−Removed: Biopharmaceuticals, Inc., a Delaware corporation (together with its subsidiaries, “Provectus”
−Removed: or the “Company”),
−Removed: is a clinical-stage biotechnology company developing immunotherapy medicines for different diseases, with the aims of maximizing
−Removed: the curative impact of these medicines and achieving immunity from treated disease.
−Removed: These investigational drugs are based on an
−Removed: entire, wholly-owned, family of small molecules called halogenated xanthenes (“HXs”);
−Removed: our lead HX molecule
−Removed: is named rose bengal disodium (“RBD”).
−Removed: Former scientists from the U.S.
−Removed: Department of Energy’s Oak Ridge
−Removed: National Laboratory founded Provectus in 2002, identifying and advancing RBD’s dark-effect therapeutic potential
−Removed: and developing RBD and HXs into proprietary molecules.
−Removed: Starting in 2017, new science and business leadership pivoted and then
−Removed: expanded drug discovery and development, targeting global patient populations in a number of disease areas and indications made
−Removed: viable by RBD’s immunotherapeutic potential and new routes of administration.
−Removed: RBD possesses an
−Removed: innovative physical chemistry science with broad-spectrum prophylactic and therapeutic medical applications.
−Removed: The prerequisite
−Removed: mechanistic step for these immunotherapies is direct contact between RBD and disease that may lead to disease death repair, RBD
−Removed: treatment-specific innate immune activation, and disease-specific functional adaptive immune response.
−Removed: consistent mechanistic behavior across different indications of a disease and across different disease areas, with the
−Removed: potential to be a multi-disease treatment platform and a universal contributor to different medical treatments.
−Removed: Discovery and Development Strategy
−Removed: New company leadership has
−Removed: a compelling vision of accessible and affordable, safe, broad-spectrum small molecule immunotherapies.
−Removed: Provectus’
−Removed: intralesional (IL) oncology clinical program was pivoted and enhanced to pursue U.S.
−Removed: Food and Drug Administration (“FDA”)
−Removed: and/or Australia’s Therapeutics Good Administration (“TGA”) regulatory advancement for rare or refractory cancers
−Removed: of the skin and cancers of the liver in both single-agent and combination therapy settings.
−Removed: Drug development was expanded to pursue
−Removed: proof-of-concept of systemic RBD administration.
−Removed: Routes of administration and target diseases being developed
−Removed: include oral (“PO”) hematology in relapsed and refractory adult and pediatric leukemias, and PO
−Removed: oncology for prophylactic and/or therapeutic RBD in high-risk adult solid tumor cancers.
−Removed: Drug discovery into RBD
−Removed: treatment has also been deepened to explore different disease areas.
−Removed: Target diseases include virology, such as SARS-CoV-2
−Removed: microbiology, such as antibiotic-resistant gram-negative bacteria;
−Removed: ophthalmology, such as diseases of the cornea;
−Removed: and dermatology, such as combination therapy with systemic biologics for psoriasis and atopic dermatitis.
−Removed: and HX Intellectual Property (“IP”)
−Removed: RBD, the active pharmaceutical ingredient
−Removed: (API) in our current investigational immunotherapy medicines, is a systemically-active, environmentally-adaptive stable,
−Removed: and selective small molecule.
−Removed: RBD has a nominal formula of 4,5,6,7-tetrachloro-2’,4’,5’,7’-tetraiodofluorescein
−Removed: Rose bengal drug substance (“RB DS”) is produced by Provectus’
−Removed: Quality-by-Design (“QbD”)
−Removed: manufacturing process, which avoids the formation of uncontrolled impurities generally (and also proprietarily) known to be present
−Removed: in commercial-grade rose bengal, and follows International Council for Harmonisation of Technical Requirements for Pharmaceuticals
−Removed: for Human Use (“ICH”) Guidelines for pharmaceutical ingredients and current Good Manufacturing Practices (“cGMP”)
−Removed: Multiple Provectus cGMP RB DS lots have surpassed multi-year stability testing.
−Removed: Company’s science and molecules are currently protected by global intellectual property that includes composition of matter,
−Removed: manufacturing methods and techniques, pharmaceutical synthesis standards, trade secrets, and concomitant combination therapy use
−Removed: for different disease areas.
−Removed: We hold a number of patents covering the technologies
−Removed: we have developed and are continuing to develop for the production of investigational drugs and other technologies.
−Removed: material to an understanding of the Company are included in the table below:
+Added: Biopharmaceuticals, Inc., a Delaware corporation incorporated in 2002 (together with its subsidiaries, “Provectus”
+Added: or the “Company”), is a clinical-stage biotechnology company developing immunotherapy medicines for different diseases, based
+Added: on a family of small molecules called halogenated xanthenes (“HXs”).
