−Removed: You should carefully consider these factors
−Removed: that may affect future results, together with all the other information included in this Report in evaluating our business.
−Removed: and uncertainties described below are those that we currently believe may materially affect our business and results of operations.
−Removed: risks and uncertainties that we are unaware of or that we currently deem immaterial also may become important factors that affect our
−Removed: business and results of operations.
−Removed: Our shares of common stock involve a high degree of risk and should be purchased only by investors
−Removed: who can afford a loss of their entire investment.
−Removed: Prospective investors should carefully consider the following risk factors concerning
−Removed: our business before making an investment.
−Removed: In addition, you should carefully consider
−Removed: these risks when you read “forward-looking” statements elsewhere in this Report.
+Added: You should carefully consider these factors that
+Added: may affect future results, together with all the other information included in this Report in evaluating our business.
+Added: The risks and uncertainties
+Added: described below are those that we currently believe may materially affect our business and results of operations.
+Added: Additional risks and
+Added: uncertainties that we are unaware of or that we currently deem immaterial also may become important factors that affect our business and
+Added: results of operations.
+Added: Our shares of common stock involve a high degree of risk and should be purchased only by investors who can afford
+Added: a loss of their entire investment.
+Added: Prospective investors should carefully consider the following risk factors concerning our business
+Added: before making an investment.
+Added: In addition, you should carefully consider these
+Added: risks when you read “forward-looking” statements elsewhere in this Report.
These are statements that relate to our expectations
5 unchanged sentences
Forward-Looking Statements and Associated Risks
−Removed: We operate in a competitive and rapidly changing
+Added: We operate in a competitive and rapidly changing environment.
New risks emerge from time to time.
−Removed: It is not possible for us to predict all of those risks, nor can we assess the impact
−Removed: of all of those risks on our business or the extent to which any factor may cause actual results to differ materially from those contained
−Removed: in any forward-looking statement.
+Added: It is not possible for us to predict all of those risks, nor can we assess the impact of all of those
+Added: risks on our business or the extent to which any factor may cause actual results to differ materially from those contained in any forward-looking
The forward-looking statements in this Report are based on assumptions management believes are reasonable.
−Removed: However, due to the uncertainties associated with forward-looking statements, you should not place undue reliance on any forward-looking
−Removed: Further, forward-looking statements speak only as of the date they are made, and unless required by law, we expressly disclaim
−Removed: any obligation or undertaking to publicly update any of them in light of new information, future events, or otherwise.
+Added: However, due to
+Added: the uncertainties associated with forward-looking statements, you should not place undue reliance on any forward-looking statements.
+Added: forward-looking statements speak only as of the date they are made, and unless required by law, we expressly disclaim any obligation or
+Added: undertaking to publicly update any of them in light of new information, future events, or otherwise.
Summary of Risks Associated with Our Business
−Removed: Our business is subject to numerous risks and
−Removed: uncertainties that you should consider before investing in our company.
−Removed: These risks are described in more detail in the section titled
−Removed: “Risk Factors” in Item 1A of this Report.
+Added: Our business is subject to numerous risks and uncertainties
+Added: that you should consider before investing in our company.
+Added: These risks are described in more detail in the section titled “Risk Factors”
+Added: in Item 1A of this Report.
These risks include, but are not limited to, the following:
13 unchanged sentences
We may not be able to protect our intellectual property rights throughout the world.
−Removed: We rely and expect to continue to rely heavily on third parties to conduct our preclinical studies, plan to rely on third parties to conduct our and clinical trials, assuming they are allowed to proceed, and those third parties may not perform satisfactorily, including failing to meet deadlines for the completion of such studies and trials.
−Removed: Disruptions in the global economy and supply chains may have a material adverse effect on our business, financial condition and results of operations and the financial condition of the third parties on which we rely, including Austrianova.
+Added: We rely and expect to continue to rely heavily on third parties to conduct our preclinical studies, plan to rely on third parties to conduct our clinical trials, assuming they are allowed to proceed, and those third parties may not perform satisfactorily, including failing to meet deadlines for the completion of such studies and trials.
You may experience future dilution as a result of future equity offerings.
1 unchanged sentence
We may experience volatility in our stock price, which may adversely affect the trading price of our common stock.
−Removed: A large number of shares may be issued and subsequently sold upon the exercise of existing options and warrants and the conversion of preferred shares.
+Added: A large number of shares may be issued and subsequently sold upon the exercise of existing options and warrants and the conversion of preferred stock.
We are a “smaller reporting company” under the Commission’s disclosure rules and have elected to comply with the reduced disclosure requirements applicable to smaller reporting companies.
As a non-accelerated filer, we are not required to comply with the auditor attestation requirements of the Sarbanes-Oxley Act.
−Removed: Risks Related to Our Financial Position, FDA
−Removed: Clinical Hold, Need for Additional Capital and Overall Business
−Removed: We are a biotechnology company
−Removed: with limited resources, a limited operating history, and no products approved for clinical trials or commercial sale, which may make it
−Removed: difficult to evaluate our current business and predict our future success and viability.
+Added: Risks Related to Our Financial Position, FDA Clinical
+Added: Hold, Need for Additional Capital and Overall Business
+Added: We are a biotechnology company with
+Added: limited resources, a limited operating history, and no products approved for clinical trials or commercial sale, which may make it difficult
+Added: to evaluate our current business and predict our future success and viability.
We are a biotechnology company focused on developing
4 unchanged sentences
We have generated significant operating losses since our inception.
−Removed: Our net income attributable to common stockholders for the
−Removed: year ended April 30, 2025 was approximately $23 million, mostly attributable to a gain on the related party investment of approximately
−Removed: $21 million and fair value fluctuations of approximately $14 million, and for 2024 our net loss attributable to common stockholders was
−Removed: approximately $17.2 million.
+Added: Our net loss attributable to common stockholders for the
+Added: year ended April 30, 2026 was approximately $23 million, mostly attributable to fair value fluctuations losses of approximately $14 million,
+Added: preferred stock and warrant issuance costs of $1.4 million, preferred stock accretion costs of $3.5 million and operating expenses of
+Added: approximately $6.8 million, net of a gain on the related party investment of approximately $2.1 million and for 2025 our net income attributable
+Added: to common stockholders was approximately $23 million.
As of April 30, 2026, we had an accumulated deficit of approximately $104 million.
−Removed: Substantially all our losses
−Removed: have resulted from expenses incurred relating to our research and development programs and from general and administrative expenses and
−Removed: operating losses associated with our business.
+Added: Substantially all our losses have resulted from expenses incurred relating to our research and development programs and from general and
+Added: administrative expenses and operating losses associated with our business.
We expect to continue to incur significant expenses
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facility for the development of our product candidates.
−Removed: Biotechnology product development is a highly
−Removed: uncertain undertaking and involves a substantial degree of risk.
−Removed: We have not commenced or completed clinical trials for any of our product
−Removed: candidates, obtained marketing approval for any product candidates, manufactured a commercial scale product, or arranged for a third party
−Removed: to do so on our behalf, or conducted sales and marketing activities necessary for successful product commercialization.
−Removed: Given the highly
−Removed: uncertain nature of biotechnology product development, we may never commence or complete clinical trials for any of our product candidates,
−Removed: obtain marketing approval for any product candidates, manufacture a commercial scale product or arrange for a third party to do so on
−Removed: our behalf, or conduct sales and marketing activities necessary for successful product commercialization.
−Removed: Our limited operating history as a company makes
−Removed: any assessment of our future success and viability subject to significant uncertainty.
+Added: Biotechnology product development is a highly uncertain
+Added: undertaking and involves a substantial degree of risk.
+Added: We have not commenced or completed clinical trials for any of our product candidates,
+Added: obtained marketing approval for any product candidates, manufactured a commercial scale product, or arranged for a third party to do so
+Added: on our behalf, or conducted sales and marketing activities necessary for successful product commercialization.
+Added: Given the highly uncertain
+Added: nature of biotechnology product development, we may never commence or complete clinical trials for any of our product candidates, obtain
+Added: marketing approval for any product candidates, manufacture a commercial scale product or arrange for a third party to do so on our behalf,
+Added: or conduct sales and marketing activities necessary for successful product commercialization.
+Added: Our limited operating history as a company makes any
+Added: assessment of our future success and viability subject to significant uncertainty.
We will encounter risks and difficulties frequently
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and financial condition will suffer.
−Removed: As a result of the clinical hold that has
−Removed: been placed on our IND by the FDA, it has taken and may continue to take considerable time and expense to respond to the FDA and no assurance
+Added: As a result of the clinical hold that has been
+Added: placed on our IND by the FDA, it has taken and may continue to take considerable time and expense to respond to the FDA and no assurance
can be given that the FDA will remove the clinical hold in which case our business and prospects will likely suffer material adverse consequences.
−Removed: On October 1, 2020, we received notice from the
−Removed: FDA that it had placed our IND for a planned clinical trial in LAPC on clinical hold.
−Removed: As part of the clinical hold process, the FDA has
−Removed: asked for additional information, tasks to be performed by us and new preclinical studies and assays.
−Removed: It has taken and may continue to
−Removed: take a considerable period of time, the length of which is not certain at this time, for us to conduct such tasks and preclinical studies
−Removed: and to generate and prepare the requested information.
−Removed: Even if we are able to fully respond to the FDA’s requests, the agency may
−Removed: subsequently make additional requests that we would need to fulfill prior to the lifting of the clinical hold and we may never be able
−Removed: to begin our clinical trial in LAPC, obtain regulatory approval or successfully commercialize our product candidates.
−Removed: An inability to
−Removed: conduct our clinical trial in LAPC as a result of the clinical hold or otherwise, would likely force us to terminate our clinical development
−Removed: It is possible that we will be unable to fully respond to the FDA in a satisfactory manner, and as a result the clinical hold may
−Removed: never be lifted.
−Removed: If the clinical hold is not lifted or if the lifting takes an extended period of time, our business and prospects will
−Removed: likely suffer material adverse consequences.
−Removed: We contract with Austrianova for the manufacture
−Removed: of our product candidates for preclinical studies and clinical trials, if allowed to proceed, and expect to continue to do so for commercialization.
+Added: On October 1, 2020, we received notice from the FDA
+Added: that it had placed our IND for a planned clinical trial in LAPC on clinical hold.
+Added: As part of the clinical hold process, the FDA has asked
+Added: for additional information, tasks to be performed by us and new preclinical studies and assays.
+Added: It has taken and may continue to take
+Added: a considerable period of time, the length of which is not certain at this time, for us to conduct such tasks and preclinical studies and
+Added: to generate and prepare the requested information.
+Added: Even if we are able to fully respond to the FDA’s requests, the agency may subsequently
+Added: make additional requests that we would need to fulfill prior to the lifting of the clinical hold and we may never be able to begin our
+Added: clinical trial in LAPC, obtain regulatory approval or successfully commercialize our product candidates.
+Added: An inability to conduct our clinical
+Added: trial in LAPC as a result of the clinical hold or otherwise, would likely force us to terminate our clinical development plans.
+Added: possible that we will be unable to fully respond to the FDA in a satisfactory manner, and as a result the clinical hold may never be lifted.
+Added: If the clinical hold is not lifted or if the lifting takes an extended period of time, our business and prospects will likely suffer material
+Added: adverse consequences.
+Added: As of the date of this Report, the clinical hold has remained in place for over five years since October 2020, and
+Added: we cannot predict whether or when it will be lifted.
+Added: government shutdowns, reductions in FDA
+Added: staffing and funding, or other disruptions to FDA operations could further delay the lifting of the clinical hold on our IND and materially
+Added: harm our business.
+Added: Our ability to advance our product candidates depends
+Added: entirely on the FDA’s willingness and capacity to engage with us, review our submissions, and ultimately lift the clinical hold
+Added: The FDA’s ability to perform these functions may be adversely affected by a variety of factors beyond our control, including
+Added: government shutdowns, reductions in federal agency funding and staffing, and policy changes affecting the FDA’s operations
+Added: and priorities.
+Added: In recent years, the U.S.
+Added: government has experienced multiple shutdowns during which the FDA was required to furlough
+Added: employees and suspend critical regulatory activities.
+Added: Additionally, beginning in 2025, the federal government has undertaken efforts to
+Added: reduce the federal workforce, including through voluntary termination programs, position eliminations, and involuntary terminations, which
+Added: may result in the loss of experienced FDA reviewers and support staff.
+Added: Any reduction in the FDA’s capacity to conduct timely reviews
+Added: of regulatory submissions, including our response to the clinical hold, could result in significant additional delays to our development
+Added: Furthermore, application of newly developed artificial
+Added: intelligence and other technologies by our competitors may increase the volume of regulatory submissions to the FDA, potentially straining
+Added: the agency’s review capacity and further extending review timelines for all applicants, including us.
+Added: Any such delays could have
+Added: a material adverse effect on our business, financial condition, and results of operations.
+Added: We contract with Austrianova for the manufacture of our product
+Added: candidates for preclinical studies and clinical trials, if allowed to proceed, and expect to continue to do so for commercialization.
This reliance on Austrianova increases the risk that we will not have sufficient quantities of our product candidates or such quantities
at an acceptable cost, which could delay, prevent or impair our development or commercialization efforts.
−Removed: We do not currently own or operate manufacturing
−Removed: facilities to produce our encapsulated live cell product candidates for cancer.
−Removed: We rely on and expect to continue to rely on Austrianova
−Removed: to manufacture supplies of our product candidates for preclinical studies and clinical trials, if allowed to proceed, as well as for commercial
−Removed: manufacture of our product candidates, and these must be maintained for us to receive marketing approval for our product candidates.
−Removed: Our encapsulated live cell product candidates
−Removed: must be manufactured through complex, multi-step synthetic processes that are time-consuming and involve special conditions at certain
+Added: We do not currently own or operate manufacturing facilities
+Added: to produce our encapsulated live cell product candidates for cancer.
+Added: We rely on and expect to continue to rely on Austrianova to manufacture
+Added: supplies of our product candidates for preclinical studies and clinical trials, if allowed to proceed, as well as for commercial manufacture
+Added: of our product candidates, and these must be maintained for us to receive marketing approval for our product candidates.
+Added: Our encapsulated live cell product candidates must
+Added: be manufactured through complex, multi-step synthetic processes that are time-consuming and involve special conditions at certain stages.
Biologics and drug substance manufacture requires high potency containment, and containment under aseptic conditions.
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or otherwise.
−Removed: If Austrianova should become unavailable to us
−Removed: for any reason, we may incur additional cost or delay in identifying or qualifying a replacement manufacturer.
+Added: If Austrianova should become unavailable to us for
+Added: any reason, we may incur additional cost or delay in identifying or qualifying a replacement manufacturer.
At this time, we are unaware
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live cell and ifosfamide product, if approved, or any other product candidate or may be delayed in doing so.
−Removed: Even if we can establish such arrangements with
−Removed: another third-party manufacturer, reliance on a new third-party manufacturer entails additional risks, including:
+Added: Even if we can establish such arrangements with another
+Added: third-party manufacturer, reliance on a new third-party manufacturer entails additional risks, including:
Reliance on the third party for regulatory compliance and quality assurance;
2 unchanged sentences
The possible termination or nonrenewal of the agreement by the third party at a time that is costly or inconvenient for us.
−Removed: A new third-party manufacturer may not be able
−Removed: to comply with cGMP standards or the requirements of a regulatory agency.
−Removed: Our failure, or the failure of our third-party manufacturer,
−Removed: to comply with these practices or requirements could result in sanctions being imposed on us, including additional clinical holds, fines,
+Added: A new third-party manufacturer may not be able to
+Added: comply with cGMP standards or the requirements of a regulatory agency.
+Added: Our failure, or the failure of our third-party manufacturer, to
+Added: comply with these practices or requirements could result in sanctions being imposed on us, including additional clinical holds, fines,
injunctions, civil penalties, delays, suspension or withdrawal of approvals, license revocation, seizures or recalls of product candidates
3 unchanged sentences
adversely affect supplies of our product candidates for clinical trials and to market.
−Removed: Our product candidates that we may develop may
−Removed: compete with other product candidates and products for access to manufacturing facilities.
−Removed: There are a limited number of manufacturers
−Removed: that operate under cGMP regulations and that might be capable of manufacturing products for us.
−Removed: In addition, we expect to rely on Austrianova
−Removed: to purchase from third-party suppliers the materials necessary to produce our product candidates for our clinical studies, if allowed
−Removed: There are a small number of suppliers for certain equipment and raw materials that are used in the manufacture of our product
+Added: Our product candidates that we may develop may compete
+Added: with other product candidates and products for access to manufacturing facilities.
+Added: There are a limited number of manufacturers that operate
+Added: under cGMP regulations and that might be capable of manufacturing products for us.
+Added: In addition, we expect to rely on Austrianova to purchase
+Added: from third-party suppliers the materials necessary to produce our product candidates for our clinical studies, if allowed to proceed.
+Added: There are a small number of suppliers for certain equipment and raw materials that are used in the manufacture of our product candidates.
Such suppliers may not sell these raw materials to Austrianova at the times we need them or on commercially reasonable terms.
−Removed: For example, there is from time to time a limited supply of acceptable cell media for production of our MCB.
−Removed: We do not have any control
−Removed: over the process or timing of the acquisition of these raw materials by Eurofins or Austrianova.
−Removed: Moreover, we currently do not have any
−Removed: agreements for the commercial production of these raw materials.
−Removed: Austrianova from time to time has experienced significant supply chain
−Removed: disruptions, and we believe it is experiencing liquidity issues.
−Removed: Any further significant delay in the supply of a product candidate or
−Removed: the raw material components thereof our clinical trials, if allowed to proceed, due to the need to replace a third-party supplier of these
−Removed: raw materials could considerably delay completion of our clinical studies, product testing and potential regulatory approval of our product
−Removed: If we are unable to purchase these raw materials after regulatory approval has been obtained for our product candidates, the
−Removed: commercial launch of our product candidates, if approved, would be delayed or there would be a shortage in supply, which would impair
−Removed: our ability to generate revenues from the sale of our product candidates.
−Removed: Our current and anticipated future dependence
−Removed: upon Austrianova and others for the manufacture of our product candidates may adversely affect our future profit margins and our ability
−Removed: to commercialize any products that receive marketing approval on a timely and competitive basis.
−Removed: If we are unable to successfully
−Removed: raise additional capital, our future clinical trials and product development could be limited, and our long-term viability may be threatened.
+Added: there is from time to time a limited supply of acceptable cell media for production of our MCB.
+Added: We do not have any control over the process
+Added: or timing of the acquisition of these raw materials by Eurofins or Austrianova.
+Added: Moreover, we currently do not have any agreements for
+Added: the commercial production of these raw materials.
+Added: Austrianova from time to time has experienced significant supply chain disruptions,
+Added: and we believe it is experiencing liquidity issues.
+Added: Any further significant delay in the supply of a product candidate or the raw material
+Added: components thereof our clinical trials, if allowed to proceed, due to the need to replace a third-party supplier of these raw materials
+Added: could considerably delay completion of our clinical studies, product testing and potential regulatory approval of our product candidates.
+Added: If we are unable to purchase these raw materials after regulatory approval has been obtained for our product candidates, the commercial
+Added: launch of our product candidates, if approved, would be delayed or there would be a shortage in supply, which would impair our ability
+Added: to generate revenues from the sale of our product candidates.
+Added: Our current and anticipated future dependence upon
+Added: Austrianova and others for the manufacture of our product candidates may adversely affect our future profit margins and our ability to
+Added: commercialize any products that receive marketing approval on a timely and competitive basis.
+Added: If we are unable to successfully raise
+Added: additional capital, our future clinical trials and product development could be limited, and our long-term viability may be threatened.
We have experienced negative operating cash flows
10 unchanged sentences
going concern.
−Removed: Our operating and capital requirements during
−Removed: this fiscal year and thereafter will vary based on several factors, including whether we can complete the studies requested by the FDA
−Removed: with respect to our IND filing, whether the FDA allows us to commence our planned clinical trial for LAPC, how quickly enrollment of patients
−Removed: in our such trial can be commenced, the duration of the clinical trial and any change in the clinical development plans for our product
+Added: Our operating and capital requirements during this
+Added: fiscal year and thereafter will vary based on several factors, including whether we can complete the studies requested by the FDA with
+Added: respect to our IND filing, whether the FDA allows us to commence our planned clinical trial for LAPC, how quickly enrollment of patients
+Added: in such trial can be commenced, the duration of the clinical trial and any change in the clinical development plans for our product
candidates and the outcome, timing and cost of meeting regulatory requirements established by the FDA and the EMA or other comparable
foreign regulatory authorities.
