per share of common stock
is computed using the weighted-average number of shares of common stock and shares of common stock equivalents outstanding. Potentially
dilutive stock options and warrants to purchase 10,172,116 and 10,813,635 post reverse stock split shares of common stock at April 30,
2023 and 2022, respectively, were excluded from the computation of diluted net income (loss) per share because the effect would be anti-dilutive.
New Accounting Pronouncements
During the current and prior year, there were
no new accounting pronouncements that need to be disclosed in the Company’s consolidated financial statements.
ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES
ABOUT MARKET RISK
We are a smaller reporting company and are not
required to include information called for by this Item 7A.
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