+Added: Our lead HX molecule is named rose bengal sodium (“RBS”).
+Added: prerequisite mechanistic step for these immunotherapies is direct contact between HX, such as RBS, and disease, which may lead
+Added: to disease death or repair, HX treatment-specific innate immune activation, and a disease-specific functional adaptive
+Added: immune response.
+Added: HX displays consistent mechanistic behavior across different indications of a disease and across different disease areas,
+Added: with the potential to be a multi-disease treatment platform and a universal contributor to standard of care and emerging medical treatments.
+Added: Property (“IP”)
+Added: hold a number of patents covering the technologies we have developed and are continuing to develop for the production of investigational
+Added: drugs and other technologies.
+Added: All patents material to an understanding of the Company are included in the table below:
antiperspirant and antimicrobial compositions
8 unchanged sentences
of local rose bengal and systemic immunomodulative therapies for enhanced treatment of cancer
+Added: vitro and xenograft anti-tumor activity of a halogenated-xanthene against refractory pediatric solid tumors
+Added: of local and systemic immunomodulative therapies for enhanced treatment of cancer
+Added: received two patent awards from the U.S.
+Added: Patent and Trademark Office (USPTO) in 2021, U.S.
+Added: patent numbers 11,058,664 and 11,071,781.
+Added: Five patent applications were published on the USPTO’s website:
+Added: and Method for Treating Hematologic Cancers (USPTO application number 16/688319),
+Added: and Method for Oral Treatment of Leukemia (17/232393),
+Added: of Solid Cancerous Tumors by Oral Administration of a Halogenated Xanthene (17/214590),
+Added: Uses of Halogenated Xanthenes in Oncology and Virology (17/212723), and
+Added: Vitro and Xenograft Anti-Tumor Activity of a Halogenated-Xanthene Against Refractory Pediatric Solid Tumors (17/344418).
International
−Removed: Indian Patent Office granted the Company’s patent application on May 29, 2020 for the combination of investigational
−Removed: autolytic cancer immunotherapy PV-10 and systemic immunomodulatory therapy, such as immune checkpoint blockade.
−Removed: a co-assignee on this patent.
−Removed: The Japan Patent Office granted the
−Removed: Company’s patent application on October 5, 2020 for ex vivo enhancement of immune cell activity for cancer immunotherapy
−Removed: with small molecule ablative compound.
−Removed: Lee Moffitt Cancer Center is a co-assignee on this patent.
+Added: 2021, the Canadian Patent Office granted the Company’s patent application “Method of ex vivo enhancement of immune
+Added: cell activity for cancer immunotherapy with a small molecule ablative compound.
Product Pipeline
−Removed: is an injectable pharmaceutical formulation of RBD and registration study-ready investigational drug product (“PV-10
−Removed: Multiple lots of PV-10 DP have surpassed multi-year stability testing, respectively.
−Removed: PV-10 DP is shipped,
−Removed: stored, and used at room temperature.
+Added: is an injectable pharmaceutical formulation of RBS and registration study-ready investigational drug product (“PV-10 DP”).
Provectus has developed two clinical-stage formulations of PV-10:
−Removed: an IL administration for
−Removed: oncology (10% RBD) for the treatment of cancers of the skin and cancers of the liver, and topical (“top.”) application
−Removed: for dermatology (0.01% RBD) for the treatment of inflammatory dermatoses (psoriasis, atopic dermatitis, and actinic keratosis).
−Removed: A third formulation is under development for a currently proprietary disease area.
−Removed: Research into new routes of RBD administration
−Removed: and formulations of PV-10 is ongoing, including PO, intranasal (“IN”), top., and/or intravenous (“IV”)
−Removed: for hematology, oncology, virology, microbiology, and/or ophthalmology.
−Removed: from the Company’s clinical trial of PV-10 as a single-agent and in combination with immune checkpoint blockade for the
−Removed: treatment of primary or metastatic tumors of the liver (NCT00986661) was uploaded to the SIR 2020 ePoster Gallery of the canceled
−Removed: Society of Interventional Radiology (“SIR”) 2020 Annual Scientific Meeting, held March 28-April 2, 2020 in Seattle,
−Removed: “Oncolytic immunotherapy of hepatic tumors with intralesional rose bengal disodium.”
−Removed: from ongoing preclinical study of PV-10 was presented at the American Association for Cancer Research (“AACR”) 2020
−Removed: Virtual Annual Meeting II, held online June 22-24, 2020:
−Removed: “Association of heat shock proteins as chaperone for STING:
−Removed: A potential link in a key immune activation mechanism revealed by the novel anti-cancer agent PV-10.”