−Removed: Our present and future capital requirements will be significant and
−Removed: will depend on many factors, including:
+Added: Our present and future capital requirements will be significant and will
+Added: depend on many factors, including:
our ability to complete the studies requested by the FDA with respect to our IND filing;
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legal, accounting, insurance and other professional and business-related costs.
−Removed: We may not be able to acquire additional funds
−Removed: on acceptable terms, or at all.
−Removed: If we are unable to raise adequate funds, we may have to liquidate some or all of our assets, or delay
−Removed: or reduce the scope of or eliminate some or all of our development programs.
+Added: We may not be able to acquire additional funds on
+Added: acceptable terms, or at all.
+Added: If we are unable to raise adequate funds, we may have to liquidate some or all of our assets, or delay or
+Added: reduce the scope of or eliminate some or all of our development programs.
Further, if we do not have, or are not able to obtain, sufficient
4 unchanged sentences
could harm our operating results.
−Removed: Due to the significant resources
−Removed: required for the development of our programs, and depending on our ability to access capital, we must prioritize development of certain
−Removed: product candidates.
−Removed: We may expend our limited resources on programs that do not yield a successful product candidate and fail to capitalize
−Removed: on product candidates or indications that may be more profitable or for which there is a greater likelihood of success.
−Removed: We seek to maintain a process of prioritization
−Removed: and resource allocation to maintain an optimal balance between aggressively advancing lead programs and ensuring replenishment of our
−Removed: Until such time, if ever, as the FDA lifts its clinical hold on our IND related to our planned clinical trial in LAPC, our
−Removed: Cell-in-a-Box ® encapsulation technology is validated in our planned clinical trial, and sufficient additional funding is
−Removed: available, we have halted spending on behalf of our development program with respect to cannabinoids.
−Removed: Due to the significant resources required for
−Removed: the development of our programs, we must focus our programs on specific diseases and decide which product candidates to pursue and advance
+Added: Due to the significant resources required
+Added: for the development of our programs, and depending on our ability to access capital, we must prioritize development of certain product
+Added: We may expend our limited resources on programs that do not yield a successful product candidate and fail to capitalize on
+Added: product candidates or indications that may be more profitable or for which there is a greater likelihood of success.
+Added: We seek to maintain a process of prioritization and
+Added: resource allocation to maintain an optimal balance between aggressively advancing lead programs and ensuring replenishment of our portfolio.
+Added: Until such time, if ever, as the FDA lifts its clinical hold on our IND related to our planned clinical trial in LAPC, our Cell-in-a-Box ®
+Added: encapsulation technology is validated in our planned clinical trial, and sufficient additional funding is available, we have halted spending
+Added: on behalf of our development program with respect to cannabinoids.
+Added: Due to the significant resources required for the
+Added: development of our programs, we must focus our programs on specific diseases and decide which product candidates to pursue and advance
and the amount of resources to allocate to each.
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adversely affected.
−Removed: We currently have no commercial revenue
−Removed: and may never become profitable.
−Removed: Even if we can successfully achieve regulatory
−Removed: approval for our product candidates, we do not know what the reimbursement status of our product candidates will be or when any of these
−Removed: products will generate revenue for us, if at all.
+Added: We currently have no commercial revenue and
+Added: may never become profitable.
+Added: Even if we can successfully achieve regulatory approval
+Added: for our product candidates, we do not know what the reimbursement status of our product candidates will be or when any of these products
+Added: will generate revenue for us, if at all.
We have not generated, and do not expect to generate, any product revenue for the foreseeable
3 unchanged sentences
uncertain and will depend, in part, on the rate of growth of our expenses.
−Removed: Our ability to generate revenue from our product
−Removed: candidates also depends on numerous additional factors, including our ability to:
+Added: Our ability to generate revenue from our product candidates
+Added: also depends on numerous additional factors, including our ability to:
successfully complete development activities, including the remaining preclinical studies and planned clinical trials for our product candidates;
6 unchanged sentences
set a commercially viable price for any products for which we may receive approval.
−Removed: We are unable to predict the timing or amount
−Removed: of increased expenses, or when or if we will be able to achieve or maintain profitability.
−Removed: Even if we can complete the processes described
−Removed: above, we anticipate incurring significant costs associated with commercializing our product candidates.
+Added: We are unable to predict the timing or amount of increased
+Added: expenses, or when or if we will be able to achieve or maintain profitability.
+Added: Even if we can complete the processes described above, we
+Added: anticipate incurring significant costs associated with commercializing our product candidates.
To date, we have generated no revenue.
1 unchanged sentence
our product candidates that we may develop, in-license or acquire in the future.
−Removed: We face substantial competition,
−Removed: which may result in others discovering, developing or commercializing competing products before or more successfully than we do.
+Added: We face substantial competition, which
+Added: may result in others discovering, developing or commercializing competing products before or more successfully than we do.
The development and commercialization of new drug
33 unchanged sentences
which causes potential fluctuations in operating results.
−Removed: Because of our limited operating history as a
−Removed: biotech company;
−Removed: we are currently unable to accurately forecast our revenues.
−Removed: Future expense levels will likely be based largely on our
−Removed: marketing and development plans and estimates of future revenue.
−Removed: Any sales or operating results will likely generally depend on volume
−Removed: and timing of orders, which may not occur and on our ability to fulfill such orders, which we may not be able to do.
−Removed: We may be unable
−Removed: to adjust spending in a timely manner to compensate for any unexpected revenue shortfall.
−Removed: Accordingly, any significant shortfall in revenues
−Removed: in relation to planned expenditures could have an immediate adverse effect on our business, prospects, financial condition and results
−Removed: of operations.
−Removed: Further, as a strategic response to changes in the competitive environment, we may from time to time make certain pricing,
−Removed: service or marketing decisions that could have a material adverse effect on our business, prospects, financial condition and results of
−Removed: We may experience significant fluctuations in
−Removed: future operating results due to a variety of factors, many of which are outside of our control.
−Removed: Factors that may affect operating results
+Added: Because of our limited operating history as a biotech
+Added: company, we are currently unable to accurately forecast our revenues.
+Added: Future expense levels will likely be based largely on our marketing
+Added: and development plans and estimates of future revenue.
+Added: Any sales or operating results will likely generally depend on volume and timing
+Added: of orders, which may not occur and on our ability to fulfill such orders, which we may not be able to do.
+Added: We may be unable to adjust spending
+Added: in a timely manner to compensate for any unexpected revenue shortfall.
+Added: Accordingly, any significant shortfall in revenues in relation
+Added: to planned expenditures could have an immediate adverse effect on our business, prospects, financial condition and results of operations.
+Added: Further, as a strategic response to changes in the competitive environment, we may from time to time make certain pricing, service or
+Added: marketing decisions that could have a material adverse effect on our business, prospects, financial condition and results of operations.
+Added: We may experience significant fluctuations in future
+Added: operating results due to a variety of factors, many of which are outside of our control.
+Added: Factors that may affect operating results include:
(i) the ability to obtain and retain customers;
−Removed: (ii) our ability to attract new customers at a steady rate and maintain customer
−Removed: satisfaction with products;
+Added: (ii) our ability to attract new customers at a steady rate and maintain customer satisfaction
+Added: with products;
(iii) our announcement or introduction of new products by us or our competitors;
(iv) price competition;
−Removed: the level of use and consumer acceptance of its products;
−Removed: (vi) the amount and timing of operating costs and capital expenditures relating
−Removed: to expansion of the business, operations and infrastructure;
+Added: (v) the level
+Added: of use and consumer acceptance of our products;
+Added: (vi) the amount and timing of operating costs and capital expenditures relating to expansion
+Added: of the business, operations and infrastructure;
(vii) governmental regulations;
(viii) general economic conditions;
−Removed: delays or disruptions in our supply chain.
−Removed: We may be unable to adequately protect our
−Removed: information systems from cyberattacks, which could result in the disclosure of confidential or proprietary information, including personal
−Removed: data, damage our reputation, and subject us to significant financial and legal exposure.
−Removed: We rely on information technology systems that
−Removed: we or our third-party providers operate to process, transmit and store electronic information in our day-to-day operations.
+Added: and (ix) delays or
+Added: disruptions in our supply chain.
+Added: We may be unable to adequately protect our information
+Added: systems from cyberattacks, which could result in the disclosure of confidential or proprietary information, including personal data, damage
+Added: our reputation, and subject us to significant financial and legal exposure.
+Added: We rely on information technology systems that we
+Added: or our third-party providers operate to process, transmit and store electronic information in our day-to-day operations.
In connection
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availability.
−Removed: A successful cyberattack could cause serious negative consequences for us, including, without limitation, the disruption
−Removed: of operations, the misappropriation of confidential business information, including financial information, trade secrets, financial loss
−Removed: and the disclosure of corporate strategic plans.
−Removed: Although we devote resources to protect our information systems, we realize that cyberattacks
−Removed: are a threat, and there can be no assurance that our efforts will prevent information security breaches that would result in business,
−Removed: legal, financial or reputational harm to us, or would have a material adverse effect on our results of operations and financial condition.
−Removed: Any failure to prevent or mitigate security breaches or improper access to, use of, or disclosure of our clinical data or patients’
−Removed: personal data could result in significant liability under state (e.g., state breach notification laws), federal (e.g., HIPAA, as amended
−Removed: by HITECH), and international law (e.g., the GDPR) and may cause a material adverse impact to our reputation, affect our ability to conduct
−Removed: new studies and potentially disrupt our business.
+Added: In particular, threat actors are increasingly leveraging artificial intelligence technologies, including generative AI,
+Added: to enhance the sophistication and effectiveness of cyberattacks through techniques such as AI-generated phishing communications, deepfakes,
+Added: and advanced social engineering tactics that are more difficult to detect using traditional security measures.
+Added: A successful cyberattack
+Added: could cause serious negative consequences for us, including, without limitation, the disruption of operations, the misappropriation of
+Added: confidential business information, including financial information, trade secrets, financial loss and the disclosure of corporate strategic
+Added: Although we devote resources to protect our information systems, we realize that cyberattacks are a threat, and there can be no
+Added: assurance that our efforts will prevent information security breaches that would result in business, legal, financial or reputational
+Added: harm to us, or would have a material adverse effect on our results of operations and financial condition.
+Added: Any failure to prevent or mitigate
+Added: security breaches or improper access to, use of, or disclosure of our clinical data or patients’ personal data could result in significant
+Added: liability under state (e.g., state breach notification laws), federal (e.g., HIPAA, as amended by HITECH), and international law (e.g.,
+Added: the GDPR) and may cause a material adverse impact to our reputation, affect our ability to conduct new studies and potentially disrupt
+Added: our business.
In addition, the computer systems of various third
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and correct for any such failures, deficiencies or breaches.
−Removed: If we or our third-party providers fail to maintain or protect our information
−Removed: technology systems and data integrity effectively or fail to anticipate, plan for or manage significant disruptions to our information
−Removed: technology systems, we or our third-party providers could have difficulty preventing, detecting and controlling such cyber-attacks and
−Removed: any such attacks could result in losses described above as well as disputes with physicians, patients and our partners, regulatory sanctions
−Removed: or penalties, increases in operating expenses, expenses or lost revenues or other adverse consequences, any of which could have a material
−Removed: adverse effect on our business, results of operations, financial condition, prospects and cash flows.
−Removed: Any failure by such third parties
−Removed: to prevent or mitigate security breaches or improper access to or disclosure of such information could have similarly adverse consequences
−Removed: If we are unable to prevent or mitigate the impact of such security or data privacy breaches, we could be exposed to litigation
−Removed: and governmental investigations, which could lead to a potential disruption to our business.
+Added: Our cybersecurity risk management is led by a contracted third-party Information
+Added: Security Officer.
+Added: While this individual has substantial experience in cybersecurity, our reliance on a single contracted individual for
+Added: this critical function means that the departure, unavailability, or incapacitation of this individual could leave us without adequate
+Added: cybersecurity oversight for a period of time.
+Added: If we or our third-party providers fail to maintain or protect our information technology
+Added: systems and data integrity effectively or fail to anticipate, plan for or manage significant disruptions to our information technology
+Added: systems, we or our third-party providers could have difficulty preventing, detecting and controlling such cyber-attacks and any such attacks
+Added: could result in losses described above as well as disputes with physicians, patients and our partners, regulatory sanctions or penalties,
+Added: increases in operating expenses, expenses or lost revenues or other adverse consequences, any of which could have a material adverse effect
+Added: on our business, results of operations, financial condition, prospects and cash flows.
+Added: Any failure by such third parties to prevent or
+Added: mitigate security breaches or improper access to or disclosure of such information could have similarly adverse consequences for us.
+Added: we are unable to prevent or mitigate the impact of such security or data privacy breaches, we could be exposed to litigation and governmental
+Added: investigations, which could lead to a potential disruption to our business.
+Added: In addition, our cybersecurity insurance coverage may not
+Added: be adequate or sufficient to protect us from liabilities arising out of cybersecurity incidents, and such coverage may not continue to
+Added: be available on commercially reasonable terms or at all.
Risks Related to Regulatory Matters
−Removed: If we are unable to obtain, or
−Removed: if there are delays in obtaining, required approval from the applicable regulatory agencies, we will not be able to commercialize our
−Removed: product candidates and our ability to generate revenue will be materially impaired.
+Added: If we are unable to obtain, or if
+Added: there are delays in obtaining, required approval from the applicable regulatory agencies, we will not be able to commercialize our product
+Added: candidates and our ability to generate revenue will be materially impaired.
Our product candidates must obtain marketing approval
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information about the product manufacturing process to, and inspection of manufacturing facilities by, the regulatory agencies.
−Removed: Our product candidates may not be effective, may
−Removed: be only moderately effective or may prove to have undesirable or unintended side effects, toxicities or other characteristics that may
−Removed: preclude our obtaining marketing approval or prevent or limit commercial use.
−Removed: Regulatory agencies have substantial discretion in the approval
−Removed: process and may refuse to accept any application or may decide that our data are insufficient for approval and require additional preclinical,
+Added: Our product candidates may not be effective, may be
+Added: only moderately effective or may prove to have undesirable or unintended side effects, toxicities or other characteristics that may preclude
+Added: our obtaining marketing approval or prevent or limit commercial use.
+Added: Regulatory agencies have substantial discretion in the approval process
+Added: and may refuse to accept any application or may decide that our data are insufficient for approval and require additional preclinical,
clinical or other studies.
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to generate revenues will be materially impaired.
−Removed: If allowed to proceed with our
−Removed: clinical development programs, we intend to conduct clinical trials for certain of our product candidates at sites outside of the U.S.,
+Added: If allowed to proceed with our clinical
+Added: development programs, we intend to conduct clinical trials for certain of our product candidates at sites outside of the U.S., and the
regulatory agencies may not accept data from trials conducted in such locations.
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Diminished protection of intellectual property in some countries.
−Removed: Our plan to first pursue a clinical trial
−Removed: before a pivotal Phase 3 trial will likely result in additional costs to us and resultant delays in the FDA review process and any future
−Removed: commercialization and marketing if regulatory approval is obtained.
−Removed: If the FDA allows us to begin a clinical trial
−Removed: by lifting its clinical hold on our IND, we have determined that the data contained in previous clinical trial reports using the Cell-in-a-Box ®
+Added: Our plan to first pursue a clinical trial before
+Added: a pivotal Phase 3 trial will likely result in additional costs to us and resultant delays in the FDA review process and any future commercialization
+Added: and marketing if regulatory approval is obtained.
+Added: If the FDA allows us to begin a clinical trial by
+Added: lifting its clinical hold on our IND, we have determined that the data contained in previous clinical trial reports using the Cell-in-a-Box ®
and its Associated Technologies are not sufficient to advance the program to a Phase 3 pivotal trial.
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the development and commercialization of our product candidates.
−Removed: Our Cell-in-a-Box ® and ifosfamide
−Removed: combination product candidate has not begun clinical development, and, like others’ candidates in a similar phase of development,
−Removed: the risk of failure is high.
−Removed: It is impossible to predict when or if this product candidate or any other product candidate will prove effective
−Removed: or safe in humans or will receive regulatory approval.
−Removed: Before obtaining marketing approval from regulatory agencies for the sale of any
−Removed: product candidate, if allowed to proceed, we must complete preclinical development and then conduct extensive clinical trials to demonstrate
−Removed: the safety and efficacy of our product candidates in humans.
−Removed: Clinical trials are expensive, difficult to design and implement, can take
−Removed: several years to complete and are uncertain as to their outcome.
−Removed: A failure of one or more clinical trials can occur at any stage of a
−Removed: clinical trial.
−Removed: The clinical development of our product candidates is susceptible to the risk of failure inherent at any stage of drug
−Removed: development, including failure to demonstrate efficacy in a clinical trial or across a broad population of patients, the occurrence of
−Removed: medically or commercially unacceptable or severe adverse events, failure to comply with protocols or applicable regulatory requirements
−Removed: or determination by the regulatory agencies that a drug or biologic product is not approvable.
−Removed: It is possible that even if one or more
−Removed: of our product candidates has a beneficial effect, that effect will not be detected during clinical evaluation because of one or more
−Removed: of a variety of factors, including the size, duration, design, measurements, conduct or analysis of our clinical trials.
−Removed: Conversely, because
−Removed: of the same factors, our clinical trials if allowed to proceed, may indicate an apparent positive effect of a product candidate that is
−Removed: greater than the actual positive effect, if any.
−Removed: Similarly, in our clinical trials if allowed to proceed, we may fail to detect toxicity
−Removed: of, or intolerability caused by, our product candidates, or mistakenly believe that our product candidates are toxic or not well tolerated
−Removed: when that is not, in fact, the case.
+Added: Our Cell-in-a-Box ® and ifosfamide combination
+Added: product candidate has not begun clinical development, and, like others’ candidates in a similar phase of development, the risk of
+Added: failure is high.
+Added: It is impossible to predict when or if this product candidate or any other product candidate will prove effective or
+Added: safe in humans or will receive regulatory approval.
+Added: Before obtaining marketing approval from regulatory agencies for the sale of any product
+Added: candidate, if allowed to proceed, we must complete preclinical development and then conduct extensive clinical trials to demonstrate the
+Added: safety and efficacy of our product candidates in humans.
+Added: Clinical trials are expensive, difficult to design and implement, can take several
+Added: years to complete and are uncertain as to their outcome.
+Added: A failure of one or more clinical trials can occur at any stage of a clinical
+Added: The clinical development of our product candidates is susceptible to the risk of failure inherent at any stage of drug development,
+Added: including failure to demonstrate efficacy in a clinical trial or across a broad population of patients, the occurrence of medically or
+Added: commercially unacceptable or severe adverse events, failure to comply with protocols or applicable regulatory requirements or determination
+Added: by the regulatory agencies that a drug or biologic product is not approvable.
+Added: It is possible that even if one or more of our product candidates
+Added: has a beneficial effect, that effect will not be detected during clinical evaluation because of one or more of a variety of factors, including
+Added: the size, duration, design, measurements, conduct or analysis of our clinical trials.
+Added: Conversely, because of the same factors, our clinical
+Added: trials if allowed to proceed, may indicate an apparent positive effect of a product candidate that is greater than the actual positive
+Added: effect, if any.
+Added: Similarly, in our clinical trials if allowed to proceed, we may fail to detect toxicity of, or intolerability caused by,
+Added: our product candidates, or mistakenly believe that our product candidates are toxic or not well tolerated when that is not, in fact, the
The design of a clinical trial can determine whether
27 unchanged sentences
Therefore, the results of any ongoing or future clinical trials we conduct may not be successful.
−Removed: We may experience significant delays in pursuing
−Removed: any clinical trials, and any planned clinical trials may not begin on time, may require redesign, may not enroll sufficient healthy volunteers
+Added: We may experience significant delays in pursuing any
+Added: clinical trials, and any planned clinical trials may not begin on time, may require redesign, may not enroll sufficient healthy volunteers
or patients in a timely manner and may not be completed on schedule, if at all.