−Removed: data from the first cohort of the Company’s autolytic cancer immunotherapy PV-10 were published as an abstract as part of
−Removed: the American Society of Clinical Oncology (“ASCO”) 2020 Virtual Scientific Program, held online May 29-31, 2020:
−Removed: 1 results of a phase I study of autolytic immunotherapy of metastatic neuroendocrine neoplasms using intralesional rose bengal
−Removed: disodium.”
−Removed: data from the Company’s expansion cohort of patients with uveal melanoma metastatic to the liver (“mUM”) in
−Removed: its Phase 1 cancers of the liver “basket study”
−Removed: of PV-10 were presented at ASCO:
−Removed: “Percutaneous hepatic injection
−Removed: of rose bengal disodium (PV-10) in metastatic uveal melanoma.”
−Removed: Company expanded its sponsored research program with Aru Narendran, MD, PhD, Professor, Departments of Pediatrics, Oncology, Biochemistry
−Removed: & Molecular Biology, and Physiology & Pharmacology at the Cumming School of Medicine of the University of Calgary in Calgary,
−Removed: Alberta, Canada.
−Removed: Under ongoing collaboration with Provectus, the Narendran research team has produced preliminary findings that
−Removed: show oral dosing of RBD is effective and well tolerated in an in vivo pediatric leukemia murine model.
−Removed: Data from this work
−Removed: are currently being prepared for publication.
−Removed: As part of the sponsored research expansion, the Narendran team would investigate
−Removed: oral dosing of RBD in in vivo murine models for the treatment of refractory adult solid tumors that are high-risk phenotypes
−Removed: and have high metastatic potential.
−Removed: These cancer types will include head and neck, breast, pancreatic, liver, and colorectal.
−Removed: Company initiated a new sponsored research program with Michio Kurosu, PhD, Professor, Department of Pharmaceutical Sciences at
−Removed: the College of Pharmacy of the University of Tennessee Health Science Center (“UTHSC”) in Memphis, Tennessee to investigate
−Removed: RBD targeting of multi-drug resistant (“MDR”) bacteria.
−Removed: Kurosu’s team would undertake in vitro studies
−Removed: on the spectrum of RBD activity against drug-susceptible and drug-resistant bacterial strains, synergistic activity of combinations
−Removed: of RBD and FDA-approved antibiotics for Gram-negative bacteria, the mutation frequency of
−Removed: RBD against bacterial strains, measuring spontaneous bacterial mutations for RBD and these combinations, and gene analyses of
−Removed: mutant bacterial strains to understand resistance mechanisms.
−Removed: landmark survival, response, and safety data from the Company’s Phase 1b/2 study of PV-10 in combination with KEYTRUDA (pembrolizumab)
−Removed: for the treatment of advanced cutaneous melanoma in patients naive to immune checkpoint blockade (CB) was presented at the European
−Removed: Society for Medical Oncology (“ESMO”) Virtual Congress 2020, held online from September 19-21, 2020:
−Removed: “A phase
−Removed: 1b study of rose bengal disodium and anti-PD-1 in metastatic cutaneous melanoma:
−Removed: results in patients naïve to immune checkpoint
−Removed: blockade.”
−Removed: response, safety, and immune correlative data from the Company’s Phase 1b/2 study of PV-10 in combination with KEYTRUDA for the treatment of advanced cutaneous melanoma in patients refractory to immune checkpoint blockade was also
−Removed: presented at ESMO:
−Removed: “A phase 1b study of rose bengal disodium and anti-PD-1 in metastatic cutaneous melanoma:
−Removed: results in patients refractory to checkpoint blockade.”
−Removed: October, the Company announced completion of enrollment
−Removed: of 12 patients into Provectus’
−Removed: Phase 1 study of PV-10 for the treatment of symptomatic mNET refractory to somatostatin analogs
−Removed: (“SSAs”) and peptide receptor radionuclide therapy (“PRRT”).
−Removed: data from ongoing research on PV-10 as a single-agent and in combination with gemcitabine chemotherapy for the treatment of pancreatic
−Removed: cancer at the Society for Immunotherapy of Cancer’s (“SITC”) 35 th Anniversary Annual Meeting &
−Removed: Pre-Conference Programs (“SITC 2020”), held online from November 9-14, 2020:
−Removed: “Intralesional injection of
−Removed: rose bengal augments the efficacy of gemcitabine chemotherapy against pancreatic tumors.”
−Removed: preliminary patient response, safety, and immune correlative data, as well as new preliminary PV-10-treated lesion response data,
−Removed: from the Company’s ongoing Phase 1b/2 study of PV-10 in combination with KEYTRUDA for the treatment of advanced
−Removed: cutaneous melanoma in patients refractory to CB was presented at Melanoma Bridge 2020, held online from December 3-5, 2020.