−Removed: Our clinical trials may be delayed, suspended
−Removed: or prematurely terminated because costs are greater than we anticipate or for a variety of other reasons, such as:
+Added: Our clinical trials may be delayed, suspended or prematurely
+Added: terminated because costs are greater than we anticipate or for a variety of other reasons, such as:
delay or failure in reaching agreement with the FDA or a comparable foreign regulatory authority on a trial design that we are able to execute;
8 unchanged sentences
failure to initiate or delay of or inability to complete a clinical trial as a result of a clinical hold imposed by the FDA or comparable foreign regulatory authority due to observed safety findings or other reasons;
−Removed: negative or inconclusive results in our clinical trials, and our decision to or regulators’ requirement that we conduct additional non-clinical studies, clinical trials or that we abandon one or more of our product development programs;
+Added: negative or inconclusive results in our clinical trials, and our decision to or regulators’ requirement that we conduct additional nonclinical studies, clinical trials or that we abandon one or more of our product development programs;
inability to manufacture sufficient quantities of a drug candidate of acceptable quality for use in clinical trials.
7 unchanged sentences
the schedule for commencement or completion of any currently ongoing, planned or future clinical trials.
−Removed: Many of the factors that cause, or lead to, a
−Removed: delay in the commencement or completion of clinical trials may also ultimately lead to the denial of marketing approval for our product
−Removed: If we experience delays in the commencement or
−Removed: completion of, or suspension or termination of, any clinical trial for our drug candidates, the commercial prospects of the drug candidate
−Removed: could be harmed, and our ability to generate product revenues from the drug candidate may be delayed or eliminated.
+Added: Many of the factors that cause, or lead to, a delay
+Added: in the commencement or completion of clinical trials may also ultimately lead to the denial of marketing approval for our product candidates.
+Added: If we experience delays in the commencement or completion
+Added: of, or suspension or termination of, any clinical trial for our drug candidates, the commercial prospects of the drug candidate could
+Added: be harmed, and our ability to generate product revenues from the drug candidate may be delayed or eliminated.
In addition, any delays
3 unchanged sentences
could harm our business, financial condition, results of operations and prospects significantly.
−Removed: We are seeking FDA approval to commence
−Removed: clinical trials in the U.S.
−Removed: of certain of our product candidates based on clinical data that was obtained in trials conducted outside
−Removed: the U.S., and it is possible that the FDA may not accept data from trials conducted in such locations or conducted nearly 20 years ago.
−Removed: In support of our IND application to commence
−Removed: a clinical trial in LAPC using genetically engineered live human cells encapsulated using our Cell-in-a-Box ® technology
−Removed: in combination with ifosfamide we are relying on a Phase 1/2 clinical trial and a clinical trial previously conducted using the same technology
−Removed: in combination with ifosfamide between 1998 and 1999 and between 1999 and 2000, respectively.
−Removed: The Phase 1/2 clinical trial was carried
−Removed: out at the Division of Gastroenterology, University of Rostock, Germany, and the Phase 2 clinical trial was carried out at four centers
−Removed: in two countries in Europe:
+Added: We are seeking FDA approval to commence clinical
+Added: trials in the U.S.
+Added: of certain of our product candidates based on clinical data that was obtained in trials conducted outside the U.S.,
+Added: and it is possible that the FDA may not accept data from trials conducted in such locations or conducted nearly 20 years ago.
+Added: In support of our IND application to commence a clinical
+Added: trial in LAPC using genetically engineered live human cells encapsulated using our Cell-in-a-Box ® technology in combination
+Added: with ifosfamide we are relying on a Phase 1/2 clinical trial and a clinical trial previously conducted using the same technology in combination
+Added: with ifosfamide between 1998 and 1999 and between 1999 and 2000, respectively.
+Added: The Phase 1/2 clinical trial was carried out at the Division
+Added: of Gastroenterology, University of Rostock, Germany, and the Phase 2 clinical trial was carried out at four centers in two countries in
Berne, Switzerland, and in Rostock, Munich and Berlin, Germany.
−Removed: Although the FDA may accept data from clinical
−Removed: trials conducted outside the U.S., acceptance of this data is subject to certain conditions imposed by the FDA.
−Removed: There is a risk that the
−Removed: FDA may not accept the data from the two previous trials.
−Removed: In that case, we may be required to conduct a Phase 1 or a Phase 1/2b clinical
−Removed: trial rather than the planned Phase 2b clinical trial in LAPC, currently under clinical hold.
−Removed: This may result in additional costs to us
−Removed: and resultant delays in the regulatory review process and any future commercialization and marketing if regulatory approval is obtained.
−Removed: It is not known whether the FDA would be likely to reject the use of such clinical data due to the significant time that has elapsed since
+Added: Although the FDA may accept data from clinical trials
+Added: conducted outside the U.S., acceptance of this data is subject to certain conditions imposed by the FDA.
+Added: There is a risk that the FDA
+Added: may not accept the data from the two previous trials.
+Added: In that case, we may be required to conduct a Phase 1 or a Phase 1/2b clinical trial
+Added: rather than the planned Phase 2b clinical trial in LAPC, currently under clinical hold.
+Added: This may result in additional costs to us and
+Added: resultant delays in the regulatory review process and any future commercialization and marketing if regulatory approval is obtained.
+Added: is not known whether the FDA would be likely to reject the use of such clinical data due to the significant time that has elapsed since
the earlier clinical trials were conducted or because the clinical trial material for our proposed clinical trial is different from that
1 unchanged sentence
that have been made to the Cell-in-a-Box ® technology since the time of the earlier trials.
−Removed: Results in previous clinical trials of our
−Removed: encapsulated live cell and ifosfamide combination for pancreatic cancer may not be replicated in future clinical trials which could result
−Removed: in development delays or a failure to obtain marketing approval.
−Removed: Results in the previous Phase 1/2 and Phase 2
−Removed: clinical trials of the encapsulated live cell and ifosfamide combination product may not be predictive of similar results in future clinical
−Removed: trials such as our planned clinical trial in LAPC, if allowed to proceed.
+Added: Results in previous clinical trials of our encapsulated
+Added: live cell and ifosfamide combination for pancreatic cancer may not be replicated in future clinical trials which could result in development
+Added: delays or a failure to obtain marketing approval.
+Added: Results in the previous Phase 1/2 and Phase 2 clinical
+Added: trials of the encapsulated live cell and ifosfamide combination product may not be predictive of similar results in future clinical trials
+Added: such as our planned clinical trial in LAPC, if allowed to proceed.
The previous Phase 1/2 and Phase 2 clinical trials had a relatively
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business could be substantially harmed.
−Removed: The research, testing, manufacturing, labeling,
−Removed: approval, sale, marketing and distribution of drug products are, and will remain, subject to extensive regulation by the FDA in the U.S.
−Removed: and by the respective regulatory agencies in other countries where regulations differ.
+Added: The research, testing, manufacturing, labeling, approval,
+Added: sale, marketing and distribution of drug products are, and will remain, subject to extensive regulation by the FDA in the U.S.
+Added: the respective regulatory agencies in other countries where regulations differ.
We are not permitted to market our product candidates
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any drug candidates we may seek to develop in the future will ever obtain regulatory approval.
−Removed: Our drug candidates could fail to receive, or
−Removed: could be delayed in receiving, regulatory approval for many reasons, including any one or more of the following:
+Added: Our drug candidates could fail to receive, or could
+Added: be delayed in receiving, regulatory approval for many reasons, including any one or more of the following:
the FDA or comparable foreign regulatory agencies may disagree with the design or implementation of our clinical trials;
9 unchanged sentences
the change of the medical standard of care or the approval policies or regulations of the FDA or comparable foreign regulatory agencies may significantly change in a manner that renders our clinical data insufficient for approval.
−Removed: The time and expense of the approval process,
−Removed: as well as the unpredictability of future clinical trial results and other contributing factors, may result in our failure to obtain regulatory
+Added: The time and expense of the approval process, as well
+Added: as the unpredictability of future clinical trial results and other contributing factors, may result in our failure to obtain regulatory
approval to market, in one or more jurisdictions, for the product candidates we are currently developing or may seek to develop in the
11 unchanged sentences
circumstances could materially harm the commercial prospects for our product candidates.
−Removed: If we experience delays or difficulties
−Removed: in the enrollment of patients in clinical trials, we may not achieve our clinical development timeline and our receipt of necessary regulatory
+Added: If we experience delays or difficulties in the
+Added: enrollment of patients in clinical trials, we may not achieve our clinical development timeline and our receipt of necessary regulatory
approvals could be delayed or prevented.
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or patients who would otherwise be eligible for our clinical trials may instead enroll in clinical trials of our competitors’ drug
−Removed: Patient enrollment is a significant factor in
−Removed: the overall duration of a clinical trial and is affected by many factors, including:
+Added: Patient enrollment is a significant factor in the
+Added: overall duration of a clinical trial and is affected by many factors, including:
The size and nature of the patient population;
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Clinicians’ and patients’ perceptions as to the potential advantages and risks of the drug being studied in relation to other available therapies, including any new drugs that may be approved for the indications we are investigating.
−Removed: Our inability to enroll enough patients for our
−Removed: clinical trials could result in significant delays or may require us to abandon one or more clinical trials altogether.
−Removed: Enrollment delays
−Removed: in our clinical trials may result in increased development costs for our product candidates, delay or halt the development of and approval
−Removed: processes for our product candidates and jeopardize our ability to achieve our clinical development timeline and goals, including the
−Removed: dates by which we will commence, complete and receive results from clinical trials.
−Removed: Enrollment delays may also delay or jeopardize our
−Removed: ability to commence sales and generate revenues from our product candidates., if approved Any of the foregoing could cause the value of
−Removed: our company to decline and limit our ability to obtain additional financing, if needed.
+Added: Our inability to enroll enough patients for our clinical
+Added: trials could result in significant delays or may require us to abandon one or more clinical trials altogether.
+Added: Enrollment delays in our
+Added: clinical trials may result in increased development costs for our product candidates, delay or halt the development of and approval processes
+Added: for our product candidates and jeopardize our ability to achieve our clinical development timeline and goals, including the dates by which
+Added: we will commence, complete and receive results from clinical trials.
+Added: Enrollment delays may also delay or jeopardize our ability to commence
+Added: sales and generate revenues from our product candidates., if approved Any of the foregoing could cause the value of our company to decline
+Added: and limit our ability to obtain additional financing, if needed.
We may request priority review for our product
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We may be eligible for priority review designation
−Removed: for our product candidates if the regulatory agencies determine such product candidates offer major advances in treatment of a serious
+Added: for our product candidates if the regulatory agencies determine that such product candidates offer major advances in treatment of a serious
disease or condition or provide a treatment for a serious disease or condition where no adequate therapy exists.
1 unchanged sentence
priority review designation, see “Government Regulation – Fast Track, Breakthrough Therapy and Priority Review Designations.”
−Removed: FDA has broad discretion with respect to whether
−Removed: to grant priority review status to a product candidate, so even if we believe a product candidate is eligible for such designation or
−Removed: status, FDA may decide not to grant it.
−Removed: Thus, while FDA has granted priority review to other oncology products, our product candidates,
−Removed: should we request priority review designation for them, may not receive such designation.
−Removed: Moreover, even if one of our product candidates
−Removed: is designated for priority review, such a designation does not change the standards for product approval and does not necessarily mean
−Removed: a faster overall regulatory review process or necessarily confer any advantage with respect to approval compared to the standard FDA review
−Removed: Receiving priority review from the regulatory
−Removed: agencies does not guarantee approval within an accelerated timeline or thereafter.
−Removed: In some instances, we believe we may be
−Removed: able to secure approval from FDA to use accelerated development pathways.
−Removed: If we are unable to obtain such approval, we may be required
−Removed: to conduct additional preclinical studies or clinical trials beyond those that we contemplate which could increase the expense of obtaining
−Removed: and delay the receipt of necessary marketing approvals.
−Removed: We anticipate that we may seek an accelerated
−Removed: approval pathway for certain of our product candidates.
+Added: FDA has broad discretion with respect to whether to
+Added: grant priority review status to a product candidate, so even if we believe a product candidate is eligible for such designation or status,
+Added: FDA may decide not to grant it.
+Added: Thus, while FDA has granted priority review to other oncology products, our product candidates, should
+Added: we request priority review designation for them, may not receive such designation.
+Added: Moreover, even if one of our product candidates is
+Added: designated for priority review, such a designation does not change the standards for product approval and does not necessarily mean a
+Added: faster overall regulatory review process or necessarily confer any advantage with respect to approval compared to the standard FDA review
+Added: Receiving priority review from the regulatory agencies
+Added: does not guarantee approval within an accelerated timeline or thereafter.
+Added: In some instances, we believe we may be able
+Added: to secure approval from FDA to use accelerated development pathways.
+Added: If we are unable to obtain such approval, we may be required to conduct
+Added: additional preclinical studies or clinical trials beyond those that we contemplate which could increase the expense of obtaining and delay
+Added: the receipt of necessary marketing approvals.
+Added: We anticipate that we may seek an accelerated approval
+Added: pathway for certain of our product candidates.
For a description of the accelerated approval pathway, see “Government Regulation
– Accelerated Approval Pathway.”
−Removed: Prior to requesting accelerated approval, we
−Removed: will seek feedback from the FDA and will otherwise evaluate our eligibility to use the accelerated approval pathway.
−Removed: There can also
−Removed: be no assurance that after our evaluation of the feedback and other factors we will decide to pursue or submit an NDA or a BLA, as
−Removed: applicable, for accelerated approval or any other form of designation or program intended to expedite the product development,
−Removed: review or approval processes.
−Removed: Similarly, there can be no assurance that after subsequent feedback from the FDA that we will continue
−Removed: to pursue or apply for accelerated approval or any other form of designation or expedited program, even if we initially decide to do
−Removed: Furthermore, if we decide to apply for accelerated approval or under another expedited regulatory designation (such as the
−Removed: Breakthrough Therapy designation or Fast Track designation), there can be no assurance that such submission or application will be
−Removed: accepted or that any expedited development, review or approval will be granted on a timely basis or at all.
−Removed: The FDA could also
−Removed: require us to conduct further studies prior to considering or granting our application or granting approval of any type and may
−Removed: require us to have a confirmatory trial to verify the clinical benefit of the product underway and partially or fully enrolled
−Removed: before granting approval.
−Removed: We might not be able to fulfill the FDA’s requirements in a timely manner, which would cause delays,
−Removed: or approval might not be granted because our submission is deemed incomplete by the FDA.
−Removed: Even if we receive accelerated approval from the
−Removed: FDA, we will be subject to rigorous post-marketing requirements, including the completion of confirmatory post-market clinical trials,
−Removed: submission to the FDA of periodic progress reports on confirmatory trials, and submission to the FDA of all promotional materials prior
−Removed: to their dissemination.
−Removed: The FDA could seek to withdraw any product approval granted through the accelerated approval pathway for multiple
−Removed: reasons, including if we fail to conduct any required post-market study with due diligence;
+Added: Prior to requesting accelerated approval, we will
+Added: seek feedback from the FDA and will otherwise evaluate our eligibility to use the accelerated approval pathway.
+Added: There can also be no assurance
+Added: that after our evaluation of the feedback and other factors we will decide to pursue or submit an NDA or a BLA, as applicable, for accelerated
+Added: approval or any other form of designation or program intended to expedite the product development, review or approval processes.
+Added: there can be no assurance that after subsequent feedback from the FDA that we will continue to pursue or apply for accelerated approval
+Added: or any other form of designation or expedited program, even if we initially decide to do so.
+Added: Furthermore, if we decide to apply for accelerated
+Added: approval or under another expedited regulatory designation (such as the Breakthrough Therapy designation or Fast Track designation), there
+Added: can be no assurance that such submission or application will be accepted or that any expedited development, review or approval will be
+Added: granted on a timely basis or at all.
+Added: The FDA could also require us to conduct further studies prior to considering or granting our application
+Added: or granting approval of any type and may require us to have a confirmatory trial to verify the clinical benefit of the product underway
+Added: and partially or fully enrolled before granting approval.
+Added: We might not be able to fulfill the FDA’s requirements in a timely manner,
+Added: which would cause delays, or approval might not be granted because our submission is deemed incomplete by the FDA.
+Added: Even if we receive accelerated approval from the FDA,
+Added: we will be subject to rigorous post-marketing requirements, including the completion of confirmatory post-market clinical trials, submission
+Added: to the FDA of periodic progress reports on confirmatory trials, and submission to the FDA of all promotional materials prior to their
+Added: dissemination.
+Added: The FDA could seek to withdraw any product approval granted through the accelerated approval pathway for multiple reasons,
+Added: including if we fail to conduct any required post-market study with due diligence;
a post-market study does not confirm the predicted
5 unchanged sentences
procedures to withdraw any product for which we receive accelerated approval if our confirmatory trials fail to verify the purported clinical
−Removed: A failure to obtain accelerated approval or any
−Removed: other form of designation or program intended to expedite product development, review or approval for any of our product candidates that
−Removed: we determine to seek accelerated approval or designation for would result in a longer time to commercialization of such product candidate,
+Added: A failure to obtain accelerated approval or any other
+Added: form of designation or program intended to expedite product development, review or approval for any of our product candidates that we
+Added: determine to seek accelerated approval or designation for would result in a longer time to commercialization of such product candidate,
could increase the cost of development of such product candidate and could harm our competitive position in the marketplace.
−Removed: We currently have Orphan Drug designation
−Removed: for our product candidate for the treatment of pancreatic cancer, and may seek Orphan Drug designation for additional product candidates,
+Added: We currently have Orphan Drug designation for
+Added: our product candidate for the treatment of pancreatic cancer, and may seek Orphan Drug designation for additional product candidates,
and we may be unsuccessful in obtaining or maintaining such designations.
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or approval process and does not increase the likelihood that our product candidates will receive marketing approval.
−Removed: We do not currently have Fast Track designation
−Removed: by the FDA or similar designation by another regulatory agency for any of our product candidates but intend to seek such designation based
+Added: We do not currently have Fast Track designation by
+Added: the FDA or similar designation by another regulatory agency for any of our product candidates but intend to seek such designation based
upon the data generated from our clinical trials, if allowed to proceed and if successful.
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have received Fast Track designation have failed to obtain marketing approval.
−Removed: A Breakthrough Therapy designation by the
−Removed: FDA or similar designation by another regulatory agency, even if granted for any of our product candidates, may not lead to a faster development
+Added: A Breakthrough Therapy designation by the FDA
+Added: or similar designation by another regulatory agency, even if granted for any of our product candidates, may not lead to a faster development
or regulatory review or approval process and does not increase the likelihood that our product candidates will receive marketing approval.
−Removed: We do not currently have Breakthrough Therapy
−Removed: designation by the FDA or similar designation by another regulatory agency for any of our product candidates but intend seek such designation
−Removed: based upon the data we generate during our clinical trials, if successful.
−Removed: For a description of Breakthrough Therapy designation, see
−Removed: “Government Regulation – Fast Track, Breakthrough Therapy and Priority Review Designations.”
−Removed: A Breakthrough Therapy or similar designation
−Removed: is within the discretion of the FDA or other applicable regulatory agencies.
−Removed: Accordingly, even if we believe, after completing early clinical
−Removed: trials, that one of our product candidates meets the criteria for designation as a Breakthrough Therapy or other similar designation,
−Removed: a regulatory agency may disagree and instead determine not to grant such designation.
−Removed: In any event, the receipt of a Breakthrough Therapy
−Removed: or other similar designation for a product candidate may not result in a faster development process, review or approval compared to drugs
−Removed: or biologics considered for approval under conventional procedures of a regulatory agency and does not ensure the designated product’s
−Removed: ultimate approval.
−Removed: In addition, even if one or more of our product candidates receives Breakthrough Therapy designation or other similar
−Removed: designations, a regulatory agency may later decide that such product candidates no longer meet the conditions for the designation.
−Removed: Failure to obtain marketing approval in
−Removed: international jurisdictions would prevent our product candidates from being marketed abroad.
+Added: We do not currently have Breakthrough Therapy designation
+Added: by the FDA or similar designation by another regulatory agency for any of our product candidates but intend seek such designation based
+Added: upon the data we generate during our clinical trials, if successful.
+Added: For a description of Breakthrough Therapy designation, see “Government
+Added: Regulation – Fast Track, Breakthrough Therapy and Priority Review Designations.”
+Added: A Breakthrough Therapy or similar designation is within
+Added: the discretion of the FDA or other applicable regulatory agencies.
+Added: Accordingly, even if we believe, after completing early clinical trials,
+Added: that one of our product candidates meets the criteria for designation as a Breakthrough Therapy or other similar designation, a regulatory
+Added: agency may disagree and instead determine not to grant such designation.