−Removed: oral presentation, entitled “Response for combination of PV-10 autolytic immunotherapy and immune checkpoint blockade
−Removed: in checkpoint-refractory patients,”
−Removed: was presented by Dr.
−Removed: Jonathan Zager, Chief Academic Officer at Moffitt Cancer Center,
−Removed: and a surgical oncologist and Senior Member in Moffitt’s Departments of Cutaneous Oncology and Sarcoma.
−Removed: general, the pharmaceutical and biotechnology industries are competitive, characterized by steady and sometimes disruptive advances
−Removed: in products and technology.
−Removed: A number of companies have developed and continue to develop products that address the areas we have
−Removed: Some of these companies are pharmaceutical companies and biotechnology companies that are international in scope and
−Removed: very large in size, while others are small companies that have been successful in one or more areas we are targeting.
−Removed: or future pharmaceutical, device, or other competitors may develop products that accomplish similar functions to our technologies
−Removed: in ways that may be less expensive, receive faster regulatory approval, or receive greater market acceptance than our products.
−Removed: Many of our competitors have been in existence longer than we have, have greater capital resources, broader internal structure
−Removed: for research, development, manufacturing and marketing, and may be further along in their respective product cycles.
+Added: an intralesional (IL) administration for oncology (10% RBS) for the
+Added: treatment of cancers of the skin and cancers of the liver, and topical (“top.”) application for dermatology (0.01% RBS) for
+Added: the treatment of inflammatory dermatoses (e.g., psoriasis, atopic dermatitis, and actinic keratosis).
+Added: A third formulation is under development
+Added: for a currently proprietary disease area.
+Added: Research into new routes of RBS administration and formulations of PV-10 is ongoing, including
+Added: oral ( per os or “PO”), intranasal (“IN”), inhaled top., and/or intravenous (“IV”) for hematology,
+Added: oncology, virology, microbiology, ophthalmology, and animal health.
+Added: additional information on the disease areas in which the Company is targeting, please see Note 1 to the Company’s Consolidated
+Added: Financial Statements included in Part II, Item 8.
+Added: Financial Statements and Supplementary Data.
+Added: Lee Moffitt Cancer Center released a preprint manuscript describing how PV-10 in combination with gemcitabine may
+Added: enhance the chemotherapy’s efficacy against pancreatic tumors:
+Added: “ Intralesional injection of Rose Bengal augments the efficacy
+Added: of gemcitabine chemotherapy against pancreatic tumors .” Chemotherapy regimens that include gemcitabine are the standard of
+Added: care for the treatment of pancreatic cancer.
+Added: March, Melanoma Research published results from an investigator-led, single-center study of Australian in-transit melanoma patients who
+Added: received IL PV-10 under a Company-sponsored expanded access (“EAP;” aka compassionate use) program.
+Added: The Melanoma Research
+Added: article, entitled “Treatment of in-transit melanoma metastases using intralesional PV-10,” detailed the experience of investigators
+Added: at Melanoma Institute Australia (formerly the Sydney Melanoma Unit) in Sydney, Australia who treated 48 patients from 2008 to 2016.
+Added: State of Tennessee, as part of its fiscal year 2021-2022 budget, directed funding in the amount of $2.5 million to the Company to
+Added: develop animal health drug products through partnerships with state universities that have agriculture and veterinary medicine programs
+Added: and the Company.
+Added: from the Company’s Phase 1 clinical trial of PV-10 for the treatment of neuroendocrine tumors (“NET”) metastatic to
+Added: the liver (“mNET”) refractory to somatostatin analogs (“SSAs”) and peptide receptor radionuclide therapy (“PRRT”)
+Added: (NCT02693067) was presented at the American Society of Clinical Oncology (“ASCO”) 2021 Annual Meeting, held June 4-8 online:
+Added: “Phase I study of autolytic immunotherapy of metastatic neuroendocrine tumors using intralesional rose bengal disodium.”
+Added: from the Company’s research on oral delivery of PV-10 for the treatment of adult solid tumors were published as an abstract as
+Added: part of ASCO 2021 “ Pre-clinical evaluation of PV-10 for in vitro anti-tumor activity in refractory and high-risk
+Added: adult solid tumors .”
+Added: from an ongoing clinical trial of PV-10 for the treatment of mNET refractory to SSAs and PRRT (NCT02693067) was presented at the European
+Added: Society for Medical Oncology (“ESMO”) Congress, held online from September 16-21:
+Added: “ Phase I study of hepatic intralesional
+Added: rose bengal disodium (PV10), an autolytic immunotherapy, in metastatic neuroendocrine neoplasms .”