+Added: In any event, the receipt of a Breakthrough Therapy or other
+Added: similar designation for a product candidate may not result in a faster development process, review or approval compared to drugs or biologics
+Added: considered for approval under conventional procedures of a regulatory agency and does not ensure the designated product’s ultimate
+Added: In addition, even if one or more of our product candidates receives Breakthrough Therapy designation or other similar designations,
+Added: a regulatory agency may later decide that such product candidates no longer meet the conditions for the designation.
+Added: Failure to obtain marketing approval in international
+Added: jurisdictions would prevent our product candidates from being marketed abroad.
To market and sell our product candidates in Europe
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marketing approvals and may not receive necessary approvals to commercialize our product candidates in any market.
−Removed: Any product candidate for which we obtain
−Removed: marketing approval will be subject to extensive post-marketing regulatory requirements and could be subject to post-marketing restrictions
−Removed: or withdrawal from the market.
−Removed: We may be subject to penalties if we fail to comply with regulatory requirements or if we experience unanticipated
−Removed: problems with our products, when and if any of our product candidates are approved.
+Added: Any product candidate for which we obtain marketing
+Added: approval will be subject to extensive post-marketing regulatory requirements and could be subject to post-marketing restrictions or withdrawal
+Added: from the market.
+Added: We may be subject to penalties if we fail to comply with regulatory requirements or if we experience unanticipated problems
+Added: with our products, when and if any of our product candidates are approved.
Our product candidates and the activities associated
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criminal sanctions, substantial civil penalties, contractual damages, reputational harm and diminished profits and future earnings.
−Removed: Although we do not currently have any products
−Removed: on the market, upon commercialization of our drug candidates, if approved, we will be subject to additional healthcare statutory and regulatory
+Added: Although we do not currently have any products on
+Added: the market, upon commercialization of our drug candidates, if approved, we will be subject to additional healthcare statutory and regulatory
requirements and oversight by federal and state governments in the U.S.
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Restrictions under applicable healthcare laws and regulations include the following:
−Removed: The Anti-Kickback Statute prohibits, among other
−Removed: things, persons from knowingly and willfully soliciting, offering, receiving or providing any remuneration, directly or indirectly, in
−Removed: cash or in kind, to induce or reward, or in return for, either the referral of an individual for, or the purchase, order or recommendation
−Removed: of, any good or service, for which payment may be made under a federal healthcare program such as Medicare and Medicaid;
−Removed: The False Claims Act imposes criminal and civil
−Removed: penalties against individuals or entities for knowingly presenting, or causing to be presented, to the federal government, claims for
−Removed: payment that are false or fraudulent or making a false statement to avoid, decrease or conceal an obligation to pay money to the Federal
−Removed: HIPAA imposes criminal and civil liability for
−Removed: executing a scheme to defraud any healthcare benefit program or making false statements relating to healthcare matters.
−Removed: HIPAA, as amended
−Removed: by HITECH and its implementing regulations, also imposes obligations, including mandatory contractual terms, with respect to safeguarding
−Removed: the privacy, security and transmission of individually identifiable health information.
+Added: The Anti-Kickback Statute prohibits, among other things,
+Added: persons from knowingly and willfully soliciting, offering, receiving or providing any remuneration, directly or indirectly, in cash or
+Added: in kind, to induce or reward, or in return for, either the referral of an individual for, or the purchase, order or recommendation of,
+Added: any good or service, for which payment may be made under a federal healthcare program such as Medicare and Medicaid;
+Added: The False Claims Act imposes criminal and civil penalties
+Added: against individuals or entities for knowingly presenting, or causing to be presented, to the federal government, claims for payment that
+Added: are false or fraudulent or making a false statement to avoid, decrease or conceal an obligation to pay money to the Federal governments;
+Added: HIPAA imposes criminal and civil liability for executing
+Added: a scheme to defraud any healthcare benefit program or making false statements relating to healthcare matters.
+Added: HIPAA, as amended by HITECH
+Added: and its implementing regulations, also imposes obligations, including mandatory contractual terms, with respect to safeguarding the privacy,
+Added: security and transmission of individually identifiable health information.
The Physician Payments Sunshine Act requires applicable
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or services reimbursed by non-governmental third-party payors, including private insurers.
−Removed: Some state laws require pharmaceutical companies
−Removed: to comply with the pharmaceutical industry’s voluntary compliance guidelines and the relevant compliance guidance promulgated by
−Removed: the federal government and may require drug manufacturers to report information related to payments and other transfers of value to physicians
+Added: Some state laws require pharmaceutical companies to
+Added: comply with the pharmaceutical industry’s voluntary compliance guidelines and the relevant compliance guidance promulgated by the
+Added: federal government and may require drug manufacturers to report information related to payments and other transfers of value to physicians
and other healthcare providers or marketing expenditures.
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compliance efforts.
−Removed: Efforts to ensure that our business arrangements
−Removed: with third parties will comply with applicable healthcare laws and regulations will involve substantial costs.
+Added: Efforts to ensure that our business arrangements with
+Added: third parties will comply with applicable healthcare laws and regulations will involve substantial costs.
It is possible that governmental
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sanctions, including exclusions from government funded healthcare programs.
−Removed: Recently enacted and future legislation
−Removed: could increase the difficulty and cost for us to obtain marketing approval of and commercialize our product candidates and affect the
−Removed: prices we may obtain.
−Removed: All aspects of our business, including research
−Removed: and development, manufacturing, marketing, pricing, sales, litigation, and intellectual property rights, are subject to extensive legislation
+Added: Recently enacted and future legislation could
+Added: increase the difficulty and cost for us to obtain marketing approval of and commercialize our product candidates and affect the prices
+Added: we may obtain.
+Added: All aspects of our business, including research and
+Added: development, manufacturing, marketing, pricing, sales, litigation, and intellectual property rights, are subject to extensive legislation
and regulation.
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Increased scrutiny by the U.S.
−Removed: Congress of the
−Removed: FDA’s approval process may significantly delay or prevent marketing approval, as well as subject us to more stringent product labeling
−Removed: and post-marketing testing and other requirements.
−Removed: Congress also must reauthorize the FDA’s user fee programs every five years and
−Removed: often makes changes to those programs in addition to policy or procedural changes that may be negotiated between the FDA and industry
−Removed: stakeholders as part of this periodic reauthorization process.
−Removed: Congress most recently reauthorized the user fee programs in September
−Removed: 2022 without any substantive policy changes.
+Added: Congress of the FDA’s
+Added: approval process may significantly delay or prevent marketing approval, as well as subject us to more stringent product labeling and post-marketing
+Added: testing and other requirements.
+Added: Congress also must reauthorize the FDA’s user fee programs every five years and often makes changes
+Added: to those programs in addition to policy or procedural changes that may be negotiated between the FDA and industry stakeholders as part
+Added: of this periodic reauthorization process.
+Added: Congress most recently reauthorized the user fee programs in September 2022 without any substantive
+Added: policy changes.
Among policy makers and payors in the U.S.
−Removed: elsewhere, there is significant interest in promoting changes in healthcare systems with the stated goals of containing healthcare costs,
−Removed: improving quality and/or expanding access.
+Added: and elsewhere,
+Added: there is significant interest in promoting changes in healthcare systems with the stated goals of containing healthcare costs, improving
+Added: quality and/or expanding access.
In the U.S., the pharmaceutical industry has been a focus of these efforts and has been significantly
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industry in the U.S.
−Removed: Further, over the past several years there has
−Removed: been heightened governmental scrutiny over the manner in which biopharmaceutical manufacturers set prices for their marketed products,
−Removed: which has resulted in several U.S.
−Removed: Congressional inquiries and proposed and enacted federal and state legislation designed to, among other
−Removed: things, bring more transparency to product pricing, review the relationship between pricing and manufacturer patient programs, and reform
−Removed: government program reimbursement methodologies for drug products.
−Removed: The probability of success of these policies, many of which have been
−Removed: subjected to legal challenge in the federal court system, and their potential impact on the U.S.
+Added: Further, over the past several years there has been
+Added: heightened governmental scrutiny over the manner in which biopharmaceutical manufacturers set prices for their marketed products, which
+Added: has resulted in several U.S.
+Added: Congressional inquiries and proposed and enacted federal and state legislation designed to, among other things,
+Added: bring more transparency to product pricing, review the relationship between pricing and manufacturer patient programs, and reform government
+Added: program reimbursement methodologies for drug products.
+Added: The probability of success of these policies, many of which have been subjected
+Added: to legal challenge in the federal court system, and their potential impact on the U.S.
prescription drug marketplace is unknown.
−Removed: There are likely to be continued political and legal challenges associated with implementing these reforms as they are currently envisioned.
−Removed: Additionally, on December 20, 2019, the Further
−Removed: Consolidated Appropriations Act for 2020 was signed into law (P.L.
−Removed: 116-94) and includes a piece of bipartisan legislation called the Creating
−Removed: and Restoring Equal Access to Equivalent Samples Act of 2019 (the “CREATES Act”).
−Removed: The CREATES Act aims to address the concern
−Removed: articulated by both the FDA and others in the industry that some brand manufacturers have improperly restricted the distribution of their
−Removed: products, including by invoking the existence of a REMS for certain products, to deny generic product developers access to samples of
−Removed: brand products.
−Removed: Because generic product developers need samples of a reference listed drug, to conduct certain comparative testing required
−Removed: by the FDA, some have attributed the inability to timely obtain samples as a cause of delay in the entry of generic products.
−Removed: this concern, the CREATES Act establishes a private cause of action that permits a generic product developer to sue the brand manufacturer
−Removed: to compel it to furnish the necessary samples on “commercially reasonable, market-based terms.” Whether and how generic product
−Removed: developments will use this new pathway, as well as the likely outcome of any legal challenges to provisions of the CREATES Act, remain
−Removed: highly uncertain and its potential effects on any of our future commercial products are unknown.
+Added: are likely to be continued political and legal challenges associated with implementing these reforms as they are currently envisioned.
+Added: Additionally, on December 20, 2019, the Further Consolidated
+Added: Appropriations Act for 2020 was signed into law (P.L.
+Added: 116-94) and includes a piece of bipartisan legislation called the Creating and Restoring
+Added: Equal Access to Equivalent Samples Act of 2019 (the “CREATES Act”).
+Added: The CREATES Act aims to address the concern articulated
+Added: by both the FDA and others in the industry that some brand manufacturers have improperly restricted the distribution of their products,
+Added: including by invoking the existence of a REMS for certain products, to deny generic product developers access to samples of brand products.
+Added: Because generic product developers need samples of a reference listed drug, to conduct certain comparative testing required by the FDA,
+Added: some have attributed the inability to timely obtain samples as a cause of delay in the entry of generic products.
+Added: To remedy this concern,
+Added: the CREATES Act establishes a private cause of action that permits a generic product developer to sue the brand manufacturer to compel
+Added: it to furnish the necessary samples on “commercially reasonable, market-based terms.” Whether and how generic product developments
+Added: will use this new pathway, as well as the likely outcome of any legal challenges to provisions of the CREATES Act, remain highly uncertain
+Added: and its potential effects on any of our future commercial products are unknown.
In addition, many states have proposed or enacted
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once approved, or additional pricing pressures.
−Removed: Even if we are able to commercialize any
−Removed: of our drug candidates, such products may become subject to unfavorable pricing regulations, third-party reimbursement practices or healthcare
+Added: Even if we are able to commercialize any of
+Added: our drug candidates, such products may become subject to unfavorable pricing regulations, third-party reimbursement practices or healthcare
reform initiatives, which would harm our business.
−Removed: The regulations that govern marketing approvals,
−Removed: pricing, coverage and reimbursement for new drug and biological products vary widely from country to country.
−Removed: Current and future legislation
−Removed: may change the approval requirements in ways that could involve additional costs and cause delays in obtaining approvals.
−Removed: Some countries
−Removed: require approval of the sale price of a drug before it can be marketed.
−Removed: In many countries, the pricing review period begins after marketing
−Removed: approval is granted and, in some markets, prescription pharmaceutical pricing remains subject to continuing governmental control even
−Removed: after initial approval is granted.
−Removed: As a result, we may obtain marketing approval for a product in a particular country, but then be subject
−Removed: to price regulations that delay our commercial launch of the product, possibly for lengthy time periods, and negatively impact the revenues
−Removed: we are able to generate from the sale of the product in that country.
−Removed: Adverse pricing limitations may hinder our ability to recoup our
−Removed: investment in one or more product candidates, even if our product candidates obtain marketing approval.
+Added: The regulations that govern marketing approvals, pricing,
+Added: coverage and reimbursement for new drug and biological products vary widely from country to country.
+Added: Current and future legislation may
+Added: change the approval requirements in ways that could involve additional costs and cause delays in obtaining approvals.
+Added: Some countries require
+Added: approval of the sale price of a drug before it can be marketed.
+Added: In many countries, the pricing review period begins after marketing approval
+Added: is granted and, in some markets, prescription pharmaceutical pricing remains subject to continuing governmental control even after initial
+Added: approval is granted.
+Added: As a result, we may obtain marketing approval for a product in a particular country, but then be subject to price
+Added: regulations that delay our commercial launch of the product, possibly for lengthy time periods, and negatively impact the revenues we
+Added: are able to generate from the sale of the product in that country.
+Added: Adverse pricing limitations may hinder our ability to recoup our investment
+Added: in one or more product candidates, even if our product candidates obtain marketing approval.
Our ability to commercialize any product candidates
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prior authorization requirements.
−Removed: Increasingly, third-party payors are requiring
−Removed: that drug companies provide them with predetermined discounts from list prices and are challenging the prices charged for products.
−Removed: cannot be sure that coverage will be available for any product candidate that we commercialize and, if coverage is available, what the
−Removed: level of reimbursement will be.
+Added: Increasingly, third-party payors are requiring that
+Added: drug companies provide them with predetermined discounts from list prices and are challenging the prices charged for products.
+Added: be sure that coverage will be available for any product candidate that we commercialize and, if coverage is available, what the level
+Added: of reimbursement will be.
Reimbursement may impact the demand for, or the price of, any product candidate for which we obtain marketing
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adverse effect on our operating results, our ability to raise capital needed to commercialize products and our overall financial condition.
−Removed: Further, there have been, and may continue to
−Removed: be, legislative and regulatory proposals at the U.S.
−Removed: federal and state levels and in foreign jurisdictions directed at broadening the
−Removed: availability and containing or lowering the cost of healthcare.
−Removed: The continuing efforts of the government, insurance companies, managed
−Removed: care organizations and other third-party payors to contain or reduce costs of healthcare may adversely affect our ability to set prices
−Removed: for our products that would allow us to achieve or sustain profitability.
−Removed: In addition, governments may impose price controls on any of
−Removed: our products that obtain marketing approval, which may adversely affect our future profitability.
−Removed: Most recently, in August 2022, President Biden
−Removed: signed into the law the Inflation Reduction Act of 2022, or the IRA.
−Removed: Among other things, the IRA has multiple provisions that may impact
−Removed: the prices of drug products that are both sold into the Medicare program and throughout the U.S.
+Added: Further, there have been, and may continue to be,
+Added: legislative and regulatory proposals at the U.S.
+Added: federal and state levels and in foreign jurisdictions directed at broadening the availability
+Added: and containing or lowering the cost of healthcare.
+Added: The continuing efforts of the government, insurance companies, managed care organizations
+Added: and other third-party payors to contain or reduce costs of healthcare may adversely affect our ability to set prices for our products
+Added: that would allow us to achieve or sustain profitability.
+Added: In addition, governments may impose price controls on any of our products that
+Added: obtain marketing approval, which may adversely affect our future profitability.
+Added: Most recently, in August 2022, President Biden signed
+Added: into the law the Inflation Reduction Act of 2022, or the IRA.
+Added: Among other things, the IRA has multiple provisions that may impact the
+Added: prices of drug products that are both sold into the Medicare program and throughout the U.S.
Starting in 2023, a manufacturer of drugs
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Risks Related to the Commercialization of Our Product Candidates
−Removed: Serious adverse events or undesirable side
−Removed: effects or other unexpected properties of our encapsulated live cell plus ifosfamide product candidate or any of our other product candidates
+Added: Serious adverse events or undesirable side effects
+Added: or other unexpected properties of our encapsulated live cell plus ifosfamide product candidate or any of our other product candidates
may be identified during development that could delay or prevent the product candidates’ marketing approval.
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medical community necessary for commercial success and the market opportunity for the product candidate may be smaller than we anticipated.
−Removed: We have never commercialized a drug or biologic
−Removed: Even if one of our product candidates is approved by a regulatory agency for marketing and sale, it may nonetheless fail to gain
−Removed: sufficient market acceptance by physicians, patients, third party payors and others in the medical community.
−Removed: For example, physicians
−Removed: are often reluctant to switch their patients from existing therapies even when new and potentially more effective or convenient treatments
−Removed: enter the market.
−Removed: Further, patients often acclimate to the therapy that they are currently taking and do not want to switch unless their
−Removed: physicians recommend switching products or they are required to switch therapies due to lack of reimbursement for existing therapies.
+Added: We have never commercialized a drug or biologic product.
+Added: Even if one of our product candidates is approved by a regulatory agency for marketing and sale, it may nonetheless fail to gain sufficient
+Added: market acceptance by physicians, patients, third party payors and others in the medical community.
+Added: For example, physicians are often reluctant
+Added: to switch their patients from existing therapies even when new and potentially more effective or convenient treatments enter the market.
+Added: Further, patients often acclimate to the therapy that they are currently taking and do not want to switch unless their physicians recommend
+Added: switching products or they are required to switch therapies due to lack of reimbursement for existing therapies.
Efforts to educate the medical community and third-party
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the actual markets for our product candidates could be smaller than our estimates of the potential market opportunities.
−Removed: If any of our product candidates receives
−Removed: marketing approval and we or others later discover that the therapy is less effective than previously believed or causes undesirable side
−Removed: effects that were not previously identified, our ability to market the therapy could be compromised.
−Removed: Clinical trials of our product candidates, if
−Removed: allowed to proceed, will be conducted in carefully defined subsets of patients who have provided informed consent to enter a clinical
−Removed: Consequently, it is possible that our clinical trials, if allowed to proceed, may indicate an apparent positive effect of a product
−Removed: candidate that is greater than the actual positive effect, if any, or alternatively fail to identify undesirable side effects.
−Removed: If, following
−Removed: approval of a product candidate, we or others discover that the product candidate is less effective than previously believed or causes
−Removed: undesirable side effects that were not previously identified, any of the following could occur:
+Added: If any of our product candidates receives marketing
+Added: approval and we or others later discover that the therapy is less effective than previously believed or causes undesirable side effects
+Added: that were not previously identified, our ability to market the therapy could be compromised.
+Added: Clinical trials of our product candidates, if allowed
+Added: to proceed, will be conducted in carefully defined subsets of patients who have provided informed consent to enter a clinical trial.
+Added: Consequently,
+Added: it is possible that our clinical trials, if allowed to proceed, may indicate an apparent positive effect of a product candidate that is
+Added: greater than the actual positive effect, if any, or alternatively fail to identify undesirable side effects.
+Added: If, following approval of
+Added: a product candidate, we or others discover that the product candidate is less effective than previously believed or causes undesirable
+Added: side effects that were not previously identified, any of the following could occur:
A regulatory agency may withdraw its approval of the product candidate or seize the product candidate;
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Our reputation may suffer.
−Removed: Any of these events could have a material and
−Removed: adverse effect on our operations and business and could adversely impact our stock price.
+Added: Any of these events could have a material and adverse
+Added: effect on our operations and business and could adversely impact our stock price.
If we are unable to establish sales, marketing
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and experience than us.
−Removed: We may not be able to license our encapsulated
−Removed: live cell plus ifosfamide product candidate on reasonable terms, if at all.
+Added: We may not be able to license our encapsulated live
+Added: cell plus ifosfamide product candidate on reasonable terms, if at all.
If other product candidates are approved for smaller or easily
3 unchanged sentences
could delay any product candidate launch.
−Removed: We expect that we will commence the development
−Removed: of these capabilities prior to receiving approval of any of our product candidates.
−Removed: If the commercial launch of a product candidate for
−Removed: which we recruit a sales force and establish marketing and distribution capabilities is delayed or does not occur for any reason, we could
−Removed: have prematurely or unnecessarily incurred these commercialization costs.
−Removed: Such a delay may be costly, and our investment could be lost
−Removed: if we cannot retain or reposition our sales and marketing personnel.
+Added: We expect that we will commence the development of
+Added: these capabilities prior to receiving approval of any of our product candidates.
+Added: If the commercial launch of a product candidate for which
+Added: we recruit a sales force and establish marketing and distribution capabilities is delayed or does not occur for any reason, we could have
+Added: prematurely or unnecessarily incurred these commercialization costs.
+Added: Such a delay may be costly, and our investment could be lost if we
+Added: cannot retain or reposition our sales and marketing personnel.
In addition, we may not be able to hire or retain
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candidate independently.
−Removed: We expect to seek one or more strategic partners
−Removed: for commercialization of our product candidates outside the U.S.
−Removed: Because of entering arrangements with third parties to perform sales,
−Removed: marketing and distribution services, our product revenues or the profitability of these product revenues may be lower, perhaps substantially
−Removed: lower, than if we were to directly market and sell products in those markets.
−Removed: Furthermore, we may be unsuccessful in entering the necessary
−Removed: arrangements with third parties or may be unable to do so on terms that are favorable to us.
−Removed: In addition, we may have little or no control
−Removed: over such third parties and any of them may fail to devote the necessary resources and attention to sell and market our product candidates
+Added: We expect to seek one or more strategic partners for
+Added: commercialization of our product candidates outside the U.S.
+Added: Because of entering arrangements with third parties to perform sales, marketing
+Added: and distribution services, our product revenues or the profitability of these product revenues may be lower, perhaps substantially lower,
+Added: than if we were to directly market and sell products in those markets.
+Added: Furthermore, we may be unsuccessful in entering the necessary arrangements
+Added: with third parties or may be unable to do so on terms that are favorable to us.
+Added: In addition, we may have little or no control over such
+Added: third parties and any of them may fail to devote the necessary resources and attention to sell and market our product candidates effectively.
If we do not establish sales and marketing capabilities,
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third parties may not perform satisfactorily, including failing to meet deadlines for the completion of such studies and trials.
−Removed: We currently rely heavily on third parties to
−Removed: conduct our preclinical studies and plan to rely on third parties to conduct our clinical trials, assuming they are allowed to proceed,
−Removed: including Austrianova in which we own an equity interest.
−Removed: We expect to continue to rely heavily on third parties, such as contract research
−Removed: organizations (“CROs”), clinical data management organizations, medical institutions (including academic medical centers),
−Removed: clinical investigators and others to plan for and conduct our clinical trials.
−Removed: Our agreements with these third parties generally allow
−Removed: the third party to terminate our agreement with them at any time.
−Removed: Switching or adding third parties to conduct our studies involves substantial
−Removed: cost and requires extensive management time and focus.
−Removed: We may be forced to seek an engagement with a substitute or new third party and may
−Removed: be unable to enter into arrangements with such third parties on commercially reasonable terms, or at all.
−Removed: If we are required to enter
−Removed: alternative arrangements because of any such termination, the development, marketing authorization, or introduction of our product candidates
−Removed: to market could be delayed.
−Removed: Our reliance on these third parties for
−Removed: R&D activities will reduce our control over these activities but will not relieve us of our responsibilities.
−Removed: For example, we
−Removed: design our clinical trials and will remain responsible for ensuring that each is conducted in accordance with the general
−Removed: investigational plan and protocol for the trial.
−Removed: Moreover, regulatory agencies require us to comply with GCP for conducting,
−Removed: recording and reporting the results of clinical trials to assure that data and reported results are credible and accurate and that
−Removed: the rights, integrity and confidentiality of trial participants are protected.
−Removed: Our reliance on third parties that we do not control
−Removed: does not relieve us of these responsibilities and requirements.
−Removed: Regulatory agencies enforce GCP requirements through periodic
−Removed: inspections of trial sponsors, clinical investigators and trial sites.
−Removed: If we or any of our contractors fail to comply with
−Removed: applicable GCP regulations, the clinical data generated in the applicable trial may be deemed unreliable and regulatory agencies may
−Removed: require us to perform additional clinical trials before approving a drug candidate for marketing, which we may not have sufficient
−Removed: cash or other resources to support and which would delay our ability to generate revenue from future sales of such drug candidate.
+Added: We currently rely heavily on third parties to conduct
+Added: our preclinical studies and plan to rely on third parties to conduct our clinical trials, assuming they are allowed to proceed, including
+Added: Austrianova in which we own an equity interest.
+Added: We expect to continue to rely heavily on third parties, such as contract research organizations
+Added: (“CROs”), clinical data management organizations, medical institutions (including academic medical centers), clinical investigators
+Added: and others to plan for and conduct our clinical trials.
+Added: Our agreements with these third parties generally allow the third party to terminate
+Added: our agreement with them at any time.
+Added: Switching or adding third parties to conduct our studies involves substantial cost and requires extensive
+Added: management time and focus.
+Added: We may be forced to seek an engagement with a substitute or new third party and may be unable to enter
+Added: into arrangements with such third parties on commercially reasonable terms, or at all.
+Added: If we are required to enter alternative arrangements
+Added: because of any such termination, the development, marketing authorization, or introduction of our product candidates to market could be
+Added: Our reliance on these third parties for R&D activities
+Added: will reduce our control over these activities but will not relieve us of our responsibilities.
+Added: For example, we design our clinical trials
+Added: and will remain responsible for ensuring that each is conducted in accordance with the general investigational plan and protocol for the
+Added: Moreover, regulatory agencies require us to comply with GCP for conducting, recording and reporting the results of clinical trials
+Added: to assure that data and reported results are credible and accurate and that the rights, integrity and confidentiality of trial participants
+Added: are protected.
+Added: Our reliance on third parties that we do not control does not relieve us of these responsibilities and requirements.
+Added: agencies enforce GCP requirements through periodic inspections of trial sponsors, clinical investigators and trial sites.
+Added: of our contractors fail to comply with applicable GCP regulations, the clinical data generated in the applicable trial may be deemed unreliable
+Added: and regulatory agencies may require us to perform additional clinical trials before approving a drug candidate for marketing, which we
+Added: may not have sufficient cash or other resources to support and which would delay our ability to generate revenue from future sales of
+Added: such drug candidate.
We also are required to register ongoing clinical trials and post the results of completed clinical trials on a government-sponsored
database of regulatory agencies within specified timeframes.
−Removed: Failure to do so can result in fines, adverse publicity and civil and
−Removed: criminal sanctions.
−Removed: Furthermore, these third parties may also have
−Removed: relationships with other entities, some of which may be our competitors, and we will be unable to control whether or not our contracted
−Removed: third parties devote sufficient time and resources to our preclinical and clinical programs.
−Removed: If these third parties do not successfully
−Removed: carry out their contractual duties, meet expected deadlines or conduct our clinical trials in accordance with the requirements of a regulatory
−Removed: agency or our protocols, we will not be able to obtain, or may be delayed in obtaining, marketing approvals for our product candidates
−Removed: and will not be able to, or may be delayed in our efforts to, successfully commercialize our product candidates.
−Removed: In addition, disruptions in the global economy
−Removed: and supply chains could adversely affect the financial conditions of the third parties on which we rely, resulting in delays in preclinical
+Added: Failure to do so can result in fines, adverse publicity and civil and criminal
+Added: Furthermore, these third parties may also have relationships
+Added: with other entities, some of which may be our competitors, and we will be unable to control whether or not our contracted third parties
+Added: devote sufficient time and resources to our preclinical and clinical programs.
+Added: If these third parties do not successfully carry out their
+Added: contractual duties, meet expected deadlines or conduct our clinical trials in accordance with the requirements of a regulatory agency
+Added: or our protocols, we will not be able to obtain, or may be delayed in obtaining, marketing approvals for our product candidates and will
+Added: not be able to, or may be delayed in our efforts to, successfully commercialize our product candidates.
+Added: In addition, disruptions in the global economy and
+Added: supply chains could adversely affect the financial conditions of the third parties on which we rely, resulting in delays in preclinical
studies and clinical trials that could adversely affect our business, financial condition and results of operations.
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of our product candidates will suffer, and our business would be materially harmed.
−Removed: In addition, if any of these consultants change
−Removed: their strategic focus, or if external factors cause any one of them to divert resources from our collaboration, or if any one of them
−Removed: independently develops products that compete directly or indirectly with our product candidates using resources or information it acquires
−Removed: from our collaboration, our business and results of operations could suffer.
+Added: In addition, if any of these consultants change their
+Added: strategic focus, or if external factors cause any one of them to divert resources from our collaboration, or if any one of them independently
+Added: develops products that compete directly or indirectly with our product candidates using resources or information it acquires from our
+Added: collaboration, our business and results of operations could suffer.
Future preclinical and clinical development
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our business could be adversely affected.
−Removed: For some of our product candidates, we may in
−Removed: the future determine to collaborate with pharmaceutical and biotechnology companies for development of our product candidates.
−Removed: significant competition in seeking appropriate collaborators.
−Removed: Our ability to reach a definitive agreement for any collaboration will depend,
−Removed: among other things, upon our assessment of the collaborator’s resources and expertise, the terms and conditions of the proposed
−Removed: collaboration and the proposed collaborator’s evaluation of several factors.
−Removed: If we are unable to reach agreements with suitable
−Removed: collaborators on a timely basis, on acceptable terms, or at all, we may have to curtail the development of a product candidate, reduce
−Removed: or delay its development program or one or more of our other development programs, delay our potential development schedule or increase
−Removed: our expenditures and undertake preclinical and clinical development activities at our own expense.
−Removed: If we fail to enter collaborations
−Removed: and do not have sufficient funds or expertise to undertake the necessary development activities, we may not be able to further develop
−Removed: our product candidates or continue to develop our product candidates and our business may be materially and adversely affected.
−Removed: Future collaborations we may enter may involve
−Removed: the following risks:
+Added: For some of our product candidates, we may in the
+Added: future determine to collaborate with pharmaceutical and biotechnology companies for development of our product candidates.
+Added: We face significant
+Added: competition in seeking appropriate collaborators.
+Added: Our ability to reach a definitive agreement for any collaboration will depend, among
+Added: other things, upon our assessment of the collaborator’s resources and expertise, the terms and conditions of the proposed collaboration
+Added: and the proposed collaborator’s evaluation of several factors.
+Added: If we are unable to reach agreements with suitable collaborators
+Added: on a timely basis, on acceptable terms, or at all, we may have to curtail the development of a product candidate, reduce or delay its
+Added: development program or one or more of our other development programs, delay our potential development schedule or increase our expenditures
+Added: and undertake preclinical and clinical development activities at our own expense.
+Added: If we fail to enter collaborations and do not have sufficient
+Added: funds or expertise to undertake the necessary development activities, we may not be able to further develop our product candidates or
+Added: continue to develop our product candidates and our business may be materially and adversely affected.
+Added: Future collaborations we may enter may involve the
+Added: following risks:
Collaborators may have significant discretion in determining the efforts and resources that they will apply to these collaborations;
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Günzburg and Dr.
−Removed: Salmons are involved
−Removed: in almost all our scientific endeavors underway and being planned by us.
+Added: Salmons are involved in
+Added: almost all our scientific endeavors underway and being planned by us.
These endeavors include preclinical and clinical studies involving
7 unchanged sentences
adverse effect on us.
−Removed: The manufacture of our product candidates
−Removed: is complex, and difficulties may be encountered in production.
+Added: The manufacture of our product candidates is
+Added: complex, and difficulties may be encountered in production.
If such difficulties are encountered or failure to meet regulatory standards
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could experience delays in our development efforts as we locate and qualify new third-party manufacturers.
−Removed: In order to conduct planned or future clinical
−Removed: trials of our product candidates, or supply commercial products, if approved, we will need to have them manufactured in small and large
−Removed: Our manufacturing partners may be unable to successfully increase the manufacturing capacity for any of our product candidates
−Removed: in a timely or cost-effective manner, or at all.
+Added: In order to conduct planned or future clinical trials
+Added: of our product candidates, or supply commercial products, if approved, we will need to have them manufactured in small and large quantities.
+Added: Our manufacturing partners may be unable to successfully increase the manufacturing capacity for any of our product candidates in a timely
+Added: or cost-effective manner, or at all.
In addition, quality issues may arise during scale-up activities.
−Removed: If our manufacturing
−Removed: partners are unable to successfully scale up the manufacture of our product candidates in sufficient quality and quantity, the development,
−Removed: testing and potential clinical trials of that product candidate may be delayed or become infeasible, and regulatory approval or commercial
−Removed: launch of any resulting product may be delayed or not obtained, which could significantly harm our business.
−Removed: The same risks would apply
−Removed: to our internal manufacturing facilities, should we in the future decide to build internal manufacturing capacity.
−Removed: In addition, building
−Removed: internal manufacturing capacity would carry significant risks in terms of being able to plan, design and execute on a complex project
−Removed: to build manufacturing facilities in a timely and cost-efficient manner.
−Removed: In addition, the manufacturing process for any
−Removed: products that we may develop is subject to FDA, EMA and other comparable foreign regulatory authority approval processes and continuous
−Removed: oversight, and we will need to contract with manufacturers who can meet all applicable legal and regulatory requirements, including compliance
−Removed: with cGMP, on an ongoing basis.
+Added: If our manufacturing partners are
+Added: unable to successfully scale up the manufacture of our product candidates in sufficient quality and quantity, the development, testing
+Added: and potential clinical trials of that product candidate may be delayed or become infeasible, and regulatory approval or commercial launch
+Added: of any resulting product may be delayed or not obtained, which could significantly harm our business.
+Added: The same risks would apply to our
+Added: internal manufacturing facilities, should we in the future decide to build internal manufacturing capacity.
+Added: In addition, building internal
+Added: manufacturing capacity would carry significant risks in terms of being able to plan, design and execute on a complex project to build
+Added: manufacturing facilities in a timely and cost-efficient manner.
+Added: In addition, the manufacturing process for any products
+Added: that we may develop is subject to FDA, EMA and other comparable foreign regulatory authority approval processes and continuous oversight,
+Added: and we will need to contract with manufacturers who can meet all applicable legal and regulatory requirements, including compliance with
+Added: cGMP, on an ongoing basis.
If we or our third-party manufacturers are unable to reliably produce products to specifications acceptable
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and growth prospects.
−Removed: Furthermore, our third-party manufacturers are
−Removed: subject to inspection and approval by regulatory agencies before we can obtain regulatory approval and commercially launch of any of our
−Removed: product candidates, and thereafter are subject to ongoing inspection from time to time.
−Removed: Our failure, or the failure of our third-party
−Removed: manufacturers, to comply with applicable regulations could result in enforcement actions, such as the issuance of inspectional observations
−Removed: or notices of noncompliance, or sanctions being imposed on us, including clinical holds, injunctions, civil penalties, suspension or withdrawal
−Removed: of approvals, seizures or recalls of products, operating restrictions or criminal prosecutions, any of which could significantly and adversely
+Added: Furthermore, our third-party manufacturers are subject
+Added: to inspection and approval by regulatory agencies before we can obtain regulatory approval and commercially launch of any of our product
+Added: candidates, and thereafter are subject to ongoing inspection from time to time.
+Added: Our failure, or the failure of our third-party manufacturers,
+Added: to comply with applicable regulations could result in enforcement actions, such as the issuance of inspectional observations or notices
+Added: of noncompliance, or sanctions being imposed on us, including clinical holds, injunctions, civil penalties, suspension or withdrawal of
+Added: approvals, seizures or recalls of products, operating restrictions or criminal prosecutions, any of which could significantly and adversely
affect supplies of our products.
2 unchanged sentences
Risks Related to our Intellectual Property
−Removed: We may not be able to protect our intellectual property rights
−Removed: throughout the world.
+Added: We may not be able to protect our intellectual property rights throughout
Filing, prosecuting and defending patents or establishing
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exclusivity may not be sufficient to block others from commercializing identical or competing products.
−Removed: Our success depends in large part on our ability
−Removed: to obtain and maintain both intellectual property rights and data and market exclusivity for our product candidates in order to block
−Removed: others from commercializing identical or competing products.
+Added: Our success depends in large part on our ability to
+Added: obtain and maintain both intellectual property rights and data and market exclusivity for our product candidates in order to block others
+Added: from commercializing identical or competing products.
Establishing intellectual property rights includes filing, prosecuting, maintaining
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or licensed patents by developing similar or alternative technologies or products in a non-infringing manner.
−Removed: Confidential know-how and trade secrets are only
−Removed: protectable to the extent a third party utilizes the confidential know-how or trade secret in an unauthorized manner;
−Removed: however, if a third
−Removed: party is able to independently duplicate the technology, such as through reverse engineering, without access to or use of our confidential
−Removed: know-how or trade secret, we would have no recourse.
−Removed: In addition, data exclusivity that is provided
−Removed: through the BPCIA in the U.S.
+Added: Confidential know-how and trade secrets are only protectable
+Added: to the extent a third party utilizes the confidential know-how or trade secret in an unauthorized manner;
+Added: however, if a third party is
+Added: able to independently duplicate the technology, such as through reverse engineering, without access to or use of our confidential know-how
+Added: or trade secret, we would have no recourse.
+Added: In addition, data exclusivity that is provided through
+Added: the BPCIA in the U.S.
and equivalents in foreign countries is limited in both time and scope.
−Removed: The BPCIA bars the FDA from approving
−Removed: biosimilar applications for 12 years after an innovator biological product receives initial marketing approval, however it does not bar
−Removed: the FDA from approving an identical or similar product that is the subject of its own BLA.
−Removed: Finally, upon the approval of the first BLA
−Removed: for a biologic designated as an Orphan Drug for a specified indication, the sponsor of that BLA is entitled to 7 years of exclusive marketing
−Removed: rights in the U.S.
−Removed: for biologic for the particular indication unless the sponsor cannot assure the availability of sufficient quantities
−Removed: to meet the needs of persons with the disease.
+Added: The BPCIA bars the FDA from approving biosimilar
+Added: applications for 12 years after an innovator biological product receives initial marketing approval, however it does not bar the FDA from
+Added: approving an identical or similar product that is the subject of its own BLA.
+Added: Finally, upon the approval of the first BLA for a biologic
+Added: designated as an Orphan Drug for a specified indication, the sponsor of that BLA is entitled to 7 years of exclusive marketing rights
+Added: for biologic for the particular indication unless the sponsor cannot assure the availability of sufficient quantities to meet
+Added: the needs of persons with the disease.
In Europe, this exclusivity is 10 years.
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if the company can demonstrate that the other biologic is clinically superior to first approved product.
−Removed: Even if we are able to obtain patents, maintain
−Removed: confidential information, trade secrets, obtain data, and market exclusivity for our product candidates, our competitors may be able to
−Removed: develop and obtain approval of identical or competing products.
−Removed: If we are unable to obtain and maintain
−Removed: intellectual property protection for our technology and product candidates, or if the scope of the intellectual property protection obtained
−Removed: is not sufficiently broad, our competitors could develop and commercialize technology and products similar or identical to ours, and our
−Removed: ability to successfully commercialize our technology and products may be impaired.
−Removed: Our success depends in large part on our ability
−Removed: to obtain and maintain patent protection in the U.S.
+Added: Even if we are able to obtain patents, maintain confidential
+Added: information, trade secrets, obtain data, and market exclusivity for our product candidates, our competitors may be able to develop and
+Added: obtain approval of identical or competing products.
+Added: If we are unable to obtain and maintain intellectual
+Added: property protection for our technology and product candidates, or if the scope of the intellectual property protection obtained is not
+Added: sufficiently broad, our competitors could develop and commercialize technology and products similar or identical to ours, and our ability
+Added: to successfully commercialize our technology and products may be impaired.
+Added: Our success depends in large part on our ability to
+Added: obtain and maintain patent protection in the U.S.
and other countries with respect to our proprietary technology and products.
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If issued, such patents would expire in March 2038.
−Removed: We cannot estimate the financial or other impact
−Removed: of the expiration of the Bavarian Nordic/GSF patents or the failure of the USPTO or similar regulatory authorities in other countries
−Removed: denying the claims we pursue in the U.S.
+Added: We cannot estimate the financial or other impact of
+Added: the expiration of the Bavarian Nordic/GSF patents or the failure of the USPTO or similar regulatory authorities in other countries denying
+Added: the claims we pursue in the U.S.
and other countries.
−Removed: The patent prosecution and/or patent maintenance
−Removed: process is expensive and time-consuming.
−Removed: We may not be able to file and prosecute or maintain all necessary or desirable patent applications
−Removed: or maintain the existing patents at a reasonable cost or in a timely manner.