+Added: from the Company’s ongoing Phase 1b clinical trial of PV-10 in combination with Keytruda® (pembrolizumab) for the treatment
+Added: of advanced cutaneous melanoma in patients refractory to immune checkpoint blockade (“CB”) (NCT02557321:
+Added: first expansion
+Added: cohort) was presented at the SMR 2021 Virtual Congress (the Society for Melanoma Research annual meeting), held online from October 28-31:
+Added: “ PV-10 and anti-PD-1 in cutaneous melanoma refractory to checkpoint blockade .”
+Added: from a meta-analysis of the Company’s Phase 2 and 3 clinical trials (NCT00521053 and NCT02288897, respectively) and EAP (NCT01260779)
+Added: of single-agent PV-10 for the treatment of Stage III cutaneous melanoma was presented at the SMR 2021 Virtual Congress:
+Added: “ Lesion-Level
+Added: Response to Single-Agent PV-10 in Stage III Cutaneous Melanoma .”
+Added: general, the pharmaceutical and biotechnology industries are competitive, characterized by steady and sometimes disruptive advances in
+Added: products and technology.
+Added: A number of companies have developed and continue to develop products that address the areas we have targeted.
+Added: Some of these companies are pharmaceutical companies and biotechnology companies that are international in scope and very large in size,
+Added: while others are small companies that have been successful in one or more areas we are targeting.
+Added: Existing or future pharmaceutical,
+Added: device, or other competitors may develop products that accomplish similar functions to our technologies in ways that may be less expensive,
+Added: receive faster regulatory approval, or receive greater market acceptance than our products.
+Added: Many of our competitors have been in existence
+Added: longer than we have, have greater capital resources, broader internal structure for research, development, manufacturing, and
+Added: marketing, and may be further along in their respective product cycles.
+Added: Recently, many companies across a variety of sectors
+Added: have reported disruptions, shortages, and other supply chain-related issues.
+Added: In the biopharmaceutical sector, delays and interruptions
+Added: in the supply chain have been particularly pronounced.
+Added: During 2021, we were able to effectively manage our supply of prescription
+Added: drug candidates in a manner that avoided any significant interruptions to our clinical programs.
Regulation of Therapeutic Products
−Removed: of the prescription drug candidates we currently contemplate developing will require approval by the FDA prior to sales within
−Removed: and by comparable international governmental healthcare regulatory agencies prior to sale outside the U.S.
−Removed: comparable international agencies impose substantial requirements on the manufacturing and marketing of pharmaceutical products.
−Removed: These agencies and other entities regulate, among other things, research and development activities and the testing, manufacturing,
−Removed: quality control, safety and effectiveness claims, labeling, storage, record keeping, approval, advertising, and promotion of our
−Removed: prescription drug candidates.
−Removed: While we attempt to minimize and avoid significant regulatory bars when formulating our products,
−Removed: some degree of regulation from these regulatory agencies is unavoidable.
−Removed: regulatory process required by the FDA, through which our prescription drug candidates must successfully pass before they may
−Removed: be marketed in the U.S., generally involves pre-clinical laboratory and animal testing, submission of an application that must
−Removed: become effective before clinical trials may begin, adequate and well-controlled human clinical trials to establish the safety
−Removed: and efficacy of the product for its intended indication, and FDA approval to market a given product for a given indication after
−Removed: the appropriate application has been filed.
−Removed: For pharmaceutical products, pre-clinical tests include laboratory evaluation of the
−Removed: product, its chemistry, formulation and stability, as well as in vitro and animal studies to assess the potential safety
−Removed: and efficacy of the product.
−Removed: We will require sponsored work to be conducted in compliance with pertinent local and international
−Removed: regulatory requirements, including those providing for Institutional Review Board approval, national governing agency approval,
−Removed: and patient informed consent, using protocols consistent with ethical principles stated in the Declaration of Helsinki and other
−Removed: internationally recognized standards and delineated by ICH Good Clinical
−Removed: Practice (“GCP”) standards.
+Added: of the prescription drug candidates we currently contemplate developing will require approval by the U.S.
+Added: Food and Drug Administration
+Added: (“FDA”) prior to sales within the U.S.
+Added: and by comparable international governmental healthcare regulatory agencies prior
+Added: to sale outside the U.S.
+Added: The FDA and comparable international agencies impose substantial requirements on the manufacturing and marketing
+Added: of pharmaceutical products.
+Added: These agencies and other entities regulate, among other things, research and development activities and the
+Added: testing, manufacturing, quality control, safety and effectiveness claims, labeling, storage, record keeping, approval, advertising, and
+Added: promotion of our prescription drug candidates.
+Added: While we attempt to minimize and avoid significant regulatory bars when formulating our
+Added: products, some degree of regulation from these regulatory agencies is unavoidable.