+Added: The patent prosecution and/or patent maintenance process
+Added: is expensive and time-consuming.
+Added: We may not be able to file and prosecute or maintain all necessary or desirable patent applications or
+Added: maintain the existing patents at a reasonable cost or in a timely manner.
We may choose not to seek patent protection for certain innovations
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and preclinical development output before it is too late to obtain patent protection.
−Removed: Moreover, in some circumstances, we do not have
−Removed: the right to control the preparation, filing and prosecution of patent applications, or to maintain the patents, covering technology that
+Added: Moreover, in some circumstances, we do not have the
+Added: right to control the preparation, filing and prosecution of patent applications, or to maintain the patents, covering technology that
we license from third parties.
48 unchanged sentences
by developing similar or alternative technologies or products in a non-infringing manner.
−Removed: The issuance of a patent is not conclusive as
−Removed: to its inventorship, scope, validity or enforceability, and our owned and licensed patents may be challenged in the courts or patent offices
+Added: The issuance of a patent is not conclusive as to its
+Added: inventorship, scope, validity or enforceability, and our owned and licensed patents may be challenged in the courts or patent offices
Such challenges may result in loss of exclusivity or freedom to operate or in patent claims being narrowed, invalidated
6 unchanged sentences
to exclude others from commercializing products similar or identical to ours.
−Removed: The risks described elsewhere pertaining to our
−Removed: patents and other intellectual property rights also apply to the intellectual property rights that we license, and any failure to obtain,
−Removed: maintain and enforce these rights could have a material adverse effect on our business.
−Removed: In some cases, we may not have control over the
−Removed: prosecution, maintenance or enforcement of the patents that we license.
−Removed: Moreover, our licensors may fail to take the steps that we believe
−Removed: are necessary or desirable to obtain, maintain and enforce the licensed patents.
−Removed: Any inability on our part to protect adequately our intellectual
−Removed: property may have a material adverse effect on our business, operating results and financial position.
+Added: The risks described elsewhere pertaining to our patents
+Added: and other intellectual property rights also apply to the intellectual property rights that we license, and any failure to obtain, maintain
+Added: and enforce these rights could have a material adverse effect on our business.
+Added: In some cases, we may not have control over the prosecution,
+Added: maintenance or enforcement of the patents that we license.
+Added: Moreover, our licensors may fail to take the steps that we believe are necessary
+Added: or desirable to obtain, maintain and enforce the licensed patents.
+Added: Any inability on our part to protect adequately our intellectual property
+Added: may have a material adverse effect on our business, operating results and financial position.
If we do not obtain patent and/or data exclusivity for our product
candidates, our business may be materially harmed.
−Removed: Our commercial success will largely depend on
−Removed: our ability to obtain and maintain patent and other intellectual property protection and/or data exclusivity under the BPCIA in the U.S.
−Removed: and other countries with respect to our proprietary technology, product candidates and our target indications.
−Removed: If we are unable to obtain patents covering our
−Removed: product candidates or obtain data and/or marketing exclusivity for our product candidates, our competitors may be able to take advantage
−Removed: of our investment in development and clinical trials by referencing our clinical and preclinical data to obtain approval of competing
−Removed: products, such as a biosimilar, earlier than might otherwise be the case.
+Added: Our commercial success will largely depend on our
+Added: ability to obtain and maintain patent and other intellectual property protection and/or data exclusivity under the BPCIA in the U.S.
+Added: other countries with respect to our proprietary technology, product candidates and our target indications.
+Added: If we are unable to obtain patents covering our product
+Added: candidates or obtain data and/or marketing exclusivity for our product candidates, our competitors may be able to take advantage of our
+Added: investment in development and clinical trials by referencing our clinical and preclinical data to obtain approval of competing products,
+Added: such as a biosimilar, earlier than might otherwise be the case.
Obtaining and maintaining our patent protection
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Our patent protection could be reduced or eliminated for non-compliance with these requirements.
−Removed: Periodic maintenance fees, renewal fees, annuity
−Removed: fees and various other governmental fees on patents and/or applications will be due to be paid to the USPTO and various governmental patent
+Added: Periodic maintenance fees, renewal fees, annuity fees
+Added: and various other governmental fees on patents and/or applications will be due to be paid to the USPTO and various governmental patent
agencies outside of the U.S.
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or enforce our patents or other intellectual property, which could be expensive, time consuming and unsuccessful.
−Removed: Because competition in our industry is intense,
−Removed: competitors may infringe or otherwise violate our issued patents, patents of our licensors or other intellectual property.
−Removed: infringement or unauthorized use, we may be required to file infringement claims, which can be expensive and time-consuming.
−Removed: we assert against perceived infringers could provoke these parties to assert counterclaims against us alleging that we infringe their
−Removed: In addition, in a patent infringement proceeding, a court may decide that a patent of ours is invalid or unenforceable, in whole
−Removed: or in part, construe the patent’s claims narrowly or refuse to stop the other party from using the technology at issue because our
−Removed: patents do not cover the technology in question.
−Removed: An adverse result in any litigation proceeding could put one or more of the patents associated
−Removed: with our business at risk of being invalidated or interpreted narrowly.
−Removed: We may also elect to enter license agreements to settle patent
−Removed: infringement claims or to resolve disputes prior to litigation, and any such license agreements may require us to pay royalties and other
−Removed: fees that could be significant.
−Removed: Furthermore, because of the substantial amount of discovery required in intellectual property litigation,
−Removed: there is a risk that some of our confidential information could be compromised by disclosure.
+Added: Because competition in our industry is intense, competitors
+Added: may infringe or otherwise violate our issued patents, patents of our licensors or other intellectual property.
+Added: To counter infringement
+Added: or unauthorized use, we may be required to file infringement claims, which can be expensive and time-consuming.
+Added: Any claims we assert against
+Added: perceived infringers could provoke these parties to assert counterclaims against us alleging that we infringe their patents.
+Added: in a patent infringement proceeding, a court may decide that a patent of ours is invalid or unenforceable, in whole or in part, construe
+Added: the patent’s claims narrowly or refuse to stop the other party from using the technology at issue because our patents do not cover
+Added: the technology in question.
+Added: An adverse result in any litigation proceeding could put one or more of the patents associated with our business
+Added: at risk of being invalidated or interpreted narrowly.
+Added: We may also elect to enter license agreements to settle patent infringement claims
+Added: or to resolve disputes prior to litigation, and any such license agreements may require us to pay royalties and other fees that could
+Added: be significant.
+Added: Furthermore, because of the substantial amount of discovery required in intellectual property litigation, there is a risk
+Added: that some of our confidential information could be compromised by disclosure.
If we breach any of our license or collaboration
agreements, it could compromise our development and commercialization efforts for our product candidates.
−Removed: We have licensed rights to intellectual property
−Removed: from third parties to commercialize our product candidates, including our Cell-in-a-Box ® Technology for LAPC.
+Added: We have licensed rights to intellectual property from
+Added: third parties to commercialize our product candidates, including our Cell-in-a-Box ® Technology for LAPC.
If we materially
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property from third parties, and such licenses may not be available or may not be available on commercially reasonable terms.
−Removed: A third party may hold intellectual property,
−Removed: including patent rights, which are important or necessary to the development of our products.
−Removed: It may be necessary for us to use the patented
−Removed: or proprietary technology of third parties to commercialize our products, in which case we would be required to obtain a license from
−Removed: these third parties on commercially reasonable terms, or our business could be harmed, possibly materially.
+Added: A third party may hold intellectual property, including
+Added: patent rights, which are important or necessary to the development of our products.
+Added: It may be necessary for us to use the patented or
+Added: proprietary technology of third parties to commercialize our products, in which case we would be required to obtain a license from these
+Added: third parties on commercially reasonable terms, or our business could be harmed, possibly materially.
Although we believe that licenses
4 unchanged sentences
adverse effect on the success of our business.
−Removed: Our commercial success depends upon our ability,
−Removed: and the ability of our collaborators, to develop, manufacture, market and sell our product candidates and use our proprietary technologies
+Added: Our commercial success depends upon our ability, and
+Added: the ability of our collaborators, to develop, manufacture, market and sell our product candidates and use our proprietary technologies
without infringing the proprietary rights of third parties.
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of third parties could have a similar negative impact on our business.
−Removed: We may not be successful in obtaining or
−Removed: maintaining necessary rights for its development pipeline through acquisitions and licenses from third parties.
+Added: We may not be successful in obtaining or maintaining
+Added: necessary rights for its development pipeline through acquisitions and licenses from third parties.
Because our programs may involve additional product
8 unchanged sentences
over us due to their size, cash resources and greater clinical development and commercialization capabilities.
−Removed: In addition, companies that perceive us to be
−Removed: a competitor may be unwilling to assign or license rights to us.
−Removed: We also may be unable to license or acquire third-party intellectual
−Removed: property rights on terms that would allow us to make an appropriate return on our investment.
−Removed: If we are unable to successfully obtain
−Removed: rights to required third-party intellectual property rights, our business, financial condition and prospects for growth could suffer.
+Added: In addition, companies that perceive us to be a competitor
+Added: may be unwilling to assign or license rights to us.
+Added: We also may be unable to license or acquire third-party intellectual property rights
+Added: on terms that would allow us to make an appropriate return on our investment.
+Added: If we are unable to successfully obtain rights to required
+Added: third-party intellectual property rights, our business, financial condition and prospects for growth could suffer.
If we are unable to protect the confidentiality
of our trade secrets, our business and competitive position would be harmed.
−Removed: In addition to seeking patents for some of our
−Removed: technology and product candidates, we also rely on trade secrets, including unpatented know-how, technology and other proprietary information,
−Removed: to maintain our competitive position.
−Removed: We seek to protect these trade secrets, in part, by entering non-disclosure and confidentiality
−Removed: agreements with parties who have access to them, such as our employees, corporate collaborators, outside scientific collaborators, contract
−Removed: manufacturers, consultants, advisors and other third parties.
−Removed: We seek to protect our confidential proprietary information, in part, by
−Removed: entering confidentiality agreements with our employees and consultants;
−Removed: however, we cannot be certain that such agreements have been entered
−Removed: with all relevant parties.
+Added: In addition to seeking patents for some of our technology
+Added: and product candidates, we also rely on trade secrets, including unpatented know-how, technology and other proprietary information, to
+Added: maintain our competitive position.
+Added: We seek to protect these trade secrets, in part, by entering non-disclosure and confidentiality agreements
+Added: with parties who have access to them, such as our employees, corporate collaborators, outside scientific collaborators, contract manufacturers,
+Added: consultants, advisors and other third parties.
+Added: We seek to protect our confidential proprietary information, in part, by entering confidentiality
+Added: agreements with our employees and consultants;
+Added: however, we cannot be certain that such agreements have been entered with all relevant
Moreover, to the extent we enter such agreements,
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competitive position would be harmed.
−Removed: The majority of the technology that we license
−Removed: and use for our product candidates is not protected by patents, but rather is based upon confidential know-how and trade secrets.
+Added: The majority of the technology that we license and
+Added: use for our product candidates is not protected by patents, but rather is based upon confidential know-how and trade secrets.
know-how and trade secrets are only protectable to the extent a third party utilizes the confidential know-how or trade secret in an unauthorized
3 unchanged sentences
consultants or independent contractors have wrongfully used or disclosed confidential information of their former employers or other third
−Removed: We employ individuals and use consultants and
−Removed: independent contractors who were previously employed at other biotechnology or pharmaceutical companies.
−Removed: Although we seek to ensure that
−Removed: our employees and our consultants and independent contractors do not use the proprietary information or know-how of others in their work
−Removed: for us, we may be subject to claims that we or our employees, consultants or independent contractors have inadvertently or otherwise used
−Removed: or disclosed trade secrets, or other confidential information of our employees’, consultants’ or independent contractors’
−Removed: former employers, clients or other third parties.
−Removed: We may also be subject to claims that former employers or other third parties have an
−Removed: ownership interest in our patents.
+Added: We employ individuals and use consultants and independent
+Added: contractors who were previously employed at other biotechnology or pharmaceutical companies.
+Added: Although we seek to ensure that our employees
+Added: and our consultants and independent contractors do not use the proprietary information or know-how of others in their work for us, we
+Added: may be subject to claims that we or our employees, consultants or independent contractors have inadvertently or otherwise used or disclosed
+Added: trade secrets, or other confidential information of our employees’, consultants’ or independent contractors’ former
+Added: employers, clients or other third parties.
+Added: We may also be subject to claims that former employers or other third parties have an ownership
+Added: interest in our patents.
Litigation may be necessary to defend against these claims.
−Removed: There is no guarantee of success in defending
−Removed: these claims, and if we fail in defending any such claims, in addition to paying monetary damages, we may lose valuable intellectual property
+Added: There is no guarantee of success in defending these
+Added: claims, and if we fail in defending any such claims, in addition to paying monetary damages, we may lose valuable intellectual property
rights, such as exclusive ownership of, or right to use, valuable intellectual property.
1 unchanged sentence
in substantial cost and be a distraction to our management and others working for us.
−Removed: In addition, while it is our policy to require
−Removed: our employees, consultants and independent contractors who may be involved in the development of intellectual property to execute agreements
+Added: In addition, while it is our policy to require our
+Added: employees, consultants and independent contractors who may be involved in the development of intellectual property to execute agreements
assigning such intellectual property to us, we may be unsuccessful in executing such an agreement with each party who in fact develops
9 unchanged sentences
may be infringed or successfully challenged, resulting in harm to our business.
−Removed: We expect to rely on trademarks as one means to
−Removed: distinguish any of our drug candidates that are approved for marketing from the products of our competitors.
−Removed: Once we select new trademarks
−Removed: and apply to register them, our trademark applications may not be approved.
−Removed: Third parties may oppose or attempt to cancel our trademark
−Removed: applications or trademarks, or otherwise challenge our use of the trademarks.
−Removed: If our trademarks are successfully challenged, we could
−Removed: be forced to rebrand our drugs, which could result in loss of brand recognition and could require us to devote resources to advertising
−Removed: and marketing new brands.
+Added: We expect to rely on trademarks as one means to distinguish
+Added: any of our drug candidates that are approved for marketing from the products of our competitors.
+Added: Once we select new trademarks and apply
+Added: to register them, our trademark applications may not be approved.
+Added: Third parties may oppose or attempt to cancel our trademark applications
+Added: or trademarks, or otherwise challenge our use of the trademarks.
+Added: If our trademarks are successfully challenged, we could be forced to
+Added: rebrand our drugs, which could result in loss of brand recognition and could require us to devote resources to advertising and marketing
Our competitors may infringe our trademarks and we may not have adequate resources to enforce our trademarks.
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address all potential threats to our competitive advantage.
−Removed: The degree of future protection afforded by our
−Removed: intellectual property rights is uncertain because intellectual property rights have limitations, and may not adequately protect our business,
−Removed: or permit us to maintain our competitive advantage.
+Added: The degree of future protection afforded by our intellectual
+Added: property rights is uncertain because intellectual property rights have limitations, and may not adequately protect our business, or permit
+Added: us to maintain our competitive advantage.
The following examples are illustrative:
10 unchanged sentences
Risks Related to Our Business Model and Operations
−Removed: Development of brand awareness is critical
−Removed: to our success.
+Added: Development of brand awareness is critical to
For certain market segments that we plan to pursue,
5 unchanged sentences
and time of the current senior management team.
+Added: Rapid advances in artificial intelligence by
+Added: our competitors and third parties may place us at a competitive disadvantage, and the use of AI technologies by our employees, consultants,
+Added: or service providers could expose us to additional risks.
+Added: We do not currently develop, deploy, or rely upon
+Added: artificial intelligence (“AI”) technologies in our drug discovery, preclinical development, or business operations.
+Added: many of our competitors and other companies in the biotechnology and pharmaceutical industries are increasingly using AI and machine learning
+Added: technologies to accelerate drug discovery, optimize clinical trial design, enhance manufacturing processes, and identify new therapeutic
+Added: If our competitors are able to leverage AI to develop competing therapies more quickly or cost-effectively than we can using
+Added: our current approaches, we may be placed at a significant competitive disadvantage.
+Added: Our failure to adopt AI technologies, or delays in
+Added: doing so, could impair our ability to compete effectively in an industry that is rapidly embracing these tools.
+Added: In addition, our employees, consultants, independent
+Added: contractors, or third-party service providers may use generative AI tools in the course of performing services for us, whether or not
+Added: authorized to do so.
+Added: Such use could result in the inadvertent disclosure or compromise of our confidential information, proprietary data,
+Added: trade secrets, or the personal data of clinical trial participants.
+Added: AI-generated content, analyses, or recommendations that are inaccurate,
+Added: biased, or otherwise deficient could lead to errors in our regulatory submissions, research activities, or business decision-making.
+Added: may have limited visibility into or control over third parties’ use of AI technologies in connection with services they provide
+Added: The regulatory landscape governing the use of AI is
+Added: rapidly evolving and increasingly fragmented across jurisdictions.
+Added: In the European Union, the Artificial Intelligence Act (the “AI
+Added: Act”) entered into force on August 1, 2024, with significant provisions scheduled to come into effect in August 2026.
+Added: imposes substantial obligations on providers and deployers of certain AI systems, including those used in healthcare settings, and non-compliance
+Added: can result in significant fines.
+Added: In the United States, multiple states have proposed or enacted legislation regulating AI use, governance,
+Added: and deployment in healthcare and other settings, creating a complex and uncertain regulatory patchwork.
+Added: If we adopt AI technologies in
+Added: the future, we may face significant compliance costs, regulatory uncertainty, and potential liability.
+Added: Even if we do not directly adopt
+Added: AI, evolving AI regulations could affect the third parties on which we rely or impose additional obligations on our industry.
+Added: Additionally,
+Added: threat actors are increasingly using AI to enhance the sophistication and effectiveness of cyberattacks, including through AI-generated
+Added: phishing, deepfakes, and other social engineering techniques, which may increase the cybersecurity risks we face.
+Added: may be unable to adequately protect our information systems from cyberattacks” above.
Any weakness in our internal controls could
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information which could have an adverse effect on the trading price of our securities.
−Removed: The insurance coverage and reimbursement
−Removed: status of newly approved products are uncertain.
−Removed: Failure to obtain or maintain adequate coverage and reimbursement for new or current
−Removed: products could limit our ability to market those products and decrease our ability to generate revenue.
−Removed: The availability and extent of reimbursement by
−Removed: governmental and private payors is essential for most patients to be able to afford expensive treatments.
−Removed: Sales of our products, if approved
−Removed: will depend substantially, both domestically and abroad, on the extent to which the costs of our products, if approved, will be paid by
−Removed: health maintenance, managed care, pharmacy benefit and similar healthcare management organizations, or reimbursed by government health
−Removed: administration authorities, private health coverage insurers and other third-party payors.
−Removed: If reimbursement is not available, or is available
−Removed: only to limited levels, we may not be able to successfully commercialize our product candidates.
−Removed: Even if coverage is provided, the approved
−Removed: reimbursement amount may not be high enough to allow us to establish or maintain pricing sufficient to realize a sufficient return on
−Removed: our investment.
−Removed: There is significant uncertainty related to the
−Removed: insurance coverage and reimbursement of newly approved products.
−Removed: In the U.S., the principal decisions about reimbursement for new medicines
−Removed: are typically made by the CMS, an agency within the HHS.
+Added: The insurance coverage and reimbursement status
+Added: of newly approved products are uncertain.
+Added: Failure to obtain or maintain adequate coverage and reimbursement for new or current products
+Added: could limit our ability to market those products and decrease our ability to generate revenue.
+Added: The availability and extent of reimbursement by governmental
+Added: and private payors is essential for most patients to be able to afford expensive treatments.
+Added: Sales of our products, if approved will depend
+Added: substantially, both domestically and abroad, on the extent to which the costs of our products, if approved, will be paid by health maintenance,
+Added: managed care, pharmacy benefit and similar healthcare management organizations, or reimbursed by government health administration authorities,
+Added: private health coverage insurers and other third-party payors.
+Added: If reimbursement is not available, or is available only to limited levels,
+Added: we may not be able to successfully commercialize our product candidates.
+Added: Even if coverage is provided, the approved reimbursement amount
+Added: may not be high enough to allow us to establish or maintain pricing sufficient to realize a sufficient return on our investment.
+Added: There is significant uncertainty related to the insurance
+Added: coverage and reimbursement of newly approved products.