+Added: regulatory process required by the FDA, through which our prescription drug candidates must successfully pass before they may be marketed
+Added: in the U.S., generally involves pre-clinical laboratory and animal testing, submission of an application that must become effective before
+Added: clinical trials may begin, adequate and well-controlled human clinical trials to establish the safety and efficacy of the product for
+Added: its intended indication, and FDA approval to market a given product for a given indication after the appropriate application has been
+Added: For pharmaceutical products, pre-clinical tests include laboratory evaluation of the product, its chemistry, formulation,
+Added: and stability, as well as in vitro and animal studies to assess the potential safety and efficacy of the product.
+Added: We will require
+Added: sponsored work to be conducted in compliance with pertinent local and international regulatory requirements, including those providing
+Added: for Institutional Review Board approval, national governing agency approval, and patient informed consent, using protocols consistent
+Added: with ethical principles stated in the Declaration of Helsinki and other internationally recognized standards and delineated by ICH Good
+Added: Clinical Practice (“GCP”) standards.
the FDA is satisfied with the results and data from pre-clinical tests, it will authorize human clinical trials.
−Removed: Human clinical
−Removed: trials traditionally are conducted in three sequential phases which may overlap.
−Removed: Each of the three phases involves testing and
−Removed: study of specific aspects of the effects of the investigational product on human subjects, including testing for safety, dosage
−Removed: tolerance, side effects, absorption, metabolism, distribution, excretion, and clinical efficacy.
−Removed: 1 clinical trials include the initial introduction of an investigational new drug into humans, or via a new route of administration
−Removed: or new organ system if previously investigated in humans.
−Removed: These studies are closely monitored and may be conducted in patients
−Removed: but may also be conducted in healthy volunteer subjects.
−Removed: These studies are designed to determine the metabolic and pharmacologic
−Removed: actions of the drug in humans, the side effects associated with increasing doses, and, if possible, to gain early evidence on
−Removed: effectiveness.
−Removed: While the FDA can cause us to end clinical trials at any phase due to safety concerns, Phase 1 clinical trials
−Removed: are primarily concerned with safety issues.
−Removed: We also attempt to obtain sufficient information about the drug candidate’s
−Removed: pharmacokinetics and pharmacological effects during Phase 1 clinical trials to permit the design of scientifically valid, Phase
+Added: Human clinical trials
+Added: traditionally are conducted in three sequential phases which may overlap.
+Added: Each of the three phases involves testing and study of specific
+Added: aspects of the effects of the investigational product on human subjects, including testing for safety, dosage tolerance, side effects,
+Added: absorption, metabolism, distribution, excretion, and clinical efficacy.
+Added: 1 clinical trials include the initial introduction of an investigational new drug into humans, or via a new route of administration or
+Added: new organ system if previously investigated in humans.
+Added: These studies are closely monitored and may be conducted in patients but may also
+Added: be conducted in healthy volunteer subjects.
+Added: These studies are designed to determine the metabolic and pharmacologic actions of the drug
+Added: in humans, the side effects associated with increasing doses, and, if possible, to gain early evidence on effectiveness.
+Added: While the FDA
+Added: can cause us to end clinical trials at any phase due to safety concerns, Phase 1 clinical trials are primarily concerned with safety
+Added: We also attempt to obtain sufficient information about the drug candidate’s pharmacokinetics and pharmacological effects
+Added: during Phase 1 clinical trials to permit the design of scientifically valid, Phase 2 studies.
1 studies also evaluate drug metabolism, structure-activity relationships, and the mechanism of action in humans.
−Removed: These studies
−Removed: also determine which investigational drugs are used as research tools to explore biological phenomena or disease processes.
−Removed: total number of subjects included in Phase 1 studies varies with the drug but is generally in the range of 10 to 80.
−Removed: 2 clinical trials include early controlled clinical studies conducted to obtain preliminary data on the effectiveness of the drug
−Removed: for a particular indication or indications in patients with the disease or condition.
−Removed: This phase of testing also helps determine
−Removed: the common short-term side effects and risks associated with the drug.
−Removed: Phase 2 studies are often randomized controlled studies
−Removed: that are closely monitored and conducted in a relatively small number of patients, usually involving up to several hundred people.
+Added: These studies also
+Added: determine which investigational drugs are used as research tools to explore biological phenomena or disease processes.
+Added: The total number
+Added: of subjects included in Phase 1 studies varies with the drug but is generally in the range of 10 to 80.
+Added: 2 clinical trials include early controlled clinical studies conducted to obtain preliminary data on the effectiveness of the drug for
+Added: a particular indication or indications in patients with the disease or condition.
+Added: This phase of testing also helps determine the common
+Added: short-term side effects and risks associated with the drug.
+Added: Phase 2 studies are often randomized controlled studies that are closely
+Added: monitored and conducted in a relatively small number of patients, usually involving up to several hundred people.
3 studies are expanded controlled and uncontrolled trials.
−Removed: They are performed after preliminary evidence suggesting effectiveness
−Removed: of the drug has been obtained in Phase 2 and are intended to gather definitive information about effectiveness and safety that
−Removed: is needed to evaluate the overall benefit-risk relationship of the drug.
−Removed: Phase 3 studies also provide an adequate basis for extrapolating
−Removed: the results to the general population and transmitting that information in the physician labeling.
−Removed: Phase 3 studies usually include
−Removed: several hundred to several thousand people.
−Removed: have established a core clinical development team and have been working with external and FDA-experienced consultants to assist
−Removed: us in developing product-specific development and approval strategies, preparing the required submittals, guiding us through the
−Removed: regulatory process, and providing input into the design and site selection of human clinical studies.
−Removed: testing and approval process requires substantial time, effort, and financial resources, and we may not obtain FDA approval on
−Removed: a timely basis, if at all.
−Removed: Success in preclinical or early-stage clinical trials does not assure success in later-stage clinical
−Removed: The FDA or research institution conducting the trials may suspend clinical trials or may not permit trials to advance
−Removed: from one phase to another at any time for various reasons, including a finding that the subjects or patients are being exposed
−Removed: to an unacceptable health risk.
−Removed: Once issued, the FDA may withdraw a prescription drug approval if we do not comply with pertinent
−Removed: regulatory requirements and standards or if problems are identified after the product reaches the market.
−Removed: If the FDA grants approval
−Removed: of a prescription drug candidate, the approval may impose limitations, including limits on the indicated uses for which we may
−Removed: market a drug product.
−Removed: In addition, the FDA may require additional testing and surveillance programs to monitor the safety and/or
−Removed: effectiveness of approved drug products that have been commercialized, and the agency has the power to prevent or limit further
−Removed: marketing of a product based on the results of these post-marketing programs.
−Removed: Further, later discovery of previously unknown problems
−Removed: with a drug product may result in restrictions on the product, including withdrawal from the market.
−Removed: our prescription drug candidates abroad will require similar regulatory approvals by equivalent national authorities and is subject
−Removed: to similar risks.
−Removed: To expedite development, we may pursue some or all of our initial clinical testing and approval activities outside
−Removed: the U.S., and in particular in those countries where our prescription drug candidates may have substantial medical and commercial
+Added: They are performed after preliminary evidence suggesting effectiveness of
+Added: the drug has been obtained in Phase 2 and are intended to gather definitive information about effectiveness and safety that is needed
+Added: to evaluate the overall benefit-risk relationship of the drug.
+Added: Phase 3 studies also provide an adequate basis for extrapolating the results
+Added: to the general population and transmitting that information in the physician labeling.
+Added: Phase 3 studies usually include several hundred
+Added: to several thousand people.
+Added: have established a core clinical development team and have been working with external and FDA-experienced consultants to assist us in
+Added: developing product-specific development and approval strategies, preparing the required submittals, guiding us through the regulatory
+Added: process, and providing input into the design and site selection of human clinical studies.
+Added: testing and approval process require substantial time, effort, and financial resources, and we may not obtain FDA approval on a timely
+Added: basis, if at all.
+Added: Success in preclinical or early-stage clinical trials does not assure success in later-stage clinical trials.
+Added: or research institution conducting the trials may suspend clinical trials or may not permit trials to advance from one phase to another
+Added: at any time for various reasons, including a finding that the subjects or patients are being exposed to an unacceptable health risk.
+Added: Once issued, the FDA may withdraw a prescription drug approval if we do not comply with pertinent regulatory requirements and standards
+Added: or if problems are identified after the product reaches the market.
+Added: If the FDA grants approval of a prescription drug candidate, the
+Added: approval may impose limitations, including limits on the indicated uses for which we may market a drug product.
+Added: In addition, the FDA
+Added: may require additional testing and surveillance programs to monitor the safety and/or effectiveness of approved drug products that have
+Added: been commercialized, and the agency has the power to prevent or limit further marketing of a product based on the results of these post-marketing
+Added: Further, later discovery of previously unknown problems with a drug product may result in restrictions on the product, including
+Added: withdrawal from the market.
+Added: our prescription drug candidates abroad will require similar regulatory approvals by equivalent national authorities and is subject to
+Added: similar risks.
+Added: To expedite development, we may pursue some or all of our initial clinical testing and approval activities outside the
+Added: U.S., and in particular in those countries where our prescription drug candidates may have substantial medical and commercial relevance.