+Added: In the U.S., the principal decisions about reimbursement for new medicines are
+Added: typically made by the CMS, an agency within the HHS.
CMS decides whether and to what extent a new medicine will be covered and reimbursed
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reasonable revenues and profits.
−Removed: Moreover, increasing efforts by governmental and
−Removed: third-party payors, in the U.S.
−Removed: and abroad, to cap or reduce healthcare costs may cause such organizations to limit both coverage and
−Removed: level of reimbursement for new products approved and, thus, they may not cover or provide adequate payment for our product candidates.
−Removed: We expect to experience pricing pressures with the sale of any of our products, if approved, due to the trend toward managed healthcare,
−Removed: the increasing influence of health maintenance organizations and additional legislative changes.
−Removed: The downward pressure on healthcare costs
−Removed: in general, particularly prescription drugs and biologics and surgical procedures and other treatments, has become very intense.
−Removed: of this, increasingly high barriers are being erected to the entry of new products into the healthcare market.
+Added: Moreover, increasing efforts by governmental and third-party
+Added: payors, in the U.S.
+Added: and abroad, to cap or reduce healthcare costs may cause such organizations to limit both coverage and level of reimbursement
+Added: for new products approved and, thus, they may not cover or provide adequate payment for our product candidates.
+Added: We expect to experience
+Added: pricing pressures with the sale of any of our products, if approved, due to the trend toward managed healthcare, the increasing influence
+Added: of health maintenance organizations and additional legislative changes.
+Added: The downward pressure on healthcare costs in general, particularly
+Added: prescription drugs and biologics and surgical procedures and other treatments, has become very intense.
+Added: Because of this, increasingly
+Added: high barriers are being erected to the entry of new products into the healthcare market.
In addition to CMS and private payors, professional
6 unchanged sentences
our products.
−Removed: Our employees, consultants and independent
−Removed: contractors may engage in misconduct or other improper activities, including noncompliance with regulatory standards and requirements,
−Removed: which could subject us to significant liability and harm our reputation.
−Removed: We are exposed to the risk of fraud and other
−Removed: misconduct by those who work for us.
−Removed: Misconduct by employees, consultants or independent contractors could include failures to comply
−Removed: with the FCPA or with the DEA, the FDA or the EMA regulations or similar regulations of other foreign regulatory authorities or to provide
−Removed: accurate information to the DEA, the FDA, the EMA or other foreign regulatory authorities.
−Removed: In addition, misconduct could include failures
−Removed: to comply with certain manufacturing standards, to comply with U.S.
−Removed: federal and state healthcare fraud and abuse laws and regulations
−Removed: and similar laws and regulations established and enforced by comparable foreign regulatory authorities, to report financial information
−Removed: or data accurately or to disclose unauthorized activities to us.
−Removed: Misconduct by those who work for us could also involve the improper use
−Removed: of information obtained during our clinical trials, which could result in regulatory sanctions and serious harm to our reputation.
−Removed: have implemented and will enforce a Code of Business Conduct and Ethics, but it is not always possible to identify and deter misconduct
+Added: Our employees, consultants and independent contractors
+Added: may engage in misconduct or other improper activities, including noncompliance with regulatory standards and requirements, which could
+Added: subject us to significant liability and harm our reputation.
+Added: We are exposed to the risk of fraud and other misconduct
by those who work for us.
−Removed: The precautions we take to detect and prevent this activity may not be effective in controlling unknown or unmanaged
−Removed: risks or losses or in protecting us from governmental investigations or other actions or lawsuits stemming from a failure to comply with
−Removed: such laws or regulations.
−Removed: If any such actions are instituted against us, and we are not successful in defending ourselves or asserting
−Removed: our rights, those actions could have a significant impact on our business and results of operations, including the imposition of significant
−Removed: fines or other sanctions.
−Removed: Our transactions and relationships outside
+Added: Misconduct by employees, consultants or independent contractors could include failures to comply with the FCPA
+Added: or with the DEA, the FDA or the EMA regulations or similar regulations of other foreign regulatory authorities or to provide accurate
+Added: information to the DEA, the FDA, the EMA or other foreign regulatory authorities.
+Added: In addition, misconduct could include failures to comply
+Added: with certain manufacturing standards, to comply with U.S.
+Added: federal and state healthcare fraud and abuse laws and regulations and similar
+Added: laws and regulations established and enforced by comparable foreign regulatory authorities, to report financial information or data accurately
+Added: or to disclose unauthorized activities to us.
+Added: Misconduct by those who work for us could also involve the improper use of information obtained
+Added: during our clinical trials, which could result in regulatory sanctions and serious harm to our reputation.
+Added: We have implemented and will
+Added: enforce a Code of Business Conduct and Ethics, but it is not always possible to identify and deter misconduct by those who work for us.
+Added: The precautions we take to detect and prevent this activity may not be effective in controlling unknown or unmanaged risks or losses or
+Added: in protecting us from governmental investigations or other actions or lawsuits stemming from a failure to comply with such laws or regulations.
+Added: If any such actions are instituted against us, and we are not successful in defending ourselves or asserting our rights, those actions
+Added: could have a significant impact on our business and results of operations, including the imposition of significant fines or other sanctions.
+Added: Our transactions and relationships outside the
will be subject to the FCPA and similar anti-bribery and anti-corruption laws.
11 unchanged sentences
of the corporation and to devise and maintain an adequate system of internal accounting controls.
−Removed: Compliance with these laws and regulations may
−Removed: be costly and may limit our ability to expand into certain markets.
−Removed: There is no certainty that all our employees, agents, contractors,
−Removed: or collaborators, or those of our affiliates, will comply with all applicable laws and regulations, particularly given the high level
−Removed: of complexity of these laws and regulations.
−Removed: Violations of these laws and regulations could result in fines, criminal sanctions against
−Removed: us, our officers, or our employees, the closing down of our facilities, requirements to obtain export licenses, cessation of business
−Removed: activities in sanctioned countries, implementation of compliance programs and prohibitions on the conduct of our business.
−Removed: Any such violations
−Removed: could include prohibitions on our ability to offer our products in one or more countries and could materially damage our reputation, our
−Removed: brand, our international expansion efforts, our ability to attract and retain employees and our business, prospects, operating results
−Removed: and financial condition.
+Added: Compliance with these laws and regulations may be
+Added: costly and may limit our ability to expand into certain markets.
+Added: There is no certainty that all our employees, agents, contractors, or
+Added: collaborators, or those of our affiliates, will comply with all applicable laws and regulations, particularly given the high level of
+Added: complexity of these laws and regulations.
+Added: Violations of these laws and regulations could result in fines, criminal sanctions against us,
+Added: our officers, or our employees, the closing down of our facilities, requirements to obtain export licenses, cessation of business activities
+Added: in sanctioned countries, implementation of compliance programs and prohibitions on the conduct of our business.
+Added: Any such violations could
+Added: include prohibitions on our ability to offer our products in one or more countries and could materially damage our reputation, our brand,
+Added: our international expansion efforts, our ability to attract and retain employees and our business, prospects, operating results and financial
Product liability lawsuits against us could
cause us to incur substantial liabilities and to limit commercialization of any products that we may develop.
−Removed: We face an inherent risk of product liability
−Removed: exposure related to the testing of our product candidates in human clinical trials and will face an even greater risk if we commercially
−Removed: sell any products that we may develop.
−Removed: If we cannot successfully defend ourselves against claims that our product candidates or products
−Removed: caused injuries, we will incur substantial liabilities.
+Added: We face an inherent risk of product liability exposure
+Added: related to the testing of our product candidates in human clinical trials and will face an even greater risk if we commercially sell any
+Added: products that we may develop.
+Added: If we cannot successfully defend ourselves against claims that our product candidates or products caused
+Added: injuries, we will incur substantial liabilities.
Regardless of merit or eventual outcome, liability claims may result in:
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as a public company, and our management is required to devote substantial time to new compliance initiatives.
−Removed: As a public company, we have incurred and are
−Removed: continuing to incur significant legal, accounting and other expenses.
+Added: As a public company, we have incurred and are continuing
+Added: to incur significant legal, accounting and other expenses.
These expenses may increase.
−Removed: We are subject to, among others, the
−Removed: reporting requirements of the Exchange Act of 1934, as amended (“Exchange Act”), the Sarbanes-Oxley Act, the Dodd-Frank Wall
−Removed: Street Reform and Protection Act, as well as rules adopted, and to be adopted, by the Commission.
−Removed: Our management and other personnel devote
−Removed: a substantial amount of time to these compliance initiatives.
+Added: We are subject to, among others, the reporting
+Added: requirements of the Exchange Act of 1934, as amended (“Exchange Act”), the Sarbanes-Oxley Act, the Dodd-Frank Wall Street
+Added: Reform and Protection Act, as well as rules adopted, and to be adopted, by the Commission.
+Added: Our management and other personnel devote a
+Added: substantial amount of time to these compliance initiatives.
Moreover, these rules and regulations have substantially
10 unchanged sentences
Our common stock is currently listed on Nasdaq.
−Removed: Market prices for our shares of common stock will be influenced by several factors, including, but not limited to:
+Added: prices for our shares of common stock will be influenced by several factors, including, but not limited to:
The issuance of new shares pursuant to future offering;
6 unchanged sentences
General economic and other national and international conditions.
−Removed: You may experience future dilution as a result of future equity
−Removed: In order to raise additional capital, we may in
−Removed: the future offer additional common stock or other securities convertible into or exchangeable for our common stock at prices lower than
−Removed: that paid by existing investors.
−Removed: Investors purchasing shares or other securities in the future could have rights superior to existing
−Removed: shareholders.
−Removed: The price per share at which we sell additional shares of our common stock, or securities convertible or exchangeable into
−Removed: common stock, in future transactions may be higher or lower than the price per share paid by existing investors.
−Removed: We may not be able to meet the continued
−Removed: listing requirements for Nasdaq or another nationally recognized stock exchange, which could limit investors’ ability to make transactions
−Removed: in our securities and subject us to additional trading restrictions.
−Removed: In order to remain listed on Nasdaq, we will be
−Removed: required to meet the continued listing requirements of Nasdaq or any other U.S.
−Removed: or nationally recognized stock exchange to which we may
−Removed: apply and be approved for listing.
−Removed: We may be unable to satisfy these continued listing requirements, and there is no guarantee that our
−Removed: common stock will remain listed on Nasdaq or any other U.S.
−Removed: or nationally recognized stock exchange.
−Removed: If, after listing, our common stock
−Removed: is delisted from Nasdaq or any other U.S.
−Removed: or nationally recognized stock exchange, we could face significant material adverse consequences,
+Added: You may experience future dilution as a result of future equity offerings.
+Added: In order to raise additional capital, we may in the
+Added: future offer additional common stock or other securities convertible into or exchangeable for our common stock at prices lower than that
+Added: paid by existing investors.
+Added: Investors purchasing shares or other securities in the future could have rights superior to existing shareholders.
+Added: The price per share at which we sell additional shares of our common stock, or securities convertible or exchangeable into common stock,
+Added: in future transactions may be higher or lower than the price per share paid by existing investors.
+Added: We are not currently in compliance with the
+Added: continued listing requirements for Nasdaq, and if we are unable to regain compliance, our common stock could be delisted from Nasdaq or
+Added: another nationally recognized stock exchange, which could limit investors’ ability to make transactions in our securities and subject
+Added: us to additional trading restrictions.
+Added: In order to remain listed on Nasdaq, we are required
+Added: to meet the continued listing requirements of Nasdaq or any other U.S.
+Added: or nationally recognized stock exchange to which we may apply and
+Added: be approved for listing.
+Added: On December 1, 2025, we received a written notice (the “Notice”) from the Listing Qualifications
+Added: Department of The Nasdaq Stock Market LLC (“Nasdaq”) indicating that, based on the closing bid price of our common stock for
+Added: the 30 consecutive business days preceding the date of the Notice, we were not in compliance with the minimum bid price requirement set
+Added: forth in Nasdaq Listing Rule 5550(a)(2), which requires listed securities to maintain a minimum bid price of $1.00 per share (the “Minimum
+Added: Bid Price Requirement”).
+Added: The Notice had no immediate effect on the listing or trading of our common stock, which continues to trade
+Added: on The Nasdaq Capital Market under the symbol “PMCB.” In accordance with Nasdaq Listing Rule 5810(c)(3)(A), we were provided
+Added: an initial compliance period of 180 calendar days, or until June 1, 2026, to regain compliance with the Minimum Bid Price Requirement.
+Added: On June 2, 2026, we received notice from Nasdaq that we were eligible for an additional 180 calendar day period, or until November 30,
+Added: 2026, to regain compliance with the Minimum Bid Price Requirement.
+Added: There can be no assurance that we will regain compliance with the Minimum
+Added: Bid Price Requirement within the additional compliance period.
+Added: We may also be unable to satisfy other continued listing requirements in
+Added: the future, and there is no guarantee that our common stock will remain listed on Nasdaq or any other U.S.
+Added: or nationally recognized stock
+Added: To address this deficiency, our Board has approved,
+Added: and at our annual meeting of stockholders held on March 30, 2026, our stockholders approved, an amendment to our Articles of Incorporation,
+Added: as amended, to effect a reverse stock split of our common stock at a ratio of not less than 1-for-1.1 and not more than 1-for-100, with
+Added: the exact ratio, and whether and when to implement the reverse stock split, if at all, to be determined by our Board in its sole discretion.
+Added: Our Board has the authority, but not the obligation, to effect the reverse stock split and may abandon the amendment at any time before
+Added: it is filed with the Nevada Secretary of State, even though our stockholders have approved it.
+Added: There can be no assurance that our Board
+Added: will elect to effect the reverse stock split, that any reverse stock split will result in a sustained increase in the per share trading
+Added: price of our common stock sufficient for us to regain or maintain compliance with the Minimum Bid Price Requirement, or that our common
+Added: stock will not decline in price following any reverse stock split.
+Added: If we do not regain compliance with the Minimum Bid
+Added: Price Requirement or otherwise fail to satisfy Nasdaq’s other continued listing requirements, Nasdaq will notify us that our common
+Added: stock is subject to delisting, and we would be entitled to appeal that determination to a Nasdaq Hearings Panel, although there can be
+Added: no assurance that any such appeal would be successful.
+Added: If our common stock were delisted from Nasdaq, the established trading market for
+Added: our common stock would be eliminated, and we would likely be forced to seek to have our common stock quoted on the OTC Markets or another
+Added: quotation medium, which would likely reduce the liquidity and market price of our common stock, harm our reputation with employees, business
+Added: partners and existing and prospective investors, and impair our ability to raise additional capital on acceptable terms, or at all, when
+Added: If, after listing, our common stock is delisted from Nasdaq or any other U.S.
+Added: or nationally recognized stock exchange, we could
+Added: face significant additional material adverse consequences, including:
a limited availability of market quotations for our common stock;
3 unchanged sentences
decreased ability to issue additional shares of our common stock or obtain additional financing in the future.
−Removed: We may obtain additional capital through
−Removed: the issuance of preferred stock, which may limit your rights as a holder of our common stock.
+Added: Nasdaq’s recently adopted minimum Market Value of Listed
+Added: Securities requirement of $5 million could result in the suspension and delisting of our common stock from Nasdaq.
+Added: On July 22, 2026, the SEC approved a new Nasdaq rule (Listing Rules
+Added: 5450(a)(3) and 5550(a)(6)) requiring companies listed on the Nasdaq Global Market and Nasdaq Capital Market to maintain a minimum Market
+Added: Value of Listed Securities (“MVLS”) of at least $5 million.
+Added: Under the new rule, if a company’s MVLS remains below $5
+Added: million for 30 consecutive business days, Nasdaq will issue a Staff Delisting Determination, and trading in the company’s securities
+Added: will be immediately suspended without any cure or compliance period.
+Added: This represents a significant departure from Nasdaq’s traditional
+Added: approach to continued listing deficiencies, which typically provides issuers with compliance periods to regain compliance while remaining
+Added: Although a Nasdaq Hearings Panel may, in its discretion, grant an exception of up to 180 calendar days from the Staff Delisting
+Added: Determination if a company demonstrates that it can satisfy Nasdaq’s initial listing standards, such relief is discretionary, and
+Added: the suspension from Nasdaq trading is not automatically stayed during any appeal.
+Added: As of the date of this Report, our MVLS may be at or near levels that
+Added: could implicate this new requirement.
+Added: Given our current stock price and the number of shares of our common stock outstanding, a sustained
+Added: decline in our stock price or other adverse market conditions could cause our MVLS to fall below $5 million for 30 consecutive business
+Added: days, triggering an immediate suspension and delisting from Nasdaq.
+Added: A delisting under this rule would have the same adverse consequences
+Added: described above, including reduced liquidity, limited market quotations, diminished analyst coverage, and impaired ability to raise capital.
+Added: Moreover, the lack of a cure period under this rule means that we would have limited time and recourse to address any such deficiency,
+Added: and any appeal to a Hearings Panel would require us to demonstrate compliance with Nasdaq’s more stringent initial listing standards.
+Added: Our outstanding Series C Convertible Preferred
+Added: Stock has dividend, liquidation, redemption, anti-dilution and voting rights that are senior to, or could dilute, the rights of holders
+Added: of our common stock, and we may issue additional shares of preferred stock, which may limit your rights as a holder of our common stock.
+Added: As of April 30, 2026, we had 4,766 shares of our Series
+Added: C Convertible Preferred Stock (the “Series C Preferred Stock”) outstanding, which we issued in August 2025 in a $7,000,000
+Added: private placement.
+Added: The Series C Preferred Stock has a stated value of $1,000 per share and an aggregate liquidation preference of approximately
+Added: $4.8 million as of April 30, 2026, which is senior to the rights of holders of our common stock upon any liquidation, dissolution or winding
+Added: up of the Company.
+Added: Holders of the Series C Preferred Stock are entitled to cumulative dividends of 7% per annum, compounded quarterly,
+Added: payable in cash, which rate increases to 15% per annum upon the occurrence of a Triggering Event (as defined in the applicable certificate
+Added: of designations).
+Added: Holders of the Series C Preferred Stock are also entitled to vote together with holders of our common stock as a single
+Added: class, on an as-converted basis, on all matters submitted to a vote of our common stockholders, and, upon the occurrence of a Triggering
+Added: Event, including our failure to pay amounts due when required, may require us to redeem their shares in cash at a premium.
+Added: dividend, liquidation, voting and redemption rights could reduce the amount of cash or other assets otherwise available for distribution
+Added: to, or dilute the voting power of, holders of our common stock.
+Added: We have previously issued other series of preferred
+Added: stock with senior terms.
+Added: In May 2023, we issued shares of our Series B Convertible Preferred Stock in a private placement, which carried
+Added: a 4% per annum dividend rate (increasing to 15% per annum upon a Triggering Event), an initial conversion price of $4.00 per share subject
+Added: to anti-dilution adjustment, and a right of holders to require redemption in cash at a premium upon a Triggering Event, although holders
+Added: of the Series B Convertible Preferred Stock had no voting rights except with respect to certain matters affecting their rights.
+Added: All outstanding
+Added: shares of our Series B Convertible Preferred Stock have been redeemed.
Without any stockholder vote or action, our Board
−Removed: may designate and approve for issuance shares of our preferred stock.
−Removed: The terms of any preferred stock may include priority claims to
−Removed: assets and dividends and special voting rights which could limit the rights of the holders of our common stock.
−Removed: The designation and issuance
−Removed: of preferred stock favorable to current management or stockholders could make any possible takeover of us or the removal of our management
−Removed: more difficult.
+Added: may designate and approve for issuance additional shares of our preferred stock.
+Added: The terms of any preferred stock may include priority
+Added: claims to assets and dividends and special voting rights which could limit the rights of the holders of our common stock.
+Added: The designation
+Added: and issuance of preferred stock favorable to current management or stockholders could make any possible takeover of us or the removal
+Added: of our management more difficult.
We may experience volatility in our stock price, which may adversely
affect the trading price of our common stock.
−Removed: We have experienced significant volatility from
−Removed: time to time in the market price of our shares of common stock.
+Added: We have experienced significant volatility from time
+Added: to time in the market price of our shares of common stock.
Factors that may affect the market price include the following:
8 unchanged sentences
Government regulation of drug pricing.
−Removed: The price of our common stock is volatile,
−Removed: which substantially increases the risk that our investors may not be able to sell their shares at or above the price that the investors
−Removed: have paid for their shares.