In some such cases, any resulting drug products may be brought to the U.S.
−Removed: after substantial offshore experience is
−Removed: Accordingly, we intend to pursue any such development in a manner consistent with U.S.
−Removed: and ICH standards so that the resultant
−Removed: development data is maximally applicable for potential global approval.
−Removed: of Director Change
−Removed: July 11, 2020, the Company announced that Jan Koe had resigned from the Board of Directors (the “Board”).
−Removed: His resignation
−Removed: was not due to any disagreement with the Company on any matter relating to the Company’s operations, policies or practices.
−Removed: Koe’s resignation was contemplated by the Amended and Restated Definitive Financing Commitment Term Sheet effective
−Removed: as of March 19, 2017, entered into between the Company and a group of the Company’s stockholders (the “PRH Group”),
−Removed: which set forth the terms on which the PRH Group would provide financing to the Company (the “2017 Term Sheet”).
−Removed: July 20, 2020, the Company added Webster Bailey to fill this vacant spot on the Board.
+Added: after substantial offshore experience is gained.
+Added: we intend to pursue any such development in a manner consistent with U.S.
+Added: and ICH standards so that the resultant development data is
+Added: maximally applicable for potential global approval.
+Added: Additional Regulation
+Added: We are subject to various federal, state and local
+Added: laws and regulations relating to the protection of the environment, human health and safety in the U.S.
+Added: and in other jurisdictions in
+Added: which we operate.
+Added: If we violate these laws and regulations, we could be fined, criminally charged or otherwise sanctioned by regulators.
+Added: Environmental laws and regulations are complex, change frequently and have become more stringent over time.
+Added: We believe that our operations
+Added: currently comply in all material respects with applicable environmental laws and regulations.
Capital Resources
−Removed: have two full-time employees.
−Removed: We also engage independent contractors, who currently serve as COO, director of clinical operations,
−Removed: senior scientist, clinical research associates, project manager, information technology manager, controller, patient advocacy
−Removed: manager, and database manager.
−Removed: believe the Company’s success depends on its ability to attract, develop and retain key personnel.
+Added: have four full-time employees.
+Added: We also engage independent contractors, who currently serve as COO, director of clinical operations, senior
+Added: scientist, clinical research associates, project manager, information technology manager, controller, patient advocacy manager, and database
+Added: believe the Company’s success depends on its ability to attract, develop, and retain key personnel.
The skills, experience
and industry knowledge of key employees and contractors significantly benefit our operations and performance.
−Removed: The Company’s
−Removed: Board of Directors and management oversee various employee and contractor initiatives.
−Removed: health and safety in the workplace is one of the Company’s core values.
−Removed: The COVID-19 pandemic has underscored for us the
−Removed: importance of keeping our employees and contractors safe and healthy.
−Removed: In response to the pandemic, the Company has taken actions
−Removed: aligned with the World Health Organization and the Centers for Disease Control and Prevention to protect its workforce so they
−Removed: can more safely and effectively perform their work.
+Added: The Company’s Board
+Added: of Directors and management oversee various employee and contractor initiatives.
+Added: health and safety in the workplace is one of the Company’s core values.
+Added: The COVID-19 pandemic has underscored for us the importance
+Added: of keeping our employees and contractors safe and healthy.
+Added: In response to the pandemic, the Company has taken actions aligned with the
+Added: World Health Organization and the Centers for Disease Control and Prevention to protect its workforce so they can more safely and effectively
+Added: perform their work.
+Added: During the past two years, employees have worked remotely to ensure their safety, while continuing to perform
+Added: their duties as they would have.
website is located at www.provectusbio.com .
−Removed: We make available free of charge through this website our annual reports on
−Removed: Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K, and amendments to those reports filed with or furnished
−Removed: to the SEC pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”),
−Removed: as soon as reasonably practicable after they are electronically filed with or furnished to the SEC.
−Removed: Reference to our website does
−Removed: not constitute incorporation by reference of the information contained on the site and should not be considered part of this document.
−Removed: SEC maintains an Internet site that contains reports, proxy and information statements and other information regarding issuers
−Removed: that file electronically with the SEC as we do.
+Added: We make available free of charge through this website our annual reports on Form 10-K,
+Added: quarterly reports on Form 10-Q, current reports on Form 8-K, and amendments to those reports filed with or furnished to the SEC pursuant
+Added: to Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), as soon as reasonably
+Added: practicable after they are electronically filed with or furnished to the SEC.
+Added: Reference to our website does not constitute incorporation
+Added: by reference of the information contained on the site and should not be considered part of this document.
+Added: SEC maintains an Internet site that contains reports, proxy and information statements and other information regarding issuers that file
+Added: electronically with the SEC as we do.
The website is http://www.sec.gov.
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.