−Removed: Because of the price volatility in our shares,
−Removed: we have observed since its inception, investors in our common stock may not be able to sell their shares when they desire to do so at
−Removed: a price the investors desire to attain.
−Removed: During the year ended April 30, 2025, shares of our common stock were quoted and traded at a high
−Removed: of $2.42 per share and a low of $1.03 per share.
−Removed: The inability to sell securities in a rapidly declining market may substantially increase
−Removed: the risk of loss because the price of our common stock may suffer greater declines due to the historical price volatility of our shares.
−Removed: Certain factors, some of which are beyond our control, which may cause our share price to fluctuate significantly include, but are not
−Removed: limited to, the following:
+Added: The price of our common stock is volatile, which
+Added: substantially increases the risk that our investors may not be able to sell their shares at or above the price that the investors have
+Added: paid for their shares.
+Added: Because of the price volatility in our shares, we
+Added: have observed since its inception, investors in our common stock may not be able to sell their shares when they desire to do so at a price
+Added: the investors desire to attain.
+Added: During the year ended April 30, 2026, shares of our common stock were quoted and traded at a high of $1.51
+Added: per share and a low of $0.63 per share.
+Added: The inability to sell securities in a rapidly declining market may substantially increase the
+Added: risk of loss because the price of our common stock may suffer greater declines due to the historical price volatility of our shares.
+Added: factors, some of which are beyond our control, which may cause our share price to fluctuate significantly include, but are not limited
+Added: to, the following:
Variations in our quarterly operating results;
2 unchanged sentences
Fluctuations in the stock market price and volume.
−Removed: In addition, in recent years the stock market
−Removed: in general, and the over-the-counter markets in particular, have experienced extreme price and volume fluctuations.
−Removed: In some cases, these
−Removed: fluctuations are unrelated or disproportionate to the performance of the underlying company.
−Removed: These market and industry factors may materially
−Removed: and adversely affect our share price, regardless of our performance or whether we meet our business objectives.
−Removed: In the past, class action
−Removed: litigation often has been brought against companies following periods of volatility in the market price of those companies’ common
−Removed: If we become involved in this type of litigation in the future, it could result in substantial costs and diversion of management
−Removed: attention and resources, which could have a material adverse effect on us and the trading price of our common stock.
+Added: In addition, in recent years the stock market in general,
+Added: and the over-the-counter markets in particular, have experienced extreme price and volume fluctuations.
+Added: In some cases, these fluctuations
+Added: are unrelated or disproportionate to the performance of the underlying company.
+Added: These market and industry factors may materially and adversely
+Added: affect our share price, regardless of our performance or whether we meet our business objectives.
+Added: In the past, class action litigation
+Added: often has been brought against companies following periods of volatility in the market price of those companies’ common stock.
+Added: we become involved in this type of litigation in the future, it could result in substantial costs and diversion of management attention
+Added: and resources, which could have a material adverse effect on us and the trading price of our common stock.
We have no plans to pay dividends
3 unchanged sentences
In addition, the terms of the certificate of designations
−Removed: governing our Preferred Shares presently restricts our ability to pay dividends.
+Added: governing our Series C Preferred Stock presently restricts our ability to pay dividends.
We are a “smaller reporting company”
7 unchanged sentences
a public float of less than $700 million.
−Removed: As a smaller reporting company, we are permitted
−Removed: to comply with scaled-back disclosure obligations in our Commission filings compared to other issuers, including with respect to disclosure
+Added: As a smaller reporting company, we are permitted to
+Added: comply with scaled-back disclosure obligations in our Commission filings compared to other issuers, including with respect to disclosure
obligations regarding executive compensation in our periodic reports and proxy statements.
6 unchanged sentences
market for our common stock and our share price may be more volatile.
−Removed: As a non-accelerated filer, we are not required to comply with
−Removed: the auditor attestation requirements of the Sarbanes-Oxley Act.
+Added: As a non-accelerated filer, we are not required to comply with the
+Added: auditor attestation requirements of the Sarbanes-Oxley Act.
We are a non-accelerated filer under the Exchange
6 unchanged sentences
trading price for our common stock may be negatively affected.
−Removed: We face risks related to owning securities
−Removed: issued by other public companies.
−Removed: We own securities of other public companies, including
−Removed: the Notes, the TNF Preferred Shares, the Femasys common stock, the Femasys Warrants and the TNF Warrants.
−Removed: Discussion and Analysis of Financial Condition and Results of Operations – Femasys Transaction” and “– TNF Transaction”
−Removed: for more information regarding these securities.
−Removed: Defined terms used in this risk factor are defined in such section.
−Removed: The Femasys Notes are convertible at a conversion
−Removed: price of $1.18 per share.
−Removed: To the extent we convert the Notes when the market price of the Femasys Shares is lower than the conversion
−Removed: price, we may realize a loss equal to the difference between the conversion price and the market price.
−Removed: Femasys may require us to convert
−Removed: our Notes into Femasys Shares if the closing price of the Femasys Shares exceeds $2.36 per share for 10 consecutive trading days and the
−Removed: daily dollar trading volume of the Femasys Shares exceeds one million dollars ($1,000,000) per day during the same period and certain
−Removed: equity conditions described in the Notes are satisfied.
−Removed: If we are forced to mandatorily convert the Notes, we may realize additional loss.
−Removed: The TNF Preferred Shares are convertible at a
−Removed: conversion price of $0.1832 per share.
−Removed: To the extent we convert the TNF Preferred Shares when the market price of the TNF Common Shares
−Removed: is lower than the conversion price, we may realize a loss equal to the difference between the conversion price and the market price.
−Removed: The Femasys Series A Warrants are exercisable
−Removed: at an exercise price of $1.18 per share.
+Added: We face risks related to owning securities issued
+Added: by other public companies.
+Added: We own securities of other public companies, the MyMD Pharmaceuticals Inc.
+Added: which subsequently changed its name to TNF Pharmaceuticals, Inc.
+Added: and then to Q/C Technologies,
+Added: (“QCLS”) QCLS Preferred Shares, the Femasys common stock, the Femasys Warrants and the QCLS Warrants.
+Added: Management’s Discussion and Analysis of Financial Condition and Results of Operations – Femasys Transaction” and
+Added: “– QCLS Transaction” for more information regarding these securities.
+Added: Defined terms used in this risk factor are defined
+Added: in such section.
+Added: The QCLS Series G Preferred Stock are convertible
+Added: at a conversion price of $3.3713 per share.
+Added: To the extent we convert the QCLS Series G Preferred Stock when the market price of the QCLS
+Added: Common Shares is lower than the conversion price, we may realize a loss equal to the difference between the conversion price and the market
+Added: The QCLS Series H Preferred Stock are convertible
+Added: at a conversion price of $3.3713 per share.
+Added: To the extent we convert the QCLS Series H Preferred Stock when the market price of the QCLS
+Added: Common Shares is lower than the conversion price, we may realize a loss equal to the difference between the conversion price and the market
+Added: The Femasys Series A Warrants are exercisable at an
+Added: exercise price of $1.18 per share.
+Added: In June 2026, Femasys completed a 20 to 1 reverse stock split, changing the conversion price to $23.60
The Femasys Series B Warrants expired on November 21, 2024.
−Removed: There can be no assurance that the
−Removed: Femasys Warrants will be in the money when exercisable, and as such they may expire worthless.
−Removed: The TNF Warrants are exercisable at an exercise
+Added: There can be no assurance that the Femasys Warrants will be in
+Added: the money when exercisable, and as such they may expire worthless.
+Added: The QCLS Series G Warrants are exercisable at an exercise
price of $3.3713 per share.
−Removed: There can be no assurance that the TNF Warrants will be in the money when exercisable, and as such they may
−Removed: expire worthless.
+Added: There can be no assurance that the QCLS Series G Warrants will be in the money when exercisable, and as such
+Added: they may expire worthless.
+Added: The QCLS Series H Warrants are exercisable at an exercise price of $3.3713
+Added: There can be no assurance that the QCLS Series H Warrants will be in the money when exercisable, and as such they may expire
+Added: Our investments in securities of Femasys and QCLS
+Added: represent a substantial concentration of our total assets, and adverse developments affecting either company could materially and adversely
+Added: affect our financial condition.
Our ownership of securities of other companies
11 unchanged sentences
Our purchases of securities
−Removed: of other companies, including pursuant to the Femasys Transaction and the TNF Transaction (each as defined below), could give rise to
+Added: of other companies, including pursuant to the Femasys Transaction and the QCLS Transaction (each as defined below), could give rise to
a determination that we are or were an investment company subject to registration under the 1940 Act.
14 unchanged sentences
our business as contemplated and could have a material adverse effect on our business, financial condition and results of operations.
−Removed: Risks Related to Employee and Tax Matters,
−Removed: Managing Growth and Macroeconomic Conditions
−Removed: We have experienced significant management
−Removed: changes which could increase our control risks and have a material adverse effect on our ability to do business and our results of operations.
−Removed: We have recently experienced a number of changes
−Removed: in our management, including changes in our Chief Executive Officer and Board.
+Added: Risks Related to Employee and Tax Matters, Managing
+Added: Growth and Macroeconomic Conditions
+Added: We have experienced significant management changes
+Added: which could increase our control risks and have a material adverse effect on our ability to do business and our results of operations.
+Added: We have recently experienced a number of changes in
+Added: our management, including changes in our Chief Executive Officer and Board.
The magnitude of these changes and the short time interval
8 unchanged sentences
Management attention may be diverted from regular business concerns by reorganizations.
−Removed: We have a limited number of employees and
−Removed: are highly dependent on our Chief Executive Officer and Chief Financial Officer.
+Added: We have a limited number of employees and are
+Added: highly dependent on our Chief Executive Officer and Chief Financial Officer.
Our future success depends on our ability to retain these
officers and other key personnel and to attract, retain and motivate other needed qualified personnel.
−Removed: We are an early-stage biotechnology company with
−Removed: a limited operating history.
−Removed: As of April 30, 2025, we had 2 full-time employees and numerous consultants.
−Removed: We are highly dependent on the
−Removed: R&D, clinical and business development expertise of the principal members of our management, scientific and clinical teams, specifically,
−Removed: on our Interim Chief Executive Officer and Chief Financial Officer.
+Added: We are an early-stage biotechnology company with a
+Added: limited operating history.
+Added: As of April 30, 2026, we had two full-time employees and relied on numerous consultants.
+Added: We are highly dependent
+Added: on the R&D, clinical and business development expertise of the principal members of our management, scientific and clinical teams,
+Added: specifically, on our Chief Executive Officer and Chief Financial Officer.
Recruiting and retaining qualified scientific, clinical, manufacturing
and sales and marketing personnel will also be critical to our success.
−Removed: The loss of the services of our Interim Chief Executive Officer
−Removed: and Chief Financial Officer or other key employees or consultants could severely impede the achievement of our R&D and commercialization
−Removed: of our product candidates and seriously harm our ability to successfully implement our business strategy.
−Removed: Furthermore, replacing executive officers and
−Removed: key employees and consultants may be difficult and may take an extended period because of the limited number of individuals in our industry
+Added: The loss of the services of our Chief Executive Officer and Chief
+Added: Financial Officer or other key employees or consultants could severely impede the achievement of our R&D and commercialization of
+Added: our product candidates and seriously harm our ability to successfully implement our business strategy.
+Added: Furthermore, replacing executive officers and key
+Added: employees and consultants may be difficult and may take an extended period because of the limited number of individuals in our industry
with the breadth of skills and experience required to successfully develop, gain regulatory approval of and commercialize our product
1 unchanged sentence
on acceptable terms given the competition among numerous pharmaceutical and biotechnology companies for similar personnel.
−Removed: We also experience competition for the hiring
−Removed: of scientific and clinical personnel from universities and research institutions.
−Removed: In addition, we rely on other consultants and advisors,
−Removed: including scientific and clinical advisors, to assist us in formulating our discovery, preclinical and clinical development and commercialization
+Added: We also experience competition for the hiring of scientific
+Added: and clinical personnel from universities and research institutions.
+Added: In addition, we rely on other consultants and advisors, including
+Added: scientific and clinical advisors, to assist us in formulating our discovery, preclinical and clinical development and commercialization
Our consultants and advisors may be employed by employers other than us and may have commitments under consulting or advisory
2 unchanged sentences
personnel, our ability to pursue our growth strategy will be limited.
−Removed: Our ability to use our net operating loss
−Removed: carryforwards and certain other tax attributes may be limited.
+Added: Our ability to use our net operating loss carryforwards
+Added: and certain other tax attributes may be limited.
As of April 30, 2026, we had federal net operating
7 unchanged sentences
taxable income or taxes will be limited to approximately $36 million and $16 million for federal and state, respectively.
−Removed: We experienced ownership changes in the past and
−Removed: could experience one or more ownership changes in the future, some of which are outside our control.
−Removed: Our net operating loss carryforwards
−Removed: are subject to limitation under state laws.
−Removed: Further, our ability to utilize net operating loss carryforwards of companies that we may
−Removed: acquire in the future may also be subject to limitations.
−Removed: There is also a risk that due to tax law changes, such as suspensions on the
−Removed: use of net operating loss carryforwards, or other unforeseen reasons, our ability to use our pre-change net operating loss carryforwards
−Removed: and other pre-change tax attributes to offset post-change taxable income or taxes may be subject to limitation or expire.
−Removed: We expect to expand our development and
−Removed: regulatory capabilities and potentially implement sales, marketing and distribution capabilities.
−Removed: Thus, we may encounter difficulties
−Removed: in managing our growth, which could disrupt our operations.
−Removed: We expect to experience significant growth in
−Removed: the number of our employees and the scope of our operations, particularly in the areas of drug development, regulatory affairs and, if
−Removed: any of our product candidates receive marketing approval, sales, marketing and distribution.
−Removed: To manage our anticipated future growth,
−Removed: we must continue to implement and improve our managerial, operational and financial systems, expand our facilities and continue to recruit
−Removed: and train additional qualified personnel.
−Removed: Due to our limited financial resources and the limited experience of our management team in
−Removed: managing a company with such anticipated growth, we may not be able to effectively manage the expansion of our operations or recruit and
+Added: We experienced ownership changes in the past and could
+Added: experience one or more ownership changes in the future, some of which are outside our control.
+Added: Our net operating loss carryforwards are
+Added: subject to limitation under state laws.
+Added: Further, our ability to utilize net operating loss carryforwards of companies that we may acquire
+Added: in the future may also be subject to limitations.
+Added: There is also a risk that due to tax law changes, such as suspensions on the use of
+Added: net operating loss carryforwards, or other unforeseen reasons, our ability to use our pre-change net operating loss carryforwards and
+Added: other pre-change tax attributes to offset post-change taxable income or taxes may be subject to limitation or expire.
+Added: We expect to expand our development and regulatory
+Added: capabilities and potentially implement sales, marketing and distribution capabilities.
+Added: Thus, we may encounter difficulties in managing
+Added: our growth, which could disrupt our operations.
+Added: We expect to experience significant growth in the
+Added: number of our employees and the scope of our operations, particularly in the areas of drug development, regulatory affairs and, if any
+Added: of our product candidates receive marketing approval, sales, marketing and distribution.
+Added: To manage our anticipated future growth, we must
+Added: continue to implement and improve our managerial, operational and financial systems, expand our facilities and continue to recruit and
train additional qualified personnel.
−Removed: The expansion of our operations may lead to significant costs and may divert our management and
−Removed: business development resources.
+Added: Due to our limited financial resources and the limited experience of our management team in managing
+Added: a company with such anticipated growth, we may not be able to effectively manage the expansion of our operations or recruit and train
+Added: additional qualified personnel.
+Added: The expansion of our operations may lead to significant costs and may divert our management and business
+Added: development resources.
Any inability to manage growth could delay the execution of our business plans or disrupt our operations.
−Removed: Our business and operations would suffer
−Removed: in the event of system failures.
−Removed: Despite the implementation of security measures,
−Removed: our internal computer systems and those of our third-party service providers on whom we rely on are vulnerable to damage from computer
−Removed: viruses, unauthorized access, natural disasters, terrorism, war and telecommunication and electrical failures.
−Removed: Furthermore, we have little
−Removed: or no control over the security measures and computer systems of our third-party service providers.
−Removed: While we and, to our knowledge, our
−Removed: third-party service providers have not experienced any such system failure, accident or security breach to date, if such an event were
−Removed: to occur and cause interruptions in our operations or the operations of our third-party service providers, it could result in a material
−Removed: disruption of our drug development programs.
+Added: Our business and operations would suffer in
+Added: the event of system failures.
+Added: Despite the implementation of security measures, our
+Added: internal computer systems and those of our third-party service providers on whom we rely on are vulnerable to damage from computer viruses,
+Added: unauthorized access, natural disasters, terrorism, war and telecommunication and electrical failures.
+Added: Furthermore, we have little or no
+Added: control over the security measures and computer systems of our third-party service providers.
+Added: While we and, to our knowledge, our third-party
+Added: service providers have not experienced any such system failure, accident or security breach to date, if such an event were to occur and
+Added: cause interruptions in our operations or the operations of our third-party service providers, it could result in a material disruption
+Added: of our drug development programs.
If any disruptions occur, they could have a material adverse effect on our business.
+Added: Changes in U.S.
+Added: trade policy, tariffs, and geopolitical
+Added: conditions could disrupt our supply chain, increase our costs, and materially harm our business.
+Added: Our product candidates are manufactured exclusively
+Added: by Austrianova, which is based in Singapore.
+Added: We are dependent on the uninterrupted ability of Austrianova to source raw materials, manufacture
+Added: our product candidates, and ship finished products or materials to us and to clinical trial sites.
+Added: Changes in U.S.
+Added: trade policy, including
+Added: the imposition of new or increased tariffs on imports from Singapore or other countries in our supply chain, retaliatory trade measures
+Added: by foreign governments, export controls, sanctions, or other trade restrictions, could increase the cost of our product candidates, disrupt
+Added: or delay the supply of critical materials, and create uncertainty that impairs our ability to plan and budget for our clinical development
+Added: The current U.S.
+Added: trade policy environment is characterized by significant unpredictability, with tariff levels and trade agreements
+Added: subject to rapid change.
+Added: We may be unable to anticipate, plan for, or effectively mitigate the adverse effects of such measures on our
+Added: operations and costs.
+Added: In addition, geopolitical tensions, including regional
+Added: conflicts and evolving diplomatic relationships between the United States and countries in Asia, could further disrupt international trade,
+Added: logistics, and the operations of Austrianova and other third parties on which we rely.
+Added: Austrianova has from time to time experienced significant
+Added: supply chain delays, and we believe Austrianova may also be experiencing liquidity issues.
+Added: Geopolitical disruptions could exacerbate these
+Added: existing vulnerabilities and adversely affect Austrianova’s ability to perform its manufacturing obligations for us.
+Added: If Austrianova
+Added: is unable to manufacture our product candidates due to trade restrictions, supply chain disruptions, or other geopolitical factors, we
+Added: may not be able to locate a replacement manufacturer on acceptable terms, or at all, which would have a material adverse effect on our
+Added: business, financial condition, and results of operations.
+Added: Adverse macroeconomic conditions, including
+Added: inflation, rising interest rates, and tightening capital markets, could increase our operating costs and impair our ability to raise capital
+Added: on acceptable terms.
+Added: As a pre-revenue company that is dependent on external
+Added: financing to fund our operations and development programs, we are particularly vulnerable to adverse macroeconomic conditions.
+Added: inflation has increased, and may continue to increase, the costs of conducting preclinical studies, clinical trials, and regulatory compliance
+Added: activities, as well as the fees charged by our consultants, contract research organizations, and third-party manufacturers, including
+Added: Rising interest rates and volatility in the credit and financial markets may reduce the availability of capital and increase
+Added: the cost of any financing we may seek.
+Added: Tightening capital markets may also decrease investor appetite for investments in early-stage biotechnology
+Added: companies, making it more difficult for us to raise the additional capital we will need to complete our clinical development programs
+Added: and fund our ongoing operations.
+Added: In addition, macroeconomic uncertainty, including
+Added: geopolitical instability and trade policy developments, may adversely affect the financial condition and operations of the third parties
+Added: on which we rely, including Austrianova, our contract service providers, and potential future collaboration partners.
+Added: A deterioration
+Added: in general economic conditions could also result in declines in our stock price, which may further impair our ability to raise equity
+Added: Any of these factors could have a material adverse effect on our business, financial condition, and results of operations.
We are subject to legal, regulatory, financial
17 unchanged sentences
